Disruptioneering Other Transaction for Prototype Agreement SAMPLE - Amendment 2

DARPA has provided this Disruptioneering SAMPLE OT-P as an opportunity for the proposer to suggest edits for consideration. The SAMPLE OT is representative of the general terms and conditions that DARPA intends to include in any awards. Proposers may suggest edits to the OT Agreement for consideration by DARPA and provide a copy of the SAMPLE OT with track changes as part of their proposal package. If a copy with tracked changes is not proposed, DARPA assumes acceptance of all Articles. Proposed changes to the DO OT Sample will not be evaluated. Any changes suggested should be commensurate with the technical approach, milestones, and deliverables proposed. It is required that Proposers include comments providing rationale for any suggested edits of a non-administrative nature. Suggested edits may be rejected at DARPA’s discretion. DARPA will complete all sections in purple
**Proposer must review and complete blue text/highlighted yellow sections of this SAMPLE OT, with Track Changes.**

Other Transaction for Prototype Agreement

BETWEEN

(INSERT ORGANIZATION NAME AND PHYSICAL ADDRESS AS SHOWN IN SAM.GOV)

AND

THE DEFENSE ADVANCED RESEARCH PROJECTS AGENCY

675 NORTH RANDOLPH STREET

ARLINGTON, VA 22203-2114

CONCERNING

(INSERT RESEARCH AND DEVELOPMENT TITLE)

FOR THE DARPA (PROGRAM NAME)

Agreement No.: HR0011XX9XXXX
Purchase Requisition No.: HR0011XXXXX
Total Value of the Agreement: $X,XXX,XXX (Phase 1 Base and Phase 2 Unexercised Option) Phase 1 (Base) Value: $X,XXX,XXX
Phase 2 (Option) Value: $X,XXX,XXX (Unexercised)
Authority: 10 U.S.C. § 4022
Effective Date:Date of government signature.

Periods of Performance:
Phase 1 (Base) Effort:
Phase 2 (Option) Effort (unexercised):

Line of Appropriation/Funds Obligated:

CLIN/SUBCLIN

ACRN

Accounting Line
CIN
Amount
0001/000101

$

This Agreement is entered into between the United States of America, hereinafter called the Government, represented by The Defense Advanced Research Projects Agency (DARPA), and [INSERT PERFORMER] pursuant to and under United States Federal law. Note that by signing this Agreement, [INSERT PERFORMER] also attests to the accuracy and completion of the Certifications of the Agreement herein Attachment 7 Certifications for Agreement.

FOR (INSERT PERFORMER NAME)

FOR THE DEFENSE ADVANCED RESEARCH PROJECTS AGENCY

(Signature)
Name: (Insert)
Title: (Insert)
(Signature)
Name:
Title:

ARTICLES

ARTICLE IScope of the Agreement

ARTICLE II Term

ARTICLE III Management of the Project

ARTICLE IVObligation and Payment