MTA Number: Sample MTA

Agreement For Requesting Stocks from NCI Mouse Models of Human Cancers Consortium (MMHCC)

Note: This is a sample MTA for this strain. It is intended for informational purposes only. The actual MTA for your mouse order will be provided after you complete the order form for this strain.

Definitions:

DONOR: Scientist and Scientist's organization contributing material(s) to the MMHCC
REPOSITORY: Facility/Institution storing and shipping MMHCC material(s)
RECIPIENT: Scientist and Scientist's organization requesting and receiving MMHCC material(s)

In response to RECIPIENT'S request for the following Mouse Stock(s) and/or related materials Strain Code 01XA2 -- B6.129-Mlh1tm1Rak (hereinafter referred to as MATERIAL), the REPOSITORY asks that the RECIPIENT and the RECIPIENT SCIENTIST agree to the following before the RECIPIENT receives the MATERIAL.

1. The above MATERIAL is the property of the original Donor and is made available through the REPOSITORY to the RECIPIENT as a service to the research community.

2. THIS MATERIAL IS NOT FOR USE IN HUMAN SUBJECTS, INCLUDING FOR PURPOSES OF DIAGNOSTIC TESTING.

3. The MATERIAL will be used in accordance with the terms of the Release Category indicated below.

4. The MATERIAL obtained from the REPOSITORY by the RECIPIENT will not be further distributed to others. The RECIPIENT shall refer any outside request for the MATERIAL to the REPOSITORY. To the extent supplies are available, the REPOSITORY agrees to make the MATERIAL available, under this same Agreement, to other scientists.

5. The RECIPIENT agrees to acknowledge the DONOR of the MATERIAL in any publications reporting use of the MATERIAL.

6. Any MATERIAL delivered pursuant to this Agreement is understood to be experimental in nature and may have hazardous properties. THE DONOR AND REPOSITORY MAKE NO REPRESENTATIONS AND EXTEND NO WARRANTIES OF ANY KIND, EITHER EXPRESSED OR IMPLIED. THERE ARE NO EXPRESS OR IMPLIED WARRANTIES OR MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, OR THAT THE USE OF THE MATERIAL WILL NOT INFRINGE ANY PATENT, COPYRIGHT, TRADEMARK, OR OTHER PROPRIETARY RIGHTS.Unless prohibited by law, RECIPIENT assumes all liability for claims for damages against it by third parties which may arise from RECIPIENT'S use, storage or disposal of the MATERIAL.

7. The RECIPIENT agrees to use the MATERIAL in compliance with all applicable statutes and regulations, including all applicable Federal statutes and Public Health Service policies relating to the use and care of laboratory animals (see 7 U.S.C. 2131 et seq.). Additional information is available from the NIH Office of Laboratory Animal Welfare (Telephone 301-496-7163).

8.The MATERIAL is provided by the REPOSITORY at no cost. Charges for air freight shipping are additional and must be paid by the RECIPIENT.

9. If the MATERIAL consists of DuPont's OncoMouse® or CreLox technology (designated in Release Category D), please complete the attached Addendum.

An AUTHORIZED RECIPIENT OFFICIAL (e.g., a technology licensing officer) and RECIPIENT SCIENTIST must sign and return two originals of this Agreement to the REPOSITORY before the REPOSITORY will send the MATERIAL to the RECIPIENT. The REPOSITORY will subsequently return one executed copy to the RECIPIENT.


RECIPIENT SCIENTIST INFORMATION
Organization:  
Scientist:  
Address:



Telephone:  
Fax:  

AUTHORIZED RECIPIENT OFFICIAL INFORMATION
Name of Authorized Recipient Official:  
Title of Authorized Recipient Official:  

DONOR INFORMATION
Donor Organization(s): Albert Einstein College of Medicine 
Donor Scientist(s): Raju Kucherlapati 

Certification of Authorized Recipient Official: I agree that before I use the MATERIAL in a product offered for sale, in a commercial manufacturing process, including quality control procedures, or to provide a commercial service, such use will be only according to the DONOR-assigned Release Categories:



B - Recipient may use mouse stocks for research purposes and must sign an agreement with the Donor's institution for commercial use* before using or incorporating the mouse stocks for commercial purposes.

* "[C]ommercial use of mouse stocks" shall mean, for example:

  1. use of the mouse stocks for commercial purposes, such as a product offered for sale; commercial manufacture, distribution, or provision of services including quality control procedures; or for development of a directly related secondary product or service that can be sold; or

  2. commercial marketing by recipient or recipient's licensee of a directly related secondary product developed using donor's mouse stocks.


__________________________________________________
_______________
Signature of Authorized Recipient Official
Date

Certification of Recipient Scientist: I have read and understood the conditions outlined in this Agreement and I agree to abide by them in the receipt and use of the MATERIAL, including use of MATERIAL according to the indicated Release Category.


__________________________________________________
_______________
Signature of Recipient Scientist
Date


For Repository Use Only:

REPOSITORY INFORMATION and AUTHORIZED REPOSITORY SIGNATURE

Name and Address: Marie H. Priest
Technology Transfer Center
National Cancer Institute
Executive Plaza South, Suite 450
6120 Executive Boulevard
Rockville, MD 20852

Certification of Authorized Repository Official: This Agreement is a modified NIH Simple Letter of Agreement.

__________________________________________________
_______________
WENDY E. PATTERSON, J.D.
Senior Advisor, TTC, NCI
Date