JOINT HHMI/UCSF OUTBOUND MTA FOR COLLEAGUES AT NONPROFIT SCIENTIFIC ORGANIZATIONS

[date]

[name and address of requester of material]

Dear [name]:

Per your request, in my capacity as an employee of the Howard Hughes Medical Institute (the “Institute”) and a faculty member of the University of California San Francisco ("UCSF"), I would like to make available to you the Biological Material described below:

      Laboratory:
      Description of Biological Material:

The Biological Material is provided to you for non-clinical, non-commercial research purposes. You may not use the Biological Material for use with human subjects, including diagnostic testing. You agree to use the Biological Material in compliance with all applicable statutes and regulations including, but not limited to, laws governing the use of hazardous or radioactive materials and the care of laboratory animals. If the use of the Biological Material results in one or more scientific publications, you should acknowledge me as the provider of the Biological Material as appropriate under academic standards and custom.

This agreement shall in no way be construed as an assignment of Institute’s or UCSF’s interest in the Biological Material or other proprietary rights. Please do not distribute the Biological Material, its progeny, or any genetically engineered or mutated modification which is substantially based on or incorporates/contains an essential element of the Biological Material to any other individual or entity without my prior consent.

Because the Biological Material is experimental in nature, PLEASE NOTE THAT IT IS PROVIDED WITH NO WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED. THERE ARE NO EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, OR THAT THE USE OF THE BIOLOGICAL MATERIAL WILL NOT INFRINGE ANY PATENT, COPYRIGHT, TRADEMARK, OR OTHER PROPRIETARY RIGHTS OF THIRD PARTIES. You and your institution agree to hold both Institute and UCSF and their respective trustees, regents, directors, employees and agents harmless from any claims, suits, or losses due to or arising from your use of the Biological Material.

Sincerely,

_______________________________
Signature

Address:
Name:
Title:

AGREED AND ACCEPTED BY RECIPIENT SCIENTIST:
Organization:
Address:
Name:
Title:
Signature & Date:

RECIPIENT ORGANIZATION APPROVAL:
Authorized Official:
Title:
Address:
Signature & Date: