DARPA-BAA-16-22_Attachment_4_Proposal_Template_-_Administrative_ _National_Policy_Requirements.docx

DARPA-BAA-16-22 Improv BAA Attachment 4 Administrative and National Policy Requirements Document Template

The Administrative and National Policy Requirements document must be completed in full and included as part of the proposal submission. If a particular subsection is not applicable, state “NONE.” Do not delete any portion of this document.

All pages shall be formatted for printing on 8-1/2 by 11 inch paper with 1-inch margins and font size not smaller than 11 point. Font sizes of 8 or 10 point may be used for figures, tables, and charts.

The Administrative and National Policy Requirements document must be in .pdf, .odx, .doc, or .docx formats. Submissions must be written in English.

No page limit has been specified for the Administrative and National Policy Requirements document.

NOTE: Sections 1-4 of this document MUST be UNCLASSIFIED. If Section 5 (Intellectual Property) does not include classified information, it may be submitted with Sections 1-4. HOWEVER, if Section 5 includes classified information, it should be submitted as a separate appendix to this document and include applicable classification markings as described in Section 4.5.3 of the Improv BAA, DARPA-BAA-16-22.

Source Selection Information – See FAR 2.101 and 3.104

DARPA-BAA-16-22 2

<PRIME ORGANIZATION LOGO>

DARPA-BAA-16-22

Administrative and National Policy Requirements document

Proposal Title

Proposer Organization

Proposer Reference Number, if any

Address:

Telephone:

Email:

Address:

Telephone:

Email:

Address:

Telephone:

Email:

Organization:

Organization Type:

Date Proposal was prepared

Proposal Validity Period (minimum 270 days)

Table of Contents

DARPA-BAA-16-22 5

Team Member Identification [Using the following format, provide a list of all team members including the prime, subcontractor(s), and consultant(s), as applicable. Identify specifically whether any are a non-U.S. organization or individual, FFRDC and/or Government entity. If a team member is acting in an individual capacity mark the Organization as “Self.”]

Prime

Subcontractors/Consultants

Organizational Conflict of Interest Affirmations and Disclosure Are any of the proposed individual team members or their respective organizations (whether prime or subcontractor or consultant) currently providing SETA or similar support to DARPA?

No Yes [If yes, identify the DARPA Office(s) being supported prime contract number(s) and provide the prime contract number(s) and descriptions of the proposed action (or action already taken) to avoid, neutralize or mitigate the conflict.]

Requirements for teams that include Government Entities, University Affiliated Research Centers (UARCs) and/or Federally Funded Research and Development Centers (FFRDCs) Note: FFRDCs, UARCs and Government entities (e.g., Government laboratories, military educational institutions, etc.) are subject to applicable direct competition limitations and cannot propose to this BAA in any capacity unless they meet the following conditions: (1) the proposed work is not otherwise available from the private sector; and (2) there is specific statutory and/or contractual authority establishing eligibility to propose to Government solicitations and compete with industry.

Are any of the team member organizations (prime or subcontractor) a Government entity, UARC or FFRDC? No Yes [If yes, provide the information outlined below.]

a. Proof of Eligibility to Propose [Provide documentation citing the specific authority that establishes the applicable team member’s eligibility to propose to Government solicitations; include: (1) statutory authority; (2) contractual authority; (3) supporting regulatory guidance; and (4) evidence of agency approval for applicable team member participation. For FFRDCs and UARCs, this documentation must be in the form of a letter on official letterhead from their sponsoring organization and must also include a statement of compliance with the terms and conditions of the associated FFRDC sponsor agreement or UARC DoD contract, as applicable.]

b. Statement of Unique Capability [Provide a statement that demonstrates the work to be performed by the Government entity, UARC or FFRDC team member is not otherwise available from the private sector.]

Representations [Complete the statements in each of the following 3 sections.]

a. Human Subjects Research (HSR) Note: No HSR may be proposed or will be funded under this BAA.

The Proposer represents that the proposed work does NOT involve human subjects:

No Yes

b. Animal Use Note: No animal use may be proposed or will be funded under this BAA.

The Proposer represents that the proposed work does NOT involve animal use: No Yes

c. Representations Regarding Unpaid Delinquent Tax Liability or a Felony Conviction under Any Federal Law The Proposer represents that –

(i) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability,

(ii) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

Intellectual Property (IP) Does this section contain any classified information?

No [If no, this section should be included with the rest of this document.] Yes [If yes, this section should be submitted as a separate appendix to this document and include applicable classification markings as described in Section 4.5.3 of the Improv BAA, DARPA-BAA-16-22.]

a. Technical Data and Computer Software Note: the Government will assume unlimited rights to all IP not explicitly identified as restricted in the proposal.

Are you asserting any IP restrictions on any technical data or computer software that will be delivered to the Government?

No Yes [If yes, list all proprietary claims to results, prototypes, deliverables or systems supporting and/or necessary for the use of the proposed research, results, prototypes and/or deliverables. Provide a short summary for each item asserted with less than unlimited rights that describes the nature of the restriction and the intended use of the intellectual property in the conduct of the proposed research. Use the following format for these lists.]

NONCOMMERCIAL

Asserted Rights Category

Name of Person Asserting Restrictions

COMMERCIAL

Asserted Rights Category

Name of Person Asserting Restrictions

b. Patents Does the proposed effort involve using patented inventions that are owned by or assigned to the proposing organization or individual?

No Yes [If yes, provide documentation proving ownership or possession of appropriate licensing rights to all patented inventions to be used for the proposed project. If a patent application has been filed for an invention, but it includes proprietary information and is not publicly available, provide documentation that includes: the patent number, inventor name(s), assignee names (if any), filing date, filing date of any related provisional application, and summary of the patent title, with either: (1) a representation of invention ownership; or (2) proof of possession of appropriate licensing rights in the invention (i.e., an agreement from the owner of the patent granting license to the proposer).]