Data Rights Assertion Table Noncommercial technical data and noncommercial computer software

For deliverables only | Do not list hardware

The Contractor asserts for itself, or the persons identified below, that the Government's rights to use, release, or disclose the following noncommercial technical data or noncommercial computer software should be restricted:

If there are no data rights to be asserted, please write or select "NONE" in row 1, complete the information below and return with proposal. 1 For technical data pertaining to items, components, or processes developed at private expense, identify both the deliverable technical data and each such item, component, or

process. For computer software/ software documentation, identify the software or documentation. 2 For technical data, development refers to development of the item, component, or process to which the data pertain. For computer software, development refers to the software. The

Government's rights in computer software documentation generally may not be restricted. 3 Asserted rights categories, generally include “government purpose rights,” “SBIR data rights,” “limited rights,” “restricted rights,” or “specially negotiated license rights.” 4 Corporation, individual, or other person as appropriate. 5 Enter “none” when all noncommercial technical data or noncommercial computer software/software documentation will be submitted without restrictions.

CONSENT TO USE OF ELECTRONIC SIGNATURES: BY CHECKING HERE, I AGREE TO THE USE OF ELECTRONIC SIGNATURES AS VALID, LEGALLY BINDING SUBSTITUTES FOR ORIGINAL, HANDWRITTEN SIGNATURES ON THIS DOCUMENT.

Company Name Name (Signature) Date

Rev. Date: 04/06/2017 S:\Bpsonly\BPS_Admin\Vendorforms Name (printed) Title

SOW Task or Milestone requiring the data deliverable

Noncommercial technical data or noncommercial computer software to be furnished with restrictions1

Basis for assertion2

(Choose One) None Developed exclusively at private expense Developed partially at private expense

Asserted rights category3

(Choose One) None Government Purpose Rights Limited Rights (Technical Data) Restricted Rights (Software) Specifically Negotiated License Rights in SBIR Data

Name of person asserting restrictions4

(LIST) (LIST)5 (LIST) (LIST) (LIST)

i.e. SOW – Task 1 Software, schematics, technical reports relating to chipset or patent #

Exclusively Private 1 – Gov’t Purpose License Rights Contractor's Name