Statement for a Deposit at the Félix D Hérelle Reference Center for Bacterial Viruses 1

STATEMENT FOR A DEPOSIT AT THE FÉLIX D’HÉRELLE REFERENCE CENTER FOR BACTERIAL VIRUSES1

I. MATERIAL INFORMATION : PHAGE DATA

IDENTIFICATION

1. Name

2. Synonym

2. Propagating strain:

3. Lysogenic host:

HISTORY (if applicable, indicate name, address, reception date and collection number):

1. Received from:

2. Who received it from:

3. Who received it from:

4. Also held in the following permanent or international collection:

5. Isolation:

a. Material

b. Place

c. Date

d. By (name and address)

MAINTENANCE

1. Propagation:

a. Medium: - Name

1 Félix D’Hérelle Reference Center for Bacterial Viruses, hereafter designated as « CENTER », is located at Université Laval, which is the legal entity. 2 - In broth

- On agar surface

- In agar double layer

b. Temperature

c. Time

d. Agitation or aeration

d. Particulars

2. Preservation:

a. Medium

b. Temperature

c. Longevity

SPECIAL FEATURES AND USES (e.g. typing phage, serological relationships):

REFERENCES Page 3 of 4

II. DEPOSIT OWNERSHIP INFORMATION

Organization and/or Depositor with Ownership and Use Rights to the MATERIAL : ______

Organization and/or Depositor has all ownership and uses rights to MATERIAL and deposits MATERIAL with CENTER and grants to Université Laval the rights described below. . MATERIAL is subject of an issued patent or patent application under which Organization or Depositor claim rights : YES ____ NO____ If YES, please describe: ______

Third party other than Organization and/or Depositor has rights to MATERIAL, but Organization and/or Depositor has the right to, and hereby, deposits MATERIAL with CENTER and grants to Université Laval the rights described below. . Does Organization and/or Depositor have third party’s written authorization to deposit MATERIAL with CENTER? YES ____ NO___ . Name(s) of third party(ies) that claim ownership or uses rights : ______

There are no known ownership rights to MATERIAL. . Further explanation required : ______

______

III. ACKNOWLEDGEMENT AND ASSIGNMENT OF RIGHTS

DEPOSITOR2, CENTER and Université Laval are entering into this agreement because they desire to foster advancement and application of scientific knowledge by ensuring broad access and availability of MATERIAL to the global scientific community. Therefore, in consideration for the benefits of DEPOSITOR from CENTER’s accessioning and distribution, DEPOSITOR hereby grants to Université Laval a non-exclusive, royalty-free, perpetual right to accession to the MATERIAL and to distribute the MATERIAL worldwide.

DEPOSITOR warrants that it has the legal authority or the rights to deposit the MATERIAL and grant the rights conveyed in this agreement. DEPOSITOR retains all rights to, and ownership in MATERIAL in its possession that has not been physically deposited with CENTER.

DEPOSITOR understands that deposited MATERIAL may be subject to an extensive accessioning process, potentially to include evaluation, preservation, optimization, use, modification, derivation and reproduction (collectively referred to hereinafter as “Accessioning”). DEPOSITOR will neither claim ownership of the intellectual property related to Accessioning process nor ownership of the

2 DEPOSITOR means the legal entity (organization or person) who claims ownership of the deposit or has rights to MATERIAL. 4 results obtained from the use of the MATERIAL by the purchaser or CENTER. DEPOSITOR and CENTER accept to cooperate to the extent possible in providing information pertaining to the MATERIAL.

DEPOSITOR understands that CENTER will make its best efforts to store the deposited organism in a manner which ensures that it is kept viable and uncontaminated, and that CENTER is not in the obligation for replacing it if it deteriorates following the deposit.

IV. DEPOSITOR INFORMATION

Provider : ______

Signature : Date : ______

Organization : ______

Name of Authorized Official : ______

Signature : Date : ______

Address : ______E-Mail : Fax:______

For Université Laval

Signature : Date : ______Paul Fortier, Vice-president for Research and Innovation

Intervening party:

Signature : Date : ______Sylvain Moineau Ph D, curator