Exhibit 10.1


 


 


AMENDED & RESTATED


 


COLOGUARD®


  


PROMOTION AGREEMENT


 


BY
AND BETWEEN


 


EXACT
SCIENCES CORPORATION


 


AND


  


PFIZER INC.


  


October
6, 2020


 






     


     


    

  





TABLE
OF CONTENTS


 


Page




 





	1.	DEFINITIONS	1
	 	 	 
	2.	GOVERNANCE	11
		2.1	Joint Steering Committee	11
		2.2	Joint Operations Committee	14
		2.3	Joint Review Committee	15
		2.4	Finance Representative	16
		2.5	Alliance Managers	16
		2.6	Compliance Managers	17
		2.7	Changes to Governance Structure	18
	 	 	 	 
	3.	APPOINTMENT; PRODUCT OWNERSHIP; MARKETING AND SALES	18
		3.1	Appointment	18
		3.2	Responsibility for Product	19
		3.3	Annual Marketing Plan	26
		3.4	Sales Promotion, Detailing Efforts and IDN Promotion	27
	 	 	 
	4.	ACCOUNTING	29
		4.1	Fees & Performance Bonus	29
		4.2	Financial Deliverables	31
		4.3	Invoicing & Payment Terms	32
		4.4	Taxes and Withholding	34
		4.5	No Partnership Provision	35
		4.6	Payments; Currency	35
		4.7	Maintenance of Records; Audits	35
	 	 	 	 
	5.	REPRESENTATIONS, WARRANTIES AND COVENANTS	36
		5.1	Mutual Representations and Warranties	36
		5.2	Representations and Warranties of Exact	37
		5.3	Covenants	38
		5.4	Compliance with Law and Ethical Business Practices	39
		5.5	Notice of Investigations	43
		5.6	Representation by Legal Counsel	43
		5.7	No Inconsistent Agreements	43
		5.8	Disclaimer	43
	 	 	 	 
	6.	INDEMNIFICATION; LIMITATION OF LIABILITY AND INSURANCE	43
		6.1	Indemnification	43
		6.2	Insurance Requirements	45
		6.3	Limitation of Liability	45
	 	 	 	 
	7.	CONFIDENTIALITY; PUBLICITY	46
		7.1	Confidentiality	46
		7.2	Authorized Disclosure and Use	46
		7.3	Certain Regulatory Filings	47
		7.4	Public Announcements	47
		7.5	Use of Names	47



 






     


     


    

 


	8.	TERM; TERMINATION; ROYALTY	47
		8.1	Term	47
		8.2	Intentionally Omitted	47
		8.3	Termination for Cause	47
		8.4	Termination Without Cause	48
		8.5	Mutual Termination	48
		8.6	Termination for Change of Control	48
		8.7	Royalty	49
		8.8	Consequences of Termination	49
		8.9	Survival of Certain Obligations	49
	 	 	 	 
	9.	MISCELLANEOUS	50
		9.1	Amended and Restated Agreement	50
		9.2	Termination of 2020 Rider	50
		9.3	Interpretation	50
		9.4	Assignment	50
		9.5	Further Actions	51
		9.6	Force Majeure	51
		9.7	Notices	51
		9.8	Amendment	52
		9.9	Waiver	52
		9.10	Severability	52
		9.11	Descriptive Headings	53
		9.12	Governing Law	53
		9.13	Dispute Resolution	53
		9.14	Entire Agreement of the Parties	53
		9.15	Independent Contractors	53
		9.16	No Legal Advice	54
		9.17	Counterparts	54


 


EXHIBITS


 


	Exhibit 1.39	– 	Exact Trademarks
	Exhibit 2.2(c)(iii) 	 – 	Calendar Quarter Performance Metrics
	Exhibit 3.3(a)	– 	2020 Annual Marketing Plan
	Exhibit 3.3(b)	– 	Annual Marketing Plan Outline
	Exhibit 3.4(g)	– 	KAM Benchmarks
	Exhibit 4.1(a)	– 	Detail Fee
	Exhibit 4.1(e)(i)	– 	Details Bonus Thresholds
	Exhibit 5.2 	– 	Certain Disclosures



 






     


     


    

 



 


AMENDED & RESTATED COLOGUARD® PROMOTION AGREEMENT


 


This Amended
 & Restated Cologuard Promotion® Agreement (the “Agreement”) is made and entered into effective
as of October 6, 2020 (the “Effective Date”), by and between Pfizer Inc. (“Pfizer”), a Delaware
corporation, with a principal place of business at 235 East 42nd Street, New York, New York 10017 and Exact Sciences Corporation
(“Exact”), a Delaware corporation with a principal place of business at 5505 Endeavor Lane, Madison, Wisconsin
53719. Pfizer and Exact may each be referred to herein individually as a “Party” and collectively as the “Parties”.


 


WHEREAS,
Exact has marketing and proprietary rights to the Product (as defined below) in the United States;


 


WHEREAS,
Pfizer has sales, marketing, analytical, and other core capabilities and competencies to promote and market branded prescription
products;


 


WHEREAS,
Exact desires to work with Pfizer to leverage Pfizer’s expertise in sales, marketing, analytical, and other core capabilities
and competencies for the Product in the United States and Pfizer desires to provide such expertise, including through its Sales
Representatives;


 


WHEREAS,
Exact and Pfizer previously entered into that certain Cologuard® Promotion Agreement, dated as of August 21, 2018 (the “Original
Agreement”); and


 


WHEREAS,
Exact and Pfizer desire to amend and restate the Original Agreement in its entirety as set forth herein for the purposes of, and
on the terms and conditions set forth in, this Agreement.


 


NOW
THEREFORE, in consideration of the mutual promises and covenants set forth below and other good and valuable consideration, the
receipt and sufficiency of which is hereby acknowledged, the Parties hereby agree as follows:


 


		1.	DEFINITIONS.



 


		1.1	“2020 Annual Marketing Plan” shall have the meaning set
forth in Section 3.3(a).



 


		1.2	“2020 Annual Marketing Plan Revisions” shall have the
meaning set forth in Section 3.3(a).



 


		1.3	“2020 Details Bonus” shall have the meaning set forth
in Section 4.1(e)(i).



 


		1.4	“2020 Details Bonus Period” shall have the meaning set
forth in Section 4.1(e)(i).



 


		1.5	“2020 Details Bonus Threshold” shall mean the number
of Details set forth on Exhibit 4.1(e)(i) in the row entitled “2020 Details Bonus Threshold”.



 


		1.6	“2020 Rider” shall have the meaning set forth in Section
9.2.



 


		1.7	“2020 Targets” shall have the meaning set forth in Section
3.3(a).



 


		1.8	“2021 Details Bonus” shall have the meaning set forth
in Section 4.1(e)(i).



 


		1.9	“2021 Details Bonus Threshold” shall mean the number
of Details set forth in Exhibit 4.1(e)(i) in the row entitled “2021 Details Bonus Threshold”.



 






    	 	Agreement	Page 1



    


    

 


		1.10	“2022 Details Projection” shall have the meaning set forth in Section 3.3(a).



 


		1.11	“AdvaMed Code” shall have the meaning set forth in Section
3.2(c)(ii).



 


		1.12	“Advertising” shall mean the planning, purchasing and
placement of paid advertising for a prescription medical device subject to pre-market approval in the Territory through any means,
including television, print, radio/audio, in-office/placed-based, digital, web, search (SEM/SEO), social media, mobile and any
and all new and emerging media channels for consumers, healthcare institutions and healthcare providers.



 


		1.13	“Advertising Exclusivity End Date” shall have the meaning
set forth in Section 3.2(d)(iv).



 


		1.14	“Affiliate(s)” shall mean, with respect to any Party,
any other Person which controls, is controlled by or is under common control with such Party. A Person shall be regarded as in
control of another Person if it owns or controls at least fifty percent (50%) of the equity securities of such other Person entitled
to vote in the election of directors (or, in the case of an entity that is not a corporation, for the election of the corresponding
managing authority); provided, however, that the term “Affiliate” shall not include subsidiaries or other entities
in which a Party or its Affiliates owns a majority of the ordinary voting power necessary to elect a majority of the board of directors
or other governing board, but is restricted from electing such majority by contract or otherwise, until such time as such restrictions
are no longer in effect.



 


		1.15	“Agreement” shall have the meaning set forth in the preamble.



 


		1.16	“Alliance Manager” shall have the meaning set forth in
Section 2.5.



 


		1.17	“Annual Details Target” shall have the meaning set forth
in Exhibit 3.3(b).



 


		1.18	“Annual HCP Target Drift Allowance” shall have the meaning
set forth in Exhibit 3.3(b).



 


		1.19	“Annual Marketing Plan” shall mean the plan for the Marketing and Promotion
of the Product in the Territory for each full Calendar Year as described in Section 3.3, as prepared and updated from time to time
pursuant to Section 3.3.



 


		1.20	“Applicable Compliance/Review Policies” shall mean, with
respect to Pfizer, its written Code of Ethics and Professional Conduct and, with respect to Exact, its written Code of Business
Conduct and Ethics, and such policies and standard operating procedures that are adhered to by such Party in connection with the
Product and any payments or services contemplated by this Agreement, as the same may be amended from time to time.



 


		1.21	“Applicable Law” shall mean any law, statute, rule, regulation,
order, judgment, ordinance, administrative code, decree, directive, injunction or permit (including Regulatory Approvals) of any
court, arbitral body, agency, department, authority or other instrumentality of any national, state, county, city or other political
subdivision applicable to a Party’s activities to be performed under this Agreement. For the avoidance of doubt, any specific
references to any Applicable Law or any portion thereof, shall be deemed to include all amendments, replacements or successors
thereto.



 






    	 	Agreement	Page 2



    


    

 


		1.22	“Audited Party” shall have the meaning set forth in Section
4.7(b)(i).



 


		1.23	“Auditing Party” shall have the meaning set forth in
Section 4.7(b)(i).



 


		1.24	“Business Day” shall mean any day other than a Saturday,
Sunday, or a bank or other public holiday in New York, New York, United States.



 


		1.25	“Calendar Quarter” shall mean the respective periods of
three (3) consecutive calendar months ending on March 31, June 30, September 30 or December 31.



 


		1.26	“Calendar Year” shall mean the respective periods of twelve
(12) calendar months, each such period ending on December 31 of the applicable year for as long as this Agreement is in effect.



 


		1.27	“Change of Control” shall mean, with respect to a Party: (a) the sale of all
or substantially all of such Party’s assets or business relating to the subject matter of this Agreement; (b) a merger, reorganization,
or consolidation involving such Party in which the holders of voting securities of such Party outstanding immediately prior thereto
cease to hold at least fifty percent (50%) of the combined voting power of the surviving entity or acquiring entity (or its parent)
immediately after such merger, reorganization, or consolidation; or (c) the acquisition of more than fifty percent (50%) of the
voting equity securities of such Party as a result of a single transaction or a series of related transactions.



 


		1.28	“CIA” shall have the meaning set forth in Section 5.4(j).



 


		1.29	“Claims” shall have the meaning set forth in Section 6.1(a).



 


		1.30	“Co-Promote Field” shall mean those physicians and practices
customarily considered primary care, gastroenterology or OB/GYN providers and practices in the Territory.



 


		1.31	“Compliance Manager” shall have the meaning set forth in Section 2.6.



 


		1.32	“Confidential Information” shall have the meaning set forth in Section 7.1.



 


		1.33	“Customary Detail” shall have the meaning set forth in
Section 1.35.



 


		1.34	“Debarred/Excluded” shall have the meaning set forth in Section 5.1(g).



 






    	 	Agreement	Page 3



    


    

 


		1.35	“Detail” shall mean a (a) customary face-to-face or non-face-to-face contact
of a Sales Representative of a Party with an Eligible Prescriber during which such Sales Representative makes a presentation of
certain of the Product’s attributes, such as describing the FDA-approved indicated uses, safety, effectiveness, ordering
process, or other relevant characteristics of the Product, in a fair and balanced manner and in accordance with the requirements
of this Agreement and Applicable Law and in a manner that is customary for the purpose of Promoting a prescription medical device
subject to pre-market approval (a “Customary Detail”); provided, however, that a Customary Detail
shall not include (i) a Phone Detail (as defined below), (ii) any activities performed by any Representative other than a Sales
Representative who is not conducting a face-to-face or non-face-to-face sales call, (iii) presentations made at conventions or
(iv) mere delivery of savings cards, coupons or similar items without discussions with an Eligible Prescriber about the Product;
or (b) Customary Detail delivered by a Sales Representative of a Party to an Eligible Prescriber by means of telephone contact
(a “Phone Detail”), provided, however, that, in the case of Phone Details and Customary Details,
such measurement shall be on the same basis as the recording Party’s measurement for its Sales Representatives’ detailing
of its other medical devices subject to pre-market approval or prescription pharmaceutical products (as applicable), consistently
applied throughout the Term. For clarity, (A) non-face-to-face contact in respect of Customary Details shall mean e-detailing,
video detailing or other presentation of Promotional Material by a Sales Representative to an Eligible Prescriber via audio, video,
internet, using webex or other similar live conference applications, and (B) telephone contact in respect of Phone Details shall
mean a presentation of Promotional Material by a Sales Representative to an Eligible Prescriber via a telephone call, in all instances
of (A) or (B) that allows for real time, detailed and substantive communication between the Sales Representative and the Eligible
Prescriber regarding the Product and that would be considered a Detail by Pfizer for its own products under its own guidelines,
but shall exclude any such communications during which such detailed and visual exchanges of information do not occur. “Detail,”
when used as a verb, and “Detailed” or “Detailing” shall have correlative meanings.



 


		1.36	“Details Bonus” shall have the meaning set forth in Section
4.1(e)(i).



 


		1.37	“Detail Fee” shall have the meaning set forth in Section
4.1(a).



 


		1.38	“Detail Targets” shall have the meaning set forth in
Exhibit 3.3(b).



 


		1.39	“Details Bonus Threshold” shall mean the 2020 Details
Bonus Threshold and/or the 2021 Details Bonus Threshold, as applicable.



 


		1.40	“Disclosing Party” shall have the meaning set forth in Section 7.1.



 


		1.41	“Disputed JOC Matter” shall have the meaning set forth in Section 2.2(d).



 


		1.42	“Disputed JRC Matter” shall have the meaning set forth in Section 2.3(d).



 


		1.43	“Disputed JSC Matter” shall have the meaning set forth in Section 2.1(e).



 


		1.44	“Draft Monthly Report” shall have the meaning set forth in Section 4.2(b)(i).



 


		1.45	“Effective Date” shall have the meaning set forth in
the preamble.



 


		1.46	“Eligible Prescriber” shall mean (a) a health care provider
who has the authority to prescribe the Product under Applicable Law and (b) any other health care professional without prescribing
authority but who (i) is reasonably believed to assist with patient care and reimbursement for healthcare service in the office
of a health care provider who has authority to prescribe the Product under Applicable Law, and (ii) is allowed to receive Promotion.



 






    	 	Agreement	Page 4



    


    

 


		1.47	“Exact” shall have the meaning set forth in the preamble.



 


		1.48	“Exact Copyrights” shall mean all statutory and common law copyrights owned
by Exact in and to the Promotional Materials, Advertising materials or Product Label used in the Territory.



 


		1.49	“Exact House Marks” shall mean the Exact trade name and logo, including all
registrations and applications for registration of any of the foregoing in the Territory.



 


		1.50	“Exact Indemnitee” shall have the meaning set forth in Section 6.1(b).



 


		1.51	“Exact JSC Members” shall have the meaning set forth in Section 2.1(a).



 


		1.52	“Exact Patent Rights” shall mean the Patent Rights owned or controlled by Exact
as of the Original Agreement Effective Date.



 


		1.53	“Exact Sponsorships and Related Activities” shall have the meaning set forth
in Section 3.2(d)(vii).



 


		1.54	“Exact Trademarks” shall mean (a) the Trademarks listed
on Exhibit 1.39 and the registrations thereof, (b) any pending or future trademark registration applications owned or controlled
and used in connection with or intended for use in connection with the Product in the Territory, (c) any unregistered trademark
rights used in connection with the Product as may exist through use in the Territory, (d) any current or future modifications or
variants of any of the foregoing rights, and (e) any future Trademarks adopted by Exact or its Affiliates for use in connection
with the Product in the Territory.



 


		1.55	“Excess Non-HCP Target Detail”
shall have the meaning set forth in Section 3.4(d)(i). 



 


		1.56	“Excess Phone Detail” shall have the meaning set forth
in Section 3.4(d)(i).



 


		1.57	“FD&C Act” shall mean the United States Federal Food,
Drug, and Cosmetic Act, as amended, and the rules and regulations promulgated thereunder.



 


		1.58	“FDA” shall mean the United States Food and Drug Administration
or any successor agency thereto.



 


		1.59	“Final Monthly Report” shall have the meaning set forth
in Section 4.2(b)(ii).



 


		1.60	“Finance Representative” shall have the meaning set forth in Section 2.4.



 


		1.61	“Force Majeure” shall have the meaning set forth in Section 9.6.



 


		1.62	“GAAP” shall mean United States generally accepted accounting
principles, consistently applied.



 






    	 	Agreement	Page 5



    


    

 


		1.63	“Government Official” to be broadly interpreted, shall
mean (a) any elected or appointed official of a Governmental Authority; (b) any employee or person acting for or on behalf of a
Governmental Authority or enterprise performing a function of a Governmental Authority; (c) any Governmental Authority, candidate
for public office, officer, employee, or person acting for or on behalf of a Governmental Authority or candidate for office of
a Governmental Authority; (d) any employee or person acting for or on behalf of a Governmental Authority; or (e) any individual
who holds himself or herself out to be the authorized intermediary of any of the foregoing. For clarity, healthcare providers employed
by government-owned hospitals shall be considered Government Officials.



 


		1.64	“Governmental Authority” to be broadly interpreted and
includes: (a) any national, federal, state, local, regional, or foreign government, or level, branch, or subdivision thereof; (b)
any multinational or public international organization or authority; (c) any ministry, department, bureau, division, authority,
agency, commission, or body entitled to exercise any administrative, executive, judicial, legislative, police, regulatory, or taxing
authority or power; (d) any court, tribunal, or governmental arbitrator or arbitral body; (e) any government-owned or controlled
institution or entity; (f) any enterprise or instrumentality performing a governmental function; and (g) any political party.



 


		1.65	“HCP Target” shall each have the meaning set forth in
Exhibit 3.3(b).



 


		1.66	“HCP Target Drift Allowance” shall have the meaning set
forth in Exhibit 3.3(b).



 


		1.67	“IC Data” shall have the meaning set forth in Section
4.2(a).



 


		1.68	“IDN” shall mean an integrated healthcare delivery network.



 


		1.69	“Incentive Compensation” shall mean the compensation
paid by or under the authority of Pfizer or any of its Affiliates to a Sales Representative involved in the Promotion of the Product
under this Agreement based directly or indirectly on the sales of the products (including the Product) being Promoted by such Sales
Representative in the Territory, including any target bonus, award or other incentive, but excluding (i) base salary and (ii) single
product ad hoc awards or other similar individual product incentives, such as “special incentive plans” that,
in the aggregate, do not exceed $2,000 per Calendar Year.



 


		1.70	“Indemnified Party” shall have the meaning set forth in Section 6.1(c)(i).



 


		1.71	“Indemnifying Party” shall have the meaning set forth in Section 6.1(c)(i).



 


		1.72	“Initial Detail Payment Amount” shall have the meaning
set forth in Section 4.3(a).



 


		1.73	“Initial Detail Payment Date” shall have the meaning
set forth in Section 4.3(a).



 


		1.74	“Initial Detail Report” shall have the meaning set forth
in Section 4.3(a).



 


		1.75	“Initial Detail Report Review” shall have the meaning
set forth in Section 4.3(a).



 






    	 	Agreement	Page 6



    


    

 


		1.76	“Initial Details” shall have the meaning set forth in
Section 4.3(a).



 


		1.77	“JOC” shall have the meaning set forth in Section 2.2(a).



 


		1.78	“JOC Co-Chair” shall have the meaning set forth in Section 2.2(a).



 


		1.79	“JRC” shall have the meaning set forth in Section 2.3(a).



 


		1.80	“JSC” shall have the meaning set forth in Section 2.1(a).



 


		1.81	“JSC Co-Chair” shall have the meaning set forth in Section 2.1(b).



 


		1.82	“JSC Members” shall have the meaning set forth in Section
2.1(a).



 


		1.83	“KAM Benchmarks” shall have the meaning set forth in
Section 3.4(g).



 


		1.84	“KAM Team” shall have the meaning set forth in Section
3.4(g).



 


		1.85	“Laboratory Service Revenue” shall mean, with respect
to a particular Calendar Quarter, as applicable, Exact’s revenue earned from performing the Product Laboratory Service in
the Territory with regard to patient samples collected in the Territory, as calculated by Exact in accordance with GAAP consistently
applied, less the following deductions: (i) trade, quantity or cash discounts, credits, adjustments or allowances, including those
granted in connection with managed care network agreements and those granted on account of price adjustments, billing errors, rejected
goods, damaged goods or incomplete tests or other services; (ii) rebates and chargebacks allowed, given or accrued (including cash,
governmental and managed care rebates, hospital or other buying group chargebacks, and governmental taxes in the nature of a rebate
based on usage levels or sales of the Product Laboratory Service); and (iii) patient compliance incentives that are treated as
a reduction in revenue in accordance with GAAP, including gift cards to patients.



 


		1.86	“Marketing” shall mean, with respect to a medical device
subject to pre-market approval, Advertising, public relations, medical education activities, market research, creation, development,
and distribution of Advertising and Promotional materials, field literature, direct or indirect educational campaigns, exhibits
at seminars and conventions, sponsorship of sporting activities and celebrity sponsorships. When used as a verb, “Market”
means to engage in Marketing.



 


		1.87	“Media Buy Fee” shall have the meaning set forth in Section
4.1(f).



 


		1.88	“Media Buying Transition Period” shall have the meaning
set forth in Section 3.2(d)(ii).



 


		1.89	“Monthly Report Criterion” shall have the meaning set
forth in Section 4.2(b)(i).



 


		1.90	“Non-HCP Target” shall have the meaning set forth in
Exhibit 3.3(b).



 


		1.91	“NPI” shall have the meaning set forth in Section 4.2(b)(i).



 


		1.92	“Occurrence” shall have the meaning set forth in Section
2.6(c).



 






    	 	Agreement	Page 7



    


    

 


		1.93	“Original Agreement” shall have the meaning set forth
in the Recitals.



 


		1.94	“Original Agreement Effective Date” shall mean August
21, 2018.



 


		1.95	“Party” or “Parties” shall have the
meaning set forth in the preamble.



 


		1.96	“Patent Rights” shall mean any and all (a) issued patents,
(b) pending patent applications, including all provisional applications, substitutions, continuations, continuations-in-part, divisionals,
and renewals, and all patents granted thereon, (c) patents of addition, reissues, reexaminations and extensions or restorations
by existing or future extension or restorations mechanisms, including patent term adjustments, patent term extensions, supplementary
protection certificates or the equivalent thereof, (d) inventor’s certificates, (e) other forms of government issued rights
substantially similar to the foregoing and (f) United States and foreign counterparts of any of the foregoing.



 


		1.97	“Payer” shall mean a Third Party entity that pays a portion
or all of the cost of the Product Laboratory Service performed with respect to a given patient using the Product. For clarity,
a patient who pays for the cost of his or her own Product Laboratory Service, in whole or in part, shall not be included in this
definition of “Payer” and a “Payer” may include government entities or agencies, managed care organizations,
and health or prescription insurance providers.



 


		1.98	“Performance Bonus” shall have the meaning set forth
in Section 4.1(d)(iv).



 


		1.99	“Performance Bonus Threshold” shall have the meaning
set forth in Section 4.1(d)(i).



 


		1.100	“Person” shall mean an individual, sole proprietorship,
partnership, limited partnership, limited liability partnership, corporation, limited liability company, business trust, joint
stock company, trust, incorporated association, joint venture or similar entity or organization, including a government or political
subdivision or department or agency of a government.



 


		1.101	“Pfizer” shall have the meaning set forth in the preamble.



 


		1.102	“Pfizer Indemnitee” shall have the meaning set forth
in Section 6.1(a).



 


		1.103	“Pfizer JSC Members” shall have the meaning set forth
in Section 2.1(a).



 


		1.104	“Pfizer Trainers” shall have the meaning set forth in
Section 3.2(e)(i).



 


		1.105	“Phone Detail” shall have the meaning set forth in Section
1.35.



 


		1.106	“PhRMA Code” shall have the meaning set forth in Section
3.2(c)(ii).



 


		1.107	“Product” shall mean the medical device subject to pre-market
approval currently commercialized under the brand name “COLOGUARD” and indicated for the qualitative detection of colorectal
neoplasia associated DNA markers and for the presence of occult hemoglobin in human stool.



 






    	 	Agreement	Page 8



    


    

 


		1.108	“Product Label” shall mean the labels and labeling documents
for the Product approved on August 11, 2014 by the FDA under the Premarket Approval P130017, and any supplements, extensions or
changes thereto.



 


		1.109	“Product Laboratory Service” shall mean the colorectal
cancer screening test performed on a specimen provided by a patient using the Product in accordance with the Product Label, including
specimen collection, laboratory testing, data handling and analysis, interpretation of results, patient compliance (including call
center activity) and billing to be provided by Exact or its Affiliates according to the “Laboratory Instruction for Use”
in the Product Label, wherein the Laboratory Instructions for Use are further subject to any changes as required by any pre-market
approval supplements approved by the FDA.



 


		1.110	“Product Training” shall mean, with respect to the Product, the Product-specific
training program, as determined by Exact in consultation with Pfizer, conducted in accordance with the applicable Annual Marketing
Plan and Applicable Laws, which may include training concerning (a) the scientific basis for the Product, (b) permissible communications
regarding safety and efficacy claims relating to the Product, (c) permissible communications related to the Product in accordance
with the Product Label, (d) use of Promotional Materials by the Sales Representatives, and (e) other appropriate topics relevant
to the Promotion of the Product.



 


		1.111	“Promotion” shall mean (a) those activities customarily
undertaken by a Party’s field sales representatives in the Territory to encourage the approved use of a particular prescription
medical device (or prescription pharmaceutical medicine, as applicable) subject to pre-market approval (or other regulatory approval,
as applicable), including detailing, and (b) any other activities customarily undertaken by a Party aimed at encouraging the approved
use of a particular prescription medical device (or prescription pharmaceutical medicine, as applicable) subject to pre-market
authorization approval (or other regulatory approval, as applicable), including healthcare professional peer-to-peer communication,
communications of product benefits to IDNs, the creation and use of promotional materials, Marketing, meetings and events (including
speaker bureau events), trade shows, advocacy activities, including with respect to guideline organizations, and sponsorships.
The terms “Promote”, “Promoted”, “Promoting” and “Promotional”
shall have corresponding meanings.



 


		1.112	“Promotional Materials” shall mean, with respect to the Product, all written,
printed, graphic, electronic, audio, video or other materials (such as a journal reprint) other than the Product Label, provided
by Exact, with respect to currently developed materials, or developed by the Parties, in each case, for use by a Party’s
Sales Representatives during Details or other Representatives in the Territory.



 


		1.113	“QSR” shall mean the Quality System Regulation, 21 C.F.R. Part 820, as may be
amended from time to time and any successor thereto.



 


		1.114	“Quarterly Details Target” shall have the meaning set forth in Exhibit 3.3(b).



 






    	 	Agreement	Page 9



    


    

 


		1.115	“Quarterly Governance Fee” shall have the meaning set
forth in Section 4.1(b).



 


		1.116	“Quarterly HCP Target Drift Allowance” shall have the
meaning set forth in Exhibit 3.3(b).



 


		1.117	“Quarterly Health System Fee” shall have the meaning
set forth in Section 4.1(c).



 


		1.118	“Receiving Party” shall have the meaning set forth in Section 7.1.



 


		1.119	“Regulatory Approval” shall mean, with respect to a prescription medical device
subject to pre-market authorization approval in any jurisdiction in the Territory for a given indication, all technical, medical
and scientific licenses, registrations, authorizations and approvals of pre-market approval application, supplements and amendments,
and pre- and post- approvals of the FDA, sufficient for the manufacture, distribution, use and sale of such prescription medical
device, including any services associated with such medical device, in such jurisdiction in the Territory for such indication in
accordance with Applicable Law, excluding any pricing and reimbursement approvals.



 


		1.120	“Representatives” shall mean, with respect to a Party, such Party’s employees,
agents or independent contractors, and such Party’s Affiliates and their respective employees, agents or independent contractors,
including Sales Representatives, in each case who are performing services under the Annual Marketing Plan.



 


		1.121	“Revised Governance Model” shall have the meaning set forth in Section 2.7.



 


		1.122	“Royalty Payment” shall have the meaning set forth in Section 8.7.



 


		1.123	“Royalty Period” shall have the meaning set forth in Section 8.7.



 


		1.124	“Royalty Term” shall have the meaning set forth in Section 8.7.



 


		1.125	“Sales Representative” shall mean an internal or field representative employed
by a Party full-time whose role includes providing relevant information and data about products or services for human use in the
Territory. For clarity, Sales Representative excludes managers such as district business managers and above.



 


		1.126	“Senior Officers” shall mean, with respect to Exact, the General Manager, Screening,
and, with respect to Pfizer, Regional President, North America, Internal Medicine, Pfizer Innovative Health.



 


		1.127	“Term” shall have the meaning set forth in Section 8.1.



 


		1.128	“Territory” shall mean the fifty (50) states of the United States and the District
of Columbia.



 


		1.129	“Third Party” shall mean any Person other than Exact, Pfizer or their respective
Affiliates.



 


		1.130	“Trademark” shall mean any registered word, name, symbol, color, designation
or device or any combination thereof, including any trademark, trade dress, brand mark, service mark, trade name, brand name, logo
or business symbol.



 






    	 	Agreement	Page 10



    


    

 


		1.131	“Training Materials” shall mean, with respect to the Product, the materials
(which may include written or other recorded, videotaped or web-based training materials or online training programs) to be used
in Product Training for a Party’s Sales Representatives regarding the Product.



 


		1.132	“VAT” shall have the meaning set forth in Section 4.4.



 


		1.133	“Violating Party” shall have the meaning set forth in Section 8.3(a)(iv).



 


		2.	GOVERNANCE.



 


		2.1	Joint Steering Committee.



 


		(a)	Composition. The Parties shall maintain a Joint Steering Committee (“JSC”),
comprised of three (3) Representatives of Exact and three (3) Representatives of Pfizer. The JSC Representatives for each of Exact
and Pfizer will be referred to herein as the “Exact JSC Members” and the “Pfizer JSC Members”,
respectively, and the Exact JSC Members and the Pfizer JSC Members will be referred to herein as the “JSC Members”.
Each Party may replace any of its JSC Members at any time upon notice to the other Party and the Parties may increase or decrease
the number of its JSC Members on the JSC; provided that at all times an equal number of JSC Members from each Party are
appointed to the JSC.



 


		(b)	Committee Chair. The JSC will be co-chaired by a Pfizer JSC Member and an Exact JSC Member
(each, a “JSC Co-Chair”). Each Party may replace its JSC Co-Chair at any time upon notice to the other Party.
The role of secretary of the JSC shall rotate each meeting between the JSC Co-Chairs (or any JSC Member who is appointed, by mutual
agreement of both JSC Co-Chairs, as secretary of the JSC). The secretary of the JSC shall:



 


		(i)	notify each Party at least fifteen (15) days (or as much notice as is reasonably possible) in advance
of each JSC meeting;



 


		(ii)	collect and organize agenda items from each Party for each JSC meeting;



 


		(iii)	prepare and circulate to JSC Members each JSC meeting agenda no later than five (5) Business Days
(or as far in advance as is reasonably possible) prior to the scheduled date for each JSC meeting; and



 


		(iv)	prepare the written minutes of each JSC meeting and, within fifteen (15) days after such meeting,
circulate such minutes for review and approval by the Parties.



 






    	 	Agreement	Page 11



    


    

 


		(c)	Meetings. The JSC will meet no less than once each Calendar Quarter (or less frequently
upon mutual agreement of the Parties) either in-person or by audio or video teleconference. Meetings of the JSC will occur at such
times and places in the Territory as mutually agreed to by the Parties; provided, however, that no more than half of the
meetings will be required to be held in-person in any Calendar Year. Meetings of the JSC will only occur if at least one JSC Member
of each Party is present at the meeting or participating by teleconference or videoconference. Each Party will be solely responsible
for, and will not be entitled to any reimbursement from the other Party with respect to, any and all personnel costs or expenses
(including travel expenses) incurred by or on behalf of its Representatives in connection with participation in any JSC meetings
or sub-committee or working group meetings, or any other travel required to be undertaken by either Party’s personnel in
connection with the performance of the Agreement. The Parties will endeavor to schedule meetings of the JSC at least fifteen (15)
days in advance. The Parties shall approve the minutes of each meeting promptly, but in no event later than the next meeting of
the JSC.



 


		(d)	JSC Responsibilities. The JSC shall:



 


		(i)	review, discuss, and approve each Annual Marketing Plan for a Calendar Year, including the quarterly
baseline budget amounts contained therein, no later than the applicable date set forth in Section 3.3(a);



 


		(ii)	oversee the implementation of each Annual Marketing Plan;



 


		(iii)	review, discuss, and approve any modifications to the Annual Marketing Plan submitted by the JOC;



 


		(iv)	oversee the JOC and JRC and each committee’s activities;



 


		(v)	act as the first level escalation to resolve disputes between the Parties, any resolution of dispute
brought before the JSC shall be by the unanimous consent of both JSC Co-Chairs;



 


		(vi)	form and oversee any sub-committee or working group in furtherance of activities contemplated in
the Annual Marketing Plan;



 


		(vii)	form and oversee any sub-committee or working group as determined by the JSC to be necessary to
review and discuss specific matters related to the subject matter of this Agreement, but not enumerated as a specific responsibility
of the JSC, JOC, JRC, or any other properly formed and constituted sub-committee;



 


		(viii)	review all reports, including sales performance data and other key performance indicators, submitted
by the JOC; and



 


		(ix)	escalate any Disputed JSC Matter, as defined in Section 2.1(e), to the Alliance Managers and Senior
Officers.



 






    	 	Agreement	Page 12



    


    

 






 


		(e)	Decision Making. Regardless of the number of Pfizer JSC Members or Exact JSC Members, decisions
by the JSC will be made by unanimous agreement. The JSC will use good faith efforts to reach agreement on any and all matters properly
brought before it. If, despite such good faith efforts, the JSC is unable to reach a decision on a particular matter within the
JSC’s responsibilities (each such matter, a “Disputed JSC Matter”), within five (5) Business Days after
the JSC first meets to consider such matter, or such later date as may be mutually agreed by the Parties in writing, then either
Party may refer such Disputed JSC Matter for resolution to the Alliance Managers. Within three (3) Business Days after such Disputed
JSC Matter is referred to the Alliance Managers, the Alliance Managers shall determine whether the Disputed JSC Matter requires
the involvement of the Senior Officers. Should the Alliance Managers refer the Disputed JSC Matter to the Senior Officers, then
the Senior Officers will promptly initiate good faith discussions to resolve such Disputed JSC Matter. If the Senior Officers are
unable to resolve such Disputed JSC Matter within five (5) Business Days of it being referred to them, then, Exact, after having
considered, in good faith, the advice and input from Pfizer, will have final decision-making authority with respect to such Disputed
JSC Matter where the subject matter of the Disputed JSC Matter substantially relates to (i) Product pricing, including any rebates
or discounts; (ii) Product Promotion, including the use of any Promotional Materials; (iii) manufacturing; (iv) research and development,
including any trials; and (v) engagement with Governmental Authorities; provided, however, that Exact will not have final
decision making authority to require Pfizer to conduct any activities that Pfizer, in good faith, believes violate Applicable Law
or Pfizer’s Applicable Compliance/Review Policies. For all Disputed JSC Matters that are not resolved by the Senior Officers
and are not subject to Exact’s final decision-making authority, neither Party will take any action on such Disputed JSC Matter
until resolution can be reached in accordance with this Section 2.1(e), and, except in the case of a potential violation of Applicable
Law, pending such resolution the Parties shall continue to carry out activities under this Agreement in accordance with the then-current
Annual Marketing Plan.



 


		(f)	Limits on JSC Authority. Notwithstanding any provision of this Section 2.1 to the contrary,
(i) each Party will retain the rights, powers and discretion granted to it under this Agreement consistent with Section 3.2(a),
and no such rights, powers, or discretion will be delegated to or vested in the JSC unless such delegation or vesting of rights
is expressly provided for in this Agreement or the Parties expressly so agree in writing, (ii) the JSC will not have the power
to amend this Agreement or terminate or otherwise modify or waive compliance with this Agreement in any manner; provided,
however, that, notwithstanding the foregoing, the JSC shall be permitted to modify the governance structure set forth in
this Article 2 by unanimous written agreement, and (iii) neither Party will require the other Party to (A) breach any obligation
or agreement that such other Party may have with or to a Third Party or (B) perform any activities that are materially different,
greater in scope or more costly than those provided for in the Annual Marketing Plan then in effect.



 






    	 	Agreement	Page 13



     


    

 


		2.2	Joint Operations Committee.



 


		(a)	Composition. The Parties shall maintain a Joint Operations Committee (“JOC”),
comprised of marketing, sales, medical, finance, and such other Representatives of each Party as necessary. The JOC shall be co-chaired
by each Party’s marketing Representative on the JOC, as designated by the JSC Co-Chair of each Party (each, a “JOC
Co-Chair”). Each JOC Co-Chair shall (i) have knowledge and expertise in the commercialization of prescription products
and services in the Territory, (ii) have sufficient seniority within the applicable Party to make decisions arising within the
scope of the JOC’s responsibilities, and (iii) be authorized under such Party’s internal governance procedures to make
decisions or carry out the activities given to such Party under this Agreement.



 


		(b)	Meetings. The JOC shall meet once each month (or more or less frequently upon mutual agreement
of the Parties) either in-person or by audio or video teleconference. Meetings of the JOC will occur at such times and places in
the Territory as mutually agreed to by the Parties. Each Party will be solely responsible for, and will not be entitled to any
reimbursement from the other Party with respect to, any and all personnel costs or expenses (including travel expenses) which are
incurred by or on behalf of its Representatives in connection with participation in any JOC meetings or sub-committee or working
group meetings, or any other travel required to be undertaken by either Party’s personnel in connection with the performance
of the Agreement.



 


		(c)	JOC Responsibilities. The JOC shall:



 


		(i)	prepare the Annual Marketing Plan for review and approval by JSC;



 


		(ii)	prepare and review Product Marketing strategies and tactics;



 


		(iii)	prepare reports, including sales performance data and other key performance indicators for JSC
review in accordance with Exhibit 2.2(c)(iii);



 


		(iv)	execute and monitor the strategies and tactics in the Annual Marketing Plan;



 


		(v)	monitor Product supply and Product Laboratory Service capacity to ensure they are sufficient to
meet the demand forecast in the Annual Marketing Plan;



 


		(vi)	establish key supply, capacity, inventory, and such other metrics to inform the JSC;



 






    	 	Agreement	Page 14



     


    

 


		(vii)	prepare any revision to the Annual Marketing Plan as directed by the JSC or otherwise proposed
pursuant to Section 3.3(a);



 


		(viii)	provide consent to materials for reconsideration by the JSC pursuant to Section 2.3(d); and



 


		(ix)	with respect to the Annual Marketing Plan, ensure that a consultation with the Compliance Managers
is completed and appropriate compliance measures are incorporated into the Annual Marketing Plan.



 


		(d)	Decision Making. Decisions by the JOC will be made by unanimous agreement. If a unanimous
decision cannot be reached, then any disputed matter within the JOC’s responsibilities (the “Disputed JOC Matter”)
may be escalated by either Party to the JSC for resolution in accordance with Section 2.1(e). Unless and until resolved by the
JSC in accordance with Section 2.1(e), neither Party shall take any action with respect to such Disputed JOC Matter and, except
in the case of a potential violation of Applicable Law, pending such resolution the Parties shall continue to carry out the activities
under this Agreement in accordance with the then-current Annual Marketing Plan.



 


		2.3	Joint Review Committee.



 


		(a)	Composition. Under the supervision of the JSC, the Parties shall maintain a Joint Review
Committee (“JRC”), comprised of marketing, medical, legal, and regulatory Representatives of the Parties. Each
Party may appoint one medical, marketing, legal and regulatory Representative member to the JRC. The marketing Representatives
from the Parties shall coordinate administration and operation of the JRC meetings, including setting agendas, recording decisions
regarding materials reviewed, and coordinating review to ensure timely review and approval of Promotional Materials. The Representatives
from the Parties on the JRC shall coordinate operational support including scheduling of JRC meetings, timely distribution of materials
for review, recording and archiving of approved materials, and other such activities to ensure operational efficiency of JRC meetings.
It is the expectation of the Parties that the JRC will utilize Exact’s review and approval system to review and approve materials,
including Promotional Materials that are subject to JRC review under Section 2.3(c).



 


		(b)	Meetings. The JRC shall meet no less than once each month (or more frequently upon mutual
agreement of the members of the JRC) either in-person or by audio or video teleconference. Meetings of the JRC will occur at such
times and places in the Territory as mutually agreed to by the Parties. Each Party will be solely responsible for, and will not
be entitled to any reimbursement from the other Party with respect to, any and all personnel costs or expenses (including travel
expenses) which are incurred by or on behalf of its Representatives in connection with participation in any JRC meetings, or any
other travel required to be undertaken by either Party’s personnel in connection with the performance of the Agreement.



 






    	 	Agreement	Page 15



     


    

 


		(c)	JRC Responsibilities. The JRC shall be responsible for review and approval of all Product
or related disease education materials, Promotional Materials and other communication to a Third Party, including pharmaco-economic
data, that may be used in Promotion, medical to medical communication, patient education, press release or any other form of external
communication intended for healthcare professionals, healthcare organized customers (such as IDNs and hospitals), and Payer organizations,
patients or others who are reasonably likely to influence the prescription, use, reimbursement, or purchase of the Product. The
JRC shall also ensure that all such materials are in compliance with Applicable Law and each Party’s Applicable Compliance/Review
Policies. Any conflict between the Parties’ Applicable Compliance/Review Policies will be discussed by the JRC and the Compliance
Managers to determine an appropriate resolution of such conflict.



 


		(d)	Decision Making. Decisions by the JRC will be made by unanimous agreement. If a unanimous
decision cannot be reached, then the disputed matter (the “Disputed JRC Matter”) can be escalated by either
Party to the JSC for resolution in accordance with Section 2.1(e). Unless and until resolved by the JSC in accordance with Section
2.1(e), neither Party shall take any action with respect to such Disputed JRC Matter and, except in the case of a legal or ethical
issue, the Parties shall continue to carry out the activities under this Agreement in accordance with the then-current Annual Marketing
Plan. A Disputed JRC Matter that is substantially similar in subject matter of a prior Disputed JRC Matter shall not be resubmitted
for JSC review and resolution under this Section 2.3(d).



 


		2.4	Finance Representative.
Each Party shall appoint a finance contact to oversee all financial reporting and communications under this Agreement during the
Term (each, a “Finance Representative”). Each Party may change its designated Finance Representative at any
time upon written notice to the other Party. Each Finance Representative will coordinate the efforts of its respective Party in
conducting finance activities, including all financial reporting and financial communications between the Parties, under this Agreement
during the Term.



 


		2.5	Alliance Managers.
Each Party shall appoint an employee of such Party who shall oversee interactions between the Parties for all matters related to
this Agreement, the Annual Marketing Plan and any related agreements between the Parties or their Affiliates (each an “Alliance
Manager”). The Alliance Managers shall endeavor to ensure clear and responsive communication between the Parties and
the effective exchange of information, and shall serve as a single point of contact for any matters arising under this Agreement.
The Alliance Managers shall have the right to attend all JSC and subcommittee meetings as non-voting participants and may bring
to the attention of the JSC or subcommittee any matters or issues either of them reasonably believes should be discussed, and shall
have such other responsibilities as the Parties may mutually agree in writing. Each Party may designate different Alliance Managers
by notice in writing to the other Party.



 






    	 	Agreement	Page 16



     


    

 


		2.6	Compliance Managers.
Pfizer and Exact each agrees to (a) maintain a Representative who (i) has received compliance training by such Party and (ii) is
routinely responsible for advising such Party on compliance matters to act as its Compliance Manager (each, a “Compliance
Manager”) and (b) provide the other Party with written notice of the identity of such Compliance Manager. The Compliance
Managers shall support the JSC.



 


		(a)	Responsibilities. Compliance Managers shall resolve discrepancies between the Parties’
respective Applicable Compliance/Review Policies, ensure that each Party has a process to monitor the activities under this Agreement
for compliance with Applicable Laws and Applicable Compliance/Review Polices, serve as a key point of contact between the Parties
for compliance-related matters, and review the Annual Marketing Plan for compliance with Applicable Compliance/Review Policies
and shall promptly notify the JSC of any compliance issues in such Annual Marketing Plan. The JOC shall promptly notify the Compliance
Managers of any material revisions to the Annual Marketing Plan. Each Compliance Manager shall facilitate the resolution of any
compliance issue with the Compliance Manager of the other Party.



 


		(b)	Notification. Subject to the terms of this Agreement, the Compliance Manager of a Party
shall promptly notify the other Party’s Compliance Manager in the event that he or she becomes aware of a potential violation
by the other Party of: (i) the other Party’s policies or procedures; (ii) any criminal, civil, or administrative laws or
regulations applicable to any federal health care program or for which penalties or exclusions may be authorized; or (iii) the
requirements under the FD&C Act, or relevant FDA guidance documents related to the Product, payments, or services under this
Agreement.



 


		(c)	Investigations. If a Party finds, following an investigation, credible evidence of a significant
violation of any applicable policies and procedures that are designed to ensure compliance with: (i) any criminal, civil, or administrative
laws or regulations applicable to any federal health care program or for which penalties or exclusions may be authorized; or (ii)
the requirements under the FD&C Act, or relevant FDA guidance documents related to the Product, payments, or services under
this Agreement (an “Occurrence”), the Party’s Compliance Manager shall promptly inform the other Party
of the Occurrence and steps taken by the Party to remediate the Occurrence, except to the extent that the disclosing Party’s
counsel reasonably believes that such disclosure to the other Party could violate Applicable Law (including privacy laws) or have
a significant adverse impact on the disclosing Party’s legal position or defense (including the loss of attorney-client privilege)
with respect to any such Occurrence. In the event that either Party determines that disclosure of relevant factual information
regarding an Occurrence could violate Applicable Laws (including privacy laws) or have a significant adverse impact on its legal
position or defense (including the loss of attorney-client privilege), the determining Party shall promptly notify the other Party
in writing that the determining Party is exercising its right not to disclose relevant factual information regarding an Occurrence.



 






    	 	Agreement	Page 17



     


    

 


		(d)	Each Party shall follow its Applicable Compliance/Review Policies subject to specific exceptions
explicitly determined by the Compliance Managers.



 


		(e)	Each Party shall be permitted to replace any Compliance Manager appointed by such Party pursuant
to this Section 2.6 by written notice to the other Party.



 


		2.7	Changes to Governance Structure.
Beginning on the Effective Date, Exact and Pfizer agree to (a) commence, and diligently and in good faith pursue, negotiations
for a revised internal governance model consistent with the Parties’ mutually desired goals of adding flexibility to, and
increasing the speed and efficiency of, the Parties’ decision making and dispute escalation processes and procedures (the
 “Revised Governance Model”), and (b) finalize and memorialize such Revised Governance Model in form and substance
acceptable to each Party as soon as practicable after the Effective Date, but in no event later than sixty (60) days after the
Effective Date (or such longer period mutually agreed upon by the Parties in writing). Until such time as the Parties finalize
and memorialize the Revised Governance Model pursuant to the immediately foregoing sentence of this Section 2.7, the provisions
of this Article 2 shall continue to govern matters as set forth herein. Once finalized and agreed upon pursuant to this Section
2.7, it is the Parties’ intent that the Revised Governance Model shall amend this Agreement with respect to Sections 2.1,
2.2, and 2.3.



 


		3.	APPOINTMENT; PRODUCT OWNERSHIP; MARKETING AND SALES.



 


		3.1	Appointment.



 


		(a)	Exclusive Arrangement. Exact and its Affiliates hereby grant to Pfizer and its Affiliates,
on an exclusive basis for the Co-Promote Field (except as to Exact and its Affiliates), and Pfizer accepts, the right and obligation
to Promote and Detail the Product in the Territory during the Term jointly with Exact, in accordance with the terms and conditions
of this Agreement, all Applicable Laws and the applicable Annual Marketing Plan. Except as set forth in this Agreement, such right
shall be non-transferable and non-sublicensable. In implementing its obligations under this Agreement, Pfizer, without charge or
expense to Exact, shall provide facilities, personnel (including management and Sales Representatives) and other resources as Pfizer,
in its reasonable discretion but not inconsistent with the express terms of this Agreement, believes necessary. The Parties specifically
agree that Exact shall not use the Pfizer name, logo or any Trademarks of Pfizer on any materials, including Promotional Materials,
without the express written consent of Pfizer. Notwithstanding this Section 3.1 to the contrary, Exact retains the right to Promote
the Product on its own behalf in the Co-Promote Field, and Pfizer shall not Promote or Detail the Product outside the Territory
or outside the Co-Promote Field.



 






    	 	Agreement	Page 18



     


    

 


		(b)	Grant of License to Pfizer. Subject to the terms of this Agreement, Exact on behalf of itself
and its Affiliates, hereby grants to Pfizer a non-exclusive, royalty free license, with the right to sublicense to one or more
of its Affiliates, under the Exact House Marks, the Exact Trademarks and the Exact Copyrights, during the Term, to the extent necessary
or appropriate to allow Pfizer and its Affiliates to carry out activities under this Agreement including to Promote and Detail
the Product in the Co-Promote Field in the Territory. Such license shall be non-transferable and non-sublicensable (except as provided
in this Agreement) and shall automatically terminate upon the expiration or earlier termination of this Agreement.



 


		3.2	Responsibility for Product.



 


		(a)	Retained Rights; Ownership of Product. Except as specifically set forth in this Agreement,
Pfizer shall have no other rights with respect to the Product, and shall not Promote, Market or otherwise commercialize the Product
except as expressly authorized under this Agreement. Exact retains, and at all times during the Term shall retain, all rights in
and relating to the Product not expressly granted to Pfizer under this Agreement, including all proprietary and property interests
in and to the Product. In furtherance of the foregoing, Exact retains all rights of and responsibility for (i) Product pricing,
including any rebates or discounts; (ii) manufacturing; (iii) research and development, including any trials; (iv) intellectual
property defense and enforcement related to the Product; (v) product liability claims and related litigation related to the Product;
(vi) government investigations related to the Product; (vii) the day-to-day operations and management of Exact’s Representatives;
and (viii) engagement with Governmental Authorities with respect to the Product. Pfizer will neither have, nor represent that it
has, any control over or proprietary or property interests in the Product. Nothing contained in this Agreement shall be deemed
to grant to Pfizer or its Affiliates any license, right, title or interest in or to any patent, Trademark, copyright, trade secret
or other similar property of Exact, except as provided for in Section 3.1(b), Section 5.3(c) or otherwise authorized in writing
by Exact for Pfizer to perform its obligations under this Agreement. Likewise, nothing contained in this Agreement shall be deemed
to grant to Exact or its Affiliates any license, right, title or interest in or to any patent, Trademark, copyright, trade secret
or other similar property of Pfizer or its Affiliates except as may be authorized in writing by Pfizer for Exact to perform its
obligations under this Agreement.



 


		(b)	Exact Product Responsibilities. During the Term, as between the Parties, Exact shall remain
solely responsible, at its expense, except as expressly otherwise provided in this Agreement, for all activities and liabilities
that the owner and Regulatory Approval holder of an FDA approved medical device would normally have, including, in each case with
respect to the Territory, the following:



 


		(i)	manufacturing, in accordance with the QSR and Applicable Law (including conducting all quality
assurance testing) sufficient quantities of Product to meet market demand therefore;



 






    	 	Agreement	Page 19



     


    

 


		(ii)	processing and having sufficient laboratory and manufacturing capacity to process Product Laboratory
Services to meet demand, including return receipt and laboratory processing of patient samples;



 


		(iii)	ensuring all laboratory processing of patient samples are conducted in accordance with CLIA Certificate
of Accreditation and patient results are provided to ordering healthcare providers in a timely manner;



 


		(iv)	ensuring that the Product is not misbranded, as defined in the FD&C Act;



 


		(v)	handling all customer service activities relating to the Product, including responding in an appropriate
and timely fashion to all medical and other inquiries and complaints regarding the Product in accordance with its Applicable Compliance/Review
Policies;



 


		(vi)	contracting with Payers, including entering into contracts for reimbursement of the Product Laboratory
Services;



 


		(vii)	using commercially reasonable efforts to maintain the Exact Trademarks listed on Exhibit 1.39;



 


		(viii)	setting the price of the Product Laboratory Services, including establishing, processing and paying
for any rebates, discounts, chargebacks or other sales incentives associated with the sale of the Product Laboratory Services;



 


		(ix)	subject to Section 6.1, handling all product liability claims or other claims associated with or
arising out of the manufacture, distribution, sale or use of the Product, including managing any litigation associated therewith
and paying any damages, fines or other compensation that may be awarded by any Government Authority or that are due as a result
of any settlement of any such claim;



 


		(x)	handling, in a timely and appropriate manner, all government inquiries related to the Product Laboratory
Services and the manufacture, distribution, Marketing, Promotion, sale or use of the Product; and



 


		(xi)	preparing and submitting in a timely manner and in a manner consistent with Applicable Law all
reports and information that are required to be submitted to any Government Authority relating to the Product and Product Laboratory
Services.



 






    	 	Agreement	Page 20



     


    

 


		(c)	Exact and Pfizer Product Responsibilities. During the Term, without limiting either Party’s
other responsibilities under this Agreement, the Parties shall:



 


		(i)	establish and maintain a sufficient number of Sales Representatives Promoting the Product to perform
the obligations hereunder per the Annual Marketing Plan and consistent with the sales deployment plan included in the Annual Marketing
Plan;



 


		(ii)	Market, Promote and Detail the Product in the Co-Promote Field in accordance with the Annual Marketing
Plan, Applicable Laws, all regulatory and professional requirements including FDA’s regulations and guidelines concerning
the Advertising of prescription medical devices subject to pre-market approval, and each Party’s Applicable Compliance/Review
Policies and, with respect to Exact, the AdvaMed Code of Ethics on Interactions with Health Care Professionals (revised as of January
2020 and as further revised from time to time) (the “AdvaMed Code”) and, with respect to Pfizer, the Pharmaceutical
Research and Manufacturers of America Code on Interactions with Healthcare Professionals (revised as of October 2019 and as further
revised from time to time) (the “PhRMA Code”); provided that if there is any conflict between the AdvaMed
Code and the PhRMA Code in connection with the implementation of the Annual Marketing Plan, the Compliance Managers shall review
and use commercially reasonable efforts to resolve such conflict;



 


		(iii)	review customer target lists for all Sales Representatives in accordance with the Annual Marketing
Plan to ensure that their Promotion is directed to those Eligible Prescribers who are likely to prescribe, recommend or purchase
the Product consistent with the approved Product Label and all Applicable Laws and its Applicable Compliance/Review Policies; provided
that, subject to Section 3.4(d) of this Agreement, each Party has the sole discretion to select their target customers from the
target lists included in the Annual Marketing Plan and the Party’s Sales Representatives shall have authority to Promote
and Detail to the Eligible Prescribers on the target lists in their reasonable discretion, in accordance with each Party’s
respective internal policies and practices; and



 


		(iv)	work collaboratively with the other Party in developing, preparing and generating specific tactics
and activities in the Annual Marketing Plan, which shall include supporting the development of all Promotional Materials, Training
Materials and other materials generated pursuant to any Annual Marketing Plan.



 






    	 	Agreement	Page 21



     


    

 


		(d)	Advertising.



 


		(i)	Exact and Pfizer shall develop an annual Advertising plan for the Product as part of the Annual
Marketing Plan. The annual Advertising plan shall include the targets for such Advertising, which shall be updated on an annual
basis at the same time and in the same manner as the Annual Marketing Plan. In accordance with each such approved Advertising plan,
Pfizer shall develop and execute all media planning and buying of Advertising consistent with its practice for its own product
portfolio.



 


		(ii)	Beginning on or about June 30, 2022 and continuing until September 30, 2022 (the “Media
Buying Transition Period”), after Pfizer’s execution of the Advertising plan covering broadcast year October 1,
2021 to September 30, 2022, excluding Pfizer providing to Exact any proprietary information relating to Advertising, such as vendor
contract terms and pricing, Pfizer shall take reasonably requested actions, and provide reasonably requested information, cooperation
and support, necessary to transition to Exact, and/or any media agency (or agencies) designated by Exact, management and implementation
of media planning and buying of Advertising in respect of the Product after the Term. After the Media Buying Transition Period,
Pfizer shall have no further obligations under this Section 3.2(d).



 


		(iii)	The cost of all media buying of Advertising for the Product by or through Pfizer shall be equal
to the actual cost of such activities billed to Pfizer (including any third party service fees incurred by Pfizer) and shall not
include any markup, administrative fee or service charge.



 


		(iv)	Subject to compliance by Pfizer with the terms of this Section 3.2(d), prior to the Advertising
Exclusivity End Date (as defined below), Exact agrees (A) not to enter into any new binding arrangement with any media vendor for
Advertising of the Product without the written consent of Pfizer, which consent shall not be unreasonably withheld, (B) not to
meet with any advertising agency or media vendor to discuss any Advertising proposals for content development, media placement,
and creative direction of the Product, without providing Pfizer with a reasonable opportunity for a representative of Pfizer present
and participate and (C) to promptly inform Pfizer if it enters into any arrangement with any advertising agency with respect to
the Product or with a media vendor with respect to media buy. For purposes of this Section 3.2(d)(iv), the term “Advertising
Exclusivity End Date” shall mean the earlier of (x) the date a Party provides notice of termination, in the event either
Party terminates this Agreement pursuant to Section 8.4 or (y) beginning of the Media Buying Transition Period.



 


		(v)	Exact agrees that any binding commitment made by Pfizer pursuant to this Section 3.2(d) for media
buying for the Product shall also be binding to Exact; provided that such commitment is consistent with the applicable Annual
Marketing Plan and the budget included therein.



 






    	 	Agreement	Page 22



     


    

 



 


		(vi)	After the Effective Date, the Parties will maintain a process by which Pfizer will interact with
Exact with respect to the activities undertaken by Pfizer pursuant to this Section 3.2(d).



 


		(vii)	Notwithstanding the foregoing, Exact may continue any binding commitments as of the Effective Date,
including Advertising purchasing and placement activities, related to and in connection with the sponsorship of sporting events
(e.g., golf tournaments), celebrity sponsorships and those other activities set forth in the Annual Marketing Plan (the “Exact
Sponsorships and Related Activities”); provided, that Pfizer shall use commercially reasonable efforts to take
or maintain responsibility of television/video and media buying related to such Exact Sponsorships and Related Activities following
the Effective Date. The Exact Sponsorships and Related Activities may, as mutually agreed by the Parties, be included in the applicable
annual Advertising plan.



 


		(viii)	Within forty-five (45) calendar days after the end of each Calendar Quarter, Pfizer will deliver
to Exact a report describing in reasonable detail the media buying activities for the just completed Calendar Quarter and any material
deviations from the approved Advertising plan that occurred during such Calendar Quarter.



 


		(ix)	The Parties shall mutually agree to the Advertising plan and any dispute with respect to such Advertising
plan or arising out of material deviation of media buying by Pfizer shall be considered a Disputed JOC Matter and subject to escalation
to the JSC under Section 2.2(d). Until such Disputed JOC Matter is resolved, the Parties will continue to operate under the then-current
Advertising plan. Without limiting the foregoing, a deviation from the media buying obligations under an Advertising plan by twenty
percent (20%) or more shall be deemed to be material.



 


		(e)	Product Training.



 


		(i)	Exact shall be responsible for providing Product Training and Training Materials to Pfizer sales
trainers (the “Pfizer Trainers”) who shall be solely responsible for training Pfizer’s Sales Representatives
who shall Promote the Product using a training program relating solely to the Product and the Product Laboratory Service (including
Training Materials). After the initial training, Exact shall periodically provide additional Product Training to the Pfizer Trainers,
and the Parties shall agree to the frequency, time and place such additional Product Training will be rolled out by the Pfizer
Trainers to Pfizer Sales Representatives.



 






    	 	Agreement	Page 23



     


    

 


		(ii)	Exact shall bear all costs and expenses of training its Sales Representatives, its training facilities
and the cost of developing Training Materials and the training of Pfizer Trainers with respect to the Product and the Product Laboratory
Service. Pfizer shall be responsible for all travel, lodging, meal and other expenses and out-of-pocket expenses incurred by Pfizer’s
Sales Representatives in connection with such Product Training.



 


		(iii)	Upon termination or expiration of this Agreement, at Exact’s election, Pfizer either shall
(A) return to Exact or (B) destroy and certify to the Exact such destruction, all Training Materials in the possession of, or under
the control of, Pfizer.



 


		(iv)	Pfizer shall ensure that no Pfizer Representative shall Promote the Product or Product Laboratory
Service unless he or she demonstrates sufficient knowledge by meeting the validation requirements of Exact. Pfizer shall maintain,
and make available upon request by Exact, records of all testing or certification results, including copies thereof.



 


		(f)	Promotional Materials. During the Term, the Parties agree to develop Promotional Materials
together in accordance with the Annual Marketing Plan for use in Promoting the Product in the Territory. Each Party shall:



 


		(i)	only use and distribute the Promotional Materials for use in Promoting the Product;



 


		(ii)	instruct its Representatives to use, and will use commercially reasonable efforts to train and
monitor its Representatives to ensure that such Representatives use, only Promotional Materials approved by the JRC;



 


		(iii)	not, and shall ensure that its Affiliates and agents do not, change or alter any Promotional Materials
in any way prior to their distribution or use by such Party or its Sales Representatives without JRC approval; and



 


		(iv)	(A) use commercially reasonable efforts to train its Representatives with respect to, (B) instruct
its Representatives to, and (C) establish appropriate internal systems, policies and procedures for the monitoring of its Representatives
with the goal of ensuring that such Representatives will:



 


		(A)	limit claims of efficacy and safety for the Product to those that are (1) consistent with approved
Promotional claims in, and not add, delete or modify claims of efficacy and safety in the Promotion of the Product in any respect
from those claims of efficacy and safety that are contained in, the then-effective Annual Marketing Plan, (2) consistent with Applicable
Law and (3) consistent with the Product Label;



 






    	 	Agreement	Page 24



     


    

 


		(B)	not make any changes or alterations to Promotional Materials; and



 


		(C)	use Promotional Materials only in a manner that is consistent with this Agreement, Applicable Law
and the Product Label.



 


For clarity,
the foregoing restrictions shall not apply to Exact Sciences Laboratories, LLC or any Representative of Exact or any of its Affiliates
on the customer care team or market access team.


 


		(g)	Representatives. Each Party shall be legally responsible and liable for the actions, omissions
and conduct of their respective Sales Representatives and other Representatives performing activities hereunder. Each Party shall
ensure that all Persons for whom they have legal responsibility and liability in accordance with the foregoing sentence comply
with all Applicable Laws, the AdvaMed Code or the PhRMA Code, as applicable, Applicable Compliance/Review Polices, and all requirements
of this Agreement, and shall implement and maintain policies and procedures to ensure such compliance.



 


		(h)	Marketing Authorization. Exact shall have the sole right and responsibility between the
Parties to take, and shall take, all actions with respect to the Product reasonably necessary in order to maintain the Regulatory
Approvals permitting the Marketing and sale of the Product in the Territory throughout the Term.



 


		(i)	Withdrawal. Exact shall have sole authority to determine whether to recall or withdraw any
Product in the Territory; provided, however, Exact shall notify Pfizer of its decision, including the reasons therefore,
regarding any such recall or withdrawal promptly after such decision is made. Exact shall be solely responsible for and shall bear
all costs associated, directly or indirectly, with any recalls or withdrawals of the Product.



 


		(j)	Customer Service Activities; Safety Reporting. Exact shall have sole authority to handle
all customer service activities regarding the Product in accordance with Section 3.2(b)(v). Promptly upon receipt (and in any event
within one Business Day), Pfizer shall refer all customer service inquiries regarding the Product, including all medical and other
inquiries and complaints, to Exact for resolution. The Parties shall maintain a procedure by which Product inquiries to, or by,
Pfizer will be sent to Exact to comply with applicable safety reporting requirements and obligations for the Product.



 






    	 	Agreement	Page 25



     


    

 


		3.3	Annual Marketing Plan.



 


		(a)	General. Exact and Pfizer shall collaborate in good faith to develop an Annual Marketing
Plan for the Product. Unless otherwise agreed by the Parties, the JOC shall prepare each Annual Marketing Plan and submit it for
review and approval by the JSC by no later than October 1st of the then-current Calendar Year so that the JSC shall
have a reasonable opportunity to review, revise and approve such Annual Marketing Plan by no later than October 31st
of the Calendar Year preceding the Calendar Year to which such Annual Marketing Plan relates; provided, however,
that, notwithstanding the foregoing, the Parties acknowledge and agree that the Annual Marketing Plan in respect of Calendar Year
2020 shall be the Annual Marketing Plan attached hereto as Exhibit 3.3(a) (the “2020 Annual Marketing Plan”);
provided, further, however, that (i) beginning on the Effective Date, the Parties agree to commence, and diligently
and in good faith pursue, negotiations to supplement the 2020 Annual Marketing Plan to add (A) Detail Targets (as defined in Exhibit
3.3(b)), (B) HCP Targets (as defined in Exhibit 3.3(b)), and (C) HCP Target Drift Allowances (as defined in Exhibit 3.3(b)) (the
items described by clauses (A), (B) and (C), collectively, the “2020 Targets”), in respect of Details delivered
during the 2020 Calendar Year and (ii) finalize and memorialize such 2020 Targets in a supplement to the 2020 Annual Marketing
Plan in form and substance acceptable to each Party as soon as practicable after the Effective Date, but in no event later than
thirty (30) days after the Effective Date (or such longer period mutually agreed upon by the Parties in writing) (the activities
contemplated by items (i) and (ii), collectively, the “2020 Annual Marketing Plan Revisions”); provided,
furthermore, however, that (x) on or before June 30, 2021, Pfizer shall provide to Exact a written, good faith projection
of the number of Details that Pfizer anticipates delivering pursuant to this Agreement during Calendar Year 2022 (the “2022
Details Projection”), and (y) thereafter the Parties shall, in good faith, review and discuss such 2022 Details Projection
and agree upon the number of Details that Pfizer shall deliver pursuant to this Agreement during Calendar Year 2022, which number
of Details shall be reflected in the Annual Marketing Plan for Calendar Year 2022 that is reviewed and approved by the Parties
pursuant to this Section 3.3(a). Other than with respect to the 2020 Annual Marketing Plan Revisions, if either Party desires to
revise or update an approved Annual Marketing Plan prior to the end of a Calendar Year, it shall notify the JOC of such desired
revision, and the JOC shall review any such proposed revision and determine whether to submit such revision to the JSC for review
and approval.



 


		(b)	Plan Contents. The Annual Marketing Plan for each Calendar Year shall contain at a minimum
the categories set forth in Exhibit 3.3(b) and such other information that the JOC or JSC believes is necessary.



 


		(c)	Support. Each Party, at its own expense, shall use commercially reasonable efforts to carry
out such Party’s responsibilities under the Annual Marketing Plan, which commercially reasonable efforts shall include committing
the appropriate resources to assist in the implementation of the Annual Marketing Plan and to carry out the activities such Party
is responsible for thereunder and hereunder. In the case of Exact, in addition to the foregoing, except as provided for in Section
3.2(d), Exact shall (i) be responsible for contracting with agencies and vendors who are or will be providing services (including
the development of Promotional Materials and Training Materials) associated with the execution of the Annual Marketing Plan, (ii)
timely pay all amounts due to such agencies and vendors for such services and (iii) authorize Pfizer to interact directly with
and instruct such agencies and vendors in connection with such services as necessary and appropriate under this Agreement.



 






    	 	Agreement	Page 26



     


    

 


		3.4	Sales Promotion, Detailing Efforts and IDN Promotion.



 


		(a)	Sales Promotion. Subject to the terms and conditions of this Agreement, Pfizer shall implement
the sales Detailing plan set forth in the applicable Annual Marketing Plan.



 


		(b)	Quarterly Details Targets. Pfizer shall make commercially reasonable efforts to cause Pfizer
Sales Representatives to deliver (i) a consistent number of Details during each Calendar Quarter during the Term and (ii) a number
of Details during each Calendar Quarter during the Term that is no less than the Quarterly Details Target for such Calendar Quarter.



 


		(c)	HCP Targets. During each Calendar Quarter and Calendar Year during the Term, Pfizer shall
cause Pfizer Sales Representatives to Detail only HCP Targets; provided, however, that, notwithstanding the foregoing,
during each such Calendar Quarter and Calendar Year, Pfizer Sales Representatives shall be permitted to Detail a number of Non-HCP
Targets that does not exceed the applicable HCP Target Drift Allowance for such Calendar Quarter or such Calendar Year.



 


		(d)	Certain Payment and Detail Limitations.



 


		(i)	Notwithstanding anything in this Agreement or any Annual Marketing Plan to the contrary, Pfizer
shall forfeit its right to receive, and Exact shall not be required to pay to Pfizer, any amount pursuant to this Agreement in
respect of (A) any Phone Detail delivered by a Pfizer Sales Representative during any month that exceeds fifteen percent (15%)
of the aggregate Details delivered by Pfizer during such month (each, an “Excess Phone Detail”) or (B) any Detail
delivered to a Non-HCP Target by a Pfizer Sales Representative that exceeds any applicable HCP Target Drift Allowance (each, an
 “Excess Non-HCP Target Detail”).



 


		(ii)	For the avoidance of doubt, any Excess Phone Detail or Excess Non-HCP Target Detail shall not be
countable towards any applicable (A) Details Target, (B) Performance Bonus Threshold or (C) Details Bonus Threshold.



 


		(iii)	In counting the number of Details delivered by Pfizer during any Calendar Quarter or Calendar Year
during the Term for purposes of any applicable Detail Targets, Performance Bonus Threshold or Details Bonus Threshold, the Parties
acknowledge and agree that each Phone Detail delivered by Pfizer shall be counted as sixty-five percent (65%) of a Customary Detail
delivered by Pfizer. For illustrative purposes only, if Pfizer delivered (A) 150,000 Customary Details and (B) 10,000 Phone Details,
during a Calendar Quarter during the Term, Pfizer will have delivered 156,500 Details during such Calendar Quarter for purposes
of any applicable Details Target.



 






    	 	Agreement	Page 27



     


    

 


		(e)	Incentive Compensation.



 


		(i)	With respect to Details delivered during Calendar Year 2020, the Incentive Compensation weighting
for any Pfizer Sales Representative Promoting the Product in (A) position 1 shall not be less than forty-five percent (45%) of
Incentive Compensation available to be earned by such Pfizer Sales Representative; (B) position 2 shall not be less than twenty-five
percent (25%) of Incentive Compensation available to be earned by such Pfizer Sales Representative; and (C) position 3 shall not
be less than twenty percent (20%) of the Incentive Compensation available to be earned by such Pfizer Sales Representative.



 


		(ii)	With respect to Details delivered during Calendar Year 2021 and Calendar Year 2022, the Incentive
Compensation weighting for any Pfizer Sales Representative Promoting the Product in (A) position 1 shall not be less than forty-five
percent (45%) of Incentive Compensation available to be earned by such Pfizer Sales Representative; (B) position 2 shall not be
less than thirty percent (30%) of Incentive Compensation available to be earned by such Pfizer Sales Representative; and (C) position
3 shall not be less than twenty percent (20%) of the Incentive Compensation available to be earned by such Pfizer Sales Representative.



 


		(f)	Detailing Efforts and Costs. Each Party shall have sole and exclusive control of all Detailing
efforts and activities by its Sales Representatives and Representatives, and shall be solely responsible for the costs thereof,
including base salary and Incentive Compensation, customary and reasonable travel and entertainment expenses, cost of fleet vehicles
and other expenses customarily and reasonably associated with Promotion of products and services similar to the Product. Notwithstanding
the foregoing, Exact shall reimburse Pfizer for any reasonable, customary and documented travel and entertainment expenses incurred
by field-based Pfizer Sales Representatives in respect of field events organized by Exact (e.g., plan of action meetings)
at which Exact requests the attendance of such Pfizer Sales Representatives.



 


		(g)	IDN Promotion. As part of this Agreement, Pfizer agrees to deploy its IDN key account managers
(or successor team with similar responsibilities, the “KAM Team”) to support understanding and uptake of the
Product by IDN customers in accordance with the Annual Marketing Plan. In furtherance of the foregoing, during Calendar Year 2021,
Pfizer shall support programmatic rescreening efforts by these key accounts. The number of key accounts shall be set forth on Exhibit
3.4(g) (the “KAM Benchmarks”). Pfizer and Exact shall agree to the tracking of the KAM Benchmarks using a scorecard.



 






    	 	Agreement	Page 28



     


    

 


		4.	ACCOUNTING.



 


		4.1	Fees & Performance Bonus.



 


		(a)	Detail Fee. With respect to each Detail delivered by Pfizer on or after April 1, 2020, Exact
shall pay to Pfizer the applicable fee for such Detail set forth on Exhibit 4.1(a) (the “Detail Fee”), based
on (i) the position in which the Product was promoted by a Pfizer Sales Representative during such Detail and (ii) whether such
Detail was a Customary Detail or a Phone Detail, which Detail Fee shall be invoiced by Pfizer, and paid by Exact, pursuant to Section
4.3 of this Agreement.



 


		(b)	Quarterly Governance Fee. Exact shall pay to Pfizer a governance fee of $2.5 million for
(i) each of the second, third and fourth Calendar Quarters of Calendar Year 2020 and (ii) each Calendar Quarter during Calendar
Year 2021 (each such fee, a “Quarterly Governance Fee”), which Quarterly Governance Fee shall be invoiced by
Pfizer, and paid by Exact, pursuant to Section 4.3 of this Agreement. For the avoidance of doubt, no Quarterly Governance Fee shall
be payable by Exact to Pfizer pursuant to this Section 4.1(b) in respect of (A) the first Calendar Quarter of Calendar Year 2020
or (B) any Calendar Quarter of Calendar Year 2022.



 


		(c)	Quarterly Health System Fee. Exact shall pay to Pfizer a health system fee of $2.5 million
in respect of each Calendar Quarter during Calendar Year 2021 (each such fee, a “Quarterly Health System Fee”),
which Quarterly Health System Fee shall be invoiced by Pfizer, and paid by Exact, pursuant to Section 4.3 of this Agreement. For
the avoidance of doubt, no Quarterly Health System Fee shall be payable by Exact to Pfizer pursuant to this Agreement in respect
of any Calendar Quarter during Calendar Year 2020 or Calendar Year 2022.



 


		(d)	Performance Bonus.



 


		(i)	Provided Pfizer Sales Representatives deliver a number of Details pursuant to this Agreement that
is greater than or equal to fifty percent (50%) of the Annual Details Target for the applicable Calendar Year (the “Performance
Bonus Threshold”), with respect to (i) Calendar Year 2020, Exact shall pay to Pfizer a performance bonus of $5 million
upon Laboratory Service Revenue reaching $725 million, and thereafter for each additional $75 million in Laboratory Service Revenue,
Exact shall pay to Pfizer an additional performance bonus of $5 million, and (ii) Calendar Year 2021, Exact shall pay to Pfizer
a performance bonus of $10 million upon Laboratory Service Revenue reaching $1.0 billion, $20 million upon Laboratory Services
Revenue reaching $1.1 billion, and thereafter for each additional $100 million in Laboratory Services Revenue, Exact shall pay
to Pfizer an additional performance bonus of $10 million.



 






    	 	Agreement	Page 29



     


    

 


		(ii)	In the event Pfizer Sales Representatives fail to deliver a number of Details pursuant to this
Agreement that is greater than or equal to the applicable Performance Bonus Threshold, with respect to (i) Calendar Year 2020,
Exact shall pay to Pfizer a performance bonus of $2.5 million upon Laboratory Service Revenue reaching $725 million, and thereafter
for each additional $75 million in Laboratory Service Revenue, Exact shall pay to Pfizer an additional performance bonus of $2.5
million, and (ii) Calendar Year 2021, Exact shall pay to Pfizer a performance bonus of $5 million upon Laboratory Service Revenue
reaching $1.0 billion, $10 million upon Laboratory Services Revenue reaching $1.1 billion, and thereafter for each additional $100
million in Laboratory Services Revenue, Exact shall pay to Pfizer an additional performance bonus of $5 million.



 


		(iii)	For the avoidance of doubt, no Performance Bonus (as defined below) shall be payable by Exact to
Pfizer pursuant to this Section 4.1(d) in respect of Details delivered during Calendar Year 2022.



 


		(iv)	Any bonus payment payable by Exact to Pfizer pursuant to this Section 4.1(d) shall be a “Performance
Bonus”, which Performance Bonus shall be invoiced by Pfizer, and paid by Exact, pursuant to Section 4.3 of this Agreement.



 


		(e)	Details Bonus.



 


		(i)	Exact shall pay to Pfizer a bonus of (A) $5 million (the “2020 Details Bonus”)
if (x) Pfizer Sales Representatives deliver a number of Details greater than or equal to the 2020 Details Bonus Threshold as set
forth in Exhibit 4.1(e)(i) and pursuant to this Agreement during the period commencing on August 1, 2020 and ending on December
31, 2020 (the “2020 Details Bonus Period”) and (y) no less than fifty percent (50%) of the Details countable
towards such 2020 Details Bonus Threshold are Details in which a Pfizer Sales Representative Promoted the Product in position 1;
and (B) $10 million (the “2021 Details Bonus” and, together with the 2020 Details Bonus, the “Details
Bonus”) if Pfizer Sales Representatives (x) deliver a number of Details greater than or equal to the 2021 Details Bonus
Threshold pursuant to this Agreement during Calendar Year 2021 and (y) no less than sixty-five percent (65%) of the Details countable
towards such 2021 Details Bonus Threshold are Details in which a Pfizer Sales Representative Promoted the Product in position 1
or position 2.



 


		(ii)	Notwithstanding anything in Section 4.1(e)(i) to the contrary, no Detail in which a Pfizer Sales
Representative Promotes the Product in a position lower than position 3 shall be countable towards any applicable Details Bonus
Threshold.



 






    	 	Agreement	Page 30



     


    

 


		(iii)	For the avoidance of doubt, no bonus or other fee shall be payable by Exact to Pfizer pursuant
to this Section 4.1(e) in respect of Details delivered during Calendar Year 2022.



 


		(iv)	Any Details Bonus payable by Exact to Pfizer pursuant to this Section 4.1(e) shall be invoiced
by Pfizer, and paid by Exact, pursuant to Section 4.3 of this Agreement.



 


		(f)	Media Buy Fee. Exact shall pay to Pfizer a fee of $10 million (the “Media Buy Fee”)
for Pfizer’s execution of the 2022 Advertising plan covering broadcast year October 1, 2021 to September 30, 2022. The Media
Buy Fee shall be invoiced by Pfizer, and paid by Exact, pursuant to Section 4.3 of this Agreement. For avoidance of doubt, the
Media Buy Fee is exclusive of any cost under Section 3.2(d)(iii).



 


		(g)	Negotiated Payments. The Parties acknowledge and agree that Detail Fees, Quarterly Governance
Fees, Quarterly Health System Fees, Performance Bonuses, Details Bonuses, the Media Buy Fee, Royalty Payments and other compensation
paid by Exact to Pfizer in connection with this Agreement, even where calculated as a percentage of Laboratory Service Revenue,
were negotiated at arm’s length and are intended to represent fair, equitable and market value compensation for the entirety
of services provided by Pfizer to Exact hereunder.



 


		4.2	Financial Deliverables.



 


		(a)	Within fifteen (15) Business Days after each month during the Term, Exact shall deliver to Pfizer
a report of Product Laboratory Services completed during such month and Laboratory Service Revenue in respect of such Product Laboratory
Services. Notwithstanding the above, by the 15th day of each month during the Term, Exact shall provide to Pfizer prescriber
level Laboratory Service Revenue data in respect of Product Laboratory Services completed during the immediately preceding month
(“IC Data”). Solely with respect to IC Data, in the event (i) Exact fails to perform its obligations pursuant
to this Section 4.2(a) and (ii) such failure to perform is not caused, in whole or in part, by a force majeure event, then Exact
shall pay to Pfizer as liquidated damages, and not as a penalty, $10,000 per day for each day that Exact fails to so perform.



 


		(b)	Monthly Reports.



 


		(i)	Within five (5) days after each month during the Term, Pfizer shall provide to Exact a draft written
report (each, a “Draft Monthly Report”) setting forth a good faith projection of (i) the number of Details completed
by Pfizer Sales Representatives during such month, (ii) whether each such Detail was a Customary Detail or a Phone Detail, (iii)
the position in which the Product was Promoted by a Pfizer Sales Representative during each such Detail, (iv) the national provider
identifier number (“NPI”) of each healthcare provider that was the target of each such Detail, (v) whether each
such Detail was to a HCP Target or a Non-HCP Target and (vi) any changes to Incentive Compensation or selling position of the Product
by Pfizer Sales Representatives during such month (each of the items set forth in clauses (i)-(iii), a “Monthly Report
Criterion”).



 






    	 	Agreement	Page 31



     


    

 


		(ii)	Within fifteen (15) Business Days after each month during the Term, Pfizer shall provide to Exact
an update to the Draft Monthly Report (each, a “Final Monthly Report”), which Final Monthly Report shall include
a true, complete and accurate statement as to each Monthly Report Criterion.



 


		(iii)	In the event (a) Pfizer fails to perform its obligations pursuant to this Section 4.2(b) and (b)
such failure to perform is not caused, in whole or in part, by a force majeure event, then Pfizer shall pay to Exact as liquidated
damages, and not as a penalty, $10,000 per day for each day that Pfizer fails to so perform.



 


		(c)	The Parties (i) intend that any liquidated damages payable by a Party pursuant to this Section
4.2 constitute compensation, and not a penalty, and (ii) acknowledge and agree that either Party’s harm caused by the other
Party’s breach of this Section 4.2 would be impossible or very difficult to accurately estimate and that such liquidated
damages are a reasonable estimate of the anticipated or actual harm that might arise from such breach.



 


		4.3	Invoicing & Payment Terms.



 


		(a)	By October 31, 2020 (or such later date mutually agreed upon by the Parties) (the “Initial
Detail Payment Date”), Exact shall pay to Pfizer $9.2 million (the “Initial Detail Payment Amount”),
which Initial Detail Payment Amount (i) has been calculated by Pfizer in good faith based on Pfizer’s review and assessment
of Details delivered by Pfizer during the period commencing on April 1, 2020 and ending on September 30, 2020 (the “Initial
Details”), taking into account (A) the applicable Detail Fees set forth in this Agreement and (B) the payment and Detail
limitations set forth in this Agreement, including such limitations set forth in Section 3.4, and (ii) shall be subject to reduction
by Exact pursuant to the second to last sentence of this Section 4.3(a). On or about the Effective Date, Pfizer shall provide to
Exact a detailed report, in form and substance reasonably acceptable to Exact, summarizing each of the Initial Details and the
amount payable by Exact to Pfizer in respect thereof (the “Initial Detail Report”). Commencing upon Exact’s
receipt of the Initial Detail Report, Exact shall in good faith (x) review the Initial Detail Report and (y) confirm Pfizer’s
right to payment (and the amount of such payment) in respect of each Initial Detail set forth therein (the activities contemplated
by (x) and (y), collectively, the “Initial Detail Report Review”). If, during the Initial Detail Report Review,
Exact determines in good faith that Pfizer, for any reason, miscalculated the Initial Detail Payment Amount, Exact shall promptly
inform Pfizer of the portion of the Initial Detail Payment Amount in dispute and the parties shall meet in good faith to reconcile
the disputed amount, provided, however, the portion of the Initial Detail Payment Amount not in dispute shall be promptly
paid in accordance with this Section 4.3(a).



 






    	 	Agreement	Page 32



     


    

 


		(b)	Within fifteen (15) Business Days after the Effective Date, Exact shall pay to Pfizer $5 million
in respect of the total Quarterly Governance Fees payable by Exact to Pfizer pursuant to Section 4.1(b) of this Agreement in respect
of the second and third Calendar Quarters of Calendar Year 2020.



 


		(c)	Within fifteen (15) Business Days after the end of each Calendar Quarter during the Term, Pfizer
shall provide to Exact a written invoice setting forth, in reasonable detail, the amounts payable to Pfizer by Exact pursuant to
this Agreement in respect of such Calendar Quarter, including (i) a written statement from Pfizer as to (A) whether Pfizer Sales
Representatives (x) delivered the applicable Quarterly Details Target, (y) delivered any Excess Phone Details during any month
during such Calendar Quarter or (z) exceeded the applicable Quarterly HCP Target Drift Allowance (and, if such invoice is in respect
of the fourth Calendar Quarter during any Calendar Year, a written statement from Pfizer as to whether Pfizer Sales Representatives
(xx) delivered the applicable Annual Details Target, (yy) delivered any Excess Phone Details during any month during such Calendar
Year or (zz) exceeded the applicable Annual HCP Target Drift Allowance), (ii) the number of (A) Customary Details and (B) Phone
Details, delivered by Pfizer during such Calendar Quarter; (iii) the aggregate Detail Fee payable by Exact in respect of Details
delivered by Pfizer pursuant to this Agreement during such Calendar Quarter, as such Detail Fee is determined in accordance with
Section 4.1(a) of this Agreement; (iv) the Quarterly Governance Fee in respect of such Calendar Quarter, if such Quarterly Governance
Fee is payable by Exact to Pfizer pursuant to Section 4.1(b) of this Agreement; and (v) the Quarterly Health System Fee in respect
of such Calendar Quarter, if such Quarterly Health System Fee is payable to Pfizer by Exact pursuant to Section 4.1(c) of this
Agreement.



 


		(d)	Within sixty (60) days after the end of each Calendar Year during the Term (or, for the avoidance
of doubt, the end of the fourth Calendar Quarter in 2020), Exact shall pay to Pfizer any (i) Performance Bonus payable to Pfizer
pursuant to Section 4.1(d) of this Agreement, based on cumulative Laboratory Service Revenue for the applicable Calendar Year as
of the last day of such Calendar Year and (ii) Details Bonus payable to Pfizer pursuant to Section 4.1(e) of this Agreement, based
on (A) in the case of the 2020 Details Bonus, cumulative Details delivered by Pfizer Sales Representatives pursuant to this Agreement
during the 2020 Details Bonus Period and (B) in the case of the 2021 Details Bonus, cumulative Details delivered by Pfizer Sales
Representatives pursuant to this agreement during Calendar Year 2021.



 






    	 	Agreement	Page 33



     


    

 



 


		(e)	Within sixty (60) days after Exact’s receipt from Pfizer of an invoice for the executed 2022
Advertising plan, Exact shall pay to Pfizer the Media Buy Fee.



 


		(f)	Pfizer shall provide to Exact supporting information and documentation reasonably necessary to
verify the accuracy of amounts invoiced by Pfizer to Exact pursuant to this Agreement.



 


		(g)	Exact shall pay to Pfizer all undisputed invoiced amounts within thirty (30) days from Exact’s
receipt of such invoice. Exact shall notify Pfizer in writing of any dispute with any invoice within fifteen (15) days from Exact’s
receipt of such invoice. The Parties shall seek to resolve any such disputes expeditiously and in good faith in accordance with
the dispute resolution provisions set forth in Section 9.13 of this Agreement. Notwithstanding anything to the contrary, each Party
shall continue performing its obligations under this Agreement during any such dispute, including Exact’s obligation to pay
all due and undisputed invoice amounts in accordance with the terms of this Agreement.



 


		4.4	Taxes and Withholding.
It is understood and agreed between the Parties that any payments made under this Agreement are exclusive of any value
added or similar tax (“VAT”), and that no such VAT shall apply to the payments made under this Agreement. In
the event any payments made pursuant to this Agreement become subject to withholding taxes under the laws or regulation of any
jurisdiction, the Party making such payment shall deduct and withhold the amount of such taxes for the account of the payee to
the extent required by Applicable Law and such amounts payable to the payee shall be reduced by the amount of taxes deducted and
withheld. Any such withholding taxes required under Applicable Law to be paid or withheld shall be an expense of, and borne solely
by, the payee. To the extent that the Party making a payment is required to deduct and withhold taxes on any payments under this
Agreement, the Party making such payment shall pay the amounts of such taxes to the proper Governmental Authority in a timely manner
and promptly transmit to the payee an official tax certificate or other evidence of such withholding sufficient to enable the payee
to claim such payments of taxes. The payee shall provide any tax forms to the Party making such payment that may be reasonably
necessary in order for such Party not to withhold tax or to withhold tax at a reduced rate under an applicable bilateral income
tax treaty. The payee shall use commercially reasonable efforts to provide any such tax forms to the Party making the payment at
least thirty (30) days prior to the due date for any payments for which the payee desires that the Party making the payment apply
a reduced withholding rate. Each Party shall provide the other with reasonable assistance to enable the recovery, as permitted
by Applicable Law, of withholding taxes, VAT, or similar obligations resulting from payments made under this Agreement, such recovery
to be for the benefit of the Party bearing such withholding tax or VAT. Notwithstanding anything in this Agreement to the contrary,
(a) if an action (including any assignment or sublicense of its rights or obligations under this Agreement, or any failure to comply
with Applicable Law or filing or record retention requirements) by a Party leads to the imposition of withholding tax liability
or VAT on the other Party that would not have been imposed in the absence of such action or in an increase in such liability above
the liability that would have been imposed in the absence of such action, then the sum payable by that Party (in respect of which
such deduction or withholding is required to be made) shall be increased to the extent necessary to ensure that the other Party
receives a sum equal to the sum which it would have received had no such action occurred, (b) otherwise, the sum payable by that
Party (in respect of which such deduction or withholding is required to be made) shall be made to the other Party after deduction
of the amount required to be so deducted or withheld, which deducted or withheld amount shall be remitted in accordance with Applicable
Law.



 






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		4.5	No Partnership Provision.
It is expressly agreed that Pfizer and Exact shall be independent contractors and that the relationship between Pfizer
and Exact shall not constitute a partnership, joint venture or agency.  The Parties agree that the rights and obligations
under this Agreement are not intended to constitute a partnership or similar arrangement that will require separate reporting for
tax purposes consistent with the intent reflected in the foregoing sentence and agree that they shall not file any reports, documents
or other item relating to taxes or state or acknowledge to any tax authority that such relationship is a partnership or similar
arrangement unless required by Applicable Law.



 


		4.6	Payments; Currency.
All payments due by one Party to the other Party hereunder shall be paid by wire transfer in immediately available funds
from the account or accounts of a Party and/or its Affiliates to an account or accounts of the receiving Party and/or its Affiliates
designated in writing by the receiving Party. All amounts payable and calculations hereunder shall be in United States dollars.



 


		4.7	Maintenance of Records; Audits.



 


		(a)	Record Keeping. Each Party shall keep and shall cause its Affiliates to keep accurate books
and accounts of record in connection with (i) its Marketing and Promotion of the Product, (ii) (with respect to Exact) performance
of Product Laboratory Services, and (iii) its activities under this Agreement and any Annual Marketing Plan, in sufficient detail
to permit accurate determination of all figures necessary for verification of (A) amounts to be paid hereunder and (B) compliance
with the terms of this Agreement. Each Party shall, and shall cause its Affiliates to, maintain such records for a period of at
least three (3) years after the end of the Calendar Year to which they pertain.



 


		(b)	Financial Audits.



 


		(i)	Audit Right. Upon thirty (30) days prior written notice from a Party (the “Auditing
Party”), the other Party (the “Audited Party”) shall permit an independent certified public accounting
firm of nationally recognized standing selected by the Auditing Party and reasonably acceptable to the Audited Party, to examine,
at the Auditing Party’s sole expense, the relevant books and records of the Audited Party and its Affiliates as may be reasonably
necessary to verify the accuracy of the reports submitted by the Audited Party in accordance with Sections 3.2(d)(viii), 4.2 and
4.3 of this Agreement. An examination by the Auditing Party under this Section 4.7(b) shall occur not more than once in any Calendar
Year and shall be limited to the pertinent books and records for any Calendar Year during the Term ending not more than twenty-four
(24) months before the date of the request. The accounting firm shall be provided access to such books and records at the Audited
Party’s facility(ies) in the Territory where such books and records are normally kept and such examination shall be conducted
during the Audited Party’s normal business hours. The Audited Party may require the accounting firm to sign a standard non-disclosure
agreement before providing the accounting firm access to the Audited Party’s facilities or records. Upon completion of the
audit, the accounting firm shall provide both Pfizer and Exact a written report disclosing whether the reports submitted by the
Audited Party are correct or incorrect and the specific details concerning any discrepancies. No other information shall be provided
to the Auditing Party. The decision of the accounting firm will be final and unappealable absent manifest error.



 






    	 	Agreement	Page 35



     


    

 


		(ii)	Underpayments/Overpayments. If such accounting firm concludes that there has been an underpayment
or overpayment by either Party, then the amount of such overpayment or underpayment shall promptly be paid to the Party to whom
it is owed by the other Party.



 


		(c)	Compliance Audit. Upon thirty (30) days prior written notice from an Auditing Party, the
Audited Party shall permit the Auditing Party’s external auditors access to any relevant books documents, papers, and records
of the Party involving any report delivered pursuant to Sections 3.2(d)(viii), 4.2 and 4.3 of this Agreement and the activities
performed under this Agreement, if the other Party has credible evidence that the other Party violated terms of this Agreement,
including with respect to Product Training under Section 3.2(e). An examination by a Party under this Section 4.7(c) shall (i)
occur not more than once in any Calendar Year, (ii) be limited to the pertinent books and records for any Calendar Year during
the Term ending not more than twenty-four (24) months before the date of the request and (iii) be at the sole expense of the Auditing
Party. The external auditors of the Auditing Party shall be provided access to such books and records at the Audited Party’s
facility(ies) in the Territory where such books and records are normally kept and such examination shall be conducted during the
Audited Party’s normal business hours. The Audited Party may require any external auditors to sign a standard non-disclosure
agreement before providing the accounting firm access to the Audited Party’s facilities or records.



 


		(d)	Confidentiality. All financial and other confidential information of the Audited Party which
is subject to review under this Section 4.7 shall be deemed to be the Audited Party’s Confidential Information and, subject
to the provisions of Article 7 hereof, the Auditing Party shall not disclose such Confidential Information to any Third Party or
use such Confidential Information for any purpose other than verifying compliance with this Agreement.



 


		5.	REPRESENTATIONS, WARRANTIES AND COVENANTS.



 


		5.1	Mutual Representations and Warranties.
Each of Exact and Pfizer hereby represents and warrants to the other Party as of the Original Agreement Effective Date and the
Effective Date that:



 


		(a)	it is duly organized, validly existing and in good standing under the laws of the jurisdiction
of its organization;



 


		(b)	the execution, delivery and performance of this Agreement by such Party has been duly authorized
by all requisite action under the provisions of its certificate of incorporation, bylaws and other organizational documents, and
does not require any action or approval by any of its shareholders or other holders of its voting securities or voting interests
that has not been taken;



 


		(c)	it has the power and authority to execute and deliver this Agreement and to perform its obligations
hereunder;



 


		(d)	this Agreement has been duly executed by an appropriate representative of such Party and is a legal,
valid and enforceable against such Party in accordance with its terms;



 






    	 	Agreement	Page 36



     


    

 


		(e)	the execution, delivery and performance by such Party of this Agreement and its compliance with
the terms and provisions hereof does not and will not conflict with or result in a breach of or default under (i) any oral or written
agreement that binds such Party’s operations or property, including any assignment, license agreement, loan agreement, guaranty
or financing agreement, (ii) the provisions of such Party’s certificate of incorporation, bylaws or other organizational
documents, or (iii) any order, writ, injunction, decree or judgment of any court or Governmental Authority entered against such
Party or by which any of such Party’s operations or property are bound;



 


		(f)	all material written information provided by each Party in any virtual data room maintained for
the purposes of the proposed transactions under this Agreement is complete, truthful and accurate in all material respects; and



 


		(g)	neither it, nor any of its Affiliates, nor, to such Party’s knowledge, any of their respective
Representatives has been debarred or suspended under 21 U.S.C. § 335(a) or (b), excluded from a federal health care program,
debarred from federal contracting, or convicted of or pled nolo contendere to any felony, or to any federal or state legal violation
(including misdemeanors) relating to medical devices or fraud (“Debarred/Excluded”).



 


		5.2	Representations and Warranties of Exact.
Except as set forth in Exhibit 5.2, Exact hereby represents and warrants to Pfizer as of the Original Agreement Effective
Date and the Effective Date that:



 


		(a)	no consent is required from any Third Party for Exact to enter into, or to exercise its rights
and perform its obligations under, this Agreement;



 


		(b)	in connection with the development, manufacturing and Promotion of the Product, except as would
not reasonably be expected to have a material adverse effect on the Promotion of the Product in the Territory, Exact has complied
and will continue to comply in all material respects with Applicable Law, including the FD&C Act, the Anti-Kickback Statute
(42 U.S.C. § 1320a-7b), Civil Monetary Penalty Statute (42 U.S.C. § 1320a-7a), the False Claims Act (31 U.S.C. §
3729 et seq.), comparable state statutes, the regulations promulgated under all such statutes, and the regulations issued by the
FDA;



 






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		(c)	with respect to the development, manufacturing and Promotion of the Product, Exact has not taken
and will not take any action directly or indirectly to offer, promise or pay, or authorize the offer or payment of, any money or
anything of value in order to improperly or corruptly seek to influence any Government Official in order to gain an improper advantage;



 


		(d)	in connection with Exact’s manufacturing and Promotion of Product or Exact’s performance
of the Product Laboratory Service in the Territory or directly relating to the transactions contemplated by this Agreement, except
as would not reasonably be expected to have a material adverse effect on the Promotion of the Product in the Territory, (i) no
written claim, demand, suit, investigation or other legal action of any nature, civil, criminal, regulatory or otherwise, has been
filed and received by Exact, and is pending in any court, arbitration or government agency proceeding nor, to the knowledge of
Exact, has any claim, demand, suit, investigation or other legal action of any nature, civil, criminal, regulatory or otherwise
been threatened in writing, to be filed against Exact in any court, arbitration or government agency proceeding; and (ii) there
is no judgment or settlement against or owed by Exact;



 


		(e)	Exact has not received written notice from any Third Party claiming that the manufacture, use,
sale or importation by or on behalf of Exact of the Product in the Territory or the performance of any Product Laboratory Service
by or on behalf of Exact (i) infringes any issued patent or intellectual property right of such Third Party in the Territory or
(ii) will infringe any claim of any published patent application of such Third Party in the Territory when and if such claim issues;



 


		(f)	to Exact’s knowledge, the manufacture, use, sale or importation by or on behalf of Exact
of the Product in the Territory or the performance of any Product Laboratory Service by or on behalf of Exact (i) does not infringe
any issued patent or intellectual property right of any Third Party in the Territory or (ii) will not infringe any claim of any
published patent application of any Third Party in the Territory when and if such claim issues; and



 


		5.3	Covenants.



 


		(a)	Each Party hereby covenants to the other Party that, during the Term in the Territory:



 






    	 	Agreement	Page 38



     


    

 


		(i)	it will immediately remove any Sales Representative from having any responsibilities relating to
Promotion of the Product under this Agreement if required by Applicable Laws, including if such Party determines that such Sales
Representative is Debarred/Excluded;



 


		(ii)	it will promptly remove any Sales Representative from having any responsibilities relating to the
Promotion of the Product under this Agreement if, following an investigation, it is determined that there has been a significant
violation of any Applicable Laws, or the Party’s Applicable Compliance/Review Policies by such Sales Representative; and



 


		(iii)	it will not knowingly make any untrue or misleading statements or comments about the Product.



 


		(b)	Pfizer hereby covenants to Exact that, during the Term, it, its Affiliates and its Sales Representatives
will not (i) Promote the Product outside of the Territory or the Co-Promote Field; or (ii) disparage or present in a negative light
the Product in the performance of its obligations hereunder in the Territory; provided that nothing herein shall be interpreted
to preclude Pfizer from (A) describing any risks of a Product set forth in the Product Label or (B) making truthful statements
about the Product to the extent required by Applicable Laws, in connection with any litigation or in response to any question,
inquiry or request for information when required by legal process (e.g., a valid subpoena or other similar compulsion of
law) or as part of a government investigation.



 


		(c)	Exact hereby covenants that neither Exact nor its Affiliates shall sue Pfizer and its Affiliates
under any Exact Patent Rights solely with respect to any activities carried out by Pfizer or its Affiliates under, and to the extent
in compliance with, this Agreement, including its and their activities to Promote and Detail the Product in the Co-Promote Field
in the Territory during the Term of this Agreement and in compliance with this Agreement.



 


		5.4	Compliance with Law and Ethical Business Practices.
In addition to the other representations, warranties and covenants made by each Party under this Agreement, each Party hereby represents,
warrants and covenants to the other Party that, during the Term in the Territory:



 


		(a)	it is, and will remain during the Term, licensed, registered and/or qualified under Applicable
Law to do business, and has obtained such licenses, consents, authorizations or completed such registration or made such notifications
as may be necessary or required by Applicable Law to perform its obligations under this Agreement;



 


		(b)	it will perform its obligations under this Agreement in material compliance with this Agreement
and any applicable Annual Marketing Plan, its Applicable Compliance/Review Policies and Applicable Laws (including the FD&C
Act, the Anti-Kickback Statute (42 U.S.C. § 1320a-7b), Civil Monetary Penalty Statute (42 U.S.C. § 1320a-7a), the False
Claims Act (31 U.S.C. § 3729 et seq.), comparable state statutes, the regulations promulgated under all such statutes, and
the regulations issued by the FDA);



 






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		(c)	in connection with the activities contemplated by this Agreement, to each Party’s knowledge,
it has been, and during the Term will be, in compliance with all applicable U.S. trade laws, including those related to, import
controls, export controls, or economic sanctions;



 


		(d)	it will ensure its own compliance with all Applicable Laws;



 


		(e)	with respect to the Product and any payments or services provided under this Agreement, such Party
has not taken, and during the Term will not take, any action, directly or indirectly, to offer, promise or pay, or authorize the
offer or payment of, any money or anything of value in order to improperly or corruptly seek to influence any Government Official
in order to gain an improper advantage, and has not accepted, and will not accept in the future such payment;



 


		(f)	each Party hereby certifies that it has implemented and will maintain and enforce a compliance
and ethics program designed to prevent and detect violations of Applicable Laws throughout its operations (including Affiliates)
and the operations of its Representatives that have responsibility for Product, payments, or services provided under the Agreement,
including by implementing policies and procedures setting out rules governing interactions with healthcare professionals and Government
Officials; the engagement of third parties, and where appropriate, due diligence; and the investigation, documentation, and remediation
of any allegations, findings, or reports related to a potential violation of its Applicable Compliance/Review Policies. Such compliance
program shall include at a minimum, compliance officer, compliance committee(s), policies and procedures relating to (i) sales,
medical, Promotional and Marketing activities for the Product, (ii) regular auditing and monitoring, (iii) training on sales, medical,
Promotional and Marketing activities and the relevant legal requirements regarding such activities, (iv) methods to raise questions
or concerns internally (e.g., via a hotline) without fear of retribution or retaliation, (v) processes for investigating and documenting
any compliance concerns or allegations raised, findings or reports related to a potential violation of Applicable Laws, and (vi)
taking remedial, corrective action and/or disciplinary action, as appropriate;



 


		(g)	has implemented, and will maintain and enforce, a system of internal accounting controls designed
to ensure the making and keeping of fair and accurate books, records, and accounts with respect to products, payments, or services
provided under this Agreement, and regularly monitors and audits its business activities to ensure compliance with its Applicable
Compliance/Review Policies and the adequacy of internal controls, and implements remediation in response to identified issues;



 






    	 	Agreement	Page 40



     


    

 


		(h)	it will (A) maintain truthful and complete documentation supporting, in reasonable detail, the
work performed and any expenses incurred in connection with this Agreement and any products, payments, or services provided under
this Agreement and (B) maintain financial books and records that timely, fairly, accurately, and completely reflect all financial
transactions, in accordance with all Applicable Laws (for example, invoices, reports, statements, books, and other records), and
shall maintain such books and records during the Term of the Agreement and for three years after final payment has been made under
the Agreement;



 


		(i)	it provides, and during the Term will provide, training to Representatives providing services in
connection with this Agreement;



 


		(j)	every year of this Agreement that coincides with the term of the Corporate Integrity Agreement
(“CIA”) entered into on May 23, 2018 between Pfizer and the United States Department of Health and Human Services,
Office of Inspector General, Pfizer will send a letter to Exact that: (A) summarizes Pfizer’s obligations under the CIA,
(B) expresses Pfizer’s commitment to full compliance with all federal health care program requirements, (C) describes the
Pfizer Compliance Program and (D) includes a copy of (or includes a link to) Pfizer’s code of conduct (referred to as the
Blue Book). Within thirty (30) days of receipt of this letter, Exact shall respond in writing to the contact information included
in Pfizer’s letter that Exact shall: (1) make Pfizer’s code of conduct and a description of the Pfizer Compliance Program
available to its employees engaged in activities related to the Agreement or (2) represent to Pfizer that it has and enforces a
substantially comparable code of conduct and compliance program for its employees who have responsibilities related to the Agreement;
and



 


		(k)	with respect to the Product and any payments made or services provided under this Agreement:



 


		(i)	in the event that such Party receives a report of or otherwise becomes aware of a potential violation
of its Applicable Compliance/Review Policies, the Party will perform an investigation in accordance with its established policies
and procedures and will take all necessary and appropriate responsive, and corrective actions, including disciplinary actions (up
to and including termination of any employee, contractor, agent, sub-contractor, customer, vendor or other Person that the Party
believes was responsible);



 


		(ii)	such Party has implemented, and will at all times during the Term maintain, adequate policies and
procedures describing the materials and information that may be distributed or discussed by the Party’s Sales Representatives
related to the Product and the manner in which such Persons should handle unsolicited requests for information related to off-label
uses of the Product, which policies and procedures shall be designed to ensure compliance with Applicable Laws and regulations;



 






    	 	Agreement	Page 41



     


    

 


		(iii)	such Party regularly reviews its Applicable Compliance/Review Policies as part of its internal
processes of improvement, and, from time to time, benchmarks them against the standards of the industry;



 


		(iv)	such Party has implemented, and will at all times during the Term maintain, adequate systems, policies,
and procedures to screen before hire and annually thereafter all prospective and current Representatives conducting activities
with respect to the Product against (A) the List of Excluded Individuals/Entities compiled by the Office of the Inspector General
in the Department of Health and Human Services and (B) the General Services Administration’s List of Parties Excluded from
Federal Programs, which policies and procedures require each Party’s prospective and current Representatives conducting activities
with respect to the Product to disclose immediately to the Party that such Representative is or may become Debarred/Excluded;



 


		(v)	neither Party shall provide funding to the other Party for charitable donations to independent
charities that provide financial assistance to patients, including sharing costs associated with such donations; provide information
to the other Party concerning its own such donations; or seek to obtain information about such donations from the other Party.
Each Party shall have appropriate policies and procedures to ensure that such donations comply with Applicable Law and current
government guidance, including guidance issued by the U.S. Department of Health and Human Services, Office of Inspector General,
and shall operate consistent with those policies and procedures. Unless a Party does not and will not make such donations during
the Term of the Agreement, if a Party does not have appropriate policies and procedures in place on the Effective Date, the Party
must implement such policies and procedures within thirty (30) days of the Effective Date. Either Party may request copies of such
policies and procedures of the other Party in order to confirm compliance with the requirements of this Section;



 


		(vi)	certifies that in connection with this Agreement, such Party's compensation system for its Representatives
that perform any Marketing, Promotion, or sales activities related to the Product is designed to ensure that financial incentives
do not inappropriately motivate such Representative to engage in improper or illegal Promotion, sales or Marketing of the Product
(including off-label Promotion of the Product), and excludes from Incentive Compensation sales that may be attributable to the
off-label use of the Product; and



 


		(vii)	in connection with this Agreement, each Party’s call planning system for its Sales Representatives
that call upon health care professionals or health care institutions for any Promotional or sales activities related to the Product
is designed to ensure that such Sales Representatives do not call upon health care professionals or health care institutions that
are not likely to prescribe or use the Product for an on-label use.



 






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		5.5	Notice of Investigations.
Each Party shall promptly notify the other Party in the event that it becomes subject to or aware of any FDA or other
Governmental Authority inspection, investigation, or other inquiry or a FDA warning letter, untitled letter, or other material
governmental notice or communication relating to the services or products covered by this Agreement promptly after the Party becomes
aware of such inspection, investigation, inquiry, letter, notice, or communication, except to the extent that the disclosing Party’s
counsel reasonably believes that such disclosure to the other Party could violate Applicable Laws (including privacy laws) or have
a significant adverse impact on the disclosing Party’s legal position or defense (including the loss of attorney-client privilege)
with respect to any such inspection, investigation or other inquiry. In the event that the Party determines that disclosure could
violate Applicable Laws (including privacy laws) or have a significant adverse impact on the disclosing Party’s legal position
or defense (including the loss of attorney-client privilege), the Party shall promptly notify the other Party that it is exercising
its right not to make such disclosure.



 


		5.6	Representation by Legal Counsel.
Each Party hereto represents that it has been represented by legal counsel in connection with this Agreement and acknowledges
that it has participated in the drafting hereof. In interpreting and applying the terms and provisions of this Agreement, the Parties
agree that no presumption shall exist or be implied against the Party which drafted such terms and provisions.



 


		5.7	No Inconsistent Agreements.
Neither Party shall enter into any oral or written agreement or arrangement that would be inconsistent with its obligations
under this Agreement.



 


		5.8	Disclaimer.
THE FOREGOING WARRANTIES OF EACH PARTY ARE IN LIEU OF ANY OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING ANY IMPLIED
WARRANTIES OF NONINFRINGEMENT, ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR ANY IMPLIED WARRANTIES OF FITNESS FOR A PARTICULAR
PURPOSE ALL OF WHICH ARE HEREBY SPECIFICALLY EXCLUDED AND DISCLAIMED.



 


		6.	INDEMNIFICATION; LIMITATION OF LIABILITY AND INSURANCE.



 


		6.1	Indemnification.



 


		(a)	Indemnification by Exact. Exact shall indemnify, defend and hold Pfizer, its Affiliates
and their respective Representatives (the “Pfizer Indemnitees”) harmless from any claims, damages, actions,
liabilities, losses, costs and expenses, including attorneys’ fees incurred in defending against them, (hereinafter “Claims”)
of a Third Party arising out of (A) the manufacture, Marketing, education, Promotion, importation or use of the Product or the
performance of the Product Laboratory Service by Exact or its Representatives; (B) any breach by Exact of any of its representations,
warranties or obligations under this Agreement; or (C) any negligent or wrongful act or omission of Exact; and (D) any alleged
patent infringement, regardless of direct, contributory or inducement, by Pfizer, its Affiliates or their respective Representatives,
as a result of the performance of Pfizer’s obligations under this Agreement; except, in each case (A) – (D), to the
extent such Claims arise out of any breach by any Pfizer Indemnitee of any of its obligations under this Agreement, or any negligent
or wrongful act or omission of any Pfizer Indemnitee.



 






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		(b)	Indemnification by Pfizer. Pfizer shall indemnify, defend and hold Exact, its Affiliates
and their respective Representatives (the “Exact Indemnitees”), harmless from any Claims of a Third Party, to
the extent arising out of (i) any breach by Pfizer of any of its representations, warranties, or obligations under this Agreement
or (ii) any negligent or wrongful act or omission of Pfizer, except to the extent such Claims arise out of any breach by any Exact
Indemnitee of any of its obligations under this Agreement, or any negligent or wrongful act or omission of any Exact Indemnitee;
provided that in no event shall Pfizer have any obligation to indemnify Exact for any product liability claim arising out
of bodily injury or death arising from the use of the Product.



 


		(c)	Procedure.



 


		(i)	A Party believing that it is entitled to indemnification under Section 6.1 (an “Indemnified
Party”) shall give prompt written notification to the other Party (the “Indemnifying Party”) of the
commencement of any Claim by a Third Party for which indemnification may be sought or, if earlier, upon the assertion of any such
Claim by a Third Party (it being understood and agreed, however, that the failure by an Indemnified Party to give notice of a Third
Party Claim as provided in this Section 6.1(c) shall not relieve the Indemnifying Party of its indemnification obligation under
this Agreement except and only to the extent that such Indemnifying Party is actually materially prejudiced as a result of such
failure to give notice). Within thirty (30) days after delivery of such notification, the Indemnifying Party may, upon written
notice thereof to the Indemnified Party, assume control of the defense of such Claim with counsel reasonably satisfactory to the
Indemnified Party. If a Party believes that a Claim presented to it for indemnification is one as to which the Party seeking indemnification
is not entitled to indemnification under Section 6.1, it shall so notify the Party seeking indemnification.



 


		(ii)	If the Indemnifying Party elects to assume the defense of such Claim, the Indemnified Party may
participate in such defense at its own expense; provided that if the Indemnified Party reasonably concludes, based on advice
from counsel, that the Indemnifying Party and the Indemnified Party have conflicting interests with respect to such Claim, the
Indemnifying Party shall be responsible for the reasonable fees and expenses of counsel to the Indemnified Party solely in connection
therewith.



 






    	 	Agreement	Page 44



     


    

 


		(iii)	The Indemnifying Party shall keep the Indemnified Party advised of the status of such Claim and
the defense thereof and shall consider recommendations made by the Indemnified Party with respect thereto.



 


		(iv)	The Indemnified Party shall not agree to any settlement of such Claim without the prior written
consent of the Indemnifying Party, which shall not be unreasonably withheld. The Indemnifying Party shall not agree to any settlement
of such Claim or consent to any judgment in respect thereof that does not include a complete and unconditional release of the Indemnified
Party from all liability with respect thereto or that imposes any liability or obligation on the Indemnified Party or adversely
affects the Indemnified Party without the prior written consent of the Indemnified Party, which shall not be unreasonably withheld.



 


		6.2	Insurance Requirements.
Each Party agrees to obtain and maintain, during the Term and for five (5) years after the Term, commercial general
liability insurance, including products liability insurance, with minimum “A-” AM Best rated insurance carriers, in
each case with limits of not less than five million dollars ($5,000,000) per occurrence and in the aggregate. All deductibles/retentions
will be the responsibility of the named insured. Pfizer and its Affiliates will be an additional insured on Exact’s commercial
general liability and products liability policies, and be provided with a waiver of subrogation. To the extent of its culpability,
all coverages of Exact will be primary and non-contributing with any similar insurance carried by Pfizer. Notwithstanding any provision
of this Section 6.2 to the contrary, Pfizer may meet its obligations under this Section 6.2 through self-insurance. Neither Party’s
insurance will be construed to create a limit of liability with respect to its indemnification obligations under this Section 6.



 


		6.3	Limitation of Liability.
NOTWITHSTANDING ANYTHING TO THE CONTRARY IN THIS AGREEMENT, EXCEPT FOR (A) INDEMNIFICATION OBLIGATIONS OF A PARTY UNDER SECTION
6.1, (B) A BREACH OF SECTION 7 BY A PARTY OR (C) THE WILLFUL MISCONDUCT OR GROSS NEGLIGENCE OF A PARTY, NEITHER PARTY NOR ANY OF
ITS AFFILIATES SHALL BE LIABLE TO THE OTHER PARTY OR ANY OF ITS AFFILIATES FOR ANY SPECIAL, PUNITIVE, INDIRECT, INCIDENTAL OR CONSEQUENTIAL
DAMAGES, INCLUDING LOST PROFITS, LOST REVENUES OR PENALTIES ARISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS
OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.



 






    	 	Agreement	Page 45



     


    

 


		7.	CONFIDENTIALITY; PUBLICITY.



 


		7.1	Confidentiality.
Except to the extent expressly authorized by this Agreement or otherwise agreed in writing, the Parties agree that,
for the term of this Agreement and for five (5) years thereafter, each Party (the “Receiving Party”), receiving
any Confidential Information of the other Party (the “Disclosing Party”) hereunder shall keep such Confidential
Information confidential and shall not publish or otherwise disclose or use such Confidential Information for any purpose other
than as provided for in this Agreement. “Confidential Information” means any technical, scientific, regulatory,
commercial, business or other information provided by or on behalf of the Disclosing Party to the Receiving Party pursuant to this
Agreement or otherwise relating to or disclosed during any transaction contemplated hereby (including information disclosed prior
to the Effective Date under a confidentiality agreement in contemplation of this Agreement), including information relating to
the terms of this Agreement or the Product, and the scientific, regulatory or business affairs or other activities of either Party;
provided that, Confidential Information shall not include any information that the Receiving Party can establish:



 


		(a)	was already known to the Receiving Party (other than under an obligation of confidentiality), at
the time of disclosure by the Disclosing Party and such Receiving Party has documentary evidence to that effect;



 


		(b)	was generally available to the public or otherwise part of the public domain at the time of its
disclosure to the Receiving Party;



 


		(c)	became generally available to the public or otherwise part of the public domain after its disclosure
or development, as the case may be, and other than through any act or omission of a Party in breach of this confidentiality obligation;



 


		(d)	was disclosed to that Party, other than under an obligation of confidentiality, by a Third Party
who had no obligation, directly or indirectly, to the Disclosing Party, not to disclose such information to others; or



 


		(e)	was independently discovered or developed by or on behalf of the Receiving Party without the use
of the Confidential Information belonging to the other Party and the Receiving Party has documentary evidence to that effect.



 


		7.2	Authorized Disclosure and Use.



 


		(a)	Disclosure. Notwithstanding the foregoing Section 7.1, each Party may disclose to Third
Parties Confidential Information belonging to the other Party to the extent such disclosure is reasonably necessary to:



 


		(i)	prosecute or defend litigation,



 


		(ii)	exercise or enforce rights hereunder; provided that such disclosure is covered by terms
of confidentiality no less stringent than those set forth herein, and



 






    	 	Agreement	Page 46



     


    

 


		(iii)	comply with inquires by a Governmental Authority or subpoena issued by a Governmental Authority
or a court of competent jurisdiction.



 


In
the event a Party shall deem it necessary to disclose pursuant to this Section 7.2 Confidential Information belonging to
the other Party, the Disclosing Party shall to the extent possible give reasonable advance notice of such disclosure to the other
Party and take reasonable measures to ensure confidential treatment of such information.


 


		(b)	Use. Notwithstanding the foregoing Section 7.1, during the Term, each Party shall have the
right to use the other Party’s Confidential Information in carrying out its respective responsibilities under this Agreement.



 


		7.3	Certain Regulatory Filings.
Either Party may disclose the terms of this Agreement to the extent required, in the reasonable opinion of such Party’s
legal counsel, to comply with Applicable Laws, including the rules and regulations promulgated by the United States Securities
and Exchange Commission or by any stock exchange or regulatory body to which the Party is subject. Before disclosing this Agreement
or any of the terms hereof pursuant to this Section 7.3, the Parties will consult with one another regarding the terms in this
Agreement to be redacted in making any such disclosure. If a Party discloses this Agreement or any of the terms hereof in accordance
with this Section 7.3, such Party agrees, at its own expense, to seek confidential treatment of portions of this Agreement or such
terms, as may be reasonably requested by the other Party.



 


		7.4	Public Announcements.
Neither Party shall issue any news release or other public announcement relating to this Agreement, including any of
its terms, or to the performance of either Party hereunder, without the prior written approval of the other Party; provided
that nothing in this Agreement shall prohibit Exact from making required disclosures or filings required by Applicable Law or by
the rules and regulations of any securities exchange. Once the text or substance of any announcement has been so approved, it may
be repeated without further approval.



 


		7.5	Use of Names.
Except as described in this Agreement and as may be required by Applicable Law, neither Party shall distribute or have
distributed any publicity or information which bears the name of the other without the prior written approval of the other.



 


		8.	TERM; TERMINATION; ROYALTY.



 


		8.1	Term.
This Agreement shall be effective as of the Effective Date and shall continue in effect through December 31, 2022 (the
 “Term”), unless terminated earlier as set forth herein.



 


		8.2	Intentionally Omitted.



 


		8.3	Termination for Cause.




 


		(a)	This Agreement may be terminated at any time by either Party effective:



 






    	 	Agreement	Page 47



     


    

 


		(i)	upon thirty (30) days prior written notice if the other Party fails to pay any amount properly
due under this Agreement; provided that neither Party may terminate if the failure of the other Party to pay such amount(s)
is de minimis or not material; provided, further, that any such termination shall only become effective if the allegedly
breaching Party fails to remedy or cure such breach or default prior to the end of such thirty (30) day period. If, prior to the
end of such thirty (30) day period, the allegedly breaching Party remedies or cures such breach or default to the reasonable satisfaction
of the non-breaching Party, this Agreement shall remain in full force and effect;



 


		(ii)	upon sixty (60) days prior written notice if the other Party materially breaches its representations,
warranties or obligations under this Agreement; provided, however, that any such termination shall only become effective
if the allegedly breaching Party fails to remedy or cure such breach or default prior to the end of such sixty (60) day period.
If, prior to the end of such sixty (60) day period, the allegedly breaching Party remedies or cures such breach or default to the
reasonable satisfaction of the non-breaching Party, this Agreement shall remain in full force and effect;



 


		(iii)	immediately upon the filing or institution of bankruptcy, reorganization, liquidation or receivership
proceedings, or upon an assignment of a substantial portion of the assets for the benefit of creditors by the other Party; provided,
however, that in the case of any involuntary bankruptcy proceeding such right to terminate shall only become effective if the
Party consents to the involuntary bankruptcy; or



 


		(iv)	immediately upon notice to the other Party, if such Party (the “Violating Party”)
is convicted of violating any Applicable Law, including applicable anti-corruption laws, bribery and corruption of public officials
as well as private persons and entities, in connection with its activities under this Agreement and such violation materially adversely
affects the ability of either Party to perform its obligations under this Agreement. The Violating Party shall be liable for damages
or remedies as provided by law.



 


		8.4	Termination Without Cause.
Either Party may terminate this Agreement upon six (6) months prior written notice to the other Party.



 


		8.5	Mutual Termination.
This Agreement may be terminated at any time by mutual written consent of the Parties.



 


		8.6	Termination for Change of Control.
This Agreement may be terminated by either Party upon six (6) months written notice following a Change of Control of Exact; provided
that such notice is given within thirty (30) days of the consummation of such Change of Control.



 






    	 	Agreement	Page 48



     


    

 


		8.7	Royalty.
After (A) the expiration of Calendar Year 2021 during the Term or (B) termination pursuant to Section 8.4 by either Party or Section
8.6 by Exact, based on Laboratory Services Revenue achieved during Calendar Year 2021, Exact agrees to pay Pfizer the applicable
royalty payment set forth below (each, a “Royalty Payment”) for each of the four (4) Calendar Quarters during
Calendar Year 2022 (each, a “Royalty Period”, and, collectively, the “Royalty Term”); provided,
however, that, in the event this Agreement is terminated by (A) either Party pursuant to Section 8.4 or (B) Exact pursuant
to Section 8.6, the Royalty Term shall be reduced to the number of full months completed during the Term prior to such termination,
if less than twelve (12) calendar months. For the avoidance of doubt, in the event of an early termination contemplated by the
immediately foregoing sentence of this Section 8.7, each such calendar month during the Royalty Term shall be considered a Royalty
Period for purposes of this Section 8.7. Royalty Payments payable pursuant to this Section 8.7 shall be paid to Pfizer within thirty
(30) days of the end of each Royalty Period for which a Royalty Payment is payable pursuant to this Section 8.7. Royalty Payments
shall be determined by multiplying the Laboratory Services Revenue for the applicable Royalty Period by the applicable royalty
rate from the chart below.



 


	Laboratory
    Services Revenue during Calendar Year 2021	Applicable Royalty Rate
	If < $1 billion	0%
	If > $1 billion and < $1.1 billion	2%
	If > $1.1 billion and < $1.3 billion	2.5%
	If > $1.3 billion	3%


 


For example,
if Laboratory Services Revenue achieved during Calendar Year 2021 is $1.2 billion, the applicable royalty rate would be 2%. The
Royalty Payment payable by Exact to Pfizer at the end of each Royalty Period during Calendar Year 2022, if due, would be 2% of
Laboratory Service Revenues for the applicable Royalty Period.


 


		8.8	Consequences of Termination.
In the event of any termination under this Agreement, (i) Pfizer shall cease to make any commitments under Section 3.2(d) as of
the date of notice of termination, and (ii) neither Party shall have any obligation to reimburse the other Party for any expenses
for activities conducted after the effective date of such termination unless such expenses were incurred prior to termination.
Notwithstanding the above, Exact agrees to pay any financial commitment made by Pfizer pursuant to Section 3.2(d) to Third Parties
following the effective date of termination; provided that such amounts conform with the then-current Annual Marketing Plan,
including the budget.



 


		8.9	Survival of Certain Obligations.
Expiration or termination of the Agreement shall not relieve the Parties of any obligation accruing before such expiration
or termination, and the provisions of Sections 1 (Definitions), 2.5 (Alliance Managers), 3.2(d) (Advertising), 3.2(e)(iii) (Return
of Training Materials), 3.2(j) (Customer Service Activities; Safety Reporting), 4.1 (Fees & Performance Bonus), 4.2 (Financial
Deliverables), 4.3 (Invoicing & Payment Terms), 4.4 (Taxes and Withholding); 4.7 (Maintenance of Records; Audits), 6 (Indemnification;
Limitation of Liability; Insurance), 7 (Confidentiality; Publicity); 8 (Term; Termination; Royalty) and 9 (Miscellaneous) inclusive,
shall survive the expiration of the Agreement. Any expiration or early termination of this Agreement shall be without prejudice
to the rights of either Party against the other accrued or accruing under this Agreement before termination.



 






    	 	Agreement	Page 49



     


    

 


		9.	MISCELLANEOUS.



 


		9.1	Amended and Restated Agreement.
This Agreement amends and restates in its entirety, and replaces, the Original Agreement, effective as of the Effective Date. For
the avoidance of doubt, Pfizer confirms, acknowledges and agrees that, as of the Effective Date, no amounts (including royalty
payments) are owed, outstanding or payable by Exact to Pfizer pursuant to, or in connection with, the Original Agreement. 



 


		9.2	Termination of 2020 Rider.
The Parties previously entered into that certain Rider to 2020 Annual Marketing Plan, effective as of December 12, 2019 (the “2020
Rider”). Effective as of the Effective Date, the Parties hereby agree that the 2020 Rider is terminated, void and of
no further force or effect. 



 


		9.3	Interpretation.
Except where the context expressly requires otherwise, (a) the use of any gender herein will be deemed to encompass
references to either or both genders, and the use of the singular will be deemed to include the plural (and vice versa), (b) the
words “include”, “includes” and “including” will be deemed to be followed by the phrase “without
limitation”, (c) the word “will” will be construed to have the same meaning and effect as the word “shall”,
(d) any reference herein to any Person will be construed to include the Person’s successors and assigns, (e) the words “herein”,
 “hereof” and “hereunder”, and words of similar import, will be construed to refer to this Agreement in
its entirety and not to any particular provision hereof, (f) all references herein to Sections or Exhibits will be construed to
refer to Sections or Exhibits of this Agreement, and references to this Agreement include all Exhibits hereto, (g) the word “notice”
means notice in writing (whether or not specifically stated) and will include notices, consents, approvals and other written communications
contemplated under this Agreement, (h) provisions that require a Party, the Parties or any committee hereunder to “agree,”
 “consent” or “approve” or the like will require that such agreement, consent or approval be specific and
in writing, whether by written agreement, letter, approved minutes or otherwise (but excluding text and instant messaging), (i)
references to any specific law, rule or regulation, or article, section or other division thereof, will be deemed to include any
amendments thereto or any replacement or successor law, rule or regulation thereof, and (j) the term “or” will be interpreted
in the inclusive sense commonly associated with the term “and/or.”



 


		9.4	Assignment.
This Agreement may not be assigned or otherwise transferred, nor may any right or obligation hereunder be assigned or
transferred, by either Party without the prior written consent of the other Party. Notwithstanding the foregoing, either Party
may, without consent of the other Party, assign this Agreement and its rights and obligations hereunder in whole or in part to
an Affiliate of such Party, or in whole to its successor in interest in connection with the sale of all or substantially all of
its stock or its assets to which this Agreement relates, or in connection with a merger, acquisition or similar transaction. Any
attempted assignment not in accordance with the foregoing shall be null and void and of no legal effect. Any permitted assignee
shall assume all assigned obligations of its assignor under this Agreement. The terms and conditions of this Agreement shall
be binding upon, and shall inure to the benefit of, the Parties and their respected successors and permitted assigns.



 






    	 	Agreement	Page 50



     


    

 


		9.5	Further Actions.
Each Party agrees to execute, acknowledge and deliver such further instruments, and to do all such other acts, as may be necessary
or appropriate in order to carry out the purposes and intent of the Agreement.



 


		9.6	Force Majeure.
Each Party will be excused from the performance of its obligations under this Agreement to the extent that such performance
is prevented by force majeure (defined below) and the nonperforming Party (a) promptly provides notice of the prevention to the
other Party, including the period of time the prevention is expected to continue (b) uses commercially reasonable efforts to mitigate
the effects of the force majeure event and (c) resumes performance of its obligations as soon as reasonably practicable after the
removal of the force majeure. Such excuse will be continued so long as the condition constituting force majeure continues; provided
that if any delay in performance due to force majeure continues for a period of six (6) months or more, then the other Party will
have the right to terminate this Agreement immediately upon written notice. For purposes of this Agreement, “force majeure”
will include conditions beyond the control of the Parties, including an act of God, voluntary or involuntary compliance with any
regulation, law or order of any government, war, act of terror, civil commotion, labor strike or lock-out, epidemic, failure or
default of public utilities or common carriers, destruction of production facilities or materials by fire, earthquake, storm or
like catastrophe.



 


		9.7	Notices.
All notices and other communications required or permitted hereunder (including any notice of force majeure, breach, termination,
change of address, etc.) shall be in writing and will be deemed given (a) upon receipt if delivered personally or by facsimile
transmission (receipt verified), (b) five (5) days after being deposited in the mail if mailed by registered or certified mail
(return receipt requested) postage prepaid or (c) on the next Business Day if sent by overnight delivery using a nationally recognized
express courier service and specifying next Business Day delivery (receipt verified), and will be sent to the Parties at the following
addresses or facsimile numbers, as applicable, (or at such other address or facsimile number for a Party as will be specified by
like notice; provided, however, that notices of a change of address will be effective only upon receipt thereof):



 


All correspondence
to Pfizer shall be addressed as follows:


 


Pfizer Inc.


235 East 42nd Street


New York, New York 10017 Attn:
General Counsel


Fax: (212) 309-0874


 






    	 	Agreement	Page 51



     


    

 


With a copy to:


 


Pfizer Inc.


235 East 42nd Street


New York, New York 10017


Attn: Regional President, North America,
Internal Medicine


 


And


 


Pfizer Inc.


235 East 42nd Street


New York, New York 10017


Attn: Chief Counsel, Internal Medicine


 


All correspondence to Exact
shall be addressed as follows:


 


Exact Sciences Corporation


5505 Endeavor Lane


Madison, Wisconsin 53719


Attn: General Counsel


Fax: (608) 284-5701


 


With a copy to:


 


Exact Sciences Corporation


5505 Endeavor Lane


Madison, Wisconsin 53719


Attn: CEO


 


		9.8	Amendment.
No amendment, modification or supplement of any provision of this Agreement shall be valid or effective unless made
in a writing signed by a duly authorized officer of each Party and delivered to each of the Parties.



 


		9.9	Waiver.
No provision of the Agreement shall be waived by any act, omission or knowledge of a Party or its agents or employees
except by an instrument in writing expressly waiving such provision and signed by a duly authorized officer of the waiving Party.
The failure of either Party to require the performance of any term of this Agreement, or the waiver of either Party of any breach
of this Agreement, shall not prevent a subsequent exercise or enforcement of such terms or be deemed a waiver of any subsequent
breach of the same or any other term of this Agreement.



 


		9.10	Severability.
If any clause or portion thereof in this Agreement is for any reason held to be invalid, illegal or unenforceable, the same shall
not affect any other portion of this Agreement, as it is the intent of the Parties that this Agreement shall be construed in such
fashion as to maintain its existence, validity and enforceability to the greatest extent possible. In any such event, this Agreement
shall be construed as if such clause of portion thereof had never been contained in this Agreement, and there shall be deemed substituted
therefor such provision as will most nearly carry out the intent of the Parties as expressed in this Agreement to the fullest extent
permitted by Applicable Law.



 






    	 	Agreement	Page 52



     


    

 


		9.11	Descriptive Headings.
The descriptive headings of this Agreement are for convenience and reference purposes only, and shall be of no force or effect
in construing or interpreting any of the provisions of this Agreement.



 


		9.12	Governing Law.
This Agreement shall be governed by and interpreted in accordance with the substantive laws of the State of New York, without regard
to conflict of law principles thereof.



 


		9.13	Dispute Resolution.
The Parties recognize that a bona fide dispute as to certain matters may from time to time arise during the term of this Agreement
that relate to any Party’s rights or obligations hereunder. In the event of the occurrence of any dispute arising out of
or relating to this Agreement (other than a Disputed JSC Matter, which shall be resolved as provided in Section 2.1, a Disputed
JOC Matter, which shall be resolved as provided in Section 2.2 and Disputed JRC Matter, which shall be resolved as provided in
Section 2.3), including any question regarding its existence, validity or termination (a “Dispute”), any Party
may, by written notice to the other, have such Dispute referred to their respective Senior Officer or such Senior Officer’s
designee, for attempted resolution by good faith negotiations within thirty (30) days after such notice is received. Any negotiations
regarding a Dispute are confidential and shall be treated as compromise and settlement negotiations for purposes of the U.S. Federal
Rules of Evidence and any similar rules of evidence.



 


		9.14	Entire Agreement of the Parties.
This Agreement constitutes and contains the complete, final and exclusive understanding and agreement of the Parties and cancels
and supersedes any and all prior negotiations, correspondence, understandings and agreements (including the Original Agreement),
whether oral or written, among the Parties respecting the subject matter hereof and thereof.



 


		9.15	Independent Contractors.
Both Parties are independent contractors under this Agreement. Nothing herein contained shall be deemed to create an employment,
agency, joint venture or partnership relationship between the Parties hereto or any of their agents or employees, or any other
legal arrangement that would impose liability upon one Party for the act or failure to act of the other Party. Neither Party shall
have any express or implied power to enter into any contracts or commitments or to incur any liabilities in the name of, or on
behalf of, the other Party, or to bind the other Party in any respect whatsoever. Neither Party shall have any responsibility for
the hiring, termination, compensation or benefits of the other Party’s employees.



 






    	 	Agreement	Page 53



     


    

 


		9.16	No Legal Advice.
Each Party acknowledges and agrees that the other Party and the other Party’s attorneys are not representing such
Party during the course of or in connection with any activities under this Agreement and that, unless otherwise expressly agreed
in writing by the other Party’s attorneys, any opinions expressed by the other Party or the other Party’s attorneys
with respect to any marketing or promotional materials or the activities of either Party under this Agreement shall not be considered
to be legal advice regardless of whether or not related to a legal or regulatory matter.



 


		9.17	Counterparts.
This Agreement may be executed in two (2) counterparts, each of which will be an original and both of which will constitute
together the same document. Counterparts may be signed and delivered by facsimile or digital file, each of which will be binding
when received by the applicable Party.



 


(remainder of page intentionally left
blank)





 






    	 	Agreement	Page 54



     


    

 


IN
WITNESS WHEREOF, duly authorized representatives of the Parties have duly executed this Agreement to be effective as
of the Effective Date.


 


	PFIZER INC.	 	EXACT SCIENCES CORPORATION




 


	By:	/s/
    Michael Gladstone	 	By:	/s/
    Kevin Conroy
	Name:
    Michael Gladstone	 	Name:
    Kevin Conroy
	Title:
    Global President, Internal Medicine	 	Title:
    Chairman & Chief Executive Officer
	Pfizer
    Internal Medicine




 



    	 	Agreement	Signature Page