Document:

Exhibit 4.7

 

[INFORMAL ENGLISH TRANSLATION]

 

Unprotected Lease Agreement

 

Entered into and executed July 19, 2007

 

	Between:	The Caesarea Edmond Benjamin de Rothschild Assets Corp. (2001) Ltd.
	 	Priv. co. no. 51-3082321
	 	PO Box. 4888, Old City of Caesarea, 38900
	 	(hereinafter: the “Company”)

 

the Party of the First Part;

 

	and between	Itamar Medical Ltd.
	 	Private co. no. 512434218
	 	2 Ha-Eshel Street, Industry and Business Park, Caesarea 38900
	 	(hereinafter: the “Tenant”)

 

the Party of the second part;

 

	Whereas	the Company is the sublessee and owns exclusive rights of possession in the land with an area
    of approximately 1.1011 acres, known as lot 1005 on part of block 1 on parcel 10658 and which is located in the Business and
    Industry Park in Caesarea (hereinafter: the "Lot");
	 	 
	And whereas	without derogating from what is stated in Section 12.3, below, the Company declares that other than the ownership rights of the State of Israel and the primary lessee of the Lot, as specified in the Land Registry Ledgers, and, in particular, the mortgage that it undertook to register in favor of Bank Hapoalim Ltd. in connection with the Ofek 2 and Ofek 3 structure with respect to which cautionary notes were registered under deed 23650/0002 and deed 23650/0003 which are dated July 17, 2005, the Lot is free of third party rights and/or attachments and/or charges, despite the registration of cautionary notes in relation to block 1 parcel 10658.
	 	 
	And whereas	the Company, itself or by means of a representative, will build the structure, as defined below, on the Lot, and it wishes to lease the Leasehold as it is defined below, to the Tenant, all as specified in this Agreement and its appendices;
	 	 
	And whereas	the Parties wish to settle the terms relating to the lease of the Leasehold to the Tenant and operation of the Tenant's business in the Leasehold, with everything involved, connected to, and stemming from the same, all in accordance with the provisions of this Agreement and according to what is specified in its appendices attached thereto;

 

     

     

    

 

	And whereas	the Company and the Tenant declare that there is no impediment under any law or agreement to the engagement that is the subject of this Agreement;

  

Therefore, it is stipulated, declared, and
agreed between the Parties as follows:

 

		1.	Introduction

 

		1.1	The introduction to this Agreement
                                         and its appendices constitute an integral part hereof.

 

		1.2	The titles of the sections
                                         in this Agreement are for convenience only and shall not be given any interpretive weight.

 

		2.	Definitions and Appendices

 

		2.1	The following terms shall have
                                         the definition appearing below alongside them unless it is inconsistent with context:

 

The "Index" –
the price index known as the "Consumer Price Index" (cost-of-living index) including fruits and vegetables, that is
published by the Central Bureau for Statistics and Economic Research, including that same index even if it is published by a different
governmental institution as well as any official index that replaces it, whether based on the same data on which the existing
Index is based or not. If replaced by another index, the ratio between it and the replaced Index shall be as determined by the
Central Bureau of Statistics and Economic Research. If the Central Bureau of Statistics does not determine such ratio, the ratio
between the indices shall be determined by the Company's accountants and their determination shall be final and binding upon the
Parties.

 

The "Base Index” –
the Index for June 2007 (the Index known on the date of the execution of this Agreement) as published on July 15, 2007,
which is 451.93 points (according to a 1987 average basis).

 

The "Leasehold" –
that will be built and delivered to the Tenant after its completion as specified in this Agreement, below, including the top floor
(floor B) in the southern wing, the entire northern wing, consisting of 3 floors (including the ground 4 + floor A + floor
B) in the Structure (as it is defined, below) as indicated in blue on the print attached to the Agreement as Appendix A (hereinafter:
the "Hall") and a split floor in the northern wing (hereinafter: the "Split Floor"), a part
of which will serve as a storeroom as indicated in red on the blueprint attached as Appendix A to this Agreement (hereinafter:
the "Storeroom") and part of which will serve as a parking-lot that includes 18 covered parking spots as indicated
in green on the blueprint attached as Appendix H of this Agreement (hereinafter: the "Covered Parking Spots") and
24 Uncovered Parking Spots in the yard of the Structure, as indicated in yellow on the blueprint attached as Appendix A1 (hereinafter:
the "Uncovered Parking Spots").

 

     

     

    

 

The "Structure" –
a two wing structure with 3 floors (called Ofek 4) that is planned to be constructed on the Lot by the Company or its representative
in accordance with the detailed plans for the shell of the Leasehold attached as Appendix B2 to this Agreement and in which the
northern wing will contain the Leasehold as it is defined, above.

 

The "Supervisor" –
the supervising engineer who will be employed by the Company to supervise the work of constructing the structures or any other
supervising engineer determined by the Company for purposes of this Agreement, at its absolute and exclusive discretion.

 

		2.2	The following documents are attached
                                         as appendices to this Agreement and constitute an integral part hereof:

 

A blueprint of the Leasehold and
the parking spots – Appendices A and A1 (the blueprint of the external parking spots A1 will be attached in the future)

Detailed plans for the Leasehold
 – Appendix B2 

The technical specifications for
the Leasehold (shell), hereinafter: the "Specifications" – Appendix C

The Structure's Management Agreement
 – Appendix D 

Appendix containing a list of the
known expenses in construction of the Leasehold – Appendix D1 

Letter of undertaking to manage
[the] Park – Appendix E 

Confirmation of Insurance –
Appendix F 

Bank Guarantee wording –
Appendix G

 

     

     

    

 

First Chapter – the Lease

 

		3.	The Lease and the Leasehold

 

		3.1	The Company hereby undertakes
                                         to lease the Leasehold to the Tenant and the Tenant hereby undertakes to lease the Leasehold
                                         from the Company as of the Delivery Date as it is defined, below, for the Purpose of
                                         the Lease as defined in Section 5, below, and for this purpose alone, for the duration
                                         of the Term of the Lease as defined in Section 6, below, and in accordance with its undertakings
                                         in Section 8, below, in particular and in this Agreement, in general, and after all approvals
                                         are obtained with regard to occupancy of the Structure in general and the Leasehold in
                                         particular.

 

		3.2	The Company undertakes to construct
                                         the Leasehold, subject to all laws and in accordance with the Detailed Plans of the Leasehold
                                         (Appendix B to), the Specifications (Appendix C), and the Interior Adjustment Plans,
                                         and subject to the provisions of Sections 8.2 and 8.3, below. Is clarified that to the
                                         extent there is a contradiction in technical and/or engineering matters between the provisions
                                         of the Specifications and the provisions of this Agreement, the provisions of the Specifications
                                         shall prevail.

 

		3.2.A	The Parties agree that if
                                         all of the permits required in order to build the Structure are not received within 45
                                         days of the date of the execution of this Agreement, this Agreement will be considered
                                         rescinded. Subject to payment of the Tenant's planning expenses by the Company, as it
                                         shall approve in advance and in writing, no party shall have any lawsuit and/or claim
                                         against its counterpart in connection with the rescission of this Agreement, including
                                         – without derogating from the generality of the above – claims of the Tenant
                                         regarding planning expenses additional to those paid to it by the Company and/or other
                                         expenses it will incur, if any, provided that the reason the permits are not obtained
                                         does not stem from an action and/or omission and/or negligence by the Tenant.

 

		3.3	It is agreed between the Parties
                                         that based solely on an estimate, which is based on the detailed plans for the Leasehold,
                                         Appendix B2, the area of the hall is expected to be approximately 2269 m2, the area
                                         of the Storeroom is expected to be approximately 22 m2, and the area of the Split
                                         Floor is expected to be approximately 578 m2 (the area of the entire Leasehold other
                                         than the Uncovered Parking Spots is expected to be approximately 2847 m2); however
                                         the final areas of the Hall and the Storeroom will be determined by a survey that will
                                         be taken based on the actual construction according to the external wall line (regarding
                                         common walls between the Leasehold and other tenants, half the area on which the wall
                                         is constructed will be counted), which will be taken by a licensed surveyor from the
                                         Company. To this area shall be added 66% of the public areas marked in yellow on the
                                         blueprint of the Leasehold, Appendix A.

 

     

     

    

 

The Company shall provide the Tenant
with the results of the above survey that shall actually be made and shall not be based on plans, not later than 30 days following
the Delivery Date. To the extent there is a dispute regarding the results of the survey of the area of the Leasehold, the Tenant
shall contact the Company in writing within 14 days of receipt of the Company's above notice regarding the area of the Leasehold
and the Parties will appoint an agreed-upon surveyor and the agreed-upon surveyor will provide the Parties with the results of
his survey within 14 days of the Parties' request and, in any case, not less than 90 days following the Delivery Date. The Tenant
shall bear all of the agreed-upon surveyor's expenses, but should the results of the agreed-upon surveyor's survey show a deviation
exceeding 3% of the expected area of the Leasehold as specified above or more, the Company shall bear all of the agreed-upon surveyor's
expenses.

 

The Company's determination regarding
the area of the Leasehold, to the extent the Tenant did not contact it regarding this matter on the above date, or the agreed-upon
surveyor's determination, as applicable, shall be final and the Tenant waives any claim against the Company regarding the survey
of the Hall as described above, subject to the stipulation that, in any event, its final area shall not be more than 5% greater
or less than its expected area as specified above, and it is agreed that a deviation of up to 5% in the area of the Hall does
not constitute a breach of the provisions of this Agreement.

 

It is clarified that the area as
determined by the above surveyor shall constitute the area of the Hall with regard to this Agreement.

 

		4.	Inapplicability
                                         of Tenant Protection Laws

 

The Parties hereby declare and
agree as follows:

 

		4.1	That as of the date of the
                                         execution of this Agreement, the Leasehold is and shall be at the time it is delivered,
                                         an empty property as this term is defined in the Tenant Protection Law [Consolidated
                                         Version], 1972.

 

		4.2	That the Tenant did not and
                                         will not pay, and the Company did not and will not receive, any key money or any other
                                         consideration, in any form whatsoever, with respect to the lease of the Leasehold, other
                                         than the consideration expressly indicated in this Agreement, which is not key money.

 

		4.3	That the Tenant Protection
                                         Law [Consolidated Version], 1972, or any other tenant protection law, whether existing
                                         or future, does not apply to the Leasehold and/or in connection with the Leasehold and/or
                                         to the lease relationship under this Agreement.

 

		4.4	That everything stated in this
                                         Section, above, constitutes a primary and material term for the Company engaging with
                                         the Tenant under this Agreement.

 

     

     

    

 

		5.	Purpose of the Lease

 

The Purpose of the Lease is for
purposes of developing and manufacturing electronic equipment and medical devices by the Tenant only and in accordance with the
provisions of this Agreement, below (hereinafter: the "Purpose of the Lease"). We emphasize expressly that the
Tenant shall not use the Leasehold for any other or additional purpose whatsoever, other than this purpose.

 

		6.	The Term of the Lease

 

		6.1	Subject to what is stated below, the Company hereby
undertakes to lease to the Tenant and the Tenant hereby undertakes to lease from the Company, the Leasehold, for the Purpose of
the Lease as specified in Section 5 for a period of five (5) years, meaning – 60 months, as of the Delivery Date and in
accordance with the remaining terms of this Agreement (hereinafter: the "Term of the Lease").

 

		6.2	At the end of the Term of the Lease, the Tenant will
be able to extend this Agreement for an additional term of 60 months, commencing on __________ and ending on ____________ [to
be completed on the actual Delivery Date] (hereinafter: the "Extended Lease Term"). Such extension shall be conditioned
on the Tenant notify the Company in writing, 90 days prior to the end of the Term of the Lease, of its desire to extend the duration
of this Agreement, with the precondition that as of the commencement of the Term of the Lease and until such date, the Tenant
has fulfilled all of its obligations under this Agreement. It is clarified that to the extent the Tenant breached any of its obligations
but, after the Company's warning, corrected the breach by the required date, the Tenant will be considered to have fulfilled all
of its obligations under this Agreement.

 

If the Tenant did not give notice
of its intent to extend the Term of the Lease on the above date, the Company shall be entitled to lease the Leasehold to any third
party and/or use it itself, at its discretion.

 

		6.3	All provisions of this Agreement
                                         shall also apply to the Extended Term of the Lease, mutatis mutandis, other than
                                         the provision of Section 6.2, above, regarding extension of this Agreement and Section
                                         11.1, below, regarding the rent during the Term of the Lease.

 

		6.4	The Tenant undertakes to annually renew said insurance
policies and said bank guarantee in accordance with the provisions of this Agreement, below, such that they will apply during
the entire Term of the Lease and during the Extended Term of the Lease.

 

		6.5	For the avoidance of doubt, it is hereby expressly
clarified that subject to the provisions of this Agreement, the Tenant is not entitled to terminate its engagement under this
Agreement on a date earlier than the end date of the Term of the Lease, for any reason whatsoever, and that the provisions of
this Agreement, including but without derogating from the generality of the above, the Tenant's undertaking to make all payments
that apply to it under this Agreement, shall apply in full, whether the Tenant makes actual use of the Leasehold or not.

 

     

     

    

 

		7.	Management of the Structures

 

The Tenant declares that it is
aware that the Company shall manage the structures itself and/or by means of others and that it undertakes to execute, upon execution
of this Agreement, the structures’ Management Agreement attached as Appendix D to this Agreement and which constitutes an
integral part hereof (hereinafter: the "Management Agreement"), according to which, inter alia, it shall
be obligated to pay the structures' management fees.

 

Second Chapter – Construction and
Delivery of the Leasehold

 

		8.	Construction of the Leasehold

 

		8.1	The Tenant declares and confirms that it had the opportunity
to examine the blueprints (Appendices a and A1) the Detailed Plans of the Leasehold (Appendix B2), the Specifications (Appendix
C), and that it found them and the planning of the Leasehold suitable to its requirements and needs and that after having had
the opportunity to examine all of the planning data, the physical and legal data, as provided it by the Company, it wishes and
undertakes to lease the Leasehold on the Delivery Date for the Purpose of the Lease, all as specified in this Agreement and all
subject to the accuracy of the Company's declarations in this Agreement.

 

The Tenant also declares that it
was able to see and examine the zoning of the Leasehold and the areas adjacent to it in the Park that the Company built and/or
will build and that the zoning of these areas according to these plans is known to it and it does not and will not have any claim
in connection therewith.

 

		8.2	The Tenant undertakes to provide
                                         for the Company's approval all of the plans and Specifications in relation to the interior
                                         of the Leasehold, including but without derogating from the generality of the above,
                                         internal division plans, consultants' plans, system plans, and the program of the Leasehold,
                                         no later than the end of 120 days following the execution of this Agreement.

 

The Company will examine the internal
division plans and the Specifications submitted to it by the Tenant as described above and, within 14 business days from the date
of their receipt, will notify the lessor in writing if it approves these plans and Specifications or what amendments must be made,
to the extent it requires amendments, while providing an explanation for each amendment to the extent it is required. The Tenant
will make the amendments required by the Company within 14 business days and the Company will review them within 14 business days.
The Company will not refuse to approve the plans and Specifications submitted to it as described above except upon reasonable
grounds.

 

     

     

    

 

The above plans and Specifications,
after approved by the Company's signature, will hereinafter jointly be called: the "Interior Plans."

 

		8.2.A	The Company will prepare
                                         an estimate for the execution of the Interior Plans that will include a bill of quantities
                                         and proposed prices with regard to it (hereinafter: the "Proposed Estimate")
                                         and will forward it for the Tenant's approval within 45 days of the Company's approval
                                         of the Interior Plans as described in Section 8.2, above.

 

It is agreed between the Parties
that the Proposed Estimate will not exceed the sum of NIS 1900 per square meter (hereinafter: the "Maximal Estimate")
and that to the extent that it exceeds the Maximal Estimate, the Tenant will modify the Interior Plans until the Company certifies
that the Proposed Estimate with regard thereto does not exceed the amount of the Maximal Estimate.

 

For the avoidance of doubt, it
is clarified that the Final Cost as it is defined in Section 8.5, above, will be determined according to the actual cost of executing
the Interior Plans and not according to the Proposed Estimate, subject to approval in advance by the Tenant as specified above
to the extent the actual execution cost exceed more than 10% of the Proposed Estimate.

 

		8.2.B	It is agreed that execution
                                         of the Interior Plans will be done by the Company according to the Interior Plans, but
                                         it is agreed that for purposes of the above, the Tenant will be entitled to propose up
                                         to three contractors to the Company from whom the Company will also request proposals
                                         for executing the Interior Plans (in additional to at least 3 contractors from whom the
                                         Company will choose to request proposals) and provided that these will be contractors
                                         registered in the Contractor Registry, of appropriate quality, professional level and
                                         experience for carrying out work of this type. The Company shall seek proposals in relation
                                         to execution of the Interior Plans both from a prime contractor as well as trade contractors.

 

For the avoidance of doubt, it
is clarified that in any case the Company shall engage a contractor according to its choice and at its exclusive discretion, and
according to the accepted process in the Company, and the Tenant shall not have any claim and/or lawsuit and/or demand in connection
therewith, subject to the Tenant's participation as an observer at the contractor selection meeting, and to the extent it so demanded
of the Company, received an explanation in writing for the Company's choice of contractor.

 

     

     

    

 

		8.2.C	If it turns out that the
                                         cost of the execution of the Interior Plans according to the winning bid is expected
                                         to be higher than the Proposed Estimate by more than 10%, the Company will notify the
                                         Tenant, and within 10 business days of the Company's notice the Tenant will approve it
                                         in writing or, alternatively, will amend the Interior Plans in a manner that results
                                         in the expected cost of the execution of the Interior Plans meeting the Proposed Estimate.
                                         To the extent that the cost of executing the Interior Plans according to the above proposal
                                         exceeds the Maximal Estimate, the Company is entitled to require the Tenant to change
                                         Interior Plans as stated.

 

		8.3	Should the Tenant express its desire to make modifications
and/or additions to the Interior Plans after the date stated in Section 8.2, above, the Tenant will provide the Company with a
detailed request for modifications to the Company and the following provisions will apply:

 

Within 10 business days of receipt
of the Tenant's request as specified above, the Company will notify the Tenant of its assessment regarding the cost of the modifications
requested by it and the changes regarding the extension of the timetable for completion of the Leasehold stemming from changes
and/or additions as indicated above, if any. Should the Tenant request that the changes and/or additions be made despite said
extension of the timetable, it shall confirm its agreement to the extension and cost of the changes in writing and the Company
will execute these works (subject to the Proposed Estimate and the cost of the changes together not exceeding the Maximal Estimate).
In the absence of the Tenant's consent as above, the Company will be under no obligation to make the changes and/or additions,
and this will not derogate from the Tenant's right to make the changes and/or additions itself, after delivery, in accordance
with the provisions of this Agreement.

 

Notwithstanding the above, the
Company is not obligated to approve changes and/or additions to the Interior Adjustment Plans after the date stated in Section
8.2, above, and such decision shall be at the Company's exclusive discretion.

 

		8.4	It is agreed that nondelivery
                                         of the Leasehold on the Delivery Date as a result of the Tenants lateness in providing
                                         the Interior Adjustment Plans as specified in Section 8.2, above, and/or as a result
                                         of changes and/or additions requested by the Tenant to the Specifications (Appendix C)
                                         and/or the Interior Adjustment Plans as specified in Section 8.3, above, will be considered
                                         a lateness stemming from an action by the Tenant who will bear the rent and all other
                                         payments that apply to it under this Agreement even before actual delivery with respect
                                         to the entire period of delay incurred by it as opposed to the Delivery Date as defined
                                         in Section 9.1, below.

 

     

     

    

 

		8.5	No later than the end of 60 days following the Delivery
Date as stated in Section 9.1, above, the Company will submit the final breakdown of costs to the Tenant for the construction
of the Leasehold according to a calculation that will be made by the Company and that will be based on its actual expenses, including
all of the Company's expenses in relation to the Leasehold, both expenses the amounts of which are known on the date of the application
of this Agreement, as specified in Appendix D1 to this Agreement and which constitute an integral part hereof, as well as all
of the additional expenses, as they will actually be, the management, licensing, the execution of the building permit, the detailed
plans, and the Specifications (Appendices B1, B2, and C to the Agreement), including wages for contractors, consultants of all
types, suppliers, etc., expenses for the execution of the Interior Plans, and expenses for the management and oversight of the
execution of such detailed plans and Interior Plans (hereinafter: the "Final Cost").

 

Any dispute relating and/or connected
to the Final Costs, other than the expenses specified in Appendix D1 to this Agreement, shall be given for adjudication by a sole
arbitrator who shall be chosen by agreement between the Parties, and in the absence of agreement between them an arbitrator who
shall be chosen by the chair of the Israel Bar Association. The arbitrator will be released from procedural requirements but will
be subject to substantive law. The arbitrator will explain his decision and will be entitled to issue temporary orders during
the course of the arbitration. The arbitrator will be entitled to receive assistance from various experts who shall be appointed
by him as he sees fit.

 

		9.	Delivery of the Leasehold

 

		9.1	Subject to submission of the materials and data as
stated in subsection 8.2, above, on time, by the Tenant, the Company will complete construction of the Leasehold at an appropriate
level where all of the Leasehold's systems are functional and work properly and conform to the provisions of all laws, and, inter
alia, where all of the permits and/or approvals required for occupancy of the Leasehold were issued, and after the Company
conducted a thermal examination of the electrical boards in accordance with the Israel Electric Company's standards, such that
it is suitable for use and according to what is stated in Section 8, above, within 12 months of the date of receipt of the construction
permit for the Structure (hereinafter: the "Delivery Date"). The Tenant undertakes to appear at the Leasehold
on the Delivery Date in order to take possession of the Leasehold, provided that construction of the Leasehold has been completed
by that same date as described above and it was provided with notice of same by the Company 30 days in advance.

 

		9.2	14 (fourteen) days prior to the date of delivery of
possession of the Leasehold, an examination of the Leasehold shall be made by the Tenant's engineer and the Supervisor, who will
examine and certify that the Leasehold is ready for delivery in accordance with what is stated in subsection 9.1, above (hereinafter:
the "Leasehold Examination Protocol"). To the extent defect and/or nonconformities to the Specifications are
discovered, they will be listed in the delivery protocol, and the Company will ensure their repair within a reasonable amount
of time. Defects or nonconformities requiring urgent repair will be repaired immediately and/or will delay the Delivery Date until
after their repair. In any instance of a dispute regarding the matters that are the subject of this Section 9.2, it will be decided
with the agreement of the Tenant's engineer and the Supervisor. In the event a difference of opinion arises between the Tenant's
engineer and the Supervisor, an adjudicating engineer will be appointed within 7 days by mutual consent of the Parties, and, if
the Parties do not reach agreement, the adjudicating engineer will be appointed by the head of the Engineers Association within
10 days of the Parties' request. The adjudicating engineer shall adjudicate the dispute within seven days of the request of either
of the Parties and his adjudication shall be decisive and binding upon the Parties. It is agreed that repairs and/or defects and
nonconformities to the Specifications that do not interfere with reasonable use of the Leasehold will not constitute cause for
delaying receipt of possession by the Tenant.

 

     

     

    

 

		9.3	On the Delivery Date, the Parties will sign a protocol
in which they will indicate delivery of the Leasehold to the Tenant (hereinafter: the "Delivery Protocol") The
signature of both Parties on the Delivery Protocol and delivery of the keys to the Leasehold to the Tenant will constitute prima
facie evidence of the fact that the Tenant received possession of the Leasehold in a finished and complete state according
to the terms of this Agreement and that it hereby waives, fully and finally, any claims of defect or choice or nonconformity of
any kind whatsoever with respect to the Structure and/or the Leasehold or in relation thereto, subject to its rights regarding
a hidden defect under the law.

 

		9.4	Should construction of the Leasehold in accordance
with the provisions of this Agreement be completed and the Tenant, for any reason whatsoever, other than because of a breach of
this Agreement by the Company, did not appear at the Leasehold on the Delivery Date and as a result, did not take possession of
the Leasehold on time or appeared and refused to take possession of the Leasehold in violation of the provisions of this Agreement,
the Leasehold will be considered to have been delivered for all intents and purposes on the Delivery Date and the Tenant will
be subject to all of the obligations under this Agreement which apply to it as of the Delivery Date. Included in this, the Tenant
will be subject to all of the obligations to make payments (including based on the Management Agreement), responsibility for the
condition of the Leasehold, its maintenance and safeguarding, and the obligation to pay all expenses, taxes, and levies stemming
from possession of the Leasehold.

 

		10.	Postponement of the Delivery Date

 

		10.1	In the event the Leasehold is not delivered to the
Tenant on the Delivery Date stipulated in Section 9.1, above, not as a result of an action or omission by the Tenant, the Delivery
Date will be postponed, and the Term of the Lease will commence on the actual Delivery Date or on the date on which the Leasehold
is completed and deliverable in accordance with the provisions of Section 9, above, as noticed to the Tenant in advance, whichever
is earlier. Any such postponed date will be considered the Delivery Date for purposes of this Agreement.

 

     

     

    

 

		10.2	With respect to each day of delay in delivery of the
Leasehold vis-à-vis the Delivery Date stipulated in Section 9.1, above, that is not the lateness specified in Section 10.3
and which is not a delay stemming from an action or omission that is the responsibility of the Tenant, the Company will pay the
Tenant, as of the hundred and 121st day of delay and thereafter, liquidated damages equal to 50% of the rent under
this Agreement.

 

Said damages will be paid to the
Tenant as an offset from the rent that it must pay to the Company under this Agreement on the date it is obligated to pay them
until full payment of the amount of the damages it is owed.

 

For the avoidance of doubt, it
is hereby clarified that the amount of the liquidated damages described in this Section (excluding the extension of the lease
in the Ofek 1 building as specified in Section 25.1.A, below) is the exclusive, final, and absolute, compensation with respect
to the delay as stated in this subsection; the Tenant will not have any additional claim or lawsuit of any kind whatsoever against
the Company in connection with such delay.

 

		10.3	For the avoidance of doubt, it is clarified that delay
of the Delivery Date of up to 120 days or delay based on force majeure will not entitle the Tenant to compensation as specified
in Section 10.2, above will not constitute a material breach of this Agreement as specified in Sections 25.1 A and 25.1 B, below.

 

Third Chapter – the Consideration

 

		11.	The Rent

 

		11.1	In consideration for the lease of the Leasehold during
the Term of the Lease, the Tenant undertakes to pay the Company, for the Leasehold, annual rent in a sum equal to 9.7% of the
Final Cost (as defined in Section 8.5, above), per year, a sum equal to NIS _______ per year with respect to the entire Leasehold
[will be completed after determination of the Final Cost by the Company as specified in Section 8.5, above] (hereinafter: the
 "Annual Rent").

 

The monthly rent will be in a sum
equal to 1/12 of the Annual Rent, meaning a sum of NIS _____ per month [to be completed after determination of the Final Cost]
(hereinafter: the "Rent").

 

		11.1.A	It is agreed that the Company
                                         shall bear the Tenant's moving costs from the previous leasehold to the Leasehold, which
                                         are specified below, up to the amount of NIS 630,000 not including VAT only (hereinafter:
                                         the "Additional Expenses"), in exchange for receipts and documents with
                                         which the Tenant will presented upon demand:

 

     

     

    

 

		11.1.A.1	Architect's fees in order
                                         to prepare the Interior Adjustment Plans for the Leasehold.

		11.1.A.2	Management and oversight
                                         fees for the Interior Adjustment Plans on behalf of the Tenant.

		11.1.A.3	Fees for dedicated consultants
                                         for the Leasehold.

		11.1.A.4	Costs of moving the computer
                                         communications to the Leasehold.

		11.1.A.5	The cost of constructing
                                         an antiseptic floor in the laboratories that will be built in the Leasehold.

		11.1.A.6	The cost of constructing
                                         an alarm system in the Leasehold.

		11.1.A.7	The cost of constructing
                                         special plumbing in the Leasehold.

 

For the avoidance of doubt, it
is expressly clarified that to the extent the Additional Expenses exceed the sum of NIS 630,000 not including VAT or expenses
that are not as specified above and for which the Company did not give its prior written approval, at its exclusive discretion,
the Tenant will bear all of these expenses itself and on its account and will not have any claim and/or lawsuit against the Company
in connection therewith.

 

During the course of the entire
Term of the Lease, the Tenant will pay the Company a sum equal to 12% of the Additional Expenses per year, meaning the sum of
NIS ________ per year [to be completed retroactively] (hereinafter: the "Additional Annual Rent"). The additional
monthly Rent will be in a sum equal to 1/12 of the Additional Annual Rent, meaning a sum of NIS __________ [to be completed retroactively]
(hereinafter: the "Additional Rent").

 

All provisions of this Agreement
that apply to the Rent will also apply to the Additional Rent as if they were part of the Rent, whether written expressly this
Agreement or not.

 

		11.1.B	In consideration of the lease of the Leasehold during the
Extended Term of the Lease, the Tenant undertakes to pay the Company for the Leasehold Rent and Additional Rent in a sum equal
to the Rent paid in Section 11.1, above, and the Additional Rent paid in Section 11.1.A, above, plus a real increase of 0.5%,
meaning the sum stated in Section 11.1, above, plus the sum stated in Section 11.1.A, above, plus Index linkage differentials
as required under Section 11.2, below, plus an additional 0.5% thereon.

 

     

     

    

 

		11.2	Linkage differentials will
                                         be added to the Rent and the Additional Rent at the rate of the increase in the Index
                                         between the Base Index and the last known index as of the date of the payment of any
                                         amount whatever on account of the Rent.

 

For the avoidance of doubt, it is
clarified that in any case in which the New Index shall be lower than the Base Index, the amounts denominated in this Agreement
will not change.

 

		11.3	VAT as required by law will
                                         be added to the Rent and the Additional Rent plus the linkage differentials stated in
                                         Section 11.2, above.

 

		11.4	The Rent and the Additional
                                         Rent will be paid to the Company by the Tenant at the start of each quarter, in advance,
                                         in relation to the quarter that is beginning, by means of a standing order which the
                                         Tenant will create in favor of the Company or in any other way that the Company shall
                                         instruct.

 

		11.5	That without derogating from
                                         the Company's rights under this Agreement and under the provisions of any law, any delay
                                         in a payment which the Tenant must make under the provisions of this Agreement will bear
                                         interest at the maximal rate in practice at that time at Bank Hapoalim Ltd. on a debitory
                                         account with respect to overdrafts exceeding the permitted overdraft amount, as of the
                                         seventh business day following the delay.

 

		11.6	The order and manner by which
                                         payments made by the Tenant will be imputed will be determined by the Company at its
                                         discretion.

 

Fourth Chapter – Tenant's Declarations
and Undertakings

 

		12.	Tenant’s Declarations

 

Without derogating from its other
declarations under this Agreement, the Tenant further declares:

 

		12.1	That it examined the blueprints
                                         (Appendix A), the Detailed Plans of the Leasehold (Appendix B2), the Specifications (Appendix
                                         C), and the surroundings of the Leasehold, including the terms and other data that have
                                         an influence on the performance of this Agreement by it, as provided to it by the Company,
                                         as well as the possibility of obtaining all of the licenses and permits under the law
                                         for managing the Leasehold in accordance with the Purpose of the Lease specified in Section
                                         5, above, and found them suitable to its needs, requirements, and purposes, and that
                                         it hereby waives, subject to what is stated in any law (including reserving its rights
                                         regarding hidden fault and/or defect), any claims of fault or option or nonconformity
                                         of any kind whatsoever, in relation to the above.

 

     

     

    

 

		12.2	The Tenant hereby declares
                                         that it possesses the know-how and experience to operate the Leasehold as described in
                                         the Purpose of the Lease in Section 5, above, and that it possesses or is able to obtain
                                         all of the manpower, equipment, and financial and other means required, in order to operate
                                         and manage the Leasehold in order to fulfill the Purpose of the Lease in accordance with
                                         the lease terms, at a high level appropriate to the requirements of this Agreement and
                                         in accordance with its terms, and to fulfill all of its obligations to the Company under
                                         this Agreement.

 

		12.3	The Tenant declares that
                                         it is aware that the Company mortgages and/or will in the future mortgage and assign,
                                         by way of a lien, its rights to receive money from the Tenant under this Agreement and
                                         its Appendices, in favor of any bank or any other financial institution (hereinafter,
                                         in this Section: the "Bank") for the purpose of ensuring the financing
                                         and/or credit issued and/or that will be issued to the Company by the Bank, and the Tenant
                                         undertakes, to the extent the Company instructed it to do so in writing, that it will
                                         make all the payments that it owes to the Company under this Agreement and its Appendices
                                         to a particular account in the Bank that the Company will instruct, to the extent it
                                         will so instruct, and to this account alone. Similarly, Tenant undertakes to sign any
                                         document in commonly accepted wording as required by the Bank, if required, in connection
                                         with payment of those amounts that it owes to the Company under this Agreement to a particular
                                         account in the above Bank, all provided that the Tenant's rights shall not be infringed.

 

		13.	Licenses and Approvals

 

		13.1	The Tenant undertakes to obtain
                                         all of the licenses and/or permits required under any law or by virtue thereof for the
                                         purpose of or in connection with operating the Leasehold according to the Purpose of
                                         the Lease and/or in connection with this Agreement from all relevant authorities. The
                                         Tenant undertakes to do everything required, to pay at its expense, all payments connected
                                         therewith and to ensure that all of the above licenses and/or permits will be in effect
                                         during the entire term of this Agreement.

 

For the avoidance of doubt, it is
clarified and emphasized that the Company is not responsible for obtaining any licenses and/or permits as described above. 

 

It is clarified that with regard
to a business license, the Company will issue the Tenant, at its request, confirmation from an authorized examiner regarding the
functionality of the fire extinguishing system in order to obtain and/or renew the Tenant's business license.

 

The Company will be responsible
for the fire extinguishing system being functional throughout the Term of the Lease, inter alia, in order to comply with
the fire department's requirement for the business license.

 

     

     

    

 

		13.2	The Tenant undertakes to operate
                                         the Leasehold in accordance with all of the licenses and/or permits issued it and to
                                         abide by and fulfill the requirements of any law, statute, administrative law, regulations,
                                         orders, guidelines, urban master plans, or any other requirements by the competent authorities
                                         under the law that apply in connection with the Purpose of the Lease.

 

		13.3	The Tenant undertakes to maintain
                                         the Leasehold in whole, good, clean, and functional condition. The Tenant undertakes
                                         to refrain from any action or omission that can cause a nuisance or injury to visitors
                                         to the Leasehold and/or the Structure and/or the other rights holders in the Structure.

 

		14.	Additional Tenants and Construction Adjacent
to the Leasehold

 

		14.1	In addition to what is stated
                                         in this Agreement, above, the Tenant confirms its awareness regarding the Company's plans
                                         to lease additional portions of the Structure and/or the areas adjacent to it and that
                                         development of the areas adjacent to it, to the extent the Company elects to do so, will
                                         be arranged during the course of the Term of the Lease under this Agreement.

 

It is agreed that in any event none
of the above shall derogate from the Tenant's right to make reasonable and safe use of the Leasehold and to enjoy reasonable access
to the Leasehold.

 

		14A	The Company undertakes that
                                         the remainder of the area of the Structure will be leased to tenants whose activities
                                         do not involve pollution or noise that prevents reasonable use of the Leasehold for the
                                         Purpose of the Lease under this Agreement.

 

		14.2	The Tenant hereby waives any
                                         claim regarding interference with use of the Leasehold and/or regarding any nuisance
                                         originating in such construction that will take place, if it takes place, and undertakes
                                         that neither it nor any of its agents will file a lawsuit or demand for any compensation
                                         or reduction in the Rent with respect to the above, unless it is prevented from making
                                         reasonable use of the Leasehold and/or having reasonable access to the Leasehold.

 

The Tenant hereby undertakes to
cooperate with the Company reasonably and in good faith, to the extent its cooperation is required, during the course of the execution
of the work specified in Section 14.1, above.

 

     

     

    

 

		15.	Changes

 

		15.1	The Tenant is not entitled
                                         to make any external modifications, renovations, repairs, or additions to the Leasehold
                                         and/or modifications requiring a building permit without obtaining the Company's prior
                                         written consent. Any refusal by the Company will be provided to the Tenant in writing
                                         while specifying the reason for the refusal. For the avoidance of doubt, it is clarified
                                         that modifications, renovations, repairs, and additions to the Leasehold, whether they
                                         require the approval of the Company or not, will be made at the expense of the Tenant
                                         alone, and the Tenant shall be responsible to obtain any permit that will be required
                                         by law in order to make such modification. Without derogating from the above, it is clarified
                                         that the Company shall be entitled to demand, as a condition to its consent to execution
                                         of any work whatsoever, that the Tenant provide it with confirmation of having obtained
                                         appropriate insurance policies, and that the execution of the modifications, renovations,
                                         repairs, or additions, will be done during the hours stipulated by the Company.

 

		15.2	The Company shall be entitled
                                         to remove and/or demolish any external change, renovation, repair, and/or addition and/or
                                         which require obtaining a construction permit for the Leasehold, regarding which the
                                         Tenant was required to obtain the Company's consent as stated in Section 15.1, above,
                                         and which were made by the Tenant without the Company's prior written approval or which
                                         were made in violation of the law and/or without the permit required by law. The Tenant
                                         shall bear any expense and/or damage incurred by the Company as a result of said removal
                                         and/or demolition.

 

		15.3	Without derogating from the
                                         Company's rights to take action against any external modification, renovation, repair
                                         or addition that will be made without its consent, in any event of the making of modifications
                                         by the Tenant, even if made with the Company's consent, and other than a modification
                                         that does not meet the definition of "permanently affixed" as defined in the
                                         Land Law, 1969, such will be considered the exclusive property of the Company, and the
                                         Tenant shall not be entitled to demand that the Company make any payment whatsoever with
                                         respect thereto and shall not be entitled to remove them at the end of the Term of the
                                         Lease unless required to do so by the Company.

 

That without derogating from what
is stated in this Section, the Tenant undertakes to dismantle any addition that it installs in the Leasehold and which does not
meet the definition of "permanently affixed" as defined in the Land Law, 1969, unless the Company gave written consent
to leave the addition in the Leasehold. The Tenant further undertakes to return the Leasehold to its previous condition as it
was prior to the execution of the modifications and/or additions, where it is functional, other than reasonable wear, and ready
and suitable for immediate leasing under terms and for purposes similar to the terms of this Agreement and provided that no damage
is caused to the Leasehold as a result of the dismantling of the additions. For the avoidance of doubt, it is clarified that the
Tenant will bear the expenses of said dismantling and/or adjustment and will compensate the Company with respect to any harm it
incurs and/or is caused to the Leasehold as a result of said dismantling and adjustment.

 

It is clarified, for the avoidance
of doubt, that everything stated in Sections 15.1-15.2 will not apply to any internal modification, repair, or addition to the
Leasehold. Any such modification, repair, or addition will not require the approval of the Company and will be fully owned by
the Tenant, to the extent that they do not constitute a permanent affixation, as specified in Section 15.3, above.

 

     

     

    

 

		16.	Signs and Advertisements

 

		16.1	Any signage and/or means of
                                         advertisement and/or other presentation by the Tenant on the external walls of the Leasehold
                                         and/or the common areas of the Structure and/or its surroundings shall only be done by
                                         and/or with the prior written permission of the Company and/or the Development Company
                                         (as defined in Section 18.2.A, below) and in accordance with the measurements and restrictions
                                         that shall be stipulated by the Company. The Company shall be entitled to remove, at
                                         the Tenant's expense, any sign and/or other means of advertisement that the Tenant installs
                                         in violation of the above.

 

		16.2	The Tenant shall bear any
                                         tax, levy, and/or fee that will apply under the provisions of any law with respect to
                                         the installation of such signage and shall also bear the obligation of obtaining any
                                         permit required under the provisions of any law for the purpose of such installation.

 

		16.3	To the extent the Company
                                         establishes uniform signage for all of the tenants in the Structure, the Tenant shall
                                         be obligated to pay a relative portion for the signage that will be put up, with respect
                                         to its maintenance, and with respect to any fee, levy, and/or tax required under the
                                         provisions of any law with respect to such placement. For the avoidance of doubt, it
                                         is clarified that the Company shall bear the obligation of obtaining any permit required
                                         under the provisions of any law for the purpose of installing said uniform signage.

 

		17.	Damage to the Leasehold

 

		17.1	In any event of damage, defect,
                                         breakage, or fault caused to the Leasehold, whatever its cause may be, the Tenant undertakes
                                         to give notice of the same to the Company the moment it is made aware of it, as quickly
                                         as possible under the circumstances, and to act in accordance with the Company's instructions
                                         with regard thereto.

 

		17.2	Without derogating from the generality
                                         of what is stated in Section 17.1, above, it is agreed that:

 

		17.2.1	The Company undertakes, within
                                         a period of time reasonable under the circumstances, and immediately in urgent cases
                                         under which use of the Leasehold is prevented, to repair in the Leasehold and in its
                                         systems that were installed by it, any fault, breakage, or defect, caused as a result
                                         of reasonable wear stemming from ordinary use and whose repair is required in order to
                                         permit continued reasonable use of the Leasehold, or to bear the expenses of such repair,
                                         at its discretion and in coordination with the Tenant. As required, the Company will
                                         reimburse the Tenant for the expenses laid out by it for the purpose of making such repair
                                         in exchange for providing it with appropriate receipts for the same. For the avoidance
                                         of doubt, it is clarified that the Company shall not appear expenses for such repair
                                         where such repair was made without its prior knowledge and/or without its consent and/or
                                         not in accordance with its instructions.

 

     

     

    

 

		17.2.2	The Tenant undertakes to repair,
                                         at its expense, any damage, fault, breakage, or defect caused other than as a result
                                         of reasonable wear stemming from ordinary use as well as to bear the expense of the repair,
                                         as stated in subsection 17.2.1, above, where such repair was made without the knowledge
                                         and/or consent and/or in accordance with the instructions of the Company, without any
                                         right to present any claim, demand, or lawsuit against the Company with regard to such
                                         matter.

 

To the extent the Tenant does not
repair the damage, the fault, the breakage, or the defect, the Company shall be entitled to make the repair in any way it sees
fit, whether on its own or by means of an agent, and the Tenant hereby undertakes to pay the Company for the expenses incurred
by the Company from the repair resulting from the Tenant’s above omission, immediately upon receiving the receipt for the
expenses from the repair and/or as applicable, the damages, from the Company, without derogating from the Company's right to any
other remedy granted under this Agreement or under the provisions of any law.

 

		17.2.3	The term "repair" with
                                         regard to this Section and with regard to it alone also means replacing that which requires
                                         repair, to the extent necessary, with a new such article, all at the Company's discretion.

 

		18.	Mandatory Payments and Expenses in Relation
to the Leasehold

 

		18.1	All of the taxes, fees, municipal
                                         property tax, levies, and other mandatory payments of any type and class that apply to
                                         the Leasehold and/or with respect to the Purpose of the Lease and which are paid with
                                         respect thereto during the duration of the Agreement, whose payment applies to those
                                         in possession of the Leasehold, will apply to the Tenant and be paid by it. The Tenant
                                         hereby undertakes to pay all amounts imposed on it under this Section in full and on
                                         time, according to bills provided to it in connection with said taxes, fees, levies,
                                         mandatory payments, and expenses.

 

Any tax and/or fee and/or levy and/or
other mandatory payment to any authority of any type and class whatsoever stemming from possession of the Leasehold and which
by its nature falls on tenants, which is imposed and to the extent imposed after execution of this Agreement and which is not
in existence on the date of the execution of this Agreement (hereinafter: "New Tax") will apply to the Tenant
and be paid by it in a manner relative to the size of the Leasehold.

 

     

     

    

 

Without derogating from the aforesaid,
the Tenant undertakes to defray all payments and regular expenses of the Leasehold with respect to the provision of electricity,
gas, and telephone.

 

		18.2	Stamping expenses to the
                                         extent there are any with respect to this Agreement will apply to and be paid by the
                                         Parties in equal shares.

 

		18.2.A	The Tenant declares that
                                         it is aware that the Business and Industry Park in Caesarea is managed by the Caesarea
                                         Development Edmond Benjamin de Rothschild Corp. Ltd. (Hereinafter: the "Development
                                         Company") and it undertakes to execute, upon execution of this Agreement, a
                                         letter of undertaking to the Development Company that is attached as Appendix E to this
                                         Agreement and which constitute an integral part hereof (hereinafter: the "Letter
                                         of Undertaking") and to pay the Development Company the management fees and
                                         service fees in connection with management of the Caesarea Business and Industry Park
                                         as well as amounts with respect to removal of sewage and provision of water to the Leasehold.

 

		18.3	The Tenant undertakes to
                                         provide the Company, immediately upon its demand, all of the approvals and receipts demonstrating
                                         execution of all mandatory payments and expenses in full and on time as stated in this
                                         Section 18.

 

		18.4	Without derogating from the
                                         Company's rights under this Agreement and/or under any law, it is hereby declared and
                                         agreed that in any event in which the Tenant does not make any payment, in full and on
                                         time, in whole or in part, which payment is imposed on it under this Agreement and/or
                                         under the law, the Company shall be entitled, but not obligated, to make such payment
                                         in place of the Tenant. Should the Company make such payment in place of the Tenant –
                                         the Company shall be entitled to reimbursement of that same payment from the Tenant,
                                         and the Tenant shall be obligated to pay it to the Company, plus interest from the date
                                         stipulated for the making of such payment and until the date of actual reimbursement
                                         of this payment to the Company, at the rate charged by Bank Hapoalim Ltd. with respect
                                         to unapproved overdrafts from returning debitory shekel accounts.

 

		19.	Wastewater

 

The Tenant hereby undertakes not
to stream, and not to cause to be streamed, into the sewage system wastewater that is not appropriate in its characteristics according
to the directions of the Ministry of Health on this matter.

 

		20.	Prohibition on Use of Areas Outside the Leasehold

 

The Tenant hereby undertakes not
to maintain any materials, tools, equipment, products, inventory, and any other movable property outside of the Leasehold or the
Structure, and it shall not be entitled to use the area and/or any part of the Structure outside of the Leasehold and/or the area
of the Park for any purpose whatsoever, other than use of access ways to the Leasehold.

 

     

     

    

 

		21.	Entry to the Leasehold

 

The Company and/or any of its agents
or anyone taking its place shall be entitled to enter the Leasehold for the purpose of review and/or overseeing of the fulfillment
of the Tenant's obligations under this Agreement and/or to perform repairs, at any reasonable time, coordinated in advance with
the Tenant and/or any of its agents.

 

Fifth Chapter – Liability and Insurance

 

		22.	Liability

 

		22.1	Subject to all laws, Tenant
                                         shall be liable for any loss, harm, or damage, to the person or property of any person
                                         or entity, including without derogating from the generality of the above, the Company,
                                         caused as a result of an action or omission connected to and/or stemming, directly and/or
                                         indirectly, from its presence and/or possession and/or activities in the Leasehold and/or
                                         from the performance of this Agreement, done by it and/or any of its agents.

 

		22.2	The Tenant undertakes to
                                         compensate the Company, within 30 (thirty) days of its first written demand for any damages,
                                         losses, and expenses incurred by the Company as a result of loss, harm, or damage as
                                         stated in Section 22.1, above, provided that the Tenant's liability has been established
                                         in a final judgment by a court of competent jurisdiction (that is not the result of a
                                         settlement agreement that was not approved by the Tenant in advance) and to reimburse
                                         the Company for any amount that the Company was obligated to pay under a final judgment
                                         with respect to a lawsuit for such compensation and/or according to a summons imposing
                                         a fine and/or payment election and in connection with its defense against such lawsuit
                                         (including the Company's attorneys' fees, as determined between the Company and between
                                         its attorneys), provided that the Company notify the Tenant of said lawsuit or demand,
                                         whether by granting the Tenant power of attorney to choose and appoint the attorney,
                                         subject to the Company's consent to his appointment (the Company will not refuse the
                                         appointment other than with a reasonable explanation), or whether by joining the Tenant
                                         as a third party to said lawsuit or demand, or whether in any other way that shall be
                                         agreed-upon by both Parties.

 

     

     

    

 

		23.	Insurance

 

		23.1	The Tenant undertakes to
                                         obtain, at its expense, the following insurance policies that shall be in effect during
                                         the duration of this Agreement and/or any additional period of time by which the lease
                                         will be extended and regarding which the terms of this Agreement will apply, in whole
                                         or in part.

 

		23.1.1	Insurance for all of the personalty
                                         brought to the Leasehold by the Tenant to the Leasehold for its full value as required
                                         from time to time. The coverage: Extended fire including natural damages and earthquakes
                                         and break-in (on a first damage basis).

 

		23.1.2	Third party liability insurance
                                         to with a liability limit of at least USD 1,000,000 (hereinafter: "Dollar"
                                         or "$") per incident and $2,000,000 [aggregate] for the coverage period.

 

		23.1.3	Employer liability insurance with
                                         liability levels of at least $1,500,000 per employee and $5,000,000 per incident and
                                         for the coverage period. The above does not derogate from the Tenant's obligation to
                                         pay with regard to this matter those amounts that must be paid by law to the National
                                         Insurance Institute.

 

The insurance policies specified
above will be in wording and with terms that shall not be less than the terms of the policy known as "Bit." The insurance
policy specified above will hereinafter be called: the "Insurance Policies."

 

		23.2	Insureds under the Insurance
                                         Policies will be the Tenant and/or the Company and/or the Development Company and/or
                                         the Edmond de Rothschild Caesarea Foundation Ltd. A cross-liability clause will be added
                                         to a third party policy.

 

Similarly, the Tenant undertakes
to provide the Company with confirmation from an insurance company in the wording of the confirmation attached to this Agreement
as Appendix F and which constitutes an integral part hereof, which will include, inter alia, confirmation that the
Company, the Development Company, and the Edmond de Rothschild Caesarea Foundation are additional insureds under the policy, confirmation
that all of the premiums were paid, and confirmation that in any case of a change and/or cancellation of the policies, or a portion
thereof, the change and/or consolation will not take effect except after the passing of 60 days from the date notice of the same
is given by registered letter to the Company.

 

The Tenant and the insurance company
that will issue the Insurance Policies will waive their subrogation right toward the Company, and the other tenants in the Structure
who in their agreements have an identical clause regarding waiver of subrogation against the Tenant, and provided that this waiver
will not apply to anyone who caused damage with malicious intent.

 

		23.3	For the avoidance of doubt,
                                         the aforesaid will not release the Tenant from any liability whatsoever for damage, loss,
                                         harm, and so forth for which it is liable under Section 22.1, above, whether that same
                                         damage is covered by the Insurance Policies or not. Similarly, for the avoidance of doubt,
                                         it is hereby expressly clarified that if monies are not received as a result of the Insurance
                                         Policies or the monies received as aforesaid will not cover all of the losses, damages,
                                         and expenses incurred, if any, as aforesaid, the Tenant shall bear the remaining losses,
                                         expenses, and damages, as aforesaid, at its expense.

 

     

     

    

  

Seventh Chapter - Vacating the Leasehold,
Breaches and Remedies

 

		24.	Vacating the Leasehold

 

		24.1	At the end of the Term of
                                         the Lease, the Tenant will vacate the Leasehold and return exclusive possession thereof
                                         to the Company when it is empty of any person or object, and in good condition, functional
                                         and clean, as it was at the time possession and use thereof was given to the Tenant at
                                         the start of the Term of the Lease, all subject to reasonable wear.

 

		24.2	Void.

 

		24.3	In the event of delay in
                                         vacating the Leasehold after the end of the Term of the Lease, the Tenant shall pay the
                                         Company, immediately upon its first demand, the sum of NIS 5,000 for each such date of
                                         delay, appropriate usage fees for the Leasehold, and/or as liquidated damages predetermined
                                         by the Parties. The above-stated sum shall be tied to the Index such that linkage differentials
                                         will be added to it according to the rate of the increase in the Index between the Base
                                         Index and the last Index known on the date of actual payment to the Company. In any event,
                                         the last known Index will not be used if it is lower than the Base Index and the last
                                         known Index that is greater than the Base Index will be used.

 

For the avoidance
of doubt, it is clarified that without derogating from the Company's rights to take any other remedy available to it under this
Agreement and/or under any law, including commencing an eviction action and/or lawsuit for all of its damages and expenses, if
they exceed said amount, and/or any other legal proceeding, as the Company sees fit. For the avoidance of doubt, it is hereby
clarified that payment under this Section will not constitute an extension of the Term of the Lease and/or a waiver of any other
right granted to the Company under this Agreement and/or under any law.

 

		24.4	In any event of rescission
                                         of this Agreement by the Company based on its breach by the Tenant, the Tenant undertakes
                                         to vacate the Leasehold, as stated above, on the date it receives notice of rescission
                                         of this Agreement, and the provisions of Section 24.1 through 24.3, above, will also
                                         apply in such case, where for the purpose of the provisions of said Sections, the date
                                         of the end of the Term of the Lease shall be the date on which said notice is given of
                                         rescission of the Agreement.

 

		24.5	For the avoidance of doubt,
                                         it is clarified that the vacating of the Leasehold by the Tenant prior to the end of
                                         the Term of the Lease for any reason whatsoever other than because of the lawful rescission
                                         of the Agreement, will not release the Tenant from any of its obligations under this
                                         Agreement and its appendices and it shall be liable for all of its obligations as if
                                         it is in possession of the Leasehold.

 

     

     

    

 

		25.	Breach of the Agreement

 

		25.1	It is hereby declared and
                                         agreed that a breach of Sections 5, 6, 9, 10, 11, 13.1, 13.2, 15.1, 17.1, 18.1, 18.2,
                                         22.1, 23.1, 26.1, and 28, and any other breach that is not corrected within 30 days of
                                         receipt of written notice of the same, is a material breach of this Agreement. For the
                                         avoidance of doubt, nothing stated in this Section negates the definition of a breach
                                         as being material under any law.

 

		25.1A	Notwithstanding what is stated
                                         in Section 25.1, above, and without derogating from was stated in Section 10.2 and 10.3,
                                         above, it is agreed that delay of up to 120 days in the date of delivery of possession,
                                         for any reason whatsoever, will not constitute a material breach provided that the Tenant
                                         will be able to continue to make full use of the leasehold in the Ofek 1 building under
                                         the lease agreement between it and the Company regarding the leasehold in Ofek 1. It
                                         is further agreed that inasmuch as of the term of the Tenant's lease at Ofek 1 will end
                                         prior to handing over possession under this Agreement, the lease agreement for Ofek 1
                                         will be extended automatically, without a change in the rent or other terms stipulated
                                         in the Tenant's lease agreement at Ofek 1 as they are on the date of the execution of
                                         this Agreement, until the actual date possession is handed over under this Agreement.

 

		25.1B	Notwithstanding what is stated
                                         in 25.1A, above, and without derogating from what is stated in Section 10.2 and 10.3,
                                         above, it is agreed that a delay in the Delivery Date stemming from circumstances stemming
                                         from force majeure, the outbreak of war, natural hazards, delay in connecting the Leasehold
                                         to the electricity (that is not because of an action and/or omission on the part of the
                                         Company), or as a result of regulations or statutes, will not be considered a breach
                                         of the provisions of this Agreement, and the Delivery Date will be postponed for the
                                         duration of the delay plus a reasonable period of time as required in accordance with
                                         the circumstances, after the delay comes to an end.

 

		25.2	Notwithstanding what is stated
                                         in Section 25.1, above, a delay of up to 10 (ten) business days in any payment to the
                                         Company will not be considered a material breach of the Agreement, but with respect to
                                         each such day of delay in payment as of the eleventh day, the Tenant shall be obligated
                                         to pay interest as of the date stipulated for the payment of any payment and until the
                                         date of its actual payment at the rate charged by Bank Hapoalim Ltd. with respect to
                                         unapproved overdrafts in returning debitory shekel accounts. The aforesaid does not derogate
                                         from the other remedies to which of the Company is entitled under this Agreement and/or
                                         under any law.

 

     

     

    

 

		25.3	Is agreed that a breach of
                                         the Letter of Undertaking will constitute a breach of this Agreement and that failure
                                         to remedy said breach in the period of time stipulated by the Company by notice given
                                         in advance will constitute a material breach of this Agreement.

 

		25.4	It is agreed that the issuing
                                         of an order (including a temporary order) to the Tenant in connection with a creditor
                                         arrangement, equity reduction, prohibited under Section 302 of the Companies Law,
                                         1999, receivership, bankruptcy, liquidation of any kind, and/or dissolution of business
                                         in any manner whatsoever, the appointment of a liquidator or temporary liquidator, or
                                         that an application was filed for the liquidation of the Tenant which was not removed
                                         within 45 days, will constitute a material breach of the provisions of this Agreement.

 

		25.5	A material breach of this
                                         Agreement by the Tenant will permit the party against which the Agreement was breached
                                         to rescind the Agreement unilaterally and irrevocably, if 14 (fourteen) days have passed
                                         after written notice of rescission sent by that same party to the breaching party without
                                         the breach being corrected, all without derogating from that same party's right to demand
                                         compensatory damages under any law.

 

		25.6	Rescission of the Agreement
                                         because of its breach by the Tenant will entitle the Company (the rescindor) to payment
                                         of the liquidated damages from the Tenant in the sum of NIS 400,000, which is in addition
                                         to and without derogating from any other remedy to which the Company will be entitled
                                         under this Agreement and/or any law, but it is clarified that inasmuch as the Company
                                         elected the liquidated damages, it shall not be entitled to additional monetary relief.
                                         The above-stated amount shall be linked to the Index such that linkage differentials
                                         will be added to it according to the rate of the increase in the Index between the Base
                                         Index and the last Index known on the date of actual payment to the Company. In any event,
                                         the last known Index will not be used if it is lower than the Base Index and the last
                                         known Index that is higher than the Base Index will be used.

 

		26.	Bank Guarantee

 

		26.1	The Tenant undertakes to
                                         provide the Company, no later than the end of 30 days from the date of the execution
                                         of this Agreement, with an autonomous unconditional bank guarantee in an amount equal
                                         to the Rent for 4 months, meaning the sum of NIS 400,000 (four hundred thousand new Israeli
                                         shekels) (hereinafter: the "Base Guarantee Amount") to ensure performance
                                         of all of its obligations under this Agreement, that shall be valid as of the date of
                                         the inception of the term of the Agreement and until the end of three months following
                                         the end of the term of the Agreement, in the wording attached to this Agreement as Appendix
                                         G (hereinafter: the "Bank Guarantee").

 

     

     

    

 

The Tenant will provide the Company
upon execution of this Agreement (and in any case, no later than the date of the commencement of the Lease Term) the aforesaid
Bank Guarantee which shall be valid for a period of not less than one year and in such case, the Tenant undertakes to cause the
guaranteeing bank to extend the duration of the Bank Guarantee from time to time at least 14 (fourteen) days prior to the end
of the duration of the guarantee (or the extended guarantee, as applicable) and for periods of time that shall not be less than
one year each, such that the Bank Guarantee shall be valid during the entire period of time commencing on the date of the commencement
of the Term of the Lease and ending 90 (ninety) days after the end of the Term of the Lease. Without derogating from the Tenant's
above undertaking to extend the duration of the Bank Guarantee at least 14 days prior to its expiration, in the event that the
Company is not presented with an extension of the Bank Guarantee at least 14 days before its expiration, the Company shall be
entitled (but not obligated) to exercise the Bank Guarantee and to maintain possession of the funds received as a surety in place
of the Bank Guarantee.

 

		26.2	The Bank Guarantee shall
                                         be linked to the Index such that if it is discovered on the date the Bank Guarantee is
                                         exercised that the New Index has gone up in comparison to the Base Index, any amount
                                         required by the increase in the New Index as compared to the Base Index will be added
                                         to the amount of the Bank Guarantee (the amount of the base Guarantee).

 

In this regard:

 

The "New Index"
 – the Index that will be known on the date the Bank Guarantee is exercised.

 

		26.3	Without derogating from the
                                         other provisions of this Agreement, it is agreed that in any case in which the Tenant
                                         did not pay any amount it is required to pay under this Agreement and/or in any case
                                         in which the Tenant did not meet its obligations under this Agreement and as a result,
                                         the Company incurred any damage and/or expense and/or the Company bore (or was required
                                         to bear) any damage or expense stemming from an action or an omission by the Tenant,
                                         the Company shall be entitled, at any time it sees fit, if at all, and until the expiration
                                         of the Bank Guarantee, to exercise the Bank Guarantee, in whole or in part, after giving
                                         notice of the same to the Tenant 14 days in advance and in writing, at its decision,
                                         and without being required to explain this to the guaranteeing bank, in order that said
                                         Bank Guarantee monies be used as indemnification (full or partial, as applicable), of
                                         the Company with respect to any amount it is owed under this Agreement and/or expense
                                         or damage caused to the Company as aforesaid by the Tenant up until the amount of such
                                         damage and/or expense incurred by the Company as aforesaid.

 

For the avoidance of doubt, should
the Company decide to exercise only a portion of the amount of the Bank Guarantee, the Bank Guarantee shall remain valid in relation
to the balance of the amount of the Bank Guarantee as stated above, that was not exercised by the Company.

 

     

     

    

 

		26.4	All expenses and fees involved
                                         in obtaining the Bank Guarantee will apply to and be paid by the Tenant.

 

To the extent that the duration
of this Agreement is extended, the Tenant undertakes to extend the duration of the Bank Guarantee and to provide the Company with
said extended guarantee (or the guarantor's confirmation of such extension of the Bank Guarantee).

 

		27.	Void.

 

Eighth Chapter – Miscellaneous

 

		28.	Transfer of Rights

 

		28.1	The Tenant shall not be entitled
                                         to transfer to any third party whatsoever its rights and obligations under this Agreement,
                                         in whole or in part, whether for consideration or without consideration, including, without
                                         derogating from the generality of the above, to lease the Leasehold, in whole or in part,
                                         and is not entitled to take any action, legal or otherwise, based on which such transfer
                                         of rights may in fact occur unless it received prior written approval to do so from the
                                         Company. The Company shall be entitled to decide with regard to such matter according
                                         to its exclusive discretion.

 

Without derogating from the generality
of the above, the Tenant is not entitled to permit any third party whatsoever to use the Leasehold or a part thereof, and is not
entitled to share possession of the Leasehold and/or the use thereof or a part thereof with any third party, whether for consideration
or without consideration, unless this was done with approval of the Company as stated above.

 

Notwithstanding the aforesaid, it
is agreed that to the extent the Tenant makes a written request of the Company in advance that a company under the Tenant's control
(as this term is defined in the Securities Law, 1968) and/or an affiliate of the Tenant and/or the Tenant's parent company, use
the Leasehold or part thereof – the Company shall not be entitled to refuse subject to the fact that up until such date,
the Tenant did not breach any of the provisions of this Agreement other than upon reasonable grounds. For the avoidance of doubt,
it is clarified expressly that even if the Company agrees to the Tenant's above request, the Tenant shall remain obligated to
the Company for the fulfillment of all of its obligations under this Agreement in relation to the entire area of the Leasehold
and that the Company will be entitled to withdraw such consent if the Tenant and/or any of its above representatives breaches
the provisions of this Agreement.

 

     

     

    

 

In addition to the above, it is
agreed that if the Tenant makes a written request of the Company in advance for a contractor that provides services to the Tenant
to use a portion of the Leasehold – the Company will not be entitled to refuse subject to the contractor's non-usage of
an area exceeding 25% of the area of the Leasehold and that the activities that will be performed by the contractor in the Leasehold
shall be entirely for the Tenant and that up until that time, the Tenant did not breach any of the provisions of this Agreement
other than upon reasonable grounds. For the avoidance of doubt, it is clarified expressly that even if the Company agrees to the
Tenant's above request, the Tenant shall remain obligated to the Company for the fulfillment of all of its obligations under this
Agreement in relation to the entire area of the Leasehold and that the Company will be entitled to withdraw such consent if the
Tenant and/or its contractor breaches the provisions of this Agreement.

 

		28.2	If the Tenant is a corporation,
                                         the following provisions will apply:

 

It is hereby agreed that in the
event a change occurs in the composition of the Tenant's shareholders in the framework of which a person with a criminal conviction
holds 50% of the means of control in the Tenant, the Tenant undertakes to give notice of the same to the Company within 14 business
days of the date of the change (hereinafter: the "Notice of Change").

 

If the Tenant sent such Notice of
Change, the Company will be entitled, at its exclusive discretion, to give written notice to the Tenant up until the end of 60
days of its receipt of the Notice of Change of its desire to rescind this Agreement (hereinafter: the "Notice of Rescission")
on a date that will be stipulated in the notice and which shall not be less than 120 days from the date of the Notice of Rescission.

 

It is agreed that said change in
the composition of the rights holders in the corporation will not in and of itself be considered a breach of the provisions of
this Agreement. 

 

Additionally, the Tenant undertakes
to notify the Company of any change in 25% or more in the means of control (as this term is defined in the above Securities Law)
in the Tenant and/or Parent company as stated, within 14 business days of the date of the change.

 

		28.3	It is agreed that the Company
                                         is entitled to transfer to any third party, its rights and obligations, in whole or in
                                         part, under this Agreement, without requiring the Tenant's consent to do so, subject
                                         to the Tenant's rights under this Agreement not being infringed as a result of such transfer.

 

     

     

    

 

		29.	General Terms

 

		29.1	The Parties agree that Chapter
                                         A to the Rental and Borrowing Law, 1971, will not apply to this Agreement. That without
                                         derogating from the generality of the above, it is expressly clarified that notwithstanding
                                         Section 22 of said law, the provisions of Section 28 of this Agreement, above, will prevail,
                                         and it is agreed between the Parties that the Tenant will not be entitled to apply to
                                         the courts and/or present any claim and/or demand and/or lawsuit of any kind against
                                         the Company regarding such matter.

 

		29.2	Any notice, declaration,
                                         consent, waiver of receipt of any payment, refraining from taking an action, delay, or
                                         granting of an extension of any kind by either of the Parties will not bind the waiving
                                         party and will not serve as an impediment to a lawsuit on its part unless it waived its
                                         rights under this Agreement and/or under the provisions of any law expressly and in writing.

 

		29.3	The Tenant is not entitled
                                         to set off any amount whatsoever from those amounts it is required to pay under the provisions
                                         of this Agreement. It is also agreed that the Company shall be entitled to set off any
                                         of the amounts the Tenant shall be obligated to pay it under the provisions of this Agreement,
                                         if and to the extent they are not paid by the Tenant, against any other debt the Company
                                         owes to the Tenant, whether it stems from this Agreement or thereunder, or whether it
                                         is unrelated to the framework of this Agreement.

 

		29.4	Any and all changes, amendments,
                                         addenda, waivers, or agreements will not bind the Company unless made expressly and in
                                         writing and signed accordingly by the Company.

 

		29.5	This Agreement exhausts any
                                         agreement, understanding, or representation made between the Parties prior to it being
                                         entered into and upon its execution, any draft, agreement, representation, or document
                                         made between the Parties in connection with this Agreement prior to it being entered
                                         into, is void.

 

		29.6	The Parties' addresses for
                                         purposes of this Agreement shall be asked to be related in the introduction to the Agreement,
                                         and any notice sent by one party to its counterpart will be considered as having reached
                                         its intended recipient five (5) business days from the date sent if sent by registered
                                         mail, within three business days (3) if sent by facsimile, or immediately upon being
                                         delivered personally.

 

		29.7	Is hereby agreed that the
                                         competent law that may hear any matter connected and/or stemming from the Agreement is
                                         the court of competent jurisdiction in Tel Aviv exclusively.

 

In witness whereof, the Parties have set
their hand:

 

	 	 	 
	The Company	 	The Tenant

 

     

     

    

 

[INFORMAL ENGLISH TRANSLATION]

 

Addendum to the
Unprotected Lease Agreement of the 19th of July 2007

 

Entered into and executed
in Caesarea on the _25_ of the month of December in the year 2008.

 

Between

 

The Caesarea Edmond Benjamin de Rothschild
Assets Corp. (2001) Ltd.

 Priv. co. no. 51-3082321

 PO Box. 4888, Old City of Caesarea, 38900

 (hereinafter: the "Company")

 

Party of the First Part;

 

and between

 

Itamar Medical Ltd.

 Private co. no. 512434218

 2 Ha-Eshel Street, Industry and Business Park, Caesarea 38900

 (hereinafter: the “Tenant״)

Party of the second part;

 

	Whereas:	On July 19, 2007, a lease agreement including its appendices was executed between the Company
    and the Tenant (hereinafter: the "Lease Agreement") according to which, inter alia, the Tenant undertook
    to lease the Leasehold (as defined in the Lease Agreement) from the Company after it is constructed by it in the Caesarea
    Industrial Park all as specified and defined in the Lease Agreement;
	 	 
	And whereas:	The Tenant applied to the Company to reduce the area of the Leasehold, to change the Rent, and to receive an option to lease Floor B in the Leasehold by sublease to a third party;
	 	 
	And whereas:	The Company is willing to grant the Tenant?s request, subject to what is specified in this Addendum, below;

 

Therefore,
it is declared, stipulated, and agreed between the Parties as follows:

 

     

     

    

  

		1.	Preamble and Headings

 

		1.1	The preamble to this Addendum to the Agreement and
is appendices constitutes an integral part thereof.

 

		1.2	The margin titles appearing in this Addendum to the
Lease Agreement are for the purpose of convenience only and do not constitute a part of this Addendum to the Lease Agreement and
shall not be considered for purpose of interpretation.

 

		2.	Reduction of the Area of the Leasehold

 

		2.1	It is agreed that the definition of the Leasehold in
Section 2.1 of the Lease Agreement is void and, in its place, shall come the following definition:

 

"The 'Leasehold' –
that will be built and delivered to the Tenant after its completion as specified in this Agreement, below, including the entire
northern wing, consisting of 3 floors (including the ground floor + floor A + floor B) in the Structure (as it is defined, below)
as indicated in blue on the blueprint attached to the Agreement as Appendix A (hereinafter: the 'Hall') and including a storeroom
on the split floor in the northern wing (hereinafter: the 'Storeroom'), as indicated in red on the blueprint attached as Appendix
A to this Agreement (hereinafter: the 'Storeroom') and 15 covered parking spots on the split floor (numbers 66, 69-87) as indicated
in green on the blueprint attached as Appendix H to this Agreement (hereinafter: the 'Covered Parking Spots') and 17 uncovered
parking spots in the yard of the Structure (numbers 1-12, A, B, C, D, E), as indicated in yellow on the blueprint attached as
Appendix A1 (hereinafter: the 'Uncovered Parking Spots')." 

 

		2.2	It is agreed that Appendices A and A1 to the Lease
Agreement are void and, in their place, shall be added Appendices A and A1 attached to this Addendum to the Lease Agreement and
which constitute an integral part hereof.

 

		2.3	It is agreed that the first paragraph in Section 3.3
of the Lease Agreement is void and, in its place, shall come the following first paragraph to Section 3.3 of the Lease Agreement:

 

		"3.3 	It
                                         is agreed between the Parties that solely based on an estimate based on the Detailed
                                         Plans of the Leasehold, Appendix B2, the area of the hall is expected to be approximately
                                         1,630 m2, the area of the Storeroom is expected to be approximately 20 m2 (meaning,
                                         the total developed area in the Leasehold is 1,650 m2), however the final areas
                                         of the Hall and the Storeroom will be determined by a survey that will be made based
                                         on the actual construction according to the external wall line (regarding common walls
                                         between the Leasehold and other tenants, half the area on which the wall is constructed
                                         will be counted), which will be made by a licensed surveyor from the Company. To this
                                         area shall be added 50% of the public areas marked in yellow on the blueprint of the
                                         Leasehold, Appendix A."

 

     

     

    

  

For the avoidance of doubt, it
is clarified that the second, third, and fourth paragraphs of Section 3.3 of the Lease Agreement will retain their wording and
will apply without any change.

 

		3.	Amendment of the Rent and Cancellation of Payment
of the Additional Expenses by the Company to the Tenant

 

		3.1	It is agreed that the provisions of Section 11.1 of
the Lease Agreement are void and shall be replaced with the following Section 11.1:

 

		“11.1	In consideration of the lease of the Leasehold
during the Term of the Lease, the Tenant undertakes to pay the Company monthly rent for the Leasehold, as follows:

 

		11.1.1	During the first year of the lease, a sum equal to NIS 65,000 per month with respect to
                                                                                         the entire Leasehold. Notwithstanding the above, it is agreed that during the first month of the lease during the first year
                                                                                         and during this month alone, the Tenant shall pay the sum of only NIS 43,500.

		11.1.2	During the second year of the lease, a sum equal to
NIS 70,000 per month with respect to the entire Leasehold.

		11.1.3	During the third
                                         year of the lease, a sum equal to NIS 85,000 per month with respect to the entire Leasehold.
                                         

		11.1.4	During the fourth
                                         year of the lease, a sum equal to NIS 90,000 per month with respect to the entire Leasehold.
                                         

		11.1.5	During the fifth
                                         year of the lease, a sum equal to NIS 100,000 per month with respect to the entire Leasehold.
                                         

		11.1.6	During the entire
                                         Extended Term of the Lease, a sum equal to NIS 100,000 per month with respect to the
                                         entire Leasehold. 

 

The
above amounts will hereinafter be termed: the “Rent.” 

 

		3.2	It is agreed that Section 11.1.A
                                         of the Lease Agreement (regarding the Company’s payment of the Tenant's Additional
                                         Expenses), is void.

 

		3.3	It is agreed that Section 11.1.B
                                         of the Lease Agreement (regarding the Lease Fees during the Extended Lease Term) is void
                                         in light of Section 11.1.6 which was added as specified in Section 3.1, below.

 

		4.	Date of Delivery of Possession

 

		4.1	It is agreed that the definition of the Delivery Date
in Section 9.1 of the Lease Agreement will be amended such that the Delivery Date will be January 1, 2009.

 

     

     

    

  

		4.2	Notwithstanding the above,
                                         it is agreed that the Tenant will be entitled to delay the Delivery Date to January 20,
                                         2009 provided it gives prior written notice of the same to the Company at least 7 days
                                         in advance.

 

		4.3	Additionally, and without derogating
                                         from the Company's rights under the provisions of the Agreement and under any law, it
                                         is agreed that with respect to each day of delay in taking possession of the Leasehold
                                         after January 20, 2009, commencing on January 21, 2009, Tenant will pay the Company the
                                         sum of NIS 3,000 per day as liquidated damages without proof of harm and the Tenant hereby
                                         waives any claim against the Company in connection with the above.

 

		5.	Subleasing Floor B in the Leasehold

 

		5.1	It is agreed that following Section 20.1, Section 28.1.A
will be added, as follows:

 

		“28.1.A	Notwithstanding what is stated in the first and
second paragraphs of Section 28.1, above, and in addition to what is stated in the third and fourth paragraphs of Section 28.1,
above, it is agreed that the Tenant will be entitled to lease Floor B of the Leasehold only by means of a sublease to a third
party (hereinafter: the 'Sublessee') subject to fulfillment of the following conditions:

 

		28.1.A.1	The Tenant will remain liable to the Company for all
of its obligations under this Agreement and its appendices including, but without derogating from the generality of the above,
payment of Rent in relation to the entire area of the Leasehold.

 

		28.1.A.2	The Company
                                         will give its prior written consent to the entry of the Sublessee into the Leasehold.
                                         It is clarified that the Company will not be entitled to refuse the Tenant's request
                                         except upon reasonable grounds. 

 

		28.1.A.3	The primary
                                         lessee, by means of the Development Company, will give its prior written consent to entry
                                         of the sublessee to the Leasehold, including its consent to the purpose of the lease
                                         of the sublessee and that the Tenant and/or the Sublessee will sign any document that
                                         it requires. For this purpose, it is clarified that, subject to the primary lessee's
                                         rights under the lease agreement and its appendices not be infringed, the primary lessee
                                         will not be entitled to refuse the Tenant's request except upon reasonable grounds. 

 

For the avoidance of doubt, the Tenant will not
be entitled to sublease, as specified in this Section, above, any other and/or additional portion of the Leasehold other than
said Floor B."

 

     

     

    

  

		5.2	Additionally and without derogating from what is stated
in Section 5.1, above, it is agreed that it any case in which a Sublessee enters Floor B, or any part thereof, and to the extent
that the rent that the sublessee pays the Tenant is higher than the Rent which the Tenant pays the Company under this Agreement,
the Tenant will pay the Company, within 14 days of the date of entry of the sublessee to the aforementioned Floor B, the difference
between the rent received from the sublessee and the Rent which it pays to the Company as aforesaid with respect to the area leased
to the Sublessee and with respect to the period of time commencing on the date of its entry and until it vacates the above area
that is leased to it.

 

For the avoidance of any doubt,
it is clarified that to the extent that the rent which the Tenant receives from Sublessee will be less than the Rent which the
Tenant pays the Company, Tenant will not be required to pay any sums to the Company and will not be entitled to any discount in
the Rent under the Lease Agreement.

 

		6.	Increasing the Bank Guarantee

 

It is agreed that on the date
of the execution of this Addendum to the Lease Agreement, the Tenant will provide the Company with a bank guarantee in addition
to the Bank Guarantee provided to the Company under Section 26 of the Lease Agreement in the sum of NIS 200,000 (hereinafter:
the "Additional Bank Guarantee"). All of the terms specified in Section 26 of the Lease Agreement in relation
to the Bank Guarantee will also apply to the Additional Bank Guarantee other than the duration of the Additional Bank Guarantee
which shall be for 24 months only, as of the date of the commencement of the Lease Term.

 

		7.	General

 

		7.1	The Tenant's address for service of documents shall
be the address specified in the caption to this Addendum.

 

		7.2	It is agreed to the provisions of this Addendum will
apply as of the date of the execution of this Addendum and thereafter.

 

		7.3	The Parties hereby waive, each party as against its
counterpart, any claim and/or lawsuit and/or demand against the other in connection with the Lease Agreement up until the date
of the execution of this Addendum.

 

		7.4	Subject to what is stated in this Addendum to the Lease
Agreement, all of the provisions of the Lease Agreement and its appendices shall remain in effect.

  

     

     

    

 

		7.5	For the avoidance of doubt, the Tenant hereby declares
that it is aware that:

 

		7.5.1	Its undertakings under this Addendum do not derogate
from its obligations under the Lease Agreement and its appendices but rather are in addition thereto.

 

		7.5.2	Subject to what is stated in this Addendum, the provisions
of this Addendum do not derogate from the provisions of the Lease Agreement and its appendices or any right granted the Company
thereunder.

 

In witness whereof, the Parties have set
their hand:

 

	/s/ Itamar Medical
    Ltd.	 	/s/ The Caesarea
    Edmond Benjamin de Rothschild 

Assets Corp. (2001) Ltd.
	The Company	 	The Tenant

 

     

     

    

 

[INFORMAL ENGLISH
TRANSLATION]

 

Second
Addendum to the Unprotected Lease Agreement of the 19th

of July 2007

 

Entered into and executed in Caesarea on
the ____ of the month of _____ in the year 2013.

 

	Between:	The Caesarea Edmond Benjamin
        de Rothschild Assets Corp Ltd.

        Private co. no. 513082321

        PO Box 4888

        PO Box Old City of Caesarea

        (hereinafter – the “Company”)
	 
	 	 	the
    Party of the First Part;
	 	 	 
	and
    between:	Itamar Medical Ltd.

        Private co. no. 512434218

        2 Ha-Eshel Street,

        Industry and Business Park, Caesarea 38900

        (hereinafter – the “Tenant״)
	 
	 	 	the
    Party of the second part;

 

		Whereas:	On July 19, 2007,
                                         an unprotected lease agreement (hereinafter: the "Original Agreement")
                                         was executed between the Company and between the Tenant in relation to the Leasehold
                                         in the Ofek 4 building, all as specified and as defined in the Original Agreement;

 

		And whereas:	On December 25, 2008, the First Addendum to the Original
Agreement (hereinafter: the "First Addendum") was executed which, inter alia, reduced the area of the
Leasehold to the three floors of the northern wing, a storeroom, and covered as well as uncovered parking spots, as defined in
the First Addendum (hereinafter: the "Leasehold") and amended the Lease Fees, all as specified in the First Addendum.
The Original Agreement and the First Addendum will hereinafter jointly be called: the "Agreement;"

 

		And whereas:	The Term of the Lease, as defined in the Agreement, concludes
on January 19, 2014;

 

		And whereas:	The Tenant made a request of the Company to exercise the
option specified in Section 6.2 of the Agreement, without the area of Floor B that is included in the Leasehold, and to clarify
that to the extent that a gallery is built, the Company will not charge additional lease fees with respect to it;

 

     

    

 

    

 

		And whereas:	The Company is willing to grant the Tenant's request, all
as specified below in this Second Addendum to the Agreement (hereinafter: the "Second Addendum");

 

Therefore, it is declared,
stipulated, and agreed between the parties as follows:

 

		1.	Preamble and Headings

 

		1.1	The preamble to this Addendum
                                         to the Agreement and its appendices constitutes an integral part thereof.

 

		1.2	The margin titles appearing
                                         in this Addendum to the Agreement are for the purpose of convenience only and do not
                                         constitute a part of this Addendum to the Agreement and shall not be considered for purpose
                                         of interpretation.

 

		1.3	Appendices to this Addendum:

 

		1.3.1	Appendix A – List of furniture
                                         that will be approved on Floor B.

 

		1.3.3	Appendix B – A blueprint
                                         of the Leasehold remaining after measurement.

 

		2.	The Additional Lease Period

 

		2.1	It is agreed that in accordance
                                         with Section 6.2 of the Agreement, the Term of the Lease will be extended to the Additional
                                         Term of the Lease that will commence on January 19, 2014 and end on January 19,
                                         2019.

 

		2.2	Section 6.3 of the Agreement
                                         will be amended such that according to it all of the provisions of the Agreement and
                                         its appendices, including what is stated in this Addendum, will apply, mutatis mutandis,
                                         to the Extended Term of the Lease as well, other than Section 6.2 of the Agreement.

 

		3.	The Leasehold During the Extended
                                         Term of the Lease

 

		3.1	At the end of the Term of the
                                         Lease, the Tenant will vacate Floor B which is included in the Leasehold and return exclusive
                                         possession thereof to the Company, all in accordance with the provisions of the Agreement,
                                         other than the furniture specified in Appendix A to the Second Addendum which the Parties
                                         have agreed will be left by the Tenant on Floor B and will become property of the Company.

 

For the avoidance of any doubt,
it is clarified that Section 5 of the First Addendum is void (as is Section 28.1.A of the Agreement which was added therein),
that the Tenant is not entitled to sublease the Remaining Leasehold, as it is defined below or a portion thereof by means of a
sublease, and that the area of the Remaining Leasehold (as defined, below) will be subject to the provisions of Section 28 of
the Original Agreement.

 

     

    

 

    

 

		3.2	The area of the Leasehold that
                                         shall remain in the Tenant's possession and which will constitute the area of the Leasehold
                                         during the Extended Term of the Lease will be the area of the ground floor (486 m2
                                         net) and the first floor (542 m2 net) in the northern wing of the Ofek 4 building,
                                         a storeroom with an area of 20 m2 on the split floor, all as described in the blueprints
                                         attached as Appendix B to this Addendum, a supplement of 50% with respect to public areas,
                                         meaning, an area of 1137 m2 gross, and 10 covered parking spots and 12 uncovered
                                         parking spots as described in the blueprint attached as Appendix A1 (hereinafter: the
                                         "Remaining Leasehold" / the "Remaining Leasehold Area").

 

		3.3	The provisions of the Agreement
                                         and the Second Addendum will apply during the Extended Term of the Lease to the Remaining
                                         Leasehold only.

 

		3.4	As of January 19, 2014,
                                         anywhere in the Agreement that says the "Leasehold" will be replaced with the
                                         "Remaining Leasehold."

 

		4.	Modification of the Lease Fees

 

It is agreed that as of January 19,
2014 and until the end of the Extended Term of the Lease, Section 11.1.6 of the Agreement (as added in Section 3.1 of the First
Addendum) is void and will be replaced with a section worded as follows:

 

"11.1.6 During the
entire Extended Term of the Lease, a sum equal to NIS 66,666 per month."

 

		5.	Option to Add a Gallery

 

		5.1	Subject to and without derogating
                                         from what is stated in Section 15 of the Agreement, is clarified that if the Tenant makes
                                         a request of the Company to add a gallery on the ground floor of the building, the Company
                                         will not refuse this request except based on reasonable grounds.

 

		5.2	For the avoidance of doubt,
                                         it is hereby clarified that if the Tenant constructs a gallery in the Remaining Leasehold
                                         as described above, the rent stated in Section 11.1.6 of the Agreement (as modified by
                                         Section 4, above) will not be changed, but the area of the gallery will be included in
                                         the developed area for the purpose of paying management fees and service fees under the
                                         Letter of Undertaking attached as Appendix E to the Agreement.

 

		6.	Updating the Amount of the
                                         Bank Guarantee

 

It is agreed that the amount
of the Bank Guarantee according to Section 26 of the Agreement will be, during the Extended Term of the Lease, in the sum of NIS
400,000, equal to 6 months' rent.

 

     

    

 

    

 

		7.	Liquidated Damages

 

Section 25.6 will be amended
such that the amount of the liquidated damages in the event of rescission of the Agreement based on its breach by the Tenant will
be NIS 266,000.

 

		8.	General

 

		8.1	Subject to what is stated in
                                         this Addendum to the Agreement, all of the provisions of the Agreement and its appendices
                                         shall remain in effect.

 

		8.2	For the avoidance of doubt,
                                         the Parties hereby declare that they are aware and agree that:

 

		A.	Their undertakings under this Addendum
                                         do not derogate from their obligations under the Agreement but rather are in addition
                                         thereto.

 

		B.	Subject to what is stated in this
                                         Addendum, the provisions of this Addendum do not derogate from the provisions of the
                                         Agreement and its appendices or any right granted to either of the Parties under the
                                         Agreement and its appendices.

 

		C.	In the event of a contradiction
                                         between the Agreement and this Second Addendum, the provisions of this Second Addendum
                                         shall prevail.

 

In witness whereof, the Parties have
set their hand:

 

	/s/
    Itamar Medical Ltd.	 	 
	The Company	 	The Tenant

 

     

    

 

    

 

[INFORMAL ENGLISH TRANSLATION]

 

Third Addendum to the Unprotected Lease Agreement
of the 19th of July 2007

Entered into and executed in Caesarea on the
____ of the month of _____ in the year 2015.

 

	Between:	The Caesarea Edmond Benjamin de Rothschild Assets Corp. (2001) Ltd.
	 	Private co. no. 513082321
	 	PO Box. 4888, Old City of Caesarea, 38900 
	 	(hereinafter: the "Company")

 

the Party of the First Part;

 

	and between	Itamar Medical Ltd.
	 	Private co. no. 512434218
	 	7 Ha-Eshel Street, Industry Park, Caesarea 
	 	(hereinafter: the "Tenant")

the Party of the second part;

 

	Whereas:	On July 19, 2007, an unprotected lease agreement (hereinafter: the "Original Lease Agreement") was executed between the Company and between the Tenant in relation to the Leasehold in the Ofek 4 building (hereinafter: the "Structure"), all as specified and as defined in the Original Lease Agreement;
	 	 
	And whereas:	On December 25, 2008, the First Addendum to the Original Lease Agreement (hereinafter: the "First Addendum") according to which, inter alia, the area of the Leasehold as defined in the First Supplement was reduced to the three floors of the northern wing, a storeroom, and covered as well as uncovered parking spots, and the Rent as defined in the First Addendum was modified, all as specified in the First Addendum;
	 	 
	And whereas:	In 2013, the Second Addendum to the Original Lease Agreement (hereinafter: the "Second Addendum") was executed, according to which, inter alia, the duration of the Term of the Lease was extended to the Extended Term of the Lease until January 19, 2019, the area of the Leasehold was reduced to two floors of the northern wing, a storeroom, and covered as well as uncovered parking spots, as defined in the Second Addendum, and the Lease Fees were modified, all as specified in the Second Addendum.
	 	 
	 	The Original Lease Agreement, the First Addendum and the Second Addendum will hereinafter be called: the "Lease Agreement;"
	 	 
	And whereas:	The Tenant made a request of the Company to rent additional space on the second floor as of the Delivery Date of the Additional Leasehold and until January 19, 2019 in the southern wing of the Structure, all as defined and specified in this Addendum, below, and the Company is willing to grant the Tenant's request;

 

     

     

    

 

	And whereas:	Without derogating from what is stated in Section 12.3 of the Lease Agreement, the Company declares that the Structure in which the Additional Leasehold is located is built in accordance with the building permit, that to the best of its knowledge, the Structure's systems are functional and in operation, and that other than the ownership rights of the State of Israel and the primary lessee to the Lot, as specified in the Land Registry, the Lot is free of third-party rights and/or attachments and/or charges;
	 	 
	And whereas:	The Parties wish to settle the terms relating to the lease of the Additional Leasehold (as defined, below) to the Tenant, all as specified in this Addendum, below;

 

Therefore, it is declared, stipulated, and
agreed between the Parties as follows:

 

		1.	Preamble and Headings

 

		1.1	The preamble to this Addendum to the Lease Agreement constitutes an integral part thereof.

		1.2	The margin titles appearing in this Addendum to the Lease Agreement are for the purpose of convenience
only and do not constitute a part of this Addendum to the Lease Agreement and shall not be taken into account for purpose of interpretation.

		1.3	The following documents are attached as appendices to this Addendum and constitute an integral
part hereof:

Blueprint and Description of the
Leasehold – Appendix A

Blueprint of the Covered Parking
Spots and a blueprint of the Uncovered Parking Spots – Appendix A1

Blueprint of the Additional Leasehold
 – Appendix A2

Blueprint of the Additional Covered
Parking Spots and a blueprint of the Additional Uncovered Parking Spots – Appendix A3

Confirmation of the Tenant's construction
work insurance and the Tenant's fixed insurance policies – Appendices B and B1

Bank guarantee wording – Appendix
C

 

		2.	Changes in Definitions

 

As of May 5, 2015,
the following changes will apply to the Lease Agreement: 

 

		2.1.	It is agreed that the definition of the Leasehold that
remains in Section 2.1 of the Lease Agreement (as amended by Section 3.2 of the Second Addendum) shall be voided and replaced
with the following definition:

 

     

     

    

 

	The "Original Leasehold" –	the area of the ground floor (approximately 486 m2 net) and the first floor (approximately 542 m2 net) in the northern wing of the Structure (as defined, below) as marked in blue on the blueprint attached to this Agreement as Appendix A (hereinafter: the "Hall"), a storeroom with an area of 20 m2 on the split floor in the northern wing of the Structure as marked in red on the blueprint attached to this Agreement as Appendix A imprint hereinafter: the "Storeroom"), 10 covered parking spots on the split floor, as marked in green on the blueprint attached to this Agreement as Appendix A1 (hereinafter: the "Covered Parking Spots"), and 12 uncovered spots in the yard of the Structure as indicated in yellow on the blueprint attached to this Agreement as Appendix A1 (hereinafter: the "Uncovered Parking Spots").

 

		2.2.	It is agreed that the definition of the Original Leasehold
in Section 2.1 of the Lease Agreement (as amended by Section 2.1, above) shall be followed by the definitions the "Additional
Leasehold" and the "Leasehold," as follows:

 

	The "Additional Leasehold" -	An area of approximately 247.59 m2 gross on the second floor of the southern wing of the Structure (as it is defined, below) as marked in red in the blueprint attached to this Agreement as Appendix A2 (hereinafter: the "Additional Hall"), 2 covered parking spots as indicated in green on the blueprint attached to this Agreement as Appendix A3 (hereinafter: the "Additional Covered Parking Spots"), and 2 uncovered spots in the yard of the Structure, as indicated in yellow on the blueprint attached to this Agreement as Appendix A3 (hereinafter: the "Additional Uncovered Parking Spots").

 

	The "Leasehold" –	The Original Leasehold and the Additional Leasehold, jointly.

 

		2.3.	After the definition of the "Base Index"
in Section 2.1 of the Lease Agreement, shall be added the definition for the "Base Index in Relation to the Additional Leasehold"
in the following wording:

 

The "Base Index in Relation
to the Additional Leasehold" – the November 2008 Index as published on December 15, 2008, which is 480.82 points
(according to a 1987 average base).

 

		2.4.	It is agreed that Appendices A and A1 to the Lease
Agreement will be void and Appendices A, A1, A2, and A3 which are attached as appendices to this Addendum to the Lease Agreement
will replace them and they will constitute Appendices A, A1, A2, and A3 to the Lease Agreement.

 

     

     

    

 

The following shall be added at the
beginning of Section 2.2 of the Lease Agreement:

 

"Blueprint of the Additional
Leasehold – Appendix A2

 

Blueprint of the Additional Covered
Parking Spots and a blueprint of the Additional Uncovered Parking Spots – Appendix A3"

 

		2.5.	It is agreed that Appendix F to the Lease Agreement
will be void and replaced by the insurance confirmations attached as Appendices B and B1 to this Addendum to the Lease Agreement,
which will constitute Appendices F and F1 to the Agreement.

 

In Section 2.2 of the Agreement (as
amended by Section 2.4, above), "Confirmation of Insurance – Appendix F" shall be replaced with:

 

Confirmation of the Tenant's
construction work insurance and the Tenant's fixed insurance policies – Appendices F and F1

 

		2.6.	For the avoidance of any doubt, it is clarified that
Section 3.2 through 3.4 of the Second Amendment will be void.

 

		3.	Delivery of the Additional Leasehold

 

Is agreed that Section 9 and Section
10 of the Lease Agreement will not apply to the Additional Leasehold. As of May 5, 2015, Section 9 will be followed
by Section 9A, as follows:

 

"9A. Delivery of the Additional
Leasehold

 

		9.1.A	The Company will deliver the Additional Leasehold to the Tenant in its condition as is and as
specified in this Agreement, clean, orderly, and free of any person or object, where all of the systems included in the public
areas in the building are functional and operating appropriately on May 5, 2015 (hereinafter: the 'Delivery
Date of the Additional Leasehold'). Receipt of possession of the Additional Leasehold on the Delivery Date of the Additional Leasehold
constitutes a full and final waiver of any claims of nonconformity [unsuitability] with respect to the Additional Leasehold, other
than with regard to a fault/defect that cannot be discovered upon reasonable examination. At such time, a protocol will be prepared
in the presence of the Tenant and a representative of the Company which will list the condition of the Additional Leasehold. The
Tenant undertakes to appear at the Additional Leasehold on the Delivery Date of the Additional Leasehold in order to take possession
of the Additional Leasehold.

 

     

     

    

 

		9.2.A	If the Tenant, for any reason whatsoever that is within its control, did not appear at the Additional
Leasehold on the Delivery Date of the Additional Leasehold and as a result, did not take possession of the Additional Leasehold
on time or appeared and refused to take possession of the Additional Leasehold when its condition conforms to this Agreement, the
Additional Leasehold will be considered to have been delivered for all intents and purposes on the Delivery Date of the Additional
Leasehold and the Tenant will be subject to all of the obligations under this Agreement which apply to it as of the Delivery Date
of the Additional Leasehold. Included in this is responsibility for the condition of the Additional Leasehold, its maintenance
and safeguarding, and the obligation to pay all expenses, taxes, and levies stemming from possession of the Additional Leasehold.

 

		9.3.A	It is clarified that the deposit of a valid bank guarantee with the Company as described in
Section 26, below, and confirmation of valid insurance as required in Section 23, below, will constitute a precondition to delivery
of possession of the Additional Leasehold to the Tenant, and a delay in delivery of possession to the Tenant as a result of failure
to deposit said documents with the Company will not constitute a breach of this Agreement by the Company, and the delay in delivery
of possession will not release the Tenant from its obligations under this Agreement and its appendices, including payment of the
Rent and all other payments that apply to it as of the Delivery Date of the Additional Leasehold under this Agreement and its appendices."

 

		4.	The Rent in Relation to the Additional Leasehold

 

As of May 5, 2015
, the following changes will apply to the Lease Agreement:

 

		4.1.	Section 11.1 of the Lease Agreement (as amended by
the First Addendum and the Second Addendum) will be void and shall be replaced by Section 11.1 in the following wording:

 

		“11.1	In consideration of the lease of the Original Leasehold
during the Extended Term of the Lease, the Tenant undertakes to pay the Company monthly rent for the Original Leasehold in a sum
equal to NIS 66,666 per month."

 

		4.2.	Section 11.1 of the Lease Agreement shall be followed
by Section 11.1.A in the following wording:

 

		“11.1.A	In consideration of the lease of the Additional
Leasehold during the Extended Term of the Lease, the Tenant undertakes to pay the Company monthly for the Additional Leasehold
as follows:

 

		11.1.A.1	A sum equal to NIS 13,122 per month with respect to the Additional Hall.

 

     

     

    

 

		11.1.A.2	A sum of NIS 65 per month for each Additional Uncovered Parking Spot.

 

		11.1.A.3	A sum of NIS 147 per month for each Additional Covered Parking Spot.

 

And [for] a total sum of NIS 13,546
per month. The amount specified in Sections 11.1.A.1, 11.1.A.2, and 11.1.A.3 will hereinafter be jointly called: the ’Rent
with Respect to the Additional Leasehold.’

 

The Rent with respect to the
Original Leasehold and the Rent with Respect to the Additional Leasehold will hereinafter be called, jointly: the ‘Rent.’"

 

		4.3.	The provisions of Section 11.2 of the Lease Agreement
are void and shall be replaced with the following Section 11.2 in the following wording:

 

		“11.2	Linkage differentials to the rate of the Index
between the Base Index and the last known Index on the date of any payment will be added to the Rent with respect to the Original
Leasehold. For the avoidance of doubt, it is clarified that in any case in which the new Index shall be lower than the Base Index,
the amounts denominated in this Agreement will not change.

 

Linkage differentials
will be added to the rate of the Index between the Base Index in relation to the Additional Leasehold and the last known Index
on the date of payment of any amount whatsoever on account of the Lease Fees with respect to the Additional Leasehold. For the
avoidance of doubt, it is clarified that in any case in which the new Index shall be lower than the Base Index in relation to the
Additional Leasehold, the amounts denominated in this Agreement will not change."

 

		5.	Damage to the Leasehold

 

As of May 5, 2015 ,
the following changes will apply to the Lease Agreement:

 

		5.1.	The provisions of Section 17.2.1 of the Lease Agreement
are void and shall be replaced with the following Section 17.2.1 in the following wording:

 

		“17.2.1	The Company undertakes, within a reasonable period
of time under the circumstances, and immediately in urgent cases under which use of the Original Leasehold is prevented, to repair
the Original Leasehold and the systems that were installed by it, any fault, breakage, or defect, caused as a result of reasonable
wear stemming from ordinary use and whose repair is required in order to permit continued reasonable use of the Original Leasehold,
or to bear the expenses of such repair, at its discretion and in coordination with the Tenant. As required, the Company will reimburse
the Tenant for the expenses laid out by it for the purpose of making such repair in exchange for providing it with appropriate
receipts for the same. For the avoidance of doubt, it is clarified that the Company shall not bear expenses for such repair where
such repair was made without its prior knowledge and/or without its consent and/or not according to its instructions."

 

     

     

    

 

		5.2.	Section 17 of the Lease Agreement shall be followed
by Section 17A in the following wording:

 

"17A.
Damage to the Additional Leasehold

 

		17A.1.	In any event of damage, defect, breakage, or fault caused to the Additional Leasehold, whatever
its cause may be, the Tenant undertakes to give notice of the same to the Company the moment it is made aware of it, as quickly
as possible under the circumstances, and to act in accordance with the Company's instructions with regard thereto.

 

		17A.2	It is agreed that:

 

		17A.2.1	The Company undertakes to repair only those damages relating to the installation of the Structure,
the walls and ceilings of the Structure, stability of the Structure, electrical, sewage, and water systems, in a reasonable amount
of time under the circumstances provided that these damages were not caused as a result of improper use of the Additional Leasehold
by the Tenant.

 

		17A.2.2	The Tenant undertakes to repair, itself and at its expense, any damage, defect, breakage, or
fault caused to the Additional Leasehold and/or its systems which is not the responsibility of the Company as stated in Section
17A.2.1, above.

 

To the extent
the Tenant does not repair the damage, the fault, the breakage, or the defect, the Company shall be entitled to make the repair
in any way it sees fit, whether on its own or by means of an agent, and the Tenant hereby undertakes to pay the Company for the
expenses from the repair incurred by the Company resulting from the Tenant's above omission, immediately upon receiving the receipt
for the expenses from the repair and/or as applicable, the damages, from the Company, without derogating from the Company's right
to any other remedy granted under this Agreement or under the provisions of any law.

 

		17.2.3	The term 'repair' with regard to this Section and with regard to it alone also means replacing
that which requires repair, to the extent necessary, with a new such article, all at the Company's discretion."

 

     

     

    

 

		6.	Amendment of Insurance Clauses

 

		6.1.	It is agreed that as of the date of the execution of
this Addendum, Section 23 of the Lease Agreement (including all subsections) shall be void and replaced by Section 23 in the following
wording:

 

		“23.	Insurance

 

		23.1	Subject to the provisions of this Agreement and all that relates to authorization to perform
work in the Leasehold, should any such work be done in the Leasehold by the Tenant and/or its agent on any date during the course
of the Term of the Lease, the Tenant undertakes to provide the Company, prior to commencing execution of such work, confirmation
of having obtained insurance for the Tenant's work, [in the form] attached to this Agreement and constituting an integral part
hereof, marked as Appendix F (respectively – hereinafter: the "Confirmation of Insurance for the Tenant's Construction
Work" and the "Tenant's Construction Work Insurance"), signed by its insurer.

 

The Tenant
declares that it is aware that provision of said Confirmation of Insurance for the Tenant's Construction Work is a condition precedent
and precondition to the execution of any work in the Leasehold, and the Company and/or the Management Company of the structures
(if one exists) (in this Section 23, hereinafter: the "Management Company") shall be entitled (but not obligated) to
prevent the Tenant from executing the work in the Leasehold, if said confirmation is not provided to it prior to the commencement
of the execution of the work.

 

		23.2	During the entire course of the Term of the Lease, the Tenant undertakes to obtain and maintain
the insurance policies specified in the confirmation of insurance attached to this Agreement and which constitute an integral part
hereof and is marked Appendix F1 (respectively – hereinafter: the "Confirmation of the Tenant's Fixed Insurance Policies"
and the "Tenant's Fixed Insurance Policies").

 

		23.3	Without requiring a demand on the part of the Company and/or the Management Company, the Tenant
undertakes to provide the Company and/or the Management Company, prior to the date on which any property is brought into the Leasehold
(other than the property included in the insured construction work insured under the Confirmation of Insurance for the Tenant's
Construction Work), with the Confirmation of the Tenant's Fixed Insurance Policies.

 

     

     

    

 

The Tenant
declares that it is aware that delivery of the Confirmation of the Tenant's Fixed Insurance Policies is a condition precedent as
well as a precondition to bringing any property into the Leasehold (other than the property included in the work insured under
the Tenant’s Construction Work Insurance) and/or to operation of the Leasehold for the Purpose of the Lease, and the Company
and/or the Management Company shall be entitled (but not obligated) to prevent the Tenant from bringing in said property and/or
operating the Leasehold for the Purpose of the Lease in the event it was not delivered prior to the date indicated above.

 

		23.4	It is agreed that the Tenant is entitled not to take out a policy for resultant loss, full or
partial, as specified in Section (4) of the Confirmation of the Tenant's Fixed Insurance Policies and/or not to purchase coverage
with respect to broken glass, full or partial, as specified in Section (1) of the Confirmation of the Tenant's Fixed Insurance
Policies, but the exception specified in Section 7.23, below, will apply as if said insurance policies were obtained in full.

 

		23.5	If, in the Tenant’s opinion, it is necessary to obtain insurance that is additional and/or
supplemental to the Tenant's Construction Work Insurance and/or the Tenant's Fixed Insurance Policies, the Tenant undertakes to
obtain and maintain said additional and/or supplemental insurance. Any such additional or supplemental insurance will include a
clause regarding waiver of the right to subrogation vis-à-vis the Company and/or the Management Company and any of their
representatives. Similarly, with regard to liability insurance policies, the name of the insured will be expanded to include the
Company and/or the Management Company subject to a cross-liability clause according to which the insurance is considered as having
been issued separately for each of the individual insureds.

 

		23.6	The Tenant undertakes to update the insurance amounts with respect to the insurance policies
obtained under Sections (1) and (4) of the Confirmation of the Tenant's Fixed Insurance Policies, from time to time, in order that
they always reflect the full value of the subject of the insurance insured by them.

 

     

     

    

 

		23.7	The Tenant releases the Company and/or the Management Company and/or any of their representatives,
as well as the Other Rights Holders who, in the lease agreements of the Other Rights Holders or any other agreement granting such
Other Rights Holders rights in the structures, there is a parallel release for the Tenant from liability with respect to damage
from which he is entitled to indemnification with respect thereto under the insurance policies taken out according to Section (1)
of the Confirmation of Insurance for the Tenant's Construction Work, Sections (1) and (4) of the Confirmation of the Tenant's Fixed
Insurance Policies and, in relation to the Company and/or the Management Company or any of their agents, with respect to additional
property insurances that it obtains as stated in Section 23.5, above (or with respect to which it would have been entitled to indemnification
but for the deductible stipulated in the policies), but such release from liability will not apply in favor of a person who maliciously
causes damage.

 

		23.8	no later than 14 days prior to the date of the expiration of the Tenant's Fixed Insurance Policies,
the Tenant undertakes to provide the Company and/or the Management Company with Confirmation of the Tenant's Fixed Insurance Policies
with respect to the extension of its duration for an additional year. The Tenant undertakes to continue to deposit Confirmation
of the Tenant's Fixed Insurance Policies on the dates stipulated, each insurance year, for as long as this Agreement is in effect.

 

		23.9	Each time the Tenant's insurer notifies the Company that any of the Tenant's Fixed Insurance
Policies faces cancellation or that there will be an adverse change to it as stated at the end of Appendices F and F1, the Tenant
undertakes to re-obtain that same policy and to provide confirmation of having obtained new insurance, 30 days prior to the date
of the cancellation or adverse change to said insurance.

 

		23.10	For the avoidance of doubt, it is clarified that failure to provide confirmations of insurance
on time, as stated in Sections 23.1, 23.3, 23.8, and 23.9, above, will not detract from the Tenant's obligations under this Agreement
including, without derogating from the generality of the above, any payment obligation which applies to the Tenant, and the Tenant
undertakes to fulfill all of its obligations under this Agreement even if it is prevented from carrying out construction work and/or
bringing property into the Leasehold and/or operating the Leasehold for the Purpose of the Lease as a result of not having presented
the confirmations on time.

 

     

     

    

 

		23.11	The Company and/or the Management Company are entitled to examine the insurance confirmations
provided by the Tenant as stated in Section 23.1, 23.3, 23.8, and 23.9, above, and the Tenant undertakes to make any change or
amendment required in order to conform them to the Tenant's obligations as stated in this Agreement. The Tenant declares that the
right of review of the Company and/or the Management Company in relation to the insurance confirmations and their right to require
their amendment as specified, above, does not impose on the Company and/or the Management Company and/or any of their agents, any
obligation or liability whatsoever in anything related to said insurance confirmations, the quality, scope, or validity of the
insurance policies obtained under said confirmations, or regarding their absence, and it does not derogate from any obligation
whatsoever imposed on the Tenant under this Agreement and/or by law.

 

		23.12	The Tenant undertakes to abide by the terms of the insurance policies that it obtains, to pay
the insurance premiums in full and on time as agreed with the insurer, and not to commit any act that may reduce and/or cancel
the validity of the insurance policies, and will ensure and ascertain that the Tenant's Fixed Insurance Policies are renewed from
time to time as needed and remain in effect during the entire Term of the Lease.

 

		23.13	The Tenant undertakes to comply with the safety procedures/guidelines that will be published
(if they are published) from time to time by the Company and/or the Management Company.

 

		23.14	For the removal of doubt, it is hereby agreed that the limits of liability required from what
is stated in Appendices F and F1 are the minimum requirement placed on the Tenant. The Tenant declares and confirms that it is
precluded from raising any claim and/or request against the Company and/or the Management Company and/or anyone acting on their
behalf for anything related to the stated limits of liability.

 

		23.15	The Tenant hereby declares that it is aware that the Company and/or the Management Company do
not undertake to maintain guard services and/or other means of security in the structures and/or the Leasehold, and, should they
do so, this does not create an obligation or a duty to the Tenant. It is also expressly agreed that the Guard Law, 1967, does not
apply to the Agreement and to its appendices.

 

     

     

    

 

		6.2.	On the date of the execution of this Addendum, the
Tenant will provide the Company with insurance confirmations in the Tenant's name in accordance with the provisions of Section
23 of the Lease Agreement (as amended by Section 6.1 of this Addendum, above).

 

		7.	Bank Guarantee

 

As of the date of the execution
of this Addendum, the following changes will apply to the Lease Agreement:

 

		7.1.	As of May 5, 2015, Section 26 of
the Lease Agreement (including all subsections) shall be void and replaced by Section 26 in the following wording:

 

		“26.	Bank Guarantee

 

		26.1	The Tenant undertakes to provide the Company, upon the execution of this Agreement, an autonomous
unconditional, nonnegotiable bank guarantee, drafted in favor of the Company as beneficiary, exercisable all at once and in increments,
duly stamped at the Tenant’s expense, in the sum of NIS 400,000 (four hundred thousand new Israeli shekels) (hereinafter:
the "Base Guarantee Amount in Relation to the Original Leasehold") to ensure performance of all of its obligations under
this Agreement, that shall be valid or renewed annually as of the date of the inception of the Agreement and until the end of three
months following the end of the Extended Term of the Lease, in the wording attached to this Agreement as Appendix G (hereinafter:
the ‘Bank Guarantee in Relation to the Original Leasehold’).

 

The Tenant
undertakes to provide the Company, by May 5, 2015, an autonomous unconditional, nonnegotiable bank guarantee,
drafted in favor of the Company as beneficiary, exercisable all at once and in increments, duly stamped at the Tenant’s expense,
in the sum of NIS 92,900 (ninety-two thousand nine hundred new Israeli shekels) (hereinafter: the 'Base Guarantee Amount in Relation
to the Additional Leasehold') to ensure performance of all of its obligations under this Agreement, that shall be valid or renewed
annually as of May 5, 2015 and until the end of three months following the end of the Extended Term of
the Lease, in the wording attached to this Agreement as Appendix G (hereinafter: the 'Bank Guarantee in Relation to the
Additional Leasehold').

 

     

     

    

 

The Base
Guarantee Amount in Relation to the Original Leasehold and the Base Guarantee Amount in Relation to the Additional Leasehold shall
hereinafter jointly be called: the 'Base Guarantee Amount.' 

 

The Bank
Guarantee in Relation to the Original Leasehold and the Bank Guarantee in Relation to the Additional Leasehold will hereinafter
jointly be called: the 'Bank Guarantee.'

 

		26.2	The Bank Guarantee in Relation to the Original Leasehold shall be linked to the Index such that
if it is discovered on the date the Bank Guarantee is exercised that the new Index has gone up in comparison to the Base Index,
any amount required by the increase in the New Index as compared to the Base Index will be added to the amount of the Bank Guarantee
in Relation to the Original Leasehold (the Base Guarantee Amount in Relation to the Original Leasehold).

 

The Bank
Guarantee in Relation to the Additional Leasehold shall be linked to the Index such that if it is discovered on the date the Bank
Guarantee is exercised that the new Index has gone up in comparison to the Base Index in Relation to the Additional Leasehold,
any amount required by the increase in the New Index as compared to the Base Index will be added to the amount of the Bank Guarantee
in Relation to the Additional Leasehold (the Base Guarantee Amount in Relation to the Additional Leasehold).

 

With regard
to this:

 

The 'New
Index' – the Index that will be known on the date the Bank Guarantee is exercised.

 

		26.3	Without derogating from the other provisions of this Agreement, it is agreed that in any case
in which the Tenant did not pay any amount it is required to pay under this Agreement and/or in any case in which the Tenant breached
any of its obligations under this Agreement and as a result, the Company incurred any damage and/or expense and/or the Company
bore (or was required to bear) any damage or expense stemming from an action or an omission by the Tenant, the Company shall be
entitled, at any time it sees fit, if at all, and until the expiration of the Bank Guarantee, to exercise the Bank Guarantee, in
whole or in part, at its decision, and without being required to explain this to the guaranteeing bank, in order that said Bank
Guarantee monies be used as indemnification (full or partial, as applicable), of the Company with respect to any amount it is owed
under this Agreement and/or expense or damage caused to the Company as aforesaid by the Tenant subject to 14 days' prior written
notice to the Tenant and to the extent the breach was not corrected. Should the Company thus exercise the Bank Guarantee, in whole
or in part, the Tenant will provide the Company, within 14 days, with a new bank guarantee for the missing amount such that the
full amount of the Bank Guarantee, linked to the Index as stated in Section 26.2, above, will once again be in the Company's possession.

 

     

     

    

 

For the
avoidance of doubt, should the Company decide to exercise only a portion of the amount of the Bank Guarantee, the Bank Guarantee
shall remain valid in relation to the balance of the amount of the Bank Guarantee as stated above, without the Company being required
to return the actual guarantee to the Bank or, alternatively, the Company will be provided with a new guarantee for the balance
of the amount of the Bank Guarantee.

 

		26.4	All expenses and fees involved in obtaining the Bank Guarantee will apply to and be paid by
the Tenant.

 

To the extent
that the duration of this Agreement is extended, the Tenant undertakes to extend the duration of the Bank Guarantee and to provide
the Company with said extended guarantee (or the guarantor's confirmation of such extension of the Bank Guarantee) prior to the
commencement of the Extended Term of the Lease. It is clarified that to the extent the Tenant does not act as stated in this Section
26.4, above, the Company will be entitled, at its exclusive discretion, to instruct the Bank to foreclose the above extended guarantee
and to hold it as a deposit."

 

		7.2.	For the avoidance of doubt, it is clarified that on
the date of the execution of this Addendum, the Tenant will provide the Company with a bank guarantee in relation to the Additional
Leasehold in the Tenant's name in the sum of NIS 92,000 in accordance with the provisions of Section 26 of the Lease Agreement
(as amended by Section 8.3 of this Addendum, above). It is further clarified that a bank guarantee in relation to the Additional
Leasehold is deposited with the Company in addition to the bank guarantee in relation to the Original Leasehold in the sum of
NIS 400,000 which is currently in the Company's possession.

 

		8.	Amendment of the Letter of Undertaking –
Appendix E to the Lease Agreement

 

As of May 5, 2015,
the following modifications will apply to the Letter of Undertaking (Appendix E to the Lease Agreement):

 

		8.1.	The second Whereas in the Letter of Undertaking will
be void and replaced by the following Whereas:

 

		"And whereas: 	The
                                         lessee has requested of the Company that it consent that we, Itamar Medical Ltd., priv.
                                         co. no. 512434218 (hereinafter: the 'Tenant') lease a total area expected to be approximately
                                         247.59 m2 (hereinafter: the 'Leasehold'), all as specified in the lease agreement
                                         between us and the lessee attached as Appendix A to this Letter of Undertaking (hereinafter:
                                         the 'Lease Agreement');

 

     

     

    

 

		8.2.	Section 6.10 of the Letter of Undertaking will be void
and replaced with Section 6.10 in the following wording:

 

		“6.10	To ensure all of our obligations under this Letter
of Undertaking, including but without derogating from the generality of the above, our obligation to pay service fees and management
fees, as specified in this section, we will deposit with the Company, no later than May 5, 2015, an
autonomous unconditional bank guarantee which is nonnegotiable in the sum of NIS 80,800 (hereinafter, respectively: the 'Base
Guarantee Amount' and the 'Bank Guarantee') it shall be valid for the entire period of time commencing on May 5,
2015 and until the end of one month from the date of the end of the Term of the Lease and/or the Extended Term of the
Lease, as applicable (as defined in the Lease Agreement between us and the lessee) and the wording attached to this Letter of
Undertaking as Appendix A.

 

We will provide
the Company, no later than _______ with a bank guarantee which shall be valid for a period of not less than one year and in such
case, undertakes to extend the duration of the Bank Guarantee from time to time at least 14 (fourteen) days prior to the end of
the duration of the guarantee (or the extended Bank Guarantee, as applicable) and for periods of time that shall not be less than
one year each, such that the Bank Guarantee shall be valid during the entire period of time commencing on the date of the commencement
of the Term of the Lease and ending 60 (sixty) days after the end of the Term of the Lease. Without derogating from our undertaking
to extend the duration of the Bank Guarantee at least 14 days prior to its expiration, in the event that we do not present the
Company with an extension of the Bank Guarantee at least 14 days before its expiration, the Company shall be entitled (but not
obligated) to exercise the Bank Guarantee and to maintain possession of the funds received as a surety in place of the Bank Guarantee.

 

		6.10.1	The Bank Guarantee shall be linked to the Index such that if it is discovered on the date the
Bank Guaranteed is exercised that the new Index has gone up in comparison to the Base Index for the Bank Guarantee, any amount
required by the increase in the New Index as compared to the Base Index for the Bank Guarantee will be added to the amount of the
Bank Guarantee (the Base Guarantee Amount).

 

     

     

    

 

With regard
to this: the 'Base Index for the Bank Guarantee' – the index for the month of February as published
on the 15th of the month of March 2015, which is 532.12 points (according to a 1987 average
basis). [The known Index will be filled in on the date the Addendum is executed].

 

The 'New Index'
 – the Index that will be known on the date the Bank Guarantee is exercised.

 

For the avoidance
of doubt, it is clarified that in any case in which the New Index shall be lower than the Base Index for the Bank Guarantee, the
New Index will not be considered and the last known Index that is higher than the Base Index for the Bank Guarantee will be used.

 

		6.10.2	In any event in which we have breached any of our obligations under this Letter of Undertaking
and as a result, the Company has incurred any damage and/or the Company bore (or was required to bear) any damage as a result of
any expense stemming from our action or omission, the Company shall be entitled, at any time it sees fit, if at all, and until
the end of the duration of the Bank Guarantee, to exercise the Bank Guarantee, in whole or in part, at its decision and without
being required to explain it to the guaranteeing bank, subject to prior written notice of 14 days and to the extent that the breach
has not been corrected, in order that the monies from said Bank Guarantee be used as an indemnity (as applicable) from the Tenant
to the Company with respect to the expense of damage thus caused by us to the Company. Should the Company thus exercise the Bank
Guarantee, in whole or in part, we will provide the Company, within 14 days, with a new bank guarantee for the missing amount such
that the full amount of the Bank Guarantee, linked to the Index as stated in Section 6.10.1, above, will once again be in the Company's
possession.

 

		6.10.3	For the avoidance of doubt, should the Company decide to exercise only a portion of the amount
of the Bank Guarantee, the Bank Guarantee shall remain valid in relation to the balance of the amount of the Bank Guarantee as
stated above, that was not exercised by the Company.

 

     

     

    

 

		6.10.4	For the avoidance of doubt, the provision of the Bank Guarantee does not release or diminish
our obligation to fulfill all of our obligations under this Letter of Undertaking and likewise does not derogate from our obligation
to indemnify the Company with respect to any expense and/or damage caused to the Company as a result of an action or omission for
which we are responsible.

 

		6.10.5	All expenses, taxes, and fees involved in obtaining the Bank Guarantee will apply to and be
paid by us.

 

To the extent
that the duration of the Lease Agreement is extended, we undertake to extend the duration of the Bank Guarantee and to provide
the Company with said extended guarantee (or the guarantor bank's confirmation of such extension of the Bank Guarantee) 14 days
prior to the expiration of the Bank Guarantee. To the extent we do not act as stated, the Company will be entitled, at its exclusive
discretion, to instruct the guaranteeing bank to foreclose the above extended guarantee and to hold it as a deposit (or to instruct
the guaranteeing bank to extend the duration of said Bank Guarantee)."

 

		8.3.	On the date of the execution of this Addendum, the
Tenant will provide the Company with a bank guarantee in the sum of NIS 80,000 in accordance with the provisions of Section 6
of the Letter of Undertaking (as amended by Section 9.2 of this Addendum).

 

		9.	General

 

		9.1.	Subject to what is stated in this Addendum to the Lease
Agreement, all of the provisions of the Lease Agreement and its appendices shall remain in effect.

 

		9.2.	For the avoidance of doubt, the Tenant hereby declares
that it is aware that:

 

		10.2.1.	Its undertakings under this Addendum do not derogate from its obligations under the Lease Agreement
and its appendices, but rather are in addition thereto.

 

		10.2.2.	Subject to what is stated in this Addendum, the provisions of this Addendum do not derogate from
the provisions of the Lease Agreement and its appendices or any right granted the Company and to the Tenant thereunder.

 

In witness
whereof, the Parties have set their hand:

 

	/s/ Itamar Medical Ltd.	 	 
	 	 	 
	The Company	 	The Tenant

 

     

     

    

 

[INFORMAL ENGLISH TRANSLATION]

 

Fourth Addendum to the Unprotected
Lease Agreement of the 19th of July 2007

Entered into and executed in Caesarea on the
9th of the month of August in the year 2015.

 

	Between:	The Caesarea Edmond Benjamin de Rothschild Assets Corp. (2001) Ltd.
	 	Private co. no. 513082321
	 	2 Ha-Eashel St., Caesarea 38900
	 	(hereinafter: the "Company")

 

the Party of the First Part;

 

	and between	Itamar Medical Ltd.
	 	Private co. no. 512431218
	 	7 Ha-Eshel Street, Industry Park, Caesarea
	 	(hereinafter: the "Tenant")

 

the Party of the second part;

 

	Whereas:	On July 19, 2007, an unprotected lease agreement (hereinafter: the "Original
    Lease Agreement") was executed between the Company and between the Tenant in relation to the Leasehold in the Ofek
    4 building (hereinafter: the "Structure"), all as specified and as defined in the Original Lease Agreement;
	 	 
	And whereas:	On December 25, 2008, the First Addendum to the Original Lease Agreement (hereinafter: the
    "First Addendum") according to which, inter alia, the area of the Leasehold as defined in the First
    Addendum was reduced to the three floors of the northern wing, a storeroom, and covered as well as uncovered parking spots,
    and the Rent as defined in the First Addendum was modified, all as specified in the First Addendum;
	 	 
	And whereas:	In 2013, a Second Addendum to the Original Lease Agreement (hereinafter: the "Second
    Addendum") as executed according to which, inter alia, the duration of the Term of the Lease was extended
    until January 19, 2019, the area of the Leasehold was reduced to two floors of the northern wing, a storeroom, and covered
    as well as uncovered parking spots, as defined in the Second Addendum, and the Rent was modified, all as specified in the
    Second Addendum;
	 	 
	And whereas:	On March 23, 2015, a Third Addendum to the Original Lease Agreement (hereinafter: the "Third
    Addendum") was executed, according to which, inter alia, the Tenant rented additional space on the second
    floor of the structure located in the Leasehold as defined in the Third Addendum;
	 	 
	 	The Original Lease Agreement, as amended by means of the First Addendum, the Second Addendum,
    and the Third Addendum, will hereinafter be called: the "Lease Agreement;"

 

     

     

    

 

	And whereas:	The Tenant requested of the Company to lease additional parking spots and the Company is willing to grant the Tenant’s request;
	 	 
	And whereas:	The Parties agree that additional parking spots be added to the Leasehold as stated above, all as specified in this Addendum, below;

 

Therefore, it is stipulated,
declared, and agreed between the parties as follows:

 

		1.	Preamble and Headings

 

		1.1.	The preamble to this Addendum to the Lease Agreement
and its appendices constitutes an integral part thereof.

 

		1.2	The margin titles appearing
                                         in this Addendum are for convenience only and shall not be given any interpretive value.

 

		1.3.	All of the terms of this Addendum
                                         will be interpreted according to the definitions stipulated for them in the Lease Agreement,
                                         unless it is inconsistent with context and subject to the express definition of the terms
                                         in this Addendum.

 

		1.4.	The following documents are
                                         attached as appendices to this Addendum and constitute an integral part hereof:

 

Appendix A – Blueprint of
the parking spots

 

		2.	Changes in Definitions

 

		2.1.	It
                                         is agreed that as of July 19, 2015, in Section 2.1 of the Lease Agreement (as amended
                                         by Section 2.1 and 2.2 of the Third Addendum), the words "and 2 uncovered parking
                                         spots in the yard of the Structure, as indicated in yellow in the blueprint attached
                                         to this Agreement as Appendix A3 (hereinafter: the 'Additional Uncovered Parking Spots')"
                                         shall be deleted and replaced with "and 4 uncovered parking spots in the yard
                                         of the Structure, as indicated in yellow on the blueprint attached to this Agreement
                                         as Appendix A3 (hereinafter: the 'Additional Uncovered Parking Spots')."

 

		2.2.	Without derogating from what
                                         is stated in the Lease Agreement, for the avoidance of doubt, it is clarified that the
                                         Tenant undertakes to pay the Company the sum of NIS 65 per month for each Additional
                                         Uncovered Parking Spot.

 

		2.3.	It was agreed that as of July 19,
                                         2015, in place of the blueprint for the Additional Covered Parking Spots and the Additional
                                         Uncovered Parking Spots attached as Appendix A3 to the Lease Agreement shall be replaced
                                         by the blueprint attached to this Addendum as Appendix 1.

 

     

     

    

  

		3.	General

 

		3.1.	Subject to what is stated
                                         in this Addendum to the Lease Agreement, all of the provisions of the Lease Agreement
                                         and its appendices shall remain in effect.

 

		3.2.	For the avoidance of doubt,
                                         the Tenant hereby declares that it is aware that:

 

		3.2.1.	Its undertakings under this
                                         Addendum do not derogate from its obligations under the Lease Agreement and its appendices
                                         but rather are in addition thereto.

 

		3.2.2.	Subject to what is stated in
                                         this Addendum, the provisions of this Addendum do not derogate from the provisions of
                                         the Lease Agreement and its appendices or any right granted the Company and to the Tenant
                                         thereunder.

 

In witness whereof, the Parties have set
their hand:

 

	/s/ Itamar Medical Ltd.	 	 
	 	 	 
	The Company	 	The Tenant

 

    	 

    	 

    

 

Fifth
Addendum to the Unprotected Lease Agreement of the 19th of July 2007

Entered
into and executed in Caesarea on the 19th of the month of January in the year 2019.

 

	Between:	The Caesarea Edmond
    Benjamin de Rothschild Assets Corp. (2001) Ltd.
	 	Private co. no. 513082321
	 	2 Ha-Eshel Street, Caesarea, 3079501
    
	 	(hereinafter: the “Company”)
	 	 
	 	the Party of the First Part;
	 	 
	and between	Itamar Medical Ltd.
	 	Private co. no. 512434218
	 	9 Halamish Street, Caesarea Industrial
    Park, Caesarea 3079580
	 	(hereinafter: the “Tenant”)
	 	 
	 	the Party of the second part;
	 	 
	Whereas:	On July 19, 2007, an unprotected
    lease agreement (hereinafter: the “Original Lease Agreement”) was executed between the Company and the Tenant
    in relation to the Leasehold in the Ofek 4 building (hereinafter: the “Structure”), all as specified and
    as defined in the Original Lease Agreement;
	 	 
	And whereas:	On December 25, 2008, the First Addendum
    to the Original Lease Agreement (hereinafter: the “First Addendum”) was executed, according to which, inter
    alia, the area of the Leasehold as defined in the First Supplement was reduced and the Rent as defined in the First Addendum
    was modified, all as specified in the First Addendum;
	 	 
	And whereas:	In 2013, the Second Addendum to the
    Original Lease Agreement (hereinafter: the “Second Addendum”) was executed, according to which, inter
    alia, the duration of the Term of the Lease was extended to January 19, 2019, the area of the Leasehold was reduced and
    the Rent modified, all as specified in the Second Addendum;
	 	 
	And whereas:	On March 25, 2015, the Third Addendum
    to the Original Lease Agreement (hereinafter: the “Third Addendum”) was executed, according to which, inter
    alia, the Tenant leased an additional area on the second floor of the Structure, all as specified in the Third Addendum;
	 	 
	And whereas:	On August 9, 2015, the Fourth Addendum
    to the Original Lease Agreement (hereinafter: the “Fourth Addendum”) was executed, according to which, inter
    alia, the Tenant leased additional parking spaces, all as specified in the Fourth Addendum;
	 	 
	 	The Original Lease Agreement, as
    amended by the First Addendum, the Second Addendum, the Third Addendum and the Fourth Addendum will hereinafter be called:
    the “Lease Agreement;”
	 	 
	And whereas:	The Tenant made a request to the
    Company to extend the term of the lease and the Company is willing to grant the Tenant’s request, all as specified in this
    Fifth Addendum, below.

 

Therefore,
it is declared, stipulated, and agreed between the Parties as follows:

 

    	 	 	1

     

    

 

		1.	Preamble
                                         and Headings

 

		1.1	The
                                         preamble to this Addendum to the Lease Agreement and its appendices constitutes an integral
                                         part thereof.

		1.2	The
                                         margin titles appearing in this Addendum to the Lease Agreement are for convenience purposes
                                         only and shall not be used for interpretation purposes.

		1.3	Unless
                                         explicitly defined in this Addendum, the terms in this Addendum shall have the meaning
                                         ascribed to them in the Lease Agreement unless the context dictates otherwise.

		1.4	The
                                         following documents are attached as appendices to this Addendum and constitute an integral
                                         part hereof:

Appendices
1 and 2-Confirmation of insurance policies

 

		2.	Parking

 

For
the avoidance of doubt, it is clarified that the Tenant leases from the Company, 12 covered parking spaces on the split floor
and 16 uncovered spots in the yard of the Structure and all as set forth in the Lease Agreement.

 

		3.	Term
                                         of the Lease

 

It
is agreed that as of January 19, 2019, the Term of the Lease, as set forth in Section 6 of the Lease Agreement, shall be revised
and extended such that it shall end after an additional period of 30 months, on July 18, 2021 (hereinafter: the “Revised
Leased Period”).

 

		4.	Amendment
                                         of Insurance Clauses

 

		4.1.	It
is agreed that as of January 19, 2019 Section 23 of the Lease Agreement (as amended by the Third Addendum) shall be void and replaced
by Section 23 in the following wording:

 

			“23.         Insurance

 

		23.1	Subject
                                         to the provisions of this Agreement and all that relates to authorization to perform
                                         renovation in the Leasehold, should any such renovation be done in the Leasehold by the
                                         Tenant and/or its agent on any date during the course of the Term of the Lease, the Tenant
                                         undertakes to provide the Company, prior to commencing execution of such renovation,
                                         confirmation of having obtained insurance for the Tenant’s renovation, [in the form]
                                         attached to this Agreement and constituting an integral part hereof, marked as Appendix
                                         F (respectively – hereinafter: the “Confirmation of Insurance for the Tenant’s
                                         Construction Work” and the “Tenant’s Construction Work Insurance”), signed
                                         by its insurer.

 

    	 	 	2

     

    

 

The
Tenant declares that it is aware that provision of said Confirmation of Insurance for the Tenant’s Construction Work is a condition
precedent and precondition to the execution of any renovation in the Leasehold, and the Company and/or the Management Company
of the structures (if one exists) (in this Section 23, hereinafter: the “Management Company”) shall be entitled (but
not obligated) to prevent the Tenant from executing the renovation in the Leasehold, if said confirmation is not provided to it
prior to the commencement of the execution of the renovation.

 

Notwithstanding
the foregoing, with respect to the renovation in the Leasehold, the value of which does not exceed NIS 250,000, the Tenant may
not procure insurance for such contracting works, provided that it furnishes a certificate of insurance for the Tenant’s
Fixed Insurance Policies, which shall include a paragraph as follows: “For the avoidance of doubt it is hereby clarified
that the insurance set forth above applies also in the course of performance of any renovation by the Tenant and/or anyone acting
on its behalf, including construction work, adjustment, improvement, renovation, removal and the like

 

		23.2	During
                                         the entire course of the Term of the Lease, the Tenant undertakes to obtain and maintain
                                         the insurance policies specified in the confirmation of insurance attached to this Agreement
                                         and which constitute an integral part hereof and is marked Appendix 1 (respectively –
                                         hereinafter: the “Confirmation of the Tenant’s Fixed Insurance Policies” and
                                         the “Tenant’s Fixed Insurance Policies”).

 

		23.3	Without
                                         requiring a demand on the part of the Company and/or the Management Company, the Tenant
                                         undertakes to provide the Company and/or the Management Company, prior to the date on
                                         which any property is brought into the Leasehold (other than the property included in
                                         the insured construction work insured under the Confirmation of Insurance for the Tenant’s
                                         Construction Work), with the Confirmation of the Tenant’s Fixed Insurance Policies.

 

    	 	 	3

     

    

 

The
Tenant declares that it is aware that delivery of the Confirmation of the Tenant’s Fixed Insurance Policies is a condition precedent
as well as a precondition to bringing any property into the Leasehold (other than the property included in the renovation insured
under the Tenant’s Construction Work Insurance) and/or to operation of the Leasehold for the Purpose of the Lease, and the
Company and/or the Management Company shall be entitled (but not obligated) to prevent the Tenant from bringing in said property
and/or operating the Leasehold for the Purpose of the Lease in the event it was not delivered prior to the date indicated above.

 

		23.4	It
                                         is agreed that the Tenant is entitled not to take out a policy for resultant loss, full
                                         or partial, as specified in Section (4) of the Confirmation of the Tenant’s Fixed Insurance
                                         Policies and/or not to purchase coverage with respect to broken glass, full or partial,
                                         as specified in Section (1) of the Confirmation of the Tenant’s Fixed Insurance Policies,
                                         but the exception specified in Section 7.23, below, will apply as if said insurance policies
                                         were obtained in full.

 

		23.5	If,
                                         in the Tenant’s opinion, it is necessary to obtain insurance that is additional
                                         and/or supplemental to the Tenant’s Construction Work Insurance and/or the Tenant’s Fixed
                                         Insurance Policies, the Tenant undertakes to obtain and maintain said additional and/or
                                         supplemental insurance. Any such additional or supplemental insurance will include a
                                         clause regarding waiver of the right to subrogation vis-à-vis the Company and/or
                                         the Management Company and any of their representatives. Similarly, with regard to liability
                                         insurance policies, the name of the insured will be expanded to include the Company and/or
                                         the Management Company subject to a cross-liability clause according to which the insurance
                                         is considered as having been issued separately for each of the individual insureds.

 

		23.6	The
                                         Tenant undertakes to update the insurance amounts with respect to the insurance policies
                                         obtained under Sections (1) and (4) of the Confirmation of the Tenant’s Fixed Insurance
                                         Policies, from time to time, so that they always reflect the full value of the subject
                                         of the insurance insured by them.

 

    	 	 	4

     

    

 

		23.7	The
                                         Tenant releases the Company and/or the Management Company and/or any of their representatives,
                                         as well as the Other Rights Holders who, in the lease agreements of the Other Rights
                                         Holders or any other agreement granting such Other Rights Holders rights in the structures,
                                         there is a parallel release for the Tenant from liability with respect to damage from
                                         which he is entitled to indemnification with respect thereto under the insurance policies
                                         taken out according to Section (1) of the Confirmation of Insurance for the Tenant’s
                                         Construction Work, Sections (1) and (4) of the Confirmation of the Tenant’s Fixed Insurance
                                         Policies and, in relation to the Company and/or the Management Company or any of their
                                         agents, with respect to additional property insurances that it obtains as stated in Section
                                         23.5, above (or with respect to which it would have been entitled to indemnification
                                         except for the deductible stipulated in the policies), but such release from liability
                                         will not apply in favor of a person who maliciously causes damage.

 

		23.8	No
                                         later than 14 days prior to the date of the expiration of the Tenant’s Fixed Insurance
                                         Policies, the Tenant undertakes to provide the Company and/or the Management Company
                                         with Confirmation of the Tenant’s Fixed Insurance Policies with respect to the extension
                                         of its duration for an additional year. The Tenant undertakes to continue to deposit
                                         Confirmation of the Tenant’s Fixed Insurance Policies on the dates stipulated, each insurance
                                         year, for as long as this Agreement is in effect.

 

		23.9	Each
                                         time the Tenant’s insurer notifies the Company that any of the Tenant’s Fixed Insurance
                                         Policies faces cancellation or that there will be an adverse change to it as stated at
                                         the end of Appendices F and F1, the Tenant undertakes to re-obtain that same policy and
                                         to provide confirmation of having obtained new insurance, 30 days prior to the date of
                                         the cancellation or adverse change to said insurance.

 

		23.10	For
                                         the avoidance of doubt, it is clarified that failure to provide confirmations of insurance
                                         on time, as stated in Sections 23.1, 23.3, 23.8, and 23.9, above, will not detract from
                                         the Tenant’s obligations under this Agreement including, without derogating from the
                                         generality of the above, any payment obligation which applies to the Tenant, and the
                                         Tenant undertakes to fulfill all of its obligations under this Agreement even if it is
                                         prevented from carrying out construction work and/or bringing property into the Leasehold
                                         and/or operating the Leasehold for the Purpose of the Lease as a result of not having
                                         presented the confirmations on time.

 

    	 	 	5

     

    

 

		23.11	The
                                         Company and/or the Management Company are entitled to examine the insurance confirmations
                                         provided by the Tenant and the Tenant undertakes to make any change or amendment required
                                         in order to conform them to the Tenant’s obligations as stated in this Agreement. The
                                         Tenant declares that the right of review of the Company and/or the Management Company
                                         in relation to the insurance confirmations and their right to require their amendment
                                         as specified, above, does not impose on the Company and/or the Management Company and/or
                                         any of their agents, any obligation or liability whatsoever in anything related to said
                                         insurance confirmations, the quality, scope, or validity of the insurance policies obtained
                                         under said confirmations, or regarding their absence, and it does not derogate from any
                                         obligation whatsoever imposed on the Tenant under this Agreement and/or by law.

 

		23.12	The
                                         Tenant undertakes to abide by the terms of the insurance policies that it obtains, to
                                         pay the insurance premiums in full and on time and will ensure and ascertain that the
                                         Tenant’s Fixed Insurance Policies are renewed from time to time as needed and remain
                                         in effect during the entire Term of the Lease.

 

		23.13	The
                                         Tenant undertakes to comply with the safety procedures/guidelines that will be published
                                         (if they are published) from time to time by the Company and/or the Management Company.

 

		23.14	For
                                         the removal of doubt, it is hereby agreed that the limits of liability required from
                                         what is stated in Appendices F and F1 are the minimum requirement placed on the Tenant.
                                         The Tenant declares and confirms that it is precluded from raising any claim and/or request
                                         against the Company and/or the Management Company and/or anyone acting on their behalf
                                         for anything related to the stated limits of liability.

 

		23.15	The
                                         Tenant hereby declares that it is aware that the Company and/or the Management Company
                                         do not undertake to maintain guard services and/or other means of security in the structures
                                         and/or the Leasehold, and, should they do so, this does not create an obligation or a
                                         duty to the Tenant. It is also expressly agreed that the Guard Law, 1967, does not apply
                                         to the Agreement and to its appendices.

 

		4.2.	It
                                         is agreed that as of January 19, 2019 Appendices F and F1 to the Lease Agreement (as
                                         added by the Third Addendum) are void and shall be replaced by Appendices 1 and 2 to
                                         this Addendum, which shall form Appendices F and F1 to the Lease Agreement.

 

    	 	 	6

     

    

 

		4.3.	Within
                                         one week of the execution of this Addendum, the Tenant will provide the Company with
                                         insurance confirmations in the Tenant’s name in accordance with the provisions of Section
                                         23 of the Lease Agreement (as amended by Section 4.1 above) in the form attached as Appendices
                                         1 and 2 to this Addendum. It is clarified that pursuant to Section 23.1 to the Lease
                                         Agreement, Appendix 1 to this Addendum shall only be provided if the Tenant performs
                                         renovations.

 

		5.	Bank
                                         Guarantee

 

Concurrent
with the execution of this Addendum, the Tenant will provide the Company with an extension of the bank guarantee currently in
the possession of the Company, which will be valid or renewed each year in advance, commencing from January 19, 2019 and until
the lapse of three months after the Revised Lease Period.

 

		6.	General

 

		6.1.	Subject
                                         to what is stated in this Addendum to the Lease Agreement, all of the provisions of the
                                         Lease Agreement and its appendices shall remain in effect and shall apply during the
                                         Revised Lease Period.

 

		6.2.	For
                                         the avoidance of doubt, the Tenant hereby declares that it is aware that:

 

		6.2.1.	Its
                                         undertakings under this Addendum do not derogate from its obligations under the Lease
                                         Agreement and its appendices, but rather are in addition thereto.

 

		6.2.2.	Subject
                                         to what is stated in this Addendum, the provisions of this Addendum do not derogate from
                                         the provisions of the Lease Agreement and its appendices or any right granted to the
                                         Company and to the Tenant thereunder.

 

			In
                                         witness whereof, the Parties have hereunder set their hand:

 

		 	/s/ Gilad
    Glick   /s/ Joseph Tenne
	 The Company	 	 
		 	The Tenant

 

    	 	 	7

     

    

 

Appendix
1

Confirmation
of Insurance for the Tenant’s Construction Work

 

To

The
Caesarea Edmond Benjamin de Rothschild Assets Corp. (2001) Ltd.

and/or
The Caesarea Edmond Benjamin de Rothschild Assets Corp Ltd.

and/or
affiliates

and/or
subsidiaries and/or interwoven companies and/or related companies

(will
hereinafter jointly be called: the “Company”)

PO
Box 3001, Industrial Park

Caesarea
3088900

 

Ladies
and Gentlemen,

 

		Re:	Confirmation
                                         of Insurance, inter alia, In All That Relates to the Construction Work to Be Done
                                         by the Tenant, As It Is Defined Below, and/or On Its Behalf (hereinafter: the “Work”)
                                         In the Property Leased by It in the Ofek 4 Structure Located on the Land Known as Block
                                         _______ Parcel ________ In the Caesarea Industry Park (hereinafter, respectively:
                                         the “Leasehold” and the “Structure”)

 

		Policy
                            name:	Contractor
                                         Work Policy no. ___________________

 

		Policy
                            period:	As
                                         of ___________ and until __________ (including both of these days – hereinafter:
                                         the “Period of the Work”) as well as an extended maintenance period
                                         of 12 months from the end of the Period of the Work.

 

		Insured’s
                            name:	Itamar
                                         Medical Ltd. (hereinafter: the “Tenant”), contractors and subcontractors,
                                         the Company and the Structure’s management company, to the extent that there is one (hereinafter:
                                         the “Management Company”).

 

		Scope
                            of coverage:	The
                                         scope of the coverage provided by the insurance specified below is not less than the
                                         coverage provided under the text of the insurance policy known as Bit 2013 edition (or
                                         the text of the “Bit” policy equivalent to it on the date the insurance is
                                         prepared), with all of the extensions that constitute a part of such policy’s text.

 

Chapters
of the Policy

 

		1.	Chapter
                                         1 – Insurance for the Work

 

	Policy number:	____________________	 

 

    	 	 	8

     

    

 

		Subject
                            of the insurance: 	The
                                         work, at full value (including materials provided by the Company and/or the Management
                                         Company) against loss or damage caused during the course of the duration of the performance
                                         of the work at the worksite and during the maintenance period regarding the fulfillment
                                         of the Tenant’s obligations during the course of this period and/or discovery of damage
                                         during the course of the maintenance period as the result of a reason rooted in the Period
                                         of the Work.

 

		Waiver
                            of subrogation:	For
                                         the avoidance of doubt, the chapter includes a waiver of the right of subrogation as
                                         relates to the Company and/or the Management Company and/or any of their agents, as well
                                         as in relation to other lessees, residents, and Other Rights Holders in the Structure
                                         (said other lessees, residents, and Other Rights Holders hereinafter, jointly: the “Other
                                         Rights Holders”) where the Other Rights Holders’ property insurance includes
                                         a parallel clause regarding waiver of the right of subrogation in relation to the Tenant,
                                         and/or where the agreement which grants such Other Rights Holders rights in the Structure
                                         includes an exemption from liability in favor of the Tenant in respect of loss or damage
                                         which is likely to be caused to the property of the Other Rights Holders because of the
                                         common [accepted] risks in Contractor Work Insurance or expanded fire insurance; however,
                                         said waiver will not apply in favor of a person who maliciously caused such damage.

 

		Special
                            expansions:	The
                                         chapter includes an express expansion regarding coverage for property adjacent to the
                                         property being worked on with a coverage limit in the sum of at least NIS 800,000.

 

		2.	Chapter
2 – Liability to a Third Party

 

		The
                            insured liability:	Liability
                                         stemming from the Work.

 

		Cross-liability:	The
                                         chapter is subject to a cross-liability clause according to which the insurance is considered
                                         as having been issued separately for each of the individual insureds.

 

		Special
                            clause:	The
                                         chapter expressly indicates that the Structure of the Leasehold is considered property
                                         of a third party.

 

		Special
                            expansions:	The
                                         chapter is expanded to include coverage with respect to:

Subrogation
claims by the National Insurance Institute;

Bodily
injury stemming from use of mechanical engineering equipment that is a motor vehicle and for which there is no obligation to ensure
it under a compulsory insurance policy;

Liability
for damage incurred as a result of vibration and weakening of support with a coverage limit in the sum of NIS 800,000.

 

		Coverage
                            limit:	NIS
                                         4,000,000 per incident and cumulatively under the policy.

 

    	 	 	9

     

    

 

		3.	Chapter
3 – Employer Liability

 

		The
                            insured liability:	Liability
                                         to any of the individuals employed in the performance of the Work with respect to bodily
                                         injury or professional disability likely to be caused to any of them during the course,
                                         and as a result, of said employment.

 

		Cancellation
                            of restrictions:	This
                                         chapter does not contain any limitation regarding employment of adolescents, works at
                                         heights or depths, contractors, subcontractors, and their employees, lures and toxins,
                                         and work hours.

 

		Waiver
                            of subrogation:	For
                                         the avoidance of doubt, the chapter includes a waiver of the right of subrogation vis-à-vis
                                         the Company and/or the Management Company and their agents, but said waiver will not
                                         apply in favor of a person who maliciously caused the insurance event.

 

		Coverage
                            limit:	NIS
20,000,000 per incident and cumulatively under the policy. General terms that apply under the policy.

 

General
Terms Applying to All Chapters of the Policy:

 

		A.	The
                                         policy specified above includes an express term according to which it takes precedence
                                         over every insurance taken out by the Company and/or the Management Company, and we waive
                                         any demand and/or claim regarding participation by the insurance policies of the Company
                                         and/or the Management Company;

 

		B.	A
                                         gross negligence exception, if any, is void, but such cancellation shall not derogate
                                         from the insured’s obligations and the insurer’s rights under any law.

 

		C.	Failure
                                         to meet the terms of the policy and its conditions in good faith by the Tenant and/or
                                         any of its agents will not derogate from the right of the Company and/or the Management
                                         Company to indemnification under the policy;

 

		D.	The
                                         policy includes an express clause according to which it will not be cancelled, and no
                                         adverse change will be made to it during the course of the insurance period unless written
                                         notice is provided by registered mail to the Company at least 30 days in advance;

 

		E.	The
                                         Tenant alone is liable for payment of the insurance premiums for the policy and payment
                                         of the deductibles that apply thereunder.

 

		F.	This
                                         confirmation of insurance is subject to the terms of the original policy and its exclusions
                                         to the extent they have not been expressly modified under the above.

 

    	 	 	10

     

    

 

By
our signatures, below, we confirm all of the aforesaid. 

 

Today,
the ___ of the month of __________, 2019

 

____________________

Insurer’s
Name

 

____________________

Insurer’s
Signature and Stamp

 

____________________

Signatory’s
Name and Position

 

    	 	 	11

     

    

 

Appendix
2

 

Confirmation
of the Tenant’s Fixed Insurance Policies

 

To

The
Caesarea Edmond Benjamin de Rothschild Assets Corp. (2001) Ltd.

and/or
The Caesarea Development Edmond Benjamin de Rothschild Assets Corp Ltd.

and/or
parent companies and/or affiliates

and/or
subsidiaries and/or interwoven companies and/or related companies

(hereinafter
jointly called: the “Company”)

PO
Box 3001, Industrial Park

Caesarea
38900

 

Ladies
and Gentlemen,

 

		Re:	Confirmation
                                         of Insurance, inter alia, In All That Relates to the Lease in the Ofek 4 Structure
                                         Located on the Land Known as Block _______ Parcel ________ In the Caesarea Industry
                                         Park (hereinafter, respectively: the “Leasehold” and the “Structure”)

 

		Policy
                            period:	As
                                         of ___________ and until __________ (including both of these days)

 

		Insured’s
                            name:	Itamar
                                         Medical Ltd. (hereinafter: the “Tenant”)

 

		Scope
                            of coverage:	The
                                         scope of the coverage provided by the insurance policies specified below is not less
                                         than the coverage provided under the text of the insurance policies known as Bit 2013
                                         edition (or the text of the “Bit” policy parallel to it on the date the insurance
                                         is prepared), with all of the extensions that constitute a part of such policy’s text.

 

The
Policies:

 

		1.	Expanded
                                         Fire Insurance Policy

  

	Policy number:	____________________	 

 

		Insured
                            Property: 	The
                                         contents of the Leasehold, its sun-windows, windows, glass dividers and glass doors,
                                         and any other property brought to the Leasehold and/or the Structure by or for the Tenant
                                         (including equipment, furnishings, devices [facilities], and inventories), and any modification,
                                         improvement, and addition to the Leasehold that were and/or will be made by the Tenant
                                         and/or on its behalf, for their full value.

 

		Insured
                            risks:	Loss
                                         or damage because of the risks which are common [accepted] in expanded fire coverage,
                                         including fire, smoke, lightning, explosion, earthquake, storm and tempest, flood, leak
                                         damages and bursting pipes, broken glass, damage by vehicles, damage by aircraft, riots,
                                         strikes, malicious damage, as well as damage from break-in.

 

    	 	 	12

     

    

 

		Waiver
                            of subrogation:	The
                                         policy includes a waiver of the right of subrogation as relates to the Company and/or
                                         the Structure’s Management Company (if any) (hereinafter: the “Management
                                         Company”) and/or any of their agents, as well as in relation to other lessees,
                                         residents, and Other Rights Holders in the Structure (said other lessees, residents,
                                         and Other Rights Holders hereinafter, jointly: the “Other Rights Holders”)
                                         where the Other Rights Holders’ property insurance includes a parallel clause regarding
                                         waiver of the right of subrogation in relation to the Tenant, and/or where the agreement
                                         which grants such Other Rights Holders rights in the Structure includes an exemption
                                         from liability in favor of the Tenant in respect of loss or damage which is likely to
                                         be caused to the property of the Other Rights Holders because of the common [accepted]
                                         risks in expanded fire insurance; however, said waiver will not apply in favor of a person
                                         who maliciously caused such damage.

 

		2.	Insurance
Policy for Liability to a Third Party

 

		Policy
                            number:	____________________

 

		Insured
                            liability:	The
                                         Tenant’s legal obligation in respect of bodily injury and/or damage to property which
                                         is likely to be caused to the body or property of any person.

 

		Cancellation
                            of restrictions:	The
                                         policy is not subject to any limitation regarding fire, explosion, panic, loading and
                                         unloading, poisoning, animals, riots and strikes, any harmful substance in food or drink,
                                         liability for and to contractors, subcontractors and their employees, and subrogation
                                         claims by the National Insurance Institute.

 

		Expansion
                            of indemnity:	The
                                         policy is expanded to indemnify the Company and/or the Management Company with respect
                                         to their liability that is likely to be imposed on either of them resulting from the
                                         actions and/or omissions of the Tenant and/or any of its agents, subject to a cross-liability
                                         clause according to which the insurance is considered as having been issued separately
                                         for each of the insured individuals.

 

		Coverage
                            limit:	A
                                         sum equal to NIS 20,000,000 per incident and cumulatively under the policy.

 

    	 	 	13

     

    

 

		3.	Policy
                                         to Insure Against Employer Liability

 

		Policy
                            number:	____________________

 

		The
                            insured liability:	The
                                         Tenant’s liability to its employees with respect to bodily injury and/or professional
                                         disability likely to be caused to any of them during the course, and as a result, of
                                         their work.

 

		Cancellation
                            of restrictions:	The
                                         policy does not include any restriction regarding employment of adolescents, works at
                                         heights or depths, lures and toxins, and work hours.

 

		Expanded
                            indemnity:	The
                                         policy is expanded to indemnify the Company and/or the Management Company in the event
                                         it is determined that in regard to the occurrence of any work accident and/or job-related
                                         illness, either of them bears any employer obligations to any of the Tenant’s employees.

 

		Waiver
                            of subrogation:	The
                                         policy includes a waiver of the right of subrogation vis-à-vis the Company and/or
                                         the Management Company and their agents, but said waiver will not apply in favor of a
                                         person who maliciously caused the insurance event.

 

		Coverage
                            limit:	NIS
                                         20,000,000 per incident and cumulatively under the policy.

 

 

		4.	Policy
                                         Insuring Against Consequential Loss

 

		Policy
                            number:	____________________

 

		Subject
                            Matter of the Insurance:	Loss
                                         of the Tenant’s gross profit because of loss or damage cause to the insured property
                                         according to Section 1, above, and/or to the Leasehold and/or the Structure as a result
                                         of one of the risks insured according to Section 1, above during the course of an indemnification
                                         period of 12 months.

 

		Waiver
                            of subrogation:	The
                                         policy includes a waiver of the right of subrogation as relates to the Company and/or
                                         the Management Company and/or any of their agents, as well as the Other Rights Holders
                                         where the Other Rights Holders’ consequential loss insurance includes a parallel clause
                                         regarding waiver of the right of subrogation in relation to the Tenant, and/or where
                                         the agreement which grants such Other Rights Holders rights in the Structure includes
                                         an exemption from liability in favor of the Tenant in respect of consequential loss caused
                                         to the property of the Other Rights Holders because of the common [accepted] risks in
                                         expanded fire insurance; however, said waiver will not apply in favor of a person who
                                         maliciously caused such damage.

 

    	 	 	14

     

    

 

General
Terms Applying to All Policies:

 

		A.	The
                                         policies specified above include an express term according to which they take precedence
                                         over every insurance taken out by the Company and/or the Management Company, and we waive
                                         any demand and/or claim regarding participation by the insurance policies of the Company
                                         and/or the Management Company;

 

		B.	A
                                         gross negligence exception, if any, is void, but such cancellation shall not derogate
                                         from the insured’s obligations and the insurer’s rights under any law.

 

		C.	Failure
                                         to meet the terms of the policies and their conditions in good faith by the Tenant and/or
                                         any of its agents will not derogate from the right of the Company and/or the Management
                                         Company to indemnification under any of the above policies;

 

		D.	The
                                         policies specified above include an express clause according to which they shall not
                                         be cancelled, and no adverse change will be made to them during the course of the insurance
                                         period, unless written notice is provided by registered mail to the Company at least
                                         30 days in advance;

 

		E.	The
                                         Tenant alone is liable for payment of the insurance premiums for the policies specified
                                         above and payment of the deductibles that apply thereunder;

 

		F.	This
                                         confirmation of insurance is subject to the terms of the original policies and their
                                         exclusions to the extent they have not been expressly modified under the above.

 

By
our signatures, below, we confirm all of the aforesaid. 

 

Today,
the __ of the month of __________, 2019

 

____________________

Insurer’s
Name

 

____________________

Insurer’s
Signature and Stamp

 

____________________

Signatory’s
Name and Position

 

    	 	 	15Exhibit 4.9

 

PORTIONS OF THIS AGREEMENT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY
WITH THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***]
DENOTES OMISSIONS

 

CONTRACT NO. RS -1233

 

MASTER PRODUCTS AND SERVICES AGREEMENT

 

This MASTER PRODUCTS AND SERVICES
AGREEMENT (“Agreement”) is made and entered into as of this 16 day of August 2007 (the “Effective Date”)
by and between KAISER FOUNDATION HEALTH PLAN, INC., a California nonprofit public benefit corporation (“Customer”)
and Itamar Medical Inc, a Delaware Corporation (“Supplier”), having its principal place of business at 160 Speen St.
Framingham, MA, and remains in effect for 2 years commencing on the Effective Date and expiring on August 15, 2009 unless terminated
or extended as provided herein (the “Term”). Customer and Supplier agree as follows:

 

1.             DEFINITIONS

 

1.1           “Acceptance”
means a Customer’s verification that the Product conforms to the Specifications is ready for use and all required documentation
has been delivered.

 

1.2           “Change
Notice” means a document issued by a Customer and accepted by Supplier pursuant to this Agreement to amend a Purchase
Order placed by such Customer.

 

1.3           “Confidential
Information” means any and all Documentation, confidential and proprietary information belonging to or in the possession
of Supplier or Customer, including but not limited to any and all concepts, specifications, formulae, prototypes, software and
hardware, and any and all records, data, marketing and/or pricing information, materials, financial statements, memoranda, analyses,
notes and any other data or information (in whatever form), as well as improvements and know-how, relating to Supplier, Customer,
, Products (including related software), manufacturing, marketing and sales. Confidential Information shall be deemed to include
any and all of Supplier and/or Customer’s information, irrespective of form, which has been or may be: (i) disclosed to
receiving party by or on behalf of disclosing party; or to which receiving party has access; or (ii) provided to disclosing party
from a third party. Confidential Information shall not include information that: (a) was already known to or independently developed
by receiving party prior to its disclosure as demonstrated by tangible dated evidence satisfactory to disclosing party; (b) shall
have appeared in any printed publication or patent or shall have become a part of the public knowledge except as a result of breach
of this Agreement by receiving party; (c) shall have been received from another person or entity having no obligation to disclosing
party.

 

1.4           “Customer”
means any KPMCP Entity purchasing services under this Agreement.

 

1.5           “Delivery
Date” means the date a Product is delivered complete to the Delivery Location.

 

1.6           “Delivery
Location” means the location specified by the Customer for delivery of a Product.

 

1.7           “Documentation”
means Supplier’s or Customer’s confidential ideas, know-how, concepts, methods, processes, formulae, reports, data,
business plans, and any other proprietary information of Supplier or Customer that may provide Supplier or Customer with a competitive
advantage, including, but not limited to any of Supplier’s manuals and other written materials that relate to the Products,
including any flow charts, logic manuals, functional specifications, medical researches, clinical trials or their summaries, any
machine text or graphic files and or any material relating to any enhancements or modifications of the Product, as may be from
time to time.

 

1.8           “KPMCP
Entity” means an entity participating in the integrated health care delivery organization doing business as Kaiser Permanente®
and its affiliates, which includes, without limitation, Kaiser Foundation Health Plan, Inc., Kaiser Foundation Hospitals, The
Permanente Federation, the Permanente Medical Groups, The Permanente Company, Kaiser Permanente Insurance Company, Archimedes,
Inc., Kaiser Permanente Ventures, and all subsidiaries and successors of the foregoing.

 

     

     

    

 

1.9           “Law”
means federal, state and local statutes, implementing regulations, executive orders, ordinances and case law, including healthcare
program statutes, regulations and policies.

 

1.10         “Product”
means any product and service listed on Exhibit A that Supplier is offering to supply under this Agreement, including related
training, documentation, deliverables, maintenance, spare parts and upgrades, as applicable.

 

1.11         “Prices”
means the prices for Products under this Agreement as set forth in Exhibit A.

 

1.12         “Purchase
Order” means a purchase order for Products issued by Customer to Supplier under this Agreement.

 

1.13         “Specifications”
means the technical and functional specifications for a Product as described in Exhibit B or, if no specifications are set forth
in Exhibit B, the published specifications.

 

2.            PURCHASING
OF SERVICES

 

2.1.          During
the Term of this Agreement, Supplier agrees to supply the services to KPMCP Entities according to the terms and conditions as
set forth in this Agreement, and subject to Supplier’s general terms and conditions provided with each Product.

 

2.2.          Customers.
Any KPMCP Entity (including any entity that becomes a KPMCP Entity after the Effective Date) in any location within the United
States (including the District of Columbia) may elect to purchase services pursuant to the terms and conditions of this Agreement.
This Agreement neither (i) obligates any KPMCP Entity to purchase any minimum quantity or dollar value of services, nor (ii) precludes
any KPMCP Entity from purchasing similar products from other vendors. A Customer is bound to the terms and conditions of this
Agreement by purchasing services under this Agreement. Each Customer is solely and exclusively liable directly to Supplier for
all of its payments and any other obligations with respect to the services purchased and Purchase Orders placed by such Customer.

 

2.3.          KP.
KP has negotiated this Agreement on behalf of the KPMCP Entities, but KP does not imply any participation levels by KPMCP Entities.
If KP places Purchase Orders, it will be deemed to be a KPMCP Entity and will have all of the rights and obligations of a Customer
under this Agreement with respect to Purchase Orders it places. However, KP has no liability or responsibility to Supplier relating
to a Purchase Order placed by any other KPMCP Entity.

 

2.4.          Pricing.
Exhibit A sets forth the Prices for each Product Unless otherwise specified in Exhibit A, all Prices are FOB Supplier’s
offices in Massachusetts on the Delivery Date with freight and insurance paid by Supplier. If the Delivery Period (as defined
in Section 2.7 below) requires express delivery by air,the actual shipping will not be included in the Price, Supplier may invoice
Customer for the actual shipping cost of the Product but the shipping charges must be itemized separately on the Product invoice,
otherwise, shipping will be included in the Price.

 

2.5.          Taxes.
Supplier must calculate according to the state statutes applicable to the shipping location and pay any applicable local and state
sales tax or other taxes with respect to the direct purchase of any Product all of which will be bom exclusively by Customer.
Supplier may invoice the Customer for any applicable taxes if they are correctly and separately reflected on the invoice.

 

2.6.          Ordering.
(a) Customer may issue a Purchase Order using Customer’s designated format (e.g. fax, electronic or web-based interface).
Supplier must confirm or reject a Purchase Order within 5 business days using Customer’s designated format or the Purchase
Order will be deemed accepted by Supplier. Unless otherwise agreed, Supplier’s confirmation must reference the Purchase
Order number, quantity, description, price, Delivery Location and Delivery Date, (b) The placing by Customer of a Purchase Order
and Supplier’s confirmation thereof under and in accordance with the terms of this Agreement shall form a contract of sale
between Supplier and Customer on the terms of such Purchase Order and of this Agreement, provided, however, that unless otherwise
agreed to by Supplier in writing, the terms and conditions of any Purchase Order issued by Customer or any confirmation issued
by Supplier shall not alter the terms and conditions of this Agreement. In the event of a conflict between such the terms of any
such Purchase Order or confirmation and this Agreement, the terms of this Agreement shall prevail. (c) A Customer may send a request
to change a Purchase Order at any time prior to the Delivery Date of Products ordered by issuing a Change Notice. Supplier must
accept or reject a Change Notice within 5 Business Days of receipt or the Change Notice will be deemed rejected by Supplier. (d)
Customer is not required to place any minimum orders for Products or pay any minimum fees in connection with a Purchase Order
or Change Notice.

 

     

     

    

 

2.7.          Delivery.
Supplier must deliver Products to the Delivery Location specified by the customer on the Delivery Date specified in the Purchase
Order or Change Notice, as applicable. Unless otherwise agreed in writing, the Delivery Date for a stock Product is not more than
7 business days after Supplier’s receipt of the Purchase Order for the Product (the “Delivery Period”).
Partial shipments are not permitted unless agreed with Customer prior to shipment. The risk of loss and damage of any Product
shall pass to a Customer upon delivery at the FOB-point. Title to all Products under a Purchase Order or Change Notice shall pass
upon receipt by Supplier of payment pertaining to the Products under such Purchase Order or Change Notice, until such time Supplier
shall retain full ownership rights to all of its Products.

 

2.8.          Invoicing.
Supplier will not issue an invoice for a Product until (i) the Acceptance date or (ii) the Delivery Date, if Acceptance is not
applicable. All invoices must reference the Purchase Order number, if any.

 

2.9           Payment.
A Customer must pay for an ordered Product within [***] days after the Customer’s receipt of an accurate invoice.

 

Any invoiced amount, which is
not fully paid when due and not fully paid within 30 days after receipt of written notice from Supplier, will bear interest at
the rate of one and one half percent (1.5%) per month or portion thereof.

 

All payments referred to herein
shall be in net freely transferable Dollars, free of withholding income or other taxes or deductions.

 

2.9.          Packaging.
All Product packaging and shipping containers should identify the Purchase Order number, UPC barcodes, expiration date and other
Product identifiers reasonably required by a Customer. All shipments must include a packing slip.

 

3.            WARRANTIES

 

3.1           General.

 

(a)          Warranties
hereunder are solely for the benefit of Customer and Customer’s patients and shall not be extended to any other person or
entity whatsoever, except to another KPMCP Entity. Customer shall be responsible to its customers for any and all warranties which
it makes relating to Products.

 

(b)          Supplier
warrants that Products (i) will be free from defects in workmanship and materials under normal use, in accordance with the Product’s
user manuals, and (ii) will conform to the Product Specifications for a period of 1 year from the date of Acceptance of the Product
or the Delivery Date, if Acceptance is not applicable.

 

(c)          Supplier
represents and warrants that its employees and agents have the certification, skills and qualifications necessary to perform services
under this Agreement in a timely, competent, and professional manner in accordance with the applicable industry standards and
Laws.

 

3.1           Title.
Supplier warrants that it has good title to the Products, and the Products must be delivered to Customer free and clear of all
liens and encumbrances.

 

3.2           Intentionally
Omitted. [see 3.1(a)]

 

3.3           Product
Returns. If the Product contains a defect in design, materials or workmanship and such Product is returned to Supplier within
1 year of delivery of the Product to Customer, Supplier will repair or replace the Product or issue a credit for the purchase
price of the Product, with the choice of repair, replace or credit being within the sole discretion of Supplier.

 

     

     

    

 

3.2           Product
Recalls. Supplier must make efforts to notify Customer of any Product recalls not more than 24 hours after Supplier first
learns of the recall, and Supplier must use its commercial reasonable efforts to monitor the recall status of all Products. Recall
notices must include instructions and information regarding the Product recall and appropriate action to be taken by a Customer.
Customer shall notify Supplier of the address for Product recall notices and any special procedures to follow. Supplier must pay
all reasonable direct costs associated with the correction of the recall notwithstanding any limitations of liability contained
in this Agreement or otherwise.

 

3.3           Disclaimer.
SUPPLIER DISCLAIMS ALL OTHER REPRESENTATIONS AND WARRANTIES, EITHER EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION, WARRANTIES
OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. THE ABOVE WARRANTIES AND THE OTHER OBLIGATIONS OF THE SUPPLIER HEREIN,
CONSTITUTE SUPPLIER’S SOLE AND EXCLUSIVE LIABILITY FOR DEFECTIVE OR NONCONFORMING PRODUCTS. NO OTHER WARRANTIES OF ANY KIND,
WHETHER STATUTORY, WRITTEN, ORAL OR IMPLIED SHALL APPLY. EXCEPT AS PROVIDED IN SECTIONS 5.4 AND 5.5, IN NO EVENT SHALL SUPPLIER
OR CUSTOMER BE LIABLE FOR ANY SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL LOSSES OR DAMAGES, EVEN IF SUPPLIER OR CUSTOMER
HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH POTENTIAL LOSS OR DAMAGE.

 

4.            TERM
AND TERMINATION

 

4.1           Extension
of Term. Customer may request to extend the Term of this Agreement for 2 additional 1 year periods, which such request may
be accepted or rejected by the Supplier, in its sole and obsolete discretion. Customer will provide written notice of the extension
of the Term at least 90 days prior to the expiration of the then-current Term.

 

4.2           Termination
for Convenience. Customer may terminate this Agreement at any time with or without cause upon 60 days prior written notice
to Supplier.

 

4.3           Termination
for Breach. This Agreement and any Purchase Orders may be terminated without cost by sending written notice to the breaching
party if a material breach has not been cured within 30 days after receipt of written notice describing such breach in reasonable
detail.

 

4.4           Effect
of Termination. The termination of this Agreement or a Purchase Order (or Change Notice) does not preclude the non-breaching
party from pursuing any and all remedies available to it at law or equity. Upon termination of any Purchase Order (or Change Notice),
this Agreement shall become null and shall have no further force and effect, expect that termination shall not release the Customer
from the obligation of Customer to make any payments due on or after the effective date of termination, or Sections 3.2, 3.4„
3.5, 4.4, 5.4, and 6.3, which shall survive termination.

 

5.            GENERAL
PROVISIONS

 

5.1.          Accounting
Reports. Within 30 days following the end of each calendar quarter, Supplier must submit to the Customer an accounts receivable
statement (in electronic format, preferred) for each Customer. Upon Supplier’s request, the Customer will provide a format
for the reports. Seller must send the reports by U.S. mail, fax, or email to: Kaiser Permanente, Attn: Statement Review, Controller’s
Office, 393 E. Walnut Street, 4th Floor, Pasadena, CA 91188, Fax No.: 626.405.6477, E-Mail: statement.review@ko.org

 

5.2.          Sales
Records. If requested by Customer, Supplier will use its reasonable commercial efforts to provide periodic sales reports of
the number of units of each Product distributed or sold to Customer pursuant to this Agreement, as being internally used by Supplier.
Supplier must not (a) sell or distribute sales or usage information to anyone not a party to this Agreement without the prior
written consent of the Customer or (b) distribute copies, excerpts, facsimiles or summaries to Customer’s personnel without
the prior approval of the Customer’s personnel originally requesting such information.

 

     

     

    

 

5.3.          No
Disruption in Use of Products. Supplier acknowledges that Customer is a provider of health care services; that Customer’s
use of Products is vital to the business operations of Customer and to the health and safety of Customer’s patients and
members; and that any interruption of Customer’s business could result in substantial liability to Customer. Supplier warrants
and represents that, expected as permitted by applicable law, pursuant to a court order, or under any rights provided to it herein
or under applicable law, it will not at any time take possession of Products provided to Customer.

 

5.4.          General
Indemnification. Supplier will indemnify, defend, and hold Customer and its officers, directors, employees and agents harmless
from and against all claims by third parties arising from a breach of this Agreement by Supplier, expect due to Customer’s
negligence, breach of this Agreement or willful misconduct, provided, however, that the Customer shall provide the Supplier with
prompt notice of any such claim by third party, and the Supplier shall have the right to take over the defense of such claim,
and that the Customer may not settle with any such third party, without the prior written consent if Suppler.

 

5.5.          Infringement
Indemnification. Supplier will indemnify, defend, and hold Customer and its officers, directors, employees and agents harmless
from and against any claim by a third party that a Product furnished to a Customer under this Agreement infringes any patent,
trademark, copyright, or other proprietary right of any third party or becomes the subject of an injunction or settlement prohibiting
the use of a Product, expect due to Customer’s negligence, breach of this Agreement or willful misconduct, provided, however,
that the Customer shall provide the Supplier with prompt notice of any such claim by third party, and the Supplier shall have
the right to take over the defense of such claim, and that the Customer may not settle with any such third party, without the
prior written consent if Suppler.

 

5.6.          Insurance.
Supplier will retain product liability insurance in an amount and covering claims substantially similar to those described in
the attached Commercial General Liability Declarations.

 

6.           MISCELLANEOUS

 

6.1           Independent
Contractor. Supplier is an independent contractor and engages in the operation of its own business, and neither party is or
will be considered to be the agent of the other party for any purposes. A party has no authorization to enter into any contracts,
assume any obligations or make any warranties or representations on behalf of the other party. Nothing in this Agreement will
be construed to establish a relationship of co-partner or joint venturer between the parties or with Customer. Customer will not
be responsible to Supplier, the employees of Supplier or any governing body for taxes on the payroll of Supplier.

 

6.2           Successors
and Assigns. Supplier and Customer shall not assign, transfer or delegate any of the rights or obligations under this Agreement
without the prior written consent of Customer, except as a result of a merger or a change of control transaction. This Agreement
and all of its provisions shall inure to the benefit of and become binding upon the parties and the successors and permitted assigns
of the respective parties.

 

6.3           Confidentiality,
(a) The provisions of this Agreement are deemed to be confidential information and neither party will, without the other party’s
prior written consent, divulge any of the provisions set forth in this Agreement or any confidential or proprietary information
about Customer or Supplier, including without limitation, information about its purchases, operations, customers and strategies,
to any third parties; provided, however, a party receiving confidential information (“receiving party”) may disclose
it to a third party having a need to know such information in order to perform the receiving party’s obligations under the
terms of this Agreement or as may otherwise be required by Law, but the receiving party is responsible to ensure that such third
parties are bound by a like covenants of confidentiality (b) From time to time, Supplier may make available to Customer Confidential
Information. The Customer shall not disclose such information to any person or entity, or use such Confidential Information without
the prior written consent of Supplier. Customer shall take all measures to protect Supplier’s Confidential Information which
shall be treated by Customer with at least the same care as it would exercise in the handling of its own confidential or proprietary
information, and shall not be disclosed to any person or entity.

 

     

     

    

 

6.4           Compliance
with Laws. Supplier will materially comply with all Laws applicable to the delivery of Products and the performance of the
services, and to its personnel performing the services, under this Agreement, including, as applicable, the Federal Anti- kickback
statute, 42 U.S.C. 1320a-7b(b) and the STARK law, 42 U.S.C. 1395NN. Supplier has and shall maintain throughout the Term of this
Agreement: (a) all professional and business licenses, certifications and similar requirements as required by Law and (b) all
accrediting requirements to perform the services, except for such business licenses, certifications, accrediting requirement,
and similar requirements, the failure of which shall not have a material adverse effect on the Supplier.

 

6.5           Regulatory
Compliance.

 

(a)     Equal
Opportunity. Supplier will make all reasonable commercial efforts to provide services to Customer without discrimination on
account of race, sex, color, religion, national origin, age, physical or mental disability, or veteran’s status. Supplier
recognizes that as a governmental contractor, Customer is subject to various Laws regarding equal opportunity and affirmative
action which also may be applicable to subcontractors. Therefore, Customer is required to give notice to Supplier that Supplier
may be subject to certain Laws by incorporating herein by reference the following clauses from the Federal Acquisition Regulation
(FAR) at 48 CFR Part 52: (a) Equal Opportunity (Feb. 1999) at FAR 52.222-26; (b) Equal Opportunity for Special Disabled Veterans,
Veterans of the Vietnam Era, and Other Eligible Veterans (Dec. 2001) at FAR 52.222-35; (c) Affirmative Action for Workers with
Disabilities (June 1998) at FAR 52.222-36, and (d) Small Business Subcontracting Plan (Oct. 1999) at FAR 52.219-9.

 

(b)     Medicare.
If this Agreement is subject to the provisions of Section 952 of P.L. 96-499, which governs access to books and records of subcontractors
of services to Medicare providers where the cost of value of such services under the contract exceeds $10,000.00 over a 12-month
period, then Supplier will permit representatives of the Secretary of the Department of Health and Human Services and of the Comptroller
General to have access to the contract and books, documents and records of Supplier, as necessary to verify the costs of the contract,
in accordance with criteria and procedures contained in applicable Federal regulations.

 

(c)     HIPAA.
Supplier will make reasonable commercial efforts to comply with the requirements relating to business associates in the Health
Insurance Portability and Accountability Act of 1996, Public Law 104-191 (“HIPAA”) and regulations promulgated thereunder
by the U.S. Department of Health and Human Services (“HIPAA Regulations”). If a Business Associate Agreement pursuant
to HIPAA is required with respect to the services, Customer’s standard Business Associate Agreement will be executed by
the parties and incorporated in this Agreement. Customer’s standard Business Associate Agreement is attached hereto in Exhibit
C. Exhibit C may be periodically modified by Customer to accord with any changes to the obligations imposed by HIPAA or HIPAA
Regulations, and such modification will be deemed accepted by Supplier and will serve to amend this Agreement if no written objection
is submitted to Customer by Supplier within 45 days of written notice of modification.

 

(d)     Notice
of Employee Rights Concerning Payment of Union Dues or Fees. If applicable, Supplier will comply with the provisions of 29
CFR Part 470.

 

(e)     Federal
Program Participation. Supplier represents and warrants throughout the Term of the Agreement that neither it, nor any of its
key personnel, have been or will be convicted of an offense related to healthcare or listed by a federal agency as debarred, excluded,
otherwise ineligible for federal program participation. Customer may immediately terminate this Agreement if Supplier or any of
Supplier’s key personnel breaches this clause or is otherwise ineligible for federal program participation.

 

(f)     Right
to Inspect. Upon five (5) days notice from Customer, Supplier will provide Customer’s internal auditors (or such independent
auditors and inspectors as Customer may designate in writing and have agreed to abide by reasonable confidentiality provisions)
copies of Customer’s invoices.

 

6.6           Kaiser
Permanente Policies. Supplier will make material efforts to comply with the Kaiser Permanente Policies, including the required
disclosures, set forth in Exhibit C.

 

6.7           Governing
Law. This Agreement is governed by and construed in accordance with the internal laws of the New York, without regard to its
choice of law principles.

 

     

     

    

 

6.8           Notices.
All notices provided under this Agreement will be in writing, and will be deemed given upon receipt if sent as follows: personally
delivered or sent by confirmed fax, overnight mail by USPS or a commercial service with confirmed delivery, or certified mail
(return receipt requested). If notice is mailed or faxed, delivery is effective at the date and time shown on the confirmation
or return receipt. The addresses for notices to Customer and Supplier are set forth on the signature page of this Agreement. These
addresses may be changed by notice to the other party.

 

6.9           Publicity.
Supplier will not, without the prior written consent of Customer, use in advertising, publicity, on the internet or otherwise
the names, trade names, service marks, trade dress or logo of Customer, the Kaiser Permanente Medical Care Program or any affiliates
of these entities or refer to the existence of this Agreement in any press releases, advertising, web sites or materials distributed
or made available to prospective customers or other third parties; provided, that Supplier may issue a press release and make
any disclosure necessary or required under applicable laws and regulations of Israeli securities laws or the Tel- Aviv Stock Exchange.

 

6.10         No
Waiver. The waiver of any breach of any term or condition of this Agreement does not waive any other breach of that term or
condition or of any other term or condition, unless agreed to in writing signed by both parties.

 

6.11         Severability.
If any part of this Agreement is for any reason found to be unenforceable, then the unenforceable provision is reformed to conform
to the law, and all other parts of this Agreement nevertheless remain enforceable.

 

6.12         Headings.
The descriptive headings of the sections of this Agreement are inserted for convenience only and do not control or affect the
meaning or construction of any section.

 

6.13         Sole
Remedies: Limitation on Liability. The rights and remedies of Customer provided in this Agreement are exclusive. NOTWITHSTANDING
ANYTHING IN THE AGREEMENT TO THE CONTRARY, THE AMOUNT OF DAMAGES THAT EITHER PARTY MAY RECOVER UNDER THIS AGREEMENT. EXCEPT
WITH RESPECT TO SECTIONS 5.4. 5.5. SHALL NOT EXCEED THE TOTAL PROCEEDS RECEIVED BY SUPPLIER UNDER THIS AGREEMENT.

 

6.14         Time
is of the Essence. Time is of the essence for any act or obligation of either party under this Agreement when time is a factor.

 

6.15         Force
Majeure. Neither Party will be liable for any delays resulting from circumstances or causes beyond its reasonable control,
including, without limitation, fire or other casualty, act of God, war or other violence, or any Law, of any governmental agency
or authority (“Force Majeure”) if the Party claiming the Force Majeure uses reasonable efforts to continue to perform
and give prompt written notice to the other party.

 

6.16         Survival.
Any provision of this Agreement which by its nature must survive termination or expiration as set forth in Section 4 will survive
any termination or expiration of this Agreement.

 

6.17         Controlling
Terms. The provisions of this Agreement and the terms of any Purchase Order or Change Notice will supersede any inconsistent
provisions contained in Supplier’s quotation, general terms and conditions provided with each product, invoice, confirmation,
acceptance, acknowledgement or similar form. All terms or conditions proposed in Supplier’s acceptance or acknowledgment
form which add to, vary from, or conflict with the provision in this Agreement will be void. Any pre-printed terms in Customer’s
or Supplier’s documents will also be void. In the event of conflicting provisions between the following documents, the provisions
will govern in the following order: the latest Change Notice, the Purchase Order, the main body of the Agreement; and the exhibits
in order of priority as set forth in the table following the signature blocks.

 

6.18         Entire
Agreement. This Agreement may be executed in any number of counterparts, each of which is deemed an original but all of which
constitute the same instrument. This Agreement including all exhibits and attachments (all of which are incorporated in this Agreement
by reference), constitutes the entire agreement on this subject and supersedes all previous and contemporaneous communications,
representations, or agreements regarding the referenced subject matter. This Agreement may not be modified orally, and no modification,
amendment, or supplement is binding unless it is in writing and signed by authorized representatives of Customer and Supplier.

 

     

     

    

 

IN WITNESS WHEREOF, Customer and
Supplier have executed this Agreement as written below:

 

ITAMAR MEDICAL, INC.

 

	By:	/s/ Israel Schreiber	 
	 	 	 
	Title:	CEO	 
	Print Name:	Israel Schreiber	 
	Date:	Aug 16,2007	 

 

Address and Contact Person for Notices:

2 Ha’eshel st. Caesarea, Israel 38900.

Contact: Shaul Sharoni, CFO

 

KAISER FOUNDATION HEALTH PLAN, INC.

 

	By: 	/s/ Robert Getto	 
	 	 	 
	Title: 	Sourcing Director	 
	Print Name: 	Robert Getto	 
	Date: 	9/5/2007	 

 

Address and Contact Person for
Notices:

Chief Procurement Officer (Currently
Dean Edwards

Kaiser Foundation Health Plan,
Inc.

1800 Harrison Street, Suite 1800

Oakland, CA 94612

 

Fax:(510) 625-2882

 

     

     

    

 

	Exhibits	 	 	 	Order of
    Priority	 
	A	 	Products and Pricing	 	1	 
	B	 	Product Specifications	 	2	 
	C	 	Customer Policies	 	3	 

 

     

     

    

 

PORTIONS
OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY
WITH THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934;
[***] DENOTES OMISSIONS

 

EXHIBIT A

 

Products/Services and Prices

Product Pricing

 

Watch-PATIOO, US Kaiser Permanente
price list

As of August 2006 - (Version -
2006/02, USD)

 

Watch-PATIOO Kit

 

	 	 	Itamar P/N	 	Product description	 	Price $	 
	1	 	AC21102	 	Watch-PATI00 Kit,	 	 	[***]	 
	1.01	 	FG21502	 	Watch-PATI00 Device	 	 	[***]	 
	1.02	 	FG21620	 	Cable conn Probe - WP100	 	 	[***]	 
	1.03	 	FG21610	 	Oxi sensor for WP100	 	 	[***]	 
	1.04	 	FG21810	 	Compact Flash Disk 16MB (Itamar formatted)	 	 	[***]	 
	1.05	 	FG21710	 	Velcro Sleeve +Extension	 	 	[***]	 
	1.06	 	FG21800	 	Watch-PAT I00 Charger	 	 	[***]	 
	1.07	 	FG21720	 	Hard shell case - WP100	 	 	[***]	 
	1.08	 	OM21970	 	Step by Step Guide WP100	 	 	[***]	 
	1.09	 	OM21960	 	Operation manual WP100	 	 	[***]	 
	 	 	 	 	 	 	 	 	 
	1	 	AC21002	 	Box of 12 Pneumo-Opt probes	 	 	[***]	 
	2	 	CP72000	 	Oximeter adh. bands x25	 	 	[***]	 
	3	 	FG21701	 	Sleeve Disposable x25	 	 	[***]	 
	4	 	FM07000	 	Annual Service Contract (including Help Desk)	 	 	[***]	 
	5	 	OM2103100	 	Installation and training	 	 	[***]	 

 

zzzPAT software Kit

 

	 	 	Itamar P/N	 	Product description	 	Price $	 
	1	 	AC21001	 	zzzPAT S/W Kit for WPI00	 	 	[***]	 
	1.01	 	FG21820	 	Reader/Writer USB CF	 	 	[***]	 
	1.02	 	FG21600	 	Cable maintenance WP100	 	 	[***]	 
	1.03	 	OM21971	 	zzzPAT operation manual	 	 	[***]	 
	1.04	 	AS21611	 	zzzPAT S/W CD WP100	 	 	[***]	 

 

Services Pricing (if any)

 

Maintenance &Support (if any)

See price list for Annual Service Contract 

Spare Parts (if any)

 

See below

 

Training (if any) 

See below

 

     

     

    

 

EXHIBIT B 

 

Product (including services)
Specifications

 

Describe the Products:

 

UL certification is required for all electrical
equipment

 

Describe the Services (if any)

See below

Describe the Maintenance &Support (if any)

Free SW upgrades - on new version release including
training /installation

24/7 support Technicians and patients

direct file transfer of technical/clinical queries
to Itamar Data Engineers and Medical managers. (HIPAA compliant file transfer)

36 hours device replacement.

Retraining of new staff upon demand

Periodic equipment maintenance inspection.

Easy to follow step by step guides for the RT and the
patient.

 

Describe the Spare Parts (if any)

See price list

Describe the Training (if any)

Kaiser Permanente Clinical & Technical Training
Plan

Clinical Training to MDs and staff members

Presented by Clinical Manager

Phase 1

 

Introduction to the Watch PAT technology- Oral presentation
to clinical staff (duration-1.5 hours).

Agenda:

	 	•	About the Peripheral Arterial Tone (PAT) signal.

	 	•	The PAT and sleep apnea.

	 	•	PAT Signals review.

	 	•	Watch PAT 100 validations studies review.

	 	•	About the Watch PAT technology, hardware and propriety software;
    zzzPAT.

	 	•	Clinical applications of the Watch PAT.

	 	•	Interpretation of the sleep report.

	 	•	Patient follow-up utilities.

	 	•	Exclusion criteria for using the Watch PAT

	 	•	Support tools for both the staff and the patient

Phase2

 

Personal clinical training to
staff members (duration -1 hour each)

Agenda;

	 	•	Sample studies review.

	 	•	Basic signal assessment training.

	 	•	More about exclusion criteria, additional examples.

	 	•	Yielding additional information from the raw data.

	 	•	Creating a partial report.

	 	•	Creating a follow-up report

Phase 3

 

Remote clinical support: 

	 	•	Studies inspection via FTP site* and assistance with clinical
    questions.

 

Future clinical training: 

	 	•	Additional clinical training according to the site’s requirements.

	 	•	Clinical lectures on new studies and developments - yearly

 

     

     

    

 

 

AMENDMENT TO ITAMAR MEDICAL AGREEMENT

Contract No. RS-1233

Between

KAISER FOUNDATION HEALTH PLAN, INC.

 

and

ITAMAR MEDICAL, INC.

 

This Amendment (the
“Amendment”) to the Itamar Medical Agreement, Contract No. RS-1233 entered into on August 16th, 2009(the “Agreement”),
is effective August 16th, 2009 (“Amendment Effective Date”), and is between Kaiser Foundation Health Plan, Inc. and
Itamar Medical, Inc. (“Supplier”).

 

1.       Change
in Expiration Date. The expiration date of the Agreement is changed to October 16th, 2009. Thereafter, the parties may elect
to renew this Agreement upon mutual agreement.

 

2.       Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

3.       Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

	KAISER FOUNDATION HEALTH PLAN, INC 	 	ITAMAR MEDICAL, INC.
	 	 	 	 	 
	By:	 /s/ Eric Quinn	 	By:	/s/ Dov Rubin
	 	 	 	 	 
	Printed Name:	 Eric Quinn	 	Printed Name: 	Dov Rubin
	 	 	 	 	 
	Its:	 Sourcing Manager	 	Its: 	Pres. & CEO
	 	 	 	 	 
	Date:	 10-27-09	 	Date: 	23-Oct-09

 

     

     

    

 

 

AMENDMENT TO ITAMAR MEDICAL AGREEMENT

Contract No. RS-1233

Between

KAISER FOUNDATION HEALTH PLAN, INC.

 

and

ITAMAR MEDICAL, INC.

 

This Amendment (the
“Amendment”) to Contract No. RS-1233 entered into on August 16, 2007 (the “Agreement”), is effective October
16, 2009 (“Amendment Effective Date”), and is between Kaiser Foundation Health Plan, Inc. and Itamar Medical, Inc.
(“Supplier”).

 

1.       Change
in Expiration Date. The expiration date of the Agreement is changed to March 31, 2010. Thereafter, the parties may elect to
renew this Agreement upon mutual agreement.

 

2.       Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

3.       Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

	KAISER FOUNDATION HEALTH PLAN, INC 	 	ITAMAR MEDICAL, INC.
	 	 	 	 	 
	By:	 /s/ Neerav D. Shah	 	By:	/s/ Dov Rubin
	 	 	 	 	 
	Printed Name:	 Neerav D. Shah	 	Printed Name: 	Dov Rubin
	 	 	 	 	 
	Its:	 Sourcing Manager	 	Its: 	Pres. & CEO
	 	 	 	 	 
	Date:	 10-27-09	 	Date: 	23-Oct-09

 

     

     

    

 

 

AMENDMENT #3 TO ITAMAR MEDICAL AGREEMENT

 

Contract No. RS-1233

 

Between

 

KAISER FOUNDATION HEALTH PLAN, INC.

 

and

 

ITAMAR MEDICAL, INC.

 

This Amendment (the
“Amendment”) to Contract No. RS-1233 entered into on August 16, 2007 (the “Agreement”), is effective April
1, 2010 (“Amendment Effective Date”), and is between Kaiser Foundation Health Plan, Inc. and Itamar Medical, Inc.
(Supplier”).

 

1.       Change
in Expiration Date. The expiration date of the Agreement is changed to March 31, 2013. Thereafter, the parties may elect to
renew this agreement upon mutual agreement.

 

2.       Products
and Pricing. Pricing revised as set forth in Exhibit A

 

3.       Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

4.       Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

	KAISER FOUNDATION HEALTH PLAN, INC.	 	ITAMAR MEDICAL, INC.
	 	 	 	 	 
	By:	/s/ Robert Gotto	 	By:	/s/ Dov Rubin
	 	 	 	 	 
	Printed Name: 	Robert Gotto	 	Printed Name:	Dov Rubin
	 	 	 	 	 
	Its:	Senior Sourcing Director	 	Its:	Pres. & CEO 
	 	 	 	 	 
	Date: 	2-25-10	 	Date:	26-Jan-10

 

     

     

    

 

PORTIONS
OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY
WITH THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***]
DENOTES OMISSIONS

 

EXHIBIT A

 

	WatchPat 100 Kit/WatchPAT 200 Kit

 

	Item	 	Itamar P/N	 	Product description	 	Price $
	1	 	AC21102	 	Watch-PAT100 Kit,	 	[***]
	1.01	 	FG21502	 	Watch-PAT100 Device	 	[***]
	1.02	 	FG21620	 	Cable conn Probe - WP100	 	[***]
	1.03	 	FG21610	 	Oxi sensor for WP100	 	[***]
	1.04	 	FG21810	 	Compact Flash Disk 16MB

    (Itamar formatted)	 	[***]
	1.05	 	FG21710	 	Velcro Sleeve +Extension	 	[***]
	1.06	 	FG21800	 	Watch-PAT 100 Charger	 	[***]
	1.07	 	FG21720	 	Hard shell case - WP100	 	[***]
	1.08	 	OM21970	 	Step by Step Guide WP100	 	[***]
	1.09	 	OM21960	 	Operation manual WP100	 	[***]
	 	 	 	 	 	 	 
	1	 	AC21002	 	Box of 12 Pneumo-Opt probes	 	[***]
	2	 	CP72000	 	Oximeter adh. bands x25	 	[***]
	3	 	FG21701	 	Sleeve Disposable x25	 	[***]
	4	 	FM07000	 	Annual Service Contract (including Help Desk)	 	[***]
	5	 	OM2103100	 	Installation and training	 	[***]
	6	 	AC3110302	 	Watch-PAT 200 Kit	 	[***]
	7	 	AS2000200	 	PS Sensor(Body Position/Snoring)	 	[***]
	8	 	AS2000100	 	Adhesive Set for PS Sensor	 	[***]
	9	 	AS000520	 	Oximeter sensor for WP200	 	[***]
	10	 	AS0060590	 	PAT Cable-WP200	 	[***]
	11	 	FG2110010	 	WP200 (qty.10) Kits with Software	 	[***]
	12	 	FG2110015	 	WP200 (qty.l5) Kits with Software	 	[***]
	13	 	N/A	 	1000 Boxes of 12 Pneumo-Opt probes-Package/qty order	 	[***]
	1	 	AC21001	 	zzzPAT S/W Kit for WP100	 	[***]
	1.01	 	FG21820	 	Reader/Writer USB CF	 	[***]
	1.02	 	FG21600	 	Cable maintenance WP100	 	[***]
	1.03	 	OM21971	 	zzzPAT operation manual	 	[***]
	1.04	 	AS21611	 	zzzPAT S/W CD WP100	 	[***]
	2	 	N/A	 	zzzPAT S/W Kit for WP200	 	[***]

 

     

     

    

 

 

AMENDMENT #4 TO ITAMAR MEDICAL AGREEMENT

 

This Amendment #2
(the “Amendment”) to contract number RS-1233 (the “Agreement”) effective as of April 1, 2010, is effective
as of February 4, 2013, and is between Kaiser Foundation Health Plan (“KP”) and Itamar Medical, Inc. (“Supplier”).
The parties have agreed to amend the Agreement as follows:

 

1.       Change
in Expiration Date. The expiration date of the Agreement is changed to October 31, 2013.

 

2.       Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

3.       Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

	KAISER FOUNDATION HEALTH PLAN, INC.	 	ITAMARMEDICAL, INC.
	 	 	 	 	 
	By:	/s/ Andy Delgesso	 	By:	/s/ Dov Rubin
	 	 	 	 	 
	Printed Name: 	Andy Delgesso	 	Printed Name:	Dov Rubin
	 	 	 	 	 
	Its:	Executive Director Procurement	 	Its:	CEO
	 	 	 	 	 
	Date: 	2/22/13	 	Date:	31-Jan-13

 

     

     

    

 

PORTIONS OF THIS AGREEMENT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY
WITH THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***]
DENOTES OMISSIONS

 

Contract
# RS-1233

 

AMENDMENT #5 TO ITAMAR MEDICAL AGREEMENT

 

This Amendment #5
(the "Amendment") to the Master Products and Services Agreement (#RS- 1233) (the "Agreement"), effective as
of February 4th, 2013, is effective as of November 1, 2013, and is between Kaiser Foundation Health Plan, Inc. ("KP")
and Itamar Medical, Inc. ("Supplier"). The parties have agreed to amend the Agreement as follows:

 

1.          Change
of Supplier Principal Place of Business. Supplier's principal place of business is at 842 Upper Union St, Suite 2, Franklin,
MA.

 

2.          Change
in Expiration Date. The expiration date of the Agreement is changed to October 31, 2015

 

3.          Products
and Pricing. The Agreement is amended by revising the Products and pricing set forth on Exhibit A attached to the Agreement
and incorporated therein by this reference.

 

4.          The
following language shall be added to contract Section 2. Purchasing of Services

 

2.10.   [***].
[***].

 

2.11.   Pricing
for New Products. New Products offered by Supplier will be offered at [***].

 

2.12.    Supplier
Travel and General Expenses. No additional charges shall be incurred byKP for travel or general expenses for Supplier's employees
or subcontractors.

 

2.13.    No
Minimum Order Quantities. There are no minimum order quantities or fees associated with any purchase order provided by KP..

 

2.14.   Product
Returns. Supplier will accept un-expired products for return without charging restocking fees. Supplier's company policy states
no returns; exchanges are allowed in the case of order entry errors but shipping charges are not waived.

 

2.15.   Third
Parties Purchasing on Behalf of KP. If KP elects, a third party may purchase any Product on its behalf (including an outsourced
clinical engineering service provider, a leasing company financing the acquisition, etc.). Supplier must (a) sell that Product
to the third party selected by KP at the same price, terms and conditions as though KP purchased the Product directly, and (b)
treat that sale as a sale to KP only if used by KP.

 

2.16.    Market
Changes. If KP determines that (a) a material change occurred in the market that affected a Product, and (b) such market change
resulted in a market price for that Product that is lower than the price set forth on the Agreement pricelist, then, upon notice
from KP, Supplier must, within 30 days after receiving KPS' notice, [***].

 

2.17.   Release
of New Products. If Supplier begins to sell a similar product not listed on the Agreement pricelist, then Supplier must notify
KP within 30 days after governmental approval or Supplier's release of the product. At KP's discretion, KP and Supplier may amend
the Agreement pricing to add the new Product at a mutually agreed-upon price.

 

     

     

    

 

2.18.   New
Technology. If New Technology becomes available from any source, including Supplier, then KP may evaluate and contract with
any supplier so that KP will have access to New Technology at all times. If Supplier cannot offer New Technology at comparable
or lower prices, KP may either (a) amend contract pricelist to add Supplier's New Technology at a mutually agreed-upon price;
or (b) contract with other suppliers for New Technology. Regardless of whether New Technology is added to this Agreement, Supplier
and KP will negotiate in good faith to equitably adjust the pricing for any current Product under this Agreement affected by the
New Technology.

 

2.19.   Discontinuation
of Products. Supplier may discontinue the manufacture of any Product, but Supplier must (a) replace the discontinued Product
with a functionally equivalent Product at a price equal to or less than the discontinued Product, and (b) provide [***] months'
prior written notice to KP of Supplier's intent to discontinue the Product.

 

2.20.   Support
and Maintenance; Equipment End-of-Life. Supplier agrees to make service and maintenance support available for its Products
for a minimum of seven (7) years after the sale of a Product.

 

5.          Section
3.1 (b) is deleted and replaced with the following language:

 

3.1.     Supplier
warrants that Products will be free from defects in workmanship and materials under normal use and in accordance with the Product's
user manuals. Products will conform to the Product Specifications for a period of 2 years from either the date of Product acceptance
by facilities that are in operation or from the first day of operation at a new facility.

 

6.          Section
3.2 is deleted and replaced with the following language:

 

3.2.     Product
Recalls. In addition to any notification required by law, within 24 hours after Supplier first learns of a recall, Supplier
agrees to notify the Kaiser Permanente National Recall Department (kp-product-recall@kp.org) and any KP facility that received
or ordered a recalled Product. Supplier must use its reasonable commercial efforts to monitor the recall status of affected Products.
Each recall notice must include specific information related to the recall as well as the suggested action to be taken by KP.
Supplier must reimburse KP for its costs associated with the correction of a recall and actions taken in response to a recall.
This Section 3.2 survives the expiration or other termination of this Agreement, regardless of the cause giving rise to the expiration
or termination.

 

7.          The
following language shall be added under Section 6. Miscellaneous

 

6.19.   Best
in Nation. The prices, terms, and conditions under this Agreement must be [***]. To the extent that Supplier is not in compliance
with this clause, Supplier must [***].

 

6.20.   Rebate.
Supplier will issue a credit to KP if for the period of [***] to [***]of the following year (the "Rebate
Period"), during each year of the Agreement, KP [***]. The rebate value will correspond to [***] during the Rebate
Period. KP may use this credit in exchange for any consumables sold by vendor, at the contract prices. For clarity, if [***]
then the rebate value will be [***]. Supplier will provide the credit amount to KP within 30 days after the end of the Rebate
Period.

 

8.          Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

9.          Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

     

     

    

 

	Kaiser Foundation Health Plan, Inc.  	 	Itamar Medical, inc.  
	 	 	 	 	 
	By:	 	 	By:	/s/ Marvin Slosman
	 	 	 	 	 
	Printed Name: 	 	 	Printed name: 	Marvin L. Slosman
	 	 	 	 	 
	Its: 	 	 	Its: 	President, Itamar Inc.
	 	 	 	 	 
	Date:	 	 	Date: 	September 5, 2013

 

 

     

     

    

 

PORTIONS
OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY
WITH THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES
EXCHANGE ACT OF 1934; [***] DENOTES OMISSIONS 

 

Exhibit A

Pricing

 

	Manufacturer

    Name	 	Manufacturer
    

    Catalog 

    Number	 	Manufacturer
    Product 

    Description	 	Extended
    Manufacturer

    Product 

    Description	 	Base

        UOM
	 	Sell Use

    UOM	 	Sell
    Use 

    Quantity	 	 	Manufacturer

        Purchase

        Price
	 
	Itamar Medical	 	AC2000300	 	24 Bracelets for WatchPAT	 	Chain of Custody bracelets	 	EA	 	BOX	 	 	24	 	 	 	[***]	 
	Itamar Medical	 	AC2000102	 	Adhesive Set for Sensor	 	Pkg for body position and snore	 	EA	 	PKG	 	 	12	 	 	 	[***]	 
	Itamar Medical	 	AS0037050	 	Battery for WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	AS0065511	 	Cable Bracelet to WP200	 	Y-cable for Chain of Custody use	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	AC2000201	 	Integrated Sensor	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Nonin	 	CP7200010	 	Oximeter Adhesive Bands x 25	 	Pkg for Oximeter	 	EA	 	PKG	 	 	25	 	 	 	[***]	 
	Itamar Medical	 	OM2193302	 	Step by Step Guide WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	-	 	Upgrade WP 100 to WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	AC2110400	 	WatchPAT 200 Kit	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	CS2110010	 	WatchPAT 200 Kit 10 to 14	 	10-14 WP200 Kits & sensors, 1 s/w cd @ $[***] ea	 	EA	 	PKG	 	 	 	 	 	 	[***]	 
	Itamar Medical	 	CS2110015	 	WatchPAT 200 Kit 15 to 29	 	15-29 WP200 kits & sensors, 1 s/w cd @ $[***] ea.	 	EA	 	PKG	 	 	 	 	 	 	[***]	 
	Itamar Medical	 	CS2110030	 	WatchPAT 200 Kit 30-59	 	30-59 WP200 kits & sensors, 1 s/w cd @ $[***] ea	 	EA	 	PKG	 	 	 	 	 	 	[***]	 
	Itamar Medical	 	CS2110060	 	WatchPAT 200 Kit 60 Up	 	60-up WP200 kits & sensors, 1 s/w cd @ $[***] ea	 	EA	 	PKG	 	 	 	 	 	 	[***]	 
	Itamar Medical	 	AS2161531	 	zzzPAT S/W CD for WatchPAT 4.3.61.4	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	AS2165200	 	WatchPAT 200 Patient Video	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	CS1000101	 	1 Year Warranty WatchPAT	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	OM2196303	 	Operation Manual	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	AS0060620	 	Oximeter Sensor for WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	AS0060600	 	PAT Cable WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	MP2173302	 	Carrying Case WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	PS0000013	 	Pow-Supp 100-240 VAC W.M.	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	Itamar Medical	 	AC2100210	 	12 Pneumo-opt sip probes-WP	 	 	 	EA	 	BOX	 	 	12	 	 	 	[***]	 
	Itamar Medical	 	CS2100210	 	12 WatchPAT Probes 1K	 	orders of 1,000 boxes of probes or more	 	EA	 	BOX	 	 	12	 	 	 	[***]	 
	Itamar Medical	 	AC21103xx-AC21104xx	 	Upgrade WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 

 

     

     

    

 

Exhibit B 

Extended Service plan

 

Supplier will provide the following software
and hardware services for Supplier's Products included in this Service Plan subject to the Coverage Description below:

 

• Free software updates when released

• Hardware troubleshooting and support
(as per A. below)

• Software troubleshooting and support
(as per B. below)

• Free Remote training for product
operation (up to 4 hours per year)

• Preventive Maintenance includes
pro-active part replacements (as per C. below)

• Cable/connector/tubing replacements
as a result of normal use.

• One-time battery pack replacement
or tubing replacements (where applicable)

• Device inspection & problem
assessment at Supplier labs

• Device diagnosis and software support
through phone call or email (support available 9 AM to 5 PM Sunday -Thursday Israel Time or Monday - Friday in Eastern Time U.S.)

• Free subassembly level repair at
Supplier's laboratory (as per D. below)

• Loan equipment replacement (subject
to availability and as per E. below)

• Three (3) technical study analyses
per device (medical interpretation & diagnosis not included)

• Free shipping to Customer (as per
F. below)

• See Exhibit B-1 for more product-specific
coverage

 

Coverage Description; The following
items are not covered: All consumable items, such as probes, adhesives, accessories, etc. Probes are covered for manufacturing
defects within the first ninety (90) days of purchase. If probes are discovered to be defective after this period, Supplier will
not be responsible for any such defects. Device and accessory warranty coverage is subject to normal use and to storing items
at recommended storage conditions, as described in the device User's Manual. This does not cover damage to the Product due to
abuse or mishandling. Products returned to Supplier and proven upon inspection to be defective under normal use will be repaired
or exchanged.

 

A. Hardware Troubleshooting and Support:
Hardware troubleshooting and support is provided remotely by the system analysts and engineers working at Supplier's Customer
Support Center. Troubleshooting tests and services include:

• System Integrity testing

• Analysis of clinical performance
issues

• Identifying of problems related
to accessories and connections to the system

• Interface testing

 

B. Software Troubleshooting and Support:
Supplier, through its Customer Support Center, will remotely assist KP with software installation, software updates, software
interface operation, study analyses and report generations.

 

NOTE: Updates apply only to those Supplier
software products/application programs that were purchased with the original hardware configuration or added by subsequent purchases.
Revisions do not include new hardware features or hardware enhancements that became available subsequent to the original product
configuration that was quoted and/or purchased.

 

NOTE: If the new versions of Supplier's
software products/application programs require hardware enhancements or other platform upgrades (e.g., revisions to licensed,
third party software products such as operating systems), a separate quotation will be provided. Supplier does not include replacement
hardware with software version update revisions.

 

     

     

    

 

The following is a list of services that
will be performed whenever software update and/or upgrade revisions are provided:

 

• Software portion of Preventive
Maintenance testing.

• Remote installation of new software
version in all devices, i.e. computer workstations, front end, etc.

• Release notes and documentation.

• Modifications to system software
configuration notes and reports as necessary to maintain existing features and formats.

 

C. Preventive Maintenance: Provides
remote phone call or email training on the best preventive care and maintenance guidelines upon KP request. KP should follow the
preventive maintenance guidelines issued with the product to ensure proper product operation. Failing to follow the preventive
maintenance guidelines may result repair charges case product is serviced at Supplier's lab. See Exhibit B-1 for a list of product-specific
Preventive Maintenance actions included within this Service Plan.

 

D.  Subassembly Level Repair Service:
This module offers a free exchange of defective system subassemblies (circuit boards, LCD display, connectors and internal
parts) with fully functional, factory- tested parts.

 

E. Loan Equipment Replacement:
Supplier will provide loan equipment replacement as necessary, to maintain core system functionality in the event that hardware
components must be sent for factory repair. Loan equipment replacement is provided based on determination of the core functionality
necessary to maintain clinical operations and the availability within our inventory. No additional fees will be charged for loan
replacement equipment even if newer than the returned equipment.

 

F. Shipping & Postage: Loan
equipment replacement (when applicable and available) will be shipped to the Customer within two (2) working days after the broken
equipment has been shipped by KP to Supplier and a proof of shipment has been emailed to Supplier. KP shall obtain an RMA number
from Supplier which includes a KP-prepared pro-forma invoice to be shipped together with the equipment. Supplier, at its sole
discretion, has the right to leave the loan equipment as a permanent replacement to equipment sent for repair. Customer shall
pay postage costs to Itamar.

 

     

     

    

 

General Terms and Conditions - Extended
Service Plan Agreement ("ESPA")

 

The following general terms and conditions
apply to each Extended Service Plan Agreement ("ESPA"):

 

1. Term of Agreement:

The ESPA shall have an effective term
as set forth on the ESPA, provided, however, that the term of the ESPA may be terminated upon 90 days written notice by either
party to the other. In the event the Customer elects to terminate the ESPA prior to the expiration of its stated term, the Customer
shall pay to Itamar-Medical Ltd. the prorated prepaid or unpaid subscription price attributable to the used portion of the stated
terms of the ESPA. For clarity, if the annual cost is $250 and KP cancels the contract after 3 months, then KP shall pay 3/12
* 250 = $62.5

 

Itamar Medical Ltd shall also be entitled
to terminate the ESPA in the event Customer fails to pay any Itamar invoice in a timely manner or Customer commits a material
default under this Agreement if and only if Itamar Medical has provided at least 30 days written notice to Customer detailing
the late payment or default and providing at least a 30 day opportunity for Customer to cure such late payment or default.

 

2. Eligibility for Service Agreement:

For those Customers having any equipment
out of warranty and/or not currently being serviced under an Supplier Service Agreement or, if a recent post-Warranty Support
Agreement has lapsed for a period of more than thirty (30) days, the equipment must be first inspected by Supplier, repaired and
adjusted to applicable factory specifications, and subsequently accepted by Supplier as serviceable under the ESPA. Should repairs
be necessary to bring the system to current operational specifications, KP remains responsible to purchase any required components
at the then prevailing component list price.

 

NOTE: Mandatory inspection, and any
subsequent repairs or adjustments, are provided at additional cost. They are NOT part of this post Warranty Support Agreement
proposal.

 

3. Period of Service Availability and Charges:

 

a. For each maintenance request, Supplier
representative will respond within four (4) hours by phone during normal business hours or email, to collect required information
for processing the service call. Supplier's technical support representative will provide the schedule for problem repair within
two (2) working days.

 

b. In an emergency, advanced replacement
equipment will be provided based on Supplier's determination of the core functionality necessary to maintain clinical operations
and the availability of Supplier's inventory.

 

An "emergency" is defined as
the inability of KP to perform a study due to the loss of function of the device only. Loss of function of the third party computer
used for running the product software or for creating final reports is the responsibility of the third party manufacturer, even
if the computer is provided by Supplier, as Supplier's Service and Support Team cannot assume repair function for a third party
computer. Third party warranty and support information will be provided to KP at time of sale.

 

4. Exclusions;

a. Supplier shall have no obligation to
perform any maintenance services to any equipment or software, where the maintenance service required results from any of the
following. Under such circumstances, if Supplier elects to repair the equipment or software, KP shall pay for the same at Supplier's
then applicable standard rates for labor and materials (available upon request):

• Improper use of the equipment
or software.

• Failure to follow Supplier's
Preventive Maintenance guidelines for the product.

• Failure to operate the equipment
in accordance with applicable operating manuals.

• Any modification or alteration
of the equipment or software without Supplier's prior written consent.

• Equipment that has been subjected
to unusual physical or electrical stress.

 

     

     

    

 

• Failure to exercise reasonable efforts to take proper
care of the equipment and minimize any damage to the equipment or software.

• If maintenance to the equipment or software
has been performed by persons other than Supplier personnel without the prior written consent of Supplier.

• If damage results from operator error or misuse.

 

b. Consumables and other semi-disposable
items, such as, but not limited to, probes, external sensors, tubes, carrying case, straps, adhesives, etc., are not covered under
the ESPA. Replacement of these disposable items, if required, will be at applicable contract prices.

 

5. Access to Equipment;

In order to perform its obligations pursuant
to the ESPA, Supplier shall provide ready access to all equipment and software covered by this agreement including on-line remote
computer access.

 

     

     

    

 

Exhibit B-1: Product-specific Coverage

 

1. WatchPAT

• WatchPAT Device - refers to
WatchPAT of any model

• WatchPAT Software (zzzPAT)

 

• Coverage Description Includes
subassembly level hardware repair and free replacement of cables and sensors if found to be broken through normal use.

 

• Preventive Maintenance
for WatchPAT includes replacement of the following items after 200 sleep studies or when found to be faulty: battery pack,
PAT-probe cable, Oxi-sensor. Supplier will mail replacement part to KP for self installation. Parts and shipment not included.

 

2. EndoPAT

• EndoPAT 2000 Device

• EndoPAT 2000 Software

 

• Preventive Maintenance for
EndoPAT includes pro-active replacement of the pneumatic tubes (pneumatic cables) after 1,000 studies or when found to be faulty.
Parts and shipment are not included.

 

     

     

    

 

 

PORTIONS OF THIS AGREEMENT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY
WITH THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***]
DENOTES OMISSIONS

 

Contract #RS-1233

 

AMENDMENT #6 TO ITAMAR MEDICAL AGREEMENT

 

This Amendment #6
(the “Amendment”) to the Master Products and Services Agreement (the “Agreement”) effective as of August
16th, 2007, is effective as of November 1, 2015, and is between Kaiser Foundation Health Plan, Inc. (“KP”)
and Itamar Medical, Inc. (“Supplier”). The parties have agreed to amend the Agreement as follows:

 

1.       Change
in Expiration Date. The expiration date of the Agreement is changed to October

31, 2018.

 

2.       Extension
of Term. Section 4.1 is deleted in its entirety and replaced with the following:

 

“Customer may extend
the Term of this Agreement for 2 additional 1 year periods by providing written notice to the Supplier prior to the expiration
of the then-current Term.”

 

3.       Products
and Pricing. The Agreement is amended by deleting Exhibit A in its entirety and replacing it with a new Exhibit A, attached
to this Amendment and incorporated herein.

 

4.       Maintenance
Services After Expiration. A new section 2.11 shall be added to the Agreement as follows:

 

“2.11 Maintenance
Services After Expiration. Supplier agrees to offer maintenance services throughout the useful life of the equipment supplied
to Customer under this Agreement. Supplier may increase prices for maintenance services after the expiration of this Agreement
in an amount[***]. This clause shall survive after expiration of the contract.”

 

5.       Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

6.       Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

[Intentionally Left Blank]

 

     

     

    

 

	Kaiser Foundation Health Plan, Inc.	 	Itamar Medical, Inc.
	 	 	 	 	 
	By: 	/s/ Kenneth . R. Mudge	 	By:	/s/ Avnon Tuval
	 	 	 	 	 
	Printed Name 	Kenneth . R. Mudge	 	Printed Name: 	Avnon Tuval
	 	 	 	 	 
	Its: 	Vice President, Sourcing	 	its: 	VP Operations
	 	 	 	 	 
	Date:	07/16/2015	 	Date: 	6/24/15

 

     

     

    

 

PORTIONS
OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY
WITH THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***]
DENOTES OMISSIONS

 

Exhibit A - Pricing

A.1) Price List

 

	Manufacturer
    Catalog 

    Number	 	Manufacturer
    Product Description	 	Extended
    Manufacturer Product 

    Description	 	Base

    UOM	 	Sell Use

    UOM	 	Sell
    Use

    Quantity	 	 	Manufacturer

    Purchase 

    Price	 
	AC2000300	 	24 Bracelets for WatchPAT	 	Chain of Custody bracelets	 	EA	 	BOX	 	 	24	 	 	 	[***]	 
	AC2000102	 	Adhesive Set for Sensor	 	Pkg for body position and
    snore	 	EA	 	PKG	 	 	12	 	 	 	[***]	 
	AS0037050	 	Battery for WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	AS0065511	 	Cable Bracelet to WP200	 	Y-cable for Chain of Custody
    use	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	AC2000201	 	Integrated Sensor	 	 	 	EA	 	EA	 	 	 	 	 	 	[***]	 
	CP7200010	 	Oximeter Adhesive Bands x 25	 	Pkg for Oximeter	 	EA	 	PKG	 	 	25	 	 	 	[***]	 
	OM2193302	 	Step by Step Guide WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	CS2110500	 	WP200U With Trade In	 	Older device trade in for
    a WP200U	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	CS2110010	 	WatchPAT 200U Kit 10 to 14	 	10-14 WP200 Kits & sensors,
    1 s/w cd @ [***] ea	 	EA	 	PKG	 	 	 	 	 	 	[***]	 
	CS2110015	 	WatchPAT 200U Kit 15 to 29	 	15-29 WP200 kits & sensors,
    1 s/w cd @ [***] ea.	 	EA	 	PKG	 	 	 	 	 	 	[***]	 
	CS2110030	 	WatchPAT 200U
    Kit 30-59	 	30-59 WP200
    kits & sensors, 1 s/w cd @ [***] ea	 	EA	PKG 	 	 	 	 	 	 	[***] 	 
	CS2110060	 	WatchPAT 200U Kit 60 Up	 	60-up WP200 kits & sensors,
    1 s/w cd @ [***] ea	 	EA	 	PKG	 	 	 	 	 	 	[***]	 
	AS2161531	 	zzzPAT S/W CD for WatchPAT 4.3.61.4	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	AS2165200	 	WatchPAT 200 Patient Video	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	CS1000101	 	1 Year Warranty WatchPAT	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	OM2196303	 	Operation Manual	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	AS0060620	 	Oximeter Sensor for WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	AS0060600	 	PAT Cable WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	MP2173302	 	Carrying Case WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	PS0000013	 	Pow-Supp 100-240 VAC W.M.	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	AC2100210	 	12 Pneumo-opt slp probes-WP	 	 	 	EA	 	BOX	 	 	12	 	 	 	[***]	 
	CS2100210	 	12 WatchPAT Probes 1K	 	orders of 1000 boxes of probes
    or more	 	EA	 	BOX	 	 	12	 	 	 	[***]	 
	AC21103xx-AC21104xx	 	Upgrade WP200	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	AC2101200	 	12 Pneumo-Opt uPAT Probes	 	12 Pneumo-Opt uPAT Probes	 	EA	 	Box	 	 	1	 	 	 	[***]	 
	AC2110400	 	WatchPAT-200U	 	 	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	AS0065515	 	Cable Bracelet to WatchPAT200U	 	Y-cabie for Chain of Custody
    use U devise	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	UP2100300	 	Upgrade Kit Watch-PAT200U	 	Upgrade kit for WatchPAT
    200 3 series	 	EA	 	EA	 	 	1	 	 	 	[***]	 

 

A.2) Trade-in

 

	Manufacturer	 	Manufacturer Product	 	Extended Manufacturer Product	 	Manufacturer	 	 	Price for purchases made	 
	Catalog Number	 	Description	 	Description	 	Purchase
    Price	 	 	before
    12/31/2015	 
	CS2110500	 	WP200U With Trade In	 	Older itamar device or any competitor’s equipment at
    working condition - trade in for a WP200U	 	 	[***]	 	 	 	[***]	 
	UP2100300	 	Upgrade Kit Watch- PAT200U	 	Upgrade kit for Watch PAT 200 5 series	 	 	[***]	 	 	 	[***]	 

 

     

     

    

 

PORTIONS OF THIS AGREEMENT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY
WITH THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***]
DENOTES OMISSIONS

 

Contract # RS-1233

 

AMENDMENT
#7 TO ITAMAR MEDICAL AGREEMENT

 

This Amendment #7 (the “Amendment”)
to the Master Products and Services Agreement (#RS-1233) (the “Agreement”), effective as of August 16, 2007, is effective
as of June 26th, 2017, and is between Kaiser Foundation Health Plan, Inc. (“KP”) and Itamar Medical, Inc. (“Supplier”).
The parties have agreed to amend the Agreement as follows:

 

1.       Change
of Supplier Principal Place of Business. Supplier’s principal place of business is at 3290 Cumberland Club Drive, Suite
100, Atlanta, GA.

 

2.       Products
and Pricing. The Agreement is amended by adding the Products and pricing set forth on Exhibit A.1 attached to the Agreement and
incorporated therein by this reference.

 

3.       Section
6 is deleted and replaced with the following language:

 

6.20. Rebate. Supplier will issue a credit
to KP if for the period of [***] to [***] of the following year (the “Rebate Period”), during each year of the Agreement,
[***]. The rebate value will correspond to [***] during the Rebate Period under the Agreement. KP may use this credit in exchange
for any of the following - consumables, products and upgrades sold by Supplier, at [***]. For clarity, if [***], then the rebate
value will be [***]. Supplier will provide the credit amount to KP within 30 days after the end of the Rebate Period.

 

4.       Principles
of Construction. Wherever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

5.       Execution,
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

		

	Kaiser Foundation Health Plan, Inc.	 	Itamar Medical, Inc.
	 	 	 	 	 
	By:	/s/ Nestor  Jarquin	 	By	/s/ Jeff Levin
	 	 	 	 	 
	Printed Name:	Nestor  Jarquin	 	Printed Name:	Jeff Levin
	 	 	 	 	 
	Its: 	Sourcing manager Medical 	 	Its: 	Region  Business Director, Kaiser Permanente
	 	 	 	 	 
	Date:	06/08/2017	 	Date:	6/23/17

 

     

     

    

 

 PORTIONS
OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED

SEPARATELY
WITH THE SECRETARY OF THE COMMISSION PURSUANT TO AN

APPLICATION
FOR CONFIDENTIAL TREATMENT UNDER RULE 24b-2 OF THE

SECURITIES EXCHANGE ACT OF 1934; [***]
DENOTES OMISSIONS

 

Exhibit A.l

Pricing

 

	Manufacturer
    Catalog

    Number	 	Manufacturer
    Product Description	 	Base

        UOM
	 	Sell Use
    

    UOM	 	Sell
    Use

    Quantity	 	 	Manufacturer
    Purchase 

    Price	 
	AC3000100	 	Central Plus Sensor Replacement	 	EA	 	EA	 	 	1	 	 	 	[***]	 
	AC3000300	 	Central Plus Add-On Kit with RESBP	 	EA	 	EA	 	 	1	 	 	 	[***]	 

  

     

     

    

  

AMENDMENT NUMBER SEVEN (7) TO MASTER
PRODUCTS AND SERVICES AGREEMENT

 

Contract No. RS-1233 (4734 One Link)

 

Between

 

KAISER FOUNDATION HEALTH PLAN, INC.

 

and

 

ITAMAR MEDICAL, INC.

 

This Amendment to the Master Products and
Services Agreement, Contract No. RS-1233 (4734 One Link) entered into on August 16th, 2007, is effective November 1st,
2018, and is between Kaiser Foundation Health Plan Inc. and Itamar Medical Inc. (Supplier”).

 

		1.	Revise
                                         Expiration Date. The expiration date of the Agreement is changed to January 31st,
                                         2019.

 

		2.	Principles
                                         of Construction. Whenever the terms or conditions of the Agreement and the Amendment
                                         are in conflict, the terms of this Amendment control. Except as specifically modified
                                         by the terms of this Amendment, all of the Agreement remains in full force and effect.
                                         This Amendment may be executed in any number of counterparts, each of which is an original,
                                         but all counterparts of which constitute the same instrument.

 

		3.	Execution.
                                         Authorized representatives of the parties have executed this Amendment as of the
                                         dates written below.

 

		4.	Terms
                                         and Conditions. All other Terms and Conditions of the Master Products and Services
                                         Agreement remain the same.

 

	KAISER FOUNDATION HEALTH PLAN
    INC.	 	ITAMAR MEDICAL INC.
	 	 	 	 	 
	By:	/s/ Gregory
    L Snow	 	By:	/s/ Gilad
    Glick
	 	 	 	 	 
	Printed Name:  	Gregory L Snow	 	Printed Name:  	Gilad Glick
	 	 	 	 	 
	Title:	Sr. Sourcing Director	 	Title:	CEO
	 	 	 	 	 
	Date:	10/23/2018	 	Date:	10/22/2018

 

    	 

     

    

 

AMENDMENT
NUMBER EIGHT (8) TO MASTER PRODUCTS AND SERVICES

 

AGREEMENT

 

Contract
No. RS-1233 (4734 One Link) 

 

Between

 

KAISER
FOUNDATION HEALTH PLAN, INC. 

 

and

 

ITAMAR
MEDICAL, INC.

 

This
Amendment to the Master Products and Services Agreement, Contract No. RS-1233 (4734 One Link) entered into on August 16th,
2007, is effective February 1st, 2019, and is between Kaiser Foundation Health Plan Inc. and Itamar Medical Inc. (Supplier”).

 

		1.	Revise Expiration
Date. The expiration date of the Agreement is changed to March 31st, 2019.

 

		2.	Principles
of Construction. Whenever the terms or conditions of the Agreement and the Amendment are in conflict, the terms of this Amendment
control. Except as specifically modified by the terms of this Amendment, all of the Agreement remains in full force and effect.
This Amendment may be executed in any number of counterparts, each of which is an original, but all counterparts of which constitute
the same instrument.

 

		3.	Execution.
Authorized representatives of the parties have executed this Amendment as of the dates written below.

 

		4.	Terms and Conditions.
All other Terms and Conditions of the Master Products and Services Agreement remain the same.

 

	KAISER FOUNDATION HEALTH PLAN INC.	 	ITAMAR MEDICAL INC.
	 	 	 
	By:	/s/
     Gregory L Snow	 	By:	/s/ Gilad Glick
	 	 	 	 	 

	Printed Name: 	Gregory L Snow	 	Printed Name: 	Gilad Glick

 

	Title:	Sr. Sourcing Director	 	Title: 	CEO
	 	 	 	 	 
	Date: 	01/10/2019	 	Date: 	01/09/2019

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