Document:

Translation of Additional Agreement No.5 for Extension of Term

 Exhibit 10.15 
 Additional Agreement Number 5 (Five) for Extension of Time 
 Contract 424048860 

Merco Ingeniería Industrial S.A. de C.V./Forbes Energy Services LTD (Joint Proposal) 

 

 

 EXPLORATION AND PRODUCTION 
 Administration and Finance Drilling Management 
 North Administration and
Finance Assistant Management 
 Superintendence of Material Resources 

Monitoring and Control of Supplies Contracts 
 Additional Agreement Number 5 (Five) for Extension of Time to the Public Work Contract on the basis of unit prices Number 424048860 celebrated on one hand by PEMEX – Exploration and Production,
Public Decentralized Organism of the Federal Government- which on this document will be named “PEP”, and represented by the engineer Juan Alfredo Ríos Jiménez, who is in charge of the Drilling and Well Maintenance
Northern Division Management and partly by Merco Ingeniería Industrial S.A. de C.V. and Forbes Energy Services LTD, who is hereby named “The Contractor”. The First one represented by Luis Lauro Moreno
Ricart, in his character as Sole Administrator. The second one represented by José Andrés Suárez Canales in his character as Special Representative. In accordance with the following background,
statements and clauses: 
 - B a c k g r o u n d - 

 

	 	I.	 As of
September 26th 2008, as a result of the International Competitive Bidding that takes place in accordance to the Free Trade Agreements signed by the United States of Mexico number 18575051-027-08, and based on the
following Articles of the Political Constitution of the United Mexican States: Article 134, Article 3 fraction II, Article 26 fraction I, Article 27 fraction I, Article 28, Article 30 fraction II item a) and Article 34 of the Law of Public Work
and Same Related Services, the parties concluded the contract in question for the execution of services related to: “Repair and Maintenance Work on Wells in the Integral Active of Poza Rica-Alta Mira of the North Region” (Package
1). 

  

	 	II.	 The contract was signed for a total of: $234,256,757.01 pesos (Two hundred and thirty four million two hundred and fifty six thousand, seven hundred
and fifty seven pesos 01/100 pesos in addition to $48,842,604.99 USD (Forty eight million, eight hundred and forty two thousand, six hundred and four 99/100 USD) plus Value Added Tax and a deadline of 730 (seven hundred and thirty)
calendar days from September the 26th, 2008 and consequently ending the day of September 25th, 2010. 

  
 Page 1 de 12

 Additional Agreement Number 5 (Five) for Extension of Time 

Contract 424048860 
 Merco
Ingeniería Industrial S.A. de C.V./Forbes Energy Services LTD (Joint Proposal) 
  

	 	III.	As part of the original contract the parties subscribed to the following annexes: 

 

			
	Annex A	  	DRAWINGS AND THEIR RELATIONSHIP
		
	Annex B	  	GENERAL AND INDIVIDUAL SPECIFICATIONS OF THE PROJECT
		
	Annex B1	  	STANDARDS
		
	Annex DE-10	  	CATALOG OF CONCEPTS
		
	Annex DE-10A	  	CATALOG OF UNIT PRICES
		
	Annex DT12	  	SCHEDULED PROGRAM OF GENERAL EXECUTION OF THE WORK
		
	Annex DT3	  	RELATIONSHIP OF MACHINERY AND/OR EQUIPMENT AND THEIR PHYSICAL LOCATION
		
	Annex DT10	  	LIST OF INPUTS INVOLVED IN THE INTEGRATION OF THE PROPOSAL
		
	Annex DSP	  	MATERIALS AND INSTALLATION EQUIPMENT PROVIDED BY PEP
		
	Annex “E”	  	MACHINERY AND/OR EQUIPMENT PROVIDED BY PEP (OTHER THAN THOSE OF THE PERMANENT INSTALLATION)
		
	Annex G	  	DOCUMENTATION REQUIRED BY FUNDING SOURCES
		
	Annex G-1	  	CERTIFICATE ON THE COUNTRY OF ORIGIN OF THE GOODS AND SERVICES
		
	Annex S	  	DUTIES OF SAFETY, OCCUPATIONAL HEALTH AND ENVIRONMENTAL PROTECTION OF THE SUPPLIERS OR CONTRACTORS OPERATING IN EXPLORATION AND PRODUCTION PEMEX FACILITIES
		
	Annex BEO	  	TERMS AND CONDITIONS USE OF THE ELECTRONIC LOG
		
	Annex DT-17	  	PRIVATE AGREEMENT OF THE JOINT PROPOSAL

  

	 	IV.	 As of
September 4th, 2009 both parties signed the Agreement Number 1 (One) Listing of Projects and New Concepts with Inclusion of Additional Increase whereby PEP and the Contractor agree to carry out the
work under this contract in the Integral Active Tertiary Gulf Oil same belonging to the northern region of Pemex Exploration and Production. Prevailing prices originally agreed. Therefore, the Contractor accepts not to make any
additional charge for the execution of work whenever they have the same nature and scope of the originally contracted. 

 The parties also convey on including 16 (sixteen) New Concepts, corresponding to the extraordinary items numbers: 6.9, 15.1, 15.2, 15.3, 15.4, 15.5, 15.6, 15.7, 15.8, 15.9, 15.10, 15.11, 15.12,
15.13, 15.14 

  
 Page 2 de 12

 Additional Agreement Number 5 (Five) for Extension of Time 

Contract 424048860 
 Merco
Ingeniería Industrial S.A. de C.V./Forbes Energy Services LTD (Joint Proposal) 
  

 
and 15.5, as detailed in the Annex “B” Additional supplementing the Annex “B” and the Annex “DE-10A-1” supplementing the Annex “DE-10A to
form part of this agreement. 
 Additionally the parties agree to extend the contract amount by an amount of $41,043,200.00
pesos (Forty one million, forty three thousand and two hundred 00/100 pesos) plus $21,000,000.00 USD (Twenty one million 00/100 USD) which added to the amount originally contracted of $234,256,757.01 pesos (Two hundred and thirty four
million, two hundred and fifty six thousand, seven hundred and fifty seven 01/100 pesos) plus $48,842,604.99 USD (Forty eight million, eight hundred and forty two thousand, six hundred and four 99/100 USD) results in a further sum of
$275,299,957.01 pesos (Two hundred and seventy five million, two hundred and ninety nine thousand, nine hundred and fifty seven 01/100 pesos) plus $69,842,604.99 USD (Sixty nine million, eight hundred and forty two thousand, six hundred
and four 99/100 USD). 
 The rate of expansion is of 17.52% in pesos plus 43.00% in USD compared to the
originally contracted amount. 
  

	 	V.	 As of
September 20th, 2010 both parties signed the Agreement Number 2 (Two) for Extension of Time by which PEP and the Contractor agree to extend the deadline in 97 (Ninety seven) calendar days
which added to the original deadline in the contract of 730 (Seven hundred and thirty) calendar days result in a new deadline of 827 (Eight hundred and twenty seven) calendar days being a new contract termination day for
the day December 31st, 2010. 

 The rate of expansion if of 13.29% over the
period originally contracted. 
  

	 	VI.	 As of
October 22nd, 2010 both parties signed the Agreement Number Three (3) Listing of New Concepts without any Increase in Value by which PEP and the Contractor agree to include 27 (Twenty seven)
New Concepts as detailed in the Annex “B” Additional 1 and the Annex DE-10A-1 which complements the Annex DE-10A which is an integral part of this agreement. 

 

	 	VII.	 As of
December 31st, 2010 both parties signed the Agreement
Number Four (4) Additional for Extension of Time by which the parties agree to extend the deadline in 365 (Three hundred and sixty five) calendar days which added to the original deadline in the Agreement Number Two
(2) of 827 (Eight hundred and twenty seven) calendar days result in a new deadline of 1,192 (One thousand one hundred and ninety two) calendar days being a new contract termination day for the day
December 31st, 2011. 

  
 Page 3 de 12

 Additional Agreement Number 5 (Five) for Extension of Time 

Contract 424048860 
 Merco
Ingeniería Industrial S.A. de C.V./Forbes Energy Services LTD (Joint Proposal) 
  

 The rate of expansion is of 50% which added to the 13.29% derived from the
Agreement Number Three (3) results in a total percentage of expansion of 63.29% over the period originally contracted. 
  

	 	VIII.	 Through office number 203-21000-21600-362/2011 dated on February 16th, 2011 Office Number 203-21600-0243-2011 dated on
February 18th, 2011 and Technical Opinion, the Contractual Services North Division Assistant Management required the Administration and Finance North Assistant Management the preparation of an agreement for extension to the
contract 424048860. The above in accordance with the following justification contained in the technical opinion: 

 Through office number 227-21000-21700-2176/2010 and 208-21000-21600-3389-2010 the Operating Units of Tertiary Gulf Oil and Poza Rica – Altamira, respectively required the Contractual Services Assistant
Management D.N. to perform the steps for the conclusion of a deadline extension and amount agreement to the contract 424048860 this in order to comply with the work of repair of wells listed in the Operative Program 2011 (POT-1 2011) of the Integral
Active Tertiary Gulf Oil. 
 It is important to note that because this contract ended its term on
December 31st, 2010 bids have been scheduled for new
contracts for Production Refunds (Packages I, II and III). The previous given to the implications that were raised at the time by the new rules and regulations in hiring matters of Pemex. Therefore a strategy was taken to continue this work by
extending the deadline in terms and amount of the contract mentioned. Hence, due to the imminent expiration deadline of the contract and given that there was no budget authorization for the ruling of expansion in amount, the Contractual Service
Assistant Management through Office 203-21600-2926-2010, dated on December 17th, 2010, only required to the Superintendence of Material Resources D.N. the conclusion of the Agreement Four (4) of term expansion to the contract by 365 calendar days. 

According to the POT-I 2011, in the Integral Active Tertiary Gulf Oil are programmed a total of 499 repairs of which 313 are major and 186
minor. Also in the Integral Active of Poza Rica – Altamira are programmed a total of 451 repairs of which 85 are major and 366 minor. 
 POT-I 2011 AIATG 
  

																																																					
	 AIATG
	  	JUN	 	  	FEB	 	  	MAR	 	  	APR	 	  	MAY	 	  	JUN	 	  	JUL	 	  	AGU	 	  	SEP	 	  	OCT	 	  	NOV	 	  	DEC	 	  	TOTAL	 
	 DRILL
	  	 	15	  	  	 	15	  	  	 	15	  	  	 	16	  	  	 	14	  	  	 	14	  	  	 	15	  	  	 	15	  	  	 	16	  	  	 	13	  	  	 	14	  	  	 	16	  	  	 	178	  
	 COMP
	  	 	41	  	  	 	45	  	  	 	43	  	  	 	36	  	  	 	37	  	  	 	23	  	  	 	17	  	  	 	14	  	  	 	16	  	  	 	17	  	  	 	15	  	  	 	15	  	  	 	319	  
	 RMA
	  	 	19	  	  	 	26	  	  	 	26	  	  	 	28	  	  	 	25	  	  	 	26	  	  	 	25	  	  	 	30	  	  	 	26	  	  	 	27	  	  	 	27	  	  	 	28	  	  	 	313	  
	 RME
	  	 	9	  	  	 	14	  	  	 	16	  	  	 	17	  	  	 	18	  	  	 	18	  	  	 	15	  	  	 	14	  	  	 	15	  	  	 	18	  	  	 	16	  	  	 	16	  	  	 	186	  

  

																																																							
	 RMA
	  	 PROYECTO
	  	JUN	 	  	FEB	 	  	MAR	 	  	APR	 	  	MAY	 	  	JUN	 	  	JUL	 	  	AGU	 	  	SEP	 	  	OCT	 	  	NOV	 	  	DEC	 	  	TOTAL	 
	[11A]	  	AGUA FRIA-COAPECHCA-TAJIN	  	 	15	  	  	 	8	  	  	 	12	  	  	 	10	  	  	 	18	  	  	 	12	  	  	 	12	  	  	 	15	  	  	 	19	  	  	 	20	  	  	 	15	  	  	 	18	  	  	 	174	  
	[11D]	  	AMATITLAN-PROFETA-TZAPOTEMPA-VINAZCO	  	 	2	  	  	 	12	  	  	 	10	  	  	 	17	  	  	 	7	  	  	 	14	  	  	 	13	  	  	 	15	  	  	 	2	  	  	 	1	  	  	 	—	  	  	 	—	  	  	 	93	  
	[11E]	  	INTEGRAL COYULA-JAPETO	  	 	2	  	  	 	2	  	  	 	1	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	5	  
	[11G]	  	AREA 5 CHICONTEPEC	  	 	—	  	  	 	4	  	  	 	3	  	  	 	1	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	5	  	  	 	6	  	  	 	12	  	  	 	10	  	  	 	41	  
		  	 TOTAL RMA
	  	 	19	  	  	 	26	  	  	 	26	  	  	 	28	  	  	 	25	  	  	 	26	  	  	 	25	  	  	 	30	  	  	 	26	  	  	 	27	  	  	 	27	  	  	 	28	  	  	 	313	  

  
 Page 4 de 12

 Additional Agreement Number 5 (Five) for Extension of Time 

Contract 424048860 
 Merco
Ingeniería Industrial S.A. de C.V./Forbes Energy Services LTD (Joint Proposal) 
  

																																																							
	 RME
	  	 PROYECTO
	  	JUN	 	  	FEB	 	  	MAR	 	  	APR	 	  	MAY	 	  	JUN	 	  	JUL	 	  	AGU	 	  	SEP	 	  	OCT	 	  	NOV	 	  	DEC	 	  	TOTAL	 
	[11A]	  	AGUA FRIA-COAPECHCA-TAJIN	  	 	3	  	  	 	8	  	  	 	8	  	  	 	8	  	  	 	8	  	  	 	6	  	  	 	1	  	  	 	—	  	  	 	2	  	  	 	6	  	  	 	4	  	  	 	2	  	  	 	56	  
	[11D]	  	AMATITLAN-PROFETA-TZAPOTEMPA-VINAZCO	  	 	6	  	  	 	6	  	  	 	8	  	  	 	9	  	  	 	8	  	  	 	9	  	  	 	10	  	  	 	10	  	  	 	12	  	  	 	9	  	  	 	9	  	  	 	14	  	  	 	110	  
	[11E]	  	INTEGRAL COYULA-JAPETO	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	2	  	  	 	3	  	  	 	—	  	  	 	4	  	  	 	1	  	  	 	3	  	  	 	3	  	  	 	—	  	  	 	16	  
	[11G]	  	HUMAPA-BORNITA	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	4	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	—	  	  	 	4	  
		  	 TOTAL RME
	  	 	9	  	  	 	14	  	  	 	16	  	  	 	17	  	  	 	18	  	  	 	18	  	  	 	15	  	  	 	14	  	  	 	15	  	  	 	18	  	  	 	16	  	  	 	16	  	  	 	186	  
		  		  				  				  				  				  				  				  				  				  				  				  				  				  			
		  		  				  				  				  				  				  				  				  				  				  				  				  				  			
		  	 GRAN TOTAL
	  	 	28	  	  	 	40	  	  	 	42	  	  	 	45	  	  	 	43	  	  	 	44	  	  	 	40	  	  	 	44	  	  	 	41	  	  	 	45	  	  	 	43	  	  	 	44	  	  	 	499	  

 POT I 2011 POZA
RICA-ALTAMIRA 
  

																																																					
	 ADMINISTRACION
	  	JUN	 	  	FEB	 	  	MAR	 	  	APR	 	  	MAY	 	  	JUN	 	  	JUL	 	  	AGU	 	  	SEP	 	  	OCT	 	  	NOV	 	  	DEC	 	  	TOTAL	 
	 RMA
	  	 	4	  	  	 	9	  	  	 	12	  	  	 	9	  	  	 	5	  	  	 	6	  	  	 	7	  	  	 	8	  	  	 	3	  	  	 	6	  	  	 	8	  	  	 	8	  	  	 	85	  
	 RME
	  	 	26	  	  	 	30	  	  	 	31	  	  	 	32	  	  	 	30	  	  	 	32	  	  	 	24	  	  	 	24	  	  	 	30	  	  	 	34	  	  	 	39	  	  	 	34	  	  	 	366	  
	 SUMA
	  	 	30	  	  	 	39	  	  	 	43	  	  	 	41	  	  	 	35	  	  	 	38	  	  	 	31	  	  	 	32	  	  	 	33	  	  	 	40	  	  	 	47	  	  	 	42	  	  	 	451	  

 PEP lacks of available
repair equipments under administration to operate in the Integral Active Tertiary Gulf Oil. Therefore, in order to monitor the operational program described above, that Active has scheduled interventions to be performed with the equipment which is
under protection of the contract 424048860. This contract currently has a team of 8 wells repair equipment and operating assets in the Integral Active Tertiary Gulf Oil. They have been contributing to the compliance of the operational programs in
this Active. According to the kind of intervention (minor or major repairs), two monthly interventions are performed with each equipment. 
 For all the mentioned above, in case of not having the amount for the referred contract, PEP would stop doing and average of 16 monthly repairs during the year 2011. This could lead to the Integral Active
Tertiary Gulf Oil not being able to comply with the Required Programs by the High Direction of PEP. And since the Integral Active Tertiary Gulf Oil Project is a strategic project is of utmost importance to meet its established goals. 

The Integral Active Poza Rica – Altamira to comply in a timely manner to the operational demand in order to deliver favorable
contributions to wells production is required to have the Infrastructure Service, Services and 5 repair equipments, planning activities related to this contract in the following wells. 

 

					
	Well	  	Well	  	Well
			
	 1 Presidente Alemán 2
	  	17 Nuevo Progreso 7	  	33 Xocotla 120
			
	 2 Poza Rica 81
	  	18 Ezequiel Ordoñez 5	  	34 Xocotla 117
			
	 3 Mecatepec 81
	  	19 Escolín 161	  	35 Xocotla 118
			
	 4 Escolín 122
	  	20 Mecatepec 13	  	36 Xocotla 101
			
	 5 Escolín 240
	  	21 Escolín 121	  	37 Santa Águeda 28
			
	 6 Escolín 138
	  	22 Escolín 36	  	38 Santa Águeda 66
			
	 7 Escolín 102
	  	23 Escolín 23	  	39 Santa Águeda 56
			
	 8 Escolín 238
	  	24 Talaxca 5	  	40 Santa Águeda 30

  
 Page 5 de 12

 Additional Agreement Number 5 (Five) for Extension of Time 

Contract 424048860 
 Merco
Ingeniería Industrial S.A. de C.V./Forbes Energy Services LTD (Joint Proposal) 
  

					
	 9 Poza Rica 308
	 	25 Talaxca 6	 	41 Tihuatlán 105
	 10 Castillo de Teayo 16
	 	26 Poza Rica 187	 	42 Tihuatlán 102
	 11 Castillo de Teayo 11
	 	27 Tejada 4	 	43 Castillo de Teayo 14
	 12 Santa Águeda 44
	 	28 Ezequiel Ordoñez 6	 	44 Castillo de Teayo 13
	 13 San Andrés 259
	 	29 Mozutla 6	 	45 Poza Rica 384
	 14 Poza Rica 304
	 	30 Santa Águeda 67	 	46 San Andrés 49
	 15 Poza Rica 373
	 	31 San Andrés 320 A	 	47 San Andrés 351
	 16 Ezequiel Ordoñez 2
	 	32 San Andrés 102	 	48 Remolino 12

 Currently the contract has had a
total of $252,247,822.07 (Two hundred and fifty two million, two hundred and forty seven thousand, eight hundred and twenty two 07/100 pesos) plus $69,081,663.39 USD (Sixty nine million, eighty one thousand, six hundred and sixty three 39/100 USD).

 In order of giving continuity and compliance with the PEP operational program concerning Repair Work and Maintenance of Oil
Wells in the northern region, the Integral Active Tertiary Gulf Oil through the Tertiary Gulf Oil Project provided the funds required through the Verification of Resources for Contracts, Agreements and/or Acquisitions with Investment Budget with
folio number PATG-114/10 (Table 1). The previous in order to cover an estimated 40% of the work stipulated in its POT-1 2011. Therefore, it is requested the extension in the contract amount No. 424048860 for the amount of $60,000.000.00
USD (Sixty million 00/100 USD). 
  

																	
	 YEAR
	  	CONCEPTUAL	  	FUND	  	FUNCTIONAL AREA	  	CENTER
MANAGEMENT	  	FINANTIAL POSITION	  	USD AMOUNT	 
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DD8R00QA10840T	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DD1600QA12030X	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DD1E00QA127B9E	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DD1600QA12031W	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DD0100PD12006A	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DD0100PD12140E	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DD0100PD12823S	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DD0100PD11130M	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DD0100PD127903	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DD0600PA11130Q	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DD0600PA11131R	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DD0600PA11131S	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DP0000PH522300	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DP0000PH520000	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DP0000PH527900	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
	2011	  	11D	  	TERTIARY GULF OIL PROJECT	  	PEF	  	11DP0000PH517500	  	2253220022721800	  	314302515	  	 	3,750,000.00	  
		  		  		  		  		  		  	TOTAL	  	 	60,000,000.00	  

  
 Page 6 de 12

 Additional Agreement Number 5 (Five) for Extension of Time 

Contract 424048860 
 Merco
Ingeniería Industrial S.A. de C.V./Forbes Energy Services LTD (Joint Proposal) 
  

 Table 1 
 The Integral Active Poza Rica – Altamira also provided the funds required through the Verification of Resources for Contracts Agreements and/or Acquisitions with Investment Budget with folio number
PIN-034/11 (Table 2) for the amount of $515,521,944.84 pesos (Five hundred and fifteen million, five hundred and twenty one thousand, nine hundred and forty four 84/100 pesos). 

 

																	
	 YEAR
	 	CONCEPTUAL	 	FUND	 	FUNCTIONAL AREA	 	CENTER MANAGEMENT	 	FINANTIAL POSITION	 	PESOS AMOUNT
	2011	 	 	11C	  	 	TERTIARY GULF OIL PROJECT	 	PEF	 	11CP0000PH527000	 	2253220022721800	 	314302515	 	463,969,750.36
	2011	 	 	11C	  	 	TERTIARY GULF OIL PROJECT	 	PEF	 	11CD0200PD208802	 	2253220022721800	 	314302515	 	51,552,194.48
		 				 		 		 		 		 	TOTAL	 	515,521,944.84

 The amount extension is
required to be carried out in the following manner: 
  

					
	     DESCRIPTION    
	  	     AMOUNT    
	 
	 UOATG Increase
	  			
		
	 Amount Increase in National Currency
	  	 	$ 102’608,000.00 M.N.	  
		
	Total of dollars approved according to the exchange rate of the day of the bid opening 10.2608	  	 	$ 10’000,000.00 USD	  
		
	 Amount Increase in US dollars
	  	 	$50’000,000.00 USD	  
		
	 USD TOTAL UOATG
	  	 	$60’000,000.00	  
		
	 Amount Increase in National Currency
	  	 	$ 515’521,944.84 M.N.	  

 Derived from the formerly
mentioned the amount of the contract is extended in $618,129,944.84 pesos (Six hundred and eighteen million, one hundred and twenty nine thousand, nine hundred and forty four 84/100 pesos) plus $50,000,000.00 USD (Fifty million 00/100 USD) being the
new contract amount of $893,429,901.85 pesos (Eight hundred and ninety three million, four hundred and twenty nine thousand, nine hundred and one 85/100 pesos) plus $119,842,604.99 USD (One hundred and nineteen million, eight hundred and forty two
thousand, six hundred and four 99/100 USD). 
 The preparation of this agreement involves no affect to the conditions referred to
the essential characteristics and nature of the original contract purpose. 

  
 Page 7 de 12

 Additional Agreement Number 5 (Five) for Extension of Time 

Contract 424048860 
 Merco
Ingeniería Industrial S.A. de C.V./Forbes Energy Services LTD (Joint Proposal) 
  

	 	IX.	For the compliance of this agreement there is a sufficient budget under the Poza Rica Integral Project 11-C and the Tertiary Gulf Oil Integral Project 11D through the
financial position 314302515 and the Management Centers 2253220022721800 and 2383210120821800. 

- S t a t e m e n t s - 
 PEP testifies that: 
 The engineer Juan Alfredo Ríos
Jiménez is in charge of the Drilling and Well Maintenance Northern Division Management attached to the Unit of Drilling and Well Maintenance, in accordance to the approved designation by the PEP Board of Administration in Ordinary Session
No. 135 dated on December 8th, 2010 in terms of the Article 58, Fraction XI of the Federal State Entities Law. Also, credits his powers as General Representative for Administration Acts in representation of PEMEX Drilling and Production. The
previous in accordance with the Public Deed Number 13,783 dated on February 25th, 2011 granted before the Notary Public Alfredo Bazúa Witte B.S. in Law holder of the Public Notary 230 of the City of Mexico,
Federal District. 
 The Contractor testifies that: 

 

	 	1.	 Luis Lauro Moreno Ricart credits his presence and faculties as Sole Administrator of Merco Ingeniería Industrial S.A. de C.V.
through testimony of the Public Deed Number 2,053 dated on September 5th, 2003. Those were granted before Jacinto Flores Peña B.S. in Law, Notary Public Number 115 of the City of Reynosa Tamaulipas, who is enrolled in the Public Register of Commerce
of Reynosa Tamaulipas, under the number 775 volume 2-016 section of commerce dated on October 1st, 2003. And they have not been revoked, modified or limited in any way. 

 

	 	2.	 José Andrés Suárez Canales credits his presence and faculties as Special Representative of Forbes Energy Services
LTD, through the Affidavit Number 12394 dated on October 6th, 2009 granted before A. Ramses Capitanachi López B.S., Notary Public Number 7 of the Seventh Attorney Demarcation of the State
of Veracruz, which is properly registered in the Public Register of Property and Commerce of Poza Rica, Veracruz, in the commercial electronic folio number 7322*7 dated on October 22nd, 2009. 

  
 Page 8 de 12

 Additional Agreement Number 5 (Five) for Extension of Time 

Contract 424048860 
 Merco
Ingeniería Industrial S.A. de C.V./Forbes Energy Services LTD (Joint Proposal) 
  

 For all the above mentioned and based on the agreed in the Thirteenth and Fourteenth
Clauses of the Contract and based on the Article 59 of the Law of Public Work and Same Related Services, the parties grant the following: 
 - C l a u s e s – 
  

	 	First:	Additional Expansion of the Amount 

 According to what stated in the background VII and IX of this contract, the parties agree on increasing the Contract amount in $618,129,944.84 pesos (Six hundred and eighteen million, one hundred and
twenty nine thousand, nine hundred and forty four 84/100 pesos) plus $50,000,000.00 USD (Fifty million 00/100 USD) which added to the amount derived from the Agreement Number 1 (One) of $275,299,957.01 pesos (Two hundred and seventy five
million, two hundred and ninety nine thousand, nine hundred and fifty seven 01/100 pesos) plus $69,842,604.99 USD (Sixty nine million, eight hundred and forty two thousand, six hundred and four 99/100 USD) result in a new amount of
$893,429,901.85 pesos (Eight hundred and ninety three million, four hundred and twenty nine thousand, nine hundred and one 85/100 pesos) plus $119,842,604.99 USD (One hundred and nineteen million, eight hundred and forty two thousand, six
hundred and four 99/100 USD). 
 The rate of expansion is 263.87% in pesos plus 102.36% in USD compared to the
amount originally contracted, which added to the accumulated percentage of 17.52% in pesos plus 43% in USD derived from the Agreement Number 1 (One) result in a total rate expansion of 281.39% in pesos plus 145.36 in
USD. 
  

	 	Second:	Total Amounts Modified 

 As a
result of the above, the Second Clause that refers to the “Amount of the Contract” is modified and prevails as follows: The total amount of the present contract is of $893,429,901.85 pesos (Eight hundred and ninety
three million, four hundred and twenty nine thousand, nine hundred and one 85/100 pesos) plus $119,842,604.99 USD (One hundred and nineteen million, eight hundred and forty two thousand, six hundred and four 99/100 USD) plus the Added
Tax Value. 
  

	 	Third:	Agreed Discount Rate Subsistence 

  
 Page 9 de 12

 Additional Agreement Number 5 (Five) for Extension of Time 

Contract 424048860 
 Merco
Ingeniería Industrial S.A. de C.V./Forbes Energy Services LTD (Joint Proposal) 
  

 PEP and the CONTRACTOR agree that during the expansion of amount that takes place through
this agreement remains the discount rate offered by the CONTRACTOR, accepted by PEP and accorded in the Agreement Number 4 (Four). Therefore, the work performed and invoiced in accordance with this agreement will be subject to such application.
Subsisting in its literal application the provisions agreed for the discount rate. 
  

	 	Fourth:	Endorsement Guarantees 

 The
Contractor to ensure compliance with its obligations under this agreement agrees to deliver to the Superintendence of Material Resources of the North Administration and Finance Well Drilling and Maintenance Assistant Management located
in the ground floor of the Administrative Building of the North Division Well Drilling and Maintenance Management, at the Colonia Herradura, area code 93370 of this city on the date of the execution of this agreement, an expansion in amount
endorsement to the Bond Police(s) originally established due compliance in the clause Seventeenth of the Contract and the concerning to the compliance warranty and hidden vices warranty for an amount of $61,812,994.48 pesos
(Sixty one million, eight hundred and twelve thousand, nine hundred and ninety four 48/100 pesos) plus $5,000,000.00 USD (Five million 00/100 USD) which equals a 10% of the extended amount accorded through this agreement. The previous
indicates that they are supportive and inseparable of the original bond and also are committed to guarantee the compliance of the Contract, supporting the terms of this agreement. Aware that the lack of timely filing of such documents will
endorse PEP to stop the payment of invoices for performed work under the extended amount that had been submitted or are submitted for collection. Up until those endorsements of policies are successfully delivered. Without that suspension
generates the payment of financial charges for being a reason attributable to the Contractor itself and could be grounds for rescission. 
  

	 	Fifth:	Other Provisions 

 With the exception of the modified clauses which must here be understood in the terms agreed remain without variation all the stipulations of the contract, its annexes, and modifying agreements as well as
the execution time derived from the Agreement Number 4(Four) of 1,192 (one thousand and ninety two) calendar days counted from September 26th, 2008 and consequently ending on December 31st, 2011. 

 This document was read by the contracting parties which are duly aware of the content and
scope of it and is signed in accordance in 3 copies in the city of Poza Rica de Hidalgo, Veracruz on March 24th, 2011. 

  
 Page 10 de 12

 Additional Agreement Number 5 (Five) for Extension of Time 

Contract 424048860 
 Merco
Ingeniería Industrial S.A. de C.V./Forbes Energy Services LTD (Joint Proposal) 
  

					
	 By Merco Ingeniería Industrial S.A. de C.V.
	 		  	By Forbes Energy Services LTD
			
	/s/ Luis Lauro Moreno Ricart	 		  	 /s/ José Andrés Suárez Canales

			
	 Luis Lauro Moreno Ricart
	 		  	José Andrés Suárez Canales
			
	 Sole Administrator
	 		  	Special Representative

 By PEMEX
Exploration and Production 
 /s/ Juan Alfredo Ríos Jiménez 

Juan Alfredo Ríos Jiménez 
 Well Drilling and Maintenance North Division Manager 
 Of the Well Drilling and
Maintenance Assistant Management Unit 
  

					
	 A d m i n i s t r a t i v e
	 		  	T e c h n i c a l
			
	/s/ Oscar Vincent Ávila	 		  	 /s/ Luis Ángel Ayala Gómez

			
	 Oscar Vincent Ávila
	 		  	Luis Ángel Ayala Gómez
			
	 North Administration and Finance
	 		  	Contractual Services
			
	 Assistant Manager
	 		  	Assistant Manager
			
		 		  	P.M.P., D.N.

 This page is part of
the Agreement Number 5(Five) of the Contract Number 424048860 signed on March 24th, 2011 which is made of 12(twelve) sheets. 

  
 Page 11 de 12

 Additional Agreement Number 5 (Five) for Extension of Time 

Contract 424048860 
 Merco
Ingeniería Industrial S.A. de C.V./Forbes Energy Services LTD (Joint Proposal) 
  

 E l a b o r a t e d 

 
 /s/ Hugo Amaya Enderle 

Hugo Amaya Enderle 

Super Intendant of Material Resources 
 Le g a l   R e v i e w 
 /s/ Eduardo Montesinos Martínez
B.S. 
 Eduardo Montesinos Martínez B.S. 

Legal Services Assistant Manager 
 Northeast Region of Poza Rica 
 This page is part of the Agreement Number
5(Five) of the Contract Number 424048860 signed on March 24th,
2011 which is made of 12(Twelve) sheets. 

  
 Page 12 de 12Form of Indemnity Agreement

 Exhibit 10.1 
 INSYS THERAPEUTICS, INC. 
 INDEMNITY AGREEMENT 

THIS INDEMNITY AGREEMENT (this “Agreement”) dated as of
            ,      20  , is made by and between INSYS THERAPEUTICS, INC., a Delaware
corporation (the “Company”), and                     (“Indemnitee”). 

RECITALS 
 A. The Company desires to attract and retain the services of highly qualified individuals as directors, officers, employees and agents. 

B. The Company’s Amended and Restated Bylaws (the “Bylaws”) require that the Company indemnify its directors
and officers, and empowers the Company to indemnify its employees and agents, as authorized by the Delaware General Corporation Law, as amended (the “Code”), under which the Company is organized and such Bylaws expressly provide
that the indemnification provided therein is not exclusive and contemplates that the Company may enter into separate agreements with its directors, officers and other persons to set forth specific indemnification provisions. 

C. Indemnitee does not regard the protection currently provided by applicable law, the Company’s governing documents and
available insurance as adequate under the present circumstances, and the Company has determined that Indemnitee and other directors, officers, employees and agents of the Company may not be willing to serve or continue to serve in such capacities
without additional protection. 
 D. The Company desires and has requested Indemnitee to serve or continue to serve as a
director, officer, employee or agent of the Company, as the case may be, and has proferred this Agreement to Indemnitee as an additional inducement to serve in such capacity. 
 E. Indemnitee is willing to serve, or to continue to serve, as a director, officer, employee or agent of the Company, as the case may be, if Indemnitee is furnished the indemnity provided for
herein by the Company. 
 AGREEMENT 

NOW THEREFORE, in consideration of the mutual covenants and agreements set forth
herein, the parties hereto, intending to be legally bound, hereby agree as follows: 
 1. Definitions. 

(a) Agent. For purposes of this Agreement, the term “agent” of the Company means any person who: (i) is or was a
director, officer, employee or other fiduciary of the 

  
 1. 

 
Company, a subsidiary of the Company or an employee benefit plan of the Company or a subsidiary of the Company; or (ii) is or was serving at the request or for the convenience of, or
representing the interests of, the Company or a subsidiary of the Company, as a director, officer, employee or other fiduciary of a foreign or domestic corporation, partnership, joint venture, trust or other enterprise. 

(b) Expenses. For purposes of this Agreement, the term “expenses” shall be broadly construed and shall include, without
limitation, all direct and indirect costs of any type or nature whatsoever (including, without limitation, all attorneys’, witness, or other professional fees and related disbursements, premiums, security for and other costs relating to any
bonds and other out-of-pocket costs of whatever nature), actually and reasonably incurred by Indemnitee in connection with the investigation, defense or appeal of a proceeding or establishing or enforcing a right to indemnification under this
Agreement, the Code or otherwise, and amounts paid in settlement by or on behalf of Indemnitee, but shall not include any judgments, fines or penalties actually levied against Indemnitee for such individual’s violations of law. The term
“expenses” shall also include reasonable compensation for time spent by Indemnitee for which he is not compensated by the Company or any subsidiary or third party (i) for any period during which Indemnitee is not an agent, in the
employment of, or providing services for compensation to, the Company or any subsidiary; and (ii) if the rate of compensation and estimated time involved is approved by the directors of the Company who are not parties to any action with respect
to which expenses are incurred, for Indemnitee while an agent of, employed by, or providing services for compensation to, the Company or any subsidiary. 
 (c) Proceedings. For purposes of this Agreement, the term “proceeding” shall be broadly construed and shall include, without limitation, any threatened, pending, or completed action,
suit, arbitration, alternate dispute resolution mechanism, investigation, inquiry, administrative hearing or any other actual, threatened or completed proceeding, whether brought in the right of the Company or otherwise and whether of a civil,
criminal, administrative or investigative nature, and whether formal or informal in any case, in which Indemnitee was, is or will be involved as a party or otherwise by reason of: (i) the fact that Indemnitee is or was a director or officer of
the Company; (ii) the fact that any action taken by Indemnitee or of any action on Indemnitee’s part while acting as director, officer, employee or agent of the Company; or (iii) the fact that Indemnitee is or was serving at the
request of the Company as a director, officer, employee or agent of another corporation, partnership, joint venture, trust, employee benefit plan or other enterprise, and in any such case described above, whether or not serving in any such capacity
at the time any liability or expense is incurred for which indemnification, reimbursement, or advancement of expenses may be provided under this Agreement. 
 (d) Subsidiary. For purposes of this Agreement, the term “subsidiary” means any corporation or limited liability company of which more than 20% of the outstanding voting securities or
equity interests are owned, directly or indirectly, by the Company and one or more of its subsidiaries, and any other corporation, limited liability company, partnership, joint venture, trust, employee benefit plan or other enterprise of which
Indemnitee is or was serving at the request of the Company as a director, officer, employee, agent or fiduciary. 
 (e)
Independent Counsel. For purposes of this Agreement, the term “independent counsel” means a law firm, or a partner (or, if applicable, member) of such a law 

  
 2. 

 
firm, that is experienced in matters of corporation law and neither presently is, nor in the past five (5) years has been, retained to represent: (i) the Company or Indemnitee in any
matter material to either such party, or (ii) any other party to the proceeding giving rise to a claim for indemnification hereunder. Notwithstanding the foregoing, the term “independent counsel” shall not include any person who,
under the applicable standards of professional conduct then prevailing, would have a conflict of interest in representing either the Company or Indemnitee in an action to determine Indemnitee’s rights under this Agreement. 

2. No Employment Agreement. Nothing contained in this Agreement is intended as an employment agreement between Indemnitee and the
Company or any of its subsidiaries or to create any right to continued employment of Indemnitee with the Company or any of its subsidiaries in any capacity. 
 The Company acknowledges that it has entered into this Agreement and assumes the obligations imposed on it hereby, in addition to and separate from its obligations to Indemnitee under the Bylaws, to
induce Indemnitee to serve, or continue to serve, as a director, officer, employee or agent of the Company, and the Company acknowledges that Indemnitee is relying upon this Agreement in serving as a director, officer, employee or agent of the
Company. 
 3. Indemnification. 
 (a) Indemnification in Third Party Proceedings. Subject to Section 10 below, the Company shall indemnify Indemnitee to the fullest extent permitted by the Code, as the same may be amended from
time to time (but, only to the extent that such amendment permits Indemnitee to broader indemnification rights than the Code permitted prior to adoption of such amendment), if Indemnitee is a party to or threatened to be made a party to or otherwise
involved in any proceeding, for any and all expenses, actually and reasonably incurred by Indemnitee in connection with the investigation, defense, settlement or appeal of such proceeding. 

(b) Indemnification in Derivative Actions and Direct Actions by the Company. Subject to Section 10 below, the Company shall
indemnify Indemnitee to the fullest extent permitted by the Code, as the same may be amended from time to time (but, only to the extent that such amendment permits Indemnitee to broader indemnification rights than the Code permitted prior to
adoption of such amendment), if Indemnitee is a party to or threatened to be made a party to or otherwise involved in any proceeding by or in the right of the Company to procure a judgment in its favor, against any and all expenses actually and
reasonably incurred by Indemnitee in connection with the investigation, defense, settlement, or appeal of such proceedings. 

4. Indemnification of Expenses of Successful Party. Notwithstanding any other provision of this Agreement, to the extent that
Indemnitee has been successful on the merits or otherwise in defense of any proceeding or in defense of any claim, issue or matter therein, including the dismissal of any action without prejudice, the Company shall indemnify Indemnitee against all
expenses actually and reasonably incurred in connection with the investigation, defense or appeal of such proceeding. 

  
 3. 

 5. Partial Indemnification. If Indemnitee is entitled under any provision of this
Agreement to indemnification by the Company for some or a portion of any expenses actually and reasonably incurred by Indemnitee in the investigation, defense, settlement or appeal of a proceeding, but is precluded by applicable law or the specific
terms of this Agreement to indemnification for the total amount thereof, the Company shall nevertheless indemnify Indemnitee for the portion thereof to which Indemnitee is entitled. 

6. Advancement of Expenses. To the extent not prohibited by law, the Company shall advance the expenses incurred by Indemnitee in
connection with any proceeding, and such advancement shall be made within twenty (20) days after the receipt by the Company of a statement or statements requesting such advances (which shall include invoices received by Indemnitee in connection
with such expenses but, in the case of invoices in connection with legal services, any references to legal work performed or to expenditures made that would cause Indemnitee to waive any privilege accorded by applicable law shall not be included
with the invoice) and upon request of the Company, an undertaking to repay the advancement of expenses if and to the extent that it is ultimately determined by a court of competent jurisdiction in a final judgment, not subject to appeal, that
Indemnitee is not entitled to be indemnified by the Company. Advances shall be unsecured, interest free and without regard to Indemnitee’s ability to repay the expenses. Advances shall include any and all expenses actually and reasonably
incurred by Indemnitee pursuing an action to enforce Indemnitee’s right to indemnification under this Agreement, or otherwise and this right of advancement, including expenses incurred preparing and forwarding statements to the Company to
support the advances claimed. Indemnitee acknowledges that the execution and delivery of this Agreement shall constitute an undertaking providing that Indemnitee shall, to the fullest extent required by law, repay the advance if and to the extent
that it is ultimately determined by a court of competent jurisdiction in a final judgment, not subject to appeal, that Indemnitee is not entitled to be indemnified by the Company. The right to advances under this Section shall continue until final
disposition of any proceeding, including any appeal therein. This Section 6 shall not apply to any claim made by Indemnitee for which indemnity is excluded pursuant to Section 10(b). 

7. Notice and Other Indemnification Procedures. 
 (a) Notification of Proceeding. Indemnitee will notify the Company in writing promptly upon being served with any summons, citation, subpoena, complaint, indictment, information or other document
relating to any proceeding or matter which may be subject to indemnification or advancement of expenses covered hereunder. The failure of Indemnitee to so notify the Company shall not relieve the Company of any obligation which it may have to
Indemnitee under this Agreement or otherwise. 
 (b) Request for Indemnification and Indemnification Payments. Indemnitee
shall notify the Company promptly in writing upon receiving notice of any demand, judgment or other requirement for payment that Indemnitee reasonably believes to be subject to indemnification under the terms of this Agreement, and shall request
payment thereof by the Company. Indemnification payments requested by Indemnitee under Section 3 hereof shall be made by the Company no later than sixty (60) days after receipt of the written request of Indemnitee. Claims for advancement
of expenses shall be made under the provisions of Section 6 herein. 

  
 4. 

 (c) Application for Enforcement. In the event the Company fails to make timely
payments as set forth in Sections 6 or 7(b) above, Indemnitee shall have the right to apply to any court of competent jurisdiction for the purpose of enforcing Indemnitee’s right to indemnification or advancement of expenses pursuant
to this Agreement. In such an enforcement hearing or proceeding, the burden of proof shall be on the Company to prove that indemnification or advancement of expenses to Indemnitee is not required under this Agreement or permitted by applicable law.
Any determination by the Company (including its Board of Directors, stockholders or independent counsel) that Indemnitee is not entitled to indemnification hereunder, shall not be a defense by the Company to the action nor create any presumption
that Indemnitee is not entitled to indemnification or advancement of expenses hereunder. 
 (d) Indemnification of Certain
Expenses. The Company shall indemnify Indemnitee against all expenses incurred in connection with any hearing or proceeding under this Section 7 unless the Company prevails in such hearing or proceeding on the merits in all material
respects. 
 8. Assumption of Defense. In the event the Company shall be requested by Indemnitee to pay the expenses of
any proceeding, the Company, if appropriate, shall be entitled to assume the defense of such proceeding, or to participate to the extent permissible in such proceeding, with counsel reasonably acceptable to Indemnitee. Upon assumption of the defense
by the Company and the retention of such counsel by the Company, the Company shall not be liable to Indemnitee under this Agreement for any fees of counsel subsequently incurred by Indemnitee with respect to the same proceeding, provided that
Indemnitee shall have the right to employ separate counsel in such proceeding at Indemnitee’s sole cost and expense. Notwithstanding the foregoing, if Indemnitee’s counsel delivers a written notice to the Company stating that such counsel
has reasonably concluded that there may be a conflict of interest between the Company and Indemnitee in the conduct of any such defense or the Company shall not, in fact, have employed counsel or otherwise actively pursued the defense of such
proceeding within a reasonable time, then in any such event the fees and expenses of Indemnitee’s counsel to defend such proceeding shall be subject to the indemnification and advancement of expenses provisions of this Agreement. 

9. Insurance. To the extent that the Company maintains an insurance policy or policies providing liability insurance for
directors, officers, employees, or agents of the Company or of any subsidiary (“D&O Insurance”), Indemnitee shall be covered by such policy or policies in accordance with its or their terms to the maximum extent of the coverage
available for any such director, officer, employee or agent under such policy or policies. If, at the time of the receipt of a notice of a claim pursuant to the terms hereof, the Company has D&O Insurance in effect, the Company shall give prompt
notice of the commencement of such proceeding to the insurers in accordance with the procedures set forth in the respective policies. The Company shall thereafter take all necessary or desirable action to cause such insurers to pay, on behalf of
Indemnitee, all amounts payable as a result of such proceeding in accordance with the terms of such policies. 

  
 5. 

 10. Exceptions. 

(a) Certain Matters. Any provision herein to the contrary notwithstanding, the Company shall not be obligated pursuant to the
terms of this Agreement to indemnify Indemnitee on account of any proceeding with respect to (i) remuneration paid to Indemnitee if it is determined by final judgment or other final adjudication that such remuneration was in violation of law
(and, in this respect, both the Company and Indemnitee have been advised that the Securities and Exchange Commission believes that indemnification for liabilities arising under the federal securities laws is against public policy and is, therefore,
unenforceable and that claims for indemnification should be submitted to appropriate courts for adjudication, as indicated in Section 10(d) below); (ii) a final judgment rendered against Indemnitee for an accounting, disgorgement or
repayment of profits made from the purchase or sale by Indemnitee of securities of the Company against Indemnitee or in connection with a settlement by or on behalf of Indemnitee to the extent it is acknowledged by Indemnitee and the Company that
such amount paid in settlement resulted from Indemnitee’s conduct from which Indemnitee received monetary personal profit, pursuant to the provisions of Section 16(b) of the Securities Exchange Act of 1934, as amended, or other provisions
of any federal, state or local statute or rules and regulations thereunder; (iii) a final judgment or other final adjudication that Indemnitee’s conduct was in bad faith, knowingly fraudulent or deliberately dishonest or constituted
willful misconduct (but only to the extent of such specific determination); or (iv) on account of conduct that is established by a final judgment as constituting a breach of Indemnitee’s duty of loyalty to the Company or resulting in any
personal profit or advantage to which Indemnitee is not legally entitled. For purposes of the foregoing sentence, a final judgment or other adjudication may be reached in either the underlying proceeding or action in connection with which
indemnification is sought or a separate proceeding or action to establish rights and liabilities under this Agreement. 
 (b)
Claims Initiated by Indemnitee. Any provision herein to the contrary notwithstanding, the Company shall not be obligated to indemnify or advance expenses to Indemnitee with respect to proceedings or claims initiated or brought by Indemnitee
against the Company or its directors, officers, employees or other agents and not by way of defense, except (i) with respect to proceedings brought to establish or enforce a right to indemnification under this Agreement or under any other
agreement, provision in the Bylaws or the Company’s Amended and Restated Certificate of Incorporation (the “Certificate of Incorporation”) or applicable law, or (ii) with respect to any other proceeding initiated by
Indemnitee that is either approved by the Board of Directors or Indemnitee’s participation is required by applicable law. However, indemnification or advancement of expenses may be provided by the Company in specific cases if the Board of
Directors determines it to be appropriate. 
 (c) Unauthorized Settlements. Any provision herein to the contrary
notwithstanding, the Company shall not be obligated pursuant to the terms of this Agreement to indemnify Indemnitee under this Agreement for any amounts paid in settlement of a proceeding effected without the Company’s written consent. Neither
the Company nor Indemnitee shall unreasonably withhold consent to any proposed settlement; provided, however, that the Company may in any event decline to consent to (or to otherwise admit or agree to any liability for indemnification hereunder in
respect of) any proposed settlement if the Company is also a party in such proceeding and determines in good faith that such settlement is not in the best interests of the Company and its stockholders. 

  
 6. 

 (d) Securities Act Liabilities. Any provision herein to the contrary notwithstanding,
the Company shall not be obligated pursuant to the terms of this Agreement to indemnify Indemnitee or otherwise act in violation of any undertaking appearing in and required by the rules and regulations promulgated under the Securities Act of 1933,
as amended (the “Act”), or in any registration statement filed with the SEC under the Act. Indemnitee acknowledges that paragraph (h) of Item 512 of Regulation S-K currently generally requires the Company to undertake in
connection with any registration statement filed under the Act to submit the issue of the enforceability of Indemnitee’s rights under this Agreement in connection with any liability under the Act on public policy grounds to a court of
appropriate jurisdiction and to be governed by any final adjudication of such issue. Indemnitee specifically agrees that any such undertaking shall supersede the provisions of this Agreement and to be bound by any such undertaking. 

11. Nonexclusivity and Survival of Rights. The provisions for indemnification and advancement of expenses set forth in this
Agreement shall not be deemed exclusive of any other rights which Indemnitee may at any time be entitled under any provision of applicable law, the Certificate of Incorporation, Bylaws or other agreements, both as to action in Indemnitee’s
official capacity and Indemnitee’s action as an agent of the Company, in any court in which a proceeding is brought, and Indemnitee’s rights hereunder shall continue after Indemnitee has ceased acting as an agent of the Company and shall
inure to the benefit of the heirs, executors, administrators and assigns of Indemnitee. The obligations and duties of the Company to Indemnitee under this Agreement shall be binding on the Company and its successors and assigns until terminated in
accordance with its terms. The Company shall require any successor (whether direct or indirect, by purchase, merger, consolidation or otherwise) to all or substantially all of the business or assets of the Company, expressly to assume and agree in
writing to perform this Agreement in the same manner and to the same extent that the Company would be required to perform if no such succession had taken place. 
 No amendment, alteration or repeal of this Agreement or of any provision hereof shall limit or restrict any right of Indemnitee under this Agreement in respect of any action taken or omitted by such
Indemnitee in his or her corporate status prior to such amendment, alteration or repeal. To the extent that a change in the Code, whether by statute or judicial decision, permits greater indemnification or advancement of expenses than would be
afforded currently under the Certificate of Incorporation, Bylaws and this Agreement, it is the intent of the parties hereto that Indemnitee shall enjoy by this Agreement the greater benefits so afforded by such change. No right or remedy herein
conferred is intended to be exclusive of any other right or remedy, and every other right and remedy shall be cumulative and in addition to every other right and remedy given hereunder or now or hereafter existing at law or in equity or otherwise.
The assertion or employment of any right or remedy hereunder, or otherwise, by Indemnitee shall not prevent the concurrent assertion or employment of any other right or remedy by Indemnitee. 

12. Subrogation. In the event of payment under this Agreement, the Company shall be subrogated to the extent of such payment to
all of the rights of recovery of Indemnitee, who, at the request and expense of the Company, shall execute all papers required and shall do everything that may be reasonably necessary to secure such rights, including the execution of such documents
necessary to enable the Company effectively to bring suit to enforce such rights. 

  
 7. 

 13. Interpretation of Agreement. It is understood that the parties hereto intend this
Agreement to be interpreted and enforced so as to provide indemnification to Indemnitee to the fullest extent now or hereafter permitted by law. 
 14. Severability. If any provision of this Agreement shall be held to be invalid, illegal or unenforceable for any reason whatsoever, (a) the validity, legality and enforceability of the
remaining provisions of the Agreement (including without limitation, all portions of any paragraphs of this Agreement containing any such provision held to be invalid, illegal or unenforceable, that are not themselves invalid, illegal or
unenforceable) shall not in any way be affected or impaired thereby; and (b) to the fullest extent possible, the provisions of this Agreement (including, without limitation, all portions of any paragraph of this Agreement containing any such
provision held to be invalid, illegal or unenforceable, that are not themselves invalid, illegal or unenforceable) shall be construed so as to give effect to the intent manifested by the provision held invalid, illegal or unenforceable and to give
effect to Section 13 hereof. 
 15. Amendment and Waiver. No supplement, modification, amendment, termination, or
cancellation of this Agreement shall be binding unless executed in writing by the parties hereto. No waiver of any of the provisions of this Agreement shall be deemed or shall constitute a waiver of any other provision hereof (whether or not
similar) nor shall such waiver constitute a continuing waiver. 
 16. Notice. Except as otherwise provided herein, any
notice or demand which, by the provisions hereof, is required or which may be given to or served upon the parties hereto shall be in writing and, if by telegram, telecopy or telex, shall be deemed to have been validly served, given or
delivered when sent, if by overnight delivery, courier or personal delivery, shall be deemed to have been validly served, given or delivered upon actual delivery and, if mailed, shall be deemed to have been validly served, given
or delivered three (3) business days after deposit in the United States mail, as registered or certified mail, with proper postage prepaid and addressed to the party or parties to be notified at the addresses set forth on
the signature page of this Agreement (or such other address(es) as a party may designate for itself by like notice). If to the Company, notices and demands shall be delivered to the attention of the Secretary of the Company. 

17. Governing Law. This Agreement shall be governed exclusively by and construed according to the laws of the State of Arizona, as
applied to contracts between Arizona residents entered into and to be performed entirely within Arizona. 
 18.
Counterparts. This Agreement may be executed in one or more counterparts, each of which shall for all purposes be deemed to be an original but all of which together shall constitute but one and the same Agreement. Only one such counterpart need
be produced to evidence the existence of this Agreement. 
 19. Headings. The headings of the sections of this Agreement
are inserted for convenience only and shall not be deemed to constitute part of this Agreement or to affect the construction hereof. 

  
 8. 

 20. Entire Agreement. This Agreement constitutes the entire agreement between the
parties with respect to the subject matter hereof and supersedes all prior agreements, understandings and negotiations, written and oral, between the parties with respect to the subject matter of this Agreement; provided, however, that this
Agreement is a supplement to and in furtherance of the Certificate of Incorporation, Bylaws, the Code and any other applicable law, and shall not be deemed a substitute therefor, and does not diminish or abrogate any
rights of Indemnitee thereunder. 

  
 9. 

 IN WITNESS WHEREOF, the
parties hereto have entered into this Agreement effective as of the date first above written. 
  

					
	INSYS THERAPEUTICS, INC.
		
	 By:
	 	  

		 	 Name:
	 	  

		 	 Title:
	 	  

	
	INDEMNITEE
	
	  

	Signature of Indemnitee
	
	  

	Print or Type Name of Indemnitee

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