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Exhibit 10.27  

 
 

TRAINING CENTER AGREEMENT    
    

        This Training Center Agreement ("Agreement") is made and entered into as
of                                    , 200_ (the "Effective
Date") by and between
Accuray Inc., a California corporation having its principal place of business at 1310 Chesapeake Terrace, Sunnyvale, California 94089 ("Accuray"),
and                                    ,
a                                    ,
with its principal place of business
at                                    ("Training Center" and, together
with Accuray, the "Parties"). Accuray desires to have Training Center provide training to certain of Accuray's
customers regarding Accuray's CyberKnife® System and Training Center is willing to perform such training on the terms set forth more fully below. In consideration of the mutual promises
contained herein, the Parties agree as follows: 

1.     Training Services.  

	1.1.
	Nature of Training Programs.    During the term of this Agreement, Training Center, along with personnel from Accuray's
Training Department, will conduct training programs ("Programs") for certain of Accuray's customers ("Customers") at Training Center. The standard training format that Accuray provides to its
Customers consists of (1) "Technical Training;" (2) a "Clinical Site Visit;" and (3) "On-site Training." The Programs conducted at Training Center pursuant to this
Agreement shall primarily be training programs that constitute the "Clinical Site Visit." Occasionally, at the request of Accuray and if the Parties mutually agree to such a Program, the Training
Center may also conduct additional training programs such as Specialty Training Programs. Customers who attend Programs at Training Center will complete Technical Training prior to attending any
such Programs.

	1.2.
	Duration of Training Programs.    Each Program will last for two (2) days. Each Program typically shall include
training for up to six (6) individuals, however, Accuray reserves the right to include up to twelve (12) individuals in a Program. In the event that Accuray includes more than twelve
(12) individuals in a Program, then Accuray agrees that it shall pay Training Center an additional $200.00 for each individual beyond twelve (12) that Accuray includes in such Program,
with such additional payment to be added to the Facility Fee for such Program.

	1.3.
	Scheduling of Training Programs.    When Accuray wishes to have Training Center conduct a Program, Accuray will contact
Training Center in advance of the desired dates for such Program. Accuray and Training Center will then mutually agree upon the dates and times for the applicable Program.

	1.4.
	Modifications to Scheduled Programs by Training Center.    Once Training Center has agreed to conduct a Program on a certain
date and time, Training Center shall conduct the Program as scheduled and any changes to the date and time of such Program by Training Center must be approved by Accuray in writing in advance of such
Program. In any event, Training Center shall use its best efforts to provide Accuray with a minimum of four (4) weeks notice of any change with respect to the date or time of a scheduled
Program. Failure of Training Center to provide Accuray with such advance notice shall be grounds for Accuray to terminate this Agreement, at Accuray's sole option. Additionally, Training Center
acknowledges and agrees that once Accuray and Training Center have agreed upon a date and time for a Program, Accuray will incur expenses associated with the Program, for example relating to the
coordination and scheduling of such Program by Accuray's Training Department for its Customers, travel to the Training Center for personnel from Accuray's Training Department, etc. As a result, should
Training Center provide Accuray with less than four (4) weeks notice 

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of
a change to a scheduled Program or not be prepared to proceed with a scheduled Program, then Customer shall promptly reimburse Accuray for any reasonable expenses incurred by Accuray. 

	1.5.
	Modifications to Scheduled Programs by Accuray.    Accuray shall provide a minimum of two (2) weeks notice to
Training Center of a change in the date or cancellation of any scheduled Program. Should Accuray fail to provide Training Center with at least two (2) weeks prior notice of any change in the
date or cancellation of any scheduled Program then Accuray will pay Training Center a flat fee of up to $2,000.00 in order to compensate Training Center for any inconvenience and/or expenses incurred
as a result of such change or cancellation.

	1.6.
	Format of Training Programs.    The purpose of each Program is to allow Customers' personnel experience clinical interaction
with their respective peers in order to gain an understanding of and benefit from the clinical experience of Training Center personnel, including the application of Accuray products to different types
of cases. Each Program will include:

	(a)
	discussions
by Training Center personnel of treatment protocols for intracranial, spine and other extracranial applications;

	(b)
	observation
of actual patient treatments using the CyberKnife system;

	(c)
	an
explanation of quality assurance practices and use of the CyberKnife delivery and planning system;

	(d)
	review
of actual patient cases, plans and outcomes; and

	(e)
	didactic
presentations on topics related to the clinical experiences and CyberKnife System program at Training Center. 

        Training
Center will make reasonable attempts to match the backgrounds and/or specialties of its personnel conducting the Programs with the backgrounds and/or specialties of the
Customers attending such Program. 

	1.7.
	Content of Training Programs.    Prior to Training Center conducting any Programs, Accuray and Training Center shall
collaborate on the content of the Programs to be presented at Training Center and the selection of presenters; provided, however, that Training Center shall submit all training materials and content
to be presented at a Program as well as a list of the presenters to Accuray for its review and approval at least thirty (30) days prior to such Program unless Accuray specifically waives this
requirement in writing prior to such Program. Likewise, Training Center shall also notify Accuray of any changes to the training materials, content or the list of presenters for a Program and obtain
Accuray's prior written approval for such changes if Training Center seeks to modify such items once Accuray has initially reviewed and approved them. Training Center acknowledges and agrees that it
will not conduct any training or give any instructions at any Program that are inconsistent with the recommended procedures and instructions contained in Accuray' s User's Manuals. For example,
Training Center shall not train Customers on or recommend prone treatments or treatments using a different number of fiducials than Accuray recommends in its User's Manuals. Training Center shall also
require that its presenters disclose when an Accuray product under discussion is not approved in any country in which a Customer's site is located.

	1.8.
	Frequency of Programs.    Accuray makes no representations as to how frequently Programs will be conducted at Training
Center, however Accuray and Training Center shall mutually agree on the dates and times for all such training activities. 

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	1.9.
	Training Center Representatives.    The following Training Center Personnel shall act as "Training Center Representatives"
and thereby conduct and/or participate in all Programs at Training Center along with personnel from Accuray's Training Department: 

            •        [List names of Training Center Representatives]

            •    

            •    

            •    

            •    

            •    

        The
Training Center shall be responsible for ensuring that the Training Center Representatives are present at and conduct and/or participate in, as applicable, each scheduled Program. In
the event that a Training Center Representative is unable to attend a scheduled Program, then the Training Center shall identify to Accuray a suitable individual with the same specialty and similar
credentials and request Accuray's approval for such substitution. Any changes to the Training Center Representatives conducting and/or participating in a Program must receive prior written approval
from Accuray, such approval not to be unreasonably withheld. 

2.     Training Center Prerequisites.  

	2.1.
	Accuray
requires that all of its Training Centers meet and maintain the following clinical criteria in order to qualify as a Training Center:

	(a)
	Training
Center has been actively treating patients for at least one (1) year;

	(b)
	Training
Center has completed more than seventy-five (75) patient treatments;

	(c)
	Training
Center is treating more than twelve (12) patients per month;

	(d)
	Training
Center maintains a varied patient base;

	(e)
	Training
Center is treating intracranial and spine patients;

	(f)
	Training
Center also treats at least three (3) extracranial patients, including some soft tissue, per month; and

	(g)
	Training
Center employs a dedicated multi-disciplinary team of physicians. 

        Training
Center represents that: (i) as of the Effective Date of this Agreement it complies with the above Training Center Requirements; (ii) it will continue to do so
during the term of this Agreement; and (iii) Training Center shall notify Accuray immediately in the event that it fails to meet any of the above Training Center Requirements during the term of
this Agreement. 

3.     Compensation.  

	3.1
	Compensation to Training Center.    For each Program conducted at Training Center, Accuray will pay Training Center a
facility fee of $2,500 USD (the "Facility Fee"). The Facility Fee is intended to compensate Training Center for the support of its Director of Cancer Services, radiation therapists and
administrative support. All payments to the Training Center will be made payable to the hospital or a designated department within thirty (30) days of the invoice date. The Parties acknowledge
that payment of the Facility Fee to Training Center is consistent with the fair market value of such services and is not conditioned in any way on 

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(i) the
volume or value of any business (i) between Accuray and any other party or (ii) the volume or value of any business resulting, directly or indirectly, from any of Training
Center's other activities. 

	3.2.
	Honorariums.    In addition to the Facility Fee, which shall be paid to the Training Center, Accuray will provide
compensation to Training Center's employed and non-employed clinical staff for each Program that such individuals conduct and/or participate in, as follows: 

                    •        Physicians:
$375 USD per hour with a maximum of $3,000 USD per Program 

                    •        Physicists:
$300 USD per hour with a maximum of $2,400 USD per Program 

Compensation
for the individuals listed above shall be conditioned on such individuals actually conducting or participating, as applicable, in each Program and Accuray's receipt and approval of
accurate and detailed records of the time spent, including an hourly accounting of the time spent by each individual seeking compensation in connection with this Agreement, and services performed by
such individuals. The Parties acknowledge that payment for the services provided by the individuals listed above is consistent with the fair market value of such services and is not conditioned in any
way on (i) the volume or value of any business (i) between Accuray and any other party or (ii) the volume or value of any business resulting, directly or indirectly, from any of
such individual's other activities. Accuray will pay honorariums for the Training Center's employed staff to the Training Center. Accuray will pay honorariums for the Training Center's
non-employed clinical staff directly to such individuals. Subject to the foregoing, Accuray will pay all invoices submitted in accordance with this Section within thirty (30) days
of Accuray's receipt and approval of such invoices. 

	3.3.
	Additional Expenses.    Training Center shall not be responsible for the hotel, airfare, meals, other travel related
expenses or training material related expenses incurred by Accuray's Customers in connection with the Programs. Accuray shall provide the necessary training materials for its Customers. In addition,
Accuray will reimburse Training Center for all reasonable expenses incurred by Training Center for catering the Programs, up to a maximum of $2,000 USD. Accuray will not reimburse Training
Center for any expenses incurred by Training Center for catering the Programs in excess of $2,000 USD unless Training Center shall receive prior written approval for any such expenses from
Accuray's Senior Manager of Worldwide Training or equivalent Accuray representative. Any reimbursement by Accuray for catering expenses incurred by Training Center shall be conditioned on Accuray's
receipt and approval of detailed receipts evidencing Training Center's payment of such expenses. Subject to the foregoing, Accuray will reimburse Training Center for such catering expenses within
thirty (30) days of Accuray's receipt and approval of the invoice for such catering expenses. All other expenses incurred by Training Center in connection with this Agreement shall be the sole
responsibility of Training Center. 

4.     Independent Contractor Status.  

	4.1.
	It
is the Parties' intent that Training Center at all times, and with respect to all Programs and services covered by this Agreement function as and remain an independent contractor,
and nothing in this Agreement is intended to nor shall it be construed to create a partnership, joint venture, or employment relationship between Accuray and Training Center. Likewise, Training Center
and its personnel and employees are not agents, employees or officers of Accuray, and neither Party shall represent to third parties that Training Center or its personnel or employees are agents,
employees or officers of Accuray. Training Center and its personnel and employees shall have no authority to bind Accuray by contract or otherwise. 

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	4.2.
	Training
Center and its personnel and employees, as applicable, shall be responsible for the payment of all taxes on amounts received from Accuray in connection with the Programs. If
the Training Center is located in the United States, then Accuray will regularly report amounts paid to Training Center's personnel or employees by filing Form 1099-MISC with
the Internal Revenue service, as required by law. If the Training Center is located outside of the United States, then Training Center and/or the Customers, as applicable, shall be responsible
for any applicable taxes or the like in that particular territory or jurisdiction. No part of any honorariums paid to Training Center's personnel or employees will be subject to withholding by Accuray
for payment of any social security, unemployment or disability insurance, federal, state or other employee payroll taxes or similar items. Training Center agrees to indemnify and hold Accuray harmless
from and against all claims, damages, losses, costs and expenses, including reasonable fees and expenses of attorneys and other professionals, relating to any obligation imposed by law on Accuray to
pay any social security, unemployment or disability insurance, federal, state or other employee payroll taxes or similar items in connection with compensation received by Training Center's personnel
or employees pursuant to this Agreement.

	4.3.
	Training
Center shall furnish Accuray with proof of Worker's Compensation Insurance (or like insurance) coverage for all of Training Center's personnel or employees who
provide services pursuant to this Agreement.

	4.4.
	Training
Center will maintain adequate insurance to protect Training Center from the following: (i) claims under workers' compensation and state disability acts;
(ii) claims for damages because of bodily injury, sickness, disease or death that arise out of any negligent act or omission of Training Center; and (iii) claims for damages because of
injury to or destruction of tangible or intangible property, including loss of use resulting therefrom, that arise out of any negligent act or omission of Training Center. 

5.     Confidentiality.  

	5.1.
	Confidential Information.    "Confidential Information" means and will include (i) Accuray proprietary information,
materials or knowledge, technical data, trade secrets or know-how, including, but not limited to, research, product plans, product specifications, services, customers, customer lists,
pipeline documents, marketing plans and strategies, software, developments, inventions, processes, formulas, technology, designs, drawings, engineering, hardware configuration information, circuit
board designs, logic designs for filters and/or circuit boards, Accuray financials or other business information disclosed by Accuray either directly or indirectly in writing, orally, or by drawings
or inspection of parts or equipment; (ii) the Inventions (as defined below); and (iii) the existence and terms and conditions of this Agreement. Confidential Information also
includes any other information designated by Accuray as such upon its disclosure to Training Center.

	5.2.
	Disclosure.    Training Center and its personnel and employees will not, during or subsequent to the term of this Agreement,
use Accuray's Confidential Information for any purpose whatsoever other than conducting the Programs on behalf of Accuray. Training Center and its personnel and employees will not disclose Accuray's
Confidential Information to any third party, and understands that said Confidential Information shall remain the sole property of Accuray. Training Center further agrees to take all reasonable
precautions to prevent any unauthorized disclosure of such Confidential Information including, but not limited to, having each employee of Training Center or individual providing services to Training
Center in connection with the Agreement with access to any Confidential Information, enter into and be bound by an agreement containing provisions in Accuray's favor substantially similar to those 

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contained
in this Section of the Agreement. Confidential Information does not include information which, upon disclosure to Training Center is part of the public domain; can be established by written
evidence to have been in the possession of Training Center at the time of disclosure; is received by Training Center from a third party without restriction and without breach of this Agreement; or has
become publicly known and made generally available through no wrongful act of Training Center. If Training Center is required to disclose Confidential Information by lawfully issued subpoena or by an
authorized order of a government agency, Training Center will immediately so inform Accuray, and will use best efforts to minimize the disclosure of such Confidential Information and will consult with
and assist Accuray in seeking a protective order prior to such disclosure. 

	5.3.
	Confidentiality Indemnity.    Training Center agrees that Training Center will not, during the term of this Agreement,
improperly use or disclose to Accuray or any of its employees any proprietary information or trade secrets of any other person or entity with which Training Center has an agreement, or to which
Training Center has a duty, to keep in confidence information acquired by Training Center. Training Center will indemnify Accuray and hold it harmless from and against all claims, liabilities, damages
and expenses, including reasonable attorneys' fees and costs of suit, arising out of or in connection with any violation or claimed violation of a third party's rights resulting in whole or in part
from the Programs conducted by Training Center under this Agreement (collectively, a "Claim").

	5.4.
	Return of Confidential Information.    Upon the termination of this Agreement, or upon Accuray's earlier request, Training
Center will deliver to Accuray all of Accuray's property and all Confidential Information in tangible form that Training Center or its personnel or employees may have in the their possession
or control. 

6.     HIPAA.  

	6.1.
	Compliance with HIPAA.    In performing the Services hereunder, Accuray may receive from Training Center, or create or
receive on behalf of Training Center, patient healthcare, billing, or other confidential patient information, "Patient Information". Patient
Information, as the term is used herein, includes all "Protected Health Information," as that term is defined in 45 CFR 164.501. Accuray shall use Patient Information only as necessary to
assist in conducting the Programs under this Agreement. Accuray shall comply with all laws, rules and regulations relating to the confidentiality of Patient Information, including the applicable
provisions of the privacy regulations promulgated pursuant to Health Insurance Portability and Accountability Act of 1996 "HIPAA".

	6.2.
	De-Identified Information for Training Centers in United States.    If the Training Center is located in
the United States, with the exception of the Customers' observation of actual patients, the Training Center shall provide Accuray with only de-identified Protected Health
Information, in accordance with the requirements of 45 CFR 164.514, wherever possible. Any information provided to or shared with Accuray in connection with this Agreement shall have all
identifying patient information removed, including, but not limited to, names, addresses, zip codes, telephone numbers, social security numbers, medical record numbers, health plan numbers, and so on,
and shall be assigned a de-identified record code in accordance with 45 CFR 164.514(c) wherever possible.

	6.3.
	De-Identified Information for Training Centers Outside United States.    If the Training Center is
located outside the United States, then, with the exception of the Customers' observation of actual patients, the Training Center shall only provide Accuray with information in a format that
complies with any applicable laws or regulations governing or relating to the privacy and protection of patient information, wherever possible. 

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	6.4.
	Patient Consent.    Training Center shall ensure that all necessary authorizations that may be required under any applicable
state, federal or local laws, regulations or and ordinances are obtained from patients prior to allowing any Accuray employees or Customers to observe the treatments of such patients. 

7.     Indemnification.  

	7.1.
	Each
Party agrees to indemnify, hold harmless and defend the other from and against any and all claims, damages, losses and expenses, including court costs and reasonable attorneys'
fees, arising out of or resulting from the actions or inactions of the indemnifying Party. Without limiting the generality of the foregoing, each Party shall be responsible for the information which
it conveys to Customers at Programs being conducted pursuant to this Agreement. Accuray shall be responsible for the content of the training materials it provides in connection with the Programs as
well as for information communicated orally by its Training Department personnel as part of the Programs. Training Center shall be responsible for any information which it or its personnel, employees
or agents communicate to Customers in connection with the Programs to the extent that that such information is not expressly contained in writing in the training materials provided by Accuray or in
the spoken communications of personnel from Accuray's Training Department during the Programs. 

8.     Status of Training Center.  

	8.1.
	Nothing
herein shall be in any way construed to endorse Training Center as an authorized training site to conduct manufacturer-certified training for any products manufactured by
Accuray and Training Center shall not represent itself as such. 

9.     Term.  

	9.1.
	Term.    This Agreement shall be effective as of the Effective Date and will terminate one (1) year following the
Effective Date unless otherwise extended in writing by mutual agreement of the Parties or terminated in accordance with Section 10 below. 

10.   Termination.  

	10.1.
	Termination by Either Party.    Either Party may terminate this Agreement at any time by providing sixty (60) days
written notice.

	10.2.
	Termination in Connection with Governmental Action.    The Parties shall attempt to amend this Agreement upon receipt of
any Governmental Action in order to comply with such Governmental Action. If the Parties, acting in good faith, are unable to make the amendments necessary to comply with such Governmental Action, or,
alternatively, if either Party determines in good faith that compliance with the Governmental Action is impossible or infeasible, this Agreement shall terminate ten (10) days after one Party
notifies the other of such fact. For purposes of this Section 10(b)(ii), the term "Governmental Action" shall mean any legislation, regulation, rule or procedure passed, adopted or implemented
by any federal, state or local government or legislative body or any private agency, or any notice of a decision, finding, interpretation or action by any governmental or private agency, court or
other third party which, in the opinion of counsel to Accuray, because of the arrangement between the Parties pursuant to this Agreement, if or when implemented, would: (A) constitute a
violation of any federal, state or local law; or (B) subject either Party, or any of their respective employees or agents, to civil or criminal liability or prosecution on the basis of their 

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participation
in executing this Agreement or performing their respective obligations under this Agreement. 

	10.3.
	Similar Agreement.    If this Agreement is terminated for any reason within one-year of the Effective Date, the
Parties shall not enter into the same or substantially the same arrangement contemplated by this Agreement during the period which is one-year following the Effective Date. 

11.   Effect of Termination.  

	11.1.
	Upon
the expiration or any termination of this Agreement, Accuray will pay Training Center any amounts that are due and payable for Programs performed by Training Center prior to
the effective date of expiration or termination within thirty (30) days of such date.

	11.2.
	Upon
the expiration or termination of this Agreement for any reason, Training Center will promptly notify Accuray of all Confidential Information in Training Center's possession or
control and will promptly deliver all such Confidential Information to Accuray, at Training Center's expense and in accordance with Accuray's instructions. 

12.   Damages.  

	12.1.
	ACCURAY'S
AGGREGATE LIABILITY IN DAMAGES OR OTHERWISE SHALL NOT EXCEED THE AMOUNT ACCURAY HAS PAID TRAINING CENTER HEREUNDER DURING THE TWELVE (12) MONTH PERIOD PRECEDING
THE CLAIM. 

13.   Limitation of Liability.  

	13.1.
	IN
NO EVENT WILL ACCURAY BE LIABLE FOR ANY SPECIAL, INCIDENTAL, PUNITIVE OR CONSEQUENTIAL DAMAGES OF ANY KIND IN CONNECTION WITH THIS AGREEMENT, EVEN IF ACCURAY HAS BEEN INFORMED IN
ADVANCE OF THE POSSIBILITY OF SUCH DAMAGES. 

14.   Assignment.  

	14.1.
	Training
Center may not assign or transfer any of Training Center's rights or interests or delegate any of Training Center's obligations under this Agreement, in whole or in part,
without Accuray's express prior written consent. Any attempted assignment, transfer or delegation, without such consent, will be void, except that Accuray may assign this Agreement, without Training
Center's consent, to an affiliate or to a successor or acquirer, as the case may be, in connection with a merger or acquisition, or the sale of all or substantially all of Accuray's assets or the sale
of that portion of Accuray's business to which this Agreement relates. Subject to the foregoing, this Agreement will be binding upon and will inure to the benefit of the Parties' permitted successors
and assigns. 

15.   Arbitration and Equitable Relief.  

	15.1.
	Arbitration.    Except as provided in Section 15.2 below, Accuray and Training Center agree that any dispute or
controversy arising out of or relating to any interpretation, construction, performance or breach of this Agreement shall be settled by arbitration to be held in Santa Clara County, California before
a single, neutral arbitrator associated with the Judicial Arbitration and Mediation Service ("JAMS"). The arbitrator shall be selected by the Parties or, if the Parties are unable to agree, by JAMS,
in accordance with its selection practices. The 

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arbitrator
may grant injunctions or other relief in such dispute or controversy. Any arbitration taking place shall be conducted by JAMS or its successor, in accordance with the JAMS arbitration rules
and procedures then in effect. Any arbitration taking place between the parties shall be conducted in the English language. The decision of the arbitrator shall be final, conclusive, and binding on
the Parties to the arbitration. Judgment may be entered on the arbitrator's decision in any court of competent jurisdiction. Unless otherwise required to preserve the enforceability of this
arbitration clause, Accuray and Training Center shall each pay one-half of the costs and expenses of such arbitration. 

	15.2.
	Equitable Relief.    Training Center agrees that it would be impossible or inadequate to measure and calculate Accuray's
damages from any breach of the covenants set forth in Section 5 herein. Accordingly, Training Center agrees that if Training Center breaches Sections 5, Accuray will have available, in
addition to any other right or remedy available, the right to obtain from any court of competent jurisdiction an injunction restraining such breach or threatened breach and specific performance of any
such provision. Training Center further agrees that no bond or other security shall be required in obtaining such equitable relief and Training Center hereby consents to the issuances of such
injunction and to the ordering of such specific performance. 

16.   Miscellaneous.  

	16.1.
	Amendments and Waivers.    Any term of this Agreement may be amended or waived only with the written consent of
the Parties.

	16.2.
	Entire Agreement.    This Agreement, including the Exhibits hereto, constitutes the entire agreement of the Parties and
supersedes and replaces all oral negotiations and prior writings with respect to the subject matter hereof.

	16.3.
	Termination of Prior Agreement.    The Parties hereby acknowledge and agree that any prior agreement between the Parties
related to the subject matter hereof shall automatically terminate upon the Parties' signature of this Agreement and that the terms and conditions set forth in this Agreement shall govern Training
Center's provision of Programs hereunder.

	16.4.
	Governing Law.    The validity, interpretation, construction and performance of this Agreement shall be governed by the
laws of the State of California, without giving effect to its principles of conflict of laws. Any legal action or proceeding arising under this Agreement will be brought exclusively in the federal or
state courts located in the Northern District of California and the Parties hereby irrevocably consent to the personal jurisdiction and venue therein.

	16.5.
	Legal Fees.    If any dispute arises between the Parties with respect to matters covered by this Agreement which leads to a
proceeding, pursuant to Section 15.2, to resolve such dispute, the prevailing party in any such proceeding shall be entitled to receive its reasonable attorneys' fees, expert witness fees and
out-of-pocket costs incurred in connection with such proceeding, in addition to any other relief to which it may be entitled.

	16.6.
	Severability.    If one or more provisions of this Agreement are held to be unenforceable under applicable law, then such
unenforceable provision shall be deemed modified so as to be enforceable (or if not subject to modification then eliminated herefrom) for the purpose of those procedures to the extent necessary
to permit the remaining provisions to be enforced.

	16.7.
	Counterparts.    This Agreement may be executed in counterparts, each of which shall be deemed an original, but all of
which together will constitute one and the same instrument.

	16.8.
	Compliance with Laws.    The Parties agree to abide by Accuray's compliance policies and all federal, state or local laws,
regulations, ordinances or other legal requirements in connection 

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with
the performance of the services hereunder. Accuray will not be held responsible for any activities of Training Center that may be considered to be illegal. For example, Accuray does not support
the practice of bribes or under-the-table payments. In the event that Accuray deems that the good-will of its products has been significantly or may potentially be
affected by any such illegal activity, then Accuray reserves the right to terminate this Agreement under Section 10.1, with no further liability to Training Center. Accuray assumes no liability
for any such practices and Training Center hereby indemnifies and holds Accuray, its officers and assigns, harmless from any and all such activities of Training Center. In addition, at all times
during this Agreement, Training Center shall have in effect all licenses, permits and authorizations for all local, state, federal and foreign governmental agencies to the extent the same are
necessary to the performance of the services and Programs hereunder and will verify all such licenses, permits and authorizations are in place before performing any services or conducting any Programs
under this Agreement. Training Center shall not perform any services or conduct any Programs under this Agreement for which it does not hold all necessary licenses, permits and authorizations and will
hold Accuray harmless in all respects for any claims or actions resulting from Training Center's violation of this provision. 

	16.9.
	No Election of Remedies.    Except as expressly set forth in this Agreement, the exercise by either Party of any of its
remedies under this Agreement will be without prejudice to its other remedies under this Agreement or available at law or in equity.

	16.10.
	Notices.    All notices required or permitted under this Agreement will be in writing and delivered in person, effective
immediately, by overnight delivery service, effective two (2) business days after deposit with the carrier, or by registered or certified mail, postage prepaid with return receipt requested,
effective five (5) business days after deposit with the carrier. All communications will be sent to the addresses set forth below or to such other address as may be specified by either party in
writing to the other party in accordance with this Section: 

	To Accuray:	 	To Training Center:
	 	
 Accuray Incorporated	
 	

	 	Attention: SVP, Chief Marketing Officer	 	

	 	1310 Chesapeake Terrace	 	

	 	Sunnyvale, CA 94089	 	

	 	with cc to: General Counsel	 	 

	16.11.
	Waiver.    The waiver of any breach of any provision of this Agreement will not constitute a waiver of any subsequent
breach of the same or other provisions hereof. 

[SIGNATURE PAGE FOLLOWS]

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        IN
WITNESS WHEREOF, the Parties hereto have caused this Agreement to be executed by their officers thereunto duly authorized as of the day and year first written above. The Parties
acknowledge and agree that this Agreement does not become effective until it has been signed by all parties indicated below. 

	TRAINING CENTER	 	ACCURAY, INC.
	

Signature:                    	
 	

Signature:                    
	
 Name:                    	
 	

Name: Eric Lindquist                   
	
 Title:                    	
 	

Title: SVP, Chief Marketing Officer                   
	
 Address:                    	
 	

Address: 1310 Chesapeake Terrace                   
	
                    	
 	

Sunnyvale, CA 94089                   
	
 Telephone:                    	
 	

Telephone: (408) 716-4600                   
	
 Date:                    	
 	

Date:                    
	
 	
 	

Signature:                    
	
 	
 	

Name: Darren J. Milliken                   
	
 	
 	

Title: General Counsel                   
	
 	
 	

Date:                    

SIGNATURE PAGE TO ACCURAY TRAINING CENTER AGREEMENT

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Exhibit 10.28  

 
 

ACCURAY INCORPORATED
  INTERNATIONAL DISTRIBUTOR AGREEMENT    
    

        This International Distributor Agreement ("Agreement") is entered into by and between ACCURAY INCORPORATED, a
California corporation with its executive offices located at 1310 Chesapeake Terrace, Sunnyvale, California 94089, USA ("Accuray"),
and                                         
               a corporation organized under the laws of
                                    , with its executive offices
located
at                                         
                               ("Distributor"), as
of                                    ("Effective Date"). 

        Accuray
manufactures and sells full-body radiosurgery systems using image-guided robotics, including the CyberKnife, which is FDA cleared in the United States to
provide treatment planning and image-guided stereotactic radiosurgery and precision radiotherapy for lesions, tumors and conditions anywhere in the body where radiation treatment is indicated. 

        In
order to achieve its business objectives, Accuray relies on qualified distributors to market and distribute its products and services in different territories. 

        Accuray
wishes to appoint Distributor as its exclusive distributor in the Territory, as defined below, subject to the terms and conditions of this Agreement and Distributor wishes to
accept such appointment. 

1.     Definitions  

	1.1.
	Accuray's Terms of Sale means the current standard international transaction terms and conditions of sale prepared by Accuray from
time to time and provided to Distributor.

	1.2.
	Customer means any person or business entity lawfully doing business in the Territory with whom Distributor enters into an agreement
for Products or Services, including an "investment project" whereby Distributor enters into a partnership with Customer. Customer does not include sites or hospitals located on United States
armed forces bases in the Territory.

	1.3.
	Product(s) means the CyberKnife System and/or related products manufactured by or for Accuray for use in the radiosurgery market and
listed in Exhibit A attached to this Agreement, which have been approved for sale in the Territory.

	1.4.
	Project means any activity or situation that includes a potential Customer or prospect that might be interested in acquiring Accuray's
Products or Services.

	1.5.
	Proposal means a document that offers to provide Products or Services to a prospective Customer.

	1.6.
	Purchase Order means a document provided by Distributor to Accuray that sets forth in adequate detail, including specifications and
delivery schedule, the Products or Services ordered.

	1.7.
	Service(s) means the performance of radiosurgery-related service(s) by either Accuray or Distributor, which may include technical
support, training or installation of Products, as listed in Exhibit A.

	1.8.
	Service Agreements means the Accuray Diamond Elite Service Agreement, Ruby Elite Service Agreement, Emerald Elite Service Agreement
and Extended Parts Warranty, 

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Additional
Upgrade Agreement or such other service programs and agreements as may be released or modified by Accuray from time to time. 

	1.9.
	Specification(s) means the current written description of a Product or Service prepared by Accuray and provided to Distributor.

	1.10.
	System(s) means the Accuray CyberKnife® Robotic Radiosurgery System as set forth in Exhibit A attached hereto.

	1.11.
	Territory
means                        . 

2.     Duties of Accuray  

	2.1.
	Status.    Accuray is responsible for ensuring that the Products supplied are of good quality as further described below.

	2.2.
	Exclusive Distributor.    Accuray hereby appoints Distributor as the exclusive distributor of Products and Services to
Customer in the Territory, subject to the terms and conditions of this Agreement. So long as Distributor achieves the volume of business set forth below and otherwise meets its obligations under this
Agreement, Distributor shall be the exclusive distributor of Products and Services to Customer in the Territory.

	2.3.
	Products and Services.    Accuray will use commercially reasonable efforts to provide to Distributor in a timely manner
those Products and Services required to fill Purchase Orders received from Distributor in accordance with the terms of this Agreement.

	2.4.
	Product and Service Pricing.    Accuray will provide Product and Service pricing to Distributor from time to time during the
Term of this Agreement. Products and Services shall be priced by Accuray to Distributor in accordance with Accuray's price list in effect from time to time, but, in any case, no change can be made
without six (6) months' prior written notice to Distributor. The current prices, as of the Effective Date, of Accuray's Products and Services are listed on Exhibit A. All prices will be
stated in US Dollars, unless another currency is agreed upon in writing by Accuray.

	2.5.
	Product Specifications and Promotional Literature.    Accuray will provide product specifications and promotional literature
to Distributor from time to time during the Term of this Agreement. Distributor may use product specifications and promotional literature in Distributor's dealings with Customers. Accuray may
introduce changes and upgrades to the Products. Accuray will be responsible for ensuring that any changes or upgrades to the Products comply with the latest regulatory approvals, and will use
commercially reasonable efforts to give Distributor as much advance notice of upgrades as is feasible.

	2.6.
	Regulatory Clearance.    Distributor is responsible for obtaining the regulatory clearance in the Territory for Products in
Accuray's name, as detailed in Section 3.4, however Accuray will provide Distributor with reasonable assistance in obtaining regulatory clearances.

	2.7.
	Warranty.    Accuray will provide a warranty that the Products will be free from defects and perform substantially in
accordance with the written Specifications provided by Accuray as reflected in the regulatory clearance at the time of sale for a period of one year following installation of the Products at
Customer's facility, but not to exceed eighteen (18) months following shipment of such Products to Distributor. Accuray makes no warranty that the operation of any software will be
uninterrupted or error-free. Except as set forth in the preceding sentences, Accuray makes no warranties or representations to Distributor or to any other party regarding any Products or
Services provided by Accuray. To the fullest extent permitted by applicable law, Accuray disclaims all other warranties and representations, whether express or implied,
including, but not limited to, any implied  

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 warranties of merchantability, fitness for a particular purpose, and any warranties arising out of course of dealing or usage of trade.  

	2.8.
	 Support.    Accuray will provide Distributor the following types of support:

	2.8.1.
	Hardware.    During the warranty period, Accuray will provide replacement of defective parts. This will be Accuray's sole
and exclusive obligation. Accuray shall not be responsible for the installation and labor costs for such replacement parts.

	2.8.2.
	Software.    During the warranty period, Accuray will provide error corrections or "bug fixes." This will be Accuray's
sole and exclusive obligation. Additionally, Accuray shall provide Distributor with any and all applicable error corrections and bug fixes generally provided by Accuray to Accuray customers with
similar Product installations.

	2.8.3.
	Warranty Exclusions.    All warranty replacement of parts shall be limited to malfunctions which are due and traceable to
defects in original material or workmanship of Products. The warranties set forth in this Section 2 shall be void and of no further effect in the event of abuse, accident, alteration, misuse or
neglect of Products, including but not limited to user modification of the operating environment specified by Accuray and user modification of any software.

	2.8.4.
	Service Agreements.    The Service Agreements will be provided at the time of purchase or after the one-year
warranty period, as appropriate. A summary of the service terms and sample Service Agreements attached hereto as Exhibit D. The Service Agreements are to be ordered on the terms as set forth in
the agreements, unless otherwise agreed to in writing by an authorized representative of Accuray.

	2.8.4.1.
	Accuray Direct Sales.    Accuray reserves the right to sell the Service Agreements directly to customers within the
Territory. Accuray's prices for such direct Service Agreements are set forth in Exhibit D, and Accuray will not offer any Service Agreements to customers in the Territory at lesser prices
without six (6) months prior written notice in accordance with Section 2.4 (Product and Service Pricing) above.

	2.8.5.
	Additional Support.    Accuray will provide additional installation, warranty or service support at Distributor's request,
to be ordered separately, and priced according to Accuray's then-current price lists.

	2.9.
	Training.    Accuray will provide training to Distributor and Customers in accordance with Exhibit C.

	2.10.
	Compliance with Laws.    Accuray will be responsible for complying with U.S. laws, and, as notified by Distributor,
with Territory laws as they pertain to the Product and the regulatory clearance, and safety in accordance with Accuray's written Product specifications for intended use. Upon notification by
Distributor of any impending changes to Territory laws or regulatory requirements that may necessitate modifications in the Products or Services, Accuray shall respond to such notifications in a
timely manner and make necessary efforts to ensure continued compliance. 

3.     Duties of Distributor  

	3.1.
	Status.    Distributor shall be and must at all times make it clear that it is an independent entity contracting with
Accuray, and is not the employee, representative or agent of Accuray. Distributor does not have the ability or authority to enter into any legal agreements or obligations that would bind Accuray in
any manner. Distributor represents 

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that
it is involved in other businesses, not competitive with its activities under this Agreement but of sufficient volume and profitability that Distributor is in no way dependent upon this Agreement
or its relationship with Accuray for its continuing viability or success. Distributor will inform Accuray of any business that it is pursuing and is potentially competitive (in the same
treatment area, using vaults, using the same sales and marketing personnel) and will obtain prior written approval from Accuray prior to entering into such business. 

	3.2.
	Training.    Distributor will support Accuray's training of new Customer personnel, and will send new Customer users for
training at Accuray, according to Exhibit C.

	3.3.
	Market Knowledge, Promotion and Sales.    Distributor represents that it has a thorough knowledge of the Territory, the
market for radiosurgery products and of all current and proposed Projects. Distributor will develop a thorough and complete understanding of the Products and Services. Distributor will use its
knowledge and understanding to develop potential Projects.

	3.3.1.
	Distributor
will use best efforts to promote the sale of and to sell Products and Services to Customers in accordance with Accuray's marketing guidance and policies in effect from
time to time and will make best efforts to learn of any potential Project. Distributor will make itself familiar with each such Project so as to learn all conditions of the Project which may impact
the Products or Services to be offered. In addition, as Accuray releases new features and Products, Distributor will use best efforts to promote the sale of and to sell those features and Products to
the installed base of Products and to new Customers in the Territory.

	3.3.2.
	Distributor
sales and marketing staff will actively participate in the following yearly activities: American Society of Therapeutic Radiology & Oncology (ASTRO); American
Association of Neurological Surgeons (AANS); European Society of Therapeutic Radiology and Oncology (ESTRO) (if applicable); Accuray worldwide users' meeting; and Accuray worldwide sales
meetings. Active participation includes attendance at and participation in such meetings.

	3.3.3.
	Distributor
will report to Accuray any proposed or pending Projects outside the Territory about which Distributor learns during the Term of this Agreement.

	3.4.
	Regulatory Clearance.    Distributor will be responsible for obtaining the regulatory clearance in the Territory
(in Accuray's name if possible, in Distributor's name if not possible) for Products and for any changes or upgrades to the Products. Distributor will be responsible for (i) managing and
paying for any paperwork associated with obtaining the regulatory clearance; (ii) the costs of seeking approval for expanded usage of the Products; (iii) timely application for all
upgrades that Accuray determines are commercially appropriate; and (iv) maintaining the regulatory clearance. Accuray will provide Distributor with reasonable assistance in obtaining regulatory
clearances. Accuray shall reimburse Distributor for any direct costs or charges billed by third parties, plus any other direct regulatory clearance-related expenses incurred in connection with such
activities, as long as those costs have been pre-approved in writing by an authorized representative of Accuray. At Accuray's request, Distributor will provide Accuray with receipts and
other documentation for all such expenses. Accuray shall not be responsible for Distributor's internal administrative personnel or resources for such activities.

	3.5.
	Import License.    Distributor will obtain and maintain the required import license.

	3.6.
	Distributor Personnel.

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	3.6.1.
	Full-Time, Dedicated Personnel.    Distributor will provide full-time, dedicated personnel that
will include (to be determined) a general manager, a senior product manager and support staff, at least one (1) senior sales person with sufficient skill, training and experience to be
effectively capable of selling a $4 million medical product, and one (1) clinical support or training specialist. Distributor will provide adequate technical support staff for the
operation and maintenance of the Products and Services. Distributor will employ one (1) service engineer who is capable of performing installation and First Line Field Service
(as defined in Section 3.20 (First Line Field Service) below). All of these personnel must be hired and attend training at Accuray within nine (9) months of the Effective Date of
this Agreement. Accuray will provide the training and Distributor will pay for travel and accommodation expenses. These personnel will be full-time, one hundred percent (100%) dedicated to
the business relating to Accuray's Products and Services and will have adequate backgrounds in surgical and/or radiation oncology products and services, experience and training to perform the
following functions:

	3.6.1.1.
	Sales,
sales management, sales forecasting, and order management;

	3.6.1.2.
	Marketing
throughout the Territory;

	3.6.1.3.
	Planning
for the installation and installing Products;

	3.6.1.4.
	Clinical
trials, regulatory compliance, and reimbursement;

	3.6.1.5.
	Product
management;

	3.6.1.6.
	Development
of on-site training;

	3.6.1.7.
	Provision
of Services; and

	3.6.1.8.
	First
Line Field service.

	3.7.
	Proposals.    Distributor will submit a timely Proposal on every Project in the Territory during the Term of this Agreement.
All Proposals shall be prepared and submitted to the Customer by Distributor. Proposals will offer only Products or Services described in then current written Specifications, and only in accordance
with this Agreement. Unless Distributor has prior written consent from Accuray to the contrary, all Proposals submitted by Distributor are (and Distributor must inform the Customer that they
are) subject to change in the event Accuray's Terms of Sale or Specifications change prior to the time Distributor accepts an order from the Customer (if it does).

	3.8.
	Orders.    Distributor will receive each order placed by a Customer to which Distributor has submitted a Proposal. Orders
may be accepted only by Distributor. The resulting contract for the sale of Products and Services shall be between Distributor and the Customer. In the case of a Product order, Distributor must send a
Purchase Order to Accuray at least six (6) months prior to the expected shipment date. All Products must be purchased from Accuray unless otherwise specified in this Agreement or agreed in
writing by Accuray.

	3.9.
	Payment.    Payment for Products shall be made by Distributor to Accuray in US Dollars in the form of either (1) an
irrevocable trade finance letter of credit or (2) wire transfer as further described in Sections 3.9.1 and 3.9.2, respectively below. Accuray shall bear the cost of any bank
charges assessed by its bank for a letter of credit and any commission charge for a wire transfer. Distributor will pay a late charge of two percent (2%) on any balance that becomes overdue, plus
interest at the rate of one percent (1%) per month or the highest interest rate allowed by law, whichever is greater, until paid in full. 

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	3.9.1.
	Letter of Credit.    An irrevocable trade finance letter of credit issued by Distributor's bank, confirmed by a bank
designated by Accuray that is doing business in the State of California, United States of America, in all respects, including the confirming bank, acceptable to Accuray, and
delivered to Accuray with the Purchase Order. The letter of credit will provide that Accuray can draw against the letter of credit according to the following schedule:

	3.9.1.1.
	US
$450,000 (non-cancelable, non-refundable) upon Accuray's acceptance of the Purchase Order, which must be at least four (4) to six
(6) months prior to the proposed shipment date; and

	3.9.1.2.
	Balance
upon presentation of documents evidencing shipment of the Products to Distributor or Customer as designated in the Purchase Order.

	3.9.2.
	Wire Transfer.    A wire transfer made in advance of the date payment is due, made in U.S. dollars, to a bank
selected by Accuray, in accordance with the same payment schedule as outlined above with respect to the Letter of Credit.

	3.9.3.
	Payments by Distributor's Customer Direct to Accuray.    If agreed to in writing by Accuray, Distributor's Customers may
make payments directly to Accuray using the payment methods set forth in Sections 3.9.1 or 3.9.2 above. Should Distributor's Customer make such payments to Accuray and such payment
include the Distributor's margin, then Accuray will pay Distributor's margin to Distributor according to the following schedule:

	3.9.3.1.
	Ten
percent (10%) of Distributor's margin upon Distributor's Customer signing a purchase agreement with Distributor and release of funds from the Letter of Credit in accordance
with Section 3.9.1 above making funds available to Accuray or wire transfer in accordance with Section 3.9.2 above;

	3.9.3.2.
	Sixty
percent (60%) of Distributor's margin upon shipment and release of funds from the Letter of Credit in accordance with Section 3.9.1 above making funds available to
Accuray or wire transfer in accordance with Section 3.9.2 above; and

	3.9.3.3.
	Thirty
percent (30%) of Distributor's margin upon installation with successful acceptance testing of the Equipment and release of funds from the Letter of Credit in accordance
with Section 3.9.1 above making funds available to Accuray or wire transfer in accordance with Section 3.9.2 above.

	3.10.
	Volume of Business.    Accuray and Distributor have reviewed and discussed the Territory in detail and have agreed that
Distributor will purchase and pay for the minimum volume of Systems as set forth in Exhibit B attached to this Agreement. If Distributor does not make the minimum purchases set forth in
Exhibit B, or does not pay timely (within ninety (90) days of the due date) for those purchases, Accuray may, at its sole determination and in its sole and complete discretion, elect to
make this distribution arrangement non-exclusive or terminate this Agreement.

	3.11.
	Forecast.    In order to support Accuray's production planning, at least every three (3) months during the Term of
this Agreement, Distributor will provide Accuray an eighteen (18) month rolling forecast of: (i) targeted Customers, (ii) contracted Customers, and (iii) forecast of
Product sales by product line. The forecast will include an update on the top ten (10) projects. Such forecasts shall be provided to Accuray by the first business day of 

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January,
April, July and September each year, and shall be delivered to the Accuray General Manager for the Territory. Such forecasts are in addition to the reports to be provided in accordance with
Section 3.22.1 (Reports) below. 

	3.12.
	Customer Support.    Distributor will provide guidance to billing and reimbursement personnel of each Customer regarding
regulatory and billing requirements and reimbursement for treatment provided with Products under radiosurgery reimbursement codes applicable within the Territory. Distributor will be responsible for
ensuring that its personnel maintain their proficiency with respect to the Products and all upgrades, enhancements and new feature releases, and will send its personnel to Accuray for training
as necessary.

	3.13.
	Customer Relations.    Distributor shall deliver Products and Services to Customers in the Territory, shall report promptly
and in writing to Accuray any complaints or expressions of dissatisfaction by the Customer relating to the Products or Services. While Distributor shall have no authority to offer on behalf of Accuray
anything in settlement of any such complaints or expressions, Distributor shall use all best efforts to satisfy the Customer that the Products and Services meet the applicable written Specifications,
Proposal, and Order, if such is the case.

	3.14.
	Public Relations.    Distributor will implement a public relations program once a CyberKnife is operational in
the Territory.

	3.15.
	Installation.    Distributor will be responsible for providing installation for any Product a Customer purchases.
Distributor may engage Accuray (to be ordered separately, and priced according to Accuray's then-current price lists) or other organizations that have Accuray-trained personnel to
provide supervision and assistance, or to perform the full installation, at Distributor's expense.

	3.16.
	Other Customer Support.    Distributor will have primary responsibility for room evaluation, architecture support and
quality assurance issues.

	3.17.
	Warranty.    Distributor will be responsible for providing a one (1) year warranty (for parts and service)
for each Product a Customer purchases. Distributor will not make any other warranties or representations in Accuray's name or on Accuray's behalf.

	3.18.
	Service Agreements.    Distributor will make commercially reasonable efforts to sell a Service Agreement to each customer.
The terms of the Service Agreements are summarized and attached in Exhibit D attached hereto.

	3.19.
	Upgrades.    Any upgrades can be purchased at the discretion of the Distributor.

	3.20.
	First Line Field Service.    Distributor will provide to all Customers, remotely and on-site when needed,
routine maintenance and service and timely response to special requests for service of all installed Products in the Territory.

	3.21.
	Spare Parts Inventory.    Distributor will maintain a spare parts inventory at its cost, as detailed under
Exhibit F, to support Customers. Accuray currently offer three (3) different Distributor Spare Parts Kits, and Distributor may select which Spare Parts Kit it wishes to purchase.
Distributor is willing to ship spare parts to locations outside the Territory as requested by Accuray, and Accuray will reimburse Distributor for the direct cost of such activity.

	3.22.
	Records and Reports.

	3.22.1.
	Reports.    Within thirty (30) days after the end of each quarter, Distributor will provide Accuray with a written
report that includes: (i) Distributor's sales and 

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shipments
of each Product for that quarter, by dollar volume and number of units, both in the aggregate and for such categories as Accuray may designate from time to time; (ii) service reports
detailing all uptime and parts warranty issues; (iii) CyberKnife utilization reports: and (iv) any other information requested by Accuray. Distributor's report will comply in form and
substance with Accuray's reporting requirements, as they are determined by Accuray and communicated to Distributor in writing from time to time. 

	3.22.2.
	Notification.    Distributor will promptly notify Accuray in writing of any: (i) claim or proceeding involving the
Products; or (ii) claimed or suspected Product defects.

	3.22.3.
	Records.    During the term of this Agreement and for a period of three (3) years after any termination or
expiration thereof, Distributor will maintain complete and accurate books, records and accounts relating to the distribution of the Products, and will permit Accuray's authorized representatives to
examine them on reasonable prior notice.

	3.23.
	Compliance with Laws.

	3.23.1.
	Within the Territory.    When Products are being shipped to Distributor, unless the particular Purchase Order provides
otherwise, Distributor shall be responsible for all import duties and other import, licensing and immigration formalities which must be complied with in order for the Products to be lawfully imported
into the Territory or the Services to be lawfully performed in the Territory. In addition, compliance with regulatory and all other laws and regulations in the Territory are the responsibility of
Distributor. Distributor will notify Accuray of any impending changes to Territory laws or regulatory requirements that pertain to, and may necessitate modifications to, the Products
or Services.

	3.23.2.
	United States laws.    Distributor understands that, because it is distributing the Products and Services of
Accuray, a company subject to the laws of the United States of America, Distributor must, when carrying out its duties under this Agreement, avoid violations of certain of such laws. These
include, but are not necessarily limited to, the following:

	3.23.2.1.
	Restrictive
Trade Practices or Boycotts, U.S. Code of Federal Regulations Title 15, Chapter VII, Part 760.

	3.23.2.2.
	Foreign
Corrupt Practices Act, U.S. Code Title 15, § 78.

	3.23.2.3.
	Export
Controls, imposed by U.S. Executive Order or implementing regulations of the U.S. Departments of Commerce, Defense or Treasury.

	3.23.3.
	No Illegal Activity.    Distributor and its Sub-Distributors shall not engage in any illegal activities.
Accuray will not be held responsible for any activities of Distributor or its Sub-Distributor that may be considered to be illegal. For example, Accuray does not support the practice of
bribes or under-the-table payments. Distributor will ensure a like clause is included in each agreement it has with its Sub-Distributors, and monitor activities of
its Sub-Distributors in the Territory closely. In the event, Accuray deems that the good-will of its Products has been significantly or may potentially be affected by any such
illegal activity, then Accuray reserves the right to terminate this Agreement for material breach under Section 5.3 (Termination for Cause), with no further liability to Distributor, or its
Sub-Distributor. Accuray assumes no liability for any such practices and Distributor 

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hereby
indemnifies and holds Accuray, its officers and assigns, harmless from any and all such activities of Distributor or its Sub-Distributors. 

	3.24.
	Translations.    To the extent it deems necessary, Accuray will translate or localize any product specifications, user
manuals and promotional literature Accuray has provided to Distributor. If Accuray performs such translation, Accuray may, at its sole option, charge Distributor for the cost of translations. If
Accuray does not elect to translate such materials, and Distributor decides to do so on its own, Distributor assumes all liability for as well as indemnifies and holds Accuray harmless from any and
all issues and claims relating to such translations or localization. Accuray reserves the right to request review and modification of such translated materials.

	3.25.
	Insurance.    Distributor shall obtain and keep in full force and effect during the Term of this Agreement
(and thereafter until all Projects as to which Accuray has accepted an Purchase Order from
Distributor have been completed) all insurance required by and in compliance with local laws in the Territory, which shall be equivalent to general and products liability and workers' compensation
insurance on an occurrence basis with coverage limits (i) in the normal and customary business of a medical device distributor and (ii) sufficient to provide coverage of any claim which
may reasonably arise out of the actions or inactions of that party related to this Agreement or the business relationship between the parties. Distributor shall provide to Accuray from time to time
while its obligation under this paragraph is in effect certificates evidencing such insurance, which certificates shall expressly provide that the underlying coverage cannot be cancelled without at
least thirty (30) days' written notice to Accuray.

	3.26.
	Competing Products.    During the Term of this Agreement, Distributor will not sell, offer for sale, promote the sale of,
distribute or represent in any way products or services which are competitive with the Products or Services. 

4.     Compensation and Payment  

	4.1.
	Compensation.    Except as otherwise provided herein, Distributor's only compensation for its efforts on Accuray's behalf
shall be the margins it earns on the resale of Products and Services, and Distributor shall bear all of the expenses which it incurs in making those efforts.

	4.2.
	Payment.    Distributor shall be solely responsible for determining the creditworthiness of and collecting payment from its
Customers. The risk of non-collection from the Customer will be borne entirely by Distributor, which shall be responsible for making timely payment to Accuray for Products and Services
whether or not Distributor is successful in collecting from its Customer. 

5.     Term and Termination  

	5.1.
	Term.    The Term of this Agreement shall begin on the Effective Date and continue
until                                    , unless extended or
sooner terminated in accordance with this Section 5.

	5.2.
	Renewal.    This Agreement will be renewed for additional period
of                        year(s), if Distributor has carried out
its duties under this Agreement, including meeting the minimum volume of purchases and shipments set forth in Exhibit B, as updated in accordance with the following, and Accuray Sales &
Marketing Department reasonably believes that the Distributor is following Accuray's market strategies. Accuray and Distributor will meet approximately one hundred eighty (180) days prior to
the termination date and agree in 

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writing
upon a volume of business, a number of Purchase Orders, and any other terms, for the subsequent renewal period. The volume of business and number of Purchase Orders for each renewal period
shall reflect an increase in units over the numbers determined for the previous period, unless Accuray reasonably determines at its sole discretion that market conditions would not so permit. 

	5.3.
	Termination for Cause.    Either party may terminate this Agreement if the other party commits a material breach of this
Agreement and fails to cure it within forty-five (45) days after written notice of the breach is given by the non-breaching party, provided that, as to a breach which
cannot be fully cured within forty-five (45) days, then the parties shall agree in writing on a resolution plan and a reasonable timeline for such cure period, and that breach shall
be deemed timely cured if the cure is completed within the agreed upon timeline. The effective date of termination shall be the date of expiration of the cure period without a cure having occurred.

	5.4.
	Termination Without Cause.    Either party may terminate this Agreement with six (6) months prior written notice to
the other party. Each party shall diligently pursue its obligations under this Agreement until the date of termination.

	5.5.
	Termination Upon Change in Control.    Accuray shall have the right to terminate this Agreement in the event of a Change in
Control, acquisition by a third party or a global change in distributorship structure upon six (6) months advance written notice to Distributor. A global change in distribution structure may be
when Accuray, in its sole discretion and in its own best interests, determines the need to change the distribution channels, structure, or arrangements on a global basis.

	5.6.
	Effect of Termination.    In the event of termination, the effect of such termination shall be as follows:

	5.6.1.
	Sales in Process.    This Section 5.6.1 shall only apply in cases of Termination Without Cause (Section 5.4)
and Termination Upon Change in Control (Section 5.5).

	5.6.1.1.
	Accuray
will accept all Purchase Orders by Distributor within the six (6) months prior to the effective date of termination;

	5.6.1.2.
	Distributor
shall pay the non-cancelable, nonrefundable US $450,000 deposit (in accordance with Section 3.9 (Payment)) and submit a customer contract
for each Purchase Order submitted under Section 5.6.1 above within three (3) months of the date the Purchase Order was submitted to Accuray; and

	5.6.1.3.
	Distributor
shall pay the balance upon presentation of documents evidencing shipment of Products to Distributor or the Customer as designated in the Purchase Order above
(in accordance with Section 3.9) such shipment and related payment to be made within nine (9) months from the date of the Purchase Order was submitted to Accuray under
Section 5.6.1.

	5.6.1.4.
	Failure
of Distributor to meet any of the items in Sections 5.6.1.1, 5.6.1.2, or 5.6.1.3 will relieve Accuray of any obligations to Distributor hereunder.

	5.6.2.
	Transition of Activities.    Accuray and Distributor agree to negotiate in good faith an orderly transition of
Distributor's distribution rights and activities and Distributor agrees to assist in the transition. 

10

 

	5.6.3.
	Pending Obligations.    Each party must still fulfill any obligations, including but not limited to pending Purchase
Orders, accrued on or before the effective date of such termination.

	5.7.
	Termination Transition Assistance.    Immediately following termination, as applicable, Distributor shall transfer to
Accuray upon Accuray's request: Accuray's parts inventory, which Accuray will repurchase at its original cost; any regulatory clearances, licenses or permits obtained for conduct of the business in
Territory; any Confidential Information; and other items as will be negotiated in good faith between the parties. Furthermore, the parties agree to cooperate fully with the other for any reasonable
transition assistance required in the case of termination or expiration of this Agreement.

	5.8.
	Distributor's Right to Support.

	5.8.1.
	If
Distributor has continuing obligations to support Customers, including any Service Agreements, Accuray will continue to provide support to Distributor for it to effectively
support such Customers. However, in the event that Distributor fails to provide the same or greater service to any Customer, including uptime guarantees, as provided to Distributor by Accuray under
the related service agreement, then Accuray shall have the right to demand that Distributor assign the Customer service agreement to Accuray.

	5.8.2.
	Alternatively,
Accuray will have the right to take over support for the Customers and will reimburse Distributor for: any loss of gross revenue from the Customer that will occur
less, unless already paid, the cost of support to be provided by Accuray, as reasonably determined and negotiated in good faith.

	5.9.
	No Termination Compensation.    Distributor waives any rights it may have to receive any compensation or indemnity upon
termination or expiration of this Agreement, other than as expressly provided in this Agreement. Distributor acknowledges that it has no expectation and has received no assurances that any investment
by Distributor in the promotion of the Products will be recovered or recouped or that Distributor will obtain any anticipated amount of profits by virtue of this Agreement.

	5.10.
	Accruals.    No termination of this Agreement will terminate any obligation of payment which has accrued prior to the
effective date of such termination.

	5.11.
	Repurchase of Parts and Tools.    Within a reasonable time after the effective date of termination, Distributor can sell
all parts either to Accuray or Accuray's designated distributor in the Territory all parts and tools owned by Distributor, which may still commercially reasonably be used to service a CyberKnife in
the Territory, at Distributor's cost, without profit. 

6.     Dispute Resolution  

	6.1.
	Applicable Law.    This Agreement shall be subject to and controlled by the laws of the State of California, not including
either the choice of law/conflict of laws rules of California or international treaties (such as the U.N. Convention on Contracts for the International Sale of Goods) which would otherwise be
applicable in California. Distributor hereby agrees and submits to a venue in the State of California.

	6.2.
	Notification and Discussion.    Accuray and Distributor hereby irrevocably and unconditionally agree as follows: Should any
dispute arise between the parties relating to this Agreement or the business relationship between the parties, such dispute shall be submitted by one or both parties, in writing, to the Chief
Executive Officer of Distributor 

11

 

and
the Chief Executive Officer of Accuray for resolution. The parties shall attempt to resolve any dispute arising out of or relating to this Agreement promptly by negotiation between executives who
have authority to settle the controversy. 

	6.3.
	Process.    Any controversy, claim or dispute arising out of or relating to this Agreement, including without limitation,
the construction, interpretation, validity, enforcement, performance, lack or failure of performance or breach of this Agreement, or the rights, duties or liabilities of a party under this Agreement,
that cannot be resolved by agreement of the parties within forty-five (45) days of the matter being raised in writing, and either party wishes to pursue the matter, the controversy,
claim or dispute shall be referred to further dispute resolution processes in accordance with Exhibit E.

	6.4.
	Confidential Information.    Any breach of Accuray or Distributor intellectual property or confidential information as
described in Section 7 (Confidentiality) below or related obligations of this Agreement will cause the injured party irreparable harm for which money damages shall be an inadequate remedy and
difficult to ascertain. Consequently, notwithstanding anything else in this Agreement to the contrary, in the event of any such threatened or actual breach, the injured party will be entitled to seek
equitable relief in any court having jurisdiction on any claim based upon the actual or imminent misuse or unauthorized disclosure of the injured party's intellectual property or confidential
information, including preliminary injunctions restraining such breach and specific performance of the other party's
obligations and covenants in such sections. Such equitable relief shall be in addition, and without prejudice, to any other remedies available to the injured party at law or under this Agreement for
any such breach or threatened breach. If the injured party seeks injunctive relief, such action shall not constitute a waiver of the provisions of this Agreement to arbitrate, which shall continue to
govern any and every dispute between the parties including, without limitation, the right of damages, permanent injunctive relief, and any other remedy at law or in equity. 

7.     Confidentiality.  

	7.1.
	Definition.    "Confidential Information" means: (i) any non-public information of a party, including,
without limitation, any information relating to a party's current and planned products and services, technology, techniques, know-how, research, engineering, designs, finances, accounts,
procurement requirements, manufacturing, customer lists, business forecasts and marketing plans; (ii) any other information of a party that is disclosed in writing and is conspicuously
designated as "Confidential" at the time of disclosure or that is disclosed orally, is identified as "Confidential" at the time of disclosure, and is summarized in a writing sent by the disclosing
party to the receiving party within thirty (30) days of any such disclosure; and (iii) the specific terms and pricing set forth in this Agreement.

	7.2.
	Exclusions.    The obligations in Section 7.3 will not apply to the extent any information: (i) is or becomes
generally known to the public through no fault of or breach of this Agreement by the receiving party; (ii) was rightfully in the receiving party's possession at the time of disclosure, without
an obligation of confidentiality; (iii) is independently developed by the receiving party without use of the disclosing party's Confidential Information; or (iv) is rightfully obtained
by the receiving party from a third party without restriction on use or disclosure.

	7.3.
	Obligations.    Each party will not use the other party's Confidential Information, except as necessary for the performance
of this Agreement, and will not disclose such Confidential Information to any third party, except to those of its employees and subcontractors that need to know such Confidential Information for the
performance of this Agreement, 

12

 

provided
that each such employee and subcontractor is subject to a written agreement that includes binding use and disclosure restrictions that are at least as protective as those set forth herein.
Each party will use all commercially reasonable efforts to maintain the confidentiality of all of the other party's Confidential Information in its possession or control, but in no event less than the
efforts that it ordinarily uses with respect to its own confidential information of similar nature and importance. The foregoing obligations will not restrict either party from disclosing the other
party's Confidential Information or the terms and conditions of this Agreement: (i) pursuant to the order or requirement of a court, administrative agency, or other governmental body, provided
that the party required to make such a disclosure gives reasonable notice to the other party to enable it to contest such order or requirement; (ii) on a confidential basis to its legal or
professional financial advisors; (iii) as required under applicable securities regulations; or (iv) on a confidential basis to present or future providers of venture capital and/or
potential private investors in or acquirers of such party. 

8.     Indemnities.  

	8.1.
	Accuray Indemnity.    Accuray will defend or settle any action brought against Distributor to the extent that it is based
upon a third-party claim that a Product, as provided by Accuray to Distributor under this Agreement, infringes any United States patent or any copyright or misappropriates any trade secret, and
will pay any costs and damages made in settlement or awarded against Distributor in final judgment resulting from any such claim, provided that Distributor: (i) gives Accuray prompt notice of
any such claim; (ii) gives Accuray sole control of the defense and any related settlement of any such claim; and (iii) gives Accuray, at Accuray's expense, all reasonable information,
assistance and authority in connection with the foregoing. Accuray will not be bound by any settlement or compromise that Distributor enters into without Accuray's express prior written consent.

	8.2.
	Products Liability Indemnity.    Accuray will defend or settle any action brought against Distributor to the extent that it
is based upon a third-party claim that a Product, as provided by Accuray to Distributor under this Agreement is unsafe when used according to Accuray's written product specifications for its intended
use, and will pay any costs and damages made in settlement or awarded against Distributor in final judgment resulting from any such claim, provided that Distributor: (i) gives Accuray prompt
notice of any such claim; (ii) gives Accuray sole control of the defense and any related settlement of any such claim; and (iii) gives Accuray, at Accuray's expense, all reasonable
information,
assistance and authority in connection with the foregoing. Accuray will not be bound by any settlement or compromise that Distributor enters into without Accuray's express prior written consent.

	8.3.
	Injunctions.    If Distributor's rights to use and distribute a Product under the terms of this Agreement is, or in
Accuray's opinion is likely to be, enjoined due to the type of claim specified in Section 8.1 (Accuray Indemnity), then Accuray may, at its sole option and expense: (i) procure for
Distributor the right to continue to use and distribute such Product under the terms of this Agreement; (ii) replace or modify such Product so that it is non-infringing; or
(iii) if options (i) and (ii) above cannot be accomplished despite Accuray's reasonable efforts, then Accuray may terminate Distributor's rights and Accuray's obligations
hereunder with respect to such Product and credit to Distributor the pro-rated portion amounts paid for such Product during the twelve (12) months prior to the date Accuray issues
such a credit, provided that all units of such Product are returned to Accuray in an undamaged condition.

	8.4.
	Indemnity Exclusions.    Accuray will have no obligation under Sections 8.1 (Accuray Indemnity) or 8.2 (Products
Liability Indemnity) for any third-party claim to the extent that 

13

 

such
claim results from: (i) use of any Products not in accordance with Accuray's written product specifications; (ii) use or combination of the Products with other items, such as other
equipment, processes, programming applications or materials not furnished by Accuray; (iii) compliance by Accuray with Distributor's or Distributor's customer's designs, specifications or
instructions; (iv) modifications to a Product not made by or at the express written direction of Accuray; (v) Distributor's failure to use updated or modified Products provided by
Accuray; (vi) Distributor's use or distribution of a Product other than in accordance with this Agreement or (vii) Distributors contracts with other manufacturers, including Elekta and
manufacturers of products and services that compete with Accuray. The foregoing clauses (i) to (vii) are referred to collectively as "Indemnity Exclusions". 

	8.5.
	Limitation.    THE FOREGOING PROVISIONS OF THIS SECTION 8 SET FORTH ACCURAY'S SOLE AND EXCLUSIVE LIABILITY AND
DISTRIBUTOR'S SOLE AND EXCLUSIVE REMEDY FOR ANY CLAIMS OF INFRINGEMENT OR MISAPPROPRIATION OF INTELLECTUAL PROPERTY RIGHTS OR PROPRIETARY RIGHTS OF ANY KIND OR PRODUCTS LIABILITY.

	8.6.
	Distributor Indemnity.    Distributor will defend or settle, indemnify and hold Accuray harmless from any liability, damages
and expenses (including court costs and reasonable attorneys' fees) arising out of or resulting from any third-party claim based on or otherwise attributable to: (i) Distributor's acts or
omissions; (ii) any misrepresentations made by Distributor with respect to Accuray or the Products or Services; or (iii) an Indemnity Exclusion. 

9.     Liability.  

	9.1.
	Exclusion of Certain Damages.    IN NO EVENT WILL ACCURAY BE LIABLE FOR ANY SPECIAL, INCIDENTAL, PUNITIVE OR CONSEQUENTIAL
DAMAGES (INCLUDING, BUT NOT LIMITED TO, LOST PROFITS OR REVENUE, LOSS OF USE, LOST BUSINESS OPPORTUNITIES OR LOSS OF GOODWILL), OR FOR THE COSTS OF PROCURING SUBSTITUTE PRODUCTS, ARISING OUT OF,
RELATING TO OR IN CONNECTION WITH THIS AGREEMENT OR THE USE OR PERFORMANCE OF ANY ACCURAY PRODUCTS OR SERVICES PROVIDED BY ACCURAY, WHETHER SUCH LIABILITY ARISES FROM ANY CLAIM BASED UPON CONTRACT,
WARRANTY, TORT (INCLUDING NEGLIGENCE), PRODUCT LIABILITY OR OTHERWISE, WHETHER OR NOT ACCURAY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH LOSS OR DAMAGE. THE PARTIES HAVE AGREED THAT THESE LIMITATIONS
WILL SURVIVE AND APPLY EVEN IF ANY LIMITED REMEDY SPECIFIED IN THIS AGREEMENT IS FOUND TO HAVE FAILED OF ITS ESSENTIAL PURPOSE.

	9.2.
	Total Liability.    ACCURAY'S TOTAL LIABILITY TO DISTRIBUTOR UNDER THIS AGREEMENT, FROM ALL CAUSES OF ACTION AND UNDER ALL
THEORIES OF LIABILITY, WILL BE LIMITED TO THE PAYMENTS ACTUALLY RECEIVED FROM DISTRIBUTOR UNDER THIS AGREEMENT DURING THE TWELVE (12) MONTH PERIOD PRECEDING THE DATE A CLAIM FOR LIABILITY
ARISES HEREUNDER.

	9.3.
	Basis of Bargain.    The parties expressly acknowledge and agree that Accuray has set its prices and entered into this
Agreement in reliance upon the limitations of liability specified herein, which allocate the risk between Accuray and Distributor and form an essential basis of the bargain between the parties. 

14

 

10.   Miscellaneous Provisions  

	10.1.
	Publicity.    Distributor may not use Accuray's name or trademarks on its literature, signs, or letterhead, nor may it make
press releases or other public statements disclosing its relationship with Accuray under this Agreement or otherwise without the prior written consent of Accuray, which shall not be unreasonably
withheld.

	10.2.
	Good Will.    Distributor agrees that it will help develop and work to preserve the good will of Accuray within the
Territory, and will not unreasonably harm that good will. In the event of termination of this Agreement for any reason, Distributor will not do anything to unreasonably harm the good will of Accuray
within the Territory.

	10.3.
	Titles.    Titles of the various paragraphs and sections of this Agreement are for ease of reference only and are not
intended to change or limit the language contained in those paragraphs and sections.

	10.4.
	Assignment.    Neither party may assign this Agreement without the other party's prior written consent. However, Accuray
may assign this Agreement, without Distributor's consent, to an affiliate or to a successor or acquirer, as the case may be, in connection with a merger or acquisition, or the sale of all or
substantially all of Accuray's assets or the sale of that portion of Accuray's business to which this Agreement relates. Subject to the foregoing, this Agreement will bind and inure to the benefit of
the parties' permitted successors and assigns.

	10.5.
	Notices.    All notices required or permitted under this Agreement will be in writing and delivered in person, effective
immediately, by overnight delivery service, effective two (2) business days after deposit with the carrier, or by registered or certified mail, postage prepaid with return receipt requested,
effective five (5) business days after deposit with the carrier. All communications will be sent to the addresses set forth below or to such other address as may be specified by either party in
writing to the other party in accordance with this Section. 

	To Accuray:
 
	 	To Distributor:
 

	Accuray Incorporated	 	 
	Attention: Chief Financial Officer	 	 
	1310 Chesapeake Terrace	 	 
	Sunnyvale, CA 94089	 	 
	
 with cc to: General Counsel	
 	

 

	10.6.
	Waiver.    The waiver of any breach or default of any provision of this Agreement will not constitute a waiver of any other
right hereunder or of any subsequent breach or default.

	10.7.
	Severability.    If any provision of this Agreement is held invalid or unenforceable by a court of competent jurisdiction,
the remaining provisions of the Agreement will remain in full force and effect, and the provision affected will be construed so as to be enforceable to the maximum extent permissible by law.

	10.8.
	Survival.    The expiration or termination of this Agreement for any reason will not release either party from any
liabilities or obligations set forth herein which (a) the parties have expressly agreed will survive any such expiration or termination; or (b) remain to be performed or by their nature
would be intended to be applicable following any such termination or expiration. In addition to the foregoing, the following provisions shall survive any termination or expiration of this Agreement:
Section 2.7 (Warranty); Section 2.8.3 (Warranty Exclusions); Section 3.17 (Warranty); Section 3.25 (Insurance); Section 5.6 (Effect 

15

 

of
Termination); Section 5.7 (Termination Transition Assistance); Section 5.8 (Distributor's Right to Support); Section 6 (Dispute Resolution); Section 7 (Confidentiality);
Section 8 (Indemnities); Section 9 (Liability) and Section 10 (Miscellaneous Provisions). 

	10.9.
	Force Majeure.    Neither party will be responsible for any failure or delay in its performance under this Agreement
(except for the payment of money) due to causes beyond its reasonable control, including, but not limited to, labor disputes, strikes, lockouts, shortages of or inability to obtain labor, energy, raw
materials or supplies, war, acts of terror, riot, acts of God or governmental action.

	10.10.
	Amendments.    Any amendment or modification of this Agreement must be made in writing and signed by duly authorized
representatives of each party. For Accuray, a duly authorized representative must be any of the following: CEO, CFO, or General Counsel.

	10.11.
	English Language Requirement.    This Agreement is written in the English Language as spoken and interpreted in the
United States of America, and such language and interpretation shall be controlling in all respects.

	10.12.
	Entire Agreement.    This Agreement contains the entire agreement of the parties hereto with respect to the subject matter
hereof, and supersedes all prior understandings, representations and warranties, written and oral. If any part of the terms and conditions stated herein are held void or unenforceable, such part will
be treated as severable, leaving valid the remainder of the terms and conditions.

	10.13.
	Counterparts.    This Agreement may be executed in counterparts, each of which will be deemed an original, but all of
which together will constitute one and the same instrument. 

 
 

SIGNATURE PAGE FOLLOWS    
    

16

 

IN
WITNESS WHEREOF, the parties have caused this Agreement to be executed as of the Effective Date by their duly authorized representatives. 

	DISTRIBUTOR:
 
	 	ACCURAY INCORPORATED:
 

	By:
	 	By:

	Print name:
	 	Print name: Robert E. McNamara
	Title:
	 	Title: Sr. Vice President & Chief Financial Officer
	Date:
	 	Date:

        The
undersigned acknowledges that the terms and conditions of this Agreement meet the policies and procedures of Accuray. 

	Signed:
	 	Dated:

	 	General Counsel, Accuray Incorporated	 	 

 
 

SIGNATURE PAGE TO INTERNATIONAL DISTRIBUTOR AGREEMENT

17

  

 
 

EXHIBIT A
  
    PRODUCTS AND SERVICES (INCLUDING CURRENT PRICING)
  
    BASE CYBERKNIFE® G4 CONFIGURATION—DISTRIBUTOR PRICING    
    

	QTY
	 	PRODUCT DESCRIPTION
	 	PART #'s
	 	PRICE IN

USD
	 	PRICE IN

EURO

	 
	 	CYBERKNIFE® ROBOTIC RADIOSURGERY SYSTEM
	 	022986
	 	TBD
	 	TBD

	 
	 	ROBOTIC TREATMENT DELIVERY SYSTEM
	 	 
	 	 
	 	 

	 
	 	Imaging System
	 	021942
	 	Incl.
	 	Incl.

	1	 	In-floor Imaging Frame	 	 	 	Incl.	 	Incl.
	2	 	Amorphous Silicon Detectors (40 cm × 40 cm)	 	 	 	Incl.	 	Incl.
	2	 	X-Ray Generators	 	 	 	Incl.	 	Incl.
	2	 	X-Ray Sources	 	 	 	Incl.	 	Incl.
	1	 	Rack mounted Imaging System PC	 	 	 	Incl.	 	Incl.
	 	 	Linear Accelerator	 	021938	 	Incl.	 	Incl.
	1	 	Compact 6MV Linac—600 MU/minute dose rate	 	 	 	Incl.	 	Incl.
	1	 	Secondary Collimator Kit—5 mm, 7.5 mm, 10 mm, 12.5 mm, 15 mm, 20 mm, 25 mm, 30 mm, 35 mm, 40mm, 50 mm, 60 mm, Blank, Laser Collimator	 	 	 	Incl.	 	Incl.
	1	 	Control Modulator Control Chassis	 	 	 	Incl.	 	Incl.
	1	 	Contact Detection System	 	 	 	Incl.	 	Incl.
	 	 	Robotic Manipulator System	 	022866	 	Incl.	 	Incl.
	1	 	Robotic Manipulator KR240	 	 	 	Incl.	 	Incl.
	1	 	Manipulator Control Software	 	 	 	Incl.	 	Incl.
	1	 	In-Floor Manipulator Frame	 	 	 	Incl.	 	Incl.
	 	 	AXUMTM Automated Patient Positioning System	 	020680	 	Incl.	 	Incl.
	1	 	Treatment Couch and Couchtop	 	 	 	Incl.	 	Incl.
	1	 	Treatment Couch Controller Software	 	 	 	Incl.	 	Incl.
	1	 	Treatment Couch Hand Pendant	 	 	 	Incl.	 	Incl.
	1	 	Treatment Couch Readout Display	 	 	 	Incl.	 	Incl.
	1	 	Treatment Couch Head Baseplate	 	 	 	Incl.	 	Incl.
	2	 	Med-Tec Indexed CT Overlay Kits (CT Overlay + Head Baseplate)	 	 	 	Incl.	 	Incl.
	 	 	Sub-System Controls and Hardware Components	 	Various	 	Incl.	 	Incl.
	1	 	SGI Octane II Workstation (Treatment Delivery Computer)	 	 	 	Incl.	 	Incl.
	 	 	21" Flat Panel Display	 	 	 	Incl.	 	Incl.
	1	 	Equipment Rack	 	 	 	Incl.	 	Incl.
	1	 	Operator Control Console	 	 	 	Incl.	 	Incl.
	1	 	Interface Control Chassis	 	 	 	Incl.	 	Incl.
	1	 	E-Stop Control Chassis	 	 	 	Incl.	 	Incl.
	1	 	Target Locating Subsystem Control Chassis	 	 	 	Incl.	 	Incl.
	1	 	Power Distribution Unit	 	 	 	Incl.	 	Incl.
	1	 	17" High resolution CRT Monitor	 	 	 	Incl.	 	Incl.
	 	 	 	 	 	 	 	 	 

18

 

	1	 	Keyboard & Mouse	 	 	 	Incl.	 	Incl.
	1	 	Serial Port Server	 	 	 	Incl.	 	Incl.
	1	 	SMART (Uninterruptible Power Supply)	 	 	 	Incl.	 	Incl.
	1	 	2550n HP Color Laser Printer	 	 	 	Incl.	 	Incl.
	 	 	Treatment Delivery System Software	 	Various	 	Incl.	 	Incl.
	1	 	Treatment Delivery Software	 	 	 	Incl.	 	Incl.
	1	 	Treatment Delivery Software License	 	 	 	Incl.	 	Incl.
	1	 	Cranial Treatment Skull Tracking License	 	 	 	Incl.	 	Incl.
	1	 	Extra-cranial Treatment with Fiducial Tracking License	 	 	 	Incl.	 	Incl.
	1	 	Patient Record Database	 	 	 	Incl.	 	Incl.
	 	 	TREATMENT PLANNING SYSTEM	 	 	 	 	 	 
	 	 	CyRISTM MultiPlan—Treatment Planning System	 	021695	 	Incl.	 	Incl.
	1	 	DELL Precision Workstation (Desktop or Minitower—Model 370 or Higher)	 	 	 	Incl.	 	Incl.
	 	 	Monitor:(1) 20" Flat Panel Monitor—Model: Samsung Syncmaster 213T Flat Panel	 	 	 	 	 	 
	 	 	1 Year Manufacturer (DELL) Warranty	 	 	 	 	 	 
	1	 	Product Software	 	 	 	 	 	 
	 	 	Microsoft Windows XP Professional SP1, NTFS w/Media	 	 	 	 	 	 
	 	 	1 (Perpetual) License MultiPlan—Treatment Planning System	 	 	 	 	 	 
	1	 	Startup Wizard and Planning Templates	 	 	 	 	 	 
	 	 	CLINICAL APPLICATION MODULES	 	 	 	 	 	 
	 	 	SynchronyTM Respiratory Tracking System	 	023119	 	Incl.	 	Incl.
	1	 	Synchrony computer and Synchrony software	 	 	 	Incl.	 	Incl.
	1	 	Synchrony Camera Array	 	 	 	Incl.	 	Incl.
	1	 	Fiber Optic Interface Kit	 	 	 	Incl.	 	Incl.
	1	 	Synchrony Single-Patient Use Starter Kit (3 individual patient kits)	 	 	 	Incl.	 	Incl.
	 	 	Each Single-Patient Use kits contains:	 	 	 	 	 	 
	 	 	—Synchrony Tracking Vest (small, medium or large)	 	 	 	 	 	 
	 	 	—Tracking Marker Assembly (3 Markers attached to cables and a connector)	 	 	 	 	 	 
	 	 	—Kit Storage Pouch with IFU & Identification Card	 	 	 	 	 	 
	 	 	ACCESSORIES & TRAINING	 	 	 	 	 	 
	 	 	QA Tools	 	020580	 	Incl.	 	Incl.
	1	 	Anthropomorphic 6D Head Phantom	 	 	 	Incl.	 	Incl.
	1	 	Ball Cube	 	 	 	Incl.	 	Incl.
	1	 	Pre-notched Dosimetry Film (20 Pieces)	 	 	 	Incl.	 	Incl.
	1	 	Digital Level (1/10 degree)	 	 	 	Incl.	 	Incl.
	 	 	 	 	 	 	 	 	 

19

 

	1	 	Ion Chamber Test Fixture	 	 	 	Incl.	 	Incl.
	1	 	ISO Post Assembly	 	 	 	Incl.	 	Incl.
	1	 	Alignment Ball	 	 	 	Incl.	 	Incl.
	1	 	Pointer Calibration & Front Pointer	 	 	 	Incl.	 	Incl.
	1	 	AQA Tools	 	 	 	Incl.	 	Incl.
	 	 	Manuals	 	Various	 	Incl.	 	Incl.
	1	 	CyberKnife® System Manuals	 	 	 	Incl.	 	Incl.
	1	 	Robotic Manipulator System Manuals	 	 	 	Incl.	 	Incl.
	1	 	Chiller Manual	 	 	 	Incl.	 	Incl.
	1	 	X-ray Detector Manuals	 	 	 	Incl.	 	Incl.
	1	 	Accuray 6MEV Medical X-ray CD	 	 	 	Incl.	 	Incl.
	 	 	Training	 	 	 	Incl.	 	Incl.
	1	 	Technical & Clinical—5 people	 	 	 	Incl.	 	Incl.
	1	 	Onsite Training for first patient treatment	 	 	 	Incl.	 	Incl.
	1	 	Basic Physics and QA	 	 	 	Incl.	 	Incl.
	NOTE	 	Products may not all be available in all countries, as product availability is subject to proper regulatory approval in each country. All prices shown in USD or Euros as specified.

	 
	 	ADDITIONAL OPTIONS
	 	PART #
	 	PRICE IN

USD
	 	PRICE IN

EURO

	 
	 	SynchronyTM Respiratory Tracking System Accessories
	 	 
	 	 
	 	 

	1	 	Synchrony Single-Patient Use Kit, 5 Pack, Small	 	20904	 	TBD	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 5 Pack, Medium	 	20905	 	TBD	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 5 Pack, Large	 	20906	 	TBD	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 10 Pack, Small	 	20883	 	TBD	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 10 Pack, Medium	 	20891	 	TBD	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 10 Pack, Large	 	20893	 	TBD	 	TBD
	1	 	Synchrony Patient Kit, 10 Pack, Assorted	 	20894	 	TBD	 	TBD
	 	 	Includes 3 Small, 4 Medium & 3 Large Vests	 	 	 	 	 	 
	 	 	XsightTM Spine Tracking System	 	22078	 	TBD	 	TBD
	1	 	1 Perpetual License Fiducial-Less Spine Tracking Software	 	 	 	 	 	 
	1	 	1 Xsight QA Phantom	 	20855	 	 	 	 
	 	 	SGI Computer Upgrade Components	 	 	 	 	 	 
	1	 	73 BG Hard Drive	 	20534	 	TBD	 	TBD
	1	 	SGI 181 GB Hard Drive	 	20533	 	TBD	 	TBD
	1	 	SGI Memory, 1GB (2 × 512Mb)	 	18672	 	TBD	 	TBD
	1	 	Cable Kit Add Octane to Hub	 	18326	 	TBD	 	TBD
	1	 	20' Flat Panel Monitor	 	20483	 	TBD	 	TBD
	 	 	 	 	 	 	 	 	 

20

 

	 	 	CyRISTM InView—Image Fusion and Contouring Station	 	22086	 	 	 	 
	1	 	DELL Precision Workstation (Desktop or Minitower—Model 370 or Higher)	 	 	 	TBD	 	TBD
	 	 	Monitor: (1) 21" Flat Panel Monitor—Model: Samsung Syncmaster 213T Flat Panel	 	 	 	 	 	 
	 	 	1 Year Manufacturer (DELL) Warranty	 	 	 	 	 	 
	1	 	Product Software	 	 	 	 	 	 
	 	 	Microsoft Windows XP Professional SP1, NTFS w/Media	 	 	 	 	 	 
	 	 	1 Perpetual License InView—Image Fusion and Contouring Station	 	 	 	 	 	 
	1	 	Software Maintenance Fee	 	 	 	TBD	 	TBD
	 	 	Maintenance Fee of TBD/yr/System will also be billed at the anniversary

of installation and every year thereafter	 	 
	 	 	CyRISTM MultiPlan—Treatment Planning System	 	21695	 	 	 	 
	1	 	DELL Precision Workstation (Desktop or Minitower—Model 370 or Higher)	 	 	 	TBD	 	TBD
	 	 	Monitor: (1) 20" Flat Panel Monitor—Model: Samsung Syncmaster 213T Flat Panel	 	 	 	 	 	 
	 	 	1 Year Manufacturer (DELL) Warranty	 	 	 	 	 	 
	1	 	Product Software	 	 	 	 	 	 
	 	 	Microsoft Windows XP Professional SP1, NTFS w/Media	 	 	 	 	 	 
	 	 	1 Perpetual License MultiPlan—Treatment Planning System	 	 	 	 	 	 
	1	 	Software Maintenance Fee	 	 	 	TBD	 	TBD
	 	 	Maintenance Fee of TBD/yr/System will also be billed at the anniversary

of installation and every year thereafter	 	 
	 	 	Additional Patient Setup Items	 	 	 	 	 	 
	1	 	Additional Indexed CT Overlay Kits (CT Overlay + Head Baseplate)	 	 	 	TBD	 	TBD
	1	 	CT Top Kit—Siemens Volume	 	20775	 	TBD	 	TBD
	1	 	CT Top Kit—Siemens Somatom	 	20776	 	TBD	 	TBD
	1	 	CT Top Kit—GE LiteSpeed	 	20777	 	TBD	 	TBD
	1	 	CT Top Kit—GE Discovery	 	20778	 	TBD	 	TBD
	1	 	CT Top Kit—GE HiSpeed	 	20779	 	TBD	 	TBD
	1	 	Immobilization Starter Kit	 	021037	 	TBD	 	TBD
	 	 	Body Treatment Fiducial Kit	 	 	 	 	 	 
	1	 	Fiducial Instrument Set	 	18985	 	TBD	 	TBD
	1	 	Single Pk Fiducial	 	19005	 	TBD	 	TBD
	1	 	5 Pk Fiducial	 	19006	 	TBD	 	TBD
	1	 	10 Pk Fiducial	 	19007	 	TBD	 	TBD
	 	 	Additional QA Options	 	 	 	 	 	 
	1	 	Alignment jig 6D—20cm	 	17722	 	TBD	 	TBD
	 	 	 	 	 	 	 	 	 

21

 

	1	 	Head Phantom Kit (contains ball cube)	 	18161	 	TBD	 	TBD
	1	 	GAF Chromic Film (20 pack)	 	17895	 	TBD	 	TBD
	1	 	Film Ball cube (20 pack)	 	19366	 	TBD	 	TBD
	1	 	Body Phantom Kit (contains film cube)	 	17801	 	TBD	 	TBD
	1	 	Color Dye Diffuse Printer (Upgrade) (Not defined or Released)	 	TBD	 	TBD	 	TBD
	1	 	AQA Tools	 	22349	 	TBD	 	TBD
	 	 	System Installation	 	 	 	TBD	 	TBD
	1	 	Floor Frame Install	 	 	 	 	 	 
	1	 	System Qualification	 	 	 	 	 	 
	1	 	Installation Kit	 	 	 	 	 	 
	 	 	Extended Parts Warranty (Parts Only, No Labor)	 	 	 	TBD	 	TBD
	 	 	One Year—Replacement of Defective Parts	 	 	 	 	 	 
	 	 	Emerald Agreement (Basic Service and Parts)	 	 	 	TBD	 	TBD
	 	 	Requires Distributor to provide First-Line Field Service.	 	 	 	 	 	 
	 	 	Includes service for up to 2 Multiplan and 3 InView systems	 	 	 	 	 	 
	 	 	Ruby Agreement (Software Upgrades, Basic Service and Parts)	 	 	 	TBD	 	TBD
	 	 	Requires Distributor to provide First-Line Field Service.	 	 	 	 	 	 
	 	 	Includes service for up to 2 Multiplan and 3 InView systems	 	 	 	 	 	 
	 	 	Diamond Agreement (Software & Hardware Upgrades, Basic Service & Parts)	 	 	 	TBD	 	TBD
	 	 	Requires Distributor to provide First-Line Field Service.	 	 	 	 	 	 
	 	 	Includes service for up to 2 Multiplan and 3 InView systems	 	 	 	 	 	 
	NOTE	 	Products may not all be available in all countries, as product availability is subject to proper regulatory approval in each country. All prices in USD or Euros as specified.	 	 

22

 
 
 

BASE CYBERKNIFE® G3 CONFIGURATION—DISTRIBUTOR PRICING    
    

	QTY
	 	PRODUCT DESCRIPTION
	 	PART #'s
	 	PRICE IN

USD
	 	PRICE IN

EURO

	 
	 	CYBERKNIFE® ROBOTIC RADIOSURGERY SYSTEM
	 	21682
	 	TBD
	 	TBD

	 
	 	ROBOTIC TREATMENT DELIVERY SYSTEM
	 	 
	 	 
	 	 

	 
	 	Imaging System
	 	20829
	 	Incl.
	 	Incl.

	1	 	Imaging Stands (Low)	 	 	 	Incl.	 	Incl.
	2	 	Amorphous Silicon Detectors (20 cm × 20 cm)	 	 	 	Incl.	 	Incl.
	2	 	X-Ray Generators	 	 	 	Incl.	 	Incl.
	2	 	X-Ray Sources	 	 	 	Incl.	 	Incl.
	1	 	Rack mounted Target Locating PC	 	 	 	Incl.	 	Incl.
	 	 	(Requires Octane Software—See CyberKnife Software System below)	 	 	 	 	 	 
	 	 	Linear Accelerator	 	20404	 	Incl.	 	Incl.
	1	 	Compact 6MV Linac—400 MU/minute	 	 	 	Incl.	 	Incl.
	1	 	Secondary Collimator Kit—5 mm, 7.5 mm, 10 mm, 12.5 mm, 15 mm, 20 mm, 25 mm, 30 mm, 35 mm, 40mm, 50 mm, 60 mm, Blank, Laser Collimator	 	 	 	Incl.	 	Incl.
	1	 	Control Modulator Control Chassis	 	 	 	Incl.	 	Incl.
	 	 	Robotic Manipulator System	 	20554	 	Incl.	 	Incl.
	1	 	Robot Manipulator KR210	 	 	 	Incl.	 	Incl.
	1	 	Robot Control Software	 	 	 	Incl.	 	Incl.
	 	 	AXUMTM Automated Patient Positioning System	 	20680	 	Incl.	 	Incl.
	1	 	AXUMTM Treatment Couch	 	 	 	 	 	 
	1	 	AXUMTM Treatment Couchtop	 	 	 	 	 	 
	1	 	AXUMTM Controller Software	 	 	 	 	 	 
	1	 	AXUMTM Hand Pendant	 	 	 	 	 	 
	1	 	AXUMTM Readout Display	 	 	 	 	 	 
	1	 	AXUMTM Head Baseplate	 	 	 	 	 	 
	2	 	Med-Tec Indexed CT Overlay Kits (CT Overlay + Head Baseplate)	 	 	 	 	 	 
	 	 	Sub-System Controls and Hardware Components	 	Various	 	Incl.	 	Incl.
	1	 	Equipment Rack	 	 	 	Incl.	 	Incl.
	1	 	Operator Control Console	 	 	 	Incl.	 	Incl.
	1	 	Interface Control Chassis	 	 	 	Incl.	 	Incl.
	1	 	E-Stop Control Chassis	 	 	 	Incl.	 	Incl.
	1	 	Target Locating Subsystem Control Chassis	 	 	 	Incl.	 	Incl.
	1	 	Power Distribution Unit	 	 	 	Incl.	 	Incl.
	1	 	17" High resolution CRT Monitor	 	 	 	Incl.	 	Incl.
	1	 	Keyboard & Mouse	 	 	 	Incl.	 	Incl.
	1	 	Serial Port Server	 	 	 	Incl.	 	Incl.
	1	 	SGI Octane II Workstation (Primary Treatment Delivery System and Treatment Planning System)	 	 	 	Incl.	 	Incl.
	 	 	 	 	 	 	 	 	 

23

 

	 	 	21" Flat Panel (Optional 21" CRT Monitor Available—see options section)	 	 	 	 	 	 
	1	 	SMART (Uninterruptible Power Supply)	 	 	 	Incl.	 	Incl.
	1	 	2550n HP Color Laser Printer	 	 	 	Incl.	 	Incl.
	 	 	Treatment Delivery System Software	 	20389	 	Incl.	 	Incl.
	1	 	Octane Software	 	 	 	Incl.	 	Incl.
	1	 	Treatment Delivery Software License	 	 	 	Incl.	 	Incl.
	1	 	Cranial Treatment Skull Tracking License	 	 	 	Incl.	 	Incl.
	1	 	Extra-cranial Treatment with Fiducial Tracking License	 	 	 	Incl.	 	Incl.
	1	 	Patient Record Database	 	 	 	Incl.	 	Incl.
	 	 	TREATMENT PLANNING SYSTEM	 	 	 	 	 	 
	 	 	CyRISTM MultiPlanTM—Treatment Planning System	 	21695	 	Incl.	 	Incl.
	1	 	DELL Precision Workstation (Desktop or Minitower—Model 370 or Higher)	 	 	 	 	 	 
	 	 	Monitor: (1) 20" Flat Panel Monitor—Model: Samsung Syncmaster 213T Flat Panel	 	 	 	 	 	 
	 	 	1 Year Manufacturer (DELL) Warranty	 	 	 	 	 	 
	 	 	Product Software	 	 	 	 	 	 
	 	 	Microsoft Windows XP Professional SP1, NTFS w/Media	 	 	 	 	 	 
	 	 	1 Perpetual License MultiPlan—Treatment Planning System	 	 	 	 	 	 
	 	 	CLINICAL APPLICATION MODULES	 	 	 	 	 	 
	 	 	SynchronyTM Respiratory Tracking System	 	23119	 	Incl.	 	Incl.
	1	 	Synchrony computer and Synchrony software	 	 	 	Incl.	 	Incl.
	1	 	Synchrony Camera Array	 	 	 	Incl.	 	Incl.
	1	 	Fiber Optic Interface Kit	 	 	 	Incl.	 	Incl.
	1	 	Synchrony Single-Patient Use Starter Kit (3 individual patient kits)	 	 	 	Incl.	 	Incl.
	 	 	Each Single-Patient Use kits contains:	 	 	 	 	 	 
	 	 	—Synchrony Tracking Vest (small, medium or large)	 	 	 	 	 	 
	 	 	—Tracking Marker Assembly (3 Markers attached to cables and a connector)	 	 	 	 	 	 
	 	 	—Kit Storage Pouch with IFU & Identification Card	 	 	 	 	 	 
	 	 	ACCESSORIES & TRAINING	 	 	 	 	 	 
	 	 	QA Tools	 	20580	 	Incl.	 	Incl.
	1	 	Anthro 6D Head Phantom	 	18880	 	Incl.	 	Incl.
	1	 	Ball Cube	 	19364	 	Incl.	 	Incl.
	1	 	Pre-notched Dosimetry Film (20 Pieces)	 	19366	 	Incl.	 	Incl.
	1	 	Digital Level (1/10 degree)	 	17832	 	Incl.	 	Incl.
	 	 	 	 	 	 	 	 	 

24

 

	1	 	Ion Chamber Test Fixture	 	10181	 	Incl.	 	Incl.
	1	 	Assy ISO Post	 	18901	 	Incl.	 	Incl.
	1	 	Alignment Ball	 	16954	 	Incl.	 	Incl.
	1	 	Pointer Calibration & Front Pointer	 	010370 & 016997	 	Incl.	 	Incl.
	1	 	AQA Tools	 	 	 	Incl.	 	Incl.
	 	 	Manuals and CD's	 	Various	 	Incl.	 	Incl.
	1	 	CyberKnife® System Manuals & CD's	 	 	 	Incl.	 	Incl.
	1	 	Kuka® Manipulator System Manuals	 	 	 	Incl.	 	Incl.
	1	 	Chiller Manual	 	 	 	Incl.	 	Incl.
	1	 	X-ray Detector Manuals	 	 	 	Incl.	 	Incl.
	1	 	Accuray 6MEV Medical X-ray CD	 	 	 	Incl.	 	Incl.
	 	 	Training	 	 	 	Incl.	 	Incl.
	1	 	Technical & Clinical—5 people	 	 	 	Incl.	 	Incl.
	1	 	Onsite Training for first patient treatment	 	 	 	Incl.	 	Incl.
	1	 	Basic Physics and QA	 	 	 	Incl.	 	Incl.
	NOTE	 	Products may not all be available in all countries, as product availability is subject to proper regulatory approval in each country. All prices in USD or Euros as specified.	 	 

	 
	 	ADDITIONAL OPTIONS
	 	PART #
	 	PRICE IN

USD
	 	PRICE IN

EURO

	 
	 	SynchronyTM Respiratory Tracking System Accessories
	 	 
	 	 
	 	 

	1	 	Synchrony Single-Patient Use Kit, 5 Pack, Small	 	20904	 	TBD	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 5 Pack, Medium	 	20905	 	TBD	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 5 Pack, Large	 	20906	 	TBD	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 10 Pack, Small	 	20883	 	TBD	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 10 Pack, Medium	 	20891	 	TBD	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 10 Pack, Large	 	20893	 	TBD	 	TBD
	1	 	Synchrony Patient Kit, 10 Pack, Assorted	 	20894	 	TBD	 	TBD
	 	 	Includes 3 Small, 4 Medium & 3 Large Vests	 	 	 	 	 	 
	 	 	XsightTM Spine Tracking System	 	22078	 	TBD	 	TBD
	 	 	1 Perpetual License Fiducial-Less Spine Tracking Software	 	 	 	 	 	 
	 	 	1 Xsight QA Phantom	 	20855	 	 	 	 
	 	 	Linear Accelerator Upgrade: 600 MU/minute	 	23120	 	TBD	 	TBD
	 	 	Imaging System Upgrade	 	 	 	TBD	 	TBD
	1	 	Imaging System Upgrade: In Floor	 	23121	 	TBD	 	TBD
	1	 	Imaging System Upgrade: On Floor	 	23122	 	TBD	 	TBD
	 	 	SGI Computer Upgrade Components	 	 	 	 	 	 
	1	 	73 BG Hard Drive	 	20534	 	TBD	 	TBD
	 	 	 	 	 	 	 	 	 

25

 

	1	 	SGI 181 GB Hard Drive	 	20533	 	TBD	 	TBD
	1	 	SGI Memory, 1GB (2 × 512Mb)	 	18672	 	TBD	 	TBD
	1	 	Cable Kit Add Octane to Hub	 	18326	 	TBD	 	TBD
	1	 	20' Flat Panel Monitor	 	20483	 	TBD	 	TBD
	 	 	CyRISTM InView—Image Fusion and Contouring Station	 	22086	 	 	 	 
	1	 	DELL Precision Workstation (Desktop or Minitower—Model 370 or Higher)	 	 	 	TBD	 	TBD
	 	 	Minimal Processing Capability: Intel Pentium IV, 3.2GHz, Intel EM64T, 1m L2 Cache, 800 FSB MHz CPU	 	 	 	 	 	 
	 	 	Memory (RAM)—4GB, 533MHz, DDR2 ECC SDRAM 4X1GB	 	 	 	 	 	 
	 	 	Hard Drive: Minimum Capacity: 160 GB SATA 7200 RPM	 	 	 	 	 	 
	 	 	Video Card: nVidia, Quadro 3400, 256MB, Dual VGA or DVI or Better	 	 	 	Incl.	 	 
	 	 	Key Board: Entry Level Keyboard PS/2, No Hot Keys	 	 	 	 	 	 
	 	 	CD-ROM: 48x CD-RW and 16 XD DVD+/-RW	 	 	 	 	 	 
	 	 	Mouse: DELL USB 2-Button Optical Mouse with Scroll	 	 	 	 	 	 
	 	 	Monitor: (1) 21" Flat Panel Monitor—Model: Samsung Syncmaster 213T Flat Panel	 	 	 	Incl.	 	 
	 	 	1 Year Manufacturer (DELL) Warranty	 	 	 	 	 	 
	 	 	Product Software	 	 	 	 	 	 
	 	 	Microsoft Windows XP Professional SP1, NTFS w/Media	 	 	 	 	 	 
	 	 	1 Perpetual License InView—Image Fusion and Contouring Station	 	 	 	 	 	 
	 	 	Software Maintenance Fee	 	 	 	TBD	 	TBD
	 	 	Maintenance Fee of TBD/yr/System will also be billed at the anniversary of installation and every year thereafter	 	 	 	 	 	 
	 	 	CyRISTM MultiPlan—Treatment Planning System	 	21695	 	TBD	 	TBD
	1	 	DELL Precision Workstation (Desktop or Minitower—Model 370 or Higher)	 	 	 	 	 	 
	 	 	Monitor: (1) 20" Flat Panel Monitor—Model: Samsung Syncmaster 213T Flat Panel	 	 	 	Incl.	 	 
	 	 	1 Year Manufacturer (DELL) Warranty	 	 	 	 	 	 
	 	 	Product Software	 	 	 	 	 	 
	 	 	Microsoft Windows XP Professional SP1, NTFS w/Media	 	 	 	 	 	 
	 	 	1 Perpetual License MultiPlan—Treatment Planning System	 	 	 	 	 	 
	 	 	Software Maintenance Fee	 	 	 	TBD	 	TBD
	 	 	Maintenance Fee of TBD/yr/System will also be billed at the anniversary of installation and every year thereafter	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 

26

 

	 	 	Additional Patient Setup Items	 	 	 	 	 	 
	1	 	Additional Indexed CT Overlay Kits (CT Overlay + Head Baseplate)	 	 	 	TBD	 	TBD
	1	 	CT Top Kit—Siemens Volume	 	20775	 	TBD	 	TBD
	1	 	CT Top Kit—Siemens Somatom	 	20776	 	TBD	 	TBD
	1	 	CT Top Kit—GE LiteSpeed	 	20777	 	TBD	 	TBD
	1	 	CT Top Kit—GE Discovery	 	20778	 	TBD	 	TBD
	1	 	CT Top Kit—GE HiSpeed	 	20779	 	TBD	 	TBD
	1	 	Immobilization Starter Kit	 	021037	 	TBD	 	TBD
	 	 	Body Treatment Fiducial Kit	 	 	 	 	 	 
	1	 	Fiducial Instrument Set	 	18985	 	TBD	 	TBD
	1	 	Single Pk Fiducial	 	19005	 	TBD	 	TBD
	1	 	5 Pk Fiducial	 	19006	 	TBD	 	TBD
	1	 	10 Pk Fiducial	 	19007	 	TBD	 	TBD
	 	 	Additional QA Options	 	 	 	 	 	 
	1	 	Alignment jig 6D—20cm	 	17722	 	TBD	 	TBD
	1	 	Head Phantom Kit (contains ball cube)	 	18161	 	TBD	 	TBD
	1	 	GAF Chromic Film (20 pack)	 	17895	 	TBD	 	TBD
	1	 	Film Ball cube (20 pack)	 	19366	 	TBD	 	TBD
	1	 	Body Phantom Kit (contains film cube)	 	17801	 	TBD	 	TBD
	1	 	Color Dye Diffuse Printer (Upgrade) (Not defined or Released)	 	TBD	 	TBD	 	TBD
	 	 	System Installation	 	 	 	TBD	 	TBD
	1	 	Floor Frame Install	 	 	 	 	 	 
	1	 	System Qualification	 	 	 	 	 	 
	1	 	Installation Kit	 	 	 	 	 	 
	 	 	Extended Parts Warranty (Parts Only, No Labor)	 	 	 	TBD	 	TBD
	 	 	One Year—Replacement of Defective Parts	 	 	 	 	 	 
	 	 	Emerald Agreement (Basic Service and Parts)	 	 	 	TBD	 	TBD
	 	 	Requires Distributor to provide First-Line Field Service.	 	 	 	 	 	 
	 	 	Includes service for up to 2 Multiplan and 3 InView systems	 	 	 	 	 	 
	 	 	Ruby Agreement (Software Upgrades, Basic Service and Parts)	 	 	 	TBD	 	TBD
	 	 	Requires Distributor to provide First-Line Field Service.	 	 	 	 	 	 
	 	 	Includes service for up to 2 Multiplan and 3 InView systems	 	 	 	 	 	 
	 	 	Diamond Agreement (Software & Hardware Upgrades, Basic Service & Parts)	 	 	 	TBD	 	TBD
	 	 	Requires Distributor to provide First-Line Field Service.	 	 	 	 	 	 
	 	 	Includes service for up to 2 Multiplan and 3 InView systems	 	 	 	 	 	 
	NOTE	 	Products may not all be available in all countries, as product availability is subject to proper regulatory approval in each country. All prices in USD or Euros as specified.	 	 

27

  

 
 

EXHIBIT B    
    
    PRODUCT AND SERVICE MINIMUM VOLUMES    
    

        Distributor agrees to purchase and pay for, at a minimum, during the initial term of the contract and Accuray shall ship, Systems on the dates specified below: 

	•
	TBD  

28

 

 
 

EXHIBIT C    
    
    TRAINING    
    

        Training is included with the purchase of a CyberKnife to the extent listed in Exhibit A. Accuray will be
responsible for the travel and accommodation expenses of its personnel. Distributor will be responsible for the travel and accommodation expenses of Customer and any Distributor personnel. 

        Additional
training maybe purchased from Accuray according to the following price list, which may be updated from time to time. 

	Additional Training

	#
	 	Course
	 	Duration
	 	Price †

	1	 	CyberKnife Product Training—Surgeon	 	1.5 Days	 	TBD
	1	 	CyberKnife Product Training—RTT	 	1.5 Days	 	TBD
	1	 	CyberKnife Product Training—Radiation Oncologist	 	2.5 Days	 	TBD
	1	 	CyberKnife Product Training—Physicist	 	4.5 Days	 	TBD

	†
	Payable
to the Accuray Training Department in advance. Training will be held at Accuray Corporate Headquarters or at a designated training center. Travel and accommodation
not included. 

29

 
 
 

EXHIBIT D    
    
    ACCURAY INTERNATIONAL SERVICE AGREEMENTS TERMS SUMMARY ±    
    

	 
	 	Terms
	 	Accuray to Customer

U$D Pricing
	 	Accuray to Distributor

U$D Pricing
	 	Accuray to Distributor

€uro Pricing

	Extended Parts Warranty	 	• Term: 1 year (after Standard Warranty Year), Optional 2nd

• Replacement Parts only

• No Updates or Bug Fixes

• No Upgrades

• No Uptime Guarantee

• No Labor	 	$175,000 / year	 	TBD	 	TBD
	Emerald Elite	 	• Term: 4 years (incl. Standard Warranty Year), Optional 5th

• All Parts included

• Updates & Bug Fixes only

• No Upgrades

• Service: 8am—9pm local time

• First Line Field Service—Distributor, 1 hour Response Time

• Escalated Service—Accuray, 24 hour Response Time

• Uptime: 95% ‡‡	 	$275,000 / year

$72,000 / quarter

$25,000 / month	 	TBD	 	TBD
	
Ruby

Elite	
 	

• Term: 4 years (incl. Standard Warranty Year), Optional 5th

• All Parts included

• Updates & Bug Fixes

• Upgrades (2 SW/year)—when and if available

• Service: 8am—9pm local time

• First Line Field Service—Distributor, 1 hour Response Time

• Escalated Service—Accuray, 24 hour Response Time

• Uptime: 95% ‡‡	
 	

$380,000 / year

$98,000 / quarter

$34,000 / month	
 	

TBD	
 	

TBD
	 	 	 	 	 	 	 	 	 

30

 

	Diamond Elite	 	• Term: 4 years (incl. Standard Warranty Year), Optional 5th

• All Parts included

• Upgrades (2 HW or SW/year)—when and if available

• Service: 8am—9pm local time

• First Line Field Service—Distributor, 1 hour Response Time

• Escalated Service—Accuray, 24 hour Response Time

• Uptime: 95% ‡‡	 	$460,000 / year

$120,000 / quarter

$41,000 / month	 	TBD	 	TBD
	Additional Upgrade Agreement	 	• Term: 1, 2, 3 or 4 years

• Upgrades (2/year)—when and if available)

• Available only to customers with currently effective,

paid-up Diamond Elite Service Agreement	 	$200,000 / year	 	TBD	 	TBD

	±
	Int'l
Agreements are not cancelable.

	‡
	Distributor
is required under all agreements to provide end customer with same or greater service (including Uptime guarantees) as provided by Accuray.

	‡‡
	Penalty
for failure to meet Uptime guarantee—1 week additional service for each percentage point below 95% (Accuray provides parts,
Distributor provides labor for penalty period). 

31

 
 
 

SAMPLE SERVICE AGREEMENTS    
    

        The following are samples of the Distributor to Customer versions of the Service Agreements with U.S. Dollar pricing. The sample Service Agreements are by
way of example only, and, subject to Section 2.4 (Product and Service Pricing), the specific terms of the agreements are subject to change without notice. 

32

  

 
 

CYBERKNIFE® INTERNATIONAL DIAMOND ELITE SERVICE AGREEMENT    
    

        Note: Pursuant to the terms of Distributor's Service Agreement with Accuray, you must provide service equal to or greater than the following terms. 

	1.
	Scope of Service.    This Diamond Elite Service Agreement ("Agreement") is made by and between Accuray Incorporated's
("Accuray") authorized Distributor,
                                    ("Distributor"), located
at                                    ,
and                                    ("Customer"), for Distributor
to provide planned maintenance service when scheduled
by Accuray and corrective maintenance service when requested by Customer to maintain the CyberKnife System installed at Customer's site
at                                    ("System") so that it performs
substantially
in accordance with the Specifications (User Manuals and Reference Guides) defined for the System revision as installed and/or upgraded.

	1.1.
	Effective Date.    This Agreement shall be effective as of demonstration of acceptance testing by Distributor as described
in the CyberKnife Quotation and Purchase Agreement
dated                                    , 2005 and signed by the
parties, or the expiration of any prior service or warranty agreement, if applicable.

	1.2.
	Definitions:

	1.2.1.
	Bug Fix    means an error correction or minor change in the existing software and/or hardware configuration that is
required in order to enable the existing software and/or hardware configuration to perform to the existing functional specification(s).

	1.2.2.
	Update    means a release of the software or a change to the existing hardware containing substantially only error
corrections, minor new features, functionality and/or performance improvements, but that would not be required for the existing software and/or hardware configuration
to perform to the existing functional specification(s) of that particular product. Such Update would not necessarily replace or extend the life of the existing software and/or hardware configuration
of the product. For example, an Update of software would be indicated where the version number is changed by incrementing the numeric digits to the right of the decimal point, e.g., versions
1.1, 1.2, 1.3, and 1.4 would each be Updates of the software.

	1.2.3.
	Upgrade/Enhancement    means a release of the software or a change to the existing hardware containing major new features,
functionality and/or performance improvements that would enable the existing software and/or hardware configuration to perform to the level of the next version of the software and/or hardware
configuration and designed to replace the older software and/or hardware version of the same product and/or extend the useful life of that product. For example, an Upgrade/Enhancement of software
would be indicated where the version number is changed by incrementing the numeric digits to the left of the decimal point, e.g., versions 1.0, 2.0, 3.0, and 4.0 would each be
Upgrades/Enhancements of the software.

	1.2.4.
	New Version/New Product    means a release of the software or a change to the hardware that may or may not
work with the existing software and/or hardware configuration, but that in its totality requires, in Accuray's sole opinion, enough change to the software and/or hardware configuration to be
considered a New Version or New Product. 

33

 

	1.2.5.
	Exclusions    Upgrades/Enhancements that have a list price of greater than $200,000 per Upgrade/Enhancement are
specifically excluded from this Agreement. However, Upgrades/Enhancements that have a higher list price may be offered as more than a single Upgrade/Enhancement to Customers under this Agreement. If
Upgrades/Enhancements that have a higher list price are offered as more than a single Upgrade/Enhancement then they will be offered as such to all customers. Examples of such components that would
likely fall into this category are: the robot, and the patient couch. New Versions and New Products are also specifically excluded.

	1.2.6.
	Consumables    means items that are not necessarily part of the CyberKnife system, but are consumed as part of the
operation of the CyberKnife system, for example fiducials.

	2.
	Service Period.

	2.1.
	The  Agreement Term    shall be for an initial period of four (4) years (years 1, 2, 3, & 4) from the
Effective Date of this Agreement, including the warranty year, with an optional fifth year. There is no payment required under this Agreement in the first year ("Year 1" or the "Warranty Year").
Customer may elect to receive an additional optional fifth year (the "Optional Year 5") and on terms that are defined below (Section 3.4). Billing will commence on the day following the
anniversary of the Effective Date of this Agreement.

	2.2.
	The
Agreement Price    shall be one of the following, at Customer's option (indicate preferred option by checking a box, if
no selection is made Customer will be billed on an annual basis). The Agreement Price shall cover the Base CyberKnife System, up to two (2) CyRIS Multiplan Systems (including the CyRIS
MultiPlan System in the Base CyberKnife System), and up to three (3) CyRIS InView Workstations. If Customer has more than two (2) CyRIS MultiPlan Systems or three (3) CyRIS InView
Workstations installed, then an additional charge of [Distributor to Insert Price re InView Service] per year per MultiPlan and [Distributor to Insert Price re
MultiPlan Service] per year per InView, as applicable, will be added by Distributor to the Agreement Price set forth below.

	o
	ANNUAL:
[Distributor to Insert Price] per year, paid yearly in advance, for years 2, 3, 4 and Optional
Year 5.

	o
	QUARTERLY:
[Distributor to Insert Price] per quarter, paid at the beginning of each quarter, for years 2, 3, 4 and
Optional Year 5.

	o
	MONTHLY:
[Distributor to Insert Price] per month, paid at the beginning of each month, for years 2, 3, 4 and
Optional Year 5.

	3.
	Product Upgrades/Enhancements

	3.1.
	This
Agreement is available only for equipment that was purchased directly from Distributor, installed by Accuray or Distributor engineers and has not been moved from its original
installation location or disconnected from its original power supply without written permission or direction from Accuray or Distributor. This Agreement must immediately commence at the expiration of
the factory warranty period or prior service agreement. In the event of lapse of service, Customer shall have the right to reinstate such service by payment of the current service fee for the
then-current service period in addition to the reasonable costs for Distributor to inspect, repair, and return the System to the state at which the System would have been had a service
agreement been in force continuously since the expiration of the System factory warranty. 

34

 

	3.2.
	Under
this Agreement, Customer may receive Upgrades/Enhancements, when and if available in years 2, 3, and 4, up to two (2) Upgrades/Enhancements per year. Customer
acknowledges and agrees that this in no way obligates Distributor to provide a minimum number of Upgrades/Enhancements and that there may be some years in which no Upgrades/Enhancements will be
offered; however, in contrast, there may be years in which Distributor will offer multiple Upgrades/Enhancements and Customer may select up to two (2) of such Upgrades/Enhancements. Customer
may receive an available Upgrade/Enhancement during Year 1 (the Warranty Year), or receive an additional Upgrade/Enhancement during years 2 or 3, and such Upgrade/Enhancement will replace
Customer's opportunity for Upgrades/Enhancements in future years. For example, if Customer orders an Upgrade/Enhancement during Year 1 (the Warranty Year), Customer will have the opportunity
for up to five (5) Upgrades/Enhancements when and if they become available during years 2, 3 and 4. Upgrades/Enhancements may be software, hardware or a combination thereof.

	3.3.
	Customer
will be notified of all available Upgrades/Enhancements, and may select which Upgrades/Enhancements they wish to obtain. In order to receive the desired
Upgrades/Enhancements under this Agreement, Customer must submit a signed order for the Upgrade/Enhancement. If such Upgrade/Enhancement is ordered pursuant to this Agreement, it will be delivered
free of charge. In the event that more than two (2) Upgrades/Enhancements are made available in a given year, Customer may choose which two (2) they wish to have installed on the System.
Some Upgrades/Enhancements may have development costs and/or a list price such that for Distributor to offer that particular Upgrade/Enhancement under this Diamond Program would require such
Upgrade/Enhancement to be offered to Customer as more than a single Upgrade/Enhancement. Distributor will notify Customer in writing upon commercial launch if a particular Upgrade/Enhancement would be
offered as more than a single Upgrade/Enhancement. The installation of the Upgrades/Enhancements will be scheduled once the Upgrade/Enhancement is available to the market and Distributor receives the
signed order from Customer during either the warranty or service period.

	3.4.
	If
Customer elects to have this coverage extend for Optional Year 5, Customer may receive up to two (2) additional Upgrades/Enhancements when and if available during Optional
Year 5. Customer is under no obligation to exercise the option for Optional Year 5. Customer may exercise the option for Optional Year 5 by letter sent to Distributor, in accordance with the
Notice provision set forth below, at any time up to
thirty (30) days before the Optional Year 5 commences. If Customer does not exercise the option, there will be no charge to Customer, and Distributor will not provide Diamond coverage
for Optional Year 5. If Customer exercises the option, Distributor is obligated to provide Diamond coverage on the same terms as the previous Agreement years.

	3.5.
	Installation
of Upgrades/Enhancements will be scheduled up to six (6) months ahead of time. Distributor will communicate the launch and features with Customer. Customer will
be responsible for requesting the offered Upgrade/Enhancement. Upon receipt of a signed order, Distributor Service will be responsible for scheduling installations. Distributor will not commit to the
timing of any specific Upgrades/Enhancements.

	4.
	Software Maintenance (Bug Fixes and Updates)

	4.1.
	For
the duration of this Agreement, Distributor will provide software Updates and Bug Fixes for software that is included as a part of the CyberKnife System. These Updates and Bug
Fixes may be transmitted electronically to Customer for subsequent installation by Customer technicians. Corrections of significant complexity, however, may be installed by 

35

 

Distributor
service engineers. Software maintenance will be included only for those product features that were originally purchased with the System or subsequently purchased separately by Customer
from Distributor or taken under this Agreement as a System Upgrade/Enhancement. 

	4.2.
	During
the service periods, Distributor shall provide Customer with any and all applicable product notices regarding maintenance, support, Upgrades/Enhancements, Updates and Bug
Fixes generally circulated to CyberKnife installations.

	4.3.
	All
such Updates and Bug Fixes, when made by Distributor or according to Accuray or Distributor instructions or the product notice, shall be considered to be done by and under the
direction of Distributor.

	5.
	System Quality Assurance Testing

	5.1.
	The
maintenance and support services provided by Distributor under this Agreement do not include any System Quality Assurance Testing ("QA"). System commissioning and QA are the sole
responsibility of Customer, and Customer is advised to perform QA on a regular and ongoing basis. In addition, Customer is required to maintain up-to-date QA logs. If Customer
fails to perform the appropriate QA of the System, and to record such QA in the appropriate logs, Distributor, upon giving Notice to Customer in accordance with Section 15 of this Agreement,
reserves the right to terminate this Agreement.

	5.2.
	Prior
to performing any scheduled service or preventive maintenance on the System, Distributor will review Customer's QA logs, and if such logs are not
up-to-date, Distributor may refuse to service the System. In the event that the requested service is necessary to bring the System to a point where QA can be performed,
Distributor will proceed with the service only after Customer signs a written acknowledgement that QA is Customer's sole responsibility and that appropriate QA will be performed prior to conducting
any patient treatments.

	6.
	Service Coverage Period    [Note: Distributor must provide service equal or greater to the
First Line Field Service, as set forth in Distributor's service agreement with Accuray.]

	6.1.
	The
Service Coverage Period will be the hours of 8:00 AM to 9:00 PM local (to Customer's installation location) time Monday through Saturday (excluding local
legal holidays). Customer has the option to request service during non-normal hours, in which case Customer shall pay the overtime premium portion of the non-normal hours
worked. (Non-normal hourly rate minus normal hourly rate.) Distributor shall provide Customer with contact points to request service on a
24-hours-a-day, 7-days-a-week ("24/7") basis. Distributor, directly or remotely as the situation requires, either with its own
personnel or through contractors, shall initially respond within one (1) hour of receipt of a call for service. The initial response shall include telephone support, including
(as applicable) consultations, diagnostic assistance and advice on the use and maintenance of the System. In the event that the service issue cannot be resolved by telephone or other remote
response, then Distributor will respond on-site. On-site response times will vary depending upon the level of service required.

	6.2.
	Customer
will promptly notify Distributor, by calling Distributor's Customer Support Line
at                                    [Note: Distributor will need to
provide Customer with an
appropriate contact number for 24/7 support], of any problem or defect with the System and, at no charge, provide Distributor and/or Accuray service engineers access to the System and use
of adequate facilities and equipment at mutually agreeable times as necessary for Distributor and/or Accuray to perform the service. Customer shall have as many service 

36

 

calls
as are reasonably needed to maintain the System so that it performs substantially in accordance with the Specifications during the period of this Agreement. 

	6.3.
	Use
of the facility CT scanner may be required for testing purposes and shall be scheduled to allow as expeditious completion of service as is reasonably possible. Facility staff
will operate the CT scanner. If service is unreasonably delayed and Distributor and/or Accuray service engineers are required to remain on site, Distributor may choose to charge the current hourly
service rates for the duration of the delay period.

	6.4.
	Distributor
will perform System planned maintenance as prescribed in the current System maintenance manuals. Planned service will be scheduled at least two (2) weeks in
advance and will be performed at a mutually agreed-upon time. Upon completion of a service or preventive maintenance call, Distributor shall leave Customer a copy of a service report
describing the service or maintenance performed.

	6.5.
	To
the extent that they become available during the term of this Agreement, Customer will be entitled to the benefits of remote diagnostic capabilities used by Distributor support
engineers. This may require Customer to modify their telecommunications infrastructure to take advantage of this capability. Such modification would be at Customer expense.

	7.
	Uptime [Note: Distributor must provide an Uptime guarantee equal or greater to the one set forth
below, as set forth in Distributor's service agreement with Accuray.]

	7.1.
	Uptime/Downtime.    Uptime shall mean any time that the System is not down ("Uptime"). A down System means that a patient
cannot be treated due to an actual malfunction of the System and that the System is immediately available for an Distributor service engineer to work on it ("Downtime").

	7.2.
	Guarantee.    Distributor will guarantee that the System shall have an Uptime percentage of at least 95% of normal treatment
hours on an annual basis during the Term of this Agreement. Normal treatment hours shall be from 8:00 AM to 5:00 PM local time Monday through Friday (excluding legal holidays). The first
12-month period will start as of the Effective Date of this Agreement.

	7.3.
	Calculation.    Downtime will be calculated from the time a down System call is received by Distributor to the time of
repair, counting normal treatment hours. The System will be calculated as up when the System repair has been completed and the System is available for treatment during normal treatment hours, whether
or not patients are scheduled for treatment. Scheduled preventive maintenance, System upgrades, and time that the System is unavailable as a result of something beyond Distributor's control, including
without limitation (i) Customer's use of the System for purposes other than its intended and authorized purposes, (ii) the negligence of Customer, (iii) the failure of Customer to
operate the System in accordance with the User Manuals, (iv) use by untrained operators, (v) e-Stops, power outages or the like or (vi) the negligence of any party
other than Distributor, will be calculated as Uptime.

	7.4.
	Reports.    Customer is responsible for recording and reporting Downtime to Distributor. Reports for the previous month's
Downtime shall be provided to Distributor on or before the 15th day of each month.

	7.5.
	Failure to Meet Guarantee.    For each year of the term of this Agreement, if Distributor achieves a 12-month
uptime average of less than 95%, the Agreement period will be extended one (1) week for every percentage point or fraction thereof below 95%. 

37

 

	8.
	Replacement Parts

	8.1.
	Distributor
shall make a commercially reasonable effort to supply at the time of need or stock with Distributor's regional service engineers all tools, equipment, replacement parts
and Consumables as would reasonably be required by Distributor to perform the required repairs and return the System to good working order. Distributor shall make a commercially reasonable effort to
maintain at its factory or service center(s) a stock of spare parts, including, in particular, long-procurement-lead-time parts.

	8.2.
	Replacement
parts used under this Agreement may be either new manufacture or factory refurbished at Accuray's or Distributor's choice. All replacement parts and assemblies provided
will be manufactured in accordance with Accuray's quality system, and any applicable laws and regulations. Parts replaced under this Agreement become the property of Distributor and will be disposed
of by Distributor Field Service engineers. Notwithstanding the foregoing, all parts that are considered by local regulation to be "hazardous" or "contaminated" waste, or material that requires
"special handling" will be disposed of or retained by Customer at Customer's facility.

	9.
	Exceptions

	9.1.
	All
obligations of Distributor under this Agreement shall be suspended and/or cease in the event of:

	9.1.1.
	Damage
from fire, accident, abuse, floods, lightning, natural disasters or other calamities commonly defined as "Acts of God".

	9.1.2.
	The
intentional abuse of the System or negligence by Customer.

	9.1.3.
	System
hardware or software alterations not authorized by Accuray or Distributor including any move of the System from its installation site (other than by or at the express
written direction of Accuray or Distributor).

	9.1.4.
	Use
of the System for other than its intended and authorized purposes, or in a manner not consistent with Accuray's User Manuals, including maintenance of the necessary operating
environment and line current conditions, and the failure of Customer to cure such matter within thirty (30) days of actual written notice thereof from Distributor.

	9.1.5.
	Failure
to make payments in accordance with the payment schedule set forth above in Section 2.2.

	9.2.
	If
corrective action or adjustment of the System is performed by Customer's staff at the direction of Accuray or Distributor, such action or adjustment shall not reduce Distributor's
responsibility under this Agreement or liability for the performance of the System.

	10.
	No Cancellation.    Neither party shall have the right to cancel this Agreement, except as set forth below in
Section 11 "Breach."

	11.
	Breach.    Either party reserves the right to cancel this Agreement by written notice upon the breach of the other. An event
of breach may include, but is not limited to, failure to make payment due under this Agreement, failure to provide access as required to execute the services contemplated by this Agreement, failure to
perform and log QA, or the filing of notice under bankruptcy or equivalent laws. If the breaching party is unable or unwilling to cure or make a good faith effort to cure such breach within thirty
(30) days of actual written notice the other party shall be relieved of all obligations under this Agreement and may terminate. Termination shall not be the terminating party's exclusive
remedy, and the terminating party shall retain all other available legal and equitable remedies. 

38

 
	12.
	Limitation of Liability and Warranty

	12.1.
	If
it is determined in accordance with applicable law that any fault or neglect of either party, its employees or agents, substantially contributes to damage or injury to third
parties, such party shall be responsible in such proportion as reflects its relative fault therefore, and shall hold the other party harmless from any liability or damages arising out of such fault or
neglect. Distributor's liability arising under this Agreement shall be limited to an amount not to exceed the payment(s) received by Distributor for the then current Agreement year. In addition,
Distributor shall not be liable to Customer in the event that Customer's or any third party's acts or omissions contributed in any way to any loss it sustained or the loss or damage is due to an act
of God or other causes beyond its reasonable control. IN NO EVENT WILL DISTRIBUTOR BE LIABLE TO CUSTOMER FOR ANY LOST PROFITS, LOST SAVINGS, LOST REVENUES OR DOWNTIME, SPECIAL, INDIRECT, INCIDENTAL
DAMAGES OR OTHER CONSEQUENTIAL DAMAGES ARISING OUT OF OR IN CONNECTION WITH THE AGREEMENT OR THE USE OR PERFORMANCE OF THE SYSTEM.

	12.2.
	This
is a service agreement. THERE ARE NO INCLUDED OR IMPLIED DISTRIBUTOR WARRANTIES OF PRODUCT FITNESS FOR A PARTICULAR PURPOSE OR MERCHANTABILITY.

	13.
	Assignment.    Neither party may assign this Agreement without the other party's prior written consent, except that
Distributor may assign this Agreement, without Customer's consent, to an affiliate or to a successor or acquirer, as the case may be, in connection with a merger or acquisition, or the sale of all or
substantially all of Distributor's assets or the sale of that portion of Distributor's business to which this Agreement relates. Subject to the foregoing, this Agreement will bind and inure to the
benefit of the parties' permitted successors and assigns.

	14.
	Disputes and Governing Laws

	14.1.
	In
the event that a dispute arises between Distributor and Customer with respect to any subject matter governed by this Agreement, such dispute shall be settled as follows. If
either party shall have any dispute with respect to this Agreement, that party shall provide written notification to the other party in the form of a claim identifying the issue or amount disputed
including a detailed reason for the claim. The party against whom the claim is made shall respond in writing to the claim within 30 days from the date of receipt of the claim document. The
party filing the claim shall have an additional 30 days after the receipt of the response to either accept the resolution offered by the other party or escalate the matter. If the dispute is
not resolved, either party may notify the other in writing of their desire to elevate the claim to the President of Distributor and the Chief Executive Officer of Customer. Each shall negotiate in
good faith and use his or her best efforts to resolve such dispute or claim. The location, format, frequency, duration and conclusion of these elevated discussions shall be left to the discretion of
the representatives involved. If the negotiations do not lead to resolution of the underlying dispute or claim to the satisfaction of either party involved, then either party may pursue resolution by
the courts as follows.

	14.2.
	All
disputes arising out of or relating to this Agreement not otherwise resolved between Distributor and Customer shall be resolved in a court of competent jurisdiction in the
                                    [Note: Please fill in an
appropriate venue], and in no other place, provided that, in Distributor's sole discretion, such action may be heard in some other
place designated by Distributor (if necessary to acquire jurisdiction over third persons), so that the dispute can be resolved in one action. Customer hereby consents to the jurisdiction of
such court or courts and agrees to appear in any such action upon written notice thereof. 

39

 

No
action, regardless of form, arising out of, or in any way connected with this Agreement may be brought by Customer more than one (1) year after the cause of action has occurred. 

	15.
	Notices.    All notices required or permitted under this Agreement will be in writing and delivered in person, effective
immediately, by overnight delivery service, effective two (2) business days after deposit with carrier, or by registered or certified mail, postage prepaid with return receipt requested,
effective five (5) business days after deposit with carrier. All communications will be sent to the addresses set forth below or to such other address as may be specified by either party in
writing to the other party in accordance with this Section. 

	To Distributor:
 
	 	To Customer:
 

	
	 	

	    	 	 
	Attention:	 	Attention:
	    	 	 
	
	 	

	    	 	 
	
	 	

	
 with cc to:	
 	

 
	    	 	 
	
	 	 

	16.
	Waiver.    The waiver of any breach or default of any provision of this Agreement will not constitute a waiver of any other
right hereunder or of any subsequent breach or default.

	17.
	Severability.    If any provision of this Agreement is held invalid or unenforceable by a court of competent jurisdiction,
the remaining provisions of the Agreement will remain in full force and effect, and the provision affected will be construed so as to be enforceable to the maximum extent permissible by law.

	18.
	Force Majeure.    Neither party will be responsible for any failure or delay in its performance under this Agreement (except
for the payment of money) due to causes beyond its reasonable control, including, but not limited to, labor disputes, strike, lockout, riot, war, fire, act of God, accident, failure or breakdown of
components necessary to order completion; subcontractor, supplier or customer caused delays; inability to obtain or substantial rises in the prices of labor, materials or manufacturing facilities;
curtailment of or failure to obtain sufficient electrical or other energy, raw materials or supplies; or compliance with any law, regulation or order, whether valid or invalid.

	19.
	Amendments.    Any amendment or modification of this Agreement must be made in writing and signed by duly authorized
representatives of each party. For Distributor, a duly authorized representative must be any of the
following:                                    [Enter title of person
with authority to bind
Distributor].

	20.
	Entire Agreement.    This Agreement contains the entire Agreement of the parties hereto with respect to the subject matter
hereof, and supersedes all prior understandings, representations and warranties, written and oral. If any part of the terms and conditions stated herein are held void or unenforceable, such part will
be treated as severable, leaving valid the remainder of the terms and conditions.

	21.
	Counterparts.    This Agreement may be executed in counterparts, each of which will be deemed an original, but all of which
together will constitute one and the same instrument. 

40

 
 
 

SIGNATURE PAGE FOLLOWS    
    

        IN WITNESS WHEREOF, the parties have caused this Agreement to be executed as of the Effective Date by their duly authorized representatives. 

	DISTRIBUTOR
 
	 	CUSTOMER
 

	By:
	 	By:

	Print Name:
	 	Print Name:

	Title:
	 	Title:

	Date:
	 	Date:

	    	 	 
	 	 	PLEASE MAKE CERTAIN THAT YOU HAVE SELECTED A PAYMENT OPTION IN ACCORDANCE WITH SECTION 2.2, ABOVE.

SIGNATURE PAGE TO INTERNATIONAL DIAMOND AGREEMENT  

41

  

 
 

CYBERKNIFE® INTERNATIONAL RUBY ELITE SERVICE AGREEMENT    
    

	Note:
	Pursuant
to the terms of Distributor's Service Agreement with Accuray, you must provide service equal to or greater than the following terms.

	1.
	Scope of Service.    This Ruby Elite Service Agreement ("Agreement") is made by and between Accuray Incorporated's ("Accuray")
authorized Distributor,                                     
("Distributor"), located at                                    , and
                                    
("Customer"), for Distributor to provide planned maintenance service when scheduled by Accuray and corrective maintenance service when requested by Customer to maintain the CyberKnife System installed
at Customer's site at                                    ("System") so
that it performs substantially in accordance with the Specifications (User Manuals and Reference Guides) defined for the System revision as
installed and/or upgraded.

	1.1.
	Effective Date.    This Agreement shall be effective as of demonstration of acceptance testing by Distributor as described
in the CyberKnife Quotation and Purchase Agreement
dated                                    , 2005 and signed by the
parties, or the expiration of any prior service or warranty agreement, if applicable.

	1.2.
	Definitions:

	1.2.1.
	Bug Fix means an error correction or minor change in the existing software and/or hardware configuration that is required in order
to enable the existing software and/or hardware configuration to perform to the existing functional specification(s).

	1.2.2.
	Update means a release of the software or a change to the existing hardware containing substantially only error corrections, minor
new features, functionality and/or performance improvements, but that would not be required for the existing software and/or hardware configuration to perform to the existing functional
specification(s) of that particular product. Such Update would not necessarily replace or extend the life of the existing software and/or hardware configuration of the product. For example, an Update
of software would be indicated where the version number is changed by incrementing the numeric digits to the right of the decimal point, e.g., versions 1.1, 1.2, 1.3, and 1.4 would each
be Updates of the software.

	1.2.3.
	Upgrade/Enhancement means a release of the software containing major new features, functionality and/or performance improvements
that would enable the existing software configuration to perform to the level of the next version of the software configuration and designed to replace the older software version of the same product
and/or extend the useful life of that product. For example, an Upgrade/Enhancement of software would be indicated where the version number is changed by incrementing the numeric digits to the left of
the decimal point, e.g., versions 1.0, 2.0, 3.0, and 4.0 would each be Upgrades/Enhancements of the software.

	1.2.4.
	New Version/New Product means a release of the software or a change to the hardware that may or may not work with the
existing software and/or hardware configuration, but that in its totality requires, in Accuray's sole opinion, enough change to the software and/or hardware configuration to be considered a
New Version or New Product.

	1.2.5.
	Exclusions    Upgrades/Enhancements that have a list price of greater than $200,000 per Upgrade/Enhancement are
specifically excluded from this Agreement. However, Upgrades/Enhancements that have a higher list price may be offered as more than a single Upgrade/Enhancement to Customers under this Agreement. If
Upgrades/Enhancements that have a higher list price are offered as more than a single Upgrade/Enhancement then they will be offered as such to all customers. Examples of such 

42

 

components
that would likely fall into this category are: the robot, and the patient couch. New Versions and New Products are also specifically excluded. 

	1.2.6.
	Consumables means items that are not necessarily part of the CyberKnife system, but are consumed as part of the operation of the
CyberKnife system, for example fiducials.

	2.
	Service Period.

	2.1.
	The
Agreement Term shall be for an initial period of four (4) years (years 1, 2, 3, & 4) from the Effective Date
of this Agreement, including the warranty year, with an optional fifth year. There is no payment required under this Agreement in the first year ("Year 1" or the "Warranty Year"). Customer may elect
to receive an additional optional fifth year (the "Optional Year 5") on terms that are defined below (Section 3.4). Billing will commence on the day following the anniversary of the
Effective Date of this Agreement.

	2.2.
	The
Agreement Price shall be one of the following, at Customer's option (indicate preferred option by checking a box, if no selection
is made Customer will be billed on an annual basis). The Agreement Price shall cover the Base CyberKnife System, up to two (2) CyRIS Multiplan Systems (including the CyRIS MultiPlan System in
the Base CyberKnife System), and up to three (3) CyRIS InView Workstations. If Customer has more than two (2) CyRIS MultiPlan Systems or three (3) CyRIS InView Workstations
installed, then an additional charge of [Distributor to Insert Price re InView Service] per year per MultiPlan and [Distributor to Insert Price re MultiPlan
Service] per year per InView, as applicable, will be added by Distributor to the Agreement Price set forth below.

	o
	ANNUAL:
[Distributor to Insert Price] per year, paid yearly in advance, for years 2, 3, 4 and Optional
Year 5.

	o
	QUARTERLY:
[Distributor to Insert Price] per quarter, paid at the beginning of each quarter, for years 2, 3, 4 and
Optional Year 5.

	o
	MONTHLY:
[Distributor to Insert Price] per month, paid at the beginning of each month, for years 2, 3, 4 and
Optional Year 5.

	3.
	Product Upgrades/Enhancements

	3.1.
	This
Agreement is available only for equipment that was purchased directly from Distributor, installed by Accuray or Distributor engineers and has not been moved from its original
installation location or disconnected from its original power supply without written permission or direction from Accuray or Distributor. This Agreement must immediately commence at the expiration of
the factory warranty period or prior service agreement. In the event of lapse of service, Customer shall have the right to reinstate such service by payment of the current service fee for the
then-current service period in addition to the reasonable costs for Distributor to inspect, repair, and return the System to the state at which the System would have been had a service
agreement been in force continuously since the expiration of the System factory warranty.

	3.2.
	Under
this Agreement, Customer may receive Upgrades/Enhancements, when and if available in years 2, 3, and 4, up to two (2) Upgrades/Enhancements per year. Customer
acknowledges and agrees that this in no way obligates Distributor to provide a minimum number of Upgrades/Enhancements and that there may be some years in which no Upgrades/Enhancements will be
offered; however, in contrast, there may be years in which Distributor will offer multiple Upgrades/Enhancements and Customer may select up to two (2) of such Upgrades/Enhancements. Customer
may receive an available Upgrade/Enhancement during Year 1 (the Warranty Year), or receive an additional Upgrade/Enhancement during years 2 or 3, and such Upgrade/Enhancement will replace
Customer's opportunity for Upgrades/ 

43

 

Enhancements
in future years. For example, if Customer orders an Upgrade/Enhancement during Year 1 (the Warranty Year), Customer will have the opportunity for up to five
(5) Upgrades/Enhancements when and if they become available during years 2, 3 and 4. Any hardware enhancements offered by Accuray will be quoted and sold separately from the software
Upgrades/Enhancements provided for in this Agreement. 

	3.3.
	Customer
will be notified of all available Upgrades/Enhancements, and may select which Upgrades/Enhancements they wish to obtain. In order to receive the desired
Upgrades/Enhancements under this Agreement, Customer must submit a signed order for the Upgrade/Enhancement. If such Upgrade/Enhancement is ordered pursuant to this Agreement, it will be delivered
free of charge. In the event that more than two (2) Upgrades/Enhancements are made available in a given year, Customer may choose which two (2) they wish to have installed on the System.
Some Upgrades/Enhancements may have development costs and/or a list price such that for Distributor to offer that particular Upgrade/Enhancement under this Ruby Program would require such
Upgrade/Enhancement to be offered to Customer as more than a single Upgrade/Enhancement. Distributor will notify Customer in writing upon commercial launch if a particular Upgrade/Enhancement would be
offered as more than a single Upgrade/Enhancement. The installation of the Upgrades/Enhancements will be scheduled once the Upgrade/Enhancement is available to the market and Distributor receives the
signed order from Customer during either the warranty or service period.

	3.4.
	If
Customer elects to have this coverage extend for Optional Year 5, Customer may receive up to two (2) additional Upgrades/Enhancements when and if available during Optional
Year 5. Customer is under no obligation to exercise the option for Optional Year 5. Customer may exercise the option for Optional Year 5 by letter sent to Distributor, in accordance with the
Notice provision set forth below, at any time up to thirty (30) days before the Optional Year 5 commences. If Customer does not exercise the option, there will be no charge to Customer,
and Distributor will not provide Ruby coverage for Optional Year 5. If Customer exercises the option, Distributor is obligated to provide Ruby coverage on the same terms as the previous Agreement
years.

	3.5.
	Installation
of Upgrades/Enhancements will be scheduled up to six (6) months ahead of time. Distributor will communicate the launch and features with Customer. Customer will
be responsible for requesting the offered Upgrade/Enhancement. Upon receipt of a signed order, Distributor Service will be responsible for scheduling installations. Distributor will not commit to the
timing of any specific Upgrades/Enhancements.

	4.
	Software Maintenance (Bug Fixes and Updates)

	4.1.
	For
the duration of the Agreement Term, Distributor will provide software Updates and Bug Fixes for software that is included as a part of the CyberKnife System. These Updates and
Bug Fixes may be transmitted electronically to Customer for subsequent installation by Customer technicians. Corrections of significant complexity, however, may be installed by Distributor service
engineers. Software maintenance will be included only for those product features that were originally purchased with the System or subsequently purchased separately by Customer from Distributor or
taken under this Agreement as a System Upgrade/Enhancement.

	4.2.
	During
the service periods, Distributor shall provide Customer with any and all applicable product notices regarding maintenance, support, Upgrades/Enhancements, Updates and Bug
Fixes generally circulated to CyberKnife installations. 

44

 

	4.3.
	All
such Updates and Bug Fixes, when made by Distributor or according to Accuray or Distributor instructions or the product notice, shall be considered to be done by and under the
direction of Distributor.

	5.
	System Quality Assurance Testing

	5.1.
	The
maintenance and support services provided by Distributor under this Agreement do not include any System Quality Assurance Testing ("QA"). System commissioning and QA are the sole
responsibility of Customer, and Customer is advised to perform QA on a regular and ongoing basis. In addition, Customer is required to maintain up-to-date QA logs. If Customer
fails to perform the appropriate QA of the System, and to record such QA in the appropriate logs, Distributor, upon giving Notice to Customer in accordance with Section 15 of this Agreement,
reserves the right to terminate this Agreement.

	5.2.
	Prior
to performing any scheduled service or preventive maintenance on the System, Distributor will review Customer's QA logs, and if such logs are not
up-to-date, Distributor may refuse to service the System. In the event that the requested service is necessary to bring the System to a point where QA can be performed,
Distributor will proceed with the service only after Customer signs a written acknowledgement that QA is Customer's sole responsibility and that appropriate QA will be performed prior to conducting
any patient treatments.

	6.
	Service Coverage Period [Note: Distributor must provide service equal or greater to the First Line
Field Service, as set forth in Distributor's service agreement with Accuray.]

	6.1.
	The
Service Coverage Period will be the hours of 8:00 AM to 9:00 PM local (to Customer's installation location) time Monday through Saturday (excluding local
legal holidays). Customer has the option to request service during non-normal hours, in which case Customer shall pay the overtime premium portion of the non-normal hours
worked. (Non-normal hourly rate minus normal hourly rate.) Distributor shall provide Customer with contact points to request service on a
24-hours-a-day, 7-days-a-week ("24/7") basis. Distributor, directly or remotely as the situation requires, either with its own
personnel or through contractors, shall initially respond within one (1) hour of receipt of a call for service. The initial response shall include telephone support, including
(as applicable) consultations, diagnostic assistance and advice on the use and maintenance of the System. In the event that the service issue cannot be resolved by telephone or other remote
response, then Distributor will respond on-site. On-site response times will vary depending upon the level of service required.

	6.2.
	Customer
will promptly notify Distributor, by calling Distributor's Customer Support Line
at                                    [Note: Distributor will need to
provide Customer with an
appropriate contact number for 24/7 support], of any problem or defect with the System and, at no charge, provide Distributor and/or Accuray service engineers access to the System and use
of adequate facilities and equipment at mutually agreeable times as necessary for Distributor and/or Accuray to perform the service. Customer shall have as many service calls as are reasonably needed
to maintain the System so that it performs substantially in accordance with the Specifications during the period of this Agreement.

	6.3.
	Use
of the facility CT scanner may be required for testing purposes and shall be scheduled to allow as expeditious completion of service as is reasonably possible. Facility staff
will operate the CT scanner. If service is unreasonably delayed and Distributor and/or Accuray service engineers are required to remain on site, Distributor may choose to charge the current hourly
service rates for the duration of the delay period.

	6.4.
	Distributor
will perform System planned maintenance as prescribed in the current System maintenance manuals. Planned service will be scheduled at least two (2) weeks in
advance and 

45

 

will
be performed at a mutually agreed-upon time. Upon completion of a service or preventive maintenance call, Distributor shall leave Customer a copy of a service report describing the
service or maintenance performed. 

	6.5.
	To
the extent that they become available during the term of this Agreement, Customer will be entitled to the benefits of remote diagnostic capabilities used by Distributor support
engineers. This may require Customer to modify their telecommunications infrastructure to take advantage of this capability. Such modification would be at Customer expense.

	7.
	Uptime [Note: Distributor must provide an Uptime guarantee equal or greater to the one set forth
below, as set forth in Distributor's service agreement with Accuray.]

	7.1.
	Uptime/Downtime.    Uptime shall mean any time that the System is not down ("Uptime"). A down System means that a patient
cannot be treated due to an actual malfunction of the System and that the System is immediately available for an Distributor service engineer to work on it ("Downtime").

	7.2.
	Guarantee.    Distributor will guarantee that the System shall have an Uptime percentage of at least 95% of normal treatment
hours on an annual basis during the Term of this Agreement. Normal treatment hours shall be from 8:00 AM to 5:00 PM local time Monday through Friday (excluding legal holidays). The first
12-month period will start as of the Effective Date of this Agreement.

	7.3.
	Calculation.    Downtime will be calculated from the time a down System call is received by Distributor to the time of
repair, counting normal treatment hours. The System will be calculated as up when the System repair has been completed and the System is available for treatment during normal treatment hours, whether
or not patients are scheduled for treatment. Scheduled preventive maintenance, System upgrades, and time that the System is unavailable as a result of something beyond Distributor's control, including
without limitation (i) Customer's use of the System for purposes other than its intended and authorized purposes, (ii) the negligence of Customer, (iii) the failure of Customer to
operate the System in accordance with the User Manuals, (iv) use by untrained operators, (v) e-Stops, power outages or the like or (vi) the negligence of any party
other than Distributor, will be calculated as Uptime.

	7.4.
	Reports.    Customer is responsible for recording and reporting Downtime to Distributor. Reports for the previous month's
Downtime shall be provided to Distributor on or before the 15th day of each month.

	7.5.
	Failure to Meet Guarantee.    For each year of the term of this Agreement, if Distributor achieves a 12-month
uptime average of less than 95%, the Agreement period will be extended one (1) week for every percentage point or fraction thereof below 95%.

	8.
	Replacement Parts

	8.1.
	Distributor
shall make a commercially reasonable effort to supply at the time of need or stock with Distributor's regional service engineers all tools, equipment, replacement parts
and Consumables as would reasonably be required by Distributor to perform the required repairs and return the System to good working order. Distributor shall make a commercially reasonable effort to
maintain at its factory or service center(s) a stock of spare parts, including, in particular, long-procurement-lead-time parts.

	8.2.
	Replacement
parts used under this Agreement may be either new manufacture or factory refurbished at Accuray's or Distributor's choice. All replacement parts and assemblies provided
will be manufactured in accordance with Accuray's quality system, and any applicable laws and regulations. Parts replaced under this Agreement become the property of Distributor 

46

 

and
will be disposed of by Distributor Field Service engineers. Notwithstanding the foregoing, all parts that are considered by local regulation to be "hazardous" or "contaminated" waste, or material
that requires "special handling" will be disposed of or retained by Customer at Customer's facility. 

	9.
	Exceptions

	9.1.
	All
obligations of Distributor under this Agreement shall be suspended and/or cease in the event of:

	9.1.1.
	Damage
from fire, accident, abuse, floods, lightning, natural disasters or other calamities commonly defined as "Acts of God".

	9.1.2.
	The
intentional abuse of the System or negligence by Customer.

	9.1.3.
	System
hardware or software alterations not authorized by Accuray or Distributor including any move of the System from its installation site (other than by or at the express
written direction of Accuray or Distributor).

	9.1.4.
	Use
of the System for other than its intended and authorized purposes, or in a manner not consistent with Accuray's User Manuals, including maintenance of the necessary operating
environment and line current conditions, and the failure of Customer to cure such matter within thirty (30) days of actual written notice thereof from Distributor.

	9.1.5.
	Failure
to make payments in accordance with the payment schedule set forth above in Section 2.2.

	9.2.
	If
corrective action or adjustment of the System is performed by Customer's staff at the direction of Accuray or Distributor, such action or adjustment shall not reduce Distributor's
responsibility under this Agreement or liability for the performance of the System.

	10.
	No Cancellation.    Neither party shall have the right to cancel this Agreement, except as set forth below in
Section 11 "Breach."

	11.
	Breach.    Either party reserves the right to cancel this Agreement by written notice upon the breach of the other. An event
of breach may include, but is not limited to, failure to make payment due under this Agreement, failure to provide access as required to execute the services contemplated by this Agreement, failure to
perform and log QA, or the filing of notice under bankruptcy or equivalent laws. If the breaching party is unable or unwilling to cure or make a good faith effort to cure such breach within thirty
(30) days of actual written notice the other shall be relieved of all obligations under this Agreement and may terminate. Termination shall not be the terminating party's exclusive remedy, and
the terminating party shall retain all other available legal and equitable remedies.

	12.
	Limitation of Liability and Warranty

	12.1.
	If
it is determined in accordance with applicable law that any fault or neglect of either party, its employees or agents, substantially contributes to damage or injury to third
parties, such party shall be responsible in such proportion as reflects its relative fault therefore, and shall hold the other party harmless from any liability or damages arising out of such fault or
neglect. Distributor's liability arising under this Agreement shall be limited to an amount not to exceed the payment(s) received by Distributor for the then current Agreement year. In addition,
Distributor shall not be liable to Customer in the event that Customer's or any third party's acts or omissions contributed in any way to any loss it sustained or the loss or damage is due to an act
of God or other causes beyond its reasonable control. IN NO EVENT WILL DISTRIBUTOR BE LIABLE TO CUSTOMER FOR ANY LOST PROFITS, LOST SAVINGS, LOST REVENUES OR DOWNTIME, SPECIAL, INDIRECT, INCIDENTAL 

47

 

DAMAGES
OR OTHER CONSEQUENTIAL DAMAGES ARISING OUT OF OR IN CONNECTION WITH THE AGREEMENT OR THE USE OR PERFORMANCE OF THE SYSTEM. 

	12.2.
	This
is a service agreement. THERE ARE NO INCLUDED OR IMPLIED DISTRIBUTOR WARRANTIES OF PRODUCT FITNESS FOR A PARTICULAR PURPOSE OR MERCHANTABILITY.

	13.
	Assignment.    Neither party may assign this Agreement without the other party's prior written consent, except that
Distributor may assign this Agreement, without Customer's consent, to an affiliate or to a successor or acquirer, as the case may be, in connection with a merger or acquisition, or the sale of all or
substantially all of Distributor's assets or the sale of that portion of Distributor's business to which this Agreement relates. Subject to the foregoing, this Agreement will bind and inure to the
benefit of the parties' permitted successors and assigns.

	14.
	Disputes and Governing Laws

	14.1.
	In
the event that a dispute arises between Distributor and Customer with respect to any subject matter governed by this Agreement, such dispute shall be settled as follows. If
either party shall have any dispute with respect to this Agreement, that party shall provide written notification to the other party in the form of a claim identifying the issue or amount disputed
including a detailed reason for the claim. The party against whom the claim is made shall respond in writing to the claim within 30 days from the date of receipt of the claim document. The
party filing the claim shall have an additional 30 days after the receipt of the response to either accept the resolution offered by the other party or escalate the matter. If the dispute is
not resolved, either party may notify the other in writing of their desire to elevate the claim to the President of Distributor and the Chief Executive Officer of Customer. Each shall negotiate in
good faith and use his or her best efforts to resolve such dispute or claim. The location, format, frequency, duration and conclusion of these elevated discussions shall be left to the discretion of
the representatives involved. If the negotiations do not lead to resolution of the underlying dispute or claim to the satisfaction of either party involved, then either party may pursue resolution by
the courts as follows.

	14.2.
	All
disputes arising out of or relating to this Agreement not otherwise resolved between Distributor and Customer shall be resolved in a court of competent jurisdiction in the
                                    [Note: Please fill in an
appropriate venue], and in no other place, provided that, in Distributor's sole discretion, such action may be heard in some other
place designated by Distributor (if necessary to acquire jurisdiction over third persons), so that the dispute can be resolved in one action. Customer hereby consents to the jurisdiction of
such court or courts and agrees to appear in any such action upon written notice thereof. No action, regardless of form, arising out of, or in any way connected with this Agreement may be brought by
Customer more than one (1) year after the cause of action has occurred.

	15.
	Notices.    All notices required or permitted under this Agreement will be in writing and delivered in person, effective
immediately, by overnight delivery service, effective two (2) business days after deposit with carrier, or by registered or certified mail, postage prepaid with return receipt requested,
effective five (5) business days after deposit with carrier. All communications will be 

48

 

sent
to the addresses set forth below or to such other address as may be specified by either party in writing to the other party in accordance with this Section. 

	To Distributor:
 
	 	To Customer:
 

	Attention:	 	 
	    	 	 
	    	 	 
	with cc to:	 	 

	16.
	Waiver.    The waiver of any breach or default of any provision of this Agreement will not constitute a waiver of any other
right hereunder or of any subsequent breach or default.

	17.
	Severability.    If any provision of this Agreement is held invalid or unenforceable by a court of competent jurisdiction,
the remaining provisions of the Agreement will remain in full force and effect, and the provision affected will be construed so as to be enforceable to the maximum extent permissible by law.

	18.
	Force Majeure.    Neither party will be responsible for any failure or delay in its performance under this Agreement (except
for the payment of money) due to causes beyond its reasonable control, including, but not limited to, labor disputes, strike, lockout, riot, war, fire, act of God, accident, failure or breakdown of
components necessary to order completion; subcontractor, supplier or customer caused delays; inability to obtain or substantial rises in the prices of labor, materials or manufacturing facilities;
curtailment of or failure to obtain sufficient electrical or other energy, raw materials or supplies; or compliance with any law, regulation or order, whether valid or invalid.

	19.
	Amendments.    Any amendment or modification of this Agreement must be made in writing and signed by duly authorized
representatives of each party. For Distributor, a duly authorized representative must be any of the
following:                                    [Enter title of person
with authority to bind
Distributor].

	20.
	Entire Agreement.    This Agreement contains the entire Agreement of the parties hereto with respect to the subject matter
hereof, and supersedes all prior understandings, representations and warranties, written and oral. If any part of the terms and conditions stated herein are held void or unenforceable, such part will
be treated as severable, leaving valid the remainder of the terms and conditions.

	21.
	Counterparts.    This Agreement may be executed in counterparts, each of which will be deemed an original, but all of which
together will constitute one and the same instrument. 

SIGNATURE PAGE FOLLOWS  

49

 

IN
WITNESS WHEREOF, the parties have caused this Agreement to be executed as of the Effective Date by their duly authorized representatives. 

	DISTRIBUTOR
 
	 	CUSTOMER
 

	
 By:
	
 	

By:

	Print Name:
	 	Print Name:

	Title:
	 	Title:

	Date:
	 	Date:

	
 	
 	
PLEASE MAKE CERTAIN THAT YOU HAVE SELECTED A PAYMENT OPTION IN ACCORDANCE WITH SECTION 2.2, ABOVE.

SIGNATURE PAGE TO INTERNATIONAL RUBY SERVICE AGREEMENT

50

  

 
 

CYBERKNIFE® INTERNATIONAL EMERALD ELITE SERVICE AGREEMENT    
    

	Note:
	Pursuant
to the terms of Distributor's Service Agreement with Accuray, you must provide service equal to or greater than the following terms.

	1.
	Scope of Service.    This Emerald Elite Service Agreement ("Agreement") is made by and between Accuray Incorporated's
("Accuray") authorized Distributor,                                     
("Distributor"), located at                                    , and
                                      ("Customer"), for Distributor to provide planned maintenance service when scheduled by Accuray and corrective maintenance service when
requested by Customer to maintain the CyberKnife System installed at Customer's site
at                                    ("System") so that it performs
substantially in accordance with the Specifications (User Manuals
and Reference Guides) defined for the System revision as installed and/or upgraded.

	1.1.
	Effective Date.    This Agreement shall be effective as of demonstration of acceptance testing by Distributor as described
in the CyberKnife Quotation and Purchase Agreement
dated                                    , 2005 and signed by the
parties, or the expiration of any prior service or warranty agreement, if applicable.

	1.2.
	Definitions:

	1.2.1.
	Bug Fix means an error correction or minor change in the existing software and/or hardware configuration that is required in order
to enable the existing software and/or hardware configuration to perform to the existing functional specification(s).

	1.2.2.
	Update means a release of the software or a change to the existing hardware containing substantially only error corrections, minor
new features, functionality and/or performance improvements, but that would not be required for the existing software and/or hardware configuration to perform to the existing functional
specification(s) of that particular product. Such Update would not necessarily replace or extend the life of the existing software and/or hardware configuration of the product. For example, an Update
of software would be indicated where the version number is changed by incrementing the numeric digits to the right of the decimal point, e.g., versions 1.1, 1.2, 1.3, and 1.4 would each
be Updates of the software.

	1.2.3.
	Upgrade/Enhancement means a release of the software or a change to the existing hardware containing major new features,
functionality and/or performance improvements that would enable the existing software and/or hardware configuration to perform to the level of the next version of the software and/or hardware
configuration and designed to replace the older software and/or hardware version of the same product and/or extend the useful life of that product. For example, an Upgrade/Enhancement of software
would be indicated where the version number is changed by incrementing the numeric digits to the left of the decimal point, e.g., versions 1.0, 2.0, 3.0, and 4.0 would each be
Upgrades/Enhancements of the software.

	1.2.4.
	New Version/New Product means a release of the software or a change to the hardware that may or may not work with the
existing software and/or hardware configuration, but that in its totality requires, in Accuray's sole opinion, enough change to the software and/or hardware configuration to be considered a
New Version or New Product.

	1.2.5.
	Consumables means items that are not necessarily part of the CyberKnife system, but are consumed as part of the operation of the
CyberKnife system, for example fiducials. 

51

 

	2.
	Service Period.

	2.1.
	The  Agreement Term shall be for an initial period of four (4) years (years 1, 2, 3, & 4) from the Effective Date
of this Agreement, including the warranty year, with an optional fifth year. There is no payment required under this Agreement in the first year ("Year 1"or the "Warranty Year"). Customer may elect to
receive an additional optional fifth year (the "Optional Year 5"). Customer may exercise the option for Optional Year 5 by letter sent to Distributor, in accordance with the Notice
provision set forth below, at any time up to thirty (30) days before the Optional Year 5 commences. If Customer does not exercise the option, there will be no charge to Customer, and
Distributor will not provide Emerald coverage for Optional Year 5. If Customer exercises the option, Distributor is obligated to provide Emerald coverage on same terms as the previous Agreement years.
Billing will commence on the day following the anniversary of the Effective Date of this Agreement.

	2.2.
	The
Agreement Price shall be one of the following, at Customer's option (indicate preferred option by checking a box, if no selection
is made Customer will be billed on an annual basis). The Agreement Price shall cover the Base CyberKnife System, up to two (2) CyRIS Multiplan Systems (including the CyRIS MultiPlan System in
the Base CyberKnife System), and up to three (3) CyRIS InView Workstations. If Customer has more than two (2) CyRIS MultiPlan Systems or three (3) CyRIS InView Workstations
installed, then an additional charge of [Distributor to Insert Price re InView Service] per year per MultiPlan and [Distributor to Insert Price re MultiPlan
Service] per year per InView, as applicable, will be added by Distributor to the Agreement Price set forth below.

	o
	ANNUAL:
[Distributor to Insert Price] per year, paid yearly in advance, for years 2, 3, 4 and Optional
Year 5.

	o
	QUARTERLY:
[Distributor to Insert Price] per quarter, paid at the beginning of each quarter, for years 2, 3, 4 and
Optional Year 5.

	o
	MONTHLY:
[Distributor to Insert Price] per month, paid at the beginning of each month, for years 2, 3, 4 and
Optional Year 5.

	3.
	Equipment To Be Covered

	3.1.
	This
Agreement is available only for equipment that was purchased directly from Distributor, installed by Accuray or Distributor engineers and has not been moved from its original
installation location or disconnected from its original power supply without written permission or direction from Accuray or Distributor. This Agreement must immediately commence at the expiration of
the factory warranty period or prior service agreement. In the event of lapse of service, Customer shall have the right to reinstate such service by payment of the current service fee for the
then-current service period in addition to the reasonable costs for Distributor to inspect, repair, and return the System to the state at which the System would have been had a service
agreement been in force continuously since the expiration of the System factory warranty.

	4.
	Software Maintenance (Bug Fixes and Updates)

	4.1.
	For
the duration of the Agreement Term, Distributor will provide software Updates and Bug Fixes for software that is included as a part of the CyberKnife System. These Updates and
Bug Fixes may be transmitted electronically to Customer for subsequent installation by Customer technicians. Corrections of significant complexity, however, may be installed by Distributor service
engineers. Software maintenance will be included only for those product features that were originally purchased with the System or subsequently purchased separately 

52

 

by
Customer from Distributor or taken under this Agreement as a System Upgrade/Enhancement. 

	4.2.
	Customer
is not entitled to any Upgrades/Enhancements or New Versions/New Products under this Agreement. Customer may purchase Upgrades/Enhancements and
New Versions/New Products separately, and such Upgrades/Enhancements or New Versions/New Products will then be maintained in accordance with the terms of
this Agreement.

	4.3.
	During
the service periods, Distributor shall provide Customer with any and all applicable product notices regarding maintenance, support, Upgrades/Enhancements, Updates and Bug
Fixes generally circulated to CyberKnife installations.

	4.4.
	All
such Updates and Bug Fixes, when made by Distributor or according to Accuray or Distributor instructions or the product notice, shall be considered to be done by and under the
direction of Distributor.

	5.
	System Quality Assurance Testing

	5.1.
	The
maintenance and support services provided by Distributor under this Agreement do not include any System Quality Assurance Testing ("QA"). System commissioning and QA are the sole
responsibility of Customer, and Customer is advised to perform QA on a regular and ongoing basis. In addition, Customer is required to maintain up-to-date QA logs. If Customer
fails to perform the appropriate QA of the System, and to record such QA in the appropriate logs, Distributor, upon giving Notice to Customer in accordance with Section 15 of this Agreement,
reserves the right to terminate this Agreement.

	5.2.
	Prior
to performing any scheduled service or preventive maintenance on the System, Distributor will review Customer's QA logs, and if such logs are not
up-to-date, Distributor may refuse to service the System. In the event that the requested service is necessary to bring the System to a point where QA can be performed,
Distributor will proceed with the service only after Customer signs a written acknowledgement that QA is Customer's sole responsibility and that appropriate QA will be performed prior to conducting
any patient treatments.

	6.
	Service Coverage Period [Note: Distributor must provide service equal or greater to the First Line
Field Service, as set forth in Distributor's service agreement with Accuray.]

	6.1.
	The
Service Coverage Period will be the hours of 8:00 AM to 9:00 PM local (to Customer's installation location) time Monday through Saturday (excluding local
legal holidays). Customer has the option to request service during non-normal hours, in which case Customer shall pay the overtime premium portion of the non-normal hours
worked. (Non-normal hourly rate minus normal hourly rate.) Distributor shall provide Customer with contact points to request service on a
24-hours-a-day, 7-days-a-week ("24/7") basis. Distributor, directly or remotely as the situation requires, either with its own
personnel or through contractors, shall initially respond within one (1) hour of receipt of a call for service. The initial response shall include telephone support, including
(as applicable) consultations, diagnostic assistance and advice on the use and maintenance of the System. In the event that the service issue cannot be resolved by telephone or other remote
response, then Distributor will respond on-site. On-site response times will vary depending upon the level of service required.

	6.2.
	Customer
will promptly notify Distributor, by calling Distributor's Customer Support Line
at                                    [Note: Distributor will need to
provide Customer with an
appropriate contact number for 24/7 support], of any problem or defect with the System and, at no charge, provide Distributor and/or Accuray service engineers access to the System
and use of adequate facilities and equipment at mutually agreeable times as necessary for Distributor and/or 

53

 

Accuray
to perform the service. Customer shall have as many service calls as are reasonably needed to maintain the System so that it performs substantially in accordance with the Specifications during
the period of this Agreement. 

	6.3.
	Use
of the facility CT scanner may be required for testing purposes and shall be scheduled to allow as expeditious completion of service as is reasonably possible. Facility staff
will operate the CT scanner. If service is unreasonably delayed and Distributor and/or Accuray service engineers are required to remain on site, Distributor may choose to charge the current hourly
service rates for the duration of the delay period.

	6.4.
	Distributor
will perform System planned maintenance as prescribed in the current System maintenance manuals. Planned service will be scheduled at least two (2) weeks in
advance and will be performed at a mutually agreed-upon time. Upon completion of a service or preventive maintenance call, Distributor shall leave Customer a copy of a service report
describing the service or maintenance performed.

	6.5.
	To
the extent that they become available during the term of this Agreement, Customer will be entitled to the benefits of remote diagnostic capabilities used by Distributor support
engineers. This may require Customer to modify their telecommunications infrastructure to take advantage of this capability. Such modification would be at Customer expense.

	7.
	Uptime [Note: Distributor must provide an Uptime guarantee equal or greater to the one set forth
below, as set forth in Distributor's service agreement with Accuray.]

	7.1.
	Uptime/Downtime.    Uptime shall mean any time that the System is not down ("Uptime"). A down System means that a patient
cannot be treated due to an actual malfunction of the System and that the System is immediately available for an Distributor service engineer to work on it ("Downtime").

	7.2.
	Guarantee.    Distributor will guarantee that the System shall have an Uptime percentage of at least 95% of normal treatment
hours on an annual basis during the Term of this Agreement. Normal treatment hours shall be from 8:00 AM to 5:00 PM local time Monday through Friday (excluding legal holidays). The first
12-month period will start as of the Effective Date of this Agreement.

	7.3.
	Calculation.    Downtime will be calculated from the time a down System call is received by Distributor to the time of
repair, counting normal treatment hours. The System will be calculated as up when the System repair has been completed and the System is available for treatment during normal treatment hours, whether
or not patients are scheduled for treatment. Scheduled preventive maintenance, System upgrades, and time that the System is unavailable as a result of something beyond Distributor's control, including
without limitation (i) Customer's use of the System for purposes other than its intended and authorized purposes, (ii) the negligence of Customer, (iii) the failure of Customer to
operate the System in accordance with the User Manuals, (iv) use by untrained operators, (v) e-Stops, power outages or the like or (vi) the negligence of any party
other than Distributor, will be calculated as Uptime.

	7.4.
	Reports.    Customer is responsible for recording and reporting Downtime to Distributor. Reports for the previous month's
Downtime shall be provided to Distributor on or before the 15th day of each month.

	7.5.
	Failure to Meet Guarantee.    For each year of the term of this Agreement, if Distributor achieves a 12-month
uptime average of less than 95%, the Agreement period will be extended one (1) week for every percentage point or fraction thereof below 95%. 

54

 

	8.
	Replacement Parts

	8.1.
	Distributor
shall make a commercially reasonable effort to supply at the time of need or stock with Distributor's regional service engineers all tools, equipment, replacement parts
and Consumables as would reasonably be required by Distributor to perform the required repairs and return the System to good working order. Distributor shall make a commercially reasonable effort to
maintain at its factory or service center(s) a stock of spare parts, including, in particular, long-procurement-lead-time parts.

	8.2.
	Replacement
parts used under this Agreement may be either new manufacture or factory refurbished at Accuray's or Distributor's choice. All replacement parts and assemblies provided
will be manufactured in accordance with Accuray's quality system, and any applicable laws and regulations. Parts replaced under this Agreement become the property of Distributor and will be disposed
of by Distributor Field Service engineers. Notwithstanding the foregoing, all parts that are considered by local regulation to be "hazardous" or "contaminated" waste, or material that requires
"special handling" will be disposed of or retained by Customer at Customer's facility.

	9.
	Exceptions

	9.1.
	All
obligations of Distributor under this Agreement shall be suspended and/or cease in the event of:

	9.1.1.
	Damage
from fire, accident, abuse, floods, lightning, natural disasters or other calamities commonly defined as "Acts of God".

	9.1.2.
	The
intentional abuse of the System or negligence by Customer.

	9.1.3.
	System
hardware or software alterations not authorized by Accuray or Distributor including any move of the System from its installation site (other than by or at the express
written direction of Accuray or Distributor).

	9.1.4.
	Use
of the System for other than its intended and authorized purposes, or in a manner not consistent with Accuray's User Manuals, including maintenance of the necessary operating
environment and line current conditions, and the failure of Customer to cure such matter within thirty (30) days of actual written notice thereof from Distributor.

	9.1.5.
	Failure
to make payments in accordance with the payment schedule set forth above in Section 2.2.

	9.2.
	If
corrective action or adjustment of the System is performed by Customer's staff at the direction of Accuray or Distributor, such action or adjustment shall not reduce Distributor's
responsibility under this Agreement or liability for the performance of the System.

	10.
	No Cancellation.    Neither party shall have the right to cancel this Agreement, except as set forth below in
Section 11 "Breach."

	11.
	Breach.    Either party reserves the right to cancel this Agreement by written notice upon the breach of the other. An event
of breach may include, but is not limited to, failure to make payment due under this Agreement, failure to provide access as required to execute the services contemplated by this Agreement, failure to
perform and log QA, or the filing of notice under bankruptcy or equivalent laws. If the breaching party is unable or unwilling to cure or make a good faith effort to cure such breach within thirty
(30) days of actual written notice the other party shall be relieved of all obligations under this Agreement and may terminate. Termination shall not be the terminating party's exclusive
remedy, and the terminating party shall retain all other available legal and equitable remedies. 

55

 
	12.
	Limitation of Liability and Warranty

	12.1.
	If
it is determined in accordance with applicable law that any fault or neglect of either party, its employees or agents, substantially contributes to damage or injury to third
parties, such party shall be responsible in such proportion as reflects its relative fault therefore, and shall hold the other party harmless from any liability or damages arising out of such fault or
neglect. Distributor's liability arising under this Agreement shall be limited to an amount not to exceed the payment(s) received by Distributor for the then current Agreement year. In addition,
Distributor shall not be liable to Customer in the event that Customer's or any third party's acts or omissions contributed in any way to any loss it sustained or the loss or damage is due to an act
of God or other causes beyond its reasonable control. IN NO EVENT WILL DISTRIBUTOR BE LIABLE TO CUSTOMER FOR ANY LOST PROFITS, LOST SAVINGS, LOST REVENUES OR DOWNTIME, SPECIAL, INDIRECT, INCIDENTAL
DAMAGES OR OTHER CONSEQUENTIAL DAMAGES ARISING OUT OF OR IN CONNECTION WITH THE AGREEMENT OR THE USE OR PERFORMANCE OF THE SYSTEM.

	12.2.
	This
is a service agreement. THERE ARE NO INCLUDED OR IMPLIED DISTRIBUTOR WARRANTIES OF PRODUCT FITNESS FOR A PARTICULAR PURPOSE OR MERCHANTABILITY.

	13.
	Assignment.    Neither party may assign this Agreement without the other party's prior written consent, except that
Distributor may assign this Agreement, without Customer's consent, to an affiliate or to a successor or acquirer, as the case may be, in connection with a merger or acquisition, or the sale of all or
substantially all of Distributor's assets or the sale of that portion of Distributor's business to which this Agreement relates. Subject to the foregoing, this Agreement will bind and inure to the
benefit of the parties' permitted successors and assigns.

	14.
	Disputes and Governing Laws

	14.1.
	In
the event that a dispute arises between Distributor and Customer with respect to any subject matter governed by this Agreement, such dispute shall be settled as follows. If
either party shall have any dispute with respect to this Agreement, that party shall provide written notification to the other party in the form of a claim identifying the issue or amount disputed
including a detailed reason for the claim. The party against whom the claim is made shall respond in writing to the claim within 30 days from the date of receipt of the claim document. The
party filing the claim shall have an additional 30 days after the receipt of the response to either accept the resolution offered by the other party or escalate the matter. If the dispute is
not resolved, either party may notify the other in writing of their desire to elevate the claim to the President of Distributor and the Chief Executive Officer of Customer. Each shall negotiate in
good faith and use his or her best efforts to resolve such dispute or claim. The location, format, frequency, duration and conclusion of these elevated discussions shall be left to the discretion of
the representatives involved. If the negotiations do not lead to resolution of the underlying dispute or claim to the satisfaction of either party involved, then either party may pursue resolution by
the courts as follows.

	14.2.
	All
disputes arising out of or relating to this Agreement not otherwise resolved between Distributor and Customer shall be resolved in a court of competent jurisdiction in the
                                    [Note: Please fill in an
appropriate venue], and in no other place, provided that, in Distributor's sole discretion, such action may be heard in some other
place designated by Distributor (if necessary to acquire jurisdiction over third persons), so that the dispute can be resolved in one action. Customer hereby consents to the jurisdiction of
such court or courts and agrees to appear in any such action upon written notice thereof. No 

56

 

action,
regardless of form, arising out of, or in any way connected with this Agreement may be brought by Customer more than one (1) year after the cause of action has occurred. 

	15.
	Notices.    All notices required or permitted under this Agreement will be in writing and delivered in person, effective
immediately, by overnight delivery service, effective two (2) business days after deposit with carrier, or by registered or certified mail, postage prepaid with return receipt requested,
effective five (5) business days after deposit with carrier. All communications will be sent to the addresses set forth below or to such other address as may be specified by either party in
writing to the other party in accordance with this Section. 

	To Distributor:
 
	 	To Customer:
 

	Attention:	 	Attention:
	    	 	 
	    	 	 
	with cc to:	 	 

	16.
	Waiver.    The waiver of any breach or default of any provision of this Agreement will not constitute a waiver of any other
right hereunder or of any subsequent breach or default.

	17.
	Severability.    If any provision of this Agreement is held invalid or unenforceable by a court of competent jurisdiction,
the remaining provisions of the Agreement will remain in full force and effect, and the provision affected will be construed so as to be enforceable to the maximum extent permissible by law.

	18.
	Force Majeure.    Neither party will be responsible for any failure or delay in its performance under this Agreement (except
for the payment of money) due to causes beyond its reasonable control, including, but not limited to, labor disputes, strike, lockout, riot, war, fire, act of God, accident, failure or breakdown of
components necessary to order completion; subcontractor, supplier or customer caused delays; inability to obtain or substantial rises in the prices of labor, materials or manufacturing facilities;
curtailment of or failure to obtain sufficient electrical or other energy, raw materials or supplies; or compliance with any law, regulation or order, whether valid or invalid.

	19.
	Amendments.    Any amendment or modification of this Agreement must be made in writing and signed by duly authorized
representatives of each party. For Distributor, a duly authorized representative must be any of the
following:                                    [Enter title of person
with authority to bind
Distributor].

	20.
	Entire Agreement.    This Agreement contains the entire Agreement of the parties hereto with respect to the subject matter
hereof, and supersedes all prior understandings, representations and warranties, written and oral. If any part of the terms and conditions stated herein are held void or unenforceable, such part will
be treated as severable, leaving valid the remainder of the terms and conditions.

	21.
	Counterparts.    This Agreement may be executed in counterparts, each of which will be deemed an original, but all of which
together will constitute one and the same instrument. 

57

 

IN
WITNESS WHEREOF, the parties have caused this Agreement to be executed as of the Effective Date by their duly authorized representatives. 

	DISTRIBUTOR
 
	 	CUSTOMER
 

	By:
	 	By:

	Print Name:
	 	Print Name:

	Title:
	 	Title:

	Date:
	 	Date:

	 	 	 
	 	 	PLEASE MAKE CERTAIN THAT YOU HAVE SELECTED A PAYMENT OPTION IN ACCORDANCE WITH SECTION 2.2, ABOVE.

58

  

 
 

CYBERKNIFE® INTERNATIONAL EXTENDED PARTS WARRANTY AGREEMENT    
    

	Note:
	Pursuant
to the terms of Distributor's Warranty Agreement with Accuray, you must provide warranty service equal to or greater than the following terms.

	1.
	Scope of Warranty.    This is a Warranty Agreement by and between Accuray Incorporated's ("Accuray") authorized Distributor, 
                                    
("Distributor"), located at                                    , and
                                     ("Customer"), for
Distributor to provide replacement of all defective parts when requested by Customer to maintain the CyberKnife System installed at site
at                                    ("System") so that it performs
substantially
in accordance with the specifications defined for the System revision as installed and/or updated under this Warranty Agreement, or upgraded under a separate agreement with Customer.

	2.
	Warranty Period.    This Warranty Agreement shall be for an initial period of one (1) year, beginning one
(1) year after the date of demonstration of System acceptance testing to Customer ("Effective Date"), with an optional second year. The Agreement price shall be [Distributor to
Insert Price] paid in advance. Customer may elect to receive an additional optional second year at the price of [Distributor to Insert Price]. Customer may exercise
the option for optional second year by letter sent to Distributor, in accordance with the Notice provision set forth below, at any time up to twenty (20) days before the optional second year
commences. If Customer exercises the option, Distributor is obligated to provide Extended Parts Warranty coverage on the same terms as the previous Agreement year. Billing will commence on the day
following the anniversary of the Effective Date of this Agreement.

	3.
	Equipment to be Covered.    The Warranty Agreement is available only for equipment that was purchased directly from
Distributor, installed by Accuray or Distributor, and has not been moved from its original installation location or disconnected from its original power supply without written permission or direction
from Accuray or Distributor. This Warranty Agreement must immediately commence at the expiration of the factory warranty period.

	4.
	Replacement Parts

	4.1.
	Distributor
shall make a commercially reasonable effort to supply at the time of need or stock with Distributor's regional service engineers all tools, equipment, replacement parts
and Consumables as would reasonably be required by Distributor to perform the required repairs and return the System to good working order. Distributor shall make a commercially reasonable effort to
maintain at its factory or service center(s) a stock of spare parts, including, in particular, long-procurement-lead-time parts.

	4.2.
	Replacement
parts used under this Agreement may be either new manufacture or factory refurbished at Accuray's or Distributor's choice. All replacement parts and assemblies provided
will be manufactured in accordance with Accuray's quality system, and any applicable laws and regulations. Parts replaced under this Agreement become the property of Distributor and will be disposed
of by Distributor Field Service engineers. Notwithstanding the foregoing, all parts that are considered by local regulation to be "hazardous" or "contaminated" waste, or material that requires
"special handling" will be disposed of or retained by Customer at Customer's facility.

	5.
	Warranty Exclusions.    All warranty replacement of parts shall be limited to malfunctions which are due and traceable to
defects in original material or workmanship of the parts. The warranties set forth in this Warranty Agreement shall be void and of no further effect in the event of abuse, accident, alteration, misuse
or neglect of the System or its component parts, including but not limited to user modification of the operating environment specified by Accuray. 

59

 
	6.
	Exceptions

	6.1.
	All
obligations of Distributor under this Agreement shall be suspended and/or cease in the event of:

	6.1.1.
	Damage
from fire, accident, abuse, floods, lightning, natural disasters or other calamities commonly defined as "Acts of God".

	6.1.2.
	The
intentional abuse of the System or negligence by Customer.

	6.1.3.
	System
hardware or software alterations not authorized by Accuray or Distributor including any move of the System from its installation site (other than by or at the express
written direction of Accuray or Distributor).

	6.1.4.
	Use
of the System for other than its intended and authorized purposes, or in a manner not consistent with Accuray's User Manuals, including maintenance of the necessary operating
environment and line current conditions, and the failure of Customer to cure such matter within thirty (30) days of actual written notice thereof from Distributor.

	6.1.5.
	Failure
to make payments in accordance with the payment schedule set forth above in Section 2.2.

	6.2.
	If
corrective action or adjustment of the System is performed by Customer's staff at the direction of Accuray or Distributor, such action or adjustment shall not reduce Distributor's
responsibility under this Agreement or liability for the performance of the System.

	7.
	No Cancellation.    Neither party shall have the right to cancel this Agreement, except as set forth below in
Section 8 "Breach."

	8.
	Breach.    Either party reserves the right to cancel this Agreement by written notice upon the breach of the other. An event
of breach may include, but is not limited to, failure to make payment due under this Agreement, failure to provide access as required to execute the services contemplated by this Agreement, failure to
perform and log QA, or the filing of notice under bankruptcy or equivalent laws. If the breaching party is unable or unwilling to cure or make a good faith effort to cure such breach within thirty
(30) days of actual written notice the other shall be relieved of all obligations under this Agreement and may terminate. Termination shall not be the terminating party's exclusive remedy, and
the terminating party shall retain all other available legal and equitable remedies.

	9.
	Limitation of Liability and Warranty

	9.1.
	Limitation of Liability.    If it is determined in accordance with applicable law that any fault or neglect of either party,
its employees or agents, substantially contributes to damage or injury to third parties, such party shall be responsible in such proportion as reflects its relative fault therefore, and shall hold the
other party harmless from any liability or damages arising out of such fault or neglect. Distributor's liability arising under this Agreement shall be limited to an amount not to exceed the payment(s)
received by Distributor for the then current Agreement year. In addition, Distributor shall not be liable to Customer in the event that Customer's or any third party's acts or omissions contributed in
any way to any loss it sustained or the loss or damage is due to an act of God or other causes beyond its reasonable control. IN NO EVENT WILL DISTRIBUTOR BE LIABLE TO CUSTOMER FOR ANY LOST PROFITS,
LOST SAVINGS, LOST REVENUES OR DOWNTIME, SPECIAL, INDIRECT, INCIDENTAL DAMAGES OR OTHER CONSEQUENTIAL DAMAGES ARISING OUT OF OR IN CONNECTION WITH THE AGREEMENT OR THE USE OR PERFORMANCE OF
THE SYSTEM. 

60

 

	9.2.
	Warranty.    Distributor warrants that, for the Term of this Warranty Agreement, the Products will be free from defects and
perform substantially in accordance with the written specifications provided by Distributor as reflected in the Regulatory clearance at the time of sale. Except as set forth in the preceding sentence,
Distributor makes no warranties or representations to Customer or to any other party regarding any products or services provided by Distributor. TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW,
DISTRIBUTOR DISCLAIMS ALL OTHER WARRANTIES AND REPRESENTATIONS, WHETHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE,
AND ANY WARRANTIES ARISING OUT OF COURSE OF DEALING OR USAGE OF TRADE.

	10.
	Assignment.    Neither party may assign this Warranty Agreement without the other party's prior written consent, except that
Distributor may assign this Warranty Agreement, without Customer's consent, to an affiliate or to a successor or acquirer, as the case may be, in connection with a merger or acquisition, or the sale
of all or substantially all of Distributor's assets or the sale of that portion of Distributor's business to which this Warranty Agreement relates. Subject to the foregoing, this Warranty Agreement
will bind and inure to the benefit of the parties' permitted successors and assigns.

	11.
	Dispute Resolution

	11.1.
	Informal Dispute Resolution.    In the event that a dispute arises between Distributor and Customer with respect to any
subject matter governed by this Agreement, such dispute shall be settled as follows. If either party shall have any dispute with respect to this Agreement, that party shall provide written
notification to the other party in the form of a claim identifying the issue or amount disputed including a detailed reason for the claim. The party against whom the claim is made shall respond in
writing to the claim within thirty (30) days from the date of receipt of the claim document. The party filing the claim shall have an additional thirty (30) days after the receipt of the
response to either accept the resolution offered by the other party or escalate the matter. If the dispute is not resolved, either party may notify the other in writing of their desire to elevate the
claim to the Chief Executive Officer or the highest ranking officer of Distributor and the Chief Executive Officer or the highest ranking officer of Customer. Each shall negotiate in good faith and
use his or her best efforts to resolve such dispute or claim. The location, format, frequency, duration and conclusion of these elevated discussions shall be left to the discretion of the
representatives involved. If the negotiations do not lead to resolution of the underlying dispute or claim to the satisfaction of either party involved, then either party may pursue resolution by the
courts as follows.

	11.2.
	Jurisdiction and Venue.    All disputes under any contract concerning this Agreement not otherwise resolved between
Distributor and Customer shall be resolved in a court of competent jurisdiction in
the                                    [Note: Please fill in an
appropriate venue], and in no other place,
provided that, in Distributor's sole discretion, such action may be heard in some other place designated by Distributor (if necessary to acquire jurisdiction over third persons), so that the
dispute can be resolved in one action. Customer hereby consents to the jurisdiction of such court or courts and agrees to appear in any such action upon written notice thereof. No action, regardless
of form, arising out of, or in any way connected with, this Agreement may be brought by Customer more than one (1) year after the cause of action has occurred.

	12.
	Notices.    All notices required or permitted under this Agreement will be in writing and delivered in person, effective
immediately, by overnight delivery service, effective two (2) business days after 

61

 

deposit
with carrier, or by registered or certified mail, postage prepaid with return receipt requested, effective five (5) business days after deposit with carrier. All communications will be
sent to the addresses set forth below or to such other address as may be specified by either party in writing to the other party in accordance with this Section. 

	To Distributor:
 
	 	To Customer:
 

	Attention:	 	Attention:
	    	 	 
	    	 	 
	    	 	 
	with cc to:	 	Accuray Incorporated

Attention: Chief Financial Officer

& General Counsel

1310 Chesapeake Terrace

Sunnyvale, CA 94089

USA

	13.
	Waiver.    The waiver of any breach or default of any provision of this Agreement will not constitute a waiver of any other
right hereunder or of any subsequent breach or default.

	14.
	Severability.    If any provision of this Agreement is held invalid or unenforceable by a court of competent jurisdiction,
the remaining provisions of the Agreement will remain in full force and effect, and the provision affected will be construed so as to be enforceable to the maximum extent permissible by law.

	15.
	Force Majeure.    Neither party will be responsible for any failure or delay in its performance under this Agreement (except
for the payment of money) due to causes beyond its reasonable control, including, but not limited to, labor disputes, strike, lockout, riot, war, fire, act of God, accident, failure or breakdown of
components necessary to order completion; subcontractor, supplier or customer caused delays; inability to obtain or substantial rises in the prices of labor, materials or manufacturing facilities;
curtailment of or failure to obtain sufficient electrical or other energy, raw materials or supplies; or compliance with any law, regulation or order, whether valid or invalid.

	16.
	Amendments.    Any amendment or modification of this Agreement must be made in writing and signed by duly authorized
representatives of each party. For Distributor, a duly authorized representative must be any of the
following:                                    [Enter title of person
with authority to bind
Distributor].

	17.
	Entire Agreement.    This Agreement contains the entire Agreement of the parties hereto with respect to the subject matter
hereof, and supersedes all prior understandings, representations and warranties, written and oral. If any part of the terms and conditions stated herein are held void or unenforceable, such part will
be treated as severable, leaving valid the remainder of the terms and conditions.

	18.
	Counterparts.    This Agreement may be executed in counterparts, each of which will be deemed an original, but all of which
together will constitute one and the same instrument. 

SIGNATURE PAGE FOLLOWS  

62

 

IN
WITNESS WHEREOF, the parties have caused this Agreement to be executed as of the Effective Date by their duly authorized representatives. 

	DISTRIBUTOR
 
	 	CUSTOMER
 

	By:
	 	By:

	Print Name:
	 	Print Name:

	Title:
	 	Title:

	Date:
	 	Date:

        SIGNATURE PAGE TO INTERNATIONAL EXTENDED PARTS WARRANTY

63

  

 
 

ACCURAY CYBERKNIFE® ADDITIONAL DIAMOND UPGRADE AGREEMENT    
    

	Note:
	Pursuant
to the terms of Distributor's Additional Upgrade & Service Agreements with Accuray, you must provide service equal to or greater than the following terms.

	1.
	Scope of Agreement.    This CyberKnife Additional Upgrade Agreement ("Agreement") is made effective as
of                                    ,
2006 ("Effective Date"), by and between Accuray Incorporated's ("Accuray") authorized Distributor,                                     
("Distributor"), located at
                                    , and                                     
("Customer"), for Distributor to provide Upgrades/Enhancements, when and if available, to the CyberKnife System
installed at Customer's site at                                    
("System").

	1.1.
	Definitions:

	1.1.1.
	Bug Fix means an error correction or minor change in the existing software and/or hardware configuration that is required in order
to enable the existing software and/or hardware configuration to perform to the existing functional specification(s).

	1.1.2.
	Update means a release of the software or a change to the existing hardware containing substantially only error corrections, minor
new features, functionality and/or performance improvements, but that would not be required for the existing software and/or hardware configuration to perform to the existing functional
specification(s) of that particular product. Such Update would not necessarily replace or extend the life of the existing software and/or hardware configuration of the product. For example, an Update
of software would be indicated where the version number is changed by incrementing the numeric digits to the right of the decimal point, e.g., versions 1.1, 1.2, 1.3, and 1.4 would each
be Updates of the software.

	1.1.3.
	Upgrade/Enhancement means a release of the software or a change to the existing hardware containing major new features,
functionality and/or performance improvements that would enable the existing software and/or hardware configuration to perform to the level of the next version of the software and/or hardware
configuration and designed to replace the older software and/or hardware version of the same product and/or extend the useful life of that product. For example, an Upgrade/Enhancement of software
would be indicated where the version number is changed by incrementing the numeric digits to the left of the decimal point, e.g., versions 1.0, 2.0, 3.0, and 4.0 would each be
Upgrades/Enhancements of the software.

	1.1.4.
	New Version/New Product means a release of the software or a change to the hardware that may or may not work with the
existing software and/or hardware configuration, but that in its totality requires, in Accuray's sole opinion, enough change to the software and/or hardware configuration to be considered a
New Version or New Product.

	1.1.5.
	Exclusions    Upgrades/Enhancements that have a list price of greater than $200,000 per Upgrade/Enhancement are
specifically excluded from this Agreement. However, Upgrades/Enhancements that have a higher list price may be offered as more than a single Upgrade/Enhancement to Customers under this Agreement. If
Upgrades/Enhancements that have a higher list price are offered as more than a single Upgrade/Enhancement then they will be offered as such to all customers. Examples of such components that would
likely fall into this category are: the robot, and the patient couch. New Versions and New Products are also specifically excluded.

	1.1.6.
	Consumables means items that are not necessarily part of the CyberKnife system, but are consumed as part of the operation of the
CyberKnife system, for example fiducials. 

64

 

	2.
	Term & Payment Terms

	2.1.
	Customer
has option of selecting either a one (1) year, two (2) Upgrade/Enhancement or two (2) year, four (4) Upgrade/Enhancement Agreement plan, as set
forth below. Customer shall indicate its preferred option by checking one of the boxes below, if no selection is made Customer will signed up for a one (1) year agreement. Customer may only
select an Agreement Term commensurate with the remaining term of the initial four (4) year Diamond term. For example, if Customer has three (3) years remaining of the initial four
(4) year Diamond term, then Customer may only sign up for a three (3) year Agreement Term or less and the four (4) year Agreement Term would not be available.

	o
	Option
#1—One (1) Year Agreement 

If
Customer elects this Option #1, the Agreement Term shall be one (1) year, during which time Customer may receive up to two (2) Upgrades/Enhancements. The Agreement Price for this
Option #1 is [Distributor to Insert Price] 

	o
	Option
#2—Two (2) Year Agreement 

If
Customer elects this Option #2, the Agreement Term shall be two (2) years, during which time Customer may receive up to two (2) Upgrades/Enhancements per year, for a total of four
(4) Upgrades/Enhancements. The Agreement Price for this Option #2 is [Distributor to Insert Price] per year, or [Distributor to Insert
Price] total. 

	o
	Option
#3—Three (3) Year Agreement 

If
Customer elects this Option #3, the Agreement Term shall be three (3) years, during which time Customer may receive up to two (2) Upgrades/Enhancements per year, for a total of six
(6) Upgrades/Enhancements. The Agreement Price for this Option #3 is [Distributor to Insert Price] per year, or [Distributor to Insert
Price] total. 

	o
	Option
#4—Four (4) Year Agreement 

If
Customer elects this Option #4, the Agreement Term shall be four (4) years, during which time Customer may receive up to two (2) Upgrades/Enhancements per year, for a total of eight
(8) Upgrades/Enhancements. The Agreement Price for this Option #4 is [Distributor to Insert Price] per year, or [Distributor to Insert
Price] total. 

	2.2.
	Customer
shall pay Distributor in advance of or on the Effective Date for the first year of this Agreement. For any subsequent years, the annual payment shall be due on or before the
anniversary of the Effective Date. For example, payment for the second year of the agreement would be due on the first anniversary of the Effective Date.

	3.
	Product Upgrades/Enhancements

	3.1.
	This
Agreement is available only for equipment that was purchased directly from Distributor, installed by Accuray or Distributor engineers and has not been moved from its original
installation location or disconnected from its original power supply without written permission or direction from Accuray or Distributor. This Agreement is only available in conjunction with the
[DATE] Diamond Elite Service Agreement signed by the parties and currently in effect ("Diamond Agreement"), and provided that Customer is current with all payments due under
the Diamond Agreement and has used all upgrades allowed under the initial four (4) year term of the Diamond Agreement.

	3.2.
	Under
this Agreement, Customer may receive Upgrades/Enhancements, when and if available, up to the number of Upgrades/Enhancements elected in Section 2.1 above, up to two
(2) Upgrades/Enhancements per year per year during the Term. Customer acknowledges and 

65

 

agrees
that this in no way obligates Distributor to provide a minimum number of Upgrades/Enhancements, and that there may be some years in which no Upgrades/Enhancements will be offered; however, in
contrast, there may be years in which Distributor will offer multiple Upgrades/Enhancements and Customer may select up to the contracted-for number of such Upgrades/Enhancements. If
Customer selects an option other than the one (1) year Agreement in Option #1 above, Customer may receive more than two (2) Upgrades/Enhancements during the first year of the
Agreement Term, and such Upgrade/Enhancement will replace Customer's opportunity for Upgrades/Enhancements in the subsequent year(s) of the Agreement Term. For example, if Customer orders a third
Upgrade/Enhancement during the first year of the Agreement Term, Customer will have the opportunity for up to one (1) Upgrade/Enhancement when and if it becomes available during the second year
of the Agreement Term. Upgrades/Enhancements may be software, hardware, or a combination thereof. 

	3.3.
	Customer
will be notified of all available Upgrades/Enhancements, and may select which of the available Upgrades/Enhancements they wish to obtain. In order to receive the desired
Upgrades/Enhancements under this Agreement, Customer must submit a signed order for the Upgrade/Enhancement. If such Upgrade/Enhancement is ordered pursuant to this Agreement, it will be delivered
free of charge. In the event that more than two (2) Upgrades/Enhancements are made available in a given year, Customer may choose which Upgrade(s)/Enhancement(s) they wish to have installed on
the System. Some Upgrades/Enhancements may have development costs and/or a list price such that for Distributor to offer that particular Upgrade/Enhancement under this Agreement would require such
Upgrade/Enhancement to be offered to Customer as more than a single Upgrade/Enhancement. Distributor will notify Customer in writing upon commercial launch if a particular Upgrade/Enhancement would be
offered as more than a single Upgrade/Enhancement. The installation of the Upgrades/Enhancements will be scheduled once the Upgrade/Enhancement is available to the market and Distributor receives the
signed order from Customer during either the Agreement Term.

	3.4.
	Installation
of Upgrades/Enhancements will be scheduled up to six (6) months ahead of time. Distributor will communicate the launch and features with Customer. Customer will
be responsible for requesting the offered Upgrade/Enhancement. Upon receipt of a signed order, Distributor Service will be responsible for scheduling installations. Distributor will not commit to the
timing of any specific Upgrades/Enhancements.

	4.
	Software Maintenance

	4.1.
	This
Agreement does not include any software Updates and Bug Fixes for software that is included as a part of the CyberKnife System. Such Updates and Bug Fixes are the subject of the
Diamond Agreement.

	4.2.
	Any
Upgrades/Enhancements delivered pursuant to the terms of this Agreement will be considered part of Customer's System and will be serviced in accordance with the Diamond
Agreement.

	5.
	No Cancellation.    Neither party shall have the right to cancel this Agreement, except as set forth below in
Section 6 (Breach).

	6.
	Breach.    Either party reserves the right to cancel this Agreement by written notice upon the breach of the other. An event
of breach may include, but is not limited to: failure to make payment due under this Agreement; failure to provide access as required to install any Upgrades/Enhancements contemplated by this
Agreement; cancellation, termination, suspension or breach of the Diamond Agreement; or the filing of notice under bankruptcy or equivalent laws. If the 

66

 

breaching
party is unable or unwilling to cure or make a good faith effort to cure such breach within thirty (30) days of actual written notice the other party shall be relieved of all
obligations under this Agreement and may terminate. Termination shall not be the terminating party's exclusive remedy, and the terminating party shall retain all other available legal and equitable
remedies. 

	7.
	Notices.    All notices required or permitted under this Agreement will be in writing and delivered in person, effective
immediately, by overnight delivery service, effective two (2) business days after deposit with carrier, or by registered or certified mail, postage prepaid with return receipt requested,
effective five (5) business days after deposit with carrier. All communications will be sent to the addresses set forth below or to such other address as may be specified by either party in
writing to the other party in accordance with this Section. 

	To Distributor:
 
	 	To Customer:
 

	Accuray Incorporated	 	 
	Attention: Chief Financial Officer	 	 
	1310 Chesapeake Terrace	 	 
	Sunnyvale, CA 94089	 	 
	    	 	 
	with cc to: General Counsel	 	 

	8.
	Amendments.    Any amendment or modification of this Agreement must be made in writing and signed by duly authorized
representatives of each party. For Accuray, a duly authorized representative must be any of the
following:                                    [Enter title of person
with authority to bind
Distributor].

	9.
	Diamond Agreement.    The following terms and conditions of the Diamond Agreement shall apply to this Agreement, however, in
the event of a conflict between the terms of the Diamond Agreement and this Agreement, the terms and conditions of this Agreement shall take precedence.

	9.1.
	System Quality Assurance Testing;

	9.2.
	Service Coverage Period;

	9.3.
	Limitation of Liability and Warranty;

	9.4.
	Assignment;

	9.5.
	Disputes and Governing Laws;

	9.6.
	Waiver;

	9.7.
	Severability;

	9.8.
	Force Majeure; and

	9.9.
	Amendments.

	10.
	Entire Agreement.    This Agreement and the Diamond Agreement jointly contain the entire Agreement of the parties hereto with
respect to the subject matter hereof, and supersedes all prior understandings, representations and warranties, written and oral. If any part of the terms and conditions stated herein are held void or
unenforceable, such part will be treated as severable, leaving valid the remainder of the terms and conditions.

	11.
	Counterparts.    This Agreement may be executed in counterparts, each of which will be deemed an original, but all of which
together will constitute one and the same instrument. 

67

 

IN
WITNESS WHEREOF, the parties have caused this Agreement to be executed as of the Effective Date by their duly authorized representatives. 

	DISTRIBUTOR
 
	 	CUSTOMER
 

	By:
	 	By:

	Print Name:
	 	Print Name:

	Title:
	 	Title:

	Date:
	 	Date:

	 	 	 
	 	 	PLEASE MAKE CERTAIN THAT YOU HAVE SELECTED AN UPGRADE/ENHANCEMENT OPTION IN ACCORDANCE WITH SECTION 2.1, ABOVE.

68

  

 
 

EXHIBIT E NOTE: CHECK CORRECT PAGE NUMBER.
  
    DISPUTE RESOLUTION

	1.
	Negotiation.    The parties shall attempt to resolve any dispute arising out of relating to this Agreement promptly by
negotiation between executives who have authority to settle the controversy, as set forth in Section 6 of the Agreement.

	2.
	Mediation.    If the parties do not resolve the dispute within forty-five (45) days of undertaking
negotiation thereof, either Party may refer the Dispute for mediation by the applicable mediation body (as provided below) or its successor (the "Mediation
Organization") by providing the Mediation Organization and the other Party a written request for mediation, setting forth the details of the dispute and the relief requested.
Each Party must then participate in the mediation in good faith and share equally in its costs. If a request for mediation is made, then the mediation shall take place in Santa Clara County,
California. Mediation shall be conducted by JAMS or its successor, in accordance with the JAMS mediation rules and procedures then in effect. Any mediation taking place between the parties will be
conducted by: (i) a mediator agreed to by the parties selected from the applicable Mediation Organization's panel of neutrals; or (ii) if the parties do not agree on a mediator, a
mediator nominated by the applicable Mediation Organization. Any mediation taking place between the parties shall be conducted in the English language. All offers, promises, conduct and statements,
whether oral or written, made in the course of the mediation by any of the parties, their agents, employees, experts and attorneys, and by the mediator and any Mediation Organization employees, are
confidential, privileged and inadmissible for any purpose, in any litigation or other proceeding involving the parties, provided that evidence that is otherwise admissible or discoverable shall not be
rendered inadmissible or non-discoverable as a result of its use in the mediation.

	3.
	Arbitration.    If the dispute has not been resolved by non-binding means as provided herein within ninety
(90) days of the initiation of such procedure, either party may initiate arbitration with respect to such matters at any time following the period provided for mediation, or determination by
the mediator that the parties will not be able to resolve the issue through mediation, by filing a written request for arbitration to JAMS, as provided below, in accordance with JAMS arbitration
procedures. If a request for arbitration is made, then the arbitration shall take place in Santa Clara County, California. Any arbitration taking place shall be conducted by JAMS or its successor, in
accordance with the JAMS arbitration rules and procedures then in effect. Any arbitration taking place between the parties shall be conducted in the English language.

	4.
	Other Remedies.    Notwithstanding the foregoing, each Party shall have right before or during negotiation, mediation or
arbitration to seek and obtain from the appropriate court provisional remedies such as attachment, preliminary injunction, replevin, etc., to avoid irreparable harm, maintain the status quo or
preserve the subject matter of the negotiations, mediation or arbitration. 

69

 
 
 

EXHIBIT F
  
    PARTS LIST AND PRICES

The
following is a list of spare parts required for most likely service needs. There are three (3) "Kit" options, with an approximate costs of U.S. $TBD, $TBD and $TBD per kit.
Additional parts may be needed for multiple units. Accuray will also maintain a central inventory in the region to supplement the Distributor's in-country spare parts kit. Additional parts
may be purchase separately from the identified Spare Parts Kits, and prices for such will be quoted by Accuray on receipt of a request from Distributor. 

Please
note that the content of the following Spare Parts Kit Options are subject to change, though the prices of such Kits is subject to Section 2.4 (Product and Service Pricing). 

	PART DESCRIPTION

	 	PART

NO.
	 	DISTRIBUTOR

SPARE PARTS

KIT A
	 	DISTRIBUTOR

SPARE PARTS

KIT B
	 	DISTRIBUTOR

SPARE PARTS

KIT C

	X-Ray Head	 	 	 	 	 	 	 	 
	AFC Control PCA	 	01-3771-01	 	1	 	1	 	1
	Phase Control PCA	 	01-4304-01	 	1	 	1	 	1
	Phase Detector PCA	 	01-6164-01	 	1	 	1	 	1
	AFC Power Supply Assy	 	01-4213-01	 	 	 	1	 	1
	AFC Tuner Pot—New	 	021787	 	2	 	2	 	3
	O'Ring Wave Guide	 	1200-00001	 	 	 	 	 	10
	Laser	 	1000-00200	 	1	 	1	 	1
	Laser Power Supply	 	4050-00001	 	1	 	2	 	3
	Capacitor, 2500pf	 	1500-00020	 	3	 	3	 	6
	Collimator Pot Assembly	 	01-7239-01	 	2	 	2	 	4
	Assy Collimator Rot Lock	 	020183	 	 	 	 	 	3
	Pulse Transformer Assy	 	01-7310-01	 	1	 	1	 	1
	Despiking Resistor 2.0 kohm 50w	 	4700-00035	 	—	 	4	 	4
	Bypass Cap 0.47 uF 600v-OBS-use 2 × 021444	 	1500-00064	 	—	 	2	 	2
	0.1uF 1000V Capacitor	 	021444	 	—	 	2	 	2
	Magnetron-Refurbished	 	018575	 	 	 	 	 	1
	Mag//Pulse Xfmer Conn Assy	 	01-4651-01	 	 	 	 	 	1
	Semi Ridgid Coax Assy	 	01-6268-01	 	 	 	1	 	1
	Semi Ridgid Coax Assy	 	01-6269-01	 	 	 	1	 	1
	Flex Waveguide	 	1000-00055	 	 	 	1	 	1
	Dummy Load (Plastic)	 	021145	 	 	 	 	 	1
	Hybrid Coupler	 	3450-00003	 	 	 	 	 	1
	Ion Chamber	 	01-7130-01	 	 	 	1	 	1
	Laser Mirror	 	1000-00210	 	2	 	2	 	2
	Crystal Diode, Neg	 	2300-00003	 	 	 	1	 	1
	Crystal Diode, Pos	 	2300-00004	 	 	 	1	 	1
	Fuse .5A SloBlo	 	4300-00004	 	 	 	 	 	10
	Fuse .2A SloBlo	 	4300-00014	 	 	 	 	 	5
	Fuse 1.5A SloBlo	 	4300-00026	 	 	 	 	 	5
	Bridge Rectifier 200V 40A	 	4750-00007	 	2	 	2	 	2
	Diode, Gen Purpose 1A	 	4800-00026	 	6	 	6	 	6

70

 

	PART DESCRIPTION

	 	PART

NO.
	 	DISTRIBUTOR

SPARE PARTS

KIT A
	 	DISTRIBUTOR

SPARE PARTS

KIT B
	 	DISTRIBUTOR

SPARE PARTS

KIT C

	Modulator	 	 	 	 	 	 	 	 
	Thyratron DeQuing	 	5700-00001	 	1	 	1	 	1
	Thyratron Deuterium (Main)	 	5700-00002	 	1	 	1	 	1
	High Voltage wire 14g	 	6000-00080	 	5	 	5	 	5
	HV Putty	 	1600-00170	 	1	 	1	 	1
	Diode 7.5	 	4800-00024	 	3	 	3	 	3
	Diode 10	 	4800-00022	 	3	 	3	 	3
	Diode 15	 	4800-00021	 	3	 	3	 	3
	Cap, PFN, .011uF 25KV	 	1500-00002	 	3	 	3	 	3
	Relay 3 pdt 120 vac	 	4500-00002	 	1	 	2	 	3
	Relay 4pdt	 	4500-00001	 	1	 	1	 	1
	Relay 3 pdt 120 vac	 	4500-00003	 	1	 	1	 	1
	Relay 3pdt 6vdc	 	4500-00005	 	1	 	1	 	1
	Relay, Time Delay	 	4500-00009	 	 	 	1	 	1
	XSFMR AUTO VAR W/DIAL&KNOB	 	5600-00007	 	—	 	1	 	1
	Dequing Trigger Transformer	 	01-2699-01	 	1	 	1	 	1
	Steering PS	 	4000-00020	 	 	 	 	 	1
	Thyratron Driver PCA	 	01-1141-02	 	1	 	1	 	1
	Ion Pump Monitor PCA	 	01-1617-01	 	1	 	1	 	1
	High Voltage Divider PCA	 	01-3430-01	 	 	 	 	 	1
	Dequing Trigger Generator PCA	 	01-3193-01	 	1	 	1	 	1
	Thyratron Bias & Trigger PCA	 	01-3310-01	 	—	 	1	 	1
	HV Rect 800V 8A	 	4750-00004	 	1	 	1	 	1
	HV Rect 600V 8A	 	4750-00002	 	1	 	1	 	1
	Lamp 28v,t13/4	 	2450-00032	 	 	 	 	 	2
	
Modulator Control Chassis	
 	

 	
 	

 	
 	

 	
 	

 
	Fault Logic	 	01-3906-01	 	1	 	1	 	1
	Trigger Generator	 	01-1433-01	 	1	 	1	 	1
	Mag/Accel Htr Cont	 	01-3126-01	 	1	 	1	 	1
	Fault Indicator	 	01-6895-01	 	1	 	1	 	1
	Control Logic	 	01-4344-01	 	1	 	1	 	1
	MCC/IFCC Interface	 	013509	 	1	 	1	 	1
	Fan Water Interlock	 	020425	 	1	 	1	 	1
	Fault Logic A3	 	01-3906-02	 	1	 	1	 	1
	Counter Interface PCA	 	01-4363-01	 	1	 	1	 	1
	Display Counter LCD	 	2950-00005	 	 	 	 	 	1
	Fuse 2A SloBlo	 	4300-00002	 	 	 	 	 	5
	PS +/-24V	 	4000-00002	 	 	 	1	 	1
	Extender Card	 	1700-00002	 	 	 	1	 	1

71

 

	PART DESCRIPTION

	 	PART

NO.
	 	DISTRIBUTOR

SPARE PARTS

KIT A
	 	DISTRIBUTOR

SPARE PARTS

KIT B
	 	DISTRIBUTOR

SPARE PARTS

KIT C

	Gun Box	 	 	 	 	 	 	 	 
	Grid Drive PCA	 	01-5924-01	 	1	 	1	 	1
	Grid Pulse Amp PCA	 	01-7131-01	 	1	 	1	 	1
	Gun Curr. Sample & Hold PCA	 	01-6170-01	 	1	 	1	 	1
	Gun Heater Xfmr	 	01-1875-01	 	1	 	1	 	1
	Grid Pulse Xfmr	 	01-5074-01	 	1	 	1	 	1
	Grid Bias PS	 	01-5073-01	 	1	 	1	 	1
	Grid Bias PS PCA	 	01-5075-01	 	1	 	1	 	1
	Grid Trigger Network PCA	 	01-6160-01	 	1	 	1	 	1
	PWR SPLY 0-20 KV,0-1mA	 	4000-00003	 	 	 	 	 	1
	Gun Filament PCA	 	01-4131-01	 	1	 	1	 	1
	Grid Amp PCA	 	01-6168-01	 	1	 	1	 	1
	Gun Interlock PCA	 	01-5958-01	 	1	 	1	 	1
	Fuse 3A SloBlo	 	4300-00003	 	 	 	 	 	5
	Rectifier Bridge 800v	 	4750-00008	 	1	 	1	 	1
	Transorb 325v 6500a	 	014949	 	1	 	1	 	1
	Cap, Elect 30uF 450V	 	1500-00112	 	2	 	2	 	2
	Cap, Cer 0.47uF 600V	 	1500-00064	 	2	 	2	 	2
	
Dose Box	
 	

 	
 	

 	
 	

 	
 	

 
	Dose Count PCB	 	01-3910-01	 	1	 	1	 	1
	P.S. Monitor PCA	 	01-7143-01	 	1	 	1	 	1
	Dose Bias PS Assy	 	01-5767-01	 	1	 	1	 	1
	Fuse 1A SloBlo	 	4300-00015	 	 	 	 	 	10
	
Magnetron Box	
 	

 	
 	

 	
 	

 	
 	

 
	Mag Fil Curr Mon PCA	 	01-4199-01	 	1	 	1	 	1
	Mag Htr Xfmr 10V 20A	 	01-1849-01	 	1	 	1	 	1
	
Junction Box	
 	

 	
 	

 	
 	

 	
 	

 
	Water Flow Switch (display type)	 	5100-00020	 	1	 	1	 	1
	SF6 Fitting	 	1000-00130	 	1	 	1	 	2
	
IFCC	
 	

 	
 	

 	
 	

 	
 	

 
	Dose Stif Board	 	010615	 	1	 	1	 	1
	Transition Module	 	010817	 	 	 	 	 	1
	
Heat Exchanger	
 	

 	
 	

 	
 	

 	
 	

 
	Filter-Affinity 5"	 	019405	 	5	 	5	 	5
	Screen Strainer	 	019406	 	5	 	5	 	5

72

 

	PART DESCRIPTION

	 	PART

NO.
	 	DISTRIBUTOR

SPARE PARTS

KIT A
	 	DISTRIBUTOR

SPARE PARTS

KIT B
	 	DISTRIBUTOR

SPARE PARTS

KIT C

	TLS	 	 	 	 	 	 	 	 
	Power Supply 20c Detector	 	016940	 	1	 	1	 	2
	Frame Grabber PCA—Squirel	 	019324	 	1	 	1	 	2
	Silicon Grease	 	021734	 	 	 	 	 	2
	Wavy Washers	 	021330	 	4	 	4	 	12
	Rubber Washers	 	021735	 	4	 	4	 	12
	IsoPost Assembly	 	018901	 	 	 	 	 	1
	Isopost PCA	 	013418	 	 	 	 	 	1
	TLS PC	 	020083	 	 	 	 	 	1
	Video Card	 	019419	 	—	 	1	 	1
	TLSCC	 	018283	 	 	 	 	 	1
	X-ray Source Assy-60'cable	 	021242	 	 	 	1	 	1
	HT Tank	 	016667	 	—	 	1	 	1
	Generator Console	 	016669	 	 	 	1	 	1
	HT Controller Board	 	020547	 	 	 	 	 	1
	LF-RAC PCA	 	020548	 	 	 	 	 	1
	
Couch	
 	

 	
 	

 	
 	

 	
 	

 
	Electronics Tray	 	021923	 	 	 	 	 	1
	Axum Pendant	 	020656	 	1	 	1	 	2
	Pendant—non AXUM	 	020501	 	1	 	 	 	 
	AXUM Display	 	020657	 	 	 	1	 	1
	Pendant Holder	 	020957	 	 	 	 	 	1
	Encoder 40"	 	021924	 	1	 	1	 	1
	Limit Switch	 	021927	 	1	 	1	 	1
	Serial Connection Board	 	021921	 	—	 	1	 	1
	
Robot	
 	

 	
 	

 	
 	

 	
 	

 
	Kuka Cable Support (Tennis Raquet)	 	021127	 	 	 	 	 	1
	KUKA PC	 	021215	 	 	 	 	 	1
	KUKA PC CDROM	 	021732	 	 	 	 	 	1
	KUKA PC HDD	 	021733	 	1	 	1	 	1
	RDW Board	 	021729	 	 	 	1	 	1
	DSE Board	 	021730	 	 	 	1	 	1
	MFC2 Board	 	021731	 	 	 	1	 	1
	Battery	 	021619	 	2	 	2	 	4
	Fuse Kit	 	021620	 	 	 	 	 	2
	
SGI	
 	

 	
 	

 	
 	

 	
 	

 
	Tape Drive 4mm 20GB	 	017681	 	1	 	1	 	1
	Hard Drive 73GB	 	020534	 	 	 	1	 	1
	Front Panel LED	 	021737	 	1	 	1	 	1

73

 

	PART DESCRIPTION

	 	PART

NO.
	 	DISTRIBUTOR

SPARE PARTS

KIT A
	 	DISTRIBUTOR

SPARE PARTS

KIT B
	 	DISTRIBUTOR

SPARE PARTS

KIT C

	ESCC	 	 	 	 	 	 	 	 
	ESCC Assy—AXUM	 	020575	 	 	 	 	 	1
	Fuse 1A 3AG Fast Acting	 	014125	 	 	 	 	 	10
	Fuse .25A 3AG Fast Acting	 	014124	 	 	 	 	 	10
	Main Board PCA—AXUM	 	020477	 	1	 	1	 	1
	ESCC/ISCC Interface	 	013510	 	1	 	1	 	1
	Adapter Board	 	016122	 	1	 	1	 	1
	Power Supply	 	018361	 	 	 	 	 	1
	
Synchrony	
 	

 	
 	

 	
 	

 	
 	

 
	Break out Box	 	020885	 	 	 	 	 	1
	Synchrony PC	 	020082	 	 	 	 	 	1
	
Power Distribution Unit (PDU)	
 	

 	
 	

 	
 	

 	
 	

 
	LED Bulb, 120V, Amber	 	013580	 	 	 	 	 	5
	Bulb, 60V, Incand, Clr	 	018540	 	 	 	 	 	5
	
Operator Console	
 	

 	
 	

 	
 	

 	
 	

 
	Operator Console	 	019183	 	 	 	 	 	1
	Bulb, 24V, Incand, Clr t31/4	 	013590	 	 	 	 	 	10
	LED Bulb, 24V, White	 	019196	 	 	 	 	 	2
	
Cables	
 	

 	
 	

 	
 	

 	
 	

 
	Gun HV Cable Assy	 	018370	 	1	 	1	 	1
	Dose Cable	 	020015	 	1	 	1	 	1
	
CyRIS	
 	

 	
 	

 	
 	

 	
 	

 
	 	 	TBD	 	 	 	 	 	 
	
Miscellaneous	
 	

 	
 	

 	
 	

 	
 	

 
	Contact Block 2NO	 	013585	 	 	 	2	 	2
	Keyswitch	 	010862	 	 	 	1	 	1
	Pushbutton	 	013571	 	 	 	1	 	1
	 	 	
	 	
	 	
	 	

	Total Kit Prices:	 	TBD	 	TBD	 	TBD
	 	 	
	 	
	 	
	 	

74

QuickLinks

ACCURAY INCORPORATED INTERNATIONAL DISTRIBUTOR AGREEMENT

SIGNATURE PAGE FOLLOWS

SIGNATURE PAGE TO INTERNATIONAL DISTRIBUTOR AGREEMENT

EXHIBIT A PRODUCTS AND SERVICES (INCLUDING CURRENT PRICING) BASE CYBERKNIFE® G4 CONFIGURATION—DISTRIBUTOR PRICING

BASE CYBERKNIFE® G3 CONFIGURATION—DISTRIBUTOR PRICING

EXHIBIT B PRODUCT AND SERVICE MINIMUM VOLUMES

EXHIBIT C TRAINING

EXHIBIT D ACCURAY INTERNATIONAL SERVICE AGREEMENTS TERMS SUMMARY ±

SAMPLE SERVICE AGREEMENTS

CYBERKNIFE® INTERNATIONAL DIAMOND ELITE SERVICE AGREEMENT

SIGNATURE PAGE FOLLOWS

CYBERKNIFE® INTERNATIONAL RUBY ELITE SERVICE AGREEMENT

CYBERKNIFE® INTERNATIONAL EMERALD ELITE SERVICE AGREEMENT

CYBERKNIFE® INTERNATIONAL EXTENDED PARTS WARRANTY AGREEMENT

ACCURAY CYBERKNIFE® ADDITIONAL DIAMOND UPGRADE AGREEMENT

EXHIBIT E NOTE: CHECK CORRECT PAGE NUMBER. DISPUTE RESOLUTION

EXHIBIT F PARTS LIST AND PRICES

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00113-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00113-of-00352.parquet"}]]