Document:

Exhibit
10.52

 

	
  

  	
  

  	
  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

INDEPENDENT CONTRACTOR AGREEMENT

This Independent
Contractor Agreement (“Agreement”) is made effective as of
April 1, 2007  by and between
Accuray Inc., a California corporation (the “Company”), and John Adler, M.D.  (“Contractor” and, together with the Company, the “Parties”).  The Company desires to retain Contractor as
an independent contractor to perform certain services for the Company and
Contractor is willing to perform such services, on terms set forth more fully
below.  In consideration of the mutual
promises contained herein, the Parties agree as follows:

1.                                      Services.

During the term of this
agreement, Contractor will provide services (the “Services”) to the
Company as described on Exhibit A attached to this Agreement.  Contractor shall use his best efforts to
perform the Services to the satisfaction of the Company and by the completion
dates specified by the Company.  Contractor
shall not perform any Services for the Company other than as specifically
authorized in Exhibit A.

2.                                      Independent
Contractor Status.

It
is the Parties’ intent that Contractor at all times, and with respect to all
Services covered by this Agreement function as and remain an independent
contractor, and not an employee or officer of the Company, and neither Party
shall represent to third parties that Contractor is an employee or officer of
the Company.

(a)                                  Contractor
shall be responsible for the payment of all taxes on amounts received from the
Company for the Services.  The
Company will regularly report amounts paid to Contractor by filing Form
1099-MISC with the Internal Revenue service, as required by law. No part of
Contractor’s fees will be subject to withholding by the Company for payment of
any social security, federal, state or other employee payroll taxes. Contractor
agrees to indemnify and hold the Company harmless from any liability for, or
assessment of, any such taxes imposed on the Company by relevant taxing
authorities.

(b)                                 Contractor
shall retain the right to perform services for others during the term of this
Agreement.

(c)                                  Contractor
will determine the method, details, and means of performing the Services.  The Company shall have no right to, and shall
not control, the manner or determine the 

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

 

	
  

  	
   

  	
  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

method of accomplishment
of the Services, though it may define the Services to be performed.  Such Services may be amended, from
time-to-time, by the Parties by written agreement, signed by the Contractor and
the Company.

(d)                                 Contractor
may, at Contractor’s own expense, employ such assistants as the Contractor may
deem necessary to perform the Services. 
The Company shall not control, direct or supervise the work of
Contractor’s assistants or employees in the performance of Services.  The Contractor assumes full and sole
responsibility for the quality of Services provided by the Contractor’s
assistants or employees, for the payment of all compensation and expenses of
these assistants and employees, for state and federal income taxes and other
applicable payroll taxes and withholding that may be required with respect to
such assistants or employees,  and for
the provision of all benefits and insurance, including without limitation,
Worker’s Compensation Insurance, to such assistants or employees.  Contractor shall furnish the Company with
proof of Worker’s Compensation Insurance coverage for all persons who provide
Services pursuant to this Agreement.

(e)                                  Contractor
shall be responsible for all expenses incurred in the execution of Contractor’s
responsibilities pursuant to this Agreement, including, without limitation, all
travel (including airfare and lodging), entertainment and dining expenses.  No fines, taxes, bonds or fees imposed
against Contractor, or costs of Contractor doing business, shall be
reimbursable by the Company.

(f)                                    Contractor
shall not be eligible to participate in any fringe benefit program or any
benefit plan of the Company.

(g)                                 Contractor
will have no authority to enter into contracts that bind the Company or to create
obligations on the part of the Company without the prior written authorization
of the Company.

(h)                                 Contractor
shall receive no office or administrative support from Company.

3.                                      Fees.

As consideration for the
Services to be provided by Contractor, the Company will compensate Contractor
as described in Exhibit B to this Agreement.  Company will pay Contractor Contractor’s
annual compensation in quarterly installments of $37,275, such quarterly
installments to be paid in advance of each quarter beginning on the date on
which this Agreement is signed by both Parties and thereafter on the first
business day of each quarter. 
Compensation for Contractor’s 

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

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  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

Services shall be
conditioned on the actual performance by Contractor of Services and the Company’s
receipt and approval of accurate and detailed quarterly invoices, including
records of time spent and Services performed, from Contractor in the form
attached hereto as Exhibit D.  Contractor
shall submit such quarterly invoices for all Services performed by Contractor
during the applicable quarter two (2) weeks prior to the end of such quarter
(for example, for the first quarterly period of this Agreement, January 1, 2007
to March 31, 2007, Contractor’s first quarterly invoice will be due to
Company no later than March 17, 2007). 
If for any quarter, Contractor has not provided the level of Services
required to earn the full quarterly installment for such quarter, then the
quarterly installment for Contractor for the following quarter will be reduced
in an amount equal to the amount that Contractor was overcompensated for the
preceding quarter.  If at the end of the
term of this Agreement, Contractor has never performed certain services, and
Contractor’s failure to perform such services has not been offset against any
subsequent quarter’s installment, then Contractor will reimburse Company the
corresponding amount for the services not performed within thirty (30) calendar
days.  The Parties acknowledge that
payment for the Services provided hereunder is consistent with the fair market
value of such Services and is not conditioned in any way on the volume or value
of any business (i) between the Company and any other party, or (ii) resulting,
directly or indirectly, from any of Contractor’s activities hereunder.

4.                                      Confidentiality.

(a)                                  Confidential Information.  “Confidential Information” means Company
proprietary information, 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, Company financials or
other business information disclosed by the Company either directly or
indirectly in writing, orally, or by drawings or inspection of parts or
equipment.  Confidential Information also
includes any other information designated by the Company as such upon its
disclosure to the Contractor.

(b)                                 Disclosure.  Contractor will not, during or subsequent to
the term of this Agreement, use the Company’s Confidential Information for any
purpose whatsoever other than the performance of the Services on behalf of the
Company.  Contractor will not disclose
the Company’s Confi­dential Information to any third party, and understands
that said Confidential Information shall remain the sole property of the
Company.  Contractor 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 Contractor, if any, with access to any Confidential

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

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  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

Information, execute a nondisclosure
agreement containing provisions in the Company’s favor substantially similar to
Sections 4, 5 and 6 of this Agreement. 
Confidential Information does not include information which, upon
disclosure to Contractor is part of the public domain; can be established by
written evidence to have been in the possession of Contractor at the time of
disclosure; is received by Contractor 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 Contractor.  If Contractor is required to disclose
Confidential Information by lawfully issued subpoena or by an authorized order
of a government agency, Contractor will immediately so inform the Company, and
will use best efforts to minimize the disclosure of such Confidential Information
and will consult with and assist the Company in seeking a protective order
prior to such disclosure.

(c)                                  Indemnity.  Contractor agrees that Contractor will not,
during the term of this Agreement, improperly use or disclose to the Company or
any of its employees any propri­etary information or trade secrets of any
former or current employer or other person or entity with which Contractor has
an agreement, or to which Contractor has a duty, to keep in confidence
information acquired by Contractor, and that Contractor will not bring onto the
premises of the Company any unpublished document, proprietary information, or
trade secret belonging to such employer, person or entity unless consented to
in writing by such employer, person or entity. 
Contractor will indemnify the Company 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 Services provided by Contractor under this Agreement.

(d)                                 Third Parties.  Contractor recognizes that the Company has
received and in the future will receive from third parties their confiden­tial
or proprietary information or trade secrets subject to a duty on the Company’s
part to maintain the confidentiality of such information and to use it only for
certain limited purposes.  Contractor
agrees that Contractor owes the Company and such third parties, during the term
of this Agreement and thereafter, a duty to hold all such confidential or
proprietary information or trade secrets in the strictest confidence and not to
disclose it to any person, firm or corporation or to use it except as necessary
in carrying out the Services for the Company consistent with the Company’s
agreement with such third party.

(e)                                  Return of Confidential Information.  Upon the termination of this Agreement, or
upon the Company’s earlier request, Contractor will deliver to the Company all
of the Company’s property and all Confidential Information in tangible form
that Contractor may have in Contractor’s possession or control.

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

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  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

5.                                      Ownership.

(a)                                  Inventions.  Contractor agrees that all copyrightable
material, notes, records, drawings, designs, inventions, improvements,
developments, discoveries and trade secrets (collectively, “Inventions”)
conceived, made or discovered by Contractor, solely or in collaboration with
others, during the period of this Agreement which relate in any manner to the
business of the Company that Contractor may be directed to undertake,
investigate or experiment with, or which Contractor may become associated with
as a result of work, investigation or experimentation in the line of business
of Company in performing the Sales and Marketing Services hereunder, are the
sole property of the Company.  Contractor
further agrees to assign (or cause to be assigned) and does hereby assign fully
to the Company all such Inventions and any copyrights, patents, mask work
rights or other intellectual property rights relating thereto.

(b)                                 Assistance.  Contractor agrees to assist Company, or its
designee, at the Company’s expense, in every proper way to secure the Company’s
rights in the Inventions and any copyrights, patents, mask work rights or other
intellectual property rights relating thereto in any and all countries,
including the disclosure to the Company of all pertinent information and data
with respect thereto, the execution of all applications, specifications, oaths,
assign­ments and all other instruments which the Company shall deem necessary
in order to apply for and obtain such rights and in order to assign and convey
to the Company, its successors, assigns and nominees the sole and exclusive
rights, title and interest in and to such Inventions, and any copyrights,
patents, mask work rights or other intellectual property rights relating
thereto.  Contractor further agrees that
Contractor’s obligation to execute or cause to be executed, when it is in
Contractor’s power to do so, any such instrument or papers shall continue after
the termination of this Agreement.

(c)                                  Deleted.

(d)                                 Agent. 
Contractor agrees that if the Company is unable because of Contractor’s
unavailability for any reason to secure Contractor’s signature to apply for or
to pursue any application for any United States or foreign patents or mask work
or copyright registrations covering the Inventions assigned to the Company
above, then Contractor hereby irrevocably designates and appoints the Company
and its duly authorized officers and agents as Contractor’s

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

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  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

agent and attorney-in-fact, to act for and in
Contractor’s behalf and stead to execute and file any such applica­tions and to
do all other lawfully permitted acts to further the prosecution and issuance of
patents, copyright and mask work registrations thereon with the same legal
force and effect as if executed by Contractor.

6.                                      Originality
and Noninfringement.

Contractor represents and
warrants that all materials and Services provided hereunder will be original
with Contractor and that the use thereof by the Company or its customers,
representa­tives, distributors or dealers will not infringe any patent,
copyright, trade secret or other intellectual property right of any third
party.  Contractor agrees to indemnify
and hold the Company harmless against any liability, loss, cost, damage,
claims, demands or expenses (including reasonable attorneys’ fees) of the
Company or its customers, representatives, distributors or dealers arising out
of any infringement or claim of infringement with respect to any materials or
Services provided by Contractor.

7.                                       Reports.

Contractor
agrees that Contractor will, from time-to-time during the term of this
Agreement, keep the Company informed as to Contractor’s progress in performing
the Services hereunder and that Contractor will, as requested by the Company,
prepare written reports with respect thereto. 
The Parties understand that the time required in the preparation of such
written reports shall be considered time devoted to the performance of Contractor’s
Services.

8.                                      Conflicting
Obligations.

(a)                                  Performance.  Contractor acknowledges that Contractor will
be available to perform the Services in a timely and responsible manner, except
for the occasional circumstance in which a pre-existing clinical responsibility
on the part of Contractor may conflict with a new commitment requested by the
Company, subject to the requirements of the schedule of Services arranged by
Company and Contractor pursuant to Section 1 of Exhibit A
hereto.  Failure to perform in a timely
and responsible manner shall be a breach of this Agreement.

(b)                                 No Conflicts.  Contractor represents and warrants that
Contractor has no outstanding agreement or obligation that is in conflict with
any provision of this Agreement, or that would preclude Contractor from
complying with the provisions hereof, except as disclosed in

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

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  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

Exhibit C
hereto.  Contractor further represents
and warrants that Contractor will not enter into any such conflicting Agreement
during the term of this Agreement.

9.                                      Term and Termination.

(a)                                  Commencement.  This Agreement will commence on the date
first above written and will continue for a period of one year (the “Initial
Term”).  Unless 30 days’ written notice
of termination is given by either Party prior to the expiration of the Initial
Term, or any subsequent Term, this Agreement shall renew for successive
one-year periods.

 (b)                              Termination.  This Agreement may be terminated as follows:

(i)  Either Party may terminate this Agreement
with 30 days’ prior written notice to the other.  Any such notice shall be addressed to such
Party at the address shown below or such other address as such Party shall
provide to the other, and shall be deemed given upon delivery if personally
delivered, on the next business day if sent via overnight courier, or three
days after deposit in the United States mail, postage prepaid, registered or
certified mail, return receipt requested.

(ii)  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 10 days after one Party notifies the
other of such fact.  For purposes of this
Section 9(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
the Company, 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 participation in
executing this Agreement or performing their respective obligations under this
Agreement.

(iii)  If this Agreement is terminated for any
reason within one-year of the date first above written, the Parties shall not
enter into the same or substantially the same arrangement

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

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  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

contemplated by this
Agreement during the period which is one-year following the date first above
written.

(c)                                  Survival.  Upon such termination, all rights and duties
of the Parties toward each other shall cease except:

(i)                                     that
the Company shall be obliged to pay, within 30 days of receipt of the
Contractor’s invoice, all amounts owing to Contractor for unpaid Services
through the termination date; and

(ii)                                  Sections 4,
5, 6, 9 and 11 shall survive termination of this Agreement.

10.                               Assignment.

Neither this Agreement
nor any right hereunder or interest herein may be assigned or transferred by
the Company or the Contractor without the written consent of the other.

11.                               Arbitration
and Equitable Relief.

(a)                                  Arbitration.  Except as provided in Section 11(b)
below, the Company and Contractor 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 arbitrator may grant injunctions or other relief in such dispute or
controversy.  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, the Company and Contractor shall
each pay one-half of the costs and expenses of such arbitra­tion.

(b)                                 Equitable Relief.  Contractor agrees that it would be impossible
or inadequate to measure and calculate the Company’s damages from any breach of
the covenants set forth in Section 4 or 5 herein.  Accordingly, Contractor agrees that if
Contractor breaches Sections 4 or 5, the Company 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.  Contractor further agrees that no bond or
other

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

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  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

security shall be required in obtaining such
equitable relief and Contractor hereby consents to the issuances of such
injunction and to the ordering of such specific performance.

12.                               Miscellaneous.

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

(b)                                 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.

(c)                                  Notices.  Any notice required or permitted by this
Agreement shall be in writing and shall be deemed sufficient upon receipt, when
delivered personally or by courier or overnight delivery service, or three days
after being deposited in the regular United States mail as certified or
registered mail (airmail if sent internationally) with postage prepaid, if such
notice is addressed to the party to be notified at such party’s address or
facsimile number as set forth below, or as subsequently modified by written
notice.

(d)                                 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.

(e)                                  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 11, 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.

(f)                                    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.

(g)                                 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.

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

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  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

(h)                                 Advice of Counsel.  EACH PARTY ACKNOWLEDGES THAT, IN EXECUTING
THIS AGREEMENT, SUCH PARTY HAS HAD THE OPPORTUNITY TO SEEK THE ADVICE OF
INDEPENDENT LEGAL COUNSEL, AND HAS READ AND UNDERSTOOD ALL OF THE TERMS AND
PROVISIONS OF THIS AGREEMENT.  THIS
AGREEMENT SHALL NOT BE CONSTRUED AGAINST ANY PARTY BY REASON OF THE DRAFTING OR
PREPARATION HEREOF.

(i)                                     Compliance with Laws.  The Parties agree to abide by the Company’s
compliance policies and all federal, state or local laws, regulations,
ordinances or other legal requirements in connection with the performance of
the Services hereunder.  In addition, at
all times during this Agreement, Contractor 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 hereunder and will verify all such licenses, permits and
authorizations are in place before performing any Services under this
Agreement.  Consultant shall not perform
any Services under this Agreement for which he does not hold all necessary
licenses, permits and authorizations and will hold the Company harmless in all
respects for any claims or actions resulting from Contractor’s violation of
this provision.

[SIGNATURE PAGE FOLLOWS]

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

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  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

IN WITNESS WHEREOF, the
Parties hereto have executed this Agreement as of the day and year first
written above.

	
  JOHN ADLER, M.D.

  	
   

  	
  ACCURAY, INC.

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	 

	
  Signature:

  	
  /s/  John
  Adler

  	
   

  	
  Signature:

  	
  /s/  Wade
  Hampton 

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
  Name:

  	
  John Adler, M.D.

  	
   

  	
   

  	
  Name:

  	
  Wade Hampton

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
  Title:

  	
  Contractor

  	
   

  	
  Title:

  	
  SVP, Worldwide Sales

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
  Address:

  	
    894 Tolman Drive

  	
   

  	
  Address:

  	
  1310 Chesapeake
  Terrace

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
  Stanford, CA 

  	
   

  	
   

  	
  Sunnyvale, CA
  94089

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Telephone:

  	
  (650) 852-9626

  	
   

  	
  Telephone:

  	
   

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	 

	
  Date: 

  	
  March 27, 2007

  	
   

  	
  Date: 

  	
  3/28/07

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
   

  	
   

  	
   

  	
  Signature:

  	
  /s/ Darren Milliken

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
   

  	
   

  	
  Name:

  	
  Darren Milliken

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
   

  	
   

  	
  Title:

  	
  General Counsel

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
   

  	
   

  	
  Address:

  	
  1310 Chesapeake
  Terrace

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
   

  	
   

  	
   

  	
  Sunnyvale, CA
  94089

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
   

  	
   

  	
  Telephone:

  	
  408-716-4648

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	 

	
   

  	
   

  	
  Date:

  	
  3/27/07

  	
   

  	 

																											

 

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

 11
 

 

	
  

  	
   

  	
  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

EXHIBIT A

SERVICES

1.                                       Description of Services. 
Contractor will be present at and participate in VIP visits arranged by
Company at Stanford University Medical Center (“SUMC”).  In addition, Contractor will travel to and
participate in both domestic and international sales visits as requested by
Company.  Finally, Contractor will travel
to and participate in certain domestic tradeshows or symposiums which Company
requests that Contractor attend.  As soon
as practicable following the execution of this Agreement, Contractor and the
Company shall meet to schedule the specific Services to be performed during the
first calendar quarter that this Agreement is in effect.  Thereafter, Contractor and the Company shall
meet at least thirty (30) days in advance of the end of each calendar quarter
to schedule the Services to be performed during the subsequent calendar
quarter.

2.                                       VIP Visits. 
Contractor’s duties and deliverables in connection with Contractor’s
participation in Company’s VIP visits to SUMC (up to two (2) visits per month
with a maximum of 7 visits per year) will include:

2.1.                              Case
Observation:  Contractor will
participate in the observation of a case being treated in the CyberKnife Suite
at SUMC.

2.2.                              Question
and Answer Sessions:  Contractor will
participate in a thirty (30) minute question “Question and Answer” session
following the observation in the CyberKnife suite for each VIP visit.

2.3.                              Lunches/Dinners:  Contractor will attend a lunch or dinner
meeting, as applicable, following the VIP visit.

3.                                       Sales Visits/Tradeshows/Symposiums.  Contractor’s duties and deliverables in
connection with Contractor’s travel to and participation in sales visits and
tradeshows will include:

3.1.                              Domestic
Sales Visits/Tradeshows/Symposiums: 
Contractor will travel to and attend domestic sales visits, tradeshows,
and symposiums as requested by Company, up to four (4) trips per year, with two
(2) trips lasting two (2) days and two (2) trips lasting one (1) day.

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

 12
 

 

	
  

  	
   

  	
  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

3.2.                             Mexican
and Canadian Sales Visits:  One (1)
trip per year to Canada or Mexico lasting for two (2) full days with customer.

3.3.                             Europe
and Emerging Market Sales Visits: 
Contractor will travel to and attend sales visits in Europe and other
international emerging markets (for example, Canada, Mexico, Asia, and Latin
America, or other miscellaneous emerging markets) as requested by Company.  At Company’s option, these sales visits shall
consist of:

3.3.1.                    Two (2) trips
per year to Europe:

3.3.1.1.                                    One
trip lasting for four (4) days (two (2) full days with customer, the remaining
days as travel);

3.3.1.2.                                    One
trip lasting five (5) days (three (3) full days with customer, the remaining
days as travel).

3.3.2.                    Two (2) trips
per year to Asia lasting five (5) days (three (3) full days with customer, the
remaining days as travel).

3.3.3.                    One (1) trip
per year to Latin America lasting five (5) days (three (3) full days with
customer, the remaining days as travel).

3.4.                              Notice:
To the extent possible, Company shall use commercially reasonable efforts to
provide Contractor with at least three (3) weeks prior notice of any travel
required in connection with sales visits and attendance at trade shows and
symposiums.

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

 13
 

 

	
  

  	
   

  	
  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

EXHIBIT B

COMPENSATION

1.                                       Compensation.  Contractor shall be compensated for Services
performed according to this Agreement as follows:

1.1.                              Compensation
for VIP Visits:

	
  1.1.1.

  	
  Case Observation:

  	
  $500 per observation

  
	
   

  	
   

  	
   

  
	
  1.1.2.

  	
  Q & A Session:

  	
  $500 per Q&A session

  
	
   

  	
   

  	
   

  
	
  1.1.3.

  	
  Lunch or Dinner:

  	
  $500 per Lunch or Dinner

  
	
   

  	
   

  	
   

  
	
  1.1.4.

  	
  Maximum Compensation:

  	
  $1,500

  
	
   

  	
   

  	
   

  
	
  1.1.5.

  	
  Maximum Annual Compensation:

  	
  $10,500 per year

  
	
   

  	
   

  	
   

  
	
  1.1.6.

  	
  Maximum annual compensation for VIP Visits is based
  on seven (7) VIP visits per year with participation in case observation,
  Q&A Session and Lunch or Dinner at each VIP Visit.

  

 

1.2.          Compensation for Attending Domestic
Sales/Tradeshow/Symposium Visits:

 

	
  1.2.1.

  	
  One day Domestic Sales Visit/Tradeshow:

  	
  $4,300 per visit

  
	
   

  	
   

  	
   

  
	
  1.2.2.

  	
  Two day Domestic Sales Visit/Tradeshow:

  	
  $7,600 per visit

  
	
   

  	
   

  	
   

  
	
  1.2.3.

  	
  Maximum Annual Compensation:

  	
  $23,800 per year

  
	
   

  	
   

  	
   

  
	
  1.2.4.

  	
  Maximum annual compensation for domestic sales
  visits, tradeshows, and symposiums is based on the maximum of two (2) one-day
  visits and two (2) two-day visits per year, such visits to be selected by the
  company.

  

 

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

 14
 

 

	
  

  	
   

  	
  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

1.3.                              Compensation
for Mexico and Canada Visits:

	
  1.3.1.

  	
  Two-day Sales Visit:

  	
  $8,600 per visit

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
  1.3.2.

  	
  Maximum Annual Compensation:

  	
  $8,600 per year

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
  1.3.3.

  	
  Maximum annual compensation for Mexican or Canadian
  visits is based on the maximum of one (1) two-day visit, such visit to be
  selected by the company.

  

 

1.4.                              Compensation
for Attending Europe and Emerging Market Sales Visits:

	
  1.4.1.

  	
  Four-day Sales Visit:

  	
  $18,600 per visit

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
  1.4.2.

  	
  Five-day Sales Visit:

  	
  $21,900 per visit

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
  1.4.3.

  	
  Maximum Annual Compensation:

  	
  $106,200 per year

  	
   

  
	
   

  	
   

  	
   

  	
   

  
	
  1.4.4.

  	
  Maximum annual compensation for Europe and Emerging
  Markets Sales Visits is based on the maximum of one (1) trip lasting for four
  (4) days to Europe, one trip lasting five (5) days to Europe, two (2) trips
  lasting five (5) days to Asia, one (1) trip lasting five (5) days to Latin
  America, as set forth in §3.3 of Exhibit A.

  

 

1.5.                              Total
Compensation/Payment.  As indicated
above, Contractor’s maximum possible annual compensation from Company under
this Agreement is $149,100 to be paid quarterly in advance, in four (4) equal
installments of $37,275 per quarter beginning on the day that this Agreement is
signed by both Parties and thereafter on the first business day of each quarter.  Should Contractor not perform certain of the
above objectives, then future quarterly payments to Contractor may be offset by
the corresponding amount of the Services not performed.  If at the end of the term of this Agreement,
certain Services were not performed, and Contractor’s failure to perform such
services has not been offset against any subsequent quarter’s installment, then
Contractor shall reimburse Company for the corresponding amount of the services
not performed within thirty (30) calendar days.

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

 15
 

 

	
  

  	
   

  	
  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

EXHIBIT C

LIST OF POTENTIAL CONFLICTS

[None — Left Blank]

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

 16
 

 

	
  

  	
   

  	
  Initials: 

  	
  Contractor 

  	
   

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

EXHIBIT D

CONTRACTOR TIME RECORD

Contractor:  ___________________________

 

	
  Date

  	
   

  	
  Description of Services Performed

  	
   

  	
  Locations of Services Performed

  	
   

  	
  Number of

  Days/Visits

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  

 

This record is a complete and accurate description
of the Services I
performed and the time spent in connection therewith on behalf of Accuray, Inc. on the dates specified above.

	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
  Contractor

  	
   

  	
  Date

  	
   

  

 

	
  INDEPENDENT CONTRACTOR AGREEMENT

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D. – 3.22.07

  	
   

  

 

 17

	
  

  	
   

  	
  Initials: 

  	
  Contractor 

  	
  /s/ J.A.

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

AMENDMENT ONE TO INDEPENDENT CONTRACTOR AGREEMENT

This Amendment One (“Amendment”)
to the Independent Contractor Agreement (“Agreement”) by and between Accuray
Incorporated (“Accuray”),
a Delaware Corporation with offices located 1310 Chesapeake Terrace, Sunnyvale,
Ca 94089 and John Adler, M.D.  (“Contractor”) is made
effective as of April 10, 2007 (“Effective Date”).

In consideration for the
mutual promises contained in this Amendment, the parties want to amend the
Agreement on the terms and conditions set forth herein.

1.                                       The Agreement, Section 2 of Exhibit B on page
12, which read as follows:

2.               VIP Visits. 
Contractor’s duties and deliverables in connection with Contractor’s participation
in Company’s VIP visits to SUMC (up to two (2) visits per month with a maximum
of 7 visits per year) will include:

2.1         Case
Observation:  Contractor will
participate in the observation of a case    being     treated in the CyberKnife Suite at SUMC.

2.2         Question
and Answer Sessions:  Contractor will
participate in a thirty (30) minute question “Question and Answer” session
following the observation in the CyberKnife suite for each VIP visit.

2.3         Lunches/Dinners:  Contractor will attend a lunch or dinner
meeting, as applicable, following the VIP visit.

shall be replaced with the following:

2.               VIP Visits. 
Contractor’s duties and deliverables in connection with Contractor’s participation
in Company’s VIP visits at Accuray (up to two (2) visits per month with a
maximum of 7 visits per year) will include:

2.1         Question
and Answer Sessions:  Contractor will
participate in a thirty (30) minute question “Question and Answer” session
during the VIP visit at Accuray.

2.2         Lunches/Dinners:  Contractor will attend a lunch or dinner
meeting, as applicable, following the VIP visit.

2.               A new Section 1.3.4
shall be added to Exhibit B to the Agreement (for Services performed by
Contractor pursuant to the Agreement), which reads as follows:

1.3.4                        Notwithstanding the forgoing, in the event
Accuray requests that Contractor travel to and attend an Mexican or Canadian
sales visit, tradeshow, or symposium without at least 30 days prior notice,
then Accuray shall pay contractor an additional $1,000 in addition to the
applicable compensation set forth in this Section.

3.               A new Section 1.4.5
shall be added to Exhibit B to the Agreement (for Services performed by
Contractor pursuant to the Agreement), which reads as follows:

1.4.5                        Notwithstanding the forgoing, in the event
Accuray requests that Contractor travel to and attend a European or Emerging
Market sales visit, tradeshow, or symposium without at least 30 days prior

	
  AMENDMENT ONE TO INDEPENDENT CONTRACTOR AGREEMENT

  	
   

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D.
  – 04.26.07

  	
   

  	
   

  

 

 

	
  

  	
   

  	
  Initials: 

  	
  Contractor 

  	
  /s/ J.A.

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

notice, then Accuray shall pay contractor an additional $1,000 in
addition to the applicable compensation set forth in this Section.

4.               The total annual compensation listed in
Section 3 of the Agreement and Section 1.5 of Exhibit B of the Agreement may
therefore be increased by the amounts provided in Sections 1 and 2 of this
Amendment.

5.               The Agreement, Section 9(b)(i) on page 7,
which read as follows:

Either Party may
terminate this Agreement with 30 days’ prior written notice to the other.  Any such notice shall be addressed to such
Party at the address shown below or such other address as such Party shall
provide to the other, and shall be deemed given upon delivery if personally
delivered, on the next business day if sent via overnight courier, or three
days after deposit in the United States mail, postage prepaid, registered or
certified mail, return receipt requested.

shall be replaced with the following:

Either Party may
terminate this Agreement with 90 days’ prior written notice to the other.  Any such notice shall be addressed to such
Party at the address shown below or such other address as such Party shall
provide to the other, and shall be deemed given upon delivery if personally
delivered, on the next business day if sent via overnight courier, or three
days after deposit in the United States mail, postage prepaid, registered or
certified mail, return receipt requested.

6.               All provisions of the Agreement, except as
expressly modified by this Amendment, will remain in full force and effect and
are hereby ratified and reaffirmed.  In
the case of direct conflict or conflict by reason of interpretation between any
provision of this Amendment and the Agreement, this Amendment shall control and
supersede the terms of the Agreement.

7.               This Amendment in combination with the
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.

[SIGNATURE PAGE FOLLOWS]

	
  AMENDMENT ONE TO INDEPENDENT CONTRACTOR AGREEMENT

  	
   

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D.
  – 04.26.07

  	
   

  	
   

  

 

 2
 

 

	
  

  	
   

  	
  Initials: 

  	
  Contractor 

  	
  /s/ J.A.

  
	
  Accuray 

  	
  /s/ D.M.

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
   

  

 

IN WITNESS WHEREOF, the
parties have caused this Amendment to be executed as of the Effective Date by
their duly authorized representatives. 
The parties acknowledge and agree that this Amendment does not become
effective until it has been signed by all parties indicated below.

	
  JOHN ADLER, M.D.

  	
   

  	
  ACCURAY INCORPORATED

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	 

	
  Signature:

  	
  /s/  John
  Adler

  	
   

  	
  Signature:

  	
   /s/  Darren Milliken

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
  Name:

  	
  John Adler, M.D.

  	
   

  	
   

  	
  Name:

  	
  Darren Milliken

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
  Title:

  	
  Contractor

  	
   

  	
  Title:

  	
  Associate General Counsel

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	 

	
  Address:

  	
  894 Tolman Drive

  	
   

  	
  Address:

  	
  1310 Chesapeake
  Terrace

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
  Stanford, CA

  	
   

  	
   

  	
  Sunnyvale, CA
  94089

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Telephone:

  	
  (650) 852-9626

  	
   

  	
  Telephone:

  	
   

  	
   

  	 

	
   

  	
   

  	
   

  	
   

  	 

	
  Date: 

  	
  4/27/07

  	
   

  	
  Date: 

  	
  4/30/07

  	
   

  	 

																					

 

	
  AMENDMENT ONE TO INDEPENDENT CONTRACTOR AGREEMENT

  	
   

  	
  ACCURAY
  CONFIDENTIAL

  
	
  John Adler, M.D.
  – 04.26.07

  	
   

  	
   

  

 

 3Exhibit
10.53

May 3, 2007

Mr. Christopher Mitchell

Re:          EMPLOYMENT TERMS

Dear Christopher:

Accuray
Incorporated (the “Company”) is
pleased to offer to continue your employment as Senior Vice President, General
Counsel of the Company on the terms and conditions set forth in this letter,
effective as of April 23, 2007 (the “Effective
Date”).

1.   TERM.  The
employment relationship between you and the Company will be at-will.  You and the Company will have the right to
terminate the employment relationship at any time and for any reason
whatsoever, with or without cause, and without any liability or obligation
except as may be expressly provided herein.

2.   POSITION,
DUTIES AND RESPONSIBILITIES. 
During the period of the employment relationship between you and the
Company (the “Term”), the Company will employ
you, and you agree to be employed by the Company, as Senior Vice President,
General Counsel of the Company.  In the
capacity of Senior Vice President, General Counsel, you will have such duties
and responsibilities as are normally associated with such position and will
devote your full business time and attention serving the Company in such
position.  Your duties may be changed
from time to time by the Company, consistent with your position.  You will dual line report to the Chief
Executive Officer of the Company (the “CEO”) and the
Chief Financial Officer (the “CFO”), and will
work full-time at our principal offices located at 1310 Chesapeake Terrace,
Sunnyvale, California 94089 (or such other location in the greater Sunnyvale
area as the Company may utilize as its principal offices), except for travel to
other locations as may be necessary to fulfill your responsibilities.

3.   BASE
COMPENSATION.  During the
Term, the Company will pay you a base salary of $250,000 per year, less payroll
deductions and all required withholdings, payable in accordance with the
Company’s normal payroll practices and prorated for any partial month of
employment.  Your base salary may be
subject to increase pursuant to the Company’s policies as in effect from time
to time.

4.   ANNUAL
BONUS.  In addition to the
base salary set forth above, during the Term, you will be eligible to
participate in the Company’s executive bonus plan applicable to similarly
situated executives of the Company.  The
amount of your annual bonus will be based on the attainment of performance
criteria established and evaluated by the Company in accordance with the terms
of such bonus plan as in effect from time to time, provided that, subject to
the terms of such bonus plan, your target (but not necessarily maximum) annual
bonus shall be 40% of your base salary actually paid for such year.

5.  STOCK
OPTIONS.  As an added
incentive, we will recommend to the Compensation Committee of the Board of
Directors that you be granted an option (the “Option”) to purchase 90,000
shares of Accuray common stock at a per share exercise price equal to the fair
market value of a share of our common stock on the date of the grant, as
determined in accordance with the Accuray Incorporated 2007 Incentive Award
Plan (the “Incentive Plan”).   The grant
of the Option is subject to and conditioned on approval of the grant and its
terms by the Compensation Committee, and will be made as soon as practicable
following your Start Date.  Subject to
your continued employment, the Option would vest with respect to 25% of the
shares subject thereto on the first anniversary of your Start Date, and with
respect to an additional 1/48th of the shares subject thereto on each monthly
anniversary thereafter, such that the entire Option would be vested on the
fourth anniversary of your Start Date. 
The Option will be subject to the terms and conditions of the Incentive
Plan and a stock option agreement in a form prescribed by Accuray, which you
will be required to sign as a condition to receiving the Option (the “Option
Agreement”).

6. 
RESTRICTED STOCK UNITS. 
We will recommend to the Compensation Committee of the Board of
Directors that you be granted 10,000 restricted stock units (“RSUs”) under the
Accuray 2007 Incentive Award Plan. The grant of the RSUs is subject to and
conditioned on approval of the grant and its terms by the Compensation
Committee, and will be made as soon as practicable following your Start
Date.  Subject to the your continued service
as an Employee through the applicable vesting date, twenty-five percent (25%)
of the RSUs shall vest on the first anniversary of the Grant Date and an
additional twenty-five percent (25%) of the RSUs shall vest on each of the
second, third and fourth anniversaries of the Grant Date.

Payment in respect
of any RSUs that vest in accordance with the grant agreement will be made to
you in whole shares of our common stock as soon as practicable after the
applicable vesting date, but in no event later than 60 days after such vesting
date.  The RSUs will be subject to the
terms and conditions of the Incentive Plan and a restricted stock unit grant
agreement in a form prescribed by Accuray, which you will be required to sign
as a condition to receiving the RSUs (the “RSU Agreement”).

7.  BENEFITS
AND PAID TIME OFF.  During the
Term, you will be eligible to participate in all incentive, savings and
retirement plans, practices, policies and programs maintained or sponsored by
the Company from time to time which are applicable to other similarly situated
executives of the Company, subject to the terms and conditions thereof.  During the Term, you will also be eligible
for standard benefits, such as medical, vision and dental insurance, paid time
off, and holidays to the extent applicable generally to other similarly
situated executives of the Company, subject to the terms and conditions of the
applicable Company plans or policies. 
The benefits described in this Section 5 will be subject to change from
time to time as deemed appropriate and necessary by the Company.

 2
 

8.  TERMINATION OF EMPLOYMENT.

(a)      In the event of a
termination of your employment by the Company without Cause or by you for Good
Reason (each as defined below), then, in addition to any other accrued amounts
payable to you through the date of termination of your employment (including
any earned but unpaid bonus), (1) the Company will no later than the date that
is six (6) months and one (1) day after the date of your termination of
employment, or the last day of such shorter period upon such termination of
employment that is sufficient to avoid the imposition of additional tax under
Section 409A(a)(l)(B) of the Internal Revenue Code of 1986, as amended (the “Code”), or any other taxes or penalties imposed under
Section 409A of the Code, pay you a lump-sum severance payment (the “Severance Payment”) in an amount equal to the sum of (x)
eight (8) months of your annual base salary as in effect on the date of
termination plus (y) a pro rata portion of your target annual bonus for the
fiscal year of the Company in which such termination occurs, calculated based
on the number of days elapsed in such fiscal year through the date of
termination plus (z) 66-2/3% of your target annual bonus for the fiscal year of
the Company in which such termination occurs, and (2) provided that you
properly elect COBRA continuation coverage, the Company will pay the COBRA
premium for health care coverage for you and your spouse and children, as
applicable and to the extent eligible (the “Severance
Benefits”), for the eight (8) month period immediately following the
date of such termination of your employment. Such payments for the Severance
Benefits will begin no later than the date that is six (6) months and one (1)
day after the date of your termination of employment, or the last day of such
shorter period upon such termination of employment that is sufficient to avoid
the imposition of additional tax under Section 409A(a)(l)(B) of the Code or any
other taxes or penalties imposed under Section 409A of the Code (the “Deferred COBRA Payment Date”), and on the Deferred COBRA
Payment Date, the Company will pay you an amount equal to the Severance
Benefits for the period beginning on the date of your termination of employment
and ending on the Deferred COBRA Payment Date.

(b)      If a Change in Control (as
defined in Exhibit A hereto) occurs during the Term and
your employment with the Company is terminated by the Company without Cause or
by you for Good Reason, in each case within the twelve (12) month period
immediately following the effective date of the Change in Control, then, in
addition to the amounts payable to you pursuant to paragraph (a) of this
Section 6, each of your then outstanding stock options and Restricted Stock
Units (“RSUs”) to purchase shares and units of
the Company’s common stock and RSUs shall become fully vested and exercisable
immediately prior to the effective time of the termination of your employment.

(c)      Notwithstanding the
foregoing, your right to receive the payments and benefits set forth in this
Section 6 is conditioned on and subject to your execution and non-revocation of
a general release of claims against the Company and its affiliates, in a form
prescribed by the Company.  In no event
shall you or your estate or beneficiaries be entitled to any of the payments or
benefits set forth in this Section 6 upon any termination of your employment by
reason of your total and permanent disability or your death.

 3
 

(d)      For purposes of this letter:

(A)  “Cause”
shall mean (i) your commission of a felony, (ii) your commission of a crime
involving moral turpitude or your commission of any other act or omission
involving dishonesty, disloyalty, breach of fiduciary duty or fraud with
respect to the Company or any of its subsidiaries or any of their customers or
suppliers, or (iii) your failure to perform the normal and customary duties of
your position with the Company as reasonably directed by the CEO, provided,
that any of the acts or omissions described in the foregoing clauses (i), (ii)
or (iii) are not cured to the Company’s reasonable satisfaction within thirty
(30) days after written notice thereof is given to you; and

(B)  “Good Reason”
shall mean the occurrence of any one or more of the following events without
your prior written consent, unless the Company fully corrects the circumstances
constituting Good Reason within 30 days after notice from you that Good Reason
exists:  (i) a material reduction of your
duties and responsibilities hereunder; (ii) a relocation of your principal
workplace more than 35 miles outside the Company’s Sunnyvale corporate
headquarters; or (iii) the Company’s reduction of your annual base salary or
bonus opportunity, each as in effect on the date hereof or as the same may be
increased from time to time; provided that written notice of your resignation
for Good Reason must be delivered to the Company within 30 days after the date
you first know or should reasonably know of the occurrence of any such event in
order for your resignation with Good Reason to be effective hereunder.

9.  CODE
SECTION 280G.

(a)      In the event it shall be
determined that any payment or distribution to you or for your benefit which is
in the nature of compensation and is contingent on a change in the ownership or
effective control of the Company or the ownership of a substantial portion of
the assets of the Company (within the meaning of Section 280G(b)(2) of the
Code), whether paid or payable pursuant to this letter or otherwise (a “Payment”), would constitute a “parachute
payment” under Section 280G(b)(2) of the Code and would be subject to the
excise tax imposed by Section 4999 of the Code (together with any interest or
penalties imposed with respect to such excise tax, the “Excise Tax”), then the Payments shall be
reduced to the extent necessary so that no portion thereof shall be subject to
the excise tax imposed by Section 4999 of the Code but only if, by reason of
such reduction, the net after-tax benefit received by you shall exceed the net
after-tax benefit received by you if no such reduction was made.  For purposes of this Section 7(a), “net
after-tax benefit” shall mean (i) the Payments which you receive or are then
entitled to receive from the Company that would constitute “parachute payments”
within the meaning of Section 280G of the Code, less (ii) the amount of all
federal, state and local income taxes payable with respect to the Payments
calculated at the maximum marginal income tax rate for each year in which the
Payments shall be paid to you (based on the rate in effect for such year as set
forth in the Code as in effect at the time of the first payment of the
foregoing), less (iii) the amount of Excise Taxes imposed with respect to the
Payments.

(b)      All determinations required
to be made under this Section 7 shall be made by such nationally recognized
accounting firm as may be selected by the Audit Committee of the Board of
Directors of the Company as constituted immediately prior to the change in
control

 4
 

transaction (the “Accounting Firm”), provided, that the Accounting Firm’s determination shall be made
based upon “substantial authority” within the meaning of Section 6662 of the
Code.  The Accounting Firm shall provide
its determination, together with detailed supporting calculations and
documentation, to you and the Company within 15 business days following the
date of termination of your employment, if applicable, or such other time as
requested by you (provided that you reasonably believe that any of the Payments
may be subject to the Excise Tax) or the Company.  All fees and expenses of the Accounting Firm
shall be borne solely by the Company.

10.  RESTRICTIVE
COVENANTS.

(a)           As a condition of your
employment with the Company, you agree that during the Term and thereafter, you
will not directly or indirectly disclose or appropriate to your own use, or the
use of any third party, any trade secret or confidential information concerning
the Company or its subsidiaries or affiliates (collectively, the “Company Group”) or their businesses,
whether or not developed by you, except as it is required in connection with
your services rendered for the Company. 
You further agree that, upon termination of your employment, you will
not receive or remove from the files or offices of the Company Group any
originals or copies of documents or other materials maintained in the ordinary
course of business of the Company Group, and that you will return any such
documents or materials otherwise in your possession.  You further agree that, upon termination of
your employment, you will maintain in strict confidence the projects in which
any member of the Company Group is involved or contemplating.

(b)           You further agree that
during the Term and continuing through
the first anniversary of the date of termination of your employment, you will
not directly or indirectly solicit, induce, or encourage any employee,
consultant, agent, customer, vendor, or other parties doing business with any
member of the Company Group to terminate their employment, agency, or other
relationship with the Company Group or such member or to render services for or
transfer their business from the Company Group or such member and you will not
initiate discussion with any such person for any such purpose or authorize or
knowingly cooperate with the taking of any such actions by any other individual
or entity.

(c)           While employed by the Company, you agree that
you will not engage in any business activity in competition with any member of
the Company Group nor make preparations to do so.

(d)           Upon the termination of your relationship
with the Company, you agree that you will promptly return to the Company, and
will not take with you or use, all items of any nature that belong to the
Company, and all materials (in any form, format, or medium) containing or
relating to the Company’s business.

(e)           In
recognition of the facts that irreparable injury will result to the Company in
the event of a breach by you of your obligations under Sections 8(a), (b), (c)
or (d) above, that monetary damages for such breach would not be readily
calculable, and that the Company would not have an adequate remedy at law
therefore, you acknowledge, consent and

 5
 

agree that in the event
of such breach, or the threat thereof, the Company shall be entitled, in
addition to any other legal remedies and damages available, to specific
performance thereof and to temporary and permanent injunctive relief (without
the necessity of posting a bond) to restrain the violation or threatened
violation of such obligations by you.

11.   COMPANY
RULES AND REGULATIONS.  As an
employee of the Company, you agree to abide by Company policies, procedures,
rules and regulations as set forth in the Company’s Employee Handbook or as
otherwise promulgated.  In addition, as a condition of your
employment, you acknowledge that you and the Company have entered into that
certain Employee Confidentiality and Inventions Agreement dated as of April 23, 2007, and you hereby agree to abide by the terms of
that certain Employee Confidentiality and Inventions Agreement dated as of April 23, 2007, by and between you and
the Company.

12.   WITHHOLDING. 
The Company may withhold from any amounts payable under this letter such
federal, state, local or foreign taxes as shall be required to be withheld
pursuant to any applicable law or regulation.

13.   ARBITRATION.  Except as set forth in Section 8(e) above,
any disagreement, dispute, controversy or claim arising out of or relating to
this letter or the interpretation of this letter or any arrangements relating
to this letter or contemplated in this letter or the breach, termination or
invalidity thereof shall be settled by final and binding arbitration
administered by JAMS/Endispute in Santa Clara County, California in accordance
with the then existing JAMS/Endispute Arbitration Rules and Procedures for
Employment Disputes.  Except as provided
herein, the Federal Arbitration Act shall govern the interpretation,
enforcement and all proceedings.  The
arbitrator shall apply the substantive law (and the law of remedies, if
applicable) of the state of California, or federal law, or both, as applicable,
and the arbitrator is without jurisdiction to apply any different substantive
law.  The arbitrator shall have the
authority to entertain a motion to dismiss and/or a motion for summary judgment
by any party and shall apply the standards governing such motions under the
Federal Rules of Civil Procedure. 
Judgment upon the award may be entered in any court having jurisdiction
thereof.  Each party shall pay his or its
own attorneys’ fees and expenses associated with such arbitration to the extent
permitted by applicable law.

14.   ENTIRE
AGREEMENT.  As of the
Effective Date, this letter constitutes the final, complete and exclusive
agreement between you and the Company with respect to the subject matter hereof
and replaces and supersedes any and all other agreements, offers or promises,
whether oral or written, made to you by any member of the Company Group
(including, without limitation, the Original Employment Letter).

15.  SEVERABILITY.  Whenever possible, each
provision of this letter will be interpreted in such manner as to be effective
and valid under applicable law, but if any provision of this letter is held to
be invalid, illegal or unenforceable in any respect under any applicable law or
rule in any jurisdiction, such invalidity, illegality or unenforceability will
not affect any other provision of this letter, but such invalid, illegal or
unenforceable provision will be reformed, construed and enforced so as to
render it valid, legal, and enforceable consistent with the intent of the
parties insofar as possible.

 6
 

16.  ACKNOWLEDGEMENT. 
You hereby acknowledge (a) that you have consulted with or have had
the opportunity to consult with independent counsel of your own choice
concerning this letter, and have been advised to do so by the Company, and
(b) that you have read and understand this letter, are fully aware of its
legal effect, and have entered into it freely based on your own judgment.

17.  SECTION 409A OF THE CODE.  To the extent that any payments or benefits under this letter are
deemed to be subject to Section 409A of the Code, this letter will be
interpreted in accordance with Section 409A of the Code and Department of
Treasury regulations and other interpretive guidance issued there under in order
to (a) preserve the intended tax treatment of the benefits provided with
respect to such payments and (b) comply with the requirements of Section 409A
of the Code.

[SIGNATURE PAGE FOLLOWS]

 7
 

Please confirm
your agreement to the foregoing by signing and dating the enclosed duplicate
original of this letter in the space provided below for your signature and
returning it to Euan Thomson, Ph.D., Chief Executive Officer of the
Company.  Please retain one
fully-executed original for your files.

Sincerely,

	
  Accuray Incorporated,

  	
   

  
	
  a California
  corporation

  	
   

  
	
   

  	
   

  
	
   

  	
   

  
	
    /s/
  Euan Thomson 

  	
   

  	
    /s/
  Robert E. McNamara 

  	
   

  
	
  Euan Thomson,
  Ph.D.

  	
  Robert E.
  McNamara

  
	
  Chief Executive
  Officer

  	
  Chief Financial
  Officer

  
	
   

  	
   

  
	
   

  	
   

  
	
  Accepted and
  Agreed,

  	
   

  
	
  as of this 23
  day of April 2007.

  	
   

  
	
   

  	
   

  
	
   

  	
   

  
	
  /s/ Christopher
  Mitchell

  	
   

  	
   

  
					

 

 8
 

EXHIBIT A

For purposes of this letter, “Change in Control” means and includes each
of the following:

(a)         A transaction or series
of transactions (other than an offering of the Company’s common stock to the
general public through a registration statement filed with the Securities and
Exchange Commission) whereby any “person” or related “group” of “persons” (as
such terms are used in Sections 13(d) and 14(d)(2) of the Securities Exchange
Act of 1934, as amended (the “Exchange Act”))
(other than the Company, any of its subsidiaries, an employee benefit plan
maintained by the Company or any of its subsidiaries or a “person” that, prior
to such transaction, directly or indirectly controls, is controlled by, or is
under common control with, the Company) directly or indirectly acquires
beneficial ownership (within the meaning of Rule 13d-3 under the Exchange Act)
of securities of the Company possessing more than 50% of the total combined
voting power of the Company’s securities outstanding immediately after such
acquisition; or

(b)         During any period of two
consecutive years, individuals who, at the beginning of such period, constitute
the Board of Directors of the Company together with any new director(s) (other
than a director designated by a person who shall have entered into an agreement
with the Company to effect a transaction described in clause (a) or clause (c)
hereof) whose election by the Board of Directors of the Company or nomination
for election by the Company’s stockholders was approved by a vote of at least
two-thirds of the directors then still in office who either were directors at
the beginning of the two-year period or whose election or nomination for
election was previously so approved, cease for any reason to constitute a
majority thereof; or

(c)         The consummation by the
Company (whether directly involving the Company or indirectly involving the
Company through one or more intermediaries) of (x) a merger,
consolidation, reorganization, or business combination or (y) a sale or
other disposition of all or substantially all of the Company’s assets in any
single transaction or series of related transactions or (z) the
acquisition of assets or stock of another entity, in each case other than a
transaction:

(i)            Which results in the
Company’s voting securities outstanding immediately before the transaction
continuing to represent (either by remaining outstanding or by being converted
into voting securities of the Company or the person that, as a result of the
transaction, controls, directly or indirectly, the Company or owns, directly or
indirectly, all or substantially all of the Company’s assets or otherwise
succeeds to the business of the Company (the Company or such person, the “Successor Entity”)) directly or indirectly,
at least a majority of the combined voting power of the Successor Entity’s
outstanding voting securities immediately after the transaction, and

(ii)           After which no person
or group beneficially owns voting securities representing 50% or more of the
combined voting power of the Successor Entity; provided,
however, that no person or group shall be treated for purposes of
this clause (c)(ii) as beneficially owning 50% or more of combined voting power
of the Successor

 9
 

Entity solely as a result of the voting power
held in the Company prior to the consummation of the transaction; or

(d)           The Company’s
stockholders approve a liquidation or dissolution of the Company.

 10

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