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Exhibit 10.13  

[Accuray Letterhead]

November 10,
2006 

	Re:
	Employment Terms

Dear
Wade: 

        Accuray
Incorporated (the "Company") is pleased to offer to continue your employment as Senior Vice President, Worldwide Sales of the
Company on the terms and conditions set forth in this letter, effective as of November 10, 2006 (the "Effective Date"). This letter amends and
restates in its entirety that certain employment letter, dated as of August 11, 2006, between you and the Company (the "Original Employment
Letter"). 

        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, Worldwide Sales of the Company. In the
capacity of Senior Vice President, Worldwide Sales, 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 report to the Chief Executive Officer of the Company (the
"CEO"), and will work primarily from your home in Texas, however will also work as reasonably required from 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 75% of your base salary actually paid for such year. Exhibit A attached hereto sets forth the terms of your first
annual bonus. 

        5.     Stock Option Awards. You and the Company hereby acknowledge that pursuant to the terms of the Original Employment Letter,
as of October 24, 2006, the Company granted you a stock option to purchase 250,000 shares of the Company's common stock (the "Initial Stock
Option") at an exercise price of $10.00 per share. The Initial Stock Option was granted to you under the Company's 1998 Equity Incentive Plan, and, subject to your continued
employment with the Company, the Initial Stock Option shall vest and become exercisable over a four (4) year period, with twenty-five percent (25%) of the shares subject thereto
vesting on September 5, 2007, and the remaining seventy-five percent (75%) vesting in equal monthly installments on the fifth day of each month thereafter. In addition, the Company
will annually recommend to the Board of Directors of the Company (the "Board") that the Company grant you a stock option no later than the
September 30 following each of the first three anniversaries of your commencement of employment with the Company to purchase 100,000 shares of the Company's common stock (each, a
"Subsequent Stock Option," and together with the Initial Stock 

 

Option,
the "Stock Options"). The exercise price per share of each Subsequent Stock Option shall be equal to the fair market value of a share of the
Company's common stock on the date of grant, as determined in accordance with the Company's incentive award plan under which such Subsequent Stock Option is granted. Subject to your continued
employment with the Company, each Subsequent Stock Option shall vest and become exercisable over a four (4) year period, with 1/48th of the shares subject thereto vesting in equal
monthly installments on each monthly anniversary of the date of grant. Consistent with the foregoing, the terms and conditions of each Stock Option shall be set forth in a stock option agreement
(each, a "Stock Option Agreement") to be entered into by the Company and you which shall evidence the grant of each such Stock Option. 

        6.     Benefits and Vacation. 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, sick leave, vacations 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 6 will
be subject to change from time to time as deemed appropriate and necessary by the Company. 

        7.     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)(1)(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) six (6) 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) 50% 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 six (6) 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)(1)(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 B 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 7, each of your then outstanding stock options to purchase shares of the Company's common stock (including, without limitation, the Stock
Options) shall become fully 

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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 7 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 7 upon any termination of your employment by reason of your total and permanent disability or your death. 

        (d)   For
purposes of this letter: 

        (A)  "Cause" shall be deemed to exist upon a good faith finding by the Company of (i) your material failure to
competently perform your assigned duties for the Company, (ii) your sustained poor performance of any material aspect of your duties or obligations hereunder, (iii) your dishonesty,
gross negligence or other material misconduct, or (iv) your conviction of, or the entry of a plea of guilty or nolo contendere by you to, any
crime involving moral turpitude or any felony; 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) a 10% or greater reduction
of your annual base salary, as in effect on the date hereof or as 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. 

        8.     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 8(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 8 shall be made by such nationally recognized accounting firm as may be selected by the Audit Committee
of the Board as constituted immediately prior to the change in control transaction (the "Accounting Firm"), 

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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. 

        9.     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 9(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 therefor, you acknowledge, consent
and 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. 

        10.   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 September 5, 2006, and you hereby agree to abide by the terms of that certain 

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Employee
Confidentiality and Inventions Agreement dated as of September 5, 2006, by and between you and the Company. 

        11.   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. 

        12.   Arbitration. Except as set forth in Section 9(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. 

        13.   Entire Agreement. As of the Effective Date, this letter, together with any Stock Option Agreement, 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). 

        14.   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. 

        15.   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. 

        16.   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
thereunder 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] 

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        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
	

 	
 	

By:	
 	

/s/  EUAN THOMSON, PH.D.      

	 	 	Name:	 	Euan Thomson, Ph.D.
	 	 	Title:	 	Chief Executive Officer

	 
	 	 
	 	 

	Accepted and Agreed,

this 10th day of November, 2006.	 	 
	

By:	
 	

/s/  WADE HAMPTON      
 Wade Hampton	
 	

 

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EXHIBIT A    
    

        [Sales Commission Information Omitted]

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EXHIBIT B    
    

        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 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 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 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. 

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EXHIBIT A

EXHIBIT BExhibit 10.14  

  

INDEPENDENT CONTRACTOR AGREEMENT  

        This Independent Contractor Agreement ("Agreement") is made effective as of April 1, 2006 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 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. 

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        (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 $34,250, 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 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, 2006 to March 31, 2006, Contractor's first quarterly invoice will be due to Company no later than
March 17, 2006). 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, 

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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 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. 

        5.    Ownership.    

        (a)    Inventions.    Contractor agrees that all copyrightable material, notes, records,
drawings, designs, inventions, improvements, developments, discoveries and trade secrets (collectively, 

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"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 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)    License.    Contractor agrees that if in the course of performing the Services,
Contractor incorporates into any Invention developed hereunder any invention, improvement, development, concept, discovery or other proprietary information owned by Contractor or in which Contractor
has an interest, the
Company is hereby granted and shall have a nonexclusive, royalty-free, perpetual, irrevocable, worldwide license to make, have made, modify, use and sell such item as part of or in
connection with such Invention. 

        (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 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. 

4

 

        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  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 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 

5

 

         (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 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. 

6

 

        (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. 

        (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]

7

 

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/  ERIC LINDQUIST      

	

Name:	

John Adler, M.D.
	
 	

Name:	

Eric Lindquist

	

Title:	

Contractor
	
 	

Title:	

SVP, Chief Marketing Officer

	

Address:	

    
	
 	

Address:	

1310 Chesapeake Terrace

	 	    
	 	 	Sunnyvale, CA 94089

	

Telephone:	

    
	
 	

Telephone:	

408-716-4706

	

Date:	

3/29/06
	
 	

Date:	

4/5/06

	

 	

 	
 	

Signature:	

/s/  DARREN MILLIKEN      

	

 	

 	
 	

Name:	

Darren Milliken

	

 	

 	
 	

Title:	

General Counsel

	

 	

 	
 	

Address:	

1310 Chesapeake Terrace
Sunnyvale, CA 94089

	

 	

 	
 	

Telephone:	

408-716-4600

	

 	

 	
 	

Date:	

4/4/06

8

   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 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 13 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.    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:    Contractor will travel to and attend domestic sales visits and/or tradeshows as
requested by Company, up to four (4) trips per year, with each trip to last for one (1) day.

	3.2.
	Europe and Emerging Market Sales Visits:    Contractor will travel to and attend sales visits in Europe and other
international emerging markets (for example, China, India, or other miscellaneous emerging markets) as requested by Company. At Company's option, these sales visits shall consist of:

	3.2.1.
	Option 1:    Six (6) trips per year with four (4) trips lasting for four (4) days apiece (two full
days with customer, the remaining days as travel), one (1) trip lasting for five (5) days (three full days with customer, the remaining days as travel), and one (1) trip lasting
for three (3) days (one full day with customer, the remaining days as travel);

	3.2.2.
	Option 2:    Six (6) trips per year with each trip lasting for four (4) days (two full days with customer,
the remaining days as travel); or

	3.2.3.
	Option 3:    Seven (7) trips per year with six (6) trips lasting for three (3) days (one full day
with customer, the remaining days as travel) and one (1) trip lasting for four (4) days (two full days with customer, the remaining days as travel).

	3.3.
	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. 

9

 

EXHIBIT B  

COMPENSATION  

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

	1.1.
	Compensation for VIP Visits:

	•	 	Case Observation:	 	$500 per observation
	

•	
 	

Q & A Session:	
 	

$500 per Q&A session
	

•	
 	

Lunch or Dinner:	
 	

$500 per Lunch or Dinner
	

•	
 	

Maximum Compensation

per VIP Visit:	
 	

$1,500
	

•	
 	

Maximum Annual

Compensation for VIP Visits:*	
 	

$19,500 per year
	

*(maximum annual compensation for VIP Visits is based on thirteen (13) 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 Visits:

	•	 	Domestic Sales Visit/

Tradeshow:	 	$4,250 per visit
	

•	
 	

Maximum Annual Compensation

for Domestic Sales Visits/

Tradeshows:*	
 	

$17,000 per year
	

 	
 	

*(maximum annual compensation for Domestic Sales Visits/Tradeshows is based on the maximum of four (4) trips per year, such trips to be selected by Company)

	1.3.
	Compensation for Attending Europe and Emerging Market Sales Visits:

	•	 	Europe and Emerging Market

Sales Visit:	 	 

	Option 1
 
	 	Option 2
 
	 	Option 3
 

	$13,500 per three (3) day visit	 	$16,750 per four (4) day visit	 	$13,958.33 per three (3) day visit
	

$16,750 per four (4) day visit	
 	

 	
 	

$16,750 per four (4) day visit
	

$20,000 per five (5) day visit	
 	

 	
 	

 

	•	 	Maximum Annual Compensation

for Europe and Emerging

Market Sales Visits:*	 	$100,500 per year

	 	 	*(maximum annual compensation for European and Emerging Market Sales Visits is based on the number of trips set forth under Option 1, Option 2 or Option 3 in Section 3.2 of Exhibit A above, as
applicable)

	1.4.
	Total Compensation/Payment.    As indicated above, Contractor's maximum possible annual compensation from Company under this
Agreement is $137,000 to be paid quarterly in 

10

 

advance,
in four (4) equal installments of $34,250 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. 

11

 

EXHIBIT C  

LIST OF POTENTIAL CONFLICTS  

—none—

/s/DM 

12

 
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

13

   AMENDMENT ONE TO EXHIBIT B (COMPENSATION)  

This
Amendment One ("Amendment") to Exhibit B (Compensation) is issued under and subject to all of the terms and conditions of the Independent Contractor Agreement (the "Agreement") dated as of
April 1, 2006 by and between Accuray, Inc. ("Company") and John Adler, M.D.
("Contractor"). 

	1.
	Compensation.    In addition to the Compensation set forth on Exhibit B to the Agreement (for Services performed by
Contractor pursuant to the Agreement), Contractor shall be compensated for Services performed according to this Amendment as follows:

	1.1.
	Compensation for Costs re: Registering for Conferences/Submitting Abstracts:

Company
shall reimburse Contractor for the following expenses incurred by Contractor: (i) registration fees for attending domestic tradeshows and/or conferences which Company requests that
Contractor attend and (ii) fees for submitting abstracts prepared by Contractor, at Company's request, for presentations or papers at domestic tradeshows and/or conferences which Company
requests that Contractor attend. All such expenses in excess of $250.00 require prior written approval by an authorized Company representative, which shall include Company's CMO or the Vice President
of Channel Development. Contractor shall submit a written request to Company for reimbursement of all such expenses and reimbursement shall be conditioned on the Company's receipt of detailed receipts
or similar documentation evidencing Contractor's payment of such fees. Subject to the foregoing, Company will pay each invoice submitted by Consultant pursuant to this Section within thirty
(30) days following receipt thereof. 

[SIGNATURE PAGE FOLLOWS]

1

 

        IN
WITNESS WHEREOF, the parties hereto have executed this Amendment One to Exhibit B (Compensation) as of the day and year written below. 

	JOHN ADLER, M.D.	 	ACCURAY, INC.
	

Signature:	

/s/  JOHN ADLER      
	
 	

Signature:	

/s/  ERIC LINDQUIST      

	

Name:	

John Adler, M.D.
	
 	

Name:	

Eric Lindquist

	

Title:	

Contractor
	
 	

Title:	

SVP, Chief Marketing Officer

	

Address:	

    
	
 	

Address:	

1310 Chesapeake Terrace

	 	    
	 	 	Sunnyvale, CA 94089

	

Telephone:	

    
	
 	

Telephone:	

408-716-4706

	

Date:	

5/24/06
	
 	

Date:	

5/30/06

	

 	

 	
 	

Signature:	

/s/  DARREN MILLIKEN      

	

 	

 	
 	

Name:	

Darren Milliken

	

 	

 	
 	

Title:	

General Counsel

	

 	

 	
 	

Address:	

1310 Chesapeake Terrace
Sunnyvale, CA 94089

	

 	

 	
 	

Telephone:	

 
	 	 	 	 	

	

 	

 	
 	

Date:	

5/26/06

2

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