Document:

EXHIBIT 10.21

 Exhibit 10.21 
 AMENDMENT TO EMPLOYMENT AGREEMENT 
 This
Amendment to Employment Agreement (the “Amendment”) is entered into as of this 3rd day of July, 2006,
effective as of February 15, 2006, by and between MSC – Medical Services Company (“Company”) and Joseph P. Delaney (“Executive”). 
 Recitals 
 The Company and the Executive are parties to that certain Employment Agreement dated as of
October     , 2004 (the “Agreement”). The parties desire to amend certain of the provisions in the Agreement on the terms and conditions set forth herein. 
 Agreement 
 IN WITNESS WHEREOF, for and in consideration of the foregoing and
the mutual covenants of the parties herein contained, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows: 
 1. The “Recitals” of the Agreement are amended by replacing the reference to MSC Acquisition, Inc. with MCP-MSC Acquisition, Inc. 
 2. Section 3 of the Agreement is hereby deleted and replaced in its entirety with the following: 
 “3. Duties. Executive shall serve as and have the title of President and Chief Executive Officer and shall have such duties as
assigned by the Board of Directors of the Company from time to time. Executive agrees to devote his full business time, energy, skills and best efforts to such employment while so employed. Nothing in this Agreement shall preclude Executive from
engaging in charitable and community affairs so long as, in the reasonable determination of the Board, such activities do not interfere with his duties and responsibilities hereunder or from serving, subject to the prior approval of the Board, as a
member of the board of directors or as a trustee of any other corporation, association or entity.” 
 3. Section 4(a) of the
Agreement is hereby deleted and replaced in its entirety with the following 
 “(a) Base Compensation. The Company
shall pay Executive, and Executive agrees to accept, base compensation at the rate of $300,000 per year, in equal installments no less frequently than monthly (the “Base Compensation”). The Base Compensation specified in this
Section 4 may be changed, from time to time, by mutual agreement of the Board and Executive.” 
  

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 4. Section 4(b) of the Agreement is hereby deleted and replaced in its entirety with the following

 “(b) Annual Bonus Compensation. The Executive shall be entitled to an annual bonus based on the realization of
mutually determined financial and performance goals of the Company. The target for such bonus will initially equal up to a maximum of $150,000, which such target shall be tied to the realization of mutually determined financial and performance goals
of the Company, with up to an additional $90,000 bonus available, in the sole discretion of the Company, in the event that the performance of the Company exceeds such goals.” 
 5 Sections 4(c) and 4(d) of the Agreement are hereby deleted in their entirety. 
 6. Section 5 of the Agreement is hereby amended by adding the following sentence at the end of such section: 
 “In addition, Executive shall be entitled to receive an additional grant of options to purchase 1,639,208 shares of common stock of the Parent
pursuant to a separate non-statutory stock option agreement, on the terms and subject to the conditions set forth in such option agreement.” 
 7. Section 14 of the Agreement is hereby deleted and replaced in its entirety with the following 
 “14.
Notices. Any notice required or permitted to be given under this Agreement shall be sufficient if in writing and shall be effective when received if sent, postage-prepaid, by certified or registered mail, return receipt requested, or by
overnight delivery service against receipt, to the addresses below or to such other address as either party shall designate by written notice to the other: 
 If to Executive, to the address set forth below his name on the signature page hereto. 
 If to the Company:

 MSC-Medical Services Company 
 11764-1 Marco Beach Drive 
 Jacksonville, Florida 32224 
 Attention: General Counsel 
 With copy to:

 Monitor Clipper Partners, LLC 
 Two Canal Park, 4th Floor 
 Cambridge, MA 02141 
 Attn: Peter Laino” 
  

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 8. This Amendment may be executed in multiple counterparts (including by means of telecopied signatures),
any one of which need not contain the signatures of more than one party, but all such counterparts taken together shall constitute on and the same instrument. 
 9. All matters relating to the interpretation, construction, validity and enforcement of this Amendment shall be governed by and construed in accordance with the laws of the State of Florida, without giving effect to
any choice or conflict of law provision or rules (whether of the State of Florida or any other jurisdiction) that would cause the application of laws of any jurisdiction other than the State of Florida. 
 10. Except as specifically set forth in this Amendment, the Agreement shall remain in full force and effect. 
 [Signatures Appear on Following Page] 
  

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 IN WITNESS WHEREOF, the parties have executed this Amendment as of the day and year first written above.

  

			
	 MSC – MEDICAL SERVICES COMPANY

		
	 By:
	 	 /s/ Gary S. Jensen

	 Name:
	 	 Gary S. Jensen

	 Title:
	 	 CFO

	
	 EXECUTIVE

	
	 /s/ Joseph P. Delaney

	 Joseph P. Delaney

  

 4EXHIBIT 10.22

 Exhibit 10.22 
 AMENDED AND RESTATED 
 EMPLOYMENT AGREEMENT 
 THIS AMENDED AND RESTATED EMPLOYMENT AGREEMENT (“Agreement”) dated as of March 7, 2007 is entered into by and between MSC-Medical
Services Company, a Florida corporation (the “Company”), and Joseph Delaney (“Executive”). 
 Recitals

 MCP-MSC Acquisition, Inc., a Delaware corporation and the sole shareholder of the Company (the “Parent”), the Company,
through its Board of Directors (the “Board”), and the Executive desire to amend and restate that certain Employment Agreement dated as of October __, 2004 (as amended, “the “Original Agreement”) on the terms and conditions
set forth in this Agreement. 
 Agreement 
 For and in consideration of the foregoing and the mutual covenants of the parties herein contained, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties agree as follows: 
 1. EMPLOYMENT. The Company hereby employs Executive to serve in the capacities described herein, and
Executive hereby accepts such employment and agrees to perform the services described herein upon the terms and conditions hereinafter set forth. 
 2. TERM. The Executive’s employment by the Company under this Agreement shall commence on the date hereof (the “Commencement Date”) and expire on the close of business on February 15, 2009 (the “Expiration
Date”). Thereafter, this Agreement shall automatically renew for successive one (1) year periods, unless either party provides written notice to the other party of its intention to terminate this Agreement thirty (30) days prior to
the expiration of the term (each a “Renewal Term” and together with the Initial Term, the “Term”). The Term shall be subject to earlier termination in accordance with the terms and conditions of this Agreement. 
 3. DUTIES. Executive shall serve as and have the title of President and Chief Executive Officer and shall have such duties as assigned by the
Board of Directors of the Company from time to time. Executive agrees to devote his full business time, energy, skills and best efforts to such employment while so employed. Nothing in this Agreement shall preclude Executive from engaging in
charitable and community affairs so long as, in the reasonable determination of the Board, such activities do not interfere with his duties and responsibilities hereunder or from serving, subject to the prior approval of the Board, as a member of
the board of directors or as a trustee of any other corporation, association or entity. 
 4. COMPENSATION. 
 (a) Base Compensation. The Company shall pay Executive, and Executive agrees to accept, base compensation at the rate of $300,000 per year, in
equal installments no less frequently than monthly (the “Base Compensation”). The Base Compensation specified in 

 
this Section 4 may be changed, from time to time, by mutual agreement of the Board and Executive. 
 (b) Annual Bonus Compensation. The Executive shall be entitled to an annual bonus based on the realization of mutually determined financial and
performance goals of the Company. The target for such bonus will initially equal up to a maximum of $150,000, which such target shall be tied to the realization of mutually determined financial and performance goals of the Company, with up to an
additional $90,000 bonus available, in the sole discretion of the Company, in the event that the performance of the Company exceeds such goals. 
 (c) Bonus In Connection With Vesting of Restricted Stock. Concurrently with each vesting of the Restricted Shares pursuant to the Restricted Stock Award made pursuant to Section 5(d) below, the Company shall (i) pay to or
for the benefit of Executive a cash bonus equal to the following fraction of the aggregate fair market value of the Restricted Shares so vesting (the “Tax Bonus”): 
  

															
		 		 	     T
	 		 		 		 		 	
		 		 	     1.0 – T
	 		 		 		 		 	

 where “T” is equal to the highest combined marginal rate of federal, state and local taxation
(including, without limitation, income and employment (e.g., Medicare) taxes) then applicable to Executive on account of the vesting of the Restricted Shares then vesting, and (ii) pay over the entire amount of such Tax Bonus at the appropriate
time to the appropriate governmental authorities as taxes withheld from the compensation of Executive (and none of such Tax Bonus shall be paid directly to Executive). 
 5. BENEFITS. 
 (a) Generally. Executive shall be eligible for fringe benefits pursuant to any
pension, retirement, or other employee fringe benefit plan that the Company makes available to employees of the Company and for which Executive will qualify according to his eligibility under the provisions thereof. 
 (b) Health and Disability Insurance. Executive shall be entitled to participate in health and disability insurance plans that the Company offers
to other executive officers of the Company from time to time, consistent with past practice. 
 (c) Vacation. During the Term of this
Agreement, Executive shall be entitled to fifteen (15) vacation days, plus Company holidays and sick days in accordance with the Company’s policies and procedures. 
 (d) Restricted Stock. Executive shall be entitled to receive, pursuant to a separate Restricted Stock Agreement (the “Restricted Stock
Agreement”), 250,000 shares of common stock of the Parent (the “Restricted Shares”) on the terms and conditions specified in the Restricted Stock Agreement (the “Restricted Stock Award”). 
  

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 (d) Stockholders’ Agreement. Concurrently with his execution and delivery of this Agreement,
Executive is executing counterpart signature pages of the Stockholders’ Agreement pursuant to which Executive becomes a party to the Stockholders’ Agreement dated as of March 31, 2005, as from time to time in effect, among the Parent,
Monitor Clipper Equity Partners II, L.P. and Monitor Clipper Equity Partners II (NQP), L.P. (together with Monitor Clipper Equity Partners II, L.P., “MCP”) and the other parties thereto (the “Stockholders’ Agreement”) both
as a “Manager” and as an “Other Investor” (as each such term is used in the Stockholders’ Agreement), it being understood that any shares of the Parent that Executive acquires on account of his option agreements are to be
“Manager Shares” (as defined in the Stockholders’ Agreement) thereunder and that any Restricted Shares that Executive acquires are to be “Other Investor Shares” (as defined in the Stockholders’ Agreement) thereunder.

 7. EXPENSES. Except as otherwise agreed to herein, during the term of Executive’s employment, Executive shall be reimbursed
for all usual business expenses incurred on behalf of the Company, in accordance with Company practices and procedures. 
 8.
TERMINATION. The term of Executive’s employment under this Agreement may be terminated prior to expiration of the Term provided in Section 2 hereof only in accordance with the following sections. 
 (a) For Cause. This Agreement may be immediately terminated by the Company for Cause. For purposes of this Agreement, the term “Cause”
shall include, without limitation, the termination of Executive by the Board as a result of the existence or occurrence of one or more of the following conditions or events: 
 (i) a material breach by Executive of any provision of this Agreement, which breach is not cured within five (5) days after written
notice thereof to Executive; 
 (ii) Executive’s willful misconduct in connection with the performance of his duties as
an employee or officer of the Company; 
 (iii) commission by Executive of any act of fraud or material misrepresentation or a
material act of misappropriation in connection with his duties as an employee or officer of the Company; 
 (iv) conviction of
Executive of any crime which constitutes a felony; 
 (v) the entry of a judgment or order enjoining or preventing Executive
from such activities as are material or essential for Executive to perform his services as required by this Agreement; or 
 (vi) willful and deliberate conduct or activities by Executive which could foreseeably result in material damage to the business of the Company. 
 For purposes hereof, Executive shall not be deemed to have engaged in willful conduct unless, in the sole and reasonable discretion of the Board, the conduct was in bad faith and without a reasonable belief that such
conduct was in, and not opposed to, the best interests of the Company. 
  

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 (b) Voluntary Resignation. Executive may resign his employment under this Agreement upon ten
(10) days’ prior written notice to the Company, whether or not Executive has “Good Reason” (as defined below). For purposes of this Agreement, “Good Reason” shall mean the occurrence of either of the following
conditions or events: 
 (i) the failure by the Company to continue to employ Executive as the Chief Executive Officer of the
Company; or 
 (ii) any material breach by the Company of any of its obligations under Sections 4 and 5. 
 (c) Without Cause. The Company and the Executive shall have the right to terminate this Agreement and the Executive’s employment with the
Company at any time without Cause. 
 (d) Death. In the event of the death of Executive, the employment of Executive shall terminate
immediately. 
 (e) Disability. If, during Executive’s employment with the Company, Executive shall become permanently disabled
and unable to perform his duties as required herein (“Disability”) for a total of one hundred eighty (180) days in any twelve (12) month period then the Company may, upon thirty (30) days written notice to Executive,
terminate Executive’s employment under this Agreement. 
 9. SEVERANCE. In the event of the termination of Executive’s
employment under this Agreement for any reason, the Company shall provide the payments and benefits to Executive as indicated below: 
 (a)
With Cause or Voluntary Termination by Executive. If Executive is terminated for Cause (as defined in Section 8(a) of this Agreement), or if Executive voluntarily terminates his employment with the Company without Good Reason, the
Company shall be obligated only to continue to pay to Executive his Base Compensation, if any, earned up to the date of termination and shall reimburse Executive for any expenses to which Executive is due reimbursement by the Company under
Section 7 hereof up until the date of termination. 
 (b) Without Cause or for Good Reason. If Executive is terminated without
Cause or if Executive resigns for Good Reason during the term of this Agreement, the Company shall be obligated to (i) continue to pay to Executive his full Base Compensation and benefits as of the date of termination for a period of nine
(9) months after the date of termination, (ii) pay to the Executive the pro rata portion of the annual bonus set forth in Section 4(b) above, to the extent that such annual bonus would have been earned by the Executive at the end of
such fiscal year, and (iii) reimburse Executive for any expenses to which Executive is due reimbursement by the Company under Section 7 hereof up until the date of termination. 
 (c) Death or Disability. Upon the death or Disability of Executive, the Company shall be obligated to continue to pay to Executive or his estate
Executive’s full Base Compensation and benefits as of the date of Executive’s death or Disability for a period of six (6) months following Executive’s death or Disability, as the case may be, earned up to the date of 

  

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termination and shall reimburse Executive or his estate for any expenses to which Executive is due reimbursement by the Company under Section 7 hereof
up until the date of termination. 
 10. NONCOMPETITION; NONSOLICITATION. Executive agrees, to the extent and on the terms set forth
below, not to utilize his special knowledge of the business of the Company and his relationships with customers and suppliers of the Company or others to compete with the Company. For a period beginning on the Commencement Date and ending one (1)
year from the date on which the Executive ceases to be employed by the Company, the Executive shall not, except as an employee or agent of the Company, engage or have an interest, anywhere in the United States of America or any other geographic area
where the Company did business as of the date hereof or at any time during the Executive’s employment by the Company or in which its products or services are or were marketed or sold, alone or in association with others, as principal, agent,
partner, stockholder, or through the investment of capital, lending of money or property, rendering of services or otherwise, in any business competitive with or similar to that engaged in by the Company as of the date hereof or by the Company at
any time during Executive’s employment by the Company. During the same period, the Executive shall not, except as an employee or agent of the Company, directly or indirectly, on behalf of himself or any other person or entity, (A) call upon,
accept business from, or solicit the business, with respect to the provision of services to the workers’ compensation insurance industry, of (a) any person or entity who is, or who had been at any time during the preceding two years or at any
time during the Executive’s employment by the Company, a customer of the Company or any successor to the business of the Company (each a “Customer”), or otherwise divert or attempt to divert any business from the Company or any
successor or otherwise induce, request, advise or persuade any Customer to cease to do business with or reduce the amount of business which such Customer has customarily done or is reasonably expected to do with the Company or any successor; or (B)
recruit or otherwise solicit or induce any person who is an employee of, or otherwise engaged by, the Company, or hire any such person until one (1) year after such person has left the employ of the Company, or any such successor or any person with
whom such person was placed for employment or engagement during the preceding one year. The Executive shall not at any time, directly or indirectly, except as an employee or agent of the Company, use or purport to authorize any person or entity to
use any name, mark, logo, trade dress or other identifying words or images which are the same as or similar to those used currently or in the past by the Company in connection with any product or service, whether or not such use would be in a
business competitive with that of the Company. Notwithstanding anything to the contrary contained herein, the ownership or control by the Executive of up to five percent of the outstanding voting securities or securities of any class of a company
with a class of securities which are publicly traded shall not be deemed to be a violation of the provisions of this Section. 
 11.
CONFIDENTIALITY. The Executive acknowledges that the intellectual property and all other confidential or proprietary information with respect to the Company’s engagement in the business of distributing medical supplies, prescription
drugs and medically-related equipment and services throughout the United States of America (the “Business”) are valuable, special and unique. The Executive shall not, at any time after the date hereof, except as an employee or agent of the
Company, or except as required by applicable law, disclose, directly or indirectly, to any person or entity, or use or purport to authorize any person or entity to use any confidential or proprietary information with respect to the Company of the
Business, whether or not for his own benefit, without the prior written consent of the Company, including without 

  

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limitation, information as to the financial condition, results of operations, strategic partners, job applicants, job candidates, persons placed for
employment or engagement, customers, suppliers, products, products under development, services, inventions, sources, leads or methods of obtaining new products or business, intellectual property, pricing methods or formulas, cost of supplies,
marketing strategies or any other information relating to the Company or the Business which could reasonably be regarded as confidential, but not including information which is or shall become generally available to the public other than as a result
of an unauthorized disclosure by the Executive or a person or entity to whom the Executive has provided such information. The Executive acknowledges that Company would not enter into this Employment Agreement without the assurance that all such
confidential and/or proprietary information will be used for the exclusive benefit of the Company. 
 12. NONDISPARAGEMENT. Neither
the Executive nor the Company shall (and shall cause the officers, directors, employees, shareholders, members, partners, representatives and agents of any entity or business directly or indirectly controlled by the Executive and the Company to not)
commit any act or omission that would tend to disparage or adversely affect the reputation of the other party or any present or future subsidiaries, parents or affiliates of the other party or any of their respective principals, officers, directors,
shareholders, members, employees, businesses or operations. Without in any way limiting the generality of the foregoing, the Executive and the Company shall not (and shall cause the officers, directors, employees, shareholders, members, partners,
representatives and agents of any entity or business directly or indirectly controlled by the Executive and the Company to not) make any disparaging or unfavorable statements to any third party, either orally or in writing, regarding the other party
or any present or future subsidiaries, parents or affiliates of the other party or any of their respective principals, officers, directors, shareholders, members, employees, businesses or operations. 
 13. ENFORCEABILITY OF RESTRICTIVE COVENANTS. The restrictions set forth in this Agreement are considered by the parties hereto to be reasonable
for the purposes of protecting the value of the business and goodwill of the Company and the Business. The parties acknowledge that the Company would be irreparably harmed and that monetary damages would not provide an adequate remedy to the Company
in the event the covenants contained in this Agreement were not complied with in accordance with their terms. Accordingly, the Executive agrees that any breach or threatened breach by him of any provision of this Agreement shall entitle the Company
to injunctive and other equitable relief to secure the enforcement of these provisions, in addition to any other remedies which may be available to them, and that they shall be entitled to receive from the Executive reimbursement for all
attorneys’ fees and expenses incurred by the Company in enforcing these provisions. In addition to its other rights and remedies, the Company shall have the right to require the Executive, if he breaches any of the covenants contained in this
Agreement to account for and pay over to the Company all compensation, profits, money, accruals and other benefits derived or received, directly or indirectly, by such party from the action constituting such breach. If the Executive breaches the
restrictive covenants set forth in this Agreement, the running of the time periods described therein shall be tolled for so long as such breach continues. It is the desire and intent of the parties that the provisions of this Agreement be enforced
to the fullest extent permissible under the laws and public policies of each jurisdiction in which enforcement is sought. If any 

  

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provisions of this Agreement relating to the time period, scope of activities or geographic area of restrictions is declared by a court of competent
jurisdiction to exceed the maximum permissible time period, such time period, scope of activities and/or geographic area, as the case may be, shall be reduced to the maximum that such court deems enforceable. If any provisions of this Agreement
other than those described in the preceding sentence are adjudicated to be invalid or unenforceable, the invalid or unenforceable provisions shall be deemed amended (with respect only to the jurisdiction in which such adjudication is made) in such
manner as to render them enforceable and to effectuate as nearly as possible the original intentions and agreement of the parties. 
 14.
NOTICES. Any notice required or permitted to be given under this Agreement shall be sufficient if in writing and shall be effective when received if sent, postage-prepaid, by certified or registered mail, return receipt requested, or by
overnight delivery service against receipt, to the addresses below or to such other address as either party shall designate by written notice to the other: 
 If to Executive, to the address set forth below his name on the signature page hereto. 
 If to the Company:

 MSC-Medical Services Company 
 11764-1 Marco Beach Drive 
 Jacksonville, Florida 32224 
 Attention: General Counsel 
 With copy to:

 Monitor Clipper Partners, LLC 
 Two Canal Park, 4th Floor 
 Cambridge, MA 02141 
 Attn: Adam Doctoroff 
 15. ENTIRE
AGREEMENT; MODIFICATION. 
 (a) This Agreement contains the entire agreement of the Company and Executive, and the Company and Executive
hereby acknowledge and agree that this Agreement supersedes any prior statements, writings, promises, understandings or commitments between the parties hereof, including without limitation, the Original Agreement. 
 (b) No future oral statements, promises or commitments with respect to the subject matter hereof, or other purported modification hereof, shall be
binding upon the parties hereto unless the same is reduced to writing and signed by each party hereto. 
 16. ASSIGNMENT. The rights
and obligations of the parties under this Agreement shall inure to the benefit of and shall be binding upon the successors and permitted assigns of the parties. Notwithstanding anything contained herein to the contrary, the Company 

  

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shall have the right to assign this Agreement to any of its subsidiaries, direct or indirect parents or other affiliates. Except as otherwise set forth in
this Agreement, neither party may assign his or its rights or obligations under this Agreement without the prior written consent of the other party. 
 17. GOVERNING LAW; VENUE; INDEPENDENT REPRESENTATION. This Agreement shall be governed by and construed in accordance with the domestic laws of the State of Florida without giving effect to any choice or
conflict of law provision or rule (whether of the State of Florida or any other jurisdiction) that would cause the application of the laws of any jurisdiction other than the State of Florida. The parties agree that any and all actions arising under
or in respect of this Agreement shall be litigated in any federal or state court of competent jurisdiction located in the County of Duval, State of Florida. By execution and delivery of this Agreement, each party irrevocably submits to the personal
and exclusive jurisdiction of such courts for itself or himself, and in respect of its or his property with respect to such action. Each party agrees that venue would be proper in any of such courts, and hereby waives any objection that any such
court is an improper or inconvenient forum for the resolution of any such action. Executive acknowledges and agrees that he has had the opportunity to seek his own independent legal counsel to represent Executive’s interest in connection with
the transactions contemplated by this Agreement. 
 18. MISCELLANEOUS. 
 (a) The section headings contained herein are for reference purposes only and shall not in any way affect the meaning or the interpretation of this
Agreement. 
 (b) The failure of any party to enforce any provision of this Agreement shall in no manner affect the right to enforce the
same, and the waiver by any party of any breach of any provision of this Agreement shall not be construed to be a waiver by such party of any succeeding breach of such provision or a waiver by such party of any breach of any other provision.

 (c) Except as otherwise provided herein, in the event any one or more of the provisions of this Agreement shall for any reason be held
invalid, illegal or unenforceable, the remaining provisions of this Agreement shall be unimpaired, and the invalid, illegal or unenforceable provision shall be replaced by a mutually acceptable valid, and enforceable provision which comes closest to
the intent of the parties. 
 (d) The prevailing party in any litigation brought to enforce the provisions of this Agreement shall be
entitled to reimbursement from the nonprevailing party for reasonable attorney’s fees and expenses incurred in connection with such litigation. 
 (e) This Agreement may be executed in any number of counterparts, each of which shall constitute an original and all of which together shall constitute one and the same instrument. 
 (f) Upon termination of this Agreement, the obligations of the parties hereto under Sections 9 through 13 of this Agreement shall survive for the time
periods specified therein. 
  

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 [Signatures Appear on Following Page] 
  

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

			
	 MSC-MEDICAL SERVICES COMPANY, a

	 Florida corporation

		
	 By:
	 	 /s/ Gary S. Jensen

	 Name:
	 	 Gary S. Jensen

	 Title:
	 	 CFO

	
	EXECUTIVE:
	
	 /s/ Joseph Delaney

	 Joseph Delaney

	 Address:
	 	  

	  

  

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