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Exhibit 10.29  

 
 

ACCURAY INCORPORATED
  INTERNATIONAL SALES AGENT AGREEMENT    
    

        This
International Sales Agent Agreement ("Agreement") is entered into by and between ACCURAY INCORPORATED, a California corporation with
its executive offices located at 1310 Chesapeake Terrace, Sunnyvale, California 94089, USA ("Accuray"),
and                                         
               , a corporation organized under the laws
of                                    , with its
executive offices located at                                    
("Agent"), as of                                    , 2006
("Effective Date"). 

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

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

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

1.     Definitions  

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

	1.2.
	Customer means any person or business entity lawfully doing business in the Territory with whom Agent enters into negotiations, and/or
Accuray enters into an agreement for an agreement for Products or Services. Customer does not include sites or hospitals located on United States armed forces bases in the Territory.

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

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

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

	1.6.
	Purchase Contract means a document provided by Accuray for the Customer in response to the Purchase Request received from Agent, that
sets forth the Products or Services and the specific terms and conditions of the transaction desired by the Customer.

	1.7.
	Purchase Request means a document provided by Agent to Accuray that sets forth in adequate detail, including specifications and
delivery schedule, the Products or Services desired by the Customer.

	1.8.
	Service(s) means the performance of radiosurgery-related service(s) by Accuray, which may include technical support, training or
installation of Products, as listed in Exhibit A.

	1.9.
	Service Agreements means the Accuray Diamond Elite Service Agreement, Ruby Elite Service Agreement, Emerald Elite Service Agreement
and Extended Parts Warranty, Additional 

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

	1.10.
	Specification(s) means the current written description of a Product or Service prepared by Accuray and provided to Agent.

	1.11.
	System(s) means the Accuray CyberKnife® Robotic Radiosurgery System as set forth in Exhibit A attached hereto.

	1.12.
	Territory means
                        . 

2.     Duties of Accuray  

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

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

	2.3.
	Products and Services.    Upon receipt of a Purchase Request, Accuray will use commercially reasonable efforts to provide to
Agent in a timely manner a Purchase Contract for those Products and Services in accordance with the terms of this Agreement.

	2.4.
	Product and Service Pricing.    Accuray will provide Product and Service pricing to Agent from time to time during the Term
of this Agreement. Products and Services shall be priced by Accuray to Agent in accordance with Accuray's price list in effect from time to time, but, in any case, no change can be made without six
(6) months' prior written notice to Agent. The current prices, as of the Effective Date, of Accuray's Products and Services are listed on Exhibit A. All prices will be stated in US
Dollars, unless another currency is agreed upon in writing by Accuray. Accuray has provided Agent with Accuray's list price as well as a Minimum Sales Agent Price. In no event shall Agent sell a
CyberKnife System, or other Accuray Product or Service at less than the Minimum Sales Agent Price.

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

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

	2.7.
	Warranty.    Accuray will provide a warranty that the Products will be free from defects and perform substantially in
accordance with the written Specifications provided by Accuray as reflected in the regulatory clearance at the time of sale for a period of one (1) year following installation of the Products
at Customer's facility, but not to exceed eighteen (18) months following shipment of such Products to Customer. Accuray makes no warranty that the operation of any software will be
uninterrupted or error-free. Except as set forth in the preceding sentences, Accuray makes no warranties or representations to Customer or to any other party regarding any Products or
Services provided by Accuray.TO THE FULLEST EXTENT  

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 PERMITTED BY APPLICABLE LAW, ACCURAY DISCLAIMS ALL OTHER WARRANTIES AND REPRESENTATIONS, WHETHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS
FOR A PARTICULAR PURPOSE, AND ANY WARRANTIES ARISING OUT OF COURSE OF DEALING OR USAGE OF TRADE.

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

	2.8.1.
	Hardware.    During the warranty period, Accuray will provide replacement of defective parts. Agent shall be responsible
for and/or assist Accuray with the installation and labor for such replacement parts.

	2.8.2.
	Software.    During the warranty period, Accuray will provide error corrections or "bug fixes." Additionally, Accuray
shall provide Customer with any and all applicable error corrections and bug fixes generally provided by Accuray to Accuray customers with similar Product installations. Agent shall be responsible for
and/or assist Accuray with the installation of such bug fixes.

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

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

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

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

	2.9.
	Training.    Accuray will provide training to Agent and Customers in accordance with Exhibit D.

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

3.     Duties of Agent  

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

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

	3.2.
	Training.    Agent will support Accuray's training of new Customer personnel, and will help arrange training at Accuray for
Customers, according to Exhibit D.

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

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

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

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

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

	3.5.
	Import License.    Agent will help Accuray to obtain and maintain any required import licenses.

	3.6.
	Agent Personnel.

	3.6.1.
	Full-Time Personnel.    Agent will provide full-time personnel that will include (to be
determined) a general manager, a senior product manager and support staff, at least one (1) senior sales person with sufficient skill, training and experience to be effectively 

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capable
of selling a $4 million medical product, and one (1) clinical support or training specialist. Agent will provide adequate technical support staff for the operation and
maintenance of the Products and Services. Agent will employ one (1) service engineer who is capable of performing installation and First Line Field Service (as defined in
Section 3.20 (First Line Field Service) below). All of these personnel must be hired and attend training at Accuray within nine (9) months of the Effective Date of this Agreement.
Accuray will provide the training and Agent will pay for travel and accommodation expenses. These personnel will be full-time, and will have sufficient understanding of the business
relating to Accuray's Products and Services and will have adequate backgrounds in surgical and/or radiation oncology products and services, knowledge, skill, experience and training to perform the
following functions: 

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

	3.6.1.2.
	Marketing
throughout the Territory;

	3.6.1.3.
	Planning
for the installation and installing Products;

	3.6.1.4.
	Clinical
trials, regulatory compliance, and reimbursement;

	3.6.1.5.
	Product
management;

	3.6.1.6.
	Development
of on-site training.

	3.6.1.7.
	Provision
of Services; and

	3.6.1.8.
	First
Line Field service.

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

	3.8.
	Requests.

	3.8.1.
	Agent
will receive each request placed by a Customer to which Agent has submitted a Proposal and send an appropriate Purchase Request to Accuray. Purchase Requests may be accepted
only by Accuray.

	3.8.2.
	Agent
understands and acknowledges that shipment of any System or Product by Accuray must be to a medical facility within the Territory,

	3.8.3.
	Agent
shall facilitate the negotiations, including language support, between Accuray and a Customer following submission of a Purchase Request to Accuray.

	3.8.4.
	The
resulting Purchase Contract for the sale of Products and Services shall be between Accuray and the Customer. In the case of a Product Request, Agent must send a Purchase
Request to Accuray at least six (6) months prior to the expected shipment date. All Products must be purchased from Accuray unless otherwise specified in this Agreement or agreed in writing
by Accuray.

	3.9.
	Payment.    Payment for Products shall be made by Customer to Accuray in US Dollars in the form of either (1) an
irrevocable trade finance letter of credit or (2) wire transfer as further described in Sections 3.9.1 and 3.9.2, respectively below. Accuray shall bear the cost of any 

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bank
charges assessed by its bank for a letter of credit and any commission charge for a wire transfer. Customer will pay a late charge of two percent (2%) on any balance that becomes overdue, plus
interest at the rate of one percent (1%) per month or the highest interest rate allowed by law, whichever is greater, until paid in full. 

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

	3.9.1.1.
	30%
of Price due with Signed Purchase Contract

	3.9.1.2.
	40%
of Price due upon delivery of the CyberKnife G4 System

	3.9.1.3.
	30%
of Price due upon Completion of Acceptance Testing

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

	3.10.
	Agent's Commission.    Agent will receive payment from Accuray based on the money actually received from Accuray on all
signed Purchase Contracts or other agreements accepted by Accuray ("Commission") as follows:

	3.10.1.
	CyberKnife System Purchase Contract.    For each signed Purchase Contract for a CyberKnife System received from a
Customer within the Territory and accepted by Accuray, Agent shall receive Commission based on the purchase price for the System as set forth in Exhibit C. Agent shall receive its Commission
for a CyberKnife System in accordance with the following schedule:

	3.10.1.1.
	Ten
percent (10%) of Agent's Commission upon Agent's Customer signing a Purchase Contract with Accuray and release of funds from the Letter of Credit in accordance with
Section 3.9.1 above making funds available to Accuray or wire transfer in accordance with Section 3.9.2 above;

	3.10.1.2.
	Sixty
percent (60%) of Agent's Commission upon shipment and release of funds from the Letter of Credit in accordance with Section 3.9.1 above making funds available to
Accuray or wire transfer in accordance with Section 3.9.2 above; and

	3.10.1.3.
	Thirty
percent (30%) of Agent's Commission upon installation with successful acceptance testing of the System and release of funds from the Letter of Credit in accordance with
Section 3.9.1 above making funds available to Accuray or wire transfer in accordance with Section 3.9.2 above.

	3.10.2.
	Service Agreements.    For each signed Service Agreement, Agent will receive a Commission as set forth in the attached
Exhibit C. Such Commission shall be paid as monies are received by Accuray, in accordance with the payment schedule selected by the Customer. In other words, if the Customer elects to make
annual payments, Agent will receive its Commission when Accuray receives the Customer's annual payment. Alternatively, if the Customer elects to make quarterly payments, then Agent will receive a
proportional share of its Commission when Accuray receives the Customer's quarterly payment. 

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	3.10.3.
	Additional Options.    For each signed Purchase Contract for Additional Options received from a Customer within the
Territory and accepted by Accuray, Agent shall receive a Commission in an amount equal to 10% of the payments actually received by Accuray.

	3.10.4.
	Installation.    For each CyberKnife System installation on which Agent assists Accuray, which assistance shall include
site planning and facilitation of installation with Customer, Agent shall receive a Commission of U.S. $12,500 upon completion of acceptance testing.

	3.10.5.
	Payment of Commission.    All Commissions shall be paid within thirty (30) days of receipt of payment by Accuray
from Customer.

	3.11.
	Volume of Business.    Accuray and Agent have reviewed and discussed the Territory in detail and have agreed that Agent
will market and sell the minimum volume of Systems as set forth in Exhibit B attached to this Agreement. If Agent does not make the minimum sales as set forth in Exhibit B Accuray may,
at its sole determination and in its sole and complete discretion, elect to make this sales agent arrangement non-exclusive or terminate this Agreement.

	3.12.
	Forecast.    In order to support Accuray's production planning, at least every three (3) months during the Term of
this Agreement, Agent will provide Accuray an eighteen (18) month rolling forecast of: (i) targeted Customers, (ii) contracted Customers, and (iii) forecast of Product
sales by product line. The forecast will include an update on the top ten (10) projects. Such forecasts shall be provided to Accuray by the first business day of January, April, July and
September each year, and shall be delivered to the Accuray General Manager for the Territory. Such forecasts are in addition to the reports to be provided in accordance with Section 3.22.1
(Reports) below.

	3.13.
	Customer Support.    Agent will provide guidance to billing and reimbursement personnel of each Customer regarding
regulatory and billing requirements and reimbursement for treatment provided with Products under radiosurgery reimbursement codes applicable within the Territory. Agent will be responsible for
ensuring that its personnel maintain their proficiency with respect to the Products and all upgrades, enhancements and new feature releases, and will send its personnel to Accuray for training
as necessary.

	3.14.
	Customer Relations.    Agent shall market and sell Products and Services to Customers in the Territory, shall report
promptly and in writing to Accuray any complaints or expressions of dissatisfaction by the Customer relating to the Products or Services. While Agent shall have no authority to offer on behalf of
Accuray anything in settlement of any such complaints or expressions, Agent shall use all best efforts to satisfy the Customer that the Products and Services meet the applicable written
Specifications, Proposal, and Order, if such is the case.

	3.15.
	Public Relations.    Agent will implement a public relations program once a CyberKnife is operational in
the Territory.

	3.16.
	Installation.    Agent will help coordinate installation for any Product a Customer purchases, including assistance with
site planning and facilitation between Accuray and Customer for site planning and installation work. Agent also agrees to be on site during the actual installation of the System at Customer's
facility.

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

	3.18.
	Service Agreements.    Agent will make commercially reasonable efforts to sell a Service Agreement to each Customer. Sample
Service Agreements are summarized and attached in 

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Exhibit E
attached hereto, however, Agent is to obtain the most recent version of the Service Agreements before engaging with to a Customer. 

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

	3.20.
	First Line Field Service.    Agent will provide to all Customers, remotely and on-site when needed, routine
maintenance and service and timely response to special requests for service of all installed Products in the Territory. Additionally, if Accuray must be on site at a Customer facility to provide
service, Agent will accompany any Accuray personnel to provide language support and to facilitate such repairs.

	3.21.
	Spare Parts Inventory.    Agent will maintain a spare parts inventory at its cost, as detailed under Exhibit G, to
support Customers. Accuray currently offer three (3) different Agent Spare Parts Kits, and Agent may select which Spare Parts Kit it wishes to purchase, provided, however, that Agent will
maintain at least a Kit A for so long as there are two (2) CyberKnife Systems installed in the Territory, and a Kit B for so long as there are three (3) or more CyberKnife Systems
installed in the Territory. Agent is willing to ship spare parts to locations outside the Territory as requested by Accuray, and Accuray will reimburse Agent for the direct cost of
such activity.

	3.22.
	Records and Reports.

	3.22.1.
	Reports.    Within thirty (30) days after the end of each quarter, Agent will provide Accuray with a written
report that includes: (i) Agent's sales of each Product for that quarter, by dollar volume and number of units, both in the aggregate and for such categories as Accuray may designate from time
to time; (ii) CyberKnife utilization reports: and (iii) any other information requested by Accuray. Agent's report will comply in form and substance with Accuray's reporting
requirements, as they are determined by Accuray and communicated to Agent in writing from time to time.

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

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

	3.23.
	Compliance with Laws.

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

	3.23.2.
	United States laws.    Agent understands that, because it is marketing and selling the Products and Services of
Accuray, a company subject to the laws of the United States of 

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America,
Agent must, when carrying out its duties under this Agreement, avoid violations of certain of such laws. These include, but are not necessarily limited to, the following: 

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

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

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

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

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

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

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

4.     Compensation and Payment  

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

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	4.2.
	Payment.    Agent shall be responsible for determining the creditworthiness of its Customers prior to submitting a Purchase
Request to Accuray and will assist Accuray in collecting any payments due to Accuray from its Customers. 

5.     Term and Termination  

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

	5.2.
	Renewal.    This Agreement will be renewed for additional period of        year(s), if
Agent has carried out its duties under this Agreement, including meeting the minimum volume of sales set forth in Exhibit B, as updated in accordance with the following, and Accuray
Sales & Marketing Department reasonably believes that the Agent is following Accuray's market strategies. Accuray and Agent will meet approximately one hundred eighty (180) days prior to
the termination date and agree in writing upon a volume of business, a number of signed Purchase Contracts with Customers, and any other terms, for the subsequent renewal period. The volume of
business and number of signed Purchase Contracts with Customers for each renewal period shall reflect an increase in units over the numbers determined for the previous period, unless Accuray
reasonably determines at its sole discretion that market conditions would not so permit.

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

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

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

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

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

	5.6.1.1.
	Accuray
will accept all Purchase Requests submitted by Agent within the three (3) months following the effective date of termination;

	5.6.1.2.
	For
Purchase Contracts accepted by Accuray and based on Purchase Requests submitted prior to the effective date of termination, Agent shall receive its full Commission;

	5.6.1.3.
	For
Purchase Contracts accepted by Accuray and based on Purchase Requests submitted during the three (3) month period following the effective date of 

10

 

termination,
Agent shall receive its Commission, paid in accordance with Sections 3.9 (Payment) and 3.10 (Commission) above, on a pro-rated basis as follows: 

	5.6.1.3.1.
	For
Purchase Contracts signed by the Customer and accepted by Accuray within three (3) months following the effective date of termination, Agent shall receive 80% of its
Commission, paid in accordance with Sections 3.9 (Payment) and 3.10 (Commission) above;

	5.6.1.3.2.
	For
Purchase Contracts signed by the Customer and accepted by Accuray within six (6) months following the effective date of termination, Agent shall receive 60% of its
Commission, paid in accordance with Sections 3.9 (Payment) and 3.10 (Commission) above; and

	5.6.1.3.3.
	For
Purchase Contracts signed by the Customer and accepted by Accuray within nine (9) months following the effective date of termination, Agent shall receive 40% of its
Commission, paid in accordance with Sections 3.9 (Payment) and 3.10 (Commission) above; and

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

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

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

	5.8.
	Agent's Right to Support.    If Agent has continuing obligations to support Customers, Accuray will continue to provide
support to Agent for it to effectively support such Customers.

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

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

	5.11.
	Repurchase of Parts and Tools.    Within a reasonable time after the effective date of termination, Agent can sell all
parts either to Accuray or Accuray's designated agent in the Territory all parts and tools owned by Agent, which may still commercially reasonably be used to service a CyberKnife in the Territory, at
Agent's cost, without profit. Q: Check with Doug K. re storage/stocking of spare parts by Agent. 

11

 

6.     Dispute Resolution  

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

	6.2.
	Notification and Discussion.    Accuray and Agent hereby irrevocably and unconditionally agree as follows: Should any
dispute arise between the parties relating to this Agreement or the business relationship between the parties, such dispute shall be submitted by one or both parties, in writing, to the Chief
Executive Officer of Agent and the Chief Executive Officer of Accuray for resolution. The parties shall attempt to resolve any dispute arising out of or relating to this Agreement promptly by
negotiation between executives who have authority to settle the controversy.

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

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

7.     Confidentiality.  

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

12

 

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

	7.3.
	Obligations.    Each party will not use the other party's Confidential Information, except as necessary for the performance
of this Agreement, and will not disclose such Confidential Information to any third party, except to those of its employees and subcontractors that need to know such Confidential Information for the
performance of this Agreement, provided that each such employee and subcontractor is subject to a written agreement that includes binding use and disclosure restrictions that are at least as
protective as those set forth herein. Each party will use all commercially reasonable efforts to maintain the confidentiality of all of the other party's Confidential Information in its possession or
control, but in no event less than the efforts that it ordinarily uses with respect to its own confidential information of similar nature and importance. The foregoing obligations will not restrict
either party from disclosing the other party's Confidential Information or the terms and conditions of this Agreement: (i) pursuant to the order or requirement of a court, administrative
agency, or other governmental body, provided that the party required to make such a disclosure gives reasonable notice to the other party to enable it to contest such order or requirement;
(ii) on a confidential basis to its legal or professional financial advisors; (iii) as required under applicable securities regulations; or (iv) on a confidential basis to present
or future providers of venture capital and/or potential private investors in or acquirers of such party. 

8.     Indemnities.  

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

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

	8.3.
	Injunctions.    If Agent's rights to market and sell a Product under the terms of this Agreement is, or in Accuray's opinion
is likely to be, enjoined due to the type of claim specified in Section 8.1 (Accuray Indemnity), then Accuray may, at its sole option and 

13

 

expense:
(i) procure for Agent the right to continue to market and sell such Product under the terms of this Agreement; (ii) replace or modify such Product so that it is
non-infringing; or (iii) if options (i) and (ii) above cannot be accomplished despite Accuray's reasonable efforts, then Accuray may terminate Agent's rights and
Accuray's obligations hereunder with respect to such Product. 

	8.4.
	Indemnity Exclusions.    Accuray will have no obligation under Sections 8.1 (Accuray Indemnity) or 8.2 (Products
Liability Indemnity) for any third-party claim to the extent that such claim results from: (i) representations from Agent regarding use of any Products not in accordance with Accuray's written
product specifications; (ii) representations from Agent regarding use or combination of the Products with other items, such as other equipment, processes, programming applications or materials
not furnished by Accuray; (iii) compliance by Accuray with Agent's or Agent's Customer's designs, specifications or instructions; (iv) representations from Agent regarding modifications
to a Product other than by or at the express written direction of Accuray; (v) Agent's failure to provide to Customer updated or modified written product specifications provided by Accuray;
(vi) Agent's marketing, sale or distribution of a Product other than in accordance with this Agreement or (vii) Agents contracts with other manufacturers, including Elekta and
manufacturers of products and services that compete with Accuray. The foregoing clauses (i) to (vii) are referred to collectively as "Indemnity Exclusions".

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

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

9.     Liability.  

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

	9.2.
	Total Liability.    ACCURAY'S TOTAL LIABILITY TO AGENT UNDER THIS AGREEMENT, FROM ALL CAUSES OF ACTION AND UNDER ALL
THEORIES OF LIABILITY, WILL BE LIMITED TO THE COMMISSIONS ACTUALLY EARNED BY 

14

 

AGENT
UNDER THIS AGREEMENT DURING THE TWELVE (12) MONTH PERIOD PRECEDING THE DATE A CLAIM FOR LIABILITY ARISES HEREUNDER. 

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

10.   Miscellaneous Provisions  

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

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

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

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

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

	To Accuray:
 
	 	To Agent:
 

	Accuray Incorporated

Attention: Chief Financial Officer

1310 Chesapeake Terrace

Sunnyvale, CA 94089	 	 
	
 with cc to: General Counsel	
 	

 

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

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

15

 

	10.8.
	Survival.    The expiration or termination of this Agreement for any reason will not release either party from any
liabilities or obligations set forth herein which (a) the parties have expressly agreed will survive any such expiration or termination; or (b) remain to be performed or by their nature
would be intended to be applicable following any such termination or expiration. In addition to the foregoing, the following provisions shall survive any termination or expiration of this Agreement:
Agreement: Section 2.7 (Warranty); Section 2.8.3 (Warranty Exclusions); Section 3.17 (Warranty); Section 3.20 (First Line Field Service); Section 3.25 (Insurance);
Section 5.6 (Effect of Termination); Section 5.7 (Termination Transition Assistance); Section 5.8 (Agent's Right to Support); Section 6 (Dispute Resolution);
Section 7 (Confidentiality); Section 8 (Indemnities); Section 9 (Liability) and Section 10 (Miscellaneous Provisions).

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

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

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

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

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

SIGNATURE PAGE FOLLOWS

16

 

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

	AGENT:
 
	 	ACCURAY INCORPORATED:
 

	By:
	 	By:

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

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

	Signed:
	 	Dated:

	 	General Counsel, Accuray Incorporated	 	 

SIGNATURE PAGE TO INTERNATIONAL SALES AGENT AGREEMENT

17

  

 
 

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

	QTY
	 	PRODUCT DESCRIPTION
	 	PART #'s
	 	PRICE IN

USD

	 
	 	CYBERKNIFE® ROBOTIC RADIOSURGERY SYSTEM
	 	022986
	 	$4,100,000

	 
	 	ROBOTIC TREATMENT DELIVERY SYSTEM
	 	 
	 	 

	 
	 	Imaging System
	 	021942
	 	Incl.

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

18

 

	1	 	Serial Port Server	 	 	 	Incl.
	1	 	SMART (Uninterruptible Power Supply)	 	 	 	Incl.
	1	 	2550n HP Color Laser Printer	 	 	 	Incl.
	 	 	Treatment Delivery System Software	 	Various	 	Incl.
	1	 	Treatment Delivery Software	 	 	 	Incl.
	1	 	Treatment Delivery Software License	 	 	 	Incl.
	1	 	Cranial Treatment Skull Tracking License	 	 	 	Incl.
	1	 	Extra-cranial Treatment with Fiducial Tracking License	 	 	 	Incl.
	1	 	Patient Record Database	 	 	 	Incl.
	 	 	TREATMENT PLANNING SYSTEM	 	 	 	 
	 	 	CyRISTM MultiPlan—Treatment Planning System	 	021695	 	Incl.
	1	 	DELL Precision Workstation (Desktop or Minitower—Model 370 or Higher)	 	 	 	Incl.
	 	 	Monitor:(1) 20" Flat Panel Monitor—Model: Samsung Syncmaster 213T Flat Panel	 	 	 	 
	 	 	1 Year Manufacturer (DELL) Warranty	 	 	 	 
	1	 	Product Software	 	 	 	 
	 	 	Microsoft Windows XP Professional SP1, NTFS w/Media	 	 	 	 
	 	 	1 Perpetual License MultiPlan—Treatment Planning System	 	 	 	 
	1	 	Startup Wizard and Planning Templates	 	 	 	 
	 	 	CLINICAL APPLICATION MODULES	 	 	 	 
	 	 	SynchronyTM Respiratory Tracking System	 	023119	 	Incl.
	1	 	Synchrony computer and Synchrony software	 	 	 	Incl.
	1	 	Synchrony Camera Array	 	 	 	Incl.
	1	 	Fiber Optic Interface Kit	 	 	 	Incl.
	1	 	Synchrony Single-Patient Use Starter Kit (3 individual patient kits)	 	 	 	Incl.
	 	 	Each Single-Patient Use kits contains:	 	 	 	 
	 	 	—Synchrony Tracking Vest (small, medium or large)	 	 	 	 
	 	 	—Tracking Marker Assembly (3 Markers attached to cables and a connector)	 	 	 	 
	 	 	—Kit Storage Pouch with IFU & Identification Card	 	 	 	 
	 	 	XsightTM Spine Tracking System	 	22078	 	Incl.
	1	 	1 Perpetual License Fiducial-Less Spine Tracking Software	 	 	 	 
	1	 	1 Xsight QA Phantom	 	20855	 	Incl.
	 	 	ACCESSORIES & TRAINING	 	 	 	 
	 	 	QA Tools	 	020580	 	Incl.
	1	 	Anthropomorphic 6D Head Phantom	 	 	 	Incl.
	1	 	Ball Cube	 	 	 	Incl.
	 	 	 	 	 	 	 

19

 

	1	 	Pre-notched Dosimetry Film (20 Pieces)	 	 	 	Incl.
	1	 	Digital Level (1/10 degree)	 	 	 	Incl.
	1	 	Ion Chamber Test Fixture	 	 	 	Incl.
	1	 	ISO Post Assembly	 	 	 	Incl.
	1	 	Alignment Ball	 	 	 	Incl.
	1	 	Pointer Calibration & Front Pointer	 	 	 	Incl.
	1	 	AQA Tools	 	 	 	Incl.
	 	 	Manuals	 	Various	 	Incl.
	1	 	CyberKnife® System Manuals	 	 	 	Incl.
	1	 	Robotic Manipulator System Manuals	 	 	 	Incl.
	1	 	Chiller Manual	 	 	 	Incl.
	1	 	X-ray Detector Manuals	 	 	 	Incl.
	1	 	Accuray 6MEV Medical X-ray CD	 	 	 	Incl.
	 	 	Training	 	 	 	Incl.
	1	 	Technical & Clinical—5 people	 	 	 	Incl.
	1	 	Onsite Training for first patient treatment	 	 	 	Incl.
	1	 	Basic Physics and QA	 	 	 	Incl.
	NOTE	 	Products may not all be available in all countries, as product availability is subject to proper regulatory approval in each country. All prices shown in USD as specified.

	 
	 	ADDITIONAL OPTIONS
	 	PART #
	 	PRICE IN

USD

	 
	 	SynchronyTM Respiratory Tracking System Accessories
	 	 
	 	 

	1	 	Synchrony Single-Patient Use Kit, 5 Pack, Small	 	20904	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 5 Pack, Medium	 	20905	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 5 Pack, Large	 	20906	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 10 Pack, Small	 	20883	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 10 Pack, Medium	 	20891	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 10 Pack, Large	 	20893	 	TBD
	1	 	Synchrony Patient Kit, 10 Pack, Assorted	 	20894	 	TBD
	 	 	Includes 3 Small, 4 Medium & 3 Large Vests	 	 	 	 
	 	 	SGI Computer Upgrade Components	 	 	 	 
	1	 	73 BG Hard Drive	 	20534	 	TBD
	1	 	SGI 181 GB Hard Drive	 	20533	 	TBD
	1	 	SGI Memory, 1GB (2 × 512Mb)	 	18672	 	TBD
	1	 	Cable Kit Add Octane to Hub	 	18326	 	TBD
	1	 	20' Flat Panel Monitor	 	20483	 	TBD
	 	 	CyRISTM InView—Image Fusion and Contouring Station	 	22086	 	TBD
	 	 	 	 	 	 	 

20

 

	1	 	DELL Precision Workstation (Desktop or Minitower—Model 370 or Higher)	 	 	 	Incl.
	 	 	Monitor: (1) 21" Flat Panel Monitor—Model: Samsung Syncmaster 213T Flat Panel	 	 	 	 
	 	 	1 Year Manufacturer (DELL) Warranty	 	 	 	 
	1	 	Product Software	 	 	 	Incl.
	 	 	Microsoft Windows XP Professional SP1, NTFS w/Media	 	 	 	 
	 	 	Perpetual License InView—Image Fusion and Contouring Station	 	 	 	Incl.
	1	 	Software Maintenance Fee	 	 	 	TBD
	 	 	Maintenance Fee of $TBD/yr/System will also be billed at the anniversary of installation and every year thereafter	 	 	 	 
	 	 	CyRISTM MultiPlan—Treatment Planning System	 	21695	 	TBD
	1	 	DELL Precision Workstation (Desktop or Minitower—Model 370 or Higher)	 	 	 	Incl.
	 	 	Monitor:(1) 20" Flat Panel Monitor—Model: Samsung Syncmaster 213T Flat Panel	 	 	 	 
	 	 	1 Year Manufacturer (DELL) Warranty	 	 	 	 
	1	 	Product Software	 	 	 	Incl.
	 	 	Microsoft Windows XP Professional SP1, NTFS w/Media	 	 	 	 
	 	 	Perpetual License MultiPlan—Treatment Planning System	 	 	 	Incl.
	1	 	Software Maintenance Fee	 	 	 	TBD
	 	 	Maintenance Fee of TBD/yr/System will also be billed at the anniversary

of installation and every year thereafter	 	 
	 	 	Additional Patient Setup Items	 	 	 	 
	1	 	Additional Indexed CT Overlay Kits (CT Overlay + Head Baseplate)	 	 	 	TBD
	1	 	CT Top Kit—Siemens Volume	 	20775	 	TBD
	1	 	CT Top Kit—Siemens Somatom	 	20776	 	TBD
	1	 	CT Top Kit—GE LiteSpeed	 	20777	 	TBD
	1	 	CT Top Kit—GE Discovery	 	20778	 	TBD
	1	 	CT Top Kit—GE HiSpeed	 	20779	 	TBD
	1	 	Immobilization Starter Kit	 	021037	 	TBD
	 	 	Body Treatment Fiducial Kit	 	 	 	 
	1	 	Fiducial Instrument Set	 	18985	 	TBD
	1	 	Single Pk Fiducial	 	19005	 	TBD
	1	 	5 Pk Fiducial	 	19006	 	TBD
	1	 	10 Pk Fiducial	 	19007	 	TBD
	 	 	Additional QA Options	 	 	 	 
	1	 	Alignment jig 6D—20cm	 	17722	 	TBD
	1	 	Head Phantom Kit (contains ball cube)	 	18161	 	TBD
	1	 	GAF Chromic Film (20 pack)	 	17895	 	TBD
	1	 	Film Ball cube (20 pack)	 	19366	 	TBD
	 	 	 	 	 	 	 

21

 

	1	 	Body Phantom Kit (contains film cube)	 	17801	 	TBD
	1	 	Color Dye Diffuse Printer (Upgrade) (Not defined or Released)	 	TBD	 	TBD
	1	 	AQA Tools	 	22349	 	TBD
	 	 	System Installation	 	 	 	TBD
	1	 	Floor Frame Install	 	 	 	 
	1	 	System Qualification	 	 	 	 
	1	 	Installation Kit	 	 	 	 
	 	 	Extended Parts Warranty (Parts Only, No Labor)	 	 	 	$175,000
	 	 	One Year—Replacement of Defective Parts	 	 	 	 
	 	 	Emerald Agreement (Basic Service and Parts)	 	 	 	$275,000
	 	 	Requires Distributor to provide First-Line Field Service.	 	 	 	 
	 	 	Includes service for up to 2 Multiplan and 3 InView systems	 	 	 	 
	 	 	Ruby Agreement (Software Upgrades, Basic Service and Parts)	 	 	 	$380,000
	 	 	Requires Distributor to provide First-Line Field Service.	 	 	 	 
	 	 	Includes service for up to 2 Multiplan and 3 InView systems	 	 	 	 
	 	 	Diamond Agreement (Software & Hardware Upgrades, Basic Service & Parts)	 	 	 	$460,000
	 	 	Requires Distributor to provide First-Line Field Service.	 	 	 	 
	 	 	Includes service for up to 2 Multiplan and 3 InView systems	 	 	 	 
	NOTE	 	Products may not all be available in all countries, as product availability is subject to proper regulatory approval in each country. All prices shown in USD as specified.	 	 

22

 
 
 

BASE CYBERKNIFE® G3 CONFIGURATION—ACCURAY LIST PRICE    
    

	QTY
	 	PRODUCT DESCRIPTION
	 	PART #'s
	 	PRICE IN

USD

	 
	 	CYBERKNIFE® ROBOTIC RADIOSURGERY SYSTEM
	 	21682
	 	$3,840,000

	 
	 	ROBOTIC TREATMENT DELIVERY SYSTEM
	 	 
	 	 

	 
	 	Imaging System
	 	20829
	 	Incl.

	1	 	Imaging Stands (Low)	 	 	 	Incl.
	2	 	Amorphous Silicon Detectors (20 cm × 20 cm)	 	 	 	Incl.
	2	 	X-Ray Generators	 	 	 	Incl.
	2	 	X-Ray Sources	 	 	 	Incl.
	1	 	Rack mounted Target Locating PC	 	 	 	Incl.
	 	 	(Requires Octane Software—See CyberKnife Software System below)	 	 	 	 
	 	 	Linear Accelerator	 	20404	 	Incl.
	1	 	Compact 6MV Linac—400 MU/minute	 	 	 	Incl.
	1	 	Secondary Collimator Kit—5 mm, 7.5 mm, 10 mm, 12.5 mm, 15 mm, 20 mm, 25 mm, 30 mm, 35 mm, 40mm, 50 mm, 60 mm, Blank, Laser Collimator	 	 	 	Incl.
	1	 	Control Modulator Control Chassis	 	 	 	Incl.
	 	 	Robotic Manipulator System	 	20554	 	Incl.
	1	 	Robot Manipulator KR210	 	 	 	Incl.
	1	 	Robot Control Software	 	 	 	Incl.
	 	 	AXUMTM Automated Patient Positioning System	 	20680	 	Incl.
	1	 	AXUMTM Treatment Couch	 	 	 	 
	1	 	AXUMTM Treatment Couchtop	 	 	 	 
	1	 	AXUMTM Controller Software	 	 	 	 
	1	 	AXUMTM Hand Pendant	 	 	 	 
	1	 	AXUMTM Readout Display	 	 	 	 
	1	 	AXUMTM Head Baseplate	 	 	 	 
	2	 	Med-Tec Indexed CT Overlay Kits (CT Overlay + Head Baseplate)	 	 	 	 
	 	 	Sub-System Controls and Hardware Components	 	Various	 	Incl.
	1	 	Equipment Rack	 	 	 	Incl.
	1	 	Operator Control Console	 	 	 	Incl.
	1	 	Interface Control Chassis	 	 	 	Incl.
	1	 	E-Stop Control Chassis	 	 	 	Incl.
	1	 	Target Locating Subsystem Control Chassis	 	 	 	Incl.
	1	 	Power Distribution Unit	 	 	 	Incl.
	1	 	17" High resolution CRT Monitor	 	 	 	Incl.
	1	 	Keyboard & Mouse	 	 	 	Incl.
	1	 	Serial Port Server	 	 	 	Incl.
	1	 	SGI Octane II Workstation (Primary Treatment Delivery System and Treatment Planning System)	 	 	 	Incl.
	 	 	21" Flat Panel (Optional 21" CRT Monitor Available—see options section)	 	 	 	 

23

 

	1	 	SMART (Uninterruptible Power Supply)	 	 	 	Incl.
	1	 	2550n HP Color Laser Printer	 	 	 	Incl.
	 	 	Treatment Delivery System Software	 	20389	 	Incl.
	1	 	Octane Software	 	 	 	Incl.
	1	 	Treatment Delivery Software License	 	 	 	Incl.
	1	 	Cranial Treatment Skull Tracking License	 	 	 	Incl.
	1	 	Extra-cranial Treatment with Fiducial Tracking License	 	 	 	Incl.
	1	 	Patient Record Database	 	 	 	Incl.
	 	 	TREATMENT PLANNING SYSTEM	 	 	 	 
	 	 	CyRISTM MultiPlanTM—Treatment Planning System	 	21695	 	Incl.
	1	 	DELL Precision Workstation (Desktop or Minitower—Model 370 or Higher)	 	 	 	Incl.
	 	 	(1) 20" Flat Panel Monitor—Model: Samsung Syncmaster 213T Flat Panel	 	 	 	 
	 	 	1 Year Manufacturer (DELL) Warranty	 	 	 	 
	1	 	Product Software	 	 	 	Incl.
	 	 	Microsoft Windows XP Professional SP1, NTFS w/Media	 	 	 	 
	1	 	Perpetual License MultiPlan—Treatment Planning System	 	 	 	Incl.
	 	 	CLINICAL APPLICATION MODULES	 	 	 	 
	 	 	SynchronyTM Respiratory Tracking System	 	23119	 	Incl.
	1	 	Synchrony computer and Synchrony software	 	 	 	Incl.
	1	 	Synchrony Camera Array	 	 	 	Incl.
	1	 	Fiber Optic Interface Kit	 	 	 	Incl.
	1	 	Synchrony Single-Patient Use Starter Kit (3 individual patient kits)	 	 	 	Incl.
	 	 	Each Single-Patient Use kits contains:	 	 	 	 
	 	 	—Synchrony Tracking Vest (small, medium or large)	 	 	 	 
	 	 	—Tracking Marker Assembly (3 Markers attached to cables and a connector)	 	 	 	 
	 	 	—Kit Storage Pouch with IFU & Identification Card	 	 	 	 
	1	 	XsightTM Spine Tracking System	 	22078	 	Incl.
	1	 	Perpetual License Fiducial-Less Spine Tracking Software	 	 	 	Incl.
	1	 	Xsight QA Phantom	 	20855	 	Incl.
	 	 	ACCESSORIES & TRAINING	 	 	 	 
	 	 	QA Tools	 	20580	 	Incl.
	1	 	Anthro 6D Head Phantom	 	18880	 	Incl.
	1	 	Ball Cube	 	19364	 	Incl.
	1	 	Pre-notched Dosimetry Film (20 Pieces)	 	19366	 	Incl.
	1	 	Digital Level (1/10 degree)	 	17832	 	Incl.
	1	 	Ion Chamber Test Fixture	 	10181	 	Incl.
	 	 	 	 	 	 	 

24

 

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

	 
	 	ADDITIONAL OPTIONS
	 	PART #
	 	PRICE IN

USD

	 
	 	SynchronyTM Respiratory Tracking System Accessories
	 	 
	 	 

	1	 	Synchrony Single-Patient Use Kit, 5 Pack, Small	 	20904	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 5 Pack, Medium	 	20905	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 5 Pack, Large	 	20906	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 10 Pack, Small	 	20883	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 10 Pack, Medium	 	20891	 	TBD
	1	 	Synchrony Single-Patient Use Kit, 10 Pack, Large	 	20893	 	TBD
	1	 	Synchrony Patient Kit, 10 Pack, Assorted	 	20894	 	TBD
	 	 	Includes 3 Small, 4 Medium & 3 Large Vests	 	 	 	 
	 	 	Linear Accelerator Upgrade: 600 MU/minute	 	23120	 	TBD
	 	 	Imaging System Upgrade	 	 	 	TBD
	1	 	Imaging System Upgrade: In Floor	 	23121	 	TBD
	1	 	Imaging System Upgrade: On Floor	 	23122	 	TBD
	 	 	SGI Computer Upgrade Components	 	 	 	 
	1	 	73 BG Hard Drive	 	20534	 	TBD
	1	 	SGI 181 GB Hard Drive	 	20533	 	TBD
	1	 	SGI Memory, 1GB (2 × 512Mb)	 	18672	 	TBD
	1	 	Cable Kit Add Octane to Hub	 	18326	 	TBD
	 	 	 	 	 	 	 

25

 

	1	 	20' Flat Panel Monitor	 	20483	 	TBD
	 	 	CyRISTM InView—Image Fusion and Contouring Station	 	22086	 	TBD
	1	 	DELL Precision Workstation (Desktop or Minitower—Model 370 or Higher)	 	 	 	 
	 	 	Minimal Processing Capability: Intel Pentium IV, 3.2GHz, Intel EM64T, 1m L2 Cache, 800 FSB MHz CPU	 	 	 	 
	 	 	Memory (RAM)—4GB, 533MHz, DDR2 ECC SDRAM 4X1GB	 	 	 	 
	 	 	Hard Drive: Minimum Capacity: 160 GB SATA 7200 RPM	 	 	 	 
	 	 	Video Card: nVidia, Quadro 3400, 256MB, Dual VGA or DVI or Better	 	 	 	Incl.
	 	 	Key Board: Entry Level Keyboard PS/2, No Hot Keys	 	 	 	 
	 	 	CD-ROM: 48x CD-RW and 16 XD DVD+/-RW	 	 	 	 
	 	 	Mouse: DELL USB 2-Button Optical Mouse with Scroll	 	 	 	 
	1	 	Monitor: (1) 21" Flat Panel Monitor—Model: Samsung Syncmaster 213T Flat Panel	 	 	 	Incl.
	 	 	1 Year Manufacturer (DELL) Warranty	 	 	 	 
	1	 	Product Software	 	 	 	Incl.
	 	 	Microsoft Windows XP Professional SP1, NTFS w/Media	 	 	 	 
	1	 	Perpetual License InView—Image Fusion and Contouring Station	 	 	 	 
	1	 	Software Maintenance Fee	 	 	 	TBD
	 	 	Maintenance Fee of TBD/yr/System will also be billed at the anniversary of installation and every year thereafter	 	 	 	 
	 	 	CyRISTM MultiPlan—Treatment Planning System	 	21695	 	TBD
	1	 	DELL Precision Workstation (Desktop or Minitower—Model 370 or Higher)	 	 	 	 
	 	 	Monitor:(1) 20" Flat Panel Monitor—Model: Samsung Syncmaster 213T Flat Panel	 	 	 	Incl.
	 	 	1 Year Manufacturer (DELL) Warranty	 	 	 	 
	1	 	Product Software	 	 	 	Incl.
	 	 	Microsoft Windows XP Professional SP1, NTFS w/Media	 	 	 	 
	 	 	Perpetual License MultiPlan—Treatment Planning System	 	 	 	Incl.
	1	 	Software Maintenance Fee	 	 	 	TBD
	 	 	Maintenance Fee of TBD/yr/System will also be billed at the anniversary of installation and every year thereafter	 	 	 	 
	 	 	Additional Patient Setup Items	 	 	 	 
	1	 	Additional Indexed CT Overlay Kits (CT Overlay + Head Baseplate)	 	 	 	TBD
	1	 	CT Top Kit—Siemens Volume	 	20775	 	TBD
	1	 	CT Top Kit—Siemens Somatom	 	20776	 	TBD
	1	 	CT Top Kit—GE LiteSpeed	 	20777	 	TBD
	1	 	CT Top Kit—GE Discovery	 	20778	 	TBD
	1	 	CT Top Kit—GE HiSpeed	 	20779	 	TBD
	1	 	Immobilization Starter Kit	 	021037	 	TBD
	 	 	 	 	 	 	 

26

 

	 	 	Body Treatment Fiducial Kit	 	 	 	 
	1	 	Fiducial Instrument Set	 	18985	 	TBD
	1	 	Single Pk Fiducial	 	19005	 	TBD
	1	 	5 Pk Fiducial	 	19006	 	TBD
	1	 	10 Pk Fiducial	 	19007	 	TBD
	 	 	Additional QA Options	 	 	 	 
	1	 	Alignment jig 6D—20cm	 	17722	 	TBD
	1	 	Head Phantom Kit (contains ball cube)	 	18161	 	TBD
	1	 	GAF Chromic Film (20 pack)	 	17895	 	TBD
	1	 	Film Ball cube (20 pack)	 	19366	 	TBD
	1	 	Body Phantom Kit (contains film cube)	 	17801	 	TBD
	1	 	Color Dye Diffuse Printer (Upgrade) (Not defined or Released)	 	TBD	 	TBD
	 	 	System Installation	 	 	 	TBD
	1	 	Floor Frame Install	 	 	 	 
	1	 	System Qualification	 	 	 	 
	1	 	Installation Kit	 	 	 	 
	 	 	Extended Parts Warranty (Parts Only, No Labor)	 	 	 	$175,000
	 	 	One Year—Replacement of Defective Parts	 	 	 	 
	 	 	Emerald Agreement (Basic Service and Parts)	 	 	 	$275,000
	 	 	Requires Distributor to provide First-Line Field Service.	 	 	 	 
	 	 	Includes service for up to 2 Multiplan and 3 InView systems	 	 	 	 
	 	 	Ruby Agreement (Software Upgrades, Basic Service and Parts)	 	 	 	$380,000
	 	 	Requires Distributor to provide First-Line Field Service.	 	 	 	 
	 	 	Includes service for up to 2 Multiplan and 3 InView systems	 	 	 	 
	 	 	Diamond Agreement (Software & Hardware Upgrades, Basic Service & Parts)	 	 	 	$460,000
	 	 	Requires Distributor to provide First-Line Field Service.	 	 	 	 
	 	 	Includes service for up to 2 Multiplan and 3 InView systems	 	 	 	 
	NOTE	 	Products may not all be available in all countries, as product availability is subject to proper regulatory approval in each country. All prices shown in USD as specified.	 	 

27

  

 
 

EXHIBIT B    
    
    PRODUCT AND SERVICE MINIMUM VOLUMES    
    

        During the initial term of this Agreement, Agent agrees to sell a minimum number of Systems per year as follows: 

	•
	TBD 

"Sale"
shall mean that Accuray receives and accepts (such acceptance not to be unreasonably withheld) a signed Purchase Contract from a Customer. 

28

 
 
 

EXHIBIT C    
    
    SALES AGENT COMMISSION    
    
    CyberKnife System Commission    
    

	CyberKnife G3 System

	Purchase Price
	 	Commission %
	 	Commission $$
	 	Accuray $$

	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD

	CyberKnife G4 System

	Purchase Price
 
	 	Commission %
	 	Commission $$
	 	Accuray $$

	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD
	TBD	 	TBD	 	TBD	 	TBD

 
 

Service Agreement Commission    
    

	Service Agreement Commission

	Service Agreement
 
	 	Accuray List Price
	 	Agent Minimum Price
	 	Commission %

	Diamond Elite Service	 	$	460,000.00	 	TBD	 	TBD
	Ruby Elite Service	 	$	380,000.00	 	TBD	 	TBD
	Emerald Elite Service	 	$	375,000.00	 	TBD	 	TBD
	Extended Parts Warranty	 	$	175,000.00	 	TBD	 	TBD
	Additional Upgrade Agreement	 	$	200,000.00	 	TBD	 	TBD

29

 
 
 

EXHIBIT D    
    
    TRAINING    
    

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

        Additional
training maybe purchased from Accuray according to the following price list, which may be updated from time to time. Customers should contract directly with Accuray for
additional training services, and no Purchase Request is required. 

	Additional Training

	#
	 	Course
	 	Duration
	 	Price †

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

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

30

 
 
 

EXHIBIT E    
    
    ACCURAY INTERNATIONAL SERVICE AGREEMENTS TERMS SUMMARY ±    
    

	 
	 	Terms
	 	Accuray List Price U$D
	 	Agent Minimum Price U$D

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

• Replacement Parts only

• No Updates or Bug Fixes

• No Upgrades

• No Uptime Guarantee

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

• All Parts included

• Updates & Bug Fixes only

• No Upgrades

• Service: 8am—9pm local time

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

• Escalated Service—Accuray, 24 hour Response Time

• Uptime: 95%	 	$275,000 / year

$72,000 / quarter

$25,000 / month	 	TBD
	 Ruby

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

• All Parts included

• Updates & Bug Fixes

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

• Service: 8am—9pm local time

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

• Escalated Service—Accuray, 24 hour Response Time

• Uptime: 95%	 	$380,000 / year

$98,000 / quarter

$34,000 / month	 	TBD
	 	 	 	 	 	 	 

31

 

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

• All Parts included

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

• Service: 8am—9pm local time

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

• Escalated Service—Accuray, 24 hour Response Time

• Uptime: 95%	 	$460,000 / year

$120,000 / quarter

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

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

• Available only to customers with currently effective,

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

	±
	Int'l
Agreements are not cancelable. 

32

 
 
 

SAMPLE SERVICE AGREEMENTS    
    

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

33

  

 
 

CYBERKNIFE® INTERNATIONAL DIAMOND ELITE SERVICE AGREEMENT    
    

	1.
	Scope of Service.    This Diamond Elite Service Agreement ("Agreement") is made by and between ACCURAY
INCORPORATED ("Accuray"), a California corporation, located at 1310 Chesapeake Terrace, Sunnyvale, CA 94089,
and                                    ("Customer"), located at
                                    , for Accuray to provide planned
maintenance service when scheduled by Accuray and corrective maintenance service when requested by Customer to maintain the CyberKnife System installed
at Customer's site at                                    ("System") so
that it performs substantially in accordance with the Specifications (User Manuals and Reference Guides) defined for the System revision as
installed and/or upgraded.

	1.1.
	Effective Date.    This Agreement shall be effective as of demonstration of acceptance testing by Accuray as described in
the CyberKnife Quotation and Purchase Agreement
dated                                    , 2006 and signed by the
parties, or the expiration of any prior service or warranty agreement, if applicable.

	1.2.
	Definitions:

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

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

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

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

	1.2.5.
	Exclusions    Upgrades/Enhancements that have a list price of greater than $200,000 per Upgrade/Enhancement are
specifically excluded from this Agreement. However, Accuray may at its discretion, offer Upgrades/Enhancements that have a 

34

 

higher
list price, as more than a single Upgrade/Enhancement to Customers under this Agreement. If Accuray offers Upgrades/Enhancements that have a higher list price as more than a single
Upgrade/Enhancement then Accuray will make such offer to all of its customers. Examples of such components that would likely fall into this category are: the robot, and the patient couch.
New Versions and New Products are also specifically excluded. 

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

	2.
	Service Period.

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

	2.2.
	The  Agreement Price shall be one of the following, at Customer's option (indicate preferred option by checking a box, if no
selection
is made Customer will be billed on an annual basis). The Agreement Price shall cover the Base CyberKnife System, up to two (2) CyRIS Multiplan Systems (including the CyRIS MultiPlan System in
the Base CyberKnife System), and up to three (3) CyRIS InView Workstations. If Customer has more than two (2) CyRIS MultiPlan Systems or three (3) CyRIS InView Workstations
installed, then an additional charge of $18,750.00 per year per MultiPlan and $6,750.00 per year per InView, as applicable, will be added by Accuray to the Agreement Price set forth below.

	o
	ANNUAL:
$460,000 per year, paid yearly in advance, for years 2, 3, 4 and Optional Year 5.

	o
	QUARTERLY:
$120,000 per quarter, paid at the beginning of each quarter, for years 2, 3, 4 and Optional Year 5.

	o
	MONTHLY:
$41,000 per month, paid at the beginning of each month, for years 2, 3, 4 and Optional Year 5.

	3.
	Product Upgrades/Enhancements

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

	3.2.
	Under
this Agreement, Customer may receive Upgrades/Enhancements, when and if available in years 2, 3, and 4, up to two (2) Upgrades/Enhancements per year. Customer
acknowledges and agrees that this in no way obligates Accuray to provide a minimum number of Upgrades/Enhancements and that there may be some years in which no Upgrades/Enhancements will be offered;
however, in contrast, there may be years in which 

35

 

Accuray
will offer multiple Upgrades/Enhancements and Customer may select up to two (2) of such Upgrades/Enhancements. Customer may receive an available Upgrade/Enhancement during Year 1
(the Warranty Year), or receive an additional Upgrade/Enhancement during years 2 or 3, and such Upgrade/Enhancement will replace Customer's opportunity for Upgrades/Enhancements in future
years. For example, if Customer orders an Upgrade/Enhancement during Year 1 (the Warranty Year), Customer will have the opportunity for up to five (5) Upgrades/Enhancements when and if
they become available during years 2, 3 and 4. Upgrades/Enhancements may be software, hardware or a combination thereof. 

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

	3.4.
	If
Customer elects to have this coverage extend for Optional Year 5, Customer may receive up to two (2) additional Upgrades/Enhancements when and if available during Optional
Year 5. Customer is under no obligation to exercise the option for Optional Year 5. Customer may exercise the option for Optional Year 5 by letter sent to Accuray, in accordance with the Notice
provision set forth below, at any time up to ten (10) days before the Optional Year 5 commences. If Customer does not exercise the option, there will be no charge to Customer, and
Accuray will not provide Diamond coverage for Optional Year 5. If Customer exercises the option, Accuray is obligated to provide Diamond coverage on the same terms as the previous Agreement years.

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

	4.
	Software Maintenance (Bug Fixes and Updates)

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

36

 

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

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

	5.
	System Quality Assurance Testing

	5.1.
	The
maintenance and support services provided by Accuray under this Agreement do not include any System Quality Assurance Testing ("QA"). System commissioning and QA are the sole
responsibility of Customer, and Customer is advised to perform QA on a regular and ongoing basis. In addition, Customer is required to maintain up-to-date QA logs. If Customer
fails to perform the appropriate QA of the System, and to record such QA in the appropriate logs, Accuray, upon giving Notice to Customer in accordance with Section 16 of this Agreement,
reserves the right to terminate this Agreement.

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

	6.
	Service Coverage Period

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

	6.2.
	Customer
will promptly notify Accuray, by calling Accuray's Customer Support Line at 1-408-716-4700, of any problem or defect with the System and,
at no charge, provide Accuray service engineers access to the System and use of adequate facilities and equipment at mutually agreeable times as necessary for Accuray to perform the service. Customer
shall have as many service calls as are reasonably needed to maintain the System so that it performs substantially in accordance with the Specifications during the period of this Agreement.

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

37

 

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

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

	7.
	Uptime

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

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

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

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

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

	8.
	Replacement Parts

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

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

38

 

regulations.
Parts replaced under this Agreement become the property of Accuray and will be disposed of by Accuray Field Service engineers. Notwithstanding the foregoing, all parts that are considered
by local regulation to be "hazardous" or "contaminated" waste, or material that requires "special handling" will be disposed of or retained by Customer at Customer's facility. 

	9.
	Exceptions

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

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

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

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

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

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

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

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

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

	12.
	Limitation of Liability and Warranty

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

39

 

EVENT
WILL ACCURAY BE LIABLE TO CUSTOMER FOR ANY LOST PROFITS, LOST SAVINGS, LOST REVENUES OR DOWNTIME, SPECIAL, INDIRECT, INCIDENTAL DAMAGES OR OTHER CONSEQUENTIAL DAMAGES ARISING OUT OF OR IN
CONNECTION WITH THE AGREEMENT OR THE USE OR PERFORMANCE OF THE SYSTEM. 

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

	13.
	Patient Information.    In performing the services hereunder, Accuray may receive from Customer, or create or receive on
behalf of Customer, patient healthcare, billing, or other confidential patient information ("Patient Information"). Patient Information, as the term is used herein, includes all "Protected Health
Information," as that term is defined in 45 CFR 164.501. Accuray shall use Patient Information only as necessary to provide the services to Customer as set forth in this Agreement. Accuray
shall comply with all laws, rules and regulations relating to the confidentiality of Patient Information, including the applicable provisions of the privacy regulations promulgated pursuant to Health
Insurance Portability and Accountability Act of 1996 ("HIPAA").

	14.
	Assignment.    Neither party may assign this Agreement without the other party's prior written consent, except that Accuray
may assign this Agreement, without Customer's consent, to an affiliate or to a successor or acquirer, as the case may be, in connection with a merger or acquisition, or the sale of all or
substantially all of Accuray's assets or the sale of that portion of Accuray's business to which this Agreement relates. Subject to the foregoing, this Agreement will bind and inure to the benefit of
the parties' permitted successors and assigns.

	15.
	Disputes and Governing Laws

	15.1.
	In
the event that a dispute arises between Accuray and Customer with respect to any subject matter governed by this Agreement, such dispute shall be settled as follows. If either
party shall have any dispute with respect to this Agreement, that party shall provide written notification to the other party in the form of a claim identifying the issue or amount disputed including
a detailed reason for the claim. The party against whom the claim is made shall respond in writing to the claim within 30 days from the date of receipt of the claim document. The party filing
the claim shall have an additional 30 days after the receipt of the response to either accept the resolution offered by the other party or escalate the matter. If the dispute is not resolved,
either party may notify the other in writing of their desire to elevate the claim to the President of Accuray and the Chief Executive Officer of Customer. Each shall negotiate in good faith and use
his or her best efforts to resolve such dispute or claim. The location, format, frequency, duration and conclusion of these elevated discussions shall be left to the discretion of the representatives
involved. If the negotiations do not lead to resolution of the underlying dispute or claim to the satisfaction of either party involved, then either party may pursue resolution by the courts
as follows.

	15.2.
	All
disputes arising out of or relating to this Agreement not otherwise resolved between Accuray and Customer shall be resolved in a court of competent jurisdiction, in Santa Clara
County, State of California, and in no other place, provided that, in Accuray's sole discretion, such action may be heard in some other place designated by Accuray (if necessary to acquire
jurisdiction over third persons), so that the dispute can be resolved in one action. Customer hereby consents to the jurisdiction of such court or courts and agrees to appear in any such action upon
written notice thereof. No action, regardless of form, arising out of, or in any way connected with this Agreement may be brought by Customer more than one (1) year after the cause of action
has occurred. 

40

 

	16.
	Notices.    All notices required or permitted under this Agreement will be in writing and delivered in person, by overnight
delivery service, or by registered or certified mail, postage prepaid with return receipt requested, and in each instance will be deemed given upon receipt. All communications will be sent to the
addresses set forth below or to such other address as may be specified by either party in writing to the other party in accordance with this Section. 

	To Accuray:
 
	 	To Customer:
 

	Accuray Incorporated

Attention: Chief Financial Officer

1310 Chesapeake Terrace

Sunnyvale, CA 94089	 	 
	
 with cc to: General Counsel	
 	

 

	17.
	Waiver.    The waiver of any breach or default of any provision of this Agreement will not constitute a waiver of any other
right hereunder or of any subsequent breach or default.

	18.
	Severability.    If any provision of this Agreement is held invalid or unenforceable by a court of competent jurisdiction,
the remaining provisions of the Agreement will remain in full force and effect, and the provision affected will be construed so as to be enforceable to the maximum extent permissible by law.

	19.
	Force Majeure.    Neither party will be responsible for any failure or delay in its performance under this Agreement (except
for the payment of money) due to causes beyond its reasonable control, including, but not limited to, labor disputes, strike, lockout, riot, war, fire, act of God, accident, failure or breakdown of
components necessary to order completion; subcontractor, supplier or customer caused delays; inability to obtain or substantial rises in the prices of labor, materials or manufacturing facilities;
curtailment of or failure to obtain sufficient electrical or other energy, raw materials or supplies; or compliance with any law, regulation or order, whether valid or invalid.

	20.
	Amendments.    Any amendment or modification of this Agreement must be made in writing and signed by duly authorized
representatives of each party. For Accuray, a duly authorized representative must be any of the following: CEO, CFO, or General Counsel.

	21.
	Entire Agreement.    This Agreement contains the entire Agreement of the parties hereto with respect to the subject matter
hereof, and supersedes all prior understandings, representations and warranties, written and oral. If any part of the terms and conditions stated herein are held void or unenforceable, such part will
be treated as severable, leaving valid the remainder of the terms and conditions.

	22.
	Counterparts.    This Agreement may be executed in counterparts, each of which will be deemed an original, but all of which
together will constitute one and the same instrument. 

 
 

SIGNATURE PAGE FOLLOWS    
    

41

 

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

	ACCURAY INCORPORATED
 
	 	CUSTOMER
 

	By:
	 	By:

	Print Name: Doug Keare	 	Print Name:

	Title: Vice President of Customer Service	 	Title:

	 	and Technical Support	 	 
	Date:
	 	Date:

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

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

	Signed:
	 	Dated:

	 	General Counsel, Accuray Inc.	 	 

SIGNATURE PAGE TO INTERNATIONAL DIAMOND AGREEMENT

42

  

 
 

ACCURAY CYBERKNIFE® INTERNATIONAL RUBY ELITE SERVICE AGREEMENT    
    

	1.
	Scope of Service.    This Ruby Elite Service Agreement ("Agreement") is made by and between ACCURAY
INCORPORATED ("Accuray"), a California corporation, located at 1310 Chesapeake Terrace, Sunnyvale, CA 94089, and                                      
("Customer"), located at                                     , for
Accuray to provide planned maintenance
service when scheduled by Accuray and corrective maintenance service when requested by Customer to maintain the CyberKnife System installed at Customer's site at                                      
("System") so that it performs substantially in accordance with the Specifications (User Manuals and Reference Guides) defined for the
System revision as installed and/or upgraded.

	1.1.
	Effective Date.    This Agreement shall be effective as of demonstration of acceptance testing by Accuray as described in
the CyberKnife Quotation and Purchase Agreement
dated                                    , 2006 and signed by the
parties, or the expiration of any prior service or warranty agreement, if applicable.

	1.2.
	Definitions:

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

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

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

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

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

43

 

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

	2.
	Service Period.

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

	2.2.
	The
Agreement Price shall be one of the following, at Customer's option (indicate preferred option by checking a box, if no selection
is made Customer will be billed on an annual basis). The Agreement Price shall cover the Base CyberKnife System, up to two (2) CyRIS Multiplan Systems (including the CyRIS MultiPlan System in
the Base CyberKnife System), and up to three (3) CyRIS InView Workstations. If Customer has more than two (2) CyRIS MultiPlan Systems or three (3) CyRIS InView Workstations
installed, then an additional charge of $18,750.00 per year per MultiPlan and $6,750.00 per year per InView, as applicable, will be added by Accuray to the Agreement Price set forth below.

	o
	ANNUAL:
$380,000 per year, paid yearly in advance, for years 2, 3, 4 and Optional Year 5.

	o
	QUARTERLY:
$98,000 per quarter, paid at the beginning of each quarter, for years 2, 3, 4 and Optional Year 5.

	o
	MONTHLY:
$34,000 per month, paid at the beginning of each month, for years 2, 3, 4 and Optional Year 5.

	3.
	Product Upgrades/Enhancements

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

44

 

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

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

	3.4.
	If
Customer elects to have this coverage extend for Optional Year 5, Customer may receive up to two (2) additional Upgrades/Enhancements when and if available during
Optional Year 5. Customer is under no obligation to exercise the option for Optional Year 5. Customer may exercise the option for Optional Year 5 by letter sent to Accuray, in
accordance with the Notice provision set forth below, at any time up to ten (10) days before the Optional Year 5 commences. If Customer does not exercise the option, there will be no
charge to Customer, and Accuray will not provide Ruby coverage for Optional Year 5. If Customer exercises the option, Accuray is obligated to provide Ruby coverage on same terms as the previous
Agreement years.

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

	4.
	Software Maintenance (Bug Fixes and Updates)

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

45

 

features
that were originally purchased with the System or subsequently purchased separately by Customer from Accuray or taken under this Agreement as a System Upgrade/Enhancement. 

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

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

	5.
	System Quality Assurance Testing

	5.1.
	The
maintenance and support services provided by Accuray under this Agreement do not include any System Quality Assurance Testing ("QA"). System commissioning and QA are the sole
responsibility of Customer, and Customer is advised to perform QA on a regular and ongoing basis. In addition, Customer is required to maintain up-to-date QA logs. If Customer
fails to perform the appropriate QA of the System, and to record such QA in the appropriate logs, Accuray, upon giving Notice to Customer in accordance with Section 16 of this Agreement,
reserves the right to terminate this Agreement.

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

	6.
	Service Coverage Period

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

	6.2.
	Customer
will promptly notify Accuray, by calling Accuray's Customer Support Line at 1-408-716-4700, of any problem or defect with the System and,
at no charge, provide Accuray service engineers access to the System and use of adequate facilities and equipment at mutually agreeable times as necessary for Accuray to perform the service. Customer
shall have as many service calls as are reasonably needed to maintain the System so that it performs substantially in accordance with the Specifications during the period of this Agreement.

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

46

 

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

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

	7.
	Uptime

	7.6.
	Uptime/Downtime.    Uptime shall mean any time that the System is not down ("Uptime"). A down System means that a patient
cannot be treated due to an actual malfunction of the System and that the System is immediately available for an Accuray service engineer to work on it ("Downtime").

	7.7.
	Guarantee.    Accuray will guarantee that the System shall have an Uptime percentage of at least 95% of normal treatment
hours on an annual basis during the Term of this Agreement. Normal treatment hours shall be from 8:00 AM to 5:00 PM local time Monday through Friday (excluding legal holidays). The first
12-month period will start as of the Effective Date of this Agreement.

	7.8.
	Calculation.    Downtime will be calculated from the time a down System call is received by Accuray to the time of repair,
counting normal treatment hours. The System will be calculated as up when the System repair has been completed and the System is available for treatment during normal treatment hours, whether or not
patients are scheduled for treatment. Scheduled preventive maintenance, System upgrades, and time that the System is unavailable as a result of something beyond Accuray's control, including without
limitation (i) Customer's use of the System for purposes other than its intended and authorized purposes, (ii) the negligence of Customer, (iii) the failure of Customer to operate
the System in accordance with the User Manuals, (iv) use by untrained operators, (v) e-Stops, power outages or the like or (vi) the negligence of any party other than
Accuray, will be calculated as Uptime.

	7.9.
	Reports.    Customer is responsible for recording and reporting Downtime to Accuray. Reports for the previous month's
Downtime shall be provided to Accuray on or before the 15th day of each month.

	7.10.
	Failure to Meet Guarantee.    For each year of the term of this Agreement, if Accuray achieves a 12-month
uptime average of less than 95%, the Agreement period will be extended one (1) week for every percentage point or fraction thereof below 95%.

	8.
	Replacement Parts

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

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

47

 

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

	9.
	Exceptions

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

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

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

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

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

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

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

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

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

	12.
	Limitation of Liability and Warranty

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

48

 

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

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

	13.
	Patient Information.    In performing the services hereunder, Accuray may receive from Customer, or create or receive on
behalf of Customer, patient healthcare, billing, or other confidential patient information ("Patient Information"). Patient Information, as the term is used herein, includes all "Protected Health
Information," as that term is defined in 45 CFR 164.501. Accuray shall use Patient Information only as necessary to provide the services to Customer as set forth in this Agreement. Accuray
shall comply with all laws, rules and regulations relating to the confidentiality of Patient Information, including the applicable provisions of the privacy regulations promulgated pursuant to Health
Insurance Portability and Accountability Act of 1996 ("HIPAA").

	14.
	Assignment.    Neither party may assign this Agreement without the other party's prior written consent, except that Accuray
may assign this Agreement, without Customer's consent, to an affiliate or to a successor or acquirer, as the case may be, in connection with a merger or acquisition, or the sale of all or
substantially all of Accuray's assets or the sale of that portion of Accuray's business to which this Agreement relates. Subject to the foregoing, this Agreement will bind and inure to the benefit of
the parties' permitted successors and assigns.

	15.
	Disputes and Governing Laws

	15.1.
	In
the event that a dispute arises between Accuray and Customer with respect to any subject matter governed by this Agreement, such dispute shall be settled as follows. If either
party shall have any dispute with respect to this Agreement, that party shall provide written notification to the other party in the form of a claim identifying the issue or amount disputed including
a detailed reason for the claim. The party against whom the claim is made shall respond in writing to the claim within 30 days from the date of receipt of the claim document. The party filing
the claim shall have an additional 30 days after the receipt of the response to either accept the resolution offered by the other party or escalate the matter. If the dispute is not resolved,
either party may notify the other in writing of their desire to elevate the claim to the President of Accuray and the Chief Executive Officer of Customer. Each shall negotiate in good faith and use
his or her best efforts to resolve such dispute or claim. The location, format, frequency, duration and conclusion of these elevated discussions shall be left to the discretion of the representatives
involved. If the negotiations do not lead to resolution of the underlying dispute or claim to the satisfaction of either party involved, then either party may pursue resolution by the courts
as follows.

	15.2.
	All
disputes arising out of or relating to this Agreement not otherwise resolved between Accuray and Customer shall be resolved in a court of competent jurisdiction, in Santa Clara
County, State of California, and in no other place, provided that, in Accuray's sole discretion, such action may be heard in some other place designated by Accuray (if necessary to acquire
jurisdiction over third persons), so that the dispute can be resolved in one action. Customer hereby consents to the jurisdiction of such court or courts and agrees to appear in any such action upon
written notice thereof. No action, regardless of form, arising out of, or in any way connected with this Agreement may be brought by Customer more than one (1) year after the cause of action
has occurred.

	16.
	Notices.    All notices required or permitted under this Agreement will be in writing and delivered in person, by overnight
delivery service, or by registered or certified mail, postage prepaid with return receipt requested, and in each instance will be deemed given upon receipt. All 

49

 

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

	To Accuray:
 
	 	To Customer:
 

	Accuray Incorporated

Attention: Chief Financial Officer

1310 Chesapeake Terrace

Sunnyvale, CA 94089	 	 
	 	 	 
	with cc to: General Counsel	 	 

	17.
	Waiver.    The waiver of any breach or default of any provision of this Agreement will not constitute a waiver of any other
right hereunder or of any subsequent breach or default.

	18.
	Severability.    If any provision of this Agreement is held invalid or unenforceable by a court of competent jurisdiction,
the remaining provisions of the Agreement will remain in full force and effect, and the provision affected will be construed so as to be enforceable to the maximum extent permissible by law.

	19.
	Force Majeure.    Neither party will be responsible for any failure or delay in its performance under this Agreement (except
for the payment of money) due to causes beyond its reasonable control, including, but not limited to, labor disputes, strike, lockout, riot, war, fire, act of God, accident, failure or breakdown of
components necessary to order completion; subcontractor, supplier or customer caused delays; inability to obtain or substantial rises in the prices of labor, materials or manufacturing facilities;
curtailment of or failure to obtain sufficient electrical or other energy, raw materials or supplies; or compliance with any law, regulation or order, whether valid or invalid.

	20.
	Amendments.    Any amendment or modification of this Agreement must be made in writing and signed by duly authorized
representatives of each party. For Accuray, a duly authorized representative must be any of the following: CEO, CFO, or General Counsel.

	21.
	Entire Agreement.    This Agreement contains the entire Agreement of the parties hereto with respect to the subject matter
hereof, and supersedes all prior understandings, representations and warranties, written and oral. If any part of the terms and conditions stated herein are held void or unenforceable, such part will
be treated as severable, leaving valid the remainder of the terms and conditions.

	22.
	Counterparts.    This Agreement may be executed in counterparts, each of which will be deemed an original, but all of which
together will constitute one and the same instrument. 

SIGNATURE PAGE FOLLOWS  

50

 

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

	ACCURAY INCORPORATED
 
	 	CUSTOMER
 

	
 By:
	
 	

By:

	
 Print Name: Doug Keare	
 	

Print Name:

	
 Title: Vice President of Customer Service

and Technical Support	
 	

Title:

	
 Date:
	
 	

Date:

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

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

	Signed:
	 	Dated:

	             General Counsel, Accuray Incorporated	 	 

SIGNATURE PAGE TO INTERNATIONAL RUBY SERVICE AGREEMENT

51

  

 
 

ACCURAY CYBERKNIFE® INTERNATIONAL EMERALD ELITE SERVICE AGREEMENT    
    

	1.
	Scope of Service.    This Emerald Elite Service Agreement ("Agreement") is made by and between ACCURAY
INCORPORATED ("Accuray"), a California corporation, located at 1310 Chesapeake Terrace, Sunnyvale, CA 94089, and                                      
("Customer"), located at                                    , for
Accuray to provide planned maintenance service when scheduled by Accuray and corrective
maintenance service when requested by Customer to maintain the CyberKnife System installed at Customer's site
at                                    ("System") so that it performs
substantially in accordance with the
Specifications (User Manuals and Reference Guides) defined for the System revision as installed and/or upgraded.

	1.1.
	Effective Date.    This Agreement shall be effective as of demonstration of acceptance testing by Accuray as described in
the CyberKnife Quotation and Purchase Agreement
dated                                    , 2006 and signed by the
parties, or the expiration of any prior service or warranty agreement, if applicable.

	1.2.
	Definitions:

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

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

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

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

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

	2.
	Service Period.

	2.1.
	The
Agreement Term shall be for an initial period of four (4) years (years 1, 2, 3, & 4) from the Effective Date
of this Agreement, including the warranty year, with an optional fifth year. There is no payment required under this Agreement in the first year ("Year 1" or the "Warranty Year"). Customer may elect
to receive an additional optional fifth year 

52

 

(the "Optional
Year 5"). Customer may exercise the option for Optional Year 5 by letter sent to Accuray, in accordance with the Notice provision set forth below, at any time up to ten
(10) days before the Optional Year 5 commences. If Customer does not exercise the option, there will be no charge to Customer, and Accuray will not provide Emerald coverage for Optional
Year 5. If Customer exercises the option, Accuray is obligated to provide Emerald coverage on same terms as the previous Agreement years. Billing will commence on the day following the anniversary of
the Effective Date of this Agreement. 

	2.2.
	The
Agreement Price shall be one of the following, at Customer's option (indicate preferred option by checking a box, if no selection
is made Customer will be billed on an annual basis). The Agreement Price shall cover the Base CyberKnife System, up to two (2) CyRIS Multiplan Systems (including the CyRIS MultiPlan System in
the Base CyberKnife System), and up to three (3) CyRIS InView Workstations. If Customer has more than two (2) CyRIS MultiPlan Systems or three (3) CyRIS InView Workstations
installed, then an additional charge of $18,750.00 per year per MultiPlan and $6,750.00 per year per InView, as applicable, will be added by Accuray to the Agreement Price set forth below.

	o
	ANNUAL:
$275,000 per year, paid yearly in advance, for years 2, 3, 4 and Optional Year 5.

	o
	QUARTERLY:
$72,000 per quarter, paid at the beginning of each quarter, for years 2, 3, 4 and Optional Year 5.

	o
	MONTHLY:
$25,000 per month, paid at the beginning of each month, for years 2, 3, 4 and Optional Year 5.

	3.
	Equipment To Be Covered

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

	4.
	Software Maintenance (Bug Fixes and Updates)

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

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

53

 

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

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

	5.
	System Quality Assurance Testing

	5.1.
	The
maintenance and support services provided by Accuray under this Agreement do not include any System Quality Assurance Testing ("QA"). System commissioning and QA are the sole
responsibility of Customer, and Customer is advised to perform QA on a regular and ongoing basis. In addition, Customer is required to maintain up-to-date QA logs. If Customer
fails to perform the appropriate QA of the System, and to record such QA in the appropriate logs, Accuray, upon giving Notice to Customer in accordance with Section 16 of this Agreement,
reserves the right to terminate this Agreement.

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

	6.
	Service Coverage Period

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

	6.2.
	Customer
will promptly notify Accuray, by calling Accuray's Customer Support Line at 1-408-716-4700, of any problem or defect with the System and,
at no charge, provide Accuray service engineers access to the System and use of adequate facilities and equipment at mutually agreeable times as necessary for Accuray to perform the service. Customer
shall have as many service calls as are reasonably needed to maintain the System so that it performs substantially in accordance with the Specifications during the period of this Agreement.

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

	6.4.
	Accuray
will perform System planned maintenance as prescribed in the current System maintenance manuals. Planned service will be scheduled at least two (2) weeks in advance
and will be performed at a mutually agreed-upon time. Upon completion of a service or preventive 

54

 

maintenance
call, Accuray shall leave Customer a copy of a service report describing the service or maintenance performed. 

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

	7.
	Uptime

	7.11.
	Uptime/Downtime.    Uptime shall mean any time that the System is not down ("Uptime"). A down System means that a patient
cannot be treated due to an actual malfunction of the System and that the System is immediately available for an Accuray service engineer to work on it ("Downtime").

	7.12.
	Guarantee.    Accuray will guarantee that the System shall have an Uptime percentage of at least 95% of normal treatment
hours on an annual basis during the Term of this Agreement. Normal treatment hours shall be from 8:00 AM to 5:00 PM local time Monday through Friday (excluding legal holidays). The first
12-month period will start as of the Effective Date of this Agreement.

	7.13.
	Calculation.    Downtime will be calculated from the time a down System call is received by Accuray to the time of repair,
counting normal treatment hours. The System will be calculated as up when the System repair has been completed and the System is available for treatment during normal treatment hours, whether or not
patients are scheduled for treatment. Scheduled preventive maintenance, System upgrades, and time that the System is unavailable as a result of something beyond Accuray's control, including without
limitation (i) Customer's use of the System for purposes other than its intended and authorized purposes, (ii) the negligence of Customer, (iii) the failure of Customer to operate
the System in accordance with the User Manuals, (iv) use by untrained operators, (v) e-Stops, power outages or the like or (vi) the negligence of any party other than
Accuray, will be calculated as Uptime.

	7.14.
	Reports.    Customer is responsible for recording and reporting Downtime to Accuray. Reports for the previous month's
Downtime shall be provided to Accuray on or before the 15th day of each month.

	7.15.
	Failure to Meet Guarantee.    For each year of the term of this Agreement, if Accuray achieves a 12-month
uptime average of less than 95%, the Agreement period will be extended one (1) week for every percentage point or fraction thereof below 95%.

	8.
	Replacement Parts

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

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

55

 

that
requires "special handling" will be disposed of or retained by Customer at Customer's facility. 

	9.
	Exceptions

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

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

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

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

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

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

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

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

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

	12.
	Limitation of Liability and Warranty

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

56

 

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

	13.
	Patient Information.    In performing the services hereunder, Accuray may receive from Customer, or create or receive on
behalf of Customer, patient healthcare, billing, or other confidential patient information ("Patient Information"). Patient Information, as the term is used herein, includes all "Protected Health
Information," as that term is defined in 45 CFR 164.501. Accuray shall use Patient Information only as necessary to provide the services to Customer as set forth in this Agreement. Accuray
shall comply with all laws, rules and regulations relating to the confidentiality of Patient Information, including the applicable provisions of the privacy regulations promulgated pursuant to Health
Insurance Portability and Accountability Act of 1996 ("HIPAA").

	14.
	Assignment.    Neither party may assign this Agreement without the other party's prior written consent, except that Accuray
may assign this Agreement, without Customer's consent, to an affiliate or to a successor or acquirer, as the case may be, in connection with a merger or acquisition, or the sale of all or
substantially all of Accuray's assets or the sale of that portion of Accuray's business to which this Agreement relates. Subject to the foregoing, this Agreement will bind and inure to the benefit of
the parties' permitted successors and assigns.

	15.
	Disputes and Governing Laws

	15.1.
	In
the event that a dispute arises between Accuray and Customer with respect to any subject matter governed by this Agreement, such dispute shall be settled as follows. If either
party shall have any dispute with respect to this Agreement, that party shall provide written notification to the other party in the form of a claim identifying the issue or amount disputed including
a detailed reason for the claim. The party against whom the claim is made shall respond in writing to the claim within 30 days from the date of receipt of the claim document. The party filing
the claim shall have an additional 30 days after the receipt of the response to either accept the resolution offered by the other party or escalate the matter. If the dispute is not resolved,
either party may notify the other in writing of their desire to elevate the claim to the President of Accuray and the Chief Executive Officer of Customer. Each shall negotiate in good faith and use
his or her best efforts to resolve such dispute or claim. The location, format, frequency, duration and conclusion of these elevated discussions shall be left to the discretion of the representatives
involved. If the negotiations do not lead to resolution of the underlying dispute or claim to the satisfaction of either party involved, then either party may pursue resolution by the courts
as follows.

	15.2.
	All
disputes arising out of or relating to this Agreement not otherwise resolved between Accuray and Customer shall be resolved in a court of competent jurisdiction, in Santa Clara
County, State of California, and in no other place, provided that, in Accuray's sole discretion, such action may be heard in some other place designated by Accuray (if necessary to acquire
jurisdiction over third persons), so that the dispute can be resolved in one action. Customer hereby consents to the jurisdiction of such court or courts and agrees to appear in any such action upon
written notice thereof. No action, regardless of form, arising out of, or in any way connected with this Agreement may be brought by Customer more than one (1) year after the cause of action
has occurred.

	16.
	Notices.    All notices required or permitted under this Agreement will be in writing and delivered in person, by overnight
delivery service, or by registered or certified mail, postage prepaid with return receipt requested, and in each instance will be deemed given upon receipt. All 

57

 

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

	To Accuray:	 	To Customer:
	
 Accuray Incorporated

Attention: Chief Financial Officer

1310 Chesapeake Terrace

Sunnyvale, CA 94089	
 	

 
	
 with cc to: General Counsel	
 	

 

	17.
	Waiver.    The waiver of any breach or default of any provision of this Agreement will not constitute a waiver of any other
right hereunder or of any subsequent breach or default.

	18.
	Severability.    If any provision of this Agreement is held invalid or unenforceable by a court of competent jurisdiction,
the remaining provisions of the Agreement will remain in full force and effect, and the provision affected will be construed so as to be enforceable to the maximum extent permissible by law.

	19.
	Force Majeure.    Neither party will be responsible for any failure or delay in its performance under this Agreement (except
for the payment of money) due to causes beyond its reasonable control, including, but not limited to, labor disputes, strike, lockout, riot, war, fire, act of God, accident, failure or breakdown of
components necessary to order completion; subcontractor, supplier or customer caused delays; inability to obtain or substantial rises in the prices of labor, materials or manufacturing facilities;
curtailment of or failure to obtain sufficient electrical or other energy, raw materials or supplies; or compliance with any law, regulation or order, whether valid or invalid.

	20.
	Amendments.    Any amendment or modification of this Agreement must be made in writing and signed by duly authorized
representatives of each party. For Accuray, a duly authorized representative must be any of the following: CEO, CFO, or General Counsel.

	21.
	Entire Agreement.    This Agreement contains the entire Agreement of the parties hereto with respect to the subject matter
hereof, and supersedes all prior understandings, representations and warranties, written and oral. If any part of the terms and conditions stated herein are held void or unenforceable, such part will
be treated as severable, leaving valid the remainder of the terms and conditions.

	22.
	Counterparts.    This Agreement may be executed in counterparts, each of which will be deemed an original, but all of which
together will constitute one and the same instrument. 

58

 

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

	ACCURAY INCORPORATED
 
	 	CUSTOMER
 

	
 By:
	
 	

By:

	Print Name: Doug Keare
	 	Print Name:

	Title: Vice President of Customer Service

           and Technical Support
	 	Title:

	Date:
	 	Date:

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

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

	
 Signed:
	
 	

Dated:

	General Counsel, Accuray Incorporated	 	 

59

  

 
 

CYBERKNIFE® INTERNATIONAL EXTENDED PARTS WARRANTY AGREEMENT    
    

	1.
	Scope of Warranty.    This is a Warranty Agreement ("Warranty Agreement") is made by and between  ACCURAY INCORPORATED ("Accuray"), a California corporation, located at 1310 Chesapeake Terrace, Sunnyvale, CA 94089,
and                                    
("Customer"), located at                                    , for
Accuray to provide replacement of all defective parts when requested by Customer to maintain the CyberKnife System installed at site
at                                    
("System") so that it performs substantially in accordance with the specifications defined for the System revision as installed and/or updated under this Warranty Agreement, or upgraded under a
separate agreement with Customer.

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

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

	4.
	Replacement Parts

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

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

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

60

 
	6.
	Exceptions

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

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

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

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

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

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

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

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

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

	9.
	Limitation of Liability and Warranty

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

61

 

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

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

	11.
	Dispute Resolution

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

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

	12.
	Notices.    All notices required or permitted under this Warranty Agreement will be in writing and delivered in person, by
confirmed facsimile transmission, by overnight delivery service, or by registered or certified mail, postage prepaid with return receipt requested, and in each instance will be deemed given upon
receipt. All communications will be sent to the addresses set forth 

62

 

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

	To Accuray:
 
	 	To Customer:
 

	Accuray Incorporated

Attention: Sr. Vice President & CFO

1310 Chesapeake Terrace

Sunnyvale, CA 94089

USA	 	                                  

Attention:                                 

                                  

                                  

                                    
	    	 	 
	    	 	 
	    	 	 
	with cc to:	 	General Counsel

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

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

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

	16.
	Amendments.    Any amendment or modification of this Agreement must be made in writing and signed by duly authorized
representatives of each party. For Accuray, a duly authorized representative must be any of the following: CEO, CFO or General Counsel.

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

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

[SIGNATURE PAGE FOLLOWS]  

63

 

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

	ACCURAY INCORPORATED
 
	 	CUSTOMER
 

	By:
	 	By:

	Print Name: Doug Keare	 	Print Name:

	Title: Vice President of Customer Service and Technical Support	 	Title:

	Date:
	 	Date:

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

	Signed:
	 	Dated:

	General Counsel, Accuray Incorporated	 	 

        SIGNATURE PAGE TO INTERNATIONAL EXTENDED PARTS WARRANTY

64

  

 
 

ACCURAY CYBERKNIFE® ADDITIONAL DIAMOND UPGRADE AGREEMENT    
    

	1.
	Scope of Agreement.    This CyberKnife Additional Upgrade Agreement ("Agreement") is made effective as
of                                    ,
2006 ("Effective Date"), by and between ACCURAY INCORPORATED ("Accuray"), a California corporation, located at 1310 Chesapeake Terrace,
Sunnyvale, CA 94089, and                                    
("Customer"), located at                                    , for
Accuray to provide Upgrades/Enhancements, when and if available, to the CyberKnife System installed at Customer's
site at                                    ("System").

	1.1.
	Definitions:

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

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

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

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

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

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

65

 

	2.
	Term & Payment Terms

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

	o
	Option
#1—One (1) Year Agreement 

If
Customer elects this Option #1, the Agreement Term shall be one (1) year, during which time Customer may receive up to two (2) Upgrades/Enhancements. The Agreement Price for this
Option #1 is $200,000. 

	o
	Option
#2—Two (2) Year Agreement 

If
Customer elects this Option #2, the Agreement Term shall be two (2) years, during which time Customer may receive up to two (2) Upgrades/Enhancements per year, for a total of four
(4) Upgrades/Enhancements. The Agreement Price for this Option #2 is $200,000 per year, or $400,000 total. 

	o
	Option
#3—Three (3) Year Agreement 

If
Customer elects this Option #3, the Agreement Term shall be three (3) years, during which time Customer may receive up to two (2) Upgrades/Enhancements per year, for a total of six
(6) Upgrades/Enhancements. The Agreement Price for this Option #3 is $200,000 per year, or $600,000 total. 

	o
	Option
#4—Four (4) Year Agreement 

If
Customer elects this Option #4, the Agreement Term shall be four (4) years, during which time Customer may receive up to two (2) Upgrades/Enhancements per year, for a total of eight
(8) Upgrades/Enhancements. The Agreement Price for this Option #4 is $200,000 per year, or $800,000 total. 

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

	3.
	Product Upgrades/Enhancements

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

	3.2.
	Under
this Agreement, Customer may receive Upgrades/Enhancements, when and if available, up to the number of Upgrades/Enhancements elected in Section 2.1 above, up to two
(2) Upgrades/Enhancements per year per year during the Term. Customer acknowledges and agrees that this in no way obligates Accuray to provide a minimum number of Upgrades/ 

66

 

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

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

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

	4.
	Software Maintenance

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

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

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

	6.
	Breach.    Either party reserves the right to cancel this Agreement by written notice upon the breach of the other. An event
of breach may include, but is not limited to: failure to make payment due under this Agreement; failure to provide access as required to install any Upgrades/Enhancements contemplated by this
Agreement; cancellation, termination, suspension or breach of the Diamond Agreement; or the filing of notice under Federal bankruptcy laws. If the breaching party is unable or unwilling to cure or
make a good faith effort to cure such breach within thirty (30) days of actual written notice the other party shall be relieved of all obligations under this 

67

 

Agreement
and may terminate. Termination shall not be the terminating party's exclusive remedy, and the terminating party shall retain all other available legal and equitable remedies. 

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

	To Accuray:
 
	 	To Customer:
 

	Accuray Incorporated

Attention: Chief Financial Officer

1310 Chesapeake Terrace

Sunnyvale, CA 94089

with cc to: General Counsel	 	 

	8.
	Amendments.    Any amendment or modification of this Agreement must be made in writing and signed by duly authorized
representatives of each party. For Accuray, a duly authorized representative must be any of the following: CEO, CFO, or General Counsel.

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

	9.1.
	System Quality Assurance Testing;

	9.2.
	Service Coverage Period;

	9.3.
	Limitation of Liability and Warranty;

	9.4.
	Assignment;

	9.5.
	Disputes and Governing Laws;

	9.6.
	Waiver;

	9.7.
	Severability;

	9.8.
	Force Majeure; and

	9.9.
	Amendments.

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

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

SIGNATURE PAGE FOLLOWS

68

 

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

	ACCURAY INCORPORATED	 	CUSTOMER
	
 By:
	
 	

By:

	
 Print Name: Doug Keare	
 	

Print Name:

	
 Title: Vice President of Customer Service and Technical Support	
 	

Title:

	
 Date:
	
 	

Date:

	

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

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

	 By:
	 	 
	 Print Name: Darren J. Milliken	 	 
	 Title: General Counsel, Accuray Incorporated	 	 
	 Date:
	 	 

69

  

 
 

EXHIBIT F
  
    DISPUTE RESOLUTION

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

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

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

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

70

 
 
 

EXHIBIT G
  
    PARTS LIST AND PRICES

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

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

	PART DESCRIPTION

	 	PART

NO.
	 	AGENT

SPARE PARTS

KIT A
	 	AGENT

SPARE PARTS

KIT B
	 	AGENT SPARE PARTS

KIT C

	X-Ray Head	 	 	 	 	 	 	 	 
	AFC Control PCA	 	01-3771-01	 	1	 	1	 	1
	Phase Control PCA	 	01-4304-01	 	1	 	1	 	1
	Phase Detector PCA	 	01-6164-01	 	1	 	1	 	1
	AFC Power Supply Assy	 	01-4213-01	 	 	 	1	 	1
	AFC Tuner Pot — New	 	021787	 	2	 	2	 	3
	O'Ring Wave Guide	 	1200-00001	 	 	 	 	 	10
	Laser	 	1000-00200	 	1	 	1	 	1
	Laser Power Supply	 	4050-00001	 	1	 	2	 	3
	Capacitor, 2500pf	 	1500-00020	 	3	 	3	 	6
	Collimator Pot Assembly	 	01-7239-01	 	2	 	2	 	4
	Assy Collimator Rot Lock	 	020183	 	 	 	 	 	3
	Pulse Transformer Assy	 	01-7310-01	 	1	 	1	 	1
	Despiking Resistor 2.0 kohm 50w	 	4700-00035	 	—	 	4	 	4
	Bypass Cap 0.47 uF 600v-OBS-use 2 × 021444	 	1500-00064	 	—	 	2	 	2
	0.1uF 1000V Capacitor	 	021444	 	—	 	2	 	2
	Magnetron-Refurbished	 	018575	 	 	 	 	 	1
	Mag//Pulse Xfmer Conn Assy	 	01-4651-01	 	 	 	 	 	1
	Semi Ridgid Coax Assy	 	01-6268-01	 	 	 	1	 	1
	Semi Ridgid Coax Assy	 	01-6269-01	 	 	 	1	 	1
	Flex Waveguide	 	1000-00055	 	 	 	1	 	1
	Dummy Load (Plastic)	 	021145	 	 	 	 	 	1
	Hybrid Coupler	 	3450-00003	 	 	 	 	 	1

71

 

	PART DESCRIPTION

	 	PART

NO.
	 	AGENT

SPARE PARTS

KIT A
	 	AGENT

SPARE PARTS

KIT B
	 	AGENT SPARE PARTS

KIT C

	X-Ray Head, Cont'd	 	 	 	 	 	 	 	 
	Ion Chamber	 	01-7130-01	 	 	 	1	 	1
	Laser Mirror	 	1000-00210	 	2	 	2	 	2
	Crystal Diode, Neg	 	2300-00003	 	 	 	1	 	1
	Crystal Diode, Pos	 	2300-00004	 	 	 	1	 	1
	Fuse .5A SloBlo	 	4300-00004	 	 	 	 	 	10
	Fuse .2A SloBlo	 	4300-00014	 	 	 	 	 	5
	Fuse 1.5A SloBlo	 	4300-00026	 	 	 	 	 	5
	Bridge Rectifier 200V 40A	 	4750-00007	 	2	 	2	 	2
	Diode, Gen Purpose 1A	 	4800-00026	 	6	 	6	 	6
	
Modulator	
 	

 	
 	

 	
 	

 	
 	

 
	Thyratron DeQuing	 	5700-00001	 	1	 	1	 	1
	Thyratron Deuterium (Main)	 	5700-00002	 	1	 	1	 	1
	High Voltage wire 14g	 	6000-00080	 	5	 	5	 	5
	HV Putty	 	1600-00170	 	1	 	1	 	1
	Diode 7.5	 	4800-00024	 	3	 	3	 	3
	Diode 10	 	4800-00022	 	3	 	3	 	3
	Diode 15	 	4800-00021	 	3	 	3	 	3
	Cap, PFN, .011uF 25KV	 	1500-00002	 	3	 	3	 	3
	Relay 3 pdt 120 vac	 	4500-00002	 	1	 	2	 	3
	Relay 4pdt	 	4500-00001	 	1	 	1	 	1
	Relay 3 pdt 120 vac	 	4500-00003	 	1	 	1	 	1
	Relay 3pdt 6vdc	 	4500-00005	 	1	 	1	 	1
	Relay, Time Delay	 	4500-00009	 	 	 	1	 	1
	XSFMR AUTO VAR W/DIAL&KNOB	 	5600-00007	 	—	 	1	 	1
	Dequing Trigger Transformer	 	01-2699-01	 	1	 	1	 	1
	Steering PS	 	4000-00020	 	 	 	 	 	1
	Thyratron Driver PCA	 	01-1141-02	 	1	 	1	 	1
	Ion Pump Monitor PCA	 	01-1617-01	 	1	 	1	 	1
	High Voltage Divider PCA	 	01-3430-01	 	 	 	 	 	1
	Dequing Trigger Generator PCA	 	01-3193-01	 	1	 	1	 	1
	Thyratron Bias & Trigger PCA	 	01-3310-01	 	—	 	1	 	1
	HV Rect 800V 8A	 	4750-00004	 	1	 	1	 	1
	HV Rect 600V 8A	 	4750-00002	 	1	 	1	 	1
	Lamp 28v,t1 3/4	 	2450-00032	 	 	 	 	 	2

72

 

	PART DESCRIPTION

	 	PART

NO.
	 	AGENT

SPARE PARTS

KIT A
	 	AGENT

SPARE PARTS

KIT B
	 	AGENT SPARE PARTS

KIT C

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

 	
 	

 	
 	

 	
 	

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

 	
 	

 	
 	

 	
 	

 
	Dose Count PCB	 	01-3910-01	 	1	 	1	 	1
	P.S. Monitor PCA	 	01-7143-01	 	1	 	1	 	1
	Dose Bias PS Assy	 	01-5767-01	 	1	 	1	 	1

73

 

	PART DESCRIPTION

	 	PART

NO.
	 	AGENT

SPARE PARTS

KIT A
	 	AGENT

SPARE PARTS

KIT B
	 	AGENT SPARE PARTS

KIT C

	Fuse 1A SloBlo	 	4300-00015	 	 	 	 	 	10
	
Magnetron Box	
 	

 	
 	

 	
 	

 	
 	

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

 	
 	

 	
 	

 	
 	

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

 	
 	

 	
 	

 	
 	

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

 	
 	

 	
 	

 	
 	

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

 	
 	

 	
 	

 	
 	

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

 	
 	

 	
 	

 	
 	

 
	Electronics Tray	 	021923	 	 	 	 	 	1
	Axum Pendant	 	020656	 	1	 	1	 	2
	Pendant—non AXUM	 	020501	 	1	 	 	 	 
	AXUM Display	 	020657	 	 	 	1	 	1
	Pendant Holder	 	020957	 	 	 	 	 	1
	Encoder 40"	 	021924	 	1	 	1	 	1

74

 

	PART DESCRIPTION

	 	PART

NO.
	 	AGENT

SPARE PARTS

KIT A
	 	AGENT

SPARE PARTS

KIT B
	 	AGENT SPARE PARTS

KIT C

	Limit Switch	 	021927	 	1	 	1	 	1
	Serial Connection Board	 	021921	 	—	 	1	 	1
	
Robot	
 	

 	
 	

 	
 	

 	
 	

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

 	
 	

 	
 	

 	
 	

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

 	
 	

 	
 	

 	
 	

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

 	
 	

 	
 	

 	
 	

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

 	
 	

 	
 	

 	
 	

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

 	
 	

 	
 	

 	
 	

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

 	
 	

 	
 	

 	
 	

 
	Gun HV Cable Assy	 	018370	 	1	 	1	 	1

75

 

	PART DESCRIPTION

	 	PART

NO.
	 	AGENT

SPARE PARTS

KIT A
	 	AGENT

SPARE PARTS

KIT B
	 	AGENT SPARE PARTS

KIT C

	Dose Cable	 	020015	 	1	 	1	 	1
	
CyRIS	
 	

 	
 	

 	
 	

 	
 	

 
	 	 	TBD	 	 	 	 	 	 
	
Miscellaneous	
 	

 	
 	

 	
 	

 	
 	

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

	Total Kit Prices:	 	TBD	 	TBD	 	TBD
	 	 	
	 	
	 	
	 	

76

QuickLinks

ACCURAY INCORPORATED INTERNATIONAL SALES AGENT AGREEMENT

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

BASE CYBERKNIFE® G3 CONFIGURATION—ACCURAY LIST PRICE

EXHIBIT B PRODUCT AND SERVICE MINIMUM VOLUMES

EXHIBIT C SALES AGENT COMMISSION CyberKnife System Commission

Service Agreement Commission

EXHIBIT D TRAINING

EXHIBIT E ACCURAY INTERNATIONAL SERVICE AGREEMENTS TERMS SUMMARY ±

SAMPLE SERVICE AGREEMENTS

CYBERKNIFE® INTERNATIONAL DIAMOND ELITE SERVICE AGREEMENT

SIGNATURE PAGE FOLLOWS

ACCURAY CYBERKNIFE® INTERNATIONAL RUBY ELITE SERVICE AGREEMENT

ACCURAY CYBERKNIFE® INTERNATIONAL EMERALD ELITE SERVICE AGREEMENT

CYBERKNIFE® INTERNATIONAL EXTENDED PARTS WARRANTY AGREEMENT

ACCURAY CYBERKNIFE® ADDITIONAL DIAMOND UPGRADE AGREEMENT

EXHIBIT F DISPUTE RESOLUTION

EXHIBIT G PARTS LIST AND PRICESQuickLinks
 -- Click here to rapidly navigate through this document
  

Exhibit 10.30  

 
 

CYBERKNIFE® G4 PURCHASE AGREEMENT    
    

	

	Customer:	 	Account Number:
	                        ("Customer")	 	 
	Contact Name:	 	Quote ID:
	
Address:	
 	
Revision Number:
	
 	
 	
Revision Date:
	
RSD Contact:	
 	
Expiration Date:
	

Only valid for primary customer named above. This CyberKnife Purchase Agreement ("Agreement") is
non-transferable and not for export outside the U.S.

CyberKnife® Robotic Radiosurgery System  

	A.	 	Quote

	 
	 	Part Description
	 	Quantity
	 	Unit Price
	 	Line Total
	 
	1.	 	CyberKnife Robotic Radiosurgery System (See B Below)	 	1	 	$	4,150,000.00	 	$	4,150,000.00	 
	2.	 	Additional Options Total (See C Below)	 	 	 	 	 	 	$	0.00	 
	3.	 	Special Promotion if this Agreement is signed by the Expiration Date. [However, should Customer, at any time prior to installation, decide not to purchase the InView Workstation or the MultiPlan Workstation, the
additional discount will be cancelled.]	 	 	 	 	 	 	 	 	 
	4.	 	Special Q2 2007 RoboCouchTM Patient Positioning System Promotion if Customer Purchases the RoboCouch in Section C.1. below. [ONLY APPLIES IF ROBOCOUCH IS PURCHASED.]	 	 	 	 	 	 	($	200,000.00	)
	 	 	 	 	 	 	 	 	 	
	 
	 	 	 	 	 	 	 	Total Due	 	$	3,950,000.00	 
	 	 	 	 	 	 	 	 	 	
	 

1

 

	B.	 	The Base CyberKnife
System—G4 Configuration                                    
                                         $4,150,
000.00

	1.	 	Robotic Treatment Delivery System
	 	 	1.1.	 	Image-Guidance System
	 	 	  1.1.1.	 	Diagnostic X-ray sources
	 	 	  1.1.2.	 	In-Floor Amorphous Silicon X-Ray Detectors
	 	 	1.2.	 	600 MU/minute Linear Accelerator (Linac) with secondary collimators
	 	 	1.3	 	Robotic Manipulator
	 	 	1.4	 	Axum® Treatment Couch & Automatic Patient Positioning System
	 	 	  1.4.1.	 	Two (2) CT Overlay Kits included
	 	 	1.5	 	Treatment Delivery Control Console
	
2.	
 	

Treatment Planning System
	 	 	2.1.	 	Two (2) MultiPlanTM Treatment Planning Workstations
	 	 	2.2.	 	CK RemoteTM Open Architecture
	
3.	
 	

Clinical Application Modules
	 	 	3.1.	 	Synchrony® Respiratory Tracking System
	 	 	3.2.	 	XsightTM Spine Tracking System
	
4.	
 	

Data Management Systems
	 	 	4.1.	 	Patient Archive and Restore System

	C.	 	Additional Options

	1.
	RoboCouchTM Patient Positioning System

Select
RoboCouch Patient Positioning System by marking the box below. 

	 	 	o	 	RoboCouch Patient Positioning System	 	$800,000.00
	
 	
 	
When selecting RoboCouch Patient Positioning System, the Patient Treatment Couch (Section B.1.4) is removed from the Base CyberKnife System and replaced with the RoboCouch Patient Positioning
System.
	
 	
 	

 	
 	
Patient Treatment Couch Credit	
 	

($350,000.00)

	2.
	Additional MultiPlanTM Treatment Planning Workstation

Two
MultiPlan Workstations are included with the Base CyberKnife System; however, additional MultiPlan Workstations may be purchased. Select additional MultiPlan Workstations by marking the box below. 

	 	 	o	 	MultiPlan Workstation	 	 	 	$125,000.00 each
	
 	
 	

 	
 	

Number of Additional MultiPlan Workstations:	
 	
MultiPlan Subtotal	
 	

$0.00

	3.
	InViewTM Workstation

Select
InView Workstations by marking the box below. 

	 	 	o	 	InView Workstation	 	 	 	$45,000.00 each
	
 	
 	

 	
 	

Number of Additional InView Workstations:	
 	
InView Subtotal	
 	

$0.00
	 	 	 	 	 	 	 	 	

	 	 	 	 	 	 	Additional Options Total	 	$0.00
	 	 	 	 	 	 	 	 	

2

 

	D.	 	Pricing and Inclusions

	1.	 	Payment Terms:
	 	 	1.1.	 	$50,000 with the signed Letter of Intent between Accuray and the Customer ("LOI").
	 	 	1.2.	 	30% of the total amounts specified herein ("Purchase Price") less $50,000 LOI-payment, due with the Agreement.
	 	 	1.3.	 	60% of Purchase Price due upon delivery of the CyberKnife System (DATE.)
	 	 	1.4.	 	10% of the Purchase Price due upon Acceptance (as defined in Section 7 of the Accuray Terms and Conditions set forth below in Section G).
	
2.	
 	

Shipping Terms:
	 	 	2.1.	 	F.O.B. Destination.
	 	 	2.2.	 	Anticipated delivery scheduled for DATE.
	
3.	
 	

Site Preparation and Installation:
	 	 	3.1.	 	Site preparation at Customer's expense.
	 	 	3.2.	 	Installation included at Accuray's expense.
	
4.	
 	

Warranty:
	 	 	4.1.	 	1-year warranty includes all parts and labor.
	
5.	
 	

Training:
	 	 	5.1.	 	Training provided for up to 5 personnel (e.g. surgeon, radiation oncologist, physicist, radiation therapist). Hotel accommodations and travel costs are not included.
	 	 	5.2.	 	Additional attendees will be charged according to the then current training price list.

	E.	 	Contingencies

        There are no contingencies. 

	F.	 	Preventive Maintenance and Service Contracts

Accuray
offers the below Preventive Maintenance and Service contracts ("Service Contracts"). The Service Contracts cover the Base CyberKnife System as
described in Section B, up to 2 MultiPlan Workstations (including the 2 MultiPlan Workstations in the Base CyberKnife System), and up to 3 InView Workstations. If Customer
has more than 2 MultiPlan Workstations installed (including the MultiPlan Workstations in the Base CyberKnife System) or more than 3 InView Workstations installed, then Customer shall
pay an additional charge of $18,750.00 per year per MultiPlan Workstation and $6,750.00 per year per InView Workstation, as applicable. Select one of the Service Contract
options below by marking the box next to the service option desired. The terms of Accuray's Preventive Maintenance and Service contracts, to be signed separately and invoiced
separately by Accuray, apply to Accuray's provision of maintenance and support. If Customer does not execute a Preventive Maintenance and Service contract as of the date of this Agreement, it will not
be entitled to any Upgrades released under Accuray's Diamond Elite Preventive Maintenance and Service contract between the date of this Agreement and the date Customer executes a Diamond Elite Service
contract. 

	o
	Customer
does not wish to select a Service Contract at this time. If Customer does not execute a Service contract as of the date of this
Agreement, it will not be entitled to any Upgrades released under Accuray's Diamond Elite Preventive Maintenance and Service contract between the date of this Agreement and the date Customer executes
a Diamond Elite Service contract. 

3

 

	o
	Emerald Elite Service: 4-year contract, no payments until after warranty year: 

	 	 	First Year (Warranty Year)	 	No Payment
	 	 	Second Year	 	$275,000.00 per year
	 	 	Third Year	 	$275,000.00 per year
	 	 	Fourth Year	 	$275,000.00 per year
	 	 	Fifth Year (optional)	 	$275,000.00 per year

	ý
	Diamond Elite Service: 4-year contract, no payments until after warranty year: 

	 	 	First Year (Warranty Year)	 	No Payment
	 	 	Second Year	 	$460,000.00 per year
	 	 	Third Year	 	$460,000.00 per year
	 	 	Fourth Year	 	$460,000.00 per year
	 	 	Fifth Year (optional)	 	$460,000.00 per year

        Payment Terms:    See Service Contracts, provided separately. 

	G.	 	Accuray Terms and Conditions of Sale

	1.
	Definitions; Terms.    "Accuray Products" means all products manufactured by
Accuray Incorporated ("Accuray") including, but not limited to, Accuray-produced hardware, software, and firmware. "Accuray
Services" means services of Accuray related to the warranty provided herein, but shall not include any services relating to a Preventive Maintenance and Service Contract
between Customer and Accuray, which shall be governed by the terms of such separate Preventive Maintenance and Service Contract. "Accuray System" means
the CyberKnife System provided by Accuray to Customer hereunder, which includes component parts produced by other manufacturers. "Accuray Update" means
any update offered by Accuray to any Accuray Product or Accuray System. "Accuray Upgrade" means any upgrade offered by Accuray to any Accuray Product or
Accuray System. "Specifications" means the user manuals, reference guides, and configuration documentation provided by Accuray to Customer in writing,
as updated from time to time by Accuray. All Accuray Products, Accuray Services, Accuray System, Accuray Upgrades and Accuray Updates (collectively, "Accuray
Deliverables") are furnished only on the terms and conditions stated herein. Any different or additional terms contained in Customer's purchase order, Purchase Term Agreement
or similar documents shall not bind Accuray.

	2.
	Terms of Payment.

	2.1.
	Purchase Price; Payment Schedule.    The Purchase Prices for the Accuray Deliverables are as set forth in Section A
above. Purchase Prices are valid only for the item on which such prices are specified. The Purchase Prices are exclusive of all taxes (including, but not limited to, any sales tax, use tax, or value-
added tax or other similar tax), license fees, customs fees, duties, and similar charges. Customer shall pay for the Accuray Deliverables in accordance with the payment schedule set forth in
Section D above and the terms of this Section 2, provided that if installation or Acceptance (as defined in Section 7) is delayed by Customer for reasons not attributable
to Accuray, the payment amount due upon Acceptance of the applicable Accuray Deliverable shall be due and payable the earlier of (i) 60 calendar days after delivery or (ii) Acceptance.
If the delivery of an Accuray Deliverable is delayed by Customer for reasons not attributable to Accuray, Customer shall pay Accuray's reasonable cost to store such deliverable (including, but not
limited to, insurance and demurrage charges) and amounts due on the estimated delivery date specified in Section D above for such deliverable shall become due and payable on such date.
Accuray's performance hereunder is subject to Accuray's approval of Customer's credit. 

4

 

	2.2.
	învoices; Late Payments.    If Customer's internal payment processing procedure requires Customer to receive
an invoice before paying amounts due hereunder, Customer shall request such invoice sufficiently in advance to make the payment in accordance with the payment schedule set forth in Section D
above. Past due balances shall bear interest at the rate of 1% per month or, if lower, the maximum amount permitted by applicable law. Accuray may suspend its performance under this Agreement if
payments are not made in accordance with the payment schedule set forth in Section D above. Customer shall pay Accuray's reasonable costs of collecting amounts due hereunder that are more than
30 days past due.

	2.3.
	Security Interest.    Until the Purchase Price is paid in full to Accuray, Accuray shall have a security interest in all
Accuray Deliverables and proceeds generated therefrom, for the purpose of securing payment for such deliverables. Customer authorizes Accuray to file, and shall execute upon Accuray's request,
documents and related filings and recordings thereof as necessary for Accuray to perfect the foregoing security interest under the Uniform Commercial Code or any similar domestic or foreign laws.
Customer shall maintain the Accuray Deliverables in good condition and keep such deliverables free of any liens until payment is made in full. All security interests shall be released once Accuray has
received all payments owed hereunder for all Accuray Deliverables.

 

	3.
	Shipment.    Shipments are F.O.B. Destination. Customer shall inspect arriving shipments and report any visible damage or
shortages to Accuray within 48 hours after delivery and any concealed damage within 10 days after delivery. If Customer does not report damage in accordance with the previous sentence,
Customer shall bear the risk of loss with respect to such damage. For shipments outside the United States, Customer shall procure all necessary permits and licenses for such shipments and for
compliance with any government regulations applicable at the destination. Delivery and installation dates set forth in Section D above, or otherwise agreed upon in writing by the parties
are approximate. Accuray shall use reasonable efforts to meet all such delivery and installation dates but shall not be liable for delays.

	4.
	Installation.

	4.1.
	Installation by Accuray.    Accuray will notify Customer approximately 90 calendar days prior to the scheduled
delivery of the Accuray System to coordinate installation details. Installation will be performed by Accuray. Accuray will assemble and test the Accuray System. Operation of the Accuray System by
Accuray, as necessary for completion of installation or acceptance tests, is subject to Customer providing adequate radiation shielding protection and other site preparations required for the safety
and protection of personnel and the Accuray Deliverables. Upon completion of the installation, Accuray's representatives will demonstrate proper machine operation by performing Accuray's acceptance
test procedure. For clarity, Accuray is not responsible for any commissioning of the Accuray System, including, but not limited to, any calibration or radiation surveys. Such commissioning shall be
the sole responsibility of Customer.

	4.2.
	Site Preparation.    Customer will be responsible for having the building, utilities, lighting, ventilation, air
conditioning, mounting facilities, all necessary radiation shielding, patient positioning lasers, closed-caption TV system, intercom, and access to the room completed on the estimated delivery date
and ready for installation of the Accuray System. Accuray will have no responsibility for any matter affecting or related to the adequacy of architectural design, utility service design, the radiation
protection walls and barriers, patient viewing devices, or facility personnel safety devices at Customer's site. Architectural design, radiation protection walls and barriers and other safety devices
must be approved by an expert in the radiation field and shall be Customer's responsibility. 

5

 

	4.3.
	Rigging and Unloading.    Accuray will locate and contract with a rigger or local licensed contractor to provide labor and
rigging services necessary to unload the sub-base frame and the rest of the Accuray System from the transport vehicle and move the entire Accuray System to its final position under
Accuray's supervision. Accuray shall be responsible for all standard rigging costs and expenses. An Accuray representative will monitor the movement, final positioning and connection of the Accuray
System.

	4.4.
	Customer Representative.    Customer shall provide a representative who shall be present at all times during the
installation and be capable of assisting where necessary. When no representative is present and assistance from Customer is not available when required, Accuray may suspend the installation until an
appropriate Customer representative is made available consistently.

	4.5.
	Site Location.    Customer agrees that the Accuray System will remain at the site at which Accuray installs the System and
will not be re-located without the prior written consent of Accuray, such consent to not be unreasonably withheld.

 

	5.
	Training.

	5.1.
	Training.    Accuray will provide training for up to 5 Customer personnel (such personnel, collectively, the
"Initial Group"). The Accuray training includes: (i) Technical Training, (ii) 1 Clinical Site Visit, and (iii) 1
on-site training session on the technical use of the Accuray System during first patient treatment, as each is described below. Customer shall be responsible for the travel and living
expenses of all personnel sent for training. At the request of Customer, Accuray shall train additional Customer personnel beyond the Initial Group in accordance with Accuray's then current training
price list and availability.

	5.2.
	Training Framework and Restrictions.    Due to logistical considerations, Accuray can only offer 1 Clinical Site
Visit and 1 on-site training session during first patient treatment per Customer. As set forth below, Customer shall at a minimum send a Core Group (as defined in
Section 5.3.1 below) for Technical Training prior to installation. However, because completion of the Technical Training is a prerequisite to the Clinical Site Visit and because completion of
Technical Training and the Clinical Site Visit are prerequisites to the on-site training session during first patient treatment, Accuray strongly recommends that Customer send its entire
Initial Group to Technical Training before the Clinical Site Visit. If Customer does not send its entire Initial Group to Technical Training prior to the Clinical Site Visit, then only Customer's Core
Group personnel who have completed the Technical Training shall be able to participate in the Clinical Site Visit and subsequent on-site training session during first patient treatment. If
Customer does not send its entire Initial Group to Technical Training prior to the Clinical Site Visit, then the remaining members of Customer's Initial Group shall only be eligible for Technical
Training and must complete such Technical Training within 60 days of the first patient treatment or the option for such Technical Training shall be deemed waived by Customer.

	5.3.
	Technical Training

	5.3.1.
	Technical
Training will occur at Accuray's training facility in Sunnyvale, California or such other regional training facility as Accuray may establish. At a minimum, Customer must
include the following individuals in the first group that Customer sends to Technical Training:

	(i)
	at
least 1 medical physicist or the individual who will be responsible for commissioning the Accuray System and performing the quality assurance testing and
treatment planning at Customer's site if such individual is not a physicist; and 

6

 

	(ii)
	at
least 1 radiation oncologist or the individual who will be responsible for approving the prescription at Customer's site if such individual is not a radiation
oncologist (such individuals, collectively, the "Core Group").

	5.3.2.
	At
a minimum, the Core Group must have completed the Technical Training prior to installation. Customer, in its discretion, may select the remaining members of Customer's Initial
Group (for example, surgeons, specialists, radiation therapists and additional medical physicists and/or radiation oncologists), however, as described in Section 5.2 above, Accuray
strongly recommends that Customer send its entire Initial Group to Technical Training prior to the Clinical Site Visit.

	5.4.
	Clinical Site Visit.    Accuray will arrange for 1 Clinical Site Visit for Customer's Initial Group prior to
installation. The Clinical Site Visit will take place at an operating CyberKnife Center in the United States. This Clinical Site Visit will involve clinical interaction with personnel at such
center and an opportunity to witness actual patient treatment. Accuray will provide each customer with only 1 Clinical Site Visit and thus any members of Customer's Initial Group who wish to
attend a Clinical Site Visit must all attend the same Clinical Site Visit. Completion of Technical Training is a prerequisite to participation in the Clinical Site Visit.

	5.5.
	On-site Training during First Patient Treatment.    Accuray shall provide an Accuray trainer to assist with the
technical use of the Accuray System at Customer's site during first patient treatment. For clarity, proctoring and credentialing of physicians and medical staff is the responsibility of the Customer
and should be performed separately from Accuray training according to the policies and procedures of the particular Customer or affiliated hospital, as applicable. Completion of the Technical Training
and Clinical Site Visit by, at a minimum, the Core Group of Customer personnel are prerequisites for Accuray providing a trainer during the first patient treatment at Customer's site. Accuray shall
have the right to reschedule the first patient treatment in the event that Customer's Core Group has not completed the Technical Training and the Clinical Site Visit prior to the first patient
treatment. In addition, at the first patient treatment the Accuray trainer will only work with Customer personnel who have previously completed both Accuray's Technical Training and Clinical Site
Visit.

	5.6.
	Credentials.    Customer shall determine and verify any necessary credentials of any personnel that Customer sends for
training on the Accuray System. Accuray shall not be responsible for and will not in any way determine, assess or verify any necessary credentials of any personnel that Customer sends for training on
the Accuray System.

	5.7.
	Qualification.    Accuray strongly recommends that any Customer personnel who will be involved with the Accuray System
attend the training programs offered by Accuray, however, Customer shall have the sole responsibility for ensuring that any Customer personnel are appropriately trained with respect to any Accuray
Deliverables and Accuray shall not be responsible for any such determinations.

 

	6.
	Calibration and Local Requirements.

	6.1.
	Calibration.    Customer shall be solely responsible for all Accuray System commissioning and calibration. The dose rate and
integrated dose measured by the accelerator transmission ionization chamber and dosimetry electronics must be calibrated by a qualified radiological physicist prior to use of the Accuray System for
patient treatment. Customer shall be responsible for quality assurance testing and calibrating the Accuray System regularly. Customer also shall be responsible for radiation surveys which may be
required by applicable law or regulation or which may be necessary to establish that radiation does not exceed safe levels. Accuray has no responsibility for any such commissioning, quality assurance
testing, calibration or radiation surveys. 

7

 

	6.2.
	Pre-Requisite to First Patient Treatment.    Proper commissioning, calibration and quality assurance testing
("QA") of the Accuray System are necessary prerequisites to the first patient treatment. Accuray has the right to delay the first patient treatment in the event that Customer, in Accuray's sole
opinion, does not have sufficient time between installation and first patient treatment to properly commission, calibrate and QA the Accuray System.

	6.3.
	Local Requirements.    Customer shall be responsible for obtaining all permits and for meeting all requirements relating to
state and local codes, registration, regulations and ordinances applicable to Customer's use of the Accuray System. Accuray has no responsibility for compliance by the Accuray Deliverables with such
requirements.

 

	7.
	Acceptance.    "Acceptance" of the Accuray System shall occur upon the earlier of
(i) completion by Accuray of its acceptance test procedure that demonstrates that the Accuray System substantially conforms to the Specifications or (ii) execution of Accuray's
acceptance form by Customer. In no event shall Customer or its agents use the Accuray System (or any portion thereof) for any purpose before Acceptance thereof without the express written
approval of Accuray. Customer shall indemnify and hold Accuray harmless from any such use.

	8.
	Intellectual Property Rights Indemnity.

	8.1.
	Indemnity.    Accuray shall at its expense defend any action brought against Customer with respect to a claim by a third
party that the design or manufacture of any Accuray Deliverable infringes any valid patent or other intellectual property right of the United States, and shall pay any damages awarded by a
court arising from such claim, provided Customer gives Accuray prompt written notice of such claim and full authority, information and assistance in settling or defending such claim.

	8.2.
	Certain Remedies.    If a court judgment prohibits Customer's continued use of any Accuray Deliverable, or if at any time
Accuray determines that any Accuray Deliverable may become subject to a cause of action for infringement, Accuray may at its expense either (i) procure a license to enable Customer to continue
using such Accuracy Deliverable, (ii) replace such Accuray Deliverable with a non-infringing Accuray Deliverable, or (iii) remove such Accuray Deliverable and refund a
pro-rated portion of the Purchase Price paid by the Customer for such Accuray Deliverable, which portion shall be calculated on a straight-line basis over a 5-year
period beginning on the date of Acceptance (i.e., removal of the Accuray Deliverable at the end of the first year after Acceptance would result in a refund of 80% of the Purchase Price).
Accuray shall have no liability hereunder with respect to any claims settled by Customer without Accuray's prior written consent.

	8.3.
	Exclusion.    Accuray excludes from any liability hereunder, and Customer shall indemnify and hold Accuray harmless from and
against any expense, loss or liability resulting from claimed infringement of any third party intellectual property rights: (i) arising from the use of an Accuray Deliverable other than in
accordance with the Specifications, (ii) based on the combination of equipment, processes, programming applications or materials not furnished by Accuray with the Accuray Deliverables,
(iii) arising out of compliance by Accuray with Customer's designs, specifications or instructions, or (iv) damages incurred as a result of Customer's continued use of an Accuray
Deliverable after Accuray has recommended in writing that Customer suspend such use. This Section 8 states Accuray's entire liability for any claim based upon or related to any alleged
infringement by an Accuray Deliverable of intellectual property right.

 

	9.
	Warranty.

	9.1.
	Warranty.    Accuray warrants that (i) the hardware components of the Accuray Deliverables will be free from defects
in material and workmanship and (ii) the hardware and software 

8

 

components
of the Accuray Deliverables will operate substantially in accordance with the Specifications, in each case for a period of 1 year from the date of Acceptance, but not to exceed
2 years from date of delivery ("Warranty Period"). Any service with respect to Accuray Deliverables provided by Accuray after the Warranty Period
shall be provided in accordance with the terms of a Service Contract executed by the parties. 

	9.2.
	Warranty Remedy.    If Customer notifies Accuray during the Warranty Period of a defect in an Accuray Deliverable that
causes such deliverable to fail to conform to the foregoing warranty, Accuray shall at its option either repair or replace the defective deliverable, or, if in Accuray's opinion such repair or
replacement is not commercially reasonable, Accuray shall refund a pro-rated portion of the price paid by the Customer for such Accuray Deliverable, which portion shall be calculated on a
straight-line basis over a 5-year period beginning on the date of Acceptance. This Section 9.2 sets forth Customer's sole and exclusive remedies with respect to a breach
of the warranty specified in Section 9.1.

	9.3.
	Conservation of Materials.    In the interest of conservation of scarce materials, and of efficient utilization of high
value parts, the Accuray Deliverables may contain re-manufactured parts. Such parts are subject to the same standards of quality control applied to other parts and are covered by the
warranty in this Section 9.

	9.4.
	Scope of Warranty.    The warranty services described in this Section 9 shall not apply to defects or
non-conformities caused by: (i) abuse, accident, misuse or neglect of an Accuray Deliverable; (ii) modification of an Accuray Deliverable (including any software therein)
without Accuray's express written authorization; (iii) use in an operating environment other than the operating environment described in the Specifications; or (iv) any component of an
Accuray Deliverable that has been superseded by a update made available to Customer without charge by Accuray. In-warranty repair or replaced parts are warranted only for the unexpired
portion of the original warranty period.

	9.5.
	OTHER WARRANTIES.    EXCEPT AS SET FORTH IN THIS SECTION 9, ACCURAY DISCLAIMS ALL EXPRESS OR IMPLIED WARRANTIES INCLUDING
BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY, AND OF FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT.

 

	10.
	Mutual Indemnity.    If it is determined by a court in accordance with applicable law that the negligence of a party
(the "Responsible Party"), its employees or agents causes damage or injury to a third party, the Responsible Party shall pay the other party for
any damages awarded by a court or agreed to by the Responsible Party in a settlement arising from such claims to the extent such damages reflect the Responsible Party's relative fault therefor.
Notwithstanding the foregoing, Accuray shall have no responsibility whatsoever for, and Customer shall indemnify and hold Accuray harmless from, all damage or injury to third parties which
(i) results from the use, operation or service of any Accuray Deliverable by other than Accuray personnel prior to Acceptance and completion of the radiation survey by Customer,
(ii) results from or relates to any use, operation or service of any Accuray Deliverable by a party not authorized to perform such service by Accuray, or (iii) any use by Customer or its
agents of an Accuray Deliverable contrary to any written warning or instruction given by Accuray to Customer.

	11.
	Damages.    IN NO EVENT SHALL ACCURAY BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL OR SPECIAL DAMAGES ARISING FROM OR RELATED TO
THIS AGREEMENT EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. ACCURAY'S AGGREGATE LIABILITY ARISING FROM OR RELATED TO THIS AGREEMENT SHALL NOT EXCEED THE PAYMENT RECEIVED BY ACCURAY FOR THE
ACCURAY DELIVERABLE RESULTING IN THE LOSS OR DAMAGE CLAIMED. 

9

 
	12.
	Intellectual Property Ownership and License.    Accuray and its licensors retain all intellectual property rights in the
Accuray Deliverables. Accuray hereby grants Customer a nonexclusive, non-transferable, royalty-free right to use the software provided in connection with the Accuray
Deliverables only in machine readable form and only in combination with the Accuray Deliverable with which such software is provided. No such software shall be copied or decompiled in whole or in part
by Customer, and Customer shall not disclose or provide any such software, or any portion thereof, to any third party. All rights in intellectual property not expressly granted hereunder are reserved
by the owner of such intellectual property.

	13.
	Trademarks.    Accuray is the owner of the trademark CyberKnife® and related trademarks in the U.S. and around
the world. If Customer wishes to use the CyberKnife or other Accuray trademarks in association with a business name, Accuray requires that Customer execute Accuray's standard royalty-free
Trademark License Agreement specifying the requirements for and the nature of the acceptable use. Without the necessary license, Customer is not entitled to use the Accuray marks with a business name
or to otherwise use language which would suggest a license with Accuray.

	14.
	Confidentiality.    All drawings, designs, specifications, manuals and software and other non-public information
furnished to the Customer by Accuray hereunder shall remain the confidential and proprietary property of Accuray ("Confidential Information"). All such
information, except as may be found in the public domain, shall be held in confidence by Customer and shall not be disclosed by Customer to any third parties or used by Customer other than in its
operation of the Accuray Deliverables in accordance with the Specifications.

	15.
	Patient Information.

	15.1.
	Compliance with HIPAA.    In performing any services hereunder, Accuray may receive from Customer patient healthcare,
billing, or other confidential patient information ("Patient Information"). Patient Information, as the term is used herein, includes all "Protected
Health Information," as that term is defined in 45 CFR 164.501. Customer shall identify to Accuray in writing all such information when Customer provides such information to Accuray, and
Accuray shall use Patient Information so identified by Customer only as necessary to provide the services to Customer as set forth herein. Accuray shall comply with all federal laws, rules and
regulations relating to the confidentiality of Patient Information, including the applicable provisions of the privacy regulations promulgated pursuant to Health Insurance Portability and
Accountability Act of 1996 ("HIPAA").

	15.2.
	De-Identified Information.    Customer shall provide Accuray with only de-identified Protected
Health Information, in accordance with the requirements of 45 CFR 164.514. Any information provided to or shared with Accuray shall have all identifying patient information removed, including,
but not limited to, names, addresses, zip codes, telephone numbers, social security numbers, medical record numbers, health plan numbers, and so on, and shall be assigned a de-identified
record code in accordance with 45 CFR 164.514(c).

 

	16.
	Cancellations.    All payments made hereunder are non-refundable and no order accepted by Accuray may be canceled
by Customer without Accuray's prior written consent. If Customer requests cancellation of any order and Accuray consents to such request, Customer agrees to pay Accuray a charge determined by Accuray
to cover the reasonable costs of order processing, handling, re-testing, shipping, storage, repackaging and similar activities incurred by Accuray in connection with such cancellation.

	17.
	Assignment.    Neither party may assign this Agreement without the other party's prior written consent, except that Accuray
may assign this Agreement without Customer's consent to an affiliate and either party may assign this Agreement without the other party's consent to a successor or 

10

 

acquirer
in connection with a merger or acquisition, or the sale of all or substantially all of such party's assets or the sale of that portion of such party's business to which this Agreement
relates, upon written notice; provided that any party to which Customer proposes assigning this Agreement must meet Accuray's standard creditworthiness requirements. Subject to the foregoing, this
Agreement will bind and inure to the benefit of the parties' permitted successors and assigns. Any attempted assignment in violation of this Section 17 shall be null and void. 

	18.
	Dispute Resolution.    Any dispute between Accuray and Customer arising from or related to this Agreement, excluding disputes
regarding payment or Customer's unauthorized use or disclosure of Accuray Confidential Information or intellectual property, shall be settled as follows. The party initiating the dispute shall provide
written notification to the other party identifying in detail the nature of the dispute. The other party shall respond in writing to the notification within 30 calendar days from the date of
receipt of the notification. The party initiating the dispute shall have an additional 30 calendar days after the receipt of the response to either accept the resolution offered by the other
party or escalate the matter. If the dispute is not resolved within the foregoing 30-day period, the parties shall escalate the claim to the President of Accuray and the Chief Executive
Officer of Customer. Each shall negotiate in good faith and use his or her best efforts to resolve such dispute or claim. If the dispute is not resolved within 15 calendar days after escalation
to the President and Chief Executive Officer as described above, then either party may pursue resolution by any means available at law or equity.

	19.
	Notices.    All notices required or permitted under this Agreement shall be in writing and if delivered in person, effective
immediately, if delivered by reputable national or international overnight delivery service, effective 2 business days after deposit with carrier, or if delivered by registered or certified
mail, postage prepaid with return receipt requested, effective 5 business days after deposit with carrier. All communications will be sent to the addresses set forth below or to such other
address as may be specified by either party in accordance with this section. 

	To Accuray:
 
	 	To Customer:
 

	Accuray Incorporated

Attention: Chief Financial Officer

1310 Chesapeake Terrace

Sunnyvale, CA 94089

Copy to: General Counsel	 	 

	20.
	Force Majeure.    Neither party will be responsible for any failure or delay in its performance under this Agreement (except
for the payment of money) due to causes beyond its reasonable control, including, but not limited to, labor disputes, strike, lockout, riot, war, fire, acts of God, accident, failure or breakdown of
components necessary for order completion; subcontractor or supplier caused delays; curtailment of or failure to obtain sufficient electrical or other energy, raw materials or supplies; or compliance
with any law, regulation or order, whether valid or invalid.

	21.
	Governing Law.    The rights and obligations of the parties under this Agreement shall be governed in all respects by the
laws of the United States and the State of California without regard to conflicts of laws principles that would require the application of the laws of any other jurisdiction. No action,
regardless of form, arising out of or related to any Accuray Deliverable may be brought by Customer more than 1 year after Customer has or should have become aware of the cause of action.

	22.
	Waiver.    The waiver of any breach or default of any provision of this Agreement will not constitute a waiver of any other
right hereunder or of any subsequent breach or default. 

11

 
	23.
	Severability.    If any provision of this Agreement is held invalid or unenforceable by a court of competent jurisdiction,
the remaining provisions of this Agreement will remain in full force and effect, and the provision affected will be construed so as to be enforceable to the maximum extent permissible by law.

	24.
	Amendments.    Any amendment or modification of this Agreement must be made in writing and signed by duly authorized
representatives of each party. For Accuray, a duly authorized representative must be any of the following: CEO, CFO, or General Counsel.

	25.
	Counterparts.    This Agreement may be executed in counterparts, each of which will be deemed an original, but all of which
together will constitute one and the same instrument.

	26.
	Entire Agreement.    This Agreement contains the entire agreement of the parties hereto with respect to the subject matter
hereof, and supersedes all prior understandings, representations and warranties, written and oral. In the event of a conflict or inconsistency between the terms stated in a purchase order or other
similar document and this Agreement, the terms of this Agreement shall govern. 

[SIGNATURE PAGE FOLLOWS]

12

 

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

	ACCURAY INCORPORATED	 	CUSTOMER
	

By:                    	
 	

By:                    
	
 Print Name: Robert E. McNamara                   	
 	

Print Name:                    
	
 Title: Senior Vice President & Chief Financial Officer  	
 	

Title:                    
	
 Date:                    	
 	

Date:                    

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

	By:	 	                   

Darren J. Milliken

General Counsel
	
 Date:	
 	

                   

Please make sure that you have selected a Service Contract (Emerald Elite or Diamond Elite, Section F above). A separate Service Contract is provided for your signature. 

Please
attach payment to this signed Agreement and forward to: 

Accuray Incorporated

ATTN: Contracts Administration

1310 Chesapeake Terrace

Sunnyvale, CA 94089

T. 408.716.4600

F. 408.716.4620  

SIGNATURE PAGE TO ACCURAY CYBERKNIFE G4 PURCHASE AGREEMENT

13

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CYBERKNIFE® G4 PURCHASE AGREEMENT

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