Document:

Form of Indemnification Agreement

 Exhibit 10.5 
 INDEMNIFICATION AGREEMENT 
 THIS AGREEMENT (the “Agreement”) is made and entered into this
         day of             , 2008 between Forbes Energy Services Ltd., an exempted company formed under the laws of Bermuda (“the
Company”) and              (“Indemnitee”). 
 WITNESSETH
THAT: 
 WHEREAS, Indemnitee performs a valuable service for the Company; and 
 WHEREAS, the Board of Directors of the Company has adopted Bye-laws (the “Bye-laws”) providing for the indemnification of the directors,
executive officers and other key employees of the Company to the maximum extent authorized by the Bermuda Companies Act 1981, as amended (the “Act”); and 
 WHEREAS, the Board of Directors has determined that for purposes of indemnification protection afforded by the Company, including as specifically used in this Agreement, the term “director” shall refer to
members of the Board of Directors and any advisory director serving by appointment of the Board; and 
 WHEREAS, the Bye-laws and the Act by
their nonexclusive nature, permit contracts between the Company and the directors and officers of the Company with respect to indemnification of such directors and officers; and 
 WHEREAS, in accordance with the authorization as provided by the Bye-laws and the Act, the Company may purchase and maintain a policy or policies of
director’s and officer’s liability insurance (“D & O Insurance”), covering certain liabilities which may be incurred by its directors and/or officers in the performance of their obligations as directors and/or
officers of the Company; and 
 WHEREAS, as a result of developments affecting the terms, scope and availability of D & O
Insurance, there exists general uncertainty as to the extent of protection afforded Company directors and officers by such D & O Insurance and said uncertainty also exists under statutory and bye-law indemnification provisions; and

 WHEREAS, in order to induce Indemnitee to serve as a director and/or officer of the Company, the Company has determined and agreed to
enter into this contract with Indemnitee; 
 NOW, THEREFORE, in consideration of Indemnitee’s service as a director and/or officer after
the date hereof, the parties hereto agree as follows; 
 1. INDEMNITY OF INDEMNITEE. The Company hereby agrees to hold harmless and indemnify Indemnitee to
the full extent authorized or permitted by the provisions of the Act, as such may be amended from time to time, and Section 53 of the Bye-laws, as such may be amended. In furtherance of the foregoing indemnification, and without limiting the
generality thereof: 
 (a) Proceedings Other Than Proceedings by or in the Right of the Company. Indemnitee shall be entitled to the
rights of indemnification provided in this Section 1(a) if, by 

 
reason of his Corporate Status (as hereinafter defined), he is, or is threatened to be made, a party to or participant in any Proceeding (as hereinafter
defined) other than a Proceeding by or in the right of the Company. Pursuant to this Section 1(a), Indemnitee shall be indemnified against all Expenses (as hereinafter defined), judgments, penalties, fines and amounts paid in settlement
actually and reasonably incurred by him or on his behalf in connection with such Proceeding or any claim, issue or matter therein, if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of the
Company and, with respect to any criminal Proceeding, had no reasonable cause to believe his conduct was unlawful. 
 (b) Proceedings by
or in the Right of the Company. Indemnitee shall be entitled to the rights of indemnification provided in this Section 1(b) if, by reason of his Corporate Status, he is, or is threatened to be made, a party to or participant in any
Proceeding brought by or in the right of the Company to procure a judgment in its favor. Pursuant to this Section 1(b), Indemnitee shall be indemnified against all Expenses actually and reasonably incurred by him or on his behalf in connection
with such Proceeding if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of the Company; provided, however, that, if applicable law so provides, no indemnification against such Expenses
shall be made in respect of any claim, issue or matter in such Proceeding as to which Indemnitee shall have been adjudged to be liable to the Company unless and to the extent that the court in which such Proceeding shall have been brought or is
pending shall determine that such indemnification may be made. 
 (c) Indemnification for Expenses of a Party Who is Wholly or Partly
Successful. Notwithstanding any other provision of this Agreement, to the extent that Indemnitee is, by reason of his Corporate Status, a party to and is successful, on the merits or otherwise, in any Proceeding, he shall be indemnified to the
maximum extent permitted by law against all Expenses actually and reasonably incurred by him or on his behalf in connection therewith. If Indemnitee is not wholly successful in such Proceeding but is successful, on the merits or otherwise, as to one
or more but less than all claims, issues or matters in such Proceeding, the Company shall indemnify Indemnitee against all Expenses actually and reasonably incurred by him or on his behalf in connection with each successfully resolved claim, issue
or matter. For purposes of this Section and without limitation, the termination of any claim, issue or matter in such a Proceeding by dismissal, with or without prejudice, shall be deemed to be a successful result as to such claim, issue or matter.

 2. ADDITIONAL INDEMNITY. 
 (a) Subject only to
the exclusions set forth in Section 2(b) hereof, the Company hereby further agrees to hold harmless and indemnify Indemnitee against any and all expenses, judgments, fines and amounts paid in settlement actually and reasonably incurred by
Indemnitee in connection with any Proceeding (including an action by or on behalf of the Company) to which Indemnitee is, was or at any time becomes a party, or is threatened to be made a party, by reason of his Corporate Status; provided, however,
that with respect to actions by or on behalf of the Company, indemnification of Indemnitee against any judgments shall be made by the Company only as authorized in the specific case upon a determination that Indemnitee acted in good faith and in a
manner he reasonably believed to be in or not opposed to the best interests of the Company; and 
  

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 (b) No indemnity pursuant to this Section 2 shall be paid by the Company: 
 (i) In respect to remuneration paid to Indemnitee if it shall be determined by a final judgment or other final adjudication that such remuneration was in
violation of law; 
 (ii) On account of any suit in which judgment is rendered against Indemnitee for an accounting of profits made from the
purchase or sale by Indemnitee of securities of the Company pursuant to the provisions of Section 16(b) of the Securities Exchange Act of 1934 and amendments thereto, to the extent then applicable, or similar provisions of any federal,
state/province or local statutory law of the United States, Bermuda, Canada or another applicable jurisdiction; 
 (iii) On account of
Indemnitee’s conduct which is finally adjudged to have been knowingly fraudulent or deliberately dishonest, or to constitute willful misconduct; or 
 (iv) If a final decision by a court having jurisdiction in the matter shall determine that such indemnification is not lawful. 
 3. CONTRIBUTION. If the indemnification provided in Sections 1 and 2 is unavailable and may not be paid to Indemnitee for any reason other than those set forth in paragraphs (i), (ii), (iii) and (iv) of
Section 2(b), then in respect to any Proceeding in which the Company is jointly liable with Indemnitee (or would be if joined in such Proceeding), the Company shall contribute to the amount of Expenses, judgments, fines and amounts paid in
settlement actually and reasonably incurred and paid or payable by Indemnitee in such proportion as is appropriate to reflect (i) the relative benefits received by the Company on the one hand and by the Indemnitee on the other hand from the
transaction from which such Proceeding arose, and (ii) the relative fault of the Company on the one hand and of the Indemnitee on the other hand in connection with the events which resulted in such Expenses, judgments, fines or settlement
amounts, as well as any other relevant equitable considerations. The relative fault of the Company on the one hand and of the Indemnitee on the other hand shall be determined by reference to, among other things, the parties’ relative intent,
knowledge, access to information and opportunity to correct or prevent the circumstances resulting in such Expenses, judgments, fines or settlement amounts. The Company agrees that it would not be just and equitable if contribution pursuant to this
Section 3 were determined by pro rata allocation or any other method of allocation which does not take account of the foregoing equitable considerations. 
 4. INDEMNIFICATION FOR EXPENSES OF A WITNESS. Notwithstanding any other provision of this Agreement, to the extent that Indemnitee is, by reason of his Corporate Status, a witness in any Proceeding to which Indemnitee is not a party, he
shall be indemnified against all Expenses actually and reasonably incurred by him or on his behalf in connection therewith. 
 5. ADVANCEMENT OF EXPENSES.
The Company shall advance all reasonable Expenses incurred by or on behalf of Indemnitee in connection with any Proceeding by reason of Indemnitee’s Corporate Status within ten (10) days after the receipt by the Company of a statement or
statements from Indemnitee requesting such advance or advances from time to time, 

  

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whether prior to or after final disposition of such Proceeding. Such statement or statements shall reasonably evidence the Expenses incurred by Indemnitee
and shall include or be preceded or accompanied by an undertaking by or on behalf of Indemnitee to repay any Expenses advanced if it shall ultimately be determined that Indemnitee is not entitled to be indemnified against such Expenses. Any advances
and undertakings to repay pursuant to this Section 5 shall be unsecured and interest free. Notwithstanding the foregoing, the obligation of the Company to advance Expenses pursuant to this Section 5 shall be subject to the condition that,
if, when and to the extent that the Company determines that Indemnitee would not be permitted to be indemnified under applicable law, the Company shall be entitled to be reimbursed, within thirty (30) days of such determination, by Indemnitee
(who hereby agrees to reimburse the Company) for all such amounts theretofore paid; provided, however, that if Indemnitee has commenced or thereafter commences legal proceedings in a court of competent jurisdiction to secure a determination that
Indemnitee should be indemnified under applicable law, any determination made by the Company that Indemnitee would not be permitted to be indemnified under applicable law shall not be binding and Indemnitee shall not be required to reimburse the
Company for any advance of Expenses until a final judicial determination is made with respect thereto (as to which all rights of appeal therefrom have been exhausted or lapsed). 
 6. PROCEDURE FOR DETERMINATION OF ENTITLEMENT TO INDEMNIFICATION. 
 (a) To obtain indemnification (including,
but not limited to, the advancement of Expenses and contribution by the Company) under this Agreement, Indemnitee shall submit to the Company a written request, including therein or therewith such documentation and information as is reasonably
available to Indemnitee and is reasonably necessary to determine whether and to what extent Indemnitee is entitled to indemnification. The Secretary of the Company shall, promptly upon receipt of such a request for indemnification, advise the Board
of Directors in writing that Indemnitee has requested indemnification. 
 (b) Upon written request by Indemnitee for indemnification pursuant
to the first sentence of Section 6(a) hereof, a determination, if required by applicable law, with respect to Indemnitee’s entitlement thereto shall be made in the specific case: (i) if a Change in Control (as hereinafter defined)
shall have occurred, by Independent Counsel (as hereinafter defined) in a written opinion to the Board of Directors, a copy of which shall be delivered to Indemnitee (unless Indemnitee shall request that such determination be made by the Board of
Directors or the stockholders, in which case the determination shall be made in the manner provided in Clause (ii) below), or (ii) if a Change in Control shall not have occurred, (A) by the Board of Directors by a majority vote of a
quorum consisting of Disinterested Directors (as hereinafter defined), or (B) if a quorum of the Board of Directors consisting of Disinterested Directors is not obtainable or, even if obtainable, said Disinterested Directors so direct, by
Independent Counsel in a written opinion to the Board of Directors, a copy of which shall be delivered to Indemnitee, or (C) if so directed by said Disinterested Directors, by the stockholders of the Company; and, if it is determined that
Indemnitee is entitled to indemnification, payment to Indemnitee shall be made within ten (10) days after such determination. Indemnitee shall cooperate with the person, persons or entity making such determination with respect to
Indemnitee’s entitlement to indemnification, including providing to such person, persons or entity upon reasonable advance 

  

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request any documentation or information which is not privileged or otherwise protected from disclosure and which is reasonably available to Indemnitee and
reasonably necessary to such determination. Any Independent Counsel, member of the Board of Directors, or stockholder of the Company shall act reasonably and in good faith in making a determination under the Agreement of the Indemnitee’s
entitlement to indemnification. Any costs or expenses (including attorneys’ fees and disbursements) incurred by Indemnitee in so cooperating with the person, persons or entity making such determination shall be borne by the Company
(irrespective of the determination as to Indemnitee’s entitlement to indemnification) and the Company hereby indemnifies and agrees to hold Indemnitee harmless therefrom. 
 (c) If the determination of entitlement to indemnification is to be made by Independent Counsel pursuant to Section 6(b) hereof, the Independent
Counsel shall be selected as provided in this Section 6(c). If a Change in Control shall not have occurred, the Independent Counsel shall be selected by the Board of Directors, and the Company shall give written notice to Indemnitee advising
him of the identity of the Independent Counsel so selected. If a Change in Control shall have occurred, the Independent Counsel shall be selected by Indemnitee (unless Indemnitee shall request that such selection be made by the Board of Directors,
in which event the preceding sentence shall apply), and Indemnitee shall give written notice to the Company advising it of the identity of the Independent Counsel so selected. In either event, Indemnitee or the Company, as the case may be, may,
within ten (10) days after such written notice of selection shall have been given, deliver to the Company or to Indemnitee, as the case may be, a written objection to such selection; provided, however, that such objection may be asserted only
on the ground that the Independent Counsel so selected does not meet the requirements of “Independent Counsel” as defined in Section 14(f) of this Agreement, and the objection shall set forth with particularity the factual basis of
such assertion. Absent a proper and timely objection, the person so selected shall act as Independent Counsel. If a written objection is made and substantiated, the Independent Counsel selected may not serve as Independent Counsel unless and until
such objection is withdrawn or a court has determined that such objection is without merit. If, within twenty (20) days after submission by Indemnitee of a written request for indemnification pursuant to Section 6(a) hereof, no Independent
Counsel shall have been selected, or Independent Counsel has been selected and objected to, and such objection has not been resolved, either the Company or Indemnitee may petition any court of competent jurisdiction for resolution of any objection
which shall have been made by the Company or Indemnitee to the other’s selection of Independent Counsel and/or for the appointment as Independent Counsel of a person selected by the court or by such other person as the court shall designate,
and the person with respect to whom all objections are so resolved or the person so appointed shall act as Independent Counsel under Section 6(b) hereof. The Company shall pay any and all reasonable fees and expenses of Independent Counsel
incurred by such Independent Counsel in connection with acting pursuant to Section 6(b) hereof, and the Company shall pay all reasonable fees and expenses incident to the procedures of this Section 6(c), regardless of the manner in which
such Independent Counsel was selected or appointed. Upon the due commencement of any judicial proceeding or arbitration pursuant to Section 8 of this Agreement, Independent Counsel shall be discharged and relieved of any further responsibility
in such capacity (subject to the applicable standards of professional conduct then prevailing). 
  

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 (d) The Company shall not be required to obtain the consent of the Indemnitee to the settlement of any
Proceeding which the Company has undertaken to defend if the Company assumes full and sole responsibility for such settlement and the settlement grants the Indemnitee a complete and unqualified release in respect of the potential liability.

 7. PRESUMPTIONS AND EFFECT OF CERTAIN PROCEEDINGS. 
 (a) In making a determination with respect to entitlement to indemnification hereunder, the person or persons or entity making such determination shall presume that Indemnitee is entitled to indemnification under this Agreement if
Indemnitee has submitted a request for indemnification in accordance with Section 6(a) of this Agreement, and the Company shall have the burden of proof to overcome that presumption in connection with the making by any person, persons or entity
of any determination contrary to that presumption. 
 (b) If the person, persons or entity empowered or selected under Section 6 of this
Agreement to determine whether Indemnitee is entitled to indemnification shall not have made a determination within thirty (30) days after receipt by the Company of the request therefore, the requisite determination of entitlement to
indemnification shall be deemed to have been made and Indemnitee sha1l be entitled to such indemnification, absent (i) a misstatement by Indemnitee of a material fact, or an omission of a material fact necessary to make Indemnitee’s
statement not materially misleading, in connection with the request for indemnification, or (ii) a prohibition of such indemnification under applicable law; provided, however, that such 30-day period may be extended for a reasonable time, not
to exceed an additional fifteen (15) days, if the person, persons or entity making the determination with respect to entitlement to indemnification in good faith requires such additional time for obtaining or evaluating documentation and/or
information relating thereto; and provided, further, that the foregoing provisions of this Section 7(b) shall not apply (i) if the determination of entitlement to indemnification is to be made by the stockholders pursuant to
Section 6(b) of this Agreement and if (A) within fifteen (15) days after receipt by the Company of the request for such determination the Board of Directors or the Disinterested Directors, if appropriate, resolve to submit such
determination to the stockholders for their consideration at an annual meeting thereof to be held within seventy-five (75) days after such receipt and such determination is made thereat, or (B) a special meeting of stockholders is called
within fifteen (15) days after such receipt for the purpose of making such determination, such meeting is held for such purpose within sixty (60) days after having been so called and such determination is made thereat, or (ii) if the
determination of entitlement to indemnification is to be made by Independent Counsel pursuant to Section 6(b) of this Agreement. 
 (c)
The termination of any Proceeding or of any claim, issue or matter therein, by judgment, order, settlement (with or without court approval), conviction, or upon a plea of nolo contendere or its equivalent, shall not (except as otherwise expressly
provided in this Agreement) of itself adversely affect the right of Indemnitee to indemnification or create a presumption that Indemnitee did not act in good faith and in a manner which he reasonably believed to be in or not opposed to the best
interests of the Company or, with respect to any criminal Proceeding, that Indemnitee had reasonable cause to believe that his conduct was unlawful. 
 (d) For purposes of any determination of good faith, Indemnitee shall be deemed to have acted in good faith if a majority of Disinterested Directors, the stockholders, or Independent 

  

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Counsel through a written opinion determines that such person acted in good faith and in a manner he reasonably believed to be in or not opposed to the best
interests of the Company, and in the case of a criminal proceeding, such person had no reasonable cause to believe his conduct was unlawful. In addition, the knowledge and/or actions, or failure to act, of any director, officer, agent or employee of
the Enterprise shall not be imputed to Indemnitee for purposes of determining the right to indemnification under this Agreement. The provisions of this Section 7(d) shall not be deemed to be exclusive or to limit in any way the other
circumstances in which the Indemnitee may be deemed to have met the applicable standard of conduct set forth in this Agreement. 
 8. REMEDIES OF INDEMNITEE.

 (a) In the event that (i) a determination is made pursuant to Section 6 of this Agreement that Indemnitee is not entitled to
indemnification under this Agreement, (ii) advancement of Expenses is not timely made pursuant to Section 5 of this Agreement, (iii) no determination of entitlement to indemnification shall have been made pursuant to Section 6(b)
of this Agreement within ninety (90) days after receipt by the Company of the request for indemnification, (iv) payment of indemnification is not made pursuant to Section 3 or 4 of this Agreement within ten (10) days after
receipt by the Company of a written request therefore, or (v) payment of indemnification is not made within ten (10) days after a determination has been made that Indemnitee is entitled to indemnification or such determination is deemed to
have been made pursuant to Section 6 or 7 of this Agreement, Indemnitee shall be entitled to an adjudication in any appropriate court of competent jurisdiction, of his entitlement to such indemnification. Alternatively, Indemnitee, at his
option, may seek an award in arbitration to be conducted by a single arbitrator pursuant to the Commercial Arbitration Rules of the American Arbitration Association. Indemnitee shall commence such proceeding seeking an adjudication or an award in
arbitration within 180 days following the date on which Indemnitee first has the right to commence such proceeding pursuant to this Section 8(a). The Company shall not oppose Indemnitee’s right to seek any such adjudication or award in
arbitration. 
 (b) In the event that a determination shall have been made pursuant to Section 6(b) of this Agreement that Indemnitee is
not entitled to indemnification, any judicial proceeding or arbitration commenced pursuant to this Section 8 shall be conducted in all respects as a de novo trial, or arbitration, on the merits and Indemnitee shall not be prejudiced by reason
of that adverse determination. 
 (c) If a determination shall have been made pursuant to Section 6(b) of this Agreement that Indemnitee
is entitled to indemnification, the Company shall be bound by such determination in any judicial proceeding or arbitration commenced pursuant to this Section 8, absent (i) a misstatement by Indemnitee of a material fact, or an omission of
a material fact necessary to make Indemnitee’s statement not materially misleading, in connection with the request for indemnification, or (ii) a prohibition of such indemnification under applicable law. 
 (d) In the event that Indemnitee, pursuant to this Section 8, seeks a judicial adjudication of or an award in arbitration to enforce his rights
under, or to recover damages for breach of, this Agreement, Indemnitee shall be entitled to recover from the Company, and shall be indemnified by the Company against, any and all expenses (of the types described in the 

  

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definition of Expenses in Section 14(e) of this Agreement) actually and reasonably incurred by him in such judicial adjudication or arbitration, but
only if he prevails therein. If it shall be determined in said judicial adjudication or arbitration that Indemnitee is entitled to receive part but not all of the indemnification sought, the expenses incurred by Indemnitee in connection with such
judicial adjudication or arbitration shall be appropriately prorated. The Company shall indemnify Indemnitee against any and all expenses and, if requested by Indemnitee, shall (within ten (10) days after receipt by the Company of a written
request therefore) advance such expenses to Indemnitee, which are incurred by Indemnitee in connection with any action brought by Indemnitee to recover under any directors’ and officers’ liability insurance policies maintained by the
Company, regardless of whether Indemnitee ultimately is determined to be entitled to such indemnification, advancement of expenses or insurance recovery, as the case may be. 
 (e) The Company shall be precluded from asserting in any judicial proceeding or arbitration commenced pursuant to this Section 8 that the procedures
and presumptions of this Agreement are not valid, binding and enforceable and shall stipulate in any such court or before any such arbitrator that the Company is bound by all the provisions of this Agreement. 
 9. NON-EXCLUSIVITY; SURVIVAL OF RIGHTS; INSURANCE; SUBROGATION. 
 (a) The rights of indemnification as provided by this Agreement shall not be deemed exclusive of any other rights to which Indemnitee may at any time be entitled under applicable law, the memorandum of association of the Company, the
Bye-laws, any agreement, a vote of stockholders or a resolution of directors, or otherwise. No amendment, alteration or repeal of this Agreement or of any provision hereof shall limit or restrict any right of Indemnitee under this Agreement in
respect of any action taken or omitted by such Indemnitee in his Corporate Status prior to such amendment, alteration or repeal. To the extent that a change in the Act, whether by statute or judicial decision, permits greater indemnification than
would be afforded currently under the Bye-laws and this Agreement, it is the intent of the parties hereto that Indemnitee shall enjoy by this Agreement the greater benefits so afforded by such change. No right or remedy herein conferred is intended
to be exclusive of any other right or remedy, and every other right and remedy shall be cumulative and in addition to every other right and remedy given hereunder or now or hereafter existing at law or in equity or otherwise. The assertion or
employment of any right or remedy hereunder, or otherwise, shall not prevent the concurrent assertion or employment of any other right or remedy. 
 (b) To the extent that the Company maintains an insurance policy or policies providing liability insurance for directors, officers, employees, or agents or fiduciaries of the Company or of any other Enterprise which such person serves at
the request of the Company, Indemnitee shall be covered by such policy or policies in accordance with its or their terms to the maximum extent of the coverage available for any such director, officer, employee or agent under such policy or policies.

 (c) In the event of any payment under this Agreement, the Company shall be subrogated to the extent of such payment to all of the rights
of recovery of Indemnitee, who shall execute all papers required and take all action necessary to secure such rights, including execution of such documents as are necessary to enable the Company to bring suit to enforce such rights. 
  

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 (d) The Company shall not be liable under this Agreement to make any payment of amounts otherwise
indemnifiable hereunder if and to the extent that Indemnitee has otherwise actually received such payment under any insurance policy, contract, agreement or otherwise. 
 10. EXCEPTION TO RIGHT OF INDEMNIFICATION AND EXPENSE ADVANCEMENT. Notwithstanding any other provision of this Agreement, Indemnitee shall only be entitled to indemnification or advancement of expenses under this
Agreement with respect to any Proceeding brought by Indemnitee, or any claim therein, if (a) the bringing of such Proceeding or making of such claim shall have been approved by the Board of Directors; or (b) such Proceeding is being
brought by the Indemnitee to assert his rights under this Agreement; provided, however, that Indemnitee shall in no event be entitled to the advancement of expenses under the Agreement if a determination has been made by a judicial authority or
governmental entity or agency or, absent such determination, any such authority, entity or agency has taken a postion or issued any guidance stating, that the advancement of expenses to an Indemnitee in a manner similar to that contemplated in
Section 5 of the Agreement constitutes a personal loan in contravention of Section 402 of the United States Sarbanes-Oxley Act of 2002, to the extent then applicable, or any similar law or regulation. 
 11. DURATION OF AGREEMENT. All agreements and obligations of the Company contained herein shall apply to the period Indemnitee is or was a director or officer of the
Company, including any such period prior to this Agreement, (or the period Indemnitee is or was serving at the request of the Company as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other
Enterprise) and shall continue thereafter so long as Indemnitee shall be subject to any Proceeding (or any proceeding commenced under Section 8 hereof) by reason of his Corporate Status, whether or not he is acting or serving in any such
capacity at the time any liability or expense is incurred for which indemnification can be provided under this Agreement. This Agreement shall be binding upon and inure to the benefit of and be enforceable by the parties hereto and their respective
successors (including any direct or indirect successor by purchase, merger, consolidation or otherwise to all or substantially all of the business or assets of the Company), assigns, spouses, heirs, executors and personal and legal representatives.
This Agreement shall continue in effect regardless of whether Indemnitee continues to serve as a director or officer of the Company or any other Enterprise at the Company’s request. 
 12. SECURITY. To the extent requested by the Indemnitee and approved by the Board of Directors, the Company may at any time and from time to time provide security to the Indennitee for the Company’s obligations
hereunder through an irrevocable bank line of credit, funded trust or other collateral. Any such security, once provided to the Indemnitee, may not be revoked or released without the prior written consent of the Indemnitee. 
 13. ENFORCEMENT. 
 (a) The Company expressly confirms and
agrees that it has entered into this Agreement and assumed the obligations imposed on it hereby in order to induce Indemnitee to serve as a director or officer of the Company, and the Company acknowledges that Indemnitee is relying upon this
Agreement in serving as a director or officer of the Company. 
  

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 (b) This Agreement constitutes the entire agreement between the parties hereto with respect to the
subject matter hereof and supersedes all prior agreements and understandings, oral, written and implied, between the parties hereto with respect to the subject matter hereof. 
 14. DEFINITIONS. For purposes of this Agreement: 
 (a) “Change in Control” means a change in
control of the Company occurring after the date of this Agreement of a nature that would be required to be reported in response to Item 6(e) of Schedule 14A of Regulation 14A promulgated under the Securities Exchange Act of 1934, as
amended (the “Exchange Act”) or in response to any similar item on any similar schedule or form under the equivalent laws of another jurisdiction, whether or not the Company is then subject to such reporting requirement; provided, however,
that, without limitation, such a Change in Control shall be deemed to have occurred if after the date of this Agreement (i) any “person” (as such term is used in Sections 13(d) and 14(d) of the Exchange Act) other than a trustee
or other fiduciary holding securities under an employee benefit plan of the Company or a corporation owned directly or indirectly by the stockholders of the Company in substantially the same proportions as their ownership of equity securities of the
Company, is or becomes the “beneficial owner” (as defined in Rule 13d-3 under the Exchange Act), directly or indirectly, of securities of the Company representing 20% or more of the combined voting power of the Company’s then
outstanding securities (other than any such person or any affiliate thereof that is such a 20% beneficial owner as of the date hereof) without the prior approval of at least two-thirds of the members of the Board of Directors in office immediately
prior to such person attaining such percentage interest; (ii) there occurs a proxy contest, or the Company is a party to a merger, consolidation, sale of assets, plan of liquidation or other reorganization, as a consequence of which members of
the Board of Directors in office immediately prior to such transaction or event constitute less than a majority of the Board of Directors thereafter; or (iii) during any period of two consecutive years, other than as a result of an event
described in clause (a)(ii) of this Section 14, individuals who at the beginning of such period constituted the Board of Directors (including for this purpose any new director whose election or nomination for election by the Company’s
stockholders was approved by a vote of at least two-thirds of the directors then still in office who were directors at the beginning of such period) cease for any reason to constitute at least a majority of the Board of Directors. A Change in
Control shall not be deemed to have occurred under item (i) above if the “person” described under item (i) is entitled to report its ownership on Schedule 13G promulgated under the Exchange Act or the equivalent laws of
another jurisdiction and such person is able to represent that it acquired such securities in the ordinary course of its business and not with the purpose nor with the effect of changing or influencing the control of the Company, nor in connection
with or as a participant in any transaction having such purpose or effect. If the “person” referred to in the previous sentence would at any time not be entitled to continue to report such ownership on Schedule 13G pursuant to
Rule 13d-1(b)(3)(i)(B) of the Exchange Act or the equivalent laws of another jurisdiction, then a Change in Control shall be deemed to have occurred at such time. 
 (b) “Corporate Status” describes the status of a person who is or was a director, officer, employee or agent or fiduciary of the Company or of any other corporation, partnership, joint venture, trust,
employee benefit plan or other enterprise which such person is or was serving at the express written request of the Company, provided that the approval by the Board of Directors of such person to such position in a resolution adopted by the Board of
Directors shall for all purposes qualify as such a written requirement. 
  

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 (c) “Disinterested Director” means a director of the Company who is not and was not a party to
the Proceeding in respect of which indemnification is sought by Indemnitee. 
 (d) “Enterprise” shall mean the Company and any
other corporation, partnership, joint venture, trust, employee benefit plan or other enterprise of which Indemnitee is or was serving at the express written request of the Company as a director, officer, employee, agent or fiduciary provided that
the approval by the Board of Directors of such position in a resolution adopted by the Board of Directors shall for all purposes qualify as such a written requirement. 
 (e) “Expenses” shall include all reasonable attorneys’ fees, retainers, court costs, transcript costs, fees of experts, witness fees, travel expenses, duplicating costs, printing and binding costs,
telephone charges, postage, delivery service fees, and all other disbursements or expenses of the types customarily incurred in connection with prosecuting, defending, preparing to prosecute or defend, investigating, participating, or being or
preparing to be a witness in a Proceeding. 
 (f) “Independent Counsel” means a law firm, or a member of a law firm, that is
experienced in matters of corporation law and neither presently is, nor in the past five years has been, retained to represent the Company or Indemnitee in any matter material to either such party (other than with respect to matters concerning the
Indemnitee under this Agreement, or of other indemnitees under similar indemnification agreements) or any other party to the Proceeding giving rise to a claim for indemnification hereunder, or otherwise has any substantial business or personal
relationship with the Company or Indemnitee or any other party to the Proceeding giving rise to a claim for indemnification hereunder that could reasonably be considered to influence the independent judgment of the Independent Counsel.
Notwithstanding the foregoing, the term “Independent Counsel” shall not include any person who, under the applicable standards of professional conduct then prevailing, would have a conflict of interest in representing either the Company or
Indemnitee in an action to determine Indemnitee’s rights under this Agreement. The Company agrees to pay the reasonable fees of the Independent Counsel referred to above and to fully indemnify such counsel against any and all expenses, claims,
liabilities and damages arising out of or relating to this Agreement or its engagement pursuant hereto. 
 (g) “Proceeding”
includes any threatened, pending or completed action, suit, arbitration, alternate dispute resolution mechanism, investigation, inquiry, administrative hearing or any other actual, threatened or completed proceeding, whether brought by or in the
right of the Company or otherwise and whether civil, criminal, administrative or investigative, in which Indemnitee was, is or will be involved as a party or otherwise, by reason of Indemnitee’s Corporate Status, by reason of any action taken
by him or of any inaction on his part while acting as a director or officer of the Company, or by reason of the fact that he is or was serving as a director, officer, employee or agent of another Enterprise at the request of the Company, in each
case whether or not he is acting or serving in any such capacity at the time any liability or expense is incurred for which indemnification can be provided under this Agreement; including one pending on or before the date of this Agreement and
excluding one initiated by an Indemnitee pursuant to Section 8 of this Agreement to enforce his rights under this Agreement. 
  

 11 

 15. SEVERABILITY. If any provision or provisions of this Agreement shall be held by a court of competent jurisdiction to
be invalid, void, illegal or otherwise unenforceable for any reason whatsoever: (a) the validity, legality and enforceability of the remaining provisions of this Agreement (including without limitation, each portion of any section of this
Agreement containing any such provision held to be invalid, illegal or unenforceable, that is not itself invalid, illegal or unenforceable) shall not in any way be affected or impaired thereby and shall remain enforceable to the fullest extent
permitted by law; and (b) to the fullest extent possible, the provisions of this Agreement (including, without limitation, each portion of any section of this Agreement containing any such provision held to be invalid, illegal or unenforceable,
that is not itself invalid, illegal or unenforceable) shall be construed so as to give effect to the intent manifested thereby. 
 16. MODIFICATION AND
WAIVER. No supplement, modification, termination, waiver or amendment of this Agreement shall be binding unless executed in writing by both of the parties hereto. No waiver of any of the provisions of this Agreement shall be deemed or shall
constitute a waiver of any other provisions hereof (whether or not similar) nor shall such waiver constitute a continuing waiver. 
 17. NOTICE BY
INDEMNITEE. Indemnitee agrees promptly to notify the company in writing upon being served with any summons, citation, subpoena, complaint, indictment, information or other document relating to any Proceeding or matter which may be subject to
indemnification covered hereunder. The failure to so notify the Company shall not relieve the Company of any obligation which it may have to the Indemnitee under this Agreement or otherwise. 
 18. NOTICES. All notices, requests, demands and other communications hereunder shall be in writing and shall be deemed to have been duly given if (i) delivered by
hand and receipted for by the party to whom said notice or other communication shall have been directed, or (ii) mailed by certified or registered mail with postage prepaid, on the third business day after the date on which it is so mailed:

 (a) If to Indemnitee, to: 
 At the last address of Indemnitee in the records of the Company. 
 (b) If to the Company, to: 
 Forbes Energy Services Ltd. 
 3000 South Business Highway 281 
 Alice, Texas 78332 
 Attention: President and Chief Executive Officer 
 or to such other address as may have been furnished to Indemnitee by the Company or to the Company by Indemnitee, as the case may be. 
 19.
IDENTICAL COUNTERPARTS. This Agreement may be executed in one or more counterparts, each of which shall for all purposes be deemed to be an original but all of which together shall constitute one and the same Agreement. Only one such counterpart
signed by the party against whom enforceability is sought needs to be produced to evidence the existence of this Agreement. 
  

 12 

 20. HEADINGS. The headings of the paragraphs of this Agreement are inserted for convenience only and shall not be deemed
to constitute part of this Agreement or to affect the construction thereof. 
 21. GOVERNING LAW. The parties agree that this Agreement shall be governed by,
and construed and enforced in accordance with, the laws of the State of Delaware, without application of the conflict of laws principles thereof. 
 22.
GENDER. Use of the masculine pronoun shall be deemed to include usage of the feminine pronoun where appropriate. 
 [Signature page
follows.] 
  

 13 

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

			
	FORBES ENERGY SERVICES LTD.
		
	By:	 	  

		 	John E. Crisp,
		 	President and Chief Executive Officer
	
	INDEMNITEE
		
	By:	 	  

	Name:	 	  

	Title:	 	  

 Signature Page – Indemnification Agreement 
 Forbes Energy Services Ltd.Form of Executive Non-Qualified Stock Option Agreement

 Exhibit 10.6 
 FORBES ENERGY SERVICES 
 INCENTIVE COMPENSATION PLAN 
 NON-QUALIFIED 
 STOCK OPTION
AGREEMENT 
 THIS NON-QUALIFIED STOCK OPTION AGREEMENT (this “Agreement”) is made effective as of
                     (the “Award Date”), by and between Forbes Energy Services, Ltd., an exempted company formed under
the laws of Bermuda (the “Company”), and              (“Optionee”). 
 1. GRANT OF STOCK OPTION. Pursuant to the Forbes Energy Services Incentive Compensation Plan (the “Plan”), the
Company hereby grants to Optionee a Stock Option (this “Stock Option”) to purchase from the Company up to              shares of Common Stock of the Company
at an exercise price of $              per share (the Fair Market Value of the Shares as of the Award Date), subject to the all of the terms and conditions of this Agreement and the
Plan. This Stock Option is not intended to qualify as an “incentive stock option” under Code Section 422. 
 2. EFFECT
OF THE PLAN. This Stock Option is subject to all of the terms and conditions of the Plan, which terms and conditions are incorporated herein for all purposes, and of this Agreement together with all rules and determinations from time to time
issued by the Committee and by the Board pursuant to the Plan. The Company hereby reserves the right to amend, modify, restate, supplement or terminate the Plan at any time without the consent of Optionee, so long as such amendment, modification,
restatement or supplement shall not materially reduce the rights and benefits available to Optionee hereunder, and this Stock Option shall be subject, without further action by the Company or Optionee, to such amendment, modification, restatement or
supplement unless provided otherwise therein. Capitalized terms used but not defined in this Agreement shall have the meanings ascribed to such terms in the Plan. 
 3. VESTING AND EXERCISE. This Stock Option shall be exercisable upon vesting in accordance the following vesting schedule: 
  

			
	 Vesting Date
	  	Vesting Percentage
	 First Anniversary of the Award Date
	  	One Third ( 1/3)
	 Second Anniversary of the Award Date
	  	One Third ( 1/3)
	 Third Anniversary of the Award Date
	  	One Third ( 1/3)

 Notwithstanding the foregoing schedule, the Stock Option shall vest and become immediately exercisable upon a
Change of Control or Optionee’s Retirement. For purposes of this Agreement, “Retirement” shall mean Optionee’s retirement from employment with the Company and all of its Affiliates, other than for Cause, on or after the date
Optionee attains age 60 provided Optionee has completed ten (10) years of service as of the date Optionee retires from service, or on or after Optionee attains age 65. Change in Control shall have the same meaning as set forth in
Section 2.6 of the Plan. 
  

 1 

 4. TERMINATION. Except as otherwise provided herein, the portion of this Stock Option that
is unvested shall terminate immediately upon termination of Optionee’s Continuous Service (as defined in Section 2.12 of the Plan) with the Company or its Affiliates. The vested portion of this Stock Option shall automatically terminate
and all rights to exercise this Stock Option shall cease upon the first of the following to occur: 
 (a) the date that
Optionee’s Continuous Service is terminated for Cause; 
 (b) 5 p.m. on the first anniversary of the termination of
Optionee’s Continuous Service by reason of death, Disability or Retirement; 
 (c) 5 p.m. on the date that is ninety
(90) days following termination of Optionee’s Continuous Service (other than upon Optionee’s death or Disability, or for Cause); unless Optionee dies within such ninety (90) day period, in which case 5 p.m. on the first
anniversary of the Termination Date; or 
 (d) 5 p.m. on the tenth (10
th) anniversary of the Award Date. 
 5. TIME AND MANNER OF EXERCISE. This Stock Option may be exercised, in whole or in part, by submitting to the Committee an exercise agreement in the form prescribed by the Committee and duly executed by Optionee (or, following
Optionee’s Disability or death, his legal representative, estate or heirs, as the case may be). The amount of the exercise price may be submitted (a) by payment to the Company of the amount of such consideration by cash, wire transfer,
certified check or bank draft; or (b) any other consideration deemed acceptable by the Committee, in its sole and absolute discretion. This Stock Option may be exercised with respect to whole Shares only. 
 6. WITHHOLDING TAXES. Prior to the issuance of Shares upon exercise of this Stock Option, Optionee must satisfy applicable federal, state
and local tax withholding obligations (a) by payment to the Company of the amount of such withholding obligation by cash, wire transfer, certified check or bank draft; (b) through either the retention by the Company of a number of Shares
out of the Shares being acquired through the exercise of the Stock Option or the delivery of unrestricted Shares owned by Optionee for more than six (6) months (or such shorter or longer period as is necessary to avoid a charge to earnings on
the Company’s financial statements) and having a Fair Market Value equal to the minimum withholding obligation; or (c) pursuant to a written agreement between Optionee and the Company authorizing the Company to withhold from
Optionee’s regular wages the amount of such withholding tax obligation. If Optionee elects to use and the Committee permits either method described in subsection 6(b) herein in full or partial satisfaction of any withholding tax
liability resulting from the exercise of this Stock Option, the Company shall remit an amount equal to the Fair Market Value of the Shares so withheld or delivered, as the case may be, to the appropriate taxing authorities. 
 7. OPTIONS NOT TRANSFERABLE. Neither this Stock Option nor any of the rights and privileges hereunder may be transferred, sold, assigned,
pledged, gifted or otherwise transferred in any manner other than by will or by the laws of descent and distribution. Except as otherwise provided, this Stock Option may be exercised during Optionee’s lifetime only by Optionee. Any attempted
transfer, sale, assignment, pledge, gift or other transfer of this Stock Option or of any right or privilege hereunder contrary to the provisions of this Agreement or the Plan, and the levy of any execution, attachment or similar process upon this
Stock Option or any right or privilege hereunder, shall be null and void and without force or effect. 
  

 2 

 8. COMPLIANCE WITH SECURITIES AND OTHER LAWS. As a condition to the issuance or transfer of
any Shares issuable in connection with the exercise of this Stock Option, the Company may require an opinion of counsel, satisfactory to the Company, to the effect that (i) such issuance and/or transfer will not be in violation of the
Securities Act or any other applicable securities laws and (ii) such issuance and/or transfer will not be in violation of the rules and regulations of any securities exchange or automated quotation system on which the Common Stock is listed or
admitted to trading. Further, the Company may refrain from issuing, delivering or transferring any Shares issuable in connection with the exercise of this Stock Option until the Company has determined that such issuance, delivery or transfer will
not violate such securities laws or rules and regulations and that Optionee has tendered to the Company any federal, state or local tax owed as a result of such issuance, delivery or transfer, when the Company has a legal liability to satisfy such
tax. The Company shall not be liable for damages due to delay in the issuance, delivery or transfer of any Shares issuable in connection with the exercise of this Stock Option or any agreement, instrument or certificate evidencing such Shares for
any reason whatsoever, including, but not limited to, a delay caused by the listing requirements of any securities exchange or automated quotation system or any registration requirements under the Securities Act, the Exchange Act, or under any other
state, federal or foreign law, rule or regulation. The Company is under no obligation to take any action or incur any expense to register or qualify the issuance, delivery or transfer of any Shares issuable in connection with the exercise of this
Stock Option under applicable securities laws or to perfect any exemption from such registration or qualification or to list any security on any securities exchange or automated quotation system. Furthermore, the Company will have no liability to
any person for refusing to issue, deliver or transfer any Shares issuable in connection with the exercise of this Stock Option if such refusal is based upon the foregoing provisions of this Section 8. As a condition to any issuance,
delivery or transfer of any Shares issuable in connection with the exercise of this Stock Option, the Company may place legends on any agreement, instrument or certificate evidencing such Shares, issue stop transfer orders with respect thereto and
require such agreements or undertakings as the Company may deem necessary or advisable to assure compliance with applicable laws or regulations, including, if the Company or its counsel deems it appropriate, representations from the recipient of
such Shares to the effect that such recipient is acquiring such Shares solely for investment and not with a view to distribution and that no distribution of the Shares will be made unless registered pursuant to applicable federal, state or foreign
securities laws, or in the opinion of counsel to the Company, such registration is unnecessary. 
 9. NO RIGHT TO EMPLOYMENT OR
CONTINUATION OF RELATIONSHIP. Nothing in this Award or the Plan shall confer upon or be construed as giving Optionee any right to remain in the employ of the Company or an Affiliate. Further, the Company or an Affiliate may at any time
dismiss Optionee from employment with the Company or any Affiliate, free from any liability or any claim pursuant to this Agreement and the Plan, unless otherwise expressly provided in this Agreement or the Plan. 
 10. AMENDMENT. Except as provided in Section 12.4(c) of the Plan, the Board may at any time, add to, repeal or otherwise amend any of
the terms of this Stock Option and, without limiting the generality of the foregoing, may make the following changes, deletions, revisions or amendments: 
 (a) any amendment to the vesting provisions of this Stock Option; 
  

 3 

 (b) any amendment to the termination provisions of this Stock Option, provided that such
amendment does not entail an extension beyond the expiration date of this Stock Option; and 
 (c) any amendment with respect
to the method or manner of exercise of this Stock Option; 
 provided that no such addition, repeal, or amendment shall in any manner materially adversely
affect the rights of Optionee under this Stock Option without Optionee’s consent. 
 11. GOVERNING LAW. THE VALIDITY,
CONSTRUCTION AND EFFECT OF THIS AGREEMENT SHALL BE DETERMINED IN ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS, WITHOUT GIVING EFFECT TO THE CONFLICT OF LAWS PRINCIPLES THEREOF. 
 12. SEVERABILITY. If any provision of this Agreement is or becomes or is deemed to be invalid, illegal or unenforceable in any jurisdiction
or with respect to Optionee or would disqualify the Plan or this Stock Option under any law deemed applicable by the Committee, such provision shall be construed or deemed amended to conform to applicable law, or if it cannot be construed or deemed
amended without, in the sole determination of the Committee, materially altering the intent of the Plan or this Stock Option, such provision shall be stricken as to such jurisdiction or with respect to Optionee and the remainder of this Agreement
shall remain in full force and effect. 
 13. NO FRACTIONAL SHARES. No fractional Shares shall be issued or delivered pursuant
to this Stock Option. If this Stock Option vests or becomes exercisable with respect to a fractional Share, such installment will instead be rounded to the next highest whole number of Shares, except for the final installment, which will be for the
balance of the total Shares subject to this Stock Option. 
 14. HEADINGS. Headings are given to the Sections and subsections
of this Agreement solely as a convenience to facilitate reference. Such headings shall not be deemed in any way material or relevant to the construction or interpretation of this Agreement or any provision thereof. 
 15. GENDER AND NUMBER. In construing this Agreement, any masculine terminology herein shall also include the feminine, and the definition
of any term herein in the singular shall also include the plural, except when otherwise indicated by the context. 
 16. EXTENSION OF
EXERCISE PERIOD. Notwithstanding any provision herein to the contrary, and only to the extent that extension would not result in characterization of this Stock Option as deferred compensation under Section 409A of the Code, if the
period during which this Stock Option may otherwise be exercised hereunder expires during or within ten business days after a black out period imposed by the Company under the Company’s Insider Trading Policy (a “Black Out
Period”), then the period during which this Stock Option may be exercised shall be extended to the date that is ten business days after the last day of such Black Out Period, after which time this Stock Option shall expire and
terminate. 
  

 4 

 17. CAPITAL ADJUSTMENTS. If any change is made in the Common Stock subject to this Stock
Option, without the receipt of consideration by the Company (through merger, consolidation, reorganization, recapitalization, reincorporation, stock dividend, dividend in property other than cash, stock split, liquidating dividend, combination of
Shares, exchange of Shares, change in corporate structure or other transaction not involving the receipt of consideration by the Company), this Stock Option shall be appropriately adjusted in the class(es) and number of Shares and price per Share of
Common Stock subject to this Stock Option. The Committee shall make such adjustments, and its determination shall be final, binding and conclusive. (The conversion of any convertible securities of the Company shall not be treated as a transaction
“without receipt of consideration” by the Company). 
 18. NOTICES. Any notice or other written instrument required
or permitted to be given, made or sent under the Agreement shall be in writing, signed by the party giving or making the same and shall be sent by United States mail, registered or certified, with postage prepaid, to the addresses set forth
below: 
  

			
	If to Company:	  	Forbes Energy Services, Ltd.
		  	Attention: Chief Financial Officer
		  	3000 South Business Highway 281
		  	Alice, Texas 78332
		
	If to Optionee:	  	To the latest address of record for
		  	Optionee according to the
		  	personnel records of the
		  	Company.

 Either party shall have the right to change the place to which any such notice or other written instrument shall
be sent by notice sent pursuant to this Section 16. The date of mailing of any notice or other written instrument shall be deemed to be the date of such notice or instrument and shall be effective from such date. 
 19. EMPLOYMENT AGREEMENT CONTROLS. Notwithstanding any language in this Agreement to the contrary, to the extent of any conflict between
this Agreement and any written employment agreement with Optionee, the terms of such employment agreement shall control. 
 Remainder of
Page Intentionally Left Blank. Signature Pages Follow. 
  

 5 

 IN WITNESS WHEREOF, the Company has caused this Agreement to be duly executed by an authorized
officer and Optionee has executed this Agreement, all as of the date first above written. 
  

			
	FORBES ENERGY SERVICES LTD.
		
	By:	 	  

	Title:	 	  

  

 6 

 OPTIONEE ACKNOWLEDGES AND AGREES THAT THIS STOCK OPTION SHALL VEST AND BE EXERCISABLE, IF AT ALL, ONLY DURING THE PERIOD
OF OPTIONEE’S SERVICE TO THE COMPANY OR AS OTHERWISE PROVIDED IN THIS AGREEMENT (NOT THROUGH THE ACT OF BEING GRANTED THIS STOCK OPTION). OPTIONEE FURTHER ACKNOWLEDGES AND AGREES THAT NOTHING IN THIS AGREEMENT OR THE PLAN SHALL CONFER UPON
OPTIONEE ANY RIGHT WITH RESPECT TO FUTURE AWARDS OR CONTINUATION OF OPTIONEE’S SERVICE TO THE COMPANY. Optionee acknowledges receipt of a copy of the Plan, represents that he or she is familiar with the terms and provisions thereof, and hereby
accepts this Stock Option subject to all of the terms and provisions hereof and thereof. Optionee has reviewed this Agreement and the Plan in their entirety, has had an opportunity to obtain the advice of counsel prior to executing this Agreement,
and fully understands all provisions of this Agreement and the Plan. 
 OPTIONEE 
  

									
	DATED:	 	                    	 	 	 	SIGNED:	 	  

  

 7

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