Common use of SOFTWARE MAINTENANCE & UPGRADE Clause in Contracts

SOFTWARE MAINTENANCE & UPGRADE. A. IMPAC agrees that at time of the initial installation of the IMPAC Products, each US Oncology ASP site will receive the most current production version of the IMPAC Products set forth on Exhibit B. IMPAC shall provide each US Oncology ASP cluster with upgrades of new releases for the IMPAC Products as long as such cluster's *** fees are paid current. Upgrades of the licensed IMPAC Products on the IMPAC servers will be coordinated with the appointed representative for the respective US Oncology ASP site/cluster. B. Multi-ACCESS Help is updated with every release. Additionally, release notes are distributed to describe new features and enhancements specific to that release. Upon coordination of the software updates, IMPAC agrees to provide each US Oncology ASP site an IMPAC software "Release Note" detailing the new features and enhancements specific to that release. Accepted at Mountain View, California: US Oncology, Inc. IMPAC Medical Systems, Inc. BY: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ BY: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- -------------------------- ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ TITLE: VP & GM Cancer Center Svcs. President & CEO --------------------------- DATE: 5/31/02 DATE: 6/3/02 ----------------- --------------- *** Certain information on this page has been omitted and filed separately with the Commission. Confidential treatment has been requested with respect to the omitted portions. Exhibit A US Oncology Sites ------------------------------------------------------------------------------------------------------------------------------------ AZ CO Portland ▇▇▇▇▇ WA OK NY NV ------------------------------------------------------------------------------------------------------------------------------------ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ NCS Vancouver Williamette N Spokane Stillwater Amsterdam NROC East (▇▇▇▇▇) Green Valley Colorado Springs Rose Quarter S Spokane Oklahoma City ▇▇▇▇▇▇ ▇▇▇▇▇▇ NROC Main Northwest Englewood ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ NROC Siena St. Mary's ▇▇▇▇▇▇▇▇ Tulsa ▇▇▇▇▇▇ NROC West Yuma ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ TOPA IL IN OH KS MN MO ------------------------------------------------------------------------------------------------------------------------------------ ▇▇▇▇▇▇▇ Plano Niles S Indy S Dayton Overland Park Maplewood Columbia Dallas ▇▇ ▇▇▇▇▇▇▇ Melrose Park ▇▇▇▇▇▇▇ Kirksville ---------------------------------------------------------------------------------------------------- Mesquite Tyler ------------------------------------------------------------------------------- Austin South Palestine TX FL MD SC ------------------------------------------------------------------------------- Brownsville Arlington San Marcos FCC Brooksville ▇▇▇▇▇▇▇ County Westminster ▇▇▇▇▇▇▇ Harlingen ▇▇▇▇▇▇▇ New Braunfels FCC New Port ▇▇▇▇▇▇ Eastside McAllen ▇▇▇▇▇▇▇▇ North Austin FCC Cancer Institute Seneca Waco Abilene Austin Northwest FCC ▇▇▇▇▇▇▇ GHS Balcones Denton ACC MLK FCC St. Petersburg Beaumont El Paso East FCC Sun City ▇▇▇▇ ▇▇▇▇▇▇▇ El Paso West FCC Zephyrhills Medical City Lewisville FCC Hyde Park ▇▇▇▇▇▇▇ Midland Ft. Lauderdale Longview ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Paris Wichita Falls Jacksonville Exhibit B US Oncology, Inc. IMPAC Software Product Package -------------------------------------------------------------------------------- IMPAC Software Products Included: *** *** *** --- --- --- -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- --------------------------------------------------------------- Non IMPAC Products Included with Base System --------------------------------------------------------------- *** --------------------------------------------------------------- *** --------------------------------------------------------------- *** --------------------------------------------------------------- *** --------------------------------------------------------------- *** --------------------------------------------------------------- ***Certain information on this page has been omitted and filed separately with the Commission. Confidential treatment has been requested with respect to the omitted portions. Exhibit C Hardware Product Package IMPAC ASP Hardware Base System with View Station* -------------------------------------------------------------------------------------------- 2/15/2002 Submission -------------------------------------------------------------------------------------------- Part # Qnty -------------------------------------------------------------------------------------------- Compaq Evo D500 470023-301 *** -------------------------------------------------------------------------------------------- NEC Accsync 90 19" Monitor AS -90 *** -------------------------------------------------------------------------------------------- NEC Accusync 120 21" Monitor AS -120 *** -------------------------------------------------------------------------------------------- Compaq 128MB Module 174224-B21 *** -------------------------------------------------------------------------------------------- HP Laser Jet 4100n printer C8050A#ABA *** -------------------------------------------------------------------------------------------- KVM Micro Extender CAT5 Dual Access Keyboard/Mouse Extender *** -------------------------------------------------------------------------------------------- 100' CAT5 Solid Conductor Cable PVC 100' KVM Cable *** -------------------------------------------------------------------------------------------- Keyboard IBM Compatible *** -------------------------------------------------------------------------------------------- Mouse Logitech MouseMan *** -------------------------------------------------------------------------------------------- Digital Camera Sony Mavica FD87 *** -------------------------------------------------------------------------------------------- Zebra LP2824 Parallel Label Printer 2824-20200-0001 *** -------------------------------------------------------------------------------------------- Additional Labels 2 Rolls per pack *** -------------------------------------------------------------------------------------------- MS9540 Voyager w/Codegate, KBW Cables MS9540 Voyager *** -------------------------------------------------------------------------------------------- CISCO Catalyst 2950 24-port Switch 298050 *** -------------------------------------------------------------------------------------------- Packet Shaper 2500- 10MB Unit PS2500-L010M *** -------------------------------------------------------------------------------------------- Packet Shaper 2500- 2MB Unit PS2500-L002M *** -------------------------------------------------------------------------------------------- Belkin CAT5e RJ-45M to RJ-45M Patch 7' cable yellow A3L791-07-YLW *** -------------------------------------------------------------------------------------------- * *** *** Certain information on this page has been omitted and filed separately with the Commission. Confidential treatment has been requested with respect to the omitted portion. SOFTWARE LICENSE AND ASP SERVICES STANDARD TERMS AND CONDITIONS ADDENDUM BETWEEN IMPAC MEDICAL SYSTEMS, INC. AND US ONCOLOGY, INC. This Addendum supplements and is part of the Application Service Provider (ASP) Agreement, between IMPAC Medical Systems, Inc. ("IMPAC") and US Oncology, Inc. ("Customer"), and includes modifications to IMPAC's Software License and ASP Services Terms & Conditions, Document Number USO/ASP (4/02), as follows: 2.1.1. Grant of License Add a new fourth sentence to read: Internal use means use by Customer including Customer's subsidiaries and affiliated physician practices and their employees or contractors. 2.1.2. Authorized Use Modify the second sentence to read: Customer will take commercially reasonable steps to protect the security and confidentiality of all data, information, programs, systems, materials, techniques, and procedures which are delivered to Customer by IMPAC.

SOFTWARE MAINTENANCE & UPGRADE. A. IMPAC agrees that at time of the initial installation of the IMPAC Products, each US Oncology ASP site will receive the most current production version of the IMPAC Products set forth on Exhibit B. IMPAC shall provide each US Oncology ASP cluster with upgrades of new releases for the IMPAC Products as long as such cluster's *** fees are paid current. Upgrades of the licensed IMPAC Products on the IMPAC servers will be coordinated with the appointed representative for the respective US Oncology ASP site/cluster. B. Multi-ACCESS Help is updated with every release. Additionally, release notes are distributed to describe new features and enhancements specific to that release. Upon coordination of the software updates, IMPAC agrees to provide each US Oncology ASP site an IMPAC software "Release Note" detailing the new features and enhancements specific to that release. Accepted at Mountain View, California: US Oncology, Inc. IMPAC Medical Systems, Inc. BY: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ BY: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- -------------------------- ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ TITLE: VP & GM Cancer Center Svcs. President & CEO --------------------------- DATE: 5/31/02 DATE: 6/3/02 ----------------- --------------- *** Certain information on this page has been omitted and filed separately with the Commission. Confidential treatment has been requested with respect to the omitted portions. Exhibit A US Oncology Sites ------------------------------------------------------------------------------------------------------------------------------------ AZ CO Portland ▇▇▇▇▇ WA OK NY NV ------------------------------------------------------------------------------------------------------------------------------------ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ NCS Vancouver Williamette N Spokane Stillwater Amsterdam NROC East (▇▇▇▇▇) Green Valley Colorado Springs Rose Quarter S Spokane Oklahoma City ▇▇▇▇▇▇ ▇▇▇▇▇▇ NROC Main Northwest Englewood ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ NROC Siena St. Mary's ▇▇▇▇▇▇▇▇ Tulsa ▇▇▇▇▇▇ NROC West Yuma ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ TOPA IL IN OH KS MN MO ------------------------------------------------------------------------------------------------------------------------------------ ▇▇▇▇▇▇▇ Plano Niles S Indy S Dayton Overland Park Maplewood Columbia Dallas ▇▇ ▇▇▇▇▇▇▇ Melrose Park ▇▇▇▇▇▇▇ Kirksville ---------------------------------------------------------------------------------------------------- Mesquite Tyler ------------------------------------------------------------------------------- Austin South Palestine TX FL MD SC ------------------------------------------------------------------------------- Brownsville Arlington San Marcos FCC Brooksville ▇▇▇▇▇▇▇ County Westminster ▇▇▇▇▇▇▇ Harlingen ▇▇▇▇▇▇▇ New Braunfels FCC New Port ▇▇▇▇▇▇ Eastside McAllen ▇▇▇▇▇▇▇▇ North Austin FCC Cancer Institute Seneca Waco Abilene Austin Northwest FCC ▇▇▇▇▇▇▇ GHS Balcones Denton ACC MLK FCC St. Petersburg Beaumont El Paso East FCC Sun City ▇▇▇▇ ▇▇▇▇▇▇▇ El Paso West FCC Zephyrhills Medical City Lewisville FCC Hyde Park ▇▇▇▇▇▇▇ Midland Ft. Lauderdale Longview ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Paris Wichita Falls Jacksonville Exhibit B US Oncology, Inc. IMPAC Software Product Package -------------------------------------------------------------------------------- IMPAC Software Products Included: 4 Sites 5 Sites 6 Sites ------- ------- ------- -------------------------------------------------------------------------------- INFORM *** *** *** --- --- --- -------------------------------------------------------------------------------- Q *** *** *** -------------------------------------------------------------------------------- eCHART for Radiation Oncology *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- eVAL *** *** *** -------------------------------------------------------------------------------- SEQUENCER *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- ViewStation *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** Photos & Diagrams *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** METRIX *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- *** *** *** *** -------------------------------------------------------------------------------- --------------------------------------------------------------- Non IMPAC Products Included with Base System --------------------------------------------------------------- *** --------------------------------------------------------------- *** --------------------------------------------------------------- *** --------------------------------------------------------------- *** --------------------------------------------------------------- *** --------------------------------------------------------------- ***Certain information on this page has been omitted and filed separately with the Commission. Confidential treatment has been requested with respect to the omitted portions. Exhibit C Hardware Product Package IMPAC ASP Hardware Base System with View Station* -------------------------------------------------------------------------------------------- 2/15/2002 Submission -------------------------------------------------------------------------------------------- Part # Qnty -------------------------------------------------------------------------------------------- Compaq Evo D500 470023-301 *** -------------------------------------------------------------------------------------------- NEC Accsync 90 19" Monitor AS -90 *** -------------------------------------------------------------------------------------------- NEC Accusync 120 21" Monitor AS -120 *** -------------------------------------------------------------------------------------------- Compaq 128MB Module 174224-B21 *** -------------------------------------------------------------------------------------------- HP Laser Jet 4100n printer C8050A#ABA *** -------------------------------------------------------------------------------------------- KVM Micro Extender CAT5 Dual Access Keyboard/Mouse Extender *** -------------------------------------------------------------------------------------------- 100' CAT5 Solid Conductor Cable PVC 100' KVM Cable *** -------------------------------------------------------------------------------------------- Keyboard IBM Compatible *** -------------------------------------------------------------------------------------------- Mouse Logitech MouseMan *** -------------------------------------------------------------------------------------------- Digital Camera Sony Mavica FD87 *** -------------------------------------------------------------------------------------------- Zebra LP2824 Parallel Label Printer 2824-20200-0001 *** -------------------------------------------------------------------------------------------- Additional Labels 2 Rolls per pack *** -------------------------------------------------------------------------------------------- MS9540 Voyager w/Codegate, KBW Cables MS9540 Voyager *** -------------------------------------------------------------------------------------------- CISCO Catalyst 2950 24-port Switch 298050 *** -------------------------------------------------------------------------------------------- Packet Shaper 2500- 10MB Unit PS2500-L010M *** -------------------------------------------------------------------------------------------- Packet Shaper 2500- 2MB Unit PS2500-L002M *** -------------------------------------------------------------------------------------------- Belkin CAT5e RJ-45M to RJ-45M Patch 7' cable yellow A3L791-07-YLW *** -------------------------------------------------------------------------------------------- * *** *** Certain information on this page has been omitted and filed separately with the Commission. Confidential treatment has been requested with respect to the omitted portion. SOFTWARE LICENSE AND ASP SERVICES STANDARD TERMS AND CONDITIONS ADDENDUM BETWEEN IMPAC MEDICAL SYSTEMS, INC. AND US ONCOLOGY, INC. This Addendum supplements and is part of the Application Service Provider (ASP) Agreement, between IMPAC Medical Systems, Inc. ("IMPAC") and US Oncology, Inc. ("Customer"), and includes modifications to IMPAC's Software License and ASP Services Terms & Conditions, Document Number USO/ASP (4/02), as follows: 2.1.1. Grant of License Add a new fourth sentence to read: Internal use means use by Customer including Customer's subsidiaries and affiliated physician practices and their employees or contractors. 2.1.2. Authorized Use Modify the second sentence to read: Customer will take commercially reasonable steps to protect the security and confidentiality of all data, information, programs, systems, materials, techniques, and procedures which are delivered to Customer by IMPAC.