Spectral AI, Inc. Sample Contracts

INDEMNITY AGREEMENT
Indemnification Agreement • February 17th, 2021 • Rosecliff Acquisition Corp I • Blank checks • Delaware

THIS INDEMNITY AGREEMENT (this “Agreement”) is made as of February 11, 2021, by and between Rosecliff Acquisition Corp I, a Delaware corporation (the “Company”), and Brian Radecki (“Indemnitee”).

INVESTMENT MANAGEMENT TRUST AGREEMENT
Investment Management Trust Agreement • February 17th, 2021 • Rosecliff Acquisition Corp I • Blank checks • New York

This Investment Management Trust Agreement (this “Agreement”) is made effective as of February 11, 2021, by and between Rosecliff Acquisition Corp I, a Delaware corporation (the “Company”), and Continental Stock Transfer & Trust Company, a New York limited purpose trust company (the “Trustee”).

ROSECLIFF ACQUISITION CORP I New York, New York 10153
Securities Subscription Agreement • January 27th, 2021 • Rosecliff Acquisition Corp I • Blank checks • New York

Rosecliff Acquisition Corp I, a Delaware corporation (the “Company”), is pleased to accept the offer Rosecliff Acquisition Sponsor I LLC, a Delaware limited liability company (the “Subscriber” or “you”), has made to subscribe for 5,750,000 shares of Class B common stock (the “Shares”), $0.0001 par value per share, of the Company (the “Class B Shares”), up to 750,000 of which are subject to forfeiture by you if the underwriters of the Company’s initial public offering of its securities (“IPO”), if any, do not fully exercise their over-allotment option (the “Over-allotment Option”). For the purposes of this agreement (this “Agreement”), references to “Common Stock” are to, collectively, the Class B Shares and the Company’s shares of Class A common stock, $0.0001 par value per share (the “Class A Shares”). Upon certain terms and conditions, the Class B Shares will automatically convert into Class A Shares on a one-for-one basis, subject to adjustment. Unless the context otherwise requires

REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • February 17th, 2021 • Rosecliff Acquisition Corp I • Blank checks • New York

THIS REGISTRATION RIGHTS AGREEMENT (this “Agreement”), dated as of February 11, 2021, is made and entered into by and among Rosecliff Acquisition Corp I, a Delaware corporation (the “Company”), Rosecliff Acquisition Sponsor I LLC, a Delaware limited liability company (the “Sponsor”), and the other parties listed on the signature pages hereto and any person or entity who hereafter becomes a party to this Agreement pursuant to Section 5.2 of this Agreement (each such party, together with the Sponsor, a “Holder” and collectively, the “Holders”).

PLACEMENT AGENCY AGREEMENT
Placement Agency Agreement • March 26th, 2025 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • New York
WARRANT AGREEMENT ROSECLIFF ACQUISITION CORP I and CONTINENTAL STOCK TRANSFER & TRUST COMPANY Dated February 11, 2021
Warrant Agreement • February 17th, 2021 • Rosecliff Acquisition Corp I • Blank checks • New York

THIS WARRANT AGREEMENT (this “Agreement”), dated February 11, 2021, is by and between Rosecliff Acquisition Corp I, a Delaware corporation (the “Company”), and Continental Stock Transfer & Trust Company, a New York corporation, as warrant agent (in such capacity, the “Warrant Agent”).

UNDERWRITING AGREEMENT BETWEEN ROSECLIFF ACQUISITION CORP I AND BTIG, LLC, AS REPRESENTATIVE, DATED FEBRUARY 11, 2021 (THIS “AGREEMENT”)
Underwriting Agreement • February 17th, 2021 • Rosecliff Acquisition Corp I • Blank checks • New York

The undersigned, Rosecliff Acquisition Corp I, a Delaware corporation (the “Company”), hereby confirms its agreement with BTIG, LLC (the “Representative”) and with the other underwriters named on Schedule A hereto (if any), for which the Representative is acting as representative (the Representative and such other underwriters being collectively referred to herein as the “Underwriters,” and each underwriter individually, an “Underwriter”) as follows:

INDEMNIFICATION AGREEMENT
Indemnification Agreement • September 15th, 2023 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • Delaware

This Indemnification Agreement (“Agreement”), dated as of September [●], 2023, is by and between Spectral AI, Inc., a Delaware corporation (the “Company”) and [NAME OF DIRECTOR/OFFICER] (the “Indemnitee”).

REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • March 22nd, 2024 • Spectral AI, Inc. • Surgical & medical instruments & apparatus

THIS REGISTRATION RIGHTS AGREEMENT (this “Agreement”) dated as of March 20, 2024 is made by and between YA II PN, LTD., a Cayman Islands exempt limited partnership (the “Investor”), and SPECTRAL AI, INC., a company incorporated under the laws of the State of Delaware (the “Company”). The Investor and the Company may be referred to herein individually as a “Party” and collectively as the “Parties.”

STANDBY EQUITY PURCHASE AGREEMENT
Standby Equity Purchase Agreement • March 22nd, 2024 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • New York

THIS STANDBY EQUITY PURCHASE AGREEMENT (this “Agreement”) dated as of March 20, 2024 is made by and between YA II PN, LTD., a Cayman Islands exempt limited partnership (the “Investor”), and SPECTRAL AI, INC., a company incorporated under the laws of the State of Delaware (the “Company”). The Investor and the Company may be referred to herein individually as a “Party” and collectively as the “Parties.”

AMENDED AND RESTATED REGISTRATION RIGHTS AGREEMENT by and among SPECTRAL AI, INC., ROSECLIFF ACQUISITION SPONSOR I LLC, TARGET HOLDERS, AND DIRECTOR HOLDERS Dated as of September 11, 2023
Registration Rights Agreement • September 15th, 2023 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • New York

THIS AMENDED AND RESTATED REGISTRATION RIGHTS AGREEMENT (this “Agreement”), dated as of September 11, 2023, is made and entered into by and among Spectral AI, Inc., a Delaware corporation (the “Company”) (formerly known as Rosecliff Acquisition Corp I, a Delaware corporation), Rosecliff Acquisition Sponsor I LLC, a Delaware limited liability company (the “Sponsor”), certain former stockholders of Spectral MD Holdings Ltd., a Delaware corporation (“Target”), set forth on Schedule 1 hereto (such stockholders, the “Target Holders”), Frank S. Edmonds and Heather Bellini (together with Michael P. Murphy and Brian Radecki, (collectively, the “Director Holders” and collectively with the Sponsor and the Target Holders and any person or entity who hereafter becomes a party to this Agreement pursuant to Section 6.2 or Section 6.10 of this Agreement, the “Holders” and each, a “Holder”).

COMMON STOCK PURCHASE AGREEMENT Dated as of December 26, 2023 by and between SPECTRAL AI, INC. and B. RILEY PRINCIPAL CAPITAL II, LLC
Common Stock Purchase Agreement • December 27th, 2023 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • New York

This COMMON STOCK PURCHASE AGREEMENT is made and entered into as of December 26, 2023 (this “Agreement”), by and between B. Riley Principal Capital II, LLC, a Delaware limited liability company (the “Investor”), and Spectral AI, Inc., a Delaware corporation (the “Company”).

Rosecliff Acquisition Corp I New York, New York 10153 Re: Initial Public Offering Ladies and Gentlemen:
Underwriting Agreement • February 17th, 2021 • Rosecliff Acquisition Corp I • Blank checks

This letter (this “Letter Agreement”) is being delivered to you in accordance with the Underwriting Agreement (the “Underwriting Agreement”) entered into or proposed to be entered into by and between Rosecliff Acquisition Corp I, a Delaware corporation (the “Company”), and BTIG, LLC, as the sole underwriter (the “Underwriter”), relating to an underwritten initial public offering (the “Public Offering”), of up to 25,300,000 of the Company’s units (including up to 3,300,000 units that may be purchased to cover the Underwriter’s option to purchase additional units, if any) (the “Units”), each comprised of one share of Class A common stock of the Company, par value $0.0001 per share (“Class A Common Stock”), and one-third of one redeemable warrant (each whole warrant, a “Warrant”). Each Warrant entitles the holder thereof to purchase one share of Class A Common Stock at a price of $11.50 per share, subject to adjustment. The Units shall be sold in the Public Offering pursuant to a registra

SPONSOR WARRANTS PURCHASE AGREEMENT
Sponsor Warrants Purchase Agreement • February 17th, 2021 • Rosecliff Acquisition Corp I • Blank checks • New York

THIS SPONSOR WARRANTS PURCHASE AGREEMENT (as it may from time to time be amended and including all exhibits referenced herein, this “Agreement”), dated as of February 11, 2021, is entered into by and between Rosecliff Acquisition Corp I, a Delaware corporation (the “Company”), and Rosecliff Acquisition Sponsor I LLC, a Delaware limited liability company (the “Purchaser”).

SUPPORT SERVICES AGREEMENT
Support Services Agreement • February 17th, 2021 • Rosecliff Acquisition Corp I • Blank checks • New York

This Support Services Agreement (this “Agreement”), dated as of February 11, 2021, is made and entered into by and between Rosecliff Acquisition Corp I, a Delaware corporation (the “Company”), and Rosecliff Acquisition Sponsor I LLC, a Delaware limited liability company (the “Service Provider” and, together with the Company, the “Parties” and, each individually, a “Party”).

SPECTRAL AI, INC. STOCK OPTION AGREEMENT
Stock Option Agreement • February 9th, 2024 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • Texas

This Stock Option Agreement (this “Agreement”) is made and entered into as of the Date of Grant set forth in the Notice of Grant of Stock Option (the “Notice of Grant”) by and between Spectral AI, Inc., a Delaware corporation (the “Company’’), and you:

REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • December 27th, 2023 • Spectral AI, Inc. • Surgical & medical instruments & apparatus

This REGISTRATION RIGHTS AGREEMENT (this “Agreement”), dated as of December 26, 2023, is by and between B. Riley Principal Capital II, LLC, a Delaware limited liability company (the “Investor”), and Spectral AI, Inc., a Delaware corporation (the “Company”).

Amendment To Promissory Note
Promissory Note • November 21st, 2024 • Spectral AI, Inc. • Surgical & medical instruments & apparatus

This Amendment (this “Amendment”) shall be effective as of October 1, 2024, by and between Spectral IP, Inc. a Delaware corporation (the “Company”), Spectral AI, Inc., a Delaware corporation (the “Parent” or “Guarantor”) and IP Protocol, LLC, a Wyoming limited liability company (“Assignee”) as assignee of that certain Promissory Note dated as of March 18, 2024 by and between the Company and SIM Tech Licensing, LLC, a Delaware limited liability company (the “Note”) for the purpose of amending the Note as of the date hereof. Capitalized terms used but not defined herein shall have the meaning ascribed to such term in the Note.

BUSINESS COMBINATION AGREEMENT by and among ROSECLIFF ACQUISITION CORP I, GHOST MERGER SUB I INC., GHOST MERGER SUB II LLC, AND SPECTRAL MD HOLDINGS, LTD. Dated as of April 11, 2023
Business Combination Agreement • May 2nd, 2023 • Rosecliff Acquisition Corp I • Blank checks • Delaware

This BUSINESS COMBINATION AGREEMENT, dated as of April 11, 2023 (this “Agreement”), by and among Rosecliff Acquisition Corp I, a Delaware corporation (“Parent”), Ghost Merger Sub I Inc., a Delaware corporation (“Merger Sub I”), Ghost Merger Sub II LLC, a Delaware limited liability company (“Merger Sub II”) and Spectral MD Holdings, Ltd., a Delaware corporation (the “Company”). Parent, Merger Sub I, Merger Sub II and the Company shall be referred to herein from time to time collectively as the “Parties.”

Contract
Promissory Note • November 21st, 2024 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • Delaware

THIS NOTE HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, OR ANY APPLICABLE STATE SECURITIES LAWS. THIS NOTE MAY NOT BE OFFERED, SOLD, OR OTHERWISE TRANSFERRED, PLEDGED OR HYPOTHECATED EXCEPT PURSUANT TO (A) A REGISTRATION STATEMENT WITH RESPECT TO SUCH NOTE WHICH IS EFFECTIVE UNDER SUCH ACT, (B) RULE 144 UNDER SUCH ACT, OR (C) ANY OTHER EXEMPTION FROM REGISTRATION UNDER SUCH ACT RELATING TO THE DISPOSITION OF SECURITIES. IN THE CASE OF TRANSFERS OR OTHER DISPOSITIONS MADE OTHERWISE THAN PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER SUCH ACT, THE HOLDER SHALL, AT THE COMPANY’S REQUEST AND AT THE COMPANY’S EXPENSE, PROVIDE AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED.

LOAN AND SECURITY AGREEMENT
Loan and Security Agreement • March 26th, 2025 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • New York

Borrower, Lenders and Agent have entered or anticipate entering into one or more transactions pursuant to which each Lender agrees to make available to Borrower a loan facility governed by the terms and conditions set forth in this document and one or more Supplements executed by Borrower, Lenders and Agent which incorporate this document by reference. Each Supplement constitutes a supplement to and forms part of this document, and will be read and construed as one with this document, so that this document and the Supplement constitute a single agreement among the Parties (as amended, restated, amended and restated, supplemented or otherwise modified from time to time, collectively, this “Agreement”).

SUBSCRIPTION AGREEMENT
Subscription Agreement • March 26th, 2025 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • New York

This Subscription Agreement (this “Agreement”) is dated as of March 21, 2025 (“Closing Date”), by and between Spectral AI, Inc., a Delaware corporation (the “Company”), and each purchaser identified on the signature pages hereto (each, including its successors and assigns, a “Purchaser” and collectively the “Purchasers”).

SECURITIES PURCHASE AGREEMENT
Securities Purchase Agreement • March 4th, 2025 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • New York

This Securities Purchase Agreement (this “Agreement”) is made and entered into as of November 18, 2024, by and between Spectral AI, Inc., a Delaware corporation (the “Company”), and Liqueous LP, a Delaware limited partnership, with offices at 19790 W Dixie Hwy #1201, Aventura, FL 33180 (the “Purchaser”). The Purchaser and the Company, each a “Party” and collectively, the “Parties.”

NOTICE OF RESTRICTED STOCK UNIT AWARD
Restricted Stock Unit Award Agreement • February 9th, 2024 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • Texas

Subject to the terms and conditions of this Notice of Restricted Stock Unit Award (this “Notice”), the Restricted Stock Unit Award Agreement attached hereto, including its exhibits (collectively, the “Award Agreement”), and the Spectral AI, Inc. 2018 Long Term Incentive Plan (the “Plan”), the below individual (the “Grantee”) is hereby granted Restricted Stock Units with respect to the below number of shares of Stock (the “RSUs”) in Spectral AI, Inc., a Delaware corporation (the “Company”). For purposes of this Notice and the Award Agreement, “Stock” means the Company's Common Stock, par value $0.001 per share, and such other securities as may be substituted (or resubstituted) for Stock in connection with a recapitalization or reorganization or other similar change in the Company's capital structure. Capitalized terms not explicitly defined herein but defined in the Plan or the Award Agreement shall have the meanings set forth in the Plan or the Award Agreement.

SECURITIES PURCHASE AGREEMENT
Securities Purchase Agreement • October 24th, 2025 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • New York

This Securities Purchase Agreement (this “Agreement”) is dated as of October 22, 2025, between Spectral AI, Inc., a Delaware corporation (the “Company”), and each purchaser identified on the signature pages hereto (each, including its successors and assigns, a “Purchaser” and collectively the “Purchasers”).

COMPANY SUPPORT AGREEMENT
Company Support Agreement • November 10th, 2021 • Rosecliff Acquisition Corp I • Blank checks • New York

This Company Support Agreement (this “Agreement”) is made as of November 9, 2021, by and among GT Gettaxi ListCo, a Cayman Islands exempted company (“Pubco”), Rosecliff Acquisition Corp I, a Delaware corporation (“SPAC”), GT Gettaxi Limited, a Cyprus corporation (“GT Gettaxi”), Dooboo Holding Limited, a Cyprus corporation (“Dooboo”), and the undersigned individuals (the “Voting Parties” and each a “Voting Party”). References in this Agreement to the “Company” shall mean both GT Gettaxi and Dooboo or either GT Gettaxi or Dooboo, as the context requires.

SPECTRAL AI, INC. STOCK OPTION AGREEMENT
Stock Option Agreement • July 30th, 2025 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • Texas

This Stock Option Agreement (this “Agreement”) is made and entered into as of the Date of Grant set forth in the Notice of Grant of Stock Option (the “Notice of Grant”) by and between Spectral AI, Inc., a Delaware corporation (the “Company’’), and you:

June 23, 2023
Underwriting Agreement • June 28th, 2023 • Rosecliff Acquisition Corp I • Surgical & medical instruments & apparatus

This letter agreement (this “Agreement”) references the Underwriting Agreement, dated February 11, 2021 (the “Underwriting Agreement”), between Rosecliff Acquisition Corp I (the “Company”), and BTIG, LLC (“BTIG”, as Representative for the other underwriters named on Schedule A to the Underwriting Agreement). Capitalized terms used herein but not otherwise defined shall have the meanings ascribed to such terms in the Underwriting Agreement.

SPONSOR SUPPORT AGREEMENT
Sponsor Support Agreement • November 10th, 2021 • Rosecliff Acquisition Corp I • Blank checks • New York

This Sponsor Support Agreement (this “Agreement”) is made as of November 9, 2021, by and among GT Gettaxi ListCo, a Cayman Islands exempted company (“Pubco”), Rosecliff Acquisition Corp I, a Delaware corporation (“SPAC”), Rosecliff Acquisition Sponsor I LLC, a Delaware limited liability company (“Sponsor”), and the undersigned individuals, each of whom is a director and/or officer of SPAC (the “Insiders” and, together with Sponsor, the “Voting Parties” and each a “Voting Party”).

STOCKHOLDER SUPPORT AGREEMENT
Stockholder Support Agreement • April 17th, 2023 • Rosecliff Acquisition Corp I • Blank checks

This STOCKHOLDER SUPPORT AGREEMENT (this “Agreement”), dated as of April 11, 2023, is entered into by and among Spectral MD Holdings, Ltd., a Delaware corporation (the “Company”), Rosecliff Acquisition Corp I, a Delaware corporation (“Parent”), and the stockholders of the Company whose names appear on the signature pages of this Agreement (each a “Key Company Stockholder” and collectively, the “Key Company Stockholders”). The Company, Parent and the Key Company Stockholders are referred to from time to time in this Agreement individually as a “Party” and collectively as the “Parties”.

SUBSCRIPTION AGREEMENT
Subscription Agreement • November 10th, 2021 • Rosecliff Acquisition Corp I • Blank checks • New York
WARRANT SPECTRAL AI, INC.
Warrant Agreement • March 26th, 2025 • Spectral AI, Inc. • Surgical & medical instruments & apparatus

THIS COMMON STOCK PURCHASE WARRANT (the “Warrant”) certifies that, for value received, [●] (the “Holder”) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after March 20, 2025 (the “Issuance Date”) and on or prior to the close of business on the third anniversary of the Issuance Date (the “Termination Date”) but not thereafter, to subscribe for and purchase from Spectral AI, Inc., a Delaware corporation (the “Company”), up to [●] shares (the “Warrant Shares”) of Common Stock.

Confirmation Agreement
Confirmation Agreement • October 30th, 2025 • Spectral AI, Inc. • Surgical & medical instruments & apparatus

This Confirmation Agreement (the “Notice”) to the Placement Agency Agreement (as defined herein) is made as of October 14, 2025, by and among Spectral AI, Inc. (the “Company”) and Dominari Securities, LLC (“Dominari”). Capitalized terms used but not defined in this notice shall have the meanings assigned to them in the Placement Agent Agreement (defined below).

Mutual Termination of Business Combination Agreement
Mutual Termination of Business Combination Agreement • March 14th, 2022 • Rosecliff Acquisition Corp I • Blank checks • New York

This Mutual Termination of Business Combination Agreement (this “Agreement”), dated as of March 11, 2022, is entered into by and between Rosecliff Acquisition Corp I, a Delaware corporation (“Rosecliff”), and GT Gettaxi Limited, a Cyprus corporation (“the Company”) (each, a “Party” and collectively, the “Parties”).

PLACEMENT AGENCY AGREEMENT
Placement Agency Agreement • October 24th, 2025 • Spectral AI, Inc. • Surgical & medical instruments & apparatus • New York