0000950170-22-022013 Sample Contracts

TWELFTH AMENDMENT TO THE RECEIVABLES FINANCING AGREEMENT
Receivables Financing Agreement • November 4th, 2022 • Syneos Health, Inc. • Services-commercial physical & biological research • New York

Adjusted LIBOR = Composite of London interbank offered rates shown on Bloomberg Finance L.P. Screen US0001Mor appropriate successor

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FIFTH SUPPLEMENTAL INDENTURE
Fifth Supplemental Indenture • November 4th, 2022 • Syneos Health, Inc. • Services-commercial physical & biological research • New York

Fifth Supplemental Indenture (this “Supplemental Indenture”), dated as of October 3, 2022, among each undersigned Subsidiary (the “Guaranteeing Subsidiary”), each a subsidiary of Syneos Health, Inc. (or its permitted successor), a Delaware corporation (the “Company”), the Company, the other Guarantors (as defined in the Indenture referred to herein) and Wells Fargo Bank, National Association, as trustee under the Indenture referred to below (the “Trustee”).

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