Common use of Disability While Employed Clause in Contracts

Disability While Employed. I understand that in the event of my Disability prior to my Benefit Age (65), I will be entitled to the Disability Benefit calculated as set forth in Section 3.3 of the Plan. My Disability Benefit will be paid in a Lump Sum unless I elect another form of benefit. I elect to receive my Disability Benefit in the following form: x Annual Payments for 2 Years Certain (not to exceed twenty years) q ____% in a Lump Sum and ____% in Annual Payments for _____ Years Certain (not to exceed twenty years) My Disability Benefit shall be payable: x Upon my Separation from Service q Upon the attainment of my Benefit Age (65) This Participation Agreement shall become effective upon execution (below) by both Executive and a duly authorized officer of the Bank. Dated this 31st day of December, 2009. FARMINGTON BANK ▇▇▇▇ ▇. ▇▇▇▇▇▇▇, ▇▇. /s/ ▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇, ▇▇. (Bank’s duly authorized Officer)

Disability While Employed. I understand that in the event of my Disability prior to my Benefit Age (65), I will be entitled to the Disability Benefit calculated as set forth in Section 3.3 of the Plan. My Disability Benefit will be paid in a Lump Sum unless I elect another form of benefit. I elect to receive my Disability Benefit in the following form: x q Annual Payments for 2 _____ Years Certain (not to exceed twenty years) q ____% in a Lump Sum and ____% in Annual Payments for _____ Years Certain (not to exceed twenty years) My Disability Benefit shall be payable: x Upon my Separation from Service q Upon the attainment of my Benefit Age (65) This Participation Agreement shall become effective upon execution (below) by both Executive and a duly authorized officer of the Bank. Dated this 31st day of December, 2009. FARMINGTON BANK ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, ▇▇. ▇▇▇▇ /s/ ▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, ▇▇. ▇▇▇▇ (Bank’s duly authorized Officer)

Disability While Employed. I understand that in the event of my Disability prior to my Benefit Age (65), I will be entitled to the Disability Benefit calculated as set forth in Section 3.3 of the Plan. My Disability Benefit will be paid in a Lump Sum unless I elect another form of benefit. I elect to receive my Disability Benefit in the following form: x q Annual Payments for 2 _____ Years Certain (not to exceed twenty years) q ____% in a Lump Sum and ____% in Annual Payments for _____ Years Certain (not to exceed twenty years) My Disability Benefit shall be payable: x Upon my Separation from Service q Upon the attainment of my Benefit Age (65) This Participation Agreement shall become effective upon execution (below) by both Executive and a duly authorized officer of the Bank. Dated this 31st day of December, 2009. FARMINGTON BANK ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, ▇▇. ▇ /s/ ▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, ▇▇. ▇ (Bank’s duly authorized Officer)