Amerisafe Inc Sample Contracts

WITNESSETH:
Employment Agreement • August 3rd, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana
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FIRST AMENDMENT TO DISTRIBUTION AGREEMENT
Distribution Agreement • October 10th, 1996 • Amerisafe Inc • Fire, marine & casualty insurance
Lease between The Phoenix Hat Company, LLC and AMERISAFE, Inc. Page 1 of 7
Lease • September 9th, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

The following contract of lease is made and entered into by and between THE PHOENIX HAT COMPANY, LLC, herein represented by Aubrey T. Temple, Jr., hereinafter referred to as "Lessor," and AMERISAFE, Inc., herein represented by its duly authorized chief executive officer, C. Allen Bradley, Jr., hereinafter referred to as "Lessee."

RECITALS
Distribution Agreement • October 10th, 1996 • Amerisafe Inc • Fire, marine & casualty insurance • Texas
WITNESSETH:
Executive Agreement • August 3rd, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana
AND
Agreement • September 9th, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Pennsylvania
RECITALS
Tax Matters Agreement • October 10th, 1996 • Amerisafe Inc • Fire, marine & casualty insurance • Texas
EXECUTIVE OFFICER EMPLOYMENT AGREEMENT
Executive Officer Employment Agreement • July 28th, 2023 • Amerisafe Inc • Fire, marine & casualty insurance

This Executive Officer Employment Agreement (this “Agreement”) is being entered into as of June 30, 2023 but effective as of July 24, 2023 (the “Effective Date”) by and between AMERISAFE, Inc., a Texas corporation with its principal place of business in DeRidder, Louisiana (the “Company”) and Ray Wise, a competent individual of the lawful age of majority (the “Employee”).

RECITALS
Indemnification Agreement • August 3rd, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Texas
AMERISAFE, INC. Shares of Common Stock UNDERWRITING AGREEMENT
Underwriting Agreement • November 1st, 2006 • Amerisafe Inc • Fire, marine & casualty insurance • New York

FRIEDMAN, BILLINGS, RAMSEY & CO., INC. WILLIAM BLAIR & COMPANY, LLC SUNTRUST CAPITAL MARKETS, INC. COCHRAN CARONIA WALLER SECURITIES LLC as Representatives of the several Underwriters c/o Friedman, Billings, Ramsey & Co., Inc. 1001 19th Street North Arlington, Virginia 22209

EXECUTIVE OFFICER EMPLOYMENT AGREEMENT
Employment Agreement • November 6th, 2009 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

This Employment Agreement is being entered into on the date or dates hereinbelow written by and between Amerisafe, Inc., a Texas corporation with its principal place of business in DeRidder, Louisiana (the “Company”) and Brendan Gau, a competent individual of the lawful age of majority who will principally render services in DeRidder, Louisiana (the “Employee”), and the parties hereby enter into this Employment Agreement (the “Agreement”) with an Effective Date as designated below.

INTERESTS AND LIABILITIES AGREEMENT (the “Agreement”) of ARCH REINSURANCE COMPANY (the “Subscribing Reinsurer”) with respect to the CASUALTY CATASTROPHE EXCESS OF LOSS REINSURANCE CONTRACT (the “Contract”) issued to AMERICAN INTERSTATE INSURANCE...
Interests and Liabilities Agreement • March 9th, 2009 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

The Subscribing Reinsurer shall have a 5.00% share in the interests and liabilities of the “Reinsurer” as set forth in the Contract attached hereto and executed by the Company.

AMERISAFE, INC. INDEMNIFICATION AGREEMENT
Indemnification Agreement • August 6th, 2010 • Amerisafe Inc • Fire, marine & casualty insurance • Texas

This Indemnification Agreement (this “Agreement”) is made and entered into as of the day of 20 , by and between AMERISAFE, Inc., a Texas corporation (the “Corporation”), and (“Indemnitee”).

EMPLOYMENT AGREEMENT
Employment Agreement • September 6th, 2006 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

EMPLOYMENT AGREEMENT dated as of September 1, 2006 by and between AMERISAFE, INC., a Texas corporation (the “Company”), and David O. Narigon (the “Employee”).

AMERISAFE, INC.
Restricted Stock Award Agreement • February 28th, 2014 • Amerisafe Inc • Fire, marine & casualty insurance • Texas

THIS RESTRICTED STOCK AWARD AGREEMENT (this “Agreement”), dated as of , is entered into between AMERISAFE, INC., a Texas corporation (the “Company”), and (“Grantee”). Capitalized terms used herein but not defined shall have the meanings assigned to those terms in the AMERISAFE, Inc. 2010 Restated Non-Employee Director Restricted Stock Plan (the “Plan”).

AMERISAFE, INC. Shares of Common Stock UNDERWRITING AGREEMENT
Underwriting Agreement • October 5th, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • New York

FRIEDMAN, BILLINGS, RAMSEY & CO., INC. KEEFE, BRUYETTE & WOODS, INC. WILLIAM BLAIR & COMPANY, LLC as Representatives of the several Underwriters c/o Friedman, Billings, Ramsey & Co., Inc. 1001 19th Street North Arlington, Virginia 22209

RESTRICTED STOCK AWARD AGREEMENT AMERISAFE, INC. RESTRICTED STOCK AWARD AGREEMENT
Restricted Stock Award Agreement • February 28th, 2014 • Amerisafe Inc • Fire, marine & casualty insurance • Texas

THIS RESTRICTED STOCK AWARD AGREEMENT (this “Agreement”), dated as of , 20 (the “Grant Date”), is entered into by and between AMERISAFE, Inc., a Texas corporation (the “Company”), and (the “Grantee”). Where the context permits, references to the Company shall include any successor to the Company. Any capitalized term that is used, but not defined, in this Agreement shall have the meaning assigned to such term in the AMERISAFE, Inc. 2012 Equity and Incentive Compensation Plan (as amended from time to time, the “Plan”).

AMERISAFE, INC. LONG-TERM INCENTIVE AWARD AGREEMENT
Long-Term Incentive Award Agreement • February 27th, 2015 • Amerisafe Inc • Fire, marine & casualty insurance • Texas

THIS LONG-TERM INCENTIVE AWARD AGREEMENT (this “Agreement”), dated as of , 2014 (the “Grant Date”), is entered into by and between AMERISAFE, Inc., a Texas corporation (the “Company”), and (the “Grantee”). Where the context permits, references to the Company shall include any successor to the Company. Any capitalized term that is used, but not defined, in this Agreement shall have the meaning assigned to such term in the AMERISAFE, Inc. 2012 Equity and Incentive Compensation Plan (as amended from time to time, the “Plan”).

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AMERICAN INTERSTATE INSURANCE COMPANY DeRidder, Louisiana and AMERICAN INTERSTATE INSURANCE COMPANY OF TEXAS Austin, Texas and SILVER OAK CASUALTY, INC. DeRidder, Louisiana and any other insurance companies which are now or hereafter come under the...
Reinsurance Contract • March 10th, 2010 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

The Subscribing Reinsurer shall have a 9.00% share in the interests and liabilities of the “Reinsurer” as set forth in the Contract attached hereto and executed by the Company.

AMERISAFE, INC. 2005 EQUITY INCENTIVE PLAN INCENTIVE STOCK OPTION AWARD AGREEMENT
2005 Equity Incentive Plan Incentive Stock Option Award Agreement • October 31st, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Texas

THIS OPTION AWARD AGREEMENT (this “Agreement”), dated as of _____________, is entered into between AMERISAFE, INC. a Texas corporation (the “Company”), and _____________________ (“Optionee”). Capitalized terms used herein but not defined shall have the meanings assigned to those terms in the AMERISAFE, Inc. 2005 Equity Incentive Plan (the “Plan”).

INTERESTS AND LIABILITIES AGREEMENT (the “Agreement”) of ALTERRA BERMUDA LIMITED (the “Subscribing Reinsurer”) with respect to the CASUALTY CATASTROPHE EXCESS OF LOSS REINSURANCE CONTRACT (the “Contract”) issued to AMERICAN INTERSTATE INSURANCE...
Interests and Liabilities Agreement • March 7th, 2011 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

The Subscribing Reinsurer shall have a 5.00% share in the interests and liabilities of the “Reinsurer” as set forth in the Contract attached hereto and executed by the Company.

Exhibit 4.1 AMENDED AND RESTATED REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • August 3rd, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • New York
CONSULTING AGREEMENT
Consulting Agreement • October 16th, 2023 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

This Consulting Agreement (referred to as “Agreement”) is being entered into between Amerisafe, Inc. (“Company”) and Andrew McCray (“Consultant”) with an effective date of October 11, 2023.

AMERISAFE, INC.
Equity and Incentive Compensation Plan Long-Term Incentive Award Agreement • February 21st, 2023 • Amerisafe Inc • Fire, marine & casualty insurance • Texas

THIS LONG-TERM INCENTIVE AWARD AGREEMENT (this “Agreement”), dated as of _______, 20__, is entered into by and between AMERISAFE, Inc., a Texas corporation (the “Company”), and __________ (the “Grantee”). Where the context permits, references to the Company shall include any successor to the Company. Any capitalized term that is used, but not defined, in this Agreement shall have the meaning assigned to such term in the AMERISAFE, Inc. 2022 Equity and Incentive Compensation Plan (as amended from time to time, the “Plan”).

AMERISAFE, INC. ANNUAL CASH INCENTIVE AWARD AGREEMENT
Annual Cash Incentive Award Agreement • February 28th, 2014 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

THIS ANNUAL CASH INCENTIVE AWARD AGREEMENT (this “Agreement”), dated as of , 201 is entered into by and between AMERISAFE, Inc., a Texas corporation (the “Company”), and (the “Participant”). Any capitalized term that is used, but not defined, in this Agreement shall have the meaning assigned to such term in the AMERISAFE, Inc. 2012 Equity and Incentive Compensation Plan (as amended from time to time, the “Plan”).

INTERESTS AND LIABILITIES AGREEMENT (the “Agreement”) of HANNOVER REINSURANCE (IRELAND) LIMITED (the “Subscribing Reinsurer”) with respect to the SECOND CASUALTY EXCESS OF LOSS REINSURANCE CONTRACT (the “Contract”) issued to AMERICAN INTERSTATE...
Interests and Liabilities Agreement • March 9th, 2009 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

The Subscribing Reinsurer shall have a 100.00% share in the interests and liabilities of the “Reinsurer” as set forth in the Contract attached hereto and executed by the Company.

Executive Officer Separation Agreement
Officer Separation Agreement • March 10th, 2010 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

THIS EXECUTIVE OFFICER SEPARATION AGREEMENT (the “Separation Agreement”) is made and entered into and is effective as of this 1st day of March, 2010 (the “Effective Date”) by and between AMERISAFE, INC. (herein the “Employer”) and David O. Narigon (herein “Employee”) and for good and valuable consideration including the mutual covenants contained herein, Employer and Employee agree as follows:

CONSULTING AGREEMENT
Consulting Agreement • August 1st, 2014 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

This Consulting Agreement (referred to as “Agreement”) is being entered into between Amerisafe, Inc. (“Company”) and Craig P. Leach (“Consultant”) with an effective date of January 1, 2015.

Client Contracting Steve Adams Toni Bazzell Jill Bone Megan Gracey Judy Mercille Melody Seckel April Witt Ellen Wynne
Managed Program Agreement • March 9th, 2009 • Amerisafe Inc • Fire, marine & casualty insurance • Missouri

Enclosed is your copy of the fully executed Managed Program Workers’ Compensation Agreement for Amerisafe Risk Services, Inc.

EXECUTIVE OFFICER EMPLOYMENT AGREEMENT
Executive Officer Employment Agreement • November 7th, 2008 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

This Employment Agreement is being entered into on the date or dates hereinbelow written by and between Amerisafe, Inc., a Texas corporation with its principal place of business in DeRidder, Louisiana (the “Company”) and G. Janelle Frost, a competent individual of the lawful age of majority who will principally render his/her services in DeRidder, Louisiana (the “Employee”), and the parties hereby enter into this Employment Agreement (the “Agreement”) with an Effective Date as designated below.

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