AMENDED AND RESTATED CHANGE IN CONTROL AND SEVERANCE AGREEMENT
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To the Executive: |
▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ at the address on file with the Company |
To the Company: |
▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ Vice President, Chief Human Resources Officer Church & ▇▇▇▇▇▇ Co., Inc. ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇. ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ |
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or to such other address as any party shall have furnished to the others in writing in accordance herewith. Notices and communications shall be effective when actually received by the addressee.
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IN WITNESS WHEREOF, the Executive has hereunto set the Executive’s hand and the Company has caused this Agreement to be executed in its name on its behalf, all as of the day and year first above written.
CHURCH & ▇▇▇▇▇▇ CO., INC.
By:
Name:
Title:
EXECUTIVE
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EXHIBIT A
RELEASE AND WAIVER
In consideration of the payments and benefits provided for under the Amended and Restated Change in Control and Severance Agreement, which Executive acknowledges are payments and benefits to which Executive is not otherwise entitled, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, Executive hereby agrees as follows:
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IN WITNESS WHEREOF, Executive has hereunto set his hand as of the day and year set forth below.
EXECUTIVE
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Date:
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