0000950123-09-065231 Sample Contracts

OPTION CANCELLATION AND RESTRICTED STOCK AWARD AGREEMENT
Option Cancellation And • November 23rd, 2009 • First Acceptance Corp /De/ • Fire, marine & casualty insurance • Delaware

THIS OPTION CANCELLATION AND RESTRICTED STOCK AWARD AGREEMENT (this “Agreement”) is made and entered into as of November 18, 2009 (the “Date of Grant”), between First Acceptance Corporation, a Delaware corporation (the “Company”), and Edward L. Pierce (the “Participant”). Capitalized terms not otherwise defined herein shall have the meaning ascribed to such terms in the Amended and Restated First Acceptance Corporation 2002 Long Term Incentive Plan (the “Plan”).

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