0001193125-04-102027 Sample Contracts

] Shares1 AFFIRMATIVE INSURANCE HOLDINGS, INC. Common Stock (par value $0.01 per share) PURCHASE AGREEMENT
Purchase Agreement • June 14th, 2004 • Affirmative Insurance Holdings Inc • Fire, marine & casualty insurance • Minnesota

Affirmative Insurance Holdings, Inc., a Delaware corporation (the “Company”), together with the stockholders of the Company listed in Schedule I hereto (the “Selling Stockholders”), severally propose to sell to the several underwriters named in Schedule II hereto (the “Underwriters”) an aggregate of [ ] shares (the “Firm Shares”) of common stock of the Company, $0.01 par value per share (the “Common Stock”). The Firm Shares consist of [ ] authorized but unissued shares of Common Stock to be issued and sold by the Company and [ ] outstanding shares of Common Stock to be sold by the Selling Stockholders. The Company and certain of the Selling Stockholders have also granted to the several Underwriters an option to purchase up to [ ] and [ ] additional shares of Common Stock, respectively, on the terms and for the purposes set forth in Section 3 hereof (the “Option Shares”). The Firm Shares and any Option Shares purchased pursuant to this Purchase Agreement are herein collectively called t

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Non Standard Private Passenger Automobile Quota Share Reinsurance Contract Effective: May 1, 2004 issued to Affirmative Insurance Company Insura Property and Casualty Insurance Company Bedford Park, Illinois
Affirmative Insurance Holdings Inc • June 14th, 2004 • Fire, marine & casualty insurance

It is understood that the Company has appointed Space Coast Underwriters Insurance Agency, Melbourne, Florida (hereinafter referred to as the “General Agent”) as its agent for the purpose of producing, underwriting and managing the subject business hereunder.

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