0001193125-11-223987 Sample Contracts

AFFIRMATIVE INSURANCE HOLDINGS, INC. AMENDED AND RESTATED 2004 STOCK INCENTIVE PLAN as amended STOCK OPTION AGREEMENT
2004 Stock Incentive Plan • August 16th, 2011 • Affirmative Insurance Holdings Inc • Fire, marine & casualty insurance • Delaware

This Stock Option Agreement (the “Agreement”) is made and entered into as of the date of grant set forth below (the “Date of Grant”) by and between Affirmative Insurance Holdings, Inc., a Delaware corporation (the “Company”), and the participant named below (the “Participant”). Capitalized terms not defined herein shall have the meaning ascribed to them in the Company’s Amended and Restated 2004 Stock Incentive Plan, as amended (the “Plan”).

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