FORM OF AMERISAFE, INC. RESTRICTED STOCK AWARD AGREEMENTRestricted Stock Award Agreement • June 15th, 2012 • Amerisafe Inc • Fire, marine & casualty insurance • Texas
THIS RESTRICTED STOCK AWARD AGREEMENT (this “Agreement”), dated as of (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”).
FORM OF AMERISAFE, INC. LONG-TERM INCENTIVE AWARD AGREEMENTLong-Term Incentive Award Agreement • June 15th, 2012 • Amerisafe Inc • Fire, marine & casualty insurance • Texas
THIS LONG-TERM INCENTIVE AWARD AGREEMENT (this “Agreement”), dated as of (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”).
