AMERISAFE, INC. 2005 EQUITY INCENTIVE PLAN INCENTIVE STOCK OPTION AWARD AGREEMENT2005 Equity Incentive Plan Incentive Stock Option Award Agreement • October 31st, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Texas
Contract Type FiledOctober 31st, 2005 Company Industry JurisdictionTHIS OPTION AWARD AGREEMENT (this “Agreement”), dated as of _____________, is entered into between AMERISAFE, INC. a Texas corporation (the “Company”), and _____________________ (“Optionee”). Capitalized terms used herein but not defined shall have the meanings assigned to those terms in the AMERISAFE, Inc. 2005 Equity Incentive Plan (the “Plan”).