FEDERAL SIGNAL CORPORATION PERFORMANCE SHARE UNIT BENEFICIARY DESIGNATION Participant: Social Security No.: Address: Date of Birth: Participant hereby designates the following individual(s) or entity(ies) as his or her beneficiary(ies) pursuant to the...
EXHIBIT 10.5
_____ ___, 201_
Federal Signal Corporation
2015 Executive Incentive Compensation Plan
Performance Share Unit Award Agreement
You have been selected to receive this Performance Share Units (“PSUs”) award (“Award”) pursuant to the
Federal Signal Corporation 2015 Executive Incentive Compensation Plan (the “Plan”), as specified below:
Participant:
Date of Grant:
Number of PSUs Subject to this Award Agreement:
Performance and Vesting Periods: January 1, 201_ through December 31, 20__ [3-year period]
This Award is subject to the terms and conditions prescribed in the Plan and in the Federal Signal
Corporation Performance Share Unit Award Agreement No. 2017 attached hereto and incorporated herein.
Together, this Award and the attached award agreement shall be referred to throughout each as the “Award
Agreement.”
Calculations of performance versus target, threshold and maximum values set forth in Appendix A are
made by the Committee in accordance with the terms of the Plan and are final and binding.
IN WITNESS WHEREOF, the parties have caused this Award Agreement to be executed as of the Date of
Grant.
PARTICIPANT FEDERAL SIGNAL CORPORATION
By:
Print Name Chief Executive Officer
Signature
Address
Participant agrees to execute this Award Agreement and return one copy to Xxxx Xxxxxx at Federal Signal
Corporation, 0000 X. 00xx Xxxxxx, Xxxxx 0000, Xxx Xxxxx, XX 00000 within 45 days of the above date or forfeit
the performance share unit award.
Note: If there are any discrepancies in the name or address shown above, please make the appropriate
corrections on this form.
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This document constitutes part of the prospectus covering
securities that have been registered under the Securities Act of 1933, as amended.
FEDERAL SIGNAL CORPORATION
PERFORMANCE SHARE UNIT
AWARD AGREEMENT NO. 2017
This Award Agreement, which includes the attached cover page and Appendix A, effective as of the Date
of Grant, represents the grant of PSUs by the Company to Participant, pursuant to the provisions of the Plan.
The Company established the Plan pursuant to which, among other things, options, stock appreciation
rights, restricted stock and stock units, stock bonus awards, dividend equivalents and/or performance compensation
awards may be granted to eligible persons.
The Plan and this Award Agreement provide a complete description of the terms and conditions governing
the PSUs. If there is any inconsistency between the terms of this Award Agreement and the terms of the Plan, the
Plan’s terms shall completely supersede and replace the conflicting terms of this Award Agreement. All capitalized
terms shall have the meanings ascribed to them in the Plan, unless specifically set forth otherwise herein.
The Board of Directors and the Committee have determined that the interests of the Company will be
advanced by encouraging and enabling certain of its employees to own shares of Stock, and that Participant is one of
those employees.
NOW, THEREFORE, in consideration of services rendered and the mutual covenants herein contained, the
parties agree as follows:
Section 1. Certain Definitions
As used in this Award Agreement, the following terms shall have the following meanings:
A. “Affiliate” means with respect to any Person, any other Person (other than an individual) that
controls, is controlled by, or is under common control with such Person. The term “control,” as
used in this Award Agreement, means the power to direct or cause the direction of the
management and policies of such Person, directly or indirectly, whether through the ownership of
voting securities, by contract or otherwise. “Controlled” and “controlling” have meanings
correlative to the foregoing.
B. “Award” means the award provided for in Section 2.
C. “Board of Directors” means the board of directors of the Company.
D. “Code” means the Internal Revenue Code of 1986, as amended.
E. “Committee” means the Compensation and Benefits Committee of the Board of Directors or a
subcommittee or other committee appointed to administer the Plan in accordance with the Plan.
F. “Company” means Federal Signal Corporation, a Delaware corporation.
G. “Date of Grant” means the date set forth on this Award Agreement.
H. “Disability” shall have the meaning ascribed to that term in the Company’s long-term disability
plan applicable to Participant, or if no such plan exists, at the discretion of the Committee and as
determined by the Committee.
I. “Participant” means the individual shown as the recipient of an award of PSUs, as set forth on this
Award Agreement.
J. “Performance Period” means the three consecutive calendar year period set forth in this Award
Agreement.
K. “Performance Share Units” or “PSUs” means the obligation of the Company to transfer the
number of shares of Stock to Participant determined under Section 2, Section 4A (in the case of
death or termination of employment by Disability), Section 4B (in the case of Change-in-Control),
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or Section 5 (in the case of Divestiture of a Business Segment) of this Award Agreement, as
applicable, at the time provided in Section 6 of this Award Agreement, to the extent that the rights
to such shares are vested at such time.
L. “Person” means a “person” as such term is used for purposes of 13(d) or 14(d), or any successor
section thereto, of the Securities Exchange Act of 1934, as amended, and any successor thereto.
M. “Stock” means the common stock of the Company.
N. “Vesting Period” means the three consecutive calendar year period set forth in this Award
Agreement.
Section 2. Award
Subject to the terms of this Award Agreement, the Company awarded to Participant the number of PSUs
set forth on this Award Agreement, effective as of the Date of Grant set forth on such instrument.
This Award entitles Participant to receive a whole number of shares of Stock as set forth on this Award
Agreement equal to a percentage, from zero percent (0%) to two hundred percent (200%), based on the Company’s
performance against the performance goals set forth, and as calculated in, Appendix A.
The number of shares of Stock determined based on the Company’s performance against the performance
goals set forth in Appendix A (or, if applicable, the formula set forth in Section 4A (in the case of death or
termination of employment by Disability), the formula set forth in Section 4B (in the case of a Change-in-Control),
or Section 5 (in the case of Divestiture of a Business Segment)), shall be distributable as provided in Section 6 of
this Award Agreement, but only to the extent the rights to such shares are vested under either Section 4 or Section 5
of this Award Agreement.
This grant of PSUs shall not confer any right to Participant (or any other participant) to be granted PSUs or
other awards in the future under the Plan.
It is intended that this Award qualify as “performance-based compensation” under Section 162(m) of the
Code. Notwithstanding anything to the contrary in this Award Agreement, the number of shares of Stock that may
be earned under this Award Agreement cannot exceed the maximum number of shares of Stock provided for under
the Plan.
Section 3. Bookkeeping Account
The Company shall record the number of PSUs subject to this Award Agreement to a bookkeeping account
for Participant (the “Performance Share Unit Account”), subject to adjustment based on performance as set forth in
Section 2 above. Participant’s Performance Share Unit Account shall be reduced by the number of PSUs, if any,
forfeited in accordance with Section 4 and by the number of PSUs with respect to which shares of Stock were
transferred to Participant in accordance with Section 6.
Section 4. Vesting
Subject to the accelerated vesting provisions provided below, the number of PSUs determined under
Section 2 above shall vest on the last day of the Vesting Period, if Participant remains employed by the Company or
its Affiliate through such date.
For the avoidance of doubt, if the Company fails to achieve a performance goal at the threshold level,
Participant shall be entitled to receive no shares of Stock subject to such performance goal, unless the deemed
performance provisions in this Section specifically modify such result.
If, during the Performance and Vesting Periods, while employed by the Company or its Affiliates:
A. Participant dies or his or her employment terminates by reason of Disability, the number of vested
PSUs subject to the Award shall be equal to the product of: (1) the number of full and partial months of Participant’s
employment during the Performance Period divided by thirty-six (36) and (2) the greater of (a) one hundred percent
(100%) of the PSUs subject to this Award Agreement, regardless of actual performance or (b) the number of PSUs
that Participant would have been payable to Participant at the end of Performance Period based on actual Company
performance during the entire Performance Period.
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B. A Change-in-Control occurs, the number of vested PSUs subject to this Award shall be the greater
of (1) one hundred percent (100%) of the PSUs subject to this Award Agreement, regardless of actual performance
or (2) the number of PSUs that would have been payable to Participant for the Performance Period based on the
Company’s best estimate of projected Company performance through the end of the Performance Period,
determined at the date of the Change-in-Control. In the event of a Change-in-Control following an event that would
otherwise enable vesting at the end of the Performance and Vesting Periods under Section 4A, the provisions of this
Section 4B shall control. For the avoidance of doubt, vesting under this Section 4B is not calculated on a pro-rata
basis.
C. Except as provided in Section 5 below, and in certain limited instances where the Committee may
exercise its discretion in determining the vesting implications of PSUs, if Participant’s employment with the
Company and its Affiliates terminates for any other reason before the end of the Performance and Vesting Periods,
all PSUs that are not vested at the time of such termination of employment (after first taking into account the
accelerated vesting provisions of this Section 4) shall be forfeited. In the event of termination of employment
(whether or not in breach of local labor laws), the Company shall have the exclusive discretion to determine the date
of termination of employment for purposes of this Award. Such termination date shall be the date that Participant is
no longer actively employed and will not be extended by any notice period mandated under local law (e.g., active
employment would not include a period of “garden leave” or similar period pursuant to local law).
Section 5. Acceleration of Vesting of Shares in the Event of Divestiture of Business Segment
If the “Business Segment” (as that term is defined in this Section) in which Participant is primarily
employed as of the “Divestiture Date” (as that term is defined in this Section) is the subject of a “Divestiture of a
Business Segment” (as that term is defined in this Section) during the Performance and Vesting Periods, and such
divestiture results in the termination of Participant’s employment with the Company and its Affiliates for any reason
during the Performance Period, the number of vested PSUs subject to the Award shall be equal to the product of: (1)
the number of full and partial months of Participant’s employment during the Performance Period before the
Divestiture Date, divided by thirty-six (36) and (2) one hundred percent (100%) of the PSUs subject to this Award
Agreement, regardless of actual performance.
For purposes of this Award Agreement, the term “Business Segment” shall mean a business line which the
Company treats as a separate operating segment under the segment reporting rules under U.S. generally accepted
accounting principles, which currently includes the following: Safety and Security Systems Group and
Environmental Solutions Group. Likewise, the term “Divestiture Date” shall mean the date that a transaction
constituting a Divestiture of a Business Segment is finally consummated.
For purposes of this Award Agreement, the term “Divestiture of a Business Segment” means the following:
A. When used with a reference to the sale of stock or other securities of a Business Segment that is or
becomes a separate corporation, limited liability company, partnership or other separate business entity, the sale,
exchange, transfer, distribution or other disposition of the ownership, either beneficially or of record or both, by the
Company or one of its Affiliates to “Nonaffiliated Persons” (as that term is defined in this Section) of one hundred
percent (100%) of either (i) the then-outstanding common stock (or the equivalent equity interests) of the Business
Segment or (ii) the combined voting power of the then-outstanding voting securities of the Business Segment
entitled to vote generally in the election of the board of directors or the equivalent governing body of the Business
Segment;
B. When used with reference to the merger or consolidation of a Business Segment that is or becomes
a separate corporation, limited liability company, partnership or other separate business entity, any such transaction
that results in Nonaffiliated Persons owning, either beneficially or of record or both, one hundred percent (100%) of
either (i) the then-outstanding common stock (or the equivalent equity interests) of the Business Segment or (ii) the
combined voting power of the then-outstanding voting securities of the Business Segment entitled to vote generally
in the election of the board of directors or the equivalent governing body of the Business Segment; or
C. When used with reference to the sale of the assets of the Business Segment, the sale, exchange,
transfer, liquidation, distribution or other disposition of all or substantially all of the assets of the Business Segment
necessary or required to operate the Business Segment in the manner that the Business Segment had been operated
prior to the Divestiture Date.
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For purposes of this Award Agreement, the term “Nonaffiliated Persons” shall mean any persons or
business entities which do not control, or which are not controlled by or under common control with, the Company.
Section 6. Distribution of Shares
A. Except as specifically provided to the contrary in Section 6B, the number of shares of Stock
payable with respect to PSUs, as determined under Section 2 above, that become vested under this Award shall
become distributable as of the end of the Vesting Period and shall be paid not later than March 15, 2020; provided
however, that if it is impracticable to pay such shares of Stock by such date (e.g., due to the unavailability of audited
financial statements or a Form S-8 registration statement for the shares), then the Committee may delay payment
until it becomes administratively practicable to do so later that same year.
B. The number of shares of Stock payable with respect to PSUs, as determined under Section 2
above, that vest prior to the end of the Vesting Period under either Section 4B or Section 5 of this Award Agreement
shall become distributable on an accelerated basis as follows:
(1) If a Change-in-Control occurs at any time before the end of the Vesting Period, then the
number of earned shares of Stock with respect to PSUs that become vested under Section 4B of this Award
Agreement shall become distributable on the date of the Change-in-Control.
(2) If a Divestiture of a Business Segment occurs at any time before the end of the Vesting
Period, and such divestiture results in the termination of Participant’s employment with the Company and its
Affiliates for any reason, then the number of earned shares of Stock with respect to PSUs that become vested under
this Award Agreement shall become distributable on the Divestiture Date, but only if that payment on that date is
permissible under Section 409A of the Code.
Section 7. Stockholder Rights
Participant shall not have any of the rights of a stockholder of the Company with respect to PSUs until
shares of Stock are issued to Participant. No dividend equivalent rights are provided under this Award Agreement.
Section 8. Beneficiary Designation
Participant may designate a beneficiary or beneficiaries (contingently or successively) to receive any
benefits that may be payable under this Award Agreement in the event of Participant’s death and, from time to time,
may change his or her designated beneficiary (a “Beneficiary”). A Beneficiary may be a trust. A Beneficiary
designation shall be made in writing in a form prescribed by the Company and delivered to the Company while
Participant is alive. In lieu of payment to Participant, a Beneficiary shall be paid shares of Stock under Section 6 at
the same time and in the same form as Participant would have been paid but for Participant’s death.
Section 9. Restrictions on Transfer
PSUs awarded hereunder shall not be transferable by Participant. Except as may be required by the federal
income tax withholding provisions of the Code or by the tax laws of any state or foreign sovereign, the interests of
Participant and his or her Beneficiary(ies) under this Award Agreement are not subject to the claims of their
respective creditors and may not be voluntarily or involuntarily sold, assigned, transferred, alienated, pledged,
attached, encumbered or charged. Any attempt by Participant or a Beneficiary to sell, assign, transfer, alienate,
pledge, attach, encumber, charge or otherwise dispose of any right to benefits payable hereunder shall be void.
Section 10. Adjustment in Certain Events
If there is any change in the Stock by reason of stock dividends or other distribution (whether in the form of
securities or other property), recapitalization, stock split, reverse stock split, reorganization, merger, consolidation,
split-up, split-off, combination, repurchase or exchange of Stock or other securities of the Company, or other similar
corporate transaction or event, or changes in applicable rules, rulings, regulations or other requirements of any
governmental body or securities exchange, the Committee may, in its sole discretion, make such adjustments to the
number of PSUs credited to Participant’s Performance Share Unit Account that it deems necessary or appropriate
and as it may deem equitable in Participant’s rights.
Section 11. Tax Withholding
Regardless of any action the Company, any of its Affiliates and/or Participant's employer takes with respect
to any or all income tax, social insurance, payroll tax, payment on account or other tax-related items related to
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Participant’s participation in the Plan and legally applicable to Participant (“Tax-Related Items”), Participant
acknowledges that the ultimate liability for all Tax-Related Items is and remains Participant’s responsibility and may
exceed the amount actually withheld by the Company or any of its affiliates. Participant further acknowledges that
the Company and/or its Affiliates: (i) make no representations or undertakings regarding the treatment of any Tax-
Related Items in connection with any aspect of the Performance Share Units, including, but not limited to, the grant,
vesting or exercise of the Performance Share Units, the delivery of shares of Stock, the subsequent sale of shares
acquired pursuant to such delivery and the receipt of any dividends; and (ii) do not commit to and are under no
obligation to structure the terms of any award to reduce or eliminate Participant’s liability for Tax-Related Items or
achieve any particular tax result. Further, if Participant becomes subject to tax in more than one jurisdiction between
the Date of Grant and the date of any relevant taxable event, Participant acknowledges that the Company and/or its
Affiliates may be required to withhold or account for Tax-Related Items in more than one jurisdiction.
Prior to any relevant taxable or tax withholding event, as applicable, Participant will pay or make adequate
arrangements satisfactory to the Company and/or its Affiliates to satisfy all Tax-Related Items. In this regard,
Participant authorizes the Company and/or its Affiliates, or their respective agents, at their discretion, to satisfy the
obligations with regard to all Tax-Related Items by one or a combination of the following:
A. withholding from Participant’s wages or other cash compensation paid to Participant by the
Company and/or its Affiliates; or
B. withholding in shares of Stock to be delivered upon distribution of the Performance Share Units.
The Company and/or its Affiliates may withhold or account for Tax-Related Items by considering
applicable statutory withholding amounts or other applicable withholding rates. If the obligation for Tax-Related
Items is satisfied by withholding in shares of Stock, for tax purposes, Participant is deemed to have been issued the
full number of shares attributable to the Performance Share Units, notwithstanding that a number of shares of Stock
are held back solely for the purpose of paying the Tax-Related Items due as a result of any aspect of Participant’s
participation in the Plan.
Finally, Participant shall pay to the Company and/or its Affiliates any amount of Tax-Related Items that the
Company and/or its Affiliates may be required to withhold or account for as a result of Participant’s participation in
the Plan that are not satisfied by the means previously described. The Company may refuse to issue or deliver the
Shares if Participant fails to comply with Participant’s obligations in connection with the Tax-Related Items.
Section 12. Section 409A
This Award Agreement shall be construed consistent with the intention that it be exempt from Section
409A of the Code (together with any Department of Treasury regulations and other interpretive guidance issued
thereunder, including without limitation any such regulations or other guidance that may be issued after the date
hereof, “Section 409A”). However, notwithstanding any other provision of the Plan or this Award Agreement, if at
any time the Committee determines that this Award (or any portion thereof) may be subject to Section 409A, the
Committee shall have the right in its sole discretion (without any obligation to do so or to indemnify Participant or
any other person for failure to do so) to adopt such amendments to the Plan or this Award Agreement, or adopt other
policies and procedures (including amendments, policies and procedures with retroactive effect), or take any other
actions, as the Committee determines are necessary or appropriate either for this Award to be exempt from the
application of Section 409A or to comply with the requirements of Section 409A.
Section 13. Source of Payment
Shares of Stock transferable to Participant, or Participant’s Beneficiary, under this Award Agreement may
be either Treasury shares, authorized but unissued shares, or any combination of such stock. The Company shall
have no duties to segregate or set aside any assets to secure Participant’s right to receive shares of Stock under this
Award Agreement. Participant shall not have any rights with respect to transfer of shares of Stock under this Award
Agreement other than the unsecured right to receive shares of Stock from the Company.
Section 14. Continuation of Employment
This Award Agreement shall not confer upon Participant any right to continuation of employment by the
Company or its Affiliates, nor shall this Award Agreement interfere in any way with the Company’s or its Affiliates’
right to terminate t Participant’s employment at any time.
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Section 15. English Language
Participant acknowledges and agrees that it is Participant’s express intent that this Award Agreement, the
Plan and all other documents, rules, procedures, forms, notices and legal proceedings entered into, given or
instituted pursuant to the Award, be drawn up in English. If Participant has received this Award Agreement, the Plan
or any other rules, procedures, forms or documents related to the Award translated into a language other than
English, and if the meaning of the translated version is different than the English version, the English version will
control.
Section 16. Entire Award; Amendment
This Award Agreement and the Plan constitute the entire agreement between the parties with respect to the
terms and supersede all prior written or oral negotiations, commitments, representations and agreements with respect
thereto. The terms and conditions set forth in this Award Agreement may only be modified or amended in writing,
signed by both parties.
Section 17. Severability
In the event any one or more of the provisions of this Award Agreement shall be held invalid, illegal or
unenforceable in any respect in any jurisdiction, such provision or provisions shall be automatically deemed
amended, but only to the extent necessary to render such provision or provisions valid, legal and enforceable in such
jurisdiction, and the validity, legality and enforceability of the remaining provisions of this Award Agreement shall
not in any way be affected or impaired thereby.
Section 18. Miscellaneous
A. This Award Agreement and the rights of Participant hereunder are subject to all the terms and
conditions of the Plan, as the same may be amended from time to time, as well as to such rules and regulations as the
Committee may adopt for administration of the Plan. The Committee shall have the right to impose such restrictions
on any Stock acquired pursuant to this Award Agreement, as it may deem advisable, including, without limitation,
restrictions under applicable federal securities laws, under applicable federal and state tax law, under the
requirements of any stock exchange or market upon which such Stock is then listed and/or traded, and under any
blue sky or state securities laws applicable to such Stock.
It is expressly understood that the Committee is authorized to administer, construe, and make all
determinations necessary or appropriate to the administration of the Plan and this Award Agreement, all of which
shall be binding upon Participant.
B. The Committee may terminate, amend, or modify the Plan; provided, however, that no such
termination, amendment, or modification of the Plan may materially and adversely affect Participant’s vested rights
under this Award Agreement, without the written consent of Participant.
C. Participant agrees to take all steps necessary to comply with all applicable provisions of federal
and state securities and tax laws in exercising his or her rights under this Award Agreement.
D. This Award Agreement shall be subject to all applicable laws, rules, and regulations, and to such
approvals by any governmental agencies or national securities exchanges as may be required.
E. This Award (including any proceeds, gains or other economic benefit actually or constructively
received by Participant upon any receipt or exercise of any Award or upon the receipt or resale of any Stock
underlying the Award) shall be subject to the provisions of any clawback policy currently or subsequently
implemented by the Company to the extent set forth in such policy.
F. All obligations of the Company under the Plan and this Award Agreement, with respect to these
PSUs, shall be binding on any successor to the Company, whether the existence of such successor is the result of a
direct or indirect purchase, merger, consolidation, or otherwise, of all or substantially all of the business and/or
assets of the Company.
G. To the extent not preempted by federal law, this Award Agreement shall be governed by, and
construed in accordance with, the laws of the State of Delaware, without giving effect to principles of conflict of
law.
FEDERAL SIGNAL CORPORATION
PERFORMANCE SHARE UNIT
BENEFICIARY DESIGNATION
Participant: Social Security No.:
Address: Date of Birth:
Participant hereby designates the following individual(s) or entity(ies) as his or her beneficiary(ies)
pursuant to the Federal Signal Corporation 2015 Executive Incentive Compensation Plan (Insert Name, Social
Security Number, Relationship, Date of Birth and Address of Individuals and/or fully identify any trust beneficiary
by the Name of the Trust, Date of Execution of the Trust, the Trustee’s Name, the address of the trust, and the
employer identification number of the trust):
Primary Beneficiary(ies)
Contingent Beneficiary(ies)
Participant hereby reserves the right to change this Beneficiary Designation, and any such change shall be
effective when the Participant has executed a new or amended Beneficiary Designation form, and the receipt of such
form has been acknowledged by the Company, all in such manner as specified by the Company from time to time,
or on a future date specified by any such new or amended Beneficiary Designation form.
IN WITNESS WHEREOF, the parties have executed this Beneficiary Designation on the date designated
below.
Date: _________________, ____
Signature of Participant
Received:
FEDERAL SIGNAL CORPORATION
Date: _________________, ____ By: