0000783603-09-000090 Sample Contracts

AGREEMENT AND GENERAL RELEASE
Agreement and General Release • September 18th, 2009 • American Safety Insurance Holdings LTD • Insurance agents, brokers & service • Georgia

American Safety Insurance Services, Inc., 100 Galleria Parkway, Suite 700, Atlanta, GA 30339 (“Employer”) and Laura L. Ervin, 188 Covered Bridge Trail, SW, Smyrna, GA 30082, her heirs, executors, administrators, successors, and assigns (collectively referred to throughout this Agreement as “Employee”), agree that:

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