0000905729-04-000163 Sample Contracts

FREMONT MICHIGAN INSURACORP, INC. STANDBY-BY PURCHASER AGREEMENT
Standby Purchaser Agreement • April 14th, 2004 • Fremont Michigan Insuracorp Inc • Fire, marine & casualty insurance

This STAND-BY PURCHASER AGREEMENT is entered into as of the date set forth below by the undersigned, a registered representative of CENTENNIAL SECURITIES COMPANY, INC., a Michigan corporation ("Centennial"), for the benefit of Centennial and Fremont Michigan InsuraCorp, Inc. ("Fremont"), which intends to engage in an initial public offering of its stock as part of a demutualization, with the assistance of Centennial as sales agent. The undersigned has provided this Agreement in connection with NASD Rule 2790 and agrees as follows:

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INVESTMENT MANAGEMENT AGREEMENT
Investment Management Agreement • April 14th, 2004 • Fremont Michigan Insuracorp Inc • Fire, marine & casualty insurance • Washington

The undersigned ("Client"), being duly authorized, has established the Account referred to above (the "Account") and hereby agrees to appoint Prime Advisors, Inc. ("PRIME") to act as investment advisor for the Account on the following terms and conditions.

ESCROW AGREEMENT Fremont Michigan InsuraCorp, Inc. Stock Offering
Escrow Agreement • April 14th, 2004 • Fremont Michigan Insuracorp Inc • Fire, marine & casualty insurance • Michigan

THIS ESCROW AGREEMENT ("Agreement") is made and entered into as of _________ __, 2004, by and among Fremont Michigan InsuraCorp, Inc., a Michigan corporation ("Company"), Centennial Securities Company, Inc. ("Centennial") and The Huntington National Bank ("Bank" or "Escrow Agent").

FREMONT MUTUAL INSURANCE COMPANY 933 E. Main Street, Fremont, MI 49412
Agency Agreement • April 14th, 2004 • Fremont Michigan Insuracorp Inc • Fire, marine & casualty insurance

THIS AGREEMENT, made this ____ day of _______, 200_, by and between the FREMONT MUTUAL INSURANCE COMPANY, A Michigan Corporation of Fremont, Michigan, hereinafter called the Company and the _______________________________________ of _______, Michigan, hereinafter called the Agent.

OFFICER EMPLOYMENT AGREEMENT
Officer Employment Agreement • April 14th, 2004 • Fremont Michigan Insuracorp Inc • Fire, marine & casualty insurance • Michigan

This Agreement is made ____________ , 2004 between Fremont Michigan InsuraCorp, Inc., a Michigan corporation, ("Employer") and ________________ ("Executive"). This Agreement shall become effective upon the closing of the initial public offering of stock which the Employer contemplates being made pursuant to a Registration Statement, as amended, filed by the Employer with the U.S. Securities and Exchange Commission ("Effective Date").

SALES AGENT AGREEMENT
Sales Agent Agreement • April 14th, 2004 • Fremont Michigan Insuracorp Inc • Fire, marine & casualty insurance • Michigan

Fremont Michigan InsuraCorp, Inc. ("Holding Company") and Fremont Mutual Insurance Company ("Insurance Company"), hereby confirm their agreement with you (the "Sales Agent" or "you") as follows:

EMPLOYMENT AGREEMENT
Employment Agreement • April 14th, 2004 • Fremont Michigan Insuracorp Inc • Fire, marine & casualty insurance • Michigan

This Agreement is made ____________ , 2004 between Fremont Michigan InsuraCorp, Inc., a Michigan corporation, ("Employer") and Richard E. Dunning ("Executive"). This Agreement shall become effective upon the closing of the initial public offering of stock which the Employer contemplates being made pursuant to a Registration Statement, as amended, filed by the Employer with the U.S. Securities and Exchange Commission ("Effective Date").

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