0000950134-05-013871 Sample Contracts

CHANGE IN CONTROL AGREEMENT
Change in Control Agreement • July 22nd, 2005 • Affirmative Insurance Holdings Inc • Fire, marine & casualty insurance • Texas

THIS CHANGE IN CONTROL AGREEMENT (this “Agreement”) is made by and between Affirmative Insurance Holdings, Inc., a Delaware corporation (the “Company”), and ___(the “Executive”), to be effective ___(the “Effective Date”).

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