0000950134-05-020071 Sample Contracts

AMERISAFE, INC. 2005 EQUITY INCENTIVE PLAN INCENTIVE STOCK OPTION AWARD AGREEMENT
Incentive Stock Option Award Agreement • October 31st, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Texas

THIS 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”).

Sample 1
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AMERISAFE, INC. 2005 EQUITY INCENTIVE PLAN NONQUALIFIED STOCK OPTION AWARD AGREEMENT
Nonqualified Stock Option Award Agreement • October 31st, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Texas

THIS OPTION AWARD AGREEMENT (this “Agreement”), dated as of ____________ ____, 2005 is entered into between AMERISAFE, Inc., a Texas corporation (the “Company”), and Mark R. Anderson (“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”). Optionee is currently an executive officer of the Company. Optionee will resign as an officer of the Company and its Subsidiaries as of December 31, 2005 but shall remain a consultant to the Company pursuant to an agreement dated October 27, 2005 (the “Consulting Agreement”).

Sample 1
CONSULTING AGREEMENT
Consulting Agreement • October 31st, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

This CONSULTING AGREEMENT (“Agreement”) dated as of October 27, 2005 is entered into by and between AMERISAFE, INC., a Texas corporation (the “Company”), and Mark R. Anderson (“Consultant”).

Sample 1
AMERISAFE, INC. 2005 EQUITY INCENTIVE PLAN NONQUALIFIED STOCK OPTION AWARD AGREEMENT
Nonqualified Stock Option Award Agreement • October 31st, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Texas

THIS 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”).

Sample 1
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