AMERISAFE, INC.Equity and Incentive Compensation Plan Long-Term Incentive Award Agreement • February 21st, 2023 • Amerisafe Inc • Fire, marine & casualty insurance • Texas
THIS LONG-TERM INCENTIVE AWARD AGREEMENT (this “Agreement”), dated as of _______, 20__, is entered into by and between AMERISAFE, Inc., a Texas corporation (the “Company”), and __________ (the “Grantee”). Where the context permits, references to the Company shall include any successor to the Company. Any capitalized term that is used, but not defined, in this Agreement shall have the meaning assigned to such term in the AMERISAFE, Inc. 2022 Equity and Incentive Compensation Plan (as amended from time to time, the “Plan”).
