FORM OF CHANGE-IN-CONTROL SEVERANCE AGREEMENT FOR SENIOR OFFICERSChange-in-Control Severance Agreement • November 3rd, 2011 • Intrepid Potash, Inc. • Mining & quarrying of nonmetallic minerals (no fuels) • Colorado
Contract Type FiledNovember 3rd, 2011 Company Industry JurisdictionCHANGE-IN-CONTROL SEVERANCE AGREEMENT (this "Agreement") by and between Intrepid Potash, Inc., a Delaware corporation (the "Company"), and [ ] (the "Executive"), dated as of the [ ] day of [ ] [ ].