0001172052-18-000027 Sample Contracts

Restricted Stock Agreement under the Safety Insurance Group, Inc. 2018 Long- Term Incentive Plan
Restricted Stock Agreement • August 8th, 2018 • Safety Insurance Group Inc • Fire, marine & casualty insurance • Delaware

This Agreement (the “Agreement”) evidences the award of ____________ restricted shares (each, an “Award Share,” and collectively, the “Award Shares”) of the Common Stock of Safety Insurance Group, Inc., a Delaware corporation (the “Company”), granted to you, _______________________, effective as of ____________ (the “Grant Date”), pursuant to the Safety Insurance Group, Inc. 2018 Long-Term Incentive Plan (the “Plan”) and conditioned upon your agreement to the terms described below. All of the provisions of the Plan are expressly incorporated into this Agreement.

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Restricted Stock Agreement under the Safety Insurance Group, Inc. 2018 Long- Term Incentive Plan
Restricted Stock Agreement • August 8th, 2018 • Safety Insurance Group Inc • Fire, marine & casualty insurance • Delaware

This Agreement (the “Agreement”) evidences the award of ____________ restricted shares (each, an “Award Share,” and collectively, the “Award Shares”) of the Common Stock of Safety Insurance Group, Inc., a Delaware corporation (the “Company”), granted to you, _______________________, effective as of ____________ (the “Grant Date”), pursuant to the Safety Insurance Group, Inc. 2018 Long-Term Incentive Plan (the “Plan”) and conditioned upon your agreement to the terms described below. All of the provisions of the Plan are expressly incorporated into this Agreement.

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