0001193125-09-094029 Sample Contracts

CHANGE-IN-CONTROL SEVERANCE AGREEMENT
Change-in-Control Severance Agreement • April 30th, 2009 • Mine Safety Appliances Co • Orthopedic, prosthetic & surgical appliances & supplies • Pennsylvania

THIS CHANGE-IN-CONTROL SEVERANCE AGREEMENT (“Agreement”) is made on , 2008, by and between Mine Safety Appliances Company, a Pennsylvania corporation (the “Company”), and (the “Executive”).

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