CHANGE-IN-CONTROL SEVERANCE AGREEMENTChange-in-Control Severance Agreement • April 30th, 2009 • Mine Safety Appliances Co • Orthopedic, prosthetic & surgical appliances & supplies • Pennsylvania
Contract Type FiledApril 30th, 2009 Company Industry JurisdictionTHIS 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”).