CHANGE IN CONTROL SEVERANCE AGREEMENTChange in Control Severance Agreement • March 5th, 2010 • Fremont Michigan Insuracorp Inc • Fire, marine & casualty insurance • Michigan
Contract Type FiledMarch 5th, 2010 Company Industry JurisdictionThis Agreement is made as of the day of , 2010 (“Effective Date”), by and between Fremont Michigan InsuraCorp, Inc., a Michigan corporation, (“Company”), and (“Executive”).