0001193125-11-057764 Sample Contracts

AMERISAFE, INC.
Restricted Stock Award Agreement • March 7th, 2011 • Amerisafe Inc • Fire, marine & casualty insurance • Texas

THIS RESTRICTED STOCK AWARD AGREEMENT (this “Agreement”), dated as of , is entered into between AMERISAFE, INC., a Texas corporation (the “Company”), and (“Grantee”). Capitalized terms used herein but not defined shall have the meanings assigned to those terms in the AMERISAFE, Inc. 2010 Restated Non-Employee Director Restricted Stock Plan (the “Plan”).

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INTERESTS AND LIABILITIES AGREEMENT (the “Agreement”) of ALTERRA BERMUDA LIMITED (the “Subscribing Reinsurer”) with respect to the CASUALTY CATASTROPHE EXCESS OF LOSS REINSURANCE CONTRACT (the “Contract”) issued to AMERICAN INTERSTATE INSURANCE...
Interests and Liabilities Agreement • March 7th, 2011 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

The Subscribing Reinsurer shall have a 5.00% share in the interests and liabilities of the “Reinsurer” as set forth in the Contract attached hereto and executed by the Company.

INTERESTS AND LIABILITIES AGREEMENT (the “Agreement”) of ARCH REINSURANCE COMPANY (the “Subscribing Reinsurer”) with respect to the CASUALTY CATASTROPHE EXCESS OF LOSS REINSURANCE CONTRACT (the “Contract”) issued to AMERICAN INTERSTATE INSURANCE...
Interests and Liabilities Agreement • March 7th, 2011 • Amerisafe Inc • Fire, marine & casualty insurance

The Subscribing Reinsurer shall have a 10.00% share in the interests and liabilities of the “Reinsurer” as set forth in the Contract attached hereto and executed by the Company.

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