0001193125-16-481952 Sample Contracts

AMERISAFE, INC. ANNUAL CASH INCENTIVE AWARD AGREEMENT
Annual Cash Incentive Award Agreement • February 26th, 2016 • Amerisafe Inc • Fire, marine & casualty insurance • Louisiana

THIS ANNUAL CASH INCENTIVE AWARD AGREEMENT (this “Agreement”), dated as of ________, 20__ is entered into by and between AMERISAFE, Inc., a Texas corporation (the “Company”), and _______________ (the “Participant”). Any capitalized term that is used, but not defined, in this Agreement shall have the meaning assigned to such term in the AMERISAFE, Inc. 2012 Equity and Incentive Compensation Plan (as amended from time to time, the “Plan”).

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