SELECTIVE INSURANCE GROUP, INC. STOCK OPTION PLAN FOR DIRECTORS STOCK OPTION AGREEMENTPlan for Directors Stock Option Agreement • November 5th, 2004 • Selective Insurance Group Inc • Fire, marine & casualty insurance • New Jersey
Contract Type FiledNovember 5th, 2004 Company Industry JurisdictionTHIS AGREEMENT, effective the 1st day of ____________, 200_ by and between SELECTIVE INSURANCE GROUP, INC., a New Jersey corporation, with its principal office at Wantage Avenue, Branchville, New Jersey 07890 (hereinafter called the "Company"), and____________________ residing at _____________________________ (hereinafter called the "Optionee").