This Award Agreement (this “Award Agreement”), including any Exhibit attached hereto (the “Exhibit”), is made
and entered into as of ]Insert date], by and between Protective Insurance Corporation, an Indiana corporation (the “Company”), and [Insert employee name] (the “Employee” or “you”).
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1. |
General. Unless otherwise defined herein, the terms defined in the
Protective Insurance Corporation Long-Term Incentive Plan (the “Plan”) shall have the same defined meanings in this Award Agreement. The Plan and the
Employee’s Agreement(s) (as defined below), which are incorporated by reference, and this Award Agreement, constitute the entire understanding and agreement between Employee and the Company regarding the target number of Performance Units and
restricted shares in your account.
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a.
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“Employee’s Agreement” shall mean the [Insert
name and date of any employment or Non-Compete/Severance agreement with Employee]
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b.
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“Performance Units” means the right of a Participant to receive cash or Shares, upon achievement of the Performance Goals, in accordance with the
Plan.
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c.
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“Share” shall mean one share of the Company’s Class B Common Stock.
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d.
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“Vesting Period” shall mean the period from the date of Stock Grant to the date the Stock Gant vests.
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2. |
Grant of Shares and Performance Units. Subject to the terms and conditions
of the Plan, the Employee’s Agreement(s), and this Award Agreement, the Company grants to Employee restricted Shares and/or Performance Units as detailed in the Exhibit(s).
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3. |
Vesting of Shares and Performance Units. Subject to the terms and conditions
of the Plan, the Employee’s Agreement(s), and this Award Agreement, the Shares, Performance Units and any related accrued Dividend Equivalents shall vest as specified in the applicable Exhibit, provided that you remain continuously employed
by the Company or a Subsidiary on the Vesting Date(s).
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4. |
Form and Timing of Payment. Subject to the terms and conditions of the Plan,
the Employee’s Agreement(s) and this Award Agreement, each vested Performance Unit, plus any related Dividend Equivalents, regardless of form, will be paid as soon as practical after its Vesting Date, but in no event later than seventy-four
(74) days following its Vesting Date; provided, however, that you will not be permitted, directly or indirectly, to designate the taxable year of the distribution.
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5. |
Dividends or Dividend Equivalents. As specified in the applicable Exhibit,
Share and Performance Unit awards may entitle you to earn Dividends or Dividend Equivalents. “Dividends” are the cash dividends on issued but unvested Shares. Any Dividends or Dividend Equivalent will be in the form of cash, will be subject
to the same terms and vesting date as the corresponding Shares or Performance Units (including the attainment of the vesting terms specified in the applicable Exhibit), and will be paid at the same time as payment is made on the corresponding
Performance Units. Any Dividend or Dividend Equivalent payment will be included in the Employee’s regular payroll as gross wages, when
paid to you. IRS regulations require that Dividends paid by the Company on restricted shares prior to vesting be taxed as ordinary income. Dividend Equivalents will vest at the same time as their corresponding Performance Units and convert
into the right to receive payment only to the extent the underlying Performance Units vest and become payable.
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6. |
Effect of Termination of Employment.
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6.1 |
Termination of Employment for Cause; Resignation for any Reason. If your
employment with the Company or a Subsidiary is terminated for Cause or you resign your employment with the Company or a Subsidiary for any reason, any unvested Shares (and any related Dividends), all outstanding Performance Units (and any
related Dividend Equivilents), and any vested Performance Units (and any related Dividend Equivalents) that have not yet been settled, will immediately be cancelled and forfeited without payment.
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6.2 |
Termination of Employment without Cause or Due to Disability or death. If
your employment with the Company or a Subsidiary is terminated without Cause or on account of death or Disability, (i) any awarded but unvested Shares will vest
in accordance with the applicable Exhibit and payment (if any) will be made in accordance with Article 5 or as otherwise provided in the applicable Exhibit and (ii) any outstanding Performance Units (and related Dividend Equivalents) shall
be immediately cancelled and forfeited without payment.
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6.3 |
Termination of Employment following a Change of Control. Notwithstanding any
provisions of the Employee’s Agreement to the contrary, Termination of Employment following a Change in Control shall be goverened by this Award Agreement. Unless specifically prohibited by the Plan or unless the Committee provides otherwise
prior to a Change of Control, upon the occurrence of a Change of Control (as defined in the Plan) and a termination of your employment with the Company or a Subsidiary without Cause on or before the second anniversary of the occurrence of a
Change of Control, (i) any unvested Shares shall vest and be payable in accordance with Article 5 of the Plan.
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(a)
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“Good Reason” shall mean, for purposes of this
Agreement, the occurrence of any of the following events without the Employee's prior written consent:
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i.
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any material diminution in the Employee's responsibilities or authorities or any material change in the Employee’s reporting structure; provided, however, that Employee will not have Good Reason
solely as a result of (A) any change in the Employee’s responsibilities, authorities or reporting structure that occurs primarily as a result of the Company ceasing to be publicly-traded or (B) not serving on the Board or the board of
directors or similar governing body of the Company’s ultimate parent organization following the Company ceasing to be publicly-traded; or
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ii.
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any relocation of the Employee's principal office, or principal place of employment, to a location that is more than 40 miles
from its location in Carmel, Indiana; provided, however,
that no event or condition described in sub clauses (i) or (ii) above shall constitute Good Reason unless (A) the Employee gives the Company written notice of his objection to such event or condition within 90 days following the occurrence
of such event or condition, (B) such event or condition is not corrected, in all material respects, by the Company within 30 days following the Company’s receipt of such notice (or if such event or condition is not susceptible to correction
within such 30-day period, the Company has taken all reasonable steps within such 30-day period to correct such event or condition) and (C) the Employee resigns from his employment with the Company not more than 30 days following the
expiration of the 30-day period described in the foregoing clause (B).
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iii.
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[For Jeremy Edgecliffe-Johnson
only: Individuals who are Continuing Independent Directors cease for any reason to constitute a majority of the independent members of the Board (other than in connection with the Company ceasing to be publicly-traded so long as
the transaction or series of transactions resulting in the Company ceasing to be publicly-traded was approved by a majority of the Continuing Independent Directors).
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iv.
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6.4 |
Specified Employees. Notwithstanding anything herein to the contrary, if you
are a “specified employee” within the meaning of Section 409A(a)(2)(B)(i), as determined under the Company’s established methodology for determining specified employees, at the time of your separation from service, any payment hereunder that
provides for a “deferral of compensation” within the meaning of Section 409A shall not be paid or commence to be paid on any date prior to the first business day after the date that is six months following your separation from service;
provided, however, that a payment delayed pursuant to this Section 6.4 shall commence earlier in the event of your death prior to the end of the six-month period.
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7. |
Tax Withholding.
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7.1 |
You acknowledge and agree that Company may refuse to issue or deliver Shares or the proceeds of the sale of Shares to you until satisfactory arrangements (as determined
by the Company) have been made for the payment of income, employment, payroll tax, fringe benefit tax, payment on account or other tax-related items related to your participation in the Plan and legally applicable to you, including in
connection with the vesting and settlement of the Performance Units, the subsequent sale of Shares acquired upon settlement of the Performance Units [and the receipt of any Dividend Equivalents] (“Tax-Related Items”) that the Company determines must be withheld.
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7.2 |
The Company has the right (but not the obligation) to satisfy any Tax-Related Items by (i) withholding from proceeds of the sale of Shares acquired upon the settlement
of the Performance Units through a sale arranged by the Company (on your behalf pursuant to this authorization without further consent), (ii) requiring you to pay cash, (iii) withholding from any wages or other cash compensation payable to
you by the Company or your employer (the “Employer”), and/or (iv) reducing the number of Shares otherwise deliverable to you. The Company will have
discretion to determine the method of satisfying Tax-Related Items consistent with its current policy. In this regard, you authorize the Company and/or the Employer, or their respective agents, at their discretion, to satisfy any applicable
withholding obligations with regard to all Tax-Related Items by one or a combination of the aforementioned withholding methods. Depending on the withholding method, the Company may withhold or account for Tax-Related Items by considering
applicable minimum statutory withholding rates or other applicable withholding rates, including maximum applicable rates, in which case you will receive a refund of any over-withheld amount in cash with no entitlement to the Share equivalent
or if not refunded, you may seek a refund from the local tax authorities. If the obligation for Tax-Related Items is satisfied by withholding in Shares, for tax purposes, you are deemed to have been issued the full number of Shares subject
to the vested Performance Units, notwithstanding that a number of the Shares are held back solely for the purpose of paying the Tax-Related Items.
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7.3 |
Regardless of any action of the Company, you acknowledge that the ultimate liability for all Tax-Related Items is and remains your responsibility and may exceed the
amount actually withheld by the Company or the Employer. You further acknowledge that the Company and the Employer (x) make no representations or undertakings regarding the treatment of any Tax-Related Items in connection with any aspect of
the Performance Units; and (y) do not commit to and are under no obligation to structure the terms of the grant or any aspect of the Performance Units to reduce or eliminate your liability for Tax-Related Items or achieve any particular tax
result.
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8. |
Acknowledgements and Award Agreements. You agree, accept and acknowledge the
following:
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12. |
Notices. Any notice to be given under this Award Agreement to the Company
will be addressed
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