Executive Officer Separation Agreement
THIS EXECUTIVE OFFICER SEPARATION AGREEMENT (the “Separation Agreement ”) is made and entered into and
is effective as of this 1st day of March, 2010 (the “ Effective Date ”) by and between AMERISAFE, INC. (herein the “ Employer
”) and David O. Narigon (herein “ Employee ”) and for good and valuable consideration including the mutual covenants
contained herein, Employer and Employee agree as follows:
WHEREAS , Employee has been employed by Employer in the position of Executive Vice President, Claims and Premium
Audit pursuant to an Executive Officer Employment Agreement entered into by and between Employer and Employee.
WHEREAS , Employee and Employer have agreed upon a mutual separation of Employee’s employment and are entering
into this Separation Agreement in order to effectuate same.
WHEREAS , Employee and Employer are entering into this Separation Agreement in order to resolve any and all
outstanding disputes that may exist or that could arise between Employee and Employer in connection with Employee’s
separation of employment and in connection with any rights and obligations that may exist or which may be in dispute under
the Executive Officer Employment Agreement.
WHEREAS , Employer and Employee acknowledge that the terms and conditions of this Separation Agreement are fair and
reasonable and promote the respective best interests of Employer and Employee.
NOW, THEREFORE , for good and valuable consideration, including the mutual covenants contained herein, Employer
and Employee agree as follows:
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1. TERMINATION OF EMPLOYMENT . In consideration of the mutual promises and covenants contained in this Separation
Agreement, Employer’s employment of Employee is terminated by Employee’s resignation effective as of March 15, 2010.
2. PAYMENTS . Subject to Employee’s compliance with the provisions of this Separation Agreement, and subject to the
terms contained in this Separation