EX-10.1



 Exhibit 10.1 

AFFIRMATIVE INSURANCE HOLDINGS, INC. 

AMENDED AND RESTATED 2004 STOCK INCENTIVE PLAN 

as amended 
 RESTRICTED
STOCK AWARD AGREEMENT 
 This Restricted Stock Award Agreement (this “Agreement”), made as of the 12th day of February, 2014 (the “Grant Date”) by and between Affirmative Insurance Holdings, Inc. (the “Company”) and
                     (the “Grantee”), evidences the grant by the Company of a Stock Award (the
“Award”) of restricted Common Stock, par value $0.01 per share (the “Common Stock”) to the Grantee on such date and the Grantee’s acceptance of the Award in accordance with the provisions of the
Company’s Amended and Restated 2004 Stock Incentive Plan, as amended (the “Plan”), a copy of which is attached hereto as Exhibit A. 

NOW, THEREFORE, in consideration of the premises and the benefits to be derived from the mutual observance of the covenants and
promises contained herein and other good and valuable consideration, the sufficiency of which is hereby acknowledged, the parties hereto agree as follows: 

1. Basis for Award. This Award is made pursuant to the Plan for services rendered to the Company by the Grantee. 

2. Restricted Stock Award. The Company hereby awards and grants to Grantee, in consideration for past services rendered to the
Company or an Affiliate of the Company which services have a value in excess of the aggregate par value of the Common Stock awarded to Grantee,
            (            ) shares of Common Stock of the Company (the “Restricted Stock Award”)
which shall be subject to the restrictions and conditions set forth in the Plan and in this Agreement. 
 3. Vesting. The
Restricted Stock Award (the “Restricted Stock”) shall vest and be held subject to the following: 
 (a) provided
Grantee continues to provide Continuous Service to the Company or any Affiliate, the Restricted Stock Award will become vested and exercisable with respect to one hundred percent (100%) of the Restricted Stock on February 12, 2017 (the
“Vesting Date”); and 
 (b) notwithstanding the foregoing, the Restricted Stock shall become immediately vested
and free of all restrictions hereunder upon the earliest of the following to occur: 
 (i) Termination by the Company other than for Cause;

 (ii) Termination by the Grantee for Good Reason; or 

(iii) Non-renewal of Participant’s employment agreement, to the extent and only to the extent provided in Section 2(b) of
Participant’s employment agreement. 
 For purposes of clarity, a termination due to death or disability of Participant shall not cause the Award to
become immediately vested and fully exercisable. For purposes of this Agreement, the terms Cause, Good Reason, death or disability shall have the meaning ascribed to them under the Participant’s employment agreement. 







 4. Compliance with Laws and Regulations. The issuance and transfer of Common Stock
shall be subject to compliance by the Company and Grantee with all applicable requirements of federal and state securities laws and with all applicable requirements of any stock exchange on which the Company’s Common Stock may be listed at the
time of such issuance or transfer. Grantee understands that the Company is under no obligation to register or qualify the Common Stock with the SEC, any state securities commission or any stock exchange to effect such compliance. 

5. Tax Withholding. 

(a) Grantee agrees that, subject to Section 5(b) below, no later than the first to occur of (i) the date as of which the
restrictions on the Restricted Stock shall lapse with respect to all or any of the Restricted Stock covered by this Agreement or (ii) the date required by Section 5(b) below, Grantee shall pay to the Company (in cash or to the
extent permitted by the Board, Company Stock held by the Grantee whose Fair Market Value on the date the Restricted Stock vests is equal to the amount of Grantee’s tax withholding liability) any federal, state or local taxes of any kind
required by law to be withheld, if any, with respect to the Restricted Stock for which the restrictions shall lapse. The Company shall, to the extent permitted by law, have the right to deduct from any payment of any kind otherwise due to Grantee
any federal, state or local taxes of any kind required by law to be withheld with respect to the shares of such Company Stock. 

(b) Grantee has the right to elect, within thirty (30) days of the Grant Date, to include in gross income for federal income tax
purposes an amount equal to the Fair Market Value of the Restricted Stock less the amount, if any, paid by the Grantee for the Restricted Stock, which was granted hereunder pursuant to Section 83(b) of the Internal Revenue Code of 1986, as
amended. Grantee shall pay to the Company, or make other arrangements satisfactory to the Board to pay to the Company on the date of such grant, any federal, state or local taxes required to be withheld with respect to such Company Stock. If Grantee
fails to make such payments, the Company shall, to the extent permitted by law, have the right to deduct from any payment of any kind otherwise due to Grantee any federal, state or local taxes of any kind required by law to be withheld with respect
to such Restricted Stock. 
 6. No Right to Continued Service. Nothing in this Agreement shall be deemed by implication or
otherwise to impose any limitation on any right of the Company to terminate the Grantee’s service at any time. In the event Grantee’s employment with the Company is terminated by the Company, by Grantee or as a result of Grantee’s
death or disability, no unvested shares of Common Stock shall become vested after such termination of employment. 

7. Representations and Warranties of Grantee. Grantee represents and warrants to the Company that: 

(a) Agrees to Terms of the Plan. Grantee has received a copy of the Plan and has read and understands the terms of the Plan and
this Agreement, and agrees to be bound by their terms and conditions. Grantee acknowledges that there may be adverse tax consequences upon the vesting of Restricted Stock or disposition of the shares of Common Stock once vested, and that Grantee
should consult a tax advisor prior to such time. 
 (b) Stock Ownership. Grantee is the record and beneficial owner of the shares
of Restricted Stock with full right and power to transfer the Unvested Shares defined below, to the Company free and clear of any liens, claims or encumbrances and Grantee understands that the stock certificates evidencing the Restricted Stock will
bear a legend referencing this Agreement. 







 (c) SEC Rule 144. Grantee understands that Rule 144 promulgated under the Securities
Act may indefinitely restrict transfer of the Common Stock so long as Grantee remains an “affiliate” of the Company or if “current public information” about the Company (as defined in Rule 144) is not publicly available. 

8. Dividends. Grantee shall be entitled to receive dividends and distributions paid on all unvested Restricted Stock; provided,
however, that no dividends or distributions shall be payable to or for the benefit of Grantee with respect to record dates for such dividends or distributions occurring before or prior to the Vesting Date, or with respect to record dates for
such dividends or distributions occurring on or after the date, if any, on which Grantee has forfeited the Restricted Stock. 

9. Voting Rights. Grantee shall be entitled to vote all unvested Restricted Stock; provided, however, that Grantee shall not
be entitled to vote Restricted Stock with respect to record dates for any Restricted Stock occurring on or after the date, if any, on which the Grantee has forfeited the Restricted Stock. 

10. Compliance with U.S. Federal Securities Laws. Grantee understands and acknowledges that notwithstanding any other provision of
the Agreement to the contrary, the vesting and holding of the Common Stock is expressly conditioned upon compliance with the Securities Act and all applicable state securities laws. Grantee agrees to cooperate with the Company to ensure compliance
with such laws. 
 11. Forfeiture of Unvested Stock. In the event that the Restricted Stock was issued to Grantee solely in
consideration for services rendered and shares of unvested Common Stock (“Unvested Shares”) standing the in name of Grantee on the books of the Company do not become vested on or before the expiration of the period during
which the applicable vesting conditions must occur, such Unvested Shares shall be automatically forfeited and cancelled as outstanding shares of Common Stock immediately upon the occurrence of the event or time period after which such Unvested
Shares may no longer become vested. 
 12. Restrictions on Unvested Shares. 

(a) Deposit of the Unvested Shares. Grantee shall deposit all of the Unvested Shares with the Company to hold until the Unvested
Shares become vested, at which time such vested shares shall no longer constitute Unvested Shares. The Company will deliver to Grantee the shares of Common Stock that become vested upon vesting of such shares. Grantee shall execute and deliver to
the Company, concurrently with the execution of this Agreement blank stock powers for use in connection with the transfer to the Company or its designee of Unvested Shares that do not become vested. 

(b) Restriction on Transfer of Unvested Shares. Grantee shall not transfer, assign, grant a lien or security interest in, pledge,
hypothecate, encumber or otherwise dispose of any of the Unvested Shares, or any economic interest or voting rights with respect to the foregoing except as permitted by this Agreement. 

13. Adjustments. The number of Unvested Shares shall be automatically adjusted to reflect any stock split, stock dividend,
recapitalization, merger, consolidation, reorganization, combination or exchanges of shares or other similar event affecting the Company’s outstanding Common Stock subsequent to the date of this Agreement. If Grantee becomes entitled to receive
any additional shares of Common Stock or other securities (“Additional Securities”) in respect of the Unvested Shares, the total number of Unvested Shares shall be equal to the sum of (i) the initial Unvested Shares;
and, (ii) the number of Additional Securities issued or issuable in respect of the initial Unvested Shares and any Additional Securities previously issued to Grantee. 







 14. Restrictive Legends and Stop-Transfer Orders. 

(a) Legends. Grantee understands and agrees that the Company will place the legends set forth below or similar legends on any stock
certificate(s) evidencing the Common Stock, together with any other legends that may be required by state or U.S. Federal securities laws, the Company’s Certificate of Incorporation or Bylaws, any other agreement between Grantee and the Company
or any agreement between Grantee and any third party: 
 THE SHARES REPRESENTED BY THIS CERTIFICATE ARE SUBJECT TO CERTAIN RESTRICTIONS ON
PUBLIC RESALE AND TRANSFER AS SET FORTH IN A RESTRICTED STOCK AWARD AGREEMENT BETWEEN THE ISSUER AND THE ORIGINAL HOLDER OF THESE SHARES. SUCH PUBLIC SALE AND TRANSFER RESTRICTIONS ARE BINDING ON TRANSFEREES OF THESE SHARES. 

(b) Stop-Transfer Instructions. Grantee agrees that, to ensure compliance with the restrictions imposed by this Agreement, the
Company may issue appropriate “stop-transfer” instructions to its transfer agent, if any, and if the Company transfers its own securities, it may make appropriate notations to the same effect in its own records. 

(c) Refusal to Transfer. The Company will not be required (i) to transfer on its books any shares of Common Stock that have
been sold or otherwise transferred in violation of any of the provisions of this Agreement or (ii) to treat as owner of such shares, or to accord the right to vote or pay dividends to any purchaser or other transferee to whom such shares have
been so transferred. 
 15. Modification. The Agreement may not be modified except in writing signed by both parties. 

16. Plan. Except as otherwise provided herein, or unless the context clearly indicates otherwise, capitalized terms herein which
are defined in the Plan have the same definitions as provided in the Plan. The terms and provisions of the Plan are incorporated herein by references, and the Grantee hereby acknowledges receiving a copy of the Plan. In the event of a conflict or
inconsistency between the terms and provisions of the Plan and the provisions of this Agreement, the Plan shall govern and control. 

17. Interpretation. Any dispute regarding the interpretation of this Agreement shall be submitted by Grantee or the Company to the
Plan Administrator for review. The resolution of such a dispute by the Plan Administrator shall be final and binding on the Company and Grantee. 

18. Entire Agreement. The Plan and Grantee’s employment agreement are incorporated herein by reference. This Agreement and the
Plan constitute the entire agreement of the parties and supercede all prior undertakings and agreements with respect to the subject matter hereof. If any inconsistency should exist between the nondiscretionary terms and conditions of this Agreement
and the Plan, the Plan shall govern and control. 
 19. Notices. Any notice required to be given or delivered to the Company
under the terms of this Agreement shall be in writing and addressed to the Corporate Secretary of the Company at its principal corporate offices. Any notice required to be given or delivered to Grantee shall be in writing and addressed to Grantee at
the address indicated on the signature page hereof or to such other address as such 







 
party may designate in writing from time to time to the Company. All notices shall be deemed to have been given or delivered upon: (a) personal delivery; (b) three (3) days after
deposit in the United States mail by certified or registered mail (return receipt requested); (c) one (1) business day after deposit with any return receipt express courier (prepaid); or (d) one (1) business day after
transmission by facsimile or telecopier. 
 20. Successors and Assigns. The Company may assign any of its rights under this
Agreement. This Agreement shall be binding upon and inure to the benefit of the successors and assigns of the Company. Subject to the restrictions on transfer set forth herein, this Agreement shall be binding upon Grantee and Grantee’s heirs,
executors, administrators, legal representatives, successors and assigns. 
 21. Governing Law. This Agreement shall be governed
by and construed in accordance with the laws of the State of Delaware without giving effect to its conflict of law principles. If any provision of this Agreement is determined by a court of law to be illegal or unenforceable, then such provision
will be enforced to the maximum extent possible and the other provisions will remain fully effective and enforceable. 

22. Acceptance. Grantee hereby acknowledges receipt of a copy of the Plan and this Agreement. Grantee has read and understands the
terms and provisions thereof, and accepts the Award subject to all the terms and conditions of the Plan and this Agreement. Grantee acknowledges that there may be adverse tax consequences upon vesting of the Award or disposition of the underlying
shares and that Grantee should consult a tax advisor prior to such exercise or disposition. 
 [SIGNATURE PAGE FOLLOWS] 







 IN WITNESS WHEREOF, the parties hereto have signed this Agreement as of the date first
above written. 
  

			
	AFFIRMATIVE INSURANCE HOLDINGS, INC.
		
	By:	 	 /s/ John P. Killacky

		 	John P. Killacky
	Title:	 	Executive Vice President, General Counsel & Secretary

  

	
	GRANTEE
	
	 /s/ Grantee

	Grantee
	Address: