Document:

Exhibit 4.1

 

 

SPECIMEN SPECIMEN

NUMBER
SHARES

JAMES RIVER GROUP
HOLDINGS, LTD. INCORPORATED UNDER THE LAWS OF BERMUDA

COMMON SHARES CUSIP
G5005R 10 7

THIS CERTIFIES THAT:
SPECIMEN IS THE OWNER OF

FULLY PAID AND NON-ASSESSABLE
COMMON SHARES OF $.0002 PAR VALUE EACH OF

JAMES RIVER GROUP
HOLDINGS, LTD. transferable on the books of the Company in person or by attorney upon surrender of this certificate duly endorsed
or assigned. This certificate and the shares represented hereby are subject to the Memorandum of Association and the Bye-laws
of the Company.

This certificate
is not valid until countersigned by the Transfer Agent.

WITNESS the facsimile
seal of the Company and the facsimile signatures of its duly authorized officers.

DATED: COUNTERSIGNED:
BROADRIDGE CORPORATE ISSUER SOLUTIONS, INC.

1717 ARCH ST., STE.
1300, PHILADELPHIA, PA 19103 TRANSFER AGENT

BY:

AUTHORIZED SIGNATURE

CHAIRMAN AND DIRECTOR

 

    	 

    	 

    

 

The following abbreviations, when used
in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable
laws or regulations:

 

	TEN COM	- as tenants in common	UNIF GIFT MIN ACT -	 	Custodian	 
	TEN ENT	- as tenants by the entireties	 	(Cust)	 	(Minor)
	JT TEN	- as joint tenants with right of	 	under Uniform Gifts to Minors

	 	survivorship and not as tenants	 	Act	 
	 	in common	 	 	(State)

 

Additional abbreviations may also be used
though not in the above list.

 

For Value Received, ________________________ hereby sell, assign and transfer unto

 

	PLEASE INSERT SOCIAL SECURITY OR OTHER
	IDENTIFYING NUMBER OF ASSIGNEE
	
         

         

 

 

 

(PLEASE PRINT OR TYPE NAME AND ADDRESS,
INCLUDING ZIP CODE, OF ASSIGNEE)

 

 

 

 

 

 

 

___________________________________________________________________________________
Shares of the stock represented by the within Certificate, and do hereby irrevocably constitute and appoint

 

___________________________________________________________________________________
Attorney to transfer the said stock on the books of the within named Company with full power of substitution in the premises.

 

Dated __________________________

 

	 	 
	 	NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER.

 

	THE
    SIGNATURE TO THE ASSIGNMENT MUST CORRESPOND TO THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR,
    WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER, AND MUST BE GUARANTEED BY A COMMERCIAL BANK OR TRUST COMPANY OR A
    MEMBER FIRM OF A NATIONAL OR REGIONAL OR OTHER RECOGNIZED STOCK EXCHANGE IN CONFORMANCE WITH A SIGNATURE GUARANTEE MEDALLION
    PROGRAM.
	COLUMBIA FINANCIAL PRINTING CORP. - www.stockinformation.comExhibit 10.14

 

 

JAMES RIVER GROUP HOLDINGS, LTD.

2014 LONG-TERM INCENTIVE PLAN

 

RESTRICTED SHARE UNIT AWARD AGREEMENT

 

This RESTRICTED SHARE UNIT AWARD AGREEMENT
(this “Agreement”), dated as of the Grant Date set forth in Schedule A, attached hereto and incorporated
herein by reference, is made by and between James River Group Holdings, Ltd., an exempted company registered under the laws of
Bermuda (the “Company”), and the Grantee listed in Schedule A.

 

R E C I T A L S :

 

WHEREAS, the Company has adopted the James
River Group Holdings, Ltd. 2014 Long-Term Incentive Plan (the “Plan”); and

 

WHEREAS, the Company desires to grant to the
Grantee Restricted Share Units pursuant to the Plan and on the terms and conditions set forth herein.

 

NOW, THEREFORE, for good and valuable consideration,
the receipt and adequacy of which is hereby acknowledged, the Company and the Grantee hereby agree as follows:

 

Section 1.           Grant
of Restricted Share Units.  The Company hereby grants to the Grantee, pursuant to the Plan and on the terms and conditions
set forth herein, the number of Restricted Share Units set forth in Schedule A. Each Restricted Share Unit represents the
right to receive one Share to be issued and delivered at the end of the applicable Restriction Period (as defined herein), subject
to the risk of forfeiture and other terms described herein.

 

Section 2.           Vesting
and Payment.

 

(a)        The
Restricted Share Units will vest and the restrictions set forth in paragraph (b) will lapse, in accordance with the vesting schedule
set forth on Schedule A, attached hereto, subject to all other terms and conditions of this Agreement and the Plan.

 

(b)        During
the Restriction Period, the Restricted Share Units are subject to forfeiture and cancellation without payment therefore in the
event of termination of Grantee’s Continuous Service for any reason, as more fully described herein and in Schedule A,
including any exceptions therein. The Restriction Period begins on the Grant Date and ends on the applicable Vesting Date with
respect to any Restricted Share Units scheduled to vest on such Vesting Date subject to the terms and conditions herein (the “Restriction
Period”).

 

(c)        Except
as specifically provided otherwise in this Agreement, including Schedule A, upon termination of Grantee’s Continuous
Service for any reason, all Restricted Share Units that are not vested shall immediately be forfeited. Upon forfeiture of Restricted

 

    	 

    	 

    

 

Share Units, the Grantee will have no further
rights with respect to those Restricted Share Units, and the Restricted Share Units shall become forfeited for no value and without
any issuance of Shares.

 

(d)        If
such forfeiture trigger does not occur during the Restriction Period, and the Grantee remains in service with the Company through
the applicable Vesting Date, the portion of the Restricted Share Units that vest as of the applicable Vesting Date shall become
vested and the Shares with respect to such Restricted Share Units will be automatically issued and delivered on the applicable
Vesting Date. For the avoidance of doubt, if Schedule A provides for a vesting schedule such that the Restricted Share Units
vest in tranches, the Shares underlying each tranche of any vested Restricted Share Units shall be issued and delivered on the
applicable Vesting Date with respect to such tranche to the extent the applicable tranche vests.

 

Section 3.           Shareholder
Rights.  No rights of a shareholder shall exist with respect to the Restricted Share Units as a result of the mere
grant of the Restricted Share Units. Such rights shall exist only after issuance of any Shares. Without limiting the foregoing,
the Grantee shall not be entitled to receive currently any dividends issued on Shares prior to the issuance of any Shares. However,
the Grantee shall be credited with dividend equivalents with respect to any outstanding Restricted Share Units, and such dividend
equivalents shall be subject to the same restrictions, conditions, and risks of forfeiture that apply to the Restricted Share Units
to which they relate and shall be vested, payable and otherwise settled, if at all, at the same time that any underlying Restricted
Share Units to which they relate are vested, payable and otherwise settled.

 

Section 4.           Tax
Consequences.  Grantee may incur tax liability as a result of the grant or vesting of the Restricted
Share Units, or the issuance of Shares, if any. Grantee is advised to consult with his or her own tax adviser for tax advice. Grantee
is responsible for any taxes arising in connection with this Agreement and the Plan.

 

Section 5.           No
Right to Continued Service.   Nothing contained herein shall be construed to confer on the Grantee any right
to continue in service with the Company or to derogate from any right of the Company to retire, request the resignation of or discharge
the Grantee, or to require a leave of absence of the Grantee, with or without pay, at any time, with or without Cause.

 

Section 6.           No
Fractional Shares.  No fractional Shares shall be issued in respect of Restricted Share Units, and any fractional
Shares will be rounded down to the nearest whole Share.

 

Section 7.           Non-Transferability.  The
Restricted Share Units may not be assigned, transferred, or in any way encumbered except by will or the laws of descent and distribution.

 

Section 8.           Entire
Agreement.  This Agreement and the Plan contain the entire agreement between the parties hereto with respect to the
matters contemplated herein and supersede all prior agreements or understandings among the parties related to such matters.

 

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Section 9.           Binding
Effect.  Subject to the restrictions on transfer herein set forth, this Agreement shall be binding upon and inure
to the benefit of the Company and its successors and assigns and upon the Grantee and his or her assigns, heirs, executors, administrators
and legal representatives.

 

Section 10.         Amendment
or Modification; Waiver.  This Agreement may be amended, modified, superseded, canceled, renewed or extended, and
the terms or covenants hereof may be waived, only by a written instrument executed on behalf of the Company (as authorized by the
Board) and the Grantee.

 

Section 11.         Governing
Law.  This Agreement shall be construed and enforced in accordance with the internal laws of New York, except for
those matters subject to The Companies Act, 1981 of Bermuda (as amended), which shall be governed by such law, without giving effect
to principles of conflicts of laws, and construed accordingly.

 

Section 12.         Withholding
Taxes.  With respect to employees subject to withholding, the Company has the right to deduct from any payments otherwise
due to Grantee any employer required minimum Federal, state, or local taxes, domestic or foreign, of any kind required by law upon
the issuance, vesting, or payment of or with respect to any Restricted Share Units. At the time of any such issuance, vesting,
or payment, Grantee shall pay to the Company (or otherwise make arrangements satisfactory to the Committee for the payment of)
the minimum statutory amount of the Federal, state and local, domestic and foreign taxes required, in the Company’s sole
judgment, to be collected or withheld. Such amount may be paid to the Company in cash or such other payment, including the Company’s
withholding of Shares otherwise issuable to Grantee or the Grantee’s delivery of unrestricted Shares to the Company, to the
extent permitted by the Committee, in its sole discretion.

 

Section 13.         Defined
Terms.  Capitalized terms used in this Agreement and not otherwise defined herein have the meaning ascribed to them
in the Plan.

 

Section 14.         Section
409A.  It is intended that this Agreement shall be administered in a manner that will comply with or meet an exception
from Section 409A of the Code, and this Agreement shall be administered and interpreted in accordance with such intent. Notwithstanding
anything herein to the contrary, to the extent applicable, if the Grantee is a “specified employee” within the meaning
of Section 409A of the Code, and to the extent necessary to avoid the adverse tax consequences under Section 409A of the Code,
no portion of any payments hereunder shall be distributed on account of a “separation of service,” as defined by Section
409A of the Code, before the earlier of: (a) the date which is six months following the date of the Grantee’s separation
of service, or (b) the date of death of the Grantee. Amounts that would have been paid during the delay will be paid on the first
business day following the six month delay.

 

Section 15.         The
Plan.  The Grantee acknowledges having received a copy of the Plan. The Restricted Share Units herein granted are
subject to all of the terms and provisions of the Plan, all of which are hereby incorporated herein by reference. In the event
of any inconsistency between the provisions of this Agreement and the provisions of the Plan, the provisions of the Plan shall
govern.

 

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IN WITNESS WHEREOF, the parties hereto have
executed this Restricted Share Unit Award Agreement as of __________________ ____, 20__.

 

	 	 
	 	JAMES RIVER GROUP HOLDINGS, LTD.
	 	 
	 	By:	 	 
	 	Title:	 	 
	 	 
	 	GRANTEE:
	 	 
	 	 
	 	 	 	 

 

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JAMES RIVER GROUP HOLDINGS, LTD. 2014
LONG-TERM INCENTIVE PLAN 

RESTRICTED SHARE UNIT AWARD AGREEMENT

 

SCHEDULE A

 

	Name of Grantee:	                                           
	 	 
	Grant Date:	___________ __, 20__
	 	 
	Number of	 
	Restricted Share Units	 
	Subject to Award	_____________ Units
	 	 
	Vesting Schedule:	 

 

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