Document:

EX-10.17

 Exhibit 10.17 

OPTION GRANT NOTICE 

UNDER THE 
 PATRIOT
NATIONAL, INC. 
 2014 OMNIBUS INCENTIVE PLAN 

Patriot National, Inc. (the “Company”), pursuant to its 2014 Omnibus Incentive Plan (the “Plan”), hereby
grants to the Participant set forth below the number of Options (each Option representing the right to purchase one share of Common Stock) set forth below, at an Exercise Price per share as set forth below. The Options are subject to all of the
terms and conditions as set forth herein, in the Option Agreement (attached hereto or previously provided to the Participant in connection with a prior grant), and in the Plan, all of which are incorporated herein in their entirety. Capitalized
terms not otherwise defined herein shall have the meaning set forth in the Plan. 
  

			
	Participant:	  	[Insert Participant Name]
		
	Date of Grant:	  	[Insert Date of Grant]
		
	Number of Options:	  	[Insert No. of Options Granted]
		
	Exercise Price:	  	[Insert Exercise Price per share]
		
	Option Period Expiration Date:	  	[Insert Expiration Date (e.g., Ten years from Date of Grant)]
		
	Type of Option:	  	[Incentive Stock Option][Nonqualified Stock Option]
		
	Vesting Schedule:	  	Provided the Participant has not undergone a Termination at the time of each applicable vesting date (or event):
		
		  	 •     1/3 of the Options will vest on each of the first three anniversaries of the Date of
Grant.

		
		  	In addition, (i) in the event of a Change in Control and the Participant’s employment is terminated without Cause during the 24 month period following such Change in Control, the Options, to the extent not then vested, shall
fully vest on the date of such termination of employment and (ii) in the event the Participant’s employment is terminated due to Participant’s death or Disability, the Options, to the extent not then vested, shall fully vest on the date of
such termination of employment.

 *        *        * 

 THE UNDERSIGNED PARTICIPANT ACKNOWLEDGES RECEIPT OF THIS OPTION GRANT NOTICE, THE OPTION AGREEMENT AND THE
PLAN, AND, AS AN EXPRESS CONDITION TO THE GRANT OF OPTIONS HEREUNDER, AGREES TO BE BOUND BY THE TERMS OF THIS OPTION GRANT NOTICE, THE OPTION AGREEMENT AND THE PLAN. 
  

					
	PATRIOT NATIONAL, INC.	 		 	         PARTICIPANT1

			
	  
	 		 	  

	By:	 		 	
	Title:	 		 	

  
  

	1 	To the extent that the Company has established, either itself or through a third-party plan administrator, the ability to accept this award electronically, such acceptance shall constitute the Participant’s
signature hereof. 

  
 2 

 OPTION AGREEMENT 

UNDER THE 
 PATRIOT
NATIONAL, INC. 
 2014 OMNIBUS INCENTIVE PLAN 

Pursuant to the Option Grant Notice (the “Grant Notice”) delivered to the Participant (as defined in the Grant Notice), and
subject to the terms of this Option Agreement (this “Option Agreement”) and the Patriot National, Inc. 2014 Omnibus Incentive Plan (the “Plan”), Patriot National,Inc. (the “Company”) and the
Participant agree as follows. Capitalized terms not otherwise defined herein shall have the same meaning as set forth in the Plan. 
 1.
Grant of Option. Subject to the terms and conditions set forth herein and in the Plan, the Company hereby grants to the Participant the number of Options provided in the Grant Notice (with each Option representing the right to
purchase one share of Common Stock), at an Exercise Price per share as provided in the Grant Notice. The Company may make one or more additional grants of Options to the Participant under this Option Agreement by providing the Participant with a new
Grant Notice, which may also include any terms and conditions differing from this Option Agreement to the extent provided therein. The Company reserves all rights with respect to the granting of additional Options hereunder and makes no implied
promise to grant additional Options. 
 2. Vesting. Subject to the conditions contained herein and in the Plan, the Options
shall vest as provided in the Grant Notice. 
 3. Exercise of Options Following Termination. The provisions of
Section 7(c)(ii) of the Plan are incorporated herein by reference and made a part hereof. 
 4. Method of Exercising
Options. The Options may be exercised by the delivery of notice of the number of Options that are being exercised accompanied by payment in full of the Exercise Price applicable to the Options so exercised. Such notice shall be delivered
either (x) in writing to the Company at its principal office or at such other address as may be established by the Committee, to the attention of the Company Secretary; or (y) to a third-party plan administrator as may be arranged for by
the Company or the Committee from time to time for purposes of the administration of outstanding Options under the Plan, in the case of either (x) or (y), as communicated to the Participant by the Company from time to time. Payment of the
aggregate Exercise Price may be made using any of the methods described in Section 7(d)(i) or (ii) of the Plan; provided, that the Participant shall obtain written consent from the Committee prior to the use of the method described
in Section 7(d)(ii)(A) of the Plan. 
 5. Issuance of Shares. Following the exercise of an Option hereunder, as
promptly as practical after receipt of such notification and full payment of such Exercise Price and any required income or other tax withholding amount (as provided in Section 9 hereof), the Company shall issue or transfer, or cause such issue
or transfer, to the Participant the number of shares with respect to which the Options have been so exercised, and shall either (a) deliver, or cause to be delivered, to the Participant a certificate or certificates therefor, registered in the
Participant’s name or (b) cause such shares to be credited to the Participant’s account at the third-party plan administrator. 

 6. Company; Participant. 

(a) The term “Company” as used in this Option Agreement with reference to employment shall include the Company and its Subsidiaries.

 (b) Whenever the word “Participant” is used in any provision of this Option Agreement under circumstances where the provision
should logically be construed to apply to the executors, the administrators, or the person or persons to whom the Options may be transferred by will or by the laws of descent and distribution, the word “Participant” shall be deemed to
include such person or persons. 
 7. Non-Transferability. The Options are not transferable by the Participant except
to Permitted Transferees in accordance with Section 14(b) of the Plan. Except as otherwise provided herein, no assignment or transfer of the Options, or of the rights represented thereby, whether voluntary or involuntary, by operation of law or
otherwise, shall vest in the assignee or transferee any interest or right herein whatsoever, but immediately upon such assignment or transfer the Options shall terminate and become of no further effect. 

8. Rights as Stockholder. The Participant or a Permitted Transferee of the Options shall have no rights as a stockholder
with respect to any share of Common Stock covered by an Option until the Participant shall have become the holder of record or the beneficial owner of such Common Stock, and no adjustment shall be made for dividends or distributions or other rights
in respect of such share of Common Stock for which the record date is prior to the date upon which the Participant shall become the holder of record or the beneficial owner thereof. 

9. Tax Withholding. The provisions of Section 14(d) of the Plan are incorporated herein by reference and made a part
hereof. 
 10. Notice. Every notice or other communication relating to this Option Agreement between the Company and the
Participant shall be in writing, and shall be mailed to or delivered to the party for whom it is intended at such address as may from time to time be designated by such party in a notice mailed or delivered to the other party as herein provided;
provided that, unless and until some other address be so designated, all notices or communications by the Participant to the Company shall be mailed or delivered to the Company at its principal executive office, to the attention of the
Company Secretary, and all notices or communications by the Company to the Participant may be given to the Participant personally or may be mailed to the Participant at the Participant’s last known address, as reflected in the Company’s
records. Notwithstanding the above, all notices and communications between the Participant and any third-party plan administrator shall be mailed, delivered, transmitted or sent in accordance with the procedures established by such third-party plan
administrator and communicated to the Participant from time to time. 
 11. No Right to Continued Service. This Option
Agreement does not confer upon the Participant any right to continue as an employee or service provider to the Company. 
 12. Binding
Effect. This Option Agreement shall be binding upon the heirs, executors, administrators and successors of the parties hereto. 

  
 4 

 13. Waiver and Amendments. Except as otherwise set forth in Section 13 of the
Plan, any waiver, alteration, amendment or modification of any of the terms of this Option Agreement shall be valid only if made in writing and signed by the parties hereto; provided, however, that any such waiver, alteration, amendment or
modification is consented to on the Company’s behalf by the Committee. No waiver by either of the parties hereto of their rights hereunder shall be deemed to constitute a waiver with respect to any subsequent occurrences or transactions
hereunder unless such waiver specifically states that it is to be construed as a continuing waiver. 
 14.
Clawback/Forfeiture. Notwithstanding anything to the contrary contained herein or in the Plan, if the Participant has engaged in or engages in any Detrimental Activity, then the Committee may, in its sole discretion, take actions
permitted under the Plan, including: (i) cancel the Options, or (ii) require that the Participant forfeit any gain realized on the exercise of the Options or the disposition of any shares of Common Stock received upon exercise of the
Options, and repay such gain to the Company. In addition, if the Participant receives any amount in excess of what the Participant should have received under the terms of this Option Agreement for any reason (including without limitation by reason
of a financial restatement, mistake in calculations or other administrative error), then the Participant shall be required to repay any such excess amount to the Company. Without limiting the foregoing, all Options shall be subject to reduction,
cancellation, forfeiture or recoupment to the extent necessary to comply with applicable law. 
 15. Governing Law.
This Option Agreement shall be construed and interpreted in accordance with the laws of the State of Delaware, without regard to the principles of conflicts of law thereof. Notwithstanding anything contained in this Option Agreement, the Grant
Notice or the Plan to the contrary, if any suit or claim is instituted by the Participant or the Company relating to this Option Agreement, the Grant Notice or the Plan, the Participant hereby submits to the exclusive jurisdiction of and venue in
the courts of Delaware. 
 16. Plan. The terms and provisions of the Plan are incorporated herein by reference. In the
event of a conflict or inconsistency between the terms and provisions of the Plan and the provisions of this Option Agreement, the Plan shall govern and control. 

  
 5EX-10.18

 Exhibit 10.18 

RESTRICTED STOCK GRANT NOTICE 

UNDER THE 
 PATRIOT
NATIONAL, INC. 
 2014 OMNIBUS INCENTIVE PLAN 

(Employees) 
 Patriot
National, Inc. (the “Company”), pursuant to its 2014 Omnibus Incentive Plan (the “Plan”), hereby grants to the Participant set forth below the number of shares of Restricted Stock set forth below. The shares of
Restricted Stock are subject to all of the terms and conditions as set forth herein, in the Restricted Stock Agreement (attached hereto or previously provided to the Participant in connection with a prior grant), and in the Plan, all of which are
incorporated herein in their entirety. Capitalized terms not otherwise defined herein shall have the meaning set forth in the Plan. 
  

			
	Participant:	  	[Insert Participant Name]
		
	Date of Grant:	  	[Insert Date of Grant]
		
	Number of Shares of Restricted Stock:	  	[Insert No. of Shares of Restricted Stock Granted]
		
	Vesting Schedule:	  	Provided the Participant has not undergone a Termination at the time of each applicable vesting date (or event):
		
		  	 •     100% of the Restricted Stock will vest on the date that is 180 days following the closing of the
initial public offering of the Company.

		
		  	In addition, (i) in the event of a Change in Control and the Participant’s employment is terminated without Cause during the 24 month period following such Change in Control, the shares of Restricted Stock, to the extent not
then vested, shall fully vest on the date of such termination of employment and (ii) in the event the Participant’s employment is terminated due to Participant’s death or Disability, the shares of Restricted Stock, to the extent not then
vested, shall fully vest on the date of such termination of employment.

 *        *        * 

 THE UNDERSIGNED PARTICIPANT ACKNOWLEDGES RECEIPT OF THIS RESTRICTED STOCK GRANT NOTICE, THE RESTRICTED STOCK
AGREEMENT AND THE PLAN, AND, AS AN EXPRESS CONDITION TO THE GRANT OF SHARES OF RESTRICTED STOCK HEREUNDER, AGREES TO BE BOUND BY THE TERMS OF THIS RESTRICTED STOCK GRANT NOTICE, THE RESTRICTED STOCK AGREEMENT AND THE PLAN. 

 

					
	PATRIOT NATIONAL, INC.	 		 	         PARTICIPANT1

			
	  
	 		 	  

	By:	 		 	
	Title:	 		 	

  
  

	1 	To the extent that the Company has established, either itself or through a third-party plan administrator, the ability to accept this award electronically, such acceptance shall constitute the Participant’s
signature hereof. 

  
 2 

 RESTRICTED STOCK AGREEMENT 

UNDER THE 
 PATRIOT
NATIONAL, INC. 
 2014 OMNIBUS INCENTIVE PLAN 

Pursuant to the Restricted Stock Grant Notice (the “Grant Notice”) delivered to the Participant (as defined in the Grant
Notice), and subject to the terms of this Restricted Stock Agreement (this “Restricted Stock Agreement”) and the Patriot National, Inc. 2014 Omnibus Incentive Plan (the “Plan”), Patriot National, Inc. (the
“Company”) and the Participant agree as follows. Capitalized terms not otherwise defined herein shall have the same meaning as set forth in the Plan. 

1. Grant of Shares of Restricted Stock. Subject to the terms and conditions set forth herein and in the Plan, the Company
hereby grants to the Participant the number of shares of Restricted Stock provided in the Grant Notice. The Company may make one or more additional grants of shares of Restricted Stock to the Participant under this Restricted Stock Agreement by
providing the Participant with a new Grant Notice, which may also include any terms and conditions differing from this Restricted Stock Agreement to the extent provided therein. The Company reserves all rights with respect to the granting of
additional shares of Restricted Stock hereunder and makes no implied promise to grant additional shares of Restricted Stock. 
 2.
Vesting. Subject to the conditions contained herein and in the Plan, the shares of Restricted Stock shall vest and the restrictions on such shares of Restricted Stock shall lapse as provided in the Grant Notice. With respect to any
share of Restricted Stock, the period of time that such share of Restricted Stock remains subject to vesting shall be its Restricted Period. 

3. Issuance of Shares of Restricted Stock. The provisions of Section 9(d)(i) of the Plan are incorporated herein by
reference and made a part hereof. 
 4. Treatment of Shares of Restricted Stock Upon Termination. The provisions of Sections
9(b) and 9(c)(ii) of the Plan are incorporated herein by reference and made a part hereof. 
 5. Company; Participant. 

(a) The term “Company” as used in this Restricted Stock Agreement with reference to employment shall include the Company and its
Subsidiaries. 
 (b) Whenever the word “Participant” is used in any provision of this Restricted Stock Agreement under
circumstances where the provision should logically be construed to apply to the executors, the administrators, or the person or persons to whom the shares of Restricted Stock may be transferred by will or by the laws of descent and distribution, the
word “Participant” shall be deemed to include such person or persons. 
 6. Non-Transferability. The shares
of Restricted Stock are not transferable by the Participant except to Permitted Transferees in accordance with Section 14(b) of the Plan. Except as otherwise provided herein, no assignment or transfer of the shares of Restricted Stock,

 
or of the rights represented thereby, whether voluntary or involuntary, by operation of law or otherwise, shall vest in the assignee or transferee any interest or right herein whatsoever, but
immediately upon such assignment or transfer the shares of Restricted Stock shall terminate and become of no further effect. 
 7.
Rights as Stockholder; Legend. The provisions of Sections 9(b) and 9(e) of the Plan are incorporated herein by reference and made a part hereof; provided, that any cash or in-kind dividends paid with respect to the shares of
Restricted Stock which have not, prior to the record date of the dividend, become vested shall be withheld by the Company without interest and shall be paid to the Participant only when, and if, such shares of Restricted Stock shall become vested
pursuant to Section 2. 
 8. Tax Withholding. The provisions of Section 14(d) of the Plan are incorporated herein by
reference and made a part hereof. 
 9. Notice. Every notice or other communication relating to this Restricted Stock
Agreement between the Company and the Participant shall be in writing, and shall be mailed to or delivered to the party for whom it is intended at such address as may from time to time be designated by such party in a notice mailed or delivered to
the other party as herein provided; provided that, unless and until some other address be so designated, all notices or communications by the Participant to the Company shall be mailed or delivered to the Company at its principal executive
office, to the attention of the Company Secretary, and all notices or communications by the Company to the Participant may be given to the Participant personally or may be mailed to the Participant at the Participant’s last known address, as
reflected in the Company’s records. Notwithstanding the above, all notices and communications between the Participant and any third-party plan administrator shall be mailed, delivered, transmitted or sent in accordance with the procedures
established by such third-party plan administrator and communicated to the Participant from time to time. 
 10. No Right to Continued
Service; Full Satisfaction. This Restricted Stock Agreement does not confer upon the Participant any right to continue as an employee or service provider to the Company or the Board. The grant of Restricted Stock hereunder pursuant to the
Grant Notice and this Restricted Stock Agreement is in full satisfaction of any obligation of the Company or any of its Subsidiaries or Affiliates to grant the Participant stock options in connection with the initial public offering of the Company
set forth in any employment or other agreement between the Participant and the Company or any of its Subsidiaries or Affiliates. For the avoidance of doubt, nothing in the preceding sentence shall diminish the Participant’s eligibility to
participate in, and receive Awards under, the Plan or any other long-term incentive plan maintained by the Company, in the discretion of the Committee, in accordance with the terms of such employment or other agreement. 

11. Binding Effect. This Restricted Stock Agreement shall be binding upon the heirs, executors, administrators and
successors of the parties hereto. 
 12. Waiver and Amendments. Except as otherwise set forth in Section 13 of the Plan,
any waiver, alteration, amendment or modification of any of the terms of this Restricted Stock Agreement shall be valid only if made in writing and signed by the parties hereto; provided, however, that any such waiver, alteration, amendment
or modification is consented to on the Company’s behalf by the Committee. No waiver by either of the parties hereto of their rights hereunder shall be deemed to constitute a waiver with respect to any subsequent occurrences or transactions
hereunder unless such waiver specifically states that it is to be construed as a continuing waiver. 

  
 4 

 13. Clawback/Forfeiture. Notwithstanding anything to the contrary contained herein
or in the Plan, if the Participant has engaged in or engages in any Detrimental Activity, then the Committee may, in its sole discretion, take actions permitted under the Plan, including: (i) cancel the shares of Restricted Stock, or
(ii) require that the Participant forfeit any gain realized on the vesting of the Restricted Stock, and repay such gain to the Company. In addition, if the Participant receives any amount in excess of what the Participant should have received
under the terms of this Restricted Stock Agreement for any reason (including without limitation by reason of a financial restatement, mistake in calculations or other administrative error), then the Participant shall be required to repay any such
excess amount to the Company. Without limiting the foregoing, all shares of Restricted Stock shall be subject to reduction, cancellation, forfeiture or recoupment to the extent necessary to comply with applicable law. 

14. Governing Law. This Restricted Stock Agreement shall be construed and interpreted in accordance with the laws of the
State of Delaware, without regard to the principles of conflicts of law thereof. Notwithstanding anything contained in this Restricted Stock Agreement, the Grant Notice or the Plan to the contrary, if any suit or claim is instituted by the
Participant or the Company relating to this Restricted Stock Agreement, the Grant Notice or the Plan, the Participant hereby submits to the exclusive jurisdiction of and venue in the courts of Delaware. 

15. Plan. The terms and provisions of the Plan are incorporated herein by reference. In the event of a conflict or
inconsistency between the terms and provisions of the Plan and the provisions of this Restricted Stock Agreement, the Plan shall govern and control. 

  
 5

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