Exhibit 10.5
CRAWFORD & COMPANY
2016 omnibus stock and incentive PLAN
[Year] Long-Term Incentive Plan Award Agreement (Time Vesting)
The Compensation Committee (the “Committee”) of the Board of Directors of Crawford & Company (the “Company”) has selected ____________ (“you” or the “Participant”) to receive an Award of Restricted Stock Units under the Crawford & Company 2016 Omnibus Stock and Incentive Plan (the “Plan”), which is incorporated into and forms a part of this Award Agreement (the “Agreement”), as of the Grant Date described herein. Pursuant to the terms of this Agreement and the Plan, you are hereby granted _____ Restricted Stock Units, subject to satisfaction of the vesting requirements as set forth in this Agreement. Subject to the terms and conditions of this Agreement, the Company will deliver to you one (1) share of Class A Common Stock of the Company (“Common Stock”) for each vested Restricted Stock Unit.
Except where the context clearly implies or indicates the contrary, a word, term or phrase used in the Plan is similarly used in this Agreement.
Percentage of Vested Restricted Stock Units |
Vesting Date |
33% | December 31, |
33% | December 31, |
34% | December 31, |
Properly executed forms not received by [Date] will be deemed to be Common Stock Elections.
IN WITNESS WHEREOF, the Participant has executed this Agreement, and the Company has caused this Agreement to be executed in its name and on its behalf, all as the Grant Date.
Crawford & Company Participant
By:
Title:
Print Name
CRAWFORD & COMPANY
2016 omnibus stock and incentive plan
BENEFICIARY DESIGNATION FORM
I wish to designate the following person(s) as my beneficiary(ies) to receive my outstanding awards, if any, under the Crawford & Company 2016 Omnibus Stock and Incentive Plan, as amended from time to time, including any successor thereto (the “Plan”), in the event of my death. I reserve the right to change this designation with the understanding that this designation, and any change thereof, will be effective only upon delivery to Crawford & Company (the “Company”). The right to receive my outstanding awards under the Plan, if any, will be transferred to my primary beneficiaries who survive me, and to my secondary beneficiaries who survive me only if none of my primary beneficiaries survive me.
A. PRIMARY BENEFICIARY (BENEFICIARIES)
Name of Beneficiary Relationship Percentage
1. ______________________ ____________ __________
2. ______________________ ____________ __________
3. ______________________ ____________ __________
B. SECONDARY BENEFICIARY (BENEFICIARIES)
Name of Beneficiary Relationship Percentage
1. ______________________ ____________ __________
2. ______________________ ____________ __________
3. ______________________ ____________ __________
I acknowledge that execution of this form and delivery thereof to the Company revokes all prior beneficiary designations I have made with respect to my outstanding awards under the Plan.
Participant’s signature: ______________________________________.
Date: ____________________, 20____.