Exhibit 10.6
CRAWFORD & COMPANY
2016 omnibus stock and incentive PLAN
[Date] Long-Term Incentive Plan Performance Stock Unit Award Agreement
The Compensation Committee (the “Committee”) of the Board of Directors of Crawford & Company (the “Company”) has selected [_ _NAME______] (“you” or the “Participant”) to receive an Award of Performance 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, subject to the terms and conditions described in this Agreement. Pursuant to the terms of this Agreement and the Plan, upon execution of this Agreement you will be granted [ ## ] Performance Stock Units, subject to all conditions hereof including achievement of the performance goals and satisfaction of the other vesting requirements as set forth in this Agreement. In accordance with such terms, the Company will deliver to you one (1) share of Class A Common Stock of the Company (“Common Stock”) for each earned and vested Performance Stock Unit or, if elected by you per the terms of this Agreement, a cash payment in lieu of shares of Common Stock.
is [Date].
1
Except where the context clearly implies or indicates the contrary, a word, term, or phrase used in the Plan is used in this Agreement.
2
Performance Period Earnings Per Share | Percentage of Earned Performance Stock Units |
$[amount] | 30% |
$[amount] | 100% |
$[amount] | 200% |
3
4
5
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
6
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____.
7