Non-Qualified Stock Option Grant Certificate under 2003 Incentive Plan – James River Group, Inc. and Option Holder

  STOCK OPTION CERTIFICATE For ______ Shares Issued Pursuant to the 2003 Incentive Plan of JAMES RIVER GROUP, INC. THIS CERTIFIES that on _____________ (the "Issuance Date"), ______________ (the "Holder") was granted an option (the "Option") to purchase, at the option price of $______ per share (the "Exercise Price"), up to ___________ fully paid and non-assessable shares of the Common Stock, $.01 par value per share (the "Shares"), of James River Group, Inc., a Delaware corporation (the "Company"), upon and subject to the following terms and conditions: (a) Terms of the Plan. The Option is granted pursuant to, and is subject to the terms and conditions of, the 2003 Incentive Plan of the Company (as amended from time to time, the "Plan"), the terms, conditions and definitions of which are hereby incorporated herein as though set forth at length, and the receipt of a copy of which the Holder hereby acknowledges by his signature below. Capitalized terms used herein shall have the meanings set forth in the Plan, unless otherwise defined herein. (b) Expiration. This Option shall expire at 11:59 p.m., _______________, unless earlier terminated in accordance with this Option Certificate or the Plan. (c) Exercise. This Option may be exercised or surrendered during the lifetime of the Representative (as defined below) only by the Holder. THIS OPTION SHALL NOT BE TRANSFERABLE BY THE HOLDER. As used in this Option Certificate, "Representative" means _________________. This Option shall vest and be exercisable as set forth below: (i) If the Representative has continuously served the Company or any of its subsidiaries or affiliates on ____________, this Option shall vest and be exercisable in accordance with its terms with respect to ______ Shares. (ii) If the Representative has continuously served the Company or any of its subsidiaries or affiliates on ____________, this Option shall vest and be exercisable in accordance with its terms with respect to an additional ______ Shares. (iii) If the Representative has continuously served the Company or any of its subsidiaries or affiliates on ____________, this Option shall vest and be exercisable in accordance with its terms with respect to an additional ______ Shares. (iv) If the Representative has continuously served the Company or any of its subsidiaries or affiliates on ____________, this Option shall vest and be exercisable in accordance with its terms with respect to an additional ______ Shares.  This Option shall be exercised by the Holder as to all or part of the Shares, by the giving of written notice of exercise to the Company, specifying the number of Shares to be purchased, accompanied by payment of the full Exercise Price for the Shares being purchased. Full payment of such purchase price shall be made at the time of exercise and shall be made (i) in cash or by certified check or bank check or wire transfer of immediately available funds, (ii) with the consent of the Committee, by delivery of a promissory note in favor of the Company upon such terms and conditions as determined by the Committee, (iii) with the consent of the Committee, by tendering previously acquired Shares (valued at its Fair Market Value, as determined by the Committee as of the date of tender) that have been owned for a period of at least six months (or such other period to avoid accounting charges against the Company's earnings), (iv) if Shares are traded on a national securities exchange, the Nasdaq Stock Market, Inc. or quoted on a national quotation system sponsored by the National Association of Securities Dealers, Inc. and the Committee authorizes this method of exercise, through the delivery of irrevocable instructions to a broker approved by the Committee to deliver promptly to the Company an amount equal to the purchase price, or (v) with the consent of the Committee, any combination of (i), (ii), (iii) and (iv). In connection with a tender of previously acquired Shares pursuant to clause (iii) above, the Committee, in its sole discretion, may permit the Holder to constructively exchange Shares already owned by the Holder in lieu of actually tendering such Shares to the Company, provided that adequate documentation concerning the ownership of the Shares to be constructively tendered is furnished in form satisfactory to the Committee. The notice of exercise, accompanied by such payment, shall be delivered to the Company at its principal business office or such other office as the Committee may from time to time direct, and shall be in such form, containing such further provisions consistent with the provisions of the Plan, as the Committee may from time to time prescribe. In no event may any Option granted hereunder be exercised for a fraction of a Share. The Company shall effect the transfer of Shares purchased pursuant to an Option as soon as practicable, and, within a reasonable time thereafter, such transfer shall be evidenced on the books of the Company. No person exercising an Option shall have any of the rights of a holder of Shares subject to an Option until certificates for such Shares shall have been issued following the exercise of such Option. No adjustment shall be made for cash dividends or other rights for which the record date is prior to the date of such issuance. (d) Termination of Service. In the event of the termination or separation of the Representative's service from the Company for any reason, this Option, to the extent not previously exercised or expired, to the extent vested on the date of such termination or separation shall be exercisable as of such termination for a period not to exceed three months after the date of such termination or separation, provided, however, that the Committee shall have the absolute discretion to increase such period or to decrease such period to a period of not less than two weeks. (e) Adjustments. The number of Shares subject to this Option, and the exercise price, shall be subject to adjustment in accordance with Section 9.9 of the Plan. (f) Delivery of Share Certificates. Within a reasonable time after the exercise of this Option, the Company shall cause to be delivered to the person entitled thereto a certificate for the 2  Shares purchased pursuant to the exercise of this Option. If this Option shall have been exercised with respect to less than all of the Shares subject to this Option, the Company shall also cause to be delivered to the person entitled thereto a new Option Certificate in replacement of this Option Certificate if surrendered at the time of the exercise of this Option, indicating the number of Shares with respect to which this Option remains available for exercise, or this Option Certificate shall be endorsed to give effect to the partial exercise of this Option. (g) Withholding. In the event that the Holder elects to exercise this Option or any part thereof, and if the Company or any subsidiary or affiliate of the Company shall be required to withhold any amounts (the "Withholding Taxes") by reason of any federal, state or local tax laws, rules or regulations in respect of the issuance of Shares to the Holder pursuant to the Option or the exercise or disposition (in whole or in part) of the Option, the Company or such subsidiary or affiliate shall be entitled to deduct and withhold such amounts from any payments to be made to the Holder. In any event, the Holder shall make available to the Company or such subsidiary or affiliate, promptly when requested by the Company or such subsidiary or affiliate, sufficient funds to meet the requirements of such withholding; and the Company or such subsidiary or affiliate shall be entitled to take and authorize such steps as it may deem advisable in order to have such funds available to the Company or such subsidiary or affiliate out of any funds or property due or to become due to the Holder. (h) Reservation of Shares. The Company hereby agrees that at all times there shall be reserved for issuance and/or delivery upon exercise of this Option such number of Shares as shall be required for issuance or delivery upon exercise hereof. (i) Rights of Representative and Holder. Nothing contained herein shall be construed to confer upon the Holder or the Representative any right to be in the employ or service, or to be continued in the employ or service, as the case may be, of the Company and/or any subsidiary or affiliate of the Company or derogate from any right of the Company and/or any subsidiary or affiliate of the Company to retire, request the resignation of, or discharge the Representative or the Holder from service for the Company at any time, with or without cause. The Holder shall not, by virtue hereof, be entitled to any rights of a shareholder in the Company, either at law or in equity, and the rights of the Holder are limited to those expressed herein and are not enforceable against the Company except to the extent set forth herein. (j) Registration; Legend. The Company may postpone the issuance and delivery of Shares upon any exercise of this Option until (i) the admission of such Shares to listing on any stock exchange or exchanges on which Shares of the Company of the same class are then listed and (ii) the completion of such registration or other qualification of such Shares under any state or federal law, rule or regulation as the Company shall determine to be necessary or advisable. The Holder shall make such representations and furnish such information as may, in the opinion of counsel for the Company, be appropriate to permit the Company, in light of the then existence or non-existence with respect to such Shares of an effective Registration Statement under the Securities Act of 1933, as amended, to issue the Shares in compliance with the provisions of that or any comparable act. The Company may cause the following or a similar legend to be set forth on each certificate representing Shares or any other security issued or issuable upon exercise of this 3  Option unless counsel for the Company is of the opinion as to any such certificate that such legend is unnecessary: THE SECURITIES REPRESENTED BY THIS CERTIFICATE MAY NOT BE OFFERED FOR SALE, SOLD OR OTHERWISE TRANSFERRED EXCEPT PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE "ACT"), OR PURSUANT TO AN EXEMPTION FROM REGISTRATION UNDER THE ACT, THE AVAILABILITY OF WHICH IS ESTABLISHED BY AN OPINION FROM COUNSEL TO THE COMPANY. (k) Amendment. The Company may at any time or from time to time amend the terms and conditions of this Option in accordance with the Plan. (l) Notices. Any notice which either party hereto may be required or permitted to give to the other shall be in writing, and may be delivered personally or by mail, postage prepaid, or overnight courier, addressed as follows: if to the Company, at the office of James River Group, Inc., 1414 Raleigh Road, Suite 415, Chapel Hill, North Carolina 27517 or at such other address as the Company by notice to the Holder may designate in writing from time to time; and if to the Holder, at the address shown below his/her signature on this Option Certificate, or at such other address as the Holder by notice to the Company may designate in writing from time to time. Notices shall be effective upon receipt. (m) Interpretation. A determination of the Committee, in its sole discretion, as to any questions which may arise with respect to the interpretation of the provisions of this Option and of the Plan shall be final and binding. The Committee, in its sole discretion, may authorize and establish such rules, regulations and revisions thereof as it may deem advisable. 4  IN WITNESS WHEREOF, the parties have executed this Option Certificate as of the date set forth above. JAMES RIVER GROUP, INC. By:________________________ Name: Title: ACCEPTED: _______________________________________________ Name of Holder (limited liability company, trust, corporation, limited partnership or other entity) (Please Print) By:____________________________________________ Signature of Authorized Person _______________________________________________ Name of above Signatory (Please Print) _______________________________________________ Title of Signatory Address of Holder: _______________________________________________ _______________________________________________ _______________________________________________ Employer Identification Number of Holder: _______________________________________________ 5