AMENDMENT DATED MARCH ___, 2005
TO
FUND PARTICIPATION AGREEMENT DATED MAY 1, 2001
WHEREAS, GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY ("GWL&A"), XXXXXXX
VARIABLE SERIES II (the "Fund"), DEUTSCHE INVESTMENT MANAGEMENT AMERICAS INC.,
formerly known as ZURICH XXXXXXX INVESTMENTS, INC. (the "Adviser"), XXXXXXX
DISTRIBUTORS, INC. (the "Distributor") and XXXXXXX XXXXXX & CO., INC.
("Schwab"), collectively, the "Parties," entered into a Fund Participation
Agreement dated May 1, 2001, as amended (the "Agreement");
WHEREAS, the Parties to the Agreement desire to add FIRST GREAT-WEST
LIFE & ANNUITY INSURANCE COMPANY ("FGWL&A"), a New York life insurance company,
as a Party to the Agreement; and
WHEREAS, the Parties to the Agreement desire to add certain Designated
Portfolios to Schedule B of the Agreement;
NOW, THEREFORE, in consideration of the premises and mutual covenants
contained in the Agreement and herein, the Parties hereby amend the Agreement as
follows:
1. FGWL&A is hereby added as a Party to the Agreement. The Parties to the
Agreement, including FGWL&A, agree that each representation, warranty, covenant,
condition and other provision of the Agreement that is applicable to GWL&A shall
also be applicable to FGWL&A, with the following changes: (i) the "Account" was
established on January 15, 1997 under the insurance laws of the State of New
York; (ii) references in Section 2.1 certain Colorado laws shall be changed to
Section 4240, et. seq., of New York Insurance Law; (iii) references in Section
2.4 to certain Colorado insurance laws shall be to the insurance laws of the
State of New York; (iv) references in Section 12.5 to Colorado shall be changed
to New York; (v) the Schedule A form number shall be J434NY; and (vi) the
service fee on Schedule C shall be at a rate of 0.25%. The rights and
obligations of GWL&A and FGWL&A under the Agreement as amended hereby shall be
several and not joint.
2. The following Portfolios are added to Schedule B of the Agreement as
Designated Portfolios: Xxxxxxx Variable Series II Xxxxxxx Blue Chip Portfolio
Class A, Xxxxxxx Variable Series II Xxxxxxx High Return Equity Portfolio Class
A, and Xxxxxxx Variable Series II Xxxxxxx Large Cap Value Portfolio Class A.
[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
IN WITNESS WHEREOF, the Parties have executed this Amendment as of the
___ day of March, 2005.
GREAT- WEST LIFE & ANNUITY INSURANCE COMPANY
By:
-----------------------------------------------------------
Printed name:
-------------------------------------------------
Title:
--------------------------------------------------------
FIRST GREAT- WEST LIFE & ANNUITY INSURANCE COMPANY
By:
-----------------------------------------------------------
Printed name:
-------------------------------------------------
Title:
--------------------------------------------------------
XXXXXXX VARIABLE SERIES II
By:
-----------------------------------------------------------
Printed name:
-------------------------------------------------
Title:
--------------------------------------------------------
DEUTSCHE INVESTMENT MANAGEMENT AMERICAS, INC.
By:
-----------------------------------------------------------
Printed name:
-------------------------------------------------
Title:
--------------------------------------------------------
XXXXXXX DISTRIBUTORS, INC.
By:
-----------------------------------------------------------
Printed name:
-------------------------------------------------
Title:
--------------------------------------------------------
XXXXXXX XXXXXX & CO., INC.
By:
-----------------------------------------------------------
Printed name:
-------------------------------------------------
Title:
--------------------------------------------------------
