FORM OF AMENDMENT OF PARTICIPATION AGREEMENT
Exhibit (h)(86)
FORM OF
AMENDMENT
OF
This Amendment dated as of May 1, 2009 is by and among TRANSAMERICA FINANCIAL LIFE INSURANCE
COMPANY, (the “Company”) a New York corporation, on its own behalf and on behalf of each separate
account of the Company named in Schedule 1 to Participation Agreement (as defined below), (the
“Separate Accounts”), PREMIER VIT, an open-end diversified management investment company organized
under the laws of the State of Massachusetts (the “Fund”), and ALLIANZ GLOBAL INVESTORS
DISTRIBUTORS LLC, a Delaware limited liability company (“AGI Distributors”).
WHEREAS, the Company, the Fund and AGI Distributors have entered into a Participation
Agreement on December 15, 1997 (the “Participation Agreement”); and
WHEREAS, the Company, the Fund and AGI Distributors desire to amend the Participation
Agreement.
NOW, THEREFORE, in consideration of the mutual covenants contained herein, the parties hereto
agree as follows:
1. Anti-Money Laundering. The following provision shall be added to the Participation
Agreement as its last numbered Sub-Section under Section 1 and it shall be numbered accordingly:
Each party to this Agreement hereby represents and warrants that it is currently in
compliance, and will remain in compliance, with all applicable anti-money laundering laws,
regulations, and requirements. In addition, each party to the Agreement represents and
warrants that it has adopted and implemented policies and procedures reasonably designed to
achieve compliance with the applicable requirements administered by the Office of Foreign
Assets Control (“OFAC”) of the U.S. Department of the Treasury.
2. Replacement of Schedules 1 and 2. Schedules 1 and 2 of the Participation are
deleted in their entirety and replaced by the following Schedules 1 and 2:
Schedule 1
Participation Agreement
Among
Premier VIT, Allianz Global Investors Distributors LLC, and Transamerica Financial
Life Insurance Company
Among
Premier VIT, Allianz Global Investors Distributors LLC, and Transamerica Financial
Life Insurance Company
The following separate accounts of Transamerica Financial Life Insurance Company are permitted
in accordance with the provisions of this Agreement to invest in Portfolios of the Fund shown in
Schedule 2:
TFLIC
Separate Account C
Separate Account VA GNY
Separate Account VA-6NY
Schedule 2
Participation Agreement
Among
Premier VIT, Allianz Global Investors Distributors LLC, and Transamerica Financial
Life Insurance Company
Among
Premier VIT, Allianz Global Investors Distributors LLC, and Transamerica Financial
Life Insurance Company
The Separate Account(s) shown on Schedule 1 may invest in the following Portfolios of Premier
VIT:
Premier NFJ Dividend Value Portfolio
OpCap Managed Portfolio
NACM Small Cap Portfolio
3. Continuation. Except as set forth above, the Participation Agreement shall remain
in full force and effect in accordance with its terms.
4. Counterparts. This Amendment may be executed in one or more counterparts, each of
which shall be deemed to be an original.
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IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be executed by a duly
authorized representative as of the day and year first above written.
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY | ||||
By: |
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Name:
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Title: |
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PREMIER VIT | ||||
By: |
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Name:
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Title:
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President & CEO | |||
ALLIANZ GLOBAL INVESTORS DISTRIBUTORS LLC | ||||
By: |
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Name:
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Title:
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Managing Director |
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