FIFTH AMENDMENT TO PARTICIPATION AGREEMENT
EX-99.A4_1
Exhibit 26(h)(x)
Fifth Amendment to Participation Agreement Among
Variable Insurance Products Fund II, Fidelity Distributors
Corporation and Transamerica dated July 1, 2004
FIFTH AMENDMENT TO PARTICIPATION AGREEMENT
Transamerica Financial Life Insurance Company (formerly AUSA Life Insurance Company, Inc.), Variable Insurance Products Fund II and Fidelity Distributors Corporation hereby amend the Participation Agreement (“Agreement”) dated August 31, 2000, as amended, by doing the following:
The Schedule A of the Agreement is hereby deleted in its entirety and replaced with the Amended Schedule A attached hereto.
IN WITNESS WHEREOF, the parties have hereto affixed their respective authorized signatures, intending that this Amendment be effective as of the 1st day of July 2004.
| TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY | ||
| By: |
/s/ Xxxxxxxxx X. Xxxxxxx | |
| Name: |
Xxxxxxxxx X. Xxxxxxx | |
| Title: |
Assistant Vice President and Assistant Secretary | |
| VARIABLE INSURANCE PRODUCTS FUND II | ||
| By: |
/s/ Xxxxxxxxx Xxxxxxxx | |
| Name: |
Xxxxxxxxx Xxxxxxxx | |
| Title: |
Treasurer | |
| FIDELITY DISTRIBUTORS CORPORATION | ||
| By: |
/s/ Don Holborn | |
| Name: |
Don Holborn | |
| Title: |
Executive Vice President | |
Schedule A
Separate Accounts and Associated Contracts
| Name of Separate Account and Date Established by Board of Directors |
Policy Form Numbers of Contracts Funded by Separate Account | |
| (est. October 24, 1994) |
Form Number: VL03NY Product: TFLIC Financial Freedom Builder | |
| Form Number: VL95NY Product: TFLIC Freedom Elite Builder | ||
| Form Number: JLS02NY Product: TFLIC Freedom Wealth Protector | ||
| Form Number: VL08NY Product: TFLIC Freedom Elite Builder II | ||
| Separate Account VA BNY (est. September 27, 1994) |
Form Number: AV343 101 90 396 Product: TFLIC Landmark Variable Annuity | |
| TFLIC Series Annuity Account (est. March 20, 2001) |
Form Number: WL18NY Product: TFLIC Freedom Premier | |
| TR-Fidelity VIP II Contrafund® Portfolio (est. July 1, 2001) |
Form Number: TA-AP-2001-CONT | |
| Separate Account VA QNY (est. August 13, 1996) |
Form Number: AV1024 101 179 1003 | |
