Amendment No. __ Participation Agreement
Amendment No. __
The Participation Agreement, made and entered into as of the ___ day of _____, 200__, (the "Agreement"), by and among ______________ , a _________ corporation, _______________ , a ________ corporation, Sun Life Insurance and Annuity Company of New York, a New York life insurance company ("Insurer"), and Clarendon Insurance Agency, Inc. a Massachusetts corporation, is hereby amended as follows:
Schedule A of the Agreement is deleted in its entirety and replaced with the following:
SCHEDULE A
FUNDS AVAILABLE UNDER THE POLICIES |
SEPARATE ACCOUNTS UTILIZING THE FUNDS |
CONTRACTS FUNDED BY THE SEPARATE ACCOUNTS |
Sun Life (N.Y.) |
Futurity - NY Variable and Fixed Annuity Contract |
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Sun Life (N.Y.) |
Futurity Accolade - NY Variable and Fixed Annuity Contract |
|
Sun Life (N.Y.) |
DVA |
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Sun Life (N.Y.) |
All-Star |
All other terms and provisions of the Agreement not amended herein shall remian in full force and effect.
Effective Date: December 31, 2002
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_________________________________ |
Attest: ____________________________ |
By: ______________________________ |
Name: |
Name: |
Title: |
Title: |
_________________________________ |
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Attest: ____________________________ |
By: ______________________________ |
Name: |
Name: |
Title: |
Title: |
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK |
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Attest: ___________________________ |
By: _______________________________ |
Name: |
Name: |
Title: |
Title: |
By: ________________________________ |
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Name: |
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Title: |
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CLARENDON INSURANCE AGENCY, INC. |
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Attest: ____________________________ |
By: ________________________________ |
Name: |
Name: |
Title: |
Title: |
By: ________________________________ |
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Name: |
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Title: |