AMENDMENT NO. 4 PARTICIPATION AGREEMENT
AMENDMENT NO. 4
The Participation Agreement (the “Agreement”), dated April 30, 2004, by and among AIM Variable
Insurance Funds, a Delaware trust; A I M Distributors, Inc., a Delaware corporation, and GREAT-WEST
LIFE & ANNUITY INSURANCE COMPANY, a Colorado life insurance company (“G-WL&A”), on behalf of
itself and each of its segregated asset accounts listed in Schedule A hereto, as the parties hereto
may amend from time to time (each, an “Account,” and collectively, the “Accounts”); and as the
principal underwriter of the Contracts (“UNDERWRITER”), is hereby amended as follows:
WHEREAS, effective April 30, 2010, AIM Variable Insurance Funds was renamed AIM Variable
Insurance Funds (Invesco Variable Insurance Funds). All references to AIM Variable Insurance Funds
is hereby deleted and replaced with AIM Variable Insurance Funds (Invesco Variable Insurance
Funds);
WHEREAS, on March 31, 2008, A I M Distributors, Inc. was renamed Invesco Aim Distributors,
Inc. Effective April 30, 2010, Invesco Aim Distributors, Inc. was renamed Invesco Distributors,
Inc. All references to Invesco Aim Distributors, Inc. is hereby deleted and replaced with Invesco
Distributors, Inc.
Schedule A of the Agreement is hereby deleted in its entirety and replaced with the following:
SCHEDULE A
FUNDS AVAILABLE UNDER THE CONTRACTS
ALL SERIES I SHARES AND SERIES II SHARES OF AIM VARIABLE INSURANCE FUNDS (INVESCO VARIABLE
INSURANCE FUNDS)
SEPARATE ACCOUNTS UTILIZING THE FUNDS
ALL SEPARATE ACCOUNTS UTILIZING THE FUNDS
CONTRACTS FUNDED BY THE SEPARATE ACCOUNTS
ALL CONTRACTS FUNDED BY THE SEPARATE ACCOUNTS
All other terms and provisions of the Agreement not amended herein shall remain in full force and
effect.
Effective date: April 30, 2010
| AIM VARIABLE INSURANCE FUNDS (INVESCO VARIABLE INSURANCE FUNDS) |
||||||||||||
| Attest: | /s/ Xxxxx Xxxxxxxx | By: | /s/ Xxxx X. Xxxx | |||||||||
| Name: | Xxxxx Xxxxxxxx | Name: | Xxxx X. Xxxx | |||||||||
| Title: | Assistant Secretary | Title: | Senior Vice President | |||||||||
| INVESCO DISTRIBUTORS, INC. | ||||||||||||
| Attest: | /s/ Xxxxx Xxxxxxxx | By: | /s/ Xxxx X. Xxxxxx | |||||||||
| Name: | Xxxxx Xxxxxxxx | Name: | Xxxx X. Xxxxxx | |||||||||
| Title: | Assistant Secretary | Title: | President | |||||||||
| GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY | ||||||||||||
| Attest: | /s/ Xxxxxxx Xxxxxxxxxx | By: | /s/ Xxxxx Xxxx | |||||||||
| Name: | Xxxxxxx Xxxxxxxxxx | Name: | Xxxxx Xxxx | |||||||||
| Title: | BOLI/LOLI Fund Mgr | Title: | V.P., Individual Markets | |||||||||
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