EXHIBIT 10.Q
AMENDMENT TO
FUND PARTICIPATION AGREEMENT
The Fund Participation Agreement dated the 30th day of September, 1993, as
amended January 1, 2001, by and between PROVIDENT MUTUAL LIFE INSURANCE COMPANY
(previously Provident Mutual Life Insurance Company of Philadelphia), and
DREYFUS VARIABLE INVESTMENT FUND, and THE DREYFUS SOCIALLY RESPONSIBLE GROWTH
FUND, INC. ("Agreement") is hereby amended as of May 1, 2002, to add "DREYFUS
INVESTMENT PORTFOLIOS" as a party to the Agreement and as follows:
(1) Exhibit A is deleted in its entirety and replaced with the revised
Exhibit A attached hereto.
(2) Section 1.5 is deleted in its entirety and replaced with the following
Section 1.5:
1.5 "Contract" shall mean either a variable annuity contract or a
variable life insurance policy that uses the Fund as an
underlying investment medium. Individuals who participate
under a group Contract are "Participants."
(3) Section 1.11 is deleted in its entirety and replaced with the following
Section 1.11:
1.11 "Separate Account" shall mean the separate accounts of the
Insurance Company listed on Exhibit B attached hereto, all of
which are established by Insurance Company in accordance with
the laws of the Commonwealth of Pennsylvania.
(4) Section 2.1 is deleted in its entirety and replaced with the following
Section 2.1:
2.1 Insurance Company represents and warrants that (a) it is an
insurance company duly organized and in good standing under
applicable law; (b) it has legally and validly established the
Separate Account pursuant to the Pennsylvania Insurance Code
for the purpose of offering to the public certain individual
variable life insurance policies or variable annuity
contracts; and (c) it has registered the Separate Account as a
unit investment trust under the Act to serve as the segregated
investment account for the Contracts.
(5) Section 12.1 is deleted in its entirety and replaced with the following
Section 12.1:
12.1. Each notice required by this Agreement shall be given by
certified mail, return receipt requested, to the appropriate
parties at the following addresses:
Insurance Company: Provident Mutual Life Insurance Company
Attention: Law Department
0000 Xxxxxxxxxxxx Xxxxxxxxx
Xxxxxx, XX 00000-0000
Fund: Dreyfus Variable Investment Fund
Attention: General Counsel
000 Xxxx Xxxxxx
Xxx Xxxx, XX 00000
with copies to: Stroock & Stroock & Xxxxx
Attention: Xxxxx X. Xxxx, Esq.,
Xxxxxx X. Xxxxxxx, Esq.
0 Xxxxxxx Xxxxxx
Xxx Xxxx, XX 00000-0000
Notice shall be deemed to be given on the date of receipt by the
addressee as evidenced by the return receipt.
(6) A new Exhibit B is added to the Agreement and includes the name of each
separate account and a list of products in which Dreyfus portfolios are
offered.
IN WITNESS WHEREOF, the undersigned have executed this Amendment as of
the date first above written.
PROVIDENT MUTUAL LIFE INSURANCE
COMPANY
By: /s/ Xxxx X. Xxxxxx
______________________________
Xxxx X. Xxxxxx
Title: Executive Vice President
and Chief Actuary
DREYFUS SOCIALLY RESPONSIBLE GROWTH
FUND, INC.
By: /s/ Xxxxxx X. Xxxxxx
_______________________________
Xxxxxx X. Xxxxxx
Title: Secretary
DREYFUS VARIABLE INVESTMENT FUND
By: /s/ Xxxxxx X. Xxxxxx
_______________________________
Xxxxxx X. Xxxxxx
Title: Assistant Secretary
DREYFUS INVESTMENT PORTFOLIOS
By: /s/ Xxxxxx X. Xxxxxx
_______________________________
Xxxxxx X. Xxxxxx
Title: Secretary
Dated: May 1, 2002
EXHIBIT A
Dreyfus Variable Investment Fund
Growth and Income Portfolio - Initial Shares
Appreciation Portfolio - Initial Shares
The Dreyfus Socially Responsible Growth Fund, Inc. - Initial Shares
Dreyfus Investment Portfolios
Small Cap Stock Index Portfolio - Service Shares
EXHIBIT B
Products
--------
1933 Act
Name of Separate Account Marketing Name Registration No.
------------------------ -------------- ----------------
Provident Mutual Variable Life OptionsPlus VLI 33-42133
Separate Account (1940 Act Options Premier VLI 333-71763
Registration Number 811-4460) Survivor Options Elite VLI 333-82613
Survivor Options Premier VLI 333-84475
Survivor OptionsPlus VLI 33-55470
Special Product VLI 33-38463
The Provident Mutual Variable Annuity
Separate Account (1940 Act
Registration Number 811-7708) VIP Extra Credit VA 333-54990
VIP/2 VA 33-70926
