AMENDMENT TO PARTICIPATION AGREEMENTS
Form of Participation Agreement Amendment
AMENDMENT TO PARTICIPATION AGREEMENTS
Fidelity Investments Life Insurance Company ("Company"), Fidelity Distributors Corporation ("Underwriter") and each of Variable Insurance Products Fund, Variable Insurance Products Fund II, Variable Insurance Products Fund III and Variable Insurance Products Fund IV (each, a "VIP Fund") hereby agree to amend each of the four separate Participation Agreements that the Company and the Underwriter have entered into with each VIP Fund, by replacing Schedule A in its entirety with the revised Schedule A.
Although the parties have executed this Amendment in a single form for administrative convenience, this Amendment shall amend each separate participation agreement for each VIP Fund, as though the Company and the Distributor had executed a separate, identical form of Amendment with each VIP Fund. No rights, responsibilities or liabilities of any Fund shall be attributed to any other VIP Fund.
IN WITNESS WHEREOF, each of the parties hereto has caused this Amendment to be executed
in its name and on its behalf by its duly authorized representative and its seal hereunder affixed hereto as
of the date specified above.
|
FIDELITY INVESTMENTS LIFE INSURANCE COMPANY |
FIDELITY DISTRIBUTORS CORPORATION |
|
By: ________________________ |
By: ________________________ |
|
Name: ________________________ |
Name: ________________________ |
|
Title: ________________________ |
Title: ________________________ |
|
VARIABLE INSURANCE PRODUCTS FUND VARIABLE INSURANCE PRODUCTS FUND II VARIABLE INSURANCE PRODUCTS FUND III, and VARIABLE INSURANCE PRODUCTS FUND IV
|
|
|
By: ________________________ |
|
|
Name: ________________________ |
|
|
Title: ________________________ |
|
SCHEDULE A
SEPARATE ACCOUNTS AND CONTRACTS
|
Name of Separate Account and Date Established by Board of Directors
|
Form Number* and Name of Contract Funded by Separate Account
|
|
|
|
|
Fidelity Investments Variable Annuity Account I, established July 22, 1987 |
XXX-00000 XXX-00000 XXXX-00000 XXX - 00000 NRR - 96101 VA-1/87 |
|
Fidelity Investments Variable Life Account I, established July 22, 1987 |
XXX-0000-XXX XXXX-0000-XXX |
* Refers to the basic contract. While there are state specific contracts having different contract numbers, they are variations of these basic contracts.
