Variable Life Insurance Supplement And
Commission Schedule
This Variable Life Insurance Supplement ("Supplement") and the attached
Commission Schedule, form a part of that certain Sales Operation and General
Agent ("Distribution Agreement") entered into by and between the parties
listed herein. All capitalized terms used in this Supplement shall carry the
meaning assigned in the Distribution Agreement. The specific purpose of this
Supplement is to add the variable life insurance product(s) offered by Sun
Life of Canada (U.S.), as listed on the attached Commission Schedule (which
may be amended, from time to time, by Sun Life of Canada (U.S.) as set forth
in the Distribution Agreement). In conjunction with the availability of such
products, the parties hereby confirm that "suitability" requirements, whether
arising from federal securities law (including NASD) or state insurance law,
shall be, respectively, the compliance responsibility of Broker-Dealer and
General Agent within their respective supervisory responsibilities as more
particularly set forth in the Distribution Agreement; and, in connection
therewith Broker-Dealer and General Agent hereby represent to Sun Life of
Canada (U.S.) and Clarendon that no recommendation shall be made by them (or
any sub-agent under their supervision) to any applicant to purchase a
variable life insurance policy unless they have reasonable grounds to believe
that the purchase of such policy is suitable for that applicant, after
reasonable inquiry of the applicant concerning such relevant matters as the
applicant's insurance and investment objectives, financial situation and
needs, together with such other relevant information as may be required under
applicable law or by Sun Life of Canada (U.S.) from time to time.
This Supplement shall be effective when signed by all the following parties
to be effective as of _____________________________________________________________________
GENERAL AGENT Clarendon Insurance Agency, Inc.
____________________________________________________ One Sun Life Executive Park
Licensed General Agent or Agency Name: Xxxxxxxxx Xxxxx, XX 00000
Address: ____________________________________________ CLARENDON INSURANCE AGENCY
_____________________________________________________ By XXXXXX XXXXX
---------------------------------------
Tax ID No.: _________________________________________ Xxxxxx Xxxxx, Secretary
_____________________________________________________ By XXXXXXX X. XXXXXX
Print Name and Title of Authorized Officer ---------------------------------------
Xxxxxxx X. Xxxxxx, Vice President
By __________________________________________________
Signature and Title of Authorized Officer - Date
----------------------------------------------------------------------------------------------------
NASD BROKER DEALER Sun Life Assurance Co. of Canada (U.S.)
One Sun Life Executive Park
Registered Name:_____________________________________ Xxxxxxxxx Xxxxx, XX 00000
Home Office Address: ________________________________
_____________________________________________________
Tax ID No.: _________________________________________ SUN LIFE ASSURANCE COMPANY OF
CANADA (U.S.)
_____________________________________________________
Print Name and Title of Authorized Officer By XXXX XxXXXX
-----------------------------------------
By __________________________________________________ Xxxx XxXxxx, For the President
Signature and Title of Authorized Officer - Date
By XXXXX X. XXXXXX
-----------------------------------------
Xxxxx Xxxxxx, For the Secretary
