FUND PARTICIPATION AGREEMENT AMENDMENT
This Fund Participation Agreement Amendment hereby amends the Fund Participation
Agreement dated June 1999, as amended, between the First Allmerica Financial
Life Insurance Company, and each of Dreyfus Investment Portfolios, The Dreyfus
Socially Responsible Growth Fund, Inc. and the Dreyfus Variable Investment Fund
("Agreement") in the following manner:
The Agreement is amended to replace Exhibit B in its entirety by the revised
Exhibit B, attached hereto.
IN WITNESS WHEREOF, the parties hereto have executed this Fund Participation
Agreement Amendment as of December __, 2000.
FIRST ALLMERICA FINANCIAL LIFE
INSURANCE COMPANY
By:
Its:
Attest:
THE DREYFUS SOCIALLY RESPONSIBLE GROWTH FUND, INC.
By:
Its:
Attest:
DREYFUS VARIABLE INVESTMENT FUND
By:
Its:
Attest:
DREYFUS INVESTMENT PORTFOLIOS
By:
Its:
Attest:
EXHIBIT B
CONTRACTS OF THE COMPANY
----------------------------------------------------------------------------------------------------------------------------
CONTRACT 1 CONTRACT 2 CONTRACT 3
----------------------------------------------------------------------------------------------------------------------------
CONTRACT/PRODUCT NAME Xxxxxx Gateway Elite Xxxxxx Gateway Custom Xxxxxx Gateway Advisor
----------------------------------------------------------------------------------------------------------------------------
REGISTERED (Y/N) Y Y Y
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER 333-9965 333-10283 333-63091
----------------------------------------------------------------------------------------------------------------------------
REPRESENTATIVE FORM A3025-96 A3026-96 A3027-98
NUMBERS
----------------------------------------------------------------------------------------------------------------------------
Separate Account KG of Separate Account KGC of Separate Account KG of
SEPARATE ACCOUNT Allmerica Financial Life Allmerica Financial Life Allmerica Financial Life
NAME/DATE ESTABLISHED Insurance and Annuity Company Insurance and Annuity Company Insurance and Annuity Company
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER 811-7767 811-7777 811-7767
----------------------------------------------------------------------------------------------------------------------------
PORTFOLIOS Dreyfus Investment Dreyfus Investment Portfolios: Dreyfus Investment
Portfolios: Portfolios:
- MidCap Stock - MidCap Stock
Portfoli- - MidCap Stock Portfoli- Portfolio
The Dreyfus Socially The Dreyfus Socially The Dreyfus Socially
Responsible Growth Fund, Inc. Responsible Growth Fund, Inc. Responsible Growth Fund, Inc.
----------------------------------------------------------------------------------------------------------------------------
EXHIBIT B (continued)
CONTRACTS OF THE COMPANY
----------------------------------------------------------------------------------------------------------------------------
CONTRACT 4 CONTRACT 5 CONTRACT 6
----------------------------------------------------------------------------------------------------------------------------
CONTRACT/PRODUCT NAME Xxxxxx Gateway Plus Xxxxxx Gateway (TBD) ValuePlus Assurance
----------------------------------------------------------------------------------------------------------------------------
REGISTERED (Y/N) Y Y Y
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER 333-81019 333-90539 333-93031
----------------------------------------------------------------------------------------------------------------------------
REPRESENTATIVE FORM A3028-99 A3030-99 1036-99
NUMBERS
----------------------------------------------------------------------------------------------------------------------------
Separate Account KG of Separate Account KG of FUVUL Separate Account of
SEPARATE ACCOUNT Allmerica Financial Life Allmerica Financial Life Allmerica Financial Life
NAME/DATE ESTABLISHED Insurance and Annuity Company Insurance and Annuity Company Insurance and Annuity Company
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER 811-7767 811-7767 811-09731
----------------------------------------------------------------------------------------------------------------------------
PORTFOLIOS Dreyfus Investment Dreyfus Investment Portfolios: Dreyfus Variable Investment
Fund:
- Appreciation
Portfolios: Portfolio
- MidCap Stock - Quality Bond
Portfoli- - MidCap Stock Portfoli- Portfolio
The Dreyfus Socially The Dreyfus Socially The Dreyfus Socially
Responsible Growth Fund, Inc. Responsible Growth Fund, Inc. Responsible Growth Fund, Inc.
----------------------------------------------------------------------------------------------------------------------------
EXHIBIT B (continued)
CONTRACTS OF THE COMPANY
----------------------------------------------------------------------------------------------------------------------------
CONTRACT 7 CONTRACT 8 CONTRACT 9
----------------------------------------------------------------------------------------------------------------------------
CONTRACT/PRODUCT NAME PremierFocus PremierFocus First Union IVA
----------------------------------------------------------------------------------------------------------------------------
REGISTERED (Y/N) N N Y
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER N/A N/A Pending
----------------------------------------------------------------------------------------------------------------------------
REPRESENTATIVE FORM 1037-99 1037-99 A3029-99
NUMBERS
----------------------------------------------------------------------------------------------------------------------------
FR1 of Allmerica Financial FQ1 of Allmerica Financial Separate Account VA-K of
SEPARATE ACCOUNT Life Insurance and Annuity Life Insurance and Annuity Allmerica Financial Life
NAME/DATE ESTABLISHED Company Company Insurance and Annuity Company
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER N/A N/A 811-6293
----------------------------------------------------------------------------------------------------------------------------
PORTFOLIOS The Dreyfus Socially Dreyfus Variable Investment Dreyfus Variable Investment
Fund:
Fund: - Appreciation
- Appreciation Portfolio Portfolio
- Quality Bond Portfolio - Quality Bond
- Money Market Portfolio Portfolio
The Dreyfus Socially The Dreyfus Socially
Responsible Growth Fund, Inc. Responsible Growth Fund, Inc. Responsible Growth Fund, Inc.
----------------------------------------------------------------------------------------------------------------------------
EXHIBIT B (continued)
CONTRACTS OF THE COMPANY
----------------------------------------------------------------------------------------------------------------------------
CONTRACT 10 CONTRACT 11 CONTRACT 12
----------------------------------------------------------------------------------------------------------------------------
CONTRACT/PRODUCT NAME First Union Private Placement First Union Private Placement Xxxxxx Gateway Incentive
Annuity Annuity
----------------------------------------------------------------------------------------------------------------------------
REGISTERED (Y/N) N N Y
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER N/A N/A 333-46716
----------------------------------------------------------------------------------------------------------------------------
REPRESENTATIVE FORM A3034-00 A3034-00 A3032-00
NUMBERS
----------------------------------------------------------------------------------------------------------------------------
UR1 of Allmerica Financial UQ1 of Allmerica Financial
SEPARATE ACCOUNT Life Insurance and Annuity Life Insurance and Annuity
NAME/DATE ESTABLISHED Company Company Separate Account KG
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER N/A N/A 811-7767
----------------------------------------------------------------------------------------------------------------------------
PORTFOLIOS The Dreyfus Socially Dreyfus Variable Investment Dreyfus Investment
Portfolios:
- MidCap Stock
Fund: Portfolio
- Appreciation Portfolio
- Quality Bond Portfolio
The Dreyfus Socially The Dreyfus Socially
Responsible Growth Fund, Inc. Responsible Growth Fund, Inc. Responsible Growth Fund, Inc.
----------------------------------------------------------------------------------------------------------------------------
EXHIBIT B (continued)
CONTRACTS OF THE COMPANY
----------------------------------------------------------------------------------------------------------------------------
CONTRACT 11 CONTRACT 12 CONTRACT 13
----------------------------------------------------------------------------------------------------------------------------
CONTRACT/PRODUCT NAME Xxxxxx VUL 2000
----------------------------------------------------------------------------------------------------------------------------
REGISTERED (Y/N) Y
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER 333-90995
----------------------------------------------------------------------------------------------------------------------------
REPRESENTATIVE FORM 1033-99
NUMBERS
----------------------------------------------------------------------------------------------------------------------------
SEPARATE ACCOUNT
NAME/DATE ESTABLISHED Separate Account IMO
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER 811-09529
----------------------------------------------------------------------------------------------------------------------------
PORTFOLIOS Dreyfus Investment
Portfolios:
- MidCap Stock
Portfolio
----------------------------------------------------------------------------------------------------------------------------
FUND PARTICIPATION AGREEMENT AMENDMENT
This Fund Participation Agreement Amendment hereby amends the Fund Participation
Agreement dated June 1999, as amended, between the First Allmerica Financial
Life Insurance Company, and each of Dreyfus Investment Portfolios, The Dreyfus
Socially Responsible Growth Fund, Inc. and the Dreyfus Variable Investment Fund
("Agreement"), in the following manner:
The Agreement is amended to replace Exhibit B in its entirety by the revised
Exhibit B, attached hereto.
IN WITNESS WHEREOF, the parties hereto have executed this Fund Participation
Agreement Amendment as of December __, 2000.
FIRST ALLMERICA FINANCIAL LIFE INSURANCE COMPANY
By:
Its:
Attest:
THE DREYFUS SOCIALLY RESPONSIBLE GROWTH FUND, INC.
By:
Its:
Attest:
DREYFUS VARIABLE INVESTMENT FUND
By:
Its:
Attest:
DREYFUS INVESTMENT PORTFOLIOS
By:
Its:
Attest:
EXHIBIT B
CONTRACTS OF THE COMPANY
----------------------------------------------------------------------------------------------------------------------------
CONTRACT 1 CONTRACT 2 CONTRACT 3
----------------------------------------------------------------------------------------------------------------------------
Contract/Product Name Xxxxxx Gateway Elite Xxxxxx Gateway Custom Xxxxxx Gateway Advisor
----------------------------------------------------------------------------------------------------------------------------
REGISTERED (Y/N) Y Y Y
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER 333-10285 333-10395 333-63089
----------------------------------------------------------------------------------------------------------------------------
REPRESENTATIVE FORM A3025-96 A3026-96 A3027-98
NUMBERS
----------------------------------------------------------------------------------------------------------------------------
Separate Account KG of First Separate Account KGC of First Separate Account KG of First
SEPARATE ACCOUNT Allmerica Financial Life Allmerica Financial Life Allmerica Financial Life
NAME/DATE ESTABLISHED Insurance Company Insurance Company Insurance Company
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER 811-7769 811-7771 811-7769
----------------------------------------------------------------------------------------------------------------------------
PORTFOLIOS / ADVISER Dreyfus Investment Dreyfus Investment Portfolios: Dreyfus Investment
Portfolios: Portfolios:
- Dreyfus XxxXxx - Xxxxxxx XxxXxx - Xxxxxxx XxxXxx
Stock Portfolio Stock Portfolio Stock Portfolio
DREFUS SOCIALLY RESPONSIBLE Drefus Socially Responsible Drefus Socially Responsible
GROWTH FUND, INC. Growth Fund, Inc. Growth Fund, Inc.
----------------------------------------------------------------------------------------------------------------------------
EXHIBIT B (continued)
CONTRACTS OF THE COMPANY
----------------------------------------------------------------------------------------------------------------------------
CONTRACT 4 CONTRACT 5 CONTRACT 6
----------------------------------------------------------------------------------------------------------------------------
Contract/Product Name Xxxxxx Gateway (TBD) ValuePlus Assurance
----------------------------------------------------------------------------------------------------------------------------
REGISTERED (Y/N) Y Pending
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER 333-90541 Pending
----------------------------------------------------------------------------------------------------------------------------
REPRESENTATIVE FORM A3030-99 1036-99
NUMBERS
----------------------------------------------------------------------------------------------------------------------------
Separate Account KG of First FUVUL Separate Account of
SEPARATE ACCOUNT Allmerica Financial Life First Allmerica Financial Life
NAME/DATE ESTABLISHED Insurance Company Insurance Company
----------------------------------------------------------------------------------------------------------------------------
SEC REGISTRATION NUMBER 811-7769 Pending
----------------------------------------------------------------------------------------------------------------------------
PORTFOLIOS / ADVISER Dreyfus Investment Dreyfus Variable Investment
Fund:
- Dreyfus Capital
Portfolios: Appreciation Portfolio
- Dreyfus XxxXxx - Xxxxxxx Quality Bond
Stock Portfolio Portfolio
Drefus Socially Responsible Dreyfus Socially Responsible
Growth Fund, Inc. Growth Fund, Inc.
----------------------------------------------------------------------------------------------------------------------------