EXHIBIT 1.A.(3)(m)
Third Amendment to Participation Agreement Among
AUSA Life Insurance Company, Inc., Variable Insurance Products
Fund II and Fidelity Distributors Corporation
THIRD AMENDMENT TO PARTICIPATION AGREEMENT
AUSA Life Insurance Company, Inc., Variable Insurance Products Fund II and
Fidelity Distributors Corporation hereby amend the Participation Agreement
("Agreement") dated August 31, 2000, as amended, by doing the following:
The Schedule A of the Agreement is hereby deleted in its entirety and
replaced with the Amended Schedule A attached hereto.
IN WITNESS WHEREOF, the parties have hereto affixed their respective authorized
signatures, intending that this Amendment be effective as of the 2nd day of July
2001.
AUSA LIFE INSURANCE COMPANY, INC.
By: /s/ Xxxxxxxxx X. Xxxxxxx
Name: Xxxxxxxxx X. Xxxxxxx
Title: Assistant Vice President and Assistant Secretary
VARIABLE INSURANCE PRODUCTS FUND II
By: /s/ Xxxxxx X. Xxxxx
Name: Xxxxxx X. Xxxxx
Title: Senior Vice President
FIDELITY DISTRIBUTORS CORPORATION
By: /s/ Xxxx Xxxxxxx
Name: Xxxx Xxxxxxx
Title: Executive Vice President
Schedule A
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Separate Accounts and Associated Contracts
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Name of Separate Account and Policy Form Numbers of Contracts
Date Established by Board of Directors Funded by Separate Account
-------------------------------------- --------------------------
AUSA Series Life Account Form Number: VL03NY
(est. October 24, 1994) Product: AUSA Financial
Freedom Builder
Form Number: VL95NY
Product: AUSA Freedom Elite Builder
Form Number: JLS02NY
Product: AUSA Freedom Wealth Protector
Separate Account VA BNY Form Number: AV343 101 90 396
(est. September 27, 1994) Product: AUSA Landmark Variable
Annuity
AUSA Series Annuity Account Form Number: WL18NY
(est. March 20, 2001) Product: AUSA Freedom Premier
TR-Fidelity VIP II Form Number: TA-AP-2001-CONT
Contrafund(R) Portfolio
(est. July 1, 2001)
