FIRST AMENDMENT TO PARTICIPATION AGREEMENT
Great-West Life & Annuity Company, Variable Insurance Products Fund III and
Fidelity Distributors Corporation hereby amend the Participation Agreement
("Agreement") dated November 1, 2000 by doing the following:
1. Deleting Schedule A in its entirety and replacing it 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 1st day
of May, 2001.
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY
By: /s/ Xxx Laeyendedcer
Vice President
VARIABLE INSURANCE PRODUCTS FUND III
By: /s/ Xxxxxx X. Xxxxx
Senior Vice President
FIDELITY DISTRIBUTORS CORPORATION
By: /s/ Xxxx Xxxxxxx
Executive Vice President
Schedule A
Separate Accounts
Name(s) of Separate Account(s) Policy Form Numbers of
and Date Established Contracts Funded by
Separate Account(s)
FutureFunds Series Account GTD AMF 92Vol
November 15,1983 GTD AMF 92ER
GTS MF 184-1
GTS AMF 191
Maxim Series Account J401
June 24, 1981 J410
Pinnacle Series Account J320
January 31,1985
COLI VUL - 1 Series Account J350
November 25,1997
COLI VUL - 2 Series Account J355
November 25,1997
Key Business COLI VUL - 7 Series Account J3 50
November 23, 1999
