AMENDMENT NO. 2 TO PARTICIPATION AGREEMENT BY AND BETWEEN GOLDMAN SACHS VARIABLE INSURANCE TRUST, GOLDMAN, SACHS & CO. AND THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK
AMENDMENT NO. 2 TO
PARTICIPATION AGREEMENT BY AND BETWEEN
XXXXXXX XXXXX VARIABLE INSURANCE TRUST,
XXXXXXX, SACHS & CO. AND
THE UNITED STATES LIFE INSURANCE COMPANY
IN THE CITY OF NEW YORK
This Amendment No. 2 to the Participation Agreement dated June 1, 1998 (the “Amendment”), is made and entered into this 29th day of April, 2016 by and between XXXXXXX XXXXX VARIABLE INSURANCE TRUST, a statutory trust formed under the laws of Delaware (the “Trust”), XXXXXXX, SACHS & CO., a New York limited partnership (the “Distributor”), and THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (successor to American International Life Assurance Company of New York), a New York life insurance company (the “Company”), on its own behalf and on behalf of each separate account of the Company referred to herein.
WITNESSETH:
WHEREAS, the Trust, the Distributor and the Company entered into a Participation Agreement on June 1, 1998 (the “Agreement”);
WHEREAS, the Trust, the Distributor and the Company wish to amend the Agreement to reflect the offering of the Service, Institutional and Advisor Shares of certain series of the Trust in certain additional registered products; and
WHEREAS, Article XI of the Agreement provides that the Agreement may be amended by written agreement signed by all of the parties.
NOW, THEREFORE, in consideration of the mutual covenants herein contained, which consideration is full and complete, the Trust, the Distributor and the Company hereby agree as follows:
1. | Unless otherwise noted or amended herein, all other terms used in this Amendment shall have the same meaning as in the Agreement. |
2. | Except as hereby amended, the Agreement remains in full force and effect in accordance with it terms. |
3. | Amendments and Additions to Schedules. |
Schedule 2 of the Agreement is hereby deleted in its entirety and replaced with the attached Schedule 2.
Schedule 3 of the Agreement is hereby deleted in its entirety and replaced with the attached Schedule 3.
***SIGNATURE PAGE FOLLOWS***
IN WITNESS WHEREOF, each of the parties hereto has caused this Amendment to be executed in its name and behalf by its duly authorized officer on the date specified below.
XXXXXXX XXXXX VARIABLE INSURANCE TRUST | ||||||||
(Trust) | ||||||||
Date: April 29, 2016 | By: | /s/ Xxxxx XxXxxxxx | ||||||
Name: | Xxxxx XxXxxxxx | |||||||
Title: | Managing Director | |||||||
XXXXXXX, SACHS & CO. | ||||||||
(Distributor) | ||||||||
Date: April 29, 2016 | By: | /s/ Xxxxx Xxxxx | ||||||
Name: | Xxxxx Xxxxx | |||||||
Title: | Managing Director | |||||||
THE UNITED STATES LIFE INSURANCE COMPANY | ||||||||
IN THE CITY OF NEW YORK | ||||||||
(Company) | ||||||||
Date: April 29, 2016 | By: | /s/ Xxxxxx X. Xxxxxxxxxxx | ||||||
Name: | Xxxxxx X. Xxxxxxxxxxx | |||||||
Title: | President, Individual Retirement |
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Schedule 2
Classes of Contracts
Supported by Separate Accounts
Listed on Schedule 1
Effective as of April 29, 2016, the following classes of Contracts are hereby added to this Schedule 2 and made subject to the Agreement:
| ||||||
Policy Marketing Name |
SEC 1933 Act Registration Number |
Name of Supporting Account |
Annuity or Life | |||
Polaris Platinum III | 333-178841 | FS Variable Separate Account |
Variable Annuity | |||
Polaris Choice IV | 333-178842 | FS Variable Separate Account |
Variable Annuity | |||
Polaris Platinum O- Series |
333-178843 | FS Variable Separate Account |
Variable Annuity | |||
Polaris Preferred Solution |
333-178845 | FS Variable Separate Account |
Variable Annuity | |||
Polaris Retirement Protector | 333-178849 | FS Variable Separate Account |
Variable Annuity | |||
Polaris Select Investor |
333-198224 | FS Variable Separate Account |
Variable Annuity | |||
[Advisory Fee Product – Product name to be determined] |
To be assigned | FS Variable Separate Account |
Variable Annuity | |||
IN WITNESS WHEREOF, the Trust, the Distributor and the Company hereby amend this Schedule 2 in accordance with Article XI of the Agreement. |
/s/ Xxxxx XxXxxxxx |
/s/ Xxxxxx X. Xxxxxxxxxxx |
|||||||||||
Xxxxxxx Xxxxx Variable Insurance Trust | The United States Life Insurance Company in the City of New York | |||||||||||
Name: Xxxxx XxXxxxxx | Name: Xxxxxx X. Xxxxxxxxxxx | |||||||||||
Title: Managing Director | Title: President, Individual Retirement | |||||||||||
/s/ Xxxxx Xxxxx |
||||||||||||
Xxxxxxx, Xxxxx & Co. | ||||||||||||
Name: Xxxxx Xxxxx | ||||||||||||
Title: Managing Director |
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Schedule 3
Trust Classes and Series
Available Under
Each Class of Contracts
Effective as of the date of this Amendment, the following Trust Classes and Series are available under the Contracts:
| ||||
Contracts Marketing Name | Trust Classes and Series | |||
Executive Advantage VUL | All Series of Xxxxxxx Xxxxx Variable Insurance Trust (Service, Institutional, Advisor) | |||
Gemstone Life VUL | All Series of Xxxxxxx Sachs Variable Insurance Trust (Service, Institutional, Advisor) | |||
Polaris Select Investor Variable Annuity | All Series of Xxxxxxx Xxxxx Variable Insurance Trust (Service, Institutional, Advisor) | |||
Polaris Platinum III | All Series of Xxxxxxx Sachs Variable Insurance Trust (Service, Institutional, Advisor) | |||
Polaris Choice IV | All Series of Xxxxxxx Xxxxx Variable Insurance Trust (Service, Institutional, Advisor) | |||
Polaris Platinum O-Series | All Series of Xxxxxxx Sachs Variable Insurance Trust (Service, Institutional, Advisor) | |||
Polaris Preferred Solution | All Series of Xxxxxxx Xxxxx Variable Insurance Trust (Service, Institutional, Advisor) | |||
Polaris Retirement Protector | All Series of Xxxxxxx Sachs Variable Insurance Trust (Service, Institutional, Advisor) | |||
Polaris Select Investor | All Series of Xxxxxxx Xxxxx Variable Insurance Trust (Service, Institutional, Advisor) | |||
[Advisory Fee Product – Product name to be determined] | All Series of Xxxxxxx Sachs Variable Insurance Trust (Service, Institutional, Advisor) |
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