EXHIBIT (h)(11)
FORM OF
ADDENDUM TO FUND PARTICIPATION AGREEMENT
The Fund Participation Agreement, made the 1st day of January, 2000, and
subsequently amended on January 28, 2000 and August 14, 2000 by and among
PACIFIC LIFE INSURANCE COMPANY (formerly Pacific Mutual Life Insurance Company)
("Pacific Life"), a life insurance company domiciled in California, on its
behalf and on behalf of its segregated asset accounts listed on Exhibit A to the
Agreement; PACIFIC LIFE & ANNUITY COMPANY ("PL&A", and, together with Pacific
Life, the "Companies"), a life insurance company domiciled in Arizona, on its
behalf and on behalf of its segregated asset accounts listed on Exhibit A to the
Agreement (the segregated asset accounts of the Companies are referred to
collectively as the "Separate Accounts"); PACIFIC SELECT FUND (the "Fund"), a
Massachusetts business trust; and PACIFIC SELECT DISTRIBUTORS, INC.
("Distributor"), a California corporation, is hereby amended by the addition of
the provisions set forth in this Addendum to the Agreement ("Addendum"), which
is made this day of 2000.
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1. Effective January 2, 2001, Exhibit B attached to the Agreement, is amended
as shown on Exhibit B attached to this Addendum.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be duly
executed as of the day and year first above written.
PACIFIC SELECT FUND
ATTEST: BY:
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Name: Xxxxxx X. Milfs Name: Xxxxxx X. Xxxxxx
Title: Secretary Title: Chairman of the Board & Trustee
PACIFIC SELECT DISTRIBUTORS, INC.
ATTEST: BY:
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Name: Xxxxxx X. Milfs Name: Xxxxxx X. Xxxxxxxx
Title: Secretary Title: Chairman & Chief Executive
Officer
PACIFIC LIFE INSURANCE COMPANY
ATTEST: BY:
------------------------------ -----------------------------------
Name: Xxxxxx X. Milfs Name: Xxxxxx X. Xxxxxx
Title: Secretary Title: Chairman of the Board & Chief
Executive Officer
ATTEST: BY:
------------------------------ -----------------------------------
Name: Xxxxxx X. Milfs Name: Xxxxx X. Xxxxxxx
Title: Secretary Title: President
PACIFIC LIFE & ANNUITY COMPANY
ATTEST: BY:
------------------------------ -----------------------------------
Name: Xxxxxx X. Milfs Name: Xxxx X. Xxxxxx
Title: Secretary Title: Executive Vice President
Exhibit B
Aggressive Equity Portfolio
Emerging Markets Portfolio
Diversified Research Portfolio
Small-Cap Equity Portfolio
International Large-Cap Portfolio
Equity Portfolio
I-Net Tollkeeper Portfolio
Multi-Strategy Portfolio
Equity Income Portfolio
Growth LT Portfolio
Strategic Value Portfolio
Focused 30 Portfolio
Mid-Cap Value Portfolio
Equity Index Portfolio
Small-Cap Index Portfolio
REIT Portfolio
International Value Portfolio
Government Securities Portfolio
Managed Bond Portfolio
Money Market Portfolio
High Yield Bond Portfolio
Large-Cap Value Portfolio
Global Growth Portfolio*
Mid-Cap Growth Portfolio*
Capital Opportunities Portfolio*
Technology Portfolio*
Financial Services Portfolio*
Telecommunications Portfolio*
Health Sciences Portfolio*
Aggressive Growth Portfolio*
Blue Chip Portfolio*
*Effective January 2, 2001
