0000744455-09-000005 Sample Contracts

BONUS AND SEVERANCE AGREEMENT
Bonus and Severance Agreement • March 30th, 2009 • Great West Life & Annuity Insurance Co • Colorado

This Agreement (“Agreement”) entered into as of June 30, 2008 (“Effective Date”) by and between Great-West Life & Annuity Insurance Company (the “Company”) and Richard F. Rivers (“Rivers”). The Company and Rivers are referred herein collectively as “Parties” and individually as “Party.”

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