SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK Futurity Survivorship II, a Flexible Premium Variable Universal Life Insurance Policy INSUREDS - ################################### Policy Number - ''''''''''''''''''''''''''''''Sun Life Ny Variable Account D • May 21st, 2003
We, Sun Life Insurance and Annuity Company of New York, a member of the Sun Life Financial group of companies, agree, subject to the conditions and provisions of the Policy, to pay the Beneficiary such amounts as are due and payable upon receipt of Due Proof of the Insured's death. Until that time, We agree to provide You, as Owner, the other rights and benefits of the Policy. These rights and benefits are subject to the provisions on the pages which follow. The Policy is a legal contract between You and Us. Signed at Wellesley Hills, Massachusetts, on the Issue Date. Robert C. Salipante, President Ellen B. King, Secretary
