1 EXHIBIT 4(a) PROVIDENT MUTUAL LIFE INSURANCE COMPANY Berwyn, Pennsylvania ANNUITANT: JOHN DOE CONTRACT NO.: 0200000000 CONTRACT DATE: 01/01/2000 MATURITY DATE: 01/01/2055 In this Contract, Provident Mutual Life Insurance Company is referred to as...Life Insurance Contract • July 17th, 2001 • Provident Mutual Variable Annuity Separate Account
