0001037155-06-000001 Sample Contracts

THIS AGREEMENT is made and entered into as of the 29th day of April, 2005 by and among FIRST GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (the "Company"), a New York life insurance company, on its own behalf and on behalf of each separate account of...
Agreement • January 3rd, 2006 • Variable Annuity I Ser Acc of Fir GRT West Li & Annu Ins Co • New York

(This and related steps may occur later in the chronological process due to possible uncertainties relating to the proposals.)

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First Great-West Life & Annuity Insurance Company A Stock Company INDIVIDUAL FLEXIBLE PREMIUM VARIABLE DEFERRED ANNUITY
Entire Contract • January 3rd, 2006 • Variable Annuity I Ser Acc of Fir GRT West Li & Annu Ins Co

ALL PAYOUTS AND VALUES BASED ON THE INVESTMENT EXPERIENCE OF THE ANNUITY ACCOUNT VALUE ARE VARIABLE, MAY INCREASE OR DECREASE ACCORDINGLY, AND THEY ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THE ANNUITY ACCOUNT WILL INCREASE OR DECREASE IN VALUE BASED UPON INVESTMENT RESULTS.

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