0001169232-07-004511 Sample Contracts

SEC RULE 22c-2 AMENDMENT
Sec Rule 22c-2 Amendment • November 30th, 2007 • Variable Annuity I Ser Acc of Fir GRT West Li & Annu Ins Co

THIS Rule 22c-2 Amendment is made and entered into this [date] by and between GWFS Equities, Inc. and/or its affiliates herein referred to as (“GWFS” or “Intermediary”), and __________________________________, including your principal underwriter and transfer agent (herein collectively referred to as “Fund Company”). Intermediary has entered into trading and/or fund participation and/or administrative services agreement(s) with Fund Company to make certain mutual funds and VIT funds (herein referred to as “Fund(s)”) available to employer-sponsored retirement benefit plans, individual annuity policies and IRAs (herein referred to as “Plan(s)”) serviced by Intermediary. Fund Company has adopted policies and procedures to protect certain Fund(s) and their respective shareholders from potentially harmful Frequent Trading. Such policies and procedures include reserving the right to reject certain transactions initiated by Plan participants, beneficiaries, individual annuity owners and benef

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FUND PARTICIPATION AGREEMENT Among GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY FIRST GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY Wells Fargo Variable Trust and Well Fargo Funds Distributor, LLC
Fund Participation Agreement • November 30th, 2007 • Variable Annuity I Ser Acc of Fir GRT West Li & Annu Ins Co • Colorado

THIS AGREEMENT, made and entered into as of this 1st day of October, 2005 by and among GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (hereinafter “GWL&A”), a Colorado life insurance company, on its own behalf and on behalf of its separate account(s) listed on Schedule E attached hereto (the “GWL&A Account(s)”); FIRST GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (hereinafter “First GWL&A”), a New York life insurance company, on its own behalf and on behalf of its separate account(s) listed on Schedule E (the “First GWL&A Account(s)”); (the GWL&A Account(s), and the First GWL&A Account(s) may be referred to herein individually, or collectively as the “Accounts”) (GWL&A and First GWL&A may be referred to herein individually, each as an “Insurance Party,” or collectively as the “Insurance Parties”); Wells Fargo Variable Trust, a statutory trust organized under the laws of Delaware (hereinafter the “Fund”), Wells Fargo Funds Distributor, LLC (hereinafter the “Distributor) a limited liability c

CONTRACT DATA PAGE
Flexible Premium Variable Annuity Contract • November 30th, 2007 • Variable Annuity I Ser Acc of Fir GRT West Li & Annu Ins Co

DEATH BENEFIT: The Owner has elected Death Benefit Option 1: Return of Annuity Account Value. As described in the Death Benefit Provisions, the Death Benefit payable under this Contract will be equal to the Annuity Account Value as of the date the Request for payout is received. CHARGES: Mortality and Expense Risk Charge for Death Benefit Option 1: .65%

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