FUND PARTICIPATION AGREEMENT AMENDMENT
This Fund Participation Agreement Amendment hereby amends the Fund
Participation Agreement dated June 1999, as amended, between the Allmerica
Financial Life and Annuity Insurance Company, and each of Dreyfus Investment
Portfolios, The Dreyfus Socially Responsible Growth Fund, Inc. and the Dreyfus
Variable Investment Fund ("Agreement") in the following manner:
The Agreement is amended to replace Exhibit B in its entirety by the revised
Exhibit B, attached hereto.
IN WITNESS WHEREOF, the parties hereto have executed this Fund Participation
Agreement Amendment as of December 19, 2000.
ALLMERICA FINANCIAL LIFE AND ANNUITY
INSURANCE COMPANY
By: /s/ Xxxx X. Xxx
Its: Chief Financial Officer
Attest: /s/ Xxxxxxxx XxXxxxxxxx
THE DREYFUS SOCIALLY RESPONSIBLE
GROWTH FUND, INC.
By: /s/ Xxxxxx X. Xxxxxx
Its: Secretary
Attest: /s/ Xxxx Gubring
DREYFUS VARIABLE INVESTMENT FUND
By:/s/ Xxxxxx X. Xxxxxx
Its: Assistant Secretayr
Attest: /s/ Xxxx Gubring
DREYFUS INVESTMENT PORTFOLIOS
By: /s/ Xxxxxx X. Xxxxxx
Its: Secretary
Attest: /s/ Xxxx Gubring
EXHIBIT B
CONTRACTS OF THE COMPANY
-------------------------- ------------------------------- -------------------------------- -------------------------------
CONTRACT 1 CONTRACT 2 CONTRACT 3
--------------------------- ------------------------------- -------------------------------- -------------------------------
CONTRACT/PRODUCT NAME Xxxxxx Gateway Elite Xxxxxx Gateway Custom Xxxxxx Gateway Advisor
--------------------------- ------------------------------- -------------------------------- -------------------------------
REGISTERED (Y/N) Y Y Y
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEC REGISTRATION NUMBER 333-9965 333-10283 333-63091
--------------------------- ------------------------------- -------------------------------- -------------------------------
REPRESENTATIVE FORM A3025-96 A3026-96 A3027-98
NUMBERS
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEPARATE ACCOUNT Separate Account KG of Separate Account KGC of Separate Account KG of
NAME/DATE ESTABLISHED Allmerica Financial Life Allmerica Financial Life Allmerica Financial Life
Insurance and Annuity Company Insurance and Annuity Company Insurance and Annuity Company
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEC REGISTRATION NUMBER 811-7767 811-7777 811-7767
--------------------------- ------------------------------- -------------------------------- -------------------------------
PORTFOLIOS Dreyfus Investment Portfolios: Dreyfus Investment Portfolios: Dreyfus Investment Portfolios:
- MidCap Stock - MidCap Stock - MidCap Stock
Portfolio Portfolio Portfolio
The Dreyfus Socially The Dreyfus Socially The Dreyfus Socially
Responsible Growth Fund, Inc. Responsible Growth Fund, Inc. Responsible Growth Fund, Inc.
--------------------------- ------------------------------- -------------------------------- -------------------------------
EXHIBIT B (continued)
CONTRACTS OF THE COMPANY
--------------------------- ------------------------------- -------------------------------- -------------------------------
CONTRACT 4 CONTRACT 5 CONTRACT 6
--------------------------- ------------------------------- -------------------------------- -------------------------------
CONTRACT/PRODUCT NAME Xxxxxx Gateway Plus Xxxxxx Gateway (TBD) ValuePlus Assurance
--------------------------- ------------------------------- -------------------------------- -------------------------------
REGISTERED (Y/N) Y Y Y
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEC REGISTRATION NUMBER 333-81019 333-90539 333-93031
--------------------------- ------------------------------- -------------------------------- -------------------------------
REPRESENTATIVE FORM A3028-99 A3030-99 1036-99
NUMBERS
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEPARATE ACCOUNT Separate Account KG of Separate Account KG of FUVUL Separate Account of
NAME/DATE ESTABLISHED Allmerica Financial Life Allmerica Financial Life Allmerica Financial Life
Insurance and Annuity Company Insurance and Annuity Company Insurance and Annuity Company
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEC REGISTRATION NUMBER 811-7767 811-7767 811-09731
--------------------------- ------------------------------- -------------------------------- -------------------------------
PORTFOLIOS Dreyfus Investment Portfolios: Dreyfus Investment Portfolios: Dreyfus Variable Investment
Fund:
- MidCap Stock - MidCap Stock - Appreciation Portfolio
Portfolio Portfolio - Quality Bond Portfolio
The Dreyfus Socially The Dreyfus Socially The Dreyfus Socially
Responsible Growth Fund, Inc. Responsible Growth Fund, Inc. Responsible Growth Fund, Inc.
--------------------------- ------------------------------- -------------------------------- -------------------------------
EXHIBIT B (continued)
CONTRACTS OF THE COMPANY
--------------------------- ------------------------------- -------------------------------- -------------------------------
CONTRACT 7 CONTRACT 8 CONTRACT 9
--------------------------- ------------------------------- -------------------------------- -------------------------------
CONTRACT/PRODUCT NAME PremierFocus PremierFocus First Union IVA
--------------------------- ------------------------------- -------------------------------- -------------------------------
REGISTERED (Y/N) N N Y
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEC REGISTRATION NUMBER N/A N/A Pending
--------------------------- ------------------------------- -------------------------------- -------------------------------
REPRESENTATIVE FORM 1037-99 1037-99 A3029-99
NUMBERS
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEPARATE ACCOUNT FR1 of Allmerica Financial FQ1 of Allmerica Financial Separate Account VA-K of
NAME/DATE ESTABLISHED Life Insurance and Annuity Life Insurance and Annuity Allmerica Financial Life
Company Company Insurance and Annuity Company
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEC REGISTRATION NUMBER N/A N/A 811-6293
--------------------------- ------------------------------- -------------------------------- -------------------------------
PORTFOLIOS The Dreyfus Socially Dreyfus Variable Investment Dreyfus Variable Investment
Responsible Growth Fund, Inc. Fund: Fund:
- Appreciation Portfolio - Appreciation Portfolio
- Quality Bond Portfolio - Quality Bond Portfolio
- Money Market Portfolio
The Dreyfus Socially The Dreyfus Socially
Responsible Growth Fund, Inc. Responsible Growth Fund, Inc.
--------------------------- ------------------------------- -------------------------------- -------------------------------
EXHIBIT B (continued)
CONTRACTS OF THE COMPANY
--------------------------- ------------------------------- -------------------------------- -------------------------------
CONTRACT 10 CONTRACT 11 CONTRACT 12
--------------------------- ------------------------------- -------------------------------- -------------------------------
CONTRACT/PRODUCT NAME First Union Private Placement First Union Private Placement Xxxxxx Gateway Incentive
Annuity Annuity
--------------------------- ------------------------------- -------------------------------- -------------------------------
REGISTERED (Y/N) N N Y
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEC REGISTRATION NUMBER N/A N/A 333-46716
--------------------------- ------------------------------- -------------------------------- -------------------------------
REPRESENTATIVE FORM A3034-00 A3034-00 A3032-00
NUMBERS
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEPARATE ACCOUNT UR1 of Allmerica Financial UQ1 of Allmerica Financial Separate Account KG
NAME/DATE ESTABLISHED Life Insurance and Annuity Life Insurance and Annuity
Company Company
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEC REGISTRATION NUMBER N/A N/A 811-7767
--------------------------- ------------------------------- -------------------------------- -------------------------------
PORTFOLIOS The Dreyfus Socially Dreyfus Variable Investment Dreyfus Investment Portfolios:
Responsible Growth Fund, Inc. Fund:
- Appreciation Portfolio - MidCap Stock Portfolio
- Quality Bond Portfolio
The Dreyfus Socially The Dreyfus Socially
Responsible Growth Fund, Inc. Responsible Growth Fund, Inc.
--------------------------- ------------------------------- -------------------------------- -------------------------------
EXHIBIT B (continued)
CONTRACTS OF THE COMPANY
--------------------------- ------------------------------- -------------------------------- -------------------------------
CONTRACT 11 CONTRACT 12 CONTRACT 13
--------------------------- ------------------------------- -------------------------------- -------------------------------
CONTRACT/PRODUCT NAME Xxxxxx VUL 2000
--------------------------- ------------------------------- -------------------------------- -------------------------------
REGISTERED (Y/N) Y
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEC REGISTRATION NUMBER 333-90995
--------------------------- ------------------------------- -------------------------------- -------------------------------
REPRESENTATIVE FORM 1033-99
NUMBERS
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEPARATE ACCOUNT Separate Account IMO
NAME/DATE ESTABLISHED
--------------------------- ------------------------------- -------------------------------- -------------------------------
SEC REGISTRATION NUMBER 811-09529
--------------------------- ------------------------------- -------------------------------- -------------------------------
PORTFOLIOS Dreyfus Investment
Portfolios:
- MidCap Stock Portfolio
--------------------------- ------------------------------- -------------------------------- -------------------------------