EX-99.4(A)(A)(Z) 3 e9225_ex99-4aaz.txt FORM OF CONTRACT EXHIBIT 99.4(a)(a)(z) DATA PART C - This part describes certain charges in your Contract/Certificate. Withdrawal Charges (see Section 8.01): None Daily Separate Account Charges (see Section 8.04): [Annual rate of 1.70% (equivalent to a daily rate of .004697%).] The Daily Separate Account Charge includes the following charges: [Mortality and Expense Risks Charge: Annual rate of 1.10% Administration Charge: Annual rate of 0.25%. Distribution Charge: Annual rate of 0.35%] 2007DPSelect Data page 9