EX-99.(H)(69) 33 d694125dex99h69.htm EX-99.(H)(69) EX-99.(H)(69)

FOURTH AMENDMENT TO AMENDED AND RESTATED PARTICIPATION

AGREEMENT

THIS FOURTH AMENDMENT TO AMENDED AND RESTATED PARTICIPATION AGREEMENT is effective this 1st day of Sept 2013, by and among GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (“Company”), FIDELITY DISTRIBUTORS CORPORATION (the “Underwriter”), and VARIABLE INSURANCE PRODUCTS I, VARIABLE INSURANCE PRODUCTS II, VARIABLE INSURANCE PRODUCTS III, VARIABLE INSURANCE PRODUCTS IV and VARIABLE INSURANCE PRODUCTS FUND V (the “Funds”), collectively the “Parties.” Capitalized terms not otherwise defined herein shall have the meaning ascribed to them in the Original Agreement (defined below).

RECITALS

WHEREAS, the Company, the Underwriter and the Funds are parties to the Amended and Restated Participation Agreement dated October 26, 2006, the Amendment and Assignment dated May 16, 2007, the Second Amendment dated August 29, 2007 and the Third Amendment dated October 1, 2009 (the “Agreement”); and

WHEREAS, the Parties to the Agreement desire to add revise Schedule A of the Agreement to reflect the correct contract form numbers for the COLI VUL-14 Series Account.

NOW, THEREFORE, in consideration of the premises and mutual covenants contained herein, the Parties hereby amend the Agreement as follows:

 

  1.

Schedule A of the Agreement is hereby deleted in its entirety and replaced with the attached Schedule A.

[signature page follows]

 

1


IN WITNESS WHEREOF, the Parties have executed this Amendment as of the 1st day of September, 2013.

GREAT-WEST LIFE AND ANNUITY INSURANCE COMPANY

 

        

 

By its authorized officer,

 

By:

 

/s/ Ron Laeyendecker

 

Name:

 

Ron Laeyendecker

 

Title:

 

Senior Vice-President

 

Date:

 

8/5/13

VARIABLE INSURANCE PRODUCTS I,

VARIABLE INSURANCE PRODUCTS II

VARIABLE INSURANCE PRODUCTS FUND III

VARIABLE INSURANCE PRODUCTS IV and

VARIABLE INSURANCE PRODUCTS FUND V

 

 

By its authorized officer,

 

By:

 

 

        

 

Name:

 
 

Title:

 
 

Date:

 

FIDELITY DISTRIBUTORS CORPORATION

 

        

 

By its authorized officer,

 

By:

 

/s/ Robert Bachman

 

Name:

 

Robert Bachman

 

Title:

 

EVP

 

Date:

 

08/19/13

 

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SCHEDULE A

 

Separate Account Name    Contract Form No.

COLI VUL-1 Series Account

  

J350, PPVUL

COLI VUL-2 Series Account

  

J355

COLI VUL-3 Series Account

  

J350, PPVUL

COLI VUL-4 Series Account

  

J500

COLI VUL-5 Series Account

  

J350, PPVUL

COLI VUL-6 Series Account

  

J350, PPVUL

COLI VUL-7 Series Account

  

J350, PPVUL

COLI VUL-8 Series Account

  

J350, PPVUL

COLI VUL-9 Series Account

  

J350, PPVUL

COLI VUL-10 Series Account

  

J350, PPVUL

COLI VUL-11 Series Account

  

J350, PPVUL

COLI VUL-12 Series Account

  

J350, PPVUL

COLI VUL-13 Series Account

  

J350, PPVUL

COLI VUL-14 Series Account

  

ICC13-J600, J600

COLI VUL-15 Series Account

  

J350, PPVUL

Varifund Variable Annuity Account

  

V30000, VA40000, VPP50000

Prestige Variable Life Account

  

CL 1035-99

 

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