Provident Mutual Variable Annuity Separate Account Sample Contracts

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Among VARIABLE INSURANCE PRODUCTS FUND II, FIDELITY DISTRIBUTORS CORPORATION and PROVIDENT MUTUAL LIFE INSURANCE COMPANY
Participation Agreement • April 25th, 2000 • Provident Mutual Variable Annuity Separate Account • Massachusetts
EXHIBIT A TO FUND PARTICIPATION AGREEMENT, AS AMENDED AS OF MAY 1, 2001
Fund Participation Agreement • April 25th, 2002 • Provident Mutual Variable Annuity Separate Account
By and Among
Provident Mutual Variable Annuity Separate Account • May 4th, 1998 • New York
Among
Participation Agreement • April 25th, 2002 • Provident Mutual Variable Annuity Separate Account • Massachusetts
AMONG
Participation Agreement • July 17th, 2001 • Provident Mutual Variable Annuity Separate Account • Massachusetts
AGREEMENTS
Participation Agreement • July 17th, 2001 • Provident Mutual Variable Annuity Separate Account • Wisconsin
DISTRIBUTION AGREEMENT
Distribution Agreement • January 4th, 2010 • Nationwide Provident Va Separate Account 1 • Ohio

COMPANY OF AMERICA and NATIONWIDE LIFE AND ANNUITY COMPANY OF AMERICA (collectively referred to herein as "NW"), on their behalf and on behalf of the separate accounts that are more particularly described below, and 1717 CAPITAL MANAGEMENT COMPANY ("Distributor").

ASSIGNMENT AND ASSUMPTION OF DISTRIBUTOR’S INTEREST UNDER DISTRIBUTION AGREEMENT
Assignment and Assumption of Distributor’s Interest Under Distribution Agreement • January 4th, 2010 • Nationwide Provident Va Separate Account 1

This ASSIGNMENT AND ASSUMPTION AGREEMENT is entered into as of May 1, 2009 (the “Effective Date”) by and between Nationwide Securities, LLC (“Assignor”) and Nationwide Investment Services Corporation ("Assignee").

PLAN AND AGREEMENT OF MERGER
Plan and Agreement of Merger • January 4th, 2010 • Nationwide Provident Va Separate Account 1

This Plan and Agreement of Merger (the "Agreement"), is entered into on August 28, 2009 by and between NATIONWIDE LIFE INSURANCE COMPANY, an Ohio stock life insurance company with its statutory office located One Nationwide Plaza, Columbus, 0I-1 43215 ("NLIC" or the "Surviving Corporation"), and NATIONWIDE LIFE INSURANCE COMPANY OF AMERICA, a Pennsylvania stock life insurance company with its statutory office located at One Nationwide Plaza, Columbus, 01-I 43215 ("NLICA"). NLIC and NLICA are hereinafter sometimes collectively referred to as the "Constituent Corporations" or individually as a "Constituent Corporation."

Providentmutual Life and Annuity Company of America A Stock Life Insurance Company Philadelphia, Pennsylvania
Nationwide Provident Va Separate Account 1 • January 4th, 2010

In this Contract, Providentmutual Life and Annuity Company of America will be referred to as "we," us" or "our." The Owner ("you," "your") is the Annuitant, unless another person is named in the application or later becomes the Owner as allowed by this Contract.

AGREEMENT
Agreement • April 25th, 2000 • Provident Mutual Variable Annuity Separate Account • New York
PARTICIPATION AGREEMENT By and Among OCC ACCUMULATION TRUST And PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA And PROVIDENT MUTUAL LIFE INSURANCE COMPANY And OCC DISTRIBUTORS
Participation Agreement • January 4th, 2010 • Nationwide Provident Va Separate Account 1 • New York

THIS AGREEMENT, effective the 16th day of September, 1994, by and amount PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA (“PLACA”), a Delaware Corporation, on its own behalf and on behalf of each separate account of PLACA named in Schedule I to this Agreement, as may be amended from time to time, PROVIDENT MUTUAL LIFE INSURANCE COMPANY (“Provident Mutual”; PLACA and Provident Mutual hereinafter collectively referred to as the “Company”), a Pennsylvania Corporation, on its own behalf and on behalf of each separate account of Provident Mutual named in Schedule I to this Agreement (PLACA and Provident Mutual separate accounts named in Schedule I hereinafter individually referred to as the “PLACA Account” and the “Provident Mutual Account” and collectible referred to as the “Account”), OCC ACCUMULATION TRUST (formerly known as Quest for Value Accumulation Trust), an open-end diversified management investment company organized under the laws of the State of Massachusetts (hereinafter th

City State Zip Code
Provident Mutual Variable Annuity Separate Account • July 17th, 2001
WITNESSETH:
Underwriting Agreement • May 4th, 1998 • Provident Mutual Variable Annuity Separate Account • Pennsylvania
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