AMENDMENT DATED MAY 1, 2003
TO THE
PARTICIPATION AGREEMENT DATED OCTOBER 1, 2000
Amendment to the Participation Agreement by and among AIM Variable Insurance
Funds, a Delaware Trust ("AVIF"), AIM Distributors, Inc., ("AIM"), (collectively
"the Fund"). The Travelers Life Insurance Company, The Travelers Life and
Annuity Company, and Travelers Distribution LLC, (collectively, the "COMPANY")
each on behalf of itself and each of its segregated asset accounts listed in
Schedule A hereto.
WHEREAS, each of the parties desires to expand the Accounts of the Company which
invest in shares of the Fund and the number of Funds available to the Accounts,
each of the parties hereby agrees to amend the Agreement by deleting in its
entirety the current Schedule A and replacing with Schedule A dated May 1, 2003
attached hereto.
1
IN WITNESS WHEREOF, each of the parties hereto have caused this Amendment to the
Agreement to be executed in their names and on their behalf by and through their
duly authorized officers signing below.
AIM VARIABLE INSURANCE FUNDS
Attest: /s/ Xxx X. Xxxxxxxx By: /s/ Xxxxxx X. Xxxxxx
----------------------------- ------------------------------------
Name: Xxx X. Xxxxxxxx Name: Xxxxxx X. Xxxxxx
Title Assistant Secretary Title: President
A I M DISTRIBUTORS, INC.
Attest: /s/ Xxx X. Xxxxxxxx By: /s/ Xxxx X. Needles
----------------------------- ------------------------------------
Name: Xxx X. Xxxxxxxx Name: Xxxx X. Needles
Title Assistant Secretary Title: President
THE TRAVELERS LIFE INSURANCE COMPANY, on
behalf of itself and its separate
accounts
Attest: By: /s/ Xxxxxx X. Xxxxxx
----------------------------- ------------------------------------
Name: Name: Xxxxxx X. Xxxxxx
------------------------------- Title: Vice President & Secretary
Title:
------------------------------
THE TRAVELERS LIFE AND ANNUITY COMPANY,
on behalf of itself and its separate
accounts
Attest: By: /s/ Xxxxxx X. Xxxxxx
----------------------------- ------------------------------------
Name: Name: Xxxxxx X. Xxxxxx
------------------------------- Title: Vice President & Secretary
Title:
------------------------------
2
TRAVELERS DISTRIBUTION LLC
Attest: By: /s/ Xxxxxx X. Xxxxxx
----------------------------- ------------------------------------
Name: Name: Xxxxxx X. Xxxxxx
------------------------------- Title: Vice President & Secretary
Title:
------------------------------
3
SCHEDULE A
(MAY 1, 2003)
FUNDS AVAILABLE UNDER THE CONTRACTS
AIM VARIABLE INSURANCE FUNDS
AIM V.I. Balanced Fund - Series I shares
AIM V.I. Capital Appreciation Fund - Series I shares
AIM V.I. Capital Appreciation Fund - Series II shares
AIM V.I. Core Equity Fund - Series I shares
AIM V.I. Government Securities Fund - Series I shares
AIM V.I. Growth Fund - Series I shares
AIM V.I. International Growth Fund - Series I shares
AIM V.I. Mid Cap Core Equity Fund - Series II shares
AIM V.I. Premier Equity Fund - Series I shares
AIM V.I. Premier Equity Fund - Series II shares
SEPARATE ACCOUNTS UTILIZING THE FUNDS
Citicorp Life Variable Annuity Separate Account
First Citicorp Life Variable Annuity Separate Account
Separate Account QP for Variable Annuities
The Travelers Fund ABD for Variable Annuities
The Travelers Fund ABD II for Variable Annuities
The Travelers Fund BD for Variable Annuities
The Travelers Fund XX XX for Variable Annuities
The Travelers Separate Account Five for Variable Annuities
The Travelers Separate Account Six for Variable Annuities
The Travelers Separate Account PP for Variable Life Insurance (unregistered)
Travelers Separate Account PF for Variable Annuities
Travelers Separate Account XX XX for Variable Annuities
The Travelers Separate Account Eleven for Variable Annuities
The Travelers Separate Account Twelve for Variable Annuities
TIC Separate Account Thirteen for Variable Annuities
TLAC Separate Account Fourteen for Variable Annuities
4
SCHEDULE A
(MAY 1, 2003)
(CONTINUED)
CONTRACTS FUNDED BY THE SEPARATE ACCOUNTS
CitiElite
CitiVariable
Gold Track
Gold Track Select
Travelers Access Annuity
Travelers Access Select
Travelers Marquis Portfolio
Travelers Portfolio Architect Annuity
Travelers Portfolio Architect Select Annuity
Travelers Prim Elite II
Travelers Private Placement Variable Universal Life
Travelers Retirement Account Annuity
Pioneer Annuistar
Pioneer Annuistar Plus
5
