Amendment to Schedule A to Participation Agreement Among Variable Insurance Products Fund, Fidelity Distributors Corporation, and First Allmerica Financial Life Insurance Company
Amendment to Schedule A to Participation Agreement
Among
Variable Insurance Products Fund,
Fidelity Distributors Corporation,
and
First Allmerica Financial Life Insurance Company
WHEREAS, First Allmerica Financial Life Insurance Company (formerly known as
State Mutual Life Assurance Company of America), Variable Insurance Products
Fund and Fidelity Distributors Corporation entered into a Participation
Agreement on February 18, 1994 ("Participation Agreement"); and
WHEREAS, the parties desire to amend the Participation Agreement and restate in
its entirety Schedule A by mutual written consent;
NOW, THEREFORE, the parties do hereby agree to replace Schedule A to the
Participation Agreement and any amendments thereto with the attached Schedule A
dated as of October 1, 2000.
All terms and conditions of the Participation Agreement and Schedules thereto
shall continue in full force and effect except as modified hereby.
In witness whereof, each of the parties has caused this agreement to be executed
in its name and on its behalf by its duly authorized representative as of the
date specified below.
FIRST ALLMERICA FINANCIAL
LIFE INSURANCE COMPANY
By: /s/ Xxxxxxx X. Xxxxxx
------------------------
Name: Xxxxxxx X. Xxxxxx
------------------------
Title: President
------------------------
Date: February 27, 2001
------------------------
VARIABLE INSURANCE PRODUCTS FUND FIDELITY DISTRIBUTORS CORPORATION
By: /s/ Xxxxxx X. Xxxxx By: /s/ Xxxxxxx Xxxxxxx
------------------------ -----------------------------
Name: Xxxxxx X. Xxxxx Name: Xxxxxxx Xxxxxxx
------------------------ -----------------------------
Title: Senior Vice President Title: Executive Vice President
------------------------ -----------------------------
Date: December 11, 2000 Date: February 16, 2001
------------------------ -----------------------------
Schedule A
Separate Accounts and Associated Contracts
Name of Separate Account Contract Name and Form Numbers Registration Numbers
and Date Established by Board by Separate Account of Contracts
of Directors ------------------- ------------
------------
VEL Vari-Exceptional Life '87 TBD
(Variable Life) Policy Form 1018-87 TBD
4/2/87
Vari-Exceptional Life '91 TBD
Policy Form 1018-91 TBD
Vari-Exceptional Life Plus TBD
Policy Forms 1023-91; 1023-92 TBD
VEL II Vari-Exceptional Life '93 33-71056
(Variable Life) Policy Form 1018-94 811-8130
8/20/91
VEL III Allmerica Estate Optimizer 333-45914
(Variable Life) Policy Form 1030-96 811-10133
6/13/96
Inheiritage Inheiritage 33-74184
(Variable Life) Policy Form 1026-94 811-8304
8/20/91
Group VEL Group Vari-Exceptional Life 333-06383
(Variable Life) Policy Form 1029-94 811-7663
8/20/91
VA-K Allmerica ExecAnnuity Plus 33-71052
(Annuity) Policy Form A3018-94 811-8114
8/20/91
Allmerica Advantage 33-71052
Policy Form A3025-96 811-8114
Allmerica Immediate Advantage 333-81859
Policy Form A3029-99 811-8114
Allmerica Ultimate Advantage 333-38276
Policy Form A3033-00 811-8114
Allmerica Select Allmerica Select Resource 33-71058
(Annuity) Policy Form A3020-94 811-8116
8/20/91
Allmerica Select Resource II 33-71058
Policy Form A3025-96 811-8116
Allmerica Select Reward TBD
Policy Form A3028-99 TBD
Allmerica Select Acclaim TBD
2
Policy Form A3032-00 TBD
Allmerica Select Charter 333-63087
Policy Form A3027-98 811-8116
Allmerica Select Advocate 333-90533
Policy Form A3033-00 811-8116
Allmerica Select Group XXX 33-47858
Separate Account I Policy Form GA-XXX-2.00-92 811-8114
(Annuity)
8/20/91
Allmerica Select Allmerica Select Life 333-62369
Separate Account II Policy Form 1027-95 811-8987
(Variable Life)
8/20/91
Allmerica Select Allmerica Select SPL TBD
Separate Account III Policy Form 1030-96 TBD
(Variable Life)
Separate Account IMO Allmerica VUL 2001 TBD
(Variable Life) TBD
6/13/96
Select VUL 2001 XXX
XXX
Agency VUL 2001 XXX
XXX
VUL 2001 Survivorship XXX
XXX
Select Inheiritage 33-74184
811-8304
3
