Common use of Insurers and Underwriters Clause in Contracts

Insurers and Underwriters. The following affiliated Insurers and Underwriters are deemed to be parties to, and bound by all provisions of, the Agreement with respect to Products issued or underwritten by such parties, including each Product’s commission schedules issued to the date of execution hereof by the respective Insurer. Name: Name: Transamerica Capital, Inc. State of Domicile: Business Address: 0000 Xxxxxxxx Xx XX Business Address: Xxxxx Xxxxxx, XX 00000 Broker-Dealers and Agencies The following affiliated Broker-Dealers and Agencies are deemed to be parties to, and bound by all provisions of, the Agreement with respect to Products distributed by such parties: (Print name of Broker-Dealer above) Contact Person at Broker-Dealer: Address: Name: Phone: Fax: Tax ID #: Email: (Print name of Agency above) Contact Person at Agency: Address: Name: Phone: Fax: Tax ID #: Email: Please check the appropriate box: ¨ Corporation ¨ Partnership ¨ Other: ** Required Information Broker Dealer/Agency General Counsel: Mailing address for General Counsel: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Broker Dealer/Agency Chief Compliance Officer: Mailing address for Chief Compliance Officer: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Contact for client policy and licensing matters (if different from above or indicate “Same”): Mailing address for client policy and licensing matters: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Contact for commissions matters (if different from above or indicate “Same”): Mailing address for commission statements and checks: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) SIGNATURES

Insurers and Underwriters. The following affiliated Insurers and Underwriters are deemed to be parties to, and bound by all provisions of, the Agreement with respect to Products issued or underwritten by such parties, including each Product’s product commission schedules issued to the date of execution hereof by the respective Insurer. Name: Name: Transamerica Capital, Inc. Capital Inc State of Domicile: Business Address: 0000 Xxxxxxxx Xx XX Business Address: Xxxxx Xxxxxx, XX 00000 Broker-Broker Dealers and Agencies The following affiliated Broker-Broker Dealers and Agencies are deemed to be parties to, and bound by all provisions of, the Agreement with respect to Products distributed by such parties: (Print name of Broker-Broker Dealer above) Contact Person at Broker-Broker Dealer: Address: Name: Phone: Fax: Tax ID #: EmailE-mail: (Print name of Agency above) Contact Person at Agency: Address: Name: Phone: Fax: Tax ID #: EmailE-mail: (Print name of Agency above) Contact Person at Agency: Address: Name: Phone: Fax: Tax ID #: E-mail: (Print name of Agency above) Contact Person at Agency: Address: Name: Phone: Fax: Tax ID #: E-mail: Please check the appropriate box: ¨ Corporation ¨ Partnership ¨ Other: ** Required Information Broker Dealer/Agency General Counsel: Mailing Contact person for client policy and licensing matters Mail address for General Counselclient policy and licensing matters: (if different from above): Name: Phone: Fax: Main Officeoffice? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Broker Dealer/Agency Chief Compliance Officer: Mailing address for Chief Compliance Officer: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) EmailE-mail: Branch? Y or N (if yes, enclose list of branch addresses) Contact person for client policy commissions matters Mail address for commission statements and licensing matters checks: (if different from above or indicate “Same”above): Mailing address for client policy and licensing matters: Name: Phone: Fax: Main Officeoffice? Y or N (if yes, please list address here) EmailE-mail: Branch? Y or N (if yes, enclose list of branch addresses) Contact person for commissions Legal and Compliance matters Mail address for Legal and Compliance matters: (if different from above or indicate “Same”above): Mailing address for commission statements and checks: Name: Phone: Fax: Main Officeoffice? Y or N (if yes, please list address here) EmailE-mail: Branch? Y or N (if yes, enclose list of branch addresses) SIGNATURES

Insurers and Underwriters. The following affiliated Insurers and Underwriters are deemed to be parties to, and bound by all provisions of, the Agreement with respect to Products issued or underwritten by such parties, including each Product’s product commission schedules issued to the date of execution hereof by the respective Insurer. Name: Name: Transamerica Capital, Inc. Capital Inc State of Domicile: Business Address: 0000 Xxxxxxxx Xx XX Business Address: Xxxxx Xxxxxx, XX 00000 Broker-Broker Dealers and Agencies The following affiliated Broker-Broker Dealers and Agencies are deemed to be parties to, and bound by all provisions of, the Agreement with respect to Products distributed by such parties: (Print name of Broker-Broker Dealer above) Contact Person at Broker-Broker Dealer: Address: Name: Phone: Fax: Tax ID #: EmailE-mail: (Print name of Agency above) Contact Person at Agency: Address: Name: Phone: Fax: Tax ID #: EmailE-mail: (Print name of Agency above) Contact Person at Agency: Address: Name: Phone: Fax: Tax ID #: E-mail: (Print name of Agency above) Contact Person at Agency: Address: Name: Phone: Fax: Tax ID #: E-mail: Please check the appropriate box: ¨ Corporation ¨ Partnership ¨ Other: ** Required Information Broker Dealer/Agency General Counsel: Mailing Contact person for client policy and licensing matters (if different from above): Mail address for General Counselclient policy and licensing matters: Name: Phone: Fax: Main Officeoffice? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Broker Dealer/Agency Chief Compliance Officer: Mailing address for Chief Compliance Officer: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) EmailE-mail: Branch? Y or N (if yes, enclose list of branch addresses) Contact person for client policy and licensing commissions matters (if different from above or indicate “Same”above): Mailing Mail address for client policy commission statements and licensing matterschecks: Name: Phone: Fax: Main Officeoffice? Y or N (if yes, please list address here) EmailE-mail: Branch? Y or N (if yes, enclose list of branch addresses) Contact person for commissions Legal and Compliance matters (if different from above or indicate “Same”above): Mailing Mail address for commission statements Legal and checksCompliance matters: Name: Phone: Fax: Main Officeoffice? Y or N (if yes, please list address here) EmailE-mail: Branch? Y or N (if yes, enclose list of branch addresses) SIGNATURES

Insurers and Underwriters. The following affiliated Insurers and Underwriters are deemed to be parties to, and bound by all provisions of, the Agreement with respect to Products issued or underwritten by such parties, including each Product’s commission schedules issued to the date of execution hereof by the respective Insurer. Name: Transamerica Life Insurance Company Name: Transamerica Capital, Inc. Capital Inc State of Domicile: Iowa Business Address: 0000 Xxxxxxxx Xx XX Business Address: 0000 Xxxxxxxx Xx XX Xxxxx Xxxxxx, XX 00000 Xxxxx Xxxxxx, XX 00000 Name: Transamerica Financial Life Insurance Company State of Domicile: New York Business Address: 0000 Xxxxxxxx Xx XX Xxxxx Xxxxxx, XX 00000 Broker-Dealers and Agencies The following affiliated Broker-Dealers and Agencies are deemed to be parties to, and bound by all provisions of, the Agreement with respect to Products distributed by such parties: (Print name of Broker-Dealer above) Contact Person at Broker-Dealer: Address: Name: Phone: Fax: Tax ID #: Email: (Print name of Agency above) Contact Person at Agency: Address: Name: Phone: Fax: Tax ID #: Email: Please check the appropriate box: ¨ q Corporation ¨ q Partnership ¨ q Other: ** *Required Information Broker Dealer/Agency General Counsel: Mailing address for General Counsel: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Broker Dealer/Agency Chief Compliance Officer: Mailing address for Chief Compliance Officer: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Contact for client policy and licensing matters (if different from above or indicate “Same”): Mailing address for client policy and licensing matters: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Contact for commissions matters (if different from above or indicate “Same”): Mailing address for commission statements and checks: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) SIGNATURES

Insurers and Underwriters. The following affiliated Insurers and Underwriters are deemed to be parties to, and bound by all provisions of, the Agreement with respect to Products issued or underwritten by such parties, including each Product’s commission schedules issued to the date of execution hereof by the respective Insurer. Name: Name: Transamerica Capital, Inc. State of Domicile: Transamerica Life Insurance Company Iowa Name: Business Address: Transamerica Capital Inc 0000 Xxxxxxxx Xx XX Business Address: 0000 Xxxxxxxx Xx XX Business Address: Xxxxx Xxxxxx, XX 00000 Xxxxx Xxxxxx, XX 00000 Broker-Dealers and Agencies The following affiliated Broker-Dealers and Agencies are deemed to be parties to, and bound by all provisions of, the Agreement with respect to Products distributed by such parties: (Print name of Broker-Dealer above) Contact Person at Broker-Dealer: Address: Name: Phone: Fax: Tax ID #: Email: (Print name of Agency above) Contact Person at Agency: Address: Name: Phone: Fax: Tax ID #: Email: Please check the appropriate box: ¨ ☐ Corporation ¨ ☐ Partnership ¨ ☐ Other: ** Required Information Broker Dealer/Agency General Counsel: Mailing address for General Counsel: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Broker Dealer/Agency Chief Compliance Officer: Mailing address for Chief Compliance Officer: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Contact for client policy and licensing matters Mailing address for client policy and licensing matters: (if different from above or indicate “Same”): Mailing address for client policy and licensing matters: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Contact for commissions matters Mailing address for commission statements and checks: (if different from above or indicate “Same”): Mailing address for commission statements and checks: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) SIGNATURES

Insurers and Underwriters. The following affiliated Insurers and Underwriters are deemed to be parties to, and bound by all provisions of, the Agreement with respect to Products issued or underwritten by such parties, including each Product’s commission schedules issued to the date of execution hereof by the respective Insurer. Name: Transamerica Life Insurance Company Name: Transamerica Capital, Inc. State of Domicile: Iowa Business Address: 0000 Xxxxxxxx Xx XX Business Address: 0000 Xxxxxxxx Xx XX Xxxxx Xxxxxx, XX 00000 Xxxxx Xxxxxx, XX 00000 Broker-Dealers and Agencies The following affiliated Broker-Dealers and Agencies are deemed to be parties to, and bound by all provisions of, the Agreement with respect to Products distributed by such parties: (Print name of Broker-Dealer above) Contact Person at Broker-Dealer: Address: Name: Phone: Fax: Tax ID #: Email: (Print name of Agency above) Contact Person at Agency: Address: Name: Phone: Fax: Tax ID #: Email: Please check the appropriate box: ¨ q Corporation ¨ q Partnership ¨ q Other: ** *Required Information Broker Dealer/Agency General Counsel: Mailing address for General Counsel: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Broker Dealer/Agency Chief Compliance Officer: Mailing address for Chief Compliance Officer: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Contact for client policy and licensing matters (if different from above or indicate “Same”): Mailing address for client policy and licensing matters: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) Contact for commissions matters (if different from above or indicate “Same”): Mailing address for commission statements and checks: Name: Phone: Fax: Main Office? Y or N (if yes, please list address here) Email: Branch? Y or N (if yes, enclose list of branch addresses) SIGNATURES