EX-99 12 exhibit8hii.htm Amendment No

Amendment No. __

Participation Agreement

The Participation Agreement, made and entered into as of the ___ day of _____, 200__, (the "Agreement"), by and among ______________ , a _________ corporation, _______________ , a ________ corporation, Sun Life Insurance and Annuity Company of New York, a New York life insurance company ("Insurer"), and Clarendon Insurance Agency, Inc. a Massachusetts corporation, is hereby amended as follows:

Schedule A of the Agreement is deleted in its entirety and replaced with the following:

 

SCHEDULE A

FUNDS AVAILABLE UNDER THE POLICIES

SEPARATE ACCOUNTS UTILIZING THE FUNDS

CONTRACTS FUNDED BY THE SEPARATE ACCOUNTS

     
 

Sun Life (N.Y.)
Variable Account C

Futurity - NY Variable and Fixed Annuity Contract

     
 

Sun Life (N.Y.)
Variable Account C

Futurity Accolade - NY Variable and Fixed Annuity Contract

     
 

Sun Life (N.Y.)
KBL Variable Account A

DVA
BVA

     
 

Sun Life (N.Y.)
Variable Account C

All-Star
All-Star Freedom
All-Star Extra

 

All other terms and provisions of the Agreement not amended herein shall remian in full force and effect.

Effective Date: December 31, 2002

`

_________________________________

   
   

Attest: ____________________________

By: ______________________________

Name:

Name:

Title:

Title:

   
   
 

_________________________________

   

Attest: ____________________________

By: ______________________________

Name:

Name:

Title:

Title:

 

 

 

 

 

 

SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK

   

Attest: ___________________________

By: _______________________________

Name:

Name:

Title:

Title:

   
   
 

By: ________________________________

 

Name:

 

Title:

   
   
 

CLARENDON INSURANCE AGENCY, INC.

   
   

Attest: ____________________________

By: ________________________________

Name:

Name:

Title:

Title:

   
   
 

By: ________________________________

 

Name:

 

Title: