0000893220-00-000526 Sample Contracts

2- 3 In witness whereof, the parties have caused their duly authorized officers to execute this Services Agreement. PACIFIC INVESTMENT MANAGEMENT COMPANY

Services Agreement • April 25th, 2000 • Providentmutual Variable Annuity Separate Account

• Contract Type
  Services Agreement
• Filed
  April 25th, 2000
• Company
  Providentmutual Variable Annuity Separate Account

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 • April 25th, 2000 • Providentmutual Variable Annuity Separate Account • New York

• Contract Type
  Participation Agreement
• Filed
  April 25th, 2000
• Company
  Providentmutual Variable Annuity Separate Account
• Jurisdiction
  New York

AMONG

Participation Agreement • April 25th, 2000 • Providentmutual Variable Annuity Separate Account • Massachusetts

• Contract Type
  Participation Agreement
• Filed
  April 25th, 2000
• Company
  Providentmutual Variable Annuity Separate Account
• Jurisdiction
  Massachusetts

2- 3 CONTRACT SCHEDULE

Bonus Credit Agreement • April 25th, 2000 • Providentmutual Variable Annuity Separate Account

• Contract Type
  Bonus Credit Agreement
• Filed
  April 25th, 2000
• Company
  Providentmutual Variable Annuity Separate Account

ACCEPTANCE

Guaranteed Minimum Death Benefit Reinsurance • April 25th, 2000 • Providentmutual Variable Annuity Separate Account

• Contract Type
  Guaranteed Minimum Death Benefit Reinsurance
• Filed
  April 25th, 2000
• Company
  Providentmutual Variable Annuity Separate Account