0001017062-03-001479 Sample Contracts

LOGO OF PACIFIC LIFE]
Insurance Policy • June 30th, 2003 • Pacific Select Exec Separate Account of Pacific Life & Annui

READ YOUR POLICY CAREFULLY. This is a legal contract between you, the Owner, and us, Pacific Life & Annuity Company, a stock insurance company. We agree to pay the benefits of this policy according to its provisions. The consideration for this policy is the application for it, a copy of which is attached, and payment of the premiums.