Document:

Bank of America Corp 2003 Key Associate Stock Plan

 Exhibit 10 (i) 
 BANK OF AMERICA CORPORATION 
 2003 KEY ASSOCIATE STOCK PLAN, 
 AS AMENDED AND RESTATED 
 INSTRUMENT OF AMENDMENT 
 THIS INSTRUMENT OF AMENDMENT (the
“Instrument”) is executed as of the 13th day of March, 2006 by BANK OF AMERICA CORPORATION, a Delaware corporation (the “Company”). 
 Statement of Purpose 
 The Company sponsors the Bank of America Corporation 2003 Key
Associate Stock Plan, as amended and restated effective April 1, 2004 (the “Plan”). The Company desires to amend the Plan as set forth herein to (i) make available additional shares of the Company’s common stock for awards
under the Plan, (ii) extend the term of the Plan from December 31, 2008 to December 31, 2011 and (iii) otherwise meet current needs. In accordance with Section 14.1 of the Plan, the amendments set forth herein have been
approved by the Board of Directors of the Company and are also subject to the approval of the Company’s stockholders at the Spring 2006 Annual Meeting of Stockholders. 
 NOW, THEREFORE, the Company hereby amends the Plan as follows, effective as of the date of stockholder approval: 
 1. Clause (iii) of the last sentence of Section 1.1 of the Plan is amended to read as follows: 
 “. . . (iii) the close of business on December 31, 2011.” 
 2. The following sentence is added to the end of the definition of “Change in Control” in Article 2 of the Plan: 
 “Notwithstanding the foregoing, for any Awards that constitute nonqualified deferred compensation within the meaning of Section 409A(d) of the Code and provide for an accelerated payment in connection with a Change in Control,
Change in Control shall have the same meaning as set forth in any regulations, revenue procedure, revenue rulings or other pronouncements issued by the Secretary of the United States Treasury pursuant to Section 409A of the Code, applicable to
such arrangements.” 
 3. The following sentence is added to the end of the definition of “Disability” in
Article 2 of the Plan: 
 “Notwithstanding the foregoing, for any Awards that constitute nonqualified deferred
compensation within the meaning of Section 409A(d) of the Code and provide for an accelerated payment in connection with any Disability, Disability shall have the same meaning as set forth in any regulations, revenue procedure, revenue rulings
or other pronouncements issued by the Secretary of the United States Treasury pursuant to Section 409A of the Code, applicable to such arrangements.” 
 4. The following Section 3.4 is added to the end of Article 3 of the Plan, and Section 8.9 of the Plan is deleted: 
 “3.4 Limitation on Vesting for Awards. Notwithstanding any provision of the Plan to the contrary, any Award that vests
solely on the basis of the passage of time (e.g., not on the basis of any performance standards) shall not vest more quickly than ratably over the three (3) year period beginning on the first anniversary of the Award, except that the Award may
vest sooner under any of the following circumstances as more specifically set forth in the applicable Award Agreement: (i) the Participant’s death, (ii) the Participant’s Disability, (iii) the Participant’s
“retirement” as defined in the Award Agreement consistent with the Company’s retirement policies and programs, (iv) a Participant’s termination of employment with the Company and its Subsidiaries due to workforce reduction,
job elimination or divestiture as determined by the Committee, (v) a Change in Control consistent with the provisions of Article 13 hereof or (vi) in connection with establishing the terms and conditions of employment of a Key Associate
necessary for the recruitment of the Key Associate or as the result of a business combination or acquisition by the Company or any of its Subsidiaries. The provisions of this Section 3.4 shall not apply to any Award of Restricted Stock or
Restricted Stock Units that is made to a Key Associate as a portion of the Key Associate’s annual incentive compensation under the Company’s Equity Incentive Plan, Executive Incentive Compensation Plan, or any similar plan or program as
determined by the Committee applicable to any Key Associate, including any such program applicable to an Insider or Named Executive Officer.” 
  

 1 

 5. Article 4 of the Plan is amended to read as follows: 
 “Article 4. Shares Subject to the Plan 
 4.1 Number of Shares Available for Grants. Subject to the provisions of this Article 4 (after giving effect
to the two-for-one stock split effective August 27, 2004), the aggregate number of Shares available for grants of Awards under the Plan shall not exceed the sum of (A) two hundred million (200,000,000) Shares plus (B) the number
of Shares available for awards under the Prior Plan as of December 31, 2002 plus (C) any Shares that were subject to an award under the Prior Plan which award is canceled, terminates, expires or lapses for any reason from and after the
Effective Date plus (D) effective as of April 1, 2004, one hundred two million (102,000,000) Shares plus (E) effective upon approval of the Company’s stockholders at the Spring 2006 Annual Meeting of Stockholders, one
hundred eighty million (180,000,000) Shares. 
 4.2 Lapsed Awards. If any Award is
canceled, terminates, expires, or lapses for any reason, any Shares subject to such Award shall not count against the aggregate number of Shares available for grants under the Plan set forth in Section 4.1 above. 
 4.3 Shares Used to Pay Option Price and Withholding Taxes. If, in accordance with the terms of the
Plan, a Participant pays the Option Price for an Option or satisfies any tax withholding requirement with respect to any taxable event arising as a result of this Plan by either tendering previously owned Shares or having the Company withhold
Shares, then such Shares surrendered to pay the Option Price or used to satisfy such tax withholding requirements shall not count against the aggregate number of Shares available for grant under the Plan set forth in Section 4.1 above.
Notwithstanding the foregoing, the provisions of this Section 4.3 shall not apply from and after January 1, 2006. 
 4.4 Other Items Not Included. The following items shall not count against the aggregate number of Shares available for grants under the Plan set forth in Section 4.1 above: (i) the payment in
cash of dividends or dividend equivalents under any outstanding Award; (ii) any Award that is settled in cash rather than by issuance of Shares; or (iii) Awards granted through the assumption of, or in substitution for, outstanding awards
previously granted to individuals who become Key Associates as a result of a merger, consolidation, acquisition or other corporate transaction involving the Company or any Subsidiary. 
 4.5 Award Limits. Notwithstanding any provision herein to the contrary, the following provisions shall apply
(subject to adjustment in accordance with Section 4.6 below): 
  

	 	(i)	 in no event shall a Participant receive an Award or Awards during any one (1) calendar year covering in the aggregate more than four million
(4,000,000) Shares (whether such Award or Awards may be settled in Shares, cash or any combination of Shares and cash); 

  

	 	(ii)	 in no event shall there be granted during the term of the Plan Incentive Stock Options covering more than an aggregate of forty million (40,000,000) Shares;

  

	 	(iii)	 in no event shall there be granted from and after January 1, 2006 Shares of Restricted Stock or Restricted Stock Units covering more than an aggregate of:

 (A) one hundred thirty-one million (131,000,000) Shares, plus 
 (B) the number of Shares covering any Award made under this subparagraph (iii) from and after January 1, 2006 that again become
available for issuance under Section 4.2 above because the Award is canceled, terminates, expires, or lapses for any reason; 
  

	 	provided,	 however, that (x) in the event the full number of Shares under this subparagraph (iii) have been used, the Company may grant additional Shares
of Restricted Stock or Restricted Stock Units from the remaining available Shares for grants under Section 4.1 with each such Share of Restricted Stock or Restricted Stock Unit counting as six (6) Shares against such remaining available
Shares under Section 4.1 and (y) the limitations of this subparagraph (iii) shall not apply to any Award of Restricted Stock or Restricted Stock Units which is earned solely on the basis of the achievement of performance goals.

 4.6 Adjustments in Authorized Shares. In the event of any change in
corporate capitalization, such as a stock split, or a corporate transaction, such as any merger, consolidation, separation, including a spin-off, or other distribution of stock or property of the Company, any reorganization (whether or not such
reorganization comes within the definition of such term in Code Section 368) or any partial or complete liquidation of the Company, such adjustment 

  

 2 

 
shall be made in the number and class of Shares which may be issued under the Plan and in the number and class of and/or price of Shares subject to
outstanding Awards granted under the Plan, as may be determined to be appropriate and equitable by the Committee, in its sole discretion, to prevent dilution or enlargement of rights; provided, however, that (i) the number of
Shares subject to any Award shall always be a whole number and (ii) such adjustment shall be made in a manner consistent with the requirements of Code Section 409A in order for any Options or SARs to remain exempt from the requirements of
Code Section 409A. 
 4.7 Source of Shares. Shares issued under the Plan may be original
issue shares, treasury stock or shares purchased in the open market or otherwise, all as determined by the Chief Financial Officer of the Company (or the Chief Financial Officer’s designee) from time to time, unless otherwise determined by the
Committee.” 
 6. The following sentence is added to the end of Section 6.9(b) of the Plan: 
 “In no event may an NQSO be transferred for consideration.” 
 7. The following sentence is added to the end of Section 6.11 of the Plan: 
 “In addition, in no event shall the Company, without approval of the Company’s stockholders, repurchase from Participants any
outstanding Options that have an Option Price per Share less than the then current Fair Market Value of a Share.” 
 8.
The following Section 6.12 is added to the end of Article 6 of the Plan: 
 “6.12 No Dividend
Equivalents. In no event shall any Award of Options granted under the Plan include any dividend equivalents with respect to such Award.” 
 9. The following sentence is added to the end of Section 7.8 of the Plan: 
 “In no
event may an SAR be transferred for consideration.” 
 10. The following Sections 7.10 and 7.11 are added to the end of
Article 7 of the Plan: 
 “7.10 No Repricing. Except for adjustments made pursuant to Section 4.6, the
grant price for any outstanding SAR granted under the Plan may not be decreased after the date of grant nor may any outstanding SAR granted under the Plan be surrendered to the Company as consideration for the grant of a new SAR with a lower
exercise price without approval of the Company’s stockholders. In addition, in no event shall the Company, without approval of the Company’s stockholders, repurchase from Participants any outstanding SARs that have a grant price per Share
less than the then current Fair Market Value of a Share. 
 7.11 No Dividend Equivalents. In no event shall any
Award of SARs granted under the Plan include any dividend equivalents with respect to such Award.” 
 11. Sections 14.3
and 14.4 of the Plan are amended to read as follows: 
 “14.3 Acceleration of Award Vesting; Waiver of
Restrictions. Notwithstanding any provision of this Plan or any Award Agreement provision to the contrary, the Committee, in its sole and exclusive discretion, shall have the power at any time to (i) accelerate the vesting of any
Award granted under the Plan, including, without limitation, acceleration to such a date that would result in said Awards becoming immediately vested, or (ii) waive any restrictions of any Award granted under the Plan; provided,
however, that in no event shall the Committee accelerate the vesting or waive the restrictions on (A) any Award to an individual who is an Insider or Named Executive Officer or (B) Awards with respect to an aggregate of more than
nine million (9,000,000) Shares. 
 14.4 No Repricing. Nothing in the provisions of this Article 14 shall
be construed to permit the repricing of any outstanding Option or SAR as otherwise prohibited by the provisions of Section 6.12 or Section 7.10.” 
 12. The following Section 18.7 is added to the end of Article 18 of the Plan: 
 “18.7 Compliance With Code Section 409A. The Plan is intended to comply with Code Section 409A, to the extent applicable. Notwithstanding any provision of the Plan to the contrary, the
Plan shall be interpreted, operated and 

  

 3 

 
administered consistent with this intent. In that regard, and notwithstanding any provision of the Plan to the contrary, the Company reserves the right to
amend the Plan or any Award granted under the Plan, by action of the Committee, without the consent of any affected Participant, to the extent deemed necessary or appropriate for purposes of maintaining compliance with Code Section 409A and the
regulations promulgated thereunder.” 
 13. Except as expressly or by necessary implication amended hereby, the Plan
shall continue in full force and effect. 
 IN WITNESS WHEREOF, the Company has caused this Instrument to be executed by its
duly authorized officer as of the day and year first above written. 
  

			
	 BANK OF AMERICA CORPORATION

		
	By: 	 	/s/    J. STEELE ALPHIN        
		 	J. Steele Alphin, Corporate Personnel Executive

  

 4 

 

 
 2003 KEY ASSOCIATE STOCK PLAN 
 RESTRICTED STOCK UNITS AWARD AGREEMENT 
  

					
	GRANTED TO	 	GRANT DATE	 	NUMBER OF RESTRICTED STOCK
UNITS
	 	 	 	 	 
	 	 	 	 	 
	 	 	 	 	 

  

	Note:	 The number of Restricted Stock Units is based on a “divisor price” of $[XX.XX], which is the five-day average closing price of Bank of America
Corporation common stock for the five business days immediately preceding and including February 15, 2008. 

 This Restricted Stock Units Award Agreement and all Exhibits hereto (the “Agreement”) is made between Bank of America Corporation, a Delaware corporation (“Bank of America”), and you, an associate of Bank of America or
one of its Subsidiaries. 
 Bank of America sponsors the Bank of America Corporation 2003 Key Associate Stock Plan (the
“Stock Plan”). A Prospectus describing the Stock Plan has been delivered to you. The Stock Plan itself is available upon request, and its terms and provisions are incorporated herein by reference. When used herein, the terms which are
defined in the Stock Plan shall have the meanings given to them in the Stock Plan, as modified herein (if applicable). 
 The
Restricted Stock Units covered by this Agreement are being awarded to you in connection with your participation in the Bank of America Corporation Executive Incentive Compensation Plan, subject to the following terms and provisions: 
  

	1.	 Subject to the terms and conditions of the Stock Plan and this Agreement, Bank of America awards to you the number of Restricted Stock Units shown above. Each
Restricted Stock Unit shall have a value equal to the Fair Market Value of one (1) share of Bank of America common stock. 

  

	2.	 You acknowledge having read the Prospectus and agree to be bound by all the terms and conditions of the Stock Plan and this Agreement.

  

	3.	 If a cash dividend is paid with respect to Bank of America common stock, a cash dividend equivalent equal to the total cash dividend you would have received had
your Restricted Stock Units been actual shares of Bank of America common stock will be accumulated and paid in cash through payroll when the Restricted Stock Units become earned and payable. Dividend equivalents are credited with interest at the
three-year constant maturity Treasury rate in effect on the date of grant until the payment date. 

  

	4.	 The Restricted Stock Units covered by this Award shall become earned by, and payable to, you in the amounts and on the dates shown on the enclosed Exhibit A.

  

	5.	 You agree that you shall comply with (or provide adequate assurance as to future compliance with) all applicable securities laws and income tax laws as
determined by Bank of America as a condition precedent to the delivery of any shares of Bank of America common stock pursuant to this Agreement. In addition, you agree that, upon request, you will furnish a letter agreement providing that
(i) you will not distribute or resell any of said shares in violation of the Securities Act of 1933, as amended, (ii) you will indemnify and hold Bank of America harmless against all liability for any such violation and (iii) you will
accept all liability for any such violation. 

  

	6.	 By executing and returning a Beneficiary Designation Form, you may designate a beneficiary to receive payment in connection with the Restricted Stock Units
awarded hereunder in the event of your death while in service with Bank of America. If you do not designate a beneficiary or if your designated beneficiary does not survive you, then your beneficiary will be your estate. A Beneficiary Designation
Form has been included in your Award package and may also be obtained by contacting Executive Compensation as described in the Prospectus. 

  

 2008 EIC RSU 08EICDRU 
 Page 1 of 6 

	7.	 You agree that the Restricted Stock Units covered by this Agreement are subject to the Incentive Compensation Recoupment Policy set forth in the Bank of America
Corporate Governance Guidelines. 

  

	8.	 The existence of this Award shall not affect in any way the right or power of Bank of America or its stockholders to make or authorize any or all adjustments,
recapitalizations, reorganizations or other changes in Bank of America’s capital structure or its business, or any merger or consolidation of Bank of America, or any issue of bonds, debentures, preferred or prior preference stocks ahead of or
convertible into, or otherwise affecting the Bank of America common stock or the rights thereof, or the dissolution or liquidation of Bank of America, or any sale or transfer of all or any part of its assets or business, or any other corporate act
or proceeding, whether of a similar character or otherwise. 

  

	9.	 Bank of America may, in its sole discretion, decide to deliver any documents related to this grant or future Awards that may be granted under the Stock Plan by
electronic means or request your consent to participate in the Stock Plan by electronic means. You hereby consent to receive such documents by electronic delivery and, if requested, agree to participate in the Stock Plan through an on-line or
electronic system established and maintained by Bank of America or another third party designated by Bank of America. 

  

	10.	 Any notice which either party hereto may be required or permitted to give to the other shall be in writing and may be delivered personally, by intraoffice mail,
by fax, by electronic mail or other electronic means, or via a postal service, postage prepaid, to such electronic mail or postal address and directed to such person as Bank of America may notify you from time to time; and to you at your electronic
mail or postal address as shown on the records of Bank of America from time to time, or at such other electronic mail or postal address as you, by notice to Bank of America, may designate in writing from time to time. 

 

	11.	 Regardless of any action Bank of America or your employer takes with respect to any or all income tax, payroll tax or other tax-related withholding
(“Tax-Related Items”), you acknowledge that the ultimate liability for all Tax-Related Items owed by you is and remains your responsibility and that Bank of America and/or your employer (i) make no representations or undertakings
regarding the treatment of any Tax-Related Items in connection with any aspect of the grant of Restricted Stock Units, including the grant and vesting the Restricted Stock Units, the subsequent sale of Shares acquired upon the vesting of the
Restricted Stock Units and the receipt of any dividends; and (ii) do not commit to structure the terms of the grant or any aspect of the Restricted Stock Units to reduce or eliminate your liability for Tax-Related Items.

 In the event Bank of America determines that it and/or your employer must withhold any Tax-Related Items
as a result of your participation in the Stock Plan, you agree as a condition of the grant of the Restricted Stock Units to make arrangements satisfactory to Bank of America and/or your employer to enable it to satisfy all withholding requirements,
including, but not limited to, withholding any applicable Tax-Related Items from the pay-out of the Restricted Stock Units. In addition, you authorize Bank of America and/or your employer to fulfill its withholding obligations by all legal means,
including, but not limited to: withholding Tax-Related Items from your wages, salary or other cash compensation your employer pays to you; withholding Tax-Related Items from the cash proceeds, if any, received upon sale of any Shares received in
payment for your Restricted Stock Units; and at the time of payment, withholding Shares sufficient to meet minimum withholding obligations for Tax-Related Items. Bank of America may refuse to issue and deliver Shares in payment of any earned
Restricted Stock Units if you fail to comply with any withholding obligation. 
  

	12.	 The validity, construction and effect of this Agreement are governed by, and subject to, the laws of the State of Delaware and the laws of the United States, as
provided in the Stock Plan. For purposes of litigating any dispute that arises directly or indirectly from the relationship of the parties evidenced by this grant or this Agreement, the parties hereby submit to and consent to the exclusive
jurisdiction of North Carolina and agree that such litigation shall be conducted solely in the courts of Mecklenburg County, North Carolina or the federal courts for the United States for the Western District of North Carolina, where this grant is
made and/or to be performed, and no other courts. 

  

	13.	 In the event any provision of this Agreement shall be held illegal or invalid for any reason, the illegality or invalidity shall not affect the remaining parts
of the Agreement, and the Agreement shall be construed and enforced as if the illegal or invalid provision had not been included. This Agreement constitutes the final understanding between you and Bank of America regarding the Restricted Stock
Units. Any prior agreements, commitments or negotiations concerning the Restricted Stock Units are superseded. Subject to the terms of the Stock Plan, this Agreement may only be amended by a written instrument signed by both parties.

  

 2008 EIC RSU 08EICDRU 
 Page 2 of 6 

 IN WITNESS WHEREOF, Bank of America has caused this Agreement to be executed by its duly
authorized officer, and you have hereunto set your hand, all effective as of the Grant Date listed above. 
  

							
	 BANK OF AMERICA CORPORATION
	 		 	 ASSOCIATE

				
	 By:
	 	

	 		 	  

	Chairman, Chief Executive Officer and President	 		 	

  

 2008 EIC RSU 08EICDRU 
 Page 3 of 6 

 Exhibit A 
 Bank of America Corporation 
 2003 Key Associate Stock Plan 
 PAYMENT OF RESTRICTED STOCK UNITS 
 (a) Payment Schedule. Subject to the provisions of paragraphs (b), (c) and (d) below, the Restricted Stock Units shall
become earned and payable on the third anniversary of the Grant Date if you remain employed with Bank of America and its Subsidiaries through that date. Shares will be issued as soon as administratively practicable, generally within 15 days after
the payment date. 
 (b) Impact of Termination of Employment on Earning of Restricted Stock Units. If your employment
with Bank of America and its Subsidiaries terminates prior to the above payment date, then any unearned Restricted Stock Units shall become earned or be canceled depending on the reason for termination as follows: 
  

	 	(i)	 Death, Disability, or Termination by Bank of America due to Workforce Reduction or Divestiture. Any unearned Restricted Stock Units shall become
immediately earned as of the date of your termination of employment if your termination is due to (A) death, (B) Disability, (C) Workforce Reduction or (D) Divestiture. 

  

	 	(ii)	 Termination by Bank of America Without Cause. If your employment is terminated by your employer without Cause (not including Workforce Reduction or
Divestiture), then any unearned Restricted Stock Units shall become immediately earned as of such date. 

  

	 	(iii)	 Termination by Bank of America With Cause. If your employment is terminated by your employer with Cause, then any unearned Restricted Stock Units shall be
immediately canceled as of your employment termination date. 

  

	 	(iv)	 Termination by You. If you voluntarily terminate your employment prior to attaining the Rule of 60, then any unearned Restricted Stock Units shall be
immediately canceled as of your employment termination date. 

 (c) Payment of Earned Restricted Stock
Units Following Termination of Employment. Except in the case of your termination of employment due to death, to the extent that your Restricted Stock Units become earned as described in paragraph (b), they shall become payable at such time as
provided in the Payment Schedule described in paragraph (a) (without regard to whether you are employed by Bank of America and its Subsidiaries). To the extent that your Restricted Stock Units become earned as a result of a termination of
employment due to your death, they shall become immediately payable as of the date of your termination. Shares will be issued as soon as administratively practicable, generally within 15 days after the payment date. Any accumulated cash dividend
equivalents described in Section 3 of the Agreement will also be paid at this time. 
 (d) Rule of 60. If you
voluntarily terminate your employment having attained the Rule of 60, then any unearned Restricted Stock Units shall continue to become earned and payable in accordance with the schedule set forth in paragraph (a) above, provided that
(A) you do not engage in Competition during such period and (B) prior to each of the first, second and third anniversary of the Grant Date, you provide Bank of America with a written certification that you have not engaged in Competition.
To be effective, such certification must be provided on such form, at such time and pursuant to such procedures as Bank of America shall establish from time to time. If Bank of America determines in its reasonable business judgment that you have
failed to satisfy either of the foregoing requirements, then any unearned Restricted Stock Units shall be immediately canceled as of the date of such determination. In addition, from time to time following your termination of employment after having
attained the Rule of 60, Bank of America may require you to further certify that you are not engaging in Competition, and if you fail to fully cooperate with any such requirement Bank of America may determine that you are engaging in Competition.

 (e) Form of Payment. Payment of Restricted Stock Units shall be payable in the form of one share of common stock
for each Restricted Stock Unit that is payable. 
 (f) Definitions. For purposes hereof, the following terms shall
have the following meanings: 
 Cause shall be defined as that term is defined in your offer letter or other applicable
employment agreement; or, if there is no such definition, “Cause” means a termination of your employment with Bank of America and its Subsidiaries if it 

  

 2008 EIC RSU 08EICDRU 
 Page 4 of 6 

 
occurs in conjunction with a determination by your employer that you have (i) committed an act of fraud or dishonesty in the course of your employment;
(ii) been convicted of (or plead no contest with respect to) a crime constituting a felony; (iii) failed to perform your job function(s), which Bank of America views as being material to your position and the overall business of Bank of
America and its Subsidiaries under circumstances where such failure is detrimental to Bank of America or any Subsidiary; (iv) materially breached any written policy applicable to associates of Bank of America and its Subsidiaries including, but
not limited to, the Bank of America Corporation Code of Ethics and General Policy on Insider Trading; or (v) made an unauthorized disclosure of any confidential or proprietary information of Bank of America or its Subsidiaries or have committed
any other material violation of Bank of America’s written policy regarding Confidential and Proprietary Information. 
 Competition means your being engaged, directly or indirectly, whether as a director, officer, employee, consultant, agent, or otherwise, with a business entity that is designated as a “Competitive Business” as of the date
of your termination of employment. Bank of America shall communicate such list to you. 
 Divestiture means a
termination of your employment with Bank of America and its Subsidiaries as the result of a divestiture or sale of a business unit as determined by your employer based on the personnel records of Bank of America and its Subsidiaries. 
 Rule of 60 means, as of the date of your termination of employment with Bank of America and its Subsidiaries, you have
(i) completed at least ten (10) years of “Vesting Service” under the tax-qualified Pension Plan sponsored by Bank of America in which you participate and (ii) attained a combined age and years of “Vesting Service”
equal to at least sixty (60). 
 Workforce Reduction means your termination of employment with Bank of America and its
Subsidiaries as a result of a labor force reduction, realignment or similar measure as determined by the your employer and (i) you receive severance pay under the Corporate Severance Program (or any successor program) upon termination of
employment, or (ii) if not eligible to receive such severance pay, you are notified in writing by an authorized officer of Bank of America or any Subsidiary that the termination is as a result of such action. Your termination of employment
shall not be considered due to Workforce Reduction unless you have first executed all documents required under the Corporate Severance Program or otherwise, including without limitation any required release of claims. 
  

 2008 EIC RSU 08EICDRU 
 Page 5 of 6 

 Bank of America Corporation 
 MANAGEMENT PLANS 
 BENEFICIARY DESIGNATION
FORM 
 Please complete this form if you wish to designate a beneficiary for your Shares of Restricted Stock
or Restricted Stock Units granted under the Bank of America Corporation 2003 Key Associate Stock Plan (the “Stock Plan”) or if you wish to change your current beneficiary designation. Completed forms should be returned to Fidelity
Investments, P.O. Box 770001, Cincinnati, Ohio 45277-0030. 
 ******************************************************************************************* 
 With respect to any
of my awards of Restricted Stock or Restricted Stock Units under the Stock Plan that are outstanding and become payable at the time of my death, I hereby designate the following person or entity as my beneficiary to receive any payments in
connection with those awards in the event of my death. 
 Designation of Primary Beneficiary. I designate the
following as my Primary Beneficiary(ies): 
  

							
	 Name of Beneficiary
	 	Birthdate	 	Address	 	Relationship
	  
	 	  
	 	  
	 	  

	  
	 	  
	 	  
	 	  

	  
	 	  
	 	  
	 	  

 Designation of Secondary Beneficiary. I designate the following as my
Secondary Beneficiary(ies): 
  

							
	 Name of Beneficiary
	 	Birthdate	 	Address	 	Relationship
	  
	 	  
	 	  
	 	  

	  
	 	  
	 	  
	 	  

	  
	 	  
	 	  
	 	  

 Selection of Rule for Deceased Beneficiary. Select either Rule 1 or Rule 2
below by marking with an “X”. The rule selected shall be applied to Primary Beneficiaries and Secondary Beneficiaries separately so that no Secondary Beneficiary (or issue of a Secondary Beneficiary) shall be entitled to a share of the
death benefits unless all Primary Beneficiaries fail to survive the Participant and, if Rule 2 is selected, all issue of all Primary Beneficiaries fail to survive the Participant. 
  

	        	 Rule 1. The death benefits shall be paid in equal shares to those named Beneficiaries (either Primary or Secondary, as applicable) who survive me.

  

	        	 Rule 2. The death benefits shall be paid in equal shares to those named Beneficiaries (either Primary or Secondary, as applicable) who survive me and
to the surviving issue collectively of each named Beneficiary (either Primary or Secondary, as applicable) who does not survive me but who leaves issue surviving me, with the equal share for such surviving issue of such deceased named Beneficiary to
be divided among and paid to such issue on a per stirpes basis. (“Issue” means lineal descendants and includes adopted persons.) 

 I understand that I may change this designation at any time by executing a new form and delivering it to Fidelity Investments. This designation supercedes any prior beneficiary designation made
by me with respect to awards of Restricted Stock or Restricted Stock Units granted under the Stock Plan. 
 Signature of
Participant:                                      
                                        
              Date:                        
                                        
                            
 Name of Participant (please
print):                                       
                                        
                                        
                                        
                
 Participant’s Person
Number:                                       
                                        
                                        
                                        
                         
 

 
  

 2008 EIC RSU 08EICDRU 
 Page 6 of 6 

 

 
 2003 KEY ASSOCIATE STOCK PLAN 
 STOCK OPTION AWARD AGREEMENT 
  

									
	GRANTED TO	 	GRANT DATE	 	EXPIRATION DATE	 	NUMBER OF SHARES	 	OPTION PRICE PER
SHARE
	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 

 This Stock Option Award Agreement and all Exhibits hereto (the
“Agreement”) is made between Bank of America Corporation, a Delaware corporation (“Bank of America”), and you, an associate of Bank of America or one of its Subsidiaries. 
 Bank of America sponsors the Bank of America Corporation 2003 Key Associate Stock Plan (the “Stock Plan”). A Prospectus
describing the Stock Plan has been delivered to you. The Stock Plan itself is available upon request, and its terms and provisions are incorporated herein by reference. When used herein, the terms which are defined in the Stock Plan shall have the
meanings given to them in the Stock Plan, as modified herein (if applicable). 
 You and Bank of America mutually covenant
and agree as follows: 
  

	1.	 Subject to the terms and conditions of the Stock Plan and this Agreement, Bank of America grants to you the option (the “Option”) to purchase from Bank
of America the above-stated number of Shares of Bank of America Common Stock at the Option Price per share stated above. This Option is not intended to be an Incentive Stock Option. You acknowledge having read the Prospectus and agree to be bound by
all of the terms and conditions of the Stock Plan and this Agreement. 

  

	2.	 This Option vests and is exercisable by you as described on Exhibit A attached hereto and incorporated herein by reference. The manner of exercising the Option
and the method for paying the applicable Option Price shall be as set forth in the Stock Plan. Any applicable withholding taxes must also be paid by you in accordance with the Stock Plan. Shares issued upon exercise of the Option shall be issued
solely in your name. The right to purchase Shares pursuant to the Option shall be cumulative so that when the right to purchase additional Shares has vested pursuant to the schedule on Exhibit A, such Shares or any part thereof may be purchased
thereafter until the expiration of the Option. 

  

	3.	 In the event of your termination of employment with Bank of America and its Subsidiaries and subject to the provisions of this paragraph 3 and Exhibit A, this
Option shall expire on the earlier of the Expiration Date stated above or the following cancellation date depending on the reason for termination: 

  

			
	 Reason for Termination
	  	 Cancellation Date

	Death or Disability	  	12 months from termination date
	Workforce Reduction or Divestiture	  	12 months from termination date
	Cause	  	termination date
	Rule of 60	  	Expiration Date (as stated above)*
	All Other Terminations	  	90 days from termination date

  

	*	 Note: Subject to compliance with the Rule of 60 vesting conditions set forth on Exhibit A. 

 The reasons for termination are as defined on Exhibit A. For purposes of this Agreement, your employment termination date will be
determined by Bank of America based on the personnel records of Bank of America and its Subsidiaries and will be prior to your commencement of any period of severance pay, if applicable. 
  

	4.	 The Option may not be sold, transferred, pledged, assigned, or otherwise alienated or hypothecated, other than by will or by the laws of descent and
distribution. If the Option is exercisable following your death, the Option shall be exercisable by such person empowered to do so under your will, or if you fail to make a testamentary disposition of the Option or shall have died intestate, by your
executor or other legal representative. 

  

 2008 U.S. Stk. Opt. 09C3YHR 
 (3-year hold) 
 Page 1 of 6 

	5.	 “Net Profit Shares” (as defined below) acquired upon exercise of the Option must be held by you until the earlier of (i) the third anniversary of
the exercise date or (ii) the date of your termination of employment with Bank of America and its Subsidiaries, other than termination of employment for “Cause,” as defined in Exhibit A. This period is referred to as the
“Three-Year Hold Requirement”. Any attempt to sell, transfer, pledge, assign or otherwise alienate or hypothecate Net Profit Shares prior to completion of such period shall be null and void. For purposes hereof, “Net Profit
Shares” means those Shares determined by the Global Human Resources Group representing the total number of Shares remaining after taking into account the following costs related to exercise: (i) the aggregate Option Price with respect to
the exercise; (ii) the amount of all applicable taxes with respect to the exercise, assuming your maximum applicable federal, state and local tax rates for such purpose; and (iii) any transaction costs. The Global Human Resources Group
will determine the number of Net Profit Shares for any particular exercise. Notwithstanding anything in this paragraph 5 to the contrary, the Three-Year Hold Requirement shall not apply if at any time the Global Human Resources Group determines, in
its sole discretion, that the Three-Year Hold Requirement prevents you from exercising the Option or otherwise imposes an undue burden on you, your employer or Bank of America in connection with the exercise of the Option.

  

	6.	 If your employment with Bank of America and its Subsidiaries is terminated for Cause, any Net Profit Shares held by you on the date of termination that have not
yet become transferable in accordance with paragraph 5 above shall be immediately canceled. In that case, (i) your right to vote and to receive cash dividends on, and all other rights, title or interest in, to or with respect to, such canceled
Net Profit Shares shall automatically, without further act, terminate and (ii) such canceled Net Profit Shares shall be returned to Bank of America. You hereby irrevocably appoint (which appointment is coupled with an interest) Bank of America
as your agent and attorney-in-fact to take any necessary or appropriate action to cause such canceled Net Profit Shares to be returned to Bank of America, including without limitation executing and delivering stock powers and instruments of
transfer, making endorsements and/or making, initiating or issuing instructions or entitlement orders, all in your name and on your behalf. You hereby ratify and approve all acts done by Bank of America as such attorney-in-fact. Without limiting the
foregoing, you expressly acknowledge and agree that any transfer agent for such canceled Net Profit Shares is fully authorized and protected in relying on, and shall incur no liability in acting on, any documents, instruments, endorsements,
instructions, orders or communications from Bank of America in connection with such canceled Net Profit Shares or the transfer thereof, and that any such transfer agent is a third party beneficiary of this Agreement. 

  

	7.	 You acknowledge that, as of the Grant Date of this Award, Fidelity Brokerage Services LLC, National Financial Services LLC and their affiliated companies
(collectively, “Fidelity”) have been engaged by Bank of America to provide recordkeeping, administrative and brokerage services to participants in the Stock Plan. In that regard, so long as Fidelity remains engaged by Bank of America to
provide those services, the Net Profit Shares shall be held in a brokerage account administered by Fidelity during the period of non-transferability described in paragraph 5 above. BY ENTERING INTO THIS AGREEMENT, YOU ARE ALSO HEREBY ENTERING
INTO THE INSTRUCTION LETTER WITH FIDELITY IN THE FORM ATTACHED HERETO AS EXHIBIT B, pursuant to which you authorize Fidelity to follow any duly authorized instructions of Bank of America regarding the cancellation of Net
Profit Shares in accordance with paragraph 6 above. Fidelity shall be a third party beneficiary of this Agreement for purposes of relying on the provisions of this paragraph 7. 

  

	8.	 You agree that, upon request, you will furnish a letter agreement providing (i) that you will not distribute or resell in violation of the Securities Act of
1933, as amended, any of the Shares acquired upon your exercise of the Option, (ii) that you indemnify and hold Bank of America harmless against all liability for any such violation and (iii) that you will accept all liability for any such
violation. 

  

	9.	 You agree that the Options covered by this Agreement are subject to the Incentive Compensation Recoupment Policy set forth in the Bank of America Corporate
Governance Guidelines. 

  

	10.	 The existence of this Option shall not affect in any way the right or power of Bank of America or its stockholders to make or authorize any or all adjustments,
recapitalizations, reorganizations or other changes in Bank of America’s capital structure or its business, or any merger or consolidation of Bank of America, or any issue of bonds, debentures, preferred or prior preference stocks ahead of or
convertible into, or otherwise affecting the Common Stock or the rights thereof, or the dissolution or liquidation of Bank of America, or any sale or transfer of all or any part of its assets or business, or any other corporate act or proceeding,
whether of a similar character or otherwise. 

  

	11.	 Bank of America may, in its sole discretion, decide to deliver any documents related to this Option grant or future Awards that may be granted under the Stock
Plan by electronic means or request your consent to participate in the Stock 

  

 2008 U.S. Stk. Opt. 08C3YHR 
 (3-year hold) 
 Page 2 of 6 

	 	 
Plan by electronic means. You hereby consent to receive such documents by electronic delivery and, if requested, agree to participate in the Stock Plan
through an on-line or electronic system established and maintained by Bank of America or another third party designated by Bank of America. 

 Any notice which either party hereto may be required or permitted to give to the other shall be in writing and may be delivered personally, by intraoffice mail, by fax, by electronic mail or
other electronic means, or via a postal service, postage prepaid, to such electronic mail or postal address and directed to such person as Bank of America may notify you from time to time; and to you at your electronic mail or postal address as
shown on the records of Bank of America from time to time, or at such other electronic mail or postal address as you, by notice to Bank of America, may designate in writing from time to time. 
  

	12.	 Regardless of any action Bank of America or your employer takes with respect to any or all income tax, payroll tax or other tax-related withholding
(“Tax-Related Items”), you acknowledge that the ultimate liability for all Tax-Related Items owed by you is and remains your responsibility and that Bank of America and/or your employer (i) make no representations or undertakings
regarding the treatment of any Tax-Related Items in connection with any aspect of the Option grant, including the grant, vesting or exercise of the Option, the subsequent sale of Shares acquired pursuant to such exercise and the receipt of any
dividends; and (ii) do not commit to structure the terms of the grant or any aspect of the Option to reduce or eliminate your liability for Tax-Related Items. 

 Prior to exercise of the Option, you shall pay or make adequate arrangements satisfactory to Bank of America and/or your employer to
satisfy all withholding obligations of Bank of America and/or your employer. In this regard, you authorize Bank of America and/or your employer to withhold all applicable Tax-Related Items legally payable by you from your wages or other cash
compensation paid to you by Bank of America and/or your employer or from proceeds of the sale of the Shares. Alternatively, or in addition, to the extent permissible under applicable law, Bank of America may (i) sell or arrange for the sale of
Shares that you acquire to meet the withholding obligation for Tax-Related Items, and/or (ii) withhold in Shares, provided that Bank of America only withholds the amount of Shares necessary to satisfy the minimum withholding amount. Finally,
you shall pay to Bank of America or your employer any amount of Tax-Related Items that Bank of America or your employer may be required to withhold as a result of your participation in the Stock Plan or your purchase of Shares that cannot be
satisfied by the means previously described. Bank of America may refuse to honor the exercise and refuse to deliver the Shares if you fail to comply with your obligations in connection with the Tax-Related Items as described in this paragraph 12.

  

	13.	 The validity, construction and effect of this Agreement are governed by, and subject to, the laws of the State of Delaware and the laws of the United States, as
provided in the Stock Plan. For purposes of litigating any dispute that arises directly or indirectly from the relationship of the parties evidenced by this grant or this Agreement, the parties hereby submit to and consent to the exclusive
jurisdiction of North Carolina and agree that such litigation shall be conducted solely in the courts of Mecklenburg County, North Carolina or the federal courts for the United States for the Western District of North Carolina, where this grant is
made and/or to be performed, and no other courts. 

  

	14.	 In the event any provision of this Agreement shall be held illegal or invalid for any reason, the illegality or invalidity shall not affect the remaining parts
of the Agreement, and the Agreement shall be construed and enforced as if the illegal or invalid provision had not been included. This Agreement constitutes the final understanding between you and Bank of America regarding the Option. Any prior
agreements, commitments or negotiations concerning the Option are superseded. Subject to the terms of the Stock Plan, this Agreement may only be amended by a written instrument signed by both parties. 

 IN WITNESS WHEREOF, Bank of America has caused this Agreement to be executed by its duly authorized officer, and you have hereunto set
your hand, all effective as of the Grant Date listed above. 
  

							
	 BANK OF AMERICA CORPORATION
	 		 	 ASSOCIATE

				
	 By:
	 	

	 		 	  

		 	Chairman, Chief Executive Officer and President	 		 	

  

 2008 U.S. Stk. Opt. 08C3YHR 
 (3-year hold) 
 Page 3 of 6 

 Exhibit A 
 Bank of America Corporation 
 2003 Key Associate Stock Plan 
 VESTING OF STOCK OPTION AWARD 
 (a) VESTING SCHEDULE. Subject to the provisions of paragraph (b) below, the
Option shall vest and become exercisable on the third anniversary of the Grant Date if you remain employed with Bank of America and its Subsidiaries through that date. 
 (b) EFFECT OF TERMINATION OF EMPLOYMENT ON VESTING. The termination
of your employment with Bank of America and its Subsidiaries before the vesting date in paragraph (a) above shall affect the vesting of the Option depending on the reason for termination as follows: 
 Death, Disability, Workforce Reduction or Divestiture: To the extent the Option was not already vested pursuant to paragraph
(a) above, the Option shall become fully (100%) vested as of the date of your death, Disability, or termination of employment due to Workforce Reduction or Divestiture. If you satisfied the Rule of 60 as of the date of your termination of
employment due to your death or Disability, then notwithstanding the provisions of paragraph 3 of the Agreement to the contrary, the Option will remain exercisable until the Expiration Date of the Option. 
 Cause: The Option shall immediately terminate and be canceled as of the date of termination of employment, even if it had
previously vested to any extent pursuant paragraph (a) above prior to termination of employment. 
 Rule of 60: If
your employment terminates for any reason other than death, Disability or Cause after you have attained the Rule of 60, then, after applying the vesting rules applicable to termination due to Workforce Reduction or Divestiture as set forth above in
this paragraph (b) (if applicable), any unvested Options shall continue to become vested and exercisable in accordance with the schedule set forth in paragraph (a) above, provided that (A) you do not engage in Competition during such
period and (B) prior to each of the first, second and third anniversary of the Grant Date, you provide Bank of America with a written certification that you have not engaged in Competition. To be effective, such certification must be provided
on such form, at such time and pursuant to such procedures as Bank of America shall establish from time to time. If Bank of America determines in its reasonable business judgment that you have failed to satisfy either of the foregoing requirements,
then: 
 (A) any unvested Options shall be immediately canceled as of the date of such determination; and 
 (B) any vested Options shall cease to be exercisable as of the later of (i) the date of such determination or (ii) the
applicable Cancellation Date under paragraph 3 of the Agreement that would have applied if you had not attained the Rule of 60. 
 In addition, from time to time following your termination of employment after having attained the Rule of 60, Bank of America may require you to further certify that you are not engaging in Competition, and if you fail to fully cooperate
with any such requirement Bank of America may determine that you are engaging in Competition. 
 All Other
Terminations: Any portion of the Option that was not already vested pursuant to paragraph (a) above as of the date of termination of employment shall terminate and be canceled as of such date. 
 The Option, to the extent vested as provided by this paragraph (b), shall remain exercisable following termination of employment pursuant
to the provisions of paragraph 3 of the Agreement. 
 (c) DEFINED TERMS.
For purposes of this Exhibit A and the Agreement, the following terms shall have the following meanings: 
 All Other
Terminations means any termination of your employment with Bank of America and its Subsidiaries prior to your having attained the Rule of 60, whether initiated by you or your employer, other than a termination due to your death or Disability and
other than a termination which constitutes Workforce Reduction, Divestiture or Cause. 
 Cause shall be defined as that
term is defined in your offer letter or other applicable employment agreement; or, if there is no such definition, “Cause” means a termination of your employment with Bank of America and its Subsidiaries if it occurs in conjunction with a
determination by your employer that you have (i) committed an act of fraud or dishonesty in the course of your employment; (ii) been convicted of (or plead no contest with respect to) a crime constituting a 

  

 2008 U.S. Stk. Opt. 08C3YHR 
 (3-year hold) 
 Page 4 of 6 

 
felony; (iii) failed to perform your job function(s), which Bank of America views as being material to your position and the overall business of Bank of
America and its Subsidiaries under circumstances where such failure is detrimental to Bank of America or any Subsidiary; (iv) materially breached any written policy applicable to associates of Bank of America and its Subsidiaries including, but
not limited to, the Bank of America Corporation Code of Ethics and General Policy on Insider Trading; or (v) made an unauthorized disclosure of any confidential or proprietary information of Bank of America or its Subsidiaries or have committed
any other material violation of Bank of America’s written policy regarding Confidential and Proprietary Information. 
 Competition means your being engaged, directly or indirectly, whether as a director, officer, employee, consultant, agent, or otherwise, with a business entity that is designated as a “Competitive Business” as of the date
of your termination of employment. Bank of America shall communicate such list to you. 
 Disability is as defined in
the Stock Plan. 
 Divestiture means a termination of your employment with Bank of America and its Subsidiaries as the
result of a divestiture or sale of a business unit as determined by your employer based on the personnel records of Bank of America and its Subsidiaries. 
 Rule of 60 means, as of the date of your termination of employment with Bank of America and its Subsidiaries, you have (i) completed at least ten (10) years of “Vesting Service” under the
tax-qualified Pension Plan sponsored by Bank of America in which you participate and (ii) attained a combined age and years of “Vesting Service” equal to at least sixty (60). 
 Workforce Reduction means your termination of employment with Bank of America and its Subsidiaries as a result of a labor force
reduction, realignment or similar measure as determined by your employer and (i) you receive severance pay under the Corporate Severance Program (or any successor program) upon termination of employment, or (ii) if not eligible to receive
such severance pay, you are notified in writing by an authorized officer of Bank of America or any Subsidiary that the termination is as a result of such action. Your termination of employment shall not be considered due to Workforce Reduction
unless you have first executed all documents required under the Corporate Severance Program or otherwise, including without limitation any required release of claims. 
  

 2008 U.S. Stk. Opt. 08C3YHR 
 (3-year hold) 
 Page 5 of 6 

 Exhibit B 
 Fidelity Brokerage Services LLC 
 National Financial Services LLC 
 82 Devonshire Street, Mailzone L3B 
 Boston,
MA 02109 
  

	 	Re:	 Brokerage Account at Fidelity Brokerage Services LLC 

	 	    	 Registered in the name of [NAME] (the “Account”) 

 Ladies and Gentlemen: 
 This letter sets forth my instructions to Fidelity Brokerage Services LLC and National Financial Services LLC (collectively, “Fidelity”) regarding shares of the Common Stock of Bank of America Corporation
(the “Issuer”) acquired by me under the Bank of America Corporation 2003 Key Associate Stock Plan (“Stock Plan”) and held in the Account (the “Shares”). For purposes of this letter, the Shares include any shares of
Issuer acquired pursuant to the stock options granted to me under the Stock Plan in February 2008 or any prior years that are subject to the hold requirement. 
  

	1.	 I am a participant in the Stock Plan, an equity compensation plan of the Issuer whereby I have been granted options to acquire shares of the Common Stock of the
Issuer. 

  

	2.	 I am familiar with the terms of the Stock Plan and applicable grant agreement (“Controlling Documents”) with respect to the Shares. I will not give any
instructions to Fidelity regarding the Shares that are not permitted under the Controlling Documents. 

  

	3.	 Upon exercise of my option rights, I may from time to time acquire Shares that will be deposited in my Account. 

  

	4.	 Under the Controlling Documents, the Shares are subject to return to the Issuer under certain circumstances set forth in the Controlling Documents until a date
set forth in the Controlling Documents (the “Restrictions Lapse Date”). 

  

	5.	 With respect to Shares I hereby instruct Fidelity to restrict my ability to sell, exchange, transfer, pledge or otherwise enter into transactions with respect to
the Shares prior to the Restrictions Lapse Date. 

  

	6.	 Fidelity may follow any instructions or orders with respect to the Shares given by the Issuer or by a person designated by the Issuer to act on behalf of the
Issuer with respect to the Shares (an “Authorized Person”), or a person Fidelity reasonably believes to be an Authorized Person, including without limitation any instructions regarding the Restrictions Lapse Date and the cancellation,
surrender or other transfer of the Shares to the Issuer (“Issuer Instructions”). 

  

	7.	 Fidelity shall be under no obligation to verify the validity of any Issuer Instructions under the Controlling Documents or Issuer’s authority to give any
Issuer Instructions. 

  

	8.	 This letter does not create any obligation of Fidelity except for those expressly set forth herein. Fidelity shall have no liability to me for any act or
omission by Fidelity or any of its employees or representatives, taken or omitted in accordance with such Issuer Instructions. In particular, Fidelity need not investigate whether Issuer is entitled under the Controlling Documents to give Issuer
Instructions. 

  

	9.	 I agree to indemnify, defend, and hold harmless Fidelity, its affiliates, and their respective successors, officers, directors, employees and assigns, from and
against any and all actions, causes of action, claims, demands, costs, liabilities, expenses (including attorneys’ fees and disbursements) and damages arising out of or in connection with any act or omission of Fidelity taken in good faith in
reliance on the instructions set forth herein or any instruction from me or any Authorized Person. 

  

	10.	 Fidelity may provide information to the Issuer or any Authorized Person with respect to the Account and the Shares. 

  

	11.	 These instructions shall continue in effect with respect to Shares until the earlier to occur of (a) the Restrictions Lapse Date or (b) receipt by
Fidelity of written notice by an Authorized Person instructing Fidelity to accelerate the Restrictions Lapse Date. 

  

	12.	 Fidelity may cease to follow the instructions and undertaking set forth in this letter by delivering thirty days prior written notice (a) to me and
(b) to the Issuer or an Authorized Person. 

  

	
	 Sincerely,

	  

	 [NAME]

	 Account Owner

  

 2008 U.S. Stk. Opt. 08C3YHR 
 (3-year hold) 
 Page 6 of 6Exhibit 4.1

 Exhibit 4.1 
 GROUP GUARANTEED INCOME 
 ANNUITY CONTRACT 
 Please read this Contract carefully. This group guaranteed income annuity Contract is a legal annuity Contract between the Contract Owner and Genworth Life and
Annuity Insurance Company (the “Company”, “we”, “us” or “our”). We have issued this Contract in consideration of the application. We agree to make income payments to Certificate Owners or their named
Beneficiaries, subject to Contract and Certificate provisions. 
 THIS CONTRACT HAS NO CASH VALUE AND NO SURRENDER VALUE. 
 For Genworth Life and Annuity Insurance Company, 
  

									
		 	 /s/ PAMELA S. SCHUTZ
	 		  	 /s/ THOMAS E. DUFFY
	  	
					
		 	PAMELA S. SCHUTZ	 		  	THOMAS E. DUFFY	  	
		 	        PRESIDENT	 		  	        SECRETARY	  	

 GENWORTH LIFE AND ANNUITY 
 INSURANCE COMPANY 
 GROUP GUARANTEED INCOME ANNUITY CONTRACT 

ALLOCATED FIXED ANNUITY 
 NONPARTICIPATING STOCK COMPANY 
 CUSTOMER SERVICE TELEPHONE [(866) 360-4015] 
 HOME OFFICE: 
 [6610 WEST BROAD
STREET, RICHMOND, VIRGINIA 23230] 
 ADMINISTRATIVE OFFICE: 
 [PO BOX 27601, RICHMOND, VIRGINIA 23286-8786] 
  

			
	  
 MP7170 5/07 VA
	  	

					
	Data Pages	  		  	
		
	 Contract Number:
	  	[000000000]
		
	 Contract Date:
	  	[May 1, 2007]
		
	 Contract Owner:
	  	[AssetMark Investments Services, Inc.]
		
	 Issued In:
	  	[California]
		
	 Income Plan(s):
	  	[Life of Participant(s) with return of Premium]
		
	 Asset Allocation Model(s):
	  	[AssetMark Portfolio Allocations, Profile 3 or Profile 4]
		
	 Withdrawal Age:
	  	[60]
		
	 [Joint Participant’s Limitations:]
	  	[Spousal only, subject to state law.]
		
	Certificate Account Limit at issue for Non-qualified Accounts:	  	[$2,000,000]
		
	Certificate Account Limit for Qualified Accounts:	  	[Subject to Code limitations]
		
	 Minimum Certificate
	  	
		
	 Account Value:
	  	 [ETF                     $100,000]

 [Mutual Fund     $50,000]

		
	 Notice Period:
	  	[30 business days]
		
	 Maximum Certificate Issue Age:
	  	[84]
		
	 Maximum Certificate Annuity Age:
	  	[100]
		
	 Contract Amendment Events:
	  	[None]
		
	 Contract Suspension Events:
	  	[None]
		
	 Pre-suspension Cure Period:
	  	[60 business days]
		
	 Suspension Cure Period:
	  	[90 business days]
		
	 Contract Termination Events:
	  	[No additional events listed]
		
	 Termination Cure Period:
	  	[180 business days]

 IF YOU HAVE A QUESTION, WOULD LIKE TO OBTAIN INFORMATION ABOUT THIS CONTRACT, OR NEED ASSISTANCE RESOLVING A
COMPLAINT, PLEASE CALL OUR ADMINISTRATIVE OFFICE TOLL FREE AT [(866) 360-4015]. 

			
	  
 MP7170 5/07 VA
	  	

			
	Data Pages	  	
		
	Contract Number:	  	[000000000]
		
	Asset Charge:	  	 For Single Participant Certificates with Profile 3 - [0.75%] Annually on Account Value of each Certificate.
 For Joint Participant Certificates with Profile 3 - [0.90%] Annually on Account Value of each Certificate.

		
		  	 For Single Participant Certificates with Profile 4 - [0.85%] Annually on Account Value of each Certificate.
 For Joint Participant Certificates with Profile 4 - [1.00%] Annually on Account Value of each Certificate.

		
	Addition Exceptions:	  	[Transfers among investment options within the Account, investment returns, dividends, interest, expense reimbursements. ]
		
	Withdrawal Exceptions:	  	[Transfers among investment options within the Account; in a given Withdrawal Year for a Certificate, 2.00% of Account Value collected by you for advisory, administrative, custodial and other
services.]

			
	  
 MP7170 5/07 VA
	  	

			
	Contract Number:	  	[000000000]

 Withdrawal Guarantee Factors 
  

											
	 Attained Age
	 	 Annual
 Factor
	 	 Attained Age
	 	 Annual
 Factor
	 	 Attained Age
	 	 Annual
 Factor

	 [60 & under
	 	0.05]	 	[70	 	0.05]	 	[80	 	0.05]
	 [61
	 	0.05]	 	[71	 	0.05]	 	[81	 	0.05]
	 [62
	 	0.05]	 	[72	 	0.05]	 	[82	 	0.05]
	 [63
	 	0.05]	 	[73	 	0.05]	 	[83	 	0.05]
	 [64
	 	0.05]	 	[74	 	0.05]	 	[84	 	0.05]
	 [65
	 	0.05]	 	[75	 	0.05]	 	[85	 	0.05]
	 [66
	 	0.05]	 	[76	 	0.05]	 	[86	 	0.05]
	 [67
	 	0.05]	 	[77	 	0.05]	 	[87	 	0.05]
	 [68
	 	0.05]	 	[78	 	0.05]	 	[88	 	0.05]
	 [69
	 	0.05]	 	[79	 	0.05]	 	[89	 	0.05]
		 		 		 		 	[90 & older	 	0.05]

			
	  
 MP7170 5/07 VA
	  	

 TABLE OF CONTENTS 
  

					
	 ARTICLE
	  	 	  	PAGE
		  	Data Pages.	  	3
	I.	  	Definitions	  	4
	II.	  	General Features	  	7
	III.	  	Funding Phase - Certificate Date	  	9
	IV.	  	Funding Phase – Changes In Withdrawal Guarantee	  	9
	V.	  	Funding Phase – Death Provisions	  	11
	VI.	  	Payout Phase – Income Provisions	  	11
	VII.	  	General Provisions	  	14
	VIII.	  	Charges	  	19
			
		  	Copies of any riders and endorsements follow page 19.	  	

 ARTICLE I – DEFINITIONS 
  

	1.1	Account – The investment vehicle provided by the Contract Owner to hold the assets in each investment portfolio owned by the Certificate Owner(s) and covered under this
Contract. The Account is managed according to the asset allocation model(s) shown on the Data Pages. We do not own the Account. 

  

	1.2	Account Limit – The maximum Account Value allowed for a Certificate at the time of any Addition without the approval of our Administrative Office. The initial value is
shown on the Data Pages. 

  

	1.3	Account Value – The value of the assets in the Account, as determined by the Contract Owner as of the close of business on a Valuation Day. For purposes of this
Contract, once the Account Value is determined on a Valuation Day, the Account Value does not change until the next Valuation Day. 

  

	1.4	Addition – Amounts contributed into the Account by a Certificate Owner. 

  

	1.5	Administrative Office – Our Administrative Office located at the address shown on the Contract cover page. 

  

	1.6	Alternate Payee – An Alternate Payee as determined by the Certificate Owner(s). 

  

	1.7	Annuity Date – The date on which the Premium is received. 

  

	1.8	Annuity Exercise Date – The earliest of the following three dates: (i) the date the Account Value is less than the Withdrawal Guarantee; (ii) the date the
Account Value is less than the minimum Account Value as shown on the Data Pages and; (iii) the date the younger of the Participant or any Joint Participant, reaches the maximum annuity age as shown on the Data Pages, less the number of days in
the Notice Period. 

  

	1.9	Annuity Year – The first Annuity Year is the period of time between the Annuity Date and the first Birthday following the Annuity Date. Subsequent Annuity Years are the
one-year periods beginning on each Birthday. 

			
	  
 MP7170 5/07 VA
	  	  
 4

	1.10	Attained Age – On any date, age on the last Birthday. 

  

	1.11	Base Income – The base annual payment under the Base Income provision paid by us to the Certificate Owner(s) or their named Beneficiary. 

  

	1.12	Base Income Factor – A factor from the tables shown under the Base Income provision used in the calculation of the Base Income. 

  

	1.13	Beneficiary – The person or entity entitled to receive any Base Income or Guaranteed Income payments remaining upon the death of the Participant or Joint Participant(s)
as shown on the Certificate Data Pages. Any remaining income payments will be paid in accordance with the terms of the Certificate. 

  

	1.14	Birthday – The end of day each year on the anniversary of the date of birth of the younger of the Participant and any Joint Participant. 

  

	1.15	Certificate – A no cash value certificate issued to the Certificate Owner(s) pursuant to the terms of the Contract. The Certificate is not a contract. The Certificate
describes the Withdrawal Guarantee as well as the Certificate Owner’s rights and obligations with respect to the Guaranteed Income to be paid following the Latest Annuity Date. The Certificate also describes the Certificate Owner’s rights
and obligations with respect to the Base Income. 

  

	1.16	Certificate Date – The Valuation Day on which a Certificate is issued and becomes effective as shown on the Certificate Data Pages. 

  

	1.17	Certificate Owner(s) – The person(s) or entity named on the Certificate Data Pages. 

  

	1.18	Code – The Internal Revenue Code of 1986, as amended. 

  

	1.19	Company – Genworth Life and Annuity Insurance Company (also referred to as “we”, “us” or “our”). 

  

	1.20	Contract – This group guaranteed income annuity contract with any attached application, riders and endorsements. 

  

	1.21	Contract Date – The Valuation Day the Contract is issued and becomes effective, as shown on the Data Pages. The Contract Date is used to determine Contract years and
anniversaries. 

  

	1.22	Contract Owner – The named Contract Owner as shown on the Data Pages. The Contract Owner may exercise all of the rights and privileges under the Contract. All ownership
rights with respect to any issued Certificate shall belong to the Certificate Owner, or the annuity Beneficiary as may be designated under the terms of the Certificate or determined through the operation of law. 

  

	1.23	Early Withdrawal – Any Withdrawal by a Certificate Owner before the withdrawal age. 

			
	  
 MP7170 5/07 VA
	  	  
 5

	1.24	Excess Withdrawal – After the withdrawal age as shown on the Data Pages, the portion of all Withdrawals by a Certificate Owner during a Withdrawal Year that is in excess
of the Withdrawal Guarantee. 

  

	1.25	Guaranteed Income – The guaranteed annual payment by us to the Certificate Owner(s), or their named Beneficiary(ies) as determined by the last recorded Withdrawal
Guarantee payable under the Guaranteed Income provision. 

  

	1.26	Income Plan – An Income Plan made available to the Certificate Owner(s) as shown on the Data Pages. 

  

	1.27	Joint Participant – The person whose age, together with the Participant’s age, determines the Base Income annual payment factor under each Certificate.

  

	1.28	Latest Annuity Date – The Annuity Exercise Date plus the Notice Period. 

  

	1.29	Notice Period – The period shown on the Data Pages. 

  

	1.30	Participant – The person whose age is used to determine the Withdrawal Guarantee Factor and the Base Income annual payment factor under each Certificate.

  

	1.31	Premium – The amount on the Annuity Date applied as payment for either Base Income or Guaranteed Income. 

  

	1.32	Qualified Account – An Account listed under the Qualified Accounts provision which receives favorable tax treatment under the Code. 

  

	1.33	Valuation Day – For each Account, each day on which the New York Stock Exchange is open for regular trading, except for days that the Account’s corresponding
portfolio does not value its shares. 

  

	1.34	Withdrawal – Any disbursement from the Account other than Withdrawal Exceptions. 

  

	1.35	Withdrawal Exceptions – Disbursements as shown on the Data Pages that will not be treated as Withdrawals. 

  

	1.36	Withdrawal Exercise Date – For each Certificate, the date when the Participant or the younger Joint Participant reaches the withdrawal age as shown on the Data Pages.

  

	1.37	Withdrawal Guarantee – After the withdrawal age as shown on the Data Pages, the maximum amount the Certificate Owner may withdraw from the Account Value in a Withdrawal
Year without reducing the Guaranteed Income. 

  

	1.38	Withdrawal Guarantee Factor – A factor used in the calculation of the Withdrawal Guarantee as shown on the table located on the Data Pages. 

  

	1.39	Withdrawal Year – After the Participant or the younger Joint Participant reaches the withdrawal age as shown on the Data Pages, it is the period between two Birthdays.

			
	  
 MP7170 5/07 VA
	  	  
 6

 ARTICLE II – GENERAL FEATURES 
  

	2.1	The terms of this Contract provide for a guaranteed income over the life of the Participant(s) based on the Certificate Owner’s Account Value provided all conditions
specified in the Contract and corresponding Certificate are met. The Contract Owner maintains the Account on behalf of the Certificate Owner(s). We do not manage the Account. Should the Certificate Owner’s Account Value drop below the
Withdrawal Guarantee or the minimum Account Value as shown on the Data Pages, and provided all other contractual terms are satisfied, we guarantee to make payments in the form of Guaranteed Income equal to the Withdrawal Guarantee. A Base Income is
also available to the Certificate Owner. Payments will be made in accordance with the Income Plan shown on the Data Pages. 

  

	2.2.	Certain persons or entities have important roles in this Contract. 

  

	2.2.1	The Contract Owner is shown on the Data Pages. All ownership rights of the Contract belong to the Contract Owner. However, a Certificate Owner may exercise certain
rights as specified in this Contract and the Certificate, or determined through the operation of law. The Contract Owner is the entity that is responsible for managing the asset allocation model(s) and administering the Account on behalf of the
Certificate Owner(s). This responsibility includes obtaining the Certificate Owner’s annuity election, if any, by the maximum annuity age as shown on the Data Pages. The Contract Owner is responsible for delivering to us the Certificate
Owner’s fees assessed under the Contract and Certificate, as well as any Premium. The Contract Owner will provide all data and records needed for us to administer the Contract and Certificate and to meet our regulatory requirements.

  

	2.2.2	The Certificate Owner(s) is the person or entity named on the Certificate who owns the assets of the Account. If the Certificate Owner(s) is an individual, he or she
must be a named Participant on the Certificate Date. For each Certificate, an individual(s) must be designated as a named Participant(s). 

  

	2.2.3	The Participant or Joint Participant is the person(s) named on the Certificate Data Pages whose age is used in determining the Guaranteed Income. Neither the
Participant or Joint Participant can be changed once named. Except as provided in this Contract for Qualified Accounts, any limitations on Joint Participants are shown on the Data Pages. 

  

	2.2.4	During the payout phase, upon the death of the last surviving Participant, the Beneficiary receives any remaining income. 

  

	2.2.5	If a trust is named as the Certificate Owner(s) or Beneficiary and subsequently exercises ownership rights or claims benefits, we have no obligation to verify that a
trust is valid and in effect. We will have no obligation to verify that the trustee is acting within the scope of his or her authority. Payment of any benefits to the trustee or trust will release us from all obligations under the Certificate to the
extent of the payment. When we make a payment, we will have no obligation to ensure that such payment is applied according to the terms of the trust agreement. 

			
	  
 MP7170 5/07 VA
	  	  
 7

	2.3	The Withdrawal Guarantee for each Certificate is established on its Certificate Date and is adjusted according to the terms of this Contract and the Certificate. At all times
the Account Value must be allocated to one or more asset allocation model(s) shown on the Data Pages. The Certificate Owner is required to conduct all trading activity for their Account through a broker-dealer or registered investment adviser
approved by the Contract Owner. An allocation of the Account by the Certificate Owner(s) inconsistent with the asset allocation model(s) as shown on the Data Pages may result in immediate suspension and eventual termination of the Certificate as
described in the General Provisions section under Suspension and Termination. 

  

	2.4	Withdrawals covered by the Withdrawal Guarantee may begin on or after the younger of the Participant or any Joint Participant reaches the withdrawal age as shown on the Data
Pages. The Withdrawal Guarantee may be reduced if any Withdrawals are taken prior to that date. The Withdrawal Guarantee may be reduced on or after the Withdrawal Exercise Date if any Withdrawals in a Withdrawal Year exceed the Withdrawal Guarantee.

  

	2.5	The Certificate Owner(s) will be charged an asset charge as stated in the Data Pages. Failure to pay the asset charge will be deemed an election to terminate the Certificate.
The Certificate Owner(s) may elect to terminate the Certificate at any time without additional charge. If the Participant(s) die(s) prior to the Annuity Date, the Certificate terminates. 

  

	2.6	The Guaranteed Income benefit provided under this Contract can be lost, in whole or in part, if, for any reason, the Contract Owner does not follow the investment policy
guidelines during the funding phase. 

 Funding Phase. The funding phase for the Certificate Owner(s) starts on the
Certificate Date. During the funding phase the Certificate Owner(s) may contribute to the Account to accumulate assets for retirement or other purposes. The Contract Owner is responsible for managing the Account. The Account must be managed in
accordance with the asset allocation model(s) as shown on the Data Pages. The Certificate Owner(s) may take Withdrawals from the Account at any time in any amount. However, Withdrawals before the younger of the Participant or any Joint Participant
reaches the withdrawal age as shown on the Data Pages, will reduce the Withdrawal Guarantee. On or after the withdrawal age as shown on the Data Pages, Withdrawals within Certificate limitations will not reduce the Withdrawal Guarantee. 

 

	2.7	Payout Phase. The payout phase begins as of the Annuity Date. The Certificate Owner(s) will authorize transfer of the Account Value to us as of the Annuity Date and we will
begin making income payments. We will continue to make payments to the Certificate Owner(s) while any Participant is living. There are two income provisions: Guaranteed Income and Base Income. Only one income provision may be elected per
Certificate. Guaranteed Income payments start if the Account Value falls below the minimum Account Value as shown on the Data Pages or the Withdrawal Guarantee, or if the younger of the Participant or any Joint Participant reaches the maximum
annuity age shown on the Data Pages. The Certificate Owner(s) has the right at any time prior to the Annuity Date to elect Base Income by transferring the Account Value to us. 

			
	  
 MP7170 5/07 VA
	  	  
 8

 ARTICLE III – FUNDING PHASE – CERTIFICATE DATE 
  

	3.1	Each Certificate Owner(s) will receive a single no cash value Certificate describing their interests in this Contract once their election form is processed by us.

  

	3.2	Initial Withdrawal Guarantee 

  

	3.2.1	On the Certificate Date, the initial Withdrawal Guarantee is established. The initial Withdrawal Guarantee is equal to (a) multiplied by (b), where:

  

	 	(a)	is the Account Value on the Certificate Date; and 

  

	 	(b)	is the Withdrawal Guarantee Factor for the Attained Age. 

  

	3.2.2	Requests to issue Certificates greater than the Account Limit are subject to approval by our Administrative Office, as are requests to issue additional Certificates to
current Certificate Owners. We are not required to approve such requests. 

  

	3.2.3	Additions to a Certificate Owner’s Account which currently exceeds the Account Limit or will cause the Account Limit to be exceeded are subject to approval by our
Administrative Office. We are not required to approve such requests. Until approval is granted, the Certificate will be suspended as described in the General Provisions section. 

  

	3.3	Changes in the Withdrawal Guarantee Factor 

  

	 3.3.1
	 We reserve the right to change the Withdrawal Guarantee Factors as of January 1st of each calendar year. If we make a change, we will send the Contract Owner and each Certificate Owner written notice of such change at least [30] days before the change becomes
effective. 

  

	3.4	Changes to the Account Limit 

  

	3.4.1	We reserve the right to increase the Account Limit for Certificates already issued. 

 ARTICLE IV – FUNDING PHASE – CHANGES IN WITHDRAWAL GUARANTEE 
  

	4.1	Increases to the Withdrawal Guarantee on the Birthday 

  

	4.1.1	On each Birthday, the Withdrawal Guarantee may increase. The new Withdrawal Guarantee is equal to the greater of the Withdrawal Guarantee on the prior Valuation Day, and
(a) multiplied by (b), where: 

  

	 	(a)	is the Account Value, on the Birthday; and 

  

	 	(b)	is the current Withdrawal Guarantee Factor for the Attained Age. 

  

	4.2	Decreases in Withdrawal Guarantee 

  

	4.2.1	Withdrawals from the Account that reduce the Withdrawal Guarantee are: 

  

	 	(a)	Early Withdrawals; and 

  

	 	(b)	Excess Withdrawals. 

			
	  
 MP7170 5/07 VA
	  	  
 9

	4.3	Early Withdrawals 

  

	4.3.1	Any Withdrawals prior to the younger of the Participant and any Joint Participant reaching the withdrawal age as shown on the Data Pages, are Early Withdrawals. Early
Withdrawals will reduce the Certificate Owner(s)’s Withdrawal Guarantee. 

  

	4.3.2	The adjusted Withdrawal Guarantee, after an Early Withdrawal, is the lesser of (a) and (b), where: 

  

	 	(a)	is the Withdrawal Guarantee on the Valuation Day prior to the Withdrawal; and 

  

	 	(b)	is equal to (i) multiplied by (ii), where: 

  

	 	(i)	is the Account Value, subject to the Account Limit; and 

  

	 	(ii)	is the Withdrawal Guarantee Factor for the Attained Age. 

  

	4.3.3	In the event of an Early Withdrawal, we will restore the Withdrawal Guarantee if, within 30 days the Certificate Owner both (i) makes Additions equal to or greater than
the Early Withdrawal amount and (ii) requests a restoration of the Withdrawal Guarantee. The Contract Owner may make this request on the Certificate Owner’s behalf. 

  

	4.4	Excess Withdrawals 

  

	4.4.1	A Certificate Owner will have an Excess Withdrawal by Withdrawing more than the Withdrawal Guarantee in a given Withdrawal Year. Excess Withdrawals reduce the Certificate
Owner’s Withdrawal Guarantee. 

  

	4.4.2	For any Withdrawal after the withdrawal age as shown on the Data Pages, the Excess Withdrawal amount is equal to the greater of zero and the remainder of (a) minus
(b) minus (c), where: 

  

	 	(a)	is the Withdrawal plus all previous Withdrawals during the Withdrawal Year; 

  

	 	(b)	is the Withdrawal Guarantee; and 

  

	 	(c)	is the previous Excess Withdrawals during the Withdrawal Year. 

  

	4.4.3	The adjusted Withdrawal Guarantee, after an Excess Withdrawal is made, is the lesser of (a) and (b), where: 

  

	 	(a)	is the Withdrawal Guarantee on the Valuation Day, prior to the Withdrawal; and 

  

	 	(b)	is equal to (i) multiplied by (ii), where: 

  

	 	(i)	is the Account Value, subject to the Account Limit; and 

  

	 	(ii)	is the Withdrawal Guarantee Factor for the Attained Age. 

  

	4.4.4	In the event of an Excess Withdrawal, we will restore the Withdrawal Guarantee if, within 30 days the Certificate Owner both: (i) makes Additions equal to or greater
than the Excess Withdrawal amount; and (ii) requests a restoration of the Withdrawal Guarantee. The Contract Owner may make this request on the Certificate Owner’s behalf. 

  

	4.5	Closing the Account 

  

	4.5.1	The Withdrawal Guarantee is reduced to zero when a Certificate Owner closes their Account. No additional charges will be assessed. 

			
	  
 MP7170 5/07 VA
	  	  
 10

	4.6	Withdrawal Guarantee During the First Withdrawal Year 

  

	4.6.1	If, on the Certificate Date the younger of the Participant and any Joint Participant is older than the withdrawal age as shown on the Data Pages, any Withdrawal taken in the
first Withdrawal Year will cause the Withdrawal Guarantee to be adjusted prorata for the number of days between the Certificate Date and the next Birthday. In this case, the adjusted prorata Withdrawal Guarantee during the first Withdrawal Year is
(a) multiplied by (b) divided by (c), where: 

  

	 	(a)	is the unadjusted Withdrawal Guarantee; 

  

	 	(b)	is the number of days between the Certificate Date and the next Birthday; and 

  

	 	(c)	is 365. 

  

	4.6.2	Withdrawals during the first Withdrawal Year that do not exceed the adjusted prorata Withdrawal Guarantee do not change the Withdrawal Guarantee for future Withdrawal Years.

 ARTICLE V – FUNDING PHASE – DEATH PROVISIONS 
  

	5.1	If a Certificate Owner dies and the sole remaining Certificate Owner with respect to the Account is the surviving spouse of the deceased Certificate Owner, the surviving
spouse will remain as the sole Certificate Owner. The Certificate will not automatically terminate. If the Certificate Owner dies and the sole Certificate Owner is not the surviving spouse, the Certificate will terminate. 

 

	5.2	If a Participant dies and there is a Joint Participant who is the surviving spouse of the deceased Participant, the Joint Participant will be deemed to be the Beneficiary of
the Certificate. 

  

	5.3	If the sole Certificate Owner with respect to an Account, other than a Qualified Account, dies, the Certificate will terminate upon that death if: 

 

	 	(a)	there is no Joint Participant; or 

  

	 	(b)	the Joint Participant is not the Certificate Owner’s surviving spouse. 

  

	5.3.1	If the Certificate does not terminate, the surviving spouse will become the Certificate Owner. 

  

	5.4	If the Certificate Owner with respect to an Account other than a Qualified Account is not a natural person, and if the Participant or Joint Participant dies the Certificate
will terminate upon that death. 

  

	5.4.1	The Contract Owner will provide us with written notice if the Participant or Joint Participant dies during the funding phase and the Certificate is to be terminated under any
of the provisions of this Contract. 

 ARTICLE VI – PAYOUT PHASE – INCOME PROVISIONS 
  

	6.1	There are two income provisions, Guaranteed Income and Base Income. A Certificate Owner(s) may elect the Guaranteed Income only on or after the Annuity Exercise Date.

			
	  
 MP7170 5/07 VA
	  	  
 11

 Under the Guaranteed Income provision, income payments are based on the Withdrawal Guarantee. A
Certificate Owner(s) may instead elect to receive Base Income payments at any time prior to the maximum annuity age as shown on the Data Pages. Base Income payments are based on the Account Value and the appropriate annual payment factor table
below. An election must be made by the maximum annuity age shown on the Data Pages. We will make income payments within thirty days of the Annuity Date. 
  

	6.2	Guaranteed Income 

  

	6.2.1	Guaranteed Income is available on the Latest Annuity Date. We will provide written notice to the Certificate Owner(s) on the Annuity Exercise Date. The notice will inform the
Certificate Owner(s) that, as of the Latest Annuity Date the Contract Owner will transfer the Account Value to us. We will make Guaranteed Income payments in accordance with the Income Plan shown on the Data Pages. 

  

	6.2.2	For each Certificate, the Premium for Guaranteed Income is the Account Value on the Latest Annuity Date. 

  

	6.2.3	Guaranteed Income in the first Annuity Year is adjusted for Withdrawals taken since the last Birthday. Guaranteed Income during the first Annuity Year is the greater of zero
and 

  

	 	(a)	minus (b), where: 

  

	 	(a)	is the Withdrawal Guarantee on the Latest Annuity Date; 

  

	 	(b)	is any Withdrawal(s) made since the last Birthday. 

  

	6.2.4	Guaranteed Income after the first Annuity Year is equal to the Withdrawal Guarantee on the Latest Annuity Date. 

  

	6.2.5	Payments will be made annually on the Birthday in accordance with the Income Plan as shown on the Data Pages. Other modes of payment may be made available to the Certificate
Owner(s). However, if any payment made more frequently than annually would be less than $100, we reserve the right to reduce the frequency of payments to an interval that would result in each payment being at least $100. 

  

	6.2.6	If the Certificate Owner(s) notifies us in writing of their intent to cancel the guarantee within the Notice Period, the Certificate will terminate. If the Contract Owner
fails to deliver the Premium, the Guaranteed Income payments may be delayed until Premium is delivered to us. 

  

	6.2.7	On the Latest Annuity Date, if the Base Income is greater than the Withdrawal Guarantee, the Guaranteed Income will be increased to equal the Base Income.

  

	6.3	Base Income 

  

	6.3.1	The Certificate Owner(s) may elect Base Income payments at any time prior to the maximum annuity age as shown on the Data Pages. We will make Base Income payments in
accordance with the Income Plan as shown on the Data Pages. For each Certificate, the Premium for the Base Income payments is equal to the Account Value on the Annuity Date. Once the Premium is paid to us, the Withdrawal Guarantee will be reduced to
zero. 

			
	  
 MP7170 5/07 VA
	  	  
 12

	6.3.2	The annual payment under the Base Income provision is equal to (a) multiplied by (b) divided by (c), where: 

  

	 	(a)	is the annual payment rate per $1,000, shown below using the Attained Age(s) of the Participant(s) on the Annuity Date; 

  

	 	(b)	is the Premium; and 

  

	 	(c)	is $1,000. 

  

	6.3.3	The annual payment rate is based on the [Annuity 2000 Mortality Table], using an interest rate of [1.0%]. 

 Base Income Factors 
  

	6.3.4	Single Participant Accounts 

 Annual payment factors
for each $1,000 of Premium 
  

			
	 Participant Age
	  	Factor
	 60
	  	37.01
	 65
	  	41.47
	 70
	  	47.07
	 75
	  	54.16
	 80
	  	63.16
	 85
	  	74.42
	 90
	  	88.62
	 95
	  	107.53
	 100
	  	136.90

 Values for ages not shown will be furnished upon request. 
  

	6.3.5	Joint Participant Accounts 

 Annual payment factors
for each $1,000 of Premium 
  

																			
	Participant
Age	 	Joint Participant Age
	 	60	 	65	 	70	 	75	 	80	 	85	 	90	 	95	 	100
	60	 	34.23	 	35.78	 	36.70	 	37.07	 	37.13	 	37.10	 	37.06	 	37.04	 	37.03
	65	 	35.78	 	38.30	 	40.19	 	41.24	 	41.62	 	41.64	 	41.58	 	41.54	 	41.51
	70	 	36.70	 	40.19	 	43.41	 	45.75	 	46.95	 	47.31	 	47.28	 	47.20	 	47.15
	75	 	37.07	 	41.24	 	45.75	 	49.91	 	52.83	 	54.21	 	54.53	 	54.44	 	54.32
	80	 	37.13	 	41.62	 	46.95	 	52.83	 	58.17	 	61.83	 	63.48	 	63.74	 	63.53
	85	 	37.10	 	41.64	 	47.31	 	54.21	 	61.83	 	68.65	 	73.27	 	75.30	 	75.33
	90	 	37.06	 	41.58	 	47.28	 	54.53	 	63.48	 	73.27	 	82.06	 	88.04	 	90.33
	95	 	37.04	 	41.54	 	47.20	 	54.44	 	63.74	 	75.30	 	88.04	 	100.16	 	108.21
	100	 	37.03	 	41.51	 	47.15	 	54.32	 	63.53	 	75.33	 	90.33	 	108.21	 	127.64

 Values for ages not shown will be furnished upon request. 

			
	  
 MP7170 5/07 VA
	  	  
 13

	6.4	Continuation of Income Payments 

  

	6.4.1	For a given Certificate, upon the death of a Participant we will continue to make payments for the life of the surviving Participant, if any. Income payments will be made at
least as rapidly as under the method of distribution in effect before the Participant’s death. 

  

	6.4.2	For a given Certificate, if the last surviving Participant dies after the Annuity Date, the Certificate Owner’s designated Beneficiary will receive any remaining income
payments. The income payment will be payable on the Birthday. Income payments will be made at least as rapidly as under the method of distribution in effect before the last Participant’s death. If there is no surviving Beneficiary upon the
death of all of the Participant(s), the estate of the last surviving Certificate Owner will be the Beneficiary. If the Certificate Owner is not an individual, the Certificate Owner will be the Beneficiary. 

  

	6.5	Required Minimum Distributions 

  

	6.5.1	In a calendar year during the funding phase, Certificate Owners who are required to take minimum distributions under the Code will not be considered to have made Excess
Withdrawals unless the Withdrawals for the year exceed both the Withdrawal Guarantee and the required minimum distribution calculated for the Certificate Owner’s Account under the Code. This provision will not apply to required minimum
distributions calculated for investments other than the Account, but permitted to be withdrawn from the Account to satisfy Certificate Owners’ minimum distribution requirements under the Code. 

 ARTICLE VII – GENERAL PROVISIONS 
  

	7.1	Assignment 

  

	7.1.1	The Contract Owner may assign ownership of this Contract with our prior consent. Any change in ownership of this Contract must be in writing and approved by us. Only an
authorized officer of the Company can give our approval. We may attach conditions to our approval. A request for an assignment must be in writing and sent to our Administrative Office. Once our Administrative Office approves and records the
assignment, it will become effective as of the date the written notice was signed. 

  

	7.1.2	The Certificate Owner(s) may assign some or all of their rights as Certificate Owner only during the payout phase. The Certificate Owner’s rights and the rights of a
Beneficiary may be affected by an assignment. A request for an assignment must be in writing and sent to our Administrative Office. Once our Administrative Office approves and records the assignment, it will become effective as of the date the
written notice was signed. 

  

	7.1.3	We are not responsible for the validity or tax consequences of any assignment. We are not liable to the assignee for any payment or settlement made under this Contract or
Certificates before the assignment is recorded. Assignments will not be approved and recorded until our Administrative Office receives sufficient direction from the Certificate Owner(s) and the assignee regarding the proper allocation of Certificate
rights. 

			
	  
 MP7170 5/07 VA
	  	  
 14

	7.2	Cessation of New Business 

  

	7.2.1	The Contract Owner may close the Contract to new certificate owners at any time with [60] days prior written notice to us. We may close the Contract to new Certificates upon
written notice to the Contract Owner. Such action would be without prejudice to the rights of existing Certificate Owners. 

  

	7.3	Right to Refuse Additions 

  

	7.3.1	Additionally, we reserve the right to suspend the acceptance of Additions to issued Certificates upon written notice to the Contract Owner and Certificate Owners.

  

	7.4	Suspension 

  

	7.4.1	We reserve the right to suspend the Contract in whole or in part if any of the following events occur: 

  

	 	(a)	non-compliance with any provision of this Contract; 

  

	 	(b)	non-compliance with the asset allocation model; 

  

	 	(c)	violation of any rights or obligations imposed by law as determined by governing regulatory and/or judicial bodies; or 

  

	 	(d)	upon the occurrence of any additional Contract suspension event as shown on the Data Pages. 

  

	7.4.2	We will provide the Contract Owner with written notice that one of these events has occurred. The notice will indicate the scope of the suspension and the date the suspension will
begin. The suspension will not take effect if the cause is cured within the pre-suspension cure period as shown on the Data Pages in a mutually acceptable manner. Additions may be restricted due to the suspension as indicated in the notice. Contract
suspension will not change or suspend the calculation of benefits or charges. 

  

	7.4.3	If the Contract is suspended, we will provide Certificate Owners with written notification of the suspension. Certificate Owners will have the right, during the suspension
cure period, to preserve the Withdrawal Guarantee by transferring their Account Values to a third party account insured by us or to an annuity contract we, or one of our affiliates offer. Upon such transfer the Contract Owner agrees not to charge
any fees for the transfer. The Withdrawal Guarantee transferred shall be equal to the Withdrawal Guarantee on the Valuation Day of the transfer. 

  

	7.5	Individual Certificate Suspension 

  

	7.5.1	 Once during the duration of their Certificate, if the Contract Owner notifies us that a Certificate Owner has transferred their Account Value to an
allocation model offered by the Contract Owner but not listed on the Data Pages, the Certificate will not be terminated, but will instead be suspended. We will notify the Certificate Owner that the suspension has occurred and that it will last until
the end of the suspension cure period as shown on the Data Pages. During the suspension cure period, the Certificate Owner may cure the suspension by transferring their Account Value to an allocation model listed on the Data Pages. Following such a
transfer, the Withdrawal Guarantee will be recalculated on the Valuation Day following the suspension cure period using the Account Value multiplied by the current Withdrawal Guarantee Factor for the Attained Age. This calculation will occur as of
the Valuation Day following the end of the suspension cure period regardless of on which day during the cure period the transfer of 

			
	  
 MP7170 5/07 VA
	  	  
 15

	 	 
Account Value occurs. If the Certificate Owner fails to transfer their Account Value to an allocation model listed on the Data Pages by the end of the
suspension cure period, the Certificate will terminate. 

  

	7.5.2	If an Addition is made to a Certificate Owner’s Account which exceeds the Account Limit, or if an Addition causes the Certificate Owner’s Account to exceed the
Account Limit, the Certificate will be suspended. During the suspension cure period, in the case of an Account which was already over the Account Limit, the Certificate Owner may cure the suspension by withdrawing the entire Addition. In the case of
an Addition which caused the Account to exceed the Account Limit, the Certificate Owner may cure the suspension by withdrawing the portion of the Account Value exceeding the Account Limit. In neither case will there be an Early or Excess Withdrawal.
If the suspension cure period ends without such corrective action, the Certificate will remain suspended until the amount needed to cure the suspension is withdrawn from the Account. In this case, Early Withdrawals and Excess Withdrawals apply.
Until the suspension is lifted, asset charges will apply to the greater of the Account Limit and the Account Value prior to the Addition. 

  

	7.6	Termination 

  

	7.6.1	We reserve the right to terminate the Contract if any of the following events occur: 

  

	 	(a)	the Contract Owner discontinues administration of this Contract without arranging for a successor acceptable to us; 

  

	 	(b)	the Contract Owner fails to cure the cause of a Contract suspension within the suspension cure period as shown on the Data Pages; 

  

	 	(c)	there is a violation of any material rights or obligations imposed by law as determined by governing regulatory and/or judicial bodies; or 

  

	 	(d)	upon the occurrence of any additional Contract termination event as shown on the Data Pages. 

  

	7.6.2	We will provide the Contract Owner with written notice that one of these events has occurred. The notice will state the reason(s) for the termination and that we intend to terminate
the Contract at the end of the Contract termination cure period as shown on the Data Pages. The termination will not take effect if the cause is cured in a mutually acceptable manner prior to the intended termination date. We will provide
Certificate Owners with written notification of Contract termination. During the termination cure period the Certificate Owners will have the right to preserve the Withdrawal Guarantee by transferring their Account Values to a third party account
insured by us or to an annuity contract we, or one of our affiliates, offer. Upon such transfer the Contract Owner agrees not to charge any fees for the transfer. The Withdrawal Guarantee transferred shall be equal to the Withdrawal Guarantee on the
Valuation Day of the transfer. Termination will not affect any Certificates in the payout phase. Upon termination all remaining Certificates in the funding phase will terminate. 

  

	7.6.3	We may establish a higher Withdrawal Guarantee for certain Certificates under this Contract in order to accommodate a transfer of a Withdrawal Guarantee from a suspended or
terminated contract that we insured. 

			
	  
 MP7170 5/07 VA
	  	  
 16

	7.7	Entire Contract 

  

	7.7.1	This Contract is a legal contract between the named Contract Owner, us and the named Certificate Owners and no one else. This Contract is the entire contract. An agent cannot
change this Contract. Any change to the Contract must be in writing and approved by us. Only an authorized officer of the Company can give our approval. This Contract will be construed according to the laws of the jurisdiction in which it is issued,
as shown on the Data Pages. 

  

	7.7.2	We may amend the Contract when, in our opinion, it is necessary to protect us from any of the following: (i) adverse financial impact due to any modification of the
investment policy; (ii) adverse financial impact due to changes in the investment policy practices; (iii) changes in investment policy options; and (iv) upon the occurrence of a Contract amendment event as shown on the Data Pages. Any
such amendment will take effect no earlier than [30] days from notification. We may also amend the Contract in response to the action of any (i) legislative; (ii) judicial; or (iii) regulatory body. We may, at our discretion, amend
the Contract to incorporate any state mandated provision that may apply. Except as required by law, any such amendment will take effect no earlier than [30] days from notification. 

  

	7.7.3	We reserve the right to refuse to issue a Certificate to anyone who has terminated a Certificate under this Contract or any similar Contract with an affiliate or us within the prior
[60] days. 

  

	7.8	Income Tax Qualification 

  

	7.8.1	Each Certificate is intended to qualify for tax treatment as an annuity contract under Section 72 of the Code. With respect to an Account other than a Qualified Account,
if a Certificate Owner dies during the funding phase and the surviving spouse does not become the sole Certificate Owner, the Certificate will immediately terminate. Death of the Participant or Joint Participant will terminate the Certificate if the
Certificate Owner is a non-natural person. This will satisfy the requirement in Section 72(s)(1)(B) of the Code that the entire interest of such holder in the Contract be distributed within 5 years after death. If a Certificate Owner dies
during the payout phase, Section 72(s) is satisfied by the Continuation of Income Payments provision and the Death Provisions included in the Certificate. The Contract provisions will be interpreted to preserve the intended tax
treatment. We reserve the right to amend this Contract as needed to maintain its tax status under the Code. We will send the Contract Owner a copy of any amendment. 

  

	7.8.2	If the Account is a Qualified Account per the Qualified Accounts provision, this Contract is intended to qualify for tax treatment under Section 401(g) of the Code.

  

	7.9	Qualified Accounts 

  

	7.9.1	 If the Account is a Qualified Account maintained pursuant to an eligible retirement plan defined in Code section 402(c)(8)(B), a plan under Code section 457(b) or
other plans subject to Section 401(g), only a single person or entity may be named as Certificate Owner. For a Qualified Account, the Participant will be the individual for whose benefit the Account is maintained under the plan or arrangement.
The Joint Participant, if any, of a Qualified Account must be the Participant’s spouse. If the Participant dies during the funding phase and the sole beneficiary of the Account is not the Joint Participant, the 

			
	  
 MP7170 5/07 VA
	  	  
 17

	 	 
Certificate will terminate upon the Participant’s date of death. A former spouse may be a Joint Participant when required by a Qualified Domestic
Relations Order, as defined in Code section 414(p). The Contract Owner will provide us with notice if the Participant dies during the funding phase and the Beneficiary of the Qualified Account is not the Joint Participant.

  

	7.9.2	For any Qualified Account, the Certificate may not be sold, assigned, discounted or pledged. The Certificate (i) cannot be used as collateral for a loan;
(ii) cannot be used as security for the performance of an obligation; and (iii) cannot be alienated for any other purpose. 

  

	7.10	Incontestability 

  

	7.10.1	We will not contest this Contract after the Contract Date. 

  

	7.11	Information – Records 

  

	7.11.1	The Contract Owner will furnish all information that we may reasonably require for the administration and management of this Contract. This information may be a result of and
may include, but is not limited to, any amendment or changes to the asset allocation model(s). We will not be liable for the fulfillment of any duty until we receive all requested information in a form acceptable to us. 

  

	7.12	Misstatement of Age or Account Value 

  

	7.12.1	If any Participant or Joint Participant’s age or Birthday is misstated, any Certificate benefits will be re-determined using the correct age(s). If any overpayments have been
made, future payments will be adjusted. Any underpayments will be paid in full. 

  

	7.12.2	If the Account Value is misstated, any Certificate benefits will be re-determined using the correct timing and value. If any overpayments of charges have been collected, the
overpayment will be paid in full. Any underpayments will be collected in full from the Contract Owner. 

  

	7.13	Nonparticipating 

  

	7.13.1	This Contract is nonparticipating. It does not share in our profits or surplus. No dividends are payable. 

  

	7.14	Premium Tax 

  

	7.14.1	Premium tax rates and rules vary by state and may change. We reserve the right to deduct any such tax either from fees or Premium when received. 

  

	7.15	Statement of Values 

  

	7.15.1	At least once each year, we will send the Contract Owner a Contract statement which will show [the number of Certificates in force in each phase, total fees collected, total
premiums collected and the total income paid]. 

			
	  
 MP7170 5/07 VA
	  	  
 18

	7.16	Written Notice 

  

	7.16.1	All written notices, including proof of death and any required forms, must be sent to our Administrative Office in a form satisfactory to us. All notices must include the
Contract Owner’s name and the Contract number and if applicable the name of the Certificate Owner(s), Participant and any Joint Participant and the Certificate number. We will not be responsible for any actions taken prior to our receipt of a
valid change request. We will send correspondence relating to the Contract Owner’s Contract to the Contract Owner’s last known address. 

  

	7.17	Evidence of Death, Age, Marital Status or Survival 

  

	7.17.1	We will require, to be received at our Administrative Office and in a form satisfactory to us with respect to any person, due proof of death, age, marital status or survival
and any other required forms before we act on Contract provisions that require such documentation. 

 ARTICLE VIII - CHARGES

  

	8.1	Change in Charges 

  

	8.1.1	We reserve the right to change the asset charge as shown on the Data Pages. We will send the Contract Owner advance written notice of such change at least [30] days before the
change becomes effective. Charges will be assessed on the weighted average of the Account Value at the old rate and the Addition at the new rate from the point of the Addition forward. 

			
	  
 MP7170 5/07 VA
	  	  
 19

 GROUP GUARANTEED INCOME 
 ANNUITY CONTRACT 
  

 GENWORTH LIFE AND ANNUITY 
 INSURANCE
COMPANY 

 GROUP GUARANTEED INCOME 
 ANNUITY CONTRACT 
 Please read this Contract carefully. This group guaranteed income
annuity Contract is a legal annuity Contract between the Contract Owner and Genworth Life and Annuity Insurance Company (the “Company”, “we”, “us” or “our”). We have issued this Contract in consideration of
the application. We agree to make income payments to Certificate Owners or their named Beneficiaries, subject to Contract and Certificate provisions. 
 THIS CONTRACT HAS NO CASH VALUE AND NO SURRENDER VALUE. 
 For Genworth Life and Annuity Insurance Company, 
  

					
	 /s/ PAMELA S. SCHUTZ
	  		  	 /s/ THOMAS E. DUFFY

			
	PAMELA S. SCHUTZ	  		  	THOMAS E. DUFFY
	PRESIDENT	  		  	SECRETARY

 GENWORTH LIFE AND ANNUITY 
 INSURANCE COMPANY 
 GROUP GUARANTEED INCOME ANNUITY CONTRACT 

ALLOCATED FIXED ANNUITY 
 NONPARTICIPATING STOCK COMPANY 
 CUSTOMER SERVICE TELEPHONE [(866) 360-4015] 
 HOME OFFICE: 
 [6610 WEST BROAD
STREET, RICHMOND, VIRGINIA 23230] 
 ADMINISTRATIVE OFFICE: 
 [PO BOX 27601, RICHMOND, VIRGINIA 23286-8786] 
  

			
	  
 MP7170 5/07
	  	

					
	 Data Pages
	  		  	
		
	Contract Number:	  	[000000000]
		
	Contract Date:	  	[May 1, 2007]
		
	Contract Owner:	  	[AssetMark Investments Services, Inc.]
		
	Issued In:	  	[California]
		
	Income Plan(s):	  	[Life of Participant(s) with return of Premium]
		
	Asset Allocation Model(s):	  	[AssetMark Portfolio Allocations, Profile 3 or Profile 4]
		
	Withdrawal Age:	  	[60]
		
	[Joint Participant’s Limitations:]	  	[Spousal only, subject to state law.]
		
	Certificate Account Limit at issue for	  	
	Non-qualified Accounts:	  	[$2,000,000]
		
	Certificate Account Limit for	  	
	Qualified Accounts:	  	[Subject to Code limitations]
			
	Minimum Certificate	  		  	
	Account Value:	  	[ETF	  	$100,000]
		  	[Mutual Fund	  	$50,000]
		
	Notice Period:	  	[30 business days]
		
	Maximum Certificate	  	
	Issue Age:	  	[84]
		
	Maximum Certificate	  	
	Annuity Age:	  	[100]
		
	Contract Amendment Events:	  	[None]
		
	Contract Suspension Events:	  	[None]
		
	Pre-suspension Cure Period:	  	[60 business days]
		
	Suspension Cure Period:	  	[90 business days]
		
	Contract Termination Events:	  	[No additional events listed]
		
	Termination Cure Period:	  	[180 business days]

 IF YOU HAVE A QUESTION, WOULD LIKE TO OBTAIN INFORMATION ABOUT THIS CONTRACT, OR NEED ASSISTANCE RESOLVING A
COMPLAINT, PLEASE CALL OUR ADMINISTRATIVE OFFICE TOLL FREE AT [(866) 360-4015]. 

			
	  
 MP7170 5/07
	  	

			
	 Data Pages
	  	
		
	Contract Number:	  	[000000000]
		
	Asset Charge:	  	For Single Participant Certificates with Profile 3 - [0.75%] Annually on
		  	Account Value of each Certificate.
		  	For Joint Participant Certificates with Profile 3 - [0.90%] Annually on
		  	Account Value of each Certificate.
		
		  	For Single Participant Certificates with Profile 4 - [0.85%] Annually on
		  	Account Value of each Certificate.
		  	For Joint Participant Certificates with Profile 4 - [1.00%] Annually on
		  	Account Value of each Certificate.
		
	Addition Exceptions:	  	[Transfers among investment options within the Account, investment
		  	returns, dividends, interest, expense reimbursements. ]
		
	Withdrawal Exceptions:	  	[Transfers among investment options within the Account; in a given
		  	Withdrawal Year for a Certificate, 2.00% of Account Value collected by
		  	you for advisory, administrative, custodial and other services.]

			
	  
 MP7170 5/07
	  	

			
	Contract Number:	  	[000000000]

 Withdrawal Guarantee Factors 
  

											
	 Attained Age
	 	 Annual
 Factor
	 	 Attained Age
	 	 Annual
 Factor
	 	 Attained Age
	 	 Annual Factor

	 [60 & under
	 	0.05]	 	[70	 	0.05]	 	[80	 	0.05]
	 [61
	 	0.05]	 	[71	 	0.05]	 	[81	 	0.05]
	 [62
	 	0.05]	 	[72	 	0.05]	 	[82	 	0.05]
	 [63
	 	0.05]	 	[73	 	0.05]	 	[83	 	0.05]
	 [64
	 	0.05]	 	[74	 	0.05]	 	[84	 	0.05]
	 [65
	 	0.05]	 	[75	 	0.05]	 	[85	 	0.05]
	 [66
	 	0.05]	 	[76	 	0.05]	 	[86	 	0.05]
	 [67
	 	0.05]	 	[77	 	0.05]	 	[87	 	0.05]
	 [68
	 	0.05]	 	[78	 	0.05]	 	[88	 	0.05]
	 [69
	 	0.05]	 	[79	 	0.05]	 	[89	 	0.05]
		 		 		 		 	[90 & older	 	0.05]

			
	  
 MP7170 5/07
	  	

 TABLE OF CONTENTS 
  

					
	ARTICLE	  	 	  	PAGE
		  	Data Pages.	  	3
	I.	  	Definitions	  	4
	II.	  	General Features	  	7
	III.	  	Funding Phase - Certificate Date	  	9
	IV.	  	Funding Phase – Changes In Withdrawal Guarantee	  	9
	V.	  	Funding Phase – Death Provisions	  	11
	VI.	  	Payout Phase – Income Provisions	  	11
	VII.	  	General Provisions	  	14
	VIII.	  	Charges	  	19
			
		  	Copies of any riders and endorsements follow page 19.	  	

 ARTICLE I – DEFINITIONS 
  

	1.1	Account – The investment vehicle provided by the Contract Owner to hold the assets in each investment portfolio owned by the Certificate Owner(s) and covered under this
Contract. The Account is managed according to the asset allocation model(s) shown on the Data Pages. We do not own the Account. 

  

	1.2	Account Limit – The maximum Account Value allowed for a Certificate at the time of any Addition without the approval of our Administrative Office. The initial value is
shown on the Data Pages. 

  

	1.3	Account Value – The value of the assets in the Account, as determined by the Contract Owner as of the close of business on a Valuation Day. For purposes of this
Contract, once the Account Value is determined on a Valuation Day, the Account Value does not change until the next Valuation Day. 

  

	1.4	Addition – Amounts contributed into the Account by a Certificate Owner. 

  

	1.5	Administrative Office – Our Administrative Office located at the address shown on the Contract cover page. 

  

	1.6	Alternate Payee – An Alternate Payee as determined by the Certificate Owner(s). 

  

	1.7	Annuity Date – The date on which the Premium is received. 

  

	1.8	Annuity Exercise Date – The earliest of the following three dates: (i) the date the Account Value is less than the Withdrawal Guarantee; (ii) the date the
Account Value is less than the minimum Account Value as shown on the Data Pages and; (iii) the date the younger of the Participant or any Joint Participant, reaches the maximum annuity age as shown on the Data Pages, less the number of days in
the Notice Period. 

  

	1.9	Annuity Year – The first Annuity Year is the period of time between the Annuity Date and the first Birthday following the Annuity Date. Subsequent Annuity Years are the
one-year periods beginning on each Birthday. 

			
	  
 MP7170 5/07
	  	  
 4

	1.10	Attained Age – On any date, age on the last Birthday. 

  

	1.11	Base Income – The base annual payment under the Base Income provision paid by us to the Certificate Owner(s) or their named Beneficiary. 

  

	1.12	Base Income Factor – A factor from the tables shown under the Base Income provision used in the calculation of the Base Income. 

  

	1.13	Beneficiary – The person or entity entitled to receive any Base Income or Guaranteed Income payments remaining upon the death of the Participant or Joint Participant(s)
as shown on the Certificate Data Pages. Any remaining income payments will be paid in accordance with the terms of the Certificate. 

  

	1.14	Birthday – The end of day each year on the anniversary of the date of birth of the younger of the Participant and any Joint Participant. 

  

	1.15	Certificate – A no cash value certificate issued to the Certificate Owner(s) pursuant to the terms of the Contract. The Certificate is not a contract. The Certificate
describes the Withdrawal Guarantee as well as the Certificate Owner’s rights and obligations with respect to the Guaranteed Income to be paid following the Latest Annuity Date. The Certificate also describes the Certificate Owner’s rights
and obligations with respect to the Base Income. 

  

	1.16	Certificate Date – The Valuation Day on which a Certificate is issued and becomes effective as shown on the Certificate Data Pages. 

  

	1.17	Certificate Owner(s) – The person(s) or entity named on the Certificate Data Pages. 

  

	1.18	Code – The Internal Revenue Code of 1986, as amended. 

  

	1.19	Company – Genworth Life and Annuity Insurance Company (also referred to as “we”, “us” or “our”). 

  

	1.20	Contract – This group guaranteed income annuity contract with any attached riders, endorsements and Certificate forms. 

  

	1.21	Contract Date – The Valuation Day the Contract is issued and becomes effective, as shown on the Data Pages. The Contract Date is used to determine Contract years and
anniversaries. 

  

	1.22	Contract Owner – The named Contract Owner as shown on the Data Pages. The Contract Owner may exercise all of the rights and privileges under the Contract. All ownership
rights with respect to any issued Certificate shall belong to the Certificate Owner, or the annuity Beneficiary as may be designated under the terms of the Certificate or determined through the operation of law. 

  

	1.23	Early Withdrawal – Any Withdrawal by a Certificate Owner before the withdrawal age. 

			
	  
 MP7170 5/07
	  	  
 5

	1.24	Excess Withdrawal – After the withdrawal age as shown on the Data Pages, the portion of all Withdrawals by a Certificate Owner during a Withdrawal Year that is in excess
of the Withdrawal Guarantee. 

  

	1.25	Guaranteed Income – The guaranteed annual payment by us to the Certificate Owner(s), or their named Beneficiary(ies) as determined by the last recorded Withdrawal
Guarantee payable under the Guaranteed Income provision. 

  

	1.26	Income Plan – An Income Plan made available to the Certificate Owner(s) as shown on the Data Pages. 

  

	1.27	Joint Participant – The person whose age, together with the Participant’s age, determines the Base Income annual payment factor under each Certificate.

  

	1.28	Latest Annuity Date – The Annuity Exercise Date plus the Notice Period. 

  

	1.29	Notice Period – The period shown on the Data Pages. 

  

	1.30	Participant – The person whose age is used to determine the Withdrawal Guarantee Factor and the Base Income annual payment factor under each Certificate.

  

	1.31	Premium – The amount on the Annuity Date applied as payment for either Base Income or Guaranteed Income. 

  

	1.32	Qualified Account – An Account listed under the Qualified Accounts provision which receives favorable tax treatment under the Code. 

  

	1.33	Valuation Day – For each Account, each day on which the New York Stock Exchange is open for regular trading, except for days that the Account’s corresponding
portfolio does not value its shares. 

  

	1.34	Withdrawal – Any disbursement from the Account other than Withdrawal Exceptions. 

  

	1.35	Withdrawal Exceptions – Disbursements as shown on the Data Pages that will not be treated as Withdrawals. 

  

	1.36	Withdrawal Exercise Date – For each Certificate, the date when the Participant or the younger Joint Participant reaches the withdrawal age as shown on the Data Pages.

  

	1.37	Withdrawal Guarantee – After the withdrawal age as shown on the Data Pages, the maximum amount the Certificate Owner may withdraw from the Account Value in a Withdrawal
Year without reducing the Guaranteed Income. 

  

	1.38	Withdrawal Guarantee Factor – A factor used in the calculation of the Withdrawal Guarantee as shown on the table located on the Data Pages. 

  

	1.39	Withdrawal Year – After the Participant or the younger Joint Participant reaches the withdrawal age as shown on the Data Pages, it is the period between two Birthdays.

			
	  
 MP7170 5/07
	  	  
 6

 ARTICLE II – GENERAL FEATURES 
  

	2.1	The terms of this Contract provide for a guaranteed income over the life of the Participant(s) based on the Certificate Owner’s Account Value provided all conditions
specified in the Contract and corresponding Certificate are met. The Contract Owner maintains the Account on behalf of the Certificate Owner(s). We do not manage the Account. Should the Certificate Owner’s Account Value drop below the
Withdrawal Guarantee or the minimum Account Value as shown on the Data Pages, and provided all other contractual terms are satisfied, we guarantee to make payments in the form of Guaranteed Income equal to the Withdrawal Guarantee. A Base Income is
also available to the Certificate Owner. Payments will be made in accordance with the Income Plan shown on the Data Pages. 

  

	2.2.	Certain persons or entities have important roles in this Contract. 

  

	2.2.1	The Contract Owner is shown on the Data Pages. All ownership rights of the Contract belong to the Contract Owner. However, a Certificate Owner may exercise certain
rights as specified in this Contract and the Certificate, or determined through the operation of law. The Contract Owner is the entity that is responsible for managing the asset allocation model(s) and administering the Account on behalf of the
Certificate Owner(s). This responsibility includes obtaining the Certificate Owner’s annuity election, if any, by the maximum annuity age as shown on the Data Pages. The Contract Owner is responsible for delivering to us the Certificate
Owner’s fees assessed under the Contract and Certificate, as well as any Premium. The Contract Owner will provide all data and records needed for us to administer the Contract and Certificate and to meet our regulatory requirements.

  

	2.2.2	The Certificate Owner(s) is the person or entity named on the Certificate who owns the assets of the Account. If the Certificate Owner(s) is an individual, he or she
must be a named Participant on the Certificate Date. For each Certificate, an individual(s) must be designated as a named Participant(s). 

  

	2.2.3	The Participant or Joint Participant is the person(s) named on the Certificate Data Pages whose age is used in determining the Guaranteed Income. Neither the
Participant or Joint Participant can be changed once named. Except as provided in this Contract for Qualified Accounts, any limitations on Joint Participants are shown on the Data Pages. 

  

	2.2.4	During the payout phase, upon the death of the last surviving Participant, the Beneficiary receives any remaining income. 

  

	2.2.5	If a trust is named as the Certificate Owner(s) or Beneficiary and subsequently exercises ownership rights or claims benefits, we have no obligation to verify that a
trust is valid and in effect. We will have no obligation to verify that the trustee is acting within the scope of his or her authority. Payment of any benefits to the trustee or trust will release us from all obligations under the Certificate to the
extent of the payment. When we make a payment, we will have no obligation to ensure that such payment is applied according to the terms of the trust agreement. 

			
	  
 MP7170 5/07
	  	  
 7

	2.3	The Withdrawal Guarantee for each Certificate is established on its Certificate Date and is adjusted according to the terms of this Contract and the Certificate. At all times
the Account Value must be allocated to one or more asset allocation model(s) shown on the Data Pages. The Certificate Owner is required to conduct all trading activity for their Account through a broker-dealer or registered investment adviser
approved by the Contract Owner. An allocation of the Account by the Certificate Owner(s) inconsistent with the asset allocation model(s) as shown on the Data Pages may result in immediate suspension and eventual termination of the Certificate as
described in the General Provisions section under Suspension and Termination. 

  

	2.4	Withdrawals covered by the Withdrawal Guarantee may begin on or after the younger of the Participant or any Joint Participant reaches the withdrawal age as shown on the Data
Pages. The Withdrawal Guarantee may be reduced if any Withdrawals are taken prior to that date. The Withdrawal Guarantee may be reduced on or after the Withdrawal Exercise Date if any Withdrawals in a Withdrawal Year exceed the Withdrawal Guarantee.

  

	2.5	The Certificate Owner(s) will be charged an asset charge as stated in the Data Pages. Failure to pay the asset charge will be deemed an election to terminate the Certificate.
The Certificate Owner(s) may elect to terminate the Certificate at any time without additional charge. If the Participant(s) die(s) prior to the Annuity Date, the Certificate terminates. 

  

	2.6	The Guaranteed Income benefit provided under this Contract can be lost, in whole or in part, if, for any reason, the Contract Owner does not follow the investment policy
guidelines during the funding phase. 

 Funding Phase. The funding phase for the Certificate Owner(s) starts on the
Certificate Date. During the funding phase the Certificate Owner(s) may contribute to the Account to accumulate assets for retirement or other purposes. The Contract Owner is responsible for managing the Account. The Account must be managed in
accordance with the asset allocation model(s) as shown on the Data Pages. The Certificate Owner(s) may take Withdrawals from the Account at any time in any amount. However, Withdrawals before the younger of the Participant or any Joint Participant
reaches the withdrawal age as shown on the Data Pages, will reduce the Withdrawal Guarantee. On or after the withdrawal age as shown on the Data Pages, Withdrawals within Certificate limitations will not reduce the Withdrawal Guarantee. 

 

	2.7	Payout Phase. The payout phase begins as of the Annuity Date. The Certificate Owner(s) will authorize transfer of the Account Value to us as of the Annuity Date and we will
begin making income payments. We will continue to make payments to the Certificate Owner(s) while any Participant is living. There are two income provisions: Guaranteed Income and Base Income. Only one income provision may be elected per
Certificate. Guaranteed Income payments start if the Account Value falls below the minimum Account Value as shown on the Data Pages or the Withdrawal Guarantee, or if the younger of the Participant or any Joint Participant reaches the maximum
annuity age shown on the Data Pages. The Certificate Owner(s) has the right at any time prior to the Annuity Date to elect Base Income by transferring the Account Value to us. 

			
	  
 MP7170 5/07
	  	  
 8

 ARTICLE III – FUNDING PHASE – CERTIFICATE DATE 
  

	3.1	Each Certificate Owner(s) will receive a single no cash value Certificate describing their interests in this Contract once their election form is processed by us.

  

	3.2	Initial Withdrawal Guarantee 

  

	3.2.1	On the Certificate Date, the initial Withdrawal Guarantee is established. The initial Withdrawal Guarantee is equal to (a) multiplied by (b), where:

  

	 	(a)	is the Account Value on the Certificate Date; and 

  

	 	(b)	is the Withdrawal Guarantee Factor for the Attained Age. 

  

	3.2.2	Requests to issue Certificates greater than the Account Limit are subject to approval by our Administrative Office, as are requests to issue additional Certificates to
current Certificate Owners. We are not required to approve such requests. 

  

	3.2.3	Additions to a Certificate Owner’s Account which currently exceeds the Account Limit or will cause the Account Limit to be exceeded are subject to approval by our
Administrative Office. We are not required to approve such requests. Until approval is granted, the Certificate will be suspended as described in the General Provisions section. 

  

	3.3	Changes in the Withdrawal Guarantee Factor 

  

	 3.3.1
	 We reserve the right to change the Withdrawal Guarantee Factors as of January 1st of each calendar year. If we make a change, we will send the Contract Owner and each Certificate Owner written notice of such change at least [30] days before the change becomes
effective. 

  

	3.4	Changes to the Account Limit 

  

	3.4.1	We reserve the right to increase the Account Limit for Certificates already issued. 

 ARTICLE IV – FUNDING PHASE – CHANGES IN WITHDRAWAL GUARANTEE 
  

	4.1	Increases to the Withdrawal Guarantee on the Birthday 

  

	4.1.1	On each Birthday, the Withdrawal Guarantee may increase. The new Withdrawal Guarantee is equal to the greater of the Withdrawal Guarantee on the prior Valuation Day, and
(a) multiplied by (b), where: 

  

	 	(a)	is the Account Value, on the Birthday; and 

  

	 	(b)	is the current Withdrawal Guarantee Factor for the Attained Age. 

  

	4.2	Decreases in Withdrawal Guarantee 

  

	4.2.1	Withdrawals from the Account that reduce the Withdrawal Guarantee are: 

  

	 	(a)	Early Withdrawals; and 

  

	 	(b)	Excess Withdrawals. 

			
	  
 MP7170 5/07
	  	  
 9

	4.3	Early Withdrawals 

  

	4.3.1	Any Withdrawals prior to the younger of the Participant and any Joint Participant reaching the withdrawal age as shown on the Data Pages, are Early Withdrawals. Early
Withdrawals will reduce the Certificate Owner(s)’s Withdrawal Guarantee. 

  

	4.3.2	The adjusted Withdrawal Guarantee, after an Early Withdrawal, is the lesser of (a) and (b), where: 

  

	 	(a)	is the Withdrawal Guarantee on the Valuation Day prior to the Withdrawal; and 

  

	 	(b)	is equal to (i) multiplied by (ii), where: 

  

	 	(i)	is the Account Value, subject to the Account Limit; and 

  

	 	(ii)	is the Withdrawal Guarantee Factor for the Attained Age. 

  

	4.3.3	In the event of an Early Withdrawal, we will restore the Withdrawal Guarantee if, within 30 days the Certificate Owner both (i) makes Additions equal to or greater than
the Early Withdrawal amount and (ii) requests a restoration of the Withdrawal Guarantee. The Contract Owner may make this request on the Certificate Owner’s behalf. 

  

	4.4	Excess Withdrawals 

  

	4.4.1	A Certificate Owner will have an Excess Withdrawal by Withdrawing more than the Withdrawal Guarantee in a given Withdrawal Year. Excess Withdrawals reduce the Certificate
Owner’s Withdrawal Guarantee. 

  

	4.4.2	For any Withdrawal after the withdrawal age as shown on the Data Pages, the Excess Withdrawal amount is equal to the greater of zero and the remainder of (a) minus
(b) minus (c), where: 

  

	 	(a)	is the Withdrawal plus all previous Withdrawals during the Withdrawal Year; 

  

	 	(b)	is the Withdrawal Guarantee; and 

  

	 	(c)	is the previous Excess Withdrawals during the Withdrawal Year. 

  

	4.4.3	The adjusted Withdrawal Guarantee, after an Excess Withdrawal is made, is the lesser of (a) and (b), where: 

  

	 	(a)	is the Withdrawal Guarantee on the Valuation Day, prior to the Withdrawal; and 

  

	 	(b)	is equal to (i) multiplied by (ii), where: 

  

	 	(i)	is the Account Value, subject to the Account Limit; and 

  

	 	(ii)	is the Withdrawal Guarantee Factor for the Attained Age. 

  

	4.4.4	In the event of an Excess Withdrawal, we will restore the Withdrawal Guarantee if, within 30 days the Certificate Owner both: (i) makes Additions equal to or greater
than the Excess Withdrawal amount; and (ii) requests a restoration of the Withdrawal Guarantee. The Contract Owner may make this request on the Certificate Owner’s behalf. 

  

	4.5	Closing the Account 

  

	4.5.1	The Withdrawal Guarantee is reduced to zero when a Certificate Owner closes their Account. No additional charges will be assessed. 

			
	  
 MP7170 5/07
	  	  
 10

	4.6	Withdrawal Guarantee During the First Withdrawal Year 

  

	4.6.1	If, on the Certificate Date the younger of the Participant and any Joint Participant is older than the withdrawal age as shown on the Data Pages, any Withdrawal taken in the
first Withdrawal Year will cause the Withdrawal Guarantee to be adjusted prorata for the number of days between the Certificate Date and the next Birthday. In this case, the adjusted prorata Withdrawal Guarantee during the first Withdrawal Year is
(a) multiplied by (b) divided by (c), where: 

  

	 	(a)	is the unadjusted Withdrawal Guarantee; 

  

	 	(b)	is the number of days between the Certificate Date and the next Birthday; and 

  

	 	(c)	is 365. 

  

	4.6.2	Withdrawals during the first Withdrawal Year that do not exceed the adjusted prorata Withdrawal Guarantee do not change the Withdrawal Guarantee for future Withdrawal Years.

 ARTICLE V – FUNDING PHASE – DEATH PROVISIONS 
  

	5.1	If a Certificate Owner dies and the sole remaining Certificate Owner with respect to the Account is the surviving spouse of the deceased Certificate Owner, the surviving
spouse will remain as the sole Certificate Owner. The Certificate will not automatically terminate. If the Certificate Owner dies and the sole Certificate Owner is not the surviving spouse, the Certificate will terminate. 

 

	5.2	If a Participant dies and there is a Joint Participant who is the surviving spouse of the deceased Participant, the Joint Participant will be deemed to be the Beneficiary of
the Certificate. 

  

	5.3	If the sole Certificate Owner with respect to an Account, other than a Qualified Account, dies, the Certificate will terminate upon that death if: 

 

	 	(a)	there is no Joint Participant; or 

  

	 	(b)	the Joint Participant is not the Certificate Owner’s surviving spouse. 

  

	5.3.1	If the Certificate does not terminate, the surviving spouse will become the Certificate Owner. 

  

	5.4	If the Certificate Owner with respect to an Account other than a Qualified Account is not a natural person, and if the Participant or Joint Participant dies the Certificate
will terminate upon that death. 

  

	5.4.1	The Contract Owner will provide us with written notice if the Participant or Joint Participant dies during the funding phase and the Certificate is to be terminated under any
of the provisions of this Contract. 

 ARTICLE VI – PAYOUT PHASE – INCOME PROVISIONS 
  

	6.1	 There are two income provisions, Guaranteed Income and Base Income. A Certificate Owner(s) may elect the Guaranteed Income only on or after the Annuity
Exercise Date. 

			
	  
 MP7170 5/07
	  	  
 11

	 	 
Under the Guaranteed Income provision, income payments are based on the Withdrawal Guarantee. A Certificate Owner(s) may instead elect to receive Base Income
payments at any time prior to the maximum annuity age as shown on the Data Pages. Base Income payments are based on the Account Value and the appropriate annual payment factor table below. An election must be made by the maximum annuity age shown on
the Data Pages. We will make income payments within thirty days of the Annuity Date. 

  

	6.2	Guaranteed Income 

  

	6.2.1	Guaranteed Income is available on the Latest Annuity Date. We will provide written notice to the Certificate Owner(s) on the Annuity Exercise Date. The notice will inform the
Certificate Owner(s) that, as of the Latest Annuity Date the Contract Owner will transfer the Account Value to us. We will make Guaranteed Income payments in accordance with the Income Plan shown on the Data Pages. 

  

	6.2.2	For each Certificate, the Premium for Guaranteed Income is the Account Value on the Latest Annuity Date. 

  

	6.2.3	Guaranteed Income in the first Annuity Year is adjusted for Withdrawals taken since the last Birthday. Guaranteed Income during the first Annuity Year is the greater of zero
and (a) minus (b), where: 

  

	 	(a)	is the Withdrawal Guarantee on the Latest Annuity Date; 

  

	 	(b)	is any Withdrawal(s) made since the last Birthday. 

  

	6.2.4	Guaranteed Income after the first Annuity Year is equal to the Withdrawal Guarantee on the Latest Annuity Date. 

  

	6.2.5	Payments will be made annually on the Birthday in accordance with the Income Plan as shown on the Data Pages. Other modes of payment may be made available to the Certificate
Owner(s). However, if any payment made more frequently than annually would be less than $100, we reserve the right to reduce the frequency of payments to an interval that would result in each payment being at least $100. 

  

	6.2.6	If the Certificate Owner(s) notifies us in writing of their intent to cancel the guarantee within the Notice Period, the Certificate will terminate. If the Contract Owner
fails to deliver the Premium, the Guaranteed Income payments may be delayed until Premium is delivered to us. 

  

	6.2.7	On the Latest Annuity Date, if the Base Income is greater than the Withdrawal Guarantee, the Guaranteed Income will be increased to equal the Base Income.

  

	6.3	Base Income 

  

	6.3.1	The Certificate Owner(s) may elect Base Income payments at any time prior to the maximum annuity age as shown on the Data Pages. We will make Base Income payments in
accordance with the Income Plan as shown on the Data Pages. For each Certificate, the Premium for the Base Income payments is equal to the Account Value on the Annuity Date. Once the Premium is paid to us, the Withdrawal Guarantee will be reduced to
zero. 

			
	  
 MP7170 5/07
	  	  
 12

	6.3.2	The annual payment under the Base Income provision is equal to (a) multiplied by (b) divided by (c), where: 

  

	 	(a)	is the annual payment rate per $1,000, shown below using the Attained Age(s) of the Participant(s) on the Annuity Date; 

  

	 	(b)	is the Premium; and 

  

	 	(c)	is $1,000. 

  

	6.3.3	The annual payment rate is based on the [Annuity 2000 Mortality Table], using an interest rate of [1.0%]. 

 Base Income Factors 
  

	6.3.4	Single Participant Accounts 

 Annual payment factors
for each $1,000 of Premium 
  

			
	 Participant Age
	  	Factor
	 60
	  	37.01
	 65
	  	41.47
	 70
	  	47.07
	 75
	  	54.16
	 80
	  	63.16
	 85
	  	74.42
	 90
	  	88.62
	 95
	  	107.53
	 100
	  	136.90

 Values for ages not shown will be furnished upon request. 
  

	6.3.5	Joint Participant Accounts 

 Annual payment factors
for each $1,000 of Premium 
  

																			
	 Participant
 Age
	 	Joint Participant Age
	 	60	 	65	 	70	 	75	 	80	 	85	 	90	 	95	 	100
	60	 	34.23	 	35.78	 	36.70	 	37.07	 	37.13	 	37.10	 	37.06	 	37.04	 	37.03
	65	 	35.78	 	38.30	 	40.19	 	41.24	 	41.62	 	41.64	 	41.58	 	41.54	 	41.51
	70	 	36.70	 	40.19	 	43.41	 	45.75	 	46.95	 	47.31	 	47.28	 	47.20	 	47.15
	75	 	37.07	 	41.24	 	45.75	 	49.91	 	52.83	 	54.21	 	54.53	 	54.44	 	54.32
	80	 	37.13	 	41.62	 	46.95	 	52.83	 	58.17	 	61.83	 	63.48	 	63.74	 	63.53
	85	 	37.10	 	41.64	 	47.31	 	54.21	 	61.83	 	68.65	 	73.27	 	75.30	 	75.33
	90	 	37.06	 	41.58	 	47.28	 	54.53	 	63.48	 	73.27	 	82.06	 	88.04	 	90.33
	95	 	37.04	 	41.54	 	47.20	 	54.44	 	63.74	 	75.30	 	88.04	 	100.16	 	108.21
	100	 	37.03	 	41.51	 	47.15	 	54.32	 	63.53	 	75.33	 	90.33	 	108.21	 	127.64

 Values for ages not shown will be furnished upon request. 
  

			
	  
 MP7170 5/07
	  	  
 13

	6.4	Continuation of Income Payments 

  

	6.4.1	For a given Certificate, upon the death of a Participant we will continue to make payments for the life of the surviving Participant, if any. Income payments will be made at
least as rapidly as under the method of distribution in effect before the Participant’s death. 

  

	6.4.2	For a given Certificate, if the last surviving Participant dies after the Annuity Date, the Certificate Owner’s designated Beneficiary will receive any remaining income
payments. The income payment will be payable on the Birthday. Income payments will be made at least as rapidly as under the method of distribution in effect before the last Participant’s death. If there is no surviving Beneficiary upon the
death of all of the Participant(s), the estate of the last surviving Certificate Owner will be the Beneficiary. If the Certificate Owner is not an individual, the Certificate Owner will be the Beneficiary. 

  

	6.5	Required Minimum Distributions 

  

	6.5.1	In a calendar year during the funding phase, Certificate Owners who are required to take minimum distributions under the Code will not be considered to have made Excess
Withdrawals unless the Withdrawals for the year exceed both the Withdrawal Guarantee and the required minimum distribution calculated for the Certificate Owner’s Account under the Code. This provision will not apply to required minimum
distributions calculated for investments other than the Account, but permitted to be withdrawn from the Account to satisfy Certificate Owners’ minimum distribution requirements under the Code. 

 ARTICLE VII – GENERAL PROVISIONS 
  

	7.1	Assignment 

  

	7.1.1	The Contract Owner may assign ownership of this Contract with our prior consent. Any change in ownership of this Contract must be in writing and approved by us. Only an
authorized officer of the Company can give our approval. We may attach conditions to our approval. A request for an assignment must be in writing and sent to our Administrative Office. Once our Administrative Office approves and records the
assignment, it will become effective as of the date the written notice was signed. 

  

	7.1.2	The Certificate Owner(s) may assign some or all of their rights as Certificate Owner only during the payout phase. The Certificate Owner’s rights and the rights of a
Beneficiary may be affected by an assignment. A request for an assignment must be in writing and sent to our Administrative Office. Once our Administrative Office approves and records the assignment, it will become effective as of the date the
written notice was signed. 

  

	7.1.3	We are not responsible for the validity or tax consequences of any assignment. We are not liable to the assignee for any payment or settlement made under this Contract or
Certificates before the assignment is recorded. Assignments will not be approved and recorded until our Administrative Office receives sufficient direction from the Certificate Owner(s) and the assignee regarding the proper allocation of Certificate
rights. 

			
	  
 MP7170 5/07
	  	  
 14

	7.2	Cessation of New Business 

  

	7.2.1	The Contract Owner may close the Contract to new certificate owners at any time with [60] days prior written notice to us. We may close the Contract to new Certificates upon
written notice to the Contract Owner. Such action would be without prejudice to the rights of existing Certificate Owners. 

  

	7.3	Right to Refuse Additions 

  

	7.3.1	Additionally, we reserve the right to suspend the acceptance of Additions to issued Certificates upon written notice to the Contract Owner and Certificate Owners.

  

	7.4	Suspension 

  

	7.4.1	We reserve the right to suspend the Contract in whole or in part if any of the following events occur: 

  

	 	(a)	non-compliance with any provision of this Contract; 

  

	 	(b)	non-compliance with the asset allocation model; 

  

	 	(c)	violation of any rights or obligations imposed by law as determined by governing regulatory and/or judicial bodies; or 

  

	 	(d)	upon the occurrence of any additional Contract suspension event as shown on the Data Pages. 

  

	7.4.2	We will provide the Contract Owner with written notice that one of these events has occurred. The notice will indicate the scope of the suspension and the date the suspension will
begin. The suspension will not take effect if the cause is cured within the pre-suspension cure period as shown on the Data Pages in a mutually acceptable manner. Additions may be restricted due to the suspension as indicated in the notice. Contract
suspension will not change or suspend the calculation of benefits or charges. 

  

	7.4.3	If the Contract is suspended, we will provide Certificate Owners with written notification of the suspension. Certificate Owners will have the right, during the suspension
cure period, to preserve the Withdrawal Guarantee by transferring their Account Values to a third party account insured by us or to an annuity contract we, or one of our affiliates offer. Upon such transfer the Contract Owner agrees not to charge
any fees for the transfer. The Withdrawal Guarantee transferred shall be equal to the Withdrawal Guarantee on the Valuation Day of the transfer. 

  

	7.5	Individual Certificate Suspension 

  

	7.5.1	 Once during the duration of their Certificate, if the Contract Owner notifies us that a Certificate Owner has transferred their Account Value to an
allocation model offered by the Contract Owner but not listed on the Data Pages, the Certificate will not be terminated, but will instead be suspended. We will notify the Certificate Owner that the suspension has occurred and that it will last until
the end of the suspension cure period as shown on the Data Pages. During the suspension cure period, the Certificate Owner may cure the suspension by transferring their Account Value to an allocation model listed on the Data Pages. Following such a
transfer, the Withdrawal Guarantee will be recalculated on the Valuation Day following the suspension cure period using the Account Value multiplied by the current Withdrawal Guarantee Factor for the Attained Age. This calculation will occur as of
the Valuation Day following the end of the 

			
	  
 MP7170 5/07
	  	  
 15

	 	 
suspension cure period regardless of on which day during the cure period the transfer of Account Value occurs. If the Certificate Owner fails to transfer
their Account Value to an allocation model listed on the Data Pages by the end of the suspension cure period, the Certificate will terminate. 

  

	7.5.2	If an Addition is made to a Certificate Owner’s Account which exceeds the Account Limit, or if an Addition causes the Certificate Owner’s Account to exceed the
Account Limit, the Certificate will be suspended. During the suspension cure period, in the case of an Account which was already over the Account Limit, the Certificate Owner may cure the suspension by withdrawing the entire Addition. In the case of
an Addition which caused the Account to exceed the Account Limit, the Certificate Owner may cure the suspension by withdrawing the portion of the Account Value exceeding the Account Limit. In neither case will there be an Early or Excess Withdrawal.
If the suspension cure period ends without such corrective action, the Certificate will remain suspended until the amount needed to cure the suspension is withdrawn from the Account. In this case, Early Withdrawals and Excess Withdrawals apply.
Until the suspension is lifted, asset charges will apply to the greater of the Account Limit and the Account Value prior to the Addition. 

  

	7.6	Termination 

  

	7.6.1	We reserve the right to terminate the Contract if any of the following events occur: (a) the Contract Owner discontinues administration of this Contract without
arranging for a successor acceptable to us; (b) the Contract Owner fails to cure the cause of a Contract suspension within the suspension cure period as shown on the Data Pages; (c) there is a violation of any material rights or
obligations imposed by law as determined by governing regulatory and/or judicial bodies; or (d) upon the occurrence of any additional Contract termination event as shown on the Data Pages. 

  

	7.6.2	We will provide the Contract Owner with written notice that one of these events has occurred. The notice will state the reason(s) for the termination and that we intend to terminate
the Contract at the end of the Contract termination cure period as shown on the Data Pages. The termination will not take effect if the cause is cured in a mutually acceptable manner prior to the intended termination date. We will provide
Certificate Owners with written notification of Contract termination. During the termination cure period the Certificate Owners will have the right to preserve the Withdrawal Guarantee by transferring their Account Values to a third party account
insured by us or to an annuity contract we, or one of our affiliates, offer. Upon such transfer the Contract Owner agrees not to charge any fees for the transfer. The Withdrawal Guarantee transferred shall be equal to the Withdrawal Guarantee on the
Valuation Day of the transfer. Termination will not affect any Certificates in the payout phase. Upon termination all remaining Certificates in the funding phase will terminate. 

  

	7.6.3	We may establish a higher Withdrawal Guarantee for certain Certificates under this Contract in order to accommodate a transfer of a Withdrawal Guarantee from a suspended or
terminated contract that we insured. 

			
	  
 MP7170 5/07
	  	  
 16

	7.7	Entire Contract 

  

	7.7.1	This Contract is a legal contract between the named Contract Owner, us and the named Certificate Owners and no one else. This Contract together with any attached
applications, riders and endorsements is the entire contract. An agent cannot change this Contract. Any change to the Contract must be in writing and approved by us. Only an authorized officer of the Company can give our approval. This Contract will
be construed according to the laws of the jurisdiction in which it is issued, as shown on the Data Pages. 

  

	7.7.2	We may amend the Contract when, in our opinion, it is necessary to protect us from any of the following: (i) adverse financial impact due to any modification of the
investment policy; (ii) adverse financial impact due to changes in the investment policy practices; (iii) changes in investment policy options; and (iv) upon the occurrence of a Contract amendment event as shown on the Data Pages. Any
such amendment will take effect no earlier than [30] days from notification. We may also amend the Contract in response to the action of any (i) legislative; (ii) judicial; or (iii) regulatory body. We may, at our discretion, amend
the Contract to incorporate any state mandated provision that may apply. Except as required by law, any such amendment will take effect no earlier than [30] days from notification. 

  

	7.7.3	We reserve the right to refuse to issue a Certificate to anyone who has terminated a Certificate under this Contract or any similar Contract with an affiliate or us within the prior
[60] days. 

  

	7.8	Income Tax Qualification 

  

	7.8.1	Each Certificate is intended to qualify for tax treatment as an annuity contract under Section 72 of the Code. With respect to an Account other than a Qualified Account,
if a Certificate Owner dies during the funding phase and the surviving spouse does not become the sole Certificate Owner, the Certificate will immediately terminate. Death of the Participant or Joint Participant will terminate the Certificate if the
Certificate Owner is a non-natural person. This will satisfy the requirement in Section 72(s)(1)(B) of the Code that the entire interest of such holder in the Contract be distributed within 5 years after death. If a Certificate Owner dies
during the payout phase, Section 72(s) is satisfied by the Continuation of Income Payments provision and the Death Provisions included in the Certificate. The Contract provisions will be interpreted to preserve the intended tax
treatment. We reserve the right to amend this Contract as needed to maintain its tax status under the Code. We will send the Contract Owner a copy of any amendment. 

  

	7.8.2	If the Account is a Qualified Account per the Qualified Accounts provision, this Contract is intended to qualify for tax treatment under Section 401(g) of the Code.

  

	7.9	Qualified Accounts 

  

	7.9.1	 If the Account is a Qualified Account maintained pursuant to an eligible retirement plan defined in Code section 402(c)(8)(B), a plan under Code section 457(b) or
other plans subject to Section 401(g), only a single person or entity may be named as Certificate Owner. For a Qualified Account, the Participant will be the individual for whose benefit the Account is maintained under the plan or arrangement.
The Joint Participant, if any, of a Qualified Account must be the Participant’s spouse. If the Participant dies during 

			
	  
 MP7170 5/07
	  	  
 17

	 	 
the funding phase and the sole beneficiary of the Account is not the Joint Participant, the Certificate will terminate upon the Participant’s date of
death. A former spouse may be a Joint Participant when required by a Qualified Domestic Relations Order, as defined in Code section 414(p). The Contract Owner will provide us with notice if the Participant dies during the funding phase and the
Beneficiary of the Qualified Account is not the Joint Participant. 

  

	7.9.2	For any Qualified Account, the Certificate may not be sold, assigned, discounted or pledged. The Certificate (i) cannot be used as collateral for a loan;
(ii) cannot be used as security for the performance of an obligation; and (iii) cannot be alienated for any other purpose. 

  

	7.10	Incontestability 

  

	7.10.1	We will not contest this Contract after the Contract Date. 

  

	7.11	Information – Records 

  

	7.11.1	The Contract Owner will furnish all information that we may reasonably require for the administration and management of this Contract. This information may be a result of and
may include, but is not limited to, any amendment or changes to the asset allocation model(s). We will not be liable for the fulfillment of any duty until we receive all requested information in a form acceptable to us. 

  

	7.12	Misstatement of Age or Account Value 

  

	7.12.1	If any Participant or Joint Participant’s age or Birthday is misstated, any Certificate benefits will be re-determined using the correct age(s). If any overpayments have been
made, future payments will be adjusted. Any underpayments will be paid in full. 

  

	7.12.2	If the Account Value is misstated, any Certificate benefits will be re-determined using the correct timing and value. If any overpayments of charges have been collected, the
overpayment will be paid in full. Any underpayments will be collected in full from the Contract Owner. 

  

	7.13	Nonparticipating 

  

	7.13.1	This Contract is nonparticipating. It does not share in our profits or surplus. No dividends are payable. 

  

	7.14	Premium Tax 

  

	7.14.1	Premium tax rates and rules vary by state and may change. We reserve the right to deduct any such tax either from fees or Premium when received. 

  

	7.15	Statement of Values 

  

	7.15.1	At least once each year, we will send the Contract Owner a Contract statement which will show [the number of Certificates in force in each phase, total fees collected, total
premiums collected and the total income paid]. 

			
	  
 MP7170 5/07
	  	  
 18

	7.16	Written Notice 

  

	7.16.1	All written notices, including proof of death and any required forms, must be sent to our Administrative Office in a form satisfactory to us. All notices must include the
Contract Owner’s name and the Contract number and if applicable the name of the Certificate Owner(s), Participant and any Joint Participant and the Certificate number. We will not be responsible for any actions taken prior to our receipt of a
valid change request. We will send correspondence relating to the Contract Owner’s Contract to the Contract Owner’s last known address. 

  

	7.17	Evidence of Death, Age, Marital Status or Survival 

  

	7.17.1	We will require, to be received at our Administrative Office and in a form satisfactory to us with respect to any person, due proof of death, age, marital status or survival
and any other required forms before we act on Contract provisions that require such documentation. 

 ARTICLE VIII - CHARGES

  

	8.1	Change in Charges 

  

	8.1.1	We reserve the right to change the asset charge as shown on the Data Pages. We will send the Contract Owner advance written notice of such change at least [30] days before the
change becomes effective. Charges will be assessed on the weighted average of the Account Value at the old rate and the Addition at the new rate from the point of the Addition forward. 

			
	  
 MP7170 5/07
	  	  
 19

 GROUP GUARANTEED INCOME 
 ANNUITY CONTRACT 
  

 GENWORTH LIFE AND ANNUITY 
 INSURANCE
COMPANY

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00137-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00137-of-00352.parquet"}]]