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Preliminary Agreement for the Group Annuity Contract <br />(1) Upon the date a contribution is made to the Contract following the Proposed Contractholder's receipt of the Contract <br />(but no earlier than 60 days after the Contract Date of Issue), if AUL does not receive a signed acceptance of the <br />Contract at its Corporate Office by that date, the Proposed Contractholder shall be deemed to have accepted the <br />Contract and any accompanying amendment to the Contract by the making of such contribution. The Contract and <br />any accompanying amendment shall be effective as of the effective dates shown on the Contract and amendment. <br />(2) If the Contract is not accepted or deemed accepted, and if the Proposed Contractholder notifies AUL at its <br />Corporate Office in writing that it will not accept the Contract, the following amount shall be paid in a single sum to <br />the Proposed Contractholder on a mutually agreed -upon date: any contributions to the Contract which have been <br />allocated to AUL's general asset account, plus interest credited thereon as determined pursuant to the Contract, which <br />remain in AUL's general asset account as of such date of payment. AUL shall make such payment only upon receipt <br />at its Corporate Office of a proper form signed by the Proposed Contractholder and, if applicable, by the employer <br />sponsoring the retirement plan for which the Contract is to be a funding vehicle, releasing AUL, its agents, and its <br />employees from any and all liability arising out of such payment by AUL. <br />(3) This Preliminary Agreement shall terminate when: <br />(A) the signed Contract acceptance is received by AUL at its Corporate Office; or <br />(B) the Contract is deemed accepted under Section (1) above; or <br />(C) payment is made by AUL pursuant to Section (2) above. <br />Electronic Contribution Processing and Employee Data Gathering <br />The Employer/Plan Sponsor/TPA has elected to send contributions and employee information electronically using tools <br />provided by AUL. The Employer/Plan Sponsor agrees to allow AUL to debit its checking account for the allocable <br />contribution amount shown on each of its contribution listings submitted to AUL. Additionally, the Employer/Plan <br />Sponsor/TPA agrees that AUL can rely on information provided through the electronic data transmission vehicles. To <br />establish electronic data transmission accounts, you must first complete an Electronic Data Transmission Account <br />Profile available from AUL. <br />Fiduciary Acceptance <br />Any reference to Contractholder in this Application, Acceptance, and Agreement should be read as Proposed <br />Contractholder until the applied -for group annuity contract goes into effect. <br />I, the undersigned, as TPA/Plan Administrator of the City of Pleasanton Plan (`Plan"), hereby appoints AUL as <br />theTPA/Plan Administrator's agent for the sole purpose of executing the Plan's investment instructions through the <br />OneAmerica TeleServe® and Account Services systems. It is understood that AUL will execute the Plan's investment <br />instructions received through the OneAmerica TeleServe® and Account Services systems effective as of the close of <br />business on the valuation date, as referenced in your contract, in which AUL receives the request. It is further <br />understood that AUL has no direction or authority to alter or decline to execute any Plan's investment instructions <br />received through the OneAmerica TeleServe® or Account Services systems, unless such instructions are impossible to <br />execute. If any such instructions are impossible to execute, AUL will so notify the TPA/Plan Administrator before the <br />instructions are accepted by OneAmerica TeleServe® or Account Services. All investment instructions received and <br />executed through the OneAmerica TeleServe® or Account Services system will be confirmed in writing to the <br />TPA/Plan Administrator within ten business days. <br />The Contractholder, TPA/Plan Administrator, and AUL hereby agree by signing below, that they will be bound by the <br />terms of this Application, Acceptance, and Agreement as of the date of AUL's acceptance. The terms of the <br />Preliminary Agreement are superseded by the terms of the applied -for Contract as issued by AUL, and the Contract is <br />accepted or is deemed accepted under the provisions of the Preliminary Agreement. If an amendment accompanies <br />the issued contract, the Contractholder must sign and date the amendment and return a copy to AUL. <br />Electronic acceptance of this Application, Acceptance, and Agreement by AUL, Indianapolis, Indiana indicates <br />that AUL has reviewed its contents along with all other required materials and has accepted its terms, and is equivalent <br />to AUL's written signature. <br />