Surplus Note Agreement between Golden American Life Insurance Company and First Columbine Life Insurance Company dated December 8, 1999

Summary

Golden American Life Insurance Company promises to pay First Columbine Life Insurance Company $35 million plus 7.979% annual interest, starting December 8, 1999. The note matures on December 7, 2029, but payment of principal and interest requires approval from the Delaware Insurance Commissioner. Payments are subordinate to other debts and policyholder claims. If approval is not granted by the maturity date, the note's maturity is automatically extended until payment is authorized.

EX-10.I 14 surplusn120899.txt SURPLUS NOTE DATED 12/08/99 GOLDEN AMERICAN LIFE INSURANCE COMPANY SURPLUS NOTE Golden American Life Insurance Company agrees to pay First Columbine Life Insurance Company a Colorado corporation, the sum of $35 million ($35,000,000.00) plus interest at the rate of 7.979% per annum from the date hereof, December 8, 1999 until paid. In any event, this note will mature on December 7, 2029. This Surplus Note and accrued interest thereon shall be subordinate to payments due to policyholders, claimant and beneficiary claims, as well as debts owed to all other classes of debtors, other than surplus note holders, of Golden American Life Insurance Company in the event of (a) the institution of bankruptcy, reorganization, insolvency or liquidation proceedings by or against Golden American Life Insurance Company, or (b) the appointment of a Trustee, receiver or other Conservator for a substantial part of Golden American Life Insurance Company properties. Any payments made shall first apply to accrued interest, and the balance of such payment shall apply to reduce the principal of this Note. Any payment of principal and/or interest made shall be subject to the prior approval of the Delaware Insurance Commissioner. If the Commissioner has not approved payment of principal to retire the note prior to its maturity date, the maturity date will be automatically extended until such time as the Commissioner authorizes payment of the final balance of principal. Golden American Life Insurance Company hereby waives presentment and notice of dishonor. In witness whereof, Golden American Life Insurance Company has caused this Note to be executed and delivered. GOLDEN AMERICAN LIFE INSURANCE COMPANY By: /s/ David L. Jacobson -------------------------------- David L. Jacobson, Senior Vice President and Assistant Secretary Attest by: /s/ Myles R. Tashman - ------------------------ Myles R. Tashman Executive Vice President and Secretary