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POLICY #103 GL 0021111 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IF CAREFULLY. <br />SEPARATION OF INSUREDS - INSURED MEMBERS <br />AND REPORTING ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />LIQUOR LIABILITY COVERAGE PART <br />A. SECTIONI-COVERAGES,COVERAGEABODILYINJURYANDPROPERTYDAMAGELIABILITY,2. <br />Exclusions,and COVERAGEBPERSONALANDADVERTISINGINJURYLIABILITY,2.Exclusions ofthe <br />COMMERCIALGENERALLIABILITYCOVERAGEFORM,and SECTIONI-LIQUORLIABILITY <br />COVERAGE, 2. Exclusions of the LIQUOR LIABILITY COVERAGE FORM are amended and the following added: <br />This insurance does not apply to: <br />Unreported Events <br />ÐBodilyinjuryÑ,ÐpropertydamageÑ,ÐpersonalandadvertisinginjuryÑorÐinjuryÑarisingoutofanyÐInsuredMember(s)Ñ <br />thatyouhavenotreportedinthePolicyholderÓsBordereaux,subjectto SECTIONIVCOMMERCIALGENERAL <br />LIABILITY CONDITIONS, Reporting Provisions added in item E. below. <br />However,thisprovisiondoesnotapplyintheeventofanunintentionalerrororomissioninnotreportinganÐInsured <br />MemberÑinthePolicyholderÓsBordereauxifsuchÐInsuredMemberÑreceivedaCertificateofInsuranceandpaidthe <br />premiumpriortotheÐbodilyinjuryÑ,ÐpropertydamageÑorÐpersonalandadvertisinginjuryÓorÐinjuryÑthatresultedina <br />claim or ÐsuitÑ. <br />B. SECTIONIl-WHOISANINSURED,1.a.ofthe COMMERCIALGENERALLIABIUTY and LIQUOR <br />LIABILITY COVERAGE FORMS, is deleted and replaced with the following: <br />a. Anindividual,youandyourspouseareanamedinsured,butonlywithrespecttoyourconductasanÐInsured <br />MemberÑ named on the Certificate of Insurance referenced in item C. below. <br />C. SECTIONII-WHOISANINSURED ofthe COMMERCIALGENERALLIABILITY and LIQUORLIABILITY <br />COVERAGE FORMS is amended and the following added: <br />4. Any ÐInsured MemberÑ issued a Certificate of Insurance evidencing coverage under this Master Policy <br />will qualify as a Named Insured. However, for the ÐEvent InformationÑ designated in the Certificate of Insurance: <br />a.COVERAGE A does not apply to Ðbodily injuryÑ or Ðproperty damageÑ that occurred before the ÐEvent <br />InformationÑ inception date shown in the ÐCertificate policy periodÑ; and <br />b.COVERAGE B does not apply to Ðpersonal and advertising injuryÑ arising out of an offense committed before <br />the ÐEvent InformationÑ inception date shown in the ÐCertificate policy periodÑ; and <br />c.LIQUOR LIABILITY COVERAGE does not apply to ÐinjuryÑ that occurred before the ÐEvent InformationÑ <br />inception date shown in the ÐCertificate policy periodÑ. <br />D. SECTIONIV-COMMERCIALGENERALLIABILITY and LIQUORLIABILITYCONDITIONS,7.Separation <br />Of lnsureds is deleted and replaced with the following: <br />7. Separation Of Insureds <br /> This insurance is provided under a Master Policy and applies: <br /> a. as if each ÐInsured MemberÑ shown on a Certificate of Insurance were the only Named Insured; and <br />T1523-0111Page 1 of 3 <br /> <br />