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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IF CAREFULLY <br />SEPARATION OF INSUREDS - INSURED MEMBERS AND <br />REPORTING ENDORSEMENT <br />This endorsement modifies insurance provided under the following: Master Policy Number: 103 GL 0212472 01 <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART Master Endorsement Number: <br />LIQUOR LIABILITY COVERAGE PART 24011694 <br />A. SECTION I — COVERAGE, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE <br />LIABILITY, 2. Exclusions, and COVERAGE B PERSONAL AND ADVERTISING INJURY <br />LIABILITY, 2. Exclusions of the COMMERCIAL GENERAL LIABILITY COVERAGE <br />FORM, and SECTION I — LIQUOR LIABILITY COVERAGE, 2. Exclusions of the LIQUOR <br />LIABILITY COVERAGE FORM are amended and the following added: <br />This insurance does not apply to: <br />Unreported Events <br />"Bodily injury", "property damage", "personal and advertising injury" or "injury" arising out <br />of any "Insured Member(s)" that you have not reported in the Policyholder's Bordereaux, <br />subject to SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, <br />Reporting Provisions ADDED IN ITEM E. below. <br />However, this provision does not apply in the event of an unintentional error or omission <br />in not reporting an "Insured Member" in the Policyholder's Bordereaux if such "Insured <br />Member" received a Certificate of Insurance and paid the premium prior to the "bodily <br />injury", "property damage" or "personal and advertising injury" or "injury" that resulted in a <br />claim or "suit". <br />B. SECTION II — WHO IS AN INSURED, 1. a. of the COMMERCIAL GENERAL LIABILITY and <br />LIQUOR LIABILITY COVERAGE FORMS, is deleted and replaced with the following: <br />a• An individual, you and your spouse are a named insured, but only with respect to your <br />conduct as an "Insured Member" named on the Certificate of Insurance referenced in <br />item C. below. <br />C. SECTION 11— WHO IS AN INSURED of the COMMERCIAL GENERAL LIABILITY and <br />LIQUOR LIABILITY COVERAGE FORMS is amended and the following added: <br />4. Any "Insured Member" issued a Certificate of Insurance evidencing coverage under this <br />Master Policy will qualify as a Named Insured. However, for the "Event Information" <br />designated in the Certificate of Insurance: <br />a• COVERAGE A does not apply to "bodily injury" or "property damage" that <br />occurred before the "Event Information" inception date shown in the "Certificate <br />policy period'; and <br />b. COVERAGE B does not apply to "personal and advertising injury" arising out of <br />an offense committed before the "Event Information" inception date shown in <br />the "Certificate policy period'; and <br />C. LIQUOR LIABILITY COVERAGE does not apply to "injury" that occurred <br />before the "Event Information" inception date shown in the "Certificate policy <br />period". <br />D. SECTION IV — COMMERCIAL GENERAL LIABILITY and LIQUOR LIABILITY <br />CONDITIONS, 7. Separation Of Insureds 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 "Insured Member" shown on a Certificate of Insuranc <br />Named Insured; and <br />T1523-0111 <br />Rlek Mon mmtDlValan <br />REVIe &APPRa BY: <br />e>�3•`oi•\�\.� <br />Risk Management Speaalist <br />