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POLICY#103 GL 0212472-02 <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. SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. <br /> Exclusions, and COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY, 2. Exclusions of the <br /> COMMERCIAL GENERAL LIABILITY COVERAGE FORM, and SECTION I - LIQUOR LIABILITY <br /> COVERAGE, 2. Exclusions of the LIQUOR LIABILITY COVERAGE FORM are amended and the following <br /> added: <br /> This insurance does not apply to: <br /> Unreported Events <br /> "Bodily injury", "property damage", "personal and advertising injury"or"injury" arising out of any"Insured Member(s)" <br /> that you have not reported in the Policyholder's Bordereaux, subject to SECTION IV COMMERCIAL GENERAL <br /> LIABILITY CONDITIONS,Reporting Provisions added in item E. below. <br /> However, this provision does not apply in the event of an unintentional error or omission in not reporting an "Insured <br /> Member" in the Policyholder's Bordereaux if such "Insured Member" received a Certificate of Insurance and paid the <br /> premium prior to the"bodily injury","property damage"or"personal and advertising injury' or"injury"that resulted in a <br /> claim or"suit". <br /> B. SECTION Il - WHO IS AN INSURED, 1. a. of the COMMERCIAL GENERAL LIABIUTY and LIQUOR <br /> 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 conduct as an "Insured <br /> Member"named on the Certificate of Insurance referenced in item C. below. <br /> C. SECTION II - WHO IS AN INSURED of the COMMERCIAL GENERAL LIABILITY and LIQUOR <br /> LIABILITY COVERAGE FORMS is amended and the following added: <br /> 4. Any"Insured Member"issued a Certificate of Insurance evidencing coverage under this Master Policy <br /> will qualify as a Named Insured. However,for the"Event Information"designated in the Certificate of Insurance: <br /> a. COVERAGE A does not apply to"bodily injury"or"property damage"that occurred before the"Event <br /> Information"inception date shown in the"Certificate policy period'; and <br /> b. COVERAGE B does not apply to"personal and advertising injury"arising out of an offense committed <br /> before the"Event Information"inception date shown in the"Certificate policy period"; and <br /> c. LIQUOR LIABILITY COVERAGE does not apply to"injury"that occurred before the"Event <br /> Information"inception date shown in the"Certificate policy period". <br /> D. SECTION IV - COMMERCIAL GENERAL LIABILITY and LIQUOR LIABILITY CONDITIONS, 7. <br /> Separation Of lnsurcds 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 Insurance were the only Named Insured; and <br /> T1523-0111 Page I of 3 <br />