(1) Gaming Beverage Licensee. The commission, after granting a gaming beverage license application for one or more licensed areas in a gaming establishment, shall issue a formal license document that contains the following:

1. (a) A complete identification of the gaming beverage licensee's identity, and the contact information for a responsible individual;
2. (b) The term of the license;
3. (c) An official commission serial number;
4. (d) A statement that all conditions set forth in M.G.L. c. 23K and 205 CMR 136.00 are incorporated by reference, included as if completely set forth therein and made a part of the issued form of the gaming beverage license;
5. (e) A statement that all additional conditions set forth by the commission shall also be incorporated by reference, included as if completely set forth therein and also made a part of the issued form of the gaming license;
6. (f) The official seal of the Commonwealth of Massachusetts;
7. (g) The signature of the chair or his or her designee after receiving a commission vote authorizing such license issuance and signature execution;
8. (h) Such other conditions, limitations, or restrictions on the sale or distribution of alcoholic beverages at the gaming establishment as determined by the commission;
9. (i) A listing of all licensed areas covered by the gaming beverage license, and the jointly responsible person, if any, for each licensed area; and
10. (j) A statement incorporating by reference all licensed area addenda issued pursuant to 205 CMR 136.08(2).

(2) Licensed Area Addendum. As part of the Gaming Beverage License, the commission shall issue a licensed area addendum for each licensed area approved pursuant to 205 CMR 136.03(4). Each licensed area addendum shall contain the following:

1. (a) A precise, complete and defined description of the licensed area;
2. (b) A complete identification of the gaming beverage licensee's identity;
3. (c) The term of the license;
4. (d) An official commission serial number;
5. (e) The official seal of the Commonwealth of Massachusetts;
6. (f) The signature of the chair or his or her designee;
7. (g) A statement incorporating by reference all applicable conditions attached to the gaming beverage license;
8. (h) Any unique conditions, restrictions or limitations which apply to the licensed area; and
9. (i) The identity of the jointly responsible person, if any.