Contractor General Liability Insurance And Workers´ Compensation Insurance Savings Up To 38%!

Entries Tagged 'General Liability' ↓

Contractors Sued For Chinese Drywall May Defeat Pollution Exclusion

Attorneys Jeff Vita and David Jordan explain in excellent article how contractors sued for Chinese Drywall problems may defeat their General Liability carriers’ use of the pollution exclusion to deny their claims.

 

Under the standard General Liability policy, “pollutants” are defined to mean “any solid, liquid, gaseous, or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed.”

 

Some courts such as in CA may extend this definition further to follow the EPA or equivalent state definition of “pollutants”. In these states, even dirt and rocks can be pollutants once they are removed from their original location.

 

According to Vita and Jordan, the successful use of the pollution exclusion to deny coverage will depend on state case law to a large degree. As a result, choice-of-law issues can be important if the option is available to choose the state of defense.

 

Some states define “pollutants” differently than others for the purposes of such exclusion. For example, some states may define “pollutants” in their traditional sense and require the pollutants in question to involve an environmental catastrophe caused by reckless or intentional misconduct (ex: dumping of hazardous chemicals) in order for the exclusion to stand. Other states may allow the exclusion to stand where the negligent use or handling of toxic substances occurs in the ordinary course of business (ex: unintentional release of carbon monoxide by an HVAC contractor).

 

For More Information: See article entitled The Not-So-Great Drywall Of China by Jeffrey J. Vita and David G. Jordan

 

Source: Saxe Doernberger & Vita, P.C.  www.sdvlaw.com

Chinese Drywall: Builders, Subs Face Huge Uninsured Losses

General Liability carriers specializing in contractor insurance for builders and drywall subs are “sweating it out” over the potentially massive claims dollars that could be paid out in litigation, settlement, and adverse jury verdicts arising from Chinese drywall.

However, due to the impact of little known policy exclusions, and evolving case law in many states, General Liability carriers may escape liability for all or a significant percentage of claims leaving builders and trade subs facing huge uninsured losses and potential bankruptcy.

From the point of view of the homeowner, these claims will not likely be covered by Homeowners Property Insurance. And, to the extent that the damages are not covered by the General Liability policies of builders, subs, and distributors, home owners will incur devastating out of pocket losses.

Per House Damage Could Be Astronomical

There is a lot at stake for all parties because the damages on a per house basis are likely to be astronomical. The lawsuit papers will allege that the fumes from the defective Chinese drywall have resulted in corrosion damages to all metal parts of the house including electrical systems, copper piping, HVAC and other metal fixtures. In addition, it will be alleged that the non metal parts of the house have been damaged by foul smelling and noxious sulfur dioxide fumes.

Some experts may claim that the drywall can be sealed, but this approach is questionable and unlikely to be accepted by home owners. Most lawsuits will likely ask for the total removal and replacement of all drywall and electrical systems as well as other building materials that may have been contaminated by the fumes.

Next, add damages for remediation or replacement to household contents for exposure to corrosive and foul smelling fumes. Top this off with the possibility of bodily injury claims due to adverse health consequences to occupants due to exposure.

Pollution Liability Exclusions

All Contractor General Liability policies include a standard exclusion for liability arising from the “actual, alleged or threatened discharge, seepage, release or escape of pollutants’,” “Pollutants” are defined as any solid, liquid, gaseous, or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals, and waste. “Based on this broad definition, the carriers will take the position that the fumes released from Chinese drywall fall under the policy definition of “pollution.”

Fortunately, the standard policy language includes an exception to the exclusion for pollution that results from the products or completed operations of an insured. In other words, the insurance carrier can’t use the pollution exclusion to deny a claim when the pollution arises after the house has been sold.

Unfortunately, many General Liability policies that are sold to contractors include a Total Pollution Exclusion that does not allow the exception that is mentioned in the above paragraph. The presence of the Total Pollution Exclusion (or similar exclusion) on a policy will allow the insurance carrier to take the position of denial of all damages and legal defense. The success of such a position will be determined by the allegations in a specific lawsuit as well as case law. The successful use of the Total Pollution exclusion, if upheld by the courts, will have a devastating impact on all defendants.

Property Damage Exclusions And Emerging Case Law

In the event that the Total Pollution Exclusion is not present on the General Liability policy or if it is not ultimately upheld by the courts, the claims adjusters will have a fallback position in their quest to deny a significant percentage of Chinese drywall claims.

As a result of the construction defect crisis, most General Liability carriers specializing in builders insurance began to insert special policy exclusions around five years ago to escape liability for construction defect claims. The most common exclusion entitled “Exclusion: Damage To Work Performed By Subcontractors On Your Behalf” (CG2294), virtually eliminates all property damage liability for damage to the builder’s faulty work itself (drywall) and resulting damage to the builder’s non faulty work (corrosion to electrical systems, copper piping, HVAC, and other metal fixtures).

Existing case law in many states has resulted in claim denials for construction defect under the theory that property damage to a builder’s work is not considered to be an “occurrence” or accident and thus the policy should not act as a warranty. Therefore, the end result in these states is the same as the application of exclusion CG2294.

However, General Liability coverage under the builder’s insurance policy will still likely apply to property damage to contents and bodily injury claims by occupants. Since most lawsuit papers are likely to allege at least some covered damages, coverage will still be triggered for the entire legal defense for all claims at the expense of the insurance carrier.

As concerns drywall subcontractors, their General Liability policies will not cover property damage to their work (drywall) but will cover resulting property damage to other parts of the house and contents. Their policy will also cover bodily injury to occupants. In addition, their policy will likely trigger a full legal defense of all claims.

Assuming that both the builder and drywall sub have General Liability insurance in force continuously from the completion of the job to the filing of the lawsuit papers, their combined policies won’t likely cover the cost to tear out and replace the drywall. Such a repair job represents a huge undertaking and will be very expensive.

US Suppliers And Chinese Manufacturers

US suppliers of Chinese drywall will undoubtedly participate in these lawsuits with both builders and drywall subs. Plans for class action lawsuits are already under way. Under a worst case scenario, some US suppliers may run out of general aggregate limits under their General Liability policies and it is unlikely that Chinese manufacturers will share in these claims due to the difficulties in enforcing judgments against foreign manufacturers.

Builders can protect themselves from future construction defect and pollution claims by implementing the following practices:

* Implement mandatory subcontractor agreements with all subs including insurance requirements for General Liability, hold harmless/indemnification provision, and a requirement for all subs to participate in arbitration proceedings.

* If the builder’s General Liability policy includes the Exclusion-Damage To Your Work Performed By Subcontractors On Your Behalf (CG2294) or a similar exclusion, find out if the insurance carrier provides a buyback for an additional premium charge.

* Ask the insurance agent if any insurance carriers are available that don’t use exclusion CG2294 or have a less severe version that covers resulting property damage to the builder’s non faulty work.

* Purchase a Pollution Liability policy.

Source: John Sadler

Specifics On Additional Insured Endorsements For Contractors

“The three most commonly used additional insured endorsements in construction relationships are the Insured-Owners, Lessees Or Contractors-Scheduled Person Or Organization (CG 20 10); Additional Insured Owners, Lessees Or Contractors-Automatic Status when Required In Construction Agreement With You (CG 20 33); and Additional Insured-Owners, Lessees Or Contractors-Completed Operations (CG 20 37).”
 
All three of these General Liability additional insured endorsements have undergone some changes under the various edition dates since 11/85.  Most of these changes have resulted in significant reductions in coverage for additional insureds.
 
The 07/04 versions of CG 20 33 and CG 20 10 are essentially the same as far as language except for the wording in CG 20 33 states that additional insured status ends when the work contracted for is completed (no completed operations coverage is extended to the additional insured)CG 20 10 arrives at the same result by limiting coverage to “ongoing operations”.
 
The 07/04 version of CG 20 37 states that additional insured status is approved only when the entity is scheduled.  Conversely, the 07/04 CG 20 33 states that any entity requiring additional insurance status via a contract is covered.
 
The 07/04 edition of all three additional insured endorsements limits coverage to the additional insured’s vicarious liability for the actions of the named insured.
 
 A basis for conflict between insurance professionals and general contractors (and their lawyers) has been the 11/85 edition of the CG 20 10.  A contract requiring the CG 20 10 11 85 “or its equivalent” is still being requested even though the general contractors and their lawyers have admitted that this option does not exist and have instead asked for equivalent protection.  “Equivalent” protection is not provided by the 07/04 version of CG 20 10 coupled with the CG 20 37.  ISO does not have comparable wording.  A few of the smaller regional carriers may have some proprietary company form that provides something similar.
 
Source Insurance Journal-National Region January 12, 2009

Contractors’ Insurance Annual Checkup – What Is It And Why Do I Need It?

Our agency conducts annual insurance checkups for our contractor clients, and I am often asked “Why is this necessary or recommended since updated information has already been provided in the renewal applications and over numerous phone conversations that occur throughout the year?”

The purpose of the contractor annual insurance checkup is to review your current coverages; to determine if your coverages and limits are adequate (example:  have you signed a contract that requires higher limits?); to determine if your key employee structure has changed, and to find out if anything new is going on with your business. 
 
Your insurance agent is not necessarily the first contact you think about when you change your operations or buy something new (unless you need proof of insurance).  The time to discover you forgot to let us know is NOT after you’ve had a loss.
 
During the annual insurance checkup, we will review your Workers Compensation, General Liability, Business Auto, Contractors Equipment, Bonds, Umbrella and Builders Risk (if applicable) and make risk management recommendations using our custom checklist tool.  We can also provide you with quotes for Life Insurance, Key Man Life Insurance and Group Health Insurance.
 
As your business grows, or you downsize your operation, your insurance needs change.  Also, the education that you receive will likely result in maximum premium savings.
 
In addition to meeting with your agent to discuss your business changes and needs, it’s also a good idea to do an annual checkup with the agent who handles your personal insurance.
 
Working together, we can help you protect your valuable assets by providing the right coverage at the lowest possible cost.

Surviving Your Insurance Audits – What Contractors Need To Know BEFORE The Auditor Arrives

 
Insurance Audit – just these simple words can trigger very negative emotions for a contractor!  In this blog I will attempt to help prepare you for your next Workers Compensation and/or General Liability audits.
 
To begin, both of these policies are based on estimated numbers (employee payroll, uninsured sub payroll, amounts paid to  insured subs, gross receipts, etc.) since you don’t know exactly what they will be at the end of the policy term.  Usually you will be contacted by the auditor 30 to 45 days after the expiration of the policies requesting an appointment to meet with you and review your records.
 
The insurance auditor will want to review the following:
  • W-2′s (employee payrolls)
  • 1099′s (subcontractor payrolls)
  • ledger statements
  • certificates of insurance on your subcontractors (please make sure that the policy effective and expiration dates on your subcontractor’s certificate are in line with the dates of their service; sometimes you will need to have more than one certificate on your subcontractor).
  • Job duties of your employees and subcontractors — this is needed to make sure that they are properly classified according to insurance rules and regulations
After the insurance auditor meets with you and reviews the above information, he will go back to his office and “count the beans” to determine whether you overpaid or underpaid your premiums.  He will then send his report to the insurance company.  Depending on the outcome, you will either receive a return premium or additional premium invoice along with a copy of the audit worksheets.  Please be sure that you understand audit additional premiums are due and payable in full within 30 days of the audit, unless it’s being disputed.
 
Due to confidentiality laws, your insurance agent will not be given a copy of the audit worksheets unless you give your permission during the audit.  I strongly recommend you give your permission.  If you do dispute your audit you will need your agent’s help during the process.  Without the audit worksheets there won’t be much we can do for you.
 
When the insurance auditor arrives at your office I recommend that you have a comfortable, quiet place for them to work, and have all of your paperwork ready and organized.  Make sure that the person who is to meet with the insurance auditor has cleared their calendar so they won’t be interrupted with phone calls, office meetings, etc.  Treat the auditor as a respected guest and not as the “enemy” — offer them the same amenities you would offer to any other guest.  Remember, they are people too and are there to do their job.  I’ve dealt with many insurance auditors, and their main complaints are that when they get to their appointment the records, people, place to work, etc. are not available and the insured was rude.  Their negative impressions may not be the “whole story”, but it can make a difference.  Believe me when I tell you they don’t want to be in your office any longer than absolutely necessary!

Are All Contractors Required to Carry Workers Compensation?

I have been in the insurance industry for longer than I care to say, and there are numerous myths that seem to endure over time.  In an attempt to put these myths to rest I will be be discussing some of the more “common” ones in a series of blogs.

 

The fact is that this is more complicated than it seems at first glance.  For purposes of determining the employee count, most state laws also count uncompensated officers as well as employees of sucontractors.  In addition, state laws count the total number of employees during an entire year, and not the average number of employees at any given time.

If an employer is required to carry Workers’ Compensation but does not do so, the injured worker can file his Workers’ Compensation claim with the state’s Uninsured Employer’s Fund and will get paid the traditional benefits.  The state’s Uninsured Employer’s Fund will then file a lien against the non-complying employer for the amount of the payout and can levy substantial fines against the employer in addition to the benefits.

 After I tell my client this, their next response is sometimes “Can’t I file the claim under my General Liability policy?”.  The answer to this is very simple – “No”, as these types of claims are excluded.

Contractors: Accurately Project Payrolls & Subcontractor Costs

I was talking to a new business prospect the other day (I’ll call him Steve), gathering information to quote the insurance for his residential construction business.  When I asked Steve about his employee payroll and any amounts paid to uninsured subcontractors, he stated that he wanted to underestimate them so he wouldn’t have to pay so much money upfront.  After all, the economy is rough and he thought he might be better equipped financially to pay the additional premiums after the audits had been completed.
 
This thought process is more common than you might think, and it is extremely dangerous!  During my years in the insurance industry I’ve seen way too many businesses go bankrupt because of underestimating their payrolls and gross sales.
 
The reality is that additional premiums resulting from an audit are due within 30 days and can NOT be financed.  If you can’t pay the audit additional premiums when due the insurance company will cancel your current policies.  Once your policies are canceled, along with any certificates of insurance that may have been issued, your business comes to a halt.  No insurance = no certificates; no certificates = no jobs.  In addition, the insurance company will turn the unpaid debt over to a collection agency, which will impact your credit score.
 
The next thing I usually hear when I explain this is:  “Well, I’ll just get insurance with another insurance company and/or agent.”
 
Unfortunately, unpaid audit premiums must be disclosed on the insurance applications, as well as the reason for your prior insurance policies being canceled.  Believe me when I tell you that no insurance company is going to write a policy for you if you owe another insurance company money.  Their reasoning is that you didn’t pay the other company, so you probably won’t pay them either.  If you don’t disclose the information on the applications then you have committed fraud, which is a blog topic all in itself.
 
In conclusion, the best course of action is to be as accurate as possible when estimating employee payrolls and subcontractor costs to minimize large audit additional premiums.  It’s much easier to spread the premiums out over months than to try and come up with the money in 30 days.

Problem General Liability Exclusions For Contractors

Most General Liability insurance carriers are wary of insuring contractors as a result of a high frequency and severity of construction defect claims that have occurred nationwide. As a result, many insurance carriers, especially those in the excess & surplus lines marketplace, are frequently using the following exclusions that take away much needed coverages:
 
* Residential Construction Exclusion: Believe it or not, residential construction is riskier than commercial construction due to the the frequent class action lawsuits filed within certain subdivisions.
 
* Tract / Row / Condo / Town Home Exclusion: These types of project are considered risky since they seem to invite class action lawsuits as well as lawsuits from home owners associations looking for a deep pocket to fund normal maintenance and wear and tear issues just prior to the running of a statute of repose for construction defect lawsuits.
 
* Subcontracted Work Exclusion: Many policy forms actually exclude lawsuits arising out of work performed by subcontractors.
 
* Product And Completed Operations Exclusions: Some carriers that want to eliminate almost all of their risk for construction defect claims will insert this exclusion.
 
Why would insurance carriers and agents that cater to contractors even offer a policy with these exclusions to their clients that would be negatively impacted? This is a good question that defies logic. As a general rule, only insurance agents that are inexperienced would set up their contractor clients with such deficient policies. An insurance agent that is knowledgeable and specialized in contractors would know how to find carriers that don’t have these problem exclusions.
 
Furthermore, these problem exclusions are just the tip of the iceberg when designing quality coverages for contractors.
 
Source: Trina Swartz, Beware Of Leaky Contractors Coverage, Agent Market Source, Fall/Winter 2008-2009
 
 
 
 
 
 

Green Building Insurance Challenges

As was discussed in a previous blog posting entitled “Green Building Risk Management Obstacles”, there are many potential risks involved in the emerging field of green building. Current insurance policy forms may not provide adequate coverage for all green building risks at this time.
 
To follow is a summary of the types of policies that are needed:
 
General Liability: Current General Liability forms may adequately cover claims for negligence resulting in bodily injury and property damage.
 
Bonding:  Current License And Permit Bonds may provide limited protection against the risk that the project will not be completed per state and local code requirements. Surety Bond forms may adequately protect against the risk that the job will not be completed per the plans and specifications or due to financial problems of the contractor.
 
Professional Liability (Errors & Omissions): Professional Liability insurance is needed to protect against pure economic damages (not associated with bodily injury and property damage) in the event that the green goals are not accomplished resulting in financial loss to the buyer in terms of increased annual operations expenses, lack of savings, or loss of resale value. This type of Professional Liability form for green contractors is not widely available in the market and as a result a specialist insurance agent should be approached for placement.
 

Source: Green Building: New Benefits For Society And New Challenges For Risk Management; Insurance Journal, November 17, 2008; Vol. 86, No. 22; by Kenneth C. Gibbs
 

Liability Risks For Green Construction

“Green certification is a way to gain third-party, independent, and international recognition that a project produces less waste, conserves water and energy, supports the health of its occupants, stamps a smaller carbon footprint, and possesses socially responsible, warm, and fuzzy benefits.”
 
The risks of green building include:
 
* The use of newer and untested building systems and products. Who is to say that a new product won’t be the next EIFS nightmare?
* The energy savings may incorporate more insulation and a “tighter” building which may restrict air flow resulting in condensation and mold issues.
* Living roofs with sod and plants may leak and the additional weight may place more stress on the building structure.
* Owners or tenants may not see expected energy cost savings.