Some things you should know: Faulty Workmanship Under the CGL Recent Developments and Implications • The class will begin at the top of the hour. There is no sound at this time. • This class is being recorded. The recording can be found in the Community at Webinars Archive • You can ask questions at anytime, type them into the chat box. • Check your chat box for links to upcoming classes. • This class is not approved for CE credit. Community Webinar www.insurancecommunitycenter.com 1 Jay Radov, Esquire, CIC Pegasus Insurance Consulting Sponsored By: Pegasus Insurance Consulting www.peginsure.com 2 Faulty Workmanship under the CGL: Recent Developments and Implications An examination of the surprising and disturbing results of some recent court cases upon Completed Operations coverage, their impact in the construction and insurance industries, and possible solutions. 3 If faulty work causes bodily injury and property damage to a completed structure or building, the following questions arise: Was the faulty work an accident or foreseeable? Was the faulty work performed by the insured contractor or by a subcontractor of the insured contractor? Is there coverage for the direct damage caused by the faulty work? 4 Is there coverage for the indirect (or consequential) damage caused by the faulty work? If the claim occurs in one state but the insurance policy was negotiated and delivered in a different state, which state’s law applies? What are some possible solutions to these problems or potential problems? 5 Kvaerner Metals v. Commercial Union Ins. Co. 908 A.2d 888 (Pa. 2006) MILLERS CAPITAL INS. CO. v. GAMBONE BROS., 941 A.2d 706 (Pa. Super. Ct. 2007) SPECIALTY SURFACES INT’L, INC. v. CONTINENTAL CASUALTY CO., 609 F.3d 223 (3d CIR. 2010) 6 Does a contractor have insurance coverage for faulty work (a construction defect) which damages a completed building or structure? 7 The General Contractor hires an HVAC subcontractor to install a furnace on the roof of a three-story building under construction. The HVAC subcontractor improperly installs the furnace. After the building is completed and occupied, the furnace explodes and damages the roof. Part of the roof falls into the third floor of the office building, damaging the premises of a tenant. 8 We will pay those sums that the insured becomes legally obligated to pay as damages because of “bodily injury” or “property damage” to which this insurance applies. - Section I, Coverage A, 1. a. This insurance applies only if the “bodily injury” or “property damage” is caused by an “occurrence” – Section I, Coverage A, 1. b. 9 “Occurrence” means an accident, including continuous or repeated exposure to substantially the same general harmful conditions. – Section V, 13. 10 This insurance does not apply to: “Property damage” to “your work” arising out of it or any part of it and included in the “productscompleted operations hazard”. 11 This exclusion does not apply if the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor. (This is known as the Subcontractor Exception to the ‘Damage To Your Work’ Exclusion). Section I, Coverage A, 2. l 12 The CGL (unendorsed) does NOT provide coverage for faulty work which damages a completed building or structure unless the faulty work was performed by a subcontractor. 13 Faulty work by the subcontractor caused the furnace to explode. This explosion was an accident and is thus an “occurrence”. The faulty work caused direct “property damage” to the furnace and also caused subsequent (indirect or consequential) “property damage” to the roof and to the tenant’s premises. 14 The General Contractor’s CGL policy provides coverage (a) for the furnace (the direct damage) because of the subcontractor exception and (b) for the roof and the tenant’s premises (the consequential damage). The HVAC subcontractor’s CGL policy does NOT provide coverage for its faulty work, the furnace. But the HVAC subcontractor’s CGL DOES provide coverage for the consequential damage (the roof and the tenant’s premises) which were not faulty work performed by the subcontractor. 15 Case Law 16 FACTS: Kvaerner Metals agreed to build a coke oven battery for Bethlehem Steel Kvaerner used a roofing subcontractor for the brick roof of the oven The roofing subcontractor allegedly performed faulty work, which was exacerbated by heavy rains After the roof was completed, it moved and damaged the coke battery 17 RESULTS OF THE CASE: An “accident” is “unexpected [and] implies a degree of fortuity that is not present in a claim for faulty workmanship.” Thus, there is no “occurrence” and no coverage under the CGL It was unnecessary, therefore, to ascertain whether or not “property damage” exclusions were applicable 18 Result of Kvaerner Before the case, faulty work was covered if performed by a subcontractor After the case, faulty work is not an “occurrence” and not covered by the CGL even if performed by a subcontractor The ‘Damage To Your Work’ exclusion and the subcontractor exception to this exclusion are irrelevant 19 FACTS: Gambone developed and built houses Homeowners alleged that water leaks to nondefective interior property in their homes were caused by construction defects (faulty work) by Gambone and/or its subcontractors on the stucco exteriors Gambone argued that the consequential (water) damage caused by direct damage (faulty work to the stucco) should be an “occurrence” 20 RULING OF THE PENNSYLVANIA SUPERIOR COURT: Water that seeps through faulty home exterior work to damage the home’s interior is not a fortuitous event, or an “occurrence,” that triggers coverage If faulty work is not an “occurrence”, then property damage resulting from that faulty work cannot be an “occurrence” either 21 The PA Supreme Court refused to hear the case Gambone eliminated coverage for third party damage due to faulty work If a claim stems from faulty work, it is NOT an “occurrence” and the CGL does NOT provide coverage. The ‘Damage To Your Work’ exclusion is irrelevant Completed Operations coverage for faulty work (construction defects) has been eliminated, at least in Pennsylvania using the standard CGL How broad is “faulty work” which is not even a defined term in the CGL? 22 FACTS: A California school district sued Specialty Surfaces in California for water damage caused by faulty work in installing artificial turf fields within the school district Specialty Surface’s insurer, Continental, denied coverage; Specialty Surfaces sued Continental in federal court in Pennsylvania to obtain coverage Specialty Surfaces is a Pennsylvania corporation with its principal place of business in Pennsylvania Under California law, the school district’s suit against Specialty Surfaces would be an “occurrence” and Continental would have a duty to defend Specialty Surfaces 23 FACTS: Under Pennsylvania law, however, the school district’s suit against Specialty Surfaces would NOT be an “occurrence” and Continental would NOT have a duty to defend Specialty Surfaces The federal court (a) analyzed each state’s contacts with Specialty Surface’s CGL policy with Continental and (b) said that where the faulty work had taken place was much less important 24 RULING: After examining (a) the place where Specialty Surface’s CGL was signed; (b) the place where this policy was negotiated; (c) the place of performance of both Specialty Surfaces and Continental under the CGL; and (d) the domicile, residence, place of incorporation, and principal place of business of both parties, the federal court concluded that Pennsylvania law applied Consequently, even though the alleged faulty work happened in California, Pennsylvania law – which holds that faulty work is NOT an “occurrence” – was applicable, and thus Specialty Surfaces did not have any coverage under its CGL for this alleged faulty work 25 NOTE: that there is a significant lack of awareness of this issue in both the construction and insurance industries – especially in those states that have not specifically addressed this issue Agents have an increased risk of E & O UNLESS they confirm, in writing, how each of their carriers treat faulty work Agents need to be able to explain these issues to their current and prospective clients Not all insurers are responding the same way 26 Some carriers have filed endorsements to address this issue, while other insurance companies have not done so. The endorsements vary, and some only provide coverage for direct damage – not for consequential damage 27 Compare this endorsement: a. “Occurrence” means an accident . . . and includes “property damage” to “your work” if the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor and the “property damage” to “your work” is included in the “productscompleted operations hazard”. With this endorsement: b. “Occurrence” also means an accident involving: (1) “property damage” to “your work” if the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor and the “property damage” is included within the “products-completed operations hazard” or (2) “property damage” to other than “your work” that arises from “your work”. 28 These endorsements should address 4 concerns: 1) Coverage should exist for faulty work performed by a subcontractor; 2) Coverage should exist for the consequential (third party) damage caused by the faulty work of a subcontractor; 29 3) 4) Coverage should exist for the consequential (third party) damage caused by the insuredcontractor’s faulty work; and Coverage should exist for “bodily injury” sustained, directly and indirectly, from faulty work. The endorsements on the prior page don’t address “bodily injury”. 30 At least 4 states have enacted legislation to address this issue: Colorado, Arkansas, South Carolina and Hawaii. South Carolina’s statute provides that: Commercial general liability insurance policies shall contain or be deemed to contain a definition of “occurrence” that includes: (1) an accident, including continuous or repeated exposure to substantially the same general harmful conditions; and (2) property damage or bodily injury resulting from faulty workmanship, exclusive of the faulty workmanship itself. 31 Another possible solution for a large contractor: endorse the CGL to include a provision that the “Laws of the State of ______ shall apply”, and choose a favorable state in which the Courts agree that faulty workmanship can be an “occurrence”. 32 33 Insurance forms and endorsements vary based on insurance company; changes in edition dates; regulations; court decisions; and state jurisdiction. The instructional materials provided by The Insurance Community Center and its authors is intended as a general guideline and any interpretations provided by The Community does not modify or revise insurance policy language. Information which is copyrighted and proprietary to Insurance Services Office, Inc. (“ISO Material”) is included in this publication. Use of the ISO Material is limited to ISO Participating Insurers and their Authorized Representatives. The Insurance Community Center assumes neither liability nor responsibility to any person or business with respect to any loss that is alleged to be caused directly or indirectly as a result of the instructional materials provided. Insight Insurance Consulting Pegasus Insurance Consulting www.insurancecommunitycenter.com Copyright 2012© 34