contractors vs subcontractors vs...7/19/2013 3 antiquated, problematic and just plain wrong property...

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7/19/2013 1 Contractors vs Subcontractors Charles E. Comiskey CPCU, CIC, CPIA, CRM, PWCA, CRIS, CCM President, RiskTech, Inc. SVP , Brady , Chapman, Holland & Associates, Inc. Contractors vs. Subcontractors 1 Disclaimer This seminar is for general information only and is not intended to provide, and should not be relied upon for, legal advice in any particular circumstance or fact situation. All participants are advised to consult with legal counsel. 2 The opinions expressed are those of the presenter and are not necessarily those of IIAH.

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Page 1: Contractors vs Subcontractors vs...7/19/2013 3 Antiquated, Problematic and Just Plain Wrong Property Terminology Fire insurance Extended coverage Vandalism & malicious mischief l dd

7/19/2013

1

Contractors vs Subcontractors

Charles E. Comiskey

CPCU, CIC, CPIA, CRM, PWCA, CRIS, CCMPresident, RiskTech, Inc.

SVP, Brady, Chapman, Holland & Associates, Inc.

Contractors vs. Subcontractors

, y, p , ,

1

Disclaimer

This seminar is for general information only and is not intended to provide, and should not be relied upon for, legal advice in any particular circumstance or fact situation.

All participants are advised to consult with legal counsel.

2

The opinions expressed are those of the presenter and are not necessarily those of IIAH.

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Antiquated, Problematic and Just Plain Wrong GL Terminology

Where were you in 1986?

Comprehensive general liability

Blanket or broad form contractual liability

d f d

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Broad form property damage

Broad form GL endorsement

Antiquated, Problematic and Just Plain Wrong GL Terminology

Deletion of personal injury employee exclusion

Cross liability or severability of interest

30 day notice of cancellation, amendment, reduction of limits or nonrenewal

4

Products/completed operations for 2 years following completion of work

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Antiquated, Problematic and Just Plain Wrong Property Terminology

Fire insurance

Extended coverage

Vandalism & malicious mischief

l d d

5

Special extended coverage

All Risk or “All Risk” (in most cases)

Other Pet Peeves

Performing first step of risk management – identification of i k i h d i drisk with regard to our own industry

As regards insurance, you’re not dealing with other side

You’re not paranoid if …

6

Mantra

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Parties to Construction Agreements

Owner

Construction Manager

Construction Manager At Risk

Design Builder

General Contractor

Subcontractor

b b ( l l ) Sub‐Subcontractor (varying levels)

Suppliers

Other Professionals (architect, engineer, etc.)

7

Perspective

Upstream Parties – those to whom your insured owes a responsibility

Downstream Parties – those who owe a responsibility to your insured

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5

Texas Anti‐Indemnity (and Anti‐Additional Insured) Act

What kind of construction contracts prohibit the transfer of joint, concurrent, and sole negligence prohibited?joint, concurrent, and sole negligence prohibited? Agreements not related to residential or municipal work – to what degree?

What kind of construction contracts permit the transfer of joint, concurrent, and sole negligence? All of them At least with regard to injury to employee of contractor or its subcontractor(s)subcontractor(s)

Exposures regarding the contractual transfer of joint, concurrent and sole negligence can remain in every construction agreement

9

How Indemnity Provisions Differ From Insurance Requirements

Parties Involved

Indemnity is between the Indemnitor and the Indemnitee

Indemnitor is assuming risk

Indemnitee is being relieved of risk

Insurance is not a participant in this agreement

Indemnification is a voluntary assumption Indemnification is a voluntary assumption

Not liability imposed – the Indemnitor has agreed to be liable

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Indemnification

$ Blank Check

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Exposure (any and all liabilities)

What Portion of Transferred Risk Is Insurable?

Contractual liability insurance is the funding mechanism for portions of the risk assumed in indemnification

Provided as (1) series of definitions to (2) an exception to (3)  an exclusion to (4) the coverage provision of BODILY INJURY and PROPERTY DAMAGE ONLY

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What Portion of Transferred Risk Is Insurable?

Problem:  “Contractor shall provide contractual liability insurance covering the liabilities assumed in the indemnification agreement.”

Insurance does not and can not “cover” an indemnity Not “any and all liabilities”, fines, penalties Only bodily injury and “property damage” Limited in amount

13

Recommended:  Contractor shall provide contractual liability insurance applying to the indemnification agreement.

Indemnification

$ Uninsured Bodily Injury and Physical Injury to

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Exposure (any and all liabilities)

y j y y j yTangible Property + Loss of Use

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But Wait!  There’s More!

Potentially bankrupting to the Indemnitor (a/k/a downstream Named Insured)downstream Named Insured)

And it gets much worse

Indemnification is subject to judicial scrutiny

New exclusions may be added

Defense provided in behalf of an Indemnitee (upstream

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Defense provided in behalf of an Indemnitee (upstream party) erodes your limits of liability

Who wins?

Additional Insured Advantages

No “fair notice rules”

Direct rights

Separate defense

Unlimited defense

Can include concurrent and sole negligence

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Now who wins?

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Indemnification vs. Additional Insured

C l t i k t f i i Complementary risk‐transfer provisions

Perform similar function but are totally independent  Act as two entirely separate contracts

Negotiate indemnification but fail to consider ramifications of additional insured status

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Practical advice – coordinate corporate culture

Practical Advice

Problem:  “[Downstream Party] shall name [Upstream P ] ddi i l i d”Party] as an additional insured”.

Meaningless

Shell game

Illusory

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Illusory

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What To Look For In An 

Additional Insured Endorsement

Who is being added as an insured?

What scope of negligence is being transferred?

For what kind of operations?

Any exclusionary wording added?

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Any exclusionary wording added?

ISO

ISO = Insurance Services Office

“© ISO Properties, Inc., 20__”

“© Insurance Services Office, Inc., 20__”

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CG 20 10 11 85

Form # ‐ CG 20 10

Edition date – CG 20 10 11 85

Includes “as an insured the person or organization shown in the Schedule”

“but only with respect to liability”

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“arising out of”

“your work”

Other CG 20 10 Endorsements

Same description of “insured”

CG 20 10 10 01 “arising out of  your on‐going operations”

CG 20 10 07 04 and CG 20 10 04 13 “caused in whole or in part by

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caused in whole or in part by  your acts or omissions; or the acts or omissions of those acting on your behalf in the performance of on‐going operations”

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Additional Insured Editions

All ISO 10 01 editions use “arising out of” and cover joint, concurrent and sole negligence

All ISO 07 04 and 04 13 editions do not include “arising out of” and cover joint and concurrent negligence but not sole negligence

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Other ISO Additional Insured Endorsements

CG 20 33 Includes “as an insured any person or organization 

for whom you are performing operations” On‐going operations only Has 10 01, 07 04, and 04 13 editions

CG 20 38 04 13 ‐ New

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CG 20 38 04 13  New

Adds “any other person or organization you are required to add as an additional insured under the contract or agreement”

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Other ISO Additional Insured Endorsements

CG 20 37

Includes “as an insured the person or organization shown in the Schedule”

Provides coverage for completed operations only

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g p p y

Has 10 01 , 07 04 and 04 13 editions

New ISO GL Additional Insured Editions

New 04 13 Editions to all Additional Insured endorsements New 04 13 Editions to all Additional Insured endorsements

Provides that the insurance afforded to AI

Applies to the extent permitted by law

Will be no broader than required by contract

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Will provide no greater amount than required by contracto How can you affect this?

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Still More Additional Insured Endorsements

“Blanket” or “Automatic”

Specific

ISO rarely used

“Includes Copyrighted Material of Insurance Services

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Includes Copyrighted Material of Insurance Services Office, Inc., With Its Permission – Beware!

Manuscript Additional Insured Endorsements

Essential to read & understand

Limited parties covered?

Limited scope of coverage?

Limited operations?

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May add new exclusions

o “No coverage is provided for damages because of bodily injury to employees of the insured”

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Recap

If you simply require “additional insured” status, who decides what will be provided?

If adequate additional insured status is not provided, how is coverage potentially provided?

Who wins?

29

Who wins?

Practical Advice

Require a specific ISO endorsement or scope of coverage

What does “or equivalent” mean?

Require a copy & make sure you understand it

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Practical Advice

Recommended:  Subcontractor shall obtain additional insured coverage in favor of Contractor Parties on commercial general liability and excess liability policies.  Additional insured status shall be provided on a combination of unmodified ISO endorsements CG 20 10 10 01 and CG 20 37 10 01.

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This option includes the sole negligence of the additional insured.

Practical Advice

Alternative: Subcontractor shall obtain additional insured coverage in favor of Contractor Parties on commercial general liability and excess liability policies. Additional insured status shall be provided on a combination of unmodified ISO endorsements CG 20 10 04 13 and CG 20 37 04 13. 

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This option excludes the sole negligence of the additional insured.

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Primary Liability

Problem:  “[Down‐stream party’s] insurance shall be primary”

All general liability policies start out providing primary liability coverage – share in payment

E h dd d dditi l i d b

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Excess where added as additional insured by endorsement

Primary and non‐contributory liability

New GL Primary & Noncontributory Endorsement

ISO CG 20 01 04 13

This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that:

The additional insured is a Named Insured under such other insurance; and

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You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured

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Primary Liability

Recommended:  It is the intent of the parties to this pAgreement that all insurance coverage required herein shall be primary to and shall seek no contribution from all insurance available to [Upstream Parties], with [Upstream Parties]’s insurance being excess, secondary and non‐contributing.  This CGL coverage shall be endorsed to provide such primary and noncontributory liability.

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Who Is Protected?

Problem:  Failure of consistency

Indemnification v. waiver of subrogation v. additional insured

Who wins?

Recommended: Consider “Contractor Parties”

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Recommended:  Consider  Contractor Parties

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Invisible GL Exclusions & Limitations

l b l Contractual Liability Limitation – CG 21 39

Amendment of Insured Contract Definition – CG 24 26

Damage to Work Performed By Subcontractors On Your Behalf – CG 22 94 or CG 22 95

E l i C ll d U d d P t D

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Explosion, Collapse and Underground Property Damage –CG 21 42 and 21 43

Invisible GL Exclusions & Limitations

Employer’s Liability exclusion changes Employer s Liability exclusion changes

This insurance does not apply to:“Bodily injury” to an employee of the insured arising out of and in the course ofEmployment by the insured; or Performing duties related to the conduct of the insured’s business

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This exclusion does not apply to liability assumed by the insured under an “insured contract”.

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Invisible GL Exclusions & Limitations

Construction Defect Completed Operations Exclusion 

Excludes coverage for actual or alleged deficiency in new construction, conversion, reconstruction, rehabilitation, renovation, remodeling, repair, maintenance or demolition

Classification Exclusion

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Example, insurance sold to roofer that excludes roofing operations

Invisible GL Exclusions & Limitations

Residential or Habitational

Subsidence Improper soil compaction, collapse of drains, 

earth movement of any type

“Insured vs Insured”

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“Insured vs. Insured”

Punitive, Exemplary, Multiplied Damages

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Invisible GL Exclusions & Limitations

Any many, many more!Any many, many more!

Problem:  How would you know?

Transparency

R d d S I S ifi ti

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Recommended:  See Insurance Specifications

Invisible GL Exclusions & Limitations

Electronic Data Liability

This insurance does not apply to:

Damages arising out of the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data.

As used in this exclusion, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software including systems

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transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD‐ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment.

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Is Workers’ Compensation  Really Required?

Problem:  “[Downstream Party] shall provide Workers’ Compensation insurance as required by law”

Recommended: “[Downstream Party] shall provide Workers’ Compensation insurance.  No “alternative” forms of insurance shall be permitted. 

Waiver of Subrogation endorsement required

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Waiver of Subrogation endorsement required

DWC Forms

Establishes an independent contractor relationship

Can elect for workers’ compensation to be provided or not

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Is not a release of liability

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Business Auto – Why Demand Additional Insured Status?

Definition of Who Is An Insured

Includes “anyone held liable for the conduct of an insured is also considered an insured, but only to the extent of that liability”

Designated Insured (a/k/a Additional insured endorsement) 

“Each person or organization shown in the Schedule is an 

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‘insured’ for Liability Coverage, but only to the extent that person or organization qualifies as an ‘insured’ under the Who Is An Insured Provision.”

Umbrella/Excess Liability

Most “umbrella liability policies” are not umbrellasy p

Most “excess liability policies” are not strictly excess 

Failure to follow form

Recommended:  Such insurance shall be excess over and 

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no less broad than all coverages described above.

Won’t be excess of Professional or Pollution Liability

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Waivers of Subrogation Transfers of Rights of Recovery Against Others To Us

General Liability If the insured has rights to recover all or part of any payment we 

have made under this Coverage Part, those rights are transferred to us.  The insured must do nothing after loss to impair them.

Two step process

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Workers’ compensation – endorsement required

Inland Marine – endorsement may be required

Builder’s Risk Issues For Subcontractors

Problem:  “Owner/Contractor may provide builder / y prisk.  If provided, Subcontractor agrees to waive rights of recovery in favor of Contractor & Owner.  Subcontractor shall be responsible for deductible.”

Seemingly so simple, potentially so catastrophic.

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Builder’s Risk Issues For Subcontractors

Recommended:  Subcontractor should:

Be informed whether coverage exists

Be added as named insured and/orNot an “additional insured”

Not “as their interest may appear”

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Be provided with waiver of subrogation (i.e., it should be mutual)

Builder’s Risk Issues For Subcontractors

Be informed of the deductible amount or include agreement that Subcontractor’s responsibility for the deductible shall not exceed $5,000

Not be liable for any portion if loss is caused by another party or an act of God

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Not be liable for any portion if loss is caused after that contractor’s has been completed

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Contractor’s Professional  Liability Exposures

Economic damages – excluded in the indemnity?

Consultative advice on constructability, sequencing, & scheduling

Oversight of subcontractors

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Shop drawings

“Value engineering”

Contractor’s Professional  Liability Exposures

Construction managementg

Leed construction

Design‐build

What is it?

52

What is it?

Never be added as additional insured on professional liability policy

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Contractor’s Professional and Pollution Liability

Pollution is physical injury to tangible property – excluded in the indemnity?in the indemnity?

Commonly combined on one policy

If combined, obtain higher limits

Either or both may be claims‐made

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Either or both may be claims made

OK to be additional insured on pollution but not on professional

Certificates of Insurance

“It is a tale, told by an idiot, 

full of sound and fury, 

signifying nothing.”

‐Macbeth

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Certificate Specifications

ACORD 25, Certificate of Liability Insurance

ACORD 28, Evidence of Commercial Property Insurance

Unenforceable

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Detailed requirements

TDI Certificate Rules

Any explanatory information included in a completed certificate of insurance is limited to language in thecertificate of insurance is limited to language in the referenced policy and any executed endorsements.

A certificate of insurance may not refer to, describe, explain, or define obligations under a contract other than the underlying contract of insurance.

A certificate of insurance may not alter the terms 

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ce t cate o su a ce ay ot a te t e te sand conditions  of a right to notice of cancellation, nonrenewal, or material change, or any similar notice concerning a policy of insurance . A certificate may not create a new or additional duty to notify.

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Insurance Specifications

Don’t invite litigation by failing to handle these issue proactively Who wins?

Insurance trigger is subject to a lot of “whether” conditions.  

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Insurance Specifications

Remember your audience

Describe precisely what is expected

Prohibit certain exclusions and limitations

Demand copy of the Additional Insured endorsement(s)

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Demand copy of Schedule of Forms and Endorsements page of GL, listing of all exclusions and limitations added by endorsement

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Questions?

Charles E. Comiskey

CPCU, CIC, CPIA, CRM, PWCA, CRIS, CCM

713.797.9706

charles.comiskey@bch‐insurance.com

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www.linkedin.com/in/charlescomiskey