BUYER BEWARE: CURRENT TRAPS AND PITFALLS OF ADDITIONAL INSURED ENDORSEMENTS Melissa A. Anderson, Partner, Cassiday Schade LLP Jamie L. Hull, Partner, Cassiday Schade LLP John D. Hackett, Managing Partner, Cassiday Schade LLP Carrie L. Graziani, Esq., Unit Manager, Specialty Claims, The Hanover Insurance Group W W W . C H I C A G O L A N D R I S K F O R U M . O R G INTRODUCTION 1. History Of Additional Insured Endorsements 2. Current ISO A/I Endorsements (April 2013) 3. Case Law • Vicarious Liability • Act Or Omission vs. Negligence • Caused In Whole Or In Part • Direct Written Contract 2 INTRODUCTION 4. Contract Drafting 5. Trends and Tips 6. Questions 3 THE RISK MANAGEMENT PROCESS 1. Identify and Analyze the Risks 2. Examine Alternative Risk Management Techniques 3. Select Risk Management Techniques to Address Risks 4. Implement the Risk Management Techniques 5. Monitor the Results THE RISK MANAGEMENT PROCESS 1. Contractual Transfer for Risk Control 2. Contractual Transfer for Risk Financing - Transfer Financial Burden of Particular Losses to Another Entity (Not a Commercial Insurer) Who Preps Losses on Behalf of the Transferee = Indemnity/Hold Harmless PROBLEMS WITH CONTRACTUAL INDEMNITY • Does it Protect Against Indemnitor’s Own Negligence • Is it Enforceable? • Does Indemnitor Have Contractual Liability Coverage for its Indemnity Obligation? • Does Indemnitor Have Funds to Pat its Indemnity Obligation? 6 CONTRACTUAL RISK TRANSFER Commercial Insurance/Additional Insured Endorsement ADDITIONAL INSURED ENDORSEMENTS • • • Grant Direct Access to Named Insured’s Commercial General Liability Policy Additional Insured and Named Insured Must “Share” the Each Occurrence Liability Limit Most Developments Have Occurred in the Construction Industry 8 History Of Earlier Additional Insured Endorsements CG 20 10 11 85 (Broad Form Coverage “Any Liability”/“Arising Out of”) – Ongoing Operations and Completed Operations CG 20 10 10 01/CG 20 37 10 01 (Broad Form Coverage “Any Liability”/“Arising Out of”) – Ongoing Operations, Reinstatement of Completed Operations through Creation of New Form CG 20 10 10 93 (Broad Form Coverage “Any Liability”/“Arising Out of”) – Narrowed to Ongoing Operations, Removal of Completed Operations 9 CG 20 10 07 04 (Intermediate Form Coverage “Personal Injury and Property Damage”/“Caused In Whole or In Part”) – Ongoing Operations and Completed Operations The April 2013 Editions CG 20 10 04 13 (Additional Insured – Owners, Lessees or Contractors – Scheduled Person or Organization) CG 20 38 04 13 (Additional Insured – Owners, Lessees or Contractors – Automatic Status for Other Parties When Required in Written Construction Agreement) CG 20 37 04 13 (Additional Insured – Owners, Lessees or Contractors – Completed Operations) 10 CG 20 33 04 13 (Additional Insured – Owners, Lessees or Contractors – Automatic Status When Required in Construction Agreement With You) The April 2013 Editions • • • Bottom Line: Unless your contract contains the correct insurance requirements language you will not have coverage Coverage under the insurance is directly determined by the contract language between the parties Your own (wrongly worded) contract language may deny you insurance coverage 11 CASE LAW ANALYZING THE RESTRICTIVE ENDORSEMENTS • • • • VICARIOUS LIABILITY ACT OR OMISSION VS. NEGLIGENCE IN WHOLE OR IN PART DIRECT WRITTEN CONTRACT 12 VICARIOUS LIABILITY – Pleading Requirements • • • L.J. Dodd Constr., Inc. v. Federated Mut. Ins. Co., 848 N.E.2d 656 (2nd Dist. 2006)(pleading requirements to trigger duty to defend); Illinois Emcasco Ins. Co. v. Northwestern Nat’l Cas. Co., 785 N.E.2d 905 (1st Dist. 2003)(further discusses pleading standards to trigger coverage); West Bend Mut’l Ins. Co. v. Sundance Homes, Inc., 606 N.E.2d 326 (1st Dist. 1992)(consideration of third party pleadings). 13 VICARIOUS LIABILITY – Limited Language • • American Country Ins. Co. v Kraemer Bros., Inc., 699 N.E.2d 1056 (1st Dist. 1998) (further limiting language in the additional insured endorsement); Norman Pelletier, et al. v. Sordoni/Skansa Construction Co., SC 16743 & SC 16747 (July 2003) (discussion of torts of independent subcontractors). 14 VICARIOUS LIABILITY – Illusory Coverage • • National Union Fire Ins. Co. of Pittsburgh, Pa. v Glenview Park District, 632 N.E.2d 1039 (1994). American Country Ins. Co. v Cline, 722 N.E.2d 755 (1st Dist 1999). 15 ACT OR OMISSION VS. NEGLIGENCE • • Maryland Casualty Company v. Regis Insurance Company and Ran Holding Corporation, No. 96CV-1790, (E.D. Penn. 1997)(ruled on the difference between “act or omission” and “negligence”); Engineering & Constr. Innovations, Inc. v. L.H. Bolduc, Inc., 825 N.W.2d 695 (Minn. 2013)(“act or omissions” indicates that there must be some fault by Bolduc before coverage can apply). 16 IN WHOLE OR IN PART Illinois Cases • • • Lincoln Gen. Ins. Co. v. Federal Construction, Inc., 2010 U.S. Dist. LEXIS 128239 (N.D Ill. 2010)(policy language means vicarious liability imputed to additional insured); General Cas. Co. v. Prof’l Mfrs. Representatives, Inc., 2011 Ill. App. Unpub. LEXIS 1158 (2d Dist. May 25, 2011)(indemnity means proximate cause); Selective Ins. Co. v. South Carolina v. Target Corp., 169 F. Supp. 3d 820 (N.D. Ill. 2015)(distinguished Lincoln General). 17 IN WHOLE OR IN PART Other States • • • • • • Schafer v. Paragano Custom Building, Inc., 2010 N.J. Super. Unpub. LEXIS 356 (N.J. App. 2010)(policy language means vicarious liability); Gilbane Building Co. v. Admiral Ins. Co., 664 F.3d 589 (5th Cir. 2011)(policy language means proximate cause); Pro Con, Inc. v. Interstate Fire & Cas. Co., 794 F.Supp.2d 242 (D. Me. 2011)(rejected policy language means vicarious liability); National Union Fire Ins. Co. of Pittsburgh, PA v. NGM Ins. Co., 2011 U.S. Dist. Lexis 147266 (D. N.H. 2011)(policy language applicable where named insured could have been a cause of the claimant’s alleged injury); Empire Surplus Lines Ins. Co. v. Crum & Forster Specialty Ins. Co., 2006 U.S. Dist. LEXIS 33556 (S.D. Tex. 2006)(policy language focuses on whether named insured partially or wholly responsible); QBE Ins. Corp. v. ADJO Contracting Corporation, 2011 N.Y. Misc. LEXIS 3973 (N.Y. 2011)(policy language requires a causal nexus). 18 DIRECT WRITTEN CONTRACT • • • Westfield Ins. Co. v. FCL Builders, Inc., 948 N.E.2d 115 (1st Dist. 2011)(direct written contract requirement); J.A. Jones Constr. Co. v. Hartford Fire Ins. Co., 645 N.E.2d 980 (1st Dist. 1995). Navigating direct written contract requirement. 19 Tips for Navigating A/I Endorsements • • • • Case Law is Constantly Evolving Conflicting and Inconsistent Court Rulings Law Varies State-by-State Many Different Version of Additional Insured Endorsements in Use. 20 Tips for Navigating A/I Endorsements • Contract Drafting is Key – Know What You Want – Ask for What You Want – Make Sure You Get What You’ve Asked For 21 Tips for Navigating A/I Endorsements • Know What You Want – Which A/I Endorsement Fills Your Needs? – CG 20 10 11 85 is “Broadest” – CG 20 38 04 13 Fills “Gaps” Created by Case Law 22 Tips for Navigating A/I Endorsements • Ask for What You Want – Clear Contract Terms Are Essential! – “Primary and Non-Contributory” – Require the Same of All Down-Stream Subcontracts – Require “Full Limit of Liability” – “Coverage at Least as Broad” 23 Tips for Navigating A/I Endorsements • Make Sure You Get What You Ask For – Certificates of Insurance – Copy of A/I Endorsement – Copy of Policy’s Declarations Page Showing the A/I Endorsement 24 Future Trends In A/I Endorsements • What Does the Future Hold? 25 Future Trends In A/I Endorsements • • • Constant Evolution and Creative Arguments Manuscript Endorsements ISO Will Continue to React to Evolving Case Law 26 Future Trends In A/I Endorsements • • More Specific and Narrower A/I Endorsements to Address and Balance Contracting Parties’ Intent or Changes in the Law More Emphasis on the Underlying Contract Provisions (Outside the Four Corners of the Insurance Policy) 27 Future Trends In A/I Endorsements • • Careful Drafting of Insurance Requirements in Underlying Contract Will Become Even More Critical Manuscript Endorsements 28 QUESTIONS? 29
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