Mar 28, 2015
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Who We Are• Ranked among the largest
specialty insurance brokers in the United States.
• 400 insurance professionals in 11 offices.
• Colemont has been independent since it was founded in 1992.
• Colemont launched an international expansion in 2005 and now nearly 300 employees overseas with offices in 15 countries.
Premium Volume Growth
Why We’re Different
• Totally Independent: Colemont was founded on the premise that the insurance marketplace would always need – even demand – a truly independent wholesale specialty broker. Independent in that we were not affiliated with a U.S. retail operation.
• Passion for Service: We understand that quick reaction times and a work product that is comprehensively responsive to your client’s needs make you look good; and when you look good, we look good.
• Product and Coverage Expertise: Colemont’s brokers are routinely asked to find just the right answer to difficult or even one-of-a-kind coverage needs. Generally, each of our brokers specializes in a particular product area – e.g. property, professional liability, etc. – and are well-versed in the intricacies and nuances different coverage parts provide. By virtue of being a national firm, brokers are encouraged to reach out to other Colemont brokers to question and collaborate. Also, many of our brokers have prior retail and/or underwriting experience, which allows them to better communicate with their clients.
• Unmatched Market Access: Colemont’s brokers have access to more than 400 markets – domestically and internationally. More choices mean more options for your insured.
• Culture: Integrity, urgency, creativity, service, teamwork, and intensity.
• Proprietary Market Intelligence Systems: Allows us to quickly identify the best markets meeting the needs of your customers.
Your Colemont Brokers
Gary Grindle, CPCU, CRIS, ASLI [email protected]
Products: Casualty . Property & Inland/Ocean MarineSpecialties: Construction, Manufacturing & International
Philip Chester [email protected]
Products: Financial ServicesSpecialties: Medical Malpractice
Mike O'Brien [email protected]
Products: Financial Services
CALL: (877) 644-3284
Jeffrey J. Vita is a founding partner of Saxe Doernberger & Vita, P.C., a Connecticut-based firm dedicated to the representation of policyholders in insurance coverage disputes. In the last several years, Mr. Vita has focused his practice on the representation of business policyholders in insurance coverage matters implicating coverage under comprehensive general liability, directors & officers, professional liability, commercial property, and health insurance related policies.
Mr. Vita has handled coverage cases related to construction, professional malpractice, healthcare, business interruption, employment, disability, and environmental claims. He has successfully tried numerous court trials and commercial arbitrations. Currently, Mr. Vita is representing healthcare providers in connection with disputes arising out of the provider/payer relationship against several large HMOs. He also has authored numerous articles on insurance coverage issues and has lectured frequently on a variety of insurance coverage topics including additional insured issues, bad faith claims, allocation of coverage, and the duty to defend.
Tobias J. Cushing represents clients in insurance coverage disputes involving commercial general liability, commercial property , directors & officers and professional liability insurance. In particular, he has handled cases involving environmental liability, construction defects and healthcare provider reimbursement disputes. Mr. Cushing has also consulted with a number of clients to improve their existing insurance programs and has represented them in renewal negotiations with insurance carriers. Since joining SDV he has argued various motions, tried cases and represented clients in a number of settlement negotiations and commercial transactions.
During law school he worked at the Connecticut Attorney General's Office and was an extern in the Federal District Court of Connecticut and the New Haven Superior Court. Mr. Cushing's LLM in Insurance Law from the University of Connecticut School of Law has provided him with a broad based knowledge in: Insurance Regulation, Insurance Finance, Property Insurance, Liability Insurance, Insurance Litigation, Life and Health Insurance, and Reinsurance.
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Jeffrey J. Vita and Edwin L. Doernberger Saxe, Doernberger & Vita, P.C.
Coverage for Contractual Risk Transfer
and Additional Insured Issues
9/10/08Harrisburg, PA
Jeffrey J. Vita
Tobias J. Cushing
OutlineOutline
Introduction Contractual Indemnity Additional Insured Coverage Co-Insurance Issues re: AI Coverage Certificates of Insurance Waiver of Subrogation Case Studies Discussion
Risk Transfer
Additional
Insured
Coverage
3rd Party Liability Insurance
CGL
Professional
Pollution
1st Party Insurance
Subcontractor Indemnity
Subcontractor
Default Insurance
Builders Risk
Contractual Rights
Risk Transfer
Commercial
Property
Effect of Indemnity ProvisionsEffect of Indemnity Provisions
May shift payment of defense to sub/indemnitor
May shift indemnification to sub/indemnitor
Risk Allocation through ContractRisk Allocation through Contract
GC/CM contract, subcontract, side agreement Specific paragraphs for indemnity Hidden provisions throughout contract
Contract Language
Policy Language
Insured Contract
Contract LanguageContract Language
“…the Subcontractor agrees to indemnify and save [GC] harmless of all loss, cost, expense, liability, damage or injury, including legal fees and disbursements …”
Risk Allocation
Policy Language
Insured Contract
Policy LanguagePolicy Language
This exclusion does not apply to liability for damages:(1) Assumed in a contract or agreement that is an “insured contract,” provided the “bodily injury” or “property damage” occurs subsequent to the execution of the contract or agreement; or(2) That the insured would have in the absence of the contract or agreement Risk Allocation
Contract Language
Insured Contract
Insured ContractInsured Contract
That part of any other contract or agreement…under which you assume the tort liability of another party to pay for “bodily injury” or “property damage” to a third person
Risk Allocation
Contract Language
Policy Language
Indemnity: What is Covered?Indemnity: What is Covered?
Liability
Not Covered Covered
Indemnity
Contractual Indemnity v. AI CoverageContractual Indemnity v. AI Coverage
AI coverage and indemnity operate independently
Indemnity covered as contractual liability AI coverage determined by policy and AI
endorsement AI coverage not limited by states’ anti-
indemnity laws
Ten MinuteTen Minute BreakBreak
Benefits of AI StatusBenefits of AI Status Supplement to contractual indemnity
Protects GC from own negligence and vicarious liability
Prohibits subrogation
Avoids impact to GC’s loss history
AI IssuesAI Issues
Who is an “Insured”? Blanket Endorsement Specifically Named
Notice to Insurer
Evolution of the AI EndorsementEvolution of the AI Endorsement
2001 20041985 1993
CG 20 10 11 85 “Arising out of”
CG 20 10 10 93 Limits coverage
to “ongoing operations”
CG 20 10 10 01 Excludes coverage
for completed operations
CG 20 10 07 04 Replaces
“arising out of” with “caused in
whole or in part.” Excludes
completed operations
CG 20 37 10 01
Reinstates completed operations coverage
CG 20 10 11 85CG 20 10 11 85
but only with respect to liability arising out of “your work” for that insured by or for you
CG 20 10 10 93CG 20 10 10 93
but only with respect to liability arising out of your ongoing operations performed for that insured.
CG 20 10 10 01CG 20 10 10 01This insurance does not apply to “bodily injury” or “property damage” occurring after:
(1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed;
CG 20 37 10 01CG 20 37 10 01
but only with respect to liability arising out of “your work” at the location designated and described in the schedule of this endorsement performed for that insured and included in the “products-completed operations hazard”.
Section II – Who Is an Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for “bodily injury”, “property damage”… caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your behalf;
In the performance of your ongoing operations for the additional insured(s) at the location(s) at
This insurance does not apply to “bodily injury” or “property damage” occurring after:
1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed;
CG 20 10 07 04CG 20 10 07 04
As AI, GC is entitled to same protection as named insured
Make sure contract and policy are clear that sub’s insurance (primary and excess) will act as primary with GC’s insurance as excess
AI Insurance - Primary v. ExcessAI Insurance - Primary v. Excess
Ten MinuteTen Minute BreakBreak
Co-Insurance IssuesCo-Insurance Issues
“Other Insurance” Horizontal v. Vertical exhaustion
Horizontal is more common Vertical exhaustion a/k/a targeted tender
Owner
(DASNY)
Const. Mgr
(BOVIS)
Illinois $1M Primary Policy
Gen. Ctr. (STONEWALL)
Liberty $1M Primary Policy
Westchester $10M Umbrella
Steel Ctr
(SMI-OWEN)
Elevator Sub. (AJ MCNULTY)
Great AmericanConcrete Sub.
(J&A)
QBE $1M Primary
United $5M Umbrella
DECEDENT
Horizontal v. Vertical Exhaustion-ExampleHorizontal v. Vertical Exhaustion-Example
Horizontal v. Vertical Exhaustion-ExampleHorizontal v. Vertical Exhaustion-ExampleTrial Court Apportionment of AI CoverageTrial Court Apportionment of AI Coverage for Bovisfor Bovis
QBE$1,000,000
J&A Primary
UNITED$5,000,000
J&A Umbrella
LIBERTY$1,000,000
Stonewall Primary
WESTCHESTER$10,000,000
Stonewall Umbrella
ILLINOIS$1,000,000
BOVIS PRIMARY
Horizontal v. Vertical Exhaustion-ExampleHorizontal v. Vertical Exhaustion-ExampleAppellate Court Apportionment of AI Coverage for BovisAppellate Court Apportionment of AI Coverage for Bovis
Sharing pro rata
QBE$1,000,000
J&A Primary
LIBERTY$1,000,000
Stonewall Primary
ILLINOIS$1,000,000
BOVIS PRIMARY
WESTCHESTER$10,000,000
Stonewall Umbrella
UNITED $5,000,000
J&A Umbrella
Ongoing OperationsOngoing Operations
“Ongoing operations” language in endorsement does not limit AI coverage to losses that occurred while contractor was onsite or while work was in progress
See Valley Ins. Co. v. Wellington Cheswick, 2006 WL 3030282 (W.D. Wash.) (in property damage claim for alleged defective construction of condominium, while property damage may not have occurred during ongoing operations, the alleged liability did)
Completed OperationsCompleted Operations
Completed Operations coverage addresses continuing liability for an additional insured from the named insured’s work after that work is completed
Certificates of InsuranceCertificates of Insurance
Do not rely on certificate of insurance as evidence that you are an AI
Obtain all policies and endorsements at start of each project from the subcontractors including all renewals At a minimum obtain declaration page, AI
endorsement and certificate of insurance
SubrogationSubrogation
Subrogation allows a party who has paid a loss or debt on the part of another to succeed to the rights of that other party to pursue recovery from a third party who was responsible for causing the loss
The right to subrogation can be waived prior to loss
Waiver of SubrogationWaiver of Subrogation
Allocate the risk of property damage and do not permit reallocation through subrogation Contractually waive subrogation
and/or
• Include party and all of its subcontractors as insureds since insurers can not subrogate against their own insureds
Texas High SchoolTexas High School
Florida CondominiumFlorida Condominium
Connecticut HospitalConnecticut Hospital
New York SynagogueNew York Synagogue