Insurance Requirement Clauses in Commercial Contracts: Mitigating - - PowerPoint PPT Presentation

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Insurance Requirement Clauses in Commercial Contracts: Mitigating - - PowerPoint PPT Presentation

Presenting a live 90-minute webinar with interactive Q&A Insurance Requirement Clauses in Commercial Contracts: Mitigating Risk, Maximizing Coverage, Interplay With Indemnification THURSDAY, DECEMBER 1, 2016 1pm Eastern | 12pm Central


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Presenting a live 90-minute webinar with interactive Q&A

Insurance Requirement Clauses in Commercial Contracts: Mitigating Risk, Maximizing Coverage, Interplay With Indemnification

Today’s faculty features:

1pm Eastern | 12pm Central | 11am Mountain | 10am Pacific THURSDAY, DECEMBER 1, 2016

Damian J. Arguello, Partner, Levin Sitcoff, Denver Joseph G. Balice, Partner, Brutzkus Gubner Rozansky Seror Weber, Woodland Hills‎ , Calif. Katie Pfeifer, Of Counsel, Dorsey & Whitney, Minneapolis

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Drafting Insurance Requirement Provisions In Commercial Contracts

Part I: Determining The Type And Amount of Insurance Coverage

Joseph G. Balice Brutzkus Gubner

jbalice@brutzkusgubner.com

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SLIDE 6

 Disclaimer

The views expressed by the participants in this program are not those of the participants’ employers, their clients, or any

  • ther organization. The opinions expressed

do not constitute legal advice, or risk management advice. The views discussed are for educational purposes only, and provided only for use during this session.

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SLIDE 7

As a partner in the commercial civil litigation team at Brutzkus Gubner Rozansky Seror Weber LLP in Los Angeles, Joe’s core practice is representing policyholders when insurance company carriers deny claims. He has worked on virtually all lines of commercial and professional insurance (CGL, D&O, E&O, EPLI, property, crime, etc.), and has personally helped clients collectively recover over $400 million in insurance policy benefits throughout his career. http://www.brutzkusgubner.com/our- professionals/joseph-g-balice jbalice@brutzkusgubner.com

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 Insurance Requirement Clauses

  • What Are They?

 A provision in a contract requiring one of the parties to buy insurance to cover risk associated with the transaction  Two Varieties:

  • Party Must Buy Insurance Covering Itself
  • Party Must Buy Insurance Covering Others

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SLIDE 9

 Why Do We Care?

  • Risk Management

 Decreasing Risk Of Peril  Shifting Financial Consequences of Peril

  • Financial Resources For Obligations/Liabilities

 Show Me The Money

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SLIDE 10

 Two Strategic Concerns

  • Drafting

 How do we write provisions that protect us?

  • Enforcement

 How do get the most of our contract rights?

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SLIDE 11

 Proactive vs. Retroactive Enforcement

  • Enforce compliance or recover damages?
  • Purpose Of Provision: Ensure Financial Resources
  • Failure To Comply: Breach of Contract Claim
  • Breach Claim Only As Valuable As Contracting Party’s

Financial Resources

 This Is Why You Required They Get Insurance In the First Place  Insurance Requirement Clauses Are Useful If Proactively Enforced

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SLIDE 12

 What To Include:

  • Lines of Insurance
  • Who is Covered?
  • Limits of Liability – How Much Coverage?
  • Carrier Rating
  • Right To Receive Coverage Documents, Carrier Notices
  • Other Essential Terms of Coverage

Enforcement Tip: Specificity in drafting facilitates a clearer path to recovery for breach and enforcement.

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 How Do We Know What To Require:  Two Step Process:

  • Identify Risks Associated With The Transaction
  • Identify The Insurance Products Available To

Cover Those Risks

 Call The Brokers: This Is What They Do.

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 What Lines of Coverage To Get, Part 1:

  • Commercial General Liability
  • Property
  • Workers’ Compensation
  • Automobile Liability

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 What Lines Of Coverage To Get, Part 2

  • Fidelity Bond/Crime Coverage
  • Errors & Omissions Liability
  • Directors & Officers Liability
  • Employment Practices Liability

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 What Lines Of Coverage To Get, Part 3

  • Cyber Risk Coverage
  • Intellectual Property
  • Key Person Insurance

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 Evolving Risks

  • Risk Over Life of Transaction Not Static
  • Risks Can Change In Both Nature and Scope
  • Long Term Contract Without Provisions To

Revisit Insurance Requirements Dangerous

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 Coverage Reviews

  • The Right To Review The Coverage Requirements

Under The Contract And Request Changes

 All Requirements Subject To Review: Lines of Coverage, Limits, Terms, Etc.  Right To Demand Reasonable Changes To Coverage

  • Regularly Scheduled/As Reasonably Necessary

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1512 Larimer Street, Ste. 650 Denver, CO 80202 303-575-9390 dja@levinsitcoff.com

DRAFTING INSURANCE REQUIREMENT PROVISIONS IN COMMERCIAL CONTRACTS – ADDITIONAL INSURED COVERAGE December 1, 2016 Damian J. Arguello

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Speaker’s Bio

Damian Arguello is an insurance coverage attorney at the policyholder insurance coverage boutique Levin Sitcoff PC. Damian dedicates his practice to representing policyholders concerning risk management and insurance coverage matters, including coverage disputes and prospective coverage

  • advising. He formerly was a partner at the venerable

Colorado law firm of Davis Graham & Stubbs LLP. Before law school, Damian was the claims manager and errors & omissions coordinator for Talbot Agency, a national insurance brokerage, where he mediated coverage disputes between policyholders and insurers, and also led the brokerage’s internal risk management program. Prior to that, Damian was multi-line claims adjuster for Crawford & Company and CNA Insurance Companies.

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What Is Additional Insured Coverage?

  • Form of contractual risk transfer
  • Require the other, “subordinate” party to a

contract to name the requesting party as an additional insured under the subordinate party’s insurance

  • Force the subordinate party’s insurer to bear

the primary risk of loss

  • Preserve the requesting party’s insurance

and reduce insurance costs

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What Is Additional Insured Coverage?

  • Problems for the subordinate party:
  • It could be insuring the requesting party’s

sole negligence

  • The claims insured could be only

tangentially connected to the subordinate party’s operations, resulting in a disproportionate risk transfer

  • Dilution of the subordinate party’s limits
  • Increased insurance costs

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Required Insurance vs. Additional Insured Coverage

  • Merely requiring a subordinate party to carry

insurance does not automatically equate to additional insured coverage

  • Language unequivocally requiring additional insured

coverage is usually necessary

  • Certain policies are not amenable to additional

insured coverage

  • Professional liability
  • Workers compensation
  • Alternate employer endorsement

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Additional Insured Coverage vs. Coverage for Indemnity Obligations

  • Contrary to popular belief, CGL does not

exclude contractual liability (not entirely)

  • Standard ISO form provides limited “give-back”

coverage for named insured’s assumption of another’s tort liability in an “insured contract”

  • Indemnitee becomes another claimant under

policy, indemnification coverage subject to limits

  • No direct rights as an “insured”
  • Defense could be in addition to limits if

numerous conditions met

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Additional Insured Coverage vs. Coverage for Indemnity Obligations

  • Additional insured gets direct policy rights as an

insured under the policy

  • Right to defense in addition to limits (most policies)
  • Separation of insureds clause – policy applies to each

insured separately – coverage for cross-liability

  • Get own separate counsel
  • Insurer owes duties to additional insured, including duty
  • f good faith and fair dealing
  • Fewer conditions to meet to reap defense and

indemnity benefits

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Additional Insured Coverage vs. Coverage for Indemnity Obligations

  • Insurers claim the original intent was merely to

insure requesting party’s exposure to vicarious liability to subordinate party’s negligence

  • According to insurers, that’s why additional insured

coverage is provided at no cost to additional insured

  • Insurers also claim that additional insured endorsements

have become increasingly restrictive to respond to courts’ overly expansive interpretations of additional insured coverage

  • Examination of evolving language shows current

coverage restrictions go beyond vicarious liability intent

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Evolution of Additional Insured Coverage

  • CG 20 10 22 85
  • Gold standard – “liability arising out of ‘your work’”
  • “But for” causation standard, courts interpret broadly
  • Still required in many contracts, but hard to get
  • CG 20 10 10 93
  • Replaces “your work” with “ongoing operations”
  • Attempts to exclude claims originating from named

insured's completed operations

  • Litigation continues to be brought over what constitutes

“ongoing operations”

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Evolution of Additional Insured Coverage

  • CG 20 10 10 01 & 20 37 10 01
  • Two separate endorsements required for
  • ngoing operations and completed operations

coverage

  • CG 20 10 07 04 & 20 37 07 04
  • Still two separate endorsements
  • “Arising out of” language replaced with “caused,

in whole or in part, by [named insured’s] “acts

  • r omissions”
  • Intent to exclude AI’s sole negligence

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Evolution of Additional Insured Coverage

  • 2013 additional insured endorsements = 3 new

restrictions

  • Coverage provided only “to the extent permitted by

law”

  • Relates to anti-indemnity statutes
  • Coverage “will not be broader than which you are

required by the contract or agreement to provide”

  • Expressly ties additional insured coverage to contractual

requirements

  • Limits are lesser of contract requirement or policy

declarations

  • Creates possibility of coverage gap

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Evolution of Additional Insured Coverage

  • 2013 additional insured endorsements – some

good news

  • Blanket additional insured form provides coverage to

parties the named insured is required to name as additional insured, even if no contractual privity

  • Limited to vicarious liability of named insured
  • Optional “primary and noncontributory” endorsement

when agreed to by named insured in writing

  • Still issues with excess policies’ other insurance provisions,

which can require horizontal exhaustion

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Scope of Additional Insured Coverage

  • Temporal
  • Named insured’s “ongoing operations”
  • Drafting options
  • Request the 11/85 form
  • Request something equivalent for ongoing
  • perations
  • Define subordinate contractor’s operations or

involvement to include supplemental and follow-up tasks, or specify the conclude only when the whole project is done

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Scope of Additional Insured Coverage

  • Monetary
  • Lesser of contract requirement or policy limit
  • Drafting options
  • Specify limits of “not less than $X”
  • Specify aggregate dollar amount of primary &

umbrella to be satisfied as subordinate contractor sees fit

  • Could create issues with defense as transition to

excess occurs, particularly if primary limits are low

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Scope of Additional Insured Coverage

  • Degree of liability
  • Limited to vicarious liability for named insured’s

conduct, or includes additional insured’s sole or concurrent negligence?

  • Drafting options
  • Request 11/85 form or other pre-2004 form
  • Specify that additional insured coverage be “at

least as broad as” named insured’s coverage under its policies

  • Permissible under anti-indemnity statutes?

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Scope of Additional Insured Coverage

  • Contractual privity
  • Many contracts require named insured to name

strangers as additional insured on policies, e.g., affiliated parties, officers, etc.

  • Drafting options
  • Specify use of new forms, or issuance of

separate additional insured endorsements for each required party

  • Can be problem with older additional insured

forms, e.g., CG 20 33 07 04 provides cover only to party with whom named insured contracts

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Contractual Limitations

  • In re Deepwater Horizon, 470 S.W.3d 452

(Tex. 2015)

  • Transocean required to name BP et al. “as additional

insureds in each of [Transocean’s] policies, except Workers’ Compensation for liabilities assumed by [Transocean] under the terms of [the Drilling] Contract.”

  • Absent additional insured endorsement or certificate of

insurance naming BP, policy provided additional insured coverage coextensive with Transocean’s indemnity

  • bligation under the contract
  • Need to be clear about scope of additional insured

coverage and documenting in policy that party is an additional insured

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Contractual Limitations

  • Include language making failure to name as

additional insured a material breach

  • Contra proferentum – requesting party may

have contractual requirements strictly construed against it as the drafter & party with more leverage – may want contract language to curtail this rule

  • Subordinate parties – try to limit

requirements to extent “commercially reasonable” or “commercially available”

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Additional Insured v. Additional Named Insured

  • Used to be a right for an additional named

insured to receive notice of cancellation – not anymore

  • Another reason – what if the underlying

contract gets lost before the claim manifests?

  • Maybe instead of a blanket endorsement, use a

scheduled additional insured endorsement so the additional insured is actually named in the policy documents

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More Drafting Tips

  • Specify scope of additional insured coverage
  • Standard ISO forms provide defense – what if nonstandard

forms are used? Specify that defense coverage is required

  • Conditions that trigger coverage under blanket

(automatic) endorsements

  • Written contract
  • Written contract + certificate of insurance
  • Written contract OR certificate of insurance
  • “Other insurance” provisions – may not accomplish

parties’ “primary and noncontributory” intent – need to pay attention to how these provisions work with AI’s

  • wn policies

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More Drafting Tips

  • Additional exclusions, e.g., injury to named

insured’s employee, cutting off third-party over actions

  • Notice requirements - some nonstandard forms

require additional insureds to meet more stringent notice requirements than standard forms, and even require AI to notify all other insurers

  • All of these are reasons to require the standard ISO

form when possible, and require notice by the subordinate party when it’s not

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Certificates of Insurance

  • Certificate generally cannot create or alter

coverage in policies

  • Merely a temporally limited “snapshot”

representation by agent or broker

  • Many courts have declined to find justifiable

reliance when cert holder has access to actual policy

  • Note, the legal status of the agent/broker

is often murky

  • May be agent of insurer, policyholder, dual agent

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SLIDE 41

Certificates of Insurance

  • Some contracts attempt to require detailed

certificates, even quoting policy language or endorsements, or requiring agent/broker to draft standalone certification letters

  • New ACORD forms designed to resist such efforts
  • State insurance departments sometimes expressly

prohibit altering certificates or otherwise misrepresenting policy provisions

  • Better practice is to get copy of endorsement

and/or declarations page to evidence coverage

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Notice of Cancellation/Lapse

  • Many contracts purport to require insurer or

subordinate party to provide notice to additional insured of cancellation, lapse, erosion of limits, etc.

  • Insurers generally are not bound by underlying

contract provisions

  • Imprudent to rely on these provisions to extent they purport to

bind insurer

  • As with certificates, burden remains on

additional insured to monitor to ensure coverage viable

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Additional Insured Takeaways

  • Effective use of additional insured coverage

requires diligence in drafting contracts and policy documents

  • Need to pay careful attention to interplay

between contract and insurance policies

  • Diligence requires that insurance provisions

receive priority consideration, not “afterthought” treatment

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SLIDE 44

THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

The Interplay of Indemnification and Insurance

Katie C. Pfeifer Dorsey & Whitney, LLP Minneapolis, MN (612) 492-6947

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SLIDE 45

THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Indemnification Agreements Simple concept: A contract that transfers risk.

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THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Purposes of Indemnification Agreements

  • Allocation and risk transfer, including in many

instances the risk of cost of defending against third- party claims

  • Avoid application of strict contributory negligence

doctrines in some states

  • Avoid (or attempt to avoid) fight amongst various

parties (e.g., participants on a construction project)

  • Obtain benefit of (typically) longer contract statute of

limitations (versus tort statute of limitations)

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THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

But Is Indemnification Enough?

  • Ask yourself:

– Is there money to back-up the indemnification

  • bligation?

– What happens if you are sued and the indemnitor refuses to defend you? Who will pay your defense?

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THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Distinct Ways in Which Indemnification and Insurance Intersect

  • Insurance requirements in the contract may provide

a potential pool of money to pay an indemnification claim (i.e., backs-up the obligation)

  • Potential defense to indemnitee under

Supplementary Payments provision of CGL policy

– Limited to claim against indemnitee for damages that insured has assumed the liability for in an “insured contract” – Only applies where “insured contract” includes a defense

  • bligation

– Can be no conflict between indemnitor and indemnitee – Indemnitor and indemnitee must use same attorney – Indemnitee has no insured status

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THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Supplementary Payments (CGL Policy)

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THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Distinct Ways in Which Indemnification and Insurance Intersect (con’t)

  • Insurance requirements often require that

indemnitee be named an Additional Insured on a policy, allowing the indemnitee to tap the policy directly

– Most commonly the CGL policy

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THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Four Issues

  • Anti-Indemnity Statutes: What Are They And How Do

They Affect Your Ability To Tap Additional Insured Coverage?

  • Which Documents Control the Additional Insured

Determination: The Policy Alone, Or The Indemnification Agreement As Well?

  • Waiver of Subrogation: It is Necessary If You Are An

Additional Insured?

  • Who Pays First When You Are An Additional Insured:

The Indemnitor Or The Insurer?

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THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Anti-Indemnity Statutes

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THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Anti-Indemnity Statutes

  • Prohibit indemnification agreements in certain

contexts (e.g., requiring Party A to indemnify for Party B’s own sole negligence)

  • Most states have enacted some type of anti-

indemnity statute

  • Most commonly impact oil & gas and construction-

related contracts

  • Can also impact contractual insurance obligations

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THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Construction Industry

  • Vast majority of states have some form of anti-

indemnity statute applicable to construction

– Different standards regarding what types of construction contracts/projects are affected – Different scopes

  • Some prohibit broad form indemnity agreements (e.g.,

transferring entire risk of loss to the indemnitor, regardless of fault)

  • Others prohibit intermediate form indemnity agreements

(e.g., requiring indemnitor to assume responsibility for either partial or full liability when partially at fault)

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THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Oil Industry

  • Louisiana, New Mexico, Texas and Wyoming have

anti-indemnification statutes specifically for the oil industry

– La. Rev. Stat. § 9:2780 – N.M. Stat. Ann. § 56-7-2 – Tex. Civ. Prac. & Rem. Code § 127.001 et seq. – Wyo. Stat. § 30-1-131 et seq.

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THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Motor Carrying Industry

  • Majority of states have some type of anti-indemnity

statute applicable to the transportation industry

– Some prohibit motor carriers from being required to indemnify a shipper against the shipper’s negligent and intentional acts – Some prohibit unspecified third parties (i.e., a shipper, broker, etc.) or non-motor carriers from requiring motor carriers to indemnify the third party for negligent and intentional acts – Some prohibit indemnification for negligence-based or intentional act-based liability in any provision that affects a motor carrier agreement

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THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Health Care Industry

  • Some jurisdictions prohibit indemnification of

hospitals or other essential public services for their

  • wn negligence

– Illinois: 215 ILCS 134/95 (“Nothing in this Section shall relieve any person or health care provider from liability for his, her, or its own negligence in the performance of his, her, or its duties arising from treatment of a patient.”). – California: Tunkl v. UC Regents, 60 Cal.2d 92 (Cal. 1963)

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SLIDE 58

THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Common Law “Anti-Indemnity”: One’s Own Negligence

  • More generally, assuming no statutory anti-

indemnification provision applies, in order to transfer risk of your own negligence to another party, you need to be unequivocal in your indemnification agreement about that intent

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SLIDE 59

THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Effect of Anti-Indemnification on Additional Insured Status?

  • Construction Industry

– An exception to the prohibition against indemnification of Party B for its own negligence: require Party A to purchase insurance to cover the Party B

  • Some states extend their anti-indemnity prohibition to

additional insured requirements

– For example, Arizona, California, Colorado, Kansas, Louisiana, Montana, New Mexico, Oklahoma, Oregon, Texas and Utah

  • For others, it’s a grey area
  • Minnesota and Arkansas specifically moved away from

the additional insured “loophole”: see Minn. Stat. § 337.05 (2013); Ark. Code Ann. § 4-5-104 (Act 1120 effective 7/22/15)

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SLIDE 60

THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Effect of Anti-Indemnification on Additional Insured Status?

– Gilbane Bldg. Co. v. Empire Steel Erectors, L.P., 691 F. Supp.2d 712 (S.D.Tex. 2010), rev’d in part 664 F. 3d 589 (5th Cir. 2011)

  • Employee of a subcontractor fell off a ladder and

sued the general contractor

  • Insurer argued that indemnity in the Contractor

Agreement was unenforceable under Texas law and, therefore, general contractor was not covered as an Additional Insured

  • District Court disagreed: indemnity and insurance

provisions were separate clauses

  • 5th Circuit affirmed this decision
  • Still good law after Deepwater Horizon?

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SLIDE 61

THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Effect of Anti-Indemnification on Additional Insured Status?

  • Oilfield Industry

– Texas: § 127.005

  • The act does not apply to an indemnity agreement “if the

parties agree in writing that the indemnity obligation will be supported by liability insurance coverage to be furnished by the indemnitor,” subject to limitations enumerated in the statute

– New Mexico: § 56-7-2

  • “A provision in an insurance contract indemnity agreement

naming a person as an additional insured … that would, if it were a direct or collateral agreement described in … this section, be void, is against public policy and void.”

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SLIDE 62

THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Effect of Anti-Indemnification on Additional Insured Status?

  • More generally:

– Kansas Stat. § 16-121:

(b) An indemnification provision in a contract which requires the promisor to indemnify the promisee for the promisee’s negligence or intentional acts or omissions is against public policy and is void and unenforceable. (c) A provision in a contract which requires a party to provide liability coverage to another party, as an additional insured, for such party’s own negligence or intentional acts is against public policy and is void and unenforceable.”

– Applicable to construction contracts, motor carrier transportation contracts, dealer agreements, and franchise agreements – Some important carve-backs

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SLIDE 63

THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Effect of Anti-Indemnification on Additional Insured Status?

  • Norfolk & Dedham Mut. Fire Ins. Co. v. Morrison, 456
  • Mass. 463 (2010), aff’d 79 Mass. App. Ct. 1128 (Mass.
  • App. Ct. 2011)

– Lease required Tenant to indemnify Landlord against third party liability and to add Landlord as additional insured to CGL policy – Tenant’s patient tripped and sued both Tenant and Landlord – Tenant’s insurer refused to defend and indemnify Landlord, claiming Massachusetts statute voided Tenant’s obligation to indemnify Landlord – Court: Statutory prohibition against indemnity agreements did not apply to the lease’s insurance requirement

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SLIDE 64

THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Effect of Anti-Indemnification on Additional Insured Status?

“[A]n agreement in a lease that the tenant indemnify or hold harmless the landlord is distinct from an agreement to purchase insurance on the landlord’s behalf, which covers the liability of both in the event of a negligently caused injury.” Norfolk, 456 Mass. at 473.

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SLIDE 65

THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Practice Tips: Anti-Indemnification Statutes

  • Consider any applicable legislation which may

impact the additional insured’s right to coverage

  • Consider language in the contract to avoid potential

“death penalty” for overreaching: voiding of the indemnification or additional insured requirement

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SLIDE 66

THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Sample Language

  • “To the fullest extent permitted by law the Contractor shall indemnify and hold

harmless the Owner, Architect, Architect’s consultants, and agents and employees of any of them from and against claims, damages, losses and expenses, including but not limited to attorneys’ fees, arising out of or resulting from performance of the Work, provided that such claim, damage, loss or expense is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangible property (other than the Work itself), but

  • nly to the extent caused by the negligent acts or omissions of the Contractor,

a Subcontractor, anyone directly or indirectly employed by them or anyone for whose acts they may be liable, regardless of whether or not such claim, damages, loss or expense is caused in part by a party indemnified hereunder.” AIA A201 (2007) General Conditions § 3.18.1.

  • “It is agreed that with respect to any legal limitations now or hereafter in effect

and affecting the validity and enforceability of the indemnification obligation under this Section [ ], such legal limitations are made a part of the indemnification obligation to the minimum extent necessary to bring Section [ ] into conformity with the requirements of such limitations and, as so modified, the indemnification obligation shall continue in full force and effect.”

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SLIDE 67

THE INTERPLAY OF INDEMNIFICATION AND INSURANCE

Sample Language

  • “Owner shall be included under Contractor’s insurance as an

additional insured with respect to claims and/or liability arising

  • ut of Work performed for Owner by Contractor, but only to the

extent of Contractor’s indemnity obligation in Section [ ] herein. In no event shall Owner be an additional insured with respect to claims and/or liability that do not arise out of the sole negligence or other actionable fault of Contractor.”

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How Broad Is Additional Insured Coverage, or Which Document Do I Need to Review?

  • Does the insurance obligation essentially back-stop

the contractual indemnity obligation, or

  • Does it cover more than the Additional Insured

would be able to recover under the indemnity agreement?

  • In other words, does the language of the relevant

contract control the scope of coverage afforded to the Additional Insured, or does the insurance policy stand on its own?

  • Answer: It Depends.

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Case study: In re Deepwater Horizon, 470 S.W.3d 452 (Tex. 2015)

  • April 2010 explosion and sinking of the Deepwater

Horizon oil-drilling rig (owned by Transocean), and the resulting discharge of oil into the Gulf of Mexico

– BP was the oilfield developer

  • Damage resulted in much litigation, including an

insurance coverage dispute

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Deepwater Horizon: The Indemnification Obligation

  • “Knock-for-knock” allocation of risk

– Transocean to indemnify BP for above-surface pollution, regardless of fault – BP to indemnify Transocean for all pollution risk Transocean did not assume, i.e., subsurface pollution

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Deepwater Horizon: The Additional Insured Obligation in the Drilling Contract

“[BP], its subsidiaries and affiliated companies, co-

  • wners, and joint venturers, if any, and their

employees, officers and agents shall be named as additional insureds in each of [Transocean’s] policies, except Workers’ Compensation for liabilities assumed by [Transocean] under the terms of this Contract.”

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Deepwater Horizon: The Additional Insured Coverage in the Relevant Policy

  • Extended “Insured” status to include “[a]ny person
  • r entity to whom the ‘Insured’ is obligated by oral or

written ‘Insured Contract’ … to provide insurance such as afforded by [the] Policy.”

  • “Insured Contract”: “[A]ny written or oral contract
  • r agreement entered into by the ‘Insured’ … and

pertaining to your business under which the ‘Insured’ assumes the tort liability of another party to pay for ‘Bodily Injury’ [or] ‘Property Damage’ to a ‘Third Party’ or organization.”

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Deepwater Horizon: The Issue

  • BP sought coverage under Transocean’s primary

and excess policies, claiming additional insured status

– BP was self-insured for much of its liability – Transocean had a potential of $750M of coverage

  • Insurers (supported by Transocean) denied

coverage, claiming the Drilling Contract made clear that Transocean was not responsible for liability for subsurface pollution and BP could not claim Additional Insured status for such claims

  • Question: Does the Court look only to the Policy to

determine BP’s Additional Insured status, or to the Drilling Contract as well?

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Deepwater Horizon: The Decision

  • Texas Supreme Court (on certified question from the

5th Circuit)

– Because the grant of Additional Insured status incorporates definition of “Insured Contract,” it is necessary to look to the “Insured Contract” to determine the scope of coverage – “[W]e determine the scope of coverage from the language employed in the insurance policy, and if the policy directs us elsewhere, we will refer to an incorporated document to the extent required by the policy.” – Lesson: The policy controls in the first instance, but can direct you to look elsewhere

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Deepwater Horizon: The Lack of a Comma

“[BP], its subsidiaries and affiliated companies, co-

  • wners, and joint venturers, if any, and their

employees, officers and agents shall be named as additional insureds in each of [Transocean’s] policies, except Workers’ Compensation__ for liabilities assumed by [Transocean] under the terms of this Contract.”

  • BP argued that the limitation on BP’s Additional Insured

status to the liability Transocean assumed under the Drilling Contract applied only to workers’ compensation policies due to the lack of the comma

  • Texas Supreme Court disagree: unreasonable

interpretation

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The Additional Insured Endorsement Matters

  • Multiple ISO endorsements available

– Who will be an “additional insured”

  • Specifically named
  • Category, e.g., vendors, owners, contractors, lessors of

equipment

  • Agreed in writing

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Practice Tips: Additional Insured Endorsements

  • Additional insured coverage may provide more, less,
  • r exactly what coverage the parties anticipated
  • Review indemnity and insurance provisions before

contracts are signed AND

  • Review the actual insurance policy or the additional

insured endorsements

  • Try to ensure the two match the intent of the parties,
  • r at least identify the gaps

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Waivers of Subrogation

  • Subrogation: allows a party that has paid a loss on

behalf of someone to recover from the party that actually caused the loss

– Common issue for insurers who pay a claim

  • Waiver of subrogation: prevents the insurer from

suing the party at fault (if within the waiver)

  • Waivers of subrogation are common and are

enforceable

  • Ideally require two steps

– The waiver in the contract itself – An acknowledgment of the waiver by the insurer

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Waivers of Subrogation

  • Do you need a waiver if you have Additional Insured

status?

– Insurer generally cannot subrogate against an insured, so if you are an Additional Insured, insurer should not be able to seek subrogation – BUT: What if outside the Additional Insured endorsement?

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Practice Tip: Waivers of Subrogation

  • Bottom line: generally a good idea to get a waiver of

subrogation

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Indemnitors versus Insurers: Who Pays First?

  • Blessed by a wealth of risk transfer mechanisms:

both indemnitee and Additional Insured status

  • But who is on the hook first:

– Generally insurer, and CGL insurers do not typically dispute this issue – But, there have been instances where insurer claims its policy is excess over other insurance AND available indemnification – Places everyone in an precarious situation – Limited case law

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Indemnitors versus Insurers: Who Pays First?

  • Be proactive: Include language in the contract itself

that the Additional Insured coverage will be primary and non-contributory to both any other insurance carried by the Additional Insured, as well as any indemnification obligation

  • Be wary of any language in the policy that converts

the typical “Other Insurance” clause into an “Other Insurance and Indemnification” clause

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Final Practice Pointers: Interplay of Insurance and Indemnification

  • Be aware of possible statutory limitations on

indemnification, and any resulting effects on additional insured requirements

  • Consider specifying the Additional Insured

endorsement in the insurance provision

– Be careful, though, and ask: Is it feasible?

  • Be aware of the interplay between the additional

insured requirement in the contract and the policy itself

  • Consider and likely request waivers of subrogation
  • Specify who pays first: generally the Insurer

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QUESTIONS?

  • Ms. Pfeifer is a trial attorney and a partner in the Minneapolis office of Dorsey & Whitney and

the co-Chair of the Insurance Law practice group. She represents clients in all types of complex commercial litigation, with a particular emphasis on insurance coverage disputes, construction litigation, and health care litigation. Her clients include public and private corporations, for-profit and non-profit entities, financial institutions, and individuals. Through her work with the Tort Trial and Insurance Practice Section (TIPS) of the ABA, Ms. Pfeifer also serves as a Senior Editor of the CGL Reporter Editorial Board. Written by practicing attorneys, the CGL Reporter, published by IRMI, provides annotations of important coverage decisions from across the nation involving general liability and other business- related policies, and provides commentary on cases and their implications to risk management, insurance, and legal professionals.

Katie Pfeifer Of Counsel Dorsey & Whitney LLP 50 South Sixth Street, Suite 1500 Minneapolis, MN 55402-1498 (612) 492-6947 : phone (612) 340-2777 : fax pfeifer.katie@dorsey.com 84