Insurance Coverage for Faulty Products and Workmanship Claims
Transcription
Insurance Coverage for Faulty Products and Workmanship Claims
2016 All-Ohio Legal Forum Insurance Coverage for Faulty Products and Workmanship Claims Video Replay 1.0 General CLE Hours 1.0 Insurance Law Specialization April 27 – April 29, 2016 ♦ Cincinnati Speaker Biography Stacy Berliner OSBA Certified Specialist in Insurance Coverage Law Thacker Martinsek LPA Columbus, Ohio Ms. Berliner received her BA from the College of Wooster and her JD from Cleveland State University Cleveland-Marshall College of Law. Her professional memberships include the Cleveland Metropolitan Bar Association, Ohio State Bar Association, and Ohio Women’s Bar Association (Mentoring Committee). Ms. Berliner is a shareholder of her firm and a litigator who represents corporate policyholders in obtaining recovery of insurance proceeds for their liabilities and losses relating to commercial liability policies, directors and officers liability policies, construction, property and business interruption policies, professional liability policies, and employment practices policies. Her experience includes assisting insureds in identifying and analyzing historical coverage, counseling clients in coverage disputes against carriers and brokers, assisting clients in policy interpretation, risk and litigation management, policy renewals, and successfully litigating against insurance carriers who wrongfully deny coverage. Ms. Berliner also represents employers in employment litigation and advises employers on compliance with Title VII, ADA, ADEA, FMLA, FLSA, and similar state and local laws. In addition, she works with clients on developing strategies to resolve complex corporate, real estate, construction contract, and business tort matters. Ms. Berliner represents clients regularly in both state and federal courts and also has represented clients in negotiations, mediations, arbitrations, and other forms of dispute. For additional information, please visit www.tmlpa.com. Insurance Coverage for Faulty Products and Workmanship Claims Stacy Berliner Thacker Martinsek LPA Cleveland, Ohio Table of Contents I. Can Faulty Workmanship Constitute an Occurrence? ................................................................ 3 II. What Property Damage Is Covered as a Result of Faulty Workmanship? ................................. 5 III. Faulty Workmanship in Ohio ..................................................................................................... 6 A. Occurrence . ........................................................................................................................... 6 B. Property damage must be to non-insured work or products. ............................................... 7 IV. Business Risk Exclusions ............................................................................................................ 8 A. The “your work” exclusion. .................................................................................................... 9 B. The “your product” exclusion. ................................................................................................ 9 C. The “impaired property” exclusion. ..................................................................................... 11 D. The sistership exclusion. ...................................................................................................... 13 V. Conclusion ................................................................................................................................ 13 PowerPoint Presentation.............................................................................................................. 15 Insurance Coverage for Faulty Products and Workmanship Claims • i ii • Insurance Coverage for Faulty Products and Workmanship Claims Insurance Coverage for Faulty Products and Workmanship Claims Stacy Berliner Thacker Martinsek LPA Cleveland, Ohio One of the hottest issues litigated in coverage actions today is whether there is coverage for faulty workmanship under a standard commercial general liability (“CGL”) policy. Not only is the issue highly litigated, but a trend has emerged in favor of coverage – sometimes, to the point, of reversing prior contrary precedent. 1 Historically, absent damage to third-party property, the majority view had been that faulty workmanship claims are not covered under CGL policies because they do not arise from “occurrences.” 2 Recently, five state supreme courts joined the Ms. Berliner would like to thank Nathan Oswald of Thacker Martinsek LPA for his contributions in assisting with this material. 1 Alabama: Owners Ins. Co. v. Jim Carr Homebuilder, LLC, 2014 Ala. LEXIS 44, *14-15 (Ala. Mar. 28, 2014) (finding that adopting the insurer’s reasoning would make it “guilty of issuing illusory coverage.”); Pennsylvania: Indalex v. National Union Fire Insurance Co. of Pittsburgh Pa., No. 126 WAL 2014 (Pa. Sept. 18, 2014) (defective product may constitute an occurrence, triggering general liability insurance coverage under Pennsylvania law); West Virginia: Cherrington v. Erie Ins. Property & Cas. Co., 231 W.Va 470, 745 S.E.2d 508, 517 (2013) (“While we appreciate this Court’s duty to follow our prior precedents, we also are cognizant that stare decisis does not require this Court’s continued allegiance to cases whose decisions were based upon reasoning which has become outdated or fallen into disfavor.”). 2 Arkansas: Essex Ins. Co. v. Holder, 372 Ark. 535, 540, 261 S.W.3d 456 (2008) (“defective workmanship standing alone -- resulting in damages only to the work product itself -- is not an occurrence under a CGL policy such as the one at issue here.”); Delaware: Westfield Insurance Co. Inc. v. Miranda & Hardt Contracting and Building Services LLC, case number N14C-06-214 AL, (“An allegation of defective workmanship does not constitute an ‘occurrence’ for which the policy grants coverage or triggers plaintiff’s duty to defend or indemnify defendant in the underlying lawsuit.”); Hawai’i: Group Builders Inc. v. Admiral Ins. Co., 123 Hawai’i 142, 148, 231 P.3d 67, 73 (Ct. App. 2010) (“We hold that under Hawai’i law, construction defect claims do not constitute an ‘occurrence’ under a CGL policy.”); Illinois: State Farm Fire & Cas. Co. v. Tillerson, 334 Ill. App. 3d 404, 777 N.E.2d 986, 991, 268 Ill. Dec. 63, 68 (2002) (“Where the defect is no more than the natural and ordinary consequences of faulty workmanship, it is not caused by an accident.”); Nebraska: Auto-Owners Ins. Co. v. Home Pride Cos., Inc., 268 Neb. 528, 535, 684 N.W.2d 571 (2004) (“a standard CGL policy does not provide coverage for faulty workmanship that damages only the resulting work product”); New Hampshire: Brown v. Concord Group Ins. Co., 163 N.H. 522, 528 (N.H. 2012) (“to constitute an ‘occurrence,’ the damage at issue must have been to property other than [the insured’s] work product.”); New Jersey: Weedo v. Stone-E-Brick, Inc., 81 N.J. 233, 239, 405 A.2d 788 (1979) (pre-1986 CGL policy) (“The consequence of not performing well is part of every business venture; the replacement or repair of faulty goods and works is a business expense, to be borne by the insured-contractor in order to satisfy customers.”); Ohio: Westfield Ins. Co. v. Custom Agri Syst., Inc., 133 Ohio St. 3d 476, ¶19 (2012) (“claims of defective construction or workmanship brought by a property owner are not claims for ‘property damage’ caused by an Insurance Coverage for Faulty Products and Workmanship Claims • 1 numerous other jurisdictions to hold that faulty workmanship resulting in property damage can constitute an “occurrence.” 3 This material explores the complex nature of these issues and the ‘occurrence’ under a commercial general liability policy.”); Heile v. Herrmann, 136 Ohio App. 3d 351, 354, 736 N.E.2d 566 (1st Dist. 1999) (“[CGL] policies do not provide coverage where the damages claimed are the cost of correcting the work itself. . . . Here, all of the Heiles’ claims allege defective workmanship in their home [namely, ‘deterioration of the driveway, walkway, and front porch, leaking of the roof and basement, and problems with one of the steps to the porch, a Jacuzzi tub, windows, hardwood flooring, drywall, and bathroom tile.’]”); Auto Owners Mut. Ins. Co. v. Kendrick, 5th Dist. No. 08-COA-028, 2009-Ohio-2169, ¶45 (“Courts generally conclude that the policies are intended to insure the risks of an insured causing damage to other persons and their property, but that the policies are not intended to insure the risks of an insured causing damage to the insured’s own work.”); Pennsylvania: Kvaerner Metals Division of Kvaerner U.S., Inc. v. Commercial Union Insurance Co., 908 A.2d 888 (Pa. 2006) (holding that, in certain circumstances, faulty workmanship does not constitute an “occurrence” because the resulting damage is not truly “unexpected.”) 3 Alabama: Owners Ins. Co. v. Jim Carr Homebuilder, LLC, 2014 Ala. LEXIS 44, *14-15 (Ala. Mar. 28, 2014) (“The policy simply does not define ‘occurrence’ by reference to [nature or location of the property damaged]”); Alaska: Fejes v. Alaska Ins. Co., 984 P.2d 519 (Alaska 1999); Connecticut: Capstone Bldg. Corp. v. Am. Motorists Ins. Co., 308 Conn. 760, 776, 67 A.3d 961 (Conn. 2013) (“negligent . . . may constitute the basis for an ‘accident’ or ‘occurrence’ under the plain terms of the commercial general liability policy.”); Florida: United States Fire Ins. Co. v. J.S.U.B., Inc., 979 So. 2d 871, 885 (Fla. 2007) (“we reject a definition of ‘occurrence’ that renders damage to the insured’s own work as a result of a subcontractor’s faulty workmanship expected, but renders damage to property of a third party caused by the same faulty workmanship unexpected.”); Georgia: Taylor Morrison Services, Inc. v HDI-Gerling Am. Ins. Co., Case No. S13Q0462, — S.E.2d —, 2013 Ga. LEXIS 618 (Ga. July 12, 2013) (holding that an “occurrence” as the term is used in a standard CGL policy, does not require damage to the property or work of someone other than the insured); Indiana: Sheehan Construction Co. v. Continental Casualty Co., 935 N.E.2d 160, 171-72 (Ind. 2010) (“faulty workmanship may constitute an accident and thus an occurrence”); Kansas: Lee Builders, Inc. v. Farm Bureau Mut. Ins. Co., 281 Kan. 844, 859, 137 P.3d 486, 495 (2006) (“The damage in the present case is an occurrence – an even more expansive coverage term than ‘accident’ – because faulty materials and workmanship provided by Lee’s subcontractors caused continuous exposure of the Steinberger home to moisture. The moisture in turn caused damage that was both unforeseen and unintended”); Maryland: French v. Assurance Co. of Am., 448 F.3d 693, 706 (4th Cir. 2006) (“under Maryland law, a standard 1986 commercial general liability policy form . . . does not provide liability coverage to a general contractor to correct defective workmanship performed by a subcontractor. We also hold that, under Maryland law, the same policy form provides liability coverage for the cost to remedy unexpected and unintended property damage to the contractor’s otherwise nondefective work-product caused by the subcontractor’s defective workmanship.”); Minnesota: Wanzek Construction v. Employers Ins. Co. 679 N.W.2d 322 (Minn. 2004) (upholding coverage for insured general contractors for property damage arising out of the defective work of their subcontractors); Mississippi: Architex Ass’n v. Scottsdale Ins. Co., 27 So. 3d 1148, 1162 (Miss. 2010) (“the term ‘occurrence’ cannot be construed in such a manner as to preclude coverage for unexpected or unintended ‘property damage’ resulting from negligent acts or conduct of a subcontractor, unless otherwise excluded or the insured breaches its duties after loss.”); North Dakota: K & L Homes, Inc. v. American Family Mut. Ins. Co., 2013 N.D. 57, 829 N.W.2d 724, ¶26 (N.D. 2013) (“faulty workmanship may constitute an ‘occurrence’ if the faulty work was ‘unexpected’ and not intended by the insured, and the property damage was not anticipated or intentional, so that neither the cause nor the harm was anticipated, intended, or expected.”); Pennsylvania: Indalex v. National Union Fire Insurance Co. of Pittsburgh Pa., No. 126 WAL 2014 (Pa. Sept. 18, 2014) (defective product may constitute an occurrence, triggering general liability insurance coverage under Pennsylvania law); South Carolina: Crossmann Cmtys. of N.C. v. Harleysville Mut. Ins. Co., 395 S.C. 40, 50, 717 S.E.2d 589 (S.C. 2011) (“negligent or defective construction resulting in damage to otherwise non-defective components may constitute ‘property damage,’ but the defective construction would not.”); Tennessee: Travelers Indem. Co. of Am. v. Moore & Assocs., 216 S.W.3d 302, 308 (Tenn. 2007) (“construing ‘accident’ in a manner that does not cover the insured’s negligence would render a CGL almost meaningless.”); Texas: Lamar Homes, Inc. v. Mid-Continent Cas. Co., 242 S.W.3d 1, 16 (Tex. 2007) (“‘claims for damage caused by an insured’s defective performance or faulty workmanship” may constitute an ‘occurrence’ when ‘property damage’ results from the ‘unexpected, unforeseen or undesigned happening or consequence’ of the insured’s negligent behavior.’”); West Virginia: Cherrington v. Erie Ins. Prop. & Cas. Co., 745 S.E.2d 508, 521 (W. Va. 2013) (“defective workmanship causing bodily injury or property damage is an ‘occurrence’ under a policy of commercial general liability insurance.”); Wisconsin: Am. Family Mut. Ins. Co. v. Am. Girl, Inc., 673 N.W.2d 65, 48 (Wis. 2004) 2 • Insurance Coverage for Faulty Products and Workmanship Claims application of business risk exclusions. 4 I. Can Faulty Workmanship Constitute an Occurrence? The standard CGL policy provides coverage for “property damage” that is caused by an “occurrence.” Courts are split as to whether faulty workmanship constitutes an “occurrence” and, thus, covered under a CGL policy. The term “occurrence” is generally defined as “an accident, including continuous or repeated exposure to substantially the same general harmful conditions.” The term “accident” is not defined in the policies. Courts have interpreted the term “accident” to require some sense of fortuity or unexpected, unforeseen event from the insured’s perspective. The primary inquiry then becomes what was foreseeable by the insured. Some jurisdictions hold (and the position argued by most insurers) that unless there was damage to third-party property, damage to the insured’s own work or product was not unexpected or fortuitous, and that a contrary result would convert CGL policies into performance bonds or warranties for a contractor’s goods or services. 5 These jurisdictions have justified the presumption of foreseeability on the insured’s ability to control its and its subcontractors’ work; therefore, the insured stands in the best position to assume the risk of negligence. Insured contractors in these jurisdictions must be particularly carefully to select competent subcontractors. 6 Conversely, policyholders argue that the proper inquiry is not whether the policyholder’s actions (i.e., performing the construction work) are intended or expected, but whether the resulting damage is expected or intended. Recently, a number of jurisdictions held that unexpected and unforeseen consequences of faulty work, whether damage to the insured’s own work or product, or the work or product of others, is accidental and therefore within a CGL (“faulty workmanship of a subcontractor can give rise to property damage caused by an ‘occurrence’ within the meaning of a CGL policy.”) 4 For purposes of this material, we will focus on the post-1986 policy language. 5 Arkansas: Essex Ins. Co. v. Holder, 372 Ark. 535, 540, 261 S.W.3d 456 (2008) (“our case law has consistently defined an ‘accident’ as an event that takes place without one’s foresight or expectation -- an event that proceeds from an unknown cause, or is an unusual effect of a known cause, and therefore not expected. . . . Faulty workmanship is not an accident; instead, it is a foreseeable occurrence”); Hawai’i: Burlington Ins. Co. v. Oceanic Design & Constr. Inc., 383 F.3d 940, 948 (9th Cir. 2004) (predicting Hawai’i law) (“In Hawaii, an occurrence ‘cannot be the expected or reasonably foreseeable result of the insured’s own intentional acts or omissions.’ . . . If Oceanic breached its contractual duty by constructing a substandard home, then facing a lawsuit for that breach is a reasonably foreseeable result.”) (internal citations omitted); Illinois: State Farm Fire & Cas. Co. v. Tillerson, 334 Ill. App. 3d 404, 409 (Ill. App. Ct. 2002) (“Where the defect is no more than the natural and ordinary consequences of faulty workmanship, it is not caused by an accident.”); New Hampshire: High Country Assocs. v. New Hampshire Ins. Co., 139 N.H. 39, 43, 648 A.2d 474 (N.H. 1994) (“the fortuity implied by reference to accident or exposure is not what is commonly meant by a failure of workmanship.”); Pennsylvania: Kvaerner Metals Div. of Kvaerner U.S., Inc. v. Commercial Union Ins. Co., 589 Pa. 317, 333 (2006) (“The key term in the ordinary definition of ‘accident’ is ‘unexpected.’ This implies a degree of fortuity that is not present in a claim for faulty workmanship.”). 6 Kentucky: Cincinnati Ins. Co. v. Motorists Mut. Ins. Co., 306 S.W.3d 69, 75 (Ky. 2010) (“It will also encourage contractors to choose their subcontractors more carefully instead of having to seek indemnification from the subcontractors after their work fails to meet the requirements of the contract.”); New Jersey: Weedo v. Stone-EBrick, Inc., 81 N.J. 233, 239, 405 A.2d 788 (1979) (“The insured-contractor can take pains to control the quality of the goods and services supplied.”) (pre-1986 CGL policy). Insurance Coverage for Faulty Products and Workmanship Claims • 3 policy’s coverage grant. 7 These courts have been unwilling to presume that insured contractors foresee faulty workmanship – the insured had no intention to do a bad job. Moreover, policyholders argue that if faulty workmanship is not an occurrence, it would render certain business risk exclusions superfluous. 8 It matters to some courts that the faulty workmanship was performed by a subcontractor. The insured contractor has less ability to control subcontractors’ work than the insured’s own work, and some courts realize that it is unrealistic to believe that the insured can effectively manage the risk of negligence by simply giving care to the selection of subcontractors. 9 Accordingly, a compromise position refuses to find an occurrence in the insured’s faulty work, but may find an occurrence in the faulty work of the insured’s subcontractors.10 7 Connecticut: Capstone Bldg. Corp. v. Am. Motorists Ins. Co., 308 Conn. 760, 776, 67 A.3d 961 (Conn. 2013) (“because negligent work is unintentional from the point of view of the insured, we find that it may constitute the basis for an ‘accident’ or ‘occurrence’ under the plain terms of the commercial general liability policy.”); Florida: United States Fire Ins. Co. v. J.S.U.B., Inc., 979 So. 2d 871, 888 (Fla. 2007) (“We hold that faulty workmanship that is neither intended nor expected from the standpoint of the contractor can constitute an ‘accident’”); Indiana: Sheehan Construction Co. v. Continental Casualty Co., 935 N.E.2d 160, 170 (Ind. 2010) (“if the faulty workmanship is ‘unexpected’ and ‘without intention or design’ and thus not foreseeable from the viewpoint of the insured, then it is an accident within the meaning of a CGL policy.”); Tennessee: Travelers Indem. Co. of Am. v. Moore & Assocs., 216 S.W.3d 302, 309 (Tenn. 2007) (“the determination of whether an ‘accident’ has occurred under the terms of a CGL requires us to determine whether damages would have been foreseeable if the insured had completed the work properly.”); West Virginia: Cherrington v. Erie Ins. Prop. & Cas. Co., 745 S.E.2d 508, 520 (W. Va. 2013) (“Nor can it be said that Pinnacle deliberately intended or even desired the deleterious consequences that were occasioned by its subcontractors’ substandard craftsmanship.”); Wisconsin: Am. Family Mut. Ins. Co. v. Am. Girl, Inc., 673 N.W.2d 65, ¶38 (Wis. 2004) (“No one seriously contends that the property damage to the 94DC was anything but accidental (it was clearly not intentional), nor does anyone argue that it was anticipated by the parties.”). 8 Ohio: Acme Constr. Co., Inc. v. Continental Nat. Indem. Co., 8th Dist. No. 81402, 2003-Ohio-434, ¶ 13 (finding that cases holding that there is no occurrence for faulty workmanship ignored the policy exclusions). 9 Florida: United States Fire Ins. Co. v. J.S.U.B., Inc., 979 So. 2d 871, 890 (Fla. 2007) (“it is as a practical matter very difficult for the general contractor to control the quality of the subcontractor work. Only if the contractor has a supervisor at the elbow of each subcontractor at all times can quality control be relatively assured--but this would be prohibitively expensive.”); West Virginia: Cherrington v. Erie Ins. Prop. & Cas. Co., 745 S.E.2d 508, 520 (W. Va. 2013) (“It goes without saying that the damages incurred by Ms. Cherrington during the construction and completion of her home, or the actions giving rise thereto, were not within the contemplation of Pinnacle when it hired the subcontractors alleged to have performed most of the defective work. Common sense dictates that had Pinnacle expected or foreseen the allegedly shoddy workmanship its subcontractors were destined to perform, Pinnacle would not have hired them in the first place.”). 10 Utah: Great Am. Ins. Co. v. Woodside Homes Corp., 448 F. Supp. 2d 1275, 1281 (D. Utah 2006) (“Utah case law indicates that an insured’s own faulty or negligent work is not fairly characterized as an occurrence under a commercial general liability policy. . . . But it appears that no court has yet applied Utah law to [determine] . . . whether faulty work by a subcontractor is an occurrence from the standpoint of an insured employing that subcontractor. . . . Given the Utah Supreme Court’s focus on the acts of the insured when determining whether there has been an occurrence, it follows that the negligent acts of Woodside’s subcontractors can be considered an occurrence from Woodside’s ‘point of view.’”). Mississippi Architex Ass’n v. Scottsdale Ins. Co., 27 So. 3d 1148 (Miss. 2010) (concluding that an “accident” depends on whether injury resulted from a chain of events that was set in motion by the insured without intervention from a third-party, but that merely hiring a subcontractor is insufficient to conclude that the subcontractor’s faulty work is not an “accident” from the standpoint of the insured). 4 • Insurance Coverage for Faulty Products and Workmanship Claims II. What Property Damage Is Covered as a Result of Faulty Workmanship? The standard form definition of “property damage” makes no reference to the nature, ownership, or location of property damaged.11 Instead, “property damage” is defined as “[p]hysical injury to tangible property including all resulting loss of use of that property.” Notwithstanding, jurisdictions have taken varying positions regarding what property damage is within the scope of an “occurrence” in a CGL policy. Jurisdictions that deem faulty workmanship to be foreseeable – and therefore not an “accident” – have no need to determine whether damage to the insured’s property is “property damage.” However, those same jurisdictions often still hold that “property damage” to noninsured’s property is not foreseeable and may constitute an “occurrence.” 12 In other words, there is coverage for damage to other’s property caused by the insured’s faulty workmanship, but there may not be coverage for damage to the insured’s work or product. Courts that interpret “occurrence” as potentially including the insured’s work product, however, often distinguish between costs to repair or replace the faulty work itself – which may not covered – and costs to repair or replace damage to some other aspect of the insured’s work 11 Alabama: Owners Ins. Co. v. Jim Carr Homebuilder, LLC, 2014 Ala. LEXIS 44, *14-15 (Ala. Mar. 28, 2014) (“If some portion of the Owners policy seeks to affect coverage by references to the nature or location of the property damaged, it is not the provision in the policy for coverage of occurrences. The policy simply does not define “occurrence” by reference to such criteria.”); Connecticut: Capstone Bldg. Corp. v. Am. Motorists Ins. Co., 308 Conn. 760, 776 n.17, 67 A.3d 961 (Conn. 2013) (“The commercial general liability policy does not define occurrence by reference to the ownership of damaged property.”); Florida: United States Fire Ins. Co. v. J.S.U.B., Inc., 979 So. 2d 871, 889 (Fla. 2007) (“the definition of ‘property damage’ in the CGL policies does not differentiate between damage to the contractor’s work and damage to other property.”); North Dakota: K & L Homes, Inc. v. American Family Mut. Ins. Co., 2013 N.D. 57, 829 N.W.2d 724, ¶27 (N.D. 2013) (“the damage to the home [of which the insured was the general contractor] is stated as including cracks, unevenness, and shifting, all of which would fall within ‘physical injury’ to ‘tangible property’ for purposes of the CGL policy”); Texas: Lamar Homes, Inc. v. MidContinent Cas. Co., 242 S.W.3d 1, 10 (Tex. 2007) (“The policy defines ‘property damage’ as ‘[p]hysical injury to tangible property, including all resulting loss of use of that property.’ On its face, this definition does not eliminate the general contractor’s work. The home and its component parts are clearly ‘tangible property.’”). 12 Georgia: Am. Empire Surplus Lines Ins. Co. v. Hathaway Dev. Co., 288 Ga. 749, 752 (Ga. 2011) (“[an] occurrence can arise where faulty workmanship causes unforeseen or unexpected damage to other property.”); Nebraska: Auto-Owners Ins. Co. v. Home Pride Cos., Inc., 268 Neb. 528, 535, 684 N.W.2d 571 (2004) (“although a standard CGL policy does not provide coverage for faulty workmanship that damages only the resulting work product, if faulty workmanship causes bodily injury or property damage to something other than the insured’s work product, an unintended and unexpected event has occurred, and coverage exists.”) New Hampshire: Brown v. Concord Group Ins. Co., 163 N.H. 522, 528 (N.H. 2012) (“to constitute an ‘occurrence,’ the damage at issue must have been to property other than [the insured’s] work product.”); New Jersey: Weedo v. Stone-E-Brick, Inc., 81 N.J. 233, 240 (N.J. 1979) “When a craftsman applies stucco to an exterior wall of a home in a faulty manner . . . the poorlyperformed work will perforce have to be replaced or repaired by the tradesman or by a surety. On the other hand, should the stucco peel and fall from the wall, and thereby cause injury to the homeowner or his neighbor standing below or to a passing automobile, an occurrence of harm arises which is the proper subject of risk-sharing”); Ohio: Westfield Ins. Co. v. Custom Agri Systems, Inc., 133 Ohio St. 3d 476, ¶13 (2012); (Indiana Ins. Co. v. Alloyd Insulation Co., 2d Dist. No. 18979, 2002 Ohio 3916, ¶27-28) (“‘Coverage analysis largely turns on the damages sought. If the damages are for the insured’s own work, there is generally no coverage. If the damages are consequential and derive from the work the insured performed, coverage generally will lie. The underwriting intent is to exclude coverage for the contractor’s business risks, but provide coverage for unanticipated consequential damages.’”). Insurance Coverage for Faulty Products and Workmanship Claims • 5 product, which may be covered.13 The Supreme Court of South Carolina identified the “the critical phrase” of determining “property damage” to be whether there exists “‘physical injury,’ which suggests the property was not defective at the outset, but rather was initially proper and injured thereafter.” 14 In a prior case from the Supreme Court of South Carolina, a homeowner brought a suit against a builder. . . . The homeowner established that a subcontractor negligently applied stucco to the side of her house and, as a result, progressive damage ensued as water seeped into the home. . . . We held that the costs of replacing the defective application of the stucco were not covered by the builder's CGL policy, but the damage caused by the continuous moisture intrusion . . . did fall within the CGL's expansive definition of an occurrence. Id. at 48. The stucco in that case had not suffered a “physical injury” and therefore was not “‘property damage’ under the terms of the policy. The stucco was not ‘injured.’” Id. at 49. It had just been misapplied, which allowed damage to occur to other parts of the insured’s work product, the building. “[T]he damage to the remainder of the project caused by water penetration due to the negligently installed stucco did constitute ‘property damage.’” Id. III. Faulty Workmanship in Ohio A. Occurrence . The occurrence issue was partially answered by the Ohio Supreme Court. In response to certified questions from the United States Court of Appeals for the Sixth Circuit, the Ohio Supreme Court in Westfield Ins. Co. v. Custom Agri Sys., Inc. 2012-Ohio-4712, 133 Ohio St. 3d 13 Alabama: Owners Ins. Co. v. Jim Carr Homebuilder, LLC, 2014 Ala. LEXIS 44, *13 (Ala. Mar. 28, 2014) (“we may conclude that faulty workmanship itself is not an occurrence but that faulty workmanship may lead to an occurrence if it subjects personal property or other parts of the structure to ‘continuous or repeated exposure’ to some other ‘general harmful condition,’ and, as a result of that exposure, personal property or other parts of the structure are damaged.”); Connecticut: Capstone Bldg. Corp. v. Am. Motorists Ins. Co., 308 Conn. 760, 784, 67 A.3d 961 (2013) (“a claim ‘in which the sole damages are for replacement of a defective component or correction of a faulty installation’ was not within the policy’s definition of property damage. . . . Without more, this alleged defect is the equivalent of the ‘mere inclusion of a defective component’ . . . and no ‘property damage’ has occurred.”) (internal citations omitted); Florida: United States Fire Ins. Co. v. J.S.U.B., Inc., 979 So. 2d 871, 889 (Fla. 2007) (“there is a difference between a claim for the costs of repairing or removing defective work, which is not a claim for ‘property damage,’ and a claim for the costs of repairing damage caused by the defective work, which is a claim for ‘property damage.’”); Maryland: French v. Assurance Co. of Am., 448 F.3d 693, 706 (4th Cir. 2006) (“under Maryland law, a standard 1986 commercial general liability policy form . . . does not provide liability coverage to a general contractor to correct defective workmanship performed by a subcontractor. We also hold that, under Maryland law, the same policy form provides liability coverage for the cost to remedy unexpected and unintended property damage to the contractor’s otherwise nondefective work-product caused by the subcontractor’s defective workmanship.”); South Carolina: Crossmann Cmtys. of N.C. v. Harleysville Mut. Ins. Co., 395 S.C. 40, 49, 717 S.E.2d 589 (2011); Tennessee: Travelers Indem. Co. of Am. v. Moore & Assocs., 216 S.W.3d 302, 309 (Tenn. 2007) (“We do not think that the mere inclusion of a defective component, where no physical harm to the other parts results therefrom, constitutes ‘property damage’ within the meaning of the policy”). Compare West Virginia: Cherrington v. Erie Ins. Prop. & Cas. Co., 745 S.E.2d 508, 522 (W. Va. 2013) (“Ms. Cherrington has demonstrated that she has sustained ‘property damage’ as a result of the allegedly defective construction and completion of her home. As either allegedly defective work, itself, or as a direct consequence thereof . . . Ms. Cherrington has asserted a claim for “‘property damage’ . . . caused by an ‘occurrence’” under Pinnacle’s CGL policy.”). 14 Crossmann Cmtys. of N.C. v. Harleysville Mut. Ins. Co., 395 S.C. 40, 49 (2011). 6 • Insurance Coverage for Faulty Products and Workmanship Claims 476 (2012) held that claims of faulty construction/workmanship, standing alone, are not claims for “property damage” caused by an “occurrence.” The underlying lawsuit involved the alleged faulty construction of a steel grain bin, which did not cause damage to any other property. PSD Development, L.L.C (“PSD”) was a property owner that hired Younglove Construction, LLC (“Younglove”) to construct a feed-manufacturing plant in Sandusky, Ohio. Part of the plant required a steel grain bin, which Younglove subcontracted Custom Agri Systems, Inc. (“Custom”) to build. PSD sued Younglove alleging breach of contract and related causes of action because the grain bin was allegedly defectively constructed. Apparently, the defective grain bin did not cause any property damage to any other PSD property or Younglove’s construction of the plant. Younglove then filed a third-party complaint against Custom, for contribution and indemnity and seeking damages to replace/repair the defective bin and consequential damages as a result of the defective bin. Custom sought coverage from its CGL insurer, Westfield Insurance Company (“Westfield”). Westfield filed a declaratory judgment action and argued that none of the claims against Custom sought compensation for “property damage” caused by an “occurrence” and, therefore, that none of the claims were covered under the CGL policy. The Ohio Supreme Court held that this defective workmanship claim did not constitute “property damage” caused by an “occurrence.” Specifically, the Ohio Supreme Court focused on doctrine of fortuity which it claimed is “[i]nherent in the plain meaning of ‘accident.’” 15 Policyholders and the dissent have criticized the Custom Agri opinion and similar holdings for being too broad. They argue that the Court improperly blended the occurrence argument with the business risk exclusions (i.e., the “your work” or “your product” exclusions). 16 “The question posed by the federal court concerns the initial grant of coverage; it does not relate to any possible exclusions.” 17 “This distinction is sometimes overlooked, and has resulted in some regrettably overbroad generalizations about CGL policies.” 18 Instead, the focus should be on whether the construction defect was intentionally caused or accidental. B. Property damage must be to non-insured work or products. Nonetheless, the Ohio Supreme Court limited the Custom Agri holding to claims involving damage to the insured’s product only. 19 The Ohio Supreme Court held that construction defects are “occurrences” if there is consequential damage to other property. “In other words, the policies do not insure an insured’s work itself; rather, the policies generally insure 15 Id. at ¶ 13. (“[i]nsurance coverage is bottomed on the concept of fortuity. Applying this rule in the construction context, truly accidental property damage generally is covered because such claims and risks fit within the statistical abstract. Conversely, faulty workmanship claims generally are not covered, except for their consequential damages, because they are not fortuitous.”) 16 Ohio: Custom Agri, 133 Ohio St. 3d at ¶ 35, quoting Am. Family Mut. Ins. Co. v. Am. Girl, Inc., 268 Wis. 2d 16, 673 N.W.2d 65 (2004); North Dakota: K & L Homes, Inc. v. American Family Mut. Ins. Co., 2013 ND 57, 829 N.W.2d 724, ¶ 9 (N.D. 2013) (“in interpreting an insurance policy, we will first examine the coverages provided by the policy before examining a policy’s exclusions”). 17 Custom Agri, 133 Ohio St. 3d at ¶ 27. 18 Id. at ¶ 30 19 Id. at ¶ 11. (“all the claims against which Westfield is being asked to defend and indemnify Custom related to Custom’s work itself.”) Insurance Coverage for Faulty Products and Workmanship Claims • 7 consequential risks that stem from the insured’s work.” 20 IV. Business Risk Exclusions After a court has made its initial determination as to whether there is “property damage” caused by an “occurrence,” courts, then, turn to examine whether any exclusions apply to preclude coverage. Courts consistently recognize that the business risk exclusions exist to prevent CGL policies from becoming performance bonds and warranties of the insured’s work. 21 Some courts have articulated that the risk of poor performance is just the cost of doing business and not the proper subject of insurance. 22 20 Id. at ¶ 18, relying upon Essex Ins. Co. v. Holder, 370 Ark. 465, 261 S.W.3d 456 (2008) (holding that “defective workmanship standing alone—resulting in damages only to the work product itself—is not an occurrence under a CGL policy.”); see also Cincinnati Ins. Cos. v. Motorists Mut. Ins. Co., 2014-Ohio-3864, 2014 Ohio App. LEXIS 3793, 18 N.E.3d 875, 880-881 P*16 (Ohio Ct. App., Medina County 2014) (“Nationwide’s complaint sought damages caused by the fire, not damages caused directly by G&S’ allegedly defective work. In other words, the complaint did not exclusively seek to recover damages stemming from G&S’s work in installing the lighting. Rather, it sought damages from the consequential risks that stemmed from the work of G&S. Accordingly, we cannot say that Motorists’ duty to defend is negated by Westfield.”); Younglove Construction v. PSD Development, LLC, 2010 U.S. Dist. LEXIS 73450 (N.D. Ohio 2010) (finding coverage for damage to other’s property, not the insured’s work), quoting Heile v. Hermann, 136 Ohio App. 3d 351, 353 (Hamilton App. 1999) (stating that CGL policies “do not insure an insured’s work itself; rather, the policies generally insure consequential risks that stem from the insured’s work”); Beaverdam Contracting, Inc. v. Erie Ins. Co., 2008 Ohio 4953 (Allen App. 2008) (“Courts have generally concluded that [CGL] policies are intended to insure risks of an insured causing damage to other persons and their property, by they are not intended to insure the risks of the insured causing damages to the insured’s own work.”); Forrest Constr., Inc. v. The Cincinnati Ins. Co., 2013 U.S. App. LEXIS 722 (6th Cir. Jan. 13, 2013) (applying Tenn. Law) (finding that language in complaint implied that there was damage other than to insured’s product placing insurer on notice that underlying plaintiffs were alleging property damage). 21 Georgia: Controlled Blasting v. Ranger Ins. Co., 225 Ga. App. 373, 375 (Ga. Ct. App. 1997) (“the contractor bears the business risk ‘to replace or repair defective work’ . . . This type of risk is not covered . . . and the ‘business risk’ exclusions in the policy make this clear.”); Idaho: Bingham Mech., Inc. v. CNA Ins. Co., 2014 U.S. Dist. LEXIS 46028 (D. Idaho Mar. 31, 2014) (“[The insurer] relies on ‘business risk exclusions’ . . . ‘[G]eneral liability policies are not warranties of the insured’s work.’”); Indiana: United Capitol Ins. Co. v. Special Trucks, 918 F. Supp. 1250, 1257 (N.D. Ind. 1996) (“the rationale behind the types of exclusions at issue in this case is that liability insurance is not intended to act as a warranty or to serve as a performance bond.”); Louisiana: Math Constr. Co. v. Dupuy, 897 So. 2d 677, 682 (La. App. 2004) (“[The ‘your work’ and ‘your product’ exclusions are based] on the principle that general liability policies are not intended to serve as performance bonds.”); Massachusetts: Dorchester Mut. Fire Ins. Co. v. First Kostas Corp., 49 Mass. App. Ct. 651, 654 (Mass. App. Ct. 2000) (“General liability coverage is not intended as a guarantee of the insured’s work, and for that reason, general liability policies contain ‘business risk’ exclusions.”); Mississippi: Lafayette Ins. Co. v. Peerboom, 813 F. Supp. 2d 823, 829 (S.D. Miss. 2011) (“the nature of . . . business risk exclusions [indicates that a] CGL policy is not a performance bond”); New York: Tradin Organics USA, Inc. v. Md. Cas. Co., 325 Fed. Appx. 10, 11 (2d Cir. 2009); North Carolina: Breezewood of Wilmington Condos. Homeowners’ Ass’n v. Amerisure Mut. Ins. Co., 335 Fed. Appx. 268 (4th Cir. 2009) (“such business risks are the purpose of performance bonds, not liability insurance policies.”); Washington: Big Constr., Inc. v. Gemini Ins. Co., 2012 U.S. Dist. LEXIS 71350, *24 (W.D. Wash. May 22, 2012) (“[The] ‘business risk’ exclusions [are] designed to prevent the commercial general liability policy from being considered a performance bond, product liability insurance, or malpractice insurance.”). 22 Delaware: Brosnahan Builders, Inc. v. Harleysville Mut. Ins. Co., 137 F. Supp. 2d 517, 527 n.9 (D. Del. 2001) (“the cost of not performing well is a cost of doing business and not considered part of the risk sharing scheme for which general liability policies are written”). 8 • Insurance Coverage for Faulty Products and Workmanship Claims A. The “your work” exclusion. 23 There are really two “your work” exclusions. 24 The first applies to ongoing work – that is, work that is not included in the “products-completed-operations-hazard” – and excludes coverage for “property damage” to “that particular part of any property that must be restored, repaired or replaced because ‘your work’ was incorrectly performed on it.” The second applies to completed or abandoned work and excludes coverage for “‘property damage’ to ‘your work’ arising out of it or any part of it.” This exclusion does not apply if the insured purchased coverage for “products-completed operations.” 25 The second exclusion frequently contains an exception for work performed on the insured’s behalf by a subcontractor. The exclusions eliminate coverage for the insured’s faulty work but not for damage to third-party property that results from the insured’s faulty work. 26 B. The “your product” exclusion. The “your product” exclusion removes coverage for property damage to “your product arising out of it or any part of it.” Once again, the exclusion does not remove coverage for damage to other property,27 including damage to other of the insured’s products. 28 23 These exclusions were first incorporated into the Standard CGL policy in 1986. Many scholars and courts credit these exclusions for the growing trend among courts finding that faulty workmanship is an occurrence. They reason that if claims for faulty workmanship do not qualify as an occurrence, there would be no reason for the “your work” exclusion to exist. Texas: Lamar Homes, Inc. v. Mid-Continent Cas. Co., 242 S.W.3d at 248 (Tex. 2007); Wisconsin: Am. Family Mut. Ins. Co. v. Am. Girl, Inc., 673 N.W.2d 65, ¶ 78 (Wis. 2004). 24 Alabama: Owners Ins. Co. v. Jim Carr Homebuilder, LLC, 2014 Ala. LEXIS 44 (Ala. Mar. 28, 2014); Ohio: Ohio Cas. Ins. Co. v. Hanna, 9th Dist. Nos. 07CA0016-M, 07CA0017-M, 2008-Ohio-3203, ¶ 26-28. 25 Alabama: Owners Ins. Co. v. Jim Carr Homebuilder, LLC, 2014 Ala. LEXIS 44, *21 (Ala. Mar. 28, 2014) (“Simply put, the ‘your work’ exclusion applies if and only if the Policy’s declarations fail to show any coverage for ‘productscompleted operations.’”). 26 New York: Tradin Organics USA, Inc. v. Md. Cas. Co., 325 Fed. Appx. 10, 11 (2d Cir. N.Y. 2009) (“Exclusions like the ‘Your Product’ exclusion here are ‘intended to exclude coverage for damage to the insured’s product, but not for damage caused by the insured’s product to persons or property other than the insured’s own product.’”); Ohio: Ohio Cas. Ins. Co. v. Hanna, 9th Dist. Nos. 07CA0016-M, 07CA0017-M, 2008-Ohio-3203, ¶ 29 (“Quality’s out-ofplumb installation . . . caused damage to third-party property. . . . [T]herefore . . . neither ‘your work’ exclusion applies”). 27 New York: Tradin Organics USA, Inc. v. Md. Cas. Co., 325 Fed. Appx. 10, 11 (2d Cir. 2009) (“Exclusions like the ‘Your Product’ exclusion here are ‘intended to exclude coverage for damage to the insured’s product, but not for damage caused by the insured’s product to persons or property other than the insured’s own product.”); Ohio: Parker Hannifin Corp. v. Steadfast Ins. Co., 445 F. Supp. 2d 827, 833 (N.D. Ohio 2006) (“[the ‘your product’ exclusion states a] limitation of coverage for property damage to the insured’s product, but not to damages to other property caused by that product.”). 28 Ohio: Westfield Ins. Co. v. Custom Agri Sys., Inc. 2012-Ohio-4712, 133 Ohio St. 3d 476 (2012); Ferro Corp. v. BlawKnox Food & Chem. Equip. Co., 8th Dist. No. 80804, 2002-Ohio-5472, ¶36 (“While under the clear terms, damages to the liner itself fall under the ‘your product’ exclusion, the terms of the exclusion do not, however, clearly exclude coverage for damage to the insured’s product caused by another of its product.”);Younglove Construction v. PSD Development, LLC, 2010 US Dist. LEXIS 73450 (N.D. Ohio 2010) (finding that consequential damages are not excluded from coverage); Holub Iron & Steel Co. v. Mach. Equip. & Salvage Co., 1986 Ohio App. LEXIS 7540 *2 (Ohio pp. 1986) (“For instance, if a contractor negligently installs a roof which must be removed and replaced, he must bear the cost of removing the faulty roof and installing a new one but the insurance will pay for any damage allowed or caused to the underlying building or its contents.”); see also Hartzell, 168 F. Supp. 2d at Insurance Coverage for Faulty Products and Workmanship Claims • 9 Courts that interpret the exclusion typically face issues of whether a product is “your product.” Policies usually define “your product” as including products that are manufactured, sold, handled, distributed, or disposed of by the insured. 29 It does not matter if someone other than the insured owns the product when the damage occurs. Often, courts consider an insured’s product that was incorporated into another product. Some courts view damage to the composite product as entirely excluded, at least when the insured’s product cannot be separated from the composite product.30 Other courts find coverage to the extent the damage to the composite product exceeded the value of the insured’s product. These courts find the result equitable especially when the value of the insured’s product is slight compared to the value of the composite product.31 Another issue arises when an insured’s product has been altered by someone other than the insured. Some courts find that an insured’s product stopped being “your product” when another person altered it, for instance by cutting and shaping it, or by applying expertise to install it.32 While other courts require a greater degree of transformation and inquire whether 798 (“on its face, the ‘damage to your product’ provision only excludes coverage for the property damage to the insured’s product arising out of the insured’s product. The exclusion does not preclude coverage for property damage to the property of a third party arising out of the insured’s product.”) 29 North Dakota: Scottsdale Ins. Co. v. Tri-State Ins. Co., 302 F. Supp. 2d 1100, 1104 (D.N.D. 2004) (“it appears that the exclusion refers to a product ‘manufactured, sold, handled, distributed, or disposed of’ by the insured, regardless of when the property damage occurred or who the owner was at the time.”). 30 Oregon: Sec. Nat’l Ins. Co. v. GloryBee Foods, Inc., 2011 U.S. Dist. LEXIS 27267, *8 (D. Or. Mar. 15, 2011) (construing “your product” to include not only the insured’s product, peanuts, but the ultimate food product that incorporated the peanuts); California: Anthem Electronics, Inc. v. Pacific Employers Ins. Co., 302 F.3d 1049, 1052 (9th Cir. 2002) (finding that loss of use of scanners incorporating defective circuit boards constituted property damage); Illinois: Pittway Corp. v. American Motorist Ins. Co., 56 Ill App. 3d 338, 341-42 (2d Dist. 1977) (“a component is so intertwined with the entire mechanism that the defect necessarily results in damage to the complete product the component will be deemed to have caused property damage.”); Ohio: Transamerica Ins. Co. v. S.A.I. Mktg. Co., 1985 Ohio App. LEXIS 8036, 12-13 (Cuyahoga App. June 13, 1985) (“Allegations that the insured's allegedly defective part caused damage or failure for an assembly incorporating it can constitute claims for ‘property damage’ or ‘physical injury’"), citing U.S. Fidelity & Guarantee Co. v. Nevada Cement Co., 561 P.2d 1335 (1977); Thomas J. Lipton, Inc. v. Liberty Mutual Ins. Co., 314 N.E.2d 37 (N.Y. 1974); Goodyear Rubber & Supply Co., Inc. v. Great American Ins. Co., 471 F.2d 1343 (9th Cir. 1973); Bundy Tubing Co. v. Royal Indemnity Co., 298 F.2d 151 (6th Cir. 1961); Aetna Casualty & Surety Co. v. General Time Corp., 704 F.2d 80 (2nd Cir. 1983); Moraine Materials Co., Inc. v. Ohio Casualty Ins. Co., 1979 Ohio App. LEXIS 10887 (Montgomery App. Dec. 12, 1979) (pouring of the defective concrete into the entire wall made it impossible to separate the good from the bad and therefore there was "physical damage" to the wall as a whole.) 31 New York: Sturges Mfg. Co. v. Utica Mut. Ins. Co., 37 N.Y.2d 69, 72-73 (N.Y. 1975) (“When one product is integrated into a larger entity, and the component product proves defective, the harm is considered harm to the entity to the extent that the market value of the entity is reduced in excess of the value of the defective component”); Ohio: Parker Hannifin Corp. v. Steadfast Ins. Co., 445 F. Supp. 2d 827, 833 (N.D. Ohio 2006) (“the disparity between the costs of actual damage to homes and furnishings and the (potentially miniscule) cost of actual gasket repair, renders it both fair and efficient to classify the repaired/replaced product as [not the insured’s product]”). 32 Pennsylvania: Imperial Casualty & Indem. Co. v. High Concrete Structures, Inc., 858 F.2d 128, 134-135 (3d Cir. 1988) (“In this case, High Steel’s steel was changed by being cut and shaped into beveled washers just as the paint in Pittsburgh Plate Glass was changed by being baked onto venetian blinds. In each instance, the purchaser created a new product having a value in excess of the value of the product supplied by the insured, and suffered damage [*135] to more than just the insured’s product.”); South Dakota: Firemen’s Ins. Co. v. Bauer Dental Studio, Inc., 805 F.2d 324, 325 (8th Cir. 1986) (“The completed product in this case consisted of not only the dental crown as manufactured by Bauer but also the professional services of Dailey in properly inserting the crown. The integration 10 • Insurance Coverage for Faulty Products and Workmanship Claims the nature of a product has changed.33 C. The “impaired property” exclusion. The impaired property exclusion removes coverage for “impaired property” or property that is not physically injured arising out of a defect in the insured’s product or work, or a delay or failure by the insured to perform in accordance with the terms of a contract. The exclusion contains an exception for any loss of use caused by a sudden accident after the insured’s product is put to its intended use. 34 Impaired property” is defined term in a standard CGL policy as property that can be restored to use by repairing, replacing, adjusting or removing the insured’s product or work. Accordingly, the exclusion only applies when the third-party property can be restored to use by the repair or replacement of the insured’s product. If the third-party property was damaged or cannot be restored to use simply by repairing or replacing the insured’s product, this exclusion does not preclude coverage. 35 Courts find that property cannot be “restored to use” when: (1) the insured’s product or work is inextricably incorporated into the impaired property; 36 or (2) the of Bauer’s product and Dailey’s workmanship created . . . a product separate and distinct from the crowns initially manufactured by Bauer. * * * Because the final product was not solely the work of the insured, the property damage is not excluded”); Washington: Aetna Cas. & Sur. Co. v. M&S Indus., 64 Wn. App. 916, 922-23 (Wash. Ct. App. 1992) (concluding that plywood had been altered because someone other than the insured “cut the panels into different sizes, cut notches and holes into them so spacers could be attached, added metal support bars and latches, and applied a sealer” to make the plywood a component of concrete molds). 33 Florida: Liberty Mut. Fire Ins. Co. v. MI Windows & Doors, Inc., 131 So. 3d 15, 17 (Fla. App. 2013) (“[the key is whether the alteration] ‘fundamentally change[d] the nature and function [of the product]’”); Texas: Nat’l Union Fire Ins. of Pittsburgh v. Puget Plastics Corp., 735 F. Supp. 2d 650 (S.D. Tex. 2010) (rejecting a “composite product” argument because plastic water chambers installed in water heaters were not “modified . . . so radically as to change the nature of the product.”). 34 Modern Equip. Co. v. Cont’l W. Ins. Co., 355 F.3d 1125, 1129 (8th Cir. 2004). 35 Georgia: Gentry Machine Works, Inc. v. Harysville Mutual Ins. Co., 621 F. Supp. 2d 1288, 1296 (M.D. Ga. June 30, 2008) (finding that where repair and replacement of defective pedestals could not restore boilers to use, the “impaired property” exclusion did not apply); Ohio: The Burlington Ins. Co v. PMI America, Inc., 862 F. Supp. 2d 719 (S.D. Ohio March 23, 2012) (insurer failed to meet burden demonstrating that kiln could be restored to use by repair, replacement, or removal of insured’s work); Florida: Transcontinental Ins. Co. v. Ice Sys. of Am., 847 F. Supp. 947, 950 (M.D. Fla. 1994) (“if the complaint alleges or otherwise establishes damage to other property, Exclusion M [the impaired property exclusion] will not apply.”); Kansas: Am. Mercury Ins. Group v. Urban, 2002 U.S. Dist. LEXIS 998, *33 (D. Kan. Jan. 21, 2002) (“The effect of this ‘impaired property’ exclusion is to bar coverage for ‘loss of use’ claims (1) when the loss was caused by the insured’s poor workmanship or faulty materials; and (2) when there has been no physical injury to property other than the insured’s work itself.”); Louisiana: Stewart Interior Contrs., L.L.C. v. MetalPro Indus., L.L.C., 969 So. 2d 653, 664 (La. App. 4 Cir. 2007) (“The [impaired property] exclusion precludes coverage for damage to property that has not been physically injured or for which only loss of use is sought”); Maine: Oxford Aviation, Inc. v. Global Aero., Inc., 680 F.3d 85, 91 (1st Cir. 2012) (“The [impaired property] exclusion aims ‘in essence to preclude coverage for loss of use claims arising from faulty work or products when there is no physical injury to the property.’”); Oklahoma: Emplrs Mut. Cas. Co. v. Grayson, 2008 U.S. Dist. LEXIS 43255, *16 (W.D. Okla. May 30, 2008) (“‘Impaired property’ is property damaged, because of a loss of use and not a physical injury, resulting from its inclusion of the insured’s defective product”); Washington: Indian Harbor Ins. Co. v. Transform LLC, 2010 U.S. Dist. LEXIS 94080, *21 (W.D. Wash. Sept. 8, 2010) (“Impaired property exclusions do not apply when there is physical injury to tangible property.”). 36 California: Shade Foods, Inc. v. Innovative Products Sales & Marketing, Inc., 78 Cal. App. 4th 847, 866 (Cal. App. 1st Dist. 2000) (“it is fanciful to suppose that the nut clusters composed of congealed syrups and diced nuts or the boxed cereal product containing the nut clusters could be somehow deconstructed to remove the injurious Insurance Coverage for Faulty Products and Workmanship Claims • 11 damage caused by the insured’s property or work extends beyond it such that correcting the insured’s property or work cannot rectify the damage. 37 The impaired property exclusion contains a significant exception. The exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to “your product” or “your work” after it has been put to its intended use. Some courts construe the exception narrowly and conclude that “loss of use” means that the property must actually or effectively be unusable for its intended purpose. 38 Perhaps the most frequently litigated aspect of the exception, however, is whether an injury is “sudden and accidental.” Many courts have determined that the phrase includes a temporal aspect – the injury must occur at once,39 or at least faster than the normal rate of physical deterioration. 40 Courts also conclude that “accidental” imposes a requirement that the injury be unexpected and unintended. 41 Some courts have found the phrase to be ambiguous. 42 splinters”); Connecticut: Harleysville Worcester Ins. Co. v. Paramount Concrete, Inc., 2014 U.S. Dist. LEXIS 43889, *40-41 (D. Conn. Mar. 31, 2014); Illinois: Fireman’s Fund Ins. Co. v. Amstek Metal, LLC, 2008 U.S. Dist. LEXIS 75879, *34-35 (N.D. Ill. Aug. 27, 2008) (“It thus appears that a broken spring pack cannot be restored to use by ‘repair, replacement, adjustment or removal’ of Amstek’s wire, as required to satisfy the ‘Impaired Property’ exclusion.”); Oregon: Sec. Nat’l Ins. Co. v. GloryBee Foods, Inc., 2011 U.S. Dist. LEXIS 27267, *9 (D. Or. Mar. 15, 2011) (“The parties intended the [impaired property] exclusion to apply to damage claims related to products of others only when the insured’s product was not inextricably incorporated into such product”). 37 Michigan: Action Auto Stores v. United Capitol Ins. Co., 845 F. Supp. 417, 426 (W.D. Mich. 1993) (“The Court finds that no evidence has been presented that any damage done to property surrounding the containment system can be remedied by the repair, replacement, or adjustment of defendant’s [underground storage tanks]”). 38 Iowa: Modern Equip. Co. v. Cont’l W. Ins. Co., 355 F.3d 1125, 1130 (8th Cir. 2004) (“The racks’ collapse did not prohibit the freezer from operating as a freezer. . . . [H]ad the racks collapsed in a position that prohibited ingress or egress from the warehouse area, while not literally inoperable, we would consider the warehouse to be inoperable in a practical sense.”). 39 Illinois: Sokol & Co. v. Atl. Mut. Ins. Co., 430 F.3d 417, 424 (7th Cir. 2005) (concluding that “gradual deterioration” is not sudden); Minnesota: St. Paul Fire & Marine Ins. Co. v. Futura Coatings, 993 F. Supp. 1258, 1264 (D. Minn. 1998) (“Here, the alleged cracking and peeling of the Futura coating was not sudden and accidental, but became apparent only as time passed after application.”); Ohio: Hartzell Indus. v. Federal Ins. Co., 168 F. Supp. 2d 789, 801 (S.D. Ohio 2001) (“‘sudden and accidental’ includes . . . a temporal aspect (i.e., the physical injury to the insured’s product must appear suddenly)”); Texas: Nat’l Union Fire Ins. of Pittsburgh v. Puget Plastics Corp., 735 F. Supp. 2d 650, 674 (S.D. Tex. 2010) (rejecting argument that injury was sudden and accidental when it was not immediate). 40 North Dakota: Ind. Lumbermens Ins. Co. v. PrimeWood, Inc., 1999 U.S. Dist. LEXIS 23490, *15 (D.N.D. Jan. 8, 1999) (“Even if a temporal element requirement is presumed, the relative rate of the yellowing of the doors here is “sudden” in comparison to the normal rate of yellowing to be expected.”) 41 Ohio: Hartzell Indus. v. Federal Ins. Co., 168 F. Supp. 2d 789, 801 (S.D. Ohio 2001) (“‘sudden and accidental’ includes . . . an element of surprise (i.e., the physical injury must be ‘unexpected or unintended’ from the standpoint of the insured”). 42 North Dakota: Ind. Lumbermens Ins. Co. v. PrimeWood, Inc., 1999 U.S. Dist. LEXIS 23490, *15 (D.N.D. Jan. 8, 1999) (“this Court is inclined to generously construe the phrase ‘sudden and accidental’ in favor of the insured.”); Wisconsin: Just v. Land Reclamation, Ltd., 155 Wis. 2d 737, 746 (Wis. 1990) (“We conclude that the phrase ‘sudden and accidental’ is susceptible to more than one reasonable meaning, including abrupt and immediate as Bituminous claims as well as unexpected and unintended as the property owners claim.”). 12 • Insurance Coverage for Faulty Products and Workmanship Claims D. The sistership exclusion. This exclusion (also known as the recall exclusion) precludes coverage for damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal or disposal of: (1) Your Product; (2) Your Work; or (3) Impaired Property; if such product, work or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspect defect, deficiency, inadequacy or dangerous condition in it. This exclusion precludes coverage for the withdrawal of products that have not yet failed.43 To the extent that third-party property was damaged, this exclusion is not applicable. 44 V. Conclusion The recent and dramatic shifts by courts support policyholders’ arguments that faulty workmanship is covered under a CGL policy. However, because of the jurisdictional split on whether faulty workmanship is covered under a CGL policy and the cases are typically fact specific, this area of law will likely continue to be heavily litigated. 43 Pennsylvania: Forest City Dillon, Inc. v. Laminators, Inc., 852 F.2d 168, (6th Cir. 1988) (applying Pennsylvania law) (“Insurance companies subsequently developed the ‘sistership’ clause to make clear that, while they intended to pay for damages caused by a product that failed, they did not intend to pay for the costs of recalling products containing a similar defect that had not yet failed.”) 44 Illinois: Indus., Inc. v. Liberty Mutual Ins. Co., 414 N.E.2d 41 (Ill. App. 1980) (exclusion does not apply to damage caused by the incorporation of defective pins into engines because, with the incorporation of pins, the property damage at issue took place prior to the subsequent recalls.); Ohio: Parker Hannifin Corp. v. Steadfast Ins. Co., 445 F. Supp. 2d 827 (August. 9, 2006) (finding that costs for repair or for those that failed to perform should be recovered). Insurance Coverage for Faulty Products and Workmanship Claims • 13 14 • Insurance Coverage for Faulty Products and Workmanship Claims INSURANCE COVERAGE FOR FAULTY PRODUCTS AND WORKMANSHIP CLAIMS By Stacy Berliner AGENDA Positions Trends Policy Language- Stage 1 Occurrence Property Damage Ohio Policy Language – Stage 2 Business Risk Exclusions Examples Insurance Coverage for Faulty Products and Workmanship Claims • 15 POSITIONS Insurer View No coverage for faulty workmanship under CGL policies Policyholder View Coverage for faulty workmanship resulting in property damage under CGL policies POSITIONS Insurer Arguments against Coverage Defect is a natural and ordinary consequence of faulty workmanship CGL policies are not intended to be a performance bond These are contractual claims not liability claims The consequence of not performing well is part of every business venture This is a business expense 16 • Insurance Coverage for Faulty Products and Workmanship Claims POSITIONS Policyholder Arguments for Coverage The damage was unintended and unforeseen There is coverage unless the defect was intended The CGL policy makes no distinction between tort and contractual damages Adopting the insurer’s reasoning would make the coverage illusory TRENDS Five State Supreme Courts held that faulty workmanship resulting in property damage can constitute an “occurrence” Reason for trend? Different Facts Different Allegations Revisions to Standardized Policies Insurance Coverage for Faulty Products and Workmanship Claims • 17 POLICY LANGUAGE POLICY LANGUAGE The standard CGL policy provides coverage for “property damage” that is caused by an “occurrence.” 18 • Insurance Coverage for Faulty Products and Workmanship Claims OCCURRENCE Definition: “an accident, including continuous or repeated exposure to substantially the same general harmful conditions.” “accident” is not defined. Courts require fortuity or unexpected, unforeseen event from the insured’s perspective. Inquiry: Is it foreseeable from the insured standpoint? OCCURRENCE Insurer Policyholder Presumption of foreseeability on the insured’s ability to control its and its subcontractors’ work Damage to insured’s own work/product would convert CGL policies into performance bonds or warranties for a contractor’s goods or services Only third-party property damage can be unexpected or fortuitous Coverage if resulting damage was not foreseen from insured’s perspective Unexpected and unforeseen consequences of faulty work – even damage to insured’s own work or product - is accidental and covered If faulty workmanship is not an occurrence, it would render certain business risk exclusions superfluous Insurance Coverage for Faulty Products and Workmanship Claims • 19 OCCURRENCE Compromise Position over subcontractors Refuses to find an occurrence in the insured’s faulty work, but may find an occurrence in the faulty work of the insured’s subcontractors Reasoning: Insured has less control over subcontractors’ work PROPERTY DAMAGE Defined as “[p]hysical injury to tangible property including all resulting loss of use of that property.” What is physical injury? Tangible property? General Rule: There is coverage for damage to other’s property caused by the insured’s faulty workmanship, but there may not be coverage for damage to the insured’s work or product. 20 • Insurance Coverage for Faulty Products and Workmanship Claims OHIO Westfield Ins. Co. v. Custom Agri Sys., Inc. 2012Ohio-4712, 133 Ohio St.3d 476 (2012) Held that claims of faulty workmanship, standing alone, are not claims for “property damage” caused by an “occurrence.” Focused on doctrine of fortuity Damage only to insured’s product/work Coverage for consequential damages Dissent BUSINESS RISK EXCLUSIONS Your Work Your Product Impaired Property Sistership Insurance Coverage for Faulty Products and Workmanship Claims • 21 YOUR WORK Excludes coverage for On-going: “property damage” to “that particular part of any property that must be restored, repaired or replaced because ‘your work’ was incorrectly performed on it.” Completed: “‘property damage’ to ‘your work’ arising out of it or any part of it.” Eliminates coverage to the insured’s faulty work but not for damage to third-party property that results from the insured’s faulty work Subcontractor exception YOUR WORK 1986 ISO Subcontractor Exception to Your Work Exclusion 1973: Courts don’t separate a subcontractor’s faulty workmanship from that of the general contractor 1986: Consequential damages caused by a subcontractor’s faulty workmanship are considered differently than property damage caused by a general contractor’s work - constituted ‘property damage’ caused by an ‘occurrence. Lamar Homes, Inc. v. Mid-Continent Cas. Co., 242 S.W.3d at 248 (Tex. 2007); Am. Family Mut. Ins. Co. v. Am. Girl, Inc., 673 N.W.2d 65, ¶78 (Wis. 2004). 22 • Insurance Coverage for Faulty Products and Workmanship Claims EXAMPLE 1 Condo association filed suit against developer. The developer served as the general contractor on the condominium project and hired the subcontractors to perform all the construction work. Plaintiff alleges that subcontractors improperly installed the roof, flashing, gutters, EIFS façade. Plaintiff alleges that faulty workmanship allowed water infiltration and caused damage to interior structures, common areas and unit owners’ property. Is there coverage under developer’s CGL policy? EXAMPLE 1 (CONT.) The Court held that the faulty workmanship constituted an “occurrence,” because it could not “reasonably believe[] that the subcontractors either expected or intended for their faulty workmanship to cause ‘physical injury to tangible property.’” “[T]he consequential damages here amount to ‘property damage’ and an ‘occurrence.’” The damages caused by the subcontractors’ faulty construction clearly constituted “physical injury to tangible property” Your Work Exclusion did not apply because of the exception, which stated “[t]his 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.” Condominium Association, Inc. v. Adria Towers, LLC, (“Cypress”) Insurance Coverage for Faulty Products and Workmanship Claims • 23 YOUR PRODUCT Excludes property damage to “your product arising out of it or any part of it.” Does not remove coverage for damage to other property, including damage to other of the insured’s products Your Product – broadly defined Incorporation Issues If so incorporated into larger product that it cannot be separated, is it your product? Altered Issues Has the nature of the product changed? EXAMPLE 2 The insured manufactured gaskets that were incorporated into Zenith televisions. Several Zenith television sets caught on fire and damaged owners’ homes. Zenith determined that the gaskets were defective and caused the fires. Zenith repaired as many televisions sets containing the insured’s gaskets as possible, incurring millions of dollars in costs. Zenith brought suit against the insured to recover the repair and replacement costs, and the insured settled the claim for $3 million. The insured’s carrier, Steadfast, refused to pay the amount of the settlement under the “your product” exclusion. 24 • Insurance Coverage for Faulty Products and Workmanship Claims EXAMPLE 2 (CONT.) Insured subsequently filed a declaratory judgment action against Steadfast. Steadfast contended that the repairs were made to the defective gaskets themselves, and therefore all of those costs were barred by the “your product” exclusion. The court disagreed, concluding that the disparity between the costs of actual damage to homes and furnishings and the comparatively miniscule costs for gasket repair made it “both fair and efficient to classify the repaired/replaced product as the Zenith televisions,” rather than the insured’s defective gasket. As such, the “Your Product” exclusion did not apply. Parker Hannifin v. Steadfast Insurance Company, 445 F. Supp. 2d 827 (N.D. Ohio 2006) IMPAIRED PROPERTY Excludes coverage for: Property that is not physically injured arising out of a defect in the insured’s product or work, or a delay or failure by the insured to perform in accordance with the terms of a contract. “Impaired property” defined as property that can be restored to use by repairing, replacing, adjusting or removing the insured’s product or work. Insurance Coverage for Faulty Products and Workmanship Claims • 25 IMPAIRED PROPERTY The exclusion only applies when the third-party property can be restored to use by the repair or replacement of the insured’s product If the third-party property was damaged or cannot be restored to use simply by repairing or replacing the insured’s product, this exclusion does not preclude coverage Sudden and Accidental Exception for any loss of use caused by a sudden accident after the insured’s product is put to its intended use. Many courts have determined that the phrase includes a temporal aspect – the injury must occur at once. EXAMPLE 3 Insured manufactured parts for boilers, including a part known as the “pedestal.” Pedestal was welded to the top of the boiler and served as the main rear hinge for the rear boiler doors. Customers complained and the insured replaced the pedestals and repaired other damage associated with the failure of the pedestals. Customers had loss of use of boilers during repairs. Insured seeks coverage for the cost of the repairs and loss of use. 26 • Insurance Coverage for Faulty Products and Workmanship Claims EXAMPLE 3 (CONT.) Held that the impaired property exclusion precluded coverage for Damage to pedestals Costs of inspecting the potentially defective pedestals Damages to the boiler or its parts directly caused by the repair of the pedestals But business risk exclusions did not preclude coverage for property damage to the boilers caused by the pedestal failure but unrelated to the pedestal repair. - where repair and replacement of defective pedestals could not restore boilers to use, the “impaired property” exclusion did not apply. Gentry Machine Works, Inc. v. Harleysville Mut. Ins. Co., 621 F.Supp.2d 1288 (M.D. Ga. 2008) RIP AND TEAR COSTS Insurer Policyholder Damage during the repair process is a foreseeable consequence of defective workmanship, which is not property damage as defined by the policy. Coverage for the removal of nondefective work/products is necessary and unintentional in order to replace defective product/work. Insurance Coverage for Faulty Products and Workmanship Claims • 27 EXAMPLE 3 (CONT.) No coverage for Rip and Tear: The Gentry Court held that physical damage to parts connected to a defective product — that is, parts that must be destroyed or damaged in the replacement process — are treated like the defective product itself and not covered. EXAMPLE 4 Insured sold defective concrete mix component to a contractor that used it to build a retaining wall. Wall began to fail. The wall contained both defective concrete and correctly comprised concrete, with the result that the entire retaining wall—both the part that was correct and the part that was defective, had to be removed. Owner sued contractor and insured, concrete mix manufacturer, for costs to repair and replace the wall. Does insured/concrete manufacturer’s insurer have to pay for the removal and replacement of the entire wall? 28 • Insurance Coverage for Faulty Products and Workmanship Claims EXAMPLE 4 (CONT.) The court held that because it was impossible to remove the defective concrete without disturbing the rest of the structure, the incorporation of the defective concrete into the wall constituted property damage for which there was coverage. “Moraine is not seeking to recover for the defective concrete, but is seeking to recover the expenses of removing the wall, which became defective in its entirety by the incorporation therein of Moraine’s defective cement.” Moraine Materials Co., Inc. v. The Ohio Casualty Ins. Co., 1979 WL 208510 (Ohio App. Dec. 12, 1979); see also Bundy Tubing Co. v. Royal Indem. Co., 298 F.2d 151 (6th Cir. 1962). U.S. METALS, INC. V. LIBERTY MUTUAL GROUP, INC., 2014 WL 465892 (5TH CIR. SEPT. 19, 2014). U.S. Metals agreed to manufacture and sell flanges to Exxon. The flanges were welded to pipes by a subcontractor. Once welded, the flange/pipe were attached to two new NRD (nonroad diesel project) facilities owned by Exxon. During pre-use testing, Exxon discovered a leak in one of the flanges. U.S. Metals had subcontracted the project to Maass Flange Corporation. The flanges were improperly manufactured against industry standards. Exxon wanted to replace all flanges with new ones from a different manufacturer. Insurance Coverage for Faulty Products and Workmanship Claims • 29 U.S. METALS, INC. V. LIBERTY MUTUAL GROUP, INC., 2014 WL 465892 (5TH CIR. SEPT. 19, 2014). The two new Exxon refineries were shut down for several weeks while repairs were made. Exxon’s corporate representative testified that the leaks were discovered at the testing stage of the new refineries and the facilities were not yet operational. Exxon claimed damages in excess of $23 million. Exxon sued U.S. Metals and Maass in Texas state court. Exxon and U.S. Metals settled for $6.3 million. U.S. METALS, INC. V. LIBERTY MUTUAL GROUP, INC., 2014 WL 465892 (5TH CIR. SEPT. 19, 2014). Liberty Mutual Liberty Mutual declined coverage under Your Product and Impaired Property Exclusion. Exxon’s property was not physically injured by the defective flanges. The loss of use arises from a “defect, deficiency, inadequacy, or dangerous condition” in U.S. Metals’ product or work. The exception does not apply because there is no evidence/allegation that the flanges were put to their intended use; and there was no sudden and accidental physical injury. There was only defective manufacturing. U.S. Metals U.S. Metals conceded Your Product Exclusion bars coverage for removal and replacement of the defective flanges themselves BUT Exclusion (m) does not apply because there was physical injury to Exxon’s property, i.e. Exxon had to remove and replace other property (i.e. the pipes that the flanges were welded to) in order to restore use. The exception applies because the flanges suddenly and accidentally failed during pressure testing, which led to the loss of use of the refineries. Exclusion (m) is ambiguous 30 • Insurance Coverage for Faulty Products and Workmanship Claims U.S. METALS, INC. V. LIBERTY MUTUAL GROUP, INC., 2014 WL 465892 (5TH CIR. SEPT. 19, 2014). The District Court found that Exclusions (k) and (m) preclude coverage. Your Product Exclusion precluded coverage for repair/replacement of flanges Impaired Property Exclusion precluded loss of use of the units that could be restored by the removal and repair of the flanges. PHYSICAL INJURY IS AMBIGUOUS US Metals: Physical injury to units when defective flanges attached There was physical injury to surrounding welds, insulation, and piping because those components were useless when flanges welded to them. Liberty: Physical injury requires change in property from satisfactory to unsatisfactory state Insurance Coverage for Faulty Products and Workmanship Claims • 31 REPLACEMENT IS AMBIGUOUS US Metals: Limits definition of “impaired property” to that which could be restored to use by replacing the flanges alone. Because replacement also required destroying 3rd party work, the Exxon units were not “impaired property” falling within exclusion. If any other part needs to be replaced, the units were not impaired property. Liberty: Replacement includes all steps necessary to substitute non-defective flanges for the defective ones –removing welds joined to piping, the insulation covering the flanges and gaskets were all part of the replacement process. U.S. METALS, INC. V. LIBERTY MUTUAL GROUP, INC., 2014 WL 465892 (5TH CIR. SEPT. 19, 2014). Fifth Circuit certified questions to the Texas Supreme Court, which were accepted. Are the terms “physical injury” (in Exclusion (m)) and/or “replacement” (in the definition of “impaired property”) ambiguous? If yes, is U.S. Metal’s interpretation reasonable? If “physical injury” is unambiguous, does it occur at the moment when the defective flanges were irreversibly attached to Exxon’s property or does “physical injury” only occur when there is an alteration in the color shape or appearance of Exxon’s property due to the defective flange that was irreversibly attached? 32 • Insurance Coverage for Faulty Products and Workmanship Claims SISTERSHIP Excludes coverage for damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal or disposal of: (1) Your Product; (2) Your Work; or (3) Impaired Property; if such product, work or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspect defect, deficiency, inadequacy or dangerous condition in it. This exclusion precludes coverage for the withdrawal of products that have not yet failed. EXAMPLE 5 In Shade Foods, the insured sold chopped almonds to General Mills that used the almonds to make nut clusters for its cereal product. General Mills advised Shade Foods that it found wood splinters in the nuts. General Mills then shut down production and recalled the cereal. Insurance Coverage for Faulty Products and Workmanship Claims • 33 EXAMPLE 5 (CONT.) The Shade Foods Court found third party property damage holding that “[w]hile the distinction may sometimes be a fine one to draw, we see no difficulty in finding property damage where a potentially injurious material in a product causes loss to other products into which it is incorporated.” Based on the irreversible incorporation of the nuts into the nut clusters, the court held that “the wood splinters in the diced roasted almonds caused property damage to the nut clusters and cereal products in which the almonds were incorporated.” Shade Foods, Inc. v. Innovative Products Sales & Marketing, Inc., 78 Cal. App. 4th 847 (First Dist. 2000). EXAMPLE 6 The insured, Sokol, was a food products manufacturer that supplied sealed packets of peanut butter to its customer, Continental Mills, for inclusion in boxes of Continental’s cookie mix. After the packets were sealed into the boxes and shipped to retailers, the peanut butter was found to be rancid. Continental retrieved the boxes, replaced the peanut butter with packets from a different supplier and reshipped the mixes. Continental sought payment of approximately $75,000 from Sokol. 34 • Insurance Coverage for Faulty Products and Workmanship Claims EXAMPLE 6 (CONT.) The court found that there was no third party property damage as the rancid peanut butter was contained in separate packets that did not affect the other food products in the mix boxes. The appellate court rejected Sokol’s argument that Continental’s need to open the boxes constituted third party property damage and further rejected the argument that Continental suffered a loss of use of its mixes by the delay in getting the cookie mix to market. Sokol and Company v. Atlantic Mutual Insurance Company, 430 F.3d 417 (7th Cir. 2005) ALLEGATIONS IN COMPLAINT Coverage is highly dependent upon allegations: If underlying complaint merely alleged failure to comply with contractual obligations and implied warranties resulting in monetary damages, is there coverage? The issue is not whether the cause of action is one for contract or tort but whether the damages may be characterized as contractual in nature or whether they are consequential property damage. Insurance Coverage for Faulty Products and Workmanship Claims • 35 CONCLUSION Important Factors to Determine Coverage Jurisdiction Consequential Damages Facts, Facts, Facts INSURANCE COVERAGE FOR FAULTY PRODUCTS AND WORKMANSHIP CLAIMS Stacy RC Berliner, Esq. P: 216.456.3860 sberliner@tmlpa.com 36 • Insurance Coverage for Faulty Products and Workmanship Claims