From the May 2010 issue of Claims Magazine •Subscribe!

Construction Defects and CGL Coverage

When cold and snowy winter weather finally blows itself out, and warm weather brings the beginning of more construction projects, claims against contractors for construction defects are bound to arise. Defective construction claims are normal for an insured contractor and are usually addressed under the contractor's commercial general liability (CGL) coverage form. Insurers will cover the claims or deny coverage based on the language of the policy and the facts of the incident.

Most of the general liability policies have the "business risks" exclusions that are familiar to those in the insurance industry. The "damage to property" exclusions and the "damage to your work" exclusion are often used by insurers to deny claims of property damage alleged against contractors. Insurers also raise the issue of whether the required "occurrence" happened in order to deny coverage for a claim. However, another course of action is sometimes taken to dispute coverage. Insurance industry personnel may be unfamiliar with this position—that the claim made against the insured is one for breach of contract and therefore, a claim not covered by the general liability policy that applies to tort claims.

There is no question that the standard CGL form is meant to apply to tort claims against the insured and is not intended to apply to only breach-of-contract claims. The policy does offer coverage for contractual assumptions of liability under certain circumstances, but that coverage does not readily extend to breach-of-contract claims; the general liability policy is not meant to be turned into a performance bond. Courts are on record as upholding this distinction in a variety of contexts; for example, Musgrove v. Southland Corporation, 898 F.2d 1041 (5th Cir. 1990) and James v. Burlington Northern Santa Fe Railway Company, 2007 WL 2461685 (D.Ariz.).

Blurred Coverage Boundaries

On the other hand, the distinction can be blurred, depending on the jurisdiction, the nature of the damage claimed, and the language of the coverage form. For example, in the landmark case of Vandenberg v. Superior Court of Sacramento County, 982 P.2d 229 (Cal. 1999), the California Supreme Court noted that while the general rule is that damages from an insured's breach of a contract are not covered under the CGL form, this rule is not a universal one just because a contract is involved.

In this particular case, the Court said that, when there is property damage, the focus of a judicial inquiry should be the nature of the risk that caused the damage and the specific policy language. The policy language stated that the insurer agreed to pay sums that the insured was "legally obligated to pay as damages," and the Court found that any reasonable layperson would understand this to refer to any obligation that is binding and enforceable under the law, regardless of whether this is pursuant to a contract or tort. Admittedly, this decision is not universally accepted by jurisdictions throughout the country. It does, however, represent sound reasoning for extending CGL coverage for breaches of contract under certain circumstances.

The standard CGL form itself can also contribute to questioning about whether the form applies to breaches of contract. The CGL form applies to claims for damages that the insured is legally obligated to pay because of property damage caused by the insured. Such property damage can be caused by the insured's work, and the insured's work is defined in the CGL form as including "warranties or representations made at any time with respect to the fitness, quality, durability, performance, or use of" the named insured's work. So, if the insured builds a retaining wall for a customer and offers a warranty that the wall will stand for years, only to see the wall fall after a month, does the insured have coverage under his CGL form if the claimant files a lawsuit based on breach of contract? The answer is "yes" and "no."

Explaining Exclusions

There is an exclusion in the CGL form that applies to property damage to the named insured's work arising out of that work. Thus, the form will not cover a claim for the damage to the wall itself, regardless of how a court views the breach-of-contract claim language.

However, if that falling wall has crushed the claimant's patio furniture, that claim is going to be covered, even if presented as a breach of the warranty (or contract). This is consistent with the Vandenberg decision in that the breach of contract resulted in property damage. The falling wall, therefore, was not just a failure of the insured's warranty of quality and durability, but also a claim based on the insured's work damaging another's property—something the general liability form is meant to do. The property damage claim has, in effect, transcended the breach-of-contract language.

Thus, if a property damage claim is brought against the insured and the complaint lists breach of contract as the source of the claim, then the insurer should examine the facts of the incident before automatically assuming that a breach-of-contract claim is never covered by the general liability policy.

If the failure of the insured's work has damaged another's property in addition to damage to the insured's work, that claim may very well be covered even if it is presented to the court as a breach of contract. The insurer can certainly raise the issue of coverage for a breach of contract under a general liability policy, but unless the insurer can point to policy language or case law to support its position, the issue is still going to come down to the fact that the insured's work damaged another's property.

Because insurance coverage for such a claim is the reason the insured purchased the liability policy, where is the basis for denial of coverage? Breach of contract is not the automatic answer.

Page 1 of 3
Comments

Resource Center

View All »

Complimentary Case Study: Helping achieve your financial goals By:...

Find out how a Special Investigation Unit used TLOxp to save the company money and...

Do Your Clients Hold The Right CDL License?

Learn about the various classes of CDL Licenses and the industries that are impacted by...

Integrated Content & Communications: A Key Business Issue For Insurers

Insurers are renewing their focus on top line growth, and many are learning that growth...

High Risk Insurance Coverage in the E&S Market

Experts discuss market conditions, trends and projected growth in a rapidly changing niche.

Top E-Signature Security Requirements

This white paper covers the most important security features to look for when evaluating e-signatures...

EPLI Programs Crafted Just For Your Clients

Bring us your restaurant clients, associations and other groups and we’ll help you win more...

Is It Time To Step Up And Own An Agency?

Download this eBook for insight on how to determine if owning an agency is right...

Claims - The Good The Bad And The Ugly

Fraudulent claims cost the industry and the public thousands of dollars in losses. This article...

Leveraging BI for Improved Claims Performance and Results

If claims organizations do not avail themselves of the latest business intelligence (BI) tools, they...

Top 10 Legal Requirements for E-Signatures in Insurance

Want to make sure you’ve covered all your bases when adopting e-signatures? Learn how to...

Claims Connection eNewsletter

Breaking news on disasters, fraud, legal trends, technology, and CE initiatives for the P&C claim professional – FREE. Sign Up Now!

Claims-Handling Guidelines

Claims Magazine is providing the following free guidelines and regulations in order to help adjusting professionals stay abreast of each state’s unique property and casualty claim-handling requirements.

View our State Guidelines »

Advertisement. Closing in 15 seconds.