Lawyers Professional Liability

ISO LW 00 01 03 11

June 6, 2011

Summary: The Insurance Services Office (ISO) has published a lawyers professional liability policy, LW 00 01 03 11, that provides coverage for insureds that are legally obligated to pay damages resulting from a wrongful act. The following article offers an analysis of the policy's insuring agreement, exclusions, coverage extensions, and conditions.

Topics covered:

Insuring agreement

Exclusions

Supplementary payments

Coverage extensions

Who is an insured

Limits of insurance

Deductible

Conditions

Extended reporting period

Definitions

Insuring Agreement

1.  We will pay those sums the “insured” becomes legally obligated to pay as damages resulting from a “wrongful act” to which this insurance applies. We will have the right and duty to defend the “insured” against any “suit” seeking those damages. However, we will have no duty to defend the “insured” against any “suit” seeking damages because of a “wrongful act” to which this insurance does not apply. We may, at our discretion, investigate any incident that may result from a “wrongful act”. We may, with your written consent, settle any “claim” that may result. But:

a.  The amount we will pay for damages and “defense expenses” is limited as described in Section IV, Limits Of Insurance, and in Section V, Deductible; and

b.  The coverage and duty to defend provided by this policy will end when we have used up the applicable Limit of Insurance for “defense expenses” or the payment of judgments or settlements.

     No other obligation or liability to pay sums, such as civil or criminal fines, imposed on you or any other “insured”, or to perform acts or services, is covered unless explicitly provided for under Supplementary Payments.

2.  This insurance applies to “wrongful acts” only if:

a.  The “wrongful act” takes place in the “coverage territory”;

b.  The “wrongful act” did not commence before the Retroactive Date, if any, shown in the Declarations or after the end of the “policy period”; and

c.  A “claim” against any “insured” for damages because of the “wrongful act” is first made during the “policy period” or the Section VII, Extended Reporting Period, if applicable, in accordance with Paragraphs 3. and 4. below.

3.  A “claim” will be deemed to have been made at the earlier of the following times:

a.  When notice of such “claim” is made and reported to us in accordance with the provisions of Section VI, Condition C. Duties In The Event Of A Claim Or A Wrongful Act That May Result In A Claim; or

b.  When a “claim” against an “insured” is made directly to us in writing.

     A “claim” received by the “insured” during the “policy period” and reported to us within 30 days after the end of the “policy period” will be considered to have been reported within the “policy period”. However, this 30-day grace period does not apply to “claims” that are covered under any applicable Extended Reporting Period or subsequent insurance you purchase, or that would be covered but for exhaustion of the amount of insurance applicable to such “claims”.

4.  If during the “policy period” or any applicable Extended Reporting Period you become aware of conduct that occurred before the end of the “policy period” that gives rise to or may reasonably be expected to give rise to a “claim” against any “insured”, you must provide notice to us in accordance with the provisions of Paragraph C.1. of Section VI, Conditions. If such notice is provided, then any “claim” subsequently made against any “insured” arising out of that conduct shall be deemed under this policy to be a “claim” made during the “policy period” in which the “wrongful act” was first reported to us.

5.  All “claims” for damages because of one or more “wrongful acts” against the same person will be deemed to have been made at the time the first of such “claims” is made, regardless of the number of “claims” subsequently made, pursuant to Paragraph C.1. of Section VI, Conditions.

6.  All “claims” arising out of the same “wrongful act” or “interrelated wrongful acts” by one or more “insureds” shall be considered a single “claim”. Such single “claim” will be deemed to have been made at the time the first of such “claim” arising out of such “wrongful act” or “interrelated wrongful acts” was first made, regardless of the number of “claims” subsequently made, pursuant to Paragraph C.1. of Section VI, Conditions, or notice of such “wrongful act” or “interrelated wrongful acts” was first reported, pursuant to Paragraph C.2. of Section VI, Conditions.

Analysis

The insuring agreement obligates the insurer to pay those sums the insured becomes legally obligated to pay as damages resulting from a wrongful act to which the insurance applies. Note that the agreement only applies to “those” sums the insured becomes legally obligated to pay and not to “all” sums; a clarifying point that the policy does have limits to its payout amount. Also, the coverage applies to wrongful acts which is a defined term and will be discussed in the Definitions section of this article.

The insuring agreement also gives the insurer the right to investigate any incident that may result from a wrongful act, but any settlement has to be done with the written consent of the named insured. Some current professional liability forms—such as, the ISO hospital professional liability policy and the physicians professional liability policy—allow the insurer to settle any claim or lawsuit without the consent of the insured, but LW 00 01 does not follow this path.

The coverage and the duty to defend end when the insurer has used up the applicable limit of insurance for defense expenses, or the payment of judgments or settlements. So, the duty to defend can come to an end once the defense expenses (a defined term) have equaled the limit of insurance shown in the declarations; defense expenses are not considered separate supplementary payments like those found in a general liability policy.

LW 00 01 is a claims-made policy, as the language in the second paragraph of the insuring agreement attests. The insurance applies to wrongful acts that did not commence before the retroactive date (if any) shown in the declarations or after the end of the policy period; and a claim against any insured must be first made during the policy period or the extended reporting period (if applicable).

A claim will be deemed to have been made at the earlier of the following times: when notice of such claim is made and reported to the insurer in accordance with the conditions and duties language of the policy; or when a claim against an insured is made directly to the insurer in writing. LW 00 01 does give the insured a grace period in which a claim will be deemed to have been made. The insured must report a claim to the insurer within 30 days after the end of the policy period to have the claim be considered by the insurer to have been reported within the policy period. Note however, this 30 day grace period does not apply to claims that are covered under any applicable extended reporting period or subsequent insurance purchased by the named insured, or that would be covered but for exhaustion of the amount of insurance applicable to such claims. In addition, if the named insured becomes aware of conduct that occurred before the end of the policy period, conduct that may give rise to a claim, the named insured must provide notice to the insurer in writing as soon as practicable.

All claims arising out of the same wrongful act or interrelated wrongful acts by one or more insureds is considered to be a single claim. This clause is inserted into the professional liability policy to prevent something akin to the “one occurrence versus multiple occurrences” dispute that can arise under a general liability policy.

Exclusions

This insurance does not apply to:

1. Criminal, Fraudulent, Malicious, Dishonest Or Intentional Acts

     Any “claim” arising out of, in whole or in part, criminal, fraudulent, malicious, dishonest or intentional acts, errors or omissions by an “insured”. However, this exclusion shall not apply to any “insured” who did not:

a.  Personally commit;

b.  Personally participate in;

c.  Personally acquiesce to; or

d.  Remain passive after having personal knowledge of

     any such acts, errors or omissions. Refer to related coverage in Paragraph C. of Section II, Coverage Extensions.

     This exclusion does not affect our duty to defend, in accordance with Insuring Agreement Paragraph A.1 in Section I, Lawyers Professional Liability Coverage, an “insured” prior to determining, through the appropriate legal processes, that that “insured” is responsible for a criminal, fraudulent, malicious, dishonest or intentional act, error or omission.

2. Bodily Injury Or Property Damage

     Any “claim” for “bodily injury” or “property damage”.

3. Improper Use Of Funds

Any “claim” arising out of an “insured's”:

a.  Conversion, defalcation or commingling of funds, embezzlement, misappropriation or improper use of funds;

b.  Illegally gained profit, remuneration or monetary advantage; or

c.  Inability or failure to pay, collect, safeguard or return any money.

4.  Other Position Or Capacity

     Any “claim” based upon, attributable to, or arising out of any “wrongful act” by any “insured” serving in any position or capacity in any organization other than the “named insured” or “predecessor firm”. This exclusion applies even if the “named insured”, “insured” or “predecessor firm” directed or requested that “insured” to serve in such other position or capacity.

5.  Insured's Activities

     Any “claim” arising out of any “insured's” activities as a trustee, partner, officer, director or “employee” of any “employee” trust, charitable organization, corporation, company or business, other than that of the “named insured”.

6. Business Enterprise

     Any “claim” arising out of “professional services” rendered for or on behalf of any business enterprise other than the “named insured”. This exclusion applies if, at the time those services were performed:

a.  The business enterprise was directly or indirectly owned, controlled, operated or managed by any “insured” or any “insured's” spouse; or

b.  The “insureds'”, their spouses' or any cumulation of “insureds'” or their spouses' ownership or control exceeds 10%.

Analysis

The first exclusion simply does what any insurance policy does, that is, preclude any insurance coverage for any criminal or dishonest acts on the part of an insured. The exclusion does, however, contain an exception for any insured who personally did not commit or participate in or acquiesce in the criminal acts. This exception acts somewhat as a reinforcement of the separation of insureds idea wherein the acts of one insured will not impact the coverage for an innocent insured.

Note that the exclusion does not affect the insurer's duty to defend an insured prior to the determination that the insured is indeed responsible for a criminal, fraudulent or dishonest act, error, or omission. So, until the allegation of a criminal act against an insured is proven through appropriate legal processes, the insurer will continue to defend the insured.

Exclusion two is rather straightforward. LW 00 01 does not apply to claims for bodily injury or property damage.

The third exclusion is similar to the first exclusion. LW 00 01 does not apply to any claim arising out of an insured's conversion, commingling, embezzlement, or misappropriation of funds. If the insured, for example, misappropriates trust funds held in a fiduciary capacity by the insured, this policy is not going to cover the claim resulting from that act. The exclusion also refers to the inability or failure to pay, safeguard, or return any money; so, it can be said that this exclusion repeats itself in order to show that the policy is not meant to apply to claims arising out of the improper use of funds entrusted to the insured.

Exclusions four, five, and six are all related and refer to claims arising out of an insured's serving in some position or organization other than that of the named insured company. For example, lawyers can serve as trustees or officers for charitable organizations, or serve as board members or outside counsel for a business other than the named insured; if so, LW 00 01 is not going to cover claims arising from these outside activities. There is no practical way that an insurer can monitor or properly underwrite such outside activities, so this policy excludes the coverage.

7. Insured Versus Insured

     Any “claim” by an “insured” against another “insured”.

8. ERISA

     Any “claim” arising out of an actual or alleged violation by an “insured” of the Employee Retirement Income Security Act of 1974 (ERISA) and its amendments, or similar provisions of any federal, state or local statutes, rules or regulations.

9. Violation Of Any Securities Laws

     Any “claim” arising out of a violation by an “insured” of the Securities Act of 1933 or the Securities Exchange Act of 1934, their amendments, or any similar federal or state securities statutes, rules or regulations.

10. Prior Or Pending Litigation

     Any “claim” or “suit” against any “insured” which was pending on, or existed prior to, the applicable Pending or Prior Litigation Date shown in the Declarations, or any “claim” or “suit” arising out of the same or substantially the same facts, circumstances or allegations which are the subject of, or the basis for, such “claim” or “suit”.

11. Contractual Liability

     Any “claim” arising out of a “wrongful act” for which any “insured” is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the “insured” would have in the absence of the contract or agreement.

12. Investment Advice

     Any “claim” based upon, attributable to or arising out of the rendering of investment advice by any “insured” in connection with the purchase, sale, or lack thereof, of securities, real estate or other investments.

13. Discrimination

     Any “claim” arising from “discrimination”.

14. Employment-related Practices

     Any “claim” arising out of any “insured's” actual or alleged refusal to employ, wrongful termination of employment, coercion, demotion, evaluation, reassignment, discipline, defamation, harassment, humiliation, “discrimination”, libel, slander or any other employment-related practices, policies, acts, errors or omissions.

Analysis

Exclusion seven makes the point that LW 00 01 will not provide coverage for any claim made by an insured against another insured. The definition of “insured” (discussed later in this article) notes that the coverage in this policy is afforded separately to each insured who is seeking coverage or against whom a claim is brought. But, this exclusion makes it clear that the separation of insureds does not extend to the policy covering one insured's claim against another insured.

Exclusions eight and nine pertain to violations of federal laws by an insured. Any claims arising from such violations are not covered by LW 00 01.

Exclusion ten states that the policy will not apply to any claim or lawsuit against any insured that was pending on, or existed prior to the applicable date shown in the declarations. This exclusion simply attests to the fact that LW 00 01 is not going to apply to claims or lawsuits that have arisen before the effective date of LW 00 01.

The contractual liability exclusion in LW 00 01 is similar to the contractual exclusion in the standard CGL form, that is, the policy is not going to pay for liability assumed by the insured in any contract or agreement. The difference here between LW 00 01 and CG 00 01 is that LW 00 01 does not have an “insured contract” exception to the exclusion. However, LW 00 01 does have the exception for liability for damages that the insured would have in the absence of a contract or agreement.

Investment advice is the subject of the twelfth exclusion. If the insured renders investment advice in connection with the purchase or sale of securities, real estate, or other investments, and a claim arise from this advice, LW 00 01 will not apply.

Exclusions thirteen and fourteen deal with discrimination and employment-related practices. If the insured violates a person's civil rights or harasses an employee or otherwise engages in employment-related practices that violate established federal, state, or local statutes, rules or regulations, and a claim arise, LW 00 01 does not apply.

15. Capacity As Public Official

     Any “claim” based upon, attributable to, or arising out of any “insured's” capacity as a public official, “employee” or agent of a governmental body, subdivision or agency, unless the “insured” is deemed to be a public official, “employee” or agent of such entity solely by virtue of rendering “professional services” to it.

16. Personal And Advertising Injury

     Any “claim” arising from “personal and advertising injury”.

17. Prior Notice

     Any “claim” arising out of a “wrongful act” alleged or contained in any “claim”, or for which, in any circumstance, notice has been given under any other prior insurance policy providing essentially the same type of coverage.

18. Insurer Insolvency

     Any “claim” arising out of the:

a.  Bankruptcy;

b.  Financial inability to pay;

c.  Insolvency;

d.  Liquidation; or

e.  Receivership

     of any insurance company, reinsurer, risk retention group or captive, or any other insurance plan or trust by any name, in which the “insured” has placed or obtained coverage for a client or an account.

19. Financial Institution Insolvency

     Any “claim” arising out of the:

a.  Bankruptcy;

b.  Financial inability to pay;

c.  Insolvency;

d.  Liquidation; or

e.  Receivership

     of any bank or other financial institution in which the “insured” has opened or maintained an account on behalf of a client.

20. Pollution

     Any “claim” based upon, attributable to, or arising out of:

a.  The actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of “pollutants” at any time;

b.  Any request, demand, order or statutory or regulatory requirement that any “insured” test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, “pollutants”; or

c.  A “claim” or “suit” by or on behalf of any governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, “pollutants”

     including without limitation any “claim” by or on behalf of the “insured”.

Analysis

Some lawyers get involved in politics and get elected as council members or trustees or commissioners. If so, any claims arising out of those public official positions are not covered by LW 00 01 due to exclusion fifteen. However, if an insured is rendering professional services to a governmental body, such as acting as the town's solicitor, claims arising from that service are covered by this policy.

Any claim arising from personal and advertising injury as defined in the policy is excluded by exclusion sixteen.

Exclusion seventeen pertains to any claim for which notice has been given under any other prior insurance policy. This is another exclusion aimed at preventing coverage under the current LW 00 01 for claims that should be handled by a policy that existed prior to the current policy being in force.

Exclusions eighteen and nineteen pertain to claims arising out of insurer or financial institution insolvency. If the insured has placed or obtained coverage for a client with an insurer that becomes insolvent, and a claim arises from that action, LW 00 01 does not apply to the claim. And, if the insured has opened or maintained an account for a client in a financial institution that fails, any claim from that action is not covered.

The pollution exclusion applies to any claim based on, attributable to, or arising out of any release or escape of pollutants at any time. Clean up costs are also excluded.

21. Fungi Or Bacteria

     Any loss, cost or expense arising directly or indirectly out of any “claim” for:

a.  Actual, alleged or threatened inhalation of, ingestion of, contact with, exposure to, existence of, or presence of, any “fungi” or bacteria on or within a building or structure, including its contents, regardless of whether any other cause, event, material or product contributed concurrently or in any sequence to such injury or damage.

b.  The abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to, or assessing the effects of, “fungi” or bacteria, by any “insured” or by any other person or entity.

22. Abuse Or Molestation

     Any “claim” based upon, attributable to or arising out of the actual or threatened abuse or molestation of any person by anyone in connection with the “professional services” rendered by any “insured”.

Analysis

Exclusions 21 and 22 are rather straightforward. Exclusion 21 is the mold exclusion and prevents coverage for any loss, cost or expense arising out of the exposure to any fungi (which is defined in the policy as mold or mildew) or bacteria on or within a building, and this includes the building's contents; clean up expenses are also excluded. Exclusion 22 applies to any claim arising out of any actual or threatened abuse or molestation of any person by anyone in connection with the professional services rendered by any insured. The wording in this exclusion (any claim, any person, anyone, any insured) is very broad in its reach and complements exclusions 1, 2, and 14. Note also that abuse is not defined in the policy, so the word can be considered to include both physical and mental abuse and sexual abuse and molestation.

Supplementary Payments

We will pay, with respect to any “claim” we investigate or settle, or any “suit” against an “insured” we defend:

1.  Prejudgment interest awarded against the “insured” on that part of the judgment we pay. If we make an offer to pay the applicable Limit of Insurance, we will not pay any prejudgment interest based on that period of time after the offer.

2.  All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid, offered to pay, or deposited in court the part of the judgment that is within the applicable Limit of Insurance.

These payments will not reduce the Limit of Insurance nor be subject to Section V, Deductible.

Analysis

LW 00 01 will pay any prejudgment interest and any post-judgment interest that accrues against the insured. These supplementary payments do not reduce the limit of insurance for the insured and are not subject to the deductible shown in the declarations.

Coverage Extensions

We will also pay for:

A. Spousal Liability

If a “claim” against any “insured” includes a “claim” against the “insured's” spouse (whether such status is derived by reason of statutory or common law, or any other law of any country) solely by reason of such:

1.  Spousal status; or

2.  Spouse's ownership interest in property or assets that are sought as recovery for the “wrongful act” by the “insured”

All sums which such spouse becomes legally obligated to pay by reason of such “claim” will be treated for the purposes of this policy as sums which the “insured” becomes legally obligated to pay as a result of the “claim” made against such “insured”. Such sums to the spouse will be covered under this policy only if and to the extent such sums would be covered if incurred by the “insured”.

However, this extension will not afford coverage for a “claim” arising out of any “wrongful act” by the spouse

B. Estates, Heirs, Executors, Trustees Administrators And Legal Representatives

This policy will afford coverage for “claims” arising out of the “wrongful acts” of any “insured” made against the:

1.  Estates, heirs, executors, trustees, administrators or legal representatives of that deceased “insured”; and

2.  Legal representative of that “insured” in the event of incapacity, insolvency or bankruptcy.

This extension will afford coverage only if and to the extent that, in the absence of such death, incapacity, insolvency or bankruptcy of the “insured”, such “claims” would have been covered by this policy according to this policy's terms, conditions and exclusions.

C. Protection For Innocent Insureds

Whenever coverage under this insurance is voided, excluded, suspended or lost:

1.  Because of:

a.  Exclusion B.1. of Section I, Lawyers Professional Liability Coverage or because of any exclusion relating to criminal, fraudulent, malicious, dishonest or intentional acts, errors or omissions by any “insured”; or

b.  Noncompliance with Paragraph C. of Section VI, Conditions, with respect to notice requirements, then

2.  Such insurance as would otherwise be afforded under this policy shall continue to apply with respect to each “insured” who did not:

a.  Personally commit;

b.  Personally participate in;

c.  Personally acquiesce to; or

d.  Remain passive after having personal knowledge of;

     one or more of the “wrongful acts” described in any such exclusion, or such failure to give notice.

With respect to Paragraph C.1.b., coverage will continue to apply only in the event that if the Condition is one the “insured” can comply with after receiving knowledge of the “wrongful act”, the “insured” entitled to the benefit of this Coverage Extension complies with the Condition promptly after obtaining knowledge of the failure of any other “insured” to comply with such requirements.

Analysis

These coverage extensions are limited.

The first extension of coverage applies to spouses of any insured (as defined in the policy) if the claim against the insured includes the spouse due to the spousal status or the spouse's ownership interest in property or assets that are sought as recovery for the wrongful act by the insured. For example, if the claimant sues the insured and seeks recovery from an asset jointly owned by the insured and his spouse, and thus, has to include the spouse in the complaint, LW 00 01 will pay all sums for which the spouse becomes legally obligated to pay. This coverage can apply in instances wherein the insured has put all of his assets in his spouse's name, leaving the claimant no choice but to include the spouse in the claim or lawsuit in order to get a recovery. The extension will not pay for claims that arise out of any wrongful act by the spouse; the spouse will need his or her own coverage for such acts.

The second coverage extension applies to wrongful acts committed by any insured against the estates, heirs, executors, trustees, administrators, or legal representatives of a deceased insured. What exactly this extension includes is not clear and will, no doubt, be the subject of legal disputes in the future.

The third extension protects innocent insureds and complements exclusion 1. Since that exclusion states it does not apply to any insured who personally did not commit, or participate in, or personally acquiesce to, or remain passive after having personal knowledge of criminal, fraudulent, malicious, dishonest, or intentional acts, this coverage extension makes the point that LW 00 01 will apply to such an insured.

Who is an Insured

The following are “insureds”:

A. Principal, officer, director, “employee”, principal shareholder or member in your employ, but only for “professional services” performed on your behalf;

B. Any lawyer who has retired from your employ, but only for “professional services” performed on your behalf;

C. Any lawyer retained as an of counsel, as an independent contractor or on a per diem basis by you, but only for “professional services” performed on your behalf;

D. Any other “employee” who has been, is now or becomes an “employee” of yours, but only for “professional services” performed on your behalf; and

E. The estates, heirs, executors, trustees, administrators and legal representatives of any “insured” in the event of the “insured's” death, incapacity, insolvency or bankruptcy, but only to the extent that the “insured” would otherwise be provided coverage under this policy.

Analysis

The who is an insured list includes current and retired principals, officers, directors, employees, or members of the named insured who are performing and have performed professional services (a defined term) for the named insured. Sometimes, a law firm will hire an outside counsel as an independent contractor or on a per diem basis, and if so, these lawyers are also considered insureds under this policy.

LW 00 01 also includes as insureds any employee who has been, is now, or becomes an employee of the named insured. So, current, former, and even future employees are insureds while performing professional services for the named insured. Note that this part of the who is an insured section of the policy does not require the person to be an attorney; the key point is that professional services, as defined, must be performed by the employee.

The estates, heirs, executors, trustees, administrators, and legal representatives of any deceased or insolvent or incapacitated insured will also be considered as an insured.

Limits of Insurance

A. Subject to the Aggregate Limit of Insurance, the Each Claim Limit is the most we will pay for all damages and “defense expenses” arising out of any one “claim”.

B. The Aggregate Limit Of Insurance shown in the Declarations and the provisions below set forth the most we will pay regardless of the number of:

1.  ”Insureds”;

2.  ”Claims” made or “suits” brought; or

3.  Persons, organizations or government agencies making “claims” or bringing “suits”.

C. The Aggregate Limit of Insurance is the most we will pay for the sum of:

1.  All damages; and

2.  All “defense expenses”

because of all “wrongful acts” to which this insurance applies.

The Limits of Insurance of this policy apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the “policy period” shown in the Declarations, unless the “policy period” is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance.

Analysis

LW 00 01 has an each claim limit and an aggregate limit of insurance cited in the declarations. The each claim limit if the most the insurer will pay for all damages and defense expenses arising out of any one claim. The aggregate limit is the most the insurer will pay in total regardless of the number of insureds or claims or lawsuits. This aggregate limit includes all damages and all defense expenses because of all wrongful acts to which the insurance applies.

Deductible

A. We will not pay for our share of damages and “defense expenses” until the amount of damages and “defense expenses” exceeds the Deductible shown in the Declarations. We will then pay the amount of damages and “defense expenses” in excess of the Deductible, up to the Limit of Insurance.

Example No. 1

Deductible: $5,000

Limit of Insurance (Each Claim): $1,000,000

Damages and “Defense Expenses”: $75,000

The Deductible will be subtracted from the amount of damages and “defense expenses” in calculating the amount payable:

$75,000 – $5,000 = $70,000 Amount Payable

Example No. 2

Deductible: $5,000

Limit of Insurance (Each Claim): $1,000,000

Damages and “Defense Expenses”: $1,200,000

The Deductible will be subtracted from the amount of damages and “defense expenses” ($1,200,000 – $5,000 = $1,195,000). Since the amount of the damages and “defense expenses” minus the Deductible exceeds the Limit of Insurance, the policy will pay the full (Each Claim) Limit of Insurance ($1,000,000).

B. The Deductible amount shown in the Declarations applies to all “claims” arising out of:

1.  The same “wrongful act”; or

2.  A series of incidents, circumstances or behaviors which arise from a common cause

     regardless of the number of “insureds” involved or the number of persons, organizations or government agencies making such “claims”.

C. We may pay any part or all of the deductible amount to effect settlement of any “claim” and, upon notification of the action taken, you shall promptly reimburse us for such part of the deductible amount as has been paid by us.

Analysis

The deductible for LW 00 01 is shown in the declarations. The policy pays after the amount of damages and defense expenses exceed the shown deductible. LW 00 01 offers two examples of how the deductible applies.

Note that the insurer may pay any part or all of the deductible amount to effect settlement of any claim. If this happens, the named insured is required to promptly reimburse the insurer for this payment.

Conditions

A. Bankruptcy

Bankruptcy or insolvency of the “insured” or of the “insured's” estate will not relieve us of our obligations under this policy.

B. Consent To Settle

We shall not settle a “claim” without your consent. Such consent must not be unreasonably withheld. If we recommend a settlement to you which is acceptable to the claimant, but to which you do not consent, the most we will pay as damages or defense in the event of any later settlement or judgment is the amount for which the “claim” could have been settled, to which you did not give consent, less any deductible.

C. Duties In The Event Of A Claim Or A Wrongful Act That May Result In A Claim

1.  If a “claim” is received by any “insured”, you must:

a.  Immediately record the specifics of the “claim” and the date received; and

b.  Notify us, in writing, as soon as practicable.

2.  You and any other involved “insured” must:

a.  Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the “claim”;

     b.  Authorize us to obtain records and other information;

     c.  Cooperate with us in the investigation or settlement of the “claim” or defense against the “suit”; and

     d.  Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the “insured” because of a “wrongful act” to which this insurance may also apply.

3.  No “insured” will, except at that “insured's” own cost, voluntarily make a payment, assume any obligation, or incur any expense without our written consent.

4.  If you become aware of conduct that gives rise to a “claim” or that could reasonably give rise to a “claim”, you must notify us, in writing, as soon as practicable. Such notice must provide:

     a.  A description of the “wrongful act”, including all relevant dates;

     b.  The names of the persons involved in the “wrongful act”, including names of the potential claimants;

     c.  Particulars as to the reasons for anticipating a “claim” which may result from such “wrongful act”;

     d.  The nature of the alleged or potential damages arising from such “wrongful act”; and

     e.  The circumstances by which the “insured” first became aware of the “wrongful act”.

D. Subrogation

With respect to any payments made under this policy on behalf of any “insured”, we shall be subrogated to the “insured's” rights of recovery to the extent of those payments. The “insured” shall execute all papers required and shall do everything necessary to secure and preserve such rights, including the execution of such documents necessary to enable us to bring “suit” in the “insured's” name.

Analysis

Three of these four conditions are standard for insurance policies: bankruptcy, duties in the event of a claim, and subrogation. The consent to settle condition, while not standard for most policies, is in keeping with most professional liability policies due to the fact that the insured is highly interested in any settlement of claims. That condition states that the insurer will not settle a claim without the consent of the named insured. This consent is not to be unreasonably withheld. And, if the insurer recommends a settlement to the named insured which the named insured does not consent to, the most the insurer will pay as damages or defense in the event of any later settlement or judgment is the amount for which the claim could have been settled. In other words, if the insured does not consent to the settlement that the insurer and the claimant agree to, and the claim or lawsuit continues and ends up in a higher settlement amount, the insured is going to have to pay the difference between the originally recommended amount and the final amount.

E. Other Insurance

1.  You may have other insurance subject to the same plan, terms, conditions and provisions as the insurance under this policy. If you do, we will pay our share of the “claim” resulting from a “wrongful act”. Our share is the proportion that the applicable Limit of Insurance under this policy bears to the Limits of Insurance of all insurance covering on the same basis.

2.  If there is other insurance covering the same “wrongful act”, other than that described in Paragraph 1. above, we will pay only for the amount of the “claim” resulting from that “wrongful act” in excess of the amount due from that other insurance, whether you can collect on it or not. But we will not pay more than the applicable Limit of Insurance.

F. Assignment

No change in, modification of, or assignment of interest under this policy will be effective without our written consent.

G. Legal Action Against Us

No person or organization has a right under this policy:

1.  To join us as a party or otherwise bring us into a “suit” asking for damages from an “insured”; or

2.  To sue us on this policy unless all of its terms have been fully complied with.

A person or organization may sue us to recover on an agreed settlement or on a final judgment against an “insured” obtained after an actual trial, but we will not be liable for damages that are not payable under the terms of this policy or that are in excess of the applicable Limit of Insurance. An agreed settlement means a settlement and release of liability signed by us, the “insured” and the claimant or the claimant's legal representative.

We will also not be liable for the “insured's” share of any payment due because of a settlement or judgment for which the “insured” is responsible under Section V, Deductible.

H. Representations

By accepting this policy, of which the “application” is a part, you agree that:

1.  The statements in the Declarations and “application” are accurate and complete;

2.  Those statements are based upon representations you made to us; and

3.  We have issued this policy in reliance upon your representations.

I. Separation Of Insureds

Except with respect to the Limit of Insurance, the Deductible, and any rights or duties specifically assigned in this policy to the “named insured”, this insurance applies:

1.  As if each “insured” were the only “named insured”; and

2.  Separately to each “insured” against whom “claim” is made.

J. If You Are Permitted To Select Outside Defense Counsel

If, by mutual agreement or court order, the “insured” is given the right to select defense counsel and the Limits of Insurance have not been used up, the following provisions apply:

1.  We retain the right, at our discretion, to:

a.  Settle, or approve or disapprove the settlement of, any “claim”; and

b.  Appeal any judgment, award or ruling at our expense.

2.  You and any other involved “insured” must:

a.  Continue to comply with Paragraph C. Duties In The Event Of A Claim Or A Wrongful Act That May Result In A Claim under this section as well as the other provisions of this policy; and

b.  Direct defense counsel of the “insured” to:

(1) Furnish us with the information we may request to evaluate those “claims” or “suits” for coverage or damages under this policy; and

(2) Cooperate with any counsel we may select to monitor or associate in the defense of those “claims” or “suits”.

3. If we defend you under a reservation of rights, both your and our counsel will be required to maintain and provide records pertinent to your “defense expenses”. These records will be used to determine the allocation of any “defense expenses” for which you may be solely responsible, including defense of an allegation not covered by this insurance.

The right to select defense counsel does not include the right to select any “insured” as defense counsel.

Analysis

The other insurance clause states that, if the insured has other similar insurance, LW 00 01 will only pay its pro rata share of the claim. If the insured has other insurance that is not similar, LW 00 01 will pay on an excess basis, whether or not the insured can collect on that other insurance.

The assignment clause is worded so that no change in, modification of, or assignment of interest is effective without the written consent of the insurer. This is not a contradiction of clause E. in the who is an insured section of the policy since, under that clause, the insurer has already given its written consent for an assignment of interest to estates, heirs, and other legal representatives in the event of the insured's death.

The legal action against us condition, the representations condition, and the separation of insureds condition are standard.

The condition pertaining to selection of outside defense counsel comes into effect if, by mutual agreement or by court order, the insured is given the right to select defense counsel and if the limits of insurance have not been used up. If this happens, the insurer retains to itself the right to settle or approve or disapprove the settlement of any claim, and appeal any judgment or ruling; the insurer will do this at its own expense. Also, even if the insured is permitted to select outside defense counsel, the insured must still continue to comply with the duties in the event of a claim condition. Moreover, the insured must direct its outside defense counsel to furnish the insurer with information requested in order to evaluate claims or lawsuits for coverage, and to cooperate with any counsel the insurer selects to monitor or associate in the defense. This way, the insurer intends to protect itself from a settlement being made through the outside defense counsel that neglects or impinges upon the interests of the insurer.

The third section of this condition pertains to defense expenses. If the insurer defends under a reservation of rights, and the insurer and the insured thus have separate counsels, both counsels have to maintain and provide records pertinent to defense expenses. This way, allocation of defense expenses can be made between those paid by LW 00 01 and those that the insured has to pay.

The final part of this condition states that the right to select defense counsel does not include the right to select any insured as defense counsel. The insured is permitted to select outside defense counsel, and this section of the condition emphasizes that.

K. Changes In Exposure

1.  Change In Number Of Attorneys

     If during the “policy period”:

a.  The total number of attorneys who perform “professional services” on behalf of the “named insured” changes; or

b.  The “named insured” acquires any organization by merger into or consolidation with the “named insured”;

     the “named insured”, as a condition precedent to coverage for any new “insured”, must give written notice of such acquisition or change to us as soon as practicable, but in no event more than 90 days after the effective date of such acquisition or change, together with such information that we may require. You must pay any adjusted premium we require as a result of such acquisition or change. We will pay any refund due.

2. Acquisition Of Named Insured

     If during the “policy period” the “named insured” merges into, consolidates with or acquires another organization, such that the “named insured” is not the surviving entity, then coverage under this policy will continue until the end of the “policy period”, but only with respect to “claims” arising out of “wrongful acts” which occurred prior to such merger, consolidation or acquisition.

     The full annual premium for the “policy period” will be deemed fully earned immediately upon the occurrence of such merger, consolidation or acquisition of the “named insured”.

     The “named insured” must give written notice of such merger, consolidation or acquisition to us as soon as practicable, together with such information as we may reasonably require.

L. Cancellation

1.  The first “named insured” shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation.

2.  We may cancel this policy by mailing or delivering to the first “named insured” written notice of cancellation at least:

a.  10 days before the effective date of cancellation if we cancel for nonpayment of premium; or

b.  60 days before the effective date of cancellation if we cancel for any other reason.

3.  We will mail or deliver our notice to the first “named insured's” last mailing address known to us.

4.  Notice of cancellation will state the effective date of cancellation. The “policy period” will end on that date.

5.  If this policy is cancelled, we will send the first “named insured” any premium refund due. If we cancel, the refund will be pro rata. If the first “named insured” cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund.

6.  If notice is mailed, proof of mailing will be sufficient proof of notice.

M. When We Do Not Renew

If we decide not to renew this policy, we will mail or deliver to the first “named insured” shown in the Declarations written notice of the nonrenewal at least 30 days before the end of the “policy period”, or earlier if required by the state law or regulation controlling the application of this policy. If notice is mailed, proof of mailing will be sufficient proof of notice.

N. Changes

This policy and “application” contain all the agreements between you and us concerning the insurance afforded. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy.

O. Premiums

The first “named insured” shown in the Declarations:

1.  Is responsible for the payment of all premiums; and

2.  Will be the payee for any return premiums we pay.

P. Premium Audit

1.  We will compute all premiums for this policy in accordance with our rules and rates.

2.  This policy is auditable only if shown as auditable in the Declarations. If auditable, we may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward.

3.  Premium shown in this policy as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first “named insured”. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the “policy period” is greater than the earned premium, we will return the excess to the first “named insured”.

4.  The first “named insured” must keep records of the information we need for premium computation, and send us copies at such times as we may request.

Analysis

If during the policy period, the total number of attorneys working for the named insured changes, the named insured must give written notice to the insurer. This is also the case if the named insured acquires any organization by merger or consolidation. The named insured has up to 90 days after the effective date of the change to notify the insurer, although the insurer would like to be notified as soon as practicable. If the change results in additional premium, the insured must pay, and if the change results in a lower premium, the insurer will make a refund to the insured.

If the named insured is acquired by another entity such that the named insured no longer exists as a separate entity, the coverage under LW 00 01 continues until the end of the policy period, but only with respect to claims for wrongful acts that occurred prior to the acquisition. And since the coverage lasts until the end of the policy period, the full annual premium for the policy period is deemed to be fully earned, that is, no refunds to the named insured's new organization.

The cancellation and nonrenewal conditions are standard. If the insurer cancels the policy for nonpayment of premium, 10 days notice must be given to the first named insured; the notice period is 60 days if the cancellation is for any other reason. If the insurer decides not to renew the policy, it must mail or deliver to the first named insured shown in the declarations written notice at least 30 days before the end of the policy period.

As for the premium audit, the policy is auditable only if shown as auditable in the declarations. The insurer can examine and audit the named insured's books and records as they relate to LW 00 01 for up to three years after the end of the policy period.

Extended Reporting Period

A. This policy provides a Basic Extended Reporting Period without an additional charge. This Basic Extended Reporting Period starts with the end of the “policy period” and lasts for 60 days. The Basic Extended Reporting Period will be provided if:

1.  This policy is cancelled or not renewed; or

2.  We renew or replace this policy with insurance that has a Retroactive Date later than the date shown in the Declarations of this policy. The Basic Extended Reporting Period does not reinstate or increase the Aggregate Limit of Insurance.

The Basic Extended Reporting Period does not apply to “claims” that are covered under any subsequent insurance you purchase, or that would be covered but for exhaustion of the amount of insurance applicable to such “claims”.

B. An Additional Extended Reporting Period is available from us if:

1.  This policy is cancelled or not renewed for any reason, except for the following reasons:

a.  Failure to comply with the terms and provisions of this policy;

b.  Failure to cooperate with us;

c.  Fraud, concealment or material misrepresentation of facts in any “application” for this policy or any renewal policy for this insurance;

d.  Nonpayment of any applicable deductible; or

e.  Nonpayment of premium; or

2.  We renew or replace this policy with insurance that:

a.  Has a Retroactive Date later than the date shown in the Declarations of this policy; or

b.  Does not apply to “wrongful acts” on a claims-made basis.

C. The Extended Reporting Periods do not extend the “policy period” or change the scope of coverage provided. They apply only to “claims” to which the following applies:

1.  The “claim” is first made during the Extended Reporting Period;

2.  The “wrongful act” occurs before the end of the “policy period”; and

3.  The “wrongful act” did not commence before the Retroactive Date, if any.

D. The Additional Extended Reporting Period lasts for three years and is available by endorsement and for an additional premium.

This Additional Extended Reporting Period starts when the Basic Extended Reporting Period, set forth in Paragraph A. above, ends.

E. We will determine the additional premium for the Additional Extended Reporting Period in accordance with our rules and rates. In doing so, we may take into account the following:

1.  The exposures insured;

2.  Previous types and amounts of insurance;

3.  Aggregate Limit of Insurance available under this policy for future payment of damages; and

4.  Other related factors.

The additional premium will not exceed 200% of the annual premium for this policy.

F. In order to obtain the Additional Extended Reporting Period, you must give us a written request for the Additional Extended Reporting Period Endorsement together with the full payment of the additional premium for the Additional Extended Reporting Period Endorsement and any premium or deductible you owe us for coverage provided under this policy within 60 days after the end of the “policy period”. Once in effect, Additional Extended Reporting Periods may not be cancelled.

G. There is no separate or additional Aggregate Limit of Insurance for the Additional Extended Reporting Period. The Aggregate Limit of Insurance available during the Additional Extended Reporting Period, if purchased, shall be the remaining amount, if any, of the Aggregate Limit of Insurance available at the time this policy was cancelled or nonrenewed.

Analysis

LW 00 01 is a claims-made policy and this section of the policy details the extended reporting period information that accompanies standard claims-made policies.

The basic extended reporting period is given to the insured at no additional charge. It starts with the end of the policy period and lasts for 60 days. This reporting period does not apply to claims that are covered under any subsequent insurance purchased by the named insured; such claims are to be covered by that subsequent insurance. Also, if the claims under the current policy have exhausted the applicable amount of insurance, the basic extended reporting period does not apply to any other claims arising from the wrongful acts of the insured.

An additional extended reporting period is available from the insurer for an additional premium (not to exceed 200percent of the annual premium for LW 00 01) and lasts for three years. This reporting period starts when the basic extended reporting period ends. The named insured must request this additional extended reporting period in writing and must pay the full additional premium up front. Once in effect, the additional extended reporting period cannot be cancelled.

As is usual with extended reporting periods in claims-made policies, the reporting periods do not extend the policy period itself or change the scope of the coverage or furnish any additional aggregate limit of insurance. And, the reporting periods apply only to claims that are first made during the extended reporting period, and to wrongful acts that occur before the end of the policy period and not before the retroactive date (if any).

Definitions

A. “Advertisement” means a notice that is broadcast or published to the general public or specific market segments about your products or services for the purpose of attracting customers or supporters. For the purposes of this definition:

1.  Notices that are published include material placed on the Internet or on similar electronic means of communication; and

2.  Regarding web sites, only that part of a web site that is about your products or services for the purposes of attracting customers or supporters is considered an advertisement.

B. “Application” means all signed applications for this policy, including any attachments, addenda and other materials submitted in conjunction with the signed application(s).

C. “Bodily injury” means bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time. It also includes mental injury, mental anguish, mental tension, emotional distress, pain or suffering or shock sustained by any person whether or not resulting from injury to the body, sickness, disease or death of any person.

D. “Claim” means:

1.  A written demand for monetary damages or non-monetary relief;

2.  A civil proceeding commenced by the service of a complaint or similar pleading; or

3.  A formal administrative or regulatory proceeding commenced by the filing of a notice of charges, formal investigative order or similar document

against any “insured” for a “wrongful act”, including any associated appeal.

A “claim” also includes a written request received by an “insured” to enter into a “tolling agreement” in connection with the rendering of or failure to render “professional services”.

E. “Coverage territory” means:

1.  The United States of America (including its territories or possessions), Puerto Rico and Canada ; or

2.  All parts of the world if the “insured's” responsibility to pay damages is determined in a “suit” on the merits brought in the territory described in preceding Paragraph E.1. or in a settlement we agree to.

F. “Defense expenses” means payments allocated to a specific “claim” we investigate, settle or defend, for its investigation, settlement or defense, including:

1.  Fees and salaries of attorneys and paralegals we retain.

2.  Fees of attorneys the “insured” retains when, by our mutual agreement or court order (or when required by administrative hearing or proceeding), the “insured” is given the right to retain defense counsel to defend against a “claim”.

3.  All other litigation or administrative hearing expenses, including fees or expenses incurred in connection with an appeal or expert witnesses hired either by us or by the defense attorney retained by an “insured”.

4.  Costs taxed against the “insured” in the “suit”.

5.  Costs of subpoenas.

     Defense expenses” does not include salaries and expenses of our “employees” or the “insured's” “employees” in their capacity as “insureds”.

G. “Discrimination” means violation of a person's civil rights with respect to such person's race, color, national origin, religion, gender, marital status, age, sexual orientation or preference, physical or mental condition, or any other protected class or characteristic established by any federal, state or local statutes, rules or regulations.

Analysis

An advertisement is defined as a notice that is broadcast or published to the general public or specific markets segments about the named insured's products or services for the purpose of attracting customers or supporters. A key point in this definition is that the notice has to be broadcast or published to the general public or a specific market; a brief note to a small group or to a few friends or associates is not an advertisement as defined. Also, the main idea behind the advertisement has to pertain to the named insured's products or services so as to attract customers.

An application under this policy has to be signed and can include attachments and other materials.

The definition of bodily injury is extended in LW 00 01 beyond that of the normal liability policy. Under LW 00 01, bodily injury includes mental injury, mental anguish, mental tension, emotional distress, pain or suffering or shock, whether or not this results from injury to the body. So, there is no requirement that an actual physical injury to the body occur first with a then resulting mental injury in order for mental injury or anguish to be considered a covered bodily injury under this policy.

A claim is a written demand for monetary damages or non-monetary relief, a civil complaint or a formal administrative or regulatory proceeding against any insured for a wrongful act. A claim also includes a written request received by an insured to enter into a tolling agreement (a defined term) in connection with the rendering of or failure to render professional services.

The coverage territory is standard: United States, Puerto Rico, and Canada , and all parts of the world if the insured's responsibility to pay damages is determined in a lawsuit brought in one of these preceding territories.

Defense expenses are simply what the insurer spends to defend the insured: the fees of the attorneys and paralegals, litigation or administrative hearing expenses, appeal costs, expert witness fees, and costs taxed against the insured in a lawsuit. The cost of subpoenas is also included as a defense expense.

Discrimination means a violation of a person's civil rights with respect to any protected class or characteristic established by any federal, state, or local statutes, rules, or regulations. This includes sexual orientation or preference in addition to the standard things like race, color, national origin, religion, and gender.

H. “Employee” includes a “leased worker” and a “temporary worker” but does not include an independent contractor.

I. “Fungi” means any type or form of fungus, including mold or mildew and any mycotoxins, spores, scents or by-products produced or released by fungi.

J. “Insured” means any person or organization qualifying as an insured in Section III, Who Is An Insured of this policy. Except with respect to the Limit of Insurance and the Deductible, the coverage afforded applies separately to each insured who is seeking coverage or against whom a “claim” or “suit” is brought.

K. “Interrelated wrongful act” means all causally connected “wrongful acts” arising out of the same or substantially the same facts, circumstances or allegations which are the subject of or the basis for any “claim” or “suit”.

L. “Leased worker” means a person leased to you by a labor leasing firm under an agreement between you and the labor leasing firm, to perform duties related to the conduct of your business. “Leased worker” does not include a “temporary worker”.

M. “Named insured” means the individual or entity listed in the Declarations as the Named Insured.

N. “Personal and advertising injury” means injury, including consequential “bodily injury”, arising out of one or more of the following offenses:

1.  False arrest, detention or imprisonment;

2.  Malicious prosecution;

3.  The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room, dwelling or premises that a person or an organization occupies;

4.  Oral or written publication, in any manner, of material that slanders or libels a person or organization or disparages a person's or organization's products or services;

5.  Oral or written publication, in any manner, of material that violates a person's right of privacy;

6.  Plagiarism or the use of another's advertising idea in your “advertisement”; or

7.  Infringing upon another's copyright, trade dress or slogan in your “advertisement”.

Analysis

The definitions found in this part of LW 00 01 are ones that are found in standard liability polices. An employee is defined as including leased workers and temporary workers but not independent contractors. Fungi means any type of fungus or mold or mildew. The insured, the named insured, and personal and advertising injury are defined as usual. However, one item does stand out in this section of the definitions: interrelated wrongful act.

An interrelated wrongful act means all causally connected wrongful acts arising out of the same or substantially the same facts, circumstance, or allegations that are the subject of or the basis of any claim or lawsuit. This relates to the limits of insurance and the deductible information so as to clarify just how many wrongful acts are to be included in one claim against the insured; this is similar to the one occurrence versus multiple occurrences dispute that can arise under general liability policy claims.

O. “Policy period” means the period of time from the inception date of this policy shown in the Declarations to the expiration date shown in the Declarations, or its earlier cancellation or termination date.

P. “Pollutants” means any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed.

Q. “Predecessor firm” means any entity engaged in “professional services” that is designated in the “application” as a Predecessor Firm, and to whose financial assets and liabilities the “named insured” is the majority successor in interest.

R. “Professional services” means services rendered by an “insured” as an attorney, arbitrator, mediator, title agent, notary public, administrator, conservator, receiver, executor, guardian or trustee or in any other fiduciary capacity, provided such services, for which the insured is licensed, are rendered in connection with the “named insured's” practice of law.

S. “Property damage” means:

1.  Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it;

2.  Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the occurrence that caused it. For the purposes of this definition, occurrence means an accident, including continuous or repeated exposure to substantially the same general harmful conditions; or

3.  Loss of or damage to electronic data. For the purposes of this definition, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD-ROMs, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment.

T. “Suit” means a civil proceeding in which damages because of a “wrongful act” to which this insurance applies are alleged, including:

1.  An arbitration proceeding in which such damages are claimed and to which the “insured” must submit or does submit with our consent;

2.  Any other alternative dispute resolution proceeding in which such damages are claimed and to which the “insured” submits with our consent; or

3.  Any administrative proceeding or hearing conducted by a governmental agency (federal, state or local) having the proper legal authority over the matter in which such damages are claimed.

U. “Temporary worker” means a person who is furnished to you to substitute for a permanent “employee” on leave or to meet seasonal or short-term workload conditions.

V. “Tolling agreement” means an agreement to suspend the running of the statute of limitations period for a cause of action.

W.  ”Wrongful act” means any actual or alleged act, error or omission committed or allegedly committed by an “insured” which arises out of the rendering of or failure to render “professional services” and which resulted in actual or alleged damages.

Analysis

The definitions of policy period and pollutants are standard.

A predecessor firm has to be designated in the application as such and the definition requires that the named insured be the majority successor in interest of the predecessor firm's financial assets and liabilities.

LW 00 01 applies to insureds that perform professional services. This term includes services rendered by an insured as an attorney, arbitrator, mediator, title agent, notary public, administrator, conservator, receiver, executor, guardian, trustee, or any other fiduciary capacity—all services that an attorney can perform. In fact, the definition goes on to states that these varied services have to be rendered in connection with the named insured's practice of law.

The definition of property damage in LW 00 01 contains the usual language but then adds this: loss of or damage to electronic data. Standard general liability policies do not consider damage to electronic data to be part of property damage since the emphasis in those policies is on tangible property.

A suit is a lawsuit, an arbitration proceeding, any other alternative dispute resolution proceeding, and any administrative proceeding or hearing conducted by a governmental agency having the proper legal authority over the matter in which such damages are claimed. This would include, for example, a claim against the insured before the state supreme court or state bar association for a wrongful act.

A tolling agreement is a legal phrase that means an agreement to suspend the running of the statute of limitations period for a cause of action. States have designated statutes of limitations—that is, certain time periods—for civil complaints so that a complaint/lawsuit has to be filed within the designated time period, for example two years or six years, or else the complaining party waives its right to sue. A tolling agreement means that the parties to the complaint agree to suspend the running of the statute so that the countdown of the designated time period stops.

A wrongful act by the insured is the basis of the insuring agreement for LW 00 01. This term means any actual or alleged error or omission committed or allegedly committed by an insured. This error or omission must arise out of the rendering of or failure to render professional services (as defined) and must result in actual or alleged damages.