When an Occurrence Is Not an Occurrence: Faulty Construction Is Not an
"Occurrence"
December 2011
Kentucky law holds that faulty
construction does not fit within the definition of "occurrence" in a
commercial general liability (CGL) insurance policy.
by Barry
Zalma
Barry Zalma Inc.
When a contractor was sued by the owner of a home it built, it sought
defense and indemnity from its CGL insurer because the negligence was that
of a subcontractor. The CGL insurer refused to defend, and the contractor
sued in U.S. District Court in McBride & McBride
Constr., LLC v. Acuity, A Mutual Ins. Co., No. 5:10–CV–173 (W.D. Ky.
Dec. 8, 2011). Acuity moved for summary judgment, claiming, among other
things, the lack of fortuity, the unwritten exclusion in all insurance
policies.
Background
In September 2005, McBride contracted with Gary and Holly Holder for the
purchase and sale of a house located in McCracken County, Kentucky. McBride
constructed the house. During the course of construction, McBride
subcontracted with Jimmy Smith Concrete to lay the footer and basement for
the property. After taking possession of the property, the Holders
experienced several issues related to the differential settlement of the
house.
The Holders sued McBride and Jimmy Smith Concrete in McCracken Circuit
Court. In the Holders' state court complaint, they alleged that "the
property had been constructed in a deficient and substandard manner." The
Holders asserted that McBride breached the contract when it "sold the
property to plaintiffs with knowledge of numerous construction defects that
did, in fact, materially impair the fitness of the property for use as a
residence." The Holders further asserted violations of the Kentucky Building
Code, negligence, breach of the implied warranty of habitability, and fraud.
At the time the complaint was filed, Acuity insured McBride under a CGL
policy. McBride demanded a defense under the policy. Acuity denied coverage
for the Holders' claims and declined to defend McBride in the state court
action. McBride appealed.
The Policy
The CGL policy contained a provision stating that the insurance applies
to bodily injury and property damage only if caused by an occurrence taking
place during the policy period. An accident is defined as "including
continuous or repeated exposure to substantially the same general harmful
conditions."
What Is an Occurrence?
In its motion for summary judgment, Acuity maintained that the faulty
workmanship alleged in the Holders' complaint was not an "occurrence" and
therefore not covered under the CGL policy. McBride contended that
consequential property damage to other nondefective portions of the work
resulting from the faulty workmanship of a subcontractor did constitute an
occurrence.
Under Kentucky law, like almost every state, an insurer's duty to defend
its insured is broader than its duty to indemnify. In this case, Acuity
refused to defend McBride in the underlying state court action, arguing that
the Kentucky Supreme Court's decision in Cincinnati
Ins. Co. v. Motorist Mut. Ins. Co., 306 S.W.3d 69 (Ky. 2010),
mandated a conclusion that the Holders' claim of faulty workmanship did not
constitute an occurrence. McBride argued that, despite the court's holding
in Cincinnati Ins., consequential property
damage to other nondefective portions of the work resulting from the faulty
workmanship of a subcontractor did constitute an occurrence; therefore,
coverage was owed for at least a portion of the claims asserted against it
in the underlying state court action.
Duty To Indemnify
The Kentucky Supreme Court, in Cincinnati Ins.,
addressed the issue of whether a claim of defective construction against a
home builder constitutes an occurrence under a CGL policy. The Kentucky
Supreme Court ultimately found that the faulty workmanship claim was not
covered by the CGL policy because faulty workmanship does not constitute an
occurrence.
Essential to a determination of what constitutes an accident is the issue
of control encompassed in the doctrine of fortuity. A fortuitous event is
one that is beyond the power of any human being to bring to pass or is
within the control of third persons. This conclusion ensures that ultimate
liability falls to the person who performed the negligent work instead of
the insurer. 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.
The Kentucky Supreme Court's decision controlled, holding that faulty
workmanship on its own is not an "occurrence" under a CGL policy. The policy
can never afford coverage to McBride for the claims of the Holders if there
were no fortuitous event. The fact that the work on the foundation was
performed by a subcontractor of McBride may not change the conclusion.
It appears as if a general rule exists whereby a CGL policy would apply
if the faulty workmanship caused bodily injury or property damage to
something other than the insured's allegedly faulty work product. In other
words, although a CGL policy does not provide coverage for faulty
workmanship that damages only the resulting work product, the policy does
provide coverage if the faulty workmanship causes bodily injury or property
damage to something other than the insured's work product.
Unfortunately for McBride, the facts of the case did not present a claim
that would fall within such a rule because the alleged damage caused by the
subcontractor was to McBride's work product and not to another's property.
For the foregoing reasons, the court held that McBride was not entitled
to a defense because the faulty workmanship alleged by the Holders was not
an occurrence under the CGL policy issued by Acuity.
The Subcontractor Exception
The Kentucky court noted in a footnote a general rule that did not apply
to the McBride case, that courts of other
states have found a "subcontractor exception" despite the majority rule that
faulty workmanship is not an "occurrence" under the standard CGL policy.
These courts conclude that CGL policies do provide coverage for property
damage to the contractor's nondefective work caused by a subcontractor's
faulty work. See:
- French v. Assurance Co. of Am.,
448 F.3d 693 (4th Cir. 2006) (applying Maryland law)
- Greystone Constr., Inc. v.
National Fire & Marine Ins. Co., 2011 U.S. App. LEXIS
22053 (10th Cir. 2011) (applying Colorado law)
- Crossman Cmtys. of N.C., Inc. v.
Beazer Homes Inv. Corp., 2011 S.C. LEXIS 277 (Aug.
22, 2011)
- Lee Builders, Inc. v. Farm
Bureau Mut. Ins. Co., 104 P.3d 997 (Kan. 2005)
- American Family Mut. Ins. Co. v.
American Girl, Inc., 673 N.W.2d 65 (Wis. 2004)
The South Carolina Supreme Court came to this conclusion by determining
that the expansion of the definition of "occurrence" to include "continuous
or repeated exposure to the substantially the same general harmful
conditions" created an ambiguity that must be construed against the insurer.
Crossman Cmtys., 2011 S.C. LEXIS, at *10.
Other courts have found a subcontractor exception by determining that the
"your work" exclusion would be meaningless if damage to a contractor's
nondefective work product were not covered in the first place.
French, 448 F.3d, at 705–06;
Lee Builders, 104 P.3d, at 1005;
Greystone Constr., 2011 U.S. App. LEXIS 22053
at *13.
The "your work" exclusion in CGL policies excludes coverage for property
damage to "your work" or to "work performed by you." However, the exclusion
generally does not apply "if the damaged work or the work out of which the
damage arises was performed on your behalf by a subcontractor."
Conclusion
Insurance under a CGL insurance policy for people in the construction
business is often difficult, and the interpretation of the policies is
harder than the interpretation of most policies because of the situations
that bring about litigation against builders. In this case, although the
court recognized the subcontractor exception, it found that it did not apply
because the damage caused by the defect only applied to the work of the
general contractor.
To find coverage for McBride, the plaintiffs needed to allege or prove
that the defects caused bodily injury to them or property damage to
something other than the work.
© 2011 Barry Zalma, Esq., CFE
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