Construction risk transfer is an inherently fluid process. It is a constant
dance of identifying and refining goals and creating more precise trade
contract and insurance policy language to most accurately match those goals.
"Priority of coverage"—the debate over horizontal and vertical
exhaustion where multiple policies are triggered—is one particular area that
has been subject to close scrutiny in recent years, and it looks as though the
next evolution of that discussion has arrived.
Acknowledgment
The author would like to acknowledge and thank
coauthor H. Scott Williams, Esq. for his contributions to this
commentary.
The goal of a traditional risk transfer scheme1
is for risk to be borne by those closest to the construction work who are best
able to control the work and mitigate risk from the onset—most commonly
downstream parties. More precisely, downstream parties' insurance is
generally intended to provide cover before upstream insurance. Horizontal
exhaustion case law upended those expectations, to a degree, by dictating that
upstream parties' insurance be treated as co-primary. In response,
contractors placed an increased emphasis on trade contract and insurance policy
language, requiring that lower-tier contractors' insurance pay on a primary
and noncontributory basis.
While this approach has become the standard, it has not always lead to
consistency in results. Rather, aggressive case law in certain jurisdictions
(e.g., New York) and inconsistency of middle-market insurance products often
subvert this goal. And in certain scenarios, typical primary/noncontributory
language can have too limited a reach—addressing the upstream/downstream
obligations between only two entities (e.g., the general contractor and
subcontractor). It does not always solve the priority problem when two
different-tier entities owe additional insured coverage to a third party (e.g.,
the general contractor and the subcontractor both owing insurance to the
owner/developer).
Ultimately, this often leaves upstream parties without the intended
additional insured coverage and, because of stringent anti-indemnity laws,
little in the way of viable recourse against the downstream party or its
insurance.
Who's in Control?
Part of the problem involves control. Upstream parties have little ability
to ensure that the insurance specifications in the trade contract will actually
bear out in a downstream parties' insurance program. So part of the
solution has to involve control. In addressing the interplay between various
responding insurance policies, the most effective solutions come from making
adjustments to those materials most directly governing the insurance
obligations (the insurance policies, not the trade contract) over which the
upstream has the ability to directly influence—namely, its own program.
That is where the horizontal exhaustion debate has lead today. In light of
the
routine failings, particularly as respects priority when insurance is owed
to a third party such as the owner/developer, upstream risk managers and
insurance professionals have begun developing alternative solutions that focus
on their own program.
HDI-Gerling v. Zurich
One such endorsement was recently the subject of litigation in New York,
with interesting results.
On April 16, 2015, a New York trial court issued HDI-Gerling Am. Ins.
Co. v. Zurich Am. Ins. Co., 2015 N.Y. Misc. LEXIS 1851 (N.Y. Sup. Ct.
2015).2 This case involved a priority of coverage
dispute between two insurers of downstream parties that each agreed to name the
City of New York (the "City") as an additional insured, but with one
notable exception: the parties competing over insurance priority were not in
contractual privity with one another.
Thus far, this article has discussed the dynamic between parties that
negotiate and contract with one another (or at least operate in the same
contractual chain) regarding insurance priority. HDI-Gerling involves
parties that separately contracted with the owner to provide the owner with
additional insured coverage and the outcome when both of their corporate
programs were implicated by a loss. The distinction is not inconsequential and
highlights important considerations about the evolution of corporate risk
transfer.
In HDI-Gerling, Skanska USA Civil Northeast and Siemens Corp. were
each independently hired by the City to perform work on the construction of a
water treatment facility in the Bronx, New York. Skanska and Siemens entered
into separate contracts with the City. The contracts had identical insurance
provisions, requiring that each party agree to procure commercial general
liability (CGL) insurance and add the City as an additional insured under
its insurance policy on a primary and noncontributory basis to the City's
own insurance. Siemens purchased its policy from HDI-Gerling America
Insurance (HGA), and Skanska purchased its policy from Zurich American
Insurance. Skanska's policy included a unique manuscript endorsement
designed to more precisely address the priority of coverage afforded to
additional insureds (the "Skanska Endorsement"), as follows.
Section IV. Commercial General Liability Condition, 4. Other
Insurance is amended per the following:
- The following paragraph is added under a. Primary
Insurance:
This insurance is primary insurance as respects our coverage to an
additional insured person or organization, where the written contract or
written agreement requires that this insurance be primary and
non-contributory. In that event, we will not seek contribution from any
other insurance policy available to the additional insured on which the
additional insured person or organization is a Named Insured.
- The following paragraph is added under b. Excess
Insurance:
This insurance is excess over:
Any of the other insurance whether primary, excess, contingent or on
any other basis, available to an additional insured, in which the
additional insured on our policy is also covered as an additional insured
by attachment of an endorsement to another policy providing coverage for
the same "occurrence," claim or "suit." This
provision does not apply to any policy in which the additional insured is
a Named Insured on such other policy and where our policy is required by
written contract or written agreement to provide coverage to the
additional insured on a primary and non-contributory basis.
In short, the Skanska Endorsement provided that where an additional insured
on the Zurich policy, such as the City, was also an additional insured on
another policy, the Zurich policy would be excess to that other insurance
policy. At the same time, the Skanska Endorsement made clear that the Zurich
policy would be primary to the City's own insurance in order to satisfy
Skanska's own contractual obligation to have its (Skanska's) insurance
pay before the City's program. The HGA policy contained no
primary/noncontributory language comparable to the Skanska Endorsement.
In the priority of coverage dispute, HGA argued that both the Zurich and HGA
policies were co-primary and, therefore, were required to contribute to the
loss on a pro-rata basis. Alternatively, Skanska and Zurich argued that, per
the Skanska Endorsement, the Zurich policy was excess over any other additional
insured coverage available to the City. The court agreed with Skanska.
Based on the Skanska Endorsement, the court found that the Zurich policy was
excess over the HGA policy and that the HGA policy, by its own terms, required
that it provide primary coverage without sharing with other insurance. The
court also agreed that the Skanska Endorsement created an exception to
co-primary insurance coverage for instances where the written contract required
the insurance to be primary and noncontributory, as the contract between
Skanska and the City did.
Though not a part of the court's discussion, it seems likely that the
case would have resolved differently if Siemens used a comparable endorsement
on its policy. In that situation, the "other insurance" clauses would
cancel each other out and applicable common law would have the two programs
share on a pro-rated basis.
Overall, there are a few key takeaways from the court's ruling. First,
it reinforces that these types of modifications are becoming more prevalent in
the market, and contractors who regularly confront additional insured issues
should be planning accordingly. That may mean incorporating a similar measure
into one's own program or understanding the impact when contracting with
other entities already doing so and making appropriate adjustments. A word
of caution on this point: simply adding this or comparable language to a
program without consideration of the many resulting implications can be
problematic. Careful consultation among risk management, the broker, and
coverage counsel is critical to ensuring appropriate application.
Second, creative problem solving actually works! In this situation, the
manuscript endorsement at issue represents an effort to craft new insurance
policy language to address a concern and better reflect the risk transfer
intent of the parties. And the court interpreted the language exactly as
intended.3