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Law Talk - ADDITIONAL INSURED COVERAGE
By Sam K. Abdulaziz
Attorney at Law
In Vitton Insurance Company, Inc. v. Pacific
Insurance Company, the California Court of Appeal explained additional insured
coverage. The court decided that under the particular policy being reviewed, the
general contractor was entitled to coverage as an additional insured under the
subcontractor’s umbrella insurance policy. This will all be explained below.
Vitton Construction Company (“Vitton”) was the general contractor on a project
to build a warehouse. Vitton entered into a subcontract agreement with Pacific
Erectors, Inc. (“Pacific”). The subcontract included “cutting and installing of
roof opening frames.” The subcontract required Pacific to carry general
liability insurance covering all operations by, or on behalf of Pacific. The
subcontract also required that the general liability policy obtained by Pacific
would name Vitton (the general contractor) and the project owner as additional
insureds.
CNA issued the commercial general liability policy. The policy contained a
“Blanket Additional Insured” approval. It included as additional insureds, any
person or organization Pacific was contractually obligated to add as an
additional insured. This provided that “such party would only be considered an
additional insured with respect to liability arising out of … [Pacific’s] work
for that additional insured by or for [Pacific].” Vitton and the project’s owner
were specifically named as additional insureds, with respect to liability
arising out of” Pacific’s work on the warehouse.
In addition, Pacific also purchased an “umbrella policy” from Pacific Insurance.
This policy had a $5 million dollar per occurrence limit. Pacific Insurance
agreed to pay for damages, if Pacific (the subcontractor) became liable to pay
after the limits of the underlying policy (CNA) were used up. The parties who
were covered as additional insureds under the umbrella policy were those same
parties covered under the underlying (CNA) insurance policy.
Pacific, the subcontractor, laid decking for the roof structure on the warehouse
and cut holes in the decking for skylights and HVAC equipment. That equipment
was to be installed by another contractor who was not an additional insured on
any of the policies. When Pacific completed its work and left the job site,
Vitton employees attached “wood nailers” and “curves” to the roof opening but
they did not cover the openings themselves. Sometime later, Anderson, an
employee of a roofing subcontractor, was working on the roof of the warehouse
when he fell through an uncovered hole that Pacific had cut in the roof decking.
Anderson was hurt. An expert witness for Anderson testified that the general
contractor is responsible for maintaining a safe construction site and they
found that Vitton was at fault for failing to cover the roof openings or have
someone else cover them. Vitton’s president also acknowledged that the general
contractor (Vitton) had a responsibility to ensure no one was hurt on the job.
The case was settled for a substantial amount of money. It was in excess of the
underlying (CNA) policy and therefore, Vitton and another insurance carrier sued
Pacific, to cover the difference arguing that Vitton was an additional insured
under the Pacific policy. The umbrella insurance company (Pacific Insurance)
argued that Vitton was not an additional insured because Vitton’s liability for
that project did not “arise out of” work performed by the Subcontractor,
Pacific.
The court discussed interpretation of insurance polices and stated that
insurance polices should be governed by the law of contracts. The law of
contracts requires that the court determine what the parties intended as
expressed by the contract. If possible, it is done only through the provisions
within the contract itself. When the provisions are somewhat ambiguous (subject
to two or more reasonable interpretations), the courts usually will decide the
ambiguity against the party who caused that ambiguity. That is to say, the one
who drafted the agreement will suffer the loss. The court had to interpret
liability arising out of the provision “only with respect to liability arising
out of ‘your work’ by or for that insured.” The court went on to state that the
terms “arising out of” or “arising from” in insurance provisions are always
broadly interpreted so as to provide insurance coverage. The court went on to
state that the facts in this case are not complicated. Subcontractor Pacific
created the holes or openings in the roof of the warehouse. The holes were left
uncovered and a roofer accidentally fell through one of them while he was
working on the roof. Using common sense, it seems fairly clear that Anderson’s
injury and fall “arose out of” Pacific’s work in cutting the roof openings. That
is regardless of whether it was Pacific’s responsibility or the other
contractor, to make the holes safe. Pacific’s work actually created the
dangerous condition.
Therefore, the court found a sufficient causal connection between the named
insured, Pacific, and the situation giving rise to liability to trigger
coverage.
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