The DARB Insurance Services Blog

December 9, 2008

Additional Insured Endorsements and Certificates of Insurance- What’s the Difference?

Filed under: General Liability, Production and Entertainment — Administrator @ 11:39 pm

We recently had a client that was confused by these two documents, and wanted to know what their differences were. He was filming in the city of Los Angeles and wanted to know why the City of Los Angeles was asking him for both documents when everyone else was only asking for a Certificate of Insurance naming them as an additional insured.

Generally, ISO endorsements (the industry standard)furnish coverage to the additional insured for liability “arising out of” the named insured’s work, operations, or premises (or some variation on that theme). For example, the March 1997 version (the version currently in use) of the ISO CG 20 10 AI endorsement provides as follows:

“Who Is An Insured (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured.”

In January 1999, the California Court of Appeal, in Acceptance Ins. Co. v Syufy Enterprises, 81 Cal Rptr 2d 557 (Cal App 1999), further defined “arising out of” as follows:

“…the ordinary broad meaning of “arising out of,” which as noted above has been regularly applied by California courts in insurance cases. This inconsistency leads to tortured results. In Granite Construction, the negligent loading of the named insured’s truck caused no injury (and no liability) until the named insured’s employee began hauling the load, in the course of which the truck overturned. It is difficult to understand how the driver’s claim did not arise out of the hauling operation in the most direct way, unless one assumes that fault is a predicate for coverage. We do not believe such an assumption is justified by the policy term “liability arising out of operations.” [81 Cal Rptr 2d at 562]”

The Certificate of Insurance, on the other hand, is a document that merely gives evidence of the underlying insurance. It does not in any way alter the policy.

October 14, 2008

The Surplus Lines Market

Filed under: General Liability, Property, Surplus Lines or Nonadmitted — Administrator @ 10:52 pm

The Suplus Lines insurers, or non-admitted carriers, are an important because they offer coverages that cannot be procured through the traditional admitted carrier market. Epitomized by Lloyd’s of London, this market can conduct business legally as long as that business is conducted within the parameters put forth by the state. Additionally, many states publish an approved list of approved Surplus Lines carriers for their state. In the case of Lloyd’s, it is an approved list of syndicates.

Although these parameters can vary from state to state, in general, three conditions must be met:
a) The policy must be obtained through a licensed Surplus Lines Carrier.
b) It must be determined through a diligent search that the needed insurance cannot be obtained through an admitted carrier.
c) Coverage cannot be obtained for the sole purpose of getting a lower premium or better contract than what was offered by an admitted carrier.

September 27, 2008

Westrec Vs. Marina Mgmt- What Constitutes a Prior Claim?

Filed under: General Liability, News — Administrator @ 10:47 pm

The state of California recently ruled that there was no coverage for a lawsuit that was filed during the corresponding policy period. The problem was that it was related to a demand letter that was received by the insured during the prior policy period which the insured had failed to report to the insurer under that policy period. The insurance company, Westrec, had issued consecutive one year policies that provided coverage for claims first made and reported during the policy period.

The insurance company denied coverage because they felt that the demand letter and the subsequent letter constituted a single claim, and that the claim, therefore, was not reported in a timely manner. The employer, Marina Management, responded by suing the insurer Westrec.

In their lawsuit, Marina maintained that the prior letter did not constitute a claim, and that even if it did, the lawsuit was a seperate claim. The court rejected this argument based upon the grounds that the demand letter did not have to request a specific dollar amount and that the threat of litigation was enough within the claim definition. The court decided that since the insured did not report the letter within the required claim reporting period they were not entitled to coverage.

What can we learn from this? First, it highlights the importance of reporting ALL possible claims in a timely fashion. Secondly, the definition of what constitutes a claim can be broad, so it is imperative to discuss all important communications with your broker. Receiving assistance from your broker can help you identify potential claims.

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