Does the CGL Cover
“Preventative Medicine?”
By: Mark A. Boyle, Esquire
Boyle, Gentile & Leonard, P.A.
Does the Commercial General Liability (“CGL”) cover the cost to
mitigate against future property damage?
In other words, does the CGL cover “preventative medicine?” The answer in Florida appears to be yes.
An issue that regularly appears in construction defect
litigation is the question of whether or not a commercial general liability
insurer is required to pay for repairs to areas of the project which have not
yet sustained physical damage, but are likely or virtually certain to sustain
such damage in the future. Florida had
no specific answer to whether such claims were covered in the past, until, the
recent decision of Pavarini Construction Co. v. ACE American Insurance
Company, case no.: 1:14-cv-20524-JLK (Amended
Order dated 10-30-15). In Pavarini, ACE was the commercial
general liability insurer for Pavarini Construction Co. Pavarini was seeking coverage for a series of
defective construction conditions. ACE
was an excess CGL insurer, whose following form policy necessarily imported the
standard CGL property damage definition found in the underlying policy issued
by AIG. In relevant part, the property
damage definition in the CGL policy provides:
Property
damage means:
a.
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; or
b.
Loss of use of tangible property that is not physically injured. All such loss
shall be deemed to occur at the time of the occurrence that caused it.
In addressing this issue, the Pavarini court noted the
relatively recent Florida Supreme Court decision in J.S.U.B. recognizing
that defective construction conditions could constitute both a covered
“occurrence” and “property damage” within the meaning of a CGL policy. ACE took the position that the mere existence
of defective conditions did not trigger coverage and thus, they had very
limited obligations. Citing the recent
11th Circuit Court of Appeals decision in Carithers v.
Mid-Continent Casualty Co., 782 F. 3d 1240 (11th Cir. 2015), the
Pavarini Court noted:
There,
a balcony that had been defectively installed by a subcontractor was causing
runoff and resulting water damage to an adjacent garage. See Id. Although the balcony itself
did not constitute independent “property damage” under the terms of the policy,
its replacement was necessary in order to effectively repair the garage. See Id. At 1251. “In other words, to repair the garage, it was
necessary to completely replace the defectively constructed balcony.” Memorandum and Order, Carithers v.
Mid-Continent Cas. Co., No. 12-008890 (M.D. Fla. Mar. 11, 2014), DE 126 at
8. Similarly here, in order to
adequately repair the non-defective project components, the building had to be
stabilized. Even if the predominant
objective of the repair effort was to fix the instability caused by the
defective subcontractor work, it is undisputed that the same effort was
required to put an end to ongoing damage to otherwise non-defective property,
e.g. damage to stucco, penthouse enclosure, and critical concrete structural
elements. See DE 128 at 2-3; DE 131 at 52-63.
Thus, the ACE policy provides for complete indemnification.
In addition to these holdings, the Court noted the following in
a footnote.
Citing
J.S.U.B, Defendant argues somewhat
incidentally that mitigation of damages is not covered. Nowhere in J.S.U.B. is mitigation of damages mentioned. On the contrary, J.S.U.B. stands for the proposition that claims for repairing
structural damage caused by the defective work of subcontractors may be
covered. As a natural corollary, coverage may exist for costs to repair
defective work in order to prevent further structural damage and covered loss. See,
e.g. Carithers v. Mid-Continent Cas. Co., 782 F. 3d 1240, 1251 (11th
Cir. 2015). [Emphasis Added]
The Court’s holding is consistent with numerous decisions across
the country, finding that damage mitigation, once the property damage threshold
has been established as an initial matter, are covered. See, e.g., AIU Ins. Co. v. Super. Ct., 799 P.2d 1253, 1272 (Cal. 1990)
(coverage for “remedial and mitigative actions”); Globe Indem. Co. v. State, 118 Cal. Rptr. 75, 79 (Ct. App. 1974)
(explaining that it would “seem strangely incongruous” to the insured “that his
policy would cover him for damages to tangible property destroyed through his
negligence in allowing a fire to escape but not for the sums incurred in
mitigating such damages by suppressing the fire”); Am. Econ. Ins. Co. v. Commons, 552 P.2d 612, 613-14 (Or. Ct. App.
1976) (adopting rationale of Globe Indem.); Aronson Assocs., Inc. v. Pa. Nat’l Mut. Cas. Ins. Co., 14 Pa. D. & C.3d 1, 7 (C.P.
1977), aff’d
422 A.2d 689
(Pa. Super. 1979) (per curiam) (“preventive measures can be recovered where
they are required to protect against a third person being harmed.”).
Indeed, “[t]o find otherwise would require the insured to
intentionally allow property damage or bodily harm to occur for the damages to
be covered.” Big-D Constr. Corp. v. Take
it for Granite Too, 917 F. Supp. 2d 1096, 1109 (D. Nev. 2013). As explained by one court: It is folly to
argue that if a policy owner does nothing and thereby permits the piling up of
mountainous claims at the eventual expense of the insurance carrier, he will be
held harmless of all liability, but if he makes a reasonable expenditure and
prevents a catastrophe he must do so at his own cost and expense.
Leebov
v. U.S. Fid. & Guar. Co., 165 A. 2d
82, 84 (Pa. 1960).
So, for now, in Florida, mitigation damages are here to stay.
Thank you so much you have given the great blogs site
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