In the recent case of Crossmann v. Harleysville filed on January 7, 2011, the South Carolina Supreme Court ruled that faulty workmanship that results in property damage to a builder’s work is no accident. Instead, such property damage is intended, foreseen, expected, and a natural and probable consequence of the builder’s faulty workmanship. Therefore, faulty workmanship does not rise to the level of an “occurrence” and as a result is not covered by a builder’s General Liability policy.
The end result of that decision is that builders won’t be able to get construction defect coverage and homeowners will be left uncompensated when builders don’t have the assets to make repairs out of pocket. However, there is some hope that the insurance industry will develop a new endorsement to counter the no occurrence claim denials. And a bill is being drafted in the South Carolina legislature to do the same.
In order for construction defect coverage to exist for a builder under a General Liability policy, the first hurdle to be cleared is that the claim must be the result of an “occurrence”. The policy defines “occurrence” as “an accident, including continuous or repeated exposure to substantially the same general harmful conditions”. In other words, the term “occurrence” is generally synonymous with “accident”.
In a prior blog, it was explained how the South Carolina Supreme Court finally got it right in its Auto Owners v. Newman decision where it held that the resulting property damage from faulty construction was an occurrence under the General Liability policy. In the Auto Owners case, the court held that the defective application of stucco in itself was not an occurrence. However, the resulting continuous moisture intrusion to the walls and exterior sheathing resulting from the subcontractor’s negligence was an “occurrence” since it was unexpected and not intended.
Unfortunately, in Crossmann, the South Carolina Supreme Court flip flopped and decided that it erred in the Auto Owners v. Newman case to the extent that the prior finding of an occurrence did not take into account the chance component of an accident, but instead relied upon the “continuous or repeated exposure to substantially the same general harmful conditions” part of the definition in isolation. Crossmann clarifies that an occurrence must be unintended, unforeseen, and fortuitous.
In addition, the court in Crossmann made the following statements:
The ruling in this case is an insult to the many professional builders whom I’ve advised and insured over the past 25 years. To say that those builder clients who have had construction defect claims filed against them intended and expected the construction problem to arise is not true in the majority of cases. Many of the claims were frivolous lawsuits where the true cause of the problem was lack of routine maintenance on the part of the homeowner, such as lack of caulking. Other claims resulted from the use of synthetic stucco (EIFS) and similar products where the builder had no reason to believe that such products would ultimately be found to be inherently defective. However, the majority of the claims were caused by unknowing mistakes in the construction process where the builder certainly didn’t expect a problem to arise.
Can faulty workmanship be an accident?
Can property damage to a contractor’s work caused by faulty workmanship occur accidentally? Or is such property damage always the natural and probable (intended) consequence of faulty workmanship and thus not an accident? In Crossmann, the court ruled the latter. But, is this correct? I don’t think so.
The Independent Insurance Agents And Brokers Association (IIABA) prepared a well thought out response to this issue in a 2006 publication entitled the “No Occurrence Claim Denial.” Below is an overview of the findings of the IIABA faculty regarding the validity of the no occurrence claim denial.”
The drafters of the General Liability policy form, Insurance Services Office (ISO), designed the policy form to provide a broad grant of coverage for bodily injury and property damage caused by an occurrence in the initial insuring agreement. Then, the design called for a list of policy exclusions to whittle away coverage for various uninsurable risks such as business risks. Furthermore, it was intended that various policy endorsements could be tacked onto the policy form to further alter coverage.
In order for coverage to be triggered for a construction defect claim, the incident must first be considered to be property damage caused by an occurrence before the impact of various property damage exclusions can be considered. The Crossmann case decision, in ruling that construction defect cases are not an occurrence, cuts off all subsequent discussion of the property damage exclusions and special property damage endorsements. This is a distortion because it was the intent of the drafters of the General Liability policy to control which types of property damage claims are or are not covered through the exclusions section of the policy. In addition, various insurance carriers draft special policy endorsements to clarify their intent on paying these claims.
In a free market, insurance carriers should be able to decide whether or not to write General Liability policies for builders and their approach to coverage for construction defect claims. Some may want to exclude all property damage arising from construction defect and others may want to provide total or partial coverage. The design of the General Liability policy allows this flexibility through the use of special policy endorsements to alter or clarify the coverages of the basic policy form.
Carriers that wish to insure contractors but avoid paying construction defect claims merely need to add the ISO policy endorsement entitled “Exclusion – Damage to Your Work Performed by Subcontractors on Your Behalf” (CG2294). This endorsement has been in widespread use since 2004 and has proven to be effective in denying construction defect claims.
The reason why the carriers are not satisfied with CG2294 is because they can’t use it to address construction defect claims that arose before the widespread use of the endorsement in 2004. Instead, their only option to escape responsibility for these claims is to pursue the no occurrence claim denial strategy.
At the present time, several carriers in South Carolina are using special property damage endorsements that they drafted to provide partial coverage to builders for construction defect claims. Most of these endorsements take the form of excluding coverage for property damage to the faulty work itself, but providing coverage for resulting property damage to non faulty work. Many within the building community think that this is an acceptable compromise.
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