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More “Texas Justice” For Policyholder On Contractual Liability Exclusion

By Nathan Lander & Proskauer Labor and Employment Department on November 4, 2014
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On October 29, the Fifth Circuit reversed itself for the second time this year in a case involving the interpretation of a contractual liability exclusion in a CGL policy.  This recent decision by the Fifth Circuit in Crownover v. Mid-Continent Casualty Co., coupled with decisions from the Texas Supreme Court and Fifth Circuit earlier this year in Ewing Constr. Co. v. Amerisure Ins. Co., is of major significance to the construction industry in Texas.  These decisions ensure that the valuable protection that contractors, builders, and their customers depend on from CGL policies is not swallowed up by an overly broad interpretation of a standard exclusion.

Many CGL policies exclude damages “for which the insured is obligated to pay by reason of the assumption of liability in a contract or agreement.”  This standard exclusion has a carve-out, however, for liability “[t]hat the insured would have in the absence of the contract or agreement.”

In most jurisdictions, courts have construed this exclusion as limiting coverage only when the insured has agreed to assume the liability of a third party.  This is also how the average policyholder would generally understand the exclusion.

Earlier this year, however, a pair of Texas federal courts interpreted the exclusion in a much different and broader manner.  In both Ewing and Crownover, the district court held that the exclusion applies anytime “an insured has entered into a contract and, by doing so, has assumed liability for its own performance under the contract.”  So if the contract promises that the contractor will perform work in a certain manner, and the contractor is sued for breaching that warranty, the claim is excluded.  The Fifth Circuit initially affirmed each of these decisions before agreeing in Ewing to certify the proper interpretation of the exclusion to the Texas Supreme Court.

If allowed to stand, these decisions would have been devastating to the construction industry in Texas.  In virtually all construction contracts, the builder or contractor agrees to perform its work in a good and workmanlike manner (or other similar promise).  Interpreting the contractual liability exclusion as barring coverage whenever such a promise is made would have left Texas builders and contractors with little coverage at all.

And the harm from the decisions would not have ended there.  Many contractors do not have the financial resources to pay for damages caused by construction mistakes.  They, and in turn the businesses and homeowners who utilize their services, rely on the availability of insurance to cover mistakes that are made.

Fortunately, the Texas Supreme Court said “not so fast” to the strained and commercially unreasonable interpretation of the exclusion reached by the federal courts.  It held that the exclusion can apply only when a policyholder assumes a liability “that exceeds the liability it would have under general law.”

Contractors are under a common law duty to perform their contracts with skill and care. Thus, the Texas Supreme Court concluded, “a general contractor who agrees to perform its construction work in a good and workmanlike manner, without more, does not enlarge its duty to exercise ordinary care in fulfilling its contract, thus it does not ‘assume liability’ for damages arising out of its defective work so as to trigger the Contractual Liability Exclusion.”

After the Texas Supreme Court issued its decision in Ewing, the Fifth Circuit reversed its earlier decision in that case and held that the policyholder’s claim was not barred by the contractual liability exclusion.

Now, the Fifth Circuit has done the same in Crownover.  Reversing its earlier decision, the Court began by explaining that in Texas, as elsewhere, exclusions must be narrowly construed against the insurer.  The saying “everything is bigger in Texas” does not apply to exclusions.

Applying this well-settled rule for interpreting exclusions, and the Texas Supreme Court’s guidance in Ewing, the Fifth Circuit found the exclusion did not apply to claims against the insured in Crownover for breaching a “duty to repair” warranty in a construction contract.  Under the general law, the policyholder already had a duty to repair work that was not performed in a good and workmanlike manner.  Promising to do so in the contract, thus, did not in any way enlarge the insured’s liability.

Insurers that issue CGL policies to contractors promise to cover them for losses caused by mistakes made in the construction process.  These contractors depend on this liability protection, as do consumers who enlist their services in construction projects.  The fact that a contractor promises when hired to do a good job should not provide a get out of jail free card to its insurer if a construction mistake is later made.  Now that the Crownhover decision has been reversed, along with the Ewing decision, “Texas justice” has been restored on this issue.

Photo of Nathan Lander Nathan Lander

Nathan Lander is a partner in the Insurance Recovery & Counseling Group who represents clients in high-stakes disputes with their insurance companies as well as counseling them regarding a wide array of insurance issues.  Clients have praised Nate in Chambers and The Legal…

Nathan Lander is a partner in the Insurance Recovery & Counseling Group who represents clients in high-stakes disputes with their insurance companies as well as counseling them regarding a wide array of insurance issues.  Clients have praised Nate in Chambers and The Legal 500 as being “responsive, knowledgeable and creative,” a “zealous advocate” and “absolutely amazing to work with.”

During the course of his career, Nate has assisted clients in recovering more than $1 billion in disputes with their insurers through litigations, arbitrations, mediations and negotiations.  Nate prides himself in helping clients reach favorable resolutions with their insurers where possible, but when insurers refuse to pay, Nate has aggressively litigated coverage disputes against them in courts and arbitrations throughout the country.

Although Nate has represented a wide range of policyholder clients – including Fortune 500 companies and professional sports teams, among others – Nate is particularly well-known for his representations of asset management clients in insurance disputes.  Nate has represented numerous private equity firms and portfolio companies, hedge funds, registered funds, venture capital firms, and other asset managers in disputes with insurance companies, including claims for coverage under D&O, E&O, crime, life, property, and other policies.  For example, Nate was recently lead counsel for a private equity firm in a litigation over $100 million of coverage its insurers refused to provide for claims against the private equity firm arising from the bankruptcy of a portfolio company.

In addition to his litigation practice, Nate also regularly advises clients on risk management issues, including structuring of insurance programs and the negotiation and drafting of policy language, in order to help protect clients in the event of a claim or loss.  Nate has particular experience with respect to the insurance markets and products for asset management clients.  He has assisted numerous asset managers of all types and portfolio companies in reviewing and negotiating potential insurance policies or programs, including D&O, E&O, EPL, fiduciary, crime, cyber, reps & warranties and other specialized products.

Read more about Nathan LanderEmail
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  • Posted in:
    Insurance
  • Blog:
    Risk and Recovery
  • Organization:
    Proskauer Rose LLP

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