Contract Insurance Requirements Joseph C. Risser, CPCU, ARM-P Director, Risk Management California Polytechnic State University
Objectives Need for Insurance in Contracts Transferring Risk Basic & Special Insurance Proof of Insurance 1 & 2 Special Problems
Caveats NOT a lawyer  NOT your legal counsel NOT your risk manager Specific details of a situation (contract) must be identified and addressed to manage the risks involved. General reasons, requirements and performance
Agenda Set the Stage Review Present details Tips Questions
Simple Roof Repair
Bob, the Roofer Leaking roof in golf clubhouse  Just a quick repair, no contract necessary Drying the roof to apply sealer FIRE Structure & Contents loss – TOTAL Loss of real and personal property Business interruption – Owner & Tennant Loss of rent and revenue
 
 
Russ, Furniture Systems Vendor Contracted for modular furniture and installation 5 years later – Covered shelf unit above desk falls on employee and equipment Employee Injuries Equipment Damage Facility Damage Loss of Work
 
 
Tom, the Landscaper Transplant “signature” Palm Tree Large Crane, Large Back Shovel Tree defect not considered - technique Top crashes onto to backhoe, pins driver and control, boom swings and slices wires Contractor’s employee injured Equipment damaged Wires – data and voice (RR & 911)
What Can Go Wrong? Damage to/ Loss of University Buildings Loss of University and Personal property Loss of Rent  &  Loss of Revenue Injury to University Employees Interruption of Activities & Services Damage to Contractor Equipment Injury to Contractor Employee Damage to Property of Others
Who Pays? Replace the building Replace the equipment Replace the personal property Medical expenses, rehabilitation Repair the equipment Repair the damage Compensate for lost service & revenue And what about the Palm Tree?
When You Hire a Contractor Contractor Service provider Vendor When you buy materials AND When you rent your facilities to others
Transfer the Risks Transfer the Risk  of doing the  “WORK”   Hire an “expert” & their resources Direction and control of the activities and results Contractual responsibilities -  operations & products   Transfer the Risk   (responsibility)  of having to pay for losses that arise from the  “WORK” Injury to persons, damage to property Interruption of your business activities Failure to follow contract requirements
Contractual Transfer of Risk Indemnification  – the promise to pay for any losses of the University resulting from the  “WORK”  Types Restrictions 2 .   Insurance  – the financial resource to pay for losses due to the  “WORK” Types Specifications
Contract Indemnification  ___(entity)__ shall defend, indemnify, hold harmless and protect the State of California, the Trustees of the California State University, ___CAMPUS___, their officers, employees, representatives, agents, students and volunteers (the “University”) from and against any and all liability, loss, damage, expense, cost (including without limitation to costs and fees of litigation) of every nature arising out of or in connection with ___(entity’s)__  (any subcontractor, anyone directly or indirectly employed by anyone for whose acts any of them may be liable)   ___(performance of work, use, etc.)___ hereunder or failure to comply with any of its obligations contained in the agreement, except such loss or damage which was caused by the sole negligence or willful misconduct of the University.
Contract Insurance Specify  products & materials? Specify design & construction? Specify  access & safety? Specify insurance!
SPECIFICATIONS for INSURANCE Funding contractual indemnification Limitations Description of Losses:  Arising out of the  “WORK”  [Operations, Products and Completed Operations] Arising out of the ownership and use of vehicles Arising out of employment of workers Arising out of damage to property  Arising out of professional services Proof of Insurance  - Documentation
Basic Insurance for Contracts ExO 849 WC - Statutory Limits   EL - $1 Million per illness and injury Work related injury or illness for their employees Workers’ Comp & Employer’s Liability WC & EL $1 Million combined single limit per accident Injury & damage from their  ownership & operation of autos Automobile Liability   (Commercial or Business Auto)  CA   or  BA or AL $1 Million / occurrence  $2 Million aggregate Injury, damage and contractual liability from their “work” General Liability   (Commercial or Comprehensive)   CGL Limits  (minimum) Coverage Type
Specialized Insurance ExO 849 Amount as needed to meet minimum required limits Increase limits for specific insurance policies  (general, auto) Excess or Umbrella Liability 100% of the value of the property Damage to your property  being constructed, remodeled  and/or installed Builder’s Risk  (course of construction or installation) $1 Million / claim  $1 Million aggregate Errors and Omissions in Professional Services  causing injury, damage, failure to perform Professional Liability  (errors & omissions) Limits  (minimum) Coverage Type
Hazardous Materials ExO 849 $ 1 M Occurrence Cleanup of pollution * MCS-90  (transporters) (Federal Requirement) $2 M / Occurrence $2 M / Aggregate Sudden & Accidental Pollution * Automobile  (transporters) $ 1 M /  Claim $ 2 M /  Aggregate Errors in professional services * Environmental Errors & Omissions $ 5 M / Occurrence $10 M / Aggregate Pollution of property Environmental Pollution $5 M /  CSL Occ. $10 / Aggregate Increased limits and coverage breadth General  Limits Coverage ADDITIONAL  Liability Insurance
Proof of Insurance 1.  Certificate of Insurance Broker Insured (your contractor) Insurance companies (NAIC number) Rating (A.M. Best – A:VII or equivalent) Type of Insurance Basis of coverage and scope Policy number, period, $ limits and deductible
Certificate of Insurance MOST IMPORTANT WORDS This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies below.
Contractor’s Insurance Contractor is the INSURED Pays for legal defense of the contractor Pays claims for which the contractor is found liable Pays for investigation of claims against the contractor Contractor’s Insurance does not provide insurance coverage for the University “ IF” the University has losses it can file against the contractor and proceed with legal action to enforce the indemnification “ IF” the University is sued, it can file against the contractor and proceed with legal action to enforce indemnification
University as Additional Insured General and Automobile Liability Insurance Policies University is an INSURED Direct Access to Contractor’s Insurance policy Report loss and file claim Doesn’t have to enforce indemnification in the contract REQUIRES A  WRITTEN AMENDMENT TO THE INSURANCE POLICY BY: ENDORSEMENT     or such language shall be contained in the policy
Other CSU Endorsements Coverage shall not be canceled by either the contractor or the insurance carrier, except after 30 days prior written notice to University.  (ALL) Contractor’s coverage is primary as respects the University.  (CPDC CGC) University coverage shall be excess of coverage provided by contractor.  (CPDC CGC) University shall not by reason of inclusion as  an additional insured incur liability for payment of premiums for the policy.  (CPDC CGC)
Proof of Insurance 2 Endorsement of Insurance Policies   as required in your Insurance Specifications  Endorsement Form “ Endorsement” in title of form (“changes the policy”) Policy number, Insurer Type of policy & policy period Name of insured (YOU) being added Purpose & scope of endorsement  Identification of project or contract Authorizing signature Copy of Policy if such language is contained therein
Basic Insurance Endorsements ExO 849 30 days advance written notice of cancellation of any of the coverage Notice of Cancellation ALL Ownership and/or operation of automobiles  (owned, scheduled, non-owned) Additional Insured Automobile Liability Operations, Products, Completed Operations their  “ WORK” Additional Insured General Liability Language Endorsement Policy Type
Additional Insurance Endorsements  CPDC CGC University shall not be reason of inclusion as additional insureds incur liability for payment of premiums Open Form ALL University insurance shall be excess of the contractor’s and shall not contribute with it Open Form General & Automobile Liability Insurance coverage shall be primary as respects the University Open Form General & Automobile Liability Language Endorsement Policy Type
Special Endorsements Provides funding for cleanup of pollution MCS-90  Automobile Liability  (hazmat) Reinstates coverage normally excluded from automobile policies Sudden & Accidental Pollution Automobile Liability  (hazmat) Policy limits in full apply to this project or contract (not all the contractor’s operations for the year) Amendment of Limits General Liability (CPDC CGC) Language Endorsement Policy Type
Special Endorsements Insurer waives rights to recover from YOU for any payments they make for injury or damage Waiver of Subrogation Builder’s Risk CPDC CGC Insurance will pay University for loss as respects $ interest Loss Payee Builder’s Risk CPDC  CGC Insurer waives rights to recover from YOU for any payments they make for injury or damage Waiver of Subrogation Workers’ Comp & Employers’ Liability  (ALWAYS) Language Endorsement Policy Type
Professional Liability Policies “Errors and Omissions” Claims Made basis of coverage  (Limited time in which to report a claim vs. Occurrence basis) Critical Information Retro Date  (when coverage began) Extended Claims Reporting Period  (policy period plus 30, 60, 90 days) Claims reporting procedures  (so you can report claim directly within limited time frame) Declaration Sheet
Excess & Umbrella Insurance Follow form of underlying coverage? Identifies underlying policy Exclusions or gaps in coverage Provide additional coverage? Matching policy period? Declaration sheet
Insurance Policy Limits   general liability Limits based upon value of the contract ExO 849 - $1m/2m CPDC CGC - $5m/5m < $5,000,000 Limits based upon risk of the contract   operations, products, completed operations   HOW MUCH CAN BE LOST?
Questions ?
THANK YOU
References CSU Executive Order 849 http://www.calstate.edu/eo/EO-849.pdf   CSU Contract Services and Procurement http://www.calstate.edu/CSP/crl/crl.shtml   CSU Capital Planning, Design & Construction (CPDC) http://www.calstate.edu/cpdc/CM/CGC.shtml   CSU Insurance Requirements In Contracts http://www.csurma.org/___
Joseph C. Risser Chartered Property Casualty Underwriter  (CPCU) Associate of Risk Management – Public Entities  (ARM-P) Director, Risk Management, California Polytechnic State University, San Luis Obispo Executive Committee, Board of Directors, California State University Risk Management Authority (CSURMA) [email_address] 805-756-6755 office 805-756-1602 fax

Contract Insurance Requirements

  • 1.
    Contract Insurance RequirementsJoseph C. Risser, CPCU, ARM-P Director, Risk Management California Polytechnic State University
  • 2.
    Objectives Need forInsurance in Contracts Transferring Risk Basic & Special Insurance Proof of Insurance 1 & 2 Special Problems
  • 3.
    Caveats NOT alawyer NOT your legal counsel NOT your risk manager Specific details of a situation (contract) must be identified and addressed to manage the risks involved. General reasons, requirements and performance
  • 4.
    Agenda Set theStage Review Present details Tips Questions
  • 5.
  • 6.
    Bob, the RooferLeaking roof in golf clubhouse Just a quick repair, no contract necessary Drying the roof to apply sealer FIRE Structure & Contents loss – TOTAL Loss of real and personal property Business interruption – Owner & Tennant Loss of rent and revenue
  • 7.
  • 8.
  • 9.
    Russ, Furniture SystemsVendor Contracted for modular furniture and installation 5 years later – Covered shelf unit above desk falls on employee and equipment Employee Injuries Equipment Damage Facility Damage Loss of Work
  • 10.
  • 11.
  • 12.
    Tom, the LandscaperTransplant “signature” Palm Tree Large Crane, Large Back Shovel Tree defect not considered - technique Top crashes onto to backhoe, pins driver and control, boom swings and slices wires Contractor’s employee injured Equipment damaged Wires – data and voice (RR & 911)
  • 13.
    What Can GoWrong? Damage to/ Loss of University Buildings Loss of University and Personal property Loss of Rent & Loss of Revenue Injury to University Employees Interruption of Activities & Services Damage to Contractor Equipment Injury to Contractor Employee Damage to Property of Others
  • 14.
    Who Pays? Replacethe building Replace the equipment Replace the personal property Medical expenses, rehabilitation Repair the equipment Repair the damage Compensate for lost service & revenue And what about the Palm Tree?
  • 15.
    When You Hirea Contractor Contractor Service provider Vendor When you buy materials AND When you rent your facilities to others
  • 16.
    Transfer the RisksTransfer the Risk of doing the “WORK” Hire an “expert” & their resources Direction and control of the activities and results Contractual responsibilities - operations & products Transfer the Risk (responsibility) of having to pay for losses that arise from the “WORK” Injury to persons, damage to property Interruption of your business activities Failure to follow contract requirements
  • 17.
    Contractual Transfer ofRisk Indemnification – the promise to pay for any losses of the University resulting from the “WORK” Types Restrictions 2 . Insurance – the financial resource to pay for losses due to the “WORK” Types Specifications
  • 18.
    Contract Indemnification ___(entity)__ shall defend, indemnify, hold harmless and protect the State of California, the Trustees of the California State University, ___CAMPUS___, their officers, employees, representatives, agents, students and volunteers (the “University”) from and against any and all liability, loss, damage, expense, cost (including without limitation to costs and fees of litigation) of every nature arising out of or in connection with ___(entity’s)__ (any subcontractor, anyone directly or indirectly employed by anyone for whose acts any of them may be liable) ___(performance of work, use, etc.)___ hereunder or failure to comply with any of its obligations contained in the agreement, except such loss or damage which was caused by the sole negligence or willful misconduct of the University.
  • 19.
    Contract Insurance Specify products & materials? Specify design & construction? Specify access & safety? Specify insurance!
  • 20.
    SPECIFICATIONS for INSURANCEFunding contractual indemnification Limitations Description of Losses: Arising out of the “WORK” [Operations, Products and Completed Operations] Arising out of the ownership and use of vehicles Arising out of employment of workers Arising out of damage to property Arising out of professional services Proof of Insurance - Documentation
  • 21.
    Basic Insurance forContracts ExO 849 WC - Statutory Limits EL - $1 Million per illness and injury Work related injury or illness for their employees Workers’ Comp & Employer’s Liability WC & EL $1 Million combined single limit per accident Injury & damage from their ownership & operation of autos Automobile Liability (Commercial or Business Auto) CA or BA or AL $1 Million / occurrence $2 Million aggregate Injury, damage and contractual liability from their “work” General Liability (Commercial or Comprehensive) CGL Limits (minimum) Coverage Type
  • 22.
    Specialized Insurance ExO849 Amount as needed to meet minimum required limits Increase limits for specific insurance policies (general, auto) Excess or Umbrella Liability 100% of the value of the property Damage to your property being constructed, remodeled and/or installed Builder’s Risk (course of construction or installation) $1 Million / claim $1 Million aggregate Errors and Omissions in Professional Services causing injury, damage, failure to perform Professional Liability (errors & omissions) Limits (minimum) Coverage Type
  • 23.
    Hazardous Materials ExO849 $ 1 M Occurrence Cleanup of pollution * MCS-90 (transporters) (Federal Requirement) $2 M / Occurrence $2 M / Aggregate Sudden & Accidental Pollution * Automobile (transporters) $ 1 M / Claim $ 2 M / Aggregate Errors in professional services * Environmental Errors & Omissions $ 5 M / Occurrence $10 M / Aggregate Pollution of property Environmental Pollution $5 M / CSL Occ. $10 / Aggregate Increased limits and coverage breadth General Limits Coverage ADDITIONAL Liability Insurance
  • 24.
    Proof of Insurance1. Certificate of Insurance Broker Insured (your contractor) Insurance companies (NAIC number) Rating (A.M. Best – A:VII or equivalent) Type of Insurance Basis of coverage and scope Policy number, period, $ limits and deductible
  • 25.
    Certificate of InsuranceMOST IMPORTANT WORDS This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies below.
  • 26.
    Contractor’s Insurance Contractoris the INSURED Pays for legal defense of the contractor Pays claims for which the contractor is found liable Pays for investigation of claims against the contractor Contractor’s Insurance does not provide insurance coverage for the University “ IF” the University has losses it can file against the contractor and proceed with legal action to enforce the indemnification “ IF” the University is sued, it can file against the contractor and proceed with legal action to enforce indemnification
  • 27.
    University as AdditionalInsured General and Automobile Liability Insurance Policies University is an INSURED Direct Access to Contractor’s Insurance policy Report loss and file claim Doesn’t have to enforce indemnification in the contract REQUIRES A WRITTEN AMENDMENT TO THE INSURANCE POLICY BY: ENDORSEMENT or such language shall be contained in the policy
  • 28.
    Other CSU EndorsementsCoverage shall not be canceled by either the contractor or the insurance carrier, except after 30 days prior written notice to University. (ALL) Contractor’s coverage is primary as respects the University. (CPDC CGC) University coverage shall be excess of coverage provided by contractor. (CPDC CGC) University shall not by reason of inclusion as an additional insured incur liability for payment of premiums for the policy. (CPDC CGC)
  • 29.
    Proof of Insurance2 Endorsement of Insurance Policies as required in your Insurance Specifications Endorsement Form “ Endorsement” in title of form (“changes the policy”) Policy number, Insurer Type of policy & policy period Name of insured (YOU) being added Purpose & scope of endorsement Identification of project or contract Authorizing signature Copy of Policy if such language is contained therein
  • 30.
    Basic Insurance EndorsementsExO 849 30 days advance written notice of cancellation of any of the coverage Notice of Cancellation ALL Ownership and/or operation of automobiles (owned, scheduled, non-owned) Additional Insured Automobile Liability Operations, Products, Completed Operations their “ WORK” Additional Insured General Liability Language Endorsement Policy Type
  • 31.
    Additional Insurance Endorsements CPDC CGC University shall not be reason of inclusion as additional insureds incur liability for payment of premiums Open Form ALL University insurance shall be excess of the contractor’s and shall not contribute with it Open Form General & Automobile Liability Insurance coverage shall be primary as respects the University Open Form General & Automobile Liability Language Endorsement Policy Type
  • 32.
    Special Endorsements Providesfunding for cleanup of pollution MCS-90 Automobile Liability (hazmat) Reinstates coverage normally excluded from automobile policies Sudden & Accidental Pollution Automobile Liability (hazmat) Policy limits in full apply to this project or contract (not all the contractor’s operations for the year) Amendment of Limits General Liability (CPDC CGC) Language Endorsement Policy Type
  • 33.
    Special Endorsements Insurerwaives rights to recover from YOU for any payments they make for injury or damage Waiver of Subrogation Builder’s Risk CPDC CGC Insurance will pay University for loss as respects $ interest Loss Payee Builder’s Risk CPDC CGC Insurer waives rights to recover from YOU for any payments they make for injury or damage Waiver of Subrogation Workers’ Comp & Employers’ Liability (ALWAYS) Language Endorsement Policy Type
  • 34.
    Professional Liability Policies“Errors and Omissions” Claims Made basis of coverage (Limited time in which to report a claim vs. Occurrence basis) Critical Information Retro Date (when coverage began) Extended Claims Reporting Period (policy period plus 30, 60, 90 days) Claims reporting procedures (so you can report claim directly within limited time frame) Declaration Sheet
  • 35.
    Excess & UmbrellaInsurance Follow form of underlying coverage? Identifies underlying policy Exclusions or gaps in coverage Provide additional coverage? Matching policy period? Declaration sheet
  • 36.
    Insurance Policy Limits general liability Limits based upon value of the contract ExO 849 - $1m/2m CPDC CGC - $5m/5m < $5,000,000 Limits based upon risk of the contract operations, products, completed operations HOW MUCH CAN BE LOST?
  • 37.
  • 38.
  • 39.
    References CSU ExecutiveOrder 849 http://www.calstate.edu/eo/EO-849.pdf CSU Contract Services and Procurement http://www.calstate.edu/CSP/crl/crl.shtml CSU Capital Planning, Design & Construction (CPDC) http://www.calstate.edu/cpdc/CM/CGC.shtml CSU Insurance Requirements In Contracts http://www.csurma.org/___
  • 40.
    Joseph C. RisserChartered Property Casualty Underwriter (CPCU) Associate of Risk Management – Public Entities (ARM-P) Director, Risk Management, California Polytechnic State University, San Luis Obispo Executive Committee, Board of Directors, California State University Risk Management Authority (CSURMA) [email_address] 805-756-6755 office 805-756-1602 fax