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DEFECT EXCLUSIONS
November 2012


Angela Haylett
Introduction
  Offshore contractors and employers routinely purchase CAR/EAR policies and should
  be aware that these policies (and indeed operational policies) commonly contain
  defect exclusions. The type of exclusion that a policy contains may affect how their
  insurance will respond to a claim.
  Common clauses are the London Engineering Group (LEG) clauses:
  LEG1/96 – outright defects exclusion
  LEG2/96 – consequences defect exclusion
  LEG3/96 – improvements defects exclusion
  LEG3/06 – amended improvements defects exclusion


  WELCAR 2001 Section I contains the “Defective Parts” exclusion clause with the
  possibility of the part exclusion buy-back.


  The 1995 Design Exclusion Clauses 1 to 5 largely overlap with the various LEG
  clauses (with some subtle differences). DE1 to DE5 are not addressed in this
  presentation.
Interpretation of the Exclusions
  Application of exclusions depends how you define:


  • Defect


  • Damage


  • Insured Property


  • Part
Basic All Risks Cover
  In Gaunt’s Case (1921) the House of Lords stated that:


            “All risk insurance covers a risk not a certainty; it is something
  which happens to the subject matter from without not a natural              behaviour of
  that subject matter being what it is…”


  In practice, this rule = too narrow and unworkable. Defects can result in very serious
  consequences such as catastrophic failure or explosion.
  Insureds and insurers have sought to strike a balance between:


            Cover for damage                             Guaranteeing

                                  from defects                                the work
LEG1/96

  “The Insurer(s) shall not be liable for
  Loss or damage due to defects of material workmanship design plan or
  specification.”


  • Very broad - outright defects exclusion.


  • In respect of loss or damage due to defects – even wider than proximately
  caused by defects.


  • Used by underwriters where the risk of loss is very high eg prototypical
  constructions.
LEG2/96
  “The Insurer(s) shall not be liable for
  All costs rendered necessary by defects of material workmanship
  design plan specification and should damage occur to any portion of
  the Insured Property containing any of the said defects the cost of
  replacement or rectification which is hereby excluded is that cost
  which would have been incurred if replacement or rectification of the
  Insured Property had been put in hand immediately prior to the said
  damage.
  For the purpose of this policy and not merely this exclusion it is
  understood and agreed that any portion of the Insured Property shall
  not be regarded as damaged solely by virtue of the existence of any
  defect of material workmanship design plan or specification.”
LEG2/96
  • Puts the insured in the position it would have been in prior to the
  damage occurring - broadly excludes everything except
  consequential damage.


  • By conceptually setting aside any consequential damage, the
  clause excludes the cost of repairing the defects cost of replacing
  other non-defective damaged property may be excluded if it would
  have had to be removed and replaced in order to repair the defects
  in any event eg to gain access.


  • Advantage = no need to distinguish between the defective
  property/part and other property.
LEG3/96
  “The Insurer(s) shall not be liable for
  All costs rendered necessary by defects of material workmanship
  design plan specification and should damage occur to any portion of
  the Insured Property containing any of the said defects the cost of
  replacement or rectification which is hereby excluded is that cost
  incurred to improve the original material workmanship design plan or
  specification.
  For the purpose of this policy and not merely this exclusion it is
  understood and agreed that any portion of the Insured Property shall
  not be regarded as damaged solely by virtue of the existence of any
  defect of material workmanship design plan or specification.”
LEG3/96
  • Cover for the damage to defective property due to defects within it (and
  consequential damage)
  BUT
  Excludes any additional cost incurred relating to an improvement so as to
  avoid the damage occurring again.


  • Question = when does the defect become damage – defect alone is
  insufficient for cover under LEG3.
LEG3/06

  “The Insurer(s) shall not be liable for
  All costs rendered necessary by defects of material workmanship design
  plan or specification and should damage (which for the purposes of this
  exclusion shall include any patent detrimental change in the physical
  condition of the Insured Property) occur to any portion of the Insured
  Property containing any of the said defects the cost of replacement or
  rectification which is hereby excluded is that cost incurred to improve the
  original material workmanship design plan or specification.
  For the purpose of the policy and not merely this exclusion it is understood
  and agreed that any portion of the Insured Property shall not be regarded as
  damaged solely by virtue of the existence of any defect of material
  workmanship design plan or specification”.
LEG3/06

  •The amendment to this clause (shown in bold) arose out of uncertainty
  arising from the Skanska v Eggar case - Court of Appeal held that a latent
  defect becoming patent did not constitute damage.


  • Expansion of cover? Not really:


   – not all latent defects throughout the property simultaneously become
     patent; and
   – the amendment largely reflects the way a court would approach the
     definition of “damage” in an insurance context in any event – see
     “NUKILA”.
Faulty Design Inclusion Clause (Builder’s
Risk)

  “It is understood and agreed that physical loss and/or physical damage to the subject
  matter insured during the period of the Policy caused by faulty design, faulty or
  defective materials, faulty or defective workmanship (including welding), including
  physical loss and/or defect and/or damage to the faulty part shall be covered
  hereunder, even though the fault in design and/or defect may have occurred prior to
  the attachment date of this Policy.


  Including the cost of repairing, replacing or renewing any defective part or parts
  condemned solely in consequence of the discovery therein during the period of
  this policy of latent defect.


  Notwithstanding the foregoing it is understood and agreed that coverage in respect of
  faulty or defective materials and/or faulty and defective workmanship, including
  welding, does not apply in respect of any loss solely by reason of the item failing to
  meet its design specifications or unfit for its intended purpose.”
WELCAR 2001 Section I
  “Terms and Conditions
  (Section I Only)
  7. Defective Parts
  The insurance afforded by Section I covers physical loss and/or physical damage to the property
  insured herein occurring during the Policy Period and resulting from a Defective Part, faulty
  design, faulty materials, faulty or defective workmanship, or latent defect even thought the fault in
  design may have occurred prior to the attachment date of the Policy.
  Section I, however, does not provide coverage for loss or damage to (including the cost of
  modifying, replacing or repairing) and Defective Part itself, unless all of the following are satisfied:
  (a) such Defective Part has suffered physical loss or physical damage during the Policy Period
  (b) such physical loss or physical damage was caused by an insured peril external to that part;
  and
  (c) the defect did not cause or contribute to the physical loss or physical damage.
  In no case shall Section I provide coverage for any cost or expense incurred by reason of
  betterment or alterations in design… “


  • Shows that insurers intend to cover for physical loss/damage arising from defects but exclude
  loss/damage to a Defective Part unless it is damaged by an independent cause.
WELCAR 2001 Section I
  “…7. Defective Parts (cont)
  …In the event of the total physical loss or total physical destruction of one or more of the items
  listed in the Schedule “B” attached to the Policy, then this exclusion shall only apply to an
  identifiable part or parts of such scheduled item or items.
  For the purposes of this clause a “Defective Part” shall mean any part of the subject matter
  insured which is or becomes defective and/or unfit or unsuitable for its actual purpose, whether by
  reason of faulty design, fault workmanship, a combination of one or more thereof or any other
  reason whatsoever. The term “Defective Part” shall also include such ancillary components,
  which are not themselves faulty, but which would normally be removed and replaced by new
  components when the component that is faulty is rectified.
  This clause shall prevail in the event of any conflict or inconsistency with any other clause forming
  part of the Policy. The terms of this clause are not intended and shall not be construed as
  providing coverage not otherwise provided under the Policy.”


  • Must distinguish “part” from remainder of the property insured  notoriously difficult!
WELCAR 2001 Section I - buyback
  “Defective Part Exclusion Buyback
  Notwithstanding the provisions of the Defective Part Clause in Section I of the attached Policy,
  this insurance will pay for the cost of repair or replacement of defective parts which have suffered
  physical loss and or physical damage during the Policy Period, but the recovery
  of such costs is subject to:
  deductible $_______ each part, each accident or Occurrence; and
  a total aggregate limit of $_______ for all losses during the Policy Period, including the
  Maintenance Period; and
  the provisions of the Basis of Recovery Clauses in Section I of the Policy; and
  an additional premium $_______ being paid in full.
  However, it is specifically understood and agreed that this endorsement will not provide recovery
  for cancellation charges, stand-by costs or consequential costs or expenses that would not be
  recoverable under the terms and conditions of the Policy in the absence of this clause.”


  • Buyback only provided by insurers on a selective basis.
  • Does not remove the issue of identifying the “defective part” because separate deductible is
  applied in respect of each part, each accident or occurrence.
Damage vs Defect and Definition of Part
   Crucial to the interpretation of defect exclusion clauses:


   – Have any defects become damage?
   – Which part(s) is or are defective?
   – Has the defect and/or damage in that/those part(s) caused damage to
     other parts of the insured property?


   Very limited case law - rulings on each case would be too fact specific.
Defect vs Damage and Definition of Part
  Arnould: Marine Insurance defines defect as:
  “A condition causing premature failure which is present in the relevant part…
  when it is constructed or installed…or which comes into existence as a result
  of the way in which the relevant part was designed, constructed or installed.”


  Traditional distinction:
    – “Defect” = state of affairs
    – “Damage” requires some sort of occurrence.


  But modern technology (eg MPI and UT)  can identify molecular changes
  in structures and predict premature failures. Has damaged occurred by
  reason of these changes?
Defect vs Damage and Definition of Part
  Not much directly applicable English case law on these questions but see
  Pilkington Glass and “NUKILA” cases (plus others).
  Avoid metaphysical argument;
  Matter of fact and degree
  Imminence of loss is not the same as damage.
  Resounding impression = English court adopts a common-sense approach
  in asking what a part is, whether it is damaged or simply defective and
  whether it has caused damage to other insured property.
  Tip:
  When interpreting and applying the defects exclusion clauses: Take a step
  back and ask whether a lay person would see the alleged “part” as a
  separate part, whether that same person would think it is damaged or
  defective and whether that same person would thinit is has damaged other
  insured property.
1,338                                                    1st                                                      281                                                      27
Lawyers and fee                                          Law Firm of the Year                                     Partners worldwide                                       Offices across Europe,
earners worldwide                                        Legal Business Awards                                                                                             Americas, Middle East,
                                                         2011                                                                                                              Africa and Asia.


Clyde & Co LLP accepts no responsibility for loss occasioned to any person acting or refraining from acting as a result of material contained in this summary. No part of this summary may be used, reproduced, stored in
a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, reading or otherwise without the prior permission of Clyde & Co LLP. © Clyde & Co LLP 2012

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Defect exclusions

  • 2. Introduction Offshore contractors and employers routinely purchase CAR/EAR policies and should be aware that these policies (and indeed operational policies) commonly contain defect exclusions. The type of exclusion that a policy contains may affect how their insurance will respond to a claim. Common clauses are the London Engineering Group (LEG) clauses: LEG1/96 – outright defects exclusion LEG2/96 – consequences defect exclusion LEG3/96 – improvements defects exclusion LEG3/06 – amended improvements defects exclusion WELCAR 2001 Section I contains the “Defective Parts” exclusion clause with the possibility of the part exclusion buy-back. The 1995 Design Exclusion Clauses 1 to 5 largely overlap with the various LEG clauses (with some subtle differences). DE1 to DE5 are not addressed in this presentation.
  • 3. Interpretation of the Exclusions Application of exclusions depends how you define: • Defect • Damage • Insured Property • Part
  • 4. Basic All Risks Cover In Gaunt’s Case (1921) the House of Lords stated that: “All risk insurance covers a risk not a certainty; it is something which happens to the subject matter from without not a natural behaviour of that subject matter being what it is…” In practice, this rule = too narrow and unworkable. Defects can result in very serious consequences such as catastrophic failure or explosion. Insureds and insurers have sought to strike a balance between: Cover for damage Guaranteeing from defects the work
  • 5. LEG1/96 “The Insurer(s) shall not be liable for Loss or damage due to defects of material workmanship design plan or specification.” • Very broad - outright defects exclusion. • In respect of loss or damage due to defects – even wider than proximately caused by defects. • Used by underwriters where the risk of loss is very high eg prototypical constructions.
  • 6. LEG2/96 “The Insurer(s) shall not be liable for All costs rendered necessary by defects of material workmanship design plan specification and should damage occur to any portion of the Insured Property containing any of the said defects the cost of replacement or rectification which is hereby excluded is that cost which would have been incurred if replacement or rectification of the Insured Property had been put in hand immediately prior to the said damage. For the purpose of this policy and not merely this exclusion it is understood and agreed that any portion of the Insured Property shall not be regarded as damaged solely by virtue of the existence of any defect of material workmanship design plan or specification.”
  • 7. LEG2/96 • Puts the insured in the position it would have been in prior to the damage occurring - broadly excludes everything except consequential damage. • By conceptually setting aside any consequential damage, the clause excludes the cost of repairing the defects cost of replacing other non-defective damaged property may be excluded if it would have had to be removed and replaced in order to repair the defects in any event eg to gain access. • Advantage = no need to distinguish between the defective property/part and other property.
  • 8. LEG3/96 “The Insurer(s) shall not be liable for All costs rendered necessary by defects of material workmanship design plan specification and should damage occur to any portion of the Insured Property containing any of the said defects the cost of replacement or rectification which is hereby excluded is that cost incurred to improve the original material workmanship design plan or specification. For the purpose of this policy and not merely this exclusion it is understood and agreed that any portion of the Insured Property shall not be regarded as damaged solely by virtue of the existence of any defect of material workmanship design plan or specification.”
  • 9. LEG3/96 • Cover for the damage to defective property due to defects within it (and consequential damage) BUT Excludes any additional cost incurred relating to an improvement so as to avoid the damage occurring again. • Question = when does the defect become damage – defect alone is insufficient for cover under LEG3.
  • 10. LEG3/06 “The Insurer(s) shall not be liable for All costs rendered necessary by defects of material workmanship design plan or specification and should damage (which for the purposes of this exclusion shall include any patent detrimental change in the physical condition of the Insured Property) occur to any portion of the Insured Property containing any of the said defects the cost of replacement or rectification which is hereby excluded is that cost incurred to improve the original material workmanship design plan or specification. For the purpose of the policy and not merely this exclusion it is understood and agreed that any portion of the Insured Property shall not be regarded as damaged solely by virtue of the existence of any defect of material workmanship design plan or specification”.
  • 11. LEG3/06 •The amendment to this clause (shown in bold) arose out of uncertainty arising from the Skanska v Eggar case - Court of Appeal held that a latent defect becoming patent did not constitute damage. • Expansion of cover? Not really: – not all latent defects throughout the property simultaneously become patent; and – the amendment largely reflects the way a court would approach the definition of “damage” in an insurance context in any event – see “NUKILA”.
  • 12. Faulty Design Inclusion Clause (Builder’s Risk) “It is understood and agreed that physical loss and/or physical damage to the subject matter insured during the period of the Policy caused by faulty design, faulty or defective materials, faulty or defective workmanship (including welding), including physical loss and/or defect and/or damage to the faulty part shall be covered hereunder, even though the fault in design and/or defect may have occurred prior to the attachment date of this Policy. Including the cost of repairing, replacing or renewing any defective part or parts condemned solely in consequence of the discovery therein during the period of this policy of latent defect. Notwithstanding the foregoing it is understood and agreed that coverage in respect of faulty or defective materials and/or faulty and defective workmanship, including welding, does not apply in respect of any loss solely by reason of the item failing to meet its design specifications or unfit for its intended purpose.”
  • 13. WELCAR 2001 Section I “Terms and Conditions (Section I Only) 7. Defective Parts The insurance afforded by Section I covers physical loss and/or physical damage to the property insured herein occurring during the Policy Period and resulting from a Defective Part, faulty design, faulty materials, faulty or defective workmanship, or latent defect even thought the fault in design may have occurred prior to the attachment date of the Policy. Section I, however, does not provide coverage for loss or damage to (including the cost of modifying, replacing or repairing) and Defective Part itself, unless all of the following are satisfied: (a) such Defective Part has suffered physical loss or physical damage during the Policy Period (b) such physical loss or physical damage was caused by an insured peril external to that part; and (c) the defect did not cause or contribute to the physical loss or physical damage. In no case shall Section I provide coverage for any cost or expense incurred by reason of betterment or alterations in design… “ • Shows that insurers intend to cover for physical loss/damage arising from defects but exclude loss/damage to a Defective Part unless it is damaged by an independent cause.
  • 14. WELCAR 2001 Section I “…7. Defective Parts (cont) …In the event of the total physical loss or total physical destruction of one or more of the items listed in the Schedule “B” attached to the Policy, then this exclusion shall only apply to an identifiable part or parts of such scheduled item or items. For the purposes of this clause a “Defective Part” shall mean any part of the subject matter insured which is or becomes defective and/or unfit or unsuitable for its actual purpose, whether by reason of faulty design, fault workmanship, a combination of one or more thereof or any other reason whatsoever. The term “Defective Part” shall also include such ancillary components, which are not themselves faulty, but which would normally be removed and replaced by new components when the component that is faulty is rectified. This clause shall prevail in the event of any conflict or inconsistency with any other clause forming part of the Policy. The terms of this clause are not intended and shall not be construed as providing coverage not otherwise provided under the Policy.” • Must distinguish “part” from remainder of the property insured  notoriously difficult!
  • 15. WELCAR 2001 Section I - buyback “Defective Part Exclusion Buyback Notwithstanding the provisions of the Defective Part Clause in Section I of the attached Policy, this insurance will pay for the cost of repair or replacement of defective parts which have suffered physical loss and or physical damage during the Policy Period, but the recovery of such costs is subject to: deductible $_______ each part, each accident or Occurrence; and a total aggregate limit of $_______ for all losses during the Policy Period, including the Maintenance Period; and the provisions of the Basis of Recovery Clauses in Section I of the Policy; and an additional premium $_______ being paid in full. However, it is specifically understood and agreed that this endorsement will not provide recovery for cancellation charges, stand-by costs or consequential costs or expenses that would not be recoverable under the terms and conditions of the Policy in the absence of this clause.” • Buyback only provided by insurers on a selective basis. • Does not remove the issue of identifying the “defective part” because separate deductible is applied in respect of each part, each accident or occurrence.
  • 16. Damage vs Defect and Definition of Part  Crucial to the interpretation of defect exclusion clauses: – Have any defects become damage? – Which part(s) is or are defective? – Has the defect and/or damage in that/those part(s) caused damage to other parts of the insured property?  Very limited case law - rulings on each case would be too fact specific.
  • 17. Defect vs Damage and Definition of Part Arnould: Marine Insurance defines defect as: “A condition causing premature failure which is present in the relevant part… when it is constructed or installed…or which comes into existence as a result of the way in which the relevant part was designed, constructed or installed.” Traditional distinction: – “Defect” = state of affairs – “Damage” requires some sort of occurrence. But modern technology (eg MPI and UT)  can identify molecular changes in structures and predict premature failures. Has damaged occurred by reason of these changes?
  • 18. Defect vs Damage and Definition of Part Not much directly applicable English case law on these questions but see Pilkington Glass and “NUKILA” cases (plus others). Avoid metaphysical argument; Matter of fact and degree Imminence of loss is not the same as damage. Resounding impression = English court adopts a common-sense approach in asking what a part is, whether it is damaged or simply defective and whether it has caused damage to other insured property. Tip: When interpreting and applying the defects exclusion clauses: Take a step back and ask whether a lay person would see the alleged “part” as a separate part, whether that same person would think it is damaged or defective and whether that same person would thinit is has damaged other insured property.
  • 19. 1,338 1st 281 27 Lawyers and fee Law Firm of the Year Partners worldwide Offices across Europe, earners worldwide Legal Business Awards Americas, Middle East, 2011 Africa and Asia. Clyde & Co LLP accepts no responsibility for loss occasioned to any person acting or refraining from acting as a result of material contained in this summary. No part of this summary may be used, reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, reading or otherwise without the prior permission of Clyde & Co LLP. © Clyde & Co LLP 2012