The reply is “no.” However, precise coverage language and the relevant state legislation will play a big function in figuring out if protection is to use in circumstances of defective design and building.
A current Washington appellate courtroom opinion1 held:
Defective design and building of the Gardens Condominium roof meeting led to insufficient air flow, which trapped condensation and extra humidity, damaging the roof. Gardens held an ‘all-risk’ insurance coverage coverage issued by Farmers Insurance coverage Trade. The coverage excludes protection for defective building, however ‘if loss or harm by a Lined Reason behind Loss outcomes, [Farmers] can pay for that ensuing loss or harm.’ Farmers denied protection for the roof repairs and Gardens sued. The trial courtroom granted abstract judgment for Farmers. As a result of the trial courtroom misinterpreted the ensuing loss clause in Farmers’ coverage, we reverse and remand for additional proceedings….
The “ensuing” or “ensuing loss” exceptions to exclusions in property insurance policies are necessary every time the lack of defective design and building contributes to a loss. These circumstances are a number of the most advanced protection determinations. Typically, the case details and coverage language are the identical, however the state legislation making use of to these may end up in completely different outcomes. So, policyholders ought to receive authorized session anytime an insurer denies a declare based mostly on defective design and building.
I strongly counsel that these posts: Faulty Development and Ensuing Loss Provisions, and Whipped Cream, Honey and Lined Ensuing Loss Delights, are learn by these persevering with to learn this submit to realize a greater understanding how the ensuing loss should match as an exception to the defective design and faulty building exclusions.
The cited Washington case is worthy of research. Some circumstances counsel that policyholders attempt to learn the following loss exceptions too broadly, thereby making the exclusions for defective design and workmanship meaningless. The Washington courtroom commented on this argument and turned it round:
And Farmers’ concern in regards to the ensuing loss clause swallowing the exclusion doesn’t bear out. The ensuing loss clause solely limits the scope of the exclusion. In distinction, if we had been to interpret a ensuing loss clause to use to solely impartial, unexpected lined perils, the clause can be superfluous. The coverage already covers unexpected impartial perils that it doesn’t in any other case exclude. See GMAC v. Everett Chevrolet, Inc., 179 Wn. App. 129, 135, 317 P.3d 1074 (2014) (we favor contract interpretation that doesn’t render language meaningless or ineffective).
The evaluation of the case legislation was very advanced, and the courtroom’s factual reasoning was easy:
Right here, Gardens’ coverage excludes protection of defective building. That exclusion limits Gardens’ protection. However the ensuing loss clause narrows that exclusion. Within the ensuing loss clause, Farmers agreed to pay for any loss or harm attributable to a lined peril ensuing from defective building. The events stipulated that ‘[t]he harm was attributable to condensation and/or extra humidity ensuing from insufficient air flow of the roof meeting because of the defective, insufficient, or faulty building, repairs and/or redesign.’ So, if the coverage covers the perils of condensation and extra humidity, it covers the loss or harm from these perils.
Once more, these advanced circumstances beg for authorized opinion. Adjusters and policyholders ought to search authorized opinions when confronted with these circumstances as a result of the legislation varies considerably between states. Refined variations based mostly on details and coverage language are necessary.
Thought For The Day
For each advanced drawback there may be a solution that’s clear, easy, and mistaken.
—H. L. Mencken
1 The Gardens Condominium v. Farmers Ins. Trade, No. 83678-1-I (Wash. App. Dec. 19, 2022).