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Environmental claims: excess/umbrella carriers may have to clean up after government-mandated orders.


It is well-known in the world of environmental exposure that policyholders in all jurisdictions face environmental liabilities, subjecting them to costly administrative agency An official governmental body empowered with the authority to direct and supervise the implementation of particular legislative acts. In addition to agency, such governmental bodies may be called commissions, corporations (e.g.  orders--in lieu of formal lawsuits--requiring remediation and abatement of contamination.

Absent the filing of formal litigation An action brought in court to enforce a particular right. The act or process of bringing a lawsuit in and of itself; a judicial contest; any dispute.

When a person begins a civil lawsuit, the person enters into a process called litigation.
, there has been a general understanding among excess/umbrella carriers that they will not be responsible for costs associated with these government-mandated remediation and abatement orders. However, two California Supreme Court rulings call this into question and highlight how critical wording is in determining whether excess/umbrella carriers will need to cover government-mandated orders.

Powerine Oil Co. Inc. vs. Superior Court (Powerine II) and County of San Diego San Diego (săn dēā`gō), city (1990 pop. 1,110,549), seat of San Diego co., S Calif., on San Diego Bay; inc. 1850. San Diego includes the unincorporated communities of La Jolla and Spring Valley. Coronado is across the bay.  vs. Ace Property & Casualty Iris. Co. (County of San Diego) addressed the responsibility of excess/umbrella carriers regarding costs associated with California Regional Water Quality Control Board remedial cleanup and abatement orders pertaining per·tain  
intr.v. per·tained, per·tain·ing, per·tains
1. To have reference; relate: evidence that pertains to the accident.

2.
 to soil and/or groundwater contamination.

The Supreme Court of California The Supreme Court of California is the state supreme court in California. It is headquartered in San Francisco, and regularly holds sessions at its branch offices in Los Angeles and Sacramento. Its decisions are binding on all other California state courts.  issued an opinion on August 29 in Powerine II, supporting policyholder efforts to recover costs of complying with pollution cleanup and abatement orders issued by administrative agencies--costs that the state Supreme Court previously held were not covered not covered Health care adjective Referring to a procedure, test or other health service to which a policy holder or insurance beneficiary is not entitled under the terms of the policy or payment system–eg, Medicare. Cf Covered.  under standard comprehensive general-liability insurance policies absent the filing of a formal suit.

The California Supreme Court held that under a literal reading of the excess/umbrella liability policies at issue, the wording of the insuring agreement was broad enough to include coverage for environmental cleanup The process of removing solid, liquid, and hazardous wastes, except for unexploded ordnance, resulting from the joint operation of US forces to a condition that approaches the one existing prior to operation as determined by the environmental baseline survey, if one was conducted.  and response costs ordered by an administrative agency.

In a separate and companion opinion, however, the California Supreme Court held in County of San Diego that an insuring provision of a"manuscript form" excess policy did not extend coverage to costs and expenses associated with responding to administrative orders outside the context of a government-initiated lawsuit. Instead, it limited the carrier's indemnity obligation to "damages," meaning "money ordered by a court."

Two words made the difference in these two cases: expenses and damages.

In Powerine II, the insuring agreement in the excess/umbrella policies provided coverage for both "damages" and "expenses." In addition, the language in the agreement referred to "ultimate net loss" in defining "expenses," expressly including money the insured was obligated ob·li·gate  
tr.v. ob·li·gat·ed, ob·li·gat·ing, ob·li·gates
1. To bind, compel, or constrain by a social, legal, or moral tie. See Synonyms at force.

2. To cause to be grateful or indebted; oblige.
 to pay for the "investigation of claims"

The court held that this plain language provided coverage for expenses incurred by the insured in responding to government agency orders administratively imposed, even though the government did not file any lawsuit against the insured seeking cleanup and abatement of environmental pollution.

In County of San Diego, the California Supreme Court again focused on specific wording in the insuring agreement, but held that excess policy language restricted coverage to court-ordered money judgments and did not include cleanup expenses incurred in responding to government orders. The insuring language of the excess policy in the County of San Diego case provided coverage for"damages because of injury to or destruction of tangible property tangible property n. physical articles (things) as distinguished from "incorporeal" assets such as rights, patents, copyrights, and franchises. Commonly tangible property is called "personalty. ." The policy did not provide coverage for "expenses," as did the policies in Powerine II.

The County of San Diego court also reasoned that in the policy at issue there, unlike the policies in Powerine II, the definition of the term "ultimate net loss" only served to identify the insured's total loss that would count toward exhaustion of the self-insured retention. The policy did not incorporate "ultimate net loss" or similar language into the coverage grant itself.

The import of these decisions is that small changes in wording--coverage for"expenses" as opposed to coverage for "damages"--can significantly impact a liability carrier's obligation to provide insurance coverage for environmental cleanup costs incurred in responding to government agency-issued orders. Powerine II opens the door for policyholders to potentially recover compliance costs of administrative orders under umbrella liability policies--without forcing the government to sue.

Of course, coverage will ultimately depend upon the precise language of the policies at issue, compliance with policy terms and conditions, and the potential application of exclusions. At a minimum, Powerine II provides a possible basis for recovery of administrative costs administrative costs,
n.pl the overhead expenses incurred in the operation of a dental benefits program, excluding costs of dental services provided.
 where none might have existed before.

The courts of jurisdictions other than California could soon follow suit.

Jennifer M. Bozeat, a Best's Review contributor, is a member of the national insurance litigation department at the law firm of Cozen coz·en  
v. coz·ened, coz·en·ing, coz·ens

v.tr.
1. To mislead by means of a petty trick or fraud; deceive.

2. To persuade or induce to do something by cajoling or wheedling.

3.
 O'Connog, San Francisco San Francisco (săn frănsĭs`kō), city (1990 pop. 723,959), coextensive with San Francisco co., W Calif., on the tip of a peninsula between the Pacific Ocean and San Francisco Bay, which are connected by the strait known as the Golden . She can be reached at insight@ambest.com.
COPYRIGHT 2006 A.M. Best Company, Inc.
No portion of this article can be reproduced without the express written permission from the copyright holder.
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Author:Bozeat, Jennifer M.
Publication:Best's Review
Article Type:Column
Geographic Code:1USA
Date:Feb 1, 2006
Words:708
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