Filing Number: 788996
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| Filing Accepted: 10/28/2024 |
| Last/Business Name
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CPWR, LLC D/B/A CAPITAL CONTRACTOR SERVICES
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First Name |
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| Street Address
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14471 MIRAMAR PARKWAY, SUITE 203 |
| City, State Zip
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MIRAMAR,
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33027
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| Email Address
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TGOMBERG@CAPITALSERVES.COM |
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Third Party |
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| Last/Business Name* |
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GAMMY PAINTING WATERPROOFING, INC. |
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First Name |
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| Policy # * |
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VBA677689 00 |
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Claim #* |
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7030194393 |
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Attorney is Applicable
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| Last Name* |
ANDERSON
First Name *
AMANDA
Initial
K
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| Street Address* |
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9111 W. COLLEGE POINTE DR. |
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FORT MYERS
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FL
33919
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AANDERSON@INSURANCE-COUNSEL.COM |
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| Insurer Type
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Authorized Insurer
Unauthorized Insurer
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| Insurer Name |
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| Insurer Name* |
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COVINGTON SPECIALTY INSURANCE COMPANY
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,
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NAIC Company Code 13027 |
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| Name of individual responsible for violation (if any):*
CHRISTIE MOLINI 945 E PACES FERRY RD NE, SUTE 1800 ATLANTA , GEORGIA 30326 CMOLINI@RSUI.COM
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| Type of Insurance
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Commercial Property & Casualty
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| Reason for Notice
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Claim Denial
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Claim Delay
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Statutory provision(s) which the insurer allegedly violated.
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| 624.155(1)(b)(1) |
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Not attempting in good faith to settle claims when, under all the circumstances, it could and should have done so, had it acted fairly and honestly toward its insured and with due regard for her or his interests.
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| 626.9541(1)(i)(3)(a) |
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Failing to adopt and implement standards for the proper investigation of claims.
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| 626.9541(1)(i)(3)(c) |
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Failing to acknowledge and act promptly upon communications with respect to claims.
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| 626.9541(1)(i)(3)(d) |
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Denying claims without conducting reasonable investigations based upon available information.
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| 626.9541(1)(i)(3)(f) |
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Failing to promptly provide a reasonable explanation in writing to the insured of the basis in the insurance policy, in relation to the facts or applicable law, for denial of a claim or for the offer of a compromise settlement.
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Specific policy language that is relevant to the violation.
Enter all words or phrases (one at a time) that should be used to filter.
COMMON POLICY DECLARATIONS
NAMED INSURED: Gammy Painting Waterproofing, Inc.
MAILING ADDRESS: 17345 NW 78th Place, Hialeah, FL 33015
POLICY PERIOD: FROM: 2/14/2019 TO 2/14/2020
AT 12:01 A.M. Standard Time at your mailing address above.
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UNITED SPECIALTY INSURANCE COMPANY
Commercial General Liability Coverage Form
DECLARATIONS
POLICY NO.: VBA677689 00
NAMED INSURED: Gammy Painting Waterproofing, Inc.
LIMITS OF INSURANCE
General Aggregate Limit (other than Products/Completed Operations) $2,000,000
Products/Completed Operations Aggregate Limit $2,000,000
Personal and Advertising Injury Limit $1,000,000
Each Occurrence Limit $1,000,000
Fire Damage Limit $100,000
Medical Expense Limit $5,000
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Form GBA 105014 1215
This Endorsement Changes The Policy. Please Read It Carefully.
CONTRACTOR COVERAGE EXTENSION ENDORSEMENT –
BLANKET ADDITIONAL INSURED – OWNERS, LESSEES, OR
CONTRACTORS; PRIMARY AND NONCONTRIBUTORY;
BLANKET WAIVER OF TRANSFER OF RIGHTS OF
RECOVERY AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. To the extent of coverage afforded by this policy, SECTION II – WHO IS AN INSURED is amended to include as an additional insured any owner, lessee or contractor for whom you are performing operations or working at their premises when you have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy, but only with respect to liability for “bodily injury”, “property damage” or “personal and advertising injury” caused, in whole or in part, by:
Your acts or omissions; or
The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) described above.
However:
The insurance afforded to such additional insured only applies to the extent permitted by law; and
If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. Any entity requiring to be specifically listed as additional insured per the terms of the contract or agreement may be listed in the schedule below:
Name of Person or Organization:
B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
“Bodily injury”, “property damage” or “personal and advertising injury” arising out of the rendering of or the failure to render, any professional architectural, engineering or surveying services, including:
The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or
Supervisory, inspection, architectural or engineering activities.
Claims, “suits” and/or damages arising out of the acts, omissions and/or negligence of the additional insured(s).
“Bodily injury” or “property damage” occurring after:
All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or
That portion of “your work” out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.
C. With respect to the insurance afforded to these additional insureds, the following is added to SECTION III – LIMITS OF INSURANCE:
If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
Required by the contract or agreement; or
Available under the applicable Limits of Insurance shown in the Declarations; whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
D. Primary and Noncontributory Provision
If the contract between the additional insured and you requires that the insurance afforded by this policy be primary and noncontributory, this insurance shall be primary and noncontributory, but only;
As to the general liability policy(ies) where that additional insured is listed as the named insured on the declaration page(s) of such policy(ies), and
Only if such claims, “suits” and/or damages arise out of the sole negligence of the Named Insured.
E. Waiver of Subrogation Provision
The Transfer of Rights of Recovery Against Others To Us Condition (SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following:
If required as part of a written contract or agreement, we will waive any right of recovery we may have against those who are added as additional insureds by this endorsement because of payment we make for injury or damage arising out of your ongoing operations performed under a contract with them. This waiver applies only when you are solely negligent. This waiver shall not apply to claims, “suits” and/or damages arising in whole or in part out of the acts, omissions, and/or negligence of those added as additional insureds by this endorsement.
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Form CG 00 01 04 13:
DEFINITIONS:
13. “Occurrence” means an accident, including continuous or repeated exposure to substantially the same general harmful conditions.
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17. “Property damage” means:
a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; or
b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the “occurrence” that caused it.
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22. “Your work”:
a. Means:
(1) Work or operations performed by you or on your behalf; and
(2) Materials, parts or equipment furnished in connection with such work or operations.
b. Includes:
(1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your work"; and
(2) The providing of or failure to provide warnings or instructions.
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SECTION I - COVERAGES
Coverage A – Bodily Injury and Property Damage Liability
Insuring Agreement
We will pay those sums that the insured becomes legally obligated to pay as damages because of “bodily injury” or “property damage” to which this insurance applies. …
This insurance applies to “bodily injury” an “property damage” only if:
The “bodily injury” or “property damage” is caused by an occurrence that takes place in the “coverage territory”;
The “bodily injury” or “property damage” occurs during the policy period;
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Facts and circumstances giving rise to the violation.
Enter all words or phrases (one at a time) that should be used to filter.
In submitting this summary of facts, CPWR, LLC d/b/a Capital Contractor Services (“CPWR”) affirmatively states that this is not intended to be exhaustive or comprehensive; rather, this is merely intended to satisfy the statutory requirements of providing a brief summary in accordance with Florida Statute § 624.155. CPWR submits that all facts and circumstances giving rise to this Civil Remedy Notice of Insurer Violation (“CRN”) are well known to Covington Specialty Insurance Company. Furthermore, and because the insurance claims at issue have yet to be resolved, CPWR respectfully reserves the right to amend this CRN with additional relevant information as it becomes known.
Covington Specialty Insurance Company (“Covington”) issued to Gammy Painting Waterproofing, Inc. (“Gammy” or “Insured”) a general liability policy, covering the time period February 14, 2019, through February 14, 2020 and bearing policy number VBA677689 00 (the “Policy”). Covington’s listed address 945 East Paces Ferry Road, Suite 1800, Atlanta, Georgia 30326-1160.
The facts giving rise to this Civil Remedy Notice should be well known to the Covington. However, a brief description follows:
On or about June 14, 2019, Capital Contractor Services, (“CPWR” or “Complainant”) entered into a Subcontract Agreement with Gammy to serve as a subcontractor to complete exterior renovations of the Bentley Bay Condominium located at 520 and 540 West Avenue Miami Beach, Florida 33139 (the “Project”), including but not limited to concrete, waterproofing, and painting exterior work at the Project.
Gammy was required, pursuant to the terms of the Subcontract Agreement, to name CPWR as an additional insured on its policies of insurance, including the Policy issued by Covington. Gammy represented to CPWR that CPWR qualified as an additional insured under the Policy.
On or about March 5, 2024, the Bentley Bay Condominium Association, Inc. filed suit against CPWR in the Circuit Court of the Eleventh Judicial Circuit in and for Miami-Dade County (the “Lawsuit”). The Lawsuit makes specific allegations related to the work performed by Gammy, including allegations that property damage was caused during performance of the work. The Association specifically alleges:
23. Capital materially breached the Contract by failing to perform its concrete repair, waterproofing, and painting work in a good and workmanlike manner and in accordance with the Specifications and industry standards, by painting over building components that Capital knew or should have known required further repairs and surface preparation prior to painting, and by causing property damage while performing its work, including, without limitation, to Condominium’s sliding glass door trim and window frames, coatings, and sealant systems. Moreover, Capita has not cured the defects in the work.
On or around March 28, 2024, counsel for CPWR issued a demand for defense and indemnity seeking coverage for CPWR as an additional insured under the Policy. CPWR issued a second letter renewing CPWR’s demand for defense and indemnity on or around April 30, 2024, and informed Covington of a scheduled mediation.
Covington ultimately acknowledged the claim via a letter dated April 24, 2024. Therein, Covington rejected CPWR’s tender and asserted that CPWR did not qualify as an additional insured. Covington claimed the Lawsuit only alleged property damage that occurred after the Project was put to its intended use and as such, the claims did not arise from Gammy’s ongoing operations. Covington also claimed there was no coverage to the extent Gammy’s operations exceeded the scope of the operations scheduled on the Policies. Covington also cited additional reason for why there “may be no coverage.”
CPWR responded to Covington’s denial on or about June 17, 2024, and demonstrated to Covington that the Lawsuit specifically alleged that property damage occurred during Gammy’s ongoing operations. CPWR also requested a copy of the Policy and reserved its rights to further challenge the denial upon receipt and review of the same.
A copy of the Policy was disclosed on or around June 19, 2024.
On July 3, 2024, Covington issued email correspondence reaffirming their prior denial. CPWR responded that same day setting forth the specific allegations of the complaint in the Lawsuit that property damage was caused during ongoing operations. CPWR also set forth evidence that the work classification limits did not foreclose coverage under the Policy as at least some of Gammy’s work fell within the Policy classifications.
On or around August 9, 2024, CPWR followed up on its July 3, 2024, email rebutting the coverage denial. Covington responded to that correspondence on the same date requesting a copy of a policy issued to a separate subcontractor on the Project but did not provide a substantive response to CPWR’s coverage arguments.
On or around September 18, 2024, CPWR once more followed up on Covington’s coverage position. On or around September 19, 2024, Covington responded via email that their coverage position remained unchanged without any supporting documentation or analysis.
On or around October 1, 2024, CPWR issued email correspondence to Covington providing citations to the Complaint that establish allegations of property damage caused during Gammy’s ongoing operations, case law supporting coverage, and a renewed demand for a defense as an additional insured. CPWR requested a response within seven days of the correspondence but has yet to receive any correspondence in return.
All letters and emails are collectively referred to as “Outline of Communications.”
Covington’s Duty to Defend
The Policy contains a standard coverage form and additional insured requirements, which, under the plain language of the Policy, contractually obligates Covington to defend CPWR from the allegations in the Lawsuit. In particular, the Policy affords coverage for “property damage” caused by an “occurrence” during the applicable policy periods. Further, based on the Additional Insured Endorsement required by contract, CPWR satisfies the definition of an “additional insured” under the Policy and is to be afforded coverage for the allegations in the Lawsuit. Thus, there should be no question that CPWR is entitled to indemnity and defense for the alleged property damage “arising from” CPWR’s work during Covington’s coverage period. See Jones v. Fla. Ins. Guar. Ass’n, Inc., 908 So. 2d 435, 442-43 (Fla. 2005) (“It is well settled that an insurer's duty to defend its insured against a legal action arises when the complaint alleges facts that fairly and potentially bring the suit within policy coverage.”).
Furthermore, Covington is fully aware of the Underlying Action and the specific allegations being made against its insured, CPWR. By correspondence detailed above, CPWR, through its counsel, formally tendered this claim to Covington, demanding defense, and indemnification from Covington under the subject Policy relative to the Lawsuit. However, despite Covington being notified of the claim and pending litigation, Covington failed to provide its insured, CPWR, with a defense in the Lawsuit.
On April 24, 2024, Covington responded to CPWR’s demand for indemnification and defense by acknowledging receipt of claim and denying coverage. Moreover, despite reiterating the denial of coverage on July 3, 2024, and September 19, 2024, Covington has not provided a specific response to the information CPWR has provided to support the claim. This is a violation of Florida Statute §626.9541(1)(i)(3)(d) (Denying claims without conducting reasonable investigations based upon available information) and §626.9541(1)(i)(3)(f) (Failing to promptly provide a reasonable explanation in writing to the insured of the basis in the insurance policy, in relation to the facts or applicable law, for denial of a claim or for the offer of a compromise settlement).
In summary, despite the fact that Covington was notified of the Lawsuit, Covington has refused to comply with its defense obligations. Covington’s failure to provide a defense or otherwise attempt to resolve the claim and protect CPWR from potential exposure constitutes a material breach of its good faith duties owed to its Insured.
At all times relevant hereto, and as evidenced by its engagement in that conduct described herein and specifically proscribed by Florida Statute §626.9541(1)(i)(3)(d) (Denying claims without conducting reasonable investigations based upon available information); §626.9541(1)(i)(3)(f) (Failing to promptly provide a reasonable explanation in writing to the insured of the basis in the insurance policy, in relation to the facts or applicable law, for denial of a claim or for the offer of a compromise settlement.), §624.155(1)(b)(1) (Not attempting in good faith to settle claims when, under all the circumstances, it could and should have done so, had it acted fairly and honestly toward its insured and with due regard for her or his interests); §626.9541(1)(i)(3)(a) (Failing to adopt and implement standards for the proper investigation of claims); §626.9541(1)(i)(3)(c) (Failing to acknowledge and act promptly upon communications with respect to claims).
Covington violated §626.9541(1)(i)(3)(d) when it failed to substantively and timely respond to CPWR’s numerous tenders for defense and indemnity as provided in the Outline of Communications.
Covington violated §626.9541(1)(i)(3)(f) when it failed to respond to CPWR’s numerous tenders for defense and indemnity as provided in the Outline of Communications.
Covington violated §624.155(1)(b)(1) when it failed to respond to CPWR’s numerous tenders for defense and indemnity as provided in the Outline of Communications. Had Covington accepted CPWR’s defense, a reasonable effort would have and should have been made to settle the claims. Covington has not done this.
Covington violated §626.9541(1)(i)(3)(a) when it failed to substantively and timely respond to CPWR’s numerous tenders for defense and indemnity as provided in the Outline of Communications. This is evidence that Covington has failed to adopt and implement standards for the proper investigation of claims. Because had Covington done so, Covington would have at least responded in writing with reasons for its current effective denial.
Covington violated §626.9541(1)(i)(3)(c) when it failed to substantively and timely respond to CPWR’s numerous tenders for defense and indemnity as provided in the Outline of Communications. (Failing to acknowledge and act promptly upon communications with respect to claims).
Covington violated its good faith obligations owed to CPWR; specifically, and as evidenced by Covington’s failure to respond to CPWR’s claim correspondence from, in effect, refused to defend CPWR with respect to the claims and damages being alleged in the Underlying Action and/or otherwise failed to provide an explanation in writing with respect to the basis for Covington’s denial of coverage for those claims and damages at issue in the pending litigation despite receiving information in opposition to its denial.
Additionally, Covington’s adjusters have sat silent on their duties to properly adjust the claim. Such inaction has created an unreasonable delay in the acceptance of CPWR’s defense and is prejudicial to CPWR pursuant to Fla. Admin. Code R. 690-220.201(3)(c): An adjuster shall not approach investigations, adjustments, and settlements in a manner prejudicial to the insured.
Accordingly, Covington’s conduct in this matter has harmed, and continues to harm, CPWR with respect to those claims at issue in the Lawsuit. The aforesaid conduct evidences Covington’s (i) intentional, knowing, and egregious violations of the statutes cited herein, (ii) ongoing bad faith conduct towards CPWR, and (iii) continuing breach of the Policies.
The Insured submits that Covington’s conduct outlined herein is the type of act that occurs with such frequency as to indicate a general pattern and practice of business in violation of Florida Statute §624.155(5). The Insurer has placed its interests before the interest of its Insured. These acts are willful, wanton, and malicious, and have been committed with reckless disregard of the Insured’s rights under the Policies.
Based on the foregoing, Covington may cure the foregoing statutory violations by accepting its defense obligations to CPWR in the Underlying Action, including payments to CPWR for all amounts expended by CPWR as reimbursement for the owed defense attorneys’ fees and costs including those amounts incurred in filing this Civil Remedy Notice.
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The submitter hereby states that this notice is given in order to perfect the rights of the
person(s) damaged to pursue civil remedies authorized by Section 624.155, Florida Statutes.
Before submitting a Notice using this system, please verify that all text has been entered
correctly and completely. Once the Notice has been submitted, the text cannot be changed
or deleted.
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DFS-10-363
Rev. 10/14/2008
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