Hermanson Company LLP v. Siriuspoint Specialty Insurance Corporation
2:23-cv-00431
| W.D. Wash. | Dec 15, 2023Background
- Hermanson Company, a mechanical contractor, held a professional liability insurance policy issued by Siriuspoint Specialty Insurance for a project in Puyallup, Washington, covering March 1, 2021–March 1, 2022.
- Hermanson incurred substantial costs ("Redress Expenses") to address design and engineering issues before notifying Siriuspoint, aiming to avoid or mitigate professional negligence claims from the general contractor, Anderson Construction.
- Hermanson tendered a claim to Siriuspoint within the policy period, but after incurring the Redress Expenses.
- Siriuspoint denied coverage, asserting Hermanson breached a policy requirement by failing to obtain prior written consent before incurring the expenses.
- Hermanson sued in federal court, claiming breach of contract, bad faith, and statutory violations; both parties moved for summary judgment focusing on the "Contractor’s Professional Redress Coverage" prior consent requirement.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Prior Consent Clause is a condition requiring insurer to show prejudice for denial | The prior consent clause is a post-loss condition; Siriuspoint must show actual and substantial prejudice to deny coverage | The prior consent clause is a core coverage requirement; breach allows denial of coverage without prejudice | It is a condition; insurer must prove actual and substantial prejudice to deny |
| Applicability of notice-prejudice rule under Washington law | Applies to breach of notice/consent/cooperation conditions | Not applicable to core coverage requirements, which are strictly enforceable | Notice-prejudice rule applies here |
| Whether Hermanson’s notice breached “claims-made-and-reported” requirements, precluding coverage | No breach; claim was reported within policy period, only prior consent condition breached | Prior consent is part of coverage grant, so breach precludes coverage irrespective of prejudice | No; only prior consent condition breached, not "claims-made-and-reported" requirement |
| Effect of potentially ambiguous contract language or multiple consent-related clauses | Ambiguity, if any, must be resolved in favor of coverage for Hermanson | Clauses are clear, threshold requirements, and strictly enforceable | Ambiguities resolved against insurer; policy must be construed to favor insured |
Key Cases Cited
- Oregon Auto. Ins. Co. v. Salzberg, 85 Wash. 2d 372 (establishes insurer must show actual and substantial prejudice to deny coverage for breach of cooperation clause)
- Mut. of Enumclaw Ins. Co. v. T & G Const., Inc., 165 Wash. 2d 255 (applies prejudice rule to cooperation clause violations)
- Pub. Util. Dist. No. 1 of Klickitat County v. Int’l Ins. Co., 124 Wash. 2d 789 (extends prejudice rule to consent-to-settle clause violations)
- Safeco Title Ins. Co. v. Gannon, 54 Wash. App. 330 (distinguishes notice-prejudice rule for occurrence vs. claims-made policies)
