PUBLIC OFFICIALS & ENTITY LIABILITY COVERAGE
FOR THE
PURMS JOINT SELF-INSURANCE AGREEMENT
Amended
and Restated as of December 7, 2001
Overview of Coverages for
PURMS Risk Pools
The Coverages Sections of the SIA set forth the Insuring
Agreements, Exclusions, and other terms and conditions which comprise the
Coverages provided by the Fund for the Members of its Risk Pools and, as
applicable, their Employees under the SIA.
The current Liability Coverage provided by the Fund for
Members of the Liability Pool includes:
Commercial General Liability (SIA § III, “CGL”); Public Officials &
Entity Liability (SIA § IV, “PO&E”); Automobile Liability (SIA § V); and
Pollution Liability (§ VI). The CGL Coverage was originally adopted on December 20, 1976, has been amended
from time to time, and was unanimously re-adopted by the Members on December 7, 2001. The PO&E,
Automobile and Pollution Liability Coverages were first adopted effective March 30, 1995. The PO&E Coverage
was unanimously re-adopted by the Members on December 7, 2001.
The current Property Coverage provided by the Fund for
Members of the Property Pool includes:
General Property Coverage (SIA § X) and Auto Physical Damage Coverage
(SIA § XI). Both of these Property Coverages were originally adopted effective February 27, 1997.
Members of the Property Pool may participate in either or
both Property Coverages (SIA § X and/or § XI).
Members of the Liability Pool must participate in all Liability
Coverages provided by the Fund (SIA § III - VI).
The current Health & Welfare Coverage provided by the
Fund for the Members of the H&W Pool is set forth in § XIV. The H&W
Coverage was originally adopted on March
16, 2000, effective April
1, 2000, and was amended and restated and unanimously re-adopted by
the Members as of December 7, 2001.
These Coverages, as amended from time to time pursuant to
§ I, ¶ 5.2, are specifically incorporated into the Interlocal Agreement and
shall be deemed a part of that Agreement as if fully set forth therein.
PUBLIC OFFICIALS & ENTITY
COVERAGE
1.
Definitions for Public Officials and Entity Liability
Coverage. The
Definitions set forth in the "Definitions" Section of the SIA (see
§ II) apply to the interpretation of the Liability Coverage provided by this
Public Officials and Entity Coverage Section ("PO&E Coverage"),
except as may be modified specifically or by implication by the definitions set
forth below which are specific to the PO&E Coverage contained in this § IV.
1.1
Customer -- shall
mean a person or entity that purchases Services or Products from a Member in
connection with its Public Utility Operations.
1.2
Damages -- with respect to the PO&E Coverage, shall
mean all sums a Public Official or Member, by indemnification of the Public
Official or by Vicarious Liability, become legally obligated to pay to a Third Party
either by adjudication or by compromise with the consent of the Fund, because
of the Wrongful Act of a Public Official.
1.3
Defense Costs -- shall mean all reasonable expenses incurred
by the Public Official, for which the Public Official has not been reimbursed
by the Member, or by the Member, on behalf of such Public Official or for its
own behalf, in the investigation, negotiation, settlement and defense of any
Covered PO&E Claim, except all salaries, wages and benefit expenses of the
Public Official or the Member.
1.4
Employee -- In the context of PO&E Coverage for the
Vicarious Liability of a Member for the Wrongful Acts of its Public Officials
under ¶ 2.1(c), "Employees" shall be included within the meaning of
"Public Official" as defined in ¶ 1.8 herein. In all other contexts of the PO&E
Coverage, "Employee" shall be given its meaning in § II, which
would include "Public Officials."
1.5
Management -- shall mean the Member's officers, manager,
department heads, administrators and supervisory personnel, Employees
performing engineering and surveying activities to the extent not excluded by ¶
3.14, and any other job positions that may from time to time be established in
the Operational Rules, but excluding elected public officials and directors,
and excluding all other Employees of the Member.
1.6
Not-For-Profit
Organization -- shall
mean:
(a) An organization,
no part of the income or assets of which is distributable to its owners,
stockholders or members and which is formed and operated for a purpose other
than the pecuniary profit or financial gain of its owners, stockholders or
members; or
(b) A political action committee which is
defined for these purposes as a separate segregated fund to be utilized for
political purposes as described in the United States Federal Election Campaign
Act (2 U.S.C. 441b(2)(C)).
1.7
PO&E Claim. Any
formal demand, suit or proceeding asserted by a Third Party against any Public
Official or a Member which seeks actual monetary Damages and which may result
in any Public Official or Member becoming legally obligated to pay such Damages
by reason of any Wrongful Act actually or allegedly caused, committed or
attempted during the Coverage Period as a result of acts or omissions in the
capacity of a Public Official while the Public Official was employed by a
Member or, with respect to the PO&E Coverage provided to Members in § IV, ¶
2.1(c), as a result of a Wrongful Act by any Employee acting within the scope
of his/her actual or apparent authority while employed by the Member. Multiple demands or suits arising out of the
same Wrongful Act or interrelated acts shall be deemed to be a single PO&E
Claim.
1.8
Public Official -- as
used herein, either in the singular or plural, shall mean:
(a) (1) Any person who was, is now, or shall be a
commissioner, director, trustee or Management of a Member and any other
Employee of a Member who may be acting in the capacity of a commissioner,
director, officer, trustee or Management of a Member with the express
authorization of a commissioner, director, officer, trustee or Management of a
Member;
(2) Any person who was,
is now or shall be a lawfully elected or appointed official or member of the
governing body of a Member;
(3) Any member of a commission, board or
other unit operating by and under the jurisdiction of the governing body of a
Member; or
(4) Any Employee of a Member who is directly
responsible to the governing body of a Member or to its commissions or boards;
(b) Any person included in
subparagraph (a)(1) above who is serving or has served at the specific
request or with the permission of the Member's governing body as a director,
officer or trustee of any outside Not-For-Profit Organization;
(c) The estates, heirs, legal representatives
or assigns of deceased persons who were persons included in subparagraph (1)
above at the time the Wrongful Acts upon which such Claims were based were
committed and the legal representatives or assigns of such persons in the event
of their incompetency, insolvency or bankruptcy; and
(d) With respect to the PO&E Coverage
provided to the Member under § IV, ¶ 2.1(c) and applicable Exclusions, the
term "Public Official" shall mean and include all Employees of a
Member;
provided,
however, that the term "Public Official" shall not include a trustee
appointed pursuant to Title 11, United States Code, or pursuant to the
Securities Investor Protection Act, a receiver appointed for the benefit of
creditors by Federal or State courts, an assignee for the benefit of creditors
or similar fiduciary appointed under Federal or State laws for the protection
of creditors or the relief of debtors.
In the event
that a Liability Claim which is within the PO&E Coverage afforded by § IV
is made against any Public Official and such Claim includes a claim against the
lawful spouse of such Public Official solely by reason of (a) such spousal
status or (b) such spouse's ownership interest in property or assets which
are sought as recovery for the Wrongful Act of a Public Official, such spouse
shall be deemed to be a Public Official hereunder, but solely with respect to
such Claim. In no event, however, shall
the lawful spouse of a Public Official be deemed to be a Public Official as
regards any Claim in respect of which there is a breach of duty, neglect, error,
misstatement, misleading statement or omission actually or allegedly caused,
committed or attempted by or claimed against such spouse, acting individually
or in his or her capacity as the spouse of a Public Official.
1.9
Public Utility Operations -- shall mean the operations of the Member related
to, arising from or associated with the production, transmission, delivery or
furnishing of electricity, gas, water or sewer service to the public, including
the ownership, operation, management or control of any plant or equipment used
in connection therewith.
1.10
Ultimate Net Loss -- shall mean the total Damages and Defense
Costs with respect to each Wrongful Act to which this PO&E Coverage
applies, subject to the Liability Coverage Limit set forth in ¶ 2.2.
1.11
Vicarious Liability -- shall
mean the liability imposed upon a Member for the Wrongful Acts of one or more
of its Public Officials, except for any liability imposed upon the Member
solely because of the Member's indemnification of the Public Official.
1.12
Wrongful Act -- shall mean any actual or alleged breach of
duty, neglect, error, misstatement, misleading statement or omission actually
or allegedly caused, committed or attempted by:
(a) any Public Official while acting individually or collectively in
their capacity as Public Officials, or claimed against them solely by reason of
their being Public Officials; or (b) with respect to the PO&E Coverage
provided to Members in ¶ 2.1(c) only, any Employee acting within the scope of
his/her actual or apparent authority; or (c) a Member; but subparagraphs (a) through
(c) above shall apply only with respect to the Public Utility Operations of a
Member.
All such interrelated
breaches of duty, neglects, errors, misstatements, misleading statements or
omissions actually or allegedly caused, committed or attempted by or claimed
against one or more of the Public Officials shall be deemed to be a single
"Wrongful Act".
2.
Insuring Agreement and
Conditions for Public Officials & Entity Liability Coverage. Under
its Public Officials & Entity Liability ("PO&E") Coverage,
the Fund provides the following:
2.1
PO&E Coverage for
Liability Claims Arising from a "Wrongful Act". Except
as otherwise provided in this ¶ 2 and in the Exclusions in ¶ 3 below, or in
other sections of the SIA (see, e.g., § I., ¶ 13.5), and subject
to § VII regarding Claims Resolution, the Fund shall pay on behalf of the
Member or any Public Official, as applicable, the Ultimate Net Loss, which
includes all Defense Costs and all monetary Damages, that:
(a) such Public
Official (for which the Member has not provided reimbursement); or
(b) the Member,
pursuant to lawful indemnification of the Public Official; or
(c) the Member that
employed such Public Official, including Employees, by Vicarious Liability;
has
or may become legally obligated to pay to a Third Party resulting from a
Covered PO&E Claim arising out of a Wrongful Act committed during the
Coverage Period while the Public Official (or, with respect to an Employee
under ¶ 2.1(c), the Employee) was employed by a Member and while the
Public Official was acting in the capacity of a Public Official (or, with
respect to an Employee under ¶ 2.1(c), the Employee was acting within the
scope of his/her actual or apparent duties for the Member); provided, however,
that the Fund shall not be obligated to provide Defense or to make any PO&E
Coverage Payments to or on behalf of a Public Official (with respect to
Coverage under ¶ 2.1(a)) or to or on behalf of a Member (with respect to
Coverage under ¶ 2.1(b)) for any PO&E Claim unless the Coverage Qualifications
set forth in ¶ 2.4 below are satisfied.
Directors, Officers of the Fund, and members of the Executive,
Operations and Administrative Committees, and such other committees as are
established by the Board, shall be deemed to be "Public Officials"
and acting within the scope of their duties and employment for a Member when
acting within the scope of their duties for the Fund.
2.1.1 Coverage for a Member for Vicarious Liability does not
Depend upon Whether the Public Official Satisfies the Coverage Qualifications. Whether
the Fund provides Coverage under ¶ 2.1(c) for the Member for a PO&E Claim
asserted against the Member for Vicarious Liability based upon the Wrongful Act
of its Public Official shall be separate from and shall not be dependent upon
whether the Fund provides Coverage for such Member's Public Official based on
satisfaction of the Coverage Qualifications set forth in ¶ 2.4 (see,
Exclusion in ¶ 3.16).
2.1.2 Multiple Liability Claims/Single Wrongful Act. Multiple
Liability Claims arising out of the same Wrongful Act, even if made against
different Public Officials employed by several different Members, shall be
deemed to be a single PO&E Claim arising from a single Wrongful Act. The Liability Coverage Limit shall apply only
once regardless of the number of PO&E Claims arising out of the same
Wrongful Act. All interrelated acts
shall be deemed to be a single Wrongful Act.
2.1.3 No Overlapping or Double Coverage. The
inclusion herein of more than one Public Official, or the Fund providing
coverage directly to the Public Official for the Wrongful Act and to the Member
for any indemnification of the Public Official or Vicarious Liability
therefore, shall not operate to increase the Fund's Liability Coverage Limit,
or to create multiple Wrongful Acts, or to require the Fund to pay more than
the Ultimate Net Loss arising from the Wrongful Act. Once the Fund has made
Liability Coverage payments and/or paid Defense Costs to or on behalf of the
Public Official, or Member, or combination thereof, equal to the Ultimate Net
Loss or the Liability Coverage Limit, whichever is less, neither the Public
Official nor the Member shall have a right to any additional PO&E Coverage
or Defense Costs hereunder from the Fund.
2.1.4 No Imputation of Acts, Omissions or Warranties. The
acts, omissions or warranties of any Public Official shall not be imputed to
any other Public Official with respect to the PO&E Coverage applicable
under this § IV.
2.1.5 PO&E Coverage Regarding Outside Not-For-Profit
Organization. If any Public Official is serving or has served
at the specific request or with the permission of the Member's governing body
as a director or officer of an outside Not-For-Profit Organization, the
PO&E Coverage afforded by this § IV:
(a) Shall be specifically excess of any other
indemnity or insurance available to such Public Official by reason of such
service; and
(b) Shall not be construed to extend to the
outside Not-For-Profit Organization in which the Public Official is serving or
has served, nor to any other director, officer or employee of such outside
Not-For-Profit Organization (see, ¶ 2.5 and Exclusion ¶ 3.8).
2.1.6 Single Liability Coverage Limit for Claims Under More than One Type of Liability Coverage. Although
"wrongful acts" types of Claims, or portions thereof, might also be
Covered under the Fund's CGL or Pollution Coverages, the Fund shall only be
obligated to pay an amount equal to the "Ultimate Net Loss", as
defined in this PO&E Coverage, subject to the Liability Coverage Limit,
arising from a Claim based on a Wrongful Act regardless of which SIA Coverage
Section applies to provide Coverage for all or portions of such Claim.
2.2
Liability Coverage
Limit. The Fund
shall not be obligated to pay an Ultimate Net Loss in excess of the Liability
Coverage Limit established by the Board for one or more Covered PO&E Claims
arising out of any Wrongful Act, irrespective of the number of Members or
Public Officers who may be liable therefor; provided, however, that all
Defense Costs incurred in connection with a Covered PO&E Claim shall be
included within the Liability Coverage Limit; and provided further, that if
coverage for Defense Costs under the applicable Excess Liability Policy with
respect to a particular Covered PO&E Claim does not begin at the point the
Fund has paid the total amount of its Liability Coverage Limit, including
Defense Costs, and if the Ultimate Net Loss (which includes Defense Costs)
resulting from the Claim exceeds the Liability Coverage Limit, then the Board
may, for Sufficient Cause and by Super-Majority Vote, increase the Liability
Coverage Limit for such Claim in an amount within its discretion, up to a
maximum of $500,000 of additional PO&E Coverage for the Claim, including
Defense Costs. The Fund's Liability
Coverage Limit, effective January 1, 1996, is $1,000,000, less the amount of
the Deductible determined by the Board as provided in ¶ 2.3; provided, however,
that the Board may increase or decrease the Liability Coverage Limit from time
to time by Super-Majority Vote, and any such change shall thereafter be
reflected as provided in § I, ¶ 5.7, and in § IV, § 2.2 of revised Operational
Rules. Any such change in the amount of the Liability Coverage Limit shall not
apply to any PO&E Claim arising from a Wrongful Act which took place prior
to the effective date of the amendment, except as permitted in § I, ¶
5.4.2.2. The Board shall attempt to
coordinate any changes in the Liability Coverage Limit with the Attachment
Points of any similar Excess Liability Coverage to prevent or minimize any gaps
in coverage.
2.3
Deductible. All Members shall be required to pay a
Deductible in an amount determined by the Board for each Covered PO&E Claim
asserted against a Member and/or its Public Officials. If more than one Covered PO&E Claim arises
out of a Wrongful Act, they shall be deemed a single Covered PO&E Claim and
the Member shall be required to pay only one Deductible for all such
Claims. In a Multi-Member PO&E Claim, even if it arises out of a
single Wrongful Act, each Member against which such Claim is asserted shall be
required to pay a Deductible; provided, however, that the Member shall pay the
Deductible when the Covered PO&E Claim is asserted against both the Member
and one or more of its Public Officials; and, provided further, that the Public
Official shall pay the Deductible with respect to a Covered PO&E Claim
asserted against the Public Official only which does not involve the
Member. The initial Deductible shall
equal $250; provided, however, that the Board may increase or decrease the
amount of the Deductible from time to time by Super-Majority Vote, and any such
change shall thereafter be reflected as provided in § I, ¶ 5.7, and in § IV, ¶
2.3 of revised Operational Rules. A
change in the amount of the Deductible shall not apply to any PO&E Claim
arising from a Wrongful Act which took place prior to the effective date of the
amendment, except as permitted in § I., ¶ 5.4.2.2.
2.4
Coverage Qualifications
for Public Officials. As a condition precedent to PO&E Coverage for Public Officials and
Members under ¶¶ 2.1(a) and (b), respectively, it must affirmatively appear to
the satisfaction of the Administrative Committee that the Public Official's
Wrongful Act gave rise to the Covered PO&E Claim asserted against the
Public Official, and that in committing the alleged Wrongful Act, the Public
Official was acting: (a) In good faith; and (b) In the capacity of a Public
Official or within the scope of the Public Official's employment with or duties
for a Member.
2.5
Other Insurance and
Third Party Indemnifications of Public Officials. If there
is available to the Insured any valid and collectible Other Insurance or Third
Party Indemnifications (hereinafter, included within the meaning of "Other
Insurance") that affords coverage in whole or in part for a PO&E Claim
the Fund also Covers under this § IV, the Fund's PO&E Coverage obligations
are limited as set forth in Exclusion ¶ 3.8 below. The Fund's Coverage for PO&E Claims
arising from Public Officials' services for outside Not-For-Profit
Organizations in relation to available "Other Insurance" shall be
governed by ¶ 2.1.5 above.
2.6
Separation of Insureds
with Respect to PO&E Claims Asserted Among Members and Single Liability
Coverage Limit. Except with respect to Claims excluded under
the Exclusion paragraphs of the various Liability Coverage Sections of the SIA,
in the event any Covered PO&E Claim is asserted by an Insured under the SIA
against any other Insured under the SIA, the Fund will provide PO&E
Coverage for the Claim for such other Insured against which the Claim is made
in the same manner as if the Claim was being asserted by a Third Party;
provided however, that when two or more Members and/or their Employees assert
PO&E Claims against each other arising out of the same Wrongful Act, the
total of the Fund's PO&E Coverage obligation shall be its Liability
Coverage Limit; and provided, further, that no Employee of one Insured shall be
construed to be an Employee of any other Insured, unless at the time of injury
or death, there exists a relationship of master/servant between such Employee
and such other Insured.
2.7
Board's Authority to
Establish the Number of Wrongful Acts Involved in a Covered PO&E Claim. The
Board shall have the authority, by Super-Majority Vote, to establish the number
of Wrongful Acts involved in connection with any Covered PO&E Claim and
such determination shall be binding on all Members involved in the Claim;
provided, however, that in making its decision, the Board shall consider the
advice of General Counsel regarding the applicable law; and provided, further,
that the Board's failure to affirmatively establish the number of Wrongful Acts
with respect to a Covered PO&E Claim shall result in the Claim being
treated as a single Wrongful Act by the Fund; and provided further, that any
Dispute with the result of the Board's Vote may be submitted to Arbitration
pursuant to § I., ¶ 24.5 and the Arbitrator shall affirm the Board's decision
unless it is contrary to clearly established Washington law.
2.8
Survival of Coverage. Neither
a Public Official's right to Coverage for Wrongful Acts under ¶ 2.1(a), nor a
Member's right to Coverage for indemnification thereof, nor a Member's right to
Coverage for Vicarious Liability, shall be affected by the severance of such
Public Official's employment relationship with the Member, or the Member's
withdrawal from the Liability Pool, with respect to Wrongful Acts that Occurred
during the Public Official's employment relationship with the Member while the
Member belonged to the Liability Pool, subject to § I, ¶ 13.5.
2.9
Intended Scope of PO&E
Coverage. It is the
intent of the Members that the scope of Coverage provided for Public Officials
and Members under this § IV be as broad as permitted
under RCW 48.62 et. seq., subject, however, to any other more limiting statutes
or regulations, and subject to the terms and conditions of PO&E Coverage
provided herein, and the Exclusions set forth in ¶ 3 below, and subject to the
terms of Claims Resolution, § VII.
2.9.1 Scope of PO&E Coverage for a Public Official in
Proceedings not Currently Involving the Assertion of a Claim for Damages. With respect to a Public Official that has
become personally involved in any action, claim or proceeding, whether
judicial, quasi-judicial, administrative or investigative (hereinafter,
collectively, “Proceeding”):