PUBLIC OFFICIALS & ENTITY LIABILITY COVERAGE
FOR THE
PURMS JOINT SELF-INSURANCE AGREEMENT
Amended and Restated as of
TABLE OF CONTENTS
1. Definitions for Public Officials and
Entity Liability Coverage
1.6 Not-For-Profit Organization
2. Insuring Agreement and Conditions
for Public Officials & Entity Liability Coverage
2.1 PO&E Coverage for Liability
Claims Arising from a "Wrongful Act"
2.1.2 Multiple Liability Claims/Single
Wrongful Act
2.1.3 No Overlapping or Double Coverage
2.1.4 No Imputation of Acts, Omissions
or Warranties
2.1.5 PO&E Coverage Regarding
Outside Not-For-Profit Organization
2.1.6 Single Liability Coverage Limit
for Claims Under More than One Type of Liability Coverage
2.4 Coverage Qualifications for Public
Officials
2.5 Other Insurance and Third Party
Indemnifications of Public Officials
2.7 Board's Authority to Establish the
Number of Wrongful Acts Involved in a Covered PO&E Claim
2.9 Intended Scope of PO&E
Coverage
3. Exclusions for Public Officials
& Entity Liability Coverage
3.2 Wrongful Acts Occurring Outside
Coverage Period
3.4 Bodily Injury and Property Damage
3.5 Personal Injuries From Specific
Types of Wrongful Acts
3.6 Member's Advertising Activities
and Intellectual Property Claims
3.7 Intentional, Knowing or Reckless
Violations of or Non-Compliance with Applicable Law
3.8 Other Insurance and Third-Party
Indemnifications
3.9 Derivative and Security-Holder
Claims
3.10 Employee Claims re Employment
Relationship
3.11 Acts Other Than For a Member
3.12 Claims By or on Behalf of a Member
Against its Own Employees
3.13 Acts Outside Public Utility
Operations
3.14 Public Official's Acts as
"Professional"
3.16 Unsatisfied Coverage Qualifications
3.19 When Fund Lacks Coverage Authority
PUBLIC OFFICIALS & ENTITY LIABILITY COVERAGE
FOR THE
PURMS JOINT SELF-INSURANCE AGREEMENT
Amended
and Restated as of
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
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
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
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”):
(a) Provided
that the acts or omissions of the Public Official that are the basis for the
involvement of the Public Official in the Proceeding satisfy the Coverage
Qualifications set forth in ¶ 2.4 herein, as determined by the Administrative
Committee (see ¶ 2.1.1 herein), and satisfy any other applicable terms
or conditions of PO&E Coverage contained in this § IV; and
(b) Further
provided that PO&E Coverage for the Public Official is not otherwise
excluded by any of the Exclusions in ¶ 3 below; and
(c) Notwithstanding
that the definition of “PO&E Claim” requires the assertion of a claim for
monetary “Damages”;
such Public Official will not be denied PO&E Coverage under § IV ¶
2.1(a) herein, and in particular will not be denied a “Defense”, solely on the
basis that the Proceeding does not currently involve the assertion of a claim
for “Damages”; provided that:
(d) In
the judgment of the Administrative Committee, the acts or omissions which are
the basis for the Public Official’s involvement in the Proceeding have a
reasonable likelihood of giving rise to a PO&E Claim brought by a
Third-Party in the foreseeable future that would likely seek monetary Damages
against the Public Official for which the employing Member would be liable, or
that would likely seek monetary Damages directly against the Member.
2.9.2
Scope of PO&E
Coverage for a Member Employing a Public Official That is Involved in
Proceedings not Currently Involving the Assertion of a Claim for Damages. With respect to a Member that employs a Public
Official that has become personally involved in any action, claim or
proceeding, whether judicial, quasi-judicial, administrative or investigative
(hereinafter, collectively, “Proceeding”):
(a) Regardless
of whether the acts or omissions of the Public Official that are the basis for
the involvement of the Public Official in the Proceeding satisfy the Coverage
Qualifications set forth in ¶ 2.4 herein, as determined by the Administrative
Committee (see ¶ 2.1.1 herein); and
(b) Provided
that the Member satisfies any other applicable terms or conditions of PO&E
Coverage contained in this § IV;
(c) Further
provided that PO&E Coverage for the Member is not otherwise excluded by any
of the Exclusions in ¶ 3 below; and
(d) Notwithstanding
that the definition of “PO&E Claim” requires the assertion of a claim for
monetary “Damages”;
such Member will not be denied PO&E Coverage under § IV ¶ 2.1(c)
herein, and in particular will not be denied a “Defense”, solely on the basis
that the Proceeding does not currently involve the assertion of a claim for
“Damages”; provided that:
(e) In
the judgment of the Administrative Committee, the acts or omissions which are
the basis for the Public Official’s involvement in the Proceeding have a
reasonable likelihood of giving rise to a PO&E Claim brought by a
Third-Party in the foreseeable future that would likely seek monetary Damages
against the Public Official for which the employing Member would be liable as a
matter of law (but excluding liability imposed on the Member solely as a result
of the Member’s indemnification of the Public Official), or that would likely
seek monetary Damages directly against the Member.
2.9.3
Scope of PO&E
Coverage for a Member That is Involved in Proceedings not Currently Involving
the Assertion of a Claim for Damages. With respect to a Member that has become involved in any action,
claim or proceeding, whether judicial, quasi-judicial, administrative or
investigative (hereinafter, collectively, “Proceeding”):
(a) Provided
that the Member satisfies any other applicable terms or conditions of PO&E
Coverage contained in this § IV; and
(b) Further
provided that PO&E Coverage for the Member is not otherwise excluded by any
of the Exclusions in ¶ 3 below; and
(c) Notwithstanding
that the definition of “PO&E Claim” requires the assertion of a claim for
monetary “Damages”;
such Member will not be denied PO&E Coverage under § IV ¶ 2.1(c)
herein, and in particular will not be denied a “Defense”, solely on the basis
that the Proceeding does not currently involve the assertion of a claim for
“Damages”; provided that:
(d) In
the judgment of the Administrative Committee, the acts or omissions which are
the basis for the Member’s involvement in the Proceeding have a reasonable
likelihood of giving rise to a PO&E Claim brought by a Third-Party in the
foreseeable future that would likely seek monetary Damages directly against the
Member.
2.9.4
Reservation of Rights. If the Fund provides a Defense under any of the
circumstances identified in ¶¶ 2.9.1 through 2.9.3 above, it will normally, but
need not necessarily, be provided under a Reservation of Rights. If Defense is
provided under a Reservation of Rights, the provisions in the SIA regarding a
Reservation of Rights, and in particular, the terms of § VII, ¶¶ 2.2 and 5.2
shall apply, and among other things, based on the judgment of the
Administrative Committee, Defense could be terminated and Coverage denied if it
appears from facts admitted or reasonably well established that such a
“Damages” claim would not or could not be asserted, or for other reasons it no
longer appears that there may be Coverage.
3.
Exclusions for Public
Officials & Entity Liability Coverage. Notwithstanding the provisions of any
other paragraph of this § IV, the Fund shall not provide Defense or PO&E
Coverage for the types of Claims described in the "Exclusions" below
which shall not be Covered PO&E Claims.
The subparagraph headings for the Exclusions are for ease of reference
only and shall have no effect with respect to the substantive meanings of the
Exclusions. Unless otherwise provided in
an Exclusion below or in ¶ 2 above, all Exclusions are
applicable to all three PO&E Coverages in ¶¶ 2.1(a), (b) and (c).
3.1
Fines and Penalties. Any
Claim, to the extent it results in:
(a) Any
fines or penalties imposed in, arising out of, or resulting from a
criminal or quasi-criminal suit, action or proceeding, whether by adjudication or settlement;
(b) Any
fines or penalties imposed in conjunction with political contributions, payments, commissions
or gratuities;
(c) Any
other fines or penalties imposed by final adjudication of a court of competent
jurisdiction or any agency or commission possessing quasi-judicial authority,
or resulting from settlement of proceedings before such court, agency or
commission.
3.2
Wrongful Acts Occurring
Outside Coverage Period. Any Claims arising out the Wrongful Acts of a
Public Official that occurred in whole or in part prior to the date such Public
Official's employer became a Member of the Liability Pool or in whole or in
part after the effective date of the termination of such Member's membership in
the Liability Pool; provided, however, that if any part of the Wrongful Act
occurred during the Coverage Period, the Fund will provide defense for the
PO&E Claim (subject to a claim for Contribution against any applicable
Other Insurance); and, provided further that, if and only to the extent there
is a reasonable basis for separating out the Damages allocable to the portions
of the Wrongful Act that occurred during the Coverage Period, the Fund shall also
provide PO&E Coverage therefore; and, provided further, that the terms of
¶ 2.5 and Exclusion ¶ 3.8 regarding Other Insurance and Third Party
Indemnifications shall also apply to determine the scope of this Exclusion.
3.3
Limitations Specific to
PO&E Coverage for Public Officials and Member Indemnifications of Public
Officials (Re: Personal Profits, Dishonest Acts, etc.) With
respect to the
(a) Based
upon, arising out of or attributable to such Public Official having gained any
personal profit, advantage or remuneration to which such Public Official was
not legally entitled if:
(1) A judgment or other final adjudication
adverse to such Public Official establishes that he/she in fact gained such
personal profit, advantage or remuneration; or
(2) Such Public Official has entered into a
settlement agreement to repay, or has in fact repaid, all or a portion of such
alleged personal profit, advantage or remuneration; or
(3) It has been determined by the
Administrative Committee, with the concurrence of the Executive Committee, that
Defense should be terminated, and Coverage hereunder denied, for acts or
omissions within sub-¶ (a) herein, based on procedures and considerations set
forth in Claims Resolution § VII, ¶¶ 2.2 and 5.2;
(b) For an accounting of profits made from
the purchase or sale by such PublicOfficial of
securities of the Member within the meaning of Section 16(b) of the
Securities Exchange Act of 1934 and amendments thereto or similar provisions of
any other Federal or State statutory or common law;
(c) Brought
about or contributed to by the dishonest, fraudulent, criminal or malicious act
or omission of a Public Official if:
(1) A
final adjudication establishes that such Public Official intentionally,
deliberately or knowingly committed or attempted to commit such acts or
omissions with actual dishonest purpose or intent and such were material to the
cause of action so adjudicated; or
(2) Such Public Official enters into a
settlement agreement to settle, or
otherwise settles, such Claim where the terms thereof, either explicitly
or necessarily implicitly, establish that such Public Official intentionally,
deliberately or knowingly committed or attempted to commit such acts or
omissions with actual dishonest purpose or intent and such were material to the
factual and/or legal basis for the Claim; or
(3) It has been determined by the Administrative Committee, with the concurrence of the Executive Committee, that Defense should be terminated, and Coverage hereunder denied, because such Public Official intentionally, deliberately or knowingly committed or attempted to commit such acts or omissions within sub-¶ (c) herein with actual dishonest purpose or intent and such were material to the factual and/or legal basis for the Claim, based on procedures and considerations set forth in Claims Resolution § VII, ¶¶ 2.2 and 5.2.
(d) Where such payment would be contrary to applicable law.
3.4
Bodily Injury and
Property Damage. Any Claim for Bodily Injury by any person, or
for Property Damage, including physical injury to or destruction of tangible
property or the loss of use thereof.
3.5
Personal Injuries From Specific Types of Wrongful Acts. Any
Claim for Personal Injury based upon, arising out of or attributable to:
(a) False arrest, wrongful detention, wrongful imprisonment, loss of personal freedom, or malicious prosecution;
(b) Wrongful
entry, wrongful eviction or other invasion of the right of private occupancy;
(c) Discrimination
or sexual harassment (except as provided in § IV, ¶ 3.11);
(d) Publication
or utterance:
(1) of a libel or slander or other defamatory or disparaging
material; or
(2) in violation of an individual's right of privacy; or
(e) Invasion
of the right of privacy.
3.6
Member's Advertising
Activities and Intellectual Property Claims. With
respect to a Member's advertising activities, any Claim arising from piracy,
plagiarism, unfair competition, idea misappropriation under implied contract,
or infringement of copyright, title, slogan, registered trademark, service
mark, or trade name.
3.7 Intentional, Knowing or Reckless Violations of or Non-Compliance with Applicable Law: With respect to PO&E Coverage identified in ¶¶ 2.1(a) and 2.1(b), any Claim against a Public Official based upon, arising out of, or attributable to such Public Official’s intentional, knowing or reckless violation of or Non-Compliance with applicable law, provided:
(a) A judgment or other final adjudication adverse to such Public
Official establishes such Public Official’s intentional, knowing or reckless
violation of or Non-Compliance with such applicable law; or
(b) Such Public Official enters into a settlement agreement to
settle, or otherwise settles, such Claim where the terms thereof, either
explicitly or necessarily implicitly, establish such Public Official’s
intentional, knowing or reckless violation of or Non-Compliance with such
applicable law; or
(c) It has been determined by the Administrative Committee, with
the concurrence of the Executive
Committee, that Defense should be terminated,
and Coverage hereunder denied, for acts or omissions within sub-¶ (a) herein,
based on procedures and considerations set forth in Claims Resolution § VII, ¶¶
2.2 and 5.2.
3.8
Other Insurance and
Third-Party Indemnifications. Any Claims to the extent there is any valid
and collectible Other Insurance that also affords coverage in whole or in part
for such Claim, whether such Other Insurance is stated to be primary,
contributory, excess, contingent or otherwise, but excluding the Fund's Excess
Liability Policies; provided, however, this Exclusion shall not apply:
(a) To
the amount of the Ultimate Net Loss with respect to such Claim which is in
excess of the limit of liability of such other policy or policies and any
applicable deductible or retention thereunder; or
(b) With
respect to coverage afforded such Claim by any other policies purchased or
issued specifically as insurance underlying or in excess of the PO&E
Coverage afforded under this § IV;
provided always, that nothing herein shall be construed to cause the Fund's
PO&E Coverage to contribute with any other policies or to make the Fund's
PO&E Coverage subject to any of the terms of any policy of Other Insurance. (See, ¶ 2.5 re "Other Insurance
and Third Party Indemnifications" and ¶ 2.1.5 re "PO&E Coverage
Regarding Outside Not-For Profit Organization").
3.9
Derivative and
Security-Holder Claims. Any Claim by, on behalf of, in the light of,
at the request of, or for the benefit of, any security holder of a Member, any
Public Official or Employee, or the Member, unless such Claim is:
(a) Made
derivatively for the benefit of the Member by any Customer of the Member that
is not a Public Official, providing such Customer is:
(1) acting totally independent of, and totally
without the suggestion, solicitation, direction, assistance, participation or
intervention of, any Public Official, the Member, or any affiliate of the
Member; and
(2) not an affiliate of
the Member nor any entity within the definition of the term "Member";
or
(b) Made
non-derivatively by a security holder who is not:
(1) a Public Official; or
(2) an affiliate of the
Member or any entity within the definition of the term "Member."
3.10
Employee Claims re
Employment Relationship. Any Claim against a Member or Employee by one
or more of the Member's Employees arising out of the employment relationship,
or by any person who has applied for employment with a Member, but only to the
extent such Claim seeks recovery of:
(1) wages, salary, pension contributions, or any other form of
compensation or benefits; (2) any penalties or liquidated damages; (3)
reinstatement, promotion or similar mandatory injunctive relief; or (4) costs
or attorneys' fees; provided, however, that the Fund shall provide Defense for
such Claims, to the extent they seek such types of recoveries, in accordance
with § VII., ¶ 5, but the amount of the Fund's obligation to pay Defense Costs
relating thereto shall be limited to $25,000 unless, and then only for so long
as, the Administrative Committee determines that continued Defense of the Claim
by the Fund is reasonable considering the circumstances (including the
settlement alternatives available to the Member).
3.11
Acts Other Than For a
Member. Any Claim arising out of such Public Official's
activities as a director, officer or trustee of any entity other than:
(a) The
Member; or
(b) Any
outside Not-For-Profit Organization, as provided in ¶ 1.8(b) of the
definition of "Public Official";
provided, however, that this Exclusion shall not apply to
activities by the Directors, Fund Officers and members of the Fund's Committees
for or on behalf of the Fund.
3.12
Claims By or on Behalf
of a Member Against its Own Employees. Any Claim made by or on behalf
of a Member or Public Official against one of the Member's own Employees
(including Public Officials), including but not limited to, any Claim made by
any Customer of a Member or other Third-Party, who is not a Public Official,
asserting the rights of the Member against the Member's own Employee, unless
such Customer or other Third party satisfies the conditions in Exclusion ¶ 3.9(a)(1) and (2) above.
3.13
Acts Outside Public Utility Operations. Any
Claim not arising out of or resulting from the Public Utility Operations of the
Member.
3.14
Public Official's Acts
as "Professional". Any Claim where all or part of such Claim is,
directly or indirectly, based upon, attributable to, arising out of, resulting
from or in any manner related to a Public Official's actual or alleged
performance of or failure to perform professional services for others,
including, without limitation, architectural, engineering, surveying, legal,
medical or consulting services, including financial advice, whether for a fee
or not, or any act, error or omission relating thereto; provided however, that
this Exclusion shall not apply to a PO&E Claim against a Public Official
relating to engineering or surveying services the Public Official performed
"for others" if such services were incidental to the Member's Public
Utility Operations.
3.15
Breach of Contract. Any
Claim where all or part of the Claim from which the Damages arise is, directly
or indirectly, based upon, attributable to, arising out of, resulting from or
in any manner related to any actual or alleged failure, inability or refusal of
the Member to fulfill, in whole or in part, any financial or other obligation
it has under any contract or agreement.
3.16
Unsatisfied Coverage
Qualifications. Any Claim asserted against a Public Official
for a Wrongful Act under ¶ 2.1(a), and Coverage for the Member's
indemnification thereof under ¶ 2.1(b), with respect to which the
applicable Coverage Qualifications set forth in ¶ 2.4 are not satisfied;
provided that this Exclusion shall not apply to the PO&E Coverage provided
to Members under ¶ 2.1(c).
3.17
Nuclear Materials. Any
Claim arising out of Nuclear Operations or the Hazardous Properties of Nuclear
Material as follows:
(a) Any
Claim for Bodily Injury or Property Damage:
(1) With
respect to which the Public Official or Member is also an insured under a
nuclear energy liability policy issued by Nuclear Energy Liability Insurance
Association, Mutual Atomic Energy Liability Underwriters, Nuclear Insurance
Association of Canada or any of their successors, or would be an insured under
any such policy but for its termination upon exhaustion of its limit of
liability; or
(2) Resulting
from Hazardous Properties of Nuclear Material and with respect to which (a) any
person or organization is required to maintain financial protection pursuant to
the Atomic Energy Act of 1954, or any law amendatory thereof, or (b) the Public
Official or Member is, or without membership in the Fund would be, entitled to
indemnity from the United States of America, or any agency thereof, under any
agreement entered into by the United States of America, or any agency thereof,
with any person or organization.
(b) Any
Claim for expenses incurred with respect to Bodily Injury resulting from the
Hazardous Properties of Nuclear Material and arising out of the operation of a
Nuclear Facility by any person or organization.
(c) Any
Claim for Bodily Injury or Property Damage resulting from the Hazardous
Properties of Nuclear Material if:
(1) The
Nuclear Material (a) is at any Nuclear Facility owned by, or operated by or on
behalf of the Member or (b) has been discharged or dispersed therefrom;
(2) The
Nuclear Material is contained in Spent Fuel or Waste at any time possessed,
handled, used, processed, sorted, transported or disposed of by or on behalf of
the Member; or
(3) The
Bodily Injury or Property Damage that arises out of the furnishing by the
Member of services, materials, parts or equipment in connection with the
planning, construction, maintenance, operation or use of any Nuclear Facility.
As
used in this Exclusion ¶ 3.17, the following definitions shall apply:
Hazardous
Properties shall mean radioactive, toxic or explosive properties;
Nuclear Material -- shall mean Source Material, Special Nuclear
Material or Byproduct Material;
Source Material, Special Nuclear Material and Byproduct Material --
shall have the meanings given them in the Atomic Energy Act of 1954 or in any
law amendatory thereof;
Spent Fuel -- shall mean any fuel element or fuel component, solid or
liquid, which has been used or exposed to radiation in a Nuclear Reactor;
Waste -- shall mean any waste material (1) containing Byproduct
Material other than the tailings or Wastes produced by the extraction or
concentration of uranium or thorium from any ore processed primarily for its
Source Material content, and (2) resulting from the operation by any person or
organization of any Nuclear Facility included under the first two paragraphs of
the definition of Nuclear Facility;
Nuclear Facility -- shall mean:
(a) Any
Nuclear Reactor,
(b) Any
equipment or device designed or used for (i)
separating the isotopes of uranium or plutonium, (ii) processing or utilizing
Spent Fuel, or (iii) handling, processing or packing Waste,
(c) Any
equipment or device used for the processing, fabricating or alloying of Special
Nuclear Material if at any time the total amount of such material in the
custody of Member at the premises where such equipment or device is located
consists of or contains more than 25 grams of plutonium or uranium 233 or any
combination thereof; or more than 250 grams of uranium 235, or
(d) Any
structure, basin, excavation, premises or place prepared or used for the
storage or disposal of Waste,
and includes the site on which any of the foregoing is located, all
operations conducted on such site and all premises used for such operations;
Nuclear Operations -- shall mean the design, engineering, financing,
construction, operation, maintenance, use, ownership, conversion or
decommissioning of any "nuclear facility" as defined in the Broad
Form Nuclear Energy Liability Exclusion, set forth in ¶ 3.17.
Nuclear Reactor --
shall mean any apparatus designed or used to sustain nuclear
fission in a self-supporting chain reaction or to contain a critical mass of
fissionable material;
Property Damage includes all forms of radioactive contamination of
property.
3.18
Injunctive Relief. Any
Claim seeking relief or redress in any form other than money damages, and any
fees or expenses relating to or arising out of such a Claim; provided that this
Exclusion shall not apply if and to the extent Defense and Coverage are being
provided under the circumstances described and terms contained in ¶ 2.9 above.
3.19 When Fund Lacks Coverage Authority. Any Claim for which the Fund lacks authority to or is otherwise prohibited by law from providing Coverage.