A Commercial General Liability (CGL) policy provides your business protection
from lawsuits brought by third parties alleging bodily injury, property damage,
personal injury, and advertising injury. In addition, the policy pays any
sums you are legally obligated to pay in damages up to the applicable
policy limit.
The CGL coverage form typically contains six different limits of insurance.
Each limit represents the maximum amount the insurer will pay for a particular
type of covered loss. The six policy limits are listed on the policy
declarations page (information page) and typically appear as follows:
| General Aggregate
Limit |
$2,000,000 |
|
Products /
Completed Operations
Aggregate |
$2,000,000 |
| Each
Occurrence |
$1,000,000 |
| Personal and
Advertising Injury |
$1,000,000 |
| Fire Damage Legal
Liability |
$ 300,000 |
| Medical Expense
Limit |
$ 5
,000 |
General Aggregate Limit
General Aggregate limit is
the most that the insurer will pay for the sum of all personal injury,
advertising injury, medical expense, bodily injury, and property damage claims,
to which this insurance applies, sustained during the policy period, other than
those involving the products and completed operations hazards.
Products-Completed Operations Aggregate
Limit
Products-Completed Operations Aggregate limit is the most
that the insurer will pay for the sum of all bodily injury and property damage
claims that arise out of both the products and completed operations of your
business, to which this insurance applies, during the policy period.
Each Occurrence
Limit
Each Occurrence limit is the most that the insurer will
pay for the total of all bodily injury, property damage, and medical expenses
incurred for any one accident, to which this insurance applies. An occurrence is
commonly defined as "an accident, including continuous or repeated exposure
to substantially the same general harmful condition." Bodily injury is defined in the
policy as "bodily injury, sickness or disease sustained by a person, including
death resulting from any of these at any time."
Property damage is defined as "physical injury to tangible property,
including all resulting loss of use to that property," as well as "loss of use
of tangible property, including all resulting loss of use to that property," as
well as "loss of use of tangible property that is not physically
injured." All loss of use included
within this definition is considered to occur at the time of the physical injury
or in the case of loss of use, not accompanied by physical injury, at the time
of the occurrence.
The monetary measure of a property damage claim includes the value of the
property, if it is destroyed or must be replaced, and the cost to repair the
damage if such repair can be made.
If the property is income producing, or if there are necessary costs
associated with a temporary replacement of the damaged property until it is
restored to use, then damages for loss of use can also be forwarded.
Personal and Advertising Injury Limit
Personal and
Advertising Injury limit is the most that the insurer will pay for the total of
all personal injury and all advertising injury sustained by any one person or
organization. Losses paid under the
personal and advertising injury limit are also deducted from the policy's
general aggregate limit.
The personal injury coverage protects against suits brought by third parties
alleging your business committed any of the following offenses: libel, slander,
defamation of character, false arrest, disparagement of goods, and similar
allegations, provided the offense was not done intentionally by or at the
request of your business.
The advertising injury coverage insures against disparagement of goods,
slander, right infringement, and similar allegations, which may arise in
connection with your advertising. Advertising is the dissemination of
information or images for the purpose of selling goods or services using print
or other media with widespread public distribution. If your business is an
advertising or publishing company, this coverage does not apply. For businesses
in these industries, coverage is provided through a Professional Liability
policy, which can be purchased separately.
Fire Damage Legal Liability Limit
The CGL property
damage exclusion, which eliminates coverage for damage to property that you
rent, does not apply to damage by fire.
The coverage that remains intact by virtue of this exception is subject
to its own limit of insurance. That
limit applies to damage arising out of any one fire, and many policies provide a
$300,000 limit. This limit is a
subset of the each occurrence limit, which applies to all property damage in any
one occurrence. Higher limits are
generally available.
Medical Expense Limit
Medical Expense limit is
applicable to all first aid and covered medical expenses for bodily injury to
any one person resulting from any one accident. Medical Expense coverage is a type
of "no fault" insurance. This
coverage will pay reasonable medical bills of third parties who are injured on
your premises or by your operations, subject to the per person limit listed on
the policy. The limit for Medical Expense is typically $5,000.00, but this limit
can be increased up to a maximum of $25,000. Medical Payments coverage pays for
injuries sustained by a third party at your premises or by their operations
regardless of legal liability. Taking this approach to medical expenses is
thought to reduce the likelihood that injured parties will bring a lawsuit
against you.
The policy's limits of insurance apply regardless of the number of:
- Insureds against whom the claim is made
- Claims or suits brought against the insured(s)
- Persons making a claim or bringing a suit
The policy covers the
insured business's activities within the United States of America, Puerto Rico,
and Canada.
Exclusions are things that are not covered by the policy because they
are:
- Better covered elsewhere
- Insurable under a different policy
- Uninsurable
Examples of exclusions include:
- Damage or injury expected or intended from the standpoint of the
insured
- Contractual liability for contracts, in which the insured agrees to
"hold harmless and/or indemnify" the other party. This Exclusion does not
apply to contracts for a lease of premises, railroad sidetrack agreement,
easement or licensing agreement, elevator maintenance agreement, and the part
of any other agreement under which the insured business assumes the liability
of another party for damages to a third party.
- Liquor liability if the insured is in the business of
manufacturing, distributing, selling, serving, or furnishing alcoholic
beverages
- Pollution liability, that is liability arising out of the discharge
or escape of pollutants
Policy Conditions
Policy
conditions are miscellaneous coverage provisions that:
The following two separate sets of policy conditions apply to the CGL
policy:
-
Common policy conditions is made a part of standard liability
and property coverages. This set
imposes conditions that transcend a particular line of insurance, such as who
is responsible for paying premiums or how either party may cancel the policy.
-
CGL conditions address such subjects as your duties in the event
of an occurrence, the way other policies that might cover the same loss, and
the way in which the policy' s coverages will apply to multiple insureds.
An insurer may have a number of legitimate reasons for examining your
financial and business records. One reason is to audit your records that relate
to the premium basis to adjust the cost of the insurance coverage to better
reflect your actual exposure. Not all CGL policies are auditable.
Generally, audits are done on coverages where the premium, at the beginning of
the coverage period, is based on estimated units of exposure (for example, payroll and/or sales
record).
The insurer has the right (but not any obligation) to inspect your operations
and business facilities at any time, to prepare reports on its findings, and to
make recommendations to the insured. Inspection by a liability insurer can help
by alerting you to business practices that increase the chance of a liability
claim. Also, an inspection can identify specific liability exposures
that fall outside the scope of general liability insurance and should be
separately insured. The insurer owes you no duty to report on
unsafe conditions or practices that could result in a loss or
claim.
Other Insurance
The
CGL "other insurance" condition prescribes how the policy will respond to a
covered loss when other insurance policies also cover the same loss. Options include:
- The CGL policy is the primary (it pays up to its applicable limit for a
covered claim before the other policy is called upon)
- The CGL policy is excess (it does not pay until the other policy has paid
its available limits)
- The CGL and the other policy to share responsibility for paying the claim
on some proportional basis