FR EA
1021-00003 · Verimark Hospitality Group · Coverage Analysis & Strategy
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[sheet: Cover]

FieldValue
Document TitlePolicy Comparison Chart — Primary and Excess Layers
MatterVerimark Hospitality Group Inc. v. Ironclad Indemnity Corp. et al.
Case No.2022-CA-031547
Engagement No.1021-00003
ClientVerimark Hospitality Group Inc. (Nasdaq: VMRK)
Prepared ByAndrew Fitzpatrick, Working Associate, Calderwood & Harkness LLP
Reviewed ByTiffany Rosenthal, Lead Associate; Elaine Forsythe, Responsible Partner
Date PreparedSeptember 8, 2022
ClassificationATTORNEY WORK PRODUCT — PRIVILEGED AND CONFIDENTIAL
PurposeSide-by-side comparison of key terms across all four layers of VHG's property/BI insurance tower for coverage analysis
Policy Period (All Layers)July 1, 2022 – July 1, 2023
InsuredVerimark Hospitality Group Inc.
Broker of RecordTidewater Risk Advisors LLC (Franklin Orde, Account Executive)

[sheet: Tower Summary]

LayerCarrier Full Legal NameCarrier Short NameDomicile / JurisdictionCarrier TypeNAIC No.Policy NumberPolicy PeriodPer-Occurrence Limit — BIAttachment PointDeductibleAnnual PremiumFollow-Form BasisOutside CounselClaims Contact
PrimaryIronclad Indemnity CorporationIroncladConnecticutStock insurance company (admitted)20537IIC-PRP-2022-0754107/01/2022 – 07/01/2023250000000500000980000N/A — Manuscript primary formFendowell Rourke & Stanton LLP (Gregory Stanton)Victor Haddon, SVP Claims
1st ExcessPinnacle Surplus Lines Inc.PinnacleTexasSurplus-lines insurer38214PSL-XS1-2022-339007/01/2022 – 07/01/202315000000250000000410000Follow form to Ironclad primary (IIC-PRP-2022-07541)Fendowell Rourke & Stanton LLP (Gregory Stanton) — joint defenseN/A — follows Ironclad claims handling
2nd ExcessMontclair Assurance CompanyMontclairNew YorkAdmitted insurance carrier15692MAC-XS2-2022-0981707/01/2022 – 07/01/202310000000400000000265000Follow form to Ironclad primary (IIC-PRP-2022-07541)Delvecchio & Kraus LLP (Patricia Kraus)N/A
3rd ExcessSovereign Re Ltd.Sovereign ReBermudaExcess/reinsurance carrierN/A (non-US domiciled)SRL-XS3-2022-510207/01/2022 – 07/01/202310000000500000000185000Follow form to Ironclad primary (IIC-PRP-2022-07541)Delvecchio & Kraus LLP (Patricia Kraus) — joint representation with MontclairN/A
TOTAL———————60000000—5000001840000——Max Recovery (above deductible) = $60,000,000

[sheet: Coverage Grant Comparison]

Coverage ProvisionIronclad — Primary (IIC-PRP-2022-07541)Pinnacle — 1st Excess (PSL-XS1-2022-3390)Montclair — 2nd Excess (MAC-XS2-2022-09817)Sovereign Re — 3rd Excess (SRL-XS3-2022-5102)Notes / Key Differences
Insuring Agreement — Property DamageAll risks of direct physical loss or damage to covered property unless excludedFollow form to Ironclad primaryFollow form to Ironclad primaryFollow form to Ironclad primaryAll layers provide 'all-risk' coverage; excess layers follow form to the primary insuring agreement
Insuring Agreement — Business InterruptionCovers actual loss of business income sustained due to necessary suspension of operations caused by direct physical loss or damage to covered property from a covered cause of lossFollow formFollow formFollow formBI coverage is triggered by physical loss or damage causing 'necessary suspension of operations'
Extra Expense CoverageCovers reasonable and necessary extra expenses incurred to avoid or minimize suspension of operationsFollow formFollow formFollow formExtra expense is part of the BI coverage section; subject to same per-occurrence limits
Covered Causes of LossAll risks of direct physical loss or damage not otherwise excludedFollow formFollow formFollow formOpen-peril form; burden on insurer to prove exclusion applies
Named InsuredVerimark Hospitality Group Inc. and its subsidiariesSame as primarySame as primarySame as primaryAll entities under VHG corporate umbrella
Additional InsuredMortgagees and lenders as their interests may appear (ATIMA); property managersFollow formFollow formFollow formStandard additional insured provisions for lenders and managers
Covered LocationsScheduled locations including: (1) Verimark Grand Key Resort, MM 48, Marathon, FL 33050; (2) Verimark Harborview Hotel & Conference Center, 1400 Estero Blvd, Fort Myers Beach, FL 33931; (3) Verimark Sunset Shores, 7200 Gulf Blvd, St. Pete Beach, FL 33706; plus corporate HQ and other scheduled propertiesFollow form — same scheduled locationsFollow form — same scheduled locationsFollow form — same scheduled locationsThree resort properties are the primary locations at issue in the Hurricane Callista claim
Covered PropertyBuildings, structures, fixtures, machinery, equipment, furniture, improvements and betterments, stock and supplies, and personal property of the insured at scheduled locationsFollow formFollow formFollow formBroad covered property definition consistent with commercial property policies
Valuation Basis — Property DamageReplacement cost value (RCV) — cost to repair or replace with materials of like kind and quality without deduction for depreciationFollow formFollow formFollow formRCV basis provides full replacement cost recovery
Valuation Basis — BIActual loss sustained — based on net income that would have been earned plus continuing expenses, less income from resumed or substitute operationsFollow formFollow formFollow formStandard 'actual loss sustained' valuation; does not cap at a fixed daily indemnity
Contingent Business InterruptionCovers loss of business income resulting from physical loss or damage to property of a direct supplier or customer (subject to $2,000,000 sub-limit)Follow formFollow formFollow formMay be relevant if key suppliers (food service, laundry) were also impacted by Hurricane Callista
Service Interruption / Utility CoverageCovers loss of business income due to interruption of specified utility services (electric, water, sewer, gas, communications) caused by covered peril at the utility provider premises (subject to $5,000,000 sub-limit)Follow formFollow formFollow formExtended power outages in Monroe and Lee Counties post-hurricane may trigger this provision
Policy TerritoryContinental United States, its territories and possessionsFollow formFollow formFollow formAll insured properties located within FL; no territory issues
Choice of Law / Governing LawFlorida law governs interpretation and enforcementFollow form — Florida lawFollow form — Florida law (notwithstanding NY arbitration clause)Follow form — Florida law (per service-of-suit clause)All layers subject to Florida law; favorable to VHG on efficient proximate cause doctrine

[sheet: Limits, Deductibles & Sub-Limit]

ProvisionIronclad — PrimaryPinnacle — 1st ExcessMontclair — 2nd ExcessSovereign Re — 3rd ExcessNotes / Dispute Flag
Per-Occurrence Limit — All Perils (Property + BI Combined)$25,000,000$15,000,000 xs $25,000,000$10,000,000 xs $40,000,000$10,000,000 xs $50,000,000Total tower: $60,000,000 above deductible
Per-Occurrence Limit — Business Interruption Only$25,000,000 (shared with property damage limit)$15,000,000 (follow form — shared limit)$10,000,000 (follow form — shared limit)$10,000,000 (follow form — shared limit)BI limit is not separate; shares per-occurrence limit with property damage
Annual Aggregate LimitNone stated — per occurrence onlyNone stated — per occurrence onlyNone stated — per occurrence onlyNone stated — per occurrence onlyNo annual aggregate cap; each occurrence stands alone
Deductible / Self-Insured Retention$500,000 per occurrence$0 (attaches above primary limit after deductible exhaustion)$0 (attaches above 1st excess limit)$0 (attaches above 2nd excess limit)Only Ironclad primary carries a deductible; excess layers attach net of deductible
Named Windstorm Sub-Limit — BI$15,000,000 per occurrence — DISPUTED: Ironclad asserts this sub-limit applies; VHG contends it was deleted at the July 2022 renewal per broker negotiations with Tidewater Risk Advisors (Franklin Orde)Follow form — if sub-limit exists in primary, Pinnacle's exposure is affectedFollow form — Montclair asserts its layer ($40M–$50M) is not reached if $15M sub-limit appliesFollow form — Sovereign Re asserts its layer ($50M–$60M) is not reached if $15M sub-limit appliesKEY DISPUTED ISSUE: VHG position — sub-limit deleted per 2022 renewal endorsement; Ironclad position — sub-limit remains in force. If sub-limit applies, maximum BI recovery for named windstorm = $15M (within primary layer only), leaving excess layers untriggered. This is the central coverage dispute.
Named Windstorm Sub-Limit — Property DamageNo separate property damage sub-limit for named windstorm identifiedFollow formFollow formFollow formSub-limit dispute pertains specifically to BI coverage
Waiting Period / Time Deductible (BI)72 hours from the time of direct physical loss or damageFollow form — 72 hoursFollow form — 72 hoursFollow form — 72 hoursBI coverage does not begin until 72 hours after the covered loss event
Flood Sub-Limit$10,000,000 per occurrence for flood as separately defined (rising water, surface water, tidal water)Follow formFollow formFollow formFlood sub-limit is separate from the named-windstorm sub-limit; interaction with storm surge at Grand Key Resort is at issue
Earthquake Sub-Limit$5,000,000 per occurrenceFollow formFollow formFollow formNot at issue in this claim
Ordinance or Law Sub-Limit$2,500,000 per occurrenceFollow formFollow formFollow formMay be relevant to rebuilding costs but not primary BI dispute
Civil Authority / Ingress-Egress Coverage30 days maximum; 1-mile radius requirementFollow formFollow formFollow formPotentially applicable to pre-storm evacuation period (Monroe County Sept 16, Lee County Sept 17)
Extended Period of Indemnity180 days beyond completion of repairsFollow formFollow formFollow formExtends BI recovery period to account for ramp-up after reopening
Contingent BI Sub-Limit$2,000,000 per occurrenceFollow formFollow formFollow formCovers BI losses from damage to supplier/customer property; secondary to direct BI claim
Service Interruption / Utility Sub-Limit$5,000,000 per occurrenceFollow formFollow formFollow formCovers BI from utility outages; relevant to post-hurricane power outages in Monroe/Lee Counties
Mold Remediation Sub-Limit$500,000 per occurrence (when mold results from covered cause of loss)Follow formFollow formFollow formLimited coverage for post-storm mold; potentially relevant at Grand Key and Harborview
Maximum BI Recovery — No Sub-Limit Scenario$25,000,000$15,000,000$10,000,000$10,000,000Total: $60,000,000 — full tower available if windstorm sub-limit does not apply
Maximum BI Recovery — $15M Windstorm Sub-Limit Applies$15,000,000 (capped by sub-limit)$0 (layer not reached)$0 (layer not reached)$0 (layer not reached)Total: $15,000,000 — coverage gap of $45,000,000 if sub-limit enforced

[sheet: Exclusions Comparison]

ExclusionIronclad — PrimaryPinnacle — 1st ExcessMontclair — 2nd ExcessSovereign Re — 3rd ExcessRelevance to Hurricane Callista Claim
Flood ExclusionExcludes loss or damage caused by or resulting from flood, including surface water, waves, tidal water, overflow of any body of water, or spray from any of the foregoing, whether or not driven by wind. Contains anti-concurrent causation (ACC) language: 'regardless of any other cause or event that contributes concurrently or in any sequence to the loss.'Follow form to Ironclad primary flood exclusion and ACC clauseFollow form to Ironclad primary flood exclusion and ACC clauseFollow form to Ironclad primary flood exclusion and ACC clauseINVOKED BY IRONCLAD: Argues storm surge (8–14 ft in Monroe County) at Grand Key Resort constitutes 'flood' and that ACC clause bars recovery for all concurrent wind/surge damage. VHG position: Florida efficient proximate cause doctrine applies; wind was the dominant cause; ACC clause unenforceable under Florida law for covered windstorm peril.
War / Terrorism ExclusionStandard war, military action, terrorism exclusionFollow formFollow formFollow formNot at issue
Nuclear Hazard ExclusionStandard nuclear hazard exclusionFollow formFollow formFollow formNot at issue
Government Action / Seizure ExclusionExcludes loss caused by government seizure, confiscation, or destruction — but does not exclude losses from mandatory evacuation orders where underlying cause is a covered perilFollow formFollow formFollow formEvacuation orders (Monroe County Sept 16, Lee County Sept 17) preceded landfall; civil authority coverage may apply to bridge the gap
Wear and Tear / Deterioration ExclusionStandard wear and tear, gradual deterioration, inherent vice exclusionFollow formFollow formFollow formNot at issue — damage was caused by catastrophic hurricane event
Mold / Fungi ExclusionExcludes loss caused by mold, mildew, fungi, or bacteria — with limited exception for mold resulting from a covered cause of loss (sub-limit $500,000)Follow formFollow formFollow formPotentially relevant to post-storm mold remediation at Grand Key Resort and Harborview; mold was consequence of water intrusion from covered windstorm
Earth Movement ExclusionStandard earth movement exclusion (earthquake, landslide, mudflow)Follow formFollow formFollow formNot at issue
Intentional Acts ExclusionStandard intentional or criminal acts exclusionFollow formFollow formFollow formNot at issue
Faulty Design / Construction ExclusionExcludes loss caused by faulty design, materials, or workmanship — but resulting damage from a covered peril is covered (ensuing loss provision)Follow formFollow formFollow formNot at issue
Voluntary Parting / Dishonesty ExclusionStandard crime / dishonesty exclusionFollow formFollow formFollow formNot at issue
Pollution / Contamination ExclusionStandard pollution and contamination exclusion; exception for hostile fire and sudden/accidental dischargeFollow formFollow formFollow formNot at issue; no pollution event alleged
Cyber / Electronic Data ExclusionExcludes loss or damage to electronic data, software, and cyber-related perilsFollow formFollow formFollow formNot at issue
Communicable Disease ExclusionExcludes loss arising out of communicable disease, epidemic, or pandemic (added at 2022 renewal)Follow formFollow formFollow formNot at issue — claim arises from hurricane, not communicable disease
Delay / Loss of Market ExclusionExcludes loss caused by delay, loss of market, or loss of use, unless resulting from direct physical loss or damage by a covered perilFollow formFollow formFollow formPotentially raised in connection with BI claim, but exception for covered-peril damage applies

[sheet: Period of Restoration]

ProvisionIronclad — PrimaryPinnacle — 1st ExcessMontclair — 2nd ExcessSovereign Re — 3rd ExcessDispute Analysis
Definition — Period of RestorationBegins 72 hours after the time of direct physical loss or damage and ends on the earlier of: (a) the date when the property should be repaired, rebuilt, or replaced with reasonable speed and similar quality; or (b) the date when business is resumed at a new permanent location.Follow form to Ironclad primary definitionFollow form to Ironclad primary definitionFollow form to Ironclad primary definitionDISPUTED: Ironclad argues 'should be repaired with reasonable speed' means repairs 'could have been completed' faster than actual restoration. VHG argues actual reasonable restoration period must account for post-hurricane contractor shortages, permitting delays, and supply chain disruptions.
Commencement72 hours after the time of direct physical loss or damage (i.e., 72 hours after September 18, 2022 = September 21, 2022)Follow formFollow formFollow formCommencement date is not disputed; all parties agree BI coverage begins September 21, 2022
Termination — Ironclad's PositionN/A (this is Ironclad's asserted position, not policy language)N/AN/AN/AIronclad asserts properties could have been repaired with 'reasonable speed' earlier than actual reopening dates, arguing VHG unreasonably delayed restoration: Grand Key could have reopened by ~Jan 2023 (vs. March 15, 2023); Harborview by ~Dec 2022 (vs. Jan 31, 2023); Sunset Shores by ~Oct 2022 (vs. Nov 30, 2022 partial / Feb 28, 2023 full)
Termination — VHG's Position (Actual Closure Periods)N/A (this is VHG's asserted position)N/AN/AN/AVHG asserts actual restoration periods were reasonable: Grand Key — 178 days (Sept 18, 2022 – Mar 15, 2023); Harborview — 135 days (Sept 18, 2022 – Jan 31, 2023); Sunset Shores — 73 days full closure (Sept 18 – Nov 30, 2022) + reduced capacity through Feb 28, 2023. Supported by Dr. Vasquez expert analysis and Caldwell Engineering report on structural damage timelines.
Extended Period of Indemnity180 days following completion of repairs to allow for business ramp-upFollow formFollow formFollow formProvides additional recovery period after reopening to account for diminished occupancy during ramp-up; relevant for all three properties
Duty to Mitigate / Resume OperationsInsured must use due diligence and dispatch to resume operations and reduce loss; must use substitute premises or methods if practicableFollow formFollow formFollow formINVOKED BY IRONCLAD: Fourth basis for denial — alleges VHG failed to take reasonable steps to reduce the period of interruption. VHG rebuts citing immediate engagement of contractors, emergency repairs, and documented permitting delays.
Partial Resumption of OperationsIf insured resumes partial operations, BI loss is reduced by net income generated from partial operationsFollow formFollow formFollow formApplicable to Sunset Shores which partially reopened Nov 30, 2022 while not at full capacity until Feb 28, 2023; VHG's claim accounts for reduced revenue during partial operations
Hypothetical Repair StandardPeriod of restoration based on time it 'should' take to repair with 'reasonable speed and similar quality' — does not require cheapest or fastest methodFollow formFollow formFollow formVHG argues 'similar quality' standard requires luxury-grade restoration consistent with resort properties; Ironclad argues generic commercial repair timeline
Exclusion of Increased Time Due to Ordinance/LawPeriod of restoration does not include additional time to comply with ordinance or law unless Ordinance or Law coverage applies (separate sub-limit of $2,500,000)Follow formFollow formFollow formPost-hurricane building code upgrades required by Monroe and Lee Counties may have extended restoration; VHG argues this time is separately covered under O&L sub-limit
Impact of Contractor / Supply Chain DelaysPolicy silent on post-catastrophe market conditions; standard is 'reasonable speed'Follow formFollow formFollow formVHG expert Dr. Vasquez (Meridian Consulting) opines that post-Cat 4 hurricane conditions (labor shortages, material delays, permitting backlogs) must be considered in assessing 'reasonable speed.' Ironclad argues hypothetical, pre-catastrophe repair timeline.