04-001174 Department Of Financial Services, Division Of Workers&Apos; Compensation vs. Hernandez Enterprises
 Status: Closed
Recommended Order on Monday, October 3, 2005.


View Dockets  
Summary: Petitioner filed a Stop Work Order on the theory that employess of two subcontractors were Respondent`s employees. The subcontractors showed workers` compensation insurance. Recommend that the Order be lifted, no penalties assessed, and the money repaid.

1STATE OF FLORIDA

4DIVISION OF ADMINISTRATIVE HEARINGS

8DEPARTMENT OF FINANCIAL )

12SERVICES, DIVISION OF )

16WORKERS' COMPENSATION, )

19)

20Petitioner, )

22)

23vs. ) Case N o. 04 - 1174

31)

32HERNANDEZ ENTERPRISES, )

35)

36R espondent . )

40_____________________________ )

42RECOMMENDED ORDER

44This cause came on for formal hearing before Harry L.

54Hooper, Administrative Law Judge with the Division of

62Administrative Hearings, on August 16, 2005, in Jacksonville,

70Florida.

71APPEARANCES

72For Petitioner: Joe Thomps on, Esquire

78Colin Roop n arine, Esquire

83Department of Financial Services

87Division of Workers' Compensation

91200 East Gaines Street

95Tallahassee, Florida 32399

98For Respondent: H. Leon Holbrook, Esquire

104Holbrook, Akel, C old, Stiefel

109& Ray, P.A.

112One Independent Drive, Suite 2301

117Jacksonville, Florida 32202

120STATEMENT OF THE ISSUE

124The issue is whether Respondent complied with Sections

132440.10 and 440.38, Florida Statutes, with regard to workers '

142compe nsation insurance for his subcontractors , and if not, the

152appropriate amount of penalty that should be assessed.

160PRELIMINARY STATEMENT

162Respondent , Hernandez Enterprises, Inc. , (Hernandez , Inc. ),

169is a dry wall , painting, and stucco contractor in the

179Jackso nville, Florida , area. Hernandez was served a Stop Work

189Order on February 26, 2004, by the Division of Workers'

199Compensation (Division), based , in part, on the Division's

207assertion that Hernandez, Inc. , was employing two subcontractors

215who allegedly did n ot have valid workers ' compensation insurance

226in place.

228In response to the Stop Work Order, Hernandez , Inc. , file d

239a Petition for Formal Hearing. On April 7, 2004, the Division

250forwarded Hernandez , Inc. 's , Petition for Hearing to the

259Division of Administr ative Hearings . Subsequent to the Petition

269for Hearing , the alleged penalty assessment was recalculated and

278at the time of the hearing the amount alleged was $157,794.49.

290Numerous motions for continuances were filed and granted,

298with the concurrence of th e parties. Eventually the case was

309set for hearing on August 16, 2005, and was heard on that date.

322At the hearing, the Division presented the testimony of

331Katina Johnson and the D ivision ' s Exhibit Nos. 1 through 22 were

345accepted into evidence. The Divis ion also submitted the

354deposition testimony of William D. Hager (Mr. Hager) , an expert

364in the field of workers' compensation which was accepted into

374evidence. Hernandez, Inc. , presented the testimony of George

382Hernandez, the principal of Hernandez, Inc., and Mi chael Sapourn

392(Mr. Sapourn) , who testified as an expert in the field of

403workers' compensation insurance . He also presented the

411testimony of Jonathan Sallas, who addressed the calculation of

420the penalty assessment in the Amended Order of Penalty

429Asse ssment. Hernandez, Inc., also offered Exhibit Nos. 1

438through 7 into evi dence, and they were accepted.

447The two - volume Transcript was filed on August 23, 2005.

458After the hearing, Petitioner and Respondent timely filed

466Proposed Recommended Orders on Septemb er 16, 2005. They were

476considered in the preparation of this Recommended Order .

485References to statutes are to Florida Statutes (200 3 )

495unless otherwise noted.

498FINDINGS OF FACT

5011. Hernandez, Inc., is a contractor based in the

510Jacksonville, Florida ar ea , and is in the business of install ing

522dry wall, among other construction related activities .

5302. The Department of Financial Services is the state

539agency responsible for enforcing the Workers' Compensation Law.

547T his duty is delegated to t he Division of Workers' Compensation.

5593. On February 5, 2004, Hernandez, Inc., was engaged in

569installing drywall in the Bennett Federal Building in

577Jacksonville, Florida. Hernandez, Inc. , was a subcontractor for

585Skanska, Inc., who was the general contractor for th e building.

596Hernandez, Inc. , was accomplishing the installation of drywall

604by using two subcontractors, GIO & Sons (GIO), of Norfolk,

614Virginia , and U&M Contractors , Inc. , (U&M) , of Charlotte, North

623Carolina. Hernandez, Inc. , was also using its own person nel,

633who were leased from Matrix, Inc. , an employee leasing company.

6434. Prior to contracting with GIO and U&M, Hernandez, Inc. ,

653asked for and received ACORD certificates of insurance , which on

663their face indicated that the subcontractors had bot h liabili ty

674coverage and workers' compensation coverage. It is the practice

683of Hernandez, Inc. , to ensure that certificates of insurance are

693provided by subcontractors and the office staff of Hernandez,

702Inc. , tracks the certificates so that they are kept current.

7125. Since the beginning of 2001, Hernandez, Inc. , has

721received approximately 310 certificates of insurance from

728subcontractors. These certificates listed Hernandez, Inc. , as

735the certificate holder. Though most of the producers and

744insureds on these cer tificates are from Florida, a substantial

754number are from other states. Hernandez, Inc., relied on the

764certificates as evidence that the subcontractor ' s workers were

774covered by workers' compensation insur ance. Hernandez, Inc. ,

782has relied on certificates of insurance for more than twenty

792years and , with the exception of this case, has never known an

804instance where the underlying policy was invalid.

8116 . On February 5, 2004, Katina Johnson, an investigator

821with the Division, made a routine visit to the Benne tt Federal

833Building with another investigator. She observed personnel from

841Hernandez, Inc., and its subcontractors, installing dry wall.

8497 . On February 5, 2004, Ms. Johnson determined that

859Hernandez, Inc., also had a contract to install dry wall as a

871su bcontractor participating in the construction of the Mayport

880BEQ. L. C. Gaskins Company was the general contractor engaged

890in the construction of the Mayport BEQ . U&M worked at both the

903Bennett Federal Building site and the Mayport BEQ site as a

914subcontr actor of Hernandez, Inc.

9198 . Ms. Johnson issued a Stop Work Order on February 26 ,

9312004, to Hernandez, Inc. , GIO , and U&M . By the Stop Work Order,

944Hernandez, Inc. , was charged with failure to ensure that

953workers' compensation meeting the requirements of C hapter 440,

962Florida Statutes, and the Florida Insurance Code, was in place

972for GIO and U&M. The Stop Work Order indicated that the penalty

984amount assessed against Respondent would be subject to amendment

993based on further information provided by Hernandez, Inc.,

1001including the provision of business records.

10079 . An Amended Order of Penalty Assessment dated March 19,

10182004, was served on Hernandez, Inc. , which referenced the Stop

1028Work Order of February 26, 2004. The Amended Order of Penalty

1039Assessment was in t he amount of $157,794.49. T he Amended Order

1052of Penalty Assessment reached back to September 29, 2003.

106110 . An Amended Order of Penalty Assessment dated March 22,

10722004, was served on GIO. This Amended Order of Penalty

1082Assessment was in the amount of $107 ,885.71. An Amended Order

1093of Penalty Assessment with a March 2004 date (the day is

1104obscured on the document by a "filed" stamp) , was served on U&M .

1117This Amended Order of Penalty Assessment was in the amount of

1128$51,779.50. The sum of these numbers is $15 9,665.21. However,

1140the parties agreed at the hearing that the amount being sought

1151by the Division was $157,794.49 , which represented the total for

1162GIO and U&M.

116511 . Hernandez, Inc.'s , employees leased from Matrix were

1174covered by workers' compensation insu rance through a policy held

1184by Matrix. The Matrix policy did not cover the employees of GIO

1196and U&M.

119812 . Although Skanska, Inc. , and L. C. Gaskins Company had

1209workers' compensation insurance in force, their policies did not

1218cover the workers used by Her nandez, Inc., or the employees of

1230GIO or U&M.

123313 . GIO and U&M employees w ere considered by the Division

1245to be "statutory employees" of Hernandez, Inc., for purposes of

1255the Workers' Compensation Law. This meant, according to the

1264Division, that Hernandez, Inc., was required to ensure that the

1274employees of GIO and U&M would receive benefits under the

1284Workers' Compensation Law if a qualifying event occurred , unless

1293the subcontractors had workers ' compensation insurance policies

1301in force that satisfied the Di vision .

130914 . GIO had a policy of workers' compensation insurance

1319evidenced by an ACORD certificate of liability insurance for the

1329period December 3, 2002, until December 3, 2003. The policy was

1340produced by Salzberg Insurance Agency in Norfolk, Virgini a. It

1350listed Hernandez as the certificate holder. The policy was

1359issued by Maryland Casualty Company, a subsidiary of the Zurich

1369American Insurance Company. Th e s e compan ies are admitted

1380carriers in Florida.

138315 . The Classification of Operations page of this policy

1393indicated class code 5022, masonry work. GIO employers were

1402installing drywall during times pertinent. Rates for drywall

1410installation are substantially higher than for masonry work. In

1419the policy section titled "Other States Insurance," Flo rida is

1429not mentioned.

143116 . William D. Hager, an expert witness, reviewed the

1441certificate of insurance and the policy supporting the

1449certificate. Mr. Hager is a highly qualified expert in

1458insurance and workers' compensation coverage. Among other

1465qualific ations, he is an attorney and a former member of the

1477National Association of Insurance Commissioners by virtue of his

1486position as Insurance Commissioner for the State of Iowa.

1495He concluded that this policy did not conform to the

1505requirements of Chapter 44 0 because the policy was Virginia

1515based and did not apply Florida rates, rules, and class codes.

152617. Mr. Sapourn, testified as an expert witness.

1534Mr. Sapourn has a degree from the University of Virginia in

1545economics with high distinction and a juris d octorate from

1555Georgetown. He is a certified insurance counselor and owned an

1565insurance agency in the District of Columbia area. As an

1575insurance agent he has issued tens of thousands certificates of

1585insurance and written hundreds of workers' compensation

1592policies. Mr. Sapourn , opined that this certificate represented

1600workers' compensation coverage that complied with Chapter 440,

1608Florida Statutes.

161018. Upon consideration of the testimony of the experts,

1619and upon an examination of the documents, it is con cluded that

1631the policy represented by the certificate of insurance for the

1641period December 3, 2002, to December 3, 2003, did not comply

1652with the requirements of Chapter 440.

16581 9 . Subsequently, someone forged an ACORD certificate of

1668liability insurance , whi ch indicated that it was produced by

1678Salzberg Insurance Agency , and that indicated that GIO was

1687covered from December 4, 2003, until December 4, 2004. The

1697forged certificate was presented to Hernandez, Inc. , upon the

1706expiration of the policy addressed abo ve . It was accepted by

1718Hernandez , Inc. , and considered to be a valid certificate.

172720 . Both of the experts pointed out that with their

1738practiced eye they could easily determine that the certificate

1747was a forgery. However, there was no evidence that Mr.

1757Hernandez, or his employees, had training in forgery

1765detection. Accordingly, it was reasonable for them to accept

1774the certificate as valid.

17782 1 . U&M presented Hernandez, Inc. , with an ACORD

1788certificate which indicated insurance coverage from October 24,

17962003, until October 24, 2004. The producer was Insur - A - Car

1809Commercial Division of Charlotte, North Carolina. The insurer

1817was The St. Paul , an admitted carrier in Florida. T he insured

1829was U &M. The certificate holder was Hernandez Enterprises,

1838Inc.

183922 . William D. Hager reviewed the certificate of insurance

1849and the policy supporting the certificate.

185523 . He noted that The St. Paul policy upon which the

1867certificate was based did not apply in Florida because U&M was

1878not working temporarily in Florida and because it included a

1888policy endorsement that stated: "The policy does not cover work

1898conducted at or from 3952 Atlantic BLVD #D - 12 Jacksonville, FL

191032207." U&M's mailing address in Jacksonville was 3952 Atlantic

1919Boulevard, Suite D - 12.

192424 . The in formation page of the policy, at Part 3.A.

1936states that Part One applies to North Carolina. Part 3.C.,

1946Other States Insurance states that Part 3 of the policy applies

1957to the states listed, and then refers to the "residual market

1968limited other states insura nce." Mr. Hager testified that the

1978policy did not indicate compliance with C hapter 440, because the

1989policy is North Carolina based, applies only North Carolina

1998rates, and does not provide Florida coverage.

200525. Mr. Sapourn , on the other hand, opined that the policy

2016provided workers' compensation that complied with Chapter 440.

2024Although it is possible that a worker who was injured during

2035times pertinent may have received benefits, it is clear that the

2046policy did not comply with the requirements of Chapter 440.

205626. The Division instituted a Stop Work Order against U&M

2066and sought to impose penalties upon it for failure to comply

2077with Chapter 440 for offenses committed at the exact times and

2088places alleged in this case. U&M demanded a hearing and was

2099provi ded one.

210227. In a R ecommended O rder entered April 7, 2005, an

2114Administrative Law Judge recommended that the Division enter a

2123final order affirming the Stop Work Order and assessing a

2133penalty in the amount of $51,779.50. See Department of

2143Financial Serv ices, Division of Workers' Compensation v s . U and

2155M Contractors, Inc. , Case No. 04 - 3041 (DOAH April 7, 2005) . The

2169recommendation was adopted in toto by the Department of

2178Financial Services on April 27, 2005. See In the Matter of: U

2190and M Contractors, Inc . , Case No. 75537 - 05 WC (DFS April 27,

22042005).

220528. The evidence taken as a whole demonstrates that U&M

2215did not have workers' compensation coverage in Florida that

2224complied with the requirements of Chapter 440 , during times

2233pertinent .

223529. Mr. Sapourn tes tified that the theory behind ACORD

2245certificates of insurance is that they provide a uniform

2254document upon which business people may rely. This testimony is

2264accepted as credible.

226730. In order to continue working on a project not

2277addressed by the Stop Wo rk Order, Hernandez, Inc. , entered into

2288and agreement with the Division which provided for partial

2297payments of the penalty in the amount of $46,694.03. This

2308payment was made with the understanding of both parties that

2318payment was not an admission of liabi lity.

2326CONCLUSIONS OF LAW

23293 1 . The Division of Administrative Hearings has

2338jurisdiction over the subject matter of and the parties to this

2349proceeding. § 120.57(1), Fla. Stat.

23543 2 . Administrative fines are penal in nature. Department

2364of Banking and Fin ance, Division of Securities and Investor

2374Protection v s . Osborne Stern, Inc. , 670 So. 2d 932 (Fla. 1996).

2387Pursuant to the c ourt's reasoning therein, it is concluded that

2398Petitioner bears the burden of proof herein by clear and

2408convincing evidence. Accord Triple M Enterprises Inc., v s .

2418Department of Financial Services, Division of Workers'

2425Compensation , Case N o. 04 - 2524 ( DOAH January 13, 2005), and

2438Department of Financial Services, Division of Workers'

2445Compensation v s . U and M Contractors, Inc. , Case N o. 0 4 - 3041

2461( DOAH April 7, 2005) , adopted in toto in, In the Matter of: U

2475and M Contractors, Inc. , Case No. 75537 - 05 - WC (DFS April 27,

24892005).

24903 3 . The Division argues in its Proposed Recommended Order

2501that the subcontractors became employees of Hernandez, Inc. , by

2510operation of Section 440.10(1) . In particular, the Division

2519asserts that Subsection (1)(a) means that the employees of a

2529subcontractor employed by a general contractor, are exactly like

2538the employees of the general contractor , and therefore the

2547gener al contract or must secure workers' compensation for his own

2558employees and those of his subcontractors.

25643 4 . Section 440.10(1) provides in pertinent part as

2574follows:

2575(1)(a) Every employer coming within the

2581provisions of this chapter shall be liable

2588for, an d shall secure, the payment to his or

2598her employees, or any physician, surgeon, or

2605pharmacist providing services under the

2610provisions of s. 440.13 , of the compensation

2617payable under ss. 440.13 , 440.15 , and

2623440.16 . Any contractor or subcontractor who

2630engages in any public or private

2636construction in the state shall secure and

2643maintain compensation for his or her

2649employees under this chapter as provided in

2656s. 440.38 .

2659(b) In case a contractor sublets any part

2667or parts of his o r her contract work to a

2678subcontractor or subcontractors, all of the

2684employees of such contractor and

2689subcontractor or subcontractors engaged on

2694such contract work shall be deemed to be

2702employed in one and the same business or

2710establishment, and the contra ctor shall be

2717liable for, and shall secure, the payment of

2725compensation to all such employees, except

2731to employees of a subcontractor who has

2738secured such payment.

2741(c) A contractor shall require a

2747subcontractor to provide evidence of

2752workers' compensatio n insurance. A

2757subcontractor who is a corporation and has

2764an officer who elects to be exempt as

2772permitted under this chapter shall provide a

2779copy of his or her certificate of exemption

2787to the contractor.

2790(d)1. If a contractor becomes liable for

2797the pay ment of compensation to the employees

2805of a subcontractor who has failed to secure

2813such payment in violation of s. 440.38 , the

2821contractor or other third - party payor shall

2829be entitled to recover from the

2835subcontractor all benefits paid or payable

2841plus interest unless the contractor and

2847subcontractor have agreed in writing that

2853the contractor will provi de coverage.

28593 5 . Section 440.38 provides in pertinent part as follows:

2870(1) Every employer shall secure the payment

2877of compensation under this chapter:

2882(a) By insuring and keeping insured the

2889payment of such compensation with any stock

2896company or mutua l company or association or

2904exchange, authorized to do business in the

2911state;

2912* * *

2915(7) Any employer who meets the requirements

2922of subsection (1) through a policy of

2929insurance issued outside of this state must

2936at all times, with respect to all employees

2944working in this state, maintain the required

2951coverage under a Florida endorsement using

2957Florida rates and rules pursuant to payroll

2964reporting that accurately reflects the work

2970performed in this state by such employees.

29773 6 . As was noted in Triple M Enter prises , supra , a

2990contractor, including a contractor whose base is in another

2999state, must secure workers' compensation coverage under a

3007Florida endorsement using Florida rates and rules pursuant to

3016payroll reporting that accurately reflects the work perform ed in

3026this state by such employees. This is a reasonable requirement

3036which should be strictly construed against the employer. This

3045is because the employer deals directly with his or her insurance

3056agent and can easily ensure that compliance with Section

30654 40.38(7) is had. See also Department of Labor and Employment

3076Security, Division of Workers' Compensation v s . Eastern

3085Personnel Services, Inc. , Case N o. 99 - 2048 (DOAH October 12,

30971999) .

30993 7 . The statutory scheme, when addressing the employment

3109of a subcont ractor , is different . In the case where a

3121subcontractor is employed, two possible scenarios are

3128contemplated by Section 440.10(1)(b). Either the contractor

3135secures workers' compensation coverage that satisfies Section

3142440.38(7) for the employees of the s ubcontractor or the

3152contractor must contract with subcontractors who have obtained

3160their own workers' compensation coverage.

31653 8 . A contractor cannot escape responsibility for the

3175provision of workers' compensation insurance by claiming that

3183the contracto r's employees are subcontractors, when they are

3192not. See Department of Financial Services, Division of Workers'

3201Compensation v s . Retrospec Painting & Reconstruction, Inc. , Case

3211No. 03 - 4014 (DOAH February 4, 2004) , adopted in toto in, In the

3225Matter of : Re trospec Painting & Reconstruction, Inc. , Case N o.

323771818 - 03 - WC (DFS April 9, 2004) , Department of Financial

3249Services, Division of Workers' Compensation v s . Susie Riopelle ,

3259Case N o. 03 - 1757 (DOAH January 16, 2004) , adopted in toto in, In

3274the Matter of: Susi e Riopelle; Case No. 7 4322 - 04 - WC (DFS April

329027, 2005), and Orlando Sentinel v s . Chow , 652 So. 2d 982 ( Fla.

33051st DCA 1995). In this case, GIO and U&M were indisputably

3316independent contractors.

33183 9 . If the contractor contracts with a subcontractor who

3329obtai ns its own workers' compensation coverage, the contractor

3338has a duty under Section 440.10(1)(c) to ensure that the

3348subcontractor provides "evidence of workers' compensation

3354insurance." Typically, and in this case, the "evidence"

3362obtained is a certificate of insurance. A certificate of

3371insurance is not a policy of insurance and does not contain the

3383sort of detail found in an insurance policy.

339140 . Certificates of insurance are commonly used to

3400represent coverage which is evidenced in its particulars by an

3410actual policy or master policy. Certificates of insurance , for

3419example, were considered to be evidence of insurance in a group

3430life policy in Equitable Live Assurance Society of the United

3440States v. Wagoner , 269 So. 2d 747 ( Fla. 4th DCA 1972); evidence

3453o f an automobile policy in Avis Rent A Car and I.T.T. Hamilton

3466Life Insurance Company , 318 So. 2d 565 (Fla. 4th DCA 1975); and

3478evidence of mortgage guarantee insurance in Federal Deposit

3486Insurance Corporation v. Verex Assurance, Inc. , 645 So. 2d 427

3496(Fla. 1 994).

349941 . The practice of reliance on the face of a certificate

3511of insurance by a contractor who has been presented with a

3522purportedly valid certificate of insurance, has been addressed

3530by the courts within the context of Section 440.10, Florida

3540Statutes . In Criterion Leasing Group v. Gulf Coast Plastering &

3551Drywall , 582 So. 2d 799, 801 (Fla. 1st DCA 1991), the court

3563found that an insurance company should have reasonably expected

3572that a contractor would rely on a certificate of insurance

3582presented to tha t contractor:

3587We find that it was foreseeable to Hartford

3595that Evans Blount would use the certificate

3602of insurance as proof of workers'

3608compensation coverage. First . . . [t]he

3615certificate of insurance listed both

3620Criterion and Evans Blount as coinsureds.

3626The certificate was presented to Gulf Coast

3633as proof of workers' compensation coverage.

3639Second, Section 440.10(1), Florida Statutes,

3644requires a general contractor to provide

3650workers' compensation coverage for a

3655subcontractor's employees except when th e

3661subcontractor already has obtained coverage.

3666Therefore, Hartford should have reasonably

3671expected that Gulf Coast would rely on the

3679certificate of insurance naming Evans Blount

3685as a coinsured. This promise of coverage

3692induced Gulf Coast to subcontract w ith Evans

3700Blount.

3701See also LaCroix Construction Company v. Bush , 471 So 2d 134,

3712136 (Fla. 1st DCA 1985) . In LaCroix the court found that

3724subcontractor relied on general contractor's representation that

3731it carried workers' compensation coverage for all e mployees who

3741were not covered by subcontracting and changed his position to

3751his detriment by continuing to work without procuring

3759appropriate insurance coverage.

37624 2 . Reliance on a certificate of insurance as proof of

3774coverage is permissible unless there is extant a question as to

3785its validity. To require a contractor to evaluate the

3794underlying policy held by a subcontractor is not contemplated by

3804the statutory scheme. Bearing in mind that two experts in this

3815case had diametrically opposed opinions with regard to whether

3824or not the policies at issue in this case complied with Chapter

3836440, the Florida Legislature in its wisdom declined to require

3846Florida contractors to have a well - developed expertise in

3856insurance policy analysis.

38594 3 . Section 440.107, Flo rida Statutes, authorizes the

3869Division to issue s top w ork orders and penalty assessment orders

3881in its enforcement of workers' compensation coverage

3888requirements. The method used to make the calculation of the

3898penalty is not at issue here. At issue is wh ether the Division

3911is authorized under the law to impose the penalty it imposed

3922upon Hernandez, Inc.

39254 4 . When the Division issued the Stop Work Order on

3937Hernandez, Inc., it did so because it determined that Hernandez

3947was the "employer" for purposes of wor kers' compensation

3956coverage. When the Division issued the Stop Work Order on GIO

3967and U&M, it did so because it determined GIO and U&M were the

"3980employers" for purposes of workers' compensation coverage. The

3988Division has defined Hernandez and GIO as being the "employer"

3998of the identical employees working at the same work site earning

4009the identical dollars. Likewise, the Division has defined

4017Hernandez and U&M as being the "employer" of the identical

4027employees working at the same work site earning the ident ical

4038dollars. There is nothing in the statutes cited by the Division

4049that authorizes the Division to define two businesses as the

4059employer of the same employees or that requires an employee to

4070be covered by two employers.

40754 5 . Florida Administrative Code Rule 69L - 6.019, addressing

4086policies and endorsements covering employees engaged in work in

4095Florida, was adopted in June 2004 and amended in November 2004.

4106This rule addresses the requirement that workers' compensation

4114policies utilize Florida class codes , rates, rules , and manuals

4123that are in compliance with and approved under the provisions of

4134Chapter 440.

41364 6 . This rule was adopted after the events giving rise to

4149this case. It is specific and comprehensive in setting out the

4160requirements of a workers ' compensation policy deemed adequate

4169under Chapter 440. It is notable that it did not address the

4181assertion made by the Division in this case that a contractor is

4193required to provide workers' compensation coverage for the

4201employees of its subcontractors. The Division did not avail

4210itself of the opportunity to state in the rule that a contractor

4222must guarantee that a subcontractor's policy of workers'

4230compensation insurance complies with Chapter 440 .

42374 7 . In any event , Hernandez, Inc. , complied with the p lain

4250and ordinary meaning of Subsection 440.10(1)(c), Florida

4257Statutes, by requiring its subcontractors, GIO and U&M, to

4266provide evidence of workers' compensation insurance, and should

4274not be penalized because of the failures of GIO and U&M to

4286obtain prope r insurance or because of the fraud perpetrated by

4297GIO. See Department of Financial Services, Division of Workers'

4306Compensation v s . AFS, LLC , Case N o. 05 - 0958 (DOAH August 26,

43212005).

4322RECOMMENDATION

4323Based upon the Findings of Fact and Conclusions of Law, it

4334is

4335RECOMMENDED

43361. That the Division rescind the Stop Work Order issued

4346February 26, 2004, and

43502. T hat the Division rescind the Amended Order of Penalty

4361Assessment dated March 19, 2004, and

43673 . T hat the Department refund to Hernandez, Inc., the

4378amo unt of $46,694.03, which was paid to obtain a release from

4391the improvidently issued Stop Work Order of February 26, 2004.

4401DONE AND ENTERED this 3 rd day of October , 2005, in

4412Tallahassee, Leon County, Florida.

4416S

4417HARRY L. HOOPER

4420Administrative Law Judge

4423Division of Administrative Hearings

4427The DeSoto Building

44301230 Apalachee Parkway

4433Tallahassee, Florida 32399 - 3060

4438(850) 488 - 9675 SUNCOM 278 - 9675

4446Fax Filing (850) 921 - 6847

4452www.doah.state.fl.us

4453Filed with the Clerk of the

4459Division of Administrative Hearings

4463this 3 rd day of October , 2005 .

4471COPIES FURNISHED :

4474Joe Thompson, Esquire

4477Colin Roopnarine, Esquire

4480Department of Financial Services

4484Division of Workers' Compensation

4488200 East Gaines Street

4492Tallahassee, Florida 32399

4495H. Leon Holbrook, Esquire

4499Holbrook, Akel, Cold, Stiefel & Ray, P.A.

4506One Independent Drive, Suite 2301

4511Jacksonville, Florida 32202

4514Honorable Tom Gallagher

4517Chief Financial Officer

4520Department of Financial Services

4524The Capitol, Plaza Level 11

4529Tallahassee, Florida 32399 - 0300

4534Carlos G. Muñiz, General Counsel

4539Department of Financial Services

4543The Capitol, Plaza Level 11

4548Tallahassee, Florida 32399 - 0307

4553NOTICE OF RIGHT TO SUBMIT EXCEPTIONS

4559All parties have the right to submit written exceptions within

456915 days from the date of this Recommended O rder. Any exceptions

4581to this Recommended Order should be filed with the agency that

4592will issue the Final Order in this case.

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Date
Proceedings
PDF:
Date: 03/23/2006
Proceedings: Affidavit of Attorneys` Fees and Costs filed.
PDF:
Date: 03/23/2006
Proceedings: Petition for Award of Attorneys` Fees and Costs (DOAH Case No. 06-1078F established) filed.
PDF:
Date: 03/23/2006
Proceedings: Notice of Filing; Respondent`s Petition for Award of Attorneys` Fees and Costs and Affidavit of Attorneys` Fees and Costs filed.
PDF:
Date: 01/26/2006
Proceedings: Final Order filed.
PDF:
Date: 01/25/2006
Proceedings: Agency Final Order
PDF:
Date: 10/03/2005
Proceedings: Recommended Order
PDF:
Date: 10/03/2005
Proceedings: Recommended Order (hearing held August 16, 2005). CASE CLOSED.
PDF:
Date: 10/03/2005
Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
PDF:
Date: 09/21/2005
Proceedings: Department of Financial Services` Amended Proposed Recommended Order filed.
PDF:
Date: 09/16/2005
Proceedings: (Proposed) Recommended Order filed by Respondent.
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Date: 09/16/2005
Proceedings: Department of Financial Services` Proposed Recommended Order filed.
PDF:
Date: 09/16/2005
Proceedings: Letter to Judge Hooper from H. Holbrook advising of one additional argument filed.
PDF:
Date: 09/12/2005
Proceedings: Order (Petitioner`s motion granted, proposed recommended orders must be filed no later than 5:00 p.m., on September 16, 2005).
PDF:
Date: 09/09/2005
Proceedings: Petitioner`s Motion to Extension of Time to File Proposed Recommended Order filed.
PDF:
Date: 09/01/2005
Proceedings: Order on Petitioner`s Motion to Extend Deadline for Each Party to File Proposed Recommended Order (proposed recommended orders must be filed no later than 5:00 p.m., on September 12, 2005).
PDF:
Date: 08/31/2005
Proceedings: Petitioner`s Motion to Extend Deadline for each Party to File Proposed Recommended Order filed.
Date: 08/23/2005
Proceedings: Transcript of Proceedings (Volumes I and II) filed.
Date: 08/16/2005
Proceedings: CASE STATUS: Hearing Held.
PDF:
Date: 06/29/2005
Proceedings: Notice of Taking Telephonic Deposition filed.
PDF:
Date: 06/13/2005
Proceedings: Amended Notice of Hearing (hearing set for August 16 and 17, 2005; 10:00 a.m.; Jacksonville, FL; amended as to Hearing Date).
PDF:
Date: 06/13/2005
Proceedings: Order Granting Continuance and Re-scheduling Hearing (hearing set for July 21 and 22, 2005; 10:00 a.m.; Jacksonville, FL).
PDF:
Date: 06/09/2005
Proceedings: Department`s Unopposed Motion for Continuance Based on Need to Complete the Discovery Process Involving and Expert Witness filed.
PDF:
Date: 05/16/2005
Proceedings: Order Granting Continuance and Re-scheduling Hearing (hearing set for June 14 and 15, 2005; 10:00 a.m.; Jacksonville, FL).
PDF:
Date: 05/13/2005
Proceedings: Motion for either a Partial or Complete Continuance of Trail filed.
PDF:
Date: 05/13/2005
Proceedings: Pre-hearing Stipulation filed.
PDF:
Date: 05/12/2005
Proceedings: Department`s Pre-hearing Statement filed.
PDF:
Date: 05/10/2005
Proceedings: Order on Department`s Motion to Conduct Telephonic Deposition and Motion for Expedited Ruling.
PDF:
Date: 05/10/2005
Proceedings: Notice of Appearance as Co-counsel filed.
PDF:
Date: 05/06/2005
Proceedings: Department`s Motion to Conduct Telephonic Deposition and Motion for Expedited Ruling filed.
PDF:
Date: 03/30/2005
Proceedings: Order Granting Continuance and Re-scheduling Hearing (hearing set for May 17 and 18, 2005; 10:00 a.m.; Jacksonville, FL).
PDF:
Date: 03/29/2005
Proceedings: Department`s Unopposed Motion for Continuance based on Extraordinary Circumstances filed.
PDF:
Date: 03/24/2005
Proceedings: Notice of Taking Telephonic Deposition filed.
PDF:
Date: 02/28/2005
Proceedings: Department`s Second Set of Interrogatories and Requests to Produce filed.
PDF:
Date: 02/18/2005
Proceedings: Department`s List of Witnesses and Exhibits filed.
PDF:
Date: 02/02/2005
Proceedings: Order Granting Continuance and Re-scheduling Hearing (hearing set for April 5 and 6, 2005; 10:00 a.m.; Jacksonville, FL).
PDF:
Date: 02/01/2005
Proceedings: Motion to Continue Hearing filed.
PDF:
Date: 01/18/2005
Proceedings: Order Granting Continuance and Re-scheduling Hearing (hearing set for March 24 and 25, 2005; 10:00 a.m.; Jacksonville, FL).
PDF:
Date: 01/11/2005
Proceedings: Motion for Continuance (filed by Petitioner).
PDF:
Date: 12/01/2004
Proceedings: Order on Motion to Compel Skanska USA to Produce its Workers` Compensation Policy.
PDF:
Date: 11/30/2004
Proceedings: Order Granting Continuance and Re-scheduling Hearing (hearing set for January 20 and 21, 2005, 9:00 a.m., Jacksonville).
PDF:
Date: 11/30/2004
Proceedings: Order Granting Department`s Unopposed Motion to Amend Assessed Administrative Penalty Amount.
PDF:
Date: 11/29/2004
Proceedings: Department`s Unopposed Motion for Continuance filed.
PDF:
Date: 11/24/2004
Proceedings: Notice of Hearing (telephonic motion hearing set for November 29, 2004, 2:30 p.m.) filed.
PDF:
Date: 11/24/2004
Proceedings: Resondent`s Resonse to Skanska USA Building, Inc.`s Memorandum Regarding its Workers Compensation Policy filed.
PDF:
Date: 11/24/2004
Proceedings: Department`s Unopposed Motion to Amend Assesed Administrative Penalty Amount filed.
PDF:
Date: 11/23/2004
Proceedings: Nonparty Skanska USA Building, Inc.`s Response to Hernandez Enterprises, Inc.`s Motion to Compel filed.
PDF:
Date: 11/15/2004
Proceedings: Motion to Compel Skanska USA to Produce its Worker`s Compensation Policy (filed by Respondent).
PDF:
Date: 10/13/2004
Proceedings: Notice of Hearing (hearing set for December 9, 2004; 9:00 a.m.; Jacksonville, FL).
PDF:
Date: 10/01/2004
Proceedings: Letter to Judge Staros from J. Thompson in response to Order Granting Continuance dated September 24, 2004 (filed via facsimile).
PDF:
Date: 09/24/2004
Proceedings: Order Granting Continuance (parties to advise status by October 4, 2004).
PDF:
Date: 09/22/2004
Proceedings: Return of Service filed.
PDF:
Date: 09/22/2004
Proceedings: Department`s Motion for Continuance (filed via facsimile).
PDF:
Date: 09/22/2004
Proceedings: Subpoena Duces Tecum (2), (Custodian of Records L.C. Gaskins Construction Company and Custodian of Records Skanska USA) filed.
PDF:
Date: 09/21/2004
Proceedings: Notice of Appearance of Counsel for Department (filed by J. Thompson, Esquire, via facsimile).
PDF:
Date: 09/08/2004
Proceedings: Letter to Judge Staros from H. Holbrook, III enclosing subpoenas filed.
PDF:
Date: 09/08/2004
Proceedings: Notice of Production from Non-Party filed by H. Holbrook, III.
PDF:
Date: 08/09/2004
Proceedings: Order Granting Motion to Amend Administrative Charges.
PDF:
Date: 08/06/2004
Proceedings: Respondent`s Response to Division`s Motion to Amend Administrative Charges filed.
PDF:
Date: 08/02/2004
Proceedings: Division`s Motion to Amend Administrative Charges filed.
PDF:
Date: 06/28/2004
Proceedings: Order on Motion to Compel.
PDF:
Date: 06/28/2004
Proceedings: Order Granting Continuance and Re-scheduling Hearing (hearing set for September 30, 2004; 9:00 a.m.; Jacksonville, FL).
PDF:
Date: 06/23/2004
Proceedings: Joint Motion for Continuance of Hearing (filed via facsimile).
PDF:
Date: 06/14/2004
Proceedings: Division`s Motion to Compel Discovery and for Expedited Ruling filed.
PDF:
Date: 06/14/2004
Proceedings: Division`s Answers to Respondent`s First Set of Interrogatories filed.
PDF:
Date: 06/14/2004
Proceedings: Division`s Response to Respondent`s First Request for Production of Documents filed.
PDF:
Date: 05/17/2004
Proceedings: First Request for Production of Documents filed by Respondent.
PDF:
Date: 05/17/2004
Proceedings: Notice of Service of Answers to Interrogatories filed by Respondent.
PDF:
Date: 05/17/2004
Proceedings: Respondent`s Response to Petitioner`s Request for Production of Documents filed.
PDF:
Date: 05/17/2004
Proceedings: Respondent`s Response to Petitioner`s First Request for Admissions filed.
PDF:
Date: 05/17/2004
Proceedings: Notice of Propounding Interrogatories to Petitioner filed by Respondent.
PDF:
Date: 05/10/2004
Proceedings: Order of Pre-hearing Instructions.
PDF:
Date: 05/10/2004
Proceedings: Notice of Hearing (hearing set for July 2, 2004; 9:00 a.m.; Jacksonville, FL).
PDF:
Date: 04/20/2004
Proceedings: Joint Response to Initial Order filed.
PDF:
Date: 04/09/2004
Proceedings: Division`s First Set of Interrogatories filed.
PDF:
Date: 04/09/2004
Proceedings: Division`s First Request for Admissions filed.
PDF:
Date: 04/09/2004
Proceedings: Division`s Request to Produce filed.
PDF:
Date: 04/09/2004
Proceedings: Initial Order.
PDF:
Date: 04/07/2004
Proceedings: Petition for Formal Hearing Pursuant to Chapter 120.57, Florida Statues and Rule 28-106.201(2) and 28-106.301(2), Florida Administrative Code filed.
PDF:
Date: 04/07/2004
Proceedings: Amended Order of Penalty Assessment filed.
PDF:
Date: 04/07/2004
Proceedings: Agency referral filed.

Case Information

Judge:
HARRY L. HOOPER
Date Filed:
04/07/2004
Date Assignment:
01/14/2005
Last Docket Entry:
03/23/2006
Location:
Jacksonville, Florida
District:
Northern
Agency:
ADOPTED IN PART OR MODIFIED
 

Counsels

Related Florida Statute(s) (7):