Mulvey Construction, Inc. v. Bituminous Casualty Corp.
Filing
UNPUBLISHED AUTHORED OPINION filed. Originating case number: 1:07-cv-00634 Copies to all parties and the district court/agency. [999351831].. [13-1571]
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UNPUBLISHED
UNITED STATES COURT OF APPEALS
FOR THE FOURTH CIRCUIT
No. 13-1571
MULVEY CONSTRUCTION,
COMPANY,
INCORPORATED;
ONE
BEACON
INSURANCE
Plaintiffs – Appellants,
and
DCI/SHIRES, INCORPORATED,
Intervenor/Plaintiff
v.
BITUMINOUS CASUALTY CORPORATION;
AGENCY OF VIRGINIA, INCORPORATED,
BROWN
&
BROWN
INSURANCE
Defendants – Appellees.
Appeal from the United States District Court for the Southern
District of West Virginia, at Bluefield. David A. Faber, Senior
District Judge. (1:07-cv-00634)
Argued:
January 29, 2014
Decided:
May 7, 2014
Before DUNCAN, KEENAN, and WYNN, Circuit Judges.
Affirmed in part and vacated in part and remanded by unpublished
opinion.
Judge Wynn wrote the opinion, in which Judge Duncan
and Judge Keenan joined.
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ARGUED: Stuart A. McMillan, BOWLES RICE LLP, Charleston, West
Virginia, for Appellants.
Avrum Levicoff, LEVICOFF, SILKO &
DEEMER, PC, Pittsburgh, Pennsylvania; Henry I. Willett, III,
CHRISTIAN & BARTON, LLP, Richmond, Virginia, for Appellees. ON
BRIEF: Thomas M. Hancock, BOWLES RICE LLP, Charleston, West
Virginia, for Appellants.
Pamela C. Deem, KAY CASTO & CHANEY,
PLLC, Charleston, West Virginia, for Appellee Brown & Brown
Insurance Agency of Virginia, Inc.
Unpublished opinions are not binding precedent in this circuit.
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WYNN, Circuit Judge:
A city utility worker was killed when the trench he was
working in collapsed while he was repairing a sewage line at a
construction site for a McDonald’s restaurant in Bluefield, West
Virginia.
the
His estate brought a wrongful death action against
general
restaurant,
contractor
Mulvey
responsible
Construction,
subcontractor, DCI/Shires (“DCI”).
for
Inc.
constructing
(“Mulvey”),
and
the
its
In response, DCI’s insurance
company, Bituminous Casualty Corporation (“Bituminous”), refused
to defend and indemnify Mulvey.
That refusal prompted Mulvey
and its insurer, One Beacon Insurance Company (“One Beacon”), to
bring this action, which requires us to determine the scope of
DCI’s insurance policy from Bituminous.
decide
which
dispute,
state’s
whether
law
Mulvey
applies
was
to
covered
In particular, we must
this
by
insurance
DCI’s
contract
insurance,
and
whether the applicable statute of limitations bars Mulvey’s and
its insurer’s third-party beneficiary claim.
For the reasons explained below, we affirm the district
court’s holding that Virginia law controls the contract issue,
that Virginia law does not allow estoppel to extend an insurance
policy’s coverage, and that Appellants’ third-party beneficiary
claim
is
However,
barred
we
Appellants’
by
the
reverse
insured
Virginia
the
contract
statutes
district
and
3
duty
court’s
to
of
limitations.
rejection
defend
claims
of
and
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remand
this
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matter
to
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the
district
court
for
further
consideration.
I.
In May 2002, DCI, a Virginia corporation, applied for a
renewal insurance policy with Bituminous through Brown & Brown
Insurance Agency (“Brown”), a Virginia insurance agency.
DCI
had a Virginia post office box as its mailing address, but DCI’s
physical office was in Bluefield, West Virginia.
Bituminous
issued DCI’s renewal policy, which was effective from May 20,
2002 to May 20, 2003.
Although Bituminous’s headquarters is in
Illinois, the policy identified its Richmond, Virginia branch
office as the location for “the insurance company issuing this
insurance”
and
referred
inquiries
to
the
Corporation Commission’s Bureau of Insurance.
Virginia
State
J.A. 50.
In July 2002, Mulvey entered into a subcontract agreement
with
DCI
for
a
portion
of
the
construction
restaurant in Bluefield, West Virginia.
agreement,
additional
DCI
agreed
insureds
on
to
its
list
a
McDonald’s
Under the subcontract
Mulvey
insurance
of
and
policy
McDonald’s
with
as
Bituminous.
To satisfy this requirement, DCI sent the subcontract agreement
to Brown.
insurance
In July and August 2002, Brown issued certificates of
stating
that
Mulvey
and
4
McDonald’s
were
additional
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insureds
on
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DCI’s
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insurance
policy
with
Bituminous.
The
certificates of insurance also stated that “THIS CERTIFICATE IS
ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS
UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.”
J.A. 44, 259-64.
DCI’s insurance policy was not amended to add
Mulvey and McDonald’s as additional insureds.
In October 2002,
Brown sent a copy of the insurance policy to DCI.
In January 2003, a city employee was attempting to repair a
pipe next to the McDonald’s restaurant when the trench he was in
collapsed and killed him.
His estate sued McDonald’s, Mulvey,
and DCI for wrongful death, alleging that the retaining wall at
the McDonald’s had been negligently constructed.
Mulvey and
McDonald’s requested that Bituminous defend them in the wrongful
death action.
nor
McDonald’s
Mulvey
and
Bituminous refused, stating that neither Mulvey
was
an
McDonald’s
additional
settled
the
insured
wrongful
on
DCI’s
death
policy.
suit,
and
Mulvey’s insurer, One Beacon, paid the settlement on behalf of
McDonald’s and Mulvey.
Appellants Mulvey and One Beacon initiated an arbitration
action against DCI in New York asserting indemnification and
breach of contract claims.
action
against
Bituminous
In 2007, Appellants brought this
and
Brown
seeking
a
declaratory
judgment that Mulvey was entitled to coverage from Bituminous
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for the underlying action and payment of settlements and legal
fees.
The complaint (and later the amended complaint) included
a breach of contract claim against Bituminous, an estoppel claim
against
Bituminous
and
claim against Brown.
these claims.
separate
The
summary
Brown,
and
a
third-party
beneficiary
Bituminous moved for summary judgment on
district
judgment
court
orders
addressed
during
these
the
claims
case
and
in
the
district court’s conclusion of each of these individual claims
did not resolve the other claims.
The
district
court
granted
Bituminous
contract
claim.
supplemental
ruled
summary
that
judgment
However,
briefing
on
claims under Virginia law.
the
the
Virginia
on
law
applied
Appellants’
district
estoppel
and
breach
and
of
court
allowed
insured
contract
Mulvey and One Beacon had originally
conceded that the insurance contract was formed in Virginia,
but,
after
the
district
court
granted
summary
judgment
to
Bituminous on the breach of contract claim, moved to amend the
judgment arguing that the policy was issued in West Virginia.
The district court ordered them to offer evidence supporting
their
change
of
view
on
the
location
of
contract
formation.
Appellants provided affidavits stating that a DCI employee was
assigned to gather mail from DCI’s Virginia post office box and
carry it to the offices in West Virginia.
6
The district court
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reaffirmed its earlier ruling that Virginia law governed the
case.
Brown also moved for summary judgment on Appellants’ thirdparty beneficiary claim, arguing that the claim was barred by
the
statute
of
limitations.
The
district
court
agreed
and
judgment
to
granted summary judgment to Brown.
The
district
court
also
granted
summary
Bituminous on Appellants’ estoppel claim and held that Virginia
law
does
not
allow
estoppel
to
extend
insurance
coverage,
especially where the disclaimer language in the certificates was
“clear and unambiguous[.]”
J.A. 625-28.
However, the district
court stayed the case pending completion of the ongoing New York
arbitration
After
renewed
before
Appellants
their
considering
dismissed
motion
contract theory.
for
the
the
insured
New
summary
York
judgment
contract
theory. 1
arbitration,
on
the
they
insured
The district court rejected the theory and
granted summary judgment to Bituminous.
Mulvey and One Beacon
timely appealed these rulings.
1
The amended complaint does not contain an insured contract
claim as one of the specified counts.
However, the amended
complaint sought a declaration that “Mulvey’s subcontract
agreement with [DCI] is an insured contract under DCI’s
Bituminous policy so that Mulvey stands in the shoes of DCI for
coverage purposes” and that “Bituminous owes Mulvey a duty to
indemnify and defend it as an additional insured with an insured
contract on its policy of insurance covering DCI . . . .” J.A.
197.
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II.
First, Appellants argue that the district court erred in
ruling that Virginia law, rather than West Virginia law, applied
in this case.
Second, Appellants argue that the district court
erred in holding that estoppel did not apply and that Mulvey
could not rely on the certificates of insurance to establish
coverage under DCI’s insurance policy.
that
the
district
court
erred
Third, Appellants argue
in
rejecting
their
insured
contract theory; namely, that the subcontract between Mulvey and
DCI did not trigger a duty to defend requiring Bituminous to
defend
Mulvey
Finally,
and
Appellants
McDonald’s
argue
in
that
the
the
wrongful
district
death
court
action.
erred
in
applying Virginia’s statute of limitations and granting summary
judgment on the third-party beneficiary claims to Bituminous.
We address each issue in turn.
III.
We
review
determination.
231–34 (1991).
de
novo
the
district
court’s
choice
of
law
See Salve Regina Coll. v. Russell, 499 U.S. 225,
When a district court is considering a case
based on diversity jurisdiction, the court must apply the forum
state’s conflict of laws rules.
8
Klaxon Co. v. Stentor Elec.
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Mfg. Co., 313 U.S. 487, 496 (1941).
Here, the forum state is
West Virginia; thus, West Virginia’s choice of law principles
must be applied.
In West Virginia, generally, the law of the state where an
insurance contract was formed governs contract disputes:
“In a case involving the interpretation of an
insurance policy, made in one state to be performed in
another, the law of the state of the formation of the
contract shall govern, unless another state has a more
significant relationship to the transaction and the
parties, or the law of the other state is contrary to
the public policy of this state.”
Joy Tech., Inc. v. Liberty Mut. Ins. Co., 421 S.E.2d 493, 496
(W. Va. 1992) (quoting Liberty Mut. Ins. Co. v. Triangle Indus.,
Inc., 390 S.E.2d 562, 563 (W. Va. 1990)).
We thus begin our
inquiry with an examination of where the pertinent contract was
formed.
A.
Under West Virginia law, “[a] contract is made at the time
when the last act necessary for its formation is done, and at
the place where the final act is done.”
Banking
&
Trust
Co.,
207
S.E.2d
897,
Carper v. Kanawha
901
(W.
Va.
1974)
(syllabus, pt. 8) 2 (citing Restatement of Contracts § 74 (1932));
2
“Pursuant to West Virginia’s Constitution, the Supreme
Court of Appeals of West Virginia articulates new points of law
through its syllabus.”
Hoschar v. Appalachian Power Co., 739
F.3d 163, 174 n.5 (4th Cir. 2014) (citing Walker v. Doe, 558
S.E.2d 290, 296 (2001)).
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see also Tow v. Miners Mem’l Hosp. Ass’n, 305 F.2d 73, 75 (4th
Cir. 1962) (“Examining [West Virginia] law, we find that the
contract here in question was made in New York because there the
last event occurred necessary to make a binding agreement[.]”).
The West Virginia Supreme Court has observed that “[a]n
insurance contract, similar to other contracts, ‘is an offer and
acceptance supported by consideration.’
. . . The application
for insurance is the offer, which the insurer then decides to
accept, reject or modify.
The insurer then issues a policy or
certificate of insurance that evidences the insurance contract.”
Keller v. First Nat’l Bank, 403 S.E.2d 424, 427 n.5 (W. Va.
1991) (quoting Warden v. Bank of Mingo, 341 S.E.2d 679, 682
(1985)).
Therefore, where a party has made an offer to the
insurance
company
by
applying
for
insurance,
the
insurance
company’s issuance of the policy constitutes its acceptance.
Appellants
argue
that
the
district
court
concluding that Virginia law governs the case.
they
contend
that
the
insurance
contract
erred
in
Specifically,
between
DCI
and
Bituminous was formed in West Virginia because DCI’s principal
office is located there.
the
contract
in
West
Appellants contend that DCI accepted
Virginia
when
the
insurance
policy
was
opened in DCI’s West Virginia office or when the premium check
was signed in DCI’s West Virginia office.
10
We disagree.
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Under
West
constituted
response,
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the
Virginia
offer
Bituminous
accepting DCI’s offer.
to
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law,
DCI’s
create
issued
the
the
renewal
insurance
insurance
application
contract.
policy,
In
thus,
At that point, the contract was formed
according to West Virginia law.
Neither the opening of the copy
of the policy in DCI’s West Virginia’s office nor the first
premium payment constituted the final act of contract formation.
The issuance of the policy from Bituminous’s Virginia branch
office represented Bituminous’s acceptance of DCI’s offer, the
last
act
necessary
to
form
the
insurance
contract.
Thus,
Virginia law applies—unless another state has a more significant
relationship or Virginia’s law contravenes West Virginia public
policy.
B.
Regarding
whether
another
state
has
a
more
significant
relationship to the transaction and parties than Virginia, the
West
Virginia
(Second)
of
Supreme
Conflict
Court
of
has
Laws
looked
and
to
the
identified
Restatement
several
exclusive factors for courts to consider:
(a) the needs of the interstate and international
systems,
(b) the relevant policies of the forum,
(c) the relevant policies of other interested states
and the relative interests of those states in the
determination of the particular issue,
(d) the protection of justified expectations,
11
non-
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(e) the basic policies underlying the particular field
of law,
(f)
certainty,
predictability
and
uniformity
of
result, and
(g) ease in the determination and application of the
law to be applied.
Triangle, 390 S.E.2d at 567.
The West Virginia Supreme Court
placed great emphasis on uniformity and predictability, holding
that
“certainty, predictability and uniformity of result,”
as well as “ease in the determination and application
of the law to be applied” is essential to the
interpretation of an insurance policy when the law is
not otherwise chosen by the parties. Given the
increasingly complex nature of the insurance industry,
we believe that the needs of the “interstate” system
of insurance require that law be applied in the most
uniform and predictable manner possible.
Id.
The
expectations,
Court
demonstrated
also
examining
any
looked
to
whether
reasonable
the
“the
expectation
parties’
reasonable
insurance
at
the
company
time
the
contracts were entered into that any litigation over the policy
would be based upon West Virginia law.”
Id.
The West Virginia Supreme Court discussed the significant
relationship prong in Joy Technologies, Inc. v. Liberty Mutual
Insurance Company, 421 S.E.2d 493 (W. Va. 1992).
In that case,
a company that cleaned and repaired mining machinery in West
Virginia polluted West Virginia property.
for
property
damage
and
personal
12
The company was sued
injuries,
and
the
insurer
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argued that an exclusion applied.
Joy, 421 S.E.2d at 493-96.
Crucial to the exclusion issue was what state’s law applied.
The
West
Virginia
Supreme
precedent
and
identified
applying
the
law
Pennsylvania.
of
Court
factors
the
Id. at 496.
recognized
that
state
of
weighed
the
in
contract
Triangle
favor
of
formation—
However, the Court ultimately was
persuaded to apply West Virginia law because of the nature of
the suit.
The West Virginia Supreme Court’s reasoning focused
on the nature of the suit—toxic pollution—and its close link to
location:
[t]he action in the present case arises out of the
expenditures of monies for remediating damage caused
by pollution to property in West Virginia, and it is
rather clear that the pollution arose from operations
which were conducted in West Virginia and involved a
facility located in West Virginia.
Thus, the injury
occurred in West Virginia, the instrumentality of
injury was located in West Virginia, and the forum
selected to try the issues was West Virginia.
These
factors suggest that West Virginia has had a very
significant relationship to the transaction and the
parties. In fact, the relationship would appear to be
more substantial than that of Pennsylvania, where the
contract was formed.
Id. at 496-97.
For its reasoning, the West Virginia Supreme
Court looked to a New Jersey pollution case, in which the New
Jersey Appellate Division held that New Jersey law controlled a
dispute
about
insurance
“purchased
to
cover
an
operation
or
activity, wherever its principal location, which generates toxic
wastes that predictably come to rest in New Jersey[.]”
13
Gilbert
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Spruance Co. v. Pa. Manufacturers’ Ass’n Ins. Co., 603 A.2d 61,
65 (N.J. App. Div. 1992).
against
position
applying
Similarly, the Joy court decided
Pennsylvania
regarding
the
law
exclusion
because
of
Liberty
coverage
Mutual’s
would
be
“inconsistent with, and contrary to, the public policy of [West
Virginia].”
Id. at 497.
Appellants argue that under Joy, West Virginia law must
apply.
Specifically,
Appellants
claim
that,
as
in
Joy,
the
location and instrumentality of the injury was in West Virginia
and the forum selected to try the issues was West Virginia.
Yet
we find Joy easily distinguishable.
It is hard to imagine cases with stronger local ties than
environmental cases in which toxic pollution has occurred and
local interests in remediation and compensation are paramount.
But environmental
Rather,
this
harm
case
and
pollution
involves
a
are
commercial
not
at
issue
liability
here.
insurance
contract that covers DCI’s construction work in multiple states.
Although
the
tragic
accident
in
this
case
occurred
in
West
Virginia and killed a citizen of that state, the West Virginia
Supreme Court has downplayed the importance of injury location
compared to the place of contract formation.
See Nadler v.
Liberty Mut. Fire Ins. Co., 424 S.E.2d 256, 262 (W. Va. 1992);
Lee v. Saliga, 373 S.E.2d 345, 352 (W. Va. 1988); see also Howe
v. Howe, 625 S.E.2d 716, 723 (W. Va. 2005) (affirming the lower
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court’s finding that Ohio had a more significant relationship to
the parties and transactions because the “only relationship West
Virginia [had] to the parties or transactions at issue [was] the
‘mere fortuity’ that the accident at issue occurred” there);
Johnson v. Neal, 418 S.E.2d 349, 351 (W. Va. 1992) (per curiam)
(“In
the
present
case,
the
insurance
policy
was
issued
Virginia by a Virginia company to a Virginia resident.
in
West
Virginia’s relationship to the transaction based on the situs of
the
accident
and
the
residence
of
the
uninsured
motorist
is
minor.”).
In addition, the reasonable expectation of the parties to
the contract must be considered.
The parties to the insurance
contract included Bituminous, an Illinois corporation operating
out of a Virginia branch office, DCI, a Virginia corporation
that
used
Brown,
a
Virginia
renewal insurance contract.
and
accident
litigation
is
were
the
in
West
insurance
agent,
to
secure
the
Although the construction project
Virginia,
interpretation
which was formed in Virginia.
of
the
centerpiece
the
insurance
of
this
contract,
Thus, the parties to the contract
reasonably should have expected that Virginia law would apply.
In sum, “certainty, predictability and uniformity of result” and
“ease in the determination and application of the law to be
applied”
strongly
support
the
Triangle, 390 S.E.2d at 567.
application
of
Virginia
law.
And we agree with the district
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that
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West
Virginia
did
Pg: 16 of 30
not
have
a
more
significant
relationship to the transaction or parties than Virginia.
C.
The third element of the conflict of law analysis requires
the court to determine whether Virginia law is contrary to West
Virginia’s public policy.
This Circuit has recognized that West
Virginia’s public policy exception “is necessarily a narrow one,
to be invoked only in extraordinary circumstances.”
Yost v.
Travelers Ins. Co., 181 F.3d 95, at *6 (4th Cir. June 21, 1999)
(unpublished
but
orally
argued).
The
West
Virginia
Supreme
Court has recognized that “[t]he mere fact that the substantive
law of another jurisdiction differs from or is less favorable
than the law of the forum state does not, by itself, demonstrate
that application of the foreign law under recognized conflict of
laws principles is contrary to the public policy of the forum
state.”
Nadler, 424 S.E.2d at 258 (syllabus pt. 3).
The West
Virginia Supreme Court instructed lower courts not to refuse to
apply foreign law “unless the foreign law is contrary to pure
morals or abstract justice, or unless enforcement would be of
evil example and harmful to [West Virginia’s] own people.”
at 265 (quotation marks omitted).
16
Id.
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Appellants
argue
that
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applying
Virginia
law
would
be
contrary to West Virginia’s public policy, and they assert a
variety
of
policy
considerations
including:
1)
“quickly
determining which insurance is primary,” 2) “encourag[ing] the
resolution
of
settlement,”
controversies
3)
“regulating
by
contracts
insurance
of
compromise
practices
in
and
regard
to
West Virginia residents, West Virginia accidents, and how people
in
West
Virginia
accountable
in
are
a
treated;”
court
of
law
and
4)
when
“hold[ing]
they
coverage” and enforcing indemnity agreements.
insurers
wrongfully
deny
Appellants’ Br.
at 22-24.
Appellants
made
district court.
no
public
policy
arguments
before
the
J.A. 392 (“[T]he court does not find (nor do
plaintiffs argue) that the law of Virginia is contrary to the
public
policy
arguments
are
of
West
Virginia.”).
unavailing.
In
Appellants
any
have
event,
not
their
shown
how
Virginia’s public policy differs on any of these grounds or how
Virginia’s law is “contrary to pure morals or abstract justice.”
Nadler, 424 S.E.2d at 265 (quotation marks omitted).
Consequently, Appellants have failed to show that we should
depart
from
the
default
rule
that
the
contract
should
governed by the laws of Virginia—the state of formation.
be
West
Virginia does not have a more significant relationship to the
transaction, and Virginia law is not contrary to West Virginia
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public policy.
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Therefore, we affirm the district court’s choice
of law determination.
IV.
With
their
next
argument,
Appellants
contend
that
Bituminous should be estopped from refusing to defend Mulvey and
McDonald’s
in
certificates
of
the
wrongful
suit
stating
insurance
death
that
because
Mulvey
Brown
and
issued
McDonald’s
were additional insureds on DCI’s policy with Bituminous.
We
review the district court’s grant of summary judgment de novo.
FDIC v. Cashion, 720 F.3d 169, 173 (4th Cir. 2013).
Under Virginia law, a party seeking to invoke the doctrine
of
estoppel
must
prove
by
“clear,
precise,
and
unequivocal
evidence” the following elements:
(1) A material fact was falsely represented or
concealed; (2) The representation or concealment was
made with knowledge of the fact; (3) The party to whom
the representation was made was ignorant of the truth
of the matter; (4) The representation was made with
the intention that the other party should act upon it;
(5) The other party was induced to act upon it; and
(6) The party claiming estoppel was misled to his
injury.
Boykins Narrow Fabrics Corp. v. Weldon Roofing and Sheet Metal,
Inc.,
266
S.E.2d
887,
890
(Va.
1980).
Crucially,
however,
Virginia precedent reflects that estoppel may not be used to
extend the coverage of an insurance contract.
18
Norman v. Ins.
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Co. of N. Am., 239 S.E.2d 902, 908 (Va. 1978) (“The general
rule, which we approve, is that the coverage of an insurance
contract may not be extended by estoppel or implied waiver to
include risks expressly excluded.”) (quoting Sharp v. Richmond
Life Ins. Co., 183 S.E.2d 132, 135 (Va. 1971)).
In
Norman,
the
Virginia
Supreme
Court
referred
to
two
automobile insurance cases where the insurance companies filed a
form
stating
that
“its
policy
was
in
force
and
effect
and
covered the driver[s],” but the Virginia Supreme Court found
that these statements “did not estop the company from denying
coverage when in fact there was no coverage.”
Id. (citing Va.
Farm Bureau Mut. Ins. Co. v. Saccio, 133 S.E.2d 268 (1963) and
Va. Mut. Ins. Co. v. State Farm Mut. Auto. Ins. Co., 133 S.E.2d
277
(1963)).
However,
the
Virginia
Supreme
Court
has
not
squarely addressed whether an insurance company is estopped from
denying
coverage
in
a
situation
such
as
this
case:
where
certificates of insurance have been issued stating that third
parties were added as additional insureds on the policy, but
where
the
third
parties
were
never
actually
added
to
the
underlying insurance policy.
Courts
insurers
around
can
be
the
country
estopped
are
from
split
denying
regarding
coverage
whether
when
a
certificate of insurance that identified a third party as an
additional insured has been issued.
19
Some courts have deemed the
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insurer estopped from denying coverage.
See, e.g., Sumitomo
Marine & Fire Ins. Co. of Am. v. S. Guar. Ins. Co. of Ga., 337
F. Supp. 2d 1339, 1355 (N.D. Ga. 2004); Blackburn, Nickels &
Smith v. Nat’l Farmers Union, 482 N.W.2d 600, 604 (N.D. 1992).
Significantly, West Virginia is one of the states that has held
that
“a
certificate
of
insurance
is
evidence
of
insurance
coverage” and that
because a certificate of insurance is an insurance
company’s written representation that a policyholder
has certain insurance coverage in effect at the time
the certificate is issued, the insurance company may
be estopped from later denying the existence of that
coverage when the policyholder or the recipient of a
certificate has reasonably relied to their detriment
upon a misrepresentation in the certificate.
Marlin v. Wetzel Cnty. Bd. of Educ., 569 S.E.2d 462, 472-73 (W.
Va. 2002).
Other
insurance
courts,
that
however,
expressly
have
states
held
that
that
it
a
does
certificate
not
alter
of
the
coverage of the underlying policy will not be deemed to change
the policy.
In such states, therefore, a party may not rely on
estoppel to assert that it is covered under the policy.
See
e.g., Mountain Fuel Supply v. Reliance Ins. Co., 933 F.2d 882,
889 (10th Cir. 1991); T.H.E. Ins. Co. v. City of Alton, 227 F.3d
802, 806 (7th Cir. 2000); TIG Ins. Co. v. Sedgwick James of
Washington, 184 F. Supp. 2d 591, 597-98 (S.D. Tex. 2001); G.E.
20
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Tignall & Co., Inc. v. Reliance Nat. Ins. Co., 102 F. Supp. 2d
300, 304 (D. Md. 2000).
Here,
the
district
court
cited
Norman
in
holding
that,
under Virginia law, the certificates of insurance could not be
relied upon to establish coverage, particularly given that the
certificates included such a “clear and unambiguous” disclaimer.
J.A.
628.
The
district
court,
therefore,
concluded
that
Bituminous was not estopped from denying coverage.
The
certificates
of
insurance
included
the
direct
and
specific disclaimer that the certificates are provided as “A
MATTER
OF
INFORMATION
CERTIFICATE HOLDER.
ONLY
AND
CONFERS
NO
RIGHTS
We,
THE
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.”
259-64.
UPON
like
the
district
court,
must
J.A. 44,
conclude
that
Virginia would not recognize the use of estoppel to change the
policy in the circumstances of this case.
We find instructive
not only Norman, but also Blue Cross and Blue Shield of Virginia
v. Wingfield, 391 S.E.2d 73 (Va. 1990).
Virginia
Supreme
Court
directly
In that case, the
rejected
the
plaintiff’s
estoppel claim, which was based on a brochure that the insurance
company
sent
to
him
outlining
the
policy’s
benefits.
The
brochure included a clear disclaimer that the brochure was not a
contract and that the provisions of the contract governed any
discrepancies.
Wingfield, 391 S.E.2d at 74.
21
The trial court
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granted
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Wingfield
damages
Pg: 22 of 30
“because
of
the
difference
in
the
language in the brochure furnished [Wingfield] and that in the
contracts.”
omitted).
Id.
(alteration
in
original)
(quotation
marks
The Virginia Supreme Court disagreed, holding that
the trial court’s application of the doctrine of
estoppel, requiring payment of benefits beyond the
limited contractual time, extended coverage to include
risks not covered by the policy. In doing so, the
court erroneously brought “into being a contract of
insurance where there was none.”
Id. at 75 (quoting Norman, 239 S.E.2d at 908).
Guided by the
Virginia Supreme Court’s rulings in Norman and Wingfield, we
hold that the district court did not err in refusing to apply
estoppel to extend this insurance policy’s coverage beyond its
terms.
V.
With
their
next
argument,
Appellants
claim
that
summary
judgment was inappropriate because, even if Mulvey was not an
additional
policy’s
insured,
insured
Bituminous
contract
still
provision,
had
a
duty,
under
the
to
defend
them
in
the
policy
states
that
damages
wrongful death litigation.
Specifically,
arising
excluded.
from
DCI’s
DCI’s
insurance
contractual
assumption
of
liability
are
But that exclusion does not apply to liability for
22
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damages
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“[a]ssumed
in
a
contract
‘insured contract’, . . . .”
insured
contract
as
Pg: 23 of 30
“[t]hat
or
agreement
J.A. 105.
part
of
any
that
is
an
The policy defines
other
contract
or
agreement pertaining to your business . . . under which [DCI]
assume[s] the tort liability of another party to pay for ‘bodily
injury’ or ‘property damage’ to a third person or organization.”
J.A. 115.
In the subcontract between DCI and Mulvey, DCI agreed
to
indemnify and hold harmless . . . [Mulvey] . . . from
and against all claims, damages, losses and expenses,
including but not limited to attorney’s fees, arising
out of or arising from performance of [DCI’s] Work
under this Agreement, provided such claim . . . is
attributable to bodily injury, sickness, disease or
death[,] or to injury to or destruction of tangible
property . . . including the loss of use resulting
therefrom, to the extent caused in whole or part by
any neglect act or omission of [DCI] . . . regardless
of whether it is caused in part by a party indemnified
hereunder.
J.A.
41.
Appellants
argue
that
this
provision
renders
the
subcontract an insured contract because DCI assumed the tort
liability of Mulvey.
Assuming for the sake of argument that the subcontract was
an insured contract, we nevertheless agree with the district
court that the indemnitee, Mulvey, was not entitled to coverage
under the insurance policy because no language added Mulvey as
an additional insured or as a third-party beneficiary.
23
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Appellants attempt to rely on Uniwest Construction, Inc. v.
Amtech
Elevator
Services,
Inc.,
699
S.E.2d
223
(Va.
withdrawn in part on reh’g, 714 S.E.2d 560 (Va. 2011).
case,
a
general
contractor,
Uniwest,
engaged
2010),
In that
subcontractors,
including Amtech, to assist in building renovation work.
The
subcontract required Amtech to name Uniwest as an additional
insured under its liability insurance policies.
Id. at 225-26.
The pertinent policy included as an insured “[a]ny person . . .
to
whom
you
are
obligated
by
a
written
Insured
Contract
to
provide insurance such as is afforded by this policy but only
with
respect
to
.
.
.
liability
arising
out
of
conducted by you or on your behalf . . . .”
operations
Id. at 226.
Amtech’s insurer refused to defend and indemnify Uniwest in a
suit
by
employee.
the
estate
of
a
deceased
employee
and
an
injured
The Virginia Supreme Court held that the insurer was
required to defend and indemnify Uniwest, not merely because the
subcontract between the parties required Amtech to defend and
indemnify Uniwest.
Importantly, the Court found that Amtech’s
policy contained language sufficient to make Uniwest (and any
similarly
situated
contracting
under the policy as well.
party)
an
additional
insured
Id. at 232.
Here, the district court reviewed Uniwest and acknowledged
that, as in Uniwest, the subcontract required DCI to indemnify
Mulvey.
However, the district court underscored “the critical
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difference between the two policies at issue: under [the Uniwest
policy] any person to whom the insured becomes obligated under
an Insured Contract becomes an additional insured . . . .
Bituminous
Policy
has
no
similar
provision.”
The
J.A.
713.
Although we must agree with this analysis, we conclude that it
is incomplete.
Notably, the district court did not address the insurance
policy’s Supplementary Payments section.
does
not
make
Mulvey
an
additional
Although that section
insured,
it
states
that:
“[i]f [Bituminous] defend[s] an insured against a ‘suit’ and an
indemnitee
of
the
insured
is
also
named
as
a
party
to
the
‘suit’, we will defend that indemnittee if all of the following
conditions
are
met[.]”
J.A.
110.
The
requisite
conditions
include, among others: “the insured has assumed the liability of
the
indemnitee
in
.
.
.
an
‘insured
contract’;”
“[t]his
insurance applies to such liability assumed by the insured;”
“the obligation to defend . . . that indemnitee[] has also been
assumed by the insured in the same ‘insured contract[.]’”
110-11.
If
these
conditions
have
been
met,
then
J.A.
Mulvey
is
entitled to Bituminous’s defense and the district court’s grant
of
summary
judgment
to
Bituminous
was
in
error
because
the
insurance company would not be entitled to judgment as a matter
of law.
25
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Based on the record before us, it appears that at least
some of these conditions may be met.
Under these circumstances,
we cannot affirm the district court’s grant of summary judgment
without
the
section
of
benefit
the
of
its
insurance
analysis
policy.
of
We
a
directly
therefore
relevant
vacate
the
district court’s summary judgment order on the insured contract
theory and remand with specific instructions to the district
court to address whether the requirements of this provision have
been met and whether, specifically taking the provision into
consideration, Bituminous had a duty to defend Mulvey in the
underlying lawsuit.
VI.
Finally, Appellants contend that West Virginia’s, and not
Virginia’s, statute of limitations applies and that the district
court erred by dismissing their third party beneficiary claim on
the basis of Virginia’s shorter statute of limitations period. 3
Appellants contend that the certificates of insurance that Brown
3
Appellants also contend that the district court abused its
discretion by allowing Brown to untimely amend its answer to
include a statute of limitations defense.
Appellants’ Br. at
51-52.
However, upon close review, we reject the appellants’
claim and find that the district court did not abuse its
discretion when it ruled that appellants had failed to show any
prejudice arising from the district court’s decision to grant
Brown leave to amend its answer. See J.A. 582-87.
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sent to DCI qualify as a written contract between Brown and DCI
to add Mulvey to the Bituminous policy.
West Virginia has a five-year statute of limitations for
oral contracts and a ten-year statute of limitations for written
contracts.
W. Va. Code § 55-2-6.
By contrast, Virginia has a
three-year statute of limitations for oral contracts and a fiveyear statute of limitations for written contracts.
Va. Code §
8.01-246(2), (4).
Notably,
however,
borrowing statute.
West
Virginia
has
what
is
known
as
a
It provides that “[t]he period of limitation
applicable to a claim accruing outside of this State shall be
either that prescribed by the law of the place where the claim
accrued or by the law of this State, whichever bars the claim.”
W.
Va.
Code
§
55-2A-2.
Appellants’
third-party
beneficiary
claim is premised on Brown’s alleged failure to add Mulvey as an
additional insured on DCI’s policy.
Appellants have not alleged
that Brown, a Virginia insurance agent, breached an agreement to
add Appellants to the insurance policy in a different state than
where Brown conducts its business, Virginia.
the
borrowing
statute,
then,
Virginia’s
By operation of
shorter
statute
of
limitations applies here.
The district court deemed any contract between Brown and
DCI to add Mulvey to the Bituminous policy oral and barred by
the
statute
of
limitations.
The
27
Virginia
Supreme
Court
has
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recognized that for a contract to qualify as a written contract
for statute of limitations purposes, the contract “must . . .
show on its face a complete and concluded agreement between the
parties.”
Newport News, H. & O. P. Dev. Co. v. Newport News St.
Ry. Co., 32 S.E. 789, 790 (Va. 1899).
Here, on their face, the
certificates of insurance do not represent a written contract.
Rather, they state that they were issued for “INFORMATION ONLY”
and
specifically
HOLDER.”
that
if
“CONFER[RED]
J.A. 44, 259-64.
there
was
any
NO
RIGHTS
UPON
THE
CERTIFICATE
We agree with the district court
contract
requiring
Brown
to
obtain
insurance, then it was an oral contract and thus, the three-year
statute of limitations under Virginia law applied.
Further, even assuming for the sake of argument that the
contract was written and that the longer statute of limitations
applied, this claim would still be barred under Virginia law.
Any breach of that contract occurred no later than August 2002
because
the
final
certificate
of
insurance—the
contract
Appellants assert required their being insured by Bituminous—was
issued on August 9, 2002, and yet Appellants were never added to
the insurance.
But Appellants did not bring the third-party
beneficiary claim until October 11, 2007—after more than five
years
had
passed.
Under
Virginia
law,
the
statute
of
limitations accrues on the date of breach, not the date of the
resulting
damage
is
discovered.
28
Va.
Code
Ann.
§
8.01-230
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(“[T]he
right
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of
action
Pg: 29 of 30
shall
be
deemed
to
accrue
and
the
prescribed limitation period shall begin to run from the date
the injury is sustained in the case of injury to the person or
damage
to
actions
property,
ex
when
the
breach
and
not
when
contractu
discovered[.]”).
of
the
contract
occurs
in
resulting
damage
is
Thus, the third party beneficiary claim would
be barred by the statute of limitations, even assuming that the
longer, written-contract statute applied.
In
response,
Appellants
argue
that
Virginia
law
allows
tolling of the statute of limitation when a defendant misleads a
plaintiff into delayed filing.
Court
has
recognized
And indeed, the Virginia Supreme
tolling
in
the
face
of
affirmative
misrepresentation:
“Mere silence by the person liable is not concealment,
but
there
must
be
some
affirmative
act
or
representation designed to prevent, and which does
prevent, the discovery of the cause of action.
Concealment of a cause of action preventing the
running of limitations must consist of some trick or
artifice preventing inquiry, or calculated to hinder a
discovery of the cause of action by the use of
ordinary diligence, and mere silence is insufficient.
There must be something actually said or done which is
directly intended to prevent discovery.”
Newman
v.
Walker,
618
S.E.
2d
336,
338
(Va.
2005)
(quoting
Culpeper Nat’l Bank v. Tidewater Improvement Co., 89 S.E. 118,
121
(Va.
1916)).
But
Appellants
have
failed
to
show
Appellees took any affirmative actions to meet this bar.
29
that
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Appellants also argue that Virginia law allows for tolling
“when the failure to procure insurance claim was submitted to
arbitration.”
arbitration
Appellants’
proceedings
Reply
began
in
at
2006,
27.
However,
after
the
the
applicable
three-year statute of limitations for oral contracts expired in
August 2005.
fail,
and
we
Thus, Appellants’ statute of limitations arguments
affirm
the
district
court’s
grant
of
summary
judgment to Brown on the third-party beneficiary claim.
VII.
For the foregoing reasons, we affirm in part and vacate in
part the judgment of the district court and remand for further
proceedings.
AFFIRMED IN PART
VACATED IN PART AND REMANDED
30
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