National Pastime Sports, LLC v. CSI Insurance Group et al
Filing
63
OPINION AND ORDER granting 39 Motion for Summary Judgment. Signed by District Judge Sean F. Cox. (JHer)
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF MICHIGAN
SOUTHERN DIVISION
National Pastime Sports, LLC,
Plaintiff,
v.
Honorable Sean F. Cox
CSI Insurance Group, and New Hampshire
Insurance Co.,
Defendants,
and
New Hampshire Insurance Co.,
Counterclaim Plaintiff/Third-Party Plaintiff,
v.
National Pastime Sports, LLC,
Plaintiff/Counterclaim Defendant,
and Cleveland Indians Baseball Co., L.P.,
Third-Party Defendant,
and
Cleveland Indians Baseball Co., L.P.,
Third-Party Defendant/Third-Party
Counterclaim Plaintiff,
v.
New Hampshire Insurance Co.,
Third-Party Plaintiff/Third-Party
Counterclaim-Defendant,
and
Case No.: 11-11378
Cleveland Indians Baseball Co., L.P.,
Third-Party Defendant/Third-Party
Counterclaim Plaintiff/Fourth-Party Plaintiff,
v.
CSI Insurance Group,
Defendant/Fourth-Party Defendant.
_________________________________________/
OPINION & ORDER GRANTING NEW HAMPSHIRE
INSURANCE CO.’S MOTION FOR JUDGMENT ON THE PLEADINGS
This is an insurance coverage dispute that arises out of an underlying wrongful-death
action in Ohio State Court (the “underlying lawsuit”). National Pastime Sports, LLC (“NPS”)
initially filed this action against an independent insurance agency, CSI Insurance Group (“CSI”)1
and also against its insurer, New Hampshire Insurance Co. (“NHIC”). In its complaint, NPS
seeks a declaration that NHIC defend and indemnify NPS for the underlying lawsuit, and also
alleges negligence against CSI.
NHIC subsequently filed a Third-Party Complaint against the Cleveland Indians Baseball
Co., L.P. (“Cleveland”) and a counterclaim against NPS. Cleveland, in turn, filed a counterclaim
against NHIC for a declaratory judgment, and also filed a “fourth-party” complaint against CSI.
The matter is currently before the Court on NHIC’s motion for judgment on the pleadings
under Fed. R. Civ. P. 12(c) and, in the alternative, summary judgment under Fed. R. Civ. P. 56.
Although NHIC also brings a motion for summary judgment, it filed its motion well before the
1
On March 19, 2012, NPS and CSI stipulated to the dismissal of all claims asserted by
NPS against CSI. (Doc. No. 61).
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discovery cut-off date of January 31, 2012. The Court issued a Scheduling Order on August 17,
2011 (D.E. No. 38), and NHIC filed this motion two weeks later, on August 31, 2011. (Doc. No.
39). The Court has therefore analyzed NHIC’s motion solely as a motion for judgment on the
pleadings.2
In its motion, NHIC seeks judgment in its favor on NPS’s complaint (Doc. No. 1),
Cleveland’s counterclaim against NHIC (Doc. No. 24), and on NHIC’s counterclaim against
NPS and Cleveland (Doc. No. 8). The parties have fully briefed the issues and the Court held a
brief hearing on April 5, 2012. For the reasons set forth below, the Court shall GRANT NHIC’s
motion.
BACKGROUND
I.
Factual Background
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In the multiple pleadings at issue in this case, the parties refer to a number of contracts,
emails, and letters. The parties have attached copies of all of these relevant documents to their
complaints and counterclaims. The parties had not completed discovery when NHIC filed this
instant motion. With respect to documents referenced in pleadings, the Sixth Circuit has held:
[A] document that is not formally incorporated by reference or
attached to a complaint may still be considered part of the pleadings.
. . This occurs when ‘a document is referred to in the complaint and
is central to the plaintiff’s claim....’ In such event, ‘the defendant may
submit an authentic copy to the court to be considered on a motion to
dismiss, and the court’s consideration of the document does not
require conversion of the motion to one for summary judgment.
Greenberg v. Life Ins. Co. Of Va., 177 F.3d 507, 514 (6th Cir. 1999) (internal citations omitted).
“Otherwise, a plaintiff with a legally deficient claim could survive a motion to dismiss simply by
failing to attach a dispositive document upon which it relied.” Weiner, D.P.M., v. Klais and Co.,
Inc., 108 F.3d 86, 89 (6th Cir. 1997). Therefore, in determining NHIC’s motion for judgment on
the pleadings, the Court has considered the relevant documents attached to the parties’ pleadings.
3
On or about March 23, 2010, Cleveland executed a Production Agreement with NPS to
produce certain elements of ten fan festivals, known as “Kids Fun Days,” at Cleveland Indians
games between May 9, 2010, and September 12, 2010. As part of the events’ entertainment,
NPS agreed to provide an inflatable slide.
Pursuant to the agreement, NPS was also to “provide comprehensive general liability
insurance coverage. . . covering any claims, demands, causes of action, liability or damages,
including legal costs and attorney fees, arising out of obligations or performance by producer
under [the] Agreement.” The agreement also provided, “The insurance certificates will also
name the following as an additional insured: ‘Cleveland Indians Baseball Company. . . .’”
NPS contacted CSI to procure insurance coverage in accordance with NPS’s agreement
with Cleveland. On March 2, 2010, NPS submitted an Annual Events Application to CSI. On
the application, an agent for NPS checked the “yes” box next to the qualification question, “Any
event with bounce houses or inflatables? (If yes, certificates of insurance are required).” The
application also requests $5,000,000 in general liability insurance. CSI subsequently provided
NPS with an insurance proposal for general liability coverage from NHIC for a premium of
$2,590.00.
NPS accepted the proposal and on April 27, 2010, CSI issued a Certificate of Insurance
to NPS and Cleveland. The Certificate of Insurance provides that NPS is covered by $5,000,000
of commercial general liability insurance and lists Cleveland as an additional insured. The
certificate states, “This coverage is with respect to Cleveland Indians Kids Fun Day event to be
held [on the specific dates listed].” Furthermore, near the top, right corner, the Certificate of
Insurance provides, “THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
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ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED
BY THE POLICIES BELOW.” The certificate also states, “THE INSURANCE AFFORDED
BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. . . .” Id.
NHIC issued a general liability policy (the “Policy”) to NPS with an effective policy
period of May 7, 2010 to September 15, 2010. (Policy, NHIC Ex. A, at Apx. 1). The Policy
includs Cleveland as an additional insured.
The Policy provides for the following coverage:
We will pay those sums that the insured becomes legally obligated
to pay as damages because of “bodily injury” or “property damage”
to which this insurance applies. We will have the right and duty to
defend the insured against any “suit” seeking those damages.
However, we will have no duty to defend the insured against any
“suit” seeking those damages for “bodily injury” or “property
damage” to which this insurance does not apply.
(Policy at Apx. 1).
The Policy includes an endorsement which excludes coverage for bodily injury resulting
from the collapse of temporary structures (the “Temporary Structure” exclusion). The
endorsement provides:
COLLAPSE OF TEMPORARY STRUCTURE EXCLUSION
ENDORSEMENT
This endorsement modifies insurance under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
The following exclusion is added to Paragraph 2 of COVERAGE A
BODILY INJURY AND PROPERTY DAMAGE LIABILITY
(SECTION I — COVERAGES) [the exclusions paragraph of the
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Policy]:
This policy does not apply to any “bodily injury” or “property
damage” arising out of the collapse of a temporary grandstand, tent,
bleacher, stage and/or any other temporary structure.
All other terms and conditions of the policy remain the same.
(Policy at Apx. 34).
The Policy also contains an additional endorsement, titled “EXCLUSION –
SPORTS/LEISURE/ENTERTAINMENT ACTIVITIES AND DEVICES”, which lists a number
of potential exclusions to coverage for personal injury liability. (Policy at Apx. 47). The
endorsement states, “if an X is indicated to the left of such exclusion. . . This insurance does not
apply to ‘bodily injury,’ ‘property damage,’ ‘personal and advertising injury.’” (Id.). There is an
“X” to the left of the exclusion titled “Amusement Device” (the “Amusement Device exclusion”)
which states:
Arising out of the ownership, operation, maintenance or use of any
“amusement device.”
For purposes of this exclusion, "amusement device" means any
device or equipment a person rides for enjoyment, including, but
not limited to, any mechanical or non-mechanical ride, slide, water
slide (including any ski or tow when used in connection with a
water slide), moonwalk or moon bounce, bungee operation or
equipment. "Amusement device" does not include any video
arcade or computer game.
(Id.). There is also an “X” to the left of the exclusion titled, “Participant” (the “Participant”
exclusion), which states, “Arising out of the involvement of a participant in any activity, event or
exhibition, including but not limited to, any contest, physical training, sport, event, athletic
activity, martial arts or stunt.” (Id.)
On June 12, 2010, during one of the scheduled Kids Fun Day events and also during the
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effective policy period, two Cleveland Indians spectators, Douglas Johnson and David Brown,
were injured when an inflatable slide, which was provided by NPS for the Kids Fun Day event,
collapsed. Mr. Johnson died on June 21, 2010, presumably as a result of the injuries suffered
while attending the Kids Fun Day. The Johnson Estate and David Brown filed a lawsuit against
Cleveland and NPS.
On June 22, 2010, NPS contacted CSI and notified it of the Johnson/Brown suit. CSI
replied to NPS, stating that “inflatables are excluded on the policy you purchased from us.” NPS
responded, “With regards to the inflatable question on the cover page of the application we did
check that inflatables would be in use for this event.” Id. That same day, an agent for CSI
replied, “Oh, ok. Sorry, I guess I missed it. I’m so used to quoting up your events I think I
hardly look at anything but the dates and the details of the event. I will be sure to pay more
attention in the future. I have forwarded your email to the carrier.”
On June 24, 2010, Cleveland tendered the Johnson/Brown suit to NPS for defense and
indemnification. Despite the fact that NPS indicated on its Annual Events Application that the
Kids Fun Days would include inflatables, the NHIC claims administrator wrote a letter to
Cleveland on August 11, 2010, notifying it that the Johnson/Brown suit is not covered under the
terms of the insurance policy. In the letter, NHIC referenced the policy’s Amusement Device
endorsement, which excluded coverage for bodily injury “[a]rising out of ownership, operation,
maintenance or use of any ‘amusement device.’”
II.
Procedural Background
NPS filed this action on April 1, 2011, seeking a declaration that “NHIC must cover NPS
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for the Kids’ Fun Day June 12, 2010.” (NPS Complaint at ¶¶ 52-53).
On May 3, 2011, NHIC filed an answer to NPS’s complaint, and also filed a
counterclaim/third-party complaint against NPS and Cleveland. (D.E. No. 8). In its
counterclaim, NHIC requests a declaratory judgment that sates, “[NHIC] has no duty to provide
coverage to National Pastime or Cleveland Indians under the [NHIC] Policy with respect to the
Underlying Lawsuit.” (Id. at 15).
Similarly, on May 27, 2011 Cleveland filed a counterclaim against NHIC, and in Count I,
requests “a declaration that [NHIC] must cover it for any and all claims of negligence made
against its insured arising out of the Kids Fun Day on June 12, 2010,” and also states that “The
Cleveland Indians is entitled to a declaration that [NHIC] shall indemnify and defend the
Cleveland Indians for the underlying lawsuit.” (D.E. No. 24). Cleveland’s counterclaim also
alleges: Count II – Estoppel; Count III – Breach of Contract; Count IV – Innocent
Misrepresentation; Count V – Fraud and Intentional Misrepresentation; Count VI – Fraud Based
on Failure to Disclose (Silent Fraud); Count VII – Negligence; Count VIII – Reformation. (Id.).
NHIC filed this motion for judgment on the pleadings, or in the alternative, motion for
summary judgment on August 31, 2011. (D.E. No. 39).
LEGAL STANDARD
NHIC brings its motion for judgment on the pleadings pursuant to FED. R. CIV. P. 12(c).
Motions under FED. R. CIV. P. 12(c) are analyzed under the same standard as motions to dismiss
pursuant to FED. R. CIV. P. 12(b)(6). That standard is as set forth in Albrecht v. Treon, 617 F.3d
890, 893 (6th Cir. 2010). The Court must construe the complaint in the light most favorable to
the plaintiff, accept all well-pled factual allegations as true, and determine whether the complaint
8
states a plausible claim for relief. Id. “However, the plaintiff must provide the grounds for its
entitlement to relief” and that “requires more than labels and conclusions, and a formulaic
recitation of the elements of a cause of action.” Id. (quoting Bell Atl. Corp. v. Twombly, 550
U.S. 544, 555 (2007)). “A plaintiff must ‘plead [ ] factual content that allows the court to draw
the reasonable inference that the defendant is liable for the misconduct alleged.” Id. (quoting
Ashcroft v. Iqbal, 129 S.Ct. 1937, 1949 (2009)).
ANALYSIS
I.
The Policy precludes coverage for the underlying lawsuit.
In its motion, NHIC asserts that both the Amusement Device exclusion and the
Temporary Structure exclusion preclude coverage of the underlying lawsuit. As discussed in
detail below, the Court finds that the Policy’s Amusement Device exception unambiguously
precludes coverage for injury arising out of the use or maintenance of slides, and therefore
precludes coverage for the underlying lawsuit.
Courts apply general rules of contract interpretation when interpreting insurance
contracts. McGrath v. Allstate Ins. Co., 290 Mich. App. 434, 439 (2010). Under Michigan law,3
courts “must construe and apply unambiguous contract provisions as written.” Rory v.
Continental Ins Co., 473 Mich. 457, 461 (2005). “The language of insurance contracts should be
read as a whole and must be construed to give effect to every word, clause, and phrase.”
McGrath, 290 Mich. App at 439. “A contract is ambiguous when its words may be reasonably
understood in different ways.” Scott v. Farmers Ins Exch, 266 Mich. App 557, 561 (2005). “The
mere fact that a term is not defined in a policy does not render that term ambiguous.” Vushaj v.
3
None of the parties dispute that Michigan law governs this lawsuit.
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Farm Bureau Gen. Ins. Co. of Mich., 284 Mich. App. 513, 515 (2009). “Rather, reviewing
courts must interpret the terms of the contract in accordance with their commonly used
meanings.” Henderson v. State Farm Fire and Cas. Co., 460 Mich. 348, 354 (1999). If
insurance contract language is found to be ambiguous, the ambiguous provision must be
construed against the insurer. Auto-Owners Ins. Co. v. Martin, 284 Mich. App. 427, 434 (2009).
A.
The Amusement Device exclusion precludes coverage of the underlying lawsuit.
As stated above, the Policy does not cover bodily injury that arises “out of the ownership,
operation, maintenance or use of any ‘amusement device.’” (Policy at Apx. 47). The Policy goes
on to define “amusement device” as “any device or equipment a person rides for enjoyment,
including, but not limited to, any mechanical or non-mechanical ride, slide . . . moonwalk or
moon bounce . . . .” (Id.). NHIC asserts that the underlying incident “unquestionably arose out
of the operation or use of a slide,” any thus liability arising from the use of the slide is excluded
from coverage. (NHIC Br. at 9).
NPS and Cleveland do not dispute that the inflatable slide involved in the underlying
incident is an amusement device as defined by the Policy, but rather contend that the exclusion
does not extend to the circumstances surrounding Mr. Johnson’s and Mr. Brown’s injuries. Both
parties essentially present the same argument: that the Policy does provide coverage for the
underlying incident because the Policy “only excludes coverage for any ‘participant’ on an
‘amusement device,’” and Mr. Johnson and Mr. Brown were merely “spectators.” (NPS Br. at
4). NPS further asserts that the Amusement Device exclusion does not apply to spectators and
that at “the very minimum, the language is sufficiently ambiguous to warrant denial” of NHIC’s
motion. (Id. at 5). Similarly, Cleveland takes the position that the Amusement Device
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exclusion does not extend to the underlying lawsuit because Mr. Johnson and Mr. Brown did not
actually ride the amusement device.
The Court finds NPS’s and Cleveland’s interpretations of the Amusement Device
exclusion to be unreasonable interpretations of the Policy. “Exclusions limit the scope of
coverage provided and are to be read with the insuring agreement and independently of every
other exclusion.” State Farm Mut. Automobile Ins. Co. v. Roe (On Rehearing), 226 Mich. App.
258, 263 (1997) (citing Hawkeye-Security Ins. Co. v. Vector Constr. Co., 185 Mich. App. 369,
384 (1990)). NPS attempts to piecemeal two separate provisions of the
Sports/Leisure/Entertainment/Activities and Devices endorsement to limit the scope of the
Amusement Device exclusion. Read as a whole, as Michigan contract law requires, it is clear
that each listed paragraph of the Sports/Leisure/Entertainment/Activities and Devices
endorsement is a separate exclusion with its own meaning. To interpret them as one, allencompassing exception would be a strained construction of the endorsement.
The endorsement specifically states, “The following exclusions are added to Paragraph 2
[the Exclusions paragraph of the Policy] . . . if an X is indicated to the left of such exclusion . . .
This insurance does not apply to ‘bodily injury’ . . . .’” (Policy at Apx. 47) (emphasis added).
The endorsement then goes on to list a number of activities, each beginning with the phrase
“[a]rising out of . . . .” There is an X to the left of the paragraphs titled “Amusement Device”
and “Participant.” There is no X to the left of separate paragraphs (exclusions) titled, “Inverted
Arial Maneuver,” “Bungee,” “Animals,” “Object Propelled,” or “Rodeo.” Thus, reading the
endorsement in its entirety, the endorsement provides, “This insurance does not apply to ‘bodily
injury’ . . . [a]rising out of the ownership, operation, maintenance, or use of any ‘amusement
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device.’” (Id.). Separately, the endorsement provides for an additional exclusion, stating, “This
insurance does not apply to ‘bodily injury’ . . . [a]rising out of the involvement of a participant in
any activity, event or exhibition . . . .” (Id.).
In this case, there is no dispute that Mr. Johnson’s and Mr. Brown’s injuries arose out of
NPS’s ownership, operation, maintenance, or use of an amusement device. The fact that Mr.
Johnson and Mr. Brown were not actively riding the amusement device is irrelevant because the
exclusion creates no such requirement. Even in attempting to read the “Amusement Device”
paragraph and the “Participant” paragraph as one exclusion, the “Participant” paragraph would
not limit the scope of the exclusion to participants on an amusement device. Such an
interpretation would render meaningless the language of the endorsement that states: “arising out
of the ownership, operation, maintenance, or use.” As stated above, Courts are to give effect to
every word, clause, and phrase of a contract.
Similarly, Cleveland contends that, to be excluded from coverage, the injured parties
must actually be riding the amusement device at the time of injury. Cleveland attempts to
compare this case to Schmitz v. Great Aemrcian Assurance Co., 337 S.W. 3d 700 (Mo. S. Ct.
2011)4, where a woman died from injuries sustained after she fell from a portable rock climbing
wall at a minor league baseball game. Id. at 703. In that case, the insurance policy contained
similar language as the Policy in this case and excluded coverage for incidents “‘[a]rising out of
the ownership, operation, maintenance or use of any amusement device.’” Id. at 708. The policy
similarly defined “amusement device” as “‘any device or equipment a person rides for
4
Cleveland also compares this case to Kramarik v. Travelers, 25 A.D. 3d 960, 808 N.Y.S.
2d 807 (S. Ct. App. Div. 2006). The facts in Kramarik are simply not applicable to the instant
case.
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enjoyment, including, but not limited to, any mechanical or non-mechanical ride, water slide
(including any ski or tow when used in connection with a water slide), bungee operation or
equipment.’” “Rock climbing wall” was not specifically listed under the policy’s definition of
“amusement device.” The Missouri Supreme Court held that a rock climbing wall fell outside of
the definition of “amusement device” because the definition requires a person to ride the device
for enjoyment, and a person cannot passively ride a rock-climbing wall. Id. The policy
therefore did not exclude coverage for the injuries sustained from the woman’s use of the wall.
Id.
Schmitz can be easily distinguished from the instant case. Contrary to the implications of
Cleveland, the Missouri Supreme Court did not hold that the woman’s injuries were covered
because she was the actual participant. Rather, the court held the woman’s injuries were covered
because rock climbing walls are not amusement devices under the Policy. Unlike the policy in
Schmitz, NHIC’s Policy specifically includes “slides” (as opposed to just water slides), in its
definition of amusement devices, and excludes coverage for bodily injury that arises out of the
ownership, operation, maintenance, or use of a slide. Again, the language of the policy is
unambiguous. The exclusion is not limited to injuries that arise out of “riding” the slide. The
injuries sustained arose out of NPS’s ownership, operation, maintenance, or use of the slide – a
device unquestionably included in the definition of “amusement device.”
The Amusement Device exclusion cannot be reasonably interpreted to have the
additional meanings suggested by NPS and Cleveland, and therefore is not ambiguous. The
Court concludes that the Amusement Device exclusion squarely precludes coverage for the
injuries alleged in the underlying lawsuit – injuries arose out of the operation, maintenance, or
13
use of an amusement device.
B.
The Temporary Structure Exception.
NHIC also alleges that, even if the Amusement Device exclusion does not preclude
coverage, coverage is precluded by the Temporary Structure exception. The Collapse of
Temporary Structure Exclusion Endorsement states that “[t]his policy does not apply to any
‘bodily injury’ or ‘property damage’ arising out of the collapse of a temporary grandstand, tent,
bleacher, stage and/or any other temporary structure.” (Policy at Apx. 34). NHIC relies on the
dictionary definition of “structure” for its ordinary meaning. See McGrath, 290 Mich. App. at
439 (“Any terms not defined in the contract should be given their plain and ordinary meaning,
which may be determined by consulting dictionaries.”). Webster’s Dictionary defines
“structure” as “something (as a building) that is constructed.” MERRIAM-WEBSTER’S
COLLEGIATE DICTIONARY (10th ed.).
NPS and Cleveland do not dispute that an inflatable slide collapsed on Mr. Johnson and
Mr. Brown. Instead, both parties again present similar arguments that NHIC did not specifically
include the term “inflatables” in the exclusion, and the term “temporary structure” does not
include inflatables.
This is an issue that the Court does not need to delve into. The coverage is explicitly
precluded under the Amusement Device exception, and therefore the Court declines to determine
whether the term “temporary structure,” as used in the Policy, includes inflatable slides.
II.
Cleveland’s Remaining Claims.
NHIC also seeks dismissal of Cleveland’s “contract-avoidance” claims and sets forth a
number of arguments in its motion regarding the merits of these claims. These remaining claims
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are: Count II – Estoppel; Count III – Breach of Contract; Count IV – Innocent
Misrepresentation; Count V – Fraud and Intentional Misrepresentation; Count VI – Fraud Based
on Failure to Disclose (Silent Fraud); Count VII – Negligence; Count VIII – Reformation.
In its response brief, Cleveland does not address any of these additional claims. As
stated on the record during the April 5, 2012 hearing on this matter, Cleveland is no longer
pursuing these claims against NHIC.
The Court shall also grant NHIC’s motion as it relates to Cleveland’s Counts II through
VIII.
CONCLUSION
For the reasons set forth above, IT IS HEREBY ORDERED that New Hampshire
Insurance Co.’s motion for judgment on the pleadings (D.E. No. 39) is GRANTED.
IT IS FURTHER ORDERED that National Pastime Sports, LLC’s Count I of its
Complaint (“Declaratory Judgment Against NHI”) (D.E. No. 1) is DISMISSED. Accordingly,
the only remaining count in National Pastime Sports, LLC’s Complaint is “Count II –
Negligence Against CSI.”
IT IS FURTHER ORDERED that the Cleveland Indians’ Counterclaim Against New
Hampshire Insurance Company (D.E. No. 24) is DISMISSED.
IT IS SO ORDERED.
S/Sean F. Cox
Sean F. Cox
United States District Court
Dated: April 12, 2012
I hereby certify that a copy of the foregoing document was served upon counsel of record on
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April 12, 2012, by electronic and/or ordinary mail.
S/Jennifer Hernandez
Case Manager
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