Graham Construction et al v. Markel American Insurance
Filing
32
MEMORANDUM AND ORDER - Plaintiffs Graham Construction, Inc. and Arch Insurance Co.'s Motion for Summary Judgment (Filing No. 22 ) is denied; Defendant Markel American Insurance Co.s Motion for Summary Judgment (Filing No. 26) is granted; Grah am Construction, Inc. is not an insured under the Markel Policy for purposes of Guadalupe Gaytan, Special Administrator of the Estate of Jose Sanchez-Dominguez v. Wal-Mart, et al., District Court of Douglas County, Nebraska, No. CI 10-9387269; Ma rkel American Insurance Co. does not owe Plaintiffs Graham Construction, Inc. and Arch Insurance Co. defense or indemnity for purposes of Guadalupe Gaytan, Special Administrator of the Estate of Jose Sanchez-Dominguez v. Wal-Mart, et al., District Court of Douglas County, Nebraska, No. CI 10-9387269; The above-captioned is dismissed with prejudice; and A separate judgment will be entered. Ordered by Chief Judge Laurie Smith Camp. (MKR)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF NEBRASKA
GRAHAM CONSTRUCTION, INC., AND
ARCH INSURANCE COMPANY,
8: 15CV276
Plaintiffs,
vs.
MEMORANDUM
AND ORDER
MARKEL AMERICAN INSURANCE, Co.,
Defendant.
This matter is before the Court on the Motion for Summary Judgment (Filing No.
22) filed by Plaintiffs Graham Construction, Inc. (“Graham”) and Arch Insurance Co.
(“Arch”) (collectively “Plaintiffs”) and the Motion for Summary Judgment (Filing No. 26)
(collectively “Motions”) filed by Defendant Markel American Insurance Co. (“Markel”).
For the reasons discussed below, Plaintiffs’ Motion will be denied, Markel’s Motion will
be granted, and this case will be dismissed with prejudice.
BACKGROUND
The following facts are those stated in the parties’ briefs, supported by pinpoint
citations to evidence in the record, and admitted or not properly resisted by the
opposing party as required by NECivR 56.11 and Federal Rule of Civil Procedure 56.
On or about June 20, 2007, Graham Contracting, Inc. (“Graham Contracting”)
and Wal-Mart Stores, Inc. (“Wal-Mart”) entered into a contract (“Wal-Mart Contract”) for
1
See NECivR 56.1(b)(1) (effective December 1, 2015):
The party opposing a summary judgment motion should include in its brief a concise
response to the moving party’s statement of material facts. The response should
address each numbered paragraph in the movant’s statement and, in the case of any
disagreement, contain pinpoint references to affidavits, pleadings, discovery responses,
deposition testimony (by page and line), or other materials upon which the opposing party
relies. Properly referenced material facts in the movant’s statement are considered
admitted unless controverted in the opposing party’s response.
The parties filed competing motions for summary judgment and substantially complied with NECivR
56.1(b) with respect to the presentation of their facts and evidence.
the construction of a Wal-Mart Supercenter in Omaha, Nebraska (“Wal-Mart Project”),
for which Graham Contracting would be the general contractor. (Filing No. 25-7 at ECF
5.)
On or about September 24, 2007, Graham Contracting assigned the Wal-Mart
Contract and all related subcontracts to Graham (the “Assignment”). (Filing No. 27 ¶
12; 25-6 at ECF 2.)
On or about January 18, 2008, Graham Contracting and D & BR Building
Systems, Inc. (“D & BR”) entered into a subcontract (“Subcontract”) for the purpose of
providing certain steelwork for the Wal-Mart Project.
(Filing No. 23 ¶ 3.)
The
Subcontract was assigned to Graham pursuant to the terms of the Assignment. (Id.
¶ 4.) At all relevant times, Graham was insured by Arch, and D & BR was insured by
Markel. (Filing No. 23 ¶¶ 1–2.)
§ 18 of the Subcontract stated:
[D & BR] will obtain and keep in force during the term of this contract
public liability and property damage insurance with coverage equal to, or
greater than, the minimum specified in the Main Contract and Contractor
requirements. [D & BR] shall furnish to [Graham] evidence of this
insurance as in the same form as described in Paragraph 17 above and
naming [Graham], [Wal-Mart] and those identified in the Main Contract as
additional insureds for ongoing and completed operations with respect to
work performed by or on the behalf of [D & BR]. In addition, a waiver of
subrogation shall be provided on behalf of the additional insureds. Such
insurance shall be primary and non-contributory to that of the additional
insureds. The insurance shall include: contractual liability coverage
applicable to the indemnity provisions of this subcontract, defense costs
outside of policy limits, and coverage for punitive damage . . . . Evidence
of this insurance shall also be accompanied by a completed and signed
“Insurance Coverage Checklist and Certification” . . . and the following
policy endorsements: additional insured, primary and non-contributory,
waiver of subrogation and per project aggregate . . . .
(Filing No. 25-4 at ECF 10 § 18.) § 29 of the Subcontract stated:
INDEMNIFICATION. [D & BR] agrees to defend, indemnify and
hold [Graham] harmless from any and all claims, demands, losses
2
and liabilities to or by third parties arising from, resulting from, or
connected with services performed or to be performed under this
Subcontract by [D & BR] or [D & BR’s] agents or employees to the
fullest extent permitted by law and subject to the limitations
provided below.
[D & BR’s] duty to indemnify [Graham] shall not apply to liability for
damages arising out of bodily injury to persons or damage to
property caused by or resulting from the sole negligence of
[Graham] or [Graham]’s agent or employees.
[D & BR’s] duty to indemnify [Graham] for liability for damages
arising out of bodily injury to persons or damage to property caused
by or resulting from the concurrent negligence of (a) [Graham] or
[Graham]’s agents or employees, and (b) [D & BR] or [D & BR’s]
agents or employees, shall apply only to the extent of negligence of
[D & BR] or [D & BR’s] agents or employees.
[D & BR] specifically and expressly waives any immunity that may
be granted it under the Washington State Industrial Insurance Act,
Title 51 RCW. Further, the indemnification obligation under this
Subcontract shall not be limited in any way by any limitation on the
amount of type of damage, compensation or benefits payable to or
for any third party under workers’ compensation acts, disability
benefits acts, or other employee benefits acts; provided [D & BR’s]
waiver of immunity by the provisions of this paragraph extends only
to claims against [D & BR] by [Graham], and does not include, or
extend to, any claims by [D & BR’s] employees directly against
[D & BR].
[D & BR’s] duty to defend, indemnify and hold [Graham] harmless
shall include, as to all claims, demand, losses and liability to which
it applies, [Graham’s] personnel-related costs, reasonable
attorneys’ fees, court costs and all other claim-related expenses.
(Id. at ECF 12 § 29.)
Markel issued an insurance policy to D & BR for the period of August 27, 2007, to
August 27, 2008 (“Markel Policy”). (Filing No. 27 ¶ 29.) The Markel Policy provided
coverage for bodily injury subject to a $1,000,000 each-occurrence limit. The Markel
Policy’s Bodily Injury and Property Damage Liability Coverage Insuring Agreement
stated in part that:
3
[Markel] 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. [Markel] will have the right and duty to defend the
insured against any “suit” seeking those damages. However, [Markel] will
have no duty to defend the insured against any “suit” seeking damages for
“bodily injury” or “property damage” to which this insurance does not
apply.
(Filing Nos. 27 ¶ 31; 25-1 at ECF 68.)
The Markel Policy contained a Products-Completed Operations Endorsement
(“Completed Operations Endorsement”), which stated that the policy included Graham
“as an additional insured . . . but only with respect to liability for ‘bodily injury’ or
‘property damage’ caused, in whole or in part, by ‘your work’2 . . . performed for that
additional insured and included in the ‘products completed operations hazard’.” 3 (Filing
No. 25-1 at ECF 183.) The Markel Policy also contained a Commercial General Liability
Plus Extension Endorsement (“Additional Insured Endorsement”) which stated in part:
“Any person or organization for whom [D & BR] [is] required by written
contract . . . to provide insurance is an Insured subject to the following
additional provisions: . . . [t]he . . . organization is an Insured only to the
extent [D & BR] [is] held liable due to . . . [D & BR’s] ongoing operations
for the insured, whether the work is performed [by or for D & BR].
....
2
The Markel Policy defined “your work” as including “[w]ork or operations performed by [D & BR]
or on [D & BR’s] behalf . . . .” (Filing No. 25-1 at ECF 81 § 22.)
3
The Products-Completed Operations Hazard stated that the hazard:
a. Includes all “bodily injury” and “property damage” occurring away from the premises
[D & BR] own[s] or rent[s] and arising out of “your product” or “your work” except:
(1) Products that are still in [D & BR’s] physical possession; or
(2) Work that has not yet been completed or abandoned. However, “your work”
will be deemed completed at the earliest of the following times:
(a) When all of the work called for in your contract has been completed,
(b) When all of the work to be done at the job site has been completed if
your contract calls for work at more than one job site.
(c) When that part of the work done at a job site has been put to its
intended use by any person or organization other than another contractor or
subcontractor work on the same project. Work that may need service,
maintenance, correction, repair or replacement, but which is otherwise complete,
will be treated as completed.
(Filing No. 25-1 at ECF 80 § 16.)
4
No coverage will be provided if, in the absence of this endorsement, no
liability will be imposed by law on [D & BR]. Coverage will be limited to the
extent of [D & BR’s] negligence or fault according to the applicable
principles of comparative fault.
(Filing Nos. 23 ¶ 9; 25-1 at ECF 119 § XIII.)
On or about January 9, 2008, D & BR provided Graham with a Certificate of
Liability Insurance (“Certificate”). (Filing Nos. 23 ¶ 7; 27 ¶ 33.) The Certificate stated
that “[Graham] and others required by contract are included as additional insured on
general liability (coverage is primary and non-contributory and includes completed
operations).” (Filing No. 25-5 at ECF 2.) The Certificate also stated it was “issued as a
matter of information only and confer[red] no rights upon the certificate holder.” (Id.)
On January 27, 2008, Jose Sanchez Dominguez (“Sanchez”) was working on the
Wal-Mart Project for D & BR when he fell off the roof of the structure and suffered fatal
injuries. (Filing No. 23 ¶ 10.) On or about December 8, 2008, Guadalupe Gaytan
(“Gaytan”), as Special Administrator of the estate of Sanchez, filed a lawsuit against
Graham and D & BR in the District Court of Douglas County, Nebraska (“First Gaytan
Action”). (Id.) Gaytan named D & BR for subrogation purposes of Nebraska Workers’
Compensation Act.4 (Id.) On June 9, 2009, Graham filed an amended answer and
cross-claim against D & BR pursuant to the indemnity provisions in the Subcontract.
(Id. ¶ 11.) On January 19, 2010, Gaytan voluntarily dismissed the First Gaytan Action.
(Id. ¶ 12.)
On or about January 26, 2010, Gaytan filed a second action, which is currently
pending in the District Court of Douglas County, Nebraska, against Wal-Mart, Graham,
4
Neb. Rev. Stat. §§ 48-101 to 48-1,117 (Cum. Supp. 2014).
5
and D & BR (“Second Gaytan Action”).5 (Id. ¶ 13.) D & BR was named for subrogation
purposes of Nebraska’s workers’ compensation statutes. (Id.) In the action, Gaytan
alleged that Graham was in overall control of the Wal-Mart Project, that Graham “failed
to exercise reasonable care in the exercise of the control placed [sic] which it had in its
contract with Wal-Mart,” that Graham “violated duties owed to [Sanchez] and all workers
on the premises” and that Graham, “[i]n addition to it’s [sic] direct negligence, . . . had a
nondelegable duty to protect [Sanchez] from harm.” (Filing No. 25-9 at ECF 5 ¶¶ 14–
16.) Gaytan alleged that “[a]s a direct and a proximate result of the negligence of
Graham, whether direct of imputed, [Sanchez] sustained blunt trauma to his head and
chest. These injuries caused his death.” (Id. at ECF 5 ¶ 17.)
As to D & BR, Gaytan alleged that at the time of the accident, “[Sanchez] was an
employee
of
Stellar
Staffing
who
contracted
with
[D
&
BR]
to
provide
laborers . . . . [D & BR] was a sub-contractor for [Graham] . . . . [D & BR] is named as a
Defendant because it, or its insurance carrier, may have a subrogation claim for workers
compensation benefits.” (Id. at ECF 4 ¶ 7.) On May 19, 2010, Graham filed an answer
and cross-claim for indemnity against D & BR, pursuant to the Subcontract, alleging that
Sanchez’s death was proximately caused by the negligence of D & BR. (Filing No. 23
¶ 17.)
On July 18, 2011, the District Court of Douglas County entered an order
sustaining Wal-Mart’s and Graham’s motions for summary judgment on all of Gaytan’s
claims. (Id. ¶ 18.) The court held that Wal-Mart did not owe Sanchez any duty based
on the control-over-the-work exception to the rule of a general contractor’s non-liability
5
Guadalupe Gaytan, Special Administrator of the Estate of Jose Sanchez-Dominguez v. WalMart, et al., District Court of Douglas County, Nebraska, No. CI 10-9387269.
6
for its subcontractor’s negligence; that Graham did not exercise sufficient control over
D & BR’s work to give rise to a duty to protect Sanchez; and that neither Wal-Mart nor
Graham breached any of the nondelegable duties recognized under Nebraska law. (Id.)
On July 10, 2012, the court dismissed Graham’s cross-claim. (Id. ¶ 19.)
Gaytan appealed, and the Nebraska Supreme Court reversed the District Court
of Douglas County’s order and remanded for further proceedings with respect to
Gaytan’s claim that Graham retained sufficient control over D & BR’s use of safety
equipment on the Wal-Mart Project.6 (Id. ¶ 22.) The Nebraska Supreme Court affirmed
the court’s order in all other respects. (Id.) On December 11, 2015, Graham filed an
amended third-party complaint in the Second Gaytan Action for indemnification against
D & BR, which D & BR answered on January 11, 2016.
(Id. ¶ 26.)
On several
occasions, Graham tendered its defense in the Second Gaytan Action to Markel. (Id.
¶ 27.)
On May 20, 2015, Plaintiffs filed this action in the District Court of Douglas
County, Nebraska. (See Filing No. 1.) On July 23, 2015, Markel removed the action to
this Court pursuant to 28 U.S.C. §§ 1441(a) and 1446, invoking this Court’s diversity
jurisdiction under 28 U.S.C. § 1332(a). (Id. at ECF 2 ¶¶ 9–12.) On November 3, 2015,
Graham filed an amended complaint with this Court seeking a declaratory judgment that
(i) Graham is an additional insured under the Markel Policy; (ii) Markel is obligated to
provide a defense to Graham in the Second Gaytan Action by retaining counsel and
paying all costs and expenses associated with such defense; (iii) Markel is obligated to
reimburse Arch all sums Arch expended to date in defense of Graham with respect to
6
See Gaytan v. Wal-Mart, 853 N.W.2d 181 (Neb. 2014).
7
the Second Gaytan Action; (iv) Markel is obligated to indemnify Graham in the event
any judgment may be entered in favor of Gaytan; (v) Markel is required to pay the
attorneys’ fees of Arch and Graham for bringing this action pursuant to Neb. Rev. Stat.
§ 44-359; and (vi) Markel is required to pay Plaintiffs’ costs in this action. (Filing No.
17.)
The parties filed cross-motions for summary judgment on January 29, 2016.
(Filing Nos. 22 & 26.)
STANDARD
“Summary judgment is appropriate when, construing the evidence most favorably
to the nonmoving party, there is no genuine issue of material fact and the moving party
is entitled to judgment as a matter of law.” Crozier v. Wint, 736 F.3d 1134, 1136 (8th
Cir. 2013) (citing Fed. R. Civ. P. 56(c)). “[S]ummary judgment is not disfavored and is
designed for every action.” Briscoe v. Cnty. of St. Louis, 690 F.3d 1004, 1011 n.2 (8th
Cir. 2012) (internal quotation marks omitted) (quoting Torgerson v. City of Rochester,
643 F.3d 1031, 1042 (8th Cir. 2011) (en banc) cert. denied, 132 S. Ct. 513 (2011)). In
reviewing a motion for summary judgment, the Court will view “all facts and mak[e] all
reasonable inferences favorable to the nonmovant.” Gen. Mills Operations, LLC v. Five
Star Custom Foods, Ltd., 703 F.3d 1104, 1107 (8th Cir. 2013). “[W]here the nonmoving
party will bear the burden of proof at trial on a dispositive issue . . . Rule 56(e) permits a
proper summary judgment motion to be opposed by any of the kinds of evidentiary
materials listed in Rule 56(c), except the mere pleadings themselves.” Celotex Corp. v.
Catrett, 477 U.S. 317, 324 (1986). The moving party need not negate the nonmoving
party’s claims by showing “the absence of a genuine issue of material fact.” Id. at 325.
Instead, “the burden on the moving party may be discharged by ‘showing’ . . . that there
8
is an absence of evidence to support the nonmoving party’s case.” Id. (quoting Fed. R.
Civ. P. 56(c)).
In response to the movant’s showing, the nonmoving party’s burden is to produce
specific facts demonstrating “‘a genuine issue of material fact’ such that [its] claim
should proceed to trial.” Nitro Distrib., Inc. v. Alticor, Inc., 565 F.3d 417, 422 (8th Cir.
2009) (quoting Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586
(1986)). The nonmoving party “must do more than simply show that there is some
metaphysical doubt as to the material facts, and must come forward with specific facts
showing that there is a genuine issue for trial.” Briscoe, 690 F.3d at 1011 (internal
quotation marks omitted) (quoting Torgerson, 643 F.3d at 1042). “[T]he mere existence
of some alleged factual dispute between the parties” will not defeat an otherwise
properly supported motion for summary judgment. Quinn v. St. Louis Cty., 653 F.3d
745, 751 (8th Cir. 2011) (internal quotation marks omitted) (quoting Anderson v. Liberty
Lobby, Inc., 477 U.S. 242, 247–48 (1986)).
In other words, in deciding “a motion for summary judgment, facts must be
viewed in the light most favorable to the nonmoving party only if there is a genuine
dispute as to those facts.” Guimaraes v. SuperValu, Inc., 674 F.3d 962, 972 (8th Cir.
2012) (internal quotation marks omitted) (quoting Torgerson, 643 F.3d at 1042).
Otherwise, where the Court finds that “the record taken as a whole could not lead a
rational trier of fact to find for the non-moving party,” there is no “genuine issue for trial”
and summary judgment is appropriate. Torgerson, 643 F.3d at 1042 (internal quotation
marks omitted) (quoting Ricci v. DeStefano, 557 U.S. 557, 586 (2009)).
9
DISCUSSION
A review of the record reveals that there are no disputes of material fact and
disposition by summary judgment is appropriate. See Moller v. State Farm Mut. Auto.
Ins. Co., 566 N.W.2d 382, 385 (Neb. 1997) (“[When] there are no material issues of fact
in dispute, [a court’s] interpretation of the terms and conditions of [an] insurance policy
is a question of law.”).7
In determining whether Markel is obligated to defend or indemnify Graham or
Arch, the first question is whether Graham is an insured under the Markel Policy for
purposes of the Second Gaytan Action. See Federated Serv. Ins. Co. v. All. Const.,
LLC, 805 N.W.2d 468, 474 (Neb. 2011) (“Whether an insurer has a duty to indemnify
and defend an insured depends upon whether the insured's claimed occurrence falls
within the terms of the insurer's coverage as expressed in the policy.”). Plaintiffs argue
that Graham is covered under the policy by operation of the Completed Operations
Endorsement and the Additional Insured Endorsement. If Graham is not an insured
under either endorsement for purposes of the Second Gaytan Action, then no duty by
Markel to indemnify or defend Graham can arise.8
The Court considers each
endorsement in turn.
7
The parties agree that Nebraska law governs the questions of law presented in this case.
Under Nebraska law, “an insurance policy or contract is generally understood to consist of two
separate and distinct obligations: the duty to defend any suit filed against the insured party and the duty
to pay, on behalf of the insured, sums for which the insured shall become legally obligated because of
injury caused to a third party by acts of the insured.” Peterson v. Ohio Cas. Grp., 724 N.W.2d 765, 773
(Neb. 2006). While “[a]n insurer's duty to defend is broader than its duty to indemnify,” id., this Court
analyzes both of Markel’s alleged duties together for purposes of coverage under the Markel Policy
because “[an] insurer is not bound to defend a suit based on a claim outside the coverage of the policy.”
Id. at 774 (“If, according to the facts alleged in a pleading and ascertained by an insurer, the insurer has
no potential liability to its insured under the insurance agreement, then the insurer may properly refuse to
defend its insured.”).
8
10
I. The Completed Operations Endorsement
The Markel Policy contained an endorsement that named Graham Construction
as an insured, “but only with respect to liability for ‘bodily injury’ or ‘property damage’
caused . . . by ‘your work’ . . . and included in the ‘products completed operations
hazard’.” (Filing No. 25-1 at ECF 183.) Markel argues that this endorsement covers
Graham only for “completed operations” as opposed to “ongoing operations.” (Filing
No. 29 at 13–14.) Thus, because Sanchez died in the course of an ongoing operation,
the Wal-Mart Project, Graham is not an insured pursuant to the Completed Operations
Endorsement for the purposes of the Second Gaytan Action.
Plaintiffs argue that the language of the Completed Operations Endorsement is
ambiguous, and should be construed in favor of Graham. This Court finds no ambiguity
in the endorsement. See Callahan v. Washington Nat. Ins. Co., 608 N.W.2d 592, 598
(Neb. 2000) (citing Ray Tucker & Sons v. GTE Directories Sales Corp., 571 N.W.2d 64
(Neb. 1997)) (“A contract is ambiguous when a word, phrase, or provision in the
contract has, or is susceptible of, at least two reasonable but conflicting interpretations
or meanings.”); id. (citing American Family Ins. Group v. Hemenway, 575 N.W.2d 143
(Neb. 1998)) (“[A]mbiguity will not be read into policy language which is plain and
unambiguous in order to construe against the preparer of the contract.”).
The
endorsement states that Graham is an additional insured, “but only with respect to”
D & BR’s actions that are “included in the ‘products completed operations hazard’.”
(Filing No. 25-1 at ECF 183.)
Explicitly excluded from the “Products-Completed
Operations Hazard” is work by D & BR on the Wal-Mart Project that “has not yet been
completed or abandoned.” (Filing No. 25-1 at ECF 80 § 16.) There is no dispute that at
11
the time of the accident, D & BR’s work on the Wal-Mart Project was ongoing.9 (File No.
23 ¶ 10.)
Therefore, Graham’s coverage did not apply, and no duty to defend or
indemnify on the part of Graham could arise in Second Gaytan Action pursuant to the
Completed Operations Endorsement.
II. The Additional Insured Endorsement
The next question before the Court is whether the Additional Insured
Endorsement requires Markel to indemnify or defend Graham. The endorsement states
that “any person or organization for whom [D & BR] is required by written contract . . . to
provide insurance is an Insured . . . .” (Filing No. 25-1 at ECF 119.) There is no dispute
that, because of the operation of the Subcontract, this language includes Graham,
however Markel argues that two distinct limitations within the endorsement preclude
coverage for Graham for the Second Gaytan Action.
First, the endorsement states that “[Graham] is an insured only to the extent
[D & BR is] held liable due to: . . . [D & BR’s] ongoing operations for [Graham] . . .”
(“Held Liable Limitation”). (Id. at ECF 119.) Second, the endorsement states “[n]o
coverage will be provided if, in the absence of this endorsement, no liability will be
imposed by law on [D & BR]. Coverage will be limited to the extent of [D & BR’s]
negligence or fault according to the applicable principles of comparative fault” (“No
Liability Limitation”). (Id. at ECF 120.)
9
Plaintiffs argue that the phrase “and included in the ‘products completed operations hazard’”
may be reasonably interpreted to mean that Graham is insured with respect to both completed and
ongoing operations. (See Filing No. 28 at 6.) However, the sentence in its entirety makes clear that,
under the endorsement, Graham is an additional insured “but only with respect to liability for ‘bodily injury’
or ‘property damage’ caused, in whole or in part, by ‘your work’ . . . performed for [Graham] and included
in the ‘products-completed operation hazard’.” (Filing No. 25-1 at 183 (emphasis supplied).) For this
reason, the Court cannot accept Plaintiffs’ proffered interpretation. See Callahan, 608 N.W.2d at 598
(“The fact that parties to a document have or suggest opposing interpretations of the document does not
necessarily, or by itself, compel the conclusion that the document is ambiguous.”).
12
Markel argues that according to the plain meaning of “held liable,” the
endorsement provides coverage only to the extent D & BR could be found liable in a
court of law.
Because Gaytan’s exclusive remedy against D & BR is through the
Nebraska Workers’ Compensation Act,10 Markel argues that D & BR cannot be held
liable in the Second Gaytan Action, and thus, Graham is not covered by the Markel
Policy for defense or indemnification in the action. (Filing No. 27 at 9–11.)
Plaintiffs argue that coverage extends to Graham to the extent of D & BR’s actual
negligence or fault for Sanchez’s death. (Filing No. 28 at 7–12.) Specifically, Plaintiffs
argue that the second sentence of the No Liability Limitation, which states “[c]overage
will be limited to the extent of your negligence or fault according to the applicable
principles of comparative fault,” indicates that the limitation as a whole is not intended to
limit coverage according to principles of legal liability, but rather, actual fault.
Filing No. 28 at 8–9.)
(See
Plaintiffs argue that, at the very least, the endorsement is
ambiguous, and must be interpreted in favor of Graham as the additional insured. (Id.
at 9 (citing Poulton v. State Farm Fire & Cas. Companies, 675 N.W.2d 665, 673 (Neb.
2004)) (“[A]n ambiguous insurance policy will be construed in favor of the
insured . . . .”).)
Plaintiffs rely primarily on two cases from the U.S. District Court for the District of
Oregon to support their position, Richardson v. Wright Constr., No. CV-05-1419-ST,
2007 WL 1467411 (D. Or. May 18, 2007) and Clarendon Nat’l Ins. Co. v. American
States Ins. Co., 688 F. Supp. 2d 1186 (D. Or. 2010). In both cases, the district court
10
Under the Nebraska Workers’ Compensation Act, an employer cannot be liable in a tort action
for an employee’s injury incurred in the course of employment. Tompkins v. Raines, 530 N.W.2d 244,
246 (Neb. 1995) (“[The Nebraska Supreme Court has] held that the [Nebraska] Workers' Compensation
Act is an employee's exclusive remedy against an employer for an injury arising out of and in the course
of employment.”).
13
found that the exclusivity of Oregon’s workers’ compensation statute did not remove a
general contractor from coverage by a subcontractor’s insurance for injuries sustained
by the subcontractor’s employees to the extent of the subcontractor’s fault, even though
the subcontractor could not held liable to the employee.
In Richardson, the plaintiff, an employee of a subcontracting painting company,
was injured on a job site. Richardson, 2007 WL 1467411, at *2. The plaintiff brought a
negligence action against the general contractor, who in turn sought indemnification
from the subcontractor’s insurer. Id. The general contractor and subcontractor had
previously agreed that the subcontractor would maintain insurance and indemnify the
general contractor “only to the extent of [the] negligence of [the subcontractor].” Id. The
subcontractor waived any immunity granted to it under Oregon’s workers’ compensation
statute. Id. at *3. The insurance policy procured by the subcontractor contained an
endorsement naming the general contractor as an additional insured but subject to
language identical to that of the Held Liable and No Liability Limitations.
Id.
The
subcontractor’s insurer argued that it was not required to defend or indemnify the
general contractor because the subcontractor could not be held liable under Oregon
law.
In holding that the endorsement could give rise to the insurer’s duty to defend the
general contractor under the facts of the case, the magistrate judge interpreted the
language of the No Liability Endorsement:
By relying only on the first sentence of the exclusion, [the subcontractor’s
insurer] ignores the import of the second sentence. . . . The second
sentence limits coverage to [the general contractor] as an “additional
insured” to the extent of “[the subcontractor’s] negligence or fault,
according to the applicable principles of comparative fault.” In other
words, coverage is provided to [the general contractor] only for injuries
14
caused by [the subcontractor] and also limits coverage to the percentage
of fault assigned to [the subcontractor]. This is similar to the [Oregon]
statutory language which forbids any provision in a construction
agreement to require indemnity of the general contractor for damages
caused in whole or in part by its own negligence, but allows the
subcontractor to indemnify the general contractor for damage attributable
to the subcontractor's own fault.
In addition, the second sentence creates an internal ambiguity. If the first
sentence is read as urged by [the subcontractor’s insurer], then the
exclusion would bar coverage whenever the injured party is an employee
of the subcontractor. However, the second sentence says that [the
subcontractor’s insurer] will provide coverage to the extent of [the
subcontractor’s] negligence or fault. To that extent, the second sentence
conflicts with the first sentence by which [the subcontractor’s insurer]
seeks to exclude coverage. The only way to reconcile the two sentences
is to conclude that the second sentence, unlike the first sentence, applies
to non-employees of the subcontractor. If that was the intent of the
exclusion, it was not clearly expressed. At best, the exclusion is
ambiguous.
Richardson, 2007 WL 1467411, at *8–9.
In Clarendon, a general contractor’s insurer sought indemnification and defense
from a subcontractor’s insurer for injuries incurred by the subcontractor’s employee on
the job site. 688 F. Supp. 2d at 1187–88. Interpreting language identical to that in
Richardson,11 the district court adopted Richardson’s reasoning12 as to why the general
contractor was covered under the policy even though the subcontractor could not be
held liable under Oregon law. Clarendon, 688 F. Supp. 2d at 1191.
11
Markel argues that Clarendon and Richardson are distinguishable from the present case
because they do not involve the Held Liable Limitation, but merely interpret the No Liability Limitation.
(See Filing No. 31 at 3–5.) In Richardson, the district court noted that the endorsement at issue
contained language constituting both the Held Liable Limitation and the No Liability Limitation, although
the court only explicitly interpreted the language of the No Liability Limitation. Richardson, 2007 WL
1467411, at *3 & *8. Clarendon notes that the endorsement at issue contained the language of the No
Liability Limitation but does not mention the Held Liable Limitation. Clarendon, 688 F. Supp. 2d at 1191.
The court did state that the exclusion was “identical” to the one in Richardson. Id.
12
Where the magistrate judge in Richardson stated that “at best, the exclusion is ambiguous,”
2007 WL 1467411, at *9, the court in Clarendon impliedly found that the relevant endorsement
unambiguously covered the general contractor for the employee’s injuries to the extent of the
subcontractor’s negligence. See Clarendon, 688 F. Supp. 2d at 1191 n.2.
15
Conversely, another case from the District Court for the District of Oregon
supports Markel’s interpretation of the Additional Insured Endorsement. See Columbia
River Rentals, LLC v. Phillips, No. CV-08-395-HU, 2009 WL 632933, at *7 (D. Or. Jan.
14, 2009), report and recommendation adopted, No. CV 08-395-HU, 2009 WL 598014
(D. Or. Mar. 6, 2009). In Columbia River Rentals, a construction equipment rental
company brought suit against a quarry company, the quarry company’s owner, to whom
the construction equipment rental company had rented an industrial truck, and the
quarry company’s insurer. 2009 WL 632933, at *1.
The rental company sought a
declaration that the insurer was obligated to defend it in separate suits brought by the
quarry company’s owner and an employee at the quarry, both of whom were injured in
an accident involving the rented truck.
Id. at *2.
The defendants asserted that
language in the governing insurance policy identical to the Held Liable Limitation
removed the rental company from coverage for the accident because the quarry
company owner, as the named insured of the policy, could not be “held liable” to himself
for his own injuries.13 Id. at *6–7. The plaintiff argued that the phrase “held liable” was
ambiguous as to whether it meant legally liable or responsible. Id. at *7.
In interpreting the Held Liable Limitation, the magistrate judge concluded that
“the primary meaning of ‘liable’ is to mean a legal obligation. While ‘responsible’ is
another definition, it is not the primary one and thus, not the ordinary or popular
meaning.” Id. (emphasis supplied) (“Thus, the plain, ordinary, and popular meaning of
‘liable’ in this provision is a legal obligation. Plaintiff is an insured only to the extent that
13
The defendant-owner argued both that the underlying suit did not allege any comparative
negligence on the part of the injured defendant, and that, even if there was such comparative negligence,
the Held Liable Limitation prevented coverage because a person cannot be held liable against himself for
his own negligence. Columbia River Rentals, 2009 WL 632933, at *6.
16
[Defendant] has a legal obligation to pay someone damages as a result of his use of the
leased equipment. Because [Defendant] cannot be legally obligated to pay himself
damages, plaintiff is not an insured under the endorsement.”).14
The Montana Supreme Court reached conclusions similar to that in Columbia
River Rentals in two cases interpreting policy language identical to the Held Liable
Endorsement and No Liability Endorsement at issue here. See F.H. Stoltze Land &
Lumber Co. v. Am. States Ins. Co., 352 P.3d 612 (Mont. 2015); Plum Creek Mktg., Inc.
v. American Econ. Ins. Co., 214 P.3d 1238 (Mont. 2009).
In F.H. Stoltze, the court applied its earlier reasoning in Plum Creek15 to
determine that a logging company’s insurer did not owe a duty to defend or indemnify
the owner of the land on which the logging company was working in a suit by an
employee of the logging company injured on the land. F.H. Stoltze, 352 P.3d at 613–
15. The employee had sued both the logging company and the landowner, but the
logging company was dismissed from the suit because the employee’s exclusive
remedy against it was through Montana’s workers compensation statute. Id. at 613.
14
The court further held that:
Even if [the court] construe[s] “liable” to mean “responsible” in the sense of bearing some
fault for the injury and thus the damages [Defendant] sustained, but for which [Defendant]
is not necessarily legally obligated to pay money, plaintiff's argument fails. If this
argument is successful, it would mean that [Defendant] would either recover the portion
of damages his comparative fault is meant to preclude him from recovering, or, would use
the “liability” to himself (which he does not have under the law), as the underpinning of a
duty to defend and later potentially indemnify, under the policy. This construction of the
term “liable” is neither plain, ordinary, nor popular, and in this Court's opinion, is devoid of
common sense.
Id. at *8.
15
In Plum Creek, a contractor’s employee was injured performing repairs at a mill. 214 P.3d at
1240–41. The employee sued the company that owned the mill for negligence. Id. The company
tendered its defense to the contractor’s insurer and, after the insurer refused and the company settled,
sought indemnification from the insurer. Id. The Montana Supreme Court held that because the
company was sued for its own negligence, the limiting language of the endorsement—identical to the
Held Liable and No Liability Limitations—in the insurer’s policy removed the company from coverage
under the circumstances because the contractor could not be held liable. Id. at 1247–48.
17
The logging company’s insurer refused to defend the landowner after the dismissal
because the logging company could not be “held liable” in the suit. Id. at 613–14. The
court declined to adopt the reasoning of the District of Oregon’s holdings in Clarendon
and Richardson and rejected the argument that the interplay of the two sentences of the
No Liability Endorsements created an internal ambiguity. Id. at 615. The court stated:
The first sentence of the [No Liability Endorsement] states that [the
insurer] will not cover an additional insured in situations in which the
named insured cannot be held liable. The second sentence states that, in
situations in which the named insured can be held liable, [the insurer’s]
coverage of an additional insured is limited to the extent of the named
insured's proportional negligence or fault.
Id.
Applying Nebraska law, this Court must strive to interpret the Additional Insured
Endorsement as would a Nebraska court. Although the parties have not submitted—
and this Court has not found—Nebraska case law interpreting the specific language at
issue, the Nebraska Supreme Court has interpreted the phrase “person liable” to refer
to one who is exposed to legal liability and thus exclusive of those shielded from liability
by the Nebraska Workers’ Compensation Act. See Downey v. W. Cmty. Coll. Area, 808
N.W.2d 839, 852 (Neb. 2012) (holding that an employer was not a “person liable” under
Nebraska law “because an employer covered by workers' compensation has no liability
in tort”). The Nebraska Supreme Court’s reasoning in Downey most closely aligns with
that of Columbia River Rentals and F.H. Stoltze, i.e., that the term “held liable” refers
solely to a legal obligation.
Consequently, because no such liability can attach to
D & BR in the Second Gaytan Action, Graham is not covered as an additional insured
under the Additional Insured Endorsement.
18
Plaintiffs note that under their interpretation of the Additional Insured
Endorsement, the Markel Policy provides the type and extent of coverage to which the
parties agreed in the Subcontract. Whether this is accurate or not, the Court cannot
look past the plain language of the Markel Policy to provide such coverage. Federated,
805 N.W.2d at 474 (“[Nebraska courts] construe insurance contracts like other
contracts, according to the meaning of the terms that the parties have used.”). The
Subcontract and the Markel Policy are independent agreements negotiated by
sophisticated parties,16 both of whom knew the documents would be interpreted in
accordance with Nebraska law, including the Nebraska Workers’ Compensation Act.
Because neither the Completed Operations Endorsement nor the Additional
Insured Endorsement extends coverage to Graham for purposes of the Second Gaytan
Action, Graham is not an additional insured under the Markel Policy, and no duty to
indemnify or defend Graham or Arch in the Second Gaytan Action can arise.
CONCLUSION
For the reasons discussed herein, Plaintiffs Graham Construction, Inc. and Arch
Insurance Co.’s Motion for Summary Judgment (Filing No. 22) will be denied and
Defendant Markel American Insurance Co.’s Motion for Summary Judgment (Filing No.
26) will be granted. Accordingly,
IT IS ORDERED:
1. Plaintiffs Graham Construction, Inc. and Arch Insurance Co.’s Motion for
Summary Judgment (Filing No. 22) is denied;
16
Plaintiffs additionally argue that D & BR waived its non-liability under the Nebraska Workers’
Compensation Act through the terms of the Subcontract. (Filing No. 28 at 8.) While the Subcontract
stated that D & BR’s obligation to indemnify would not be limited by “any limitation on the amount . . . of
damage . . . payable to or for any third party under workers’ compensation acts,” (Filing No. 25-4 at ECF
12 § 29), Plaintiffs do not explain how the Subcontract—a document to which Markel is not a party—can
override the plain terms of the Markel Policy to provide coverage explicitly withheld by the policy.
19
2. Defendant Markel American Insurance Co.’s Motion for Summary Judgment
(Filing No. 26) is granted;
3. Graham Construction, Inc. is not an insured under the Markel Policy for
purposes of Guadalupe Gaytan, Special Administrator of the Estate of Jose
Sanchez-Dominguez v. Wal-Mart, et al., District Court of Douglas County,
Nebraska, No. CI 10-9387269;
4. Markel American Insurance Co. does not owe Plaintiffs Graham Construction,
Inc. and Arch Insurance Co. defense or indemnity for purposes of Guadalupe
Gaytan, Special Administrator of the Estate of Jose Sanchez-Dominguez v.
Wal-Mart, et al., District Court of Douglas County, Nebraska, No. CI 109387269;
5. The above-captioned is dismissed with prejudice; and
6. A separate judgment will be entered.
Dated this 13th day of April, 2016
BY THE COURT:
s/Laurie Smith Camp
Chief United States District Judge
20
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