Alamo-Cruz v. Evanston Ins. Co.
Alamo-Cruz v. Evanston Ins. Co.
Opinion of the Court
THIS MATTER is before the Court on Magistrate Judge Edwin G. Torres' Report and Recommendation (the "Report") recommending that Defendant's motion to dismiss be granted with prejudice. (DE 38). Plaintiffs timely filed objections to the Report and Defendant filed a response. (DE 43, 47). For the reasons set forth below, the Court DECLINES to adopt the Report (DE 38) and Defendant's motion to dismiss (DE 25) is DENIED.
I. BACKGROUND
On June 1, 2011, Plaintiff Efrain Alamo-Cruz was performing tree-trimming services, as an independent contractor for Affordable Treemen Inc., in Plantation, Florida. (DE 20-1 ¶ 14). While trimming a palm tree, the electric saw that Mr. Alamo-Cruz was using malfunctioned; it cut the safety harness that secured him to the tree and caused him to fall approximately 30 feet to the ground causing him severe and permanent injuries. (DE 20-1 ¶¶ 15, 17). On January 20, 2015, Plaintiffs filed a state court lawsuit against Affordable Treemen and Robin A. Croce (Affordable Treemen's President) advancing negligence claims against them. (DE 20-1). Although Affordable Treemen and Croce were insured by a General Commercial Liability policy issued by Defendant, Defendant denied insurance coverage because the insurance policy (the "Policy") contains a provision excluding recovery for bodily injury to independent contractors. (DE 20 *1279¶ 5). The state court case concluded with a judgment against Affordable Treemen and Croce for $ 23,065,991.00. (DE 20 ¶ 6).
On May 25, 2017, Croce assigned to Plaintiffs all rights or actions she has against Defendant, and on April 5, 2017, Plaintiffs brought this action advancing breach of contract and bad faith claims based on of Defendant's denial of insurance coverage for the claims Plaintiffs asserted in the state court action. (DE 1; DE 20 ¶ 8). Defendant then filed a motion to dismiss alleging, inter alia , that the Policy's provision excluding recovery for bodily injury to independent contractors barred Plaintiffs' claims.
On December 20, 2017, Judge Torres issued the Report, concluding that because Mr. Alamo-Cruz sustained injuries while he was performing independent contractor duties for Affordable Treemen, his claims against Affordable Treemen and Croce are excluded from coverage under the Policy's independent contraction liability exclusion. (DE 38).
II. LEGAL STANDARD
After conducting a careful and complete review of the findings and recommendations, a district judge may accept, reject or modify the magistrate judge's report and recommendation.
Additionally, to survive a Rule 12(b)(6) motion to dismiss, a plaintiff must plead sufficient facts to state a claim that is "plausible on its face." Ashcroft v. Iqbal ,
*1280(quoting Twombly ,
III. DISCUSSION
The issue before the Court is whether the exclusion of liability for bodily injuries sustained by independent contractors ("Independent Contractor Exclusion") precludes coverage for Croce, as President and agent of Affordable Treemen.
The Independent Contractor Exclusion provides, in relevant part:
This insurance does not apply to 'bodily injury', personal and advertising injury', or 'medical payments' to any independent contractor, subcontractor, casual laborer or volunteer worker, or to any employee of any independent contractor, subcontractor, while performing work for you.
(DE 20-2). Under the Policy, "the words 'you' and 'your' refer to the Named Insured shown in the Declarations, and any other person or organization qualifying as a Named Insured." (Id. )
Plaintiffs concede that Mr. Alamo-Cruz was performing services for Afforable Treemen when the accident happened, but they argue that the Independent Contractor Exclusion must be read in conjunction with the Policy's separation of insureds provision ("Separation of Insureds Provision") which states, in relevant part:
Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies:
a. As if each Named Insured were the only Named Insured; and
b. Separately to each insured against whom claim is made or "suit" is brought.
(DE 20-2). Reading the two provisions together and the Policy as a whole, Plaintiffs argue that their claims against Croce are not precluded from coverage because Mr. Alamo-Cruz did not have an independent contractor relationship with Croce.
Two cases have framed the Parties' discussion. Defendant cites to TNT Equip. Inc. v. Amerisure Mut. Ins. Co. , No. 615CV14610RL37DAB,
This insurance does not apply to 'bodily injury' or 'property damage' arising out of either your ongoing operations or operations included within the 'products completed operations hazard' if such operations were at any time included within a 'controlled insurance program' for a construction project in which you are or were involved.
Id. at *2. The policy also had a separation of insureds provision stating that "this insurance applies ... [a]s if each Named Insured were the only Name Insured ..." Id. at *3. TNT did not dispute that the contractor had a separate "controlled insurance program" that covered the construction project. However, TNT argued that the exclusionary provision did not apply to "Additional Insureds" such as TNT, because, in TNT's view, the terms "you" and "your" in the exclusionary provision refer only to the contractor as the "Named Insured." The Court disagreed with TNT, finding that the separation of insureds provision did not identify TNT as an Additional Insured or distinguish the rights of any insureds and did not otherwise limit the exclusionary provision.
On the other end of the spectrum, Plaintiffs point to Evanston Ins. Co. v. Design Build Interamerican, Inc. ,
This Insurance does not apply to ... [b]odily injury to ... an employee of any insured arising out of and in the course of (a) [e]mployment by any Insured; or (b) [p]erforming duties related to the conduct of any insured's business.
First, the court found that under Florida law, severability clauses "create separate insurable interests in each individual insured under a policy, such that the conduct of one insured will not necessarily exclude coverage for all other insureds."
To reach this conclusion, the Eleventh Circuit relied mainly on Premier Ins. Co. v. Adams ,
It is apparent then that the parties intended to furnish coverage to persons other than the named insured. The effect of the severability of interests clause is to make it certain that, when a claim is asserted against one who is an insured under the policy, then that person becomes 'the insured' for the purpose of determining the insuror's obligations with respect to that claim. The exclusion as to employees of the insured is thus limited and confined to the employees of the employer against whom the claim is asserted.
As in Evanston , this case involves an exclusionary provision for employees or independent contractors and an identical separation of insureds clause. Applying the principles of Evanston and of the Florida appellate courts, it follows that, at a minimum, the Policy is ambiguous as to whether it precludes coverage for the claims asserted against Croce. And, where severability and exclusionary provisions create an ambiguity, the policy has to be construed strictly against the insurer as the drafter of the policy. Evanston ,
In Taylor , plaintiff slipped and fell at an event hosted by his employer in Villa Vizcaya.
The Separation of Insureds provision operated to permit coverage for Taylor's claim against Villa Vizcaya and the County, even if she was on location because of her employment with Hello Florida. Neither Villa Vizcaya nor the County were Taylor's employer and under the Separation of Insureds provision, *1283each was separately insured by Admiral and subject to claim by non-employee Taylor.
Id. at 260. Finally, in Stettin v. Nat'l Union Fire Ins. Co. of Pittsburgh, PA ,
Although the TNT court reached a different conclusion interpreting similar provisions, the TNT court did not discuss a single Florida court case to reach its conclusion. Therefore, the Court finds that the Eleventh Circuit's holding in Evanston is more consistent with Florida courts' precedent. Here, the Independent Contractor Exclusion states that the insurance does not apply to bodily injury to "any independent contractor ... while performing work for you." Reading this provision as if Croce were the only insured, coverage would not be precluded because Mr. Alamo-Cruz was not performing work for Croce. Accordingly, the Court finds that the Policy does not preclude coverage for actions brought against Croce.
IV. CONCLUSION
For the foregoing reasons, it is ORDERED AND ADJUDGED as follows:
1. The conclusions in the Report (DE 38) are REJECTED.
2. Defendant's motion to dismiss (DE 25) is DENIED.
3. Count III of the Second Amended Complaint for common law bad faith is ABATED.
4. The STAY entered by the Court on January 9, 2018 (DE 42) is hereby LIFTED and the Parties are ORDERED to file a proposed amended scheduling order within 14 days from the date of this Order.
5. Plaintiffs' motions for leave to file a reply and for a hearing (DE 48; DE 49) are DENIED AS MOOT.
DONE AND ORDERED in chambers in Miami, Florida, this 1st day of November, 2018.
The trial court entered default judgment on liability against Affordable Treemen and Croce and a jury trial was conducted on damages only. The jury awarded $ 20,565,991.00 to Mr. Alamo and $ 2,500,000.00 to Mrs. Alamo in compensatory damages jointly and severally from Affordable Treemen and Croce.
"[T]he interpretation of an insurance contract-including determining whether an insurance provision is ambiguous-is a question of law to be determined by the court." Zurich Am. Ins. Co. v. Nat'l Specialty Ins. Co. ,
"Vizcaya Museum & Gardens is an attraction in Miami-Dade County which is comprised of an estate known as Villa Vizcaya and ten acres of gardens. We refer to the villa and gardens collectively as 'Villa Vizcaya' herein. Villa Vizcaya is owned and operated by Miami-Dade County." Taylor ,
Defendant's remaining grounds for dismissal are similarly unpersuasive. Defendant has not shown that Affordable Treemen is an indispensable party to this action or that failure to join it requires dismissal. Finally, the Court finds that Plaintiff's bad faith claim should be abated rather than dismissed since the facts that form the basis of the breach of contract claim also form the basis of the bad faith claim. See Raynor Mktg., Ltd. v. Phoenix Ins. Co. , No. 3:17-CV-436-J-32PDB,
Reference
- Full Case Name
- Efrain ALAMO-CRUZ and Maria Alamo-Cruz as assignees of Robin A. Croce v. EVANSTON INSURANCE COMPANY f/k/a Alterra Excess & Surplus Insurance Company
- Cited By
- 1 case
- Status
- Published