Nationwide Property & Casualty Insurance Co. v. State Farm Fire & Casualty Co.
Nationwide Property & Casualty Insurance Co. v. State Farm Fire & Casualty Co.
Opinion
No. 1-21-0267
Opinion filed May 10, 2022.
Second Division _____________________________________________________________________________
IN THE
APPELLATE COURT OF ILLINOIS
FIRST DISTRICT
______________________________________________________________________________
NATIONWIDE PROPERTY AND CASUALTY INSURANCE ) Appeal from the COMPANY, Individually and as Subrogee of Davis ) Circuit Court of Concrete Construction Company, ) Cook County. ) Plaintiff-Appellant, ) ) No. 2018 CH 226 v. ) ) STATE FARM FIRE AND CASUALTY COMPANY, ) The Honorable ) David B. Atkins, Defendant-Appellee. ) Judge Presiding. _____________________________________________________________________________
JUSTICE LAVIN delivered the judgment of the court, with opinion. Presiding Justice Fitzgerald Smith and Justice Cobbs concurred in the judgment and opinion.
OPINION
¶1 This declaratory judgment action stems from an underlying wrongful death suit in which
a 13-year-old boy was fatally struck by a dump truck driven by an employee of Davis Concrete
Construction Company (Davis Concrete) as he was returning to a road construction project. At
the time of the accident, Davis Concrete was insured by Nationwide Property and Casualty
Insurance Company (Nationwide), as well as by State Farm Fire and Casualty Company (State No. 1-21-0267
Farm). While both insurers eventually contributed to a settlement that was reached in the
underlying case, only Nationwide contributed on behalf of Davis Concrete.
¶2 Subsequently, Nationwide filed the instant declaratory judgment action against State
Farm, asserting that State Farm had a duty to defend Davis Concrete in the underlying suit under
a commercial general liability (CGL) policy and that it was entitled to indemnity from State
Farm for the settlement amount it contributed on Davis Concrete’s behalf. The parties filed
cross-motions for summary judgment on that issue, among other issues. The circuit court
ultimately concluded that State Farm had no duty to defend Davis Concrete in the underlying suit
because coverage was precluded by an automotive exclusion in the CGL policy and,
consequently, Nationwide was not entitled to indemnification for the settlement.
¶3 On appeal, Nationwide argues that the circuit court erred in concluding that no duty to
defend was triggered because the underlying complaint alleged facts concerning Davis
Concrete’s negligence that were not encompassed by State Farm’s automotive exclusion and thus
were within, or potentially within the policy’s coverage. Nationwide also argues, as it did below,
that State Farm was equitably estopped from raising any policy defenses to coverage because it
failed to either defend the underlying suit under a reservation of rights or timely seek a
declaratory judgment that it owed no coverage to Davis Concrete. For the reasons that follow, we
affirm in part and reverse in part the circuit court’s judgment and remand for further proceedings
consistent with this order.
¶4 I. BACKGROUND
¶5 The following relevant facts are not in dispute.
¶6 A. Underlying Wrongful Death Case
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¶7 In the summer 2016, Crowley-Sheppard Asphalt, Inc. (Crowley-Sheppard), an underlying
defendant, was the general contractor of a street rehabilitation project located near 87th Street
and Latrobe Avenue in the Village of Burbank, Illinois. Crowley-Sheppard subcontracted some
of the work, namely excavating and concrete services, to Davis Concrete. Pursuant to their
contract, Davis Concrete agreed to maintain a liability policy and to name Crowley-Sheppard as
an additional insured under the policy.
¶8 Thereafter, Davis Concrete subcontracted some of its work to RJ&R Trucking and
Excavating, Inc. (RJ&R), another underlying defendant. Under their contract, RJ&R agreed to
haul debris and to provide dump trucks for the rehabilitation project. RJ&R also agreed to carry
liability insurance “against claims for injuries or death of persons and damage to property,
arising directly or indirectly from the operations under [their] Agreement and/or the Construction
Contract, whether such injuries, death or damage resulted from any act or neglect of [RJ&R] or
any other person directly or indirectly employed by [RJ&R].” More specifically, their contract
called for RJ&R to carry the following types of coverage and limits of liability:
“B. Commercial General Liability Insurance on an occurrence basis with a
combined bodily injury and property damage limit of at least $1,000,000 per occurrence,
and $2,000,000 per project aggregate, or such greater sum as may be reasonable required
by [David Concrete].
***
a. Additionally Insured Status: The above policy shall include an
endorsement identifying Davis Concrete Construction Co. as the Additional
Insured for Ongoing Operations and Products/Completed Operations *** and
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must be on a primary/non-contributory basis. The General Aggregate limit shall
apply separately to each project.
***
C. Commercial Automobile Liability Insurance covering use of all owned, non-
owned and hired vehicles with Bodily Injury and Property Damage limit of at least
$1,000,000 Combined Single Limit, or such greater sum as required by the Contract.
D. Excess or Umbrella Liability Insurance in the amount of $3,000,000 per
occurrence and in the aggregate, or such greater sum as may be reasonably required by
the Contractor. This policy shall be a follow form policy and shall be excess over
coverages A, B, and C above.”
¶9 On June 3, 2016, Eugene Caruso, an RJ&R employee, was driving a dump truck
westbound on 87th Street in Burbank on his way back to Davis Concrete’s construction site. As
Caruso turned northbound onto Latrobe Avenue, he struck 13-year-old Brian Schrader (Brian),
who was crossing the street on a bicycle. Brian died from his injuries later that day.
¶ 10 At the time of the accident, RJ&R was covered under an automobile liability policy
issued by State Farm Mutual Automobile Insurance Company with a coverage limit of $1 million
for bodily injury and property damage. RJ&R was also covered under a commercial liability
umbrella policy (also referred to as a CLUP) and a businessowners policy (also known as and
hereafter referred to as a CGL policy) issued by State Farm with coverage limits of $2 million
and $1 million, respectively, for bodily injury and property damage. The CGL policy included,
as relevant here, a motor vehicle exclusion that stated:
“SECTION II—EXCLUSIONS
Applicable to Coverage L-Business Liability, this insurance does not apply to:
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8. Aircraft, Auto or Watercraft
‘Bodily injury’ or ‘property damage’ arising out of the ownership,
maintenance, use or entrustment to others of any aircraft, ‘auto’ or watercraft
owned or operated by or rented or loaned to any insured. Use also includes
operation and ‘loading or unloading.’
This exclusion applies even if the claims allege negligence or other
wrongdoing in the supervision, hiring, employment, training or monitoring of
others by an insured, if the ‘occurrence’ which caused the ‘bodily injury’ or
‘property damage’ involved the ownership, maintenance, use or entrustment to
others of any aircraft, ‘auto’ or watercraft that is owned or operated by or rented
or loaned to any insured.”
¶ 11 On February 14, 2017, Brian’s mother, Melissa Schrader (Melissa), filed, as special
administrator of Brian’s estate, the underlying wrongful death action against RJ&R, Caruso,
Crowley-Sheppard, and Work Zone Safety, Inc., the contractor responsible for providing traffic
control services on the construction project, and eventually Davis Concrete (as will be discussed
below).
¶ 12 About a month later, Crowley-Sheppard tendered its defense to Davis Concrete and
Nationwide (Davis Concrete’s primary insurer). Nationwide did not accept the tender; instead, it
sent the tender to State Farm (RJ&R’s insurer). State Farm accepted Crowley-Sheppard’s tender
without any reservation of rights, even though there was no contract between Crowley-Sheppard
and RJ&R. Meanwhile, Melissa amended her negligence complaint to add a wrongful death
claim against Davis Concrete. She alleged, as relevant here, that Davis Concrete “was negligent
in one or more of the following respects:
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a. Failed to take adequate precautionary measures to ensure public safety,
including use of a flagman at the aforesaid intersection;
b. Permitted and allowed an oversized dump truck to turn into the wrong lane
on a residential street; and
c. Permitted and allowed a dump truck on a street in excess of the allowable
weight for that street.”
Davis Concrete tendered its defense of those claims to RJ&R and State Farm. Davis Concrete
subsequently sent State Farm three written requests for a response to its tendered defense. As a
trial date approached in the underlying litigation, the circuit court ordered State Farm to provide
a written response to Davis Concrete’s tender. Yet, State Farm failed to do so.
¶ 13 Ultimately, Melissa and the underlying defendants settled the wrongful death suit for $3.5
million (Schrader settlement). Pursuant to the terms of their agreement, State Farm, on behalf of
RJ&R, contributed $3 million to the settlement, exhausting the coverage limits under the
automobile policy and the CLUP. Crowley-Sheppard’s liability insurer contributed $100,000 to
the Schrader settlement, while Nationwide, on behalf of Davis Concrete, contributed $400,000 to
it.
¶ 14 B. Declaratory Judgment Action
¶ 15 Nationwide filed the instant declaratory judgment action against RJ&R and State Farm on
January 8, 2018. The next year, Davis Concrete informed State Farm of the settlement and
demanded that it pay Davis Concrete’s legal defense fees and costs and that it fund the $400,000
Schrader settlement amount that Nationwide contributed on behalf of Davis Concrete. State
Farm did not respond to Davis Concrete’s demands, leading the circuit court to order State Farm
to provide a written response to them by April 8, 2019. State Farm then responded that it would
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pay Davis Concrete’s reasonable attorney fees and legal costs but did not respond to Davis
Concrete’s demand for indemnity as to the Schrader settlement amount. Consequently,
Nationwide, as Davis Concrete’s subrogee, filed, as relevant here, a fourth amended complaint
against RJ&R and State Farm, seeking indemnity for the $400,000 settlement amount. We note
that at this point, State Farm had reimbursed Nationwide for the attorney fees and legal costs it
incurred in defending against the underlying litigation.
¶ 16 On January 21, 2020, State Farm filed an answer to Nationwide’s complaint, denying that
it owed Davis Concrete any obligation to fund the Schrader settlement. State Farm also filed, for
the first time, a multi-count counterclaim seeking a declaratory judgment that no coverage was
triggered under the CGL policy. Specifically, State Farm asserted that it had exhausted the
coverage limits under the automobile policy and the CLUP and that it owed Davis Concrete no
duty to defend or indemnify under the CGL policy because the allegations set forth in the
underlying complaint were excluded by the policy’s automotive exclusion.
¶ 17 The parties eventually filed cross-motions for summary judgment. Nationwide argued
that the CGL policy’s automotive exclusion did not apply because the underlying complaint
alleged non-automobile-related conduct, namely, that Davis Concrete was negligent because it
“[f]ailed to take adequate precautionary measures to ensure public safety, including use of a
flagman at the aforesaid intersection.” Nationwide further argued that State Farm was equitably
estopped from asserting any policy defenses to coverage based on State Farm’s failure to defend
Davis Concrete in the underlying suit and its unreasonable delay in providing a written response
to Davis Concrete’s tender that effectively forced Davis Concrete to settle the underlying matter.
State Farm, on the other hand, argued that there was no duty to defend because the underlying
allegations were all related to automobile use, thereby triggering application of the CGL policy’s
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automotive exclusion. Additionally, State Farm sought reimbursement from Nationwide for costs
associated with its underlying defense of Crowley-Sheppard.
¶ 18 The circuit court ultimately concluded that the allegations in the underlying complaint
were precluded by the CGL policy’s automotive exclusion; thus, State Farm had no duty to
defend or indemnify Nationwide, as the subrogee of Davis Concrete. Because there was no duty
to defend, the court concluded that estoppel did not apply. Finally, the court denied State Farm’s
reimbursement request as to Crowley-Sheppard’s defense costs. The court entered its order on
February 16, 2021, granting in part and denying in part the parties’ cross-motions for summary
judgment. This appeal followed.
¶ 19 II. ANALYSIS
¶ 20 As stated, Nationwide contends that the circuit court erroneously granted summary
judgment to State Farm in this case because it had a duty to defend Davis Concrete since the
underlying complaint alleged facts concerning Davis Concrete’s negligence that were within, or
potentially within, the CGL policy’s coverage. In addition, Nationwide contends that State Farm
was equitably estopped from raising any policy defenses to coverage because it failed to either
defend the underlying suit under a reservation of rights or timely seek a declaratory judgment
that it owed no coverage to Davis Concrete.
¶ 21 Construction of an insurance policy and a determination of the parties’ rights under the
policy are questions of law properly disposed of by way of summary judgment. Zdeb v. Allstate
Insurance Co.,
404 Ill. App. 3d 113, 116(2010). Summary judgment is appropriate when no
genuine issue of material fact exists such that the movant is entitled to judgment as a matter of
law. Steadfast Insurance Co. v. Caremark Rx, Inc.,
359 Ill. App. 3d 749, 755(2005). Where, as
here, the parties file cross-motions for summary judgment, they concede the absence of a
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genuine issue of material fact and invite the court to decide the questions presented as a matter of
law. Id.; Daniel v. Aon Corp.,
2011 IL App (1st) 101508, ¶ 17; Illinois Emcasco Insurance Co. v.
Tufano,
2016 IL App (1st) 151196, ¶ 17. Thus, the sole issue before this court is whether State
Farm was entitled to judgment as a matter of law, and as with all questions of law, our review is
de novo. Steadfast Insurance Co.,
359 Ill. App. 3d at 755; Daniel,
2011 IL App (1st) 101508, ¶ 17.
¶ 22 A. Duty to Defend
¶ 23 It is well settled that an insurer’s duty to defend and its duty to indemnify its insured are
separate and distinct duties. Fremont Casualty Insurance Co. v. Ace-Chicago Great Dane Corp.,
317 Ill. App. 3d 67, 72(2000). Because an insurer’s duty to indemnify its insured cannot exist in
the absence of a duty to defend, we must first determine whether State Farm had a duty to defend
Davis Concrete against the underlying negligence action, and whether State Farm breached that
duty by failing to do so.
Id. at 73.
¶ 24 In a declaratory judgment action concerning an insurer’s duty to defend, a court compares
the factual allegations of the underlying complaint to the language of the relevant coverage
provisions of the insurance policy. Pekin Insurance Co. v. Wilson,
237 Ill. 2d 446, 455(2010);
Outboard Marine Corp. v. Liberty Mutual Insurance Co.,
154 Ill. 2d 90, 125(1992); Acuity
Insurance Co. v. 950 West Huron Condominium Ass’n,
2019 IL App (1st) 180743, ¶ 24. If the
underlying complaint alleged facts within, or potentially within the policy’s coverage, the
insurer’s duty to defend is triggered even if the allegations are groundless, false, or fraudulent.
Northbrook Property & Casualty Co. v. Transportation Joint Agreement,
194 Ill. 2d 96, 98(2000); Wilson,
237 Ill. 2d at 455; Outboard Marine Corp.,
154 Ill. 2d at 125; 950 West Huron
Condominium Ass’n,
2019 IL App (1st) 180743, ¶ 24. Additionally, the allegations of the
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underlying complaint must be liberally construed in favor of the insured, resolving any doubt or
ambiguity about coverage against the insurer. 950 West Huron Condominium Ass’n,
2019 IL App (1st) 180743, ¶ 24. In other words, an insurer may not justifiably refuse to defend an action
brought against its insured unless it is clear from the face of the underlying complaint that the
factual allegations pled do not fall within, or potentially within, the policy’s coverage.
Northbrook Property & Casualty Co.,
194 Ill. 2d at 98.
¶ 25 In addition, because an insurance policy is a contract, we apply general rules of contract
interpretation. Founders Insurance Co. v. Munoz,
237 Ill. 2d 424, 433(2010); First Mercury
Insurance Co. v. Nationwide Security Services, Inc.,
2016 IL App (1st) 143924, ¶ 26. A court’s
primary objective in construing a contract is to ascertain and give effect to the parties’ intentions
as expressed through the contract’s language. Thompson v. Gordon,
241 Ill. 2d 428, 441(2011).
If the words employed in the contract are clear and unambiguous, they must be given their plain,
ordinary, and popular meaning.
Id.Provisions in an insurance policy excluding or limiting
coverage, however, will be read narrowly, and the applicability of the exclusion must be clear
and free from doubt. Gillen v. State Farm Mutual Automobile Insurance Co.,
215 Ill. 2d 381, 393-94(2005); Empire Indemnity Insurance Co. v. Chicago Province of the Society of Jesus,
2013 IL App (1st) 112346, ¶ 39. Finally, the insurer bears the burden of affirmatively
demonstrating that a claim falls within an exclusion. American Zurich Insurance Co. v. Wilcox &
Christopoulos, L.L.C.,
2013 IL App (1st) 120402, ¶ 34; Continental Casualty Co. v. McDowell
& Colantoni, Ltd.,
282 Ill. App. 3d 236, 241(1996).
¶ 26 Nationwide argues that the automotive exclusion in State Farm’s CGL policy did not
apply in this case because the underlying negligence complaint alleged facts separate from the
operation of a motor vehicle that were within, or potentially within the policy’s coverage,
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thereby triggering a duty to defend. Specifically, Nationwide points to the underlying allegation
that Davis Concrete was negligent because it “[f]ailed to take adequate precautionary measures
to ensure public safety, including use of a flagman at the aforesaid intersection.” State Farm
disagrees, arguing that the automotive exclusion unambiguously applied because the liability
asserted in the underlying action clearly arose out of the operation of the dump truck that fatally
struck Brian; thus, it owed Davis Concrete no duty to defend.
¶ 27 We agree with Nationwide that the underlying complaint alleged facts outside of the
automotive exclusion that fell within, or potentially within, the CGL policy’s coverage. As set
forth above, Melissa’s complaint alleged that Davis Concrete was negligent because it “[f]ailed
to take adequate precautionary measures to ensure public safety, including use of a flagman at
the aforesaid intersection.” This allegation is separate and distinct from Melissa’s other
allegations concerning Davis Concrete’s negligent operation and/or monitoring of the dump
truck, which stated that Davis Concrete was negligent because it “[p]ermitted and allowed an
oversized dump truck to turn into the wrong lane on a residential street” and “[p]ermitted and
allowed a dump truck on a street in excess of the allowable weight for that street.”
¶ 28 We note that at oral argument before this court, counsel for State Farm argued that the
public safety allegation was not separate and distinct from the other two allegations of
negligence, which clearly fell within the automotive exclusion, because it was a conjunctive
allegation. Counsel argued that because all three allegations were asserted under the same
negligence count in the underlying complaint, they had to be read in conjunction with one
another. We disagree. Melissa’s complaint expressly stated that Davis Concrete “was negligent
in one or more of the following respects” (emphasis added) before setting forth the three
allegations. This language is consistent with the language found in the standard issues Illinois
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Pattern Jury Instruction, Civil, No. 20.01 (2011) for negligence, which states: “[t]he plaintiff
claims that he was injured and sustained damage, and that the defendant[s] [was] [were]
negligent in one or more of the following respects.” (Emphasis added.) Thus, a jury need not
find that a defendant was negligent based on every allegation asserted by a plaintiff; it may find
that only one allegation of negligence was satisfied. Likewise, here, a jury could have found that
Davis Concrete was negligent because it failed to ensure that public safety measures were in
place near the construction site without necessarily finding that Davis Concrete was also
negligent due to its operation of the dump truck.
¶ 29 In any event, the public safety allegation is not encompassed by the plain language of the
automotive exclusion. By its own terms, the exclusion applied to bodily injury and property
damage “arising out of the ownership, maintenance, use or entrustment to others of any aircraft,
‘auto’ or watercraft owned or operated by or rented or loaned to any insured.” The exclusion also
applied “if the claims allege[d] negligence or other wrongdoing in the supervision, hiring,
employment, training or monitoring of others by an insured, if the ‘occurrence’ which caused the
‘bodily injury’ or ‘property damage’ involved the ownership, maintenance, use or entrustment to
others of any *** ‘auto’ *** that is owned or operated by or rented or loaned to any insured.”
Here, it is undisputed that Davis Concrete did not own or operate the dump truck that struck and
ultimately killed Brian. Moreover, the public safety allegation did not set forth any facts
involving Davis Concrete’s “supervision, hiring, employment, training or monitoring” of Caruso
or any other RJ&R employees. While State Farm claims that ensuring public safety at the
intersection “require[d] the ‘monitoring of others,’ ” it has not developed any legal argument or
cited any authority demonstrating that safeguarding the public is categorically limited to the
“monitoring of others.”
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¶ 30 State Farm, nonetheless, asserts that no duty to defend was triggered because the public
safety allegation did not allege negligence “wholly independent of the operation of the [dump]
truck,” relying on Northbrook Property & Casualty Co.,
194 Ill. 2d 96. We find Northbrook
distinguishable. In Northbrook, a Metra train collided with a school bus operated by various
school districts, killing several students and injuring many others. The students’ underlying
negligence complaints alleged, among other things, that the school districts “inadequately
planned and inspected bus routes or failed to warn bus drivers of potential hazards along the
routes.”
Id. at 99. The insurance company later sought a declaration that it had no duty to defend
the school districts against the students’ lawsuits since the injuries arose out of the use or
operation of a bus and were therefore excluded under the policy’s automotive exclusion.
Id. at 98. The supreme court ultimately agreed, concluding that the allegations in the complaint were
“nothing more than rephrasings of the fact that the students’ injuries arose from the school
districts’ use or operation of a motion vehicle” and that the “policy exclude[d] injuries arising
from the school districts’ use or operation of a motor vehicle.”
Id. at 98-99.
¶ 31 Unlike the underlying complaints in Northbrook, the underlying negligence complaint
here included a public safety allegation that asserted Brian’s death arose from a cause entirely
independent of a motor vehicle. As stated, the complaint alleged that Davis Concrete was
negligent because it “[f]ailed to take adequate precautionary measures to ensure public safety,
including use of a flagman at the aforesaid intersection.” This did not allege any facts concerning
the dump truck or any other motor vehicle; rather, the public safety allegation provided an
alternative potential cause of Brian’s death, i.e., Davis Concrete’s failure to ensure adequate
safety measures were in place for public individuals, like bikers and pedestrians, who
encountered the construction area. Stated differently, a potential cause of Brian’s death could
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have been that there was no flagman present near the construction area to help him safely cross
the street, a cause that had nothing to do with the dump truck and that was within, or potentially
within, the CGL policy’s coverage. See United States Fidelity & Guaranty Co. v. State Farm
Mutual Automobile Insurance Co.,
152 Ill. App. 3d 46, 48(1987) (stating, “[i]f a proximate
cause of an injury is within the included coverage of an insurance policy, the included coverage
is not voided merely because an additional proximate cause of the injury is a cause which is
excluded under the policy”).
¶ 32 Furthermore, in Northbrook, the underlying allegations of negligence all mentioned a
motor vehicle, i.e., the word “bus.” And the students’ alleged injuries could not have occurred
absent the school districts’ operation of the bus. Contrarily, here, Brian could have been injured
by something entirely other than a motor vehicle as a result of Davis Concrete’s failure to ensure
public safety measures were in place, including the use of a flagman, around the construction
site. For example, Brian could have ridden his bike into a construction ditch or other hazardous
materials near the site, sustaining injuries. Thus, we cannot say the public safety allegation was
simply another way of saying that Brian’s death was caused by the dump truck particularly when
the allegation itself did not even mention the dump truck or anything related to the truck. Cf.
Allstate Insurance Co. v. Pruitt,
177 Ill. App. 3d 407, 413-14(1988) (where the allegations of
negligence were based solely on the minor’s “use and operation of the minibike,” the court held
that the insurance policy’s motor vehicle exclusion applied).
¶ 33 In Louis Marsch, Inc. v. Pekin Insurance Co.,
140 Ill. App. 3d 1079(1985), the Appellate
Court, Fifth District, reached a similar conclusion. There, a boy was injured after being struck by
a dump trump owned by Louis Marsch, Inc. The underlying complaint filed by the boy’s father
asserted a negligent hiring claim against Marsch alleging that it “failed to employ the proper
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number and placement of flagmen while the roadwork was taking place, and failed to mark a
closed portion of the road with suitable warning signs or barricades.”
Id. at 1086. The Marsch
court ultimately found that a duty to defend was triggered because those allegations were not
precluded by an automotive exclusion, similar to the one here, in the insurance policy, stating
“[t]here are a number of ways in which the minor Chizmar could have been injured as a result of
improper deployment of flagmen and warning devices, only one of which was being struck by a
motor vehicle. For example, Chizmar could have struck a worker, an excavation, or piled
materials.”
Id.The court explained,
“if a trier of fact concluded that Marsch had failed in its duty to Chizmar under the Road
Construction Injuries Act, the fact that the dump truck was the instrumentality which
ultimately injured Chizmar would be but one of two concurrent causes of the injury, one
excluded under the [insurance] policy, the other not so excluded.”
Id.The Marsch court then went a step further, stating, “[i]f the liability of an insured arises from
negligent acts which constitute non-auto-related conduct, the policy should be applicable
regardless of the automobile exclusion or the fact that an automobile was involved in the
occurrence.”
Id.¶ 34 Similarly, here, there are many ways in which Brian could have been injured as result of
Davis Concrete’s alleged public safety failures at the construction site, and a trier of fact could
have reasonably concluded that the absence of a flagman was a cause of his death. Because the
underlying negligence complaint alleged facts outside of the CGL policy’s automotive exclusion
and within, or potentially within, the policy’s coverage, we conclude that State Farm’s duty to
defend was triggered and that State Farm breached its duty by not defending Davis Concrete in
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the underlying suit. We therefore reverse the portion of the lower court’s judgment holding there
was no duty to defend based on the CGL policy’s automotive exclusion.
¶ 35 B. Equitable Estoppel
¶ 36 We now turn to Nationwide’s claim that State Farm was equitably estopped from
asserting any policy defenses to coverage. Under the estoppel doctrine, an insurer which takes
the position that a complaint potentially alleging coverage is not covered under a policy that
includes a duty to defend may not simply refuse to defend the insured. Employers Insurance of
Wausau v. Ehlco Liquidating Trust,
186 Ill. 2d 127, 150(1999). Rather, the insurer must either
(1) defend the suit under a reservation of rights or (2) seek a declaratory judgment that there is no
coverage.
Id.If the insurer takes neither action, and is later found to have wrongfully denied
coverage, the insurer will be estopped from raising any policy defenses to coverage, even if those
defenses would have been successful had the insurer not breached its duty to defend.
Id.at 150-
51.
¶ 37 To prevent estoppel, an insurer’s claim for declaratory judgment must be timely filed.
Aetna Casualty & Surety Co. v. O’Rourke Bros., Inc.,
333 Ill. App. 3d 871, 880(2002). Where,
as here, an insurer waits to seek a declaratory judgment that there is no coverage until after the
underlying action has settled, the insurer’s declaratory judgment request is untimely as a matter
of law. Employers Insurance of Wausau,
186 Ill. 2d at 157. As set forth above, Davis Concrete
tendered its defenses to RJ&R and State Farm on August 6, 2018. State Farm neither defended
the suit under a reservation of rights nor sought a declaratory judgment that there was no
coverage. 1 And even though Nationwide had already filed the present declaratory judgment
action when the underlying suit settled, State Farm did not file its counterclaim in the declaratory
1 At oral argument before this court, State Farm admitted that it did not defend Davis Concrete in the underlying suit under a reservation of rights. - 16 - No. 1-21-0267
action until almost a year after the parties settled the matter. State Farm’s actions clearly were
untimely as a matter of law. Furthermore, State Farm has offered no explanation for its
untimeliness in seeking a declaratory judgment that it owed no coverage to Davis Concrete or
why it failed to respond to Davis Concrete’s tender, despite a number of court orders requiring it
to do so. State Farm’s arguments on appeal that it was not estopped from denying coverage all
rest on the assumption that no duty to defend was triggered; State has not provided any legal
argument that estoppel does not apply even if a duty to defend was triggered, as was the case
here.
¶ 38 Based on the foregoing, we conclude that State Farm was estopped from asserting any
policy defenses to coverage; we therefore reverse the portion of the lower court’s judgment
holding that estoppel did not apply in this case. Because the parties have not advanced, nor have
we found any disputed facts concerning the amount of coverage State Farm owed to Davis
Concrete, we conclude that Nationwide, as Davis Concrete’s subrogee, is entitled to indemnity
for the $400,000 it contributed to the Schrader settlement on Davis Concrete’s behalf. We thus
remand this matter to the circuit court to enter judgment in favor of Nationwide on its claim for
indemnity in the amount of $400,000, and to determine and award Nationwide reasonable
attorney fees and legal costs in connection with this litigation.
¶ 39 III. CONCLUSION
¶ 40 State Farm had a duty to defend Davis Concrete because facts in Melissa’s underlying
negligence complaint fell within, or potentially within, the CGL policy’s coverage. The record
shows that State Farm breached its duty by not defending Davis Concrete in the underlying suit.
Additionally, State Farm was estopped from asserting any policy defenses to coverage because it
failed to either defend the suit under a reservation of rights or timely seek a declaratory judgment
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that it owed no coverage. Finally, Nationwide was entitled to indemnification in the amount of
$400,000, since coverage was triggered under State Farm’s CGL policy and the parties have not
disputed that Nationwide was entitled to that amount.
¶ 41 For the foregoing reasons, we reverse the circuit court’s judgment that State Farm owed
Davis Concrete no duty to defend and that Nationwide was not entitled to indemnification.
Additionally, we reverse the court’s judgment that estoppel did not apply in this case. We affirm
all other aspects of the circuit court’s judgment and remand for further proceedings consistent
with this decision.
¶ 42 Affirmed in part and reversed in part; cause remanded.
- 18 - No. 1-21-0267
No. 1-21-0267
Cite as: Nationwide Property & Casualty Insurance Co. v. State Farm Fire & Casualty Co.,
2022 IL App (1st) 210267Decision Under Review: Appeal from the Circuit Court of Cook County, No. 2018-CH-226; the Hon. David B. Atkins, Judge, presiding.
Attorneys David E. Kawala, Catherine Basque Weiler, and T. Allon Renfro, for of Swanson, Martin & Bell, LLP, of Chicago, for appellant. Appellant:
Attorneys Rosa M. Tumialán, of Burke Warren MacKay & Serritella, P.C., for of Chicago, for appellee. Appellee:
- 19 -
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