XL Specialty Insurance v. Bollinger Shipyards, Inc.
XL Specialty Insurance v. Bollinger Shipyards, Inc.
Opinion of the Court
ORDER AND REASON
Before the Court are three motions for summary judgment and a motion to dismiss. The first motion, filed by Bollinger,
The Court finds that XL is entitled to summary judgment because the policy unambiguously does not cover the allegations in the underlying lawsuit. Accordingly, the Court GRANTS XL’s motion for summary judgment and DENIES Bollinger’s cross-motion for summary judgment. In light of the Court’s grant of summary judgment in XL’s favor, XL’s motion to dismiss Bollinger’s amended complaint is DENIED as moot.
The Court GRANTS Continental’s motion for summary judgment because the only claims remaining in the underlying lawsuit are not covered by Continental’s excess policies.
I. BACKGROUND
This is an insurance coverage dispute regarding whether XL and Continental are obligated to pay defense costs that Bollinger incurred in defending against a False Claims Act suit brought by the United States. Both the False Claims Act suit and the present action are substantively and procedurally complex, and so it is necessary to set out the background of this case in some detail. The Court will, first, describe the underlying lawsuit giving rise to Bollinger’s claim for insurance coverage and outline the events leading to the present litigation; second, set forth the procedural history of this case; third, analyze the provisions of the various insurance policies that Bollinger claims provide coverage for the underlying lawsuit; and finally, identify the various grounds upon which the parties move for summary judgment.
A. The Underlying Lawsuit
1. The United .States’ Allegations
The underlying lawsuit arose out of Bol-linger’s involvement in the United States
In 1999, the United States selected Integrated Coast Guard Systems (ICGS), an entity comprised of Lockheed Martin Corporation (LMC) and Northrop Grumman Ship Systems, Inc. (NGSS), to serve as lead contractor of the Deepwater program, and ICGS in turn subcontracted a portion of that work to Bollinger.
During the initial stages of the program, the Coast Guard grew concerned about the feasibility of extending the cutters.
According to the complaint, the Coast Guard, relying in part on Bollinger’s representations that the modified cutters would possess sufficient hull strength, selected IGCS to perform the work on the Deepwater program.
In August 2002 the Coast Guard awarded the first Delivery Task Order for modification of the 110-foot patrol boats.
Around the same time, Bollinger performed three different calculations of the section modulus of the proposed 123-foot cutter design using three different sets of input values.
The complaint alleges that the input values used to obtain this highest result “did not reflect the actual structural characteristics of the converted vessels.”
Bollinger delivered the first of the' 123-foot vessels, the USCGC MATAGORDA, to the Coast Guard in March 2004.
2. Procedural History of the Underlying Suit
On December 14, 2006, the U.S. Department of Justice issued a litigation hold letter to Bollinger, advising Bollinger that it had opened an investigation into Bollinger’s role in the Deepwater project and requesting that Bollinger retain documents related to the conversion of the 110-foot patrol boats.
On May 17, 2007, the United States officially revoked acceptance of the eight cutters, explaining that “hull and shaft alignment problems” with the cutters had compromised their “physical integrity ... to such a degree the performance specifications under the contract cannot be achieved and sustained.”
On November 29, 2007, the government issued a subpoena duces tecum to Bollinger that covered several categories of documents related to Bollinger’s work on the Deepwater project.
On December 23, 2008, Bollinger and the United States executed a statute of limitations tolling agreement.
WHEREAS, On December 5, 2008 the United States of America informed Bol-linger ... that the United States ... [believes it] may have certain civil causes of action and administrative claims against Bollinger under the False Claims Act, 31 U.S.C. §§ 3729 et seq., other statutes and regulations including the Program Fraud Civil Remedies Act, 31 U.S.C. §§ 3801 et seq., equity, or the common law, arising from Bollinger’s performance of conversion work on the U.S. Coast Guard Deepwater Program’s 110 Foot Island Class vessels under Bol-linger’s contract with Northrop Grumman Ship Systems, Inc.; and
WHEREAS, the parties have entered into discussions relating to the possible settlement of the United States’s above claims prior to suit;
NOW, THEREFORE, ... the United States and Bollinger agree that, as consideration for the United States not filing, or initiating claims against Bollinger under the False Claims Act, 31 U.S.C. §§ 3729 et seq., or the Program Fraud Civil Remedies Act, 31 U.S.C. §§ 3801 et seq., on or before December 31, 2008, the period of time between and including December 5, 2008 and May 5, 2009 shall be excluded when determining whether any civil or administrative claims are time-barred by the statute of limitations, laches, or any other time-related defenses. Bollinger further agrees it will not assert or argue in any judicial or administrative forum that the United States has failed to act in a timely fashion and will not plead statute of limitations, lach-es, or any other similar defense to any*737 civil or administrative action filed or initiated against Bollinger on or before May 5, 2009 under the False Claims Act, 31 U.S.C. §§ 3729 et seq., other statutes and regulations, including the Program Fraud Civil Remedies Act, 31 U.S.C. §§ 3801 et seq., equity or the common law, based on the performance of conversion work on the U.S. Coast Guard Deepwater Program’s 110 Foot Island Class vessels ... except to the extent such defenses were available to Bollinger on or before December 5, 2008.42
Bollinger has since confirmed that as of the date of execution of the Tolling Agreement, it had entered into settlement discussions with the United States regarding the Coast Guard’s claims.
Over the several-year course of the United States’ investigation of the Deep-water project, Bollinger made several document productions to the United States, totaling about 40,000 documents.
On July 29, 2011, the United States filed a complaint against Bollinger based on allegations that “Bollinger knowingly misled the Coast Guard to enter into a contract for the lengthening of Coast Guard cutters by falsifying data relating to the structural strength of the converted vessels.”
On January 30, 2013, this Court dismissed the United States’ complaint. See United States v. Bollinger Shipyards, Inc., Civil Action No. 12-920, 2013 WL 393037 (E.D.La. Jan. 30, 2013). The Court held that Bollinger’s FCA allegations and its common law fraud claim were deficient because the United States had not plausibly alleged that Bollinger acted with the requisite scienter or that Bollinger’s allegedly false statements were material. Id. at *6-10. The Court also held that, while the complaint stated a negligent misrepresentation claim based on its allegations that Bollinger submitted false section modulus values to the Coast Guard, that claim was time-barred. Id. at *11-14. Finally, the Court dismissed the United States’ unjust enrichment claim because “there can be no claim for unjust enrichment when an express contract exists between the parties.” Id. at *15. The Court granted the United States leave to amend its FCA and common law fraud allegations. Id. at *16.
The United States then filed an amended complaint, which presented additional factual allegations concerning Bollinger’s alleged submission of false section modulus calculations to the Coast Guard. See United States v. Bollinger Shipyard, 979 F.Supp.2d 721, 723-24 (E.D.La. 2013). This Court found that the United States had once again failed to plausibly allege that Bollinger acted with the requisite
B. Procedural History of the Present Lawsuit
After the Coast Guard revoked acceptance of the ships in May 2007, Andrew St. Germain, Bollinger’s Chief Financial Officer, wrote in an e-mail to Bollinger’s insurance agent, Willis of Louisiana, that “[a]t this point, it may be prudent to put the appropriate underwriters on notice of this event.”
On June 14, 2007, Bollinger entered into the “Sponsorship Agreement” with NGSS that provided the two parties would cooperate in attempting to resolve the Coast Guard’s claims.
After the government issued the subpoena duces tecum on November 29, 2007, Bollinger contacted Willis to request again that Willis advise the appropriate underwriters of a “possible claim.”
On July 19, 2011, Bill Condon, a Gallagher employee, e-mailed an XL employee advising her of the Deepwater investigation and asking if XL had a file on the subject.
Upon receipt of the United States’ complaint on August 2, 2011, Bollinger notified XL of the FCA lawsuit.
In November 2011, XL requested that Bollinger produce certain documents that XL needed in order to perform a complete coverage analysis.
On December 12, 2012, Continental filed a motion for partial summary judgment on Bollinger’s bad faith claims. On June 24, 2013, the Court issued an Order and Reasons granting Continental’s motion on the grounds that the express language of the excess policy issued by Continental indicated that Continental had no duty to defend,
On December 18, 2013, Bollinger filed a motion for summary judgment against XL, arguing that the Court should hold as a matter of law that the policies XL issued to Bollinger require XL to pay the costs of defense that Bollinger incurred in the underlying lawsuit.
On April 28, 2014, after briefing on the three motions was mostly completed, Bol-linger moved the Court for leave to file an amended complaint that lists additional insurance policies under which XL and Continental may be liable.
C. The Policies at Issue
I.- The XL Policies
From September 30, 2001, through March 15, 2008, Bollinger obtained six separate Marine Comprehensive Liability policies from XL (the XL Policies).
Section I of the policy, which sets forth the basic outline of the coverage it affords to Bollinger, provides in relevant part:
1. 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 any “suit” seeking those damages. We may at our discretion investigate any “occurrence” and settle any claim or “suit” that may result....
2. This insurance applies to “bodily injury” and “property damage” only if:
a. The “bodily injury” or “property damage” is caused by an “occurrence” that takes place in the “coverage territory;” and
a. The “bodily injury” or “property damage” occurs during the policy period.98
“Property damage” is defined as follows:
a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; or
b. Loss of use of tangible property that is not physically injured. All such*742 loss shall be deemed to occur at the time of the “occurrence” that caused it.99
A “suit” is defined as “a civil proceeding in which damage because of ... ‘property damage’ ... to which is this insurance applies are [sic ] alleged.”
Section II of the policy contains several exclusions to coverage. Relevantly for purposes of this case, the policy does not apply to:
1. “Bodily injury” or “property damage” expected or intended from the standpoint of the insured
26. “Property damage”, to “impaired property” or property that has not been physically injured, arising out of:
a. A defect, deficiency, inadequacy or dangerous condition in ‘your product’ or your work;’ or
b. A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms.
This exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to ‘your product’ or ‘your work’ after it has been put to its intended use.
27. Damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal or disposal of:
a. ‘Tour product”;
b. ‘Tour work”; or
c. “Impaired property”.
if such product, work or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, inadequacy or dangerous condition in it.
28.The failure of your products and/or “your work” to meet any predetermined level of fitness or performance and/or guarantee of such fitness or level or performance and/or any consequential loss arising therefrom.
32....
e. Actual or alleged liability arising out of or incidental to any alleged violation(s) or any federal or state law regulating, controlling, and governing ... deceptive acts and practices in trade and commerce ...; or
f. Actual or alleged liability arising out of or contributed to by your dishonesty or infidelity-.102
“Impaired property” is defined as
tangible property, other than “your product” or “your work,” that cannot be used or is less useful because:
a., It incorporates ‘your product’ or ‘your work’ that is known or thought to be defective, deficient, inadequate, or dangerous; or
b. Tou have failed to fulfill the terms of a contract or agreement;*743 if such property can be restored to use by:
a. The repair, replacement, adjustment, or removal of “your product” or “your work;” or
b. Your fulfilling the terms of the contract or agreement.103
“Your product” means “[a]ny goods or products, other than real property, manufactured, sold, handled, distributed or disposed of’ by the insured.
a. Work or operations performed by [the insured] or on [its] behalf; and
b. Materials, parts or equipment furnished in connection with such work or operations.
‘Your work” includes:
a. Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of “your work”; and
b. The providing of or failure to provide warnings or instructions.105
Section VIII, “General Conditions,” provides in relevant part as follows:
All coverages provided by or included in this policy and all endorsements attached to this policy are subject to the following conditions....
5. Duties In The Event of Occurrence, Claim or Suit
a. You must see to it that we are notified as soon as practicable after you become aware of an “occurrence” or an offense which may result in a claim. To the extent possible, notice should include:
(1)How, when and where the “occurrence” or offense took place;
(2) The names and addresses of any injured persons and witnesses; and
(3) The nature and location of any injury or damage arising out of the “occurrence” or offense.
b. If a claim is made or “suit” is brought against any insured, you must:
(1) Immediately record the specifics of the claim or “suit” and the date received; and
(2) Notify us as soon as practicable after you receive or are advised of a “suit” or claim.
You must see to it that we receive written notice of the claim or “suit” as soon as practicable.
c. You and any other involved insured must:
(1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the claim or “suit;”
(2) Authorize us to obtain records and other information;
(3) Cooperate with us in the investiga^ tion, settlement, or defense of the claim or “suit;” and
(4) Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply.
d. No insureds will, except at their own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent.
10. Legal Action Against Us
*744 No person or organization has a right under this insurance policy:
b. To sue us on this Coverage Part unless all of its terms have been fully complied with.106
2. The Continental Policies
Continental issued several excess liability insurance policies to Bollinger for the years 2000-2004 and 2009-2010.
The bumbershoot policy issued by XL covered a Policy Period from September 30, 2003 to September 30, 2004 and provided $25 million of liability insurance excess of $1 million.
3. All other sums which the Insured [Bollinger] shall become legally liable to pay as damages on account of:
a. personal injuries, including death at any time resulting therefrom, or
b. property damage
caused by or arising out of each occurrence happening anywhere in the world.114
An “occurrence” is defined as “an event or a continuous or repeated exposure to conditions which unintentionally causes injury, damages or destruction during the Policy Period which was unexpected by the Insured.”
The policy contains several exclusions to coverage. Those relevant for the present motions are as follows:
I. any liability or expense arising out of the infidelity and/or dishonesty of any Insured, or any employee or representative of Insured whether committed individually or in collusion with others.
5. any claims made by a national, state or local Government, or subdivisions or agencies thereof, unless such claims be for damages occasioned by actual or alleged personal injury (fatal or otherwise) or property damage.
II. Any liability for, or any loss, damage, injury or expense caused by, resulting from or incurred by reason of:
h. any liability or expense from the failure of the Insured’s products or work completed by or for the Insured to perform the function or serve the purpose intended by the Insured, if such failure is due to a mistake or deficiency in any design, formula, plan, specification, advertising material or printed instructions prepared or developed by any Insured except with respect to bodily injury or property damage as a result of said failure provided such property damage or bodily injury is covered under the Underlying Insurance.
o. liability arising our [sic ] of the following activities of the Insured unless coverage is provided in the Underlying Insurance, and then coverage hereunder shall operate as excess of such coverage:
(5) arising out of goods or products manufactured, sold, handled or distributed by the Insured ... if the occurrence occurs after possession of such goods or products has been relinquished to others by the assured ... and if such occurrence occurs away from premises owned, rented or controlled by the assured
(6) arising out of operations, if the occurrence occurs after such operations have been completed or abandoned and occurs away from premises owned, rented or controlled by the Insured; provided that operations shall not be deemed incomplete because improperly or defectively performed or because further operations may be required pursuant to an agreement....117
Exclusions A.ll.h and A.11.0 are “conditional exclusions,” meaning that their operation is conditional on the underlying liability policy not providing coverage. In other words, those provisions would not exclude coverage for a given claim if the primary XL policy discussed above covers that claim.
The XL bumbershoot policy also contains a notice provision, which reads as follows:
L. Notice of Occurrence
Whenever the Insured has information from which the Insured may reasonably conclude that an occurrence covered hereunder involved injuries or damages which, in the event that the Insured should be held liable, is likely to involve this Policy, notice shall be sent to [XL] as soon as practicable provided, however, that failure to noti*746 fy [ XL] of any occurrence which at the time of its happening did not appear to involve this Policy, but which at a later date, would appear to give rise to claims hereunder, shall not prejudice such claims.118
Each of the four Bumbershoot policies (the first layer policy issued by XL and the second, third, and fourth layer policies issued by Continental) provides that the insurer has no duty to defend a claim made or suit brought against the insured.
D. The Parties’ Arguments
Bollinger argues that it is entitled to summary judgment on its claims for defense costs and bad faith penalties against XL because the XL Policies unambiguously afford Bollinger defense costs in the underlying lawsuit and because XL has been “unreasonable” in having paid no defense costs since the United States filed its complaint. According to Bollinger, at least some of the United States’ allegations were based on “property damage” caused by “occurrences” that took place in the coverage territory and during the relevant policy periods, and are not otherwise excluded by the policies. Hence, Bollinger contends, XL had a duty to defend Bollinger against the entire lawsuit.
In response, XL offers two sets of arguments in favor of its contention that it is entitled to summary judgment against Bol-linger. First, XL contends that Bollinger breached its obligations under the XL Policies to (a) provide prompt notice of the United States’ claim to XL; (b) cooperate with XL in the investigation of that claim; and (c) obtain XL’s consent before incurring defense costs. Second, XL argues that, even putting aside Bollinger’s breaches of the policy provisions, the factual allegations of the United States’ complaint do not disclose any possibility of liability under the policies because (a) the fortuity or “known loss” rule excludes coverage under several policies; (b) there was no “occurrence” within the meaning of the policies; and (c) the following exclusions exclude coverage: (i) the “Impaired Property” exclusion (Exclusion 26); (ii) the “Sistership” exclusion (Exclusion 27); (iii) the “Predetermined/Guaranteed Level of Fitness or Performance” exclusion (Exclusion 28); and (iv) the “Dishonesty or Infidelity” exclusion (Exclusions 32.e-f). XL also asserts that Bollinger has not properly substantiated the amount of defense costs that it has requested.
For its part, Continental contends that it is entitled to summary judgment on all of Bollinger’s claims because it has no duty to defend Bollinger; because, regardless of the Fifth Circuit’s ruling on appeal of the underlying lawsuit, none of the United States’ remaining claims are covered under the Continental policies; and because Bollinger failed to provide Continental with adequate notice of the United States’ claims.
II. LEGAL STANDARD
Summary judgment is warranted when “the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(a); see also Celo-tex Corp. v. Catrett, 477 U.S. 317, 322-23, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986); Little v. Liquid Air Corp., 37 F.3d 1069, 1075 (5th Cir. 1994). When assessing whether a dispute as to any material fact exists, the Court considers “all of the evidence in the record but refrain[s] from
If the dispositive issue is one on which the moving party will bear the burden of proof at trial, the moving party “must come forward with evidence which would ‘entitle it to a directed verdict if the evidence went uncontroverted at trial.’ ” Int’l Shortstop, Inc. v. Rally’s, Inc., 939 F.2d 1257, 1264-65 (5th Cir. 1991). The non-moving party can then defeat the motion by either countering with evidence sufficient to demonstrate the existence of a genuine dispute of material fact, or “showing that the moving party’s evidence is so sheer that it may not persuade the reasonable fact-finder to return a verdict in favor of the moving party.” Id. at 1265.
If the dispositive issue is one on which the nonmoving party will bear the burden of proof at trial, the moving party may satisfy its burden by merely pointing out that the evidence in the record is insufficient with respect to an essential element of the nonmoving party’s claim. See Celo-tex, 477 U.S. at 325, 106 S.Ct. 2548. The burden then shifts to the nonmoving party, who must, by submitting or referring to evidence, set out specific facts showing that a genuine issue exists. See id. at 324, 106 S.Ct. 2548. The nonmovant may not rest upon the pleadings, but must identify specific facts that establish a genuine issue for trial. See, e.g., id.; Little, 37 F.3d at 1075 (“Rule 56 ‘mandates the entry of summary judgment, after adequate time for discovery and upon motion, against a party who fails to make a showing sufficient to establish the existence of an element essential to that party’s case, and on which that party will bear the burden of proof at trial.’ ” (quoting Celotex, 477 U.S. at 322, 106 S.Ct. 2548)).
III. DISCUSSION
A. The Admissibility of the St. Ger-main Declaration and Related Exhibits
Before addressing the merits of this dispute, the Court must attend to a preliminary evidentiary matter. XL argues that paragraphs 14, 15, 22, 23, 25, and 26 of the declaration of Bollinger’s Chief Financial Officer, Andrew St. Germain,
Federal Rule of Civil Procedure 56(c)(4) provides that “[a]n affidavit or declaration used to support or oppose a motion [for summary judgment] must be made on personal knowledge, set out facts that would be admissible in evidence, and show that the affiant or declarant is com
In his declaration, St Germain avers as follows:
14. Receipt of the U.S. lawsuit was the first time Bollinger learned that the United States would allege it had negligently misrepresented anything, or that it had allegedly enriched itself unjustly.
15. Upon receipt of this lawsuit, Bol-linger promptly notified its insurers.
22. Attached to Bollinger’s Motion for Summary Judgment as Exhibit “L” is a true, correct, and complete copy, kept in the regular course of business, of Bollinger’s submission ■ to XL Speeiálty of legal expenses relating to the damages alleged by the United States of America, dated September 25, 2013.
23. Exhibit “N” attached to Bollinger’s Motion for Summary Judgment, is a true and accurate reflection of the attorneys’ fees and costs Bol-linger has incurred in relation to its claims against XL Specialty, as of December 9, 2013, which have been kept in the regular course of Bol-linger’s business. These documents evidence that Bollinger has incurred $24,959.00 in attorneys’ fees and $478.18 in costs in pursuing XL Specialty for defense costs and coverage in this matter.
25. In relation to the damages alleged to the eight USCG vessels, Bollinger, between February 29, 2008, and July 29, 2011, incurred $3,332,-585[122 ] in legal and related expenses in dealing with the United States of America.
26. Since the filing of the U.S. lawsuit, between July 29, 2011, and November 30, 2013,[123 ] Bollinger has incurred $5, 657, 780 [124 ] in legal and related expenses in relation to the damage claims relating to the eight USCG vessels.125
St. Germain’s declaration is devoid of facts suggesting that he has personal knowledge of the discussions between the United States and Bollinger before the FCA suit was filed. His deposition testimony confirms that he does not in fact have that knowledge. With regard to the progress of the United States’ investigation, St. Germain admitted that he had no “independent knowledge of what Bollinger knew or didn’t know about the claims that the government was making prior to receipt of the U.S. law
B. Louisiana Law On Insurance Contracts
1. General Principles of Contract Interpretation
The parties agree that Louisiana law governs this contractual dispute. “Under Louisiana law, ‘an insurance policy is a contract that must be construed in accordance with the general rules of interpretation of contracts set forth in the Louisiana Civil Code.’ ” Coleman v. Sch. Bd. of Richland Parish, 418 F.3d 511, 516 (5th Cir. 2005) (quoting Am. Int’l Specialty Lines Ins. Co. v. Canal Indem. Co., 352 F.3d 254, 262 (5th Cir. 2003)). The Civil Code instructs that a court, in interpreting a contract, must ascertain the common intent of the parties. La. Civ.Code art. 2045; Coleman, 418 F.3d at 516; La. Ins. Guar. Ass’n v. Interstate Fire & Cas. Co., 630 So.2d 759, 763 (La. 1994). “When the words of a contract are clear and explicit and lead to no absurd consequences, no further interpretation may be made in search of the parties’ intent.” La. Civ. Code art. 2046. The words in a contract are assumed to carry their “generally prevailing meaning,” unless the words have acquired a technical meaning. La. Civ. Code art. 2047; La. Ins. Guar. Ass’n, 630 So.2d at 763. Moreover, “[e]ach provision in a contract must be interpreted* in light of the other provisions so that each is given the meaning suggested by the contract as a whole.” La. Civ.Code art. 2050.
“An insurance policy should not be interpreted in an unreasonable or a strained manner so as to enlarge or to restrict its provisions beyond what is reasonably contemplated by its terms or so as to achieve an absurd conclusion.” La. Ins. Guar. Ass’n, 630 So.2d at 763. “Absent a conflict with statutory provisions or public policy, insurers, like other individuals, are entitled to limit their liability and to impose and enforce reasonable conditions upon the policy obligations they contractu
“With respect to coverage, the insured bears the burden of proving that the incident giving rise to a claim falls within the policy’s terms.” Coleman, 418 F.3d at 517 (citing Doerr v. Mobil Oil Corp., 774 So.2d 119, 124 (La. 2000)). But the insurer bears the burden of proving that an exclusion to coverage applies. Id. Exclusions “are construed strictly against the insurer and in favor of coverage.” Id.; accord Garcia, 576 So.2d at 976.
The scope of a duty to defend contained in a liability insurance policy is generally “broader than the scope of the duty to provide coverage.” Coleman, 418 F.3d at 523 (quoting Suire v. Lafayette City-Parish Consol. Gov’t, 907 So.2d 37, 51-52 (La. 2005)); accord Lamar Advertising Co. v. Cont’l Cas. Co., 396 F.3d 654, 660 (5th Cir. 2005). When determining an insurer’s duty to defend, the court follows the “Eight Corners” rule: if, after comparing the terms of the policy to the allega-^ tions of the complaint, the Court determines that “ ‘there are any facts in the complaint which, if taken as true, support a claim for which coverage is not unambiguously excluded,’ the insurer must defend the insured.” Lamar Advertising, 396 F.3d at 660 (quoting Complaint of Stone Petroleum Corp., 961 F.2d 90, 91 (5th Cir. 1992)). “In making this determination, the Court must liberally interpret the complaint.” Id. But, while the Court must accept as true the facts alleged in the complaint for purposes of applying the Eight Corners rule, the Court need not credit “statements of conclusions ... that are unsupported by factual allegations.” Coleman, 418 F.3d at 523 (quoting Jensen v. Snellings, 841 F.2d 600, 612 (5th Cir. 1988)); accord William S. McKenzie & H. Alston Johnson, III, 15 Louisiana Civil Law Treatise, Insurance Law & Practice § 7:2 (4th ed. 2012) (“It is well settled that the allegations of fact, and not conclusions, contained in the petition determine the obligation to defend.”); cf. PPI Tech. Servs., L.P. v. Liberty Mut. Ins. Co., 515 Fed.Appx. 310, 314 (5th Cir. 2013) (“[T]he court must focus on the factual allegations that show the origin of the damages rather than the legal theories alleged.... It is not the cause of action alleged that determines coverage but the facts giving rise to the alleged actionable conduct.” (citations omitted) (internal quotation marks omitted) (applying Texas law)). “[OJnce a complaint states one claim within the policy’s coverage, the insurer has a duty to accept defense of the entire lawsuit, even though other claims in the complaint fall outside of the policy’s coverage.” Coleman, 418 F.3d at 523 (alteration in original) (quoting Montgomery Elevator Co. v. Bldg. Eng’g Servs. Co., 730 F.2d 377, 382 (5th Cir. 1984)); accord McKenzie & Johnson, supra, § 7:2.
2. Penalties for Failing to Pay Insurance Claims
Louisiana law authorizes the recovery of bad faith penalties' from insurers
The phrase “arbitrary and capricious” means “[v]exatious” or “unjustified, without reasonable or probable cause or excuse.” Dickerson, 556 F.3d at 297 (quoting Reed v. State Farm Mut. Auto. Ins. Co., 857 So.2d 1012, 1021 (La. 2003)). “An insurer does not act arbitrarily and capriciously ... when it withholds payment based on a genuine (good faith) dispute about the amount of a loss or the applicability of coverage.” Id. at 297-98 (citing Calogero v. Safeway Ins. Co. of La., 753 So.2d 170, 173 (La. 2000)). “Whether or not a refusal to pay is arbitrary, capricious, or without probable cause depends on the facts known to the insurer at the time of its action.... ” Reed, 857 So.2d at 1021.
C. XL Is Entitled to Summary Judgment
1. Duty to Defend
As a threshold matter, the Court briefly addressees the question of which XL policy or policies are at issue in this dispute. In its briefing, XL argued that the United States’ claims in the FCA lawsuit could potentially trigger only one of its policies, Policy PXMC-850151, which covers the policy period from September 30, 2003 to September 30, 2004. In contrast, Bollinger’s briefing on these motions suggested that more than one policy could be triggered.
XL is correct. Each of the XL policies “applies to ... ‘property damage’ only if ... [t]he ... ‘property damage’ occurs during the policy period.”
In any event, the parties agree that all of the XL policies are identical in all relevant respects. Therefore, the Court’s analysis applies to each of the policies equally. Accordingly, whether only one policy is implicated or more than one policy is implicated does not affect the Court’s analysis or conclusions about whether XL had a duty to defend Bollinger in the FCA lawsuit. For the purpose of clarity, the Court limits its discussion for the remainder of this order to XL Policy PXMC-850151 (henceforth referred to simply as the “XL policy”).
The Court finds that the XL policy does not cover the United States’ lawsuit and hence does not impose upon XL a duty to defend Bollinger because the claims for negligent misrepresentation and unjust enrichment are based entirely on allegations that fall within Exclusion 28 of the XL Policy and because the claims for common law fraud and the claims under the False Claims Act fall within Exclusions 32.e and 32.f. of the XL Policy.
Exclusion 28 (Predetermined/Guaranteed Level of Fitness/Performance)
Exclusion 28 provides that the XL Policy does not apply to “[t]he failure of your products and/or ‘your work’ to meet any predetermined level of fitness or performance and/or guarantee of such fitness or level of performance and/or any consequential loss arising therefrom.”
A plain reading of the complaint reveals that the basis of the United States’ claims for negligent misrepresentation and unjust enrichment is the failure of Bollinger’s work to meet the longitudinal strength “level represented by Bollinger” throughout the bidding and development stages of the project.
After a careful review of the allegations in the complaint, however, the Court concludes that even without using the precise word “predetermined,” the United State's nevertheless clearly alleges that Bollinger’s work failed to meet a “predetermined level of fitness or performance.” The Court applies the “Eight Corners” rule, comparing the terms, of the exclusion against the facts supporting the United States’ negligent misrepresentation and unjust enrichment claims. The Court focuses on the facts alleged, not conclusory labels applied to the claims. As the court stated in Quick v. Ronald Adams Contractor, Inc., 861 So.2d 278, 282 (La.Ct.App. 2003): “While the allegations of the petition are liberally interpreted in determining whether they set forth grounds that bring the claim within the scope of insurer’s duty to defend a suit brought against an insured, allegations of fact, and not conclusions, contained in the petition, determine the obligation to defend.” See also Lodwick, L.L.C. v. Chevron U.S.A., Inc., 126 So.3d 544, 551 (La.Ct.App. 2013) (studying the factual allegations in a complaint to determine whether the factual basis for a variety of claims—including, inter alia, breach of contract and unjust enrichment—was conduct falling within the pollution exclusion of an insurance policy for purposes of evaluating duty to defend).
According to the United States’ complaint, Bollinger was responsible for the
According to the complaint, the Coast Guard, relying in part on Bollinger’s representations that the modified cutters would possess sufficient hull strength, selected IGCS to perform the work on the Deepwater program.
The Coast Guard went ahead with issuing its remaining work orders for the cutters.
*755 Efforts to increase the longitudinal strength of the vessels were made by ICGS and the Coast Guard after the MATAGORDA’S failure; these efforts did not increase the longitudinal strength to the level represented by Bol-linger in its CDRLs. The modified cutters are now" unusable. Had the Coast Guard been aware of the true section modulus at the time it issued the DTOs, it would not have proceeded with Bol-linger’s design for the modification of the 110-Ft WPBs.151
After the failure of the first ship, calculations revealed that the true section modulus of the modified cutters was 2,615 cubic inches, well below the ABS standard.
The entire basis for the allegations that the cutters were “unusable,” a “loss,” and “unseaworthy” is that they did not meet the longitudinal strength “level represented by Bollinger” throughout the bidding and development stages of the project.
In sum, the conduct that forms the basis of the United States’ claims for negligent misrepresentation and unjust enrichment is (1) the “representation” that Bollinger’s work would meet a “predetermined level of performance”—specifically, at a minimum, the 3113 cubic inches section modulus required by the ABS—and (2) the failure of Bollinger’s work to meet this predetermined level of performance. Because this failure both forms the entire basis of the United States’ claims for negligent misrepresentation and unjust enrichment and falls squarely within Exclusion 28 of the XL policy, the exclusion prevents the policy from covering either claim.
Finally, although the United States did not make out a distinct cause of action for property damage, to the extent that it sought damages for “loss of the
In support of its position, Bollinger cites Underwriters at Lloyd’s London v. OSCA, Inc., Nos. 03-20398, 03-20817, 03-21021, 2006 WL 941794, 2006 U.S.App. LEXIS 9717 (5th Cir. Apr. 12, 2006), and Todd Shipyards Corp. v. Turbine Serv., Inc., 674 F.2d 401 (5th Cir. 1982). Neither case applies here because the language of the insurance policies in OSCA and Todd Shipyards differed markedly from the language of the XL Policy. In OSCA, OSCA had been hired to set a bridge plug in a fixed platform operated by a company called Newfield. OSCA failed to include a “back pressure valve” in the coiled tubing assembly that it used to set the bridge plug, and this failure resulted in an “uncontrolled blowout” that severely damaged the platform. 2006 WL 941794, at *1-2, 2006 U.S.App. LEXIS 9717, at *6-7. OSCA carried a liability insurance policy containing an exclusion that read as follows:
E. EFFICACY, LOSS OF USE, ETC.
Liability of the insured:
(1) arising out of the failure of any Insured’s Products or of work, including architectural or engineering services, by or on behalf of any Insured to meet any warranty or representation by any Insured as to the level of performance, quality, fitness or durability or extent that such liability is for the diminished value or utility of Insured’s Products or work by or on behalf of any Insured;
(2) without limiting paragraph (1) of the Exclusion E. in respect of Property Damage to any Insured’s Products or of work, including, without limitation, architectural or engineering services, performed by or on behalf of any Insured, if such Property Damage arises out of any portion of such ... work, or out of materials, parts or equipment furnished in connection therewith.
Id. at *19-20, 2006 U.S.App. LEXIS 9717, at *65 (emphasis added). The Fifth Circuit, noting that this provision applied only to damage to the insured’s work itself, held that it did not apply to the damages to the platform, because the platform was not considered the “work” of OSCA. OSCA’s “work” was the setting of the bridge plug, and consequently the exclusion covered only damage to that specific part of the platform. Id. at *21-22, 2006 U.S.App. LEXIS 9717, at *69-73.
Similarly, in Todd Shipyards, the court interpreted an exclusion for “property damage to work performed by ... the named insured arising out of the work or any portion thereof’ to apply only to “the particular work performed by the insured, but not the overall damage that the incorporation of the defective work product causes to the entire entity.” 674 F.2d at 420-21 (emphasis added).
Here, in contrast, Exclusion 28 of the XL Policy is not limited to liability arising out of damage to the particular work performed by the insured. It broadly provides that liability for “[t]he failure of your products and/or ‘your work’ to meet any predetermined level of fitness or performance and/or guarantee of such fitness or
Exclusions 32. e and 32.f (Dishonesty and Infidelity Exclusions)
XL contends that two exclusions relating to deception, dishonesty, and infidelity apply to the United States’ claims: one for “[a]ctual or alleged liability arising out of or incidental to any alleged violation(s) of any federal or state law ... governing ... deceptive acts and practices in trade and commerce,” and one for “[a]ctual or alleged liability arising out of or contributed to by [the insured’s] dishonesty or infidelity.”
Bollinger rightfully concedes that these exclusions, by their plain terms, preclude coverage for the United States’ common law fraud claims and its claims under the False Claims Act.
2. Other Exclusions
Since the Court has resolved the duty to defend issue on the basis of Exclusion 28, Exclusion 32.e, and Exclusion 32.f, the other exclusions briefed by the parties are not essential to the result and thus do not merit extended discussion. For the sake of completeness, however, the Court briefly explains why the other exclusions asserted by XL fail to exclude all of the claims in the United States’ complaint.
Exclusion 1 (“Intentional Acts” Exclusion)
XL suggests that it does not owe Bollinger defense costs because the United States’ complaint alleges only intentional acts of fraud. Specifically, XL argues that the United States’ claims for negligent misrepresentation and unjust enrichment are not supported by the facts actually alleged. XL is incorrect. The United States’ complaint plausibly alleges negligent (as opposed to intentional) misrepresentation. Indeed, when the Court granted Bollinger’s first motion to dismiss in the underlying suit, it explicitly held that “the United States’ factual allegations identify the elements of duty, breach, and damages necessary for a plausible negligent misrepresentation claim.” United States v. Bollinger Shipyards, Inc., Civil Action No. 12-920, 2013 WL 393037, at *11 (E.D.La. Jan. 30, 2013). Accordingly, at least one of the United States’ claims alleged a non-intentional act. Thus, Exclusion 1 does not absolve XL of the duty to defend.
Exclusion 26 (“Impaired Property” Exclusion)
XL also contends that Exclusion 26 absolves it of any duty to defend the United States’ lawsuit. That exclusion provides that the policy does not apply to
“Property damage” to “impaired property” or property that has not been physically injured, arising out of:
*758 a. A defect, deficiency, inadequacy or dangerous condition in “your product” or “your work;” or
b. A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms.
This exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to “your product” or “your work” after it has been put to its intended use.163
“Impaired property” is defined as “tangible property, other than ‘your product’ or ‘your work,’ that cannot be used or is less useful because ... [i]t incorporates ‘your product’ or ‘your work’ that is known or thought to be defective, deficient, inadequate or dangerous,” if the property “can be restored to use by ... [t]he repair, replacement, adjustment, or removal of ‘your product’ or ‘your work.’ ”
Louisiana case law is clear that the impaired property exclusion does not apply to property that has been physically injured. See, e.g., Stewart Interior Contractors, L.L.C. v. Metalpro Indus., L.L.C., 969 So.2d 653, 664 (La.Ct.App. 2007) (citations omitted) (“We find the ‘impaired property’ exclusion to be clear and unambiguous. The exclusion precludes coverage for damage to property that has not been physically injured or for which only loss of use is sought.... [T]he exclusion does not apply where there is physical damage- to property other than the insured’s work or product after the product has been put to its intended use.”); see also Martco Ltd. P’ship v. Wellons, Inc., 588 F.3d 864, 876 (5th Cir. 2009) (holding that any damages based on “actual physical injury” would not be excluded under an impaired property provision); McKenzie & Johnson, supra, § 6:20 (“The exclusion is not applicable when there is loss of use due to physical injury to the tangible property.”). This rule prevents Exclusion 26 from absolving XL of its duty to defend, because the United States’ complaint alleges damages for “actual physical injury” to the MATAGORDA. Martco, 588 F.3d at 876.
In addition, the Fifth Circuit held in Martco that the “restoration provision” of the “impaired property” definition limits the exclusion to situations in which the impaired property can be completely restored by the replacement or repair of the work done by the insured. Id. There, Martco, a budding product manufacturer, had hired Wellons to make certain improvements to a thermal oil heating system located at a plant owned by Martco. Id. at 870. The “improvements” did not work out as planned, however; following the completion of Wellons’ work, numerous problems arose with the heating system that allegedly damaged the infrastructure of the plant and resulted in “unplanned downtime.” Id. at 870-71. The Fifth Circuit held that an exclusion in Wellons’ liability insurance policy virtually identical to Exclusion 26 did not preclude coverage for the lawsuit that Mart-co eventually brought against Wellons. Id. at 875-76. The court reasoned that “for the exclusion to apply, the complaint must unambiguously state that ‘impaired property is susceptible to full restoration by repairing, replacing, adjusting, or removing the insured’s ‘work’ or the insured’s ‘product.’” Id. at 876. “Nothing in the complaint unambiguously demonstrate[d] such a simple solution would repair Martco’s infrastructure.” Id. This was because Wellons’ defective work had caused other consequential damages to
Here, the complaint does not “unambiguously state” that simply remedying Bol-linger’s defective work would make the cutters usable. Id. To the contrary: the complaint specifically alleges that efforts to repair the cutters by “increasing] the longitudinal strength of the vessels” had been attempted and had failed.
Exclusion 27 (“Sistership” Exclusion)
Finally, XL argues that the policy’s “sistership” exclusion precludes coverage for the FCA lawsuit. The exclusion provides that the policy does not apply to
[d]amages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal or disposal of:
a. ‘Tour product”;
b. ‘Tour work”; or
c. “Impaired property”.
if such product, work or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, inadequacy or dangerous condition in it.166
The name “sistership exclusion” is “derived from aircraft coverage in situations in which the crash of an airplane would result in the grounding or recall of all sisterships.” McKenzie & Johnson, supra, § 6:22. “The exclusion deals only with damages resulting from activities with respect to the sisterships; it is not applicable to damages arising out of the original occurrence which gave rise to the apprehension about sisterships.” Id.; see also Todd Shipyards Corp. v. Turbine Serv., Inc., 674 F.2d 401, 419 (5th Cir. 1982) (“The [sister-ship] provision is intended to exclude from coverage the cost of preventative or curative action by withdrawal of a product in situations in which a danger is to be apprehended. It is not, however, intended to exclude from coverage damages caused by the very product whose failure to perform properly aroused apprehension about the quality of ‘sister’ products.”). Thus, the exclusion does not absolve XL of its duty to defend, because the United States’ complaint alleges damages “caused by the very product whose failure to perform” led to the withdrawal of the sisterships. Todd Shipyards, 674 F.2d at 419.
3. Notice
Because the Court has already resolved the duty to defend issue in XL’s favor on the basis of XL’s policy exclusions, the Court need not reach the question of whether Bollinger’s alleged breach of the policy’s notice provision might have also precluded coverage. Nevertheless, again in the interest of comprehensiveness and because the parties briefed the issue extensively, the Court addresses the question of notice here.
The XL policy provides that Bollinger “must see to it that [XL is] notified as soon as practicable after [Bollinger] become[s] aware of an ‘occurrence’ or an offense which may result in a claim.”
Bollinger argues that it fulfilled its notice obligations under the XL policy because it contacted its insurance broker, Willis, immediately after the Coast Guard revoked acceptance of the vessels. Willis, in turn, contacted XL’s claims administrator, Trident, to relay the information about the revocation. “The parties agree that at that time, Trident told Willis no claim needed to be reported because the “correspondence from the government implied possible criminal actions,” which were not covered by the XL policy.”
Nevertheless, Bollinger admits that Trident “advised that Bollinger should followup if the United States brought a specific claim for a specific dollar amount.”
It is clear that Bollinger was aware of an “ ‘occurrence’ ... which may result in a claim” by, at the latest, December 2008, when Bollinger and the United States executed the tolling agreement. Trident stated that Bollinger need not notify XL of the revocation of the eight cutters because it “implicated possible criminal actions, which ... were not covered by the Policy.”
“[W]hen prompt notice of a covered occurrence is a ‘condition precedent’ to recovery under an insurance poli
“Whether a notice provision is a ‘condition precedent’ to recovery depends on the language of the policy....” Settoon Towing, 720 F.3d at 277-78. The traditional rule in Louisiana has been that “express condition precedent language ... [is] necessary to make giving notice a condition precedent to recovery.” Gulf Island, 940 F.2d at 956; accord Peavey Co., 971 F.2d at 1173 (“The rule in Louisiana is that where the requirement of timely notice is not an express condition precedent, the insurer must demonstrate that it was sufficiently prejudiced by the insured’s late notice.” (emphasis added)); see also Transcontinental Pipe Line Corp. v. Nat’l Union Fire Ins. Co. of Pittsburgh, 378 F.Supp.2d 729, 738 (M.D.La. 2005) (“Louisiana law requires that th[e condition precedent] language be explicitly included in the insurance contract, and cannot be inferred.” (citing Am. Safety Risk Servs., Inc. v. Legion Indem. Co., 153 F.Supp.2d 869, 876 (E.D.La. 2001))).
The XL policy contains no express condition precedent language. Rather, XL asks the Court to infer a condition precedent by reading the notice provision in conjunction with the “no action” clause of the policy, which provides that “[n]o person or organization has a right under this insurance policy ... [t]o sue us on this Coverage Part-unless all of its terms have been fully complied with.”
Here, however, the XL Policy does not contain such strong language. The “no action” clause in the XL Policy provides that the insured cannot sue on the policy without complying with its terms, but it does not say that coverage is precluded if the General Conditions are not satisfied. Without stronger language, the Court concludes that a condition precedent “cannot be inferred.” Transcon. Pipe Line Corp., 378 F.Supp.2d at 738 (citing Am. Safety & Risk Servs., Inc. v. Legion Indem. Co., 153 F.Supp.2d at 876.). Thus, although XL
Since notice is not a condition precedent to recovery, XL can avoid liability on notice grounds only if it can show that it was prejudiced by Bollinger’s failure to give timely notice. Gulf Island, 940 F.2d at 956. Under Louisiana law, it is extraordinarily difficult for an insurer to show actual prejudice from breach of a notice condition at the summary judgment stage. Insurers are not entitled to summary judgment “based upon only ‘the naked delay in notifying the insurer of the suits brought against the insured,’ ..'. absent unusual or aggravated circumstances, such as failure to provide notice until after trial on the merits.” State ex rel. Div. of Admin., Office of Risk Mgmt. v. Nat’l Union Fire Ins. Co. of Louisiana, 56 So.3d 1236, 1246 (La.Ct.App. 2011) (quoting Miller v. Marcantel, 221 So.2d 557, 559 (La.Ct.App. 1969)). Relevant here, Louisiana courts have rejected arguments by insurers that they were prejudiced by reason of their inability to participate in pretrial discovery. See, e.g., Champion v. Panel Era Mfg. Co., 410 So.2d 1230, 1237-38 (La.Ct.App. 1982) (affirming jury finding that insurer was not prejudiced by its failure to receive notice until several weeks after trial because it had the opportunity to “re-take any depositions which had already been taken, or pursue any other discovery deemed necessary by counsel”). Prejudice has generally only been found at the summary judgment stage when the insurer is not notified until the eve of trial, or even after trial. See MGIC, 838 F.2d at 1386 n. 2 (citing Hallman v. Marquette Cas. Co., 149 So.2d 131, 135 (La.Ct.App. 1963)); Elevating Boats, Inc. v. Gulf Coast Mar., Inc., 766 F.2d 195, 199-200 (5th Cir. 1985); Branzaru v. Millers Mut. Ins. Co., 252 So.2d 769, 770 (La.Ct.App. 1971).
Gulf Island and Auster Oil & Gas, Inc. v. Stream, 891 F.2d 570 (5th Cir. 1990), are two clear examples of this phenomenon. In Gulf Island, the court held that a four-year delay on the part of the insured in notifying the insurer of damage to a vessel was not necessarily prejudicial, even though the delay effectively prevented the insurer from investigating the accident. 940 F.2d at 956 (“[T]here is insufficient summary judgment evidence that Lloyd’s, by not having the opportunity to send in its own experts, or otherwise by not being notified for over four years, has been prejudiced.”). In Stream, the Fifth Circuit found that summary judgment in favor of the insurer on the prejudice issue was improper even though the insurer had been notified of the underlying suit after the liability portion of the trial had taken place. 891 F.2d at 579. The court noted that there was evidence that the insurer would have denied coverage and a defense even had it been timely notified, that the insurer was represented at the liability portion of the trial, and that the insurer had not forfeited any defenses it might otherwise have. Id.
Here, XL was not prejudiced by Bollinger’s breach of its notice obligation. First, there is no merit to XL’s argument that Bollinger, by executing the tolling agreements with the United States, “waived rights that XL, on Bollinger’s behalf, could have exercised.”
Next, XL argues that the extensive pre-suit discovery in which Bollinger engaged was unnecessary given that the case was ultimately dismissed on the pleadings. But that contention is not necessarily accurate; the Court considered the advanced stage of discovery in making the determination to dismiss the underlying lawsuit with prejudice. See United States v. Bol-linger Shipyard, Inc., 979 F.Supp.2d 721, 734-35 (E.D.La. 2013). Moreover, given XL’s consistent position that the XL Policy does not. cover the United States’ claims, it appears likely that XL would have refused to defend Bollinger even if it had been timely notified. Cf. Stream, 891 F.2d at 579. Thus, XL’s contention that it might have “participate[d in] and eomment[ed] on the scope of pre-suit discovery and ... influence[d] the confection of a protective order” strains credulity.
Finally, Bollinger succeeded in getting the United States’ claims dismissed. XL appears to argue that perhaps the United States’ claims could have been dismissed sooner had Bollinger directly challenged the claims instead of pursuing a settlement. It is impossible to say that XL could have gotten the suit dismissed faster had it been notified of the Deepwater investigation earlier. XL makes this argument with the benefit of hindsight. Because XL, was not prejudiced by Bollinger’s failure to give timely notice, XL is not entitled to summary judgment based on Bollinger’s failure to provide timely notice as required under the XL Policy.
4- Bad Faith Claims
Because the Court has found that XL had no duty to defend Bollinger against the United States’ claims, Bollinger’s argument that XL acted in bad faith in refusing to reimburse Bollinger’s defense costs necessarily fails. See Little v. USAA Cas. Ins. Co., 655 F.Supp.2d 625, 635 (W.D.La. 2009) (“[ T]he question of bad faith is pretermitted by this Court’s determination that there is no coverage under the policies.”). XL is not liable for statutory penalties, attorneys’ fees, costs, or interest.
5. Duty to Indemnify
The United States has appealed this Court’s dismissal of the, underlying suit to the Fifth Circuit.
D. Continental Is Entitled to Summary Judgment
As the. basis for the Court’s June 24, 2013 order granting partial summary judg
As discussed above, the Court has since dismissed the underlying suit and the United States has appealed to the Fifth Circuit. The only claims remaining in the case on appeal are those brought under the False Claims Act. Therefore, any possible duty to defend or indemnify on Continental’s part could only arise from the FCA claims. Accordingly, the Court limits its analysis to the FCA claims. The FCA claims are not covered by Continental’s policy.
The Continental Policies follow on XL’s first layer bumbleshoot excess policy, which provides coverage to Bollinger for “sums ... [Bollinger] shall become legally liable to pay as damages on account of: ... personal injuries, including death at any time resulting therefrom, or ... property damage.”
A claim under the FCA is fundamentally not a claim for damages for either personal injury or property damage. The FCA provides, in relevant part, that any person who “knowingly presents, or causes to be presented, a false or fraudulent claim for payment or approval” or “knowingly makes, uses, or causes to be made or used, a false -record or statement material to a false or fraudulent claim” is liable to the United States for treble damages and civil penalties. 31 U.S.C. § 3729(a)(1)(A) & (B). In determining whether to impose liability under the False Claims Act, the Fifth Circuit considers “(1) whether there was a false statement or fraudulent course of conduct; (2) made or carried out with the requisite scienter; (3) that was material; and (4) that caused the government to pay out money or to forfeit moneys due (i.e., that involved a claim).” U.S. ex rel. Longhi v. United States, 575 F.3d 458, 467 (5th Cir. 2009). Accordingly, the government’s damages in an FCA claim consist solely of funds paid in reliance upon a false statement. Thus, an FCA claim, by definition, is not a claim for damages for personal injury or physical damages. Facts relating to a personal injury or physical damage may help establish the fraudulent nature of a claim for payment, but the personal injury or physical damages are not the damages for which an FCA claim seeks to recover.
The Seventh Circuit held that the insurer had no duty to defend Momence in the underlying suit. The court explained that “[although the allegations in the underlying complaint detailing the injuries suffered by Momence residents put a human touch on the otherwise administrative act of false billing, they need not be proven by the plaintiffs to prevail.” Id. at 695. All the plaintiffs needed to show was that Momence had “billed the government for services and a level of care it knew it was not providing.” Id.
Just as the underlying suit in Momence Meadows contained factual allegations of personal injury, the underlying suit here contains factual allegations of property damage. Most significantly, the United States alleges that on September 10, 2004, the Coast Guard cutter MATAGORDA “suffered a structural casualty that included buckling of the hull.”
Because neither of the two claims remaining in the underlying suit are covered by Continental’s policies, Continental is entitled to summary and declaratory judgment that it has no duty to defend or indemnify Bollinger in the under lying suit.
IY. CONCLUSION
For the foregoing reasons, the Court GRANTS XL’s motion for summary judgment, DENIES Bollinger’s cross-motion for summary judgment, DENIES XL’s motion to dismiss as moot, and GRANTS Continental’s motion for summary judgment.
. '‘Bollinger” refers collectively to Bollinger Shipyards, Inc.; Bollinger Shipyards Lock-port, L.L.C.; and Halter Bollinger Joint Venture, L.L.C.
. R. Doc. 88.
. R. Doc. 142.
. R. Doc. 146.
. R. Doc. 197.
.R. Doc. 184.
. R. Doc. 88 Ex. J at BGR-RAP-02049-50, ¶ 11.
. Id. at BGR-RAP-02050, ¶¶ 12-13.
. Id. at BGR-RAP-02050, ¶ 13; R. Doc. 88 Ex. G at 2-3.
. Id. at BGR-RAP-02050, ¶ 13
. Id. at BGR-RAP-02050-51, ¶ 15.
. Id. at BGR-RAP-02051, 115.
. Id. at BGR-RAP-02051, V 16.
. Id. at BGR-RAP-02051-52, ¶¶ 16-18.
. Id. at BGR-RAP-02052, ¶ 18.
. Id.
. Id. at BGR-RAP-02052, ¶ 20.
. Id. at BGR-RAP-02052, ¶ 21.
. Id.
. Id. at BGR-RAP-02053, ¶ 21.
. Id. at BGR-RAP-020553, ¶ 22.
. Id. at BGR-RAP-02053, ¶ 23.
. Id. at BGR-RAP-02053-54, ¶¶ 23-25.
. Id. at BGR-RAP-02054, ¶ 26.
. Id.
. Id. at BGR-RAP-02054, ¶ 29.
. - Id. at BGR-RAP-02055, ¶ 33.
. Id. at BGR-RAP-02054-55, ¶¶ 29.
.. Id. at BGR-RAP-02055, ¶ 30.
. Id. at BGR-RAP-02055, ¶¶ 31 & 33.
. Id. at BGP-RAP-02055, ¶ 34.
. Id. at BGR-RAP-02056, ¶ 36.
. Id.
. Id. at BGR-RAP-02055, ¶ 34.
. Id. at BGR-RAP-02056, ¶ 37.
. Id.
. R. Doc. 142-5.
. R. Doc. 88 Ex. I at 1.
. See R. Doc. 142-12; R. Doc. 142-14 at 10-11.
. R. Doc. 142-15.
. R. Doc. 142-20.
. R. Doc. 142-20 at 1.
. R. Doc. 142-14 at 5.
. Id. at 7-9.
. R. Doc. 142-21.
.R. Doc. 142-9 at 13-14.
. Id. at 14.
. R. Doc. 88 Ex. J at BGR-RAP-02047, ¶ 1.
. See id.
. See United States of America v. Bollinger Shipyards, Inc. et al., No. 13-31301.
. See id., Appellant's Br. at 13.
. R. Doc. 142-8 at 1.
. Id.
. See id. at 2.
. R. Doc. 140-2 at 2.
. Id.
. Id.
. See R. Doc. 142-12; R. Doc. 142-14 at 10-11.
. See R. Doc. 142-9 at 16-17.
. Id.; see also R. Doc. 142-10 at 2.
. R. Doc. 142-16 at 3.
. R. Doc. 142-14 at 9-10.
. R. Doc. 142-16 at 1.
. Bollinger appointed Gallagher as its insurance agent on February- 1, 2008. R. Doc. 142-17.
. See R. Doc. 142-9 at 10 (Willis has no record of having given notice, of the United States’ subpoena to any insurers); id. at 11 (Bollinger has no record of Gallagher giving notice of the United States’ subpoena to any underwriters in 2008); id. at 11-12 Bollinger admits that it has "no record of XL receiving notice of the United States’ claims against Bollinger prior to July 19, 2011,” or of Willis or .Gallagher providing such notice; R. Doc. 142-14 at 5-6 (admitting that Bollinger did not inform XL of its discussions with the United States conóeming the Deepwater project investigation until after July 18, 2011); (R. Doc. 146-8 at 1 Continental first received notice of the claim on July 20, 2011).
. R. Doc. 142-23 at 1.
. Id.
.R. Doc. 146-8.
. R. Doc. 88 Ex. J at BGR-RAP-2045 (letter from Bollinger to Gallagher regarding the underlying lawsuit).
. R. Doc. 88 Ex. G at 4.
. R. Doc. 88 Ex. K; R. Doc. 142-10 at 2.
. R. Doc. 88 Ex. K at 2.
. R. Doc. 142-10 at 3; R. Doc. 142-26.
. R. Doc. 142-19 at 9-11.
. R. Doc. 142-10 at 3; R. Doc. 142-14 at 10.
. R. Doc. 142-10 at 3.
. R. Doc. 142-19 at 10.
. R. Doc. 88 Ex. G at 4-5.
. See R. Doc. 1.
. See id. at 20-26.
. See Bollinger Shipyards, Inc., et al. v. XL Specialty Insurance Company, et al., No. 12-02098, R. Doc. 1.
. See Bollinger Shipyards, Inc., et al. v. XL Specialty Insurance Company, et al., No. 12-02098, R. Doc. 1-1 at 4.
. See id. at 3.
. R. Doc. 14.
. See R. Doc. 6.
. R. Doc. 59.
. Id. at 11-15 ("The [Continental] policies provide that that [Continental] has the right to participate in Bollinger’s defense but has no obligation to do so.” (citing Inst, of London Underwriters v. First Horizon Ins. Co., 972 F.2d 125, 126 (5th Cir. 1992))).
. Id. at 15-18.
. R. Doc. 88.
. R. Doc. 142.
. R. Doc. 146.
. R. Doc. 163.
. R. Doc. 185.
. R. Doc. 186 at 2.
. R. Doc. 88 Ex. G at 1-2.
. R. Doc. 88 Ex. C.
. As the Court explains below, Policy Number PXMC-850151 is in fact the only policy that could potentially cover the underlying lawsuit, because the only "occurrence” giving rise to the underlying suit happened during the policy period of this policy. See infra Section III.C.
. R. Doc. 88 Ex. C. atXL 00318.
. Id. at XL 00346.
. Id.
. Id. at XL 00344.
. Id. at XL 00320, XL 00328-29.
. Id. at XL 00342.
. Id. at XL 00346.
. Id. at XL 00347.
. Id. at XL 00336, 00338-40. Condition 5 has been amended by an endorsement to additionally provide that "knowledge of an occurrence by an agent, servant, or employee of the Insured shall not in itself constitute knowledge by the Insured unless an individual named insured, or a partner, or a manager or an 'executive officer' or other person specifically assigned to handle such insurance related matters of the Insured's corporation shall have received such notice from its agent, servant, or employee.” Id. at XL 00368. The parties do not dispute that Bollinger's "executive officers” had knowledge of the relevant occurrence(s) at the same time as did any of its employees. Accordingly, this endorsement is not relevant to the issues implicated in the present motions.
. R. Doc. 146-3 at 1-2.
. R. Doc. 146-4.
. R. Doc. 146-5.
. R. Doc. 146-6.
. R. Doc. 146-3 at 2; see also R. Doc. 146-4 at 6-7, 10, 13; R. Doc. 146-5 at 14; R, Doc. 146-6 at 7.
. R. Doc. 146-7 at 1.
. Id. at 19.
. Id. at 3.
. Id. at 6 (emphasis deleted).
. Id. (emphasis deleted).
. Id. at 6-10.
. Id. at 13.
. See id. at 11; R. Doc. 146-4 at 7; R. Doc. 146-5 at 14; R. Doc. 146-6 at 7; see also R. Doc. 59 at 11.
. R. Doc. 88 Ex. G.
. See R. Doc. 139-1.
. In the affidavit, "$2,504,967.02” has been stricken out and "$3,332,585” written in by hand.
. In the affidavit, "August 31” has been stricken out and “November 30” written in by hand.
. In the affidavit, "$5,804,577.98” has been stricken out and "$5,657,780” written in by hand.
. R. Doc. 88 Ex. G. at 4-5.
. R. Doc. 139-2 at 32; accord id. at 32-33 ("Q: ... Were you ever privy to any conversation or discussion between the United States ... and any Bollinger .representative' relative to the nature of the claims that the government was making against Bollinger, prior to the lawsuit being filed? A: The verbal conversation? ... No, ma’am.”); id. at 36-37 (St. Germain was not the “prime contact” in discussing the Deepwater investigation with the government),
. Id. at 39.
. Section 22:1973 was formerly codified at La.Rev.Sfat. § 22:1220. Credeur was decided before the revision and so cites to § 22:1220.
. R. Doc. 88 Ex. C. at XL 00318.
. See R. Doc. 88 Ex. J. at BGR-RAP-02056, ¶ 36.
. R. Doc. 88 Ex. Cat XL 00328.
. Id. at XL 00347.
. R. Doc. 88 Ex. J at BGR-RAP-02056, ¶ 37.
. 134 R. Doc. 245 at 9.
. Id.
. R. Doc. 88 Ex. C at XL 00328.
. Indeed, although Exclusion 28 shares elements with common exclusions such as the "Your Products” and “Your Work” exclusions, the precise formulation presented by Exclusion 28 appears to be sui generis. The Court’s survey of the case law reveals no cases interpreting an identically worded exclusion—in particular, one involving a "predetermined level of fitness or performance”— in state or federal court anywhere in the United States.
. R. Doc. 88 Ex. J at BGR-RAP-02050, ¶ 13.
. Id. at BGR-RAP-02050, ¶ 15.
. R. Doc. 88 Ex. J at BGR-RAP-02051, ¶ 16.
. Id. at BGR-RAP-02051-52, ¶¶ 16-18.
. Id. at BGR-RAP-02052, ¶ 20.
. Id.
. Id. at BGR-RAP-02053, ¶ 21.
. Id. at BGR-RAP-02054, ¶ 29.
. Id.
. Id. at BGR-RAP-02055, ¶ 33.
. Id. at BGR-RAP-02051-52, ¶ 18.
. Id. at BGR-RAP-02053, ¶ 22.
. Id. at BGR-RAP-02056, ¶ 37.
. Id.
. Id. at BGR-RAP-02056, ¶ 36.
. Id. at BGR-RAP-02056-57, ¶ 38.
. Id. at BGR-RAP-02059, ¶ 54.
. Id. at BGR-RAP-02059, ¶ 56.
. Id. at BGR-RAP-02056, ¶ 37.
. Id. at BGR-RAP-02050, ¶ 13.
. Id. at BGR-RAP-02051-52, ¶ 18.
. R. Doc. 140 at 19; R. Doc. 245 at 8.
. R. Doc. 88 Ex. C at XL 00329.
. See R. Doc. 140 at 20-21.
.Id. at 21 (citing Lamar Advertising Co. v. Cont’l Cas. Co., 396 F.3d 654, 660 (5th Cir. 2005)).
. R. Doc. 88 Ex. C at XL 00328.
. Id. at XL 00342.
. R. Doc. 88 Ex. J at BGR-RAP-02056, ¶ 37.
. R. Doc. 88 Ex. C at XL 00328.
. R. Doc. 88 Ex. C at XL 00338.
. R. Doc. 142-6 at 1.
. R. Doc. 142-1 at 13.
. R. Doc. 140 at 3; R. Doc. 142-1 at 13.
. R. Doc. 140.
. See R. Doc. 142-12; R. Doc. 142-14 at 10-11.
. R. Doc. 142-15.
. R. Doc. 142-20.
. R. Doc. 140-2 at 2.
.R. Doc. 142-20 at 1.
. R. Doc. 88 Ex. C at XL 00340.
. R. Doc. 142-1 at 20.
. R. Doc. 142-20 at 1.
. R. Doc. 142-1 at 21.
. See United States of America v. Bollinger Shipyards, Inc. et al., No. 13-31301.
. See id., Appellant's Br. 13.
. See R. Doc. 140 at 20-21.
.The policies explicitly provide that Continental "shall not be called upon to assume charge of the settlement or defense of any claim made or suit brought or proceedings instituted against the Assured.” R. Doc. 146-4 at 7.
. See R. Doc. 88-1 at 14.
. R. Doc. 146-7 at 3.
. Id. (emphasis deleted).
. R. Doc. 88 Ex. J at BGR-RAP-02056, ¶ 36.
Reference
- Full Case Name
- XL SPECIALTY INSURANCE COMPANY v. BOLLINGER SHIPYARDS, INC.
- Cited By
- 6 cases
- Status
- Published