American Safety Indemnity Company v. T.H. Taylor, Inc.
Opinion of the Court
A covered “occurrence” means “an accident” according to the terms of a Commercial General Liability Policy of insurance issued by American Safety Indemnity Company (American Safety) to its insureds, T.H. Taylor, Inc. and Terry H. Taylor (collectively Taylor).
The ultimate question in this action is: Does an arbitration proceeding brought against Taylor involve a claim of negligent conduct by Taylor (which would equate to an accident) or does the arbitration claim involve intentional wrongdoing by Taylor?
The district court delved into the evidence, decided that the arbitration claim against Taylor is based upon intentional, not negligent or accidental conduct, and entered summary judgment declaring that American Safety has no duty to defend Taylor in the matter. Taylor appeals. After de novo review
I
In December, 2007, Taylor as a general contractor entered into a Construction Agreement with a couple (the Owners) to build a residential home in Montgomery, Alabama, for a contract price of $756,099.00. Change orders during the work increased the price to $762,197.00. The Owners financed the project by securing a mortgage loan line of credit from Regions Bank. As the construction work progressed, Taylor obtained periodic draws or payments from the Bank based upon certifications by Taylor stating the percentage of completion of the work and assuring that all potential lien holders had been paid to date.
In December, 2008, work on the project was suspended on order of the Owners. Construction at that time was only 80% complete, yet Taylor had been paid
In 2009, three lawsuits were filed by lien claimants against Taylor and the Owners in Alabama state court.
Specifically, in order to receive an advance on the construction loan, it was represented that the completion of the construction of the residence was further advanced than it actually was, that all subcontractors or other persons furnishing labor, materials or equipment in the construction of said residence had been paid in full for monies paid to date, and that the proceeds of the requested advance will [sic] be used to pay the bills currently due and for no other purposes.
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At the time [Taylor] made the representation ... said representations were false and [Taylor] knew such representations were false.
After the filing of the cross claim, the Alabama court ruled that the dispute between Taylor and the Owners was subject to arbitration. The Owners then filed an “Arbitration Complaint” against Taylor that did not expressly identify any legal cause of action or theory of recovery, and omitted any reference to misrepresentations, falsity or fraud. The pleading merely alleged that Taylor “presented” requests for payment and received approximately $730,000.00 whereas “Regions Bank states [that] only $632,239.00 worth of work was completed.”
Taylor tendered the defense of the arbitration proceeding to American Safety, but American Safety declined any duty to defend and instituted this action seeking a declaratory judgment justifying that position.
II
The courts — including the Alabama courts — universally recognize that under a general liability insurance policy, the insurer’s duty to defend the insured against third party claims is broader or more extensive than the duty to indemnify. Eg., Hartford Cas. Ins. Co. v. Merchants & Farmers Bank, 928 So.2d 1006, 1009 (Ala. 2005); United States Fid. & Guar. Co. v. Armstrong, 479 So.2d 1164, 1167 (Ala. 1985); Ladner & Co., Inc. v. S. Guar. Ins. Co., 347 So.2d 100, 102 (Ala. 1977). This is
In applying these principles to this case, the problem presented to the district court was the question of what to do when the underlying pleading — the Arbitration Complaint — did not specify either a legal theory of recovery or allege any detail concerning the operative facts. Turning to Alabama law for a solution, the district court found ample authority for extending the inquiry beyond the arbitration complaint and examining the available evidence concerning the facts. See Hartford Cas. Ins. Co., 928 So.2d at 1010 and Ladner & Co. Inc., 347 So.2d at 103 (quoting Pacific Indem. Co. v. Run-A-Ford, Co., 276 Ala. 311, 161 So.2d 789, 795 (1964)) (“We are of the opinion that in deciding whether a complaint alleges [a covered injury], the court is not limited to the bare allegations of the complaint in the action against [the] insured but may look to facts which may be proved by admissible evidence .”). See also Perkins v. Hartford Ins. Group, 932 F.2d 1392, 1395 (11th Cir. 1991) (“Generally, the obligation of the insurer to defend its insured is determined by the allegations of the third-party complaint. When the insurer is uncertain what the complaint of the third-party is alleging, however, it has a duty to investigate the facts surrounding the incident in order to assess its duty to defend.”).
The matters examined by the district court in this instance consisted of the allegations of the Owner’s cross claim that resulted in the order to arbitrate as well as the claims made by the plaintiffs in the state court litigation, all of which suggested intentional conduct by Taylor.
We find no error in taking that approach in the circumstances of this case. The principal determinant in a duty-to-defend inquiry is the state of the pleadings in the underlying litigation, and here, those
We also agree with the district court’s conclusion that the facts alleged by the pleadings — apart from the conclusory allegations of fraud — strongly infer intentional deception by Taylor. The magnitude of the dollar discrepancies between Taylor’s total draws from the bank as compared to the percentage of completion of the project, plus the added factor of the unpaid subcontractors and materialmen, all of which built up over a period of a year, strongly infer knowing deception in the certificates made to the bank. Especially during the latter part of that period of time thereby justifying the claim of willful fraud as originally pled by the owners in their cross claim. American Safety was equally justified — for the same reasons — in declining a duty to defend when the claim moved to arbitration. The district court also noted that Taylor has given no explanation in any of its filings in this action that would tend to refute the intentional nature of its conduct.
Taylor’s argument in response is that the approach followed by the district court effectively misapplied the appropriate burden of proof. Specifically, Taylor contends that when the district court could not resolve the issue on the basis of the arbitration complaint standing alone, it should have given Taylor the benefit of the rule that, in the case of doubt or ambiguity in the application of an insurance policy, the issue is to be resolved in favor of the insured. Ladner & Co., Inc., 347 So.2d at 102; Pharmacists Mut. Ins. Co. v. Godbee Med. Distrib., Inc., 733 F.Supp.2d 1281, 1283 (M.D.Ala. 2010). Further, Taylor argues that in moving for summary judgment American Safety had the burden of establishing that the underlying claim is one of noncovered intentional conduct, that Taylor had no burden to prove otherwise and, indeed, was entitled as the non-moving party to all reasonable inferences in its favor. We are not persuaded by these arguments and agree with the district court in rejecting them.
Numerous other cases in Alabama illustrate this dichotomy in Alabama law, both in declaratory judgment actions by insurers and coverage actions by insureds. See, e.g., Twin City Fire Ins. Co. v. Alfa Mut. Ins. Co., 817 So.2d 687, 697 (Ala. 2001) (declaratory judgment action by insurer: “Twin City [the insurer] has the
Finally, allocation of the burden of persuasion was compounded against Taylor in this instance because Taylor was defending a motion for summary judgment. While it is correct under Rule 56 of the Federal Rules of Civil Procedure that the non-moving party is entitled to all favorable inferences to be drawn from the evidence in determining whether a genuine issue of fact exists, once the movant has demonstrated that the facts of record warrant judgment in its favor, the party having the burden of proof at trial must come forward with evidence and argument to sustain that burden. Celotex Corp. v. Catrett, 477 U.S. 317, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986); Josendis v. Wall to Wall Residence Repairs, Inc., 662 F.3d 1292, 1315 (11th Cir. 2011). Taylor did not do so.
It follows that the district court was correct in examining the evidence and concluding that American Safety has no duty to defend the arbitration claim against Taylor.
It bears mentioning, however, that like the Supreme Court of Alabama in Ladner & Co., Inc. v. S. Guar. Ins. Co., supra, we are comforted in the result at this stage of the ongoing litigation by the fact that American Safety is acting at its peril. The duty to indemnify remains undecided, and if it evolves that the claim against Taylor is decided in a way that triggers coverage under the policy at issue, the decision made today will be moot.
AFFIRMED.
. There is no dispute that the law of Alabama supplies the rule of decision, and under that law the term "accident" is defined as "[a]n unintended and unforeseen injurious occurrence ... something unforeseen, unexpected, or unusual.” Hartford Cas. Ins. Co. v. Merchants & Farmers Bank, 928 So.2d 1006, 1011 (Ala. 2005) (internal citations and quotations omitted).
. This court reviews de novo the district court’s entry of summary judgment, viewing the record and drawing all reasonable inferences in a light most favorable to the non-moving party. HR Acquisition I Corp. v. Twin City Fire Ins. Co., 547 F.3d 1309, 1313-1314 (11th Cir. 2008) (citing Patton v. Triad Guar. Ins. Corp., 277 F.3d 1294, 1296 (11th Cir. 2002)).
. Taylor was sued in all three cases. The Owners were named defendants in two of the suits.
. American Safety also sought a declaratory judgment that, in addition to a lack of any duty to defend Taylor, it lacked any duty to indemnify Taylor as well. The district court correctly declined to consider that claim because it was premature and did not constitute a present case or controversy. Similarly, a counterclaim by Taylor against American Safety for breach of contract and for bad faith refusal to investigate was correctly rejected by the district court after it concluded that American Safety had no duty to defend the arbitration claim. There was no breach of contract and, therefore, no bad faith in refusing to perform it. Besides, the uncontradicted evidence showed that American Safety did investigate the claim and sought the advice of independent counsel before asserting the absence of a duty to defend. We affirm those rulings without further discussion.
. Alabama Rules of Evidence Rule 801(c), patterned after the Federal Rules, expressly limits the definition of hearsay to statements that "a party offers in evidence to prove the truth of the matter asserted in the statement.”
Dissenting Opinion
dissenting.
I respectfully dissent from the majority’s ultimate conclusion that there was evidence of intentional conduct by Taylor to permit summary judgment in favor of American Safety. I agree that under Alabama law the district court was permitted to look beyond the allegations of the arbitration complaint and could “look to facts which may be proved by admissible evidence .... ” Hartford Cas. Ins. Co. v. Merchants & Farmers Bank, 928 So.2d 1006, 1010 (Ala. 2005). In this case, however, American Safety did not present any admissible evidence (by way of an affidavit, a deposition, or an admissible exhibit) showing that Taylor acted intentionally. Instead, the district court exclusively relied on the allegations in a prior cross-claim filed by the owners to determine that the conduct alleged in the arbitration complaint (also filed by the owners) was necessarily intentional.
In my view, these prior allegations are not evidence. They are allegations that,
At most, we have the non-proven allegations of one pleading (the cross-claim) juxtaposed against the non-proven allegations of another pleading (the arbitration complaint). This is not the stuff from which summary judgment can be entered.
On this record there remains a possibility that Taylor acted unintentionally, and, as a result, American Safety has a duty to defend until it is clear that Taylor acted intentionally. See Bankers Fire & Marine Ins. Co. v. Leech, 280 Ala. 72, 189 So.2d 913, 916 (1966) (“By a long line of decisions we have held that insurance policies should be liberally construed in favor of the insured and strictly against the insurer ..., and, also, in the same case, that ambiguities should be resolved in favor of the insured.”) (citation omitted). This is especially true given that Alabama recognizes the tort of negligent misrepresentation. See Lawson v. Harris Culinary Ent., LLC, 83 So.3d 483, 492 (Ala. 2011) (“‘[Ljegal fraud’ includes misrepresentations of material fact made ‘by mistake or innocently’ as well as misrepresentations made ‘willfully to deceive, or recklessly without knowledge.’ ”) (citation omitted).
Reference
- Full Case Name
- AMERICAN SAFETY INDEMNITY COMPANY, Plaintiff-Appellee, v. T.H. TAYLOR, INC., Terry H. Taylor, Michael L. Rosenberg and Heidi M. Christi, Defendants-Appellants
- Cited By
- 16 cases
- Status
- Unpublished