AI Case Brief
Generate an AI-powered case brief with:
đKey Facts
âïžLegal Issues
đCourt Holding
đĄReasoning
đŻSignificance
Estimated cost: $0.10â$0.50 per brief, depending on opinion length and retries
Full Opinion
OPINION JONES, Chief Judge. In this declaratory judgment action applying Virginia insurance law, the issue is the proper interpretation of an automobile exclusion endorsement to a commercial liability insurance policy. Construing the plain language of the exclusion, I find that there is no liability coverage for a lawsuit claiming that the insureds negligently overloaded a non-owned coal truck, which negligence allegedly contributed to cause a motor vehicle accident. I The present dispute concerns a commercial liability insurance policy entitled Energy Industries General Liability Insurance (the âPolicyâ), issued by the plaintiff Federal Insurance Company (âFederalâ) to the defendants The New Coal Company, Inc. 1 (âNew Coalâ) and J.A.D. Coal Company, Inc. (âJ.A.D.â). New Coal and J.A.D. have been sued in tort in a state court for wrongful death and personal injuries following a motor vehicle accident, and Federal maintains that it is not obligated to provide coverage for any claims arising out of the accident because of a so-called Additional Auto Exclusion contained in an endorsement to the Policy. 2 In the underlying tort action, pending in Clay Circuit Court, Kentucky (the âKentucky Actionâ), it is asserted that on March 12, 2004, a tractor-trailer truck driven by Raymond G. Walker crossed the centerline of a Kentucky highway and struck an on-coming military Humvee driven by Kentucky National Guardsman Glenn Scott Stanfill. Glenn Scott Stanfill died as a result of the accident, and his son and passenger Joshua S. Stanfill sustained personal injuries. The complaint in the Kentucky Action contends that the accident was the result of both (1) the negligent operation of the truck by Walker, its driver, and (2) the negligent overloading of the truck by employees of New Coal and J.A.D. The driver Walker was not an agent or employee of New Coal or J.A.D., and the truck driven by him was not owned by them. Federal filed this action seeking a declaration that it does not have a duty to defend or indemnify New Coal or J.A.D. because of the Policyâs Additional Auto Exclusion. 3 The defendants have counterclaimed, seeking a declaration that there is coverage under the Policy and thus a duty by Federal to defend and indemnify them. The parties are agreed that there are no genuine issues of material fact presented in the case and that the Complaint and *651 Counterclaim can be determined on the present record and the partiesâ cross motions for summary judgment. II Federal courts sitting pursuant to their diversity jurisdiction must apply the law of the forum state, which here is Virginia. See Erie R.R. v. Tompkins, 304 U.S. 64, 78 , 58 S.Ct. 817 , 82 L.Ed. 1188 (1938). Under Virginiaâs choice of law rules, an insurance policy, like other contracts, must be applied and interpreted in accordance with the law of the state in which it was made. Lexie v. State Farm Mut. Auto. Ins. Co., 251 Va. 390 , 469 S.E.2d 61, 63 (1996). Because the Policy was delivered in Virginia, I must apply Virginia law to determine the issues in this case. See Res. Bankshares Corp. v. St. Paul Mercury Ins. Co., 407 F.3d 631, 636 (4th Cir.), cert. denied, â U.S. -, 126 S.Ct. 568 , 163 L.Ed.2d 463 (2005). In order to determine state law, a federal court must follow the decisions of the stateâs highest court, or, where the law is unclear, predict how that court would rule, based on âcanons of construction, restatements of the law, treatises, recent pronouncements of general rules or policies by the stateâs highest court, well considered dicta, and the stateâs trial court decisions,â among other things. Wells v. Biddy, 186 F.3d 505, 528 (4th Cir.1999). Under Virginia law, it is clear that âan insurerâs obligation to defend is broader than its obligation to pay, and arises whenever the complaint [against the insured] alleges facts and circumstances, some of which would, if proved, fall within the risk covered by the policy.â Berner v. Gen. Ins. Co. of Am., 219 Va. 101 , 245 S.E.2d 249, 251 (1978). Thus, an insurer may be obligated under a valid policy to mount a defense on its insuredâs behalf even when the ultimate resolution of the case indicates that there is no duty to indemnify. See Fuisz v. Selective Ins. Co. of Am., 61 F.3d 238, 242 (4th Cir.1995). However, where the record is clear that an insurer is excused from providing coverage under the provisions of its policy for any possible judgment based on the allegations, no duty to defend may be found. Town Crier, Inc. v. Hume, 721 F.Supp. 99, 102 (E.D.Va.1989). In determining whether an insurance company is excused from providing coverage under its policy, Virginia applies the basic principles of contract interpretation. Thus, âa court must adhere to the terms of a contract of insurance as written, if they are plain and clear and not in violation of law or inconsistent with public policyâ and it is not a courtâs âfunction to âmake a new contract for the parties different from that plainly intended and thus create a liability not assumed by the insurer.â â Blue Cross & Blue Shield v. Keller, 248 Va. 618 , 450 S.E.2d 136, 140 (1994) (quoting Pilot Bife Ins. Co. v. Crosswhite, 206 Va. 558 , 145 S.E.2d 143, 145 (1965)). Where insurance policies are âclear and unambiguous, their terms are to be taken in their plain, ordinary and popular sense.â Govât Employees Ins. Co. v. Moore, 266 Va. 155 , 580 S.E.2d 823, 828 (2003). However, an insurance policy is ambiguous where it can reasonably have more than one meaning given its context, and such ambiguities are to be resolved against the insurer and in favor of coverage. Hill v. State Farm Mut. Auto. Ins. Co., 237 Va. 148 , 375 S.E.2d 727, 730 (1989). Similarly, reasonable exclusions to coverage, when stated in the policy in clear and unambiguous language that is clearly applicable to a specific situation at hand, will be enforced. Transcon. Ins. Co. v. Rbmw, Inc., 262 Va. 502 , 551 S.E.2d 313, 318 (2001). Where exclusionary provisions are ambiguous, they will be interpreted in a manner that *652 provides coverage. Lower Chesapeake Assocs. v. Valley Forge Ins. Co., 260 Va. 77 , 532 S.E.2d 325, 331-32 (2000). The Policy obligates Federal to âpay those sums that the insured becomes legally liable to pay as damages because of bodily injuryâ and âto defend any suit seeking those damages.â (Policy 1.) It is thus undisputed that the Policy, absent the Additional Auto Exclusion, would provide coverage for the defendants with regard to the Kentucky Action. Therefore, the sole issue before me is the applicability of the Additional Auto Exclusion to the facts at hand. The Additional Auto Exclusion states as follows: This insurance does not apply to bodily injury or property damage arising out of the ownership, maintenance, or use of any auto, by the insured or any other person or organization. Use includes operation, and loading or unloading. This exclusion does not apply to: a. Parking an auto on, or on the ways next to, premises you own or rent, provided the auto is not owned by or rented or loaned to you or the insured; b. Bodily injury or property damage arising out of the operation of any of the equipment listed in paragraph f.(2) or f.(3) of the definition of mobile equipment (Section V.8). All Other Terms and Conditions Remain Unchanged. (Endorsement 1.) âAutoâ is defined elsewhere in the Policy as âa land motor vehicle, trailer or semitrailer designed for travel on public roads____â (Policy 13.) The Policy contains another auto exclusion, set forth in the general exclusions section, which states that the Policy does not apply to [bjodily 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 includes operation and loading or unloading. (Policy 3.) Federal does not contend that this exclusion applies here, since it is clear that the truck in question was not owned by New Coal or J.A.D., or otherwise operated, rented or borrowed by them. Federal maintains that the Additional Auto Exclusion applies to the factual situation at hand and excludes coverage because the Kentucky Action is based on Raymond Walkerâs use of the coal truck and thus arose âout of the ... use of any auto, by ... any other person.â According to Federal, the plain language of the exclusion provides that it is not limited to the use of an auto by the insured only. Federal argues that the exclusionâs phrase âany other personâ means strangers to the insurance contract and includes Walker. Federal further argues that Walkerâs'driving constituted âuse,â as that term is not limited in meaning by the examples of operation, loading, and unloading set forth in the exclusion. Lastly, Federal contends that the death and bodily injuries alleged in the Kentucky Action âaris[e] out ofâ Walkerâs operation of the truck because they are alleged to have resulted from an accident involving the Humvee operated by Glenn Stanfill and the truck operated by Walker. To the contrary, New Coal and J.A.D. contend that the Additional Auto Exclusion is inapplicable. First, they maintain that the exclusionâs phrase âany other personâ is ambiguous because âany personâ also appears in Section II of the policy, entitled âWho is an Insured.â (Policy 8.) In light of this alleged ambiguity and pursuant to the doctrine of contra proferentem, the defendants contend that âany other personâ must be construed in their *653 favor to include only âany personâ as identified in Section II. They claim that such a construction would not include the driver Walker. The defendants also argue that Walkerâs driving of the truck did not constitute âuseâ of an âauto.â To support this argument, defendants note that âuseâ is defined under the policy as including âoperation, and loading or unloading,â and argue that the truck was not being âoperatedâ as the term âoperationâ is utilized in the Additional Auto Exclusion because the exclusion only utilizes the term âoperationâ in connection with mobile equipment. Next, the defendants note that the test for whether an injury arises out of the use of an auto is not whether the use of an auto was a âbut forâ cause, but rather whether âthe chain of events resulting in the accident was unbroken by the intervention of any event unrelated to the use of the vehicle.â Erie Ins. Co. Exch. v. Jones, 248 Va. 437 , 448 S.E.2d 655, 658 (1994). According to New Coal and J.A.D., the overloading of the truck constituted an intervening event unrelated to the use of the vehicle and precludes a finding that the injuries in the Kentucky Action resulted from the use of an auto. 4 The defendants further argue that even if the overloading does not constitute an intervening event, it is nonetheless an additional cause not excluded from coverage. They contend that in such a case of multiple causes, an insurer must provide coverage despite the fact that one of the two causes fits an exclusion. Lastly, New Coal and J.A.D. argue that the insurance companyâs proffered interpretation of the Additional Auto Exclusion renders the phrase âby the insured or any other person or organizationâ mere surplusage, in contravention of traditional principles of contract interpretation. Having carefully reviewed the Policyâs terms and the pertinent authorities, I agree with Federalâs interpretation of the Additional Auto Exclusion and find that there is no coverage under the Policy for the claims alleged in the Kentucky Action. First, I agree with Federalâs argument that the phrase âany other personâ as itâ appears in the Additional Auto Exclusion means a stranger to the insurance contract. The defendantsâ contention that the phrase âany other personâ is synonymous with an insured simply because the phrase âany personâ appears in Section II of the Policy defining an insured is without merit. The phrase âany personâ is used in Section II in conjunction with various explanatory phrases to explain exactly what persons are considered insureds under the Policy. The statement in that section that an insured includes â[a]ny person ... while acting as your real estate managerâ (Policy 8), for example, does not define the phrase âany personâ nor indicate that the phrase standing alone is synonymous with an insured. The Additional Auto Exclusion provides that coverage âdoes not apply to bodily injury ... arising out of the ... use of any auto, by the insured or any other person or organization.â (Endorsement at 1 (emphasis added).) The use of the word âorâ between âinsuredâ and âany other personâ indicates an alternative. Thus, under the plain meaning of the exclusionâs terms, the phrase âany other personâ plainly means a stranger to the insurance contract and includes the driver Walker. The contention that such an interpretation would render the entire phrase âby the insured or any other person or organiza *654 tionâ mere surplusage is misplaced, as this phrase simply serves to clarify the situations in which the exclusion applies. Secondly, I find that Walkerâs driving clearly constituted a âuseâ of an âauto.â The exclusion states that âuse includes operation, and loading or unloading.â (Endorsement 1.) While the term âoperationâ is not specifically defined within the Policy, driving a vehicle is plainly understood as the operation of a vehicle. Contrary to the defendantsâ contention, the fact that the only other place âoperationâ appears in the exclusion is in connection with mobile equipment is irrelevant. Furthermore, by stating that the term use âincludesâ operation, loading and unloading, the Policy does not limit the meaning of âuseâ to those three activities alone. Under general principles of insurance law, â[t]he term âuseâ is the general catch-all ... designed and construed to include all proper uses of the vehicle not falling within one of the previous terms of definition,â which here are ownership and maintenance. 6B Appleman on. Insurance Law and Practice § 4316, at 341-42 (Richard B. Buckley ed.1979). Thus, âuseâ in the Additional Auto Exclusion includes any activity generally associated with the purpose of an auto that is not ownership or maintenance. Therefore, it is clear that Walkerâs driving of the truck at the time of the accident alleged in the underlying Kentucky Action both falls within the common understanding of the meaning of âoperationâ and would otherwise be considered a âuseâ of the vehicle. Finally, I find that the injuries alleged in the underlying Kentucky Action âaris[e] out ofâ Walkerâs use of the truck. Under Virginia law, the issue of whether the accident arose out of the use of the truck is determined by principles announced in State Farm Mut. Auto. Ins. Co. v. Powell, 227 Va. 492 , 318 S.E.2d 393, 397 (1984). In Powell , the court considered whether a death resulting from the discharge of a shotgun resting in a gun rack affixed to a pickup truck arose out of the âuseâ of the vehicle. Id. at 394. The driver of the truck and a passenger drove to a park where they met three of their friends. Id. The two remained in the truck while conversing with their friends who were standing around the vehicle. Id. One friend opened the passenger side door and sat on the side of the passengerâs seat. Id. Without explanation, the shotgun resting in the rack on top of the truck discharged and killed one of the individuals standing outside the passenger side of the truck. Id. In concluding that this death did not arise out of the use of the vehicle, and that the accident was therefore not excluded from the homeowner insurance policy which included an exclusion for injury âarising out of the ownership, maintenance, operation, use, loading or unloading of ... any motor vehicle owned ... by ... any insured,â the court set forth the following principles: Even though ownership, maintenance, or use of the vehicle need not be the direct, proximate cause of the injury in the strict legal sense, nevertheless, there must be a causal relationship between the accident and employment of the ... motor vehicle as a vehicle.... Furthermore, consideration must be given to what the injured person was doing when he was injured, as well as his purpose and intent, in determining whether that person was in such position in relation to the vehicle to be injured in its âuse.â Id. at 395, 397. Applying these principles to the facts in that case, the court in Powell reasoned that the fact that the injury-causing gun was permanently affixed to the truck did not mandate a finding that the incident arose out of the use of the truck. Id. at 398. The court further noted that the truck was merely the situs for a social gathering âequivalent to a park bench, a *655 picnic shelter, a tent, or a shedâ and that the victim had only a remote connection to the truck. Id. Thus, the court concluded that the requisite causal relationship between the accident and the employment of the truck as a vehicle was lacking. Id. The facts of this case are clearly distinguishable from those in Powell and mandate a finding that the necessary causal relationship exists. Consideration must be given both to the status of the victim and the relationship between the incident and the use of the vehicle as a vehicle, although neither factor alone is dispositive on whether the injury arises out of the vehicleâs use. See State Farm Mut. Auto. Ins. Co. v. Bright, 850 F.Supp. 493, 496-97 (W.D.Ya.1994). Here, the StanfĂlls were traveling in a vehicle on a public roadway when Walker, also traveling in a vehicle on the same highway, lost control of his truck around a curve and collided with their vehicle. Because the Stanfills were both passengers in a vehicle on the same roadway with the truck and because the accident causing their injuries was the direct result of the use of the two vehicles as vehicles, a causal relationship is established. New Coal and J.A.D. argue that the overloading of the truck constituted a separate, non-excluded cause, but the state trial court opinion in Progressive Am. Ins. Co. v. Starling, 57 Va. Cir. 110 , 2001 WL 1398130 (2001), is persuasive to me on this issue. In Starling, the sole proprietor of a tree removal and trimming business, Starling, fashioned a rope and pulley system to exert force on a tree during removal in order to prevent the tree from falling onto a residence. Id. at 110, 2001 WL 1398130 . The rope was connected to a ball hitch on Starlingâs truck, run through a pulley, and tied to the tree. Id. Starling was operating the truck intending to pull the tree away from the house as it began to fall, and as he pulled forward the rope struck the crew member who was directing him. Id. The crew member fell and suffered significant injuries as a result. Id. The crew member filed suit against Starling, alleging that Starling both negligently planned and executed the operation and negligently operated his truck, thereby causing the crew memberâs injuries. Id. at 111, 2001 WL 1398130 . At the time of the accident, the dump truck owned by Starlingâs tree service business was covered by a business auto insurance policy and the tree service business itself was covered by a commercial general liability policy. Id. The carrier of the commercial general liability policy argued that it was not liable for any injuries sustained by the crew member because its policy contained several exclusions including an automobile exclusion. Id. at 113-14, 2001 WL 1398130 . The crew member argued that the exclusion should not apply because the complaint alleged that Starling was negligent in arranging, planning, conducting, and supervising' the cutting of the tree, which had nothing to do with the operation of the truck. Id. at 114, 2001 WL 1398130 . The court noted that â[w]hile all of these acts [of arranging, planning, and supervising the cutting] could have been negligently carried out, but for the use of the vehicle, plaintiff would never have been injured.â Id. The court then held that applying the principles set forth in Powell and giving the terms of the exclusion their ordinary meaning, it was clear that the exclusion applied to preclude coverage. Id. at 115, 2001 WL 1398130 . Similarly, in the instant case, it was the use of the truck that caused death and injuries to the StanfĂlls. Like the negligent planning and supervision in Starling, the alleged overloading alone would not have caused this result. Thus, I find that the claims in the Kentucky Action arose out of the use of the truck by Walker and *656 that the Additional Auto Exclusion is applicable. IV For the foregoing reasons, Federalâs Motion for Summary Judgment will be granted, and the Motion for Summary Judgment by New Coal and J.A.D. will be denied. I will enter a judgment in Federalâs favor declaring that the Policy does not provide coverage for the accident described in the Kentucky Action and thus Federal has no duty to indemnify or defend New Coal or J.A.D. 5 1 . This defendant is referred to in the Policy as The New Coal Co., Incorporated. 2 . The portion of the endorsement in question is entitled "Additional Exclusion.â (Endorsement Form No. 42-02-0165 (ed. 11-90) at 1.) The parties have referred to this provision as the "Additional Auto Exclusionâ and for convenience I will follow that designation. 3 .The action was initially filed in the United States District Court for the Eastern District of Virginia and venue was thereafter transferred to this court. Subject matter jurisdiction is proper pursuant to diversity of citizenship and amount in controversy. See 28 U.S.C.A. § 1332 (a) (West 1993). 4 . It is not contended by Federal that the alleged overloading of the truck constituted a "useâ under the Additional Auto Exclusion, perhaps because "loading or unloadingâ is defined in the Policy to exclude loading or unloading by means of a mechanical device "that is not attached to the ... auto.â (Policy 14.) 5 . Also before the court are Federal's Motion for Leave to Amend its Statement of Facts Not in Dispute, Federalâs Motion to Exclude Defendant's Expert Witness, and New Coal's and J.A.D.'s Motion to Consolidate Cases. I deny the motion to amend as moot. I will grant the motion to exclude the expert, because the issue in this case is one of contract interpretation and thus expert testimony is not appropriate. See Forrest Creek Assocs., Ltd. v. McLean Sav. & Loan Assân, 831 F.2d 1238, 1242 (4th Cir.1987) (explaining that contract "interpretation is a matter of lawâ and concluding that "the district court was correct in excluding expert testimony proffered ... for the purpose of interpreting" the clause at issue). With regard to the motion to consolidate, New Coal and J.A.D. request that this case be consolidated with another case pending in this court, Allstate Insurance Company v. J.A.D. Coal Company, Inc., No. 2:05CV00029, in which another insurance company seeks a declaratory judgment that it has no duty to defend the Kentucky Action under a different insurance policy. Because I find that the two cases involve different issues of law, I deny this motion. See Fed.R.Civ.P. 42(a).
Case Information
- Court
- W.D. Va.
- Decision Date
- February 16, 2006
- Status
- Precedential