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UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK PHILADELPHIA INDEMNITY INSURANCE COMPANY, Plaintiff, 19 Civ. 366 (KPF) -v.- OPINION AND ORDER STREB, INC., Defendant. KATHERINE POLK FAILLA, District Judge: As it had for years, Plaintiff Philadelphia Indemnity Insurance Company (âPIICâ) issued a commercial general liability policy and an umbrella liability policy (collectively, the âPIIC Policiesâ) in February 2018 to Defendant Streb, Inc., a performing arts company. Thereafter, on December 12, 2018, Streb was named in a personal injury lawsuit, captioned Shana Guins v. Streb, Inc. (N.Y. Sup. Ct. Bronx County, Index No. 34004/2018E) (the âGuins actionâ). In the Guins action, a student at Streb, Shana Guins, alleges that she was gravely injured during an acrobatics class at Strebâs facility. Plaintiff initiated this suit on January 15, 2019, seeking a declaratory judgment that it is not obligated to defend or to indemnify Streb in connection with the Guins action. The PIIC Policies contain one noteworthy exclusion, which bars coverage for claims âarising out of the use of any aerial equipment including but not limited to the use of a trapeze or trampoline.â Citing this exclusion, Plaintiff disclaims coverage for the Guins action because Ms. Guins was injured while attempting a forward tumble from a trampoline. Defendant responds that Plaintiff has interpreted this exclusion too broadly, and that Plaintiff owes a duty to defend, even if its duty to indemnify does not reach the Guins action. The parties have cross-moved for summary judgment on the question of Plaintiffâs duty to defend, and Plaintiff has moved for summary judgment on the question of its duty to indemnify. For the reasons detailed below, the Court denies Defendantâs motion for partial summary judgment on Plaintiffâs duty to defend, grants Plaintiffâs motion for summary judgment on its duty to defend and its duty to indemnify, and denies Plaintiffâs ancillary motion to exclude the testimony of Defendantâs proffered expert, Melanie K. Hall.1 BACKGROUND2 A. Factual Background 1. Defendantâs Insurance Policies Defendant Streb is a not-for-profit dance and performance company located in Brooklyn, New York, that provides instruction in acrobatics for 1 Defendant also brings counterclaims for breach of contract and for a declaratory judgment that Plaintiff has a duty to defend and/or indemnify Defendant in the underlying Guins action. (Dkt. #11). Both claims are necessarily decided in Plaintiffâs favor by this Opinion because they rise and fall on the same issues of contract interpretation addressed in the motion for summary judgment decided herein. 2 The facts alleged herein are drawn from Plaintiffâs Local Rule 56.1 Statement of Undisputed Facts (âPl. 56.1â (Dkt. #48)); Defendantâs 56.1 Statement of Undisputed Facts (âDef. 56.1â (Dkt. #53)); the exhibits attached to the Declaration of Adam R. Durst in Support of Plaintiffâs Motion for Summary Judgment (âDurst Decl., Ex. [ ]â (Dkt. #45)); the exhibits attached to the Declaration of Robert Bentley in Support of Plaintiffâs Motion for Summary Judgment (âBentley Decl., Ex. [ ]â (Dkt. #46)); the exhibits attached to the Declaration of John H. Kazanjian in Support of Defendantâs Motion for Partial Summary Judgment (âKazanjian Decl., Ex. [ ]â (Dkt. #50)); the exhibits attached to the Declaration of Adam R. Durst in Opposition to Defendantâs Motion for Partial Summary Judgment (âDurst Opp. Decl., Ex. [ ]â (Dkt. #55)); and the exhibits attached to the Declaration of Henry Liles in Opposition to Plaintiffâs Motion for Summary Judgment (âLiles Decl., Ex. [ ]â (Dkt. #63)). The transcript of the deposition of Henry Liles is referred to as âLiles Dep.â (Durst Decl., Ex. 1); the transcript of the deposition of Arianna Dunmire is referred to as âDunmire Dep.â (Durst Opp. Decl., Ex. 4); and the transcript of the deposition of Cassandre Joseph is referred to as âJoseph Dep.â (id. at adults and children. (Def. 56.1 ¶¶ 1-2). Plaintiff has provided Defendantâs commercial general liability and umbrella insurance coverage for at least ten years. (Liles Decl. ¶ 10)). Defendant purchased a commercial general liability policy from Plaintiff, Policy No. PHPK1779111 (the âCGL Policyâ), for the period February 15, 2018, to February 15, 2019, and a follow-form umbrella policy, Policy No. PHUB618211 (the âUmbrella Policy,â), covering the same policy period. (Def. 56.1 ¶¶ 3, 7). The CGL Policy contains a limit of liability of $1 million per occurrence, and the Umbrella Policy is subject to a limit of $4 million per occurrence in excess of the CGL Policy. (Id. at ¶¶ 6, 10). The CGL Policy provides that Plaintiff: will pay those sums that the insured becomes legally obligated to pay as damages because of âbodily injuryâ ... to which this insurance applies. [PIIC] will have the right and duty to defend the insured against any âsuitâ seeking those damages even if the allegations of the âsuitâ are groundless, false, or fraudulent. However, [PIIC] will have no duty to defend the insured Ex. 5). The expert report of Melanie K. Hall is referred to as âHall Report.â (Dkt. 29, Ex. 1). For convenience, the partiesâ briefs in connection with Plaintiffâs Motion for Summary Judgment are referred to as âPl. Br.â (Dkt. #47) and âDef. Opp.â (Dkt. #64). The partiesâ briefs in connection with Defendantâs Motion for Partial Summary Judgment are referred to as âDef. Br.â (Dkt. #52) and âPl. Opp.â (Dkt. #56). The partiesâ briefs in connection with Plaintiffâs Motion to Exclude the Testimony and Opinion of Melanie K. Hall are referred to as âPl. Exclude Br.â (Dkt. #29), âDef. Exclude Opp.â (Dkt. #36), and âPl. Exclude Replyâ (Dkt. #59). Citations to a partyâs Rule 56.1 Statement incorporate by reference the documents and testimony cited therein. Where a fact stated in a movantâs Rule 56.1 Statement is supported by evidence and denied with merely a conclusory statement by the non- movant, the Court finds such fact to be true. See Local Civil Rule 56.1(c) (âEach numbered paragraph in the statement of material facts set forth in the statement required to be served by the moving party will be deemed to be admitted for purposes of the motion unless specifically controverted by a correspondingly numbered paragraph in the statement required to be submitted by the opposing party.â); id. at 56.1(d) (âEach statement by the movant or opponent pursuant to Rule 56.1(a) and (b), including each statement controverting any statement of material fact, must be followed by citation to evidence which would be admissible, set forth as required by Fed. R. Civ. P. 56(c).â). against any âsuitâ seeking damages for âbodily injuryâ ... to which this insurance does not apply. We may, at our discretion, investigate any âoccurrenceâ and settle any claim or âsuitâ that may result. (Def. 56.1 ¶ 4). âBodily injury,â âoccurrence,â and âsuitâ are defined as follows: 3. âBodily injuryâ means bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time[.] * * * 13. âOccurrenceâ means an accident including continuous or repeated exposure to substantially the same general harmful conditions. * * * 18. âSuitâ means a civil proceeding in which damages because of âbodily injury,â âproperty damageâ or âpersonal and advertising injuryâ to which this insurance applies are alleged[.] (Id. at ¶ 5). Coverage under the CGL Policy is limited by one relevant exclusion, the âDesignated Ongoing Operations Exclusionâ (the âExclusionâ), pursuant to which Plaintiff excludes coverage for the following: Any claims arising out of the use of any aerial equipment including but not limited to the use of a trapeze or trampoline. Excluding performers who dive off stage and/or participate in human pyramids. (Pl. 56.1 ¶ 7). The Umbrella Policy issued by Plaintiff contains a âGeneral Liability Follow Form Endorsementâ that provides, in relevant part: The terms and conditions of the âunderlying insuranceâ are made a part of this policy except with respect to: [i] Any contrary provision contained in this policy; or [ii] Any provision in this policy for which a similar provision is not contained in âunderlying insurance.â With respect to the exceptions stated above, the provisions of this policy will apply. (Pl. 56.1 ¶ 9). The Umbrella Policy defines âunderlying insuranceâ as âany policies of insurance listed in the Declarations under the Schedule of Underlying Insurance.â (Id. at ¶ 10). The Schedule of Underlying Insurance, in turn, identifies the CGL Policy. (Id. at ¶ 11). In 2014 or 2015, after being told by Defendantâs insurance broker that Plaintiff would no longer be providing coverage for âanything involving equipment,â Defendantâs finance manager, Henry Liles, procured insurance coverage from Certain Underwriters at Lloydâs (âLloydâsâ) under Certificate Number LAP0372 17040027 (the âLloydâs Policyâ) on Strebâs behalf. (Pl. 56.1 ¶¶ 13, 15-16; see also Liles Dep. 46:20-47:1, 58:23-59:13, 88:10-19). The Lloydâs Policy includes coverage for claims arising from trampolines. (Pl. 56.1 ¶ 18). The Lloydâs Policy is subject to an eroding limit of $50,000 per person; included within that $50,000 limit are Defendantâs âClaim Expenses,â including â[a]ll fees, costs and expenses charged by any lawyer or other service provider designated by [the insurer] to represent [Defendant],â as well as âother fees, costs, and expenses ⊠resulting from the investigation, adjustment, defense, and appeal of a Claim.â (Id. at ¶ 19). 2. The Guins Action On April 2, 2018, Shana Guins was tragically injured while participating in an acrobatics class at Defendantâs facility. (Pl. 56.1 ¶¶ 20, 24). Specifically, Ms. Guins was severely injured while attempting forward tumbling from a small trampoline (the âInjuryâ). (Id. at ¶¶ 21-29). The day of the accident, Defendant completed an âAccident/Injury/Incident Report Formâ (the âInjury Reportâ) to document the Injury. (Id. at ¶ 24). In the Injury Report, the instructor of the acrobatics class and a student in the class, both of whom witnessed the Injury, stated that Ms. Guins was injured while attempting a âdive rollâ or âfront rollâ from the âtrampolineâ or âmini trampoline.â (Id. at ¶¶ 23-25). In deposition testimony in the underlying case, Ms. Guins testified that as a part of the acrobatics class, she was to perform forward tumbling from a trampoline; when it was her turn, she walked up to the trampoline, hopped on it with both legs, bounced once, and tumbled forward, landing from the trampoline on her neck and back, causing severe injuries. (Id. at ¶¶ 21- 22). By letter dated June 19, 2018, counsel for Ms. Guins requested that Defendant preserve evidence and information relating to the Injury, including that Defendant âsecure and safeguard allâŠpolicies relating to instruction for the use of trampolines at [Defendantâs] premises.â (Pl. 56.1 ¶ 31; Durst Decl., Ex. 6). After receiving and reviewing the June 19, 2018 letter and the Injury Report, Defendantâs insurance broker, Bob Middleton, advised Mr. Liles that the claim should be forwarded to Lloydâs, and not Plaintiff PIIC, because âthis [claim] involves a mini-trampolineâ and Defendantâs âother carrierâ (i.e., Lloydâs) âhandles equipment claims.â (Pl. 56.1 ¶¶ 35-37). Thereafter, Mr. Middleton notified Lloydâs, who purportedly advised Mr. Middleton that it would contact Ms. Guinsâs counsel to offer to pay the full $50,000 limit under the Lloydâs Policy in an effort to settle the claim on behalf of Defendant. (Id. ¶¶ 38, 40; see also Durst Decl., Ex. 8). Thereafter, in October 2018, Mr. Liles inquired into whether Defendantâs other policies, including the PIIC Policies, would cover the Injury. (Pl. 56.1 ¶ 41; see also Liles Decl., Ex. 1). In the resulting email exchange, Mr. Middleton advised Mr. Liles that the CGL Policy âhas an exclusion for mini-Tramps specifically for this type of injury,â referring to the Exclusion. (Pl. 56.1 ¶¶ 42-43). Mr. Liles responded to ask if the PIIC Policy could be interpreted such that a mini-tramp is not âaerial equipment.â (Liles Decl., Ex. 1). Ms. Guins filed suit against Defendant Streb in New York State Supreme Court, Bronx County, on December 12, 2018, alleging in her complaint that â[o]n April 2, 2018, at approximately 6:00-7:00 p.m. [Ms. Guins] was attempting to do a forward flip while participating in an acrobatic class at STREB, INC. when she felt a crack in her neck,â sustaining serious injury. (Def. 56.1 ¶¶ 15, 17; Pl. 56.1 ¶ 45). Ms. Guins further alleged that Defendant was negligent for, inter alia, âfailing to provide proper equipment,â but the complaint did not specifically mention that Ms. Guins sustained her injury while using a trampoline. (Bentley Decl., Ex. 6 (the âGuins Complaintâ)). Defendant was served with the Guins Complaint on December 17, 2018 (Bentley Decl., Ex. 10), and Plaintiff was placed on notice of the Injury and the lawsuit on December 19, 2018, when Mr. Middleton forwarded the Guins Complaint to it. (Def. 56.1 ¶ 19; Pl. 56.1 ¶ 48). Within two days of receiving notice from Defendant, Plaintiff determined from conversations with Mr. Liles, Mr. Middleton, and Ms. Guinsâs counsel that Ms. Guinsâs injury had occurred while she was using a trampoline. (Def. 56.1 ¶¶ 26-28; Pl. 56.1 ¶¶ 51-53). The underlying Guins action remains pending in New York State court. (Def. 56.1 ¶ 47). 3. The Denial of Coverage Plaintiff issued a disclaimer of coverage to Defendant by letter dated January 7, 2019, basing its decision on its determination that the Injury occurred while Ms. Guins was using a trampoline. (Def. 56.1 ¶¶ 30-31, 40). Specifically, Plaintiff disclaimed coverage under the CGL Policy pursuant to the Exclusion, which excludes coverage for â[a]ny claims arising out of the use of any aerial equipment including but not limited to the use of a trapeze or trampoline.â (Pl. 56.1 ¶¶ 7, 59). Plaintiff disclaimed coverage under the Umbrella Policy pursuant to its General Liability Follow Form Endorsement, which incorporates the âterms and conditionsâ of the CGL Policy, including the Exclusion. (Id. at ¶¶ 9-11, 60). In its January 7, 2019 letter, Plaintiff offered to provide Defendant with a courtesy defense in the Guins action if and when the limits of the Lloydâs Policy were fully exhausted,3 but noted that it would commence a declaratory judgment action seeking a judicial determination of 3 Defendant informed Plaintiff that Lloydâs had assigned counsel to defend Defendant, with the cost of defense drawn against the $50,000 eroding limit of the Lloydâs Policy. (Def. 56.1 ¶¶ 26, 45). non-coverage. (Def. 56.1 ¶¶ 43-44). The parties have not informed the Court that the Lloydâs Policy limits have been exhausted. B. Procedural Background On January 15, 2019, Plaintiff brought this action seeking a declaratory judgment that it is not obligated to defend or to indemnify Defendant in connection with Ms. Guinsâs injury or the Guins action. (Dkt. #1). Defendant filed its answer, affirmative defenses, and counterclaims on March 11, 2019. (Dkt. #11). Plaintiff answered Defendantâs counterclaims on April 1, 2019. (Dkt. #14). Fact discovery closed on October 1, 2019, and expert discovery closed on November 15, 2019. (Dkt. #24). At an October 8, 2019 status conference, the Court set a briefing schedule for the partiesâ anticipated cross-motions for summary judgment. (See generally Dkt. #27 (transcript)). On December 13, 2019, Plaintiff moved to exclude the testimony and opinion of Defendantâs proffered expert, Melanie K. Hall. (Dkt. #29). Defendant filed its opposition to the motion to exclude on January 10, 2020 (Dkt. #36). Also on January 10, 2020, Plaintiff moved for summary judgment (Dkt. #32, 44-48), and Defendant moved for partial summary judgment (Dkt. #37, 49-53). By letter dated January 16, 2020, Plaintiff requested leave to file a reply brief in further support of its motion to exclude, to be due on February 14, 2020 (Dkt. #41), which request the Court granted (Dkt. #43). Plaintiff filed its reply papers in support of its motion to exclude on February 14, 2020. (Dkt. #58-59). The motions for summary judgment became fully briefed and ripe for decision when both partiesâ opposition briefs were filed on February 14, 2020. (Dkt. #54-56, 61-64). DISCUSSION A. The Court Denies Plaintiffâs Motion to Exclude the Testimony of Defendantâs Expert Defendant proffers the expert opinion of Melanie K. Hall to support its argument that the Designated Ongoing Operations Exclusion is ambiguous. (Def. Exclude Opp. 5-7). The Court therefore addresses Plaintiffâs motion to exclude this opinion before evaluating the issues of contract interpretation that animate the partiesâ cross-motions for summary judgment. Under Federal Rule of Evidence 702, an expert witness, unlike a lay witness, is âpermitted wide latitude to offer opinions, including those that are not based on firsthand knowledge or observation.â Daubert v. Merrell Dow Pharms., Inc., 509 U.S. 579, 592 (1993). âUnder Daubert, the district court functions as the gatekeeper for expert testimony, whether proffered at trial or in connection with a motion for summary judgment[.]â Major League Baseball Props., Inc. v. Salvino, Inc., 542 F.3d 290, 311 (2d Cir. 2008) (internal quotations marks and citations omitted). Expert testimony is admissible if it: (i) will assist the trier of fact to understand the evidence or determine a fact in issue; (ii) is based on sufficient facts or data; (iii) is the product of reliable principles and methods, and (iii) is the product of a reliable application of the expertâs principles and methods to the facts of the case. See Daubert, 509 U.S. at 590-91; Restivo v. Hessemann, 846 F.3d 547, 575 (2d Cir. 2017); see also Fed. R. Evid. 702. Plaintiff disclaims coverage pursuant to the Exclusion, which excludes coverage for â[a]ny claims arising out of the use of any aerial equipment including but not limited to the use of a trapeze or trampoline.â (Pl. 56.1 ¶¶ 7, 59). Ms. Hall purports to explain that the meaning of the term âaerial equipmentâ is distinct from ârebound equipment,â as used within the field of gymnastics. (Hall Report 3-4, 6-7). Considering the evidence in Strebâs favor, the Court accepts, for purposes of resolving the motion, that Hall is qualified as an expert in her field of gymnastics, and that her methodology is sufficiently reliable.4 However, the Court pauses to flag several concerns with the reliability and usefulness of Hallâs opinion. First, Hallâs expertise is limited to coaching and competing in collegiate- level gymnastics competitions (see Def. Exclude Opp. 9), limiting the persuasiveness of her opinion as to the definition or classification of equipment, even as used in the gymnastics field. Second, Hallâs persuasiveness is further limited by the fact that, aside from her experience as coach and competitor, she does not provide any evidence (i.e., articles, 4 In its opposition to Defendantâs motion for partial summary judgment, Plaintiff argues that because Hallâs expert report is unsworn, it must be excluded. (Pl. Opp. 23). Defendant is correct that â[c]ourts in this Circuit have uniformly held that unsworn expert reports do not satisfy the admissibility requirements of Fed. R. Civ. P. 56(e), and cannot be used to defeat a summary judgment motion without additional affidavit support.â Berk v. St. Vincentâs Hosp. & Med. Ctr., 380 F. Supp. 2d 334, 352 (S.D.N.Y. 2005). But because Hall was deposed about her qualifications and the substance of her report, see generally Kazanjian Decl., Ex. 19 (transcript of Hall deposition), the Court does not reject the entirety of her opinion out of hand. Accord Allstate Ins. Co. v. Mirvis, No. 08 Civ. 4405 (SLT) (VVP), 2015 WL 1247103, at *11 n.6 (E.D.N.Y. Mar. 2, 2015) (âUnsworn [expert] letters and reports may be admissible only when the opinions expressed in such documents are reaffirmed by deposition testimony.â), report and recommendation adopted, 2015 WL 1539671 (E.D.N.Y. Mar. 31, 2015). manuals, practice guides, or statements by peers in her field) to support her opinion. (See generally Hall Report; see also Def. Exclude Opp. 9-10). Third, it is not at all clear under New York law that expert testimony is proper evidence for consideration by a court when determining whether a contract is ambiguous. See, e.g., Long Island Lighting Co. v. Allianz Underwriters Ins. Co., 749 N.Y.S.2d 488, 488 n.2 (1st Depât 2002) (â[W]hether or not a contract is ambiguous is a question of law for the court, as to which expert testimony is not cognizable. Thus, we have no occasion to consider the affidavit of a purported expert ... which characterizes the [Policy] as ambiguous.â). Fourth, even setting this potential bar aside, evidence of custom in the gymnastics field is not persuasive in defining equipment for the purposes of interpreting an insurance contract, a document that should be interpreted âin light of âcommon speechâ and the reasonable expectations of a businessperson.â Belt Painting Corp. v. TIG Ins. Co., 100 N.Y.2d 377, 383 (2003) (internal citation omitted).5 Therefore, the Court accepts Hallâs opinion 5 The cases cited by Defendant to argue that custom may be considered in this situation (see Def. Exclude Opp. 5-7) are inapposite. See Sompo Japan Ins. Co. of Am. v. Norfolk S. Ry. Co., 762 F.3d 165, 180-81 (2d Cir. 2014) (interpreting bill of lading in the transportation industry, not in the insurance context); Intâl Multifoods Corp. v. Commercial Union Ins. Co., 309 F.3d 76, 86-87 (2d Cir. 2002) (evaluating custom in the insurance industry itself); Morgan Stanley Grp. Inc. v. New England Ins. Co., 225 F.3d 270, 276 (2d Cir. 2000) (holding that insurer did not meet its burden to demonstrate that the contract can âreasonably be construed to cover the claimâ regardless of interpretation of ambiguous phrase); Beazley Ins. Co., Inc. v. ACE Am. Ins. Co., et al., 197 F. Supp. 3d 616, 624 (S.D.N.Y. 2016) (using evidence from case law, but not expert testimony, to establish that a phrase has an unambiguous, common meaning in specific field), affâd sub nom. Beazley Ins. Co., Inc. v. ACE Am. Ins. Co., 880 F.3d 64 (2d Cir. 2018); Bijan Designer For Men, Inc. v. Firemanâs Fund Ins. Co., 705 N.Y.S.2d 30, 30 (2000) (rejecting evidence of custom). at face value for the purpose of resolving the cross-motions, but for the reasons noted above, finds it to be of limited use. B. The Court Grants Plaintiffâs Motion for Summary Judgment 1. Applicable Law a. Summary Judgment Under Fed. R. Civ. P. 56 Under Federal Rule of Civil Procedure 56(a), a âcourt shall grant summary judgment if 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.â Fed. R. Civ. P. 56(a); Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986).6 A fact is âmaterialâ if it âmight affect the outcome of the suit under the governing law,â and is genuinely in dispute âif the evidence is such that a reasonable jury could return a verdict for the nonmoving party.â Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986); see also Jeffreys v. City of New York, 426 F.3d 549, 553 (2d Cir. 2005) (citing Anderson). âIt is the movantâs burden to show that no genuine factual dispute existsâ and a court âmust resolve all ambiguities and draw all reasonable inferences in the non-movantâs favor.â Vt. Teddy Bear Co., Inc. v. 1-800 Beargram Co., 373 F.3d 241, 244 (2d Cir. 2004). If the movant has met its burden, âits opponent must do more than simply show that there is some 6 The 2010 Amendments to the Federal Rules of Civil Procedure revised the summary judgment standard from a genuine âissueâ of material fact to a genuine âdisputeâ of material fact. See Fed. R. Civ. P. 56, advisory comm. notes (2010 Amendments) (noting that the amendment to â[s]ubdivision (a) ⊠chang[es] only one word â genuine âissueâ becomes genuine âdispute.â âDisputeâ better reflects the focus of a summary-judgment determination.â). This Court uses the post-amendment standard, but continues to be guided by pre-amendment Supreme Court and Second Circuit precedent that refer to âgenuine issues of material fact.â metaphysical doubt as to the material factsâ and, toward that end, âmust come forward with specific facts showing that there is a genuine issue for trial.â Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586-87 (1986) (internal citations and quotation marks omitted). The nonmoving party may not rely on âmere speculation or conjecture as to the true nature of the facts to overcome a motion for summary judgment.â Knight v. U.S. Fire Ins. Co., 804 F.2d 9, 12 (2d Cir. 1986). b. Interpretation of Insurance Contracts Under New York Law âInsurance policies are, in essence, creatures of contract, and, accordingly, subject to principles of contract interpretation.â Porco v. Lexington Ins. Co., 679 F. Supp. 2d 432, 435 (S.D.N.Y. 2009) (internal quotation marks omitted) (quoting In re Estates of Covert, 97 N.Y.2d 68, 76 (2001)). Under New York law, the interpretation of a contract âis a matter of law for the court to decide.â Intâl Multifoods Corp. v. Commercial Union Ins. Co., 309 F.3d 76, 83 (2d Cir. 2002) (internal citation omitted); see also Parks Real Estate Purchasing Grp. v. St. Paul Fire & Marine Ins. Co., 472 F.3d 33, 42 (2d Cir. 2006) (â[T]he initial interpretation of a contract is a matter of law for the court to decide.â (internal quotation marks and citation omitted)). In this case, â[t]he parties do not dispute the material facts underlying the claim[,]â therefore, the case rests on interpretation of the insurance contract, which âis a question of law.â VAM Check Cashing Corp. v. Fed. Ins. Co., 699 F.3d 727, 729 (2d Cir. 2012). The Court must interpret unambiguous contractual provisions in light of ââtheir plain and ordinary meaning.ââ 10 Ellicott Square Court Corp. v. Mountain Valley Indem. Co., 634 F.3d 112, 119 (2d Cir. 2011) (quoting Essex Ins. Co. v. Laruccia Constr., Inc., 898 N.Y.S.2d 558, 559 (2d Depât 2010)). The Court must interpret such terms âin light of âcommon speechâ and the reasonable expectations of a businessperson.â Belt Painting Corp., 100 N.Y.2d at 383 (internal citation omitted). âWhere contractual language is ambiguous and subject to varying reasonable interpretations, intent becomes an issue of fact and summary judgment is inappropriate.... Only where the language is unambiguous may the district court construe it as a matter of law and grant summary judgment accordingly.â Palmieri v. Allstate Ins. Co., 445 F.3d 179, 187 (2d Cir. 2006) (internal quotation marks and citations omitted). c. The Duty to Defend The New York Court of Appeals has described the duty to defend as follows: [A]n insurance companyâs duty to defend is broader than its duty to indemnify. Indeed, the duty to defend is exceedingly broad and an insurer will be called upon to provide a defense whenever the allegations of the complaint suggest a reasonable possibility of coverage. If, liberally construed, the claim is within the embrace of the policy, the insurer must come forward to defend its insured no matter how groundless, false[,] or baseless the suit may be. Automobile Ins. Co. of Hartford v. Cook, 7 N.Y.3d 131, 137 (2006) (internal quotation marks and citations omitted). âThe duty [to defend] remains even though facts outside the four corners of [the] pleadings indicate that the claim may be meritless or not covered.â Id. (internal quotation marks and citation omitted). An exclusion is âsubject to strict construction and must be read narrowly.â Id. However, â[a] narrow, but widely recognized exception to the [four corners] rule allows an insurer to refuse or withdraw a defense if evidence extrinsic to those sources and âunrelated to the merits of plaintiffâs action[,] plainly take the case outside the policy coverage.ââ Intâl Bus. Machines Corp. v. Liberty Mut. Ins. Co., 363 F.3d 137, 148 (2d Cir. 2004) (quoting Allan D. Windt, Insurance Claims and Disputes § 4:4 (West 2001)); see also Burt Rigid Box, Inc. v. Travelers Prop. Cas. Corp., 302 F.3d 83, 96-97 (2d Cir. 2002). 2. Analysis The parties do not dispute that, but for the Exclusion and its incorporation into the Umbrella Policy,7 Plaintiff would have both a duty to defend and a duty to indemnify Defendant in the Guins action. (Pl. 56.1 ¶¶ 59- 60). The Guins action is a âsuitâ seeking damages for âbodily injuryâ within the meaning of the PIIC Policies. (See Def. 56.1 ¶ 5). The Court therefore focuses its analysis on the core area of disagreement between the parties â namely, the breadth of the Designated Ongoing Operations Exclusion in the PIIC Policies and its applicability to the Guins action. The disagreement reduces to whether, as a matter of contract interpretation, the injury at the root of the Guins action triggers the Exclusion because it occurred while Ms. Guins was using a trampoline. The parties do 7 Defendant does not dispute that the Designated Ongoing Operations Exclusion is incorporated into the Umbrella Policy through the General Liability Follow Form Endorsement. (See generally Def. Br.; Def. Opp.). The Court agrees that a plain reading of the General Liability Follow Form Endorsement does serve to incorporate the terms and conditions of the CGL Policy, including the aforementioned Exclusion, into the Umbrella Policy. (See Bentley Decl., Ex. 4). Therefore, references herein to the Designated Ongoing Operations Exclusion encompass the Exclusionâs incorporation into the Umbrella Policy. not dispute that Ms. Guins was injured while using a small trampoline (see Pl. 56.1 ¶¶ 21-29, 52-53) that Defendant refers to as a âmini-tramp.â Because there is no contested issue of material fact, the dispute is properly resolved on summary judgment, and the Court must âgive effect to the intent of the parties as expressed in the clear language of the contract.â Mount Vernon Fire Ins. Co. v. Belize NY, Inc., 277 F.3d 232, 236 (2d Cir. 2002) (internal quotation marks and citation omitted). As discussed below, the Court concludes that the Exclusion is unambiguous and clearly applies to exclude coverage for the Guins action because the Injury arose from the use of a trampoline. a. Plaintiff Does Not Owe Defendant a Duty to Defend But before analyzing Plaintiffâs duty to indemnify, the Court must first address two issues related to Plaintiffâs putative duty to defend, namely, whether that duty exists and whether the Court may consider evidence extrinsic to the PIIC Policies in making that determination. In this regard, Defendant argues that Plaintiff has a duty to defend â notwithstanding the apparent applicability of the Designated Ongoing Operations Exclusion â because the underlying complaint in the Guins action does not mention that the Injury arose out of the use of a trampoline. Because the Court concludes that, âas a matter of law ... there is no possible factual or legal basis on which the insurer will be obligated to indemnify the insured,â Plaintiff has no duty to defend. Frontier Ins. Co. v. State, 87 N.Y.2d 864, 867 (1995). And because the âduty to defend is broader than [the] duty to indemnify,â Automobile Ins. Co. of Hartford, 7 N.Y.3d 131, 137, âit is unnecessary to engage in a separate analysis of [the insurerâs] independent claim that it has no duty to indemnify apart from [the] insurer[âs] claim[] that [it] ha[s] no obligation to defend,â EAD Metallurgical, Inc. v. Aetna Cas. & Sur. Co., 905 F.2d 8, 11 (2d Cir. 1990). To begin, Defendant argues that regardless of Plaintiffâs ultimate duty to indemnify, Plaintiff owes Defendant a duty to defend because the Guins Complaint does not expressly state that Ms. Guins was injured on a trampoline (see generally Guins Complaint), and thus the applicability of the Exclusion is not clear from the âfour cornersâ of the complaint (see Def. Br. 11-14; Def. Opp. 9-12). See also Intâl Bus. Machines Corp., 363 F.3d at 148 (â[T]he general rule in determining whether an insurer has a duty to defend is to compare the allegations of the complaint with the operative insurance policy.â). Here, it is undisputed that the Guins Complaint does not mention that Ms. Guins was using a trampoline when she was injured. (See generally Guins Complaint). In fact, the complaint is largely devoid of any of the specific factual circumstances surrounding the Injury and fails to plead many facts concerning the Injury that are undisputed by the parties here. (Id.). According to Defendant, the failure of the Guins Complaint to mention the factual circumstances that trigger the Exclusion requires Plaintiff to defend Defendant in the underlying action without exception. (Def. Br. 13-16). Although Defendant is correct that under New Yorkâs four corner rule, â[t]he duty [to defend] remains even though facts outside the four corners of [the] pleadings indicate that the claim may be meritless or not covered,â Automobile Ins. Co. of Hartford, 7 N.Y.3d at 137 (internal quotation marks and citation omitted), Defendant overstates the broad nature of the duty to defend. Under New York law, â[a]n insurerâs duty to defend ... ends if âit establishes as a matter of law that there is no possible factual or legal basis on which it might eventually be obligated to indemnify its insured under any policy provision,ââ Burt Rigid Box, Inc., 302 F.3d at 97 (quoting Allstate Ins. Co. v. Zuk, 78 N.Y.2d 41, 45 (1991)); see also Frontier Ins. Co., 87 N.Y.2d at 867 (explaining that an insurer has no duty to defend âif it can be concluded as a matter of law that there is no possible factual or legal basis on which the insurer will be obligated to indemnify the insuredâ). To hold otherwise would establish an indefinite duty to defend based solely on the pleading decisions made by a plaintiff in an underlying lawsuit. But New York law does not create such an inextinguishable duty. In fact, â[i]t is important that the Court uses the [insurance] policy contract itself to determine the duty to defend, rather than solely examine a complaint drafted by a non-party. Neither partyâs contractual rights should depend exclusively on a non-partyâs pleading. This is especially true in New York state, with its liberal pleading regime[.]â Striker Sheet Metal II Corp. v. Harleysville Ins. Co. of N.Y., No. 16 Civ. 5916 (ADS) (AYS), 2018 WL 654445, at *9 (E.D.N.Y. Jan. 31, 2018); see also Stein v. N. Assur. Co. of Am., 617 F. Appâx 28, 30 (2d Cir. 2015) (summary order) (explaining that under New York law, ââthe insurerâs duty to defend is ... not an interminable one, and will end if and when it is shown unequivocally that the damages alleged would not be covered by the policy.ââ (quoting Sturges Mfg. Co. v. Utica Mut. Ins. Co., 37 N.Y.2d 69, 74 (1975))). Additionally, as a matter of contract interpretation, because the PIIC Policies provide that Plaintiff âwill have no duty to defend the insured against any âsuitâ seeking damages for âbodily injuryâ ... to which this insurance does not applyâ (Def. 56.1 ¶ 4), a declaratory judgment that the Guins action and the underlying Injury unambiguously fall within the Exclusion contractually discharges Plaintiff from a duty to defend. For the Court to force Plaintiff to defend Streb even after declaring that there is no coverage under the PIIC Policies is to read this provision out of the partiesâ contract. Because New York law clearly extinguishes the duty to defend if âthere is no possible factual or legal basis on which the insurer will be obligated to indemnify the insured,â Frontier Ins. Co., 87 N.Y.2d at 867, the question is whether the Court may consider evidence extrinsic to the four corners of the Guins Complaint if such evidence âshow[s] unequivocally that the damages alleged would not be covered by the policy,â Stein, 617 F. Appâx at 30 (quoting Sturges Mfg. Co., 37 N.Y.2d at 74). While the Second Circuit has said that the precise delineations of the use of extrinsic evidence to permit an insurer to disclaim its duty to defend are âunclearâ under New York law, see Intâl Bus. Machines Corp., 363 F.3d at 148 n.4, it has repeatedly recognized that extrinsic evidence may nonetheless be used for such a purpose in certain situations, see, e.g., MIC Gen. Ins. Co. v. Allen, 697 F. Appâx 717, 720 (2d Cir. 2017) (summary order) (considering evidence extrinsic to hold insurer had no duty to defend); Stein, 617 F. Appâx at 31 (noting that under New York law, an insurer may disclaim its duty to defend on the basis of extrinsic evidence where such evidence allows the court âto eliminate the possibilityâ of coverage in the underlying suit, but declining to do so on facts of that case); Intâl Bus. Machines Corp., 363 F.3d at 148 (same); Burt Rigid Box, Inc., 302 F.3d at 96-97 (considering evidence extrinsic to the four corners of the underlying complaint and holding that the insurer had no duty to defend); Hugo Boss Fashions, Inc. v. Fed. Ins. Co., 252 F.3d 608, 621-23 (2d Cir. 2001) (explaining that an insurer can demonstrate that it has no possible liability, and thus no duty to defend, by seeking a declaratory judgment or discovery of evidence extrinsic to the underlying complaint). This case calls for the consideration of extrinsic evidence because one such exception to the four corners rule applies here, when âevidence extrinsic to [the complaint] and unrelated to the merits of plaintiffâs action[,] plainly take the case outside the policy coverage.â Intâl Bus. Machines Corp., 363 F.3d at 148 (internal quotation marks and citations omitted); see also Avondale Indus., Inc. v. Travelers Indem. Co., 774 F. Supp. 1416, 1425 (S.D.N.Y. 1991) (collecting cases and noting that âwhere the factual issue central to the insurance coverage dispute is collateral to the underlying action, so that it is irrelevant to the underlying action and will not be addressed there, the court which has jurisdiction over the declaratory coverage action may make the determinationâ). Here, it is undisputed that Ms. Guins was using a trampoline at the time of the Injury, and Defendant does not claim that it is a disputed fact in the underlying suit.8 Thus, extrinsic evidence that Ms. Guinsâs injury occurred while using a trampoline is admissible as long as it âconclusively establish[es] that an insurer faces no possible liability.â Burt Rigid Box, Inc., 302 F.3d at 97. As discussed below, the Exclusion unambiguously applies to exclude coverage for claims arising out of the use of trampolines. Therefore, extrinsic evidence of Ms. Guinsâs use of a trampoline does âconclusively establish that an insurer faces no possible liability,â id., and it may be considered in resolving the partiesâ cross-motions. b. The Plain Language of the PIIC Policies Bars Coverage in the Guins Action In interpreting an insurance contract, the Court âbegins with the plain language of the provision in dispute.â Lantheus Med. Imaging, Inc. v. Zurich Am. Ins. Co., 255 F. Supp. 3d 443, 457 (S.D.N.Y. 2015), affâd, 650 F. Appâx 70 (2d Cir. 2016) (summary order). The parties disagree over the interpretation of the Exclusion, which bars coverage for â[a]ny claims arising out of the use of any aerial equipment including but not limited to the use of a trapeze or trampoline.â (Pl. 56.1 ¶ 7). Plaintiffâs argument for application of the Exclusion is straightforward: the exclusion bars coverage for any suit that âarises out ofâ the use of aerial equipment, which is specifically enumerated to include trampolines. Because there is no dispute that the injury at issue in the Guins 8 Defendant claims that the extrinsic evidence at issue here, namely the use of a trampoline, overlaps with the facts at issue in the Guins case, and therefore precludes consideration of such evidence. (Def. Br. 16). But Defendant has not suggested that Ms. Guinsâs use of a trampoline is actually at issue in the Guins case and Defendantâs own uncontroverted records clearly establish that Ms. Guins was using the trampoline at the time of her injury. (Pl. 56.1 ¶¶ 24-29). action occurred while Ms. Guins was using a trampoline (Pl. 56.1 ¶¶ 21-29, 52- 53), Plaintiff argues that the exclusion applies (Pl. Br. 10-13). Defendant offers a number of arguments in opposition that can be distilled to two related points: first, that the term âaerial equipmentâ should be read to modify âtrampolineâ such that the exclusion applies to only specific types of trampolines; and second, that when trampoline is modified by âaerial equipment,â the provision becomes ambiguous. The Court agrees with Plaintiff that the language of the Exclusion clearly encompasses claims arising out of the use of all trampolines and is not ambiguous. i. The Injury âArises out ofâ the Use of a Trampoline Defendant does not dispute that the claim âarises out ofâ the use of a trampoline, and instead argues only that the contract should not be read to include a particular type of trampoline. (Def. Opp. 14-18). The Court briefly pauses to note, in the interest of completeness, that New York courts have construed the language âarising out ofâ broadly: â[i]n insurance contracts, the phrase arising out of is ordinarily understood to mean originating from, incident to, or having connection. It requires only that there be some causal relationship between the injury and the risk for which coverage is provided or excluded.â Nat. Organics, Inc. v. OneBeacon Am. Ins. Co., 959 N.Y.S.2d 204 (2d Depât 2013) (internal citations and quotation marks omitted). The Injury at the heart of both the Guins action and this case meets this broad definition, as it is undisputed that the Injury occurred while Ms. Guins attempted forward tumbling from a small trampoline. (Pl. 56.1 ¶¶ 21-29). ii. The Designated Ongoing Operations Exclusion Is Not Ambiguous As already noted, the Exclusion bars coverage for â[a]ny claims arising out of the use of any aerial equipment including but not limited to the use of a trapeze or trampoline.â (Pl. 56.1 ¶ 7). The most straightforward, plain reading of this provision establishes that the general term âaerial equipmentâ is qualified by, and is defined to include, the more specific terms âtrampolineâ and âtrapeze.â See Aramony v. United Way of Am., 254 F.3d 403, 413-14 (2d. Cir. 2001) (noting that âit is a fundamental rule of contract construction that âspecific terms and exact terms are given greater weight than general languageââ (quoting Restatement (Second) of Contracts § 203(c) (1981))); see also In re Cocoa Servs., L.L.C., No. 17 Civ. 11936 (JLG), 2018 WL 1801240, at *12 (Bankr. S.D.N.Y. Apr. 13, 2018) (analyzing the use of the phrase âincluding but not limited toâ in situations where, as here, it is used as an âenlargement clauseâ such that the specific enumerated terms enlarge the scope of the general term). Thus, the âplain and ordinary meaningâ of this contract is that the Exclusion applies to preclude any claim that arises out of the use of a trampoline, and that trampolines (of all types) are specifically enumerated as one kind of aerial equipment. Defendant would have the Court flip the plain meaning of the exclusion on its head. The Exclusion explicitly defines aerial equipment to include trampolines. But Defendant argues that this provision is ambiguous because it can be reasonably read so that âaerial equipmentâ modifies âtrampoline.â (Def. Br. 18-22). This reading cannot be correct, because aerial equipment does not have a clear definition, and thus there is no reasonable alternate reading.9 Defendant argues that âaerial equipmentâ is ambiguous and supplies an ipse dixit definition of that term.10 It concedes that â[n]either âaerialâ nor âaerial equipmentâ is defined in the [PIIC] Policies,â and therefore cherry-picks definitions of the word âaerialâ to reverse-engineer its preferred interpretation. (Id. at 19). But the drafters of the Exclusion provided the words âtrampolineâ and âtrapezeâ precisely to address the ambiguity that Defendant attempts to create here. By trying to redefine âtrampolineâ through the lens of âaerial equipment,â Defendant injects ambiguity where none exists. In support of its argument that it is reasonable to read the Exclusion so that âaerial equipmentâ modifies âtrampoline,â Defendant argues that: (i) a mini-tramp is not considered aerial equipment in the gymnastics field, and (ii) one proffered definition of trampoline suggests that a mini-tramp is a type of 9 For this reason, Defendantâs examples of purportedly similar phrases are inapposite, as all the qualifying terms in those phrases (like âpower toolâ and âdigital deviceâ) have widely understood common meanings. (See Def. Br. 18-19). By contrast, the term âaerial equipmentâ does not have a widely understood common meaning. Furthermore, Defendantâs analogy assumes that âmini-trampâ has a common meaning, because Defendantâs examples (i.e., âanalog phoneâ and âhand sawâ) have widely understood common meanings. (Def. Br. 18). But Defendant does not cite any common meaning of âmini-tramp.â (See generally Def. Br.; Def. Opp.). Even accepting the testimony of Defendantâs expert, Melanie K. Hall, the Court observes that Defendantâs reliance on Hallâs testimony to define either âaerial equipmentâ or âmini-trampâ suggests that neither term has a common meaning. After all, if either phrase had a common or lay meaning, expert testimony would not be needed. See Fed. R. Evid. 701(c). 10 Even were the Court to accept Defendantâs ipse dixit definition of âaerial equipment,â Defendant does not explain: (i) which trampolines qualify as aerial equipment and why they are classified as such; and (ii) how âhigh up in the airâ must a trampoline be capable of propelling a user to be considered aerial equipment. (See Def. Opp. 15-16 (defining âaerial equipmentâ as âhigh up in the airâ and distinguishing a mini-tramp because its small size allegedly precludes someone from getting âhigh up in the airâ; but failing to explain what constitutes âhigh up in the airâ and failing to establish that a mini-tramp is incapable of propelling someone that high)). trampoline that is not aerial equipment. (Def. Br. 22-24). Accepting Defendantâs ipse dixit definition of aerial equipment, and its assertion that aerial equipment should be read to modify trampoline, these arguments still fail. First, the testimony and opinion of Melanie K. Hall, Defendantâs expert, relates to the meaning, within the field of gymnastics, of âaerial equipmentâ as a term distinct from ârebound equipment.â (Hall Report 3-4, 6-7). Considering this evidence in Defendantâs favor by accepting Hallâs opinion that such a distinction is well-established in the gymnastics field does not suggest that the insurance contract is ambiguous. As discussed above, evidence of custom in the gymnastics field is not persuasive in defining equipment for the purposes of interpreting an insurance contract. Nor is there any reason to believe that the use of the phrase âaerial equipmentâ in the Exclusion was imported from the gymnastics field or that the parties were attempting to distinguish it from ârebound equipment.â (See Def. 56.1 ¶¶ 36-38 (explaining that the provenance of the Exclusion is the theater field)). Second, Defendantâs citation to a single dictionary definition to suggest that trampolines must be âseveral feet above the floorâ (Def. Br. 23; see also Kazanjian Decl., Ex. 17), is undermined by the other dictionary definition Defendant cites, which does not contain a height requirement (Def. Br. 23 (defining a trampoline as âa resilient sheet or web ... supported by springs in a metal frame and used as a springboard and landing area in tumblingâ (internal quotation marks omitted) (quoting Trampoline, Merriam-Webster, https://www.merriamwebster.com/dictionary/trampoline (last visited Sept. 9, 2020)))). In fact, despite claiming that the distinction between trampoline and mini-tramp is a critical one for the purpose of contract interpretation, Defendant offers no evidence that there is any meaningful distinction whatsoever. Indeed, Defendant and its employees use the term âmini-trampâ interchangeably with trampoline and they refer to mini-tramps as a type of trampoline. (See, e.g., Pl. 56.1 ¶ 28; Dunmire Dep. 107:18-108:5, 133:19- 134:25; Joseph Dep. 51:25-52:12, 84:8-10). With its interpretative gymnastics, Defendant tries to manufacture a carve-out for mini-tramps, which Defendant argues are not âaerial equipmentâ even if they are âtrampolines.â To accept Defendantâs contorted reading throws out the plain language of the contract. The Exclusion is not ambiguous and Defendant fails to suggest otherwise. iii. Defendantâs Other Arguments Fail Because the Contract Is Not Ambiguous Defendant offers several additional arguments as to why Plaintiff is not entitled to summary judgment, but because the language of the PIIC Policies is not ambiguous, these arguments fail as a matter of law. First, Defendant contends that extrinsic evidence of the partiesâ intent â such as the relative cost of the PIIC Policies, information about the provenance of the Exclusion, and 2018 emails between Mr. Liles and Mr. Middleton about their understanding of the scope of the exclusion â supports a narrow reading of the Exclusion. (Def. Opp. 19-23). But under New York law, courts will not consider extrinsic evidence where the language of the contract is unambiguous. See Chesapeake Energy Corp. v. Bank of New York Mellon Tr. Co., 773 F.3d 110, 117 n.3 (2d Cir. 2014) (citing Howard v. Howard, '740 N.Y.S.2d 71, 71 (2d Depât 2002)). Plaintiff's invocation of the doctrine of contra proferentem fails for the same reason. See Olin Corp. v. OneBeacon Am. Ins. Co., 864 F.3d 130, 148 (2d Cir. 2017) (explaining that the doctrine of contra proferentem is applicable only if the contract is ambiguous and extrinsic evidence fails to establish the partiesâ intent). CONCLUSION For the reasons stated in this Opinion, Plaintiff's motion to exclude the testimony of Defendantâs proffered expert is DENIED, Plaintiff's motion for summary judgment is GRANTED, and Defendantâs cross-motion for partial summary judgment is DENIED. The Clerk of Court is directed to terminate all pending motions, adjourn all remaining dates, and close this case. SO ORDERED. Dated: September 16, 2020 Kathe Mal. fild- New York, New York KATHERINE POLK FAILLA United States District Judge 28
Case Information
- Court
- S.D.N.Y.
- Decision Date
- September 16, 2020
- Status
- Precedential