The Insurance Shoppe of North Carolina, Inc. v. West American Insurance Company
E.D.N.C.3/30/2022
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IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF NORTH CAROLINA WESTERN DIVISION NO. 5:19-CV-256-FL THE INSURANCE SHOPPE OF NORTH ) CAROLINA, INC., ) ) Plaintiff, ) ) v. ) ORDER ) WEST AMERICAN INSURANCE ) COMPANY, ) ) Defendant. ) This matter is before the court on the partiesâ cross-motions for summary judgment (DE 46, 58) and respective motions to exclude expert witness testimony (DE 50, 56). The issues raised are ripe for ruling. For the following reasons, defendantâs motion for summary judgment is granted, plaintiffâs corresponding motion is denied, and the partiesâ motions to exclude expert witness testimony are denied as moot. STATEMENT OF THE CASE Plaintiff, serving as an insurance agent for its clients, commenced this action June 21, 2019, asserting a breach of contract claim arising out of the alleged failure of defendant, an affiliate of Liberty Mutual Insurance Company, to indemnify plaintiff for certain costs pursuant to a contract between them entitled the âLiberty Mutual Commercial Insurance Producer Agreementâ (the âAgreementâ). Plaintiff seeks indemnification for all losses, damages, costs, and expenses arising from a state court action brought against it by its former client, Harrington Companies, LLC (âHarringtonâ). Following a period of discovery, defendant filed its motion for summary judgment with reliance upon: 1) the Agreement; 2) pleadings in the Lee County, North Carolina action, Harrington Companies, LLC v. The Insurance Shoppe of North Carolina, Inc., No. 18-CV-000465; 3) a 2017-2018 insurance policy; 4) deposition testimony of William Jeremy Pearce (âPearceâ), plaintiffâs Federal Rule of Civil Procedure 30(b)(6) designee; 5) deposition testimony of Dwight M. Hinton, Jr. (âHintonâ), the now-retired executive general adjuster for defendant; 6) affidavits of Roy Harrington (âRoyâ), managing member of Harrington, and Rhonda Harrington (âRhondaâ), his wife; 7) certain email correspondence; and 8) a confidential memorandum of settlement between defendant and Harrington. Plaintiffâs arguments in opposition, also grounded upon the Agreement, additionally make reference to: 1) deposition testimony of David L. Grady (âGradyâ), plaintiffâs owner; and 2) certain email correspondence. As noted, plaintiff also moved for summary judgment in its favor. Unsurprisingly, the terms of the Agreement are central, too, to plaintiffâs motion. Advancing entitlement to judgment in its favor, plaintiff additionally relies upon: 1) excerpts of insurance policies spanning 2013-2018; 2) a summary chart of coverage limits related to those policies; 3) a letter from Hinton to Roy; 4) the aforementioned state court complaint; 5) excerpts of Hintonâs deposition testimony; and 6) deposition testimony of Taylor Terrell (âTerrellâ), an underwriter for defendant. Defendantâs arguments in opposition to plaintiffâs motion for summary judgment make reference to materials relied upon in support of its motion as well as deposition testimony of Terrell and the letter from Hinton to Roy. Additionally, each party moves to exclude testimony of the other sideâs expert witness. Towards this end, defendant seeks exclusion of the testimony of David Stegall (âStegallâ). Plaintiff, in turn, seeks exclusion of the testimony of Brenda Wells (âWellsâ). STATEMENT OF UNDISPUTED FACTS Under the Agreement, made effective June 4, 2014, plaintiff had a non-exclusive right to transmit submissions to purchase insurance to defendant for its consideration. Defendant could quote such submissions at its sole discretion. Pursuant to that Agreement, starting by at least 2014, plaintiff began procuring commercial real estate insurance coverage from defendant on behalf of Harrington, plaintiffâs client since 2010, for warehouse properties in Sanford, North Carolina. Plaintiff continued to procure yearly policies from defendant on Harringtonâs behalf for these properties through 2017. All of the relevant policies contained an 80% coinsurance provision which, in effect, allowed defendant to not pay the full amount of any loss if the value of covered property at the time of loss times the coinsurance percentage is greater than the limit of insurance for the property and, instead, pay a reduced amount.1 In September 2017, Harringtonâs covered properties suffered damage as the result of a windstorm. Harrington submitted a claim for this loss under its policy to defendant, which defendant initially adjusted downwards on the basis that some of the properties, calculated by it as worth $13,851,741 in total, were underinsured per the 80% coinsurance provision. See, e.g., Dec. 22, 2017, Letter (DE 61-4) at 4 (asserting that a covered building was worth $4,538,982, meaning, under the coinsurance provision, it should have been covered in the amount of $3,631,186, but that Harrington only had a coverage amount of $1,513,527). Harrington and defendant resolved this claim by March 15, 2018, confidential settlement agreement. 1 Policy terms explain, as an example, that for an 80% coinsurance provision, if the value of a property is $250,000, the policyholder has $100,000 in coverage, and the property suffers $40,000 in loss, defendant would cover $19,750 in damages, as calculated by determining the minimum amount of insurance required by the coinsurance provision ($250,000 Ă .8 = $200,000), dividing the actual coverage amount by that minimum required amount ($100,000 Ă· $200,000 = .5), multiplying that number by the amount of loss ($40,000 Ă .5 = $ 20,000), and, finally, subtracting the relevant deductible ($20,000 â $250 = $19,750). On May 24, 2018, Harrington brought suit against plaintiff in the Superior Court of Lee County, North Carolina, (the âHarrington actionâ), for damages stemming from alleged breaches of fiduciary and contractual duties, and from unfair and deceptive trade practices In particular, Harrington alleges in its complaint that â[a]t the time [plaintiff] procured renewal on behalf of [Harrington],â in 2017, plaintiff had not âconducted any independent research, investigation, or inquiry to determine what the appropriate amounts of coverage for each building should be under [Harringtonâs] replacement cost policy with [defendant]â; âmade any independent inquiry or investigation as to what the actual replacement cost for each building would be in the event of a complete or partial lossâ; âmade any independent inquiry or investigation as to what the financial effect of the co-insurance provision contained in the policy with [defendant] would have on [Harrington] in the event of a complete or partial loss if the buildings were underinsuredâ; nor discussed with, disclosed to, advised, or informed Harrington âthe nature and effect of replacement cost insurance and its relationship with a co-insurance penalty clause,â âwhat the âcoverage amountâ should be for each building,â or the fact that the policy was a âco-insurance contractâ and its attendant legal and financial effects. Shortly after initiation of the Harrington action, plaintiff sought indemnification from defendant for attorneysâ fees and costs incurred in its defense of that action, relying on a provision of the Agreement (the âindemnification clauseâ), wherein [defendant] agree[s] to indemnify, protect, and hold [plaintiff] harmless from and against any and all civil liability, and all claims, losses damages, costs, and expenses, including court costs and reasonable attorneysâ fees related thereto, arising out of or incurred by reason of any error or omission on the part of [defendant], [defendantâs] directors, officers, agents, or employees in placing business pursuant to or carrying out the terms and conditions of this agreement, except to the extent such error or omission was caused or contributed to by [plaintiff]. Defendant declined to provide the requested indemnification and continues to deny any responsibility to indemnify plaintiff for the expenses claimed in the pending state court action. The instant suit followed. COURTâS DISCUSSION A. Motions for Summary Judgment 1. Standard of Review Summary judgment is appropriate where âthe 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). On cross-motions for summary judgment, the court âconsider[s] each motion separately on its own merits to determine whether [any] of the parties deserves judgment as a matter of law.â Defs. of Wildlife v. N.C. Depât of Transp., 762 F.3d 374, 392 (4th Cir. 2014).2 The party seeking summary judgment âbears the initial responsibility of informing the district court of the basis for its motion, and identifying those portions of [the record] which it believes demonstrate the absence of a genuine issue of material fact.â Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). Once the moving party has met its burden, the non-moving party must then âcome forward with specific facts showing that there is a genuine issue for trial.â Matsushita Elec. Indus. Co. Ltd. v. Zenith Radio Corp., 475 U.S. 574, 586-87 (1986). Only disputes between the parties over facts that might affect the outcome of the case properly preclude the entry of summary judgment. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48 (1986) (holding that a factual dispute is âmaterialâ only if it might affect the outcome of the suit and âgenuineâ only if there is sufficient evidence for a reasonable jury to return a verdict for the non-moving party). 2 Throughout this order, internal citations and quotation marks are omitted from citations unless otherwise specified. â[A]t the summary judgment stage the [courtâs] function is not [itself] to weigh the evidence and determine the truth of the matter but to determine whether there is a genuine issue for trial.â Id. at 249. In determining whether there is a genuine issue for trial, âevidence of the non-movant is to be believed, and all justifiable inferences are to be drawn in [non-movantâs] favor.â Id. at 255; see United States v. Diebold, Inc., 369 U.S. 654, 655 (1962) (âOn summary judgment the inferences to be drawn from the underlying facts contained in [affidavits, attached exhibits, and depositions] must be viewed in the light most favorable to the party opposing the motion.â). Nevertheless, âpermissible inferences must still be within the range of reasonable probability, . . . and it is the duty of the court to withdraw the case from the [factfinder] when the necessary inference is so tenuous that it rests merely upon speculation and conjecture.â Lovelace v. Sherwin-Williams Co., 681 F.2d 230, 241 (4th Cir. 1982). Thus, judgment as a matter of law is warranted where âthe verdict in favor of the non-moving party would necessarily be based on speculation and conjecture.â Myrick v. Prime Ins. Syndicate, Inc., 395 F.3d 485, 489 (4th Cir. 2005). By contrast, when âthe evidence as a whole is susceptible of more than one reasonable inference, a [triable] issue is created,â and judgment as a matter of law should be denied. Id. at 489-90. 2. Analysis â[U]nder Massachusetts law, interpretation of a contract is ordinarily a question of law for the court[.]â Farmers Ins. Exch. v. RNK, Inc., 632 F.3d 777, 783 (1st Cir. 2011); see Caldwell Tanks, Inc. v. Haley & Ward, Inc., 471 F.3d 210, 217 (1st Cir. 2006) (â[W]here material facts are not in dispute, interpretation of an indemnity clause is an issue of law.â).3 Where âthe contract 3 The parties agree that Massachusetts law applies to plaintiffâs breach of contract claim per the choice of law provision of the Agreement. (Pl.âs Stmt. (DE 60) ¶ 4; Def.âs Stmt. (DE 48) ¶ 8; see also Agreement (DE 49-1) at 11). language [is] unambiguous, [the court] interpret[s] it according to its plain terms,â Den Norske Bank AS v. First Nat. Bank of Bos., 75 F.3d 49, 52 (1st Cir. 1996), and â[s]ummary judgment is appropriate when those plain terms unambiguously favor either side.â Farmers, 632 F.3d at 784. â[A] contract should be construed to give it effect as a rational business instrument and in a manner which will carry out the intent of the parties.â Starr v. Fordham, 648 N.E.2d 1261, 1270 (Mass. 1995). Absent fraud or mistake, âan agreement is presumed to express the intent of the parties.â Fairfield 274-278 Clarendon Tr. v. Dwek, 970 F.2d 990, 993 (1st Cir. 1992). Specifically, â[c]ontracts of indemnity are to be fairly and reasonably construed in order to ascertain the intention of the parties and to effectuate the purpose sought to be accomplished.â Nicolaci v. Anapol, 387 F.3d 21, 24 (1st Cir. 2004); Caldwell Tanks, 471 F.3d at 217 (â[I]ndemnification provisions are construed in accordance with their ordinary and plain meaning[.]â). Massachusetts law requires that âindemnification provisions [be] construed . . . without any bias in favor of the indemnitor or against the indemnitee.â Caldwell Tanks, 471 F.3d at 217; Shea v. Bay State Gas Co., 418 N.E.2d 597, 600 (Mass. 1981). Finally, â[w]hen there is an express agreement of indemnity in a contract, a claim for indemnity accrues when there is a breach of that provision.â Fall River Hous. Auth. v. H.V. Collins Co., 604 N.E.2d 1310, 1312 (Mass. 1992) (emphasis omitted). Neither party asserts that the contractâs terms are ambiguous, and the court does not find them to be so. See generally Bank v. Thermo Elemental Inc., 888 N.E.2d 897, 907 (Mass. 2008) (âContract language is ambiguous where the phraseology can support a reasonable difference of See generally Volvo Const. Equip. N. Am., Inc. v. CLM Equip. Co., Inc., 386 F.3d 581, 602 (4th Cir. 2004) (âDespite North Carolinaâs adherence to the presumptive rule of lex loci contractus, contracting parties in North Carolina are entitled to agree that a particular jurisdictionâs substantive law will govern their contract, and such a provision will generally be given effect.â). opinion as to the meaning of the words employed and the obligations undertaken.â). Thus, the court is presented with the legal question of whether the Agreementâs indemnification clause requires defendant to indemnify plaintiff for attorneysâ fees and costs incurred in the Harrington action.4 If it does, defendant breached the Agreement, and summary judgment in plaintiffâs favor is proper. If it does not, defendant did not breach, and summary judgment in its favor is proper. The court concludes, for reasons herein discussed, that the terms of the Agreement, plainly read, demonstrate that defendant does not have a contractual duty to indemnify plaintiff for the expenses claimed. a. âCivil Liability, and All Claims, Losses, Damages, Costs, and Expenses, Including Court Costs and Reasonable Attorneysâ Fees Related Theretoâ To qualify for reimbursement of attorneysâ fees and costs, the indemnification clause requires the âcourt costsâ and âattorneysâ fees,â like the other items listed, to ârelate[] []toâ âcivil liability.â The phrase ârelated theretoâ syntactically modifies the preceding clause following âliability, andâ to limit the scope of âall claims, losses damages, costs, and expenses, including court costs and reasonable attorneysâ feesâ to those related to âany and all civil liability.â See generally Fleet Nat. Bank v. H&D Ent., Inc., 96 F.3d 532, 538 (1st Cir. 1996) (â[A] contract governed by Massachusetts law must be construed in accord with common sense[ and] the likely intent of the parties[.]â). 4 Although the complaint asserts that plaintiff seeks âindemnification and defense from [defendant],â (Compl. (DE 1) at 5 (emphasis added)), in briefing, plaintiff has disavowed that it seeks to enforce any duty to defend on the part of defendant. (See, e.g., Pl.âs Resp. (DE 71) at 9). The parties do not raise, so the court does not address, the issue of whether plaintiff forfeited the ability â[t]o enforce an indemnification clause,â where it did not âgive the indemnitor notice and an opportunity to defend.â Psychemedics Corp. v. City of Bos., 161 N.E.3d 399, 409 (Mass. 2021) (emphasis added); see also Monadnock Display Fireworks, Inc. v. Town of Andover, 445 N.E.2d 1053, 1057 (Mass. 1983) (âAn indemnitee must give an indemnitor notice and an opportunity to defend the underlying action if the indemnitor is to be precluded from claiming that judgment against the indemnitee could have been avoided or that the settlement was unreasonable[.]â). Under Massachusetts law, âliabilitiesâ is âan appropriate word to express obligations . . . founded upon a judgment,â but â[t]he word undoubtedly may comprise contingent obligations.â Starr, 648 N.E. 2d at 1269; see also Liability, Blackâs Law Dictionary (10th ed. 2014) (âThe quality, state, or condition of being legally obligated or accountable.â). In turn, âindemnifyâ means â[t]o reimburse (another) for a loss suffered because of a third partyâs or oneâs own act or default.â Indemnify, Blackâs Law Dictionary (10th ed. 2014); see also Caldwell Tanks, 471 F.3d at 216 (defining âindemnityâ as â[a] duty to make good any loss, damage, or liability incurred by anotherâ (emphasis omitted)). Accordingly, the provision, further defined, requires defendant to reimburse plaintiff for the expense of attorneysâ fees and costs related to obligations founded upon a judgment or other comparable legal obligation. Yet, plaintiff has not yet suffered a loss related to an obligation founded upon a judgment, as no judgment has been entered in the Harrington case. Nor has plaintiff suffered a loss due to a comparable legal obligation. Therefore, its demand for attorneysâ fees and court costs falls outside the scope of the indemnity provision. This understanding of the provision is bolstered by Massachusetts courtsâ treatment of indemnity and the duty to indemnify generally. See Wilkinson v. Citation Ins. Co., 856 N.E.2d 829, 836 (Mass. 2006) (âTh[e] duty [to indemnify] arises only after the [indemniteeâs] liability has been established[.]â); Fall River, 604 N.E.2d at 1313 (explaining that âa breach of [a contractual indemnity provision] would occur when [the indemnitee] pays damages to the injured person because [the indemnitor] expressly agreed to pay such damagesâ); Newell-Blais Post No. 443, Veterans of Foreign Wars of U.S., Inc. v. Shelby Mut. Ins. Co., 487 N.E.2d 1371, 1374 (Mass. 1986) (âThe issue of indemnification must await the completion of trial.â); cf. 275 Washington St. Corp. v. Hudson River Intâl, LLC, 987 N.E.2d 194, 200 (Mass. 2013) (â[W]here . . . the lease does not specify when indemnification is due, indemnification under our common law does not become due until the end of the original lease term, when damages may be wholly ascertained.â). Moreover, plaintiffâs demand for defendant to fund its defense costs prior to judgment, regardless of plaintiffâs ultimate liability in the Harrington action, is in effect, an invocation of the very duty to defend that it disclaims. Holyoke Mut. Ins. Co. in Salem v. Vibram USA, Inc., 106 N.E.3d 572, 576 (Mass. 2018) (explaining that the âduty to defend . . . is triggered . . . notwithstanding the possibility that the underlying claim may ultimately fail or that the merits of the claim are weak of frivolousâ); Mount Vernon Fire Ins. Co. v. Visionaid, Inc., 76 N.E.3d 204, 212 (Mass. 2017) (discussing the duty to pay defense costs); see Herbert A. Sullivan, Inc. v. Utica Mut. Ins. Co., 788 N.E.2d 522, 539 (Mass. 2003). But Massachusettsâs courts have repeatedly explained that a duty to indemnify and a duty to defend are distinct and separate. See generally Wilkinson, 856 N.E.2d at 836 (âThere is a meaningful difference between an insurerâs duty to defend . . . and a duty to indemnify.â); Bos. Symphony Orchestra, Inc. v. Com. Union Ins. Co., 545 N.E.2d 1156, 1158 (Mass. 1989) (âThe duty to defend, however, is antecedent to, and independent of, the duty to indemnify[.]â). For example, as Massachusettsâs Appeals Court has noted, even language in an indemnity provision requiring the indemnitor to âindemnify and hold harmless . . . from . . . all claims, losses, liabilities and expenses, including attorneyâs fees,â does not create a duty to defend. Miley v. Johnson & Johnson Orthopaedics, Inc., 668 N.E.2d 369, 372 (Mass. App. Ct. 1996); Herson v. New Bos. Garden Corp., 667 N.E.2d 907, 911, 914 (Mass. App. Ct. 1996) (explaining that language requiring the indemnitor to âindemnify . . . [the indemnitees] . . . against any and all suits, actions, . . . claims, . . . liabilities, . . . attorneyâs fees [and] costs . . . arising out of injury or death of [the indemnitorâs] employees . . . caused . . . or claimed to be caused . . . by reason of any act[ or] omission . . . of [the indemnitor]â did not ârequire[] that indemnity payments be tendered unless and until it has been proven that [the indemnitor] caused the injuryâ). Further, the duty to defend, between the two, is the one associated with the ârequir[ement] [of] immediate payment of indemniteeâs defense costs.â Herson, 667 N.E.2d at 914; see Preferred Mut. Ins. Co. v. Gamache, 686 N.E.2d 989, 991 (Mass. 1997). And the parties demonstrated elsewhere in the Agreement that they knew how to impose a duty to defend on one of the parties where that was their intent. Note where the Agreement provides â[w]ithout limiting the generality of the foregoing [indemnity provisions], [plaintiff] agree[s] to defend, indemnify, and hold [defendant] . . . harmless from and against any and all expenses, including legal fees, claims, suits, . . . awards, judgments, . . . and settlements arising out of or in any way related to [plaintiffâs] failure to comply with any applicable . . . requirements to disclose [its] compensation or of the existence or terms of this Agreement to [defendantâs] insureds, potential insureds, or regulators.â Plaintiff does not point, in support of its argument, to any case applying Massachusetts law that considered a factual context comparable to the instant circumstances, that is, an indemnitee seeking indemnification for attorneysâ fees and costs incurred in an underlying suit, prior to judgment or any finding of liability, on the basis of facts not found in that underlying suit. The primary case plaintiff directs attention to is one construing an entityâs duty to defend, rather than to indemnify. See Cardin v. Pac. Emps. Ins. Co., 745 F. Supp. 330, 331, 333-34 (D. Md. 1990) (holding that, in regard to the insurerâs duty to defend, a cause of action for an insurerâs denial of payment of defenses costs accrued on the date of denial); see also John Beaudette, Inc. v. Sentry Ins. A Mut. Co., 94 F. Supp. 2d 77, 103 (D. Mass. 1999) (âWith respect to the contractual duty to indemnify, the duty does not arise until issuance of a judgment, settlement or final resolution wherein the insured becomes legally obligated to pay damages.â). The other case upon which plaintiff relies specifically distinguishes its holding from the normal course due to the unique considerations undergirding a âlegal obligation imposed by a governmental agency, pursuant to an environmental statute.â OneBeacon Am. Ins. Co. v. Narragansett Elec. Co., 31 N.E.3d 1143, 1154 (Mass. App. Ct. 2015); (see also Pl.âs Resp. (DE 71) at 15 (citing OneBeacon, 31 N.E.3d at 1153) (relying on a portion of OneBeaconâs analysis as favoring indemnification despite that excerpt arising as part of the courtâs analysis as to a duty to defend)). In sum, both the language of the indemnity provision and concept of indemnity as understood by Massachusetts courts compel the conclusion that the provision only applies once a judgment has been entered in the underlying case or other final, legally obligating action has been taken. It is undisputed that neither is true in regard to the Harrington suit. Thus, defendant was not obligated to honor plaintiffâs demand for attorneysâ fees and costs under the indemnity provision and, therefore, did not breach the Agreement. b. âArising Out of . . . Any Error . . . on the Part of [Defendant]â Moreover, defendant is entitled to judgment where attorneysâ fees and costs incurred by plaintiff in the Harrington action do not on the face of that complaint arise out of an error on defendantâs part, as required by the indemnity provision. To fall under the ambit of the Agreementâs indemnity provision, the âcourt costs and reasonable attorneysâ feesâ must ârelate[] . . . []toâ a âcivil liability . . . arising out of or incurred by reason of any error or omission on the part of [defendant] . . . in placing business pursuant to or carrying out the terms and conditions of th[e] Agreement.â Thus, the inquiry is whether Harringtonâs claim, upon which the civil liability would have to be premised, arises out of an error on defendantâs part in placing business pursuant to or carrying out the terms and conditions of the Agreement. Under Massachusetts law, the phrase âarising out ofâ generally means âoriginating from, growing out of, flowing from, incident to, or having connection withâ and âindicates a wider range of causation than the concept of proximate causation in tort law,â âfall[ing] somewhere between proximate and âbut forâ causation.â Brazas Sporting Arms, Inc. v. Am. Empire Surplus Lines Ins. Co., 220 F.3d 1, 7 (1st Cir. 2000); see also Bagley v. Monticello Ins. Co., 720 N.E.2d 813, 816 (Mass. 1999) (âThe phrase âarising out ofâ must be read expansively[.]â). However, âthere must be a sufficiently close relationship between the injury and the [covered conduct].â Ruggerio Ambulance Serv., Inc. v. Natâl Grange Ins. Co., 724 N.E.2d 295, 299 (Mass. 2000). In other words, there must be âa reasonably apparent causal connection between the injury and relevant event.â AIG Prop. Cas. Co. v. Cosby, 892 F.3d 25, 28 (1st Cir. 2018). At bottom, â[t]here is no bright line testâ; â[w]hether a particular injury is sufficiently related to [covered conduct] must be decided on a case-by-case basis and requires a judgment call . . . as to where along a continuum of causation fall the facts of each case.â Commerce Ins. Co. v. Ultimate Livery Serv., Inc., 897 N.E.2d 50, 61-62 (Mass. 2008). In this context, the inquiry examines what the âcomplaint in the underlying actionâ alleges in order to determine whether the âclaim . . . and . . . resulting injuries[] had their genesisâ in the category of acts out of which the claim is required to have arisen. See, e.g., Bagley, 720 N.E.2d at 816-17. Plaintiffâs claim for indemnification has arisen prior to entry of judgment in the underlying action.5 This is unlike a standard claim for indemnification, as discussed above, see, e.g., Holyoke Mut. Ins., 106 N.E.3d at 576 n.8; Newell-Blais Post No. 443, 487 N.E.2d at 1374, which would allow any duty to indemnify on defendantâs part to be âdetermined by the facts . . . 5 Some future finding in the Harrington action that plaintiff is not liable to Harrington on account of cognizable error(s) by this defendant would, should the question raised now be posed then, present a very different context for decisionmaking. established at trialâ or in an equally legally conclusive context. Travelers Ins. Co. v. Waltham Indus. Labâys Corp., 883 F.2d 1092, 1099 (1st Cir. 1989). In this instance, the courtâs focus is âthe source from which the [complainantâs] . . . injury originates rather than the specific theories of liability alleged.â Bagley, 720 N.E.2d at 817 (explaining that this principle, although arising from âduty to defend cases,â may âappl[y] with equal force to the duty to indemnifyâ); see also Brazas, 220 F.3d at 7. Here, the parties raise two possible sources of injury: 1) the alleged error by defendantâs underwriter in failing to ensure the properties were insured to adequate value to avoid the coinsurance penalty, as asserted by plaintiff, or 2) purported errors by plaintiff in procuring insurance for Harrington, such as failures to explain, disclose, or investigate. Looking to the underlying complaint, âany . . . civil liabilityâ related to that complaint and âcourt costs and reasonable attorneyâs feesâ stemming therefrom do not have a sufficiently close relationship to any error by defendant in placing business pursuant to or carrying out the terms of the Agreement. Therefore, plaintiffâs claim for indemnification is precluded because it does not arise out of an error by defendant. The source of injury for the Harrington claim, for which plaintiff seeks reimbursement of related attorneysâ fees and costs, is a âseparate and distinct event[]â from any alleged error by defendant. Brazas, 220 F.3d at 7. While the Harrington complaint does assert that because â[p]laintiff [was] significantly underinsured . . . , [defendant] imposed a substantial co-insurance penaltyâ and that â[a]s a direct and proximate result of [plaintiff] being underinsured, . . . [p]laintiff was damaged . . . in an amount in excess of $1,000,000.00,â it lays this mistake squarely and solely at the feet of plaintiff.6 Harrington alleges that it was underinsured because of plaintiffâs failure 6 Plaintiff maintains inconsistent positions on whether reference to the Harrington complaint in answering the instant inquiry is proper, (see, e.g., Pl.âs Resp. (DE 71) at 10 (asserting that the âHarrington Companiesâ claims arise to disclose certain information regarding the coinsurance policy and to independently inquire or investigate as to the replacement costs of the properties, the potential impact of the coinsurance provision, or what coverage amount the Harringtonâs should have. Accordingly, the âsource from which [Harringtonâs] . . . injury originatesâ is independent from any error by defendant, rather than âinterdependentâ with or âindisputably derived fromâ that purported error. Brazas, 220 F.3d at 7-8. Moreover, on the face of the Harrington complaint, while defendant imposed a substantial coinsurance penalty, it did so because Harrington was underinsured as a result of plaintiffâs actions, meaning that plaintiffâs alleged error âpreceded[] and set the context forâ defendantâs imposition of the coinsurance penalty. Brazas, 220 F.3d at 8; see also Specialty Nat. Ins. Co. v. OneBeacon Ins. Co., 486 F.3d 727, 733 (1st Cir. 2007) (âThe expression âarising out ofâ . . . does not refer to all circumstances in which the injury would not have occurred âbut forâ [the covered conduct].â). Plaintiff points to deposition testimony of defendantâs underwriter that it purports indicates a responsibility of defendant in ascertaining coverage amounts. That testimony, however, is not a âfactâ established, or even present, in the underlying suit from which indemnification is sought. See, e.g., Newell-Blais Post No. 443, 487 N.E.2d at 1374; Travelers Ins., 883 F.2d at 1099. In sum, the claim for civil liability against plaintiff, and attorneysâ fees and court costs related thereto, arise not out of an error by defendant but an alleged error by plaintiff. Therefore, plaintiffâs from [defendantâs] mistakeâ through reliance on allegations in â[t]he Harrington Complaintâ); Pl.âs Reply (DE 74) at 5), or whether the complaint âhas no legal bearingâ on the inquiry before the court. (Pl.âs Resp. (DE 71) at 11). As already noted by the court, Massachusetts law belies plaintiffâs assertion that the Harrington complaint has no legal bearing on the question before the court. Bagley, 720 N.E. 2d at 816 (beginning its analysis of the indemnity question with âa fair reading of the plaintiffâs complaint in the underlying actionâ to conclude that it âindicate[d] that her claim against [the insured], and her resulting injuries, had their genesis in [conduct excluded from coverage]â). demand for reimbursement of those attorneysâ fees and costs on the showing made falls outside of the indemnification clause.7 Accordingly, defendant must be awarded summary judgment as a matter of law on the undisputed facts. Defendantâs motion is granted and plaintiffâs motion for summary judgment must be and is denied. B. Motions to Exclude Experts Plaintiff moves to exclude testimony and opinion of Wells, who holds a doctorate in risk management and insurance, serves as a professor of that subject at East Carolina University, and opines that plaintiff violated its duty of reasonable care as an insurance agent or broker and caused harm to Harrington, on the basis that she is unqualified. In turn, defendant moves to exclude testimony and opinion of Stegall, who is an insurance and risk management consultant, on the basis that his opinions on the practices of the insurance industry are unreliable and speculative. However, because the courtâs above analysis does not rely on either purported expertâs testimony and because grant of defendantâs motion obviates need for a trial, those motions are denied as moot. CONCLUSION Based on the foregoing, defendantâs motion for summary judgment (DE 46) is GRANTED, and plaintiffâs motion for summary judgment (DE 58) is DENIED. Further, the partiesâ motions to exclude the testimony and opinions of certain experts (DE 50, 56) are DENIED as moot. The clerk is DIRECTED to close this case. 7 Further, even assuming that the Harrington complaint arose out of defendantâs error, the court is unable to read that document in such a way that it does not assert that defendantâs error was at least âcontributed to byâ plaintiff, as would except coverage of costs or expenses under the indemnity provision. SO ORDERED, this the 30th day of March, 2022. LOUISE W. FLANAGAN United States District Judge 17
Case Information
- Court
- E.D.N.C.
- Decision Date
- March 30, 2022
- Status
- Precedential