Houston Casualty Company v. St. Paul Fire & Marine Insuran, No. 10-1835 (4th Cir. 2011)

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Court Description: Unpublished opinion after argument: Affirmed

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UNPUBLISHED UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT No. 10-1835 HOUSTON CASUALTY COMPANY, Plaintiff - Appellant, v. ST. PAUL FIRE & MARINE INSURANCE COMPANY, Defendant - Appellee. Appeal from the United States District Court for the District of South Carolina, at Columbia. Cameron McGowan Currie, District Judge. (3:09-cv-00926-CMC) Argued: October 25, 2011 Decided: December 6, 2011 Before DAVIS, KEENAN, and DIAZ, Circuit Judges. Affirmed by unpublished opinion. Judge Keenan opinion, in which Judge Davis and Judge Diaz joined. wrote the ARGUED: George Trenholm Walker, PRATT-THOMAS WALKER, PA, Charleston, South Carolina, for Appellant. William Pearce Davis, BAKER, RAVENEL & BENDER, LLP, Columbia, South Carolina, for Appellee. ON BRIEF: Clayton B. McCullough, Daniel S. McQueeney, Jr., PRATT-THOMAS WALKER, PA, Charleston, South Carolina, for Appellant. Jenny A. Draffin, BAKER, RAVENEL & BENDER, LLP, Columbia, South Carolina, for Appellee. Unpublished opinions are not binding precedent in this circuit. BARBARA MILANO KEENAN, Circuit Judge: In this insurance coverage dispute, we consider whether claims in an underlying personal injury suit brought against McGriff, Seibels & Williams, Inc. (McGriff), an insurance broker, were covered under policies issued to McGriff by St. Paul Fire & Marine Insurance Company (St. Paul). Contending that the claims were excluded from coverage, St. Paul refused to participate in McGriff s defense or to contribute to a final settlement of the claims. Thereafter, Houston Casualty Company (Houston), McGriff s professional liability carrier, filed the present suit against St. Paul, claiming that St. Paul improperly denied coverage and seeking contribution. After the parties filed cross-motions for summary judgment, the district court Paul s motion. denied Houston s motion and granted St. We affirm the district court s judgment. I. In 2003, Manuel Salazar suffered catastrophic injuries while working on the Lake Murray Backup Dam Project in South Carolina (the Project). Salazar filed an action against South Carolina Electric & Gas Company (South Carolina Electric), the owner of the power lines that caused his injuries, and against McGriff, the defendants. insurance broker for the Project, among other Only Salazar s claims against McGriff are relevant 2 to the present dispute between Houston, McGriff s professional liability carrier, and St. Paul, which had issued McGriff a commercial general liability policy and related umbrella excess liability policy (collectively, the St. Paul policies). alleged that in addition to providing insurance Salazar brokerage services for the Project, McGriff was responsible for performing inspections at the work site to ensure that it was reasonably safe. Salazar further alleged that McGriff failed to perform such inspections. The evidence in the record established that McGriff undertook certain safety-related obligations with regard to the Project. McGriff had procured insurance coverage for the Project in the form of an Owner-Controlled Insurance Program (OCIP), and, as part of the program, had provided a document entitled Manual of Insurance Procedures (OCIP Manual) to South Carolina Electric and to all contractors working at the Project site. The OCIP Manual Representative, in [McGriff], furnish will provided conjunction safety that with the Owner s GENERAL posters, loss Safety CONTRACTOR and and inspection reports and provide overall supervision of the Project Safety effort. Under a heading entitled Project Safety (Loss Control) Program, the OCIP Manual also stated that: A Project Safety Program has been established by the General Contractor to 3 conform with industry standards, and to meet the requirements of all Local, State, and Federal standards, and will be supervised and reviewed by the Owner s Safety Representative and [McGriff]. Houston, McGriff s professional liability carrier, provided a defense to McGriff in the suit brought by Salazar. When McGriff sought St. Paul s participation in the defense, St. Paul declined on the ground that Salazar s claims were not covered under the St. Paul policies. The defendants in the personal injury action ultimately agreed to settle Salazar s claims for $20 million, and McGriff s insurers, including Houston, contributed McGriff s share of $5 million. Houston later filed the present action in a South Carolina state court, alleging that based on the coverage provided by the St. Paul policies, St. Paul had a duty to defend McGriff and to contribute to the settlement. Thereafter, St. Paul removed the suit to federal court, and the parties filed cross-motions for summary judgment. parties motions After and the awarded district judgment in court favor ruled of on St. the Paul, Houston timely filed a notice of appeal. II. We review judgment de novo. a district court s order granting summary Providence Square Assocs., L.L.C. v. G.D.F., 4 Inc., 211 F.3d 846, 850 (4th Cir. 2000). Summary judgment is appropriate when there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. See Fed. R. Civ. P. 56(a). Under South Carolina law, 1 insurance policies are subject to general rules of contract construction. Century Indem. Co. v. Golden Hills Builders, Inc., 561 S.E.2d 355, 358 (S.C. 2002). Courts are required to interpret the language of an insurance policy according to its plain, ordinary, and popular meaning. M & M Corp. of S.C. v. Auto-Owners Ins. Co., 701 S.E.2d 33, 35 (S.C. 2010). When the language unambiguous, clear, and explicit, apply the policy terms as stated. of an insurance courts have policy the duty is to B.L.G. Enters., Inc. v. First Fin. Ins. Co., 514 S.E.2d 327, 330 (S.C. 1999). When an insurance policy contains ambiguous language, such language is strictly construed against the insurer. Am. Credit of Sumter, Inc. v. Nationwide Mut. Ins. Co., 663 S.E.2d 492, 495 (S.C. 2008). Likewise, policy exclusions are construed most strongly against the insurer. language in a policy is Id. stated However, when exclusionary unambiguously, insurers may thereby limit their liability and impose conditions on their 1 The parties do not dispute that South Carolina law governs the present issue regarding whether St. Paul had a duty to defend McGriff in the action brought by Salazar. 5 obligations, provided that the policy terms do not contravene either a statute or public policy. at 330. insured B.L.G. Enters., 514 S.E.2d Therefore, if the allegations of liability against an unambiguously fall within a policy exclusion, the insurer does not have a duty to defend or to contribute to the settlement of the claim. Questions See id. regarding coverage and an insurer s duty to defend a claim brought against its insured are determined based upon the allegations in the plaintiff s complaint. City of Hartsville v. S.C. Mun. Ins. & Risk Fin. Fund, 677 S.E.2d 574, 578 (S.C. 2009). However, an insurer s duty to defend is not strictly controlled by the allegations in the complaint, and may also be determined by facts outside of the complaint that are known by the insurer. USAA Prop. & Cas. Ins. Co. v. Clegg, 661 S.E.2d 791, 798 (S.C. 2008). III. We consider whether Salazar s claims were excluded from coverage under the St. Paul policies because they fell within the endorsement entitled Insurance and Related Work. endorsement provided, in relevant part: Insurance and related work. We won t cover injury or damage or medical expenses for which the protected person may be held liable because of: 6 This ¢ any obligation assumed by any protected person in connection with an insurance contract or treaty; [or] ¢ any failure to carry out, or improper carrying out of, any contractual or other duty or obligation in connection with an insurance contract or treaty. (Emphasis added.) Houston argues that the district court erred in concluding that Salazar s allegations against McGriff were based on duties that arose According in to connection Houston, with McGriff s an alleged insurance duty to contract. inspect and identify safety problems arose independently of any insurance contract. McGriff Thus, Houston argues that Salazar s claims against were endorsement. not subject to the Insurance and Related Work Alternatively, Houston asserts that this coverage issue involved disputed issues of material fact. We disagree with Houston s arguments. The allegations raised in Salazar s complaint fell within the plain language of this policy exclusion. In an introductory paragraph in his complaint, Salazar identified McGriff as the insurance broker for [South Carolina Electric s] Lake Murray Backup Dam project, and alleged that McGriff had undertaken a duty to inspect the facility to ensure a reasonably environment in which to perform the construction work. 7 safe In his negligence claim against McGriff, Salazar alleged that McGriff undertook a duty to inspect the facility on a regular basis, and to identify and correct any potential safety problems on the construction site, but was negligent by failing to do so. In his breach of contract claim against McGriff, Salazar similarly alleged that McGriff contracted with [South Carolina Electric] to inspect the facility on a regular basis and to identify for correction any potential safety problems, and that plain McGriff language breached of these this contractual two claims, obligation. when considered The in conjunction with the introductory paragraph describing McGriff s role as insurance broker for the Project, concerns obligations that McGriff assumed in connection with an insurance contract. Houston argues, nevertheless, that St. Paul was required to defend McGriff against Salazar s claims, because his complaint does not indicate that either cause of action against McGriff depended upon the existence of an insurance contract. According to Houston, the negligence claim was based upon a common law duty arising from a voluntary undertaking, while the breach of contract claim did not refer specifically to an insurance contract. We find no merit in this argument. The plain language of the endorsement excludes from coverage claims arising from any failure to carry out, or improper 8 carrying out of, any contractual or other duty or obligation in connection with an insurance contract. (Emphasis added). Thus, Salazar s contract claims against McGriff would be excluded from coverage if they concerned an obligation that arose in connection with an insurance contract, even though the contract at issue was not itself an insurance contract. Likewise, assuming that Salazar s negligence claim against McGriff was based on a common law duty to perform voluntarily-assumed obligations with reasonable care, that claim still would be excluded from coverage if the duty arose in connection with an insurance contract. In his complaint, Salazar explicitly stated that McGriff was the insurance broker for [South Carolina Electric s] Lake Murray Backup Dam project, and had undertaken a duty to inspect the facility to ensure a reasonably safe environment in which to perform the construction work. Salazar also alleged that McGriff contracted with South Carolina Electric to inspect the Project problems. and to As identify the for district correction court potential concluded, there safety is no allegation or suggestion in the complaint that McGriff assumed any safety-related duties except in this role. Additionally, we observe that certain facts in the record, which were known to St. Paul when it decided to deny coverage, provide further support for the district court s judgment. The OCIP Manual, which McGriff provided to South Carolina Electric 9 and to all contractors at the Project, McGriff s safety-related obligations. expressly identified The Manual provided that the Owner s Safety Representative, in conjunction with GENERAL CONTRACTOR and [McGriff], will furnish safety posters, loss and inspection reports and provide Project Safety effort. Project Safety (Loss overall supervision of the Further, under the heading entitled Control) Program, the OCIP Manual provided that [a] Project Safety Program has been established by the General Contractor to conform with industry standards, and to meet the requirements of all Local, State, and Federal standards, and will be supervised and reviewed by the Owner s Safety Representative and [McGriff]. Because these safety- related obligations assigned to McGriff were set forth in the Manual of Insurance Procedures for the specific insurance program at issue in this case, which McGriff itself had secured, these obligations arose in connection not altered with an insurance contract. Our conclusion is by Houston s assertion that the OCIP Manual is not a contract. Houston s assertion nevertheless was in this prepared regard and is provided correct, as a further Even if the part Manual of the insurance program brokered by McGriff for the Project, and the safety-related related to the obligations Project. assigned Claims 10 to based McGriff on in those the Manual obligations, including the alleged failure to properly perform them, undoubtedly arose in connection with an insurance contract, irrespective whether the Manual itself was part of an insurance contract. Finally, we reject Houston s assertion that any obligations McGriff may have incurred did not stem from an insurance contract but instead arose from a common law duty to perform voluntarily-assumed obligations with reasonable care. This contention ignores that such a duty also necessarily arose in connection with an insurance contract, because the obligations undertaken by McGriff were clearly related to the Project and stemmed insurance from McGriff s coverage for initial it. involvement Moreover, that in McGriff procuring may have assumed these obligations voluntarily does not make them any less connected with an insurance contract. IV. In conclusion, we hold that the district court correctly determined that Salazar s claims were excluded by the Insurance and Related Work endorsement. 2 Therefore, we affirm the district 2 Because Salazar s claims against McGriff concerned safetyrelated obligations in connection with an insurance contract, and thus were excluded from coverage under the Insurance and Related Work endorsement, we need not address whether such claims were also excluded as insurance professional services, (Continued) 11 court s judgment obligation to determining defend McGriff that or St. to Paul did contribute not to have an McGriff s portion of the global settlement of Salazar s claims. AFFIRMED or excluded under the Appraisers, Professional Services endorsement. 12 Inspectors, or Surveyors

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