Amerisure Insurance Company v. Seneca Specialty Insurance Company

CourtDistrict Court, S.D. Florida
DecidedJune 18, 2020
Docket1:20-cv-20442
StatusUnknown

This text of Amerisure Insurance Company v. Seneca Specialty Insurance Company (Amerisure Insurance Company v. Seneca Specialty Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Amerisure Insurance Company v. Seneca Specialty Insurance Company, (S.D. Fla. 2020).

Opinion

UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF FLORIDA Miami Division

Case Number: 20-20442-CIV-MORENO

AMERISURE INSURANCE COMPANY,

Plaintiff,

vs.

SENECA SPECIALTY INSURANCE

COMPANY and MRK CONSTRUCTION

INCORPORATED,

Defendants. _________________________________________/

ORDER GRANTING SENECA’S MOTION TO DISMISS

In this insurance coverage dispute, Plaintiff Amerisure Insurance Company and Defendant Seneca Specialty Insurance Company disagree as to whether an “additional insured” endorsement in a Seneca insurance policy—issued to Defendant MRK Construction Incorporated, a subcontractor on a Walmart construction project—extends liability coverage to Walmart, Inc. Amerisure, as the assignee of Walmart’s rights against Seneca and MRK, asserts a breach of contract claim against Seneca. This claim alleges that Walmart is a covered as an “additional insured” under the Seneca Policy, and thus Amerisure must be indemnified for the judgment against Walmart in an underlying state court lawsuit. That lawsuit alleged that Walmart alone was directly negligent for the plaintiffs’ injuries—which stemmed from MRK’s work at the Walmart. Seneca moves to dismiss the breach of contract claim on grounds that the Policy only covers Walmart as an “additional insured” for Walmart’s vicarious liability premised upon MRK’s direct negligence. Seneca thus argues that it does not have a duty to defend Amerisure because liability in the state court case was premised only on Walmart’s direct negligence. For the reasons explained below, Seneca’s Motion to Dismiss (D.E. 11) is GRANTED. Accordingly, the breach of contract claim in Count 2 is DISMISSED. I. BACKGROUND A. THE INCIDENT The story of this insurance coverage dispute began at a Walmart store in October 2011. Upon entering a Walmart in Miami, a family was struck by large quantities of wet cement that had poured through a gap in the ceiling above them. (See D.E. 1 at ¶¶ 8–9; D.E. 4-1 at ¶ 7.) Seeking damages for their injuries, the family filed suit against Walmart in state court in October 2015. Id. The complaint asserted three negligence claims and two loss of consortium claims against

Walmart, who was the lone defendant. The complaint alleged that Walmart was directly negligent by, among other reasons, failing to maintain its store in a reasonably safe condition and failing to warn the plaintiffs of the dangerous condition. (See D.E. 4-1.) In September 2018, a Final Judgment was entered against Walmart in excess of $1 million. (See D.E. 1 at ¶ 14; D.E. 4-3.) B. WALMART’S ASSIGNMENT OF RIGHTS TO AMERISURE In October 2018, Walmart and the Plaintiff in this case, Amerisure Insurance Company, entered into a Settlement Agreement and Assignment of Claims in which Amerisure agreed to satisfy the judgment against Walmart. (See D.E. 1 at ¶ 15; D.E. 4-4.) In exchange, Walmart assigned to Amerisure the rights that Walmart had against both the subcontractor on the concrete project, Defendant MRK Construction, Incorporated (“MRK”), and MRK’s insurer, Defendant

Seneca Specialty Insurance Company (“Seneca”). Id. The rights assigned to Amerisure included claims against MRK and Seneca for insurance benefits, interest, attorneys’ fees, and costs. Id. C. AMERISURE AGREES TO INDEMNIFY WALMART Before the underlying incident, Walmart entered into a contract with Case Construction Company (“Case”), who would serve as the general contractor on the construction project. (D.E. 1 at ¶ 10.) Case had a general liability insurance policy with Amerisure. Id. Under the contract

- 2 - between Case and Walmart, Amerisure accepted the tender of defense and indemnification of Walmart. Jd. Eventually, Amerisure extinguished the judgment against Walmart as an “additional insured” under Case’s policy with Amerisure, and also under the indemnification provision in the construction contract between Case and Walmart. /d. at § 16. D. THE SUBCONTRACT BETWEEN CASE AND MRK Also before the underlying incident, Case entered into a construction subcontract with MRK for the performance of work at the Walmart store. Jd. at 12. Article 13 of this subcontract required MRK to “purchase and maintain” comprehensive general liability insurance, in the amount of $2,000,000.00, to protect MRK from claims that “may arise out of, or result from” MRK’s “operations and completed operations under the Subcontract”: ARTICLE 13. INSURANCE AND BONDS § 13.1 The Subcontractor shall purchase and maintain insurance of the following types of coverege and [Imits of liability as will protect the Subcontractor from claims that may avise out of, or result from, the Subcontractor’ operations and completed operations under the Subcontract: Type of fhaurance or bond Limit of Habillty or bond amount ($0.00) Workers Compensation 1,000,000.00 Comprehensive Genoral Liability 2,080,000.00 Comprehensive Auto Liability 2,000,000,00 (D.E. 4-2 at 21.) The subcontract also required MRK to “cause the commercial liability coverage” to include Walmart (i.e. the “Owner”) as an additional insured for “claims caused in whole or in part by” MRK’s negligent acts or omissions during its operations: § 13.4 The Subcontractor sha!l cause the commercial Hability goverage required by the Subcontract Documents to include: (1) the Contractor, the Owner, the Architect and the Architest’s consultants as additional insureds for claims caused In whole or in part by the Subcontractor's negligent acta or omissions during the Subcontracter’s operations; and (2) the Contractor as an additional insured for claims cased in whole or in part by the Subcontractor’s negligent acts or omissions daring the Subcontractor's campleted operations, Id. And finally, Schedule A to the subcontract added subparagraph 13.1.1, which required MRK to list Walmart as an additional insured on MRK’s Certificate of Insurance:

-3-

ARTICLE 13 ~ INSURANCE AND BONDS 13.4. The Subcontractor shall purchase and maintain Insurance of the following types of coverage and limits of liability : Add the following Subparagraphs: 13.4.1 A Gertificate of Insurance, which MUST list CASE CONTRACTING COMPANY and WAL-MART STORES, INC., as additional insureds as their interests may appear, shal! be additicnal insureds with cross liability endorsement with respect to commercial, general and automobile lability policies, and PROOF of Workman’s Compensation insurance IN YOUR COMPANY'S NAME must be provided within 7 day of contract date.

Id. at 27. E. MRK’S INSURANCE POLICY WITH SENECA MRK had a general commercial liability policy with Seneca (the “Seneca Policy” or the “Policy”’). This Policy extended coverage “to include as an additional insured the person(s) or organization(s) showing in the Schedule.” (See D.E. 4-5 at 49.) Under the Schedule, additional insured person(s) or organization(s) are those “required by written contract.” See id. Amerisure asserts that the subcontract between Case and MRK serves as the “written contract” through which the Seneca Policy affords coverage to Walmart as an additional insured. See id. at J] 17-20. If a party is included as an additional insured via the Schedule, the coverage extends “only with respect to liability for “bodily injury’... caused, in whole or in part by’ MRK’s acts or omissions:

A. Section Il - Who Is An Insured $ amended to INS Ge aS an addtorai irsured Me person(s} or ogaueal.cnis} srown in re Scfedu'e but anly with respect [6 “abilily for body inury” ‘property daviage’ of "personal are acvecisirg injury’ cazsed mwhoeaninpan oy 1, Your acts or orissio ts, or 2. The acts of om16s.075 of those acting on your beba f, m tre peramance of your arcaing operations fer ire addtiera inguredis) at the locator{s) cesig- nated above

(D.E. 4-5 at 49 (emphases added).) _4-

II. LEGAL STANDARD “A pleading that states a claim for relief must contain . . .

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Amerisure Insurance Company v. Seneca Specialty Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/amerisure-insurance-company-v-seneca-specialty-insurance-company-flsd-2020.