CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY v. WESOJA

CourtDistrict Court, D. Maine
DecidedMay 29, 2024
Docket2:22-cv-00363
StatusUnknown

This text of CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY v. WESOJA (CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY v. WESOJA) is published on Counsel Stack Legal Research, covering District Court, D. Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY v. WESOJA, (D. Me. 2024).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MAINE

CAMBRIDGE MUTUAL FIRE ) INSURANCE COMPANY, ) ) Plaintiff, ) ) v. ) Docket No. 2:22-cv-00363-NT ) DEBORAH A. WESOJA, ) as Guardian and Conservator of ) Bianca J. Mackay, and ) CHENDA DOEUR, ) ) Defendants. )

ORDER ON MOTIONS FOR SUMMARY JUDGMENT Before me are cross-motions for summary judgment in a case that involves an insurance dispute over a motor vehicle accident (the “Accident”) that occurred on August 25, 2021, in Brunswick, Maine. The Plaintiff, Cambridge Mutual Fire Insurance Company (“Cambridge Mutual”), contends in its summary judgment motion that it is entitled to a declaratory judgment that it owes no duty under an umbrella insurance policy it issued to Defendant Chenda Doeur to indemnify him for losses Bianca J. Mackay incurred during the Accident (ECF No. 39). Defendant Deborah A. Wesoja, as Mackay’s guardian and conservator, brings a cross-motion for summary judgment, joined by Defendant Chenda Doeur, seeking a declaration that Cambridge Mutual must indemnify Doeur under the umbrella policy for Mackay’s losses (ECF Nos. 40 & 41). For the reasons stated below, the Plaintiff’s motion is GRANTED and the Defendants’ motions are DENIED. FACTUAL BACKGROUND1 I. The Accident At the time of the Accident, Defendant Chenda Doeur, the sole owner of Samaki Seafood, Inc. (“Samaki Seafood”), was driving southbound on Route 1 to

deliver a load of Samaki Seafood lobsters to Cape Seafood, Inc. Am. Stipulation of Facts (“Stip. SMF”) (ECF No. 38-1) ¶¶ 6–7. Douer was driving a 2020 Freightliner M2 106 truck that was leased to Samaki Seafood. Stip. SMF ¶¶ 5, 11. Doeur negligently failed to stop and collided with the back of Mackay’s vehicle, which was stopped in a line of southbound vehicles entering Brunswick.2 Stip. SMF ¶ 7. Mackay sustained catastrophic bodily injuries and died during the pendency of this action. Stip. SMF ¶ 7; Suggestion of Death (ECF No. 52). The value of Mackay’s claim for

damages resulting from the Accident exceeds $1,250,000. Stip. SMF ¶ 9. II. The Insurance Policies At the time of the Accident, Doeur and Samaki Seafood had numerous insurance policies.3 Of primary importance here is a personal umbrella policy that

1 This factual background is taken from the parties’ statements of facts and the exhibits submitted in connection with them. 2 As a result of the Accident, on July 6, 2023, Doeur entered a plea of guilty to aggravated driving to endanger, a Class C felony predicated on criminal negligence. Am. Stipulation of Facts (“Stip. SMF”) ¶ 8 (ECF No. 38-1). 3 Samaki Seafood, Inc. had a commercial auto insurance policy issued by Progressive Northern Insurance Company (the “Commercial Auto Policy”). Stip. SMF ¶ 13(a); Stipulation of Facts Ex. A (ECF Nos. 33-1–33-2). Doeur had five other policies: • A personal automobile insurance policy issued by Union Mutual Fire Insurance Company (the “Personal Auto Policy”). Stip. SMF ¶ 13(b); Stipulation of Facts Ex. B (ECF No. 33-3). • A businessowners policy issued by Union Mutual Fire Insurance Company. Stip. SMF ¶ 13(c); Stipulation of Facts Ex. C (ECF No. 33-4). • A homeowners policy issued by Cambridge Mutual. Stip. SMF ¶ 13(d); Stipulation of Facts Ex. D (ECF Nos. 33-5–33-6). Cambridge Mutual issued to Doeur (the “Umbrella Policy”). Stip. SMF ¶ 13(f); Ex. F (ECF No. 33-8). Although the Umbrella Policy provides excess insurance coverage over several of Doeur’s underlying policies, the parties focus their analysis on whether

the Umbrella Policy provides coverage over and above a commercial auto policy issued by Progressive Northern Insurance Company (the “Commercial Auto Policy”). The parties agree that the Commercial Auto Policy underlies Doeur’s Personal Umbrella Policy. The Commercial Auto Policy has a bodily injury limit of $1,000,000 and lists the Freightliner as a covered vehicle. Stip. SMF ¶ 16; Stip. of Facts Ex. A.1, at 154–55. Progressive Northern Insurance Company has tendered its policy limit of

$1,000,000 to Mackay. Stip. SMF ¶ 16. The Umbrella Policy provides that Cambridge Mutual “will pay damages, in excess of the ‘retained limit,’[4] for ‘bodily injury’ . . . for which an ‘insured’ becomes legally liable due to an ‘occurrence’ to which this insurance applies.” Umbrella Policy 17 (Section II.A.1). “Bodily injury” means “bodily harm, sickness or disease, including

• A commercial umbrella insurance policy issued by Union Mutual Fire Insurance Company, Stip. SMF ¶ 13(e); Stipulation of Facts Ex. E (ECF No. 33-7). • A personal umbrella insurance policy issued by Union Mutual Fire Insurance Company (the “Umbrella Policy”). Stip. SMF ¶ 13(f); Stipulation of Facts Ex. F (ECF No. 33-8). 4 For purposes of injuries arising out of the use of an auto, “retained limit” is defined as: 1. The retained policy limits for [underlying] auto liability coverage shown in the Declarations]; and 2. The total limits of any other coverage provided by “underlying insurance” and any other insurance that applies to an “occurrence” which: a. Are available to an “insured”; or b. Would have been available except for the bankruptcy or insolvency of an insurer providing “underlying insurance”. Umbrella Policy 15. The parties have stipulated that the value of Mackay’s claim exceeds $1,250,000. Stip. SMF ¶ 9. The Plaintiff explains that “the significance of that number is that it is the total of the policy limits of Mr. Doeur’s commercial auto and personal auto policies.” Pl.’s Br. in Opp’n to Def.’s Mot. for Summ. J. (“Pl.’s Opp’n”) 13 (ECF No. 43). required care, loss of services and death that results.” Umbrella Policy 5 (Section I.F). The Accident constitutes an “occurrence” as that word is defined in the Umbrella Policy. Stip. SMF ¶ 4.

The Umbrella Policy contains a number of exclusions, two which are relevant here. First, the Umbrella Policy does not cover “[b]odily injury” “arising out of or in connection with a ‘business’ ”5 in which the insured person is engaged (the “Business Exclusion”). Umbrella Policy 8 (Section III.A.3). The Business Exclusion contains several exceptions. As relevant here, the Business Exclusion does not apply to the insured’s “use of an ‘auto’ for ‘business’ purposes, other than an auto business.”

Umbrella Policy 8–9 (Section III.A.3.e). The Umbrella Policy defines “auto” as: 1. A private passenger motor vehicle, motorcycle, moped or motor home; 2. A vehicle designed to be pulled by a private passenger motor vehicle or motor home; or 3. A farm wagon or farm implement while towed by a private passenger motor vehicle or motor home. Umbrella Policy 5 (Section I.E). The second relevant exclusion eliminates coverage for “ ‘[b]odily injury’ . . . arising out of the ownership or operation of an ‘auto’ while it is being used as a public or livery conveyance” (the “Livery Exclusion”). Umbrella Policy 8–9 (Section III.A.4). The Umbrella Policy does not define “public or livery conveyance.”

5 “Business” means “[a] trade, profession or occupation engaged in on a full-time, part-time or occasional basis; or [a]ny other activity engaged in for money or other compensation.” Umbrella Policy 5 (Section I.G). The Umbrella Policy has been amended at least five times by endorsements. Relevant here is the “Personal Umbrella Liability Policy Auto Liability Following Form Endorsement” (“Following Form Endorsement”). Umbrella Policy 3, 15. The

Following Form Endorsement begins with the statement: “[w]ith respect to the coverage provided by this endorsement, the provisions of the policy apply unless modified by the endorsement.” Umbrella Policy 15. The Following Form Endorsement makes two changes to the Umbrella Policy. First, it replaces the definition of “retained limit” with respect to “bodily injury” or “property damage” arising out of the use of any “auto.” See supra n.4. Second, the Following Form Endorsement “add[s]”

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CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY v. WESOJA, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cambridge-mutual-fire-insurance-company-v-wesoja-med-2024.