Davis v. National Interstate Insurance Company

CourtDistrict Court, E.D. California
DecidedAugust 11, 2023
Docket1:23-cv-00936
StatusUnknown

This text of Davis v. National Interstate Insurance Company (Davis v. National Interstate Insurance Company) is published on Counsel Stack Legal Research, covering District Court, E.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Davis v. National Interstate Insurance Company, (E.D. Cal. 2023).

Opinion

8 UNITED STATES DISTRICT COURT 9 EASTERN DISTRICT OF CALIFORNIA 10

11 ANTHONY DAVIS, Case No. 1:23-cv-00936-ADA-CDB

12 Plaintiff, ORDER GRANTING DEFENDANT’S MOTION TO DISMISS COMPLAINT 13 v. PURSUANT TO FED. R. CIV. P. 12(b)(6) AND GRANTING LEAVE TO AMEND 14 NATIONAL INTERSTATE INSURANCE COMPANY, (Doc. 3) 15 Defendant. 21-DAY DEADLINE 16 17 18 Pending before the Court is the motion by Defendant National Interstate Insurance 19 Company to dismiss the complaint of Plaintiff Anthony Davis, filed June 29, 2023, pursuant to 20 Fed. R. Civ. P. 12(b)(6). (Doc. 3).1 The Court has received and considered Plaintiff’s opposition 21 papers (Doc. 5) and Defendant’s reply (Doc. 8). 22 Background 23 On October 21, 2019, Plaintiff filed a personal injury lawsuit in the Superior Court for the 24 State of California, County of Kern, against Ten-West Towing, its alleged owner, James R. Cady, 25 and an employee, Brandon Edwards. See Complaint (Doc. 1-1) ¶ 10. Plaintiff amended the 26 complaint twice, and the operative, third amended complaint was filed on August 28, 2020 (the

27 1 Defendant’s motion to dismiss was assigned for decision to the undersigned following the parties’ filing of forms acknowledging their consent to the jurisdiction of a magistrate judge, 1 “Underlying Action”). Id. ¶ 17. In the Underlying Action, Plaintiff alleged he sustained personal 2 injuries while at Ten-West Towing’s property on or around April 15, 2019. Id. ¶ 11. Specifically, 3 Plaintiff alleged that on that date, he was directed to Ten-West Towing’s property when Cady 4 confronted him and began swearing and directing racial epithets towards Plaintiff. Id. ¶ 17. At 5 some point, Edwards allegedly “ran up to Plaintiff, and punched Plaintiff, dropping Plaintiff to 6 the ground without provocation.” Id. Plaintiff alleged that he was “viciously beaten up.” 7 Although Edwards allegedly claimed he merely was trying to “get in between [Plaintiff] and 8 [Cady]” during the engagement, according to Plaintiff’s allegations, “video footage shows that 9 [Edwards] did not take any action to separate Plaintiff from the owner.” Id. Further, Plaintiff 10 alleges that “Edwards’ excuse of ‘protecting the owner’ is not substantiated by the actual video 11 footage and it can be reasonably inferred that [Edwards] was irrationally angry and motivated to 12 hurt Plaintiff.” Id. Plaintiff alleged that “the assault” by Edwards caused him both physical 13 injury and mental and emotional distress. Id. 14 Defendant National Interstate Insurance Company (“NIIC” or “Defendant”) issued an 15 insurance policy to Ten-West Towing for the policy period of November 1, 2018 to November 16 1, 2019 (the “Policy”). The Policy included a Commercial General Liability Coverage Form that 17 provides, in general, that NIIC will pay those sums that Ten-West Towing becomes legally 18 obligated to pay as damages because of “bodily injury” or “property damage” to which the Policy 19 applies. Complaint ¶ 9 & Exhibit A (Doc. 1-1 at ECF p. 82). The Policy further provides that 20 NIIC will have the right and duty to defend the insured against any “suit” seeking those damages. 21 Complaint Exhibit A (Doc. 1-1 at ECF p. 82). The Policy also includes an “Expected or Intended 22 Injury” exclusion, which states that: “This insurance does not apply to ... ‘Bodily injury’… 23 expected or intended from the standpoint of the insured. This exclusion does not apply to ‘bodily 24 injury’ resulting from the use of reasonable force to protect persons or property.” Id. at ECF p. 25 83. 26 Additionally, the Policy included an endorsement entitled “EXCLUSION – ASSAULT & 27 BATTERY.” Complaint Exhibit A (Doc. 1-1 at ECF p. 112). That endorsement modified the 1 other violent crime, and (2) “Any act or omission in connection with the prevention or 2 suppression of assault, battery or any other violent crime.” Id. 3 In connection with the Underlying Action, Ten-West Towing and/or Cady notified NIIC 4 and requested coverage and defense under the Policy from NIIC. Complaint ¶ 12. On January 5 27, 2020, NIIC issued a letter to Ten-West Towing asserting its “Reservation of Rights.” Id. 6 NIIC initially accepted tenders of defense, subject to reservations of its rights, but on January 26, 7 2021, declined to continue providing coverage or a defense to the insureds after discovering 8 information it claimed precluded coverage under the aforementioned assault and battery 9 endorsement/exclusion. Id. ¶¶ 12, 14, 15, 18. 10 According to Plaintiff’s allegations, on November 14, 2022, the parties in the Underlying 11 Action settled the case. Complaint ¶ 22. A copy of the settlement agreement is attached to and 12 incorporated in Plaintiff’s complaint in the instant action. Among other things, the settlement 13 agreement provides that Plaintiff is assigned Ten-West Towing and Cady’s rights under the 14 Policy for breach of NIIC’s duty to defend, bad faith, “and any other applicable claims both in 15 contract and tort.” Id. The parties agreed to the terms of a stipulated judgment in the amount of 16 $5 million in Plaintiff’s favor, but also agreed that the final judgment in the Underlying Action 17 “be held and not entered pending resolution of the Assigned Claims against NIIC.” Id. Exhibit 18 B ¶ 1. In exchange for a payment of $200,000 from NIIC, Plaintiff agreed not to attempt to 19 collect on the final judgment in the Underlying Action. Id. ¶ 4. 20 On May 10, 2023, Plaintiff filed this action against Defendant in the Superior Court for the 21 State of California, County of Kern. In the complaint, Plaintiff asserts four causes of action: (1) 22 breach of contract; (2) breach of implied covenant – unreasonable failure to defend; (3) breach 23 of implied covenant – refusal to accept reasonable settlement demand; (4) declaratory judgment. 24 On June 22, 2023, Defendant removed the action to this Court. 25 Party Contentions 26 In its pending motion, Defendant argues that Plaintiff’s breach of contract claim should be 27 dismissed because Defendant did not have a duty to defend in the Underlying Action. 1 to certain of its terms, exclusions and endorsements. Defendant asserts that the Policy’s 2 “Exclusion – Assault & Battery” endorsement and “Expected or Intended Injury” exclusion apply 3 to preclude coverage. Defendant separately argues that California Insurance Code § 533 applies 4 to preclude coverage, and also, that the Policy is inapplicable because the Underlying Action was 5 predicated on events that do not constitute a coverable “Occurrence” under the policy. 6 In opposition, Plaintiff argues that the Policy is ambiguous and, accordingly, must be 7 construed in accordance with Plaintiff’s reasonable expectations. (Doc. 5 pp. 11-13). 8 Specifically, Plaintiff asserts that the “Expected or Intended Injury” exclusion expressly excepts 9 “bodily injury resulting from the use of reasonable force to protect persons or property.” (Id. p. 10 11). Under the facts and circumstances that Plaintiff proffers concerning the events in the 11 Underlying Action, this “reasonable force” exception “creates a potential for coverage” and that 12 such exceptions are interpreted broadly under California law in favor of coverage. Further, 13 Plaintiff argues that the assault and battery exclusion is an “inconsistent” and “competing 14 provision[]” and that the resulting ambiguity requires an interpretation of the Policy that favors 15 finding a duty to defend. (Id. pp. 12-13). Additionally, Plaintiff argues that Insurance Code § 16 533 does not apply because that policy’s named insureds (a corporate entity and its CEO) are not 17 alleged to have engaged in willful conduct, but rather, would be liable (if at all) vicariously.

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Davis v. National Interstate Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/davis-v-national-interstate-insurance-company-caed-2023.