First Financial Insurance v. Bugg

962 P.2d 515, 265 Kan. 690, 1998 Kan. LEXIS 392
CourtSupreme Court of Kansas
DecidedJuly 10, 1998
Docket79,085
StatusPublished
Cited by88 cases

This text of 962 P.2d 515 (First Financial Insurance v. Bugg) is published on Counsel Stack Legal Research, covering Supreme Court of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
First Financial Insurance v. Bugg, 962 P.2d 515, 265 Kan. 690, 1998 Kan. LEXIS 392 (kan 1998).

Opinion

The opinion of the court was delivered by

Abbott, J.:

This is a declaratory judgment action brought by First Financial Insurance Company (First Financial) to determine if its liability insurance policy provided coverage for the incident in question. The policy at issue covers Verdell and Earlene Bugg doing business as Tewz Enuff, a bar, and their employees.

Joi Woodberry, Tina M. Davis, and Lela R. Smith were patrons in the bar and were shot during a disturbance in the bar when shots were exchanged between another patron and one or more insureds. The injured patrons filed suit alleging Verdell and Earlene Bugg and their employees negligently caused their injuries. First Financial insured the Buggs and filed a declaratory judgment action to determine whether the insurance policy provided coverage for the incident. The trial court held the insurance policy was ambiguous and that First Financial had a duty to defend the lawsuit. The injured patrons are the plaintiffs in the personal injury actions and defendants in this declaratory action along with the Buggs.

First Financial appealed and the case was transferred to this court pursuant to K.S.A. 20-3018(c). Three issues are presented. Defendants contend the insurance contract is ambiguous in that the exclusion clause relating to assault and battery and intentional acts is ambiguous and that their injuries were caused by an “occurrence” and were therefore covered under the insurance policy. They further claim that First Financial is estopped to deny coverage because it undertook defense of the personal injury action without disclaiming liability, etc.

*692 When the shooting occurred, the bar was dark and filled to capacity. Trevor Russell exchanged words with Willie Bell, an employee of the bar. The two went outside where Bell eventually struck Russell in the face. Russell later reentered the bar with a gun and began firing; gunshots were returned by one or more employees.

The injured patrons filed suit claiming the Buggs were negligent for (a) firing a gun in a crowded tavern, (b) failing to have exits clearly marked within the tavern, and (c) failing to properly protect patrons from an assailant.

First Financial had a commercial insurance policy with Verdell and Earlene Bugg. The policy provides liability coverage for “bodily injury” and “property damage” caused by an “occurrence.” The policy defines “occurrence” as an “accident, including continuous or repeated exposure to substantially the same general harmful conditions.”

The policy has an “exclusion” section. The main body — “exclusion section” — provides in pertinent part:

“This insurance does not apply to
“(a) ‘Bodily injury’ or ‘property damage’ expected or intended from the standpoint of the insured. This exclusion does not apply to ‘bodily injury’ resulting from the use of reasonable force to protect persons or property.”

The policy contains the following endorsement:

“COMBINATION ENDORSEMENT - LIABILITY INSURANCE (INTERMEDIATE FORM)
THE FOLLOWING ENDORSEMENTS, EXCLUSIONS AND CONDITIONS MODIFY INSURANCE PROVIDED UNDER THE FOLLOWING COVERAGE PARTS.
THEY CHANGE THE POLICY. PLEASE READ THEM CAREFULLY.
COMMERCIAL GENERAL LIABILITY COVERAGE PART”
Under that section, clearly marked in capital letters is the following:
“EXCLUSION-ASSAULT OR BATTERY
Exclusion a. of COVERAGE A (Section I) is replaced by the following: a. ‘bodily injury,’ ‘property damage,’ or ‘personal injury’:
(1) Expected or intended from the standpoint of any insured; or
*693 (2) Arising out of assault or battery, or out of any act or omission in connection with the prevention or suppression of an assault or battery.”

The Forms and Endorsement section clearly sets forth the endorsement and states it applies to coverage and is made part of the policy.

Six days after the incident, First Financial caused a letter to be sent to fhe Buggs stating that it would investigate the March 25 incident, but that it reserved “fhe right at any time to withdraw from such investigation, discussion, or other actions, and to disclaim liability under the policy, for the reasons stated and for such others that may appear, upon giving such advanced notice as the circumstances may permit.” On November 14, 1994, First Financial caused another letter to be sent to the Buggs informing them that due to the policy’s assault and battery exclusion, First Financial was denying coverage for any claims occurring as a result of the March 25 incident. The letter also noted that the Buggs had been advised of First Financial’s notice of non-waiver and reservation of rights on March 31, 1994.

On July 7, 1995, First Financial sent a letter to the Biiggs via certified mail. This letter quoted the assault and battery exclusion and stated.that “[d]ue to, but not necessarily limited to fhe above exclusions, First Financial Insurance Company contends that you may not have coverage for this occurrence.” The letter continued:

“As it appears that the interest of both you and the Company may be better served and protected, the Company will undertake the defense of this action under a full and complete reservation of rights and without prejudice to fhe rights of the parties under the terms and conditions of your policy.”

This letter also informed the Buggs that First Financial had referred the defense of the matter to a law firm for a defense, but qualified its obligation by stating that

“[a]ny action taken by or on behalf of First Financial Insurance Company or its representatives, in the handling of this matter shall not be deemed a waiver of any rights, and the Company may have to disclaim coverage under the terms and conditions set forth above and withdraw from this case.”

Ultimately, fhe district court held that “[t]he policy is ambiguous, and as such, must be construed in favor of the insured.” Con *694 sequently, the court ruled, First Financial is obligated to represent the Buggs (the insureds) in the lawsuits brought by Woodberry, Davis, and Smith. Furthermore, the district court ruled that First Financial is liable for any legal obligations the Buggs incur due to injuries sustained by Woodberry, Davis, and Smith.

A. STANDARD OF REVIEW

Woodberry, Davis, and Smith claim First Financial’s policy is ambiguous and, consequently, the construction most favorable to the insured must prevail. Gowing v. Great Plains Mutual Ins. Co., 207 Kan. 78, Syl. ¶ 1, 483 P.2d 1072 (1971).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
962 P.2d 515, 265 Kan. 690, 1998 Kan. LEXIS 392, Counsel Stack Legal Research, https://law.counselstack.com/opinion/first-financial-insurance-v-bugg-kan-1998.