Harper Constr. Co. v. Nat'l Union Fire Ins. Co. of Pittsburgh
This text of 377 F. Supp. 3d 1134 (Harper Constr. Co. v. Nat'l Union Fire Ins. Co. of Pittsburgh) is published on Counsel Stack Legal Research, covering District Court, S.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
Hon. Cynthia Bashant, United States District Judge
Plaintiff Harper Construction Company, Inc. built a $ 35 million training facility for the U.S. Army's Patriot Missile System. Less than two years later, the Government informed Harper of cracked walls and binding doors at the facility. The Government demanded that Harper Construction investigate and repair the facility's defects, and the company has incurred nearly $ 2 million in costs to do so.
Defendant National Union Fire Insurance Company of Pittsburgh, PA, issued a commercial general liability insurance policy to Harper Construction. National Union's insurance policy names the other Plaintiff in this action, Harper Mechanical Contractors, LLC, as an additional insured. This insurance coverage dispute turns on whether National Union has a duty to defend and indemnify Plaintiffs in *1138connection with the defects at the military training facility.
Presently before the Court is National Union's motion for partial summary judgment. (ECF No. 16.) National Union argues its insurance policy does not establish a duty to defend or indemnify Plaintiffs in these circumstances. The Court heard oral argument on the motion. (ECF No. 29.) For the following reasons, the Court GRANTS National Union's motion.
BACKGROUND
I. Patriot Project
Plaintiff Harper Construction is a general contractor whose primary client is the U.S. Government. (J. Harper Decl. ¶ 3, ECF No. 17-1.) In 2007, the Government awarded Harper Construction a contract to build a U.S. Army training facility for the Patriot Missile System in Fort Sill, Oklahoma ("Project"). (Joint Statement of Undisputed Facts ("JSUF") ¶ 1, ECF No. 20.) The scope of work for the Project contemplated a 148,900 square-foot facility that includes classrooms, various training and simulation areas, and administrative offices. (Patriot General Instructional Facility Contract § 00050, J. Harper Decl. Ex. A.)
To complete the Project, "Harper Construction hired design and engineering professionals, suppliers, and various subcontractors." (JSUF ¶ 2.) These subcontractors included Plaintiff Harper Mechanical Contractors, which was formerly known as Harper Grading, LLC. (Id. at 2:4-6, ¶ 2.) Harper Construction hired Harper Mechanical to perform demolition, grading, and other work at the Project.1 (Id. ) Over the next year and a half, Harper completed the Project, and the Government "conducted a Final Inspection of the Project on February 4, 2009." (See id. ¶¶ 3-6.)
II. National Union's Insurance Policy
Defendant National Union issued Commercial General Liability Policy No. GL 161-74-28 ("Policy") to Harper Construction. (JSUF ¶ 7; Policy, Counterclaim Ex. 1, ECF No. 4 at 27-103.) The Policy was effective from January 1, 2008, to January 1, 2009, and it provides for up to $ 1 million in coverage for each occurrence, with a $ 2 million general aggregate limit. (Policy at 3.)2 An endorsement to the Policy names Harper Mechanical as an additional insured. (See id. at 75.)
The Policy's Insuring Agreement provides that National Union "will pay those sums that the insured becomes legally obligated to pay as damages because of 'bodily injury' or 'property damage' to which this insurance applies." (Policy § 1, ¶ 1.) National Union has "the right and duty to defend the insured against any 'suit' seeking those damages." (Id. ) That said, an endorsement to the Policy modifies the Insuring Agreement's coverage by limiting the amount National Union is obligated to expend for defense costs. (Id. at 50-52.) The Defense Costs Within Policy Limits Endorsement ("Defense Costs Limits Endorsement") provides:
Our right and duty to defend such claims or "suits" end when we have exhausted the limits available ... for either payments of judgments or settlements or defense costs, as such costs are described in ... this endorsement....
(Id. at 50.) The Policy also contains numerous other endorsements that expand or *1139limit the Insuring Agreement's coverage. (Id. at 23-77.)
III. Problems at the Project
"After the Project was constructed and turned over to the U.S. Government [in February 2009], Harper Construction was informed in December 2010 of property damage at the Project including, but not limited to, gypsum wallboard cracks and binding doors." (JSUF ¶ 13; see also id. ¶ 6.) In early 2011, Harper conducted repairs at the Project, but the problems "continued to appear after the corrective [action]." (Id. ¶ 14.) Then, in July 2013, the Government sent two letters to Harper Construction requesting an investigation of the problems at the Project and asking that the company propose a plan to correct the issues. (Id. ¶¶ 15-16.) Several months later, "Harper Construction and U.S. Government personnel participated in a mutual agreement meeting to establish a methodology for monitoring the Project to determine the cause of gypsum wallboard cracks." (Id. ¶ 17.) During 2013 and 2014, Harper also "conducted on-site investigations and third-party reviews to determine the cause of the cracks and binding doors." (Id. ¶ 14.)
In August 2014, as Harper continued to investigate the cause of the problems, one of the Government's engineers threatened to escalate matters, expressing to Harper:
I understand the need for due diligence and am trying to be reasonable in affording ample opportunity for so doing but lack of action is resulting in loss of patience on this end. Should you not close in on resolution and lay out a prudent plan to remediate in a prompt and orderly manner, I will be left with little recourse but to initiate pursuit of more formal administrative recourse. Need your help bringing this to a head quickly.
(Counterclaim Ex. 9; JSUF ¶ 18.) Harper Construction's President also submits a declaration stating that the "Government advised that if Harper Construction did not repair the property damage, the U.S. Government would demolish the Patriot Project and force Harper Construction to re-build the facility from the ground up at its own cost." (J. Harper Decl. ¶ 9.) "The U.S. Government also threatened to lodge complaints with Harper Construction's bonding company." (Id. )
Further, in a "letter dated January 20, 2015, the U.S. Government requested, in part, that Harper Construction develop a definite plan of action and a timeline for conducting testing and analysis." (JSUF ¶ 19.) In response, on April 10, 2015, Harper Construction submitted a corrective action plan. (Id. ¶ 20.)
IV. Harper's Claim with National Union
On April 2, 2015-approximately four years after the Government first notified Harper of problems at the Project-Harper Construction's insurance broker submitted a claim to National Union by e-mail, stating:
In 2008 Harper Construction built a project called the Patriot Training Facility. They used a grading contractor, Harper Grading, to do the grading. Harper Grading is NOT owned by Harper Construction. Recently, small cracks appeared in some of the building's walls.
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Hon. Cynthia Bashant, United States District Judge
Plaintiff Harper Construction Company, Inc. built a $ 35 million training facility for the U.S. Army's Patriot Missile System. Less than two years later, the Government informed Harper of cracked walls and binding doors at the facility. The Government demanded that Harper Construction investigate and repair the facility's defects, and the company has incurred nearly $ 2 million in costs to do so.
Defendant National Union Fire Insurance Company of Pittsburgh, PA, issued a commercial general liability insurance policy to Harper Construction. National Union's insurance policy names the other Plaintiff in this action, Harper Mechanical Contractors, LLC, as an additional insured. This insurance coverage dispute turns on whether National Union has a duty to defend and indemnify Plaintiffs in *1138connection with the defects at the military training facility.
Presently before the Court is National Union's motion for partial summary judgment. (ECF No. 16.) National Union argues its insurance policy does not establish a duty to defend or indemnify Plaintiffs in these circumstances. The Court heard oral argument on the motion. (ECF No. 29.) For the following reasons, the Court GRANTS National Union's motion.
BACKGROUND
I. Patriot Project
Plaintiff Harper Construction is a general contractor whose primary client is the U.S. Government. (J. Harper Decl. ¶ 3, ECF No. 17-1.) In 2007, the Government awarded Harper Construction a contract to build a U.S. Army training facility for the Patriot Missile System in Fort Sill, Oklahoma ("Project"). (Joint Statement of Undisputed Facts ("JSUF") ¶ 1, ECF No. 20.) The scope of work for the Project contemplated a 148,900 square-foot facility that includes classrooms, various training and simulation areas, and administrative offices. (Patriot General Instructional Facility Contract § 00050, J. Harper Decl. Ex. A.)
To complete the Project, "Harper Construction hired design and engineering professionals, suppliers, and various subcontractors." (JSUF ¶ 2.) These subcontractors included Plaintiff Harper Mechanical Contractors, which was formerly known as Harper Grading, LLC. (Id. at 2:4-6, ¶ 2.) Harper Construction hired Harper Mechanical to perform demolition, grading, and other work at the Project.1 (Id. ) Over the next year and a half, Harper completed the Project, and the Government "conducted a Final Inspection of the Project on February 4, 2009." (See id. ¶¶ 3-6.)
II. National Union's Insurance Policy
Defendant National Union issued Commercial General Liability Policy No. GL 161-74-28 ("Policy") to Harper Construction. (JSUF ¶ 7; Policy, Counterclaim Ex. 1, ECF No. 4 at 27-103.) The Policy was effective from January 1, 2008, to January 1, 2009, and it provides for up to $ 1 million in coverage for each occurrence, with a $ 2 million general aggregate limit. (Policy at 3.)2 An endorsement to the Policy names Harper Mechanical as an additional insured. (See id. at 75.)
The Policy's Insuring Agreement provides that National Union "will pay those sums that the insured becomes legally obligated to pay as damages because of 'bodily injury' or 'property damage' to which this insurance applies." (Policy § 1, ¶ 1.) National Union has "the right and duty to defend the insured against any 'suit' seeking those damages." (Id. ) That said, an endorsement to the Policy modifies the Insuring Agreement's coverage by limiting the amount National Union is obligated to expend for defense costs. (Id. at 50-52.) The Defense Costs Within Policy Limits Endorsement ("Defense Costs Limits Endorsement") provides:
Our right and duty to defend such claims or "suits" end when we have exhausted the limits available ... for either payments of judgments or settlements or defense costs, as such costs are described in ... this endorsement....
(Id. at 50.) The Policy also contains numerous other endorsements that expand or *1139limit the Insuring Agreement's coverage. (Id. at 23-77.)
III. Problems at the Project
"After the Project was constructed and turned over to the U.S. Government [in February 2009], Harper Construction was informed in December 2010 of property damage at the Project including, but not limited to, gypsum wallboard cracks and binding doors." (JSUF ¶ 13; see also id. ¶ 6.) In early 2011, Harper conducted repairs at the Project, but the problems "continued to appear after the corrective [action]." (Id. ¶ 14.) Then, in July 2013, the Government sent two letters to Harper Construction requesting an investigation of the problems at the Project and asking that the company propose a plan to correct the issues. (Id. ¶¶ 15-16.) Several months later, "Harper Construction and U.S. Government personnel participated in a mutual agreement meeting to establish a methodology for monitoring the Project to determine the cause of gypsum wallboard cracks." (Id. ¶ 17.) During 2013 and 2014, Harper also "conducted on-site investigations and third-party reviews to determine the cause of the cracks and binding doors." (Id. ¶ 14.)
In August 2014, as Harper continued to investigate the cause of the problems, one of the Government's engineers threatened to escalate matters, expressing to Harper:
I understand the need for due diligence and am trying to be reasonable in affording ample opportunity for so doing but lack of action is resulting in loss of patience on this end. Should you not close in on resolution and lay out a prudent plan to remediate in a prompt and orderly manner, I will be left with little recourse but to initiate pursuit of more formal administrative recourse. Need your help bringing this to a head quickly.
(Counterclaim Ex. 9; JSUF ¶ 18.) Harper Construction's President also submits a declaration stating that the "Government advised that if Harper Construction did not repair the property damage, the U.S. Government would demolish the Patriot Project and force Harper Construction to re-build the facility from the ground up at its own cost." (J. Harper Decl. ¶ 9.) "The U.S. Government also threatened to lodge complaints with Harper Construction's bonding company." (Id. )
Further, in a "letter dated January 20, 2015, the U.S. Government requested, in part, that Harper Construction develop a definite plan of action and a timeline for conducting testing and analysis." (JSUF ¶ 19.) In response, on April 10, 2015, Harper Construction submitted a corrective action plan. (Id. ¶ 20.)
IV. Harper's Claim with National Union
On April 2, 2015-approximately four years after the Government first notified Harper of problems at the Project-Harper Construction's insurance broker submitted a claim to National Union by e-mail, stating:
In 2008 Harper Construction built a project called the Patriot Training Facility. They used a grading contractor, Harper Grading, to do the grading. Harper Grading is NOT owned by Harper Construction. Recently, small cracks appeared in some of the building's walls. It appears water runs under the building causing the building to move up and down. Upon investigation, it appears the fill used in the grading was partially good and partially bad. In order to stop the water from going under the building, Harper Construction is looking at different options. Harper Construction is looking at Harper Grading for the cost of repairs. Harper Grading was insured by [National Union] during the grading work, (see attached certificate), and *1140Harper is looking to [National Union] for the needed work costs.
(JSUF ¶ 21.) On May 7, 2015, National Union acknowledged receipt of the claim and requested documents and information from Harper Construction, including "contract documents," "[a]n explanation of the nature of the alleged damages related to Harper's work," and "[a] summary of any corrective work Harper may have done after completion of its original contracts." (Id. ¶ 22.) National Union further stated that it would investigate the claim, but cautioned that it was "reserving all of its rights and defenses based upon the Policy and/or applicable law." (Counterclaim Ex. 13; see also JSUF ¶ 22.)
Over the next year and a half, Harper Construction corresponded "numerous times" with National Union to provide the insurer with more information to support Harper's claim. (J. Harper Decl. ¶ 21, Ex. G.) During this time, Harper periodically updated National Union regarding the costs the construction company claimed it had incurred to investigate and repair the Project's problems, which soon ballooned to well over a million dollars. (JSUF ¶¶ 23-27.)
Toward the end of 2016 and early 2017, Harper Construction increasingly pressed National Union regarding the status of Harper's claim. (JSUF ¶¶ 43-44.) Then, on March 27, 2017, National Union sent Harper a letter denying coverage for the claim, stating:
Based on the information received to date, it does not appear that this matter involves a lawsuit or any legal obligation of Harper Construction or Harper Grading to pay damages because of "property damage" to which the Policy applies, or any judgment against Harper Construction or Harper Grading. Further, even in the event this matter involved such a claim, it does not appear that this matter involves any "property damage" that took place during the effective dates of the Policy. Finally, it appears based on the information available to date that the wrap exclusion to the Policy would preclude coverage for claims arising out of Harper Construction's work at the Project.
(Counterclaim Ex. 19; JSUF ¶ 29.) National Union further explained its decision regarding the potential duty to defend Harper:
National Union has not been provided with any information indicating that the Claim at issue involves a "suit" within the meaning of Policy. Harper Construction has instead provided National Union with information indicating that the Army is allowing Harper Construction to propose remedies to the soils issues and that Harper Construction is voluntarily performing investigation of the issue and providing estimates to [remedy the Project's problems]. Accordingly, National Union has no duty to defend or indemnify Harper Construction and/or Harper Grading....
(Counterclaim Ex. 19; JSUF ¶ 29.)
V. Procedural History
On January 30, 2018, Harper commenced this action in San Diego County Superior Court. (Compl., ECF No. 1-2.) The Complaint asserts various claims against National Union, including breach of contract, declaratory relief, and intentional misrepresentation. (Id. ¶¶ 8-65.) The gravamen of Harper's claims is that National Union wrongfully denied coverage and failed to defend and indemnify Harper with respect to the Government's demands to investigate and repair the problems at the Project. (See id. ) Harper states it has incurred $ 1,809,029.43 in costs to respond to the Government's demands as of September 2018. (J. Harper Decl. ¶ 18.)
*1141National Union removed the action to this Court based on diversity jurisdiction. (Notice of Removal, ECF No. 1; see also ECF Nos. 2-3.) National Union then filed a Counterclaim against Harper that raises several claims for declaratory relief. (Counterclaim ¶¶ 42-52, ECF No. 4.) National Union now moves for summary judgment on several of Harper's causes of action.
LEGAL STANDARD
"A party may move for summary judgment, identifying each claim or defense-or the part of each claim or defense-on which summary judgment is sought." Fed. R. Civ. P. 56(a). Summary judgment is appropriate where the moving party demonstrates the absence of a genuine issue of material fact and entitlement to judgment as a matter of law. Id. ; see also Celotex Corp. v. Catrett ,
A party seeking summary judgment always bears the initial burden of establishing the absence of a genuine issue of material fact. Celotex , 477 U.S. at 323,
If the moving party meets this initial burden, the nonmoving party cannot defeat summary judgment merely by demonstrating "that there is some metaphysical doubt as to the material facts." Matsushita Electric Indus. Co. v. Zenith Radio Corp. ,
When making this determination, the court must view all inferences drawn from the underlying facts in the light most favorable to the nonmoving party. See Matsushita ,
ANALYSIS
To resolve National Union's motion, the Court must interpret the commercial general liability ("CGL") insurance policy issued by National Union to Harper Construction. Neither party disputes that California law governs the Policy in this diversity action.
"An insurance policy is, fundamentally, a contract between the insurer and the insured."
*1142Stein v. Int'l Ins. Co. ,
The first obligation, the duty to indemnify, requires the insurer to "indemnify claims that are covered by the policy." Risely v. Interinsurance Exch. of the Auto. Club ,
In comparison, the duty to defend "entails the rendering of a service, viz., the mounting and funding of a defense in order to avoid or at least minimize liability." Buss ,
California courts have developed these guidelines on the duties to defend and indemnify when interpreting standardized CGL policies. See, e.g. , Powerine ,
*1143In seeking partial summary judgment, National Union relies on the Policy's Insuring Agreement and "long-standing rulings of the California Supreme Court" interpreting standard policy language to argue the insurer indisputably lacks a duty to defend or indemnify Harper in these circumstances. (Mot. 1:8-2:13.) Harper argues this Court should adopt a different interpretation of the Policy that would preclude summary judgment. (Opp'n 8:15-21.) Accordingly, the Court first reviews the framework for interpreting insurance policies under California law. The Court then analyzes the text of the Policy to determine whether Harper's dispute with the Government triggered National Union's duties to defend and indemnify Harper. Finally, the Court addresses Harper's bad faith, estoppel, and discovery-related arguments.
I. Policy Interpretation Framework
"Interpretation of an insurance policy is a question of law and follows the general rules of contract interpretation." MacKinnon v. Truck Ins. Exch. ,
In interpreting an insurance policy, the court will "infer the parties' intent, if possible, solely from the written provisions of the contract." Doyle v. Fireman's Fund Ins. Co. ,
"A policy provision will be considered ambiguous when it is capable of two or more constructions, both of which are reasonable." Waller v. Truck Ins. Exch., Inc. ,
*1144St. Paul Fire & Marine Ins. Co. v. Am. Dynasty Surplus Lines Ins. Co. ,
Finally, if these rules do not resolve the issue, the last step is for the court to construe the policy's ambiguity against the insurer. E.g. , St. Paul Fire ,
II. Duty to Defend
To assess National Union's duty to defend, the Court initially looks to the Policy's insuring clause. A policy's "insuring clause is the foundation of the agreement and forms the basis for all obligations owed to the insured." Dominguez v. Fin. Indem. Co. ,
We will pay those sums that the insured becomes legally obligated to pay as damages ... to which this insurance applies. We will have the right and duty to defend the insured against any 'suit' seeking those damages. However, we will have no duty to defend the insured against any 'suit' seeking damages ... to which this insurance does not apply. We may, at our discretion, investigate any 'occurrence' and settle any claim or 'suit' that may result.
(Policy § 1, ¶ 1.) This text echoes the standard language found in many other CGL policies. See, e.g. , Liberty Surplus Ins. Corp. v. Ledesma & Meyer Constr. Co. ,
Further, unlike antiquated CGL policies that left the term "suit" undefined, see Foster-Gardner ,
"Suit" means a civil proceeding in which damages because of "bodily injury", "property damage" or "personal and advertising injury" to which this insurance applies are alleged. "Suit" includes:
a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does submit with our consent; or
b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent.
(Policy § V, ¶ 18.)
Based on these provisions, National Union argues the undisputed facts demonstrate it has no duty to defend Harper because the Government's demands are not a " 'suit' seeking ... damages" covered by the Policy. (Mot. 10:2-12:9.) And although the Policy provides National Union with the "discretion" to "investigate any 'occurrence' and settle any claim ... that may result," (Policy § 1, ¶ 1), National Union argues the Policy does not obligate the company to defend a claim-such as the Government's demand for repairs-that has not ripened into an actual "suit." (Mot. 10:1-12:9.) See, e.g. , Foster-Gardner ,
*1145A. Definition of "Suit"
Harper first argues in its Opposition that the "Government's demand to Harper is a potential 'suit' " under the Policy because the Contract Disputes Act ("CDA") includes administrative and court proceedings. (Opp'n 14:4-12.) Harper made a similar but distinguishable claim at oral argument: Harper argued the Government's demand to repair the training facility was part of a dispute resolution proceeding under the CDA. (ECF No. 29.) Harper therefore argued it was asking for defense of a "suit" under the Policy when it submitted a claim to National Union. (Id. )
With certain exceptions, the CDA applies to contracts "made by an executive agency" for, among other things, "the procurement of construction, alteration, repair, or maintenance of real property."
Under the CDA, "[e]ach claim by the Federal Government against a contractor relating to a contract shall be the subject of a written decision by the contracting officer."
"The contracting officer's decision on a claim is final and conclusive and is not subject to review ... unless an appeal or action is timely commenced as authorized" by the CDA.
The California Supreme Court analyzed an insurer's duty to defend proceedings under the CDA in Ameron International Corp. v. Insurance Company of State of Pennsylvania ,
*1146Id. at 1376,
Harper's argument that the Government's demands triggered National Union's duty to defend because the demands were part of a proceeding under the CDA is unpersuasive. Viewing the evidence in the light most favorable to Harper, the Government's written demands to inspect and correct defects at the Project could be considered a claim under the CDA. See JEM Transp. ,
There is no evidence, however, that the Government's potential claim was ever submitted for "a written decision by the contracting officer," which is the first step in the dispute resolution process under the CDA.3 See
*1147under the CDA-or otherwise-that triggered National Union's duty to defend. (Policy § V, ¶ 18.)
Nor does Harper demonstrate National Union had a duty to defend based on the portion of the Policy's "suit" definition concerning "[a]ny other alternative dispute resolution proceeding." (Policy § V, ¶ 18.) The CDA incorporates alternative dispute resolution ("ADR") via the Administrative Dispute Resolution Act. See
Yet, the fact that the CDA and the Project's contract incorporate ADR is insufficient to trigger National Union's duty to defend. Aside from arbitration, the Policy's "suit" definition encompasses ADR "proceeding[s]" only when "the insured submits" to the ADR proceeding with National Union's "consent." (Policy § V, ¶ 18.) It follows that National Union has no obligation to defend an ADR proceeding based on this portion of the "suit" definition unless the insurance company first provides its consent to the proceeding. Thus, even if Harper's interactions with the Government amounted to a type of ADR "proceeding," Harper does not introduce evidence upon which a reasonable factfinder could conclude Harper submitted to this ADR proceeding with National Union's consent-a prerequisite to the insurer's defense obligation.5
In sum, when the evidence is viewed in the light most favorable to Harper, the evidence does not demonstrate that Harper faced a civil proceeding seeking damages under the Policy or that Harper submitted to an ADR proceeding with National Union's consent. Consequently, the Court rejects all of Harper's arguments concerning the duty to defend that are based on the Policy's definition of "suit."
B. Defense Costs Limits Endorsement
Harper's second theory concerning the duty to defend centers on the Defense Costs Limits Endorsement. As mentioned, this endorsement modifies the extent of National Union's duty to defend. In the body of the Policy, the Insuring Agreement provides that National Union's "right and duty to defend ends when" the insurer has "used up the applicable limit of insurance in the payment of judgments or settlements under" the Policy. (Policy § 1, ¶ 1.) In the Defense Costs Limits Endorsement, *1148that provision is replaced with the following text:
Our right and duty to defend such claims or "suits" end when we have exhausted the limits available, as provided under [the Policy] for either payments of judgments or settlements or defense costs, as such costs are described in ... this endorsement ... This applies both to claims and "suits" pending at that time and those filed thereafter.
(Id. at 50.) The effect of this amendment is to change the Policy into a "burning limits" policy:
Under most liability policies, the insurer's duties to indemnify and to defend are separate obligations. Thus, amounts spent in defense of a third party claim do not reduce the indemnity limits available to settle the claim or pay an adverse judgment.... However, under some policies, the indemnity limits are reduced by the legal fees and other defense costs expended. I.e., as the costs to defend the third party claim increase, the indemnity coverage available to settle that claim decreases. (These are commonly referred to as "self-consuming" or "burning limits" provisions.)
Hon. H. Walter Croskey et al., California Practice Guide: Insurance Litigation § 7:3536 (The Rutter Group 2018) (citations omitted); see also Powerine Oil Co., Inc. v. Superior Court ,
Harper, however, ascribes additional meaning to the Defense Costs Limits Endorsement. Harper focuses on the endorsement's initial phrase, "Our right and duty to defend such claims or 'suits' ...." (Policy at 50.) Harper argues this "conspicuous and unambiguous" language expands National Union's duty to defend "suits" to also include a duty to defend any potential "claims" under the Policy. (Opp'n 17:5-24:2.) And, to the extent that this portion of the endorsement conflicts with the Policy's remaining text, Harper argues the endorsement should control and be construed in favor of the insured and its reasonable expectations regarding coverage. (Id. ) The effect of this interpretation would be that National Union had the obligation to step in and defend Harper from the Government's demands once the insurer became aware of the Government's "claim."
The Court is not convinced. The fragment of the Policy's text that Harper relies upon is found in a provision that plainly addresses when National Union's duty to defend ends-not when the duty arises. Indeed, this text must be interpreted "in context, with regard to its intended function in the policy." See McMillin ,
As described above, the insurer's duty to defend is first mentioned at the start of the Policy's Insuring Agreement. In tracking the language found in standard CGL policies, the Insuring Agreement states that National Union has "the right and duty to defend the insured against" suits seeking damages to which the Policy applies, but has no obligation to defend suits not seeking such damages. (Policy § 1, ¶ 1.) The insurer also has the "discretion" to "investigate any 'occurrence' and settle any claim or 'suit' that may result." (Id. ) This language plainly obligates National Union to defend "suits," but does not require *1149the insurer to defend claims that have not yet ripened into suits, which the insurer nonetheless has the discretion to investigate and settle. See, e.g. , Foster-Gardner ,
1. Insuring Agreement
a. We will pay those sums that the insured becomes legally obligated to pay as damages ... to which this insurance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages.... We may, at our discretion, investigate any offense and settle any claim or "suit" that may result. But:
(1) The amount we will pay for damages is limited as described in Section Ill - Limits Of Insurance; and
(2)Our right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C.Our right and duty to defend such claims or "suits" end when we have exhausted the limits available, as provided under SECTION III - LIMITS OF INSURANCE for either payments of judgments or settlements or defense costs....
No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments - Coverages A and B.
(See Policy § 1, ¶ 1, & at 50.)6 As seen, the endorsement specifically amends a section of the Policy that limits coverage by providing the duty to defend terminates when the Policy's limits have been exhausted to pay settlements or judgments. The endorsement does not amend the grant of coverage and the initial discussion of the duty to defend in Section 1.a. Thus, when placed into context, the "intended function" of the Defense Costs Limits Endorsement is to modify when the duty to defend terminates-not when it arises. See McMillin ,
Further, because placing the Defense Costs Limits Endorsement into context renders Harper's interpretation unreasonable, the Court is unmoved by Harper's reliance on other principles of insurance policy interpretation to support its strained reading of the Policy. For instance, in arguing that the endorsement expands coverage to include a defense of claims, Harper relies on the rule that provisions granting coverage are to be interpreted broadly to afford the greatest possible protection to the insured. (Opp'n 14:20-23, 17:17-18 (citing White v. W. Title Ins. Co. ,
Harper also highlights that "a specific provision relating to a particular subject governs in respect to that subject as against a general provision, even though the latter, standing alone, would be broad enough to include the subject to which the more specific provision relates." (Opp'n 15:7-10 (citing Jane D. v. Ordinary Mut. ,
In addition, Harper places stock in the rule that "the provisions of an endorsement prevail over conflicting provisions in the body of the policy, if the relevant language of the endorsement is conspicuous and free from ambiguity." Haynes ,
Finally, the Court considers Harper's contention that the word "and" in the Defense Costs Limits Endorsement's phrase "right and duty to defend such suits and claims" means National Union has assumed the duty to defend claims. (Policy at 50 (emphasis added); see also Opp'n 15:15-21, 17:17-20, 18:3-12, 20:1-9.) The endorsement's use of an "and"-instead of an "or"-implicitly suggests that National Union has already agreed to assume the duty to defend both claims and suits. Cf. Baker v. Nat'l Interstate Ins. Co. ,
*1151That said, even if Harper's interpretation of the Policy was reasonable, this interpretation would be but one of two reasonable constructions of the text. To resolve the resulting ambiguity, the Court would next determine whether coverage is consistent with Harper's objectively reasonable expectations. See, e.g. , Safeco Ins. Co. of Am. v. Robert S. ,
The Court is again unpersuaded. The "expectations of the insured are examined at the time the contract is made." Safeco ,
In short, Harper unpersuasively relies on a fragment of the Defense Costs Endorsement to argue National Union breached its duty to defend. Placing the endorsement into context demonstrates its function is to limit coverage for defense costs-not to expand the duty to defend to include claims that have not ripened *1152into a "suit" under the Policy. Overall, the Court rejects Harper's interpretation of the Policy, and Harper fails to demonstrate National Union breached its obligation to defend Harper under the Policy. Consequently, National Union is entitled to summary judgment on this issue.
III. Duty to Indemnify
National Union also seeks summary judgment regarding its duty to indemnify Harper under the Policy. As mentioned above, the duty to indemnify generally "arises only after liability has been established."See Am. States Ins. Co. ,
National Union is entitled to summary judgment on this issue. The Policy contains a standard indemnity provision. This text provides that National Union "will pay those sums that the insured becomes legally obligated to pay as damages because of 'bodily injury' or 'property damage' to which this insurance applies." (Policy § 1, ¶ 1(a).) No court, arbitrator, or administrative adjudicator has ordered Harper to pay "damages" to the Government or anyone else. Consequently, there are no sums Harper is "legally obligated to pay as damages" for National Union to indemnify. (See
In addition, because the duty to defend is broader than the duty to indemnify, "[w]here there is a duty to defend, there may be a duty to indemnify; but where there is no duty to defend, there cannot be a duty to indemnify." Powerine ,
In sum, because the undisputed facts demonstrate Harper is not legally obligated to pay damages under the Policy that would trigger National Union's duty to indemnify, and because National Union did not have a duty to defend Harper, the insurer is entitled to summary judgment on this basis.
IV. Breach of the Implied Covenant
Harper argues that National Union breached the Policy and its obligation to act in good faith by unreasonably failing to fulfill its duties to investigate, defend, settle, and indemnify Harper. (Opp'n 26:19-31:20.) National Union contends that Harper cannot bring this claim, however, because National Union did not breach its duties to defend or indemnify Harper. (Mot. 17:9-18:7.) The Court has already addressed National Union's defense and indemnity obligations under the Policy. Harper does not highlight any other express terms of the Policy that it believes National Union breached. (Opp'n 26:19-30:19.) Thus, the Court turns to whether Harper may still pursue a breach of contract claim based on the implied covenant of good faith and fair dealing.
"In addition to the duties imposed on contracting parties by the express terms of their agreement, the law implies in every contract a covenant of good faith and fair dealing." Egan v. Mut. of Omaha Ins. Co. ,
In the insurance context, "there are at least two separate requirements to establish breach of the implied covenant: (1) benefits due under the policy must have been withheld; and (2) the reason for withholding benefits must have been unreasonable or without proper cause." Love v. Fire Ins. Exch. ,
For the reasons discussed above, National Union indisputably had no obligation to defend Harper because the Government's demands were not a "suit" under the Policy. Nor has the insurer breached its duty to indemnify the contractor. Harper therefore fails to demonstrate that National Union has withheld benefits that are due under the Policy, and Harper does "not have a claim for breach of the implied covenant of good faith and fair dealing." See, e.g. , Brown v. Mid-Century Ins. Co. ,
V. Estoppel
Harper alternatively argues that National Union's motion should be denied because there is a triable issue as to whether National Union should be estopped from asserting its coverage defenses. (Opp'n 30:20-31:20.) "Whenever a party has, by [its] own statement or conduct, intentionally and deliberately led another to believe a particular thing true and to act upon such belief, [the party] is not, in any litigation arising out of such statement or *1154conduct, permitted to contradict it." Westoil Terminals Co. v. Indus. Indem. Co. ,
In the insurance context, the "well established" rule is "that the doctrines of implied waiver and of estoppel, based upon the conduct or action of the insurer, are not available to bring within the coverage of a policy risks not covered by its terms, or risks expressly excluded therefrom." R & B Auto Ctr., Inc. v. Farmers Grp., Inc. ,
Assuming estoppel is a viable theory here, Harper does not introduce sufficient evidence to create a triable issue on its estoppel claim. There is no triable issue because Harper's asserted belief that National Union was providing coverage for Harper's claim is not reasonable as a matter of law. The insurer's initial response to Harper provided:
By investigating this matter, National Union is reserving all of its rights and defenses based upon the Policy and/or applicable law. This letter is not, and should not be construed as, a waiver of any terms, conditions, exclusions or other policy provisions of the Policy, or any other insurance policies issued or allegedly issued by National Union or any of its affiliates. Furthermore, to the extent National Union determines, after its review of the information requested above, that Harper is entitled to a defense in connection with the above-referenced matter, National Union expressly reserves any and all rights and defenses in connection with the defense of Harper.
(JSUF ¶ 22, Counterclaim Ex. 13.) Harper submits evidence demonstrating that it cooperated with National Union's requests for information for the insurer's investigation, and that the insurer's adjuster informed Harper that it was "running this up the ladder" before National Union finally provided a negative coverage decision. (Opp'n 10:25-12:7; see also Harper Decl. Ex. G.) Harper Construction's President also submits a declaration stating that he "was led to believe that National Union was acting in good faith and that it would pay Harper Construction, in full or in part, for the costs incurred as a result of the U.S. Government's demand." (Harper Decl. ¶ 21.) But his belief alone is insufficient. There must be sufficient evidence to conclude National Union's conduct caused Harper to "reasonably" believe National Union was providing Harper with coverage. See Jioras ,
VI. Future Discovery
Harper also requests that the Court defer a decision on National Union's motion to allow Harper to obtain information from pending document requests and future discovery regarding National Union's claim file. (Opp'n 31:21-32:7; see also Kim Decl. ¶ 7, ECF No. 17-2.) Harper's counsel further declares: "Harper anticipates that in addition to the National Union claim file, future discovery regarding the underwriting of the Policy and any setting of reserves will be relevant to issues in this motion including, in part, Harper's reasonable expectations of coverage and the parties' course of performance." (Id. ¶ 8.)
Harper's Opposition does not invoke Federal Rule of Civil Procedure 56(d), but the Court construes Harper's request as arising under this provision. Rule 56(d) provides that if a party opposing summary judgment demonstrates it "cannot present facts essential to justify its opposition, the court may: (1) defer considering the motion or deny it; (2) allow time to obtain affidavits or declarations or to take discovery; or (3) issue any other appropriate order." Fed. R. Civ. P. 56(d). A party invoking this rule "must identify by affidavit 'the specific facts that further discovery would reveal, and explain why those facts would preclude summary judgment.' " Sec. & Exch. Comm'n v. Stein ,
Deferring a ruling on National Union's motion is not appropriate. Although Harper generally identifies the needed discovery as the insurer's claim file and "future discovery regarding the underwriting of the Policy and any setting of reserves," Harper does not convincingly explain why these items "would preclude summary judgment" on the claims at issue. See Stein ,
CONCLUSION
In light of the foregoing, the Court GRANTS National Union's motion for partial summary judgment (ECF No. 16). In particular, the Court grants summary judgment in favor of National Union on Harper's claims for breach of contract and breach of the implied covenant of good faith and fair dealing. Further, to the extent that Harper's declaratory relief claim *1156is predicated on National Union's duties to defend or indemnify Harper under the Policy, the Court also grants summary judgment on this claim in favor of National Union. The Clerk shall not enter judgment because Harper still has several claims pending against National Union.
IT IS SO ORDERED.
Related
Cite This Page — Counsel Stack
377 F. Supp. 3d 1134, Counsel Stack Legal Research, https://law.counselstack.com/opinion/harper-constr-co-v-natl-union-fire-ins-co-of-pittsburgh-casd-2019.