Rainbow USA, Inc. v. Crum & Forster Specialty Insurance

711 F. Supp. 2d 655, 2010 U.S. Dist. LEXIS 46135, 2010 WL 1930660
CourtDistrict Court, E.D. Louisiana
DecidedMay 11, 2010
DocketCivil Action 06-4578
StatusPublished
Cited by5 cases

This text of 711 F. Supp. 2d 655 (Rainbow USA, Inc. v. Crum & Forster Specialty Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rainbow USA, Inc. v. Crum & Forster Specialty Insurance, 711 F. Supp. 2d 655, 2010 U.S. Dist. LEXIS 46135, 2010 WL 1930660 (E.D. La. 2010).

Opinion

ORDER & REASONS

ELDON C. FALLON, District Judge.

Currently pending before the Court are Plaintiff Rainbow USA, Inc.’s Motion for Summary Judgment (Rec. Doc. 127) and Defendant Nutmeg Insurance Company’s Motion for Summary Judgment (Rec. Doc. 129). The primary issue before the Court for resolution in these motions is how the “ultimate net loss” provision in Plaintiffs insurance policy is to be applied. These motions came on for oral argument on February 24, 2010. At that hearing, the Court ruled that the provision is ambiguous. The Court also indicated that it would defer ruling on the motions to allow the parties to submit supplemental briefing regarding whether there was enough extrinsic evidence in support of Defendant’s interpretation to send the question to the jury, or whether the Court should simply interpret the provision against the drafter, Nutmeg. On April 21, 2010, the Court heard oral argument on this issue and took both motions under submission. At this time, the Court has considered the evidence, briefing, and argument provided by the parties. For the following reasons, both motions are DENIED.

I. BACKGROUND

This case arises out of insurance claims regarding several commercial properties owned or leased by the Plaintiff, Rainbow USA, Inc. (“Rainbow”). Rainbow, a New York corporation with its primary place of business in New York, is engaged in the retail clothing business. Rainbow and its subsidiaries owned or leased certain commercial properties in Louisiana and Mississippi that suffered damage resulting from Hurricane Katrina.

Rainbow obtained both an underlying insurance policy and an excess level policy for certain of its commercial properties over the relevant period of September 1, 2004, through September 1, 2005. Crum & Forster issued the underlying insurance policy, which provides certain coverage up to $10 million per occurrence; the Defendant, Nutmeg Insurance Company (“Nutmeg”), 1 issued the excess level policy, which provides certain coverage up to $40 million above the initial $10 million provided for by the underlying policy. In August 2005, Hurricane Katrina inflicted significant damage on certain of Rainbow’s commercial properties. Crum & Forster, the primary level insurer, has agreed to pay or has paid up to the limits of the primary policy for damages to the properties as well as Rainbow’s subsequent loss of business income. Nutmeg, the excess level insurer, contends that certain damages and business interruption losses claimed by Rainbow above the limits of the primary policy are excluded under the terms and conditions of the excess level policy.

A. The 2004-05 nutmeg policy

Before addressing the substance of the parties’ arguments, it is appropriate to provide a brief overview of the complex relationship between Rainbow and Nutmeg. Through a series of retail brokers, wholesale brokers, and insurance under *658 writers, Rainbow has purchased annual excess level insurance policies from Nutmeg every year since 1998. Dachs & Sons, Inc., (“Dachs”) is a retail broker that regularly obtains property insurance for Rainbow, including the policy at issue in this case. Harvey Dachs is the president, CEO, and sole stockholder of Dachs. Hartan Brokerage, Inc., (“Hartan”) is a wholesale broker that acts as an intermediary between insurance companies such as Nutmeg and retail brokers such as Dachs. Joe Silba, a Hartan employee, assisted in negotiating the renewal of the Nutmeg 2004-05 policy at issue in this litigation. First State Specialty Property (“First State”), an underwriting facility for The Hartford, underwrites insurance policies issued by, among other companies, Nutmeg, which is itself a subsidiary of The Hartford. Dee Torgerson, an Executive Underwriter for First State, assisted in preparing the Nutmeg policy at issue in this case, as well as previous excess level policies issued to Rainbow.

The 2004-05 Nutmeg policy is an excess level policy that insures Rainbow for “all risks of direct physical loss or damage to covered property except as excluded” by certain conditions. As the excess level policy, the Nutmeg policy follows the form of the underlying Crum & Forster policy, adopting the terms and conditions of the underlying policy subject to certain additional exclusions and modifications. (See Rec. Doc. 58-2, at FS0000018). Pursuant to the terms of the excess level policy, Nutmeg would not be liable “for more than its pro rata share, being 100% of the ‘ultimate net loss’, in excess of the total amount of underlying insurance.” Id. at FS0000016. The policy further required that any change to the policy be made by endorsement issued by Nutmeg. Id. at FS0000014, FS0000019.

From 1998 through the 2004-05 policy, every excess policy issued by Nutmeg contained, inter alia, the following similar provisions: (1) an Occurrence Limit of Liability endorsement, which, according to Nutmeg, differed from the terms of the underlying Crum & Forster policies in that it limited the annual aggregate loss for all occurrences, regardless of the number of occurrences, to $40 million; and (2) the following “Ultimate Net Loss” provision:

I. “Ultimate Net Loss”, as used herein, means the actual loss or damage sustained by the Named Insured (including any deductible or self-insured retention amount) as a direct result of the perils insured against in this Policy to property covered hereunder arising from any one loss or disaster, after making deductions for salvage and subrogation and recoveries from any source other than this Policy and the underlying insurance and excess insurance policies, but in no event shall the “ultimate net loss” exceed the aggregate amount produced by the lesser of:
a. the value stated for each individual item on the latest statement of values on file with [Nutmeg], or
b. the amount of loss to each individual item on the latest statement of values on file with [Nutmeg] reduced by any amounts
a. recoverable from underlying insurance, or
b. within applicable deductibles or self-insured retentions.

Id. at FS0000017. With respect to the values listed in the Statement of Values filed with Nutmeg, the 2004-05 policy further provides that, “SUBJECT TO VALUES REPORTED ON SOV [Statement of Values]. IF NO VALUES REPORTED FOR A CERTAIN COVERAGE THEN THERE WILL BE NO COVERAGE FOR THAT ITEM AT TIME OF LOSS.” *659 Id. at FS0000022 (bracketed information added for clarity). In contrast, the underlying policies issued by Crum & Forster generally did not contain similar limitations, instead providing that any values listed in the Statement of Values were to be used for premium purposes only.

Finally, the policy included a Margin clause, which provided for a change in premium rates in the event of large changes to the values listed on the statement of values. Specifically, the provision stated:

Total values as of inception of the policy, being September 1, 2004 are $531,475,000.

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711 F. Supp. 2d 655, 2010 U.S. Dist. LEXIS 46135, 2010 WL 1930660, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rainbow-usa-inc-v-crum-forster-specialty-insurance-laed-2010.