Security National Insurance Company v. Le

CourtSuperior Court of Maine
DecidedOctober 20, 2022
DocketCUMcv-21-465
StatusUnpublished

This text of Security National Insurance Company v. Le (Security National Insurance Company v. Le) is published on Counsel Stack Legal Research, covering Superior Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Security National Insurance Company v. Le, (Me. Super. Ct. 2022).

Opinion

STATE OF MAINE SUPERIOR COURT CUMBERLAND, ss. CIVIL ACTION Docket No. CV-2021-465

SECURITY NATIONAL ) INSURANCE COMP ANY, ) ) Plaintiff, ) ) V. ) ORDER ON CROSS MOTIONS FOR ) SUMMARY JUDGMENT SHAUN LE and CHRISTOPHER ) COURT, ) ) Defendants. )

This matter is before the Court on Plaintiff Security National Insurance Company's

("Security") Motion for Summary Judgment and Defendant Christopher Court's Cross

Motion for Summary Judgment. Defendant Shaun Le, who was defaulted on September

26, 2022, has not opposed either motion. For the following reasons, the Court grants

Security's Motion for Summary Judgment. Summary judgment is entered in favor of

Security on its Complaint for Declaratory Judgment. Mr. Court's Cross Motion for

Summary Judgment is denied.

I. Background

This declaratory judgment action arises out of a separate case filed in this court,

captioned Court v. Five Star Roofing Experts, Inc., CV-2021-338 ("the Underlying Action"). 1

The Underlying Complaint contains the following allegations. Mr. Le operates a roofing

business in Maine individually and as Five Star Roofing Experts, Inc. ("Five Star"). (Pl.'s

Supp'g S.M.F. 'I[ 1; Underlying Comp!. 'I[ 5.) Five Star and/ or Mr. Le was a subcontractor

hired by On Center Construction to install roofing at a new residential development

1The Court will refer to Christopher Court's First Amended Complaint in the Underlying Action as "the Underlying Complaint."

Page 1 of 13 under construction at Dogwood Lane, Yarmouth, Maine. (Pl.'s Supp'g S.M.F. 'II 2;

Underlying Compl. 'II 7.) Mr. Court was an independent contractor hired by Five Star

and/ or Mr. Le to work on the roofing project at the new residential construction

development at Dogwood Lane. (Pl.'s Supp'g S.M.F. 'II 3; Underlying Compl. 'II 9.)

On or about February 4, 2019, Mr. Court was present at the new construction

development at Dogwood Lane for work. (Pl.'s Supp'g S.M.F. 'II 4; Underlying Compl. 'II

10.) When Mr. Court returned to the job site after lunch, Mr. Court's supervisor, Jessie

Lavalle, and Nate Adams, a laborer, had erected new staging approximately fourteen to

sixteen feet off the ground in an L-shape on the back of a garage. (Pl.'s Supp'g S.M.F. 'II 5;

Underlying Compl. '['I[ 11, 14.) Mr. Lavalle was already on the staging. (Pl.'s Supp'g

S.M.F. 'II 5; Underlying Comp!. 'II 14.) Mr. Court climbed up onto the staging and stepped

on one of the planks, which flipped toward Mr. Court and caused him to fall. (Pl.' s Supp'g

S.M.F. 'II 6; Underlying Comp!. '['I[ 15-16.) As a result of the fall, Mr. Court sustained

injuries. (Pl.'s Supp'g S.M.F. 'I[ 7; Underlying Compl. 'II 17.) Mr. Court filed suit against

Five Star, and later added Mr. Le as a defendant to the Underlying Action.

At the time of the accident, Mr. Le had a Commercial General Liability Policy ("the

Policy") issued by Security. (Pl.'s Supp'g S.M.F. 'l[ 8; Def. Court's Add'! S.M.F. 'lI 17.) Mr.

Le was the only named insured on the Policy. (Pl.'s Supp'g S.M.F. 'II 9.)

The Commercial General Liability Coverage Form of the Policy includes the

following provision within a section entitled "Coverage A - Bodily Injury and Property

Damage Liability": We 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. 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 for "bodily injury" or "property damage" to which this insurance does not apply. We

Page 2 of 13 may, at our discretion, investigate any "occurrence" and settle any claim or "suit" that may result ....

(Pl.'s Supp'g S.M.F. 'l[ 10; Pl.'s Ex. A at SNIC000030.)

There is one relevant exclusion set forth in an endorsement that modifies Coverage

A of the Commercial General Liability Coverage Part ("the Designated Ongoing

Operations Exclusion"). 2 (Pl.'s Supp'g S.M.F. 'l[ 13.) The Designated Ongoing Operations

Exclusion provides:

This insurance does not apply to "bodily injury" or "property damage" arising out of the ongoing operations described in the Schedule of this endorsement, regardless of whether such operations are conducted by you or on your behalf or whether the operations are conducted for yourself or for others.

(Pl.'s Supp'g S.M.F. 'l[ 13; Pl.'s Ex. A at SNIC000067.) The schedule defines "designated

ongoing operations" as follows:

New construction of a dwelling and work within, or on, the premises of a dwelling prior to the certificate of occupancy of the owner, regardless of whether the dwelling is a custom home or the dwelling is built as part of a tract or a multi-dwelling development ....

(Pl.'s Supp'g S.M.F. 'lI 14; Pl.'s Ex. A at SNIC000067.)

The Policy also includes medical payments coverage for certain bodily injuries

caused by an accident. (Pl.'s Supp'g S.M.F. 'l[ 15; Pl.'s Ex. A at SNIC000037.) The Policy

excludes medical payments coverage "for expenses for 'bodily injury' ... excluded under

Coverage A." (Pl.'s Supp'g S.M.F. 'l[ 16; Pl.'s Ex. A at SNIC000037.)

On July 17, 2019, Security' sent Mr. Le a letter stating:

AmTrust North America is the claims administrator for [Security], your liability insurer and we received a claim against you in connection with the

2 Security also cites to and briefly discusses an exclusion that applies to bodily injury included in the "products-completed operations hazard," but fails to cite to a portion of the record defining "products­ completed operations hazard" or explain why the allegations within the Underlying Complaint fall within this exclusion. The Court, therefore, omits further discussion of this exclusion. 3 As both Mr. Court and Security note, the letters discussed were sent by AmTrust North America, the claim

administrator for Security. The Court will refer to Am Trust North America acting on behalf of Security as "Security."

Page 3 of 13 above-captioned matter. Please be advised that we reviewed this matter and determined that coverage may not be available for this matter for the reasons set forth below. Accordingly, Security hereby reserves the right to disclaim coverage of this matter to you.

(Def. Court's Add'! S.M.F. 'l[ 18; Def. Court's Ex. B; Pl.'s Add'! S.M.F. 'l['l[ 30, 31.) This letter

continued to describe the claim and explain Security's bases for its determination that

there may not be coverage for the claim. (Pl.'s Add'! S.M.F. 'l[ 32; Def. Court's Ex. B.) After

describing the possible applicable exclusions under the Policy, the letter states: "For the

foregoing reasons, Security is reserving its right to disclaim coverage of this matter to

you." (Pl.'s Add'! S.M.F. 'l[ 33; Def. Court's Ex. B.) The letter also states that it "does not

constitute a waiver of any policy provisions or defenses available to Security." (Pl.' s Add'!

S.M.F. 'l[ 34; Def. Court's Ex. B.)

On October 8, 2019, Security sent Mr. Le a letter stating, among other things, that

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