Wilshire Ins. Co. v. Yager
This text of 348 F. Supp. 3d 931 (Wilshire Ins. Co. v. Yager) is published on Counsel Stack Legal Research, covering District Court, D. Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
Honorable James A. Soto, United States District Judge
Pending before the Court are motions for summary judgment filed by Wilshire Insurance Company ("Wilshire"), Girard *934Insurance Services, Ira Girard and Mary Ann Girard (collectively referred to as "Girard"), and Patrick Yager and Javier Lopez (collectively referred to as "Yager"1 ). Upon review of the parties' motions, responses, replies, statements of fact, opposing statements of fact and supplemental facts, evidence submitted in support of the filings,2 and pertinent authority, Wilshire's motion for summary judgment is granted, and Yager's and Girard's motions for summary judgment are denied.3
STANDARD OF REVIEW
Summary judgment is appropriate where "there is no genuine dispute as to any material fact." Fed. R. Civ. P. 56(a). A genuine issue exists if "the evidence is such that a reasonable jury could return a verdict for the nonmoving party," and material facts are those "that might affect the outcome of the suit under the governing law." Anderson v. Liberty Lobby, Inc. ,
BACKGROUND
This case involves an insurance dispute that arises from an automobile accident in Tucson, Arizona. On November 12, 2014, Javier Lopez was driving his 2004 Econoline Van ("Van"). The Van was involved in an accident with a motorcycle driven by Patrick Yager. Yager suffered various physical injuries in the accident. It is disputed as to who was at fault in the accident. Yager argues that Lopez made an unsafe lane change and collided with Yager. Wilshire argues that Yager had been in three other accidents, had been required to go to driving school twice for speeding, that he has driven his motorcycles at speeds of 190 miles an hour, that Yager lacks any memory of the accident, and that the three eye witnesses to the accident indicated that Yager caused the accident.
After the accident, Yager filed a lawsuit in Pima County Superior Court against Lopez alleging that he was at fault in the accident; in addition, Alonso Pastor was also named in the lawsuit ("State Lawsuit"). Pastor was named in the State Lawsuit as he was the named insured under a commercial auto liability policy with Wilshire; the Van that Lopez owned was added as a covered auto under Pastor's previously existing policy with Wilshire, but Lopez was not listed as a named insured under that policy (the "Policy").5 There is *935no evidence reflecting that Wilshire was aware of Lopez's existence prior to the accident in question; Wilshire was only informed of Lopez's existence after the accident had already occurred.6
Lopez tendered his defense to Wilshire pursuant to the Policy issued to Pastor. In March of 2015, Wilshire retained counsel to defend Lopez in the State Lawsuit. However, by August of 2015, Wilshire sent Lopez a reservation of rights letter informing him that while Wilshire would continue to provide counsel to Lopez in the State Lawsuit, it was doing so under a reservation of rights because although Lopez's Van was listed as a covered auto under Pastor's Policy, Lopez was not an insured under the Policy (i.e., one has to be both an "insured" driving a "covered auto" for liability coverage to apply).
Yager's claims in the State Lawsuit against Pastor were dismissed at summary judgment, and that dismissal was affirmed on appeal. The State Lawsuit against Lopez ended when Lopez entered into a Morris agreement with Yager whereby Lopez assigned all of his rights against Wilshire and Girard to Yager; pursuant to the Morris agreement, the parties stipulated to a judgment of $1.5 million, and Yager agreed not to seek recovery of the judgment, or any other form of damages, against Lopez. Thereafter, Wilshire filed the instant declaratory judgment action against Yager and Lopez in this Court seeking a declaration that Wilshire owed no duty to indemnify. Thereafter, Yager asserted claims for breach of contract and bad faith against Wilshire, and claims against Girard stemming from its failure to properly procure insurance coverage for Lopez.
DISCUSSION
The Insurance Policy and Reasonable Expectations
Wilshire and Yager have both moved for summary judgment as to the issue of whether Lopez was covered by the Policy. The Court agrees with Wilshire's position that the Policy is unambiguous and does not cover Lopez.
Contract interpretation is a matter of law, and whether the terms of the contract are ambiguous is also a matter of law. United States v. King Features Entm't, Inc. ,
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Honorable James A. Soto, United States District Judge
Pending before the Court are motions for summary judgment filed by Wilshire Insurance Company ("Wilshire"), Girard *934Insurance Services, Ira Girard and Mary Ann Girard (collectively referred to as "Girard"), and Patrick Yager and Javier Lopez (collectively referred to as "Yager"1 ). Upon review of the parties' motions, responses, replies, statements of fact, opposing statements of fact and supplemental facts, evidence submitted in support of the filings,2 and pertinent authority, Wilshire's motion for summary judgment is granted, and Yager's and Girard's motions for summary judgment are denied.3
STANDARD OF REVIEW
Summary judgment is appropriate where "there is no genuine dispute as to any material fact." Fed. R. Civ. P. 56(a). A genuine issue exists if "the evidence is such that a reasonable jury could return a verdict for the nonmoving party," and material facts are those "that might affect the outcome of the suit under the governing law." Anderson v. Liberty Lobby, Inc. ,
BACKGROUND
This case involves an insurance dispute that arises from an automobile accident in Tucson, Arizona. On November 12, 2014, Javier Lopez was driving his 2004 Econoline Van ("Van"). The Van was involved in an accident with a motorcycle driven by Patrick Yager. Yager suffered various physical injuries in the accident. It is disputed as to who was at fault in the accident. Yager argues that Lopez made an unsafe lane change and collided with Yager. Wilshire argues that Yager had been in three other accidents, had been required to go to driving school twice for speeding, that he has driven his motorcycles at speeds of 190 miles an hour, that Yager lacks any memory of the accident, and that the three eye witnesses to the accident indicated that Yager caused the accident.
After the accident, Yager filed a lawsuit in Pima County Superior Court against Lopez alleging that he was at fault in the accident; in addition, Alonso Pastor was also named in the lawsuit ("State Lawsuit"). Pastor was named in the State Lawsuit as he was the named insured under a commercial auto liability policy with Wilshire; the Van that Lopez owned was added as a covered auto under Pastor's previously existing policy with Wilshire, but Lopez was not listed as a named insured under that policy (the "Policy").5 There is *935no evidence reflecting that Wilshire was aware of Lopez's existence prior to the accident in question; Wilshire was only informed of Lopez's existence after the accident had already occurred.6
Lopez tendered his defense to Wilshire pursuant to the Policy issued to Pastor. In March of 2015, Wilshire retained counsel to defend Lopez in the State Lawsuit. However, by August of 2015, Wilshire sent Lopez a reservation of rights letter informing him that while Wilshire would continue to provide counsel to Lopez in the State Lawsuit, it was doing so under a reservation of rights because although Lopez's Van was listed as a covered auto under Pastor's Policy, Lopez was not an insured under the Policy (i.e., one has to be both an "insured" driving a "covered auto" for liability coverage to apply).
Yager's claims in the State Lawsuit against Pastor were dismissed at summary judgment, and that dismissal was affirmed on appeal. The State Lawsuit against Lopez ended when Lopez entered into a Morris agreement with Yager whereby Lopez assigned all of his rights against Wilshire and Girard to Yager; pursuant to the Morris agreement, the parties stipulated to a judgment of $1.5 million, and Yager agreed not to seek recovery of the judgment, or any other form of damages, against Lopez. Thereafter, Wilshire filed the instant declaratory judgment action against Yager and Lopez in this Court seeking a declaration that Wilshire owed no duty to indemnify. Thereafter, Yager asserted claims for breach of contract and bad faith against Wilshire, and claims against Girard stemming from its failure to properly procure insurance coverage for Lopez.
DISCUSSION
The Insurance Policy and Reasonable Expectations
Wilshire and Yager have both moved for summary judgment as to the issue of whether Lopez was covered by the Policy. The Court agrees with Wilshire's position that the Policy is unambiguous and does not cover Lopez.
Contract interpretation is a matter of law, and whether the terms of the contract are ambiguous is also a matter of law. United States v. King Features Entm't, Inc. ,
*936and applied as written. Nat'l Fire Ins. Co. of Hartford ,
As pertinent to the dispute at bar, the Policy states in relevant part:
SECTION II - LIABILITY COVERAGE
We will pay all sums an 'insured' legally must pay as damages because of 'bodily injury' or 'property damage' to which this insurance applies, caused by an 'accident' and resulting from the ownership, maintenance or use of a covered 'auto.' ...
1. Who Is An Insured
The following are 'insureds':
a. You for any covered 'auto.'
b. Anyone else while using with your permission a covered 'auto' you own, hire or borrow except:
(1) The owner or anyone else from whom you hire or borrow a covered 'auto'. This exception does not apply if the covered 'auto' is a trailer connected to a covered 'auto' you own.
(2) Your 'employee' if the covered 'auto' is owned by that 'employee' or a member of his or her household.
(3) Someone using a covered 'auto' while he or she is working in a business of selling, servicing, repairing, parking or storing 'autos' unless that business is yours.
(4) Anyone other than your 'employees', partners (if you are a partnership), members (if you are a limited liability company), or a lessee or borrower or any of their 'employees', while moving property to or from a covered 'auto.'
(5) A partner (if you are a partnership) or a member (if you are a limited liability company) for a covered 'auto' owned by him or her or a member of his or her household.
c. Anyone liable for the conduct of an 'insured' described above but only to the extent of that liability.
See Doc. 178-17 at p. 37.8
Yager primarily argues that Lopez was covered by the Policy because *937Lopez's Van (which was involved in the accident in this case) was specifically listed as a covered auto under the Policy. While the Van was indeed listed as a covered auto under the Policy, it does not change the fact that the Policy clearly states that liability coverage only applies if you are also an insured under the Policy (i.e., liability coverage only applies if one is an insured who is driving a covered auto). There are three categories of insureds under the Policy. Under section "a", the Policy states that "You" refers to the named insured listed in the Declaration. Lopez is not listed as a named insured; only Pastor is listed as a named insured. Under section "b", one is considered an insured if the named insured (i.e., Pastor) gives permission to drive a "covered 'auto' you own, hire or borrow." Lopez owned the Van involved in the accident; as such, Pastor did not give Lopez permission to drive a Van that Lopez actually owned. As to section "c", Lopez was driving the subject vehicle (not Pastor) at the time of the accident; thus, Lopez could not be liable for Pastor's conduct under the circumstances at bar. Although Lopez was driving a covered auto under the Policy, Lopez was not an insured under the Policy such that liability coverage did not attach. See Ogden v. U.S. Fid. & Guar. Co. ,
Wilshire also argues that the reasonable expectations doctrine does not apply under the circumstances of this case, and therefore it is entitled to summary judgment as to this issue. The Court agrees.
Insurance provisions that are facially valid may be invalidated if they subvert the insured's reasonable expectations. See Gordinier v. Aetna Cas. & Sur. Co. ,
"[M]ost insureds develop a reasonable expectation that every loss will be covered by their policy, ... the reasonable expectation concept must be limited by something more than the fervent hope usually engendered by a loss." Lincoln Tech. Inst. of Arizona, Inc. v. Fed. Ins. Co. ,
As a threshold matter, as discussed above, Lopez was not a named insured under the Policy. Pastor was the named insured under the Policy and had the contract of insurance with Wilshire. Lopez was not a party to the insurance contract with Wilshire, and therefore Lopez's reasonable expectations have little impact on the enforceability of the Policy in this case. See Ogden ,
Waiver and Estoppel
Wilshire and Yager have both moved for summary judgment as to the issues of waiver and estoppel. The Court agrees with Wilshire's position as to these issues; Wilshire is entitled to summary judgment.
As a general matter, "waiver, either express or implied, has been defined as the voluntary and intentional relinquishment *939or abandonment of a known right. It is unilateral in that it arises out of either action or non-action on the part of the insurer or its duly authorized agents and rests upon circumstances indicating or inferring that the relinquishment of the right was voluntarily intended by the insurer with full knowledge of all of the facts pertaining thereto ... Estoppel ... refers to a preclusion from asserting a right by an insurer where it would be inequitable to permit the assertion. It arises by operation of law, and rests upon acts, statements or conduct on the part of the insurer or its agents which lead or induce the insured, in justifiable reliance thereupon, to act or forbear to act to his prejudice. Abatement of the right or privilege involved by way of estoppel need not be intentionally, voluntarily or purposely effected by or on the part of the insurer." McCollum v. Continental Cas. Co.,
The Arizona cases most relevant to the specific circumstances in this case (i.e., alleged harm stemming from an insurance company's delayed reservation of rights) are Penn-Am. Ins. Co. v. Sanchez ,
Penn-Am involved an auto accident that occurred while a delivery was being made on behalf of a warehouse company ("Inside Arizona") responsible for transporting commercial goods; the auto accident occurred on June 30, 2000 and resulted in the death of three people. See Penn-Am at 218 Ariz. at 8,
The Penn-Am policy provided for coverage in the amount of $1,000,000 per occurrence, but the policy contained "an exclusion for any coverage for '[b]odily injury' or 'property damage' arising out of the 'ownership, maintenance, use or entrustment to others' of an automobile."
By the time Penn-Am had reserved its rights and notified National of the lawsuit in mid-October of 2002, the discovery deadline in the wrongful death lawsuit had already expired on September 30, 2002, and cross-motions for summary judgment were already pending in the trial court.
Because of Penn-Am's unreasonable delay in reserving its rights, Inside Arizona's business auto insurer (National) was not notified of the wrongful death lawsuit until discovery had already closed and cross-motions for summary judgment were pending.
Pueblo involved a lawsuit by a homeowners' association (Pueblo Santa Fe Townhomes Owners' Association - "Pueblo") against several general contractors and subcontractors that were involved in constructing homes in the Pueblo community. Pueblo , 218 Ariz. at 16,
In August of 1999, Palo Verde notified its insurance company ("Transcontinental") that it was named as a defendant in the Pueblo lawsuit, and Transcontinental retained a law firm to represent Palo Verde in the suit.
*941Palo Verde's insurance policy contained a "your work" exclusion whereby there was no liability coverage for repairing or replacing Palo Verde's work (i.e., stucco damages over a million dollars); rather, relevant coverage only applied to incidental damage caused by Palo Verde's work (such as water seepage into homes through cracks in the stucco).
Although Transcontinental retained defense counsel to defend Palo Verde in the Pueblo lawsuit in August of 1999, Transcontinental did not issue a reservation of rights letter to Palo Verde until February of 2001.
Counsel retained by Transcontinental never took any action to engage in destructive testing prior to October of 2000, and did not even obtain an expert for Palo Verde until seven months after the deadline expired.
The Pueblo court observed that "[i]n view of the many cracks in the stucco and the Pueblo laboratory report critical of the stucco mix, [Palo Verde's] best chance to avoid an adverse jury verdict ... was to prove that its stucco had cracked not because of anything [Palo Verde] had done but because of mistakes in how the buildings were designed or built that permitted the walls or foundations to shift, causing the stucco to crack as a result. The most powerful evidence of those factors was to be found beneath the stucco on the buildings, obtainable only through destructive *942testing."
Unlike the insureds in Penn-Am and Pueblo , there is no evidence that Lopez suffered any prejudice as a result of Wilshire's delay in issuing a reservation of rights letter to Lopez. Wilshire retained counsel to defend Lopez in the State Lawsuit in March of 2015. By August of 2015, Wilshire had issued its reservation of rights letter to Lopez. There is no evidence that the defense provided to Lopez (via counsel retained by Wilshire on Lopez's behalf) was in any way improper. There is no evidence that had the reservation of rights been issued earlier, counsel for Lopez would have done anything differently, or that Lopez could have and would have done anything differently, to avoid any purported prejudice stemming from the delay in the reservation of rights. Yager argues, for example, that he was prejudiced because he testified at a deposition and responded to discovery, that a policy limit settlement offer of $750,000 expired prior to the issuance of the reservation of rights, and that Wilshire's refusal to indemnify him exposed him to the risk of losing his license to operate his van to transport customers. However, there is no evidence that Lopez was prejudiced by participating in discovery or being deposed, or that he lost his license due to the delay in the reservation of rights. Likewise, unlike the insured in Penn-Am who could have satisfied the $925,000 settlement demand via a second insurance policy with a separate insurer, there is no evidence that Lopez could have satisfied the $725,000 settlement demand made in this case. The evidence before the Court does not support waiver or estoppel in this case. There is no evidence supporting detrimental reliance and prejudice stemming from Wilshire's delay in sending the reservation of rights letter to Lopez.11 Summary judgment is granted in favor of Wilshire as to waiver and estoppel.
As the Court has found that Lopez was not entitled to any liability coverage under the Policy, and that all of Plaintiff's alternative grounds for liability coverage are without basis, Wilshire's motion for summary judgment is granted, and Plaintiff's motion for summary judgment or in the alternative for partial summary adjudication is denied.
Girard's Motion for Summary Judgment
Girard's motion for summary judgment only warrants a brief discussion as it is primarily premised on accepting Girard's position that there is no evidence showing that Girard was aware of Lopez's existence prior to the accident. Girard argues, for example, that as of the time period prior to the accident: Girard employees have stated that they never had any contact with Lopez and were not aware of Lopez; there are no receipts showing that Lopez made any payments at Girard's office regarding Pastor's Policy; there are no phone records showing any contact between Girard and *943Lopez; and there is no physical documentation to substantiate any claim that Girard was aware of Lopez. Therefore, according to Girard, as it was completely unaware of Lopez's existence prior to the accident, it cannot be held liable for Yager's claims of negligence, breach of good faith and fair dealing, reasonable expectations of coverage, and punitive damages stemming from any failure to properly procure insurance for Lopez.
There is evidence, however, reflecting that Girard was aware of Lopez prior to the accident. For example, according to Lopez's deposition testimony, during the time period prior to the accident: Lopez personally met with and spoke to Girard employee Francine Dortch seven times in Girard's office; Lopez only dealt with Dortch at Girard; Lopez made in-person payments on the Policy at Girard's office; Dortch was told that Lopez owned the Van; Lopez was told that he was covered under the Policy; when Lopez noticed that his name did not appear on some documents related to the insurance, and he pointed this concern out to Dortch, Dortch told Lopez that it was fine and there was no problem.
In light of the foregoing, there are material issues of fact precluding summary judgment in favor of Girard; Girard's motion for summary judgment is denied.12
MOTIONS IN LIMINE
As the Court has granted summary judgment in favor of Wilshire, Wilshire's motions in limine13 (Docs. 141, 146, 147, 148, 169) are denied as moot.14
As to Girard's "motion to strike expert opinion of Daniel Fink" (Doc. 145)15 and "joint Daubert motion RE: expert Carmine Cornelio's opinion of reasonableness of Morris agreement" (Doc. 156), both motions are denied. Although one motion is titled a "motion to strike" and the other is titled a "Daubert" motion, both motions are motions in limine (although titled under different names) seeking to exclude evidence at trial. See Black's Law Dictionary (10th ed. 2014) (defining a "motion in limine" as a "[a] pretrial request that certain inadmissible evidence not be referred to or offered at trial"). As to Doc. 145, there was no conferral in compliance with LRCiv. 7.2(l), or this Court's Scheduling Order, prior to filing the motion. See LRCiv. 7.2(l) ("No opposed motion in limine will be considered or decided unless moving counsel certifies therein that the movant has in good faith conferred or attempted to confer with the opposing party or counsel in an effort to resolve disputed evidentiary issues that are the subject of *944the motion. The moving party is not permitted to file a reply in support of its motion in limine."); Doc. 19 (Scheduling Order at p. 4) ("Motions in limine are discouraged if the parties can informally resolve the issues without Court intervention. Therefore, the parties must confer prior to the filing of a motion in limine to determine whether it can be avoided. Motions in limine must be accompanied by a notice of certification of conferral indicating that the parties have conferred to determine whether a motion in limine can be resolved through agreement, and have been unable to agree on a resolution of the motion. Motions in limine that do not contain the required certification may be stricken by the Court."). As to Doc. 145 and Doc. 156, both motions far exceed the page limits set by this Court in its Scheduling Order. See Doc. 19 (Scheduling Order at p. 4) ("Motions in limine (which includes Daubert /Rule 702 motions) shall be filed no later than fourteen (14) days after the filing of the proposed Joint Pretrial Order. Responses to motions in limine are due fourteen (14) days after the filing of the motions in limine. Unless otherwise ordered by the Court, no replies are permitted and motions in limine and responses thereto shall not exceed five (5) pages."). In light of the foregoing, Girard's motions in limine (Docs. 145, 156) are denied.
CONCLUSION
Accordingly, IT IS HEREBY ORDERED as follows:
(1) Girard's motion for summary judgment (Doc. 186), Yager's motion for summary judgment or in the alternative for partial summary adjudication (Doc. 180), and the motions in limine (Docs. 141, 145, 146, 147, 148, 156, 169) are denied.16
(2) Wilshire's motion for summary judgment (Doc. 177) is granted; the Clerk of the Court shall enter judgment in favor of Wilshire Insurance Company.
(3) Yager and Girard shall file their Proposed Joint Pretrial Order within 30 days of the filing date of this Order. See Doc. 19 (Scheduling Order at p. 4).17
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348 F. Supp. 3d 931, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wilshire-ins-co-v-yager-azd-2018.