Yaffe Companies, Inc. v. Great American Insurance

499 F.3d 1182, 2007 U.S. App. LEXIS 20464, 2007 WL 2411706
Court of Appeals for the Tenth Circuit·Decided August 27, 2007·No. 06-7057·Published·Cited by 26 cases

Opinions

HARTZ, Circuit Judge.

This appeal arises out of a claim under a commercial umbrella insurance policy. The district court entered summary judgment in favor of Great American Insurance Company, Inc., denying the claim of the Yaffe Companies, Inc. on the ground that the policy unambiguously precluded coverage. Yaffe Cos., Inc. v. Great Am. Ins. Co., No. CV-05-466-FHS, 2006 WL 1388448, at *3, *5 (E.D.Okla. May 12, 2006). We hold that the policy is ambiguous and reverse and remand for further proceedings.

I. BACKGROUND

On December 28, 2004, an explosion at Yaffe’s scrapyard in Muskogee, Oklahoma, caused significant property damage and bodily harm. When it filed its complaint, Yaffe had incurred $1,785,986.89 in liability on claims by numerous parties. Two insurance policies cover Yaffe’s liability. One is a commercial general-liability policy issued by ACE American Insurance Company (ACE). The policy provides coverage up to $1,000,000 per occurrence, with a general aggregate limit of $2,000,000 and a deductible of $10,000 per claim. The other policy is a commercial umbrella policy with Great American. As a general matter, umbrella policies provide two types of insurance coverage: (1) excess coverage for events also covered by other underlying insurance policies that provide primary protection and (2) primary coverage for events not covered by other policies. See Commercial Union Ins. Co. v. Walbrook Ins. Co., 7 F.3d 1047, 1053 (1st Cir.1993). The Great American policy has a coverage limit of $25,000,000. But its excess coverage does not begin until the amount that Yaffe “becomes legally obligated to pay,” Great American policy § I, exceeds the policy’s “Retained Limit,” which is “the total amounts stated as the applicable limits of the underlying policies [in the policy schedule],” id. § II.G.l. (Citations to the Great American policy, ApltApp. Vol. I at 73-132, will refer to sections of the policy rather than pages of the appendix.)

The source of the difficulty in this case is the type of deductible in the ACE policy. The deductible is $10,000 per claim. That the deductible is per-claim rather than per-oecurrence is apparently unusual. See 1 Barry R. Ostrager & Thomas R. Newman, Handbook on Insurance Coverage Disputes § 9.02, at 557 (2006) (in commercial general-liability policies “there is typically one deductible for each occurrence”). [1184] The nature of the deductible makes a substantial difference in the ACE policy’s coverage of the Muskogee explosion. Because most claims were under $10,000, the policy covers only $497,999.10 of Yaffe’s total liability of $1,785,986.89. If the $10,000 deductible had been per occurrence, ACE would have had to pay $1,000,000, and there would be no dispute that Great American must cover the total liability in excess of $1,000,000 (or perhaps $1,010,000).

Yaffe sought coverage from Great American in the amount of $785,986.89, the difference between the total amount of the claims against it arising from the explosion and $1,000,000. (Yaffe also raised a separate claim, but it is not pursued on appeal.) Great American denied the claim, noting that ACE had paid only $497,999.10 and asserting that the Great American policy does not provide coverage until the $1,000,000 limit of the ACE policy has been exhausted.

On October 14, 2005, Yaffe filed an action against Great American in Oklahoma state court, claiming that Great American had breached its insurance contract and seeking a declaration of coverage. Great American timely removed the case to the United States District Court for the Eastern District of Oklahoma on November 21, 2005, claiming diversity jurisdiction under 28 U.S.C. § 1332(a)(1) because Yaffe is an Oklahoma corporation with its principal place of business in Oklahoma and Great American is an Ohio corporation with its principal place of business in Ohio. The next day Great American filed a counterclaim against Yaffe, seeking a declaration that it has no obligation to provide coverage on claims arising from the Muskogee explosion until Yaffe has exhausted the ACE policy’s $1,000,000 limit.

On March 28, 2006, Great American moved for summary judgment. Yaffe responded and Great American replied. On April 21, shortly after Great American filed its reply in support of summary judgment, Yaffe moved to compel discovery, seeking information and documents from Great American regarding its construction of its umbrella policies with similar language. Yaffe then filed its own motion for summary judgment on May 5.

One week later, before Great American had filed a response to Yaffe’s summary-judgment motion, the district court granted Great American’s summary-judgment motion while denying Yaffe’s motion. It ruled that the Great American policy is unambiguous and that Great American is obligated to make payments under its policy only “when Yaffe becomes legally obligated to pay sums in excess of or, stated another way, after exhaustion of, the $1,000,000 coverage provided by the ACE policy.” Yaffe, 2006 WL 1388448, at *3. The district court also denied Yaffe’s motion to compel discovery, reasoning that such information, “while potentially relevant to a tort claim for bad faith,” had no relevance to the contract claims because it had determined that the contract was to be interpreted based on its language alone. ApltApp. Vol. 2 at 519 (Op. & Order, May 12, 2006). Judgment was entered the same day.

Yaffe appeals the grant of summary judgment to Great American, the denial of its own summary-judgment motion, and, in the alternative, the denial of its motion to compel discovery.

II. DISCUSSION

A. Standard of Review

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Yaffe Companies, Inc. v. Great American Insurance, 499 F.3d 1182, 2007 U.S. App. LEXIS 20464, 2007 WL 2411706 (10th Cir. 2007).

499 F.3d 1182 (Yaffe Companies, Inc. v. Great American Insurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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