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545 F. App'x 851
11th Cir.
2013
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Background

  • Epoch was general contractor on Portofino at Lakes Laguna, Florida; Orange & Blue Construction subcontracted to CL & B Contracting, which subcontracted to Sandi Construction; Jose Tejeda, a laborer for Sandi, died at the site; Estate filed wrongful death action with two claims against Epoch; CGL policy with Amerisure named Epoch as additional insured; policy exclusions (Workers’ Compensation, Employer’s Liability) bar coverage for Epoch’s employees or those employed by Epoch’s subcontractors; Amerisure and Epoch cross-moved for summary judgment in federal court; court held Employer’s Liability Exclusion bars coverage and declined to decide Workers’ Compensation Exclusion; Tejeda is treated as Epoch’s statutory employee under Florida law and policy interpretation; insured contract exception does not apply because Estate’s claims arise from Epoch’s own acts, not a contract assumption of tort liability; district court’s summary judgment in Amerisure’s favor affirmed.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Does Employer’s Liability Exclusion bar coverage for injuries to Epoch’s employees or statutory employees? Amerisure argues exclusion bars any employee-injury claims. Epoch contends statutory employee should not be covered. Yes, exclusion bars coverage.
Does the policy’s insured contract exception apply to the Estate’s tort claims against Epoch? Estate argues exception should apply as it involves contractual assumptions. Epoch contends exception requires assumption of tort liability by Epoch under contract. No, exception does not apply.
Is Tejeda a covered claimant under general liability for purposes of exclusion? Estate seeks coverage for Tejeda’s death. Tejeda is Epoch’s statutory employee, not a third-party public-injury claimant. Tejeda qualifies as a statutory employee; no duty to defend or indemnify.

Key Cases Cited

  • Navarro Sav. Ass’n v. Lee, 446 U.S. 458 (1980) (nominal parties; diversity jurisdiction focuses on real parties)
  • Revoredo v. Fla. Cmty. Coll. Dist., 698 So. 2d 890 (Fla. 3d DCA 1997) (statutory employees treated as employees for workers’ comp and insurance exclusions)
  • Dodge v. Fidelity & Cas. Co. of N.Y., 424 So. 2d 39 (Fla. 5th DCA 1982) (policy analyzes include statutory employees as employees)
  • Terrell v. USAir, 132 F.3d 621 (11th Cir. 1998) (issues raised for first time on appeal not considered)
  • Digital Equip. Corp. v. Desktop Direct, Inc., 511 U.S. 863 (1994) (final judgment concept for appeal under 28 U.S.C. § 1291)
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Case Details

Case Name: Amerisure Insurance v. Orange & Blue Construction, Inc.
Court Name: Court of Appeals for the Eleventh Circuit
Date Published: Nov 4, 2013
Citations: 545 F. App'x 851; 13-10313
Docket Number: 13-10313
Court Abbreviation: 11th Cir.
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