524 F. App'x 254
6th Cir.2013Background
- City of Warren sought defense costs and settlement indemnification from Hannover for Rizzo dispute; Hannover denied coverage citing Exclusion 18.e.
- Rizzo contract (Oct 2001) required royalties and a Direct Dump System; dispute over feasibility and a third compactor led Rizzo to withhold royalties.
- Rizzo I–III litigation and related arbitrations culminated in a 2007–2009 sequence, including a 2009 arbitration award for $6,419,580 against the City and Rizzo for breach and withheld royalties.
- June 30, 2009 mediation produced a global settlement of $5,975,000; parties placed the settlement record and agreed not to enforce the arbitration award.
- January 2010 the City sued Hannover seeking defense and indemnification; district court granted summary judgment to Hannover based on Exclusion 18.e.
- Appellate review affirmed, holding Exclusion 18.e unambiguous and applicable; and that Hannover’s duty, if any, mirrored indemnity scope and did not cover non-covered claims.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Does Exclusion 18.e exclude § 1983 and conspiracy claims? | Rizzo claims § 1983/conspiracy arise from City’s breach and retaliation. | Exclusion 18.e excludes public officials’ omissions arising from contractual breach; applies to these claims. | Exclusion 18.e applies; claims arise out of breach of contract. |
| Is Hannover obligated to advance defense costs or merely indemnify under the policy terms? | Policy language ‘pay on behalf of’ and Ultimate Net Loss imply advancement of defense costs. | Policy language limits duties to indemnification for covered claims; defense costs scope mirrors indemnity. | The duty mirrors indemnification scope; Hannover had no broader duty to advance defense costs for non-covered claims. |
| Did Hannover waive or is estopped from raising Exclusion 18.e defenses after initial denial? | Hannover denied coverage in Jan 2009 without bases, triggering waiver. | Subsequent detailed May 2009 letter explained Exclusion 18.e; waiver/estoppel does not broaden policy coverage. | Waiver/estoppel do not broaden coverage for excluded risks; denial was validly supplemented with exclusions. |
Key Cases Cited
- Upjohn Co. v. New Hampshire Ins. Co., 438 Mich. 197 (1991) (determine policy ambiguity and construe terms)
- Fire Ins. Exchange v. Diehl, 450 Mich. 678 (1996) (ambiguities construed in insured's favor)
- Edgar’s Warehouse, Inc. v. United States Fid. & Guar. Co., 375 Mich. 598 (1965) (rejects rewriting plain policy terms)
- Auto-Owners Ins. Co. v. Churchman, 440 Mich. 560 (1992) (exclusions construed in insured's favor but must be clear)
- Kangas v. Aetna Cas. & Surety Co., 235 N.W.2d 42 (Mich. Ct. App. 1975) (explains 'arising out of' standard)
- Thornton v. Allstate Ins. Co., 425 Mich. 643 (1986) (reiterates 'arising out of' concept and foreseeability)
- Am. Bumper and Mfg. Co. v. Hartford Fire Ins. Co., 452 Mich. 440 (1996) (duty to defend vs indemnify distinction)
- Kirschner v. Process Design Assocs., Inc., 459 Mich. 587 (1999) (waiver/estoppel limitations on expanding coverage)
- Fresard v. Michigan Millers Mut. Ins. Co., 414 Mich. 686 (1982) (interpretation of entire policy language)
- Hunter v. Pearl Assurance Co., 292 Mich. 543 (1940) (read policy terms to give effect to every part)
