Endurance American Specialty Insurance Company v. L. Pellinen Construction, Inc.
21-10256
| 11th Cir. | Nov 12, 2021Background
- In December 2016 a framing worker, Esdras Ambrocio, fell while working on roof trusses and sued multiple construction-related entities after workers’ compensation paid his medical/life-care expenses.
- L. Pellinen Construction was insured under a commercial general liability policy issued by Endurance; the policy included an Additional Insured Endorsement for entities required by written contract to be named as insureds.
- Mattamy Orlando, LLC and Mattamy Florida, LLC (owner/developer and affiliate) tendered defense under the policy as additional insureds based on a written agreement with Pellinen; Endurance refused, citing three exclusions (Workers’ Compensation, Employer’s Liability, Multi‑Unit Construction Project).
- Endurance filed a declaratory judgment action seeking to avoid any duty to defend/indemnify Pellinen and the Mattamy entities; the district court granted summary judgment to the Mattamy defendants (and denied Endurance’s motion as to them), finding they were additional insureds and the exclusions did not apply.
- Endurance appealed; the Eleventh Circuit reviewed contract interpretation and summary judgment de novo and affirmed the district court’s ruling in favor of the Mattamy defendants.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Scope of DJ action — could the district court decide Mattamys’ insured status? | Endurance: insured-status determination was beyond the complaint’s scope. | Mattamy: Endurance named them and both parties litigated the issue in pleadings and cross-motions. | Court: Issue was squarely before district court; it properly decided insured status. |
| Applicability of Additional Insured Endorsement | Endurance: endorsement covers only supervision-related liability not implicated; contract’s effective date is ambiguous. | Mattamy: complaint alleges involvement/supervision and affidavits/certificate show contract in effect and additional-insured status. | Court: Complaint allegations could reasonably trigger coverage for work/supervision; affidavits established contract in effect; endorsement applies. |
| Workers’ Compensation / Employer’s Liability exclusions (statutory‑employee issue) | Endurance: Mattamy acted as a contractor/statutory employer so exclusions bar coverage. | Mattamy: they were property owner/developer, not a contractor with a primary contractual obligation to a third party. | Court: No evidence Mattamy had the statutory "contractor" role (primary contractual obligation and subletting); exclusions do not apply. |
| Multi‑Unit Construction Project exclusion | Endurance: the subdivision was a "housing development" exceeding 10 units, so exclusion applies. | Mattamy: each house was built on separate parcels; "single contiguous parcel" is ambiguous, favoring insured. | Court: Reasonable ambiguity existed; under Florida law resolve for insured — exclusion does not apply. |
Key Cases Cited
- Chavez v. Mercantil Commercebank, N.A., 701 F.3d 896 (11th Cir. 2012) (standard for reviewing cross‑motions for summary judgment)
- Tobin v. Mich. Mut. Ins. Co., 398 F.3d 1267 (11th Cir. 2005) (de novo review of insurance‑policy interpretation)
- Psychiatric Assocs. v. St. Paul Fire & Marine Ins. Co., 647 So. 2d 134 (Fla. Dist. Ct. App. 1994) (complaint allegations that could fall within coverage trigger duty to defend)
- Lime Tree Vill. Cmty. Club Ass’n, Inc. v. State Farm Gen. Ins. Co., 980 F.2d 1402 (11th Cir. 1993) (insurer’s duty to defend when complaint fairly alleges covered claims)
- Anderson v. Liberty Lobby, Inc., 477 U.S. 242 (U.S. 1986) (summary judgment standard)
- Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574 (U.S. 1986) (no genuine issue if record could not lead a rational trier to find for nonmoving party)
- Cadillac Fairview of Fla., Inc. v. Cespedes, 468 So. 2d 417 (Fla. Dist. Ct. App. 1985) (contractors who sublet become statutory employers under Fla. Workers’ Comp. Act)
- Pullam v. Hercules Inc., 711 So. 2d 72 (Fla. Dist. Ct. App. 1998) (definition of "contractor" for statutory‑employer analysis)
- Jones v. Fla. Power Corp., 72 So. 2d 285 (Fla. 1954) (contractor must have primary contractual obligation to third party to be statutory employer)
- Cuero v. Ryland Grp., Inc., 849 So. 2d 326 (Fla. Dist. Ct. App. 2003) (owner not automatically a contractor under the statute)
- Blumberg v. USAA Cas. Ins. Co., 790 So. 2d 1061 (Fla. 2001) (elements and limits of judicial estoppel)
- Travelers Indem. Co. v. PCR Inc., 889 So. 2d 779 (Fla. 2004) (ambiguities in insurance policies construed in favor of insured)
- Heredia v. John Beach & Assocs., Inc., 278 So. 3d 194 (Fla. Dist. Ct. App. 2019) (distinguishing owner/developer activity from statutory‑employer status)
- Conklin v. Cohen, 287 So. 2d 56 (Fla. 1973) (owner without primary contractual obligation not entitled to statutory‑employer immunity)
- Salazar‑Abreu v. Walt Disney Parks & Resorts U.S., Inc., 277 So. 3d 629 (Fla. Dist. Ct. App. 2018) (judicial‑estoppel requirements)
- Trailer Bridge, Inc. v. Illinois Nat. Ins. Co., 657 F.3d 1135 (11th Cir. 2011) (choice‑of‑law principles for insurance coverage)
- Strochak v. Fed. Ins. Co., 717 So. 2d 453 (Fla. 1998) (Florida law on insurance coverage application)
