Lead Opinion
Opinion
This court has defined the term “suit” in a comprehensive general liability (CGL) insurance policy as “a court proceeding initiated by the filing of a complaint.” (Foster-Gardner, Inc. v. National Union Fire Ins. Co. (1998)
FACTUAL AND PROCEDURAL BACKGROUND
Appellant Ameron International Corporation (Ameron) is based in Pasadena, California, and incorporated under the laws of the State of Delaware. Respondent insurers (respondents) are 11 insurance companies that provided Ameron with primary CGL coverage as well as excess/umbrella policies between 1978 and 1995.
In 1990, the Bureau discovered defects in the siphons that required their replacement at a cost of approximately $116 million. In 1992, the Central Arizona Water Conservation District filed an action against Ameron in federal district court in Arizona for its responsibility in providing the defective siphons. Ameron provided respondents with timely notice of that action,
In 1995, the Bureau’s contracting officer issued two final decisions finding Kiewit responsible for the siphons’ defects and seeking almost $40 million in damages from Kiewit and Ameron.
The IBCA administrative law proceeding lasted 22 days and concluded when Ameron and Kiewit settled the Bureau’s claims against them for $10 million. Following the settlement, Truck Insurance Exchange, “one of Ameran’s primary insurers, paid Ameron certain sums with respect to the [Central Arizona Project] litigation.”
Ameron, in its own right and as the assignee of Kiewit’s rights, filed its operative complaint against respondent insurers on July 21, 2004, alleging causes of action for breach of contract, breach of the covenant of good faith and fair dealing, declaratory relief, waiver and estoppel, and contribution.
The Court of Appeal partially reversed the trial court’s judgment with respect to those policies that defined a “suit” as a “civil proceeding.”
DISCUSSION
A. Background
1. Standard of Review and Insurance Law Principles
In general, interpretation of an insurance policy is a question of law and is reviewed de novo under" settled rules of contract interpretation. (E.M.M.I. Inc. v. Zurich American Ins. Co. (2004)
An insurance policy provision is ambiguous when it is susceptible of two or more reasonable constructions. (E.M.M.I., supra,
2. Foster-Gardner and Subsequent Cases
Respondents assert that the hearing before the IBCA was not the trial of a “suit” as defined in the insurance policies. They generally rely on language in Foster-Gardner to argue that because the IBCA is not a court of law, any hearing before it is not the trial of a “suit” unless specifically indicated as such in the pertinent policy. (Foster-Gardner, supra, 18 Cal.4th at pp. 887-888.) Ameron, in turn, contends that Foster-Gardner either does not apply to the IBCA’s “civil proceedings,” or, if it does, we should overrule it to provide that the IBCA proceedings are considered the trial of a “suit.”
DTSC issued the Order under the Carpenter-Presley-Tanner Hazardous Substance Account Act (HSAA; Health & Saf. Code, § 25300 et seq.), which is California’s version of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA; 42 U.S.C. § 9601 et seq.; Foster-Gardner, supra,
Foster-Gardner tendered its proposed defense to the Order to four of its insurers, who either refused to defend or agreed to defend subject to a reservation of rights. (Foster-Gardner, supra, 18 Cal.4th at pp. 863-864.) All had issued CGL policies containing essentially similar language; none of the policies defined the term “suit” or “claims.” (Ibid.) Foster-Gardner brought suit against its insurers, asserting they were obligated to defend, and seeking summary adjudication as to their obligation. (Id. at p. 864.) However, the trial court disagreed and granted the insurers’ cross-motions for summary judgment based on its determination that the Order was not a “suit.” (Ibid.) The Court of Appeal reversed the judgment, interpreting the policies using a “ ‘nontechnical . . . analysis’ ” (id. at p. 865) to find the Order was the “ ‘functional equivalent’ ” of a “suit” that triggered the insurers’ duty to defend (id. at p. 879).
Rejecting a “functional” or “hybrid” methodology that other states had adopted in interpreting the meaning of the term “suit” (Foster-Gardner, supra, 18 Cal.4th at pp. 871-874), this court reversed the Court of Appeal judgment, holding that the term in the insurance policies at issue referred, unequivocally, to a lawsuit or, more accurately, “a civil action commenced by filing a complaint” (id. at p. 878). We cited two authorities; Black’s Law Dictionary and Webster’s Ninth New Collegiate Dictionary. Black’s defines “suit” as “ ‘[a] generic term, of comprehensive signification, referring to any proceeding by one person or persons against another or others in a court of law in
In considering the coverage issue, we observed that other jurisdictions take different approaches to interpreting CGL policies. Some take a “functional” view, holding that the receipt of any EPA-type cleanup letter or order constitutes a “suit.” (See Aetna Casualty & Surety Co., Inc. v. Pintlar Corp. (9th Cir. 1991)
As the Court of Appeal observed, we extended our “ ‘bright-line rule’ ” (Foster-Gardner, supra,
In addition, the Court of Appeal considered two appellate decisions applying our authority. (Lockheed Martin Corp. v. Continental Ins. Co. (2005)
Applying these cases, the Court of Appeal discussed the coverage issues for the multiple types of policies the 11 insurers provided to Ameron over the years. In parts I. through IX. of the opinion, the Court of Appeal found coverage under some insurance policies it likened to that in Powerine II, but found no coverage as to other policies more akin to the Foster-Gardner and Powerine I policies. Of importance here is part I.A. There, the Court of Appeal considered a primary CGL policy issued by INA for the years 1988 to 1989. That policy indemnified Ameron for “ ‘all sums which [Ameron] shall become legally obligated to pay as damages’ ” and provided a defense duty for “ ‘any suit against the Insured seeking damages . . . .’ ” The insuring provision also stated the insurer “ ‘may make such investigation and settlement of any claim or suit as it deems expedient, but the Company shall not be obligated to pay any claim or judgment or to defend any suit after the applicable limit of the Company’s liability has been exhausted by payment of judgments or settlements.’ ‘Suit’ and ‘claim’ are not defined in the policy.” The Court of Appeal observed that the INA policy language was substantially the same as the Foster-Gardner and Powerine I policy language. Although the court held that Foster-Gardner precluded coverage under that INA policy’s definition of “suit,” it did so with obvious dissatisfaction. The Court of Appeal observed that Ameron’s IBCA action—a quasi-judicial administrative agency board hearing conducted by an administrative law judge—was significantly different from the environmental cleanup orders of Foster-Gardner and Powerine I. Indeed, the court found “much to commend” in Ameron’s contention that the IBCA hearing is a “suit.” It also found “compelling” a similar distinction embraced in Justice Spencer’s concurring opinion in Fireman’s Fund Ins. Co. v. Superior Court (1997)
In eventually denying Ameron all coverage under those insurance policies that did not define the term “suit,” the Court of Appeal observed that the IBCA proceeding is trial-like in nature, and that Foster-Gardner’s concerns of uncertainty are not present where the administrative action is adjudicatory. The court noted that “[t]he IBCA proceeding at issue here was, by any measure, an adjudicative administrative hearing. It was commenced by the filing of a notice and complaint and was presided over by a judge governed by federal evidence rules and charged with setting damages for an alleged contract breach.” The court concluded that because the administrative proceedings in Foster-Gardner involved a pollution remediation order, it could “fairly regard its broad rule as dicta when applied to the very different administrative proceedings in this case.” But the court observed that “ ‘ “[ejven if properly characterized as dictum, statements of the Supreme Court should be considered persuasive.” ’ ” In sum, the Court of Appeal concluded that although a contractor like Ameron would reasonably expect the IBCA litigation to be considered a “suit” seeking “damages,” Foster-Gardner’s bright-line rule compelled the court to interpret the word “suit” as used in that policy as limited to a court proceeding.
The Court of Appeal addressed a wide range of insurance policy language and discussed at length the coverage provisions in each of those policies that were applicable to the appeal. Ameron’s petition for review, however, focused on the narrow but fundamental question whether an adjudicative administrative action like the IBCA action is a “suit” for purposes of coverage under a liability policy. Ameron asserts that the rule in Foster-Gardner and its progeny does not apply to the IBCA action. That action, Ameron claims, is a “suit” even under Foster-Gardner’s bright-line rule approach. The specific post-Foster-Gardner question—whether a liability policy covers adjudicative administrative hearings like the hearing before the IBCA under policies that do not specifically define “suit” or limit the application of coverage to preclude administrative adjudicative hearings—is one of first impression.
B. Analysis
1. The Obligation to Defend a Suit
Ameron contends that Foster-Gardner is not applicable here because the IBCA proceeding was a “suit” as a reasonable insured would understand the term, in contrast to the pollution remediation order for which the insured sought coverage in Foster-Gardner. Ameron points out that the IBCA is a
Therefore, in order to determine whether proceedings before the IBCA are a “suit” we must decide if the concerns that led us to conclude that issuance of a pollution remediation order was not a “suit” also apply to hearings before a federal administrative adjudicative body. In conducting this analysis, we compare the IBCA’s complaint requirements to those of the Code of Civil Procedure. We also look briefly both to Congress’s intent in setting up the IBCA, and to the structure of IBCA proceedings themselves.
2. The IBCA’s Complaint Requirements
It is a “settled rule that the insurer must look to the facts of the complaint and extrinsic evidence, if available, to determine whether there is a potential for coverage under the policy and a corresponding duty to defend.” (Waller, supra,
The IBCA complaint requirements distinguish the case from Foster-Gardner. As noted, the Contract Disputes Act established the IBCA and authorized it to conduct trials, determine liability, and award money damages. (41 U.S.C. § 607.) The legislative history shows that Congress intended the IBCA to serve as an alternative means to resolve contract disputes in an informal, expeditious, and inexpensive way. (Sen.Rep. No. 95-1118, 2d Sess.,
The IBCA procedure at issue here requires the contractor appealing from an adverse decision by the Bureau’s contracting officer to file a complaint, “setting forth simple, concise, and direct statements of each claim, alleging the basis with appropriate reference to contract provisions for each claim, and the dollar amount claimed.” (43 C.F.R. § 4.107(a) (2009).) The complaint requires “no particular form or formality,” and it “shall fulfill the generally recognized requirements of a complaint.” (Ibid.) Although the contractor thus initiates the IBCA proceeding, the purpose of the proceeding is to resolve the claim against the contractor, who is therefore in the position of a defendant. The factual issues are then framed for adjudication by the pleadings, which consist both of the contractor’s complaint and the government’s answer. Together, these pleadings serve the purpose ascribed to the court complaint as described in Foster-Gardner, namely, informing the insurer of the nature of the dispute so that it can determine its defense duties under the insurance policy.
In addition, not only does the Code of Federal Regulations call the required pleading before the IBCA a “complaint,” but the requirements for that “complaint” serve the same notice purpose as California’s civil litigation complaint requirement. (43 C.F.R. § 4.107(a) (2009).) Under the Code of Civil Procedure, a complaint must contain a “statement of the facts constituting the cause of action, in ordinary and concise language.” (Code. Civ. Proc., § 425.10, subd. (a).) This requirement forces parties to give fair notice of their claims to opposing parties so they can defend. (Doheny Park Terrace Homeowners Assn., Inc. v. Truck Ins. Exchange (2005)
It is clear that the IBCA pleading requirements meet the standards for a complaint under our Code of Civil Procedure. The IBCA pleading must “set[] forth simple, concise, and direct statements of each claim, alleging the basis with appropriate reference to contract provisions for each claim . . . .” This level of specificity gives as much, if not more, notice to insurers making coverage decisions regarding claims as does the specificity required by our Code of Civil Procedure. If there were any doubt whether the “complaint” before the IBCA was meant to serve the same purpose as a complaint in a
Respondents rely on the fact that a contractor can choose to access article III courts (U.S. Const., art. Ill) directly, by filing an action with the Federal Claims Court rather than with the IBCA. (Sen.Rep. No. 95-1118, supra, p. 3.) Respondents claim that this alternative procedure means that Congress intended to distinguish an action filed with the IBCA from one filed with the Federal Claims Court. They assert that the “degree of due process desired” is weighed against “the time and expense considered appropriate for the case.” In other words, respondents claim that the contractor that chooses the IBCA as a forum must give up some of the due process rights that it would have received in a court, such that the IBCA proceedings stop short of being a “suit.” Not so. Congress allowed for these two avenues of review in order to “cut down the present traffic between the boards and the courts . . . [to] reduc[e] the points of friction and eliminate] delays.” (Sen.Rep. No. 95-1118, supra, p. 12.) In addition, Congress expected that agency boards would handle “better than 90 percent of contract claims,” “since they should be the least expensive, most expeditious forum available to the contractor.” {Ibid.) Due process rights are adequately protected in the IBCA quasi-judicial proceedings. (Id. at p. 13.) With regard to appeals to the IBCA, Congress states: “The contractor should feel that he is able to obtain his ‘day in court’. . . and at the same time [save] time and money through the agency board process. If this is not so, then contractors would elect to go directly to court and bypass the boards since there would be no advantage in choosing the agency board route for appeals.” (Id. at p. 25.)
Respondents next assert that language referring to the transfer of “suits” between boards like the IBCA and the Federal Claims Court is an anomaly. Insurers cite language from previous drafts of the Contract Disputes Act where the word “suits” in title 41 United States Code section 609(d) referred to transfers between the federal district court and the Federal Claims Court instead of between the Federal Claims Court and agency boards, and argue that the word “suits” is, essentially, a drafting error.
3. Reasonable Expectation of Coverage
Under the statutory rules of contract interpretation, any ambiguity in the policy terms will be construed against the insurer to protect the insured’s reasonable expectation of coverage. Based on the reference to “suits” in 41 United States Code section 609(d) and (e), a reasonable policyholder would believe that a policy providing coverage for a “suit” would provide coverage for the IBCA proceedings.
As the legislative purpose indicates, the IBCA proceeding provides contractors with their “day in court.” As noted, this case proceeded in a 22-day IBCA hearing, in which witnesses testified and were cross-examined. The parties then decided to mediate, and reached a settlement in which Ameron agreed to pay the government $10 million. A reasonable policyholder would recognize such proceedings as a suit and would expect to be defended and, if necessary, indemnified by its insurer. It is safe to assume that Ameron would not have proceeded under the IBCA appeals process if it had known that coverage would not be extended to its $10 million settlement with the government.
Given insurers’ reliance on a “complaint” for coverage determinations,
CONCLUSION
For the foregoing reasons, we reverse the Court of Appeal judgment, and remand the matter for proceedings consistent with this decision.
George, C. L, Baxter, J., Werdegar, J., Moreno, J., and Siggins, J.,
Notes
In 2007, after the IBCA proceedings here, that department was terminated and consolidated with other agency boards to form the United States Interior Civilian Board of Contract Appeals, established effective January 6, 2007. The consolidation did not affect the applicable regulations at issue in this case, and the parties do not argue that it did.
The respondents are: Insurance Company of the State of Pennsylvania (ICSOP), Century Indemnity Company (as successor to CCI Insurance Company, as successor to Insurance Company of North America) (INA), Pacific Employers Insurance Company (Pacific), St. Paul Surplus Lines Insurance Company (St. Paul), International Insurance Company (International), Puritan Insurance Company (Puritan), Transcontinental Insurance Company (Transcontinental), Old Republic Insurance Company (Old Republic), Twin City Fire Insurance Company (Twin City), Great American Surplus Lines Insurance Company (Great American), and Harbor Insurance Company (Harbor).
With the exception of Harbor, all respondents appear in case No. A109755. Harbor appears in case No. A112856. On our own motion and by an order separately filed, we have consolidated the two appeals.
Ameron argues that it paid for and prosecuted the IBCA proceeding in Kiewit’s name. In the case at bar, Ameron seeks insurance coverage for itself and on behalf of Kiewit. Kiewit is not a party to this appeal.
The Court of Appeal noted, “Whether Truck compensated Ameron for its defense costs and/or for the settlement it paid is unclear from the face of the complaint.... Truck .. . is ... [not] a party to this appeal.”
As all courts involved in the case and Ameron observe, Ameron is the assignee of Kiewit’s rights under the 11 insurance policies involved in the present litigation. As the assignee, Ameron assumed all Kiewit’s rights under the policies. In addition, Ameron was the real party in interest in the trial before the IBCA. It was also Ameron that paid attorney fees to defend the government’s claims in its own name and paid the premiums on the policies sold to it. Based on these facts and the assignment here, Ameron is the proper party before the court.
These included three of the four policies from INA, as well as policies issued by International, Twin City, St. Paul, and Harbor, and two excess/umbrella policies that ICSOP issued successively from 1990 to 1992.
These included policies from Transcontinental, Puritan, Old Republic, Pacific, and Great American, and an excess/umbrella policy ICSOP issued from 1992 to 1995.
Respondents INA and Pacific seek judicial notice of Foster-Gardner’s petition for rehearing filed with this court on August 18, 1998, following our opinion in Foster-Gardner, supra,
Section 609(d) states as follows: “Consolidation. If two or more suits arising from one contract are filed in the United States Claims Court [(U.S. Court of Federal Claims)] and one or more agency boards, for the convenience of parties or witnesses or in the interest of justice, the United States Claims Court [(U.S. Court of Federal Claims)] may order the consolidation of such suits in that court or transfer any suits to or among the agency boards involved.”
See page 1384, ante (insurers rely on complaint for determining duty to cover an action against the insured parties).
See page 1378, ante\ AIU, supra,
Associate Justice of the Court of Appeal, First Appellate District, Division Three, assigned by the Chief Justice pursuant to article VI, section 6 of the California Constitution.
Concurrence Opinion
I concur in the judgment. In Foster-Gardner, Inc. v. National Union Fire Ins. Co. (1998)
When it was decided in 1998, Foster-Gardner represented a distinctly minority view. (See Governmental Interinsurance Exchange v. City of Angola (N.D.Ind. 1998)
Here, the court limits Foster-Gardner’s “bright-line rule” by holding that it does not apply to administrative agency adjudicative proceedings. The court reaches this result by concluding that the word “suit,” when used in a CGL policy that does not define that word, is sufficiently ambiguous that it should be construed to protect the insured’s reasonable expectation of coverage. (See maj. opn., ante, at p. 1386.) In so doing, the court implicitly rejects Foster-Gardner’s reasoning that “suit” unambiguously refers only to court proceedings. (Foster-Gardner, supra, 18 Cal.4th at pp. 878-879.) Although I would prefer that Foster-Gardner be overruled, the decision here is at least a step in the right direction.
On January 19, 2011, the opinion was modified to read as printed above.
