Capitol Indemnity Corp. v. BlazerCapitol Indemnity Corp. v. Blazer
ORDER
Presently before the Court is Plaintiff Capitol Indemnity Corporation’s (“Capitol Indemnity”) Motion for Summary Judgment (# 8) filed December 2, 1998. „ Defendant Robert Blazer d/b/a Bird Off Paradise Lounge (“Blazer”) filed an Opposition (# 11) on January 11, 1999. Capitol Indemnity filed a Reply (# 14) on February 8,1999.
Í. Introduction
This is a Summary Judgment Motion to determine an insurer’s obligation to indemnify or defend the insured against suit pursuant to the terms and provisions of an insurance policy. The insurer also seeks to recover ail costs incurred in the investigation and defense of the underlying suit. Adjudication of the summary judgment motion requires the Court to interpret the insurance policy and decidе the following two questions: (1) whether the incidents giving rise to the insured’s liability constitute an “occurrence” under the policy, and (2) if so, whether the exclusion provisions of the policy nevertheless preclude coverage in this case.
The Court finds that while, this case involves an “occurrence,” as defined by the insurance policy, the exclusion provisions preclude coverage. Therefore, the insurer has no duty to defend or indemnify the insured with respect to the underlying suit. Nonetheless, the insurer is not entitled to reimbursement of its expenses in this case due to its failure to provide evidencе of' any understanding providing for this right.
II. Factual Background
On January 28, 1997, Peter Banach (“Banach”), Buddy Simpson (“Simpson”) and David Lawrence Shaw (“Shaw”), were patrons of a tavern known as the Bird Off Paradise Lounge (“Lounge”), owned and operated by Robert A. Blazer, Jr. (“Blazer”). While at the Lounge, Banach and Simpson committed assault and battery upon Shaw. As a result, Shaw allegedly suffered serious bodily injuries, including a total loss of vision in his left eye. Banach and Simpson were subsequently found guilty of criminal assault and battery. (J.’s of Conviction, Dist. Ct., Clark County, Nevada, Case Nos. C141543, C141682.)
Shaw filed a civil complaint against Banach, Simpson, Blazer, the Lounge, and the bartender working the night of the assault, Tina Petruccio (“Petruccio”). The Complaint states five claims for relief, sounding in both intentional tort and negligence. Shaw seeks medical and related expenses, general and punitive damages, costs and attorneys fees.
Blazer maintained a commercial general liability policy with Capitol Indemnity Corporation (“Capitol Indemnity”) which was effective at the time of the assault and battery. The policy provides coverage for bodily injury only if it is caused by an “occurrence.” The policy, in turn, defines an “occurrence” as an “accident.” In addition, the policy contains various exclusionary provisions which bar coverage in particular instances, even where the event may qualify as an “occurrence.”
First, the Assault and Battery Exclusion precludes coverage for “ ‘bodily injury’ ... arising out of
assault, battery
or
assault and battery.”
(Pl.’s Mot. for Summ.J., Ex. D at C0084.) Second, the Liquor Liability Exclusion precludes coverage for “ ‘bodily injury’ ... for which any insured may be held liable by reason of causing or contributing to the intoxication of any person ... or any statute, ordinance, or regulation relating to the sale, gift, distribution or use of alcoholic beverages.”
(Id.
at C0066.) Third, the insurance dоes not apply to “ ‘bodily injury’ ... expected or intended
Pursuant to this insurance policy, Capitol Indemnity filed a Complaint for Declaratory Relief (# 1) on July 13, 1998, al-' leging that it had no duty to defend or indemnify Blazer, Petruccio, or the Lounge and seeking reimbursement for all expenses incurred in the investigation or defense of Shaw’s claims. After Blazer filed his Answer (# 4), Capitol Indemnity moved for summary judgment of its Complaint.
III. Standard for Summary Judgment
Pursuant to Federal Rule of Civil Procedure 56, summary judgment is proper “if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as tо any material fact and that the moving party is entitled to a judgment as a matter of law.” Fed.R.Civ.P. 56.
A material issue of fact is one that affects the outcome of the litigation and requires a trial to resolve the differing versions of the truth.
See S.E.C. v. Seaboard Corp.,
Moreover, all facts and inferences drawn must be viewed in the light most favorablе to the responding party when determining whether a genuine issue of material fact exists for summary judgment purposes.
See Brinson v. Linda Rose Joint Venture,
Accordingly, the court must determine whether a reasonable jury could return a verdict for the respondent.
See Anderson, 477
U.S. at 248-250,
Thе party moving for summary judgment has the initial burden of showing the absence of a genuine issue of material fact.
See Metro Indus., Inc. v. Sammi Corp.,
■The Supreme Court cases cited above establish that “[sjummary judgment procedure is properly regarded not as a disfavored procedural shortcut, but rather as an integral part of the Federal Rules as a whole, which are designed ‘to secure the just, speedy and inexpensive determination of every action.’ ”
Celotex Corp., 477
U.S. at 327,
IV. Discussion
Interpretation of unambiguous language in a contract is a pure question of
To determine Capitol Indemnity’s entitlement to summary judgment, this Court must answer the follоwing questions about the policy provisions: (1) Does an intentional assault and battery constitute an insurable “occurrence” as defined by the policy? (2) If so, do the assault and battery and liquor liability exclusion provisions preclude coverage for Blazer’s liability? (3) If coverage is precluded, is Capitol Indemnity entitled to reimbursement of its expenses incurred in the investigation and defense of Shaw’s claims? 1
A. Applicable Law
A federal court, sitting in diversity, must apply state law in construing an insurance policy.
See Fortis Benefits Ins. Co. v. Johnson,
An insurance company’s duty to defend and/or indemnify its insured arises from the provisions of the insurance policy.
See Rockwood Ins. Co. v. Federated Capital Corp.,
“An insurance policy is to be judged from the perspeсtive of one not trained in law or in insurance, with the terms of the contract viewed in their plain, ordinary and popular sense.”
Siggelkow v. Phoenix Ins. Co.,
On the other hand, when contract language is clear and unambiguous, a court cannot, under the guise of interpretation, distort the plain meaning of the contract.
See Watson v. Watson,
Any attempt to restrict insurance coverage must be done clearly and explicitly.
See Sullivan v. Dairyland Ins. Co.,
B. Intentional Harms as a Covered Occurrence
“The analysis of [a policy] exclusion begins with determining whether the act in question is covered by the policy, that is, whether it constituted an accident or oc
The policy does not define “accident.” Nor does the Assault and Battery Exclusion specifically assert that assault and battery is not an accident. The Court is aware of only one Nevada decision,
Cata-nia v. State Farm Life Ins. Co., Inc.,
Thus, it is important to note that the
Catania
court interpreted the term “accidental” from the perspective of the insured as to whether the result of his actions was accidental, rather than looking to the intentional nature of the means.
See id.
at 632-33. Since the insured did not intend to die, his death was accidental in the context of his insurance policy, even though his death was proximately caused by an intentional act.
See id.
at 633;
see also Nationwide Mut. Fire Ins. Co. v. Pipher,
Here, there is no reason to believe that the term “accident” would take on a different meaning, to the ordinary person, merely because of its transference to the context of a commercial liability policy. Capitol Indemnity’s reliance on non-Nevada authorities such as
Capitol Indem. Corp. v. L. Carter Post 4472 Veterans of Foreign
Wars,
Inc.,
In reaching this conclusion, the Court finds it unnecessary to resolve the parties’ dispute over the role and effect of pleading negligence in an insurance suit. Blazer argues that the assertion of negligence claims is sufficient on its own to require an insurance company to defend an action brought against its insured.
See Nationwide,
Therefore, the Court must examine whether Blazer, the insured in this case, expected or intended Shaw’s resulting bodily injuries. In this regard, Capitol Indemnity has submitted no evidence indicative of any intent or expectation of injury on Blazer’s part. Barring the submission of such evidence, this Court can not, at this time, summarily adjudicate the matter in Capitol Indemnity’s favor. See Catania, 598 P.2d ■ at 633 (holding the issue of whether insured’s death was expected or intended, and therefore not accidental, to be a question of fact).
C. Exclusion Provisions
Nonetheless, even if Shaw’s' injuries were accidental, and therefore an “occurrence” under the policy, they may be uninsurable under the exclusionary provisions.
See Hermitage Ins. Co. v. Dahms,
1. Assault and Battery Exclusion
Capitol Indemnity’s Assault and Battery Exclusion provides: “This insurance does not apply to bodily injury, property damage, or personal injury arising out of assault, battery, or assault and battery.” (Pl.’s Mot. for Summ.J., Ex. D at C0084.) The policy defines “assault” as “a willful attempt to offer with force or violence to harm or hurt a person without the actual doing of the harm or hurt.” Id. “Battery” is defined as “any battering or beating inflicted on a person without his or her consent.” Id. “Assault аnd Battery” is defined within the policy to include such acts as “the ejection or exclusion with force or violence or attempt thereof, of any person of the premises by the insured and his/her/its employees or agents.” Id.
Depending upon the precision of the language used, such exclusions may bar coverage for negligence claims brought against an insured commercial host for alleged negligence related to an assault or battery committed against the plaintiff by an unrelated third party.
See
7A J. Apple-man,
Insurance Law and Practice
§ 4492.01 (Supp.1998). The more complete and precise the form of the exclusiоn, the less likely the court is to find the provision ambiguous.
Id.
Therefore, in order to prevail on summary judgment, Capitol Indemnity must have clearly and distinctly communicated to Blazer the nature of any restrictions or limitations of coverage.
See National Union Fire Ins. v. Reno’s Exec. Air,
On occasion, courts have reviewed provisions similar to those in the present case.
See, e.g., Hermitage Ins. Co. v. Dahms,
In order for a claim or injury to “arise out of’ an assault and battery, a causal connection must be established.
Compare Mt. Vernon Fire Ins. Co. v. Creative Hous., Ltd.,
The
Mt. Vernon
decision is particularly helpful in clarifying the scope of this “arising out of’ terminology. In
Mt. Vernon,
the Second Circuit Court of Appeals reviewed a policy which excluded claims “based on” assault and battery. However, it certified two questions to the New York Court of Appeals in order to clarify the scope of “based on” and “arising out of’ terminology in the realm of third-party assault and battery.
See Mt. Vernon,
The New York Court of Appeals decided that “the crucial inquiry is not who perpetrated the assault, but rather whether the cause of action would not exist ‘but for’ assault.” Id. As a result, the Second Circuit Court of Appeals reversed the district court’s earlier determination that the exclusionary clause was ambiguous, concluding that “because [the insured] would be unable to maintain claims for [negligence] ‘but for’ the assault upon her, under New York law, her claims are ‘based on’ assault and battery and therefore excluded frоm coverage under the insurance policy.” Id.
While the Nevada Supreme Court has not precisely addressed the clarity and scope of such “arising out of’ terminology in the context of assault and battery exclusions, it has previously followed a policy of broad inclusive interpretation of such provisions.
See Hernandez v. First Fin. Ins. Co.,
Our conclusion, denying coverage to Blazer under the insurance policy, is consistent with the manner in which other courts have handled this particular policy exclusion.
See Eady v. Capitol Indem. Corp.,
2. Liquor Liability Exclusion
While the Assault and Battery Exclusion alone will preclude coverage as to all of Shaw’s claims against Blazer, the liquor liability provisions of the policy would also bar coverage of many of those same claims. The Liquor Liability Exclusion prohibits coverage for “ ‘bodily injury’ .... for which any insured may be held liable by reason of [clausing or contributing to the intoxicatiоn of any person ... or [a]ny statute, ordinance or regulation relating to the sale, gift, distribution or use of alcoholic beverages.” (Pl.’s Mot. For Summ.J., Ex. D at C0066.) Although neither side contests the clarity or prominence of this exclusion, many courts have found similarly worded exclusions to be unambiguous.
See Cormier v. Travelers Ins. Co.,
The Nevada Supreme Court has never discussed the applicability or scope of a liquor liability exclusion. However, most other courts in determining the scope of liquor liability exсlusions have made the distinction between (a) allegations arising directly out of or dependent upon the sale of alcohol, the service of alcoholic beverages, or the causing of a person’s intoxication, and (b) allegations based' in more general theories of negligence which could arise in contexts completely unrelated to alcohol.
4
See
Interstate Fire & Casualty Co., Inc. v. 1218 Wisconsin, Inc.,
A comparison of the
Paradigm
and
J.A.J.
eases illustrates this distinction.
The important factor which reconciles the different results is the nexus between the allegations and the consumption of alcohol. For example, in
Paradigm,
the intoxicated patron caused an automobile accident and injured a third party who then sued the bar for failing to prevent the intoxicated patron from leaving the bar and driving in an intoxicated state.
This Court is confident that Nevada would adopt the same analysis in light of the vast majority of cases which have adopted and/or followed this precedent. Therefore, in applying these principles to the present case, the allegations within the third and fourth claims for relief which have a direct nexus to the sale or service of alcohol or the causing or contributing to any person’s intoxication are barred by the Liquor Liability Exclusion. In contrast, those allegations which could arise in non-alcohol related contexts will survive.
In his third claim for relief, Shaw alleges that Petruccio (1) caused excessive amounts of alcohol to be served upon Banach and Simpson; (2) knew or should have known that her conduct constituted a likelihood of assault and battery by Banach and Simpson upon Shaw; and, (3) failed to take reasonable steps to prevent the assault and battery by continuing to serve alcohol. (Shaw’s Compl. ¶¶ 27-29.) The fourth claim for relief imputes Petruc-cio’s conduct to her employer, Blazer. (Shaw’s Compl. ¶¶ 35, 36.) Because these claims are premised on Petruccio serving alcohol to Banach and Simpson, thereby contributing to their intoxication, the Liquor Liability Exclusion clearly bars coverage for these allegations. In as much as these claims are imputed to Blazer in the fourth claim for relief, coverage is also excluded as to him.
On the other hand, Shaw also pleads certain acts of negligence within the third claim for relief, which Blazer has labeled “simple negligence,” that fall outside the scope of the Liquor Liability Exclusion because they are not premised on Petruccio’s contributing to Banach’s and Simpson’s intoxication or the business of selling or serving alcohol. These allegations of simple negligence include Petruccio’s failure to warn, failure to intercede, and failure to promptly request police assistance when it became likely that the assault and battery would occur. (Shaw’s
Less clear is whether the Liquor Liability Exclusion applies to Shaw’s allegations that Petruccio knew or should have known that the assault and battery was likely to occur, whereby he failed to take appropriate steps to protect the safety of a business invitee. (Shaw’s Compl. ¶ 30.) Shaw could be alluding to Petruccio’s serving of alcoholic beverages to Bаnach and Simpson as an inappropriate step; on the other hand, Shaw could be referring to the allegations of mere negligence including the failure to warn, failure to intercede, and failure to promptly contact the police. To the extent this allegation is premised on Petruccio causing or contributing to Banach and Simpson’s intoxication, the Liquor Liability Exclusion performs to exclude coverage for this allegation. Conversely, the Liquor Liability Exclusion does not preclude coverage with respect to this allegation insofar as Shaw is alluding to genеral acts of negligence.
In summary, the Liquor Liability Exclusion bars coverage for those claims which have a close nexus to the sale or service of liquor and/or the causing or contributing to the intoxication of any person. The Court must emphasize, however, that even those claims which are not excluded under the Liquor Liability Exclusion are nonetheless barred from coverage by the Assault and Battery Exclusion. 5
D. Reimbursement of Expenses
Capitol Indemnity also requests reimbursement of all expenses incurred in the investigation and defense of Shaw’s Claims against Blazer, Petruccio, and the Lounge. The disputed issue is whethеr Capitol Indemnity is required to reserve its rights before it can pursue reimbursement.
The right to reimbursement does not arise unless there is an understanding between the parties that the insured would be required to reimburse the insurer for monies expended in providing a defense.
See St. Paul Mercury Ins. Co. v. Ralee Eng’g Co.,
Accordingly, Capitol Indemnity may be reimbursed for costs incurred in defending Blazer against claims not potentially covered' under the insurance policy only if there was a clear understanding between the parties that Capitol Indemnity reserved the right to reimbursement for the costs of the investigation and/or defense.
See St. Paul Mercury Ins. Co.,
V. Conclusion
The assault and battery of Shaw could be an “occurrence” under the insurance policy. However, Capitol Indemnity has no duty to defend or indemnify Blazer, Petruccio, or the Lounge as to Shaw’s claims because coverage is completely precluded by the Assault and Battery Exclusion and, to a lesser extent, the Liquor Liability Exclusion. Furthermore, Capitol Indemnity is not entitled to reimbursement of expenses incurred because it has not presented any evidence of a reservation of the right to reimbursement.
IT IS THEREFORE ORDERED that Capitol Indemnity’s Motion for Summary Judgment (# 8) is GRANTED in part and DENIED in part.
The Motion is GRANTED with respect to Capitol Indemnity’s request for declaratory relief finding that it has no duty to defend or indemnify Blazer against any of Shаw’s claims.
The Motion is DENIED with respect to Capitol Indemnity’s request for reimbursement of expenses.
Notes
. Blazer argues that summary adjudication is premature because discovery is still pending in the underlying action. However, since further discovery will not aid the Court’s task of policy interpretation, it cannot reveal issues material to this summary adjudication.
See S.E.C.
v.
Seaboard Corp.,
. The
Hermitage
exclusion provided that “bodily injury or death alleged to have been caused by ASSULT [sic] AND/OR BATTERY shall not be deemed an accident or occurrence under thе Policy and no coverage shall apply hereunder.”
. The
Berg
policy provided, "This insurance does not apply to ‘bodily injury’ or ‘property
. Therefore, Capitol Indemnity is incorrect in its belief that one excluded allegation under the Liquor Liability Exclusion results in all claims being excluded, because the Court must look at each claim individually.
See Paradigm,
. Although the parties also dispute the applicability of the Expected or Intended Injury Exclusion, the Court finds it unnecessary to explore the matter, given the completely pre-clusive effects of the Assault and Battery Exclusion and, to a lesser extent, those of the Liquor Liability Exclusion.
. Contrary to Capitol Indemnity’s belief,
Buss v. Superior Ct.,
does require the insurer to reserve its right to reimbursement.
See