FEDERATED MUTUAL INSURANCE COMPANY, Plaintiff, v. GRAPEVINE EXCAVATION INC.; et al., Defendants, Grapevine Excavation Inc., Defendant-Third Party Plaintiff-Appellant, v. Maryland Lloyds, a Lloyds Insurance Company, Third Party Defendant-Appellee.
No. 98-10904.
United States Court of Appeals, Fifth Circuit.
Dec. 1, 1999.
Rehearing Denied Jan. 5, 2000.
197 F.3d 720
WIENER, Circuit Judge
Richard Brent Cooper (argued), Diana L. Faust, Cooper & Scully, Raymond Douglas Rees, Dallas, TX, for Maryland Lloyds.
Before JONES and WIENER, Circuit Judges, and WALTER, District Judge.*
WIENER, Circuit Judge:
In this breach of contract and declaratory judgment action arising out of an insurance defense dispute, Defendant-Third Party Plaintiff-Appellant Grapevine Excavation, Inc. (“GEI“) appeals the district court‘s grant of summary judgment in favor of Third Party Defendant-Appellee
I
FACTS AND PROCEEDINGS
The present controversy arises out of a suit filed by Tribble & Stephens, Co. (“T&S“) against GEI and various other defendants. T&S, a general contractor, was hired by Wal-Mart to construct a parking lot at its store in Burleson, Texas. T&S subcontracted with GEI to perform excavation, backfilling and compacting work in connection with T&S‘s construction of the lot.1
In August 1995, approximately six months after GEI completed work on the project, Wal-Mart discovered that the select fill materials provided and installed by GEI failed to meet specifications and, as a result, had caused damage to the work of T&S‘s paving subcontractor, Moore Construction, Inc. (“Moore“). Although Wal-Mart initially contemplated requiring T&S to correct the deficiency by installing an asphalt overlay on the lot, it ultimately opted to withhold from T&S partial payment of the balance due under its construction contract.
Thereafter, T&S filed suit in state court against GEI.2 In that suit T&S sought a declaratory judgment on the issue of GEI‘s financial responsibility for damage to the parking lot, and alleged claims of breach of contract, negligence, and violations of the Texas Deceptive Trade Practices Act (“DTPA“).
On being named a defendant in the T&S litigation, GEI called on its commercial general liability insurance (“CGL“) carriers, Federated Mutual Insurance Company (“Federated“) and Maryland, to provide a defense. Federated acquiesced in the demand, subject to a reservation of its rights, but Maryland refused. Thereafter, Federated filed this declaratory judgment action in federal district court in Texas seeking a determination of its obligations under its policy. GEI counterclaimed against Federated and filed a third-party complaint against Maryland alleging breach of contract and seeking declaratory judgment that Maryland had a duty to defend.
The parties filed cross motions for summary judgment and the court ruled in favor of Federated and Maryland, concluding that neither insurer had a duty to defend GEI in the T&S lawsuit. The district court based its ruling, in pertinent part, on a determination that GEI‘s performance under its subcontract was an intentional act and, therefore, did not constitute an “occurrence” as that term is defined in the Federated and Maryland CGL policies. GEI now appeals, seeking reversal of the district court‘s grant of summary judgment in favor of Maryland.3
ANALYSIS
A. Standard of Review
We review a grant of summary judgment de novo, applying the same standard as the district court.4 Summary judgment is appropriate when the evidence, viewed in the light most favorable to the nonmoving party, presents no genuine issue of material fact and shows that the moving party is entitled to judgment as a matter of law.5
B. Maryland‘s Duty to Defend GEI
The parties agree that Texas law controls whether Maryland has a duty to defend GEI in the T&S litigation. Texas courts follow the “eight corners” or “complaint allegations” rule in making this determination.6 Under this rule, courts compare the words of the insurance policy with the allegations of the plaintiff‘s complaint to determine whether any claim asserted in the pleading is potentially within the policy‘s coverage.7 The burden is on the insured to show that a claim against him is potentially within the scope of coverage under the policies; however, if the insurer relies on the policy‘s exclusions, it bears the burden of proving that one or more of those exclusions apply.8 Once the insurer proves that an exclusion applies, the burden shifts back to the insured to show that the claim falls within an exception to the exclusion.9
Maryland‘s CGL policy provides liability coverage to GEI for “property damage” caused by an “occurrence.” As defined in the policy, “property damage” means “[p]hysical injury to tangible property, including all resulting loss of use of that property.” The term “occurrence” means “an accident, including continuous or repeated exposure to substantially the same general harmful conditions.” The term “accident,” however, is not defined. Maryland concedes that the damage to the parking lot constitutes “property damage” within the meaning of its policy. Hence, Maryland‘s duty to defend turns on (1) whether T&S has alleged in its state court petition that this damage was caused by an “occurrence,” i.e., an “accident,” and, if so, (2) whether Maryland‘s policy nevertheless contains one or more exclusions that explicitly eschew coverage of T&S‘s claims.10
1. Damage Caused by an “Occurrence”
There are two lines of Texas cases construing the definition of “occurrence” for the purpose of insurance coverage. The first pertains to coverage of claims against an insured for damage caused by its alleged intentional torts. According to this body of law, damage that is the natural result of voluntary and intentional acts is deemed not to have been caused by an occurrence, no matter how unexpected, unforeseen, and unintended that damage may be.11
Both state and federal courts sitting in Texas have relied on Maupin to deny insurance defense and coverage in a steady stream of cases (the “Maupin line“), all of which involve the alleged commission of an intentional tort by an insured.17 In cases involving claims against an insured for damage arising out of his alleged negligence, however, a second line of cases has developed, following Massachusetts Bonding & Ins. Co. v. Orkin Exterminating Co.18 (The “Orkin line“).
In Orkin, the Texas Supreme Court was called on to resolve an insurance dispute arising out of a suit brought by Gulf Coast Rice Mills against an exterminator for damage to rice caused by the application of pesticide in the rice mill‘s facilities. A jury in the underlying case found that Orkin had acted negligently in its application of the pesticide in Gulf Coast‘s premises and that such negligence was the proximate cause of damage to the rice. In the insurance litigation that ensued, the supreme court concluded that the damage for which Orkin had been held liable was
Following Orkin, both state and federal courts in Texas have interpreted the terms “accident” and “occurrence” to include damage that is the “unexpected, unforeseen or undesigned happening or consequence” of an insured‘s negligent behavior.20 Many of these cases have involved claims for damage caused by an insured‘s defective performance or faulty workmanship.21 Furthermore, within this genre, courts have consistently held that damage wreaked on the work product of a third party—as opposed to that of the insured22—is presumed to have been unexpected and, therefore, constitutes an accident or an occurrence.23
In granting summary judgment in favor of Maryland, the district court rejected the applicability of the Orkin negligence line of cases and relied instead on the Maupin line of cases which pertain to intentional torts. On appeal, GEI contends that this decision was improper, and we agree.
The allegations in T&S‘s state court “Fourth Amended Original Petition” provide the measure for Maryland‘s defense obligation.24 In that petition, T&S alleges that the parking lot was damaged as a result of GEI furnishing and installing substandard fill materials. T&S specifically alleges that, six months after GEI completed its work, Wal-Mart tested GEI‘s materials and found them to have a California Bearing Ratio (“CBR“) in the range
Although GEI readily admits that it intentionally performed under the subcontract, it denies that it intentionally substituted inferior materials—and nothing in the facts alleged by T&S supports a claim of knowing or intentional substitution of inferior fill matter. Indeed, the only allegation of knowing conduct anywhere in T&S‘s complaint appears within the context of its DTPA claim.
It is well settled that an insurer‘s duty to defend is triggered if at least one of several claims in the plaintiff‘s complaint potentially falls within the scope of coverage, even if other claims do not.25 T&S‘s fourth amended petition alleges that GEI acted negligently—that is, “caus[ed] damage which is undesigned and unexpected”26—which, if proved to be true, constitutes an “accident” within the definition ascribed to that term by the Texas Supreme Court. In Paragraph 5 of the Petition, T&S summarizes the property damage to the parking lot caused by the alleged negligence of GEI as follows: “. . . by virtue of failing to install the correct select fill, [GEI] negligently damaged the work of [T&S‘s] paving contractor, [Moore].”27 Therefore an “occurrence” is alleged within the four corners of T&S‘s complaint, and that triggers coverage. As T&S‘s petition thus includes a claim that has the potential to lead to a covered loss, Maryland has a duty to defend GEI—absent an applicable policy exclusion.
2. Maryland‘s Policy Exclusions
Having concluded that the allegations in the complaint in the underlying suit potentially constitute a covered “occurrence,” we must reverse the holding of the district court unless GEI‘s claim of coverage is trumped by a policy exclusion. Maryland urges the court to apply both (1) the “contractual liability” exclusion and (2) the “impaired property” exclusion. If either exclusion applies, Maryland has no duty to defend. The District Court disposed of the case on the coverage issue, and therefore never reached the question of the applicability of the exclusions.
a. The Contractual Liability Exclusion
The contractual liability exclusion denies coverage for claims arising out of
b. “Bodily injury” or “property damage” for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages:
(1) Assumed in a contract or agreement that is an “insured contract” . . . ; or
(2) that the insured would have in the absence of the contract or agreement.
This exclusion operates to deny coverage when the insured assumes responsibility for the conduct of a third party.28 As GEI is not being sued as the contractual indemnitor of a third party‘s conduct, but rather for its own conduct, the exclusion is inapplicable. Moreover, even if the contractual liability exclusion were somehow applicable to situations in which the insured is being sued for its own conduct, the exclusion would not apply here. It is true, as Maryland notes, that under the subcontract between GEI and T&S, GEI agreed to indemnify T&S and hold it harmless for claims arising both from conduct of specified third parties and from its
b. The Impaired Property Exclusion
This exclusion denies coverage for claims arising out of
m. “Property damage” to “impaired property” or property that has not been physically injured, arising out of:
(1) A defect, deficiency, inadequacy or dangerous condition in . . . “your work;” or
(2) A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms. . . .
“Impaired property” is defined as
tangible property, other than . . . “your work,” that cannot be used or is less useful because:
a. It incorporates . . . “your work” that is known or thought to be defective, deficient, inadequate or dangerous; or
b. You have failed to fulfill the terms of a contract or agreement;
if such property can be restored to use by:
a. The repair, replacement, adjustment or removal of . . . “your work;” or
b. Your fulfilling the terms of the contract or agreement.
Maryland contends that this provision excludes coverage of claims for damage33 arising from an insured‘s failure to
In Action Auto Stores, Inc. v. United Capitol Ins. Co., Larson (the insured) installed gasoline containment systems on Action Auto‘s property pursuant to a contract with Action Auto.34 These containment systems were alleged to have leaked, contaminating the surrounding soil.35 When Action Auto sued, Larson sought a defense from its insurer. The insurer refused to defend Larson, based in part on a policy exclusion identical to the “impaired property” exclusion at issue here.36 Applying Michigan law, the court held that the exclusion was not applicable, reasoning that
no evidence has been presented that any damage done to property surrounding the containment system can be remedied by the repair, replacement, or adjustment of the [insured‘s] work product. Furthermore, such a result is illogical as any pollution done to surrounding property could not possibly be rectified merely by the removal of the defective work product.37
Similarly here, there has been no suggestion that the damage to the surface of the parking lot can be restored by “the repair, replacement, adjustment or removal of” GEI‘s underlying work. Neither has there been any contention that by “fulfilling the terms of the contract or agreement” GEI can remedy the alleged defect in Wal-Mart‘s parking lot. To the contrary, the only proposed means of repairing the lot is to install an asphalt overlay, leaving both GEI‘s work and that of the paving subcontractor intact. Indeed, it is inconceivable that any remedial or supplemental work could be done to GEI‘s portion of the project, all of which lies underneath the surface, without removing and destroying the paving subcontractor‘s work. Therefore, while “property damage” has been alleged, none of the allegations, either alone or in combination, can be construed as a claim that damage was done to “impaired property” as that term is defined in Maryland‘s policy. Consequently, we conclude that the impaired property exclusion is inapplicable.
C. Attorney‘s Fees
GEI claims that it is entitled to recover attorney‘s fees and expenses incurred in pursuing coverage from Maryland in this action, including those incurred on appeal.
Chapter 38 of the Texas Civil Practice and Remedies Code first sets forth the general rule that litigants can recover reasonable attorney‘s fees incurred in a valid claim on, inter alia, a written contract.38 It then lists to following five exceptions:
This chapter does not apply to a contract issued by an insurer that is subject to the provision of:
(1) Article 3.62, Insurance Code [this Article was repealed in 1991];
(2) Section 1, Chapter 387, Acts of the 55th Legislature, Regular Session, 1957 (Article 3.62-1, Vernon‘s Texas Insurance Code) [this Article was repealed in 1991];
(3) Chapter 9, Insurance Code;
(4) Article 21.21, Insurance Code; or
(5) the Unfair Claims Settlement Practices Act (Article 21.21-2, Insurance Code).39
In Dairyland Mutual Ins. Co. v. Childress, an insurance company was held liable for its policyholder‘s attorney‘s fees by a state appellate court because the policyholder had successfully pursued an action for breach of an insurance contract.40 On appeal to the Supreme Court of Texas, the insurance company argued that it was not liable for attorney‘s fees under the predecessor to Chapter 38 of the Texas Civil Practice and Remedies code because, as an insurance company, it was shielded from liability for attorney‘s fees by the predecessor to § 38.006. The Texas Supreme Court held that
Dairyland is a county mutual insurance company and as such is not one of the insurors exempt from the provisions of Art. 2226 [the predecessor to Chapter 38 of the Civil Practice and Remedies Code]. See Tex.Ins.Code Ann. Art. 17.22. Therefore, it is not exempt from a claim for attorney‘s fees pursuant to Art. 2226.41
Texas appellate courts and this court have disagreed as to the significance of this statement. We have interpreted the quoted passage from Dairyland County to imply that “an insurer who falls within the provisions of section 38.006 is exempt from the payment of attorney‘s fees and that only those insurers who do not qualify for the exemption are subject to the payment of attorney‘s fees.”42 By contrast, Texas appellate courts have held that no such implication was intended, and that, consistent with the decision of the court in Prudential Ins. Co. v. Burke,43 the purpose of the exceptions now codified at § 38.006 is “to exclude only those claims against insurance companies where attorney‘s fees [are] already available by virtue of other specific statutes.”44
Given these divergent interpretations of Dairyland County and the less-than pellucid provisions of the Texas Code that bear on this issue, we conclude the most principled solution to the issue is to ask the Supreme Court of Texas, by certified question, to explain the proper interpretation of Chapter 38 of the Texas Civil Practice and Remedies Code as they apply to the facts of this case. We retain jurisdiction over this appeal for the limited purpose of implementing the answer, if one is forthcoming; or, if no answer is supplied, then for the purpose of deciding this question ourselves.
III
CONCLUSION
We perceive a clearly reconcilable dichotomy, not a tension, resulting from the distinction between the Maupin and Orkin lines of Texas cases: In the former, the damage-causing acts of the tortfeasor are either actually or legally deemed to be intentionally harmful; in the latter, the acts that are performed intentionally are not intended to cause harm but do so as the result of negligent performance of those acts. As in the instant case, both types of tortious acts frequently occur in the performance of a contract; the difference lies in the way that the obligor performs. An obligor who intends his performance to result in damage—or, one who commits an act that is legally deemed to constitute an intentional tort—is a Maupin tortfeasor. On the other hand, an obligor
GEI adduced sufficient summary judgment evidence to show that T&S‘s complaint contains allegations of property damage caused by an accident and thus, under the policy, by an “occurrence.” This shifted the burden to Maryland to show that one or more its policy exclusions apply, and Maryland failed to meet that burden. Thus Maryland has a duty to defend GEI in the underlying suit. Accordingly, we (1) reverse the district court‘s grant of summary judgment in favor of Maryland; (2) render summary judgment in favor of Grapevine; (3) remand the case for the district court to admit and consider evidence regarding the damages that GEI incurred as a result of Maryland‘s breach, and to fashion an appropriate remedy; and (4) retain jurisdiction for the limited purpose of determining whether GEI is entitled to recover attorney‘s fees incurred in pursuing this action.
REVERSED, RENDERED in part, and REMANDED in part; limited jurisdiction retained for future determination whether Appellant is entitled to attorney‘s fees.
WIENER
CIRCUIT JUDGE
* District Judge of the Western District of Louisiana, sitting by designation.
PER CURIAM:
CERTIFICATE FROM THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT TO THE SUPREME COURT OF TEXAS, PURSUANT TO THE TEXAS CONSTITUTION, ART. 5, § 3-C AND RULE 58 OF THE TEXAS RULES OF APPELLATE PROCEDURE
TO THE SUPREME COURT OF TEXAS AND THE HONORABLE JUSTICES THEREOF:
Notes
Subcontractor shall fully protect, indemnify and defend T&S, . . . and hold [it] harmless from and against any and all claims, demands, causes of action, damages, and liabilities . . . for the destruction of tangible property (other than the work itself) including the loss of use resulting therefrom, arising in any manner, directly or indirectly, out of or in connection with or in the course of or incidental to any work or operation(s) of Subcontractor or T&S . . . .