FIRST SPECIALTY INSURANCE CORPORATION, Plaintiff--Appellee, v. 633 PARTNERS, LTD., Baye Contracting, Inc., Fatima Smith, Defendants-Appellants.
No. 07-14922.
United States Court of Appeals, Eleventh Circuit.
Nov. 25, 2008.
Patrice A. Talisman, Hersch & Talisman, P.A., Miami, FL, for Defendants-Appellants.
PER CURIAM:
633 Partners, Ltd. (“633“), Baye Contracting, Inc. (“Baye“), and Fatima Smith (collectively “Appellants“) appeal the district court‘s decision granting summary judgment for First Specialty Insurance Corporation (“First Specialty“) in a diversity declaratory judgment action regarding the scope of First Specialty‘s duties as 633 and Baye‘s insurer. Appellants contend that the district court erred by concluding that First Specialty had no duty to defend 633 and Baye in an underlying tort action and by finding that the applicable insurance binder contained an assault and battery exclusion that covered the claims of that underlying action. Additionally, Appellants assert that the district court abused its discretion by not allowing them an opportunity to respond to new argu
I. BACKGROUND
A. First Specialty‘s Insurance Coverage
On 20 December 2001, 633 and Baye met with Thomas Kallman, a retail insurance broker, to obtain insurance coverage for a building owned and operated by them. In the course of this meeting, Kallman presented them with an insurance proposal which they subsequently signed. This proposal indicated that it would be subject to policy terms and conditions and referenced an assault and battery exclusion. Later that day, 633 and Baye received a letter from Kallman‘s insurance agency purporting to be a binder for the policy (hereinafter referred to as the “20 December binder“).1 The binder stated that coverage would be effective beginning 31 December 2001 and gave the limits on the amount of coverage; however, it did not mention any exclusions, including for assault and battery, or any particular conditions of coverage.
On 27 December 2001, Bass Underwriters, an authorized agent of First Specialty, faxed a binder dated 26 December 2001 to Kallman (hereinafter referred to as “26 December binder“). Unlike the earlier binder, this document included a checklist of exclusions, all of which were checked, including the one for “Assault & Bat.” R2-56 at 22. Though this binder did not elaborate about the scope of the assault and battery exclusion, it stated that the policy was “subject to the usual terms and conditions in addition to” the listed exclusions. Id. The binder also mentioned that coverage would commence on 31 December 2001 and that the binder would be effective until 1 March 2002 or the date a policy was issued, whichever came first.
On 16 January 2002, First Specialty issued the insurance policy (“the Policy“), which still had an effective date of 31 December 2001. The Policy included an assault and battery exclusion, which stated:
In consideration of the premium charged, it is hereby understood and agreed that this insurance does not apply to claims or “suits” for “bodily injury“, [sic] “personal injury” or death caused by or arising directly or indirectly out of or from an assault or assault and battery of any nature whatsoever, whether or not committed by or at the direction of the Insured, his employees, patrons or any causes whatsoever.
R1-1, Exh. A. The Policy defined “bodily injury” as “bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time.” Id. The term “personal injury” was not defined in the Policy, but the phrase “personal and advertising injury” specifically covered injuries resulting from a variety of offenses, including “false arrest, detention or imprisonment.” Id.
B. The Underlying Action
The underlying tort claim, for which 633 and Baye sought both defense and indemnification, derived from a series of events that took place on 31 December 2001 at a building owned and operated by 633 and Baye. The basic facts of these occurrences appear to be undisputed.2 On that
Smith subsequently sued Almonte, 633, and Baye for a number of torts.3 Her claims against 633 and Baye included: negligence4; false imprisonment and assault based on respondeat superior; negligent hiring, retention and supervision resulting in false imprisonment and rape; negligent misrepresentation resulting in false imprisonment and rape; and derivative liability for Almonte‘s actions. She also brought claims against Almonte for assault and battery, false imprisonment, and negligent rendition of security services.
To date, Smith has proceeded to trial only against Almonte. She voluntarily dismissed the assault and battery claim pretrial; thus the jury addressed solely the negligent rendition and false imprisonment claims. The jury found that Almonte had falsely imprisoned Smith while acting in the scope of his employment and was therefore liable for $5 million in damages.5 Smith‘s trial against 633 and Baye also began but the court declared a mistrial due to concerns about a potential conflict of interest between 633/Baye and First Specialty, which was defending the two companies under a reservation of rights.6 Those proceedings have been stayed pending the resolution of this action, and First Specialty continues to defend under a reservation of rights.
C. Procedural History
First Specialty filed suit in March 2006 in the United States District Court for the Southern District of Florida seeking a declaratory judgment that it had no duty to defend or indemnify 633 and Baye with respect to Smith‘s tort suit against those two companies. In its complaint, First Specialty alleged that the assault and battery exclusion in the Policy covered Smith‘s claims, and therefore that it should have no duty to indemnify or defend either of those two companies. First Specialty subsequently moved for summary judgment, which the district court granted in part and denied in part.
In analyzing First Specialty‘s summary judgment motion, the district court focused on whether Smith‘s claims would be covered by the language in the assault and battery exclusion. The court initially looked at whether there would be a duty to defend based solely on the allegations in
After concluding that there was a duty to defend, the court then looked at whether there was a duty to indemnify, since it interpreted Florida case law to say that the absence of the latter would preclude the existence of the former. Because Florida law required that the duty to indemnify be determined based on the actual facts of the case, the court looked to Smith‘s testimony and read it to say that the false imprisonment was inherently intertwined with the assault and battery. Accordingly, the court found that First Specialty had no duty to indemnify on any of Smith‘s claims, since they all were covered by the assault and battery exclusion. As a result, all of Smith‘s claims would be precluded from coverage. After reaching this conclusion, the court noted that there were disputed issues of fact regarding whether the policy in effect at the time of Smith‘s incident included the assault and battery exclusion. The court therefore denied without prejudice First Specialty‘s summary judgment motion on that issue and granted Appellants leave to conduct further discovery solely on that topic.
In the midst of the initial summary judgment briefing, Appellants filed a motion to strike, contending that First Specialty‘s references to Smith‘s testimony constituted raising of new factual issues in a reply brief, since First Specialty had not referenced the testimony previously. They requested that the court either strike this new material or deny the summary judgment motion and allow them a chance to respond to this new evidence. The court rejected their claim, determining that First Specialty had not raised a new issue but rather was citing the testimony as evidence to rebut Appellants’ assertion that the false imprisonment and assault and battery were independent.
After discovery, First Specialty again moved for summary judgment, which the court granted. The court initially found that there was no genuine issue of material fact regarding whether the 26 December binder was in force at the time of the incident since there was no evidence that Kallman had actual or apparent authority to issue the 20 December binder on behalf of First Specialty. That binder thus was not enforceable against First Specialty. Additionally, the court found that the assault and battery exclusion in the Policy applied to Smith‘s incident based on provisions in the 26 December binder. As a result, the court determined that all of Smith‘s claims fell under the assault and battery exclusion, which meant First Specialty had no duty to defend or indemnify 633 and Baye on any of the claims. Based on this conclusion, the court granted First Specialty‘s motion for summary judgment.8
II. DISCUSSION
Appellants raise three issues on appeal: (1) whether the district court erred by looking at facts not included in Smith‘s complaint in determining whether First Specialty had a duty to defend; (2) whether the district court abused its discretion by granting summary judgment without allowing Appellants the opportunity to respond to new material in First Specialty‘s reply brief; (3) whether the district court erred by finding that the 26 December binder was in effect and that it included the same assault and battery exclusion listed in the Policy.
A. Duty to Defend
We review a district court‘s grant of summary judgment de novo and apply the same legal standards the district court used. See Smith v. Allen, 502 F.3d 1255, 1265 (11th Cir. 2007). Summary judgment would be appropriate where “there is no genuine issue as to any material fact and ... the movant is entitled to judgment as a matter of law.”
Under Florida law9, “[i]t is well settled that an insurer‘s duty to defend its insured against a legal action arises when the complaint alleges facts that fairly and potentially bring the suit within policy coverage.” Jones v. Florida Ins. Guar. Ass‘n, Inc., 908 So. 2d 435, 442-43 (Fla. 2005). Courts thus must determine the existence of a duty to defend based solely on the allegations in the complaint, with all doubts resolved in favor of the insured. See id. at 443. The Florida Supreme Court has found the duty to defend is both distinct from and broader than the duty to indemnify, meaning that insurers are obligated to defend even if the allegations in the complaint are inconsistent with the actual facts or completely meritless. See id. This duty would extend to all claims, even those not within the scope of coverage. See Baron Oil Co. v. Nationwide Mut. Fire Ins. Co., 470 So. 2d 810, 813-14 (Fla. Dist. Ct. App. 1985).
Based on these principles, we must determine whether the district court correctly concluded that First Specialty had no duty to defend, either because it had no duty to indemnify or on some other grounds. See Lucas v. W.W. Grainger, Inc., 257 F.3d 1249, 1256 (11th Cir. 2001) (noting that a district court‘s decision could be affirmed “on any ground that finds support in the record“) (quotation marks and citation omitted). First Specialty identifies three bases for affirming the district court‘s grant of summary judgment on the issue of duty to defend. First, it contends that there was no duty to defend based on the facts alleged in Smith‘s complaint. Second, it asserts that even if there was a duty to defend based on the facts in the complaint, the actual facts showed that Smith‘s allegations only involved non-covered claims for which there was no possibility of recovery. Third, it contends that the court‘s finding of no duty constituted harmless error because First Specialty continued to defend 633 and Baye throughout the underlying litigation. We will address these arguments in turn.
1. Existence of a Duty to Defend
We must first examine whether Smith alleged facts in her complaint that would give rise to a duty to defend under the Policy. The only way that such a duty would not exist is if all of the claims fell under the assault and battery exclusion.10 See State Farm Fire & Cas. Co. v. Tippett, 864 So. 2d 31, 35 (Fla. Dist. Ct. App. 2003) (noting that “if the pleadings show the applicability of a policy exclusion, the insurer has no duty to defend“). This exclusion covered all claims “for ‘bodily injury’ [or] ‘personal injury‘” that were “caused by or ar[ose] directly or indirectly out of or from an assault or assault and battery of any nature whatsoever.” R1-1, Exh. A. Florida courts have interpreted the phrase “arising out of” to mean something broader than pure causation and closer to “‘originating from,’ ... ‘incident to’ or ‘having a connection with.‘” Taurus Holdings, Inc. v. United States Fid. & Guar. Co., 913 So. 2d 528, 539 (Fla. 2005).
As the district court correctly noted, Smith‘s claims can essentially be separated into two different categories--those connected to the assault and battery and those related to the false imprisonment. Of these two groups, only the false imprisonment claims could serve as a potential basis for a duty to defend. The negligence claims connected solely to the assault would necessarily “hav[e] a connection with” that crime and thus would “arise out of” the assault pursuant to how Florida courts have interpreted that phrase. Id. at 539. This interpretation accords with how Florida courts generally have treated negligence claims relating to assaults. See, e.g., Miami Beach Entm‘t Inc. v. First Oak Brook Corp. Syndicate, 682 So. 2d 161, 162 (Fla. Dist. Ct. App. 1996); Britamco Underwriter‘s, Inc. v. Zuma Corp., 576 So. 2d 965, 965 (Fla. Dist. Ct. App. 1991). There is one Florida case, Mactown, Inc. v. Continental Ins. Co., 716 So. 2d 289 (Fla. Dist. Ct. App. 1998), which rejected applying an assault and battery exclusion to a negligence claim. That decision, however, was premised on the fact that the exclusion also referenced a number of other intentional torts, which the court read to create ambiguity regarding the exclusion‘s applicability to negligence-based torts. See id. at 291-92. Here, though, the exclusion is focused on only one tort and appears to encompass all claims related to that tort, regardless of whether they are intentional or not. Accordingly, if there is a duty to defend in this case, it would have to derive from Smith‘s claims relating to the imprisonment.
Under the Policy, all false imprisonment claims are covered, subject to any exclusions, as part of the larger category of “personal and advertising injury.” First Specialty contends that Smith‘s false imprisonment claims should not be covered because they would fall under the ambit of the assault and battery exclusion as a form of “personal injury” that arose out of an assault or battery. As previously noted, the Policy does not define the term “personal injury.” Since the use of quotation marks around a phrase in an insurance policy identifies it as an official term of that policy, we need to define “personal injury” to discern the full meaning of the Policy. We agree with the district court that there is no ambiguity between the terms “personal injury” and “personal and advertising injury” and that the only plausible interpretation is to treat “personal
In determining whether Smith‘s claims related to the false imprisonment would fall under this interpretation of the exclusion, we look only at the text of the complaint. See Jones, 908 So. 2d at 443. Appellants assert that the complaint describes the false imprisonment as a separate and distinct event from the assault. In particular, they focus on paragraphs 19 and 20 of Smith‘s Second Amended Complaint, which state, in relevant part:
19. On December 31, 2001, ... Plaintiff FATIMA SMITH ... was detained in the hallway by the security guard (ALMONTE) who then required her to enter an empty, locked stairwell. This detention was against Plaintiff, FATIMA SMITH‘S will.
20. Subsequent to the initial detention Plaintiff FATIMA SMITH was subjected to verbal and physical threats, abuse and indignities. FATIMA SMITH was placed in immediate fear of her person and safety. FATIMA SMITH was sexually assaulted and raped against her will, and in violation of all laws and human decency.
R2-40 at 3. They also emphasize that the counts in Smith‘s complaint describing her false imprisonment do not reference the assault at all. However, as First Specialty notes, those allegations all discuss pain, suffering, and bodily injury resulting from the false imprisonment, which would seem to have to result logically from some form of assault and battery.11
After examining the underlying complaint, we agree with the district court‘s finding that the allegations contained within are sufficient to create a duty to defend. The district court focused principally on the complaint‘s description of the sexual assault as an event “subsequent to” the initial false imprisonment, which the court believed showed that these were two separate events and that the false imprisonment could not have arisen out of the assault. Based on our own analysis, we find it reasonable to read the pleadings as depicting Smith‘s false imprisonment as a distinct, preceding incident that did not necessarily have to result in her assault and battery, even if that was a potential outcome. In particular, we note that the complaint repeatedly discussed the assault as a separate event later in time than the original false imprisonment, as evidenced by the “subsequent to” language referenced by the district court and by references to the assault occurring “at some point after the initial detention.” R1-9, Exh. A at 12. Though temporal displacement does not automatically imply narrative disjunction, it provides a basis for differentiating between the two events, especially since the complaint lacks any clear evidence of connectedness. Accordingly, we find that Smith‘s complaint did not allege that her false imprisonment arose out of, originated from, or was connected
We acknowledge that this conclusion is somewhat technical and that alternate interpretations, such as First Specialty‘s, also would be reasonable. In particular, we agree that bodily injury typically would not result from an act of false imprisonment absent some form of assault or battery.12 However, a false imprisonment by itself could create a bodily injury, and an assault or battery is not a necessary precondition for such an injury. We thus have a situation in which there are plausible readings supporting and rejecting a duty to defend based on the applicability of the exclusion.13 Under Florida law, “[i]f the allegations of the complaint leave any doubt regarding the duty to defend, the question must be resolved in favor of the insured requiring the insurer to defend.” Baron Oil, 470 So. 2d at 814. We therefore conclude that, in the absence of any clear evidence to the contrary, First Specialty had a duty to defend 633 and Baye on all of Smith‘s claims, even those unrelated to false imprisonment. See id. at 813-14 (“[I]f the complaint alleges facts showing two or more grounds for liability, one being within the insurance coverage and the other not, the insurer is obligated to defend the entire suit.“).
2. Duty to Defend v. Duty to Indemnify
The district court agreed that First Specialty had this duty to defend, but also determined that the duty to defend should stop once the actual facts of the case showed that there was no possibility for coverage, i.e., when it had no duty to indemnify. We find that this rationale is not a valid basis for finding no duty to defend and thus conclude that the district court should not have addressed the issue. The district court cited a number of cases in support of its approach, though only two involved the application of Florida law--Underwriters at Lloyds London v. STD Enters., Inc. (Underwriters), 395 F. Supp. 2d 1142 (M.D. Fla. 2005) and Nationwide Mutual Fire Ins. Co. v. Keen (Keen), 658 So. 2d 1101 (Fla. Dist. Ct. App. 1995). Both of these cases depart from the general principle of determining the duty to defend only from the allegations in the complaint and are also readily distinguishable from the present case.
Underwriters and Keen both involve underlying complaints that omitted a reference to an uncontroverted fact that, if pled, would have placed the claim clearly outside the scope of coverage. In Underwriters, for example, the underlying suit involved an employee seeking damages from his employer for an injury in an car accident. See Underwriters, 395 F. Supp. 2d at 1144. The employer‘s insurance policy contained a cross-liability exclusion, which disclaimed coverage for suits brought by one insured party against another under that policy. See id. The employee failed to mention in his complaint that he was using the vehicle for business purposes, a fact that would
Apart from the situations in Keen and Underwriters, Florida courts have focused exclusively on the facts of the complaint in determining the duty to defend, regardless of post-complaint developments.14 They have deemed these facts to control even “[w]hen the actual facts are inconsistent with the allegations in the complaint.” See Jones, 908 So. 2d at 443 (quotation marks and citation omitted). Additionally, once a court finds that there is a duty to defend, it will “continue[] even though it is ultimately determined that the alleged cause of action is groundless and no liability is found within the policy provisions defining coverage.” Baron Oil, 470 So. 2d at 814. Against this backdrop, Keen and Underwriters are best seen as exceptional cases in which courts have crafted an equitable remedy when it is manifestly obvious to all involved that the actual facts placed the claims outside the scope of coverage.15 See Sphinx Int‘l, Inc. v. National Union Fire Ins. Co. of Pittsburgh, Pa., 226 F. Supp. 2d 1326, 1338 (M.D. Fla. 2002) (deeming Keen to be “an apparent aberration“).
To the extent that Florida law permits an equitable departure from the general treatment of a duty to defend, it would not apply in this case. The court in Keen indicated that this relief would only be proper “if uncontroverted evidence places the claim outside of coverage, and the claimant makes no attempt to plead the fact creating coverage or suggest the existence of evidence establishing coverage.”16
3. Harmless Error
First Specialty also asserts that even if the district court erred in concluding that there was no duty to defend, the error was harmless. In particular, it notes that it has continued to defend 633 and Baye at all times in the state court proceedings. However, all parties agree that the state court action against 633 and Baye remains pending, which means that they are still in need of a defense. In the absence of a court order determining the existence of a duty to defend, First Specialty could refuse to provide such a defense. Additionally, First Specialty has entered into a settlement agreement pursuant to which it will pay Smith, 633 and Baye amounts that depend on the outcome of this declaratory action. Accordingly, we reject First Specialty‘s contention that the district court‘s duty to defend finding could constitute harmless error.17
B. Issues Related to Duty to Indemnify
Though our finding that First Specialty had a duty to defend 633 and Baye provides sufficient grounds for reversal of the district court‘s summary judgment order, the district court on remand still must address the issue of duty to indemnify in light of our findings regarding the duty to defend. In order to facilitate this determination, we will address the two other issues Appellants raise on appeal, both of which affect the inquiry on the duty to indemnify. First, Appellants contend that the district court erred by failing to provide them the opportunity to rebut newly-presented evidence discussed in First Specialty‘s reply brief in support of its summary judgment motion. Second, they assert that the assault and battery exclusion should not have been included in the Policy as a matter of law. We address these arguments in turn.
1. Opportunity to Rebut Smith‘s Deposition Testimony
After First Specialty submitted its summary judgment reply brief to the district court, Appellants argued that it had raised a new argument for the first time on appeal and requested the opportunity to respond or to conduct additional discovery, pursuant to
We review the denial of a motion for leave to conduct limited discovery under
A district court‘s decision to permit the filing of a surreply is purely discretionary and should generally only be allowed when “a valid reason for such additional briefing exists, such as where the movant raises new arguments in its reply brief.” Fedrick v. Mercedes-Benz USA, LLC, 366 F. Supp. 2d 1190, 1197 (N.D. Ga. 2005). Our sister circuits have held that a district court can abuse its discretion by failing to give the opposing party a chance to respond to materials presented for the first time in a reply brief and instead granting summary judgment on the basis of that evidence. See, e.g., Doebele v. Sprint/United Mgmt. Co., 342 F.3d 1117, 1139 n. 13 (10th Cir. 2003) (finding that the district court “abused its discretion to the extent it relied on new evidentiary materials presented for the first time in” a summary judgment reply brief); Provenz v. Miller, 102 F.3d 1478, 1483 (9th Cir. 1996) (determining that the district court should have given the nonmoving party an opportunity to respond to new evidence raised in the reply to a motion for summary judgment). Additionally, under the applicable local rules, the district court can authorize the filing of a surreply only to rebut matters raised in an opposing pleading.
After examining the evidence, we find that the district court acted within its discretion in denying Appellants’ request to file a surreply. We see no basis for treating the references in First Specialty‘s reply brief to Smith‘s testimony from the underlying suit as “new” evidence. As the district court noted, First Specialty referred to this testimony to respond to Appellants’ assertion that the false imprisonment and assault constituted separate events rather than as a means to make a wholly new argument.19 Since Appellants’ counsel participated in the underlying case, they cannot claim surprise or lack of knowledge. Appellants assert that they could have raised new evidence to rebut Smith‘s deposition testimony, namely the verdict forms from the underlying suit and affidavits from Smith clarifying her testimony. Based on our review of the evidence, we find it unlikely that these documents would be either helpful or persuasive to the district court. A verdict
2. Applicability of Assault and Battery Exclusion
Appellants make two arguments as to why the assault and battery exclusion contained in the Policy should not apply to Smith‘s underlying suit as a matter of law. First, they contend that there is a genuine issue of material fact regarding whether the 20 December binder or 26 December binder was in effect at the time of the incident involving Smith. Second, they assert that, even if the 26 December binder applied, the assault and battery exclusion included in the Policy was not a “usual term” of a First Specialty policy and was ambiguous; thus it should not be incorporated into the binder. We review both of these claims de novo. See Michigan Millers Mut. Ins. Corp. v. Benfield, 140 F.3d 915, 924 (11th Cir. 1998) (noting that “where a district court interprets an insurance policy as a matter of law, the district court‘s construction of the policy is subject to de novo review“).
Appellants contend that the 20 December binder should be binding on First Specialty because Kallman had the authority to issue the binder for First Specialty. “Florida case law provides that an insurer may be held accountable for the actions of those whom it cloaks with ‘apparent agency‘.” Almerico v. RLI Ins. Co., 716 So. 2d 774, 777 (Fla. 1998). Florida courts “have applied a three-prong test under general agency law in order to determine the existence of apparent agency: first, whether there was a representation by the principal; second, whether a third party relied on that representation; and, finally, whether the third party changed position in reliance upon the representation and suffered detriment.” Id. First Specialty does not dispute that the latter two prongs would be met here, since 633 and Baye relied on Kallman‘s authority and changed their position based on that reliance. However, it does not appear that First Specialty ever represented that Kallman was acting as its agent. Appellants point to testimony by Kallman which seemed to indicate that the 20 December binder could only have been issued with First Specialty‘s approval.20 However, those statements were about the general practice of issuing binders and specifically contradict Kallman‘s statement that his company did not have binding authority from First Specialty and probably should not have issued the 20 December binder. Based on this testimony, we agree with the district court‘s conclusion that there was no genuine issue of material fact regarding whether First Specialty had authorized Kallman to act as its agent. As a result, there is no basis under Florida law for finding Kallman to have apparent authority to bind
We also reject Appellants’ assertion that the 26 December binder should not include the assault and battery exclusion from the Policy. Under Florida law, insurance binders “include all the usual terms of the policy as to which the binder was given together with such applicable endorsements as are designated in the binder, except as superseded by the clear and express terms of the binder.”
Based on the evidence presented, we find that the assault and battery exclusion would be a usual term of the policy. First Specialty provided an affidavit from its vice president indicating that the assault and battery exclusion included in the Policy “was the only assault and battery exclusion used by First Specialty on policies issued by General Binding Authority agents.” R2-59, Exh. B. at 2. Appellants contend that this statement does not prove that the exclusion was a “usual term” of First Specialty‘s commercial liability policies because there is no indication that the exclusion was commonly included in all of its policies. Though we could find no Florida case law addressing what would constitute a “usual term,” the language in
The assault and battery exclusion would also qualify for inclusion as an applicable endorsement designated in the binder. The 26 December binder expressly noted that it was being issued “subject to the usual terms and conditions.” R2-56 at 20. Appellants assert that this language is insufficient to incorporate the exclusion from the Policy because it is ambiguous as to what kind of assault and battery exclusion
Here, in contrast to Alea London, First Specialty‘s binder specifically indicated that it would be subject to the usual policy terms, the Policy itself contained just a single version of the assault and battery exclusion, which was a usual term of such policies, and Appellants have failed to put forward any evidence that other variations of the exclusion could have been applicable. Since there is no conflict between the terms of the binder and those in the standard policy, there thus would be no ambiguity regarding the content of the applicable assault and battery exclusion. See id. at 412 (noting that ambiguity could still result “if the terms of a binder conflict with the terms of the standard policy” even if the binder incorporated a policy term) (quotation marks omitted).
Accordingly, we find that the district court did not err in any of its findings regarding the binders and assault and battery exclusion. The 26 December binder was the operative binder since Kallman had no authority to bind First Specialty with the 20 December document. Additionally, the assault and battery exclusion in the Policy was incorporated into the 26 December binder both as a usual term of the policy and by an endorsement in the binder. As a result, the 26 December binder is the operative document for assessing the duties to indemnify and defend and would include the assault and battery exclusion from the later-issued policy.
III. CONCLUSION
Baye, 633, and Smith appeal the district court‘s grant of summary judgment based on a determination that First Specialty had no duty to defend or indemnify 633 and Baye in an underlying suit involving Smith. In determining the scope of the duty to defend, the district court incorrectly looked to the actual facts of the case rather than the allegations of the complaint, which were sufficient to create such a duty under the Policy. We thus find
REVERSED AND REMANDED.
Notes
As a direct and proximate result of Defendant ALMONTE‘s false imprisonment, Plaintiff FATIMA SMITH sustained bodily injury and resulting pain and suffering, disability, disfigurement, mental anguish, loss of capacity for the enjoyment of life, expense of hospitalization, medical and nursing care and treatment. The damages, injuries and losses are permanent and continuing in nature and Plaintiff will suffer the losses and impairment in the future. Id. at 4-5.
