Lead Opinion
In this insurance coverage action, Video Warehouse, Inc. appeals a summary judgment awarded to Southern Trust Insurance Company (“Southern”), contending that a disputed issue of material fact existed as to whether two insurance policies excluded coverage for certain claims asserted against Video Warehouse. Finding no issue of disputed material facts, we agree with the trial court that the insurance contracts here plainly excluded the claims asserted against Video Warehouse. Accordingly, we affirm.
Summary judgment is only proper when there is no genuine issue of material fact and the movant is entitled to judgment as a matter of law. OCGA § 9-11-56 (c). A de novo standard of review applies to an appeal from a grant of summary judgment. Matjoulis v. Integon Gen. Ins. Corp.
The undisputed evidence shows that in July 2006, Video Warehouse was sued for personal injuries and wrongful death arising out of an automobile accident involving one of its employees (the “underlying action”). The complaint alleged that in December 2005, the Video Warehouse employee was driving his own vehicle to a Video Warehouse store to perform some improvements on the store. Claiming that the employee was acting within the scope of his employment in furtherance of his employer’s business, the complaint alleged that he crossed the centerline and struck a logging truck head-on. The accident severely injured the truck driver, who died when his truck burst into flames.
The complaint first asserted a claim of vicarious liability against Video Warehouse. Alleging that the employee had a bad driving record when hired and that the employee exhibited further bad driving behavior during his employment with Video Warehouse, an amended complaint added a claim of negligent hiring and retention. Video Warehouse denied the allegations of negligence and further denied that its employee was acting within the scope of his employment or in furtherance of its business.
At the time of the accident, Video Warehouse was the named
The critical issue presented is whether the business liability policy and the umbrella policy covered the claims asserted against Video Warehouse in the underlying action. In determining this issue, we employ the following legal principles:
Where the terms are clear and unambiguous, and capable of only one reasonable interpretation, the court is to look to the insurance contract alone to ascertain the parties’ intent. The contract is to be considered as a whole and each provision is to be given effect and interpreted so as to harmonize with the others. Furthermore, an insurance company may fix the terms of its policies as it wishes, provided they are not contrary to law, and it may insure against certain risks and exclude others. Though exclusions in insurance policies are strictly construed against the insurer, one that is plain and unambiguous binds the parties to its terms and must be given effect, even if beneficial to the insurer and detrimental to the insured. We will not strain to extend coverage where none was contracted or intended.
(Citation and punctuation omitted.) Fidelity Nat. Title Ins. Co. &c. v. OHIC Ins. Co.
1. The business liability policy. The business liability policy obligated Southern to pay for those sums that Video Warehouse became legally obligated to pay as damages because of bodily injury (which included death) caused by an accident. However, the policy expressly excluded from its coverage bodily injury “arising out of the . . . use ... of any . . . auto . . . owned or operated by . . . any insured.” The policy defined “insured” to include Video Warehouse’s employees “but only for acts within the scope of their employment by [Video Warehouse] or while performing duties related to the conduct of [Video Warehouse’s] business.”
This operative language of the policy is plain and unambiguous, particularly as applied to the facts of the case at hand. Setting aside the exclusionary language for the moment, we first address coverage. With regard to the present declaratory judgment action, Southern would be liable only for those sums that Video Warehouse became legally obligated to pay as a result of the claims of the underlying lawsuit. The two claims against Video Warehouse in that lawsuit are vicarious liability and negligent hiring and retention. For Video Warehouse to be liable under the theory of vicarious liability (also known as respondeat superior), the employee who caused the accident had to be acting within the scope of his employment and while he was engaged in Video Warehouse’s business. See Gassaway v. Precon Corp.
The point is, for liability to attach to Video Warehouse under this particular complaint, the employee had to be acting within the scope of his employment or performing duties related to the conduct of Video Warehouse’s business. Yet, if the employee was so acting or
Nevertheless, Video Warehouse argues that the exclusionary clause does not expressly refer to “negligent hiring and retention” claims, and that therefore under Guaranty Nat. Ins. Co. v. Brock,
We have acknowledged this “very broad interpretation to the words ‘arose out of’ . . . found in the exclusion clauses of different
The intent of the policy, coupled with the exclusion, controls coverage, not how artfully a claim is drafted to bring inclusion within the coverage language and to avoid the exclusion language. Thus, the underlying facts and circumstances of the claim, rather than the theory of the claim, determine whether or not the exclusion applies.
Grain Dealers Mut. Ins. Co. v. Pat’s Rentals, Inc.
For these reasons, Video Warehouse’s argument that the business liability policy covered the additional claim of negligent hiring and retention fails, as those claims arose out of the excluded conduct that resulted in the accident. See Jefferson Ins. Co. &c. v. Dunn.
2. The umbrella policy. The umbrella policy contained the following exclusionary clause: “Except to the extent coverage is provided in underlying insurance, this insurance does not apply to bodily injury . . . arising out of the . . . use ... of any auto[ wjhile away from premises you own, rent, or occupy. ...” (Emphasis omitted.) Based on this language, the umbrella policy excluded the injuries here, as this automobile accident occurred away from Video Warehouse’s premises, and as the underlying policies (the automobile policy and the business liability policy) did not cover the claims.
Judgment affirmed.
Notes
Matjoulis v. Integon Gen. Ins. Corp.,
Fidelity Nat. Title Ins. Co. &c. v. OHIC Ins. Co.,
York Ins. Co. v. Houston Wellness Center,
Hunnicutt v. Southern Farm &c. Ins. Co.,
Gassaway v. Precon Corp.,
Lear Siegler, Inc. v. Stegall,
TGM Ashley Lakes, Inc. v. Jennings,
Guaranty Nat. Ins. Co. v. Brock,
Continental Cas. Co. v. HSI Financial Svcs.,
BBL-McCarthy, LLC v. Baldwin Paving Co.,
Eady v. Capitol Indem. Corp.,
Grain Dealers Mut. Ins. Co. v. Pat’s Rentals, Inc.,
Strickland v. Auto-Owners Ins. Co.,
Capitol Indem. v. Brown,
Jefferson Ins. Co. &c. v. Dunn,
Concurrence Opinion
concurring specially.
Although I concur fully in all that is said in the majority opinion, on reconsideration I write separately to address Video Warehouse, Inc.’s argument that we erred in affirming the trial court’s finding that the insurance policy at issue did not cover the automobile accident involving Video Warehouse’s employee.
Video Warehouse contends that the facts in this case are identical to those of Yeomans & Assoc. Agency v. Bowen Tree Surgeons,
In Yeomans, we held that, “under the circumstances presented,” an insurance company breached its duty to the insured by failing to defend the insured when, at the time the personal injury complaint was filed, the insurance company was put on notice of facts that possibly could trigger coverage under the policy.
I am authorized to state that Judge Adams joins in this special concurrence.
See id. at 740, 745. The insured failed to answer the personal injury complaint, and a default judgment was entered against them. Thereafter, the insured filed a claim against the insurance company for failure to defend the action.
See id. at 741 (1) (a); see also Penn-America Ins. Co. v. Disabled American Veterans,
