West Bend Mutual Insurance v. Mulligan Masonry Co.West Bend Mutual Insurance v. Mulligan Masonry Co.
Lead Opinion
delivered the opinion of the court:
Plaintiff, West Bend Mutual Insurance Company, sought a declaration that it had no duty to defend or indemnify its insured, defendant, Mulligan Masonry Company, Inc., against a third-party action arising out of an injury to defendant’s employee, Donald Weeks. Ruling that plaintiff owed a duty to defend, the trial court denied plaintiff’s motion for summary judgment and granted defendant’s motion for summary judgment. On appeal, plaintiff argues that (1) the trial court erred in granting defendant affirmative relief even though defendant filed no pleading requesting such relief; and (2) the trial court incorrectly found that plaintiff owed a duty to defend. We affirm.
Our summary of the background facts is taken from the documents attached to the pleadings and to the motions for summary judgment. On January 27, 1995, plaintiff issued defendant a contractors business owners insurance policy. The policy included a standard commercial general liability (CGL) coverage form. Also, defendant was a named insured under a workers compensation and employers liability policy issued by Virginia Surety Company.
R.C. Wegman Construction Company (Wegman) was the general contractor on a construction project at St. Joseph Catholic Church in Aurora. Wegman hired defendant to perform the masonry work on the project. The contract between Wegman and defendant contained an indemnification clause and required defendant to maintain liability insurance and name Wegman as an additional insured. The policy issued by plaintiff included Wegman as an additional insured. The additional insured endorsement provided, however, that the insurance was excess over any other valid and collectible insurance and that it provided no coverage for liability arising out of the claimed negligence of Wegman or any party other than defendant.
On May 30, 1995, Weeks was injured while working at the church. He brought a negligence action against Wegman. Weeks’s complaint alleged that, while Weeks was working on a scaffold, a bundle of bricks sitting on the scaffold fell over and injured him. The complaint alleged further that Wegman was negligent because it failed to inspect the site, improperly managed the site, and failed to erect a safe scaffold.
Wegman filed a third-party complaint against defendant. In count I, Wegman alleged that defendant’s negligent acts or omissions were a proximate cause of Weeks’s injuries and sought contribution in the amount of defendant’s pro rata share of the.common liability. Count II sought indemnity under the contract between Wegman and defendant, and count III alleged that defendant breached the contract by failing to provide primary liability coverage for Wegman as an additional insured. The trial court in the negligence action dismissed count II of the third-party complaint.
Defendant tendered the third-party claim to plaintiff, and plaintiff denied coverage. Plaintiff then filed a complaint seeking a declaration of the parties’ rights under the policy. Plaintiff filed a first amended complaint that additionally sought a declaration that it did not have a duty to defend or indemnify Wegman against Weeks’s negligence claim. Defendant answered the first amended complaint and submitted three affirmative defenses. The affirmative defenses were that (1) plaintiff was estopped to deny coverage, (2) the relevant policy terms were ambiguous, and (3) plaintiff was bound by its agent’s representation that the policy covered losses like the one at issue here. In these pleadings, defendant asked the trial court to declare that plaintiff owed it a defense and indemnity.
Wegman ultimately filed a second amended third-party complaint. Again, count I sought contribution, and count III alleged a breach of the contract. Count II was entitled “liability assumed by contract” and relied on the indemnity clause in the contract. Count II alleged that the trial court in Weeks’s negligence action found that there was a question of fact about whether defendant waived the liability limit afforded under the Workers’ Compensation Act (820 ILCS 305/5 (West 1996)) and Kotecki v. Cyclops Welding Corp.,
In response to the second amended third-party complaint, plaintiff filed a second amended complaint containing essentially the same allegations as its earlier complaints. In its answer to plaintiffs second amended complaint, defendant again asked the trial court to declare that plaintiff owed it a defense and indemnity.
Plaintiff and defendant each moved for summary judgment. Plaintiff relied on the “employer’s liability” exclusion, which excludes coverage for work-related injuries sustained by an employee of the insured, and the “contractual liability” exclusion, which excludes coverage for liability the insured assumed in a contract. Defendant argued that, under the exception for liability assumed by the insured under an “insured contract,” these exclusions did not apply. Plaintiff and Wegman also filed cross-motions for summary judgment.
The trial court granted plaintiff summary judgment against Wegman and declared that plaintiff owed Wegman no defense. Finding that plaintiff owed defendant a duty to defend the third-party claim, the trial court denied plaintiff’s summary judgment motion and granted defendant’s motion. The court reserved a finding on the duty to indemnify until a judgment or settlement was reached in the underlying litigation. The court found, pursuant to Supreme Court Rule 304(a) (155 Ill. 2d R. 304(a)), that there was no just reason to delay the enforcement or appeal of its order. Plaintiff timely appealed. Defendant and Wegman cross-appealed the trial court’s finding that plaintiff did not owe Wegman a duty to defend. The parties have not filed briefs addressing the cross-appeal. During the oral argument, the parties informed us that defendant and Wegman are abandoning the cross-appeal. Therefore, we address only plaintiffs appeal.
Summary judgment is properly granted if, when viewed in the light most favorable to the nonmovant, the pleadings, affidavits, depositions, admissions, and exhibits on file reveal that there is no genuine issue of material fact and that the movant is entitled to a judgment as a matter of law. Diehl v. Polo Cooperative Ass’n,
Plaintiff’s first contention on appeal is that the trial court improperly granted defendant affirmative relief, i.e., a declaratory judgment in defendant’s favor, even though defendant did not file a counterclaim seeking such relief. Defendant filed an answer and affirmative defenses. In these pleadings, defendant asked the trial court to declare that plaintiff owed it a defense and indemnity.
In declaratory judgment actions, an answer that includes a prayer for specific relief may be considered a counterclaim. Kendle v. Village of Downers Grove,
Plaintiffs second contention on appeal is that it does not owe defendant a duty to defend Wegman’s third-party action. An insurer owes its insured a duty to defend an action brought against the insured if the underlying complaints allege facts within or potentially within the policy’s coverage. Northbrook Property & Casualty Co. v. Transportation Joint Agreement,
Plaintiff asserts that the “employer’s liability” and the “contractual liability” exclusions apply and therefore that it does not owe defendant a duty to defend. The policy states:
“2. Exclusions
This insurance does not apply to:
b. Contractual Liability
‘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,’ provided the ‘bodily injury’ or ‘property damage’ occurs subsequent to the execution of the contract or agreement; or
(2) That the insured would have in the absence of the contract or agreement.
e. Employer’s Liability
‘Bodily injury’ to:
(1) An ‘employee’ of the insured arising out of and in the course of:
(a) Employment by the insured; or
(b) Performing duties related to the conduct of the insured’s business; or
(2) The spouse, child, parent, brother or sister of that ‘employee’ as a consequence of paragraph (1) above.
This exclusion applies:
(1) Whether the insured may be liable as an employer or in any other capacity; and
(2) To any obligation to share damages with or repay someone else who must pay damages because of the injury.
This exclusion does not apply to liability assumed by the insured under an ‘insured contract.’ ”
The parties do not dispute that the exclusions are triggered here. The issue is whether the “insured contract” exception contained in each exclusion applies. The policy defines an “insured contract” in pertinent part as:
“That part of any other contract or agreement pertaining to your business *** under which [the insured] assume[s] the tort liability of another party to pay for ‘bodily injury’ or ‘property damage’ to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement.”
The contract between defendant and Wegman contains an indemnification clause stating:
“To the fullest extent permitted by law, [defendant] shall indemnify and hold harmless [Wegman] *** and all of [its] agents and employees from and against claims, damages, losses, and expenses, including but not limited to attorneys’ fees arising out of or resulting from the performance or failure in performance of [defendant’s] work under this agreement provided that any such claim, damage, loss, or expense (1) is attributable to bodily injury, sickness, disease, or death, or to injury to or destruction of tangible property including the loss of use resulting therefrom, (2) is caused, in whole or in part, by any negligent act or omission of [defendant] or anyone directly or indirectly employed by [defendant], or anyone for whose acts [defendant] may be liable, regardless of whether caused in part by a party indemnified hereunder. *** In any and all claims against [Wegman], or any of its agents or employees, by any employee of [defendant], or anyone directly or indirectly employed by [defendant], or anyone for whose acts he may be liable, *** the indemnification obligation under this paragraph 5.2 shall not be limited in any way by any limitation on the amount or type of damages, compensation, or benefits payable by or for [defendant] under Worker’s Compensation Acts, disability benefit acts, or other employee benefit acts.”
When construing an insurance policy, the court must ascertain the parties’ intent. Konami (America), Inc. v. Hartford Insurance Co. of Illinois,
Plaintiff acknowledges that this court’s decision in Michael Nicholas, Inc. v. Royal Insurance Co. of America,
The insurer argued that the contract between the insured and Kimball Hill was not an “insured contract.” According to the insurer, because the insured agreed to indemnify Kimball Hill against only those damages caused by the insured’s negligence, the insured did not agree to assume the tort liability of another. The insurer asserted that an insured contract exists only if the insured agreed to indemnify another party against that party’s own negligence. See Hankins v. Pekin Insurance Co.,
This court disagreed and reasoned as follows. As a joint tortfeasor, Kimball Hill could be held jointly and severally liable for all of the employee’s damages. See Best v. Taylor Machine Works,
We noted that nothing in the policy required that “tort liability” be limited to “negligence liability.” If the insurer wanted to limit the definition of an insured contract to the situation where one party agrees to assume liability for another party’s negligence, it could have plainly said so. By using the term “tort liability,” the insurer left open the possibility that its insured could agree to be responsible for another party’s liability in a tort action even though that liability was not based on the other party’s own negligence. Michael Nicholas,
This court concluded that the definition of “insured contract” was ambiguous and therefore would be construed liberally in favor of coverage. In so concluding, we reasoned that the insured was a construction contractor. Under the Construction Contract Indemnification for Negligence Act (Act) (740 ILCS 35/1 et seq. (West 2000)), any indemnification clause in a construction contract under which a person agrees to indemnify another against the other person’s own negligence is against public policy and void. We stated that, if the insurer’s interpretation applied, it would be difficult to envision any situation in the insured’s line of work where the “insured contract” exception would apply. Michael Nicholas,
We see no reason to depart from Michael Nicholas. As the discussion of Michael Nicholas reveals, a party’s tort liability is not necessarily based on that party’s own negligence. See also O’Banner v. McDonald’s Corp.,
Plaintiff urges an interpretation that is more narrow than what the policy language suggests. Plaintiff argues that an insured who waives the Kotecki cap is merely waiving an affirmative defense and is not assuming any tort liability that did not already exist. Plaintiff raises only a technical distinction, however, that does not change the analysis. Indemnification clauses like the one at issue here are intended to shift tort liability that otherwise would be imposed against the indemnitee. See Roberts v. Robert V. Rohrman, Inc.,
During the oral argument, plaintiff correctly observed that the “insured contract” exception is not devoid of benefit to an insured in the construction industry. For example, if defendant entered into a lease for office space, the Act would not apply and defendant could agree to indemnify the lessor against its own negligence. Plaintiffs observation does not warrant a departure from Michael Nicholas, however. When interpreting an insurance policy, the court must consider the type of insurance purchased, the types of risks involved, and the overall purpose of the contract. Fuller’s Car Wash, Inc. v. Liberty Mutual Insurance Co.,
Finally, plaintiff argues that Michael Nicholas interferes with the “dovetailing” coverage schemes of the CGL and the workers compensation/employers liability (WC/EL) policies. We disagree. Plaintiff is correct that, generally, the employee exclusion was designed to preclude coverage for losses normally covered by workers’ compensation and that there is no reason to secure double coverage. Brile v. Estate of Brile,
Moreover, it appears that Michael Nicholas actually is consistent with the interplay between the CGL and the WC/EL policies. The employers liability coverage part contains the following insuring agreement:
“We will pay all sums you legally must pay as damages because of bodily injury to your employees, provided the bodily injury is covered by this Employers Liability Insurance.
The damages we will pay, where recovery is permitted by law, include damages:
1. for which you are liable to a third party by reason of a claim or suit against you by that third party to recover the damages claimed against such third party as a result of injury to your employee.”
The employers liability coverage excludes “liability assumed under a contract.” It has recently been held that this exclusion is triggered when the insured waives the Kotecki cap. Christy-Foltz, Inc. v. Safety Mutual Casualty Corp.,
We note that the decisions plaintiff cites do not support its position. Those decisions did not involve the effect of an insured’s waiver of the Kotecki cap and therefore do not provide any guidance here. See, e.g., United States Fire Insurance Co. v. Deering Management Group, Inc.,
Plaintiff represents that the underlying litigation has settled and that defendant was not required to make any contribution beyond its Kotecki cap. According to plaintiff, whether defendant faces exposure beyond its workers’ compensation lien is now moot. Even if we accept plaintiffs representation, it is irrelevant. The duty to defend is broader than the duty to indemnify and is determined by reference to the allegations in the underlying complaints, not the outcome of the underlying litigation.
To the extent that Wegman sought full contribution beyond defendant’s Kotecki cap, there was a potential for coverage, and plaintiff owed defendant a duty to defend.
Accordingly, we affirm the judgment of the circuit court of Du Page County.
Affirmed.
GEOMETER, J., concurs.
Dissenting Opinion
dissenting:
I respectfully dissent. The majority erroneously concludes that the exception to the exclusion applies in this case, triggering coverage and a duty to defend. The majority comes to this conclusion believing that the doctrine of stare decisis requires such a result.
I recognize the importance of stare decisis upon our legal system. To maintain a uniform body of law and assure that the public may rely on our decisions, we must leave settled points of law undisturbed and may not abandon or modify earlier decisions of this court soon after their adoption. People v. Delatorre,
As the discussion of Michael Nicholas reveals, a party’s tort liability is not necessarily based on that party’s own negligence. See also O’Banner v. McDonald’s Corp.,
Michael Nicholas not only fails to address what is or is not assumed under the indemnification contract, but also fails to discuss the nature and extent of such an assumption. Assuming arguendo joint and several liability was assumed, then it would mean that the nonemployer/indemnitee would be able to obtain total satisfaction of the judgment entered in the original cause in violation of the Construction Contract Indemnification for Negligence Act (the Act) (740 ILCS 35/1 et seq. (West 2000)). Additionally, it would constitute a waiver of all the immunities provided to an employer/indemnitor pursuant to the Workers’ Compensation Act. See 820 ILCS 305/11 (West 2000); Kotecki v. Cyclops Welding Corp.,
“ ‘Joint and several liability only applies to injuries for which the defendant herself is fully responsible. She is responsible for the entirety of some injury only if her tortious behavior was an actual and proximate cause of the entire injury.’ ” (Emphasis omitted.) Best v. Taylor Machine Works,179 Ill. 2d 367 , 428 (1997), quoting R. Wright, The Logic and Fairness of Joint and Several Liability, 23 Memphis St. U.L. Rev. 45, 54-56 (1992).
The fact that the parties are construction companies does not mean, ipso facto, as determined by Michael Nicholas, that the parties must have intended something that makes the definition declared in Hankins ambiguous. The majority correctly recites and then misapplies the well-settled principle that a term is ambiguous only if it is susceptible to at least two reasonable interpretations.
Further, parties are assumed to know the law. The fact that this exception to an exclusion may not apply in some or most instances does not mean it can never apply. During oral argument, the employer/ indemnitor correctly observed that the “insured contract” exception is not devoid of benefit to an insured in the construction industry. For example, if the employer/indemnitor entered into a lease for office space, the Act would not apply and the employer/indemnitor/lessee could agree to indemnify the lessor against its own negligence, i.e., to assume the lessor’s tort liability. When interpreting an insurance policy, the court must consider the type of insurance purchased, the types of risks involved, and the overall purpose of the contract. Fuller’s Car Wash, Inc. v. Liberty Mutual Insurance Co.,
Michael Nicholas fails to address the paradox that one cannot assume a preexisting duty. Had it addressed the paradox, it would have realized the illusory distinction made to create the ambiguity it found to exist. See Johnson v. Maki & Associates, Inc.,
Michael Nicholas also found an assumption of tort liability by the insured’s waiver of the Kotecki cap. In this case, the employer/ indemnitor argues that an insured who waives the Kotecki cap is merely waiving an affirmative defense and is not assuming any tort liability that did not already exist in its own pro rata share of negligence liability. I agree. The waiver of the Kotecki cap is a waiver of a right to a credit or offset that is provided by law and would reduce the amount of money due from the insured. See Kotecki,
“In agreeing to waive the right to invoke Kotecki as an affirmative defense, the plaintiff voluntarily assumed contribution liability in excess of the liability limitations provided to employers under the Compensation Act.” (Emphasis added.) Christy-Foltz,309 Ill. App. 3d at 693 .
Christy-Foltz does not mention liability limitations under joint and several liability or pro rata shares that determine contribution. The right to contribution in this context means that the pro rata share found by the trier of fact to apply to the parties would neither be affected nor increased beyond that pro rata share of the employer/ indemnitor, e.g., that a judgment of $100,000 for which the insured was 40% liable would not be altered. With or without the Kotecki waiver, the insured would not have assumed liability in an amount greater than $40,000. The issue ought not be transmuted, as Michael Nicholas did, from the insured increasing his out-of-pocket loss to the insured assuming another party’s liability in tort. Until the insured agrees to be liable for $40,001 or more of the judgment, there has not been an assumption of another party’s tort liability. Michael Nicholas violates public policy because, if it is reasonable to interpret the indemnification contract to determine that the insured/employer/ indemnitor may properly increase its pro rata share of the liability, then it must follow that the pro rata share of the nonemployer/ indemnitee has decreased. That again is against public policy because it allows a party to be indemnified for its own negligence in violation of the Act.
The insurance policy at issue contains an exception to its exclusion for “insured contracts.” The policy defines an “insured contract” as a contract “under which [the insured] assume[_s] the tort liability of another party to pay for ‘bodily injury’ or ‘property damage’ to a third person or organization.” (Emphasis added.)
I believe the only reasonable interpretation is that the employer/ indemnitor agreed to indemnify the nonemployer/indemnitee for the employer/indemnitor’s own negligence consistent with the prior precedent as determined in Hankins. There is nothing in the contract between the joint tortfeasors in this case that indicates to the contrary. Further, there is no language that indicates that each party agreed to forego the right of contribution, which might arguably reduce the other party’s pro rata share. There is language that relates to the Kotecki cap, but such language does not affect the joint and several liability between the parties, nor does it alter the pro rata shares of liability of the parties. The indemnification contract does not state that any liability attached to the other party has been assumed by the insured. In the context of the contract language as interpreted by Michael Nicholas, the insured could only have assumed a duty to indemnify in violation of the Act.
Unless the contract entered into by the nonemployer/indemnitee and employer/indemnitor fits the definition of an insured contract, it would not and could not trigger coverage. There is nothing in the contract that plausibly assumes another’s liability in tort. I believe that the Michael Nicholas analysis improperly created an ambiguity by determining that there was an assumption of a preexisting duty that when applied violated the Act.
I submit the following syllogism. Assuming that Michael Nicholas was correct and that tort liability was assumed, the contract provided for indemnity. Such indemnity would have to be something other than a preexisting duty. If it is other than a preexisting duty, and it is a duty rather than a right or benefit, it must result in greater liability than would normally exist. The insured would be required to pay more than its pro rata share of negligence liability. That would result in the nonemployer/indemnitee receiving indemnification for its own negligence, which would be against public policy as expressed in the Act. Therefore, the particular contract (between the nonemployer/ indemnitee and the employer/indemnitor) would be invalid and void because such a contract cannot legally exist within the strictures of the Act. See Swavely,
Finally, because the majority has reaffirmed Michael Nicholas, it must be applied to this cause upon remand. On remand, there appear to be two possible dispositions: either the trial court will enter a judgment that awards the nonemployer/indemnitee at least one dollar more than its percentage of negligence liability or it will not. The former disposition will be a violation of the Act. The latter disposition will prove that the employer/indemnitor never assumed the tort liability of the nonemployer/indemnitee and that the analysis in Michael Nicholas is a paradox.
I submit the majority has misapplied the principle of stare decisis, continued the conflict between the appellate districts, and reaffirmed a paradox, i.e., coverage based upon an ambiguity created by an unreasonable interpretation violative of public policy. Thus, I must respectfully dissent.