Filed: Aug. 30, 2007
Latest Update: Feb. 21, 2020
Summary: REVISED August 30, 2007 IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT United States Court of Appeals Fifth Circuit F I L E D No. 07-30119 August 2, 2007 Charles R. Fulbruge III Clerk IN RE: KATRINA CANAL BREACHES LITIGATION RICHARD VANDERBROOK; MARY JANE SILVA; JAMES CAPELLA; MADELINE GRENIER, misidentified as Sophia Granier; JACK CAPELLA, as the Executor of the Succession of Lilian Capella; GREGORY JACKSON; PETER ASCANI, III; ROBERT G HARVEY, SR Plaintiffs - Appellees - Cross-Appe
Summary: REVISED August 30, 2007 IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT United States Court of Appeals Fifth Circuit F I L E D No. 07-30119 August 2, 2007 Charles R. Fulbruge III Clerk IN RE: KATRINA CANAL BREACHES LITIGATION RICHARD VANDERBROOK; MARY JANE SILVA; JAMES CAPELLA; MADELINE GRENIER, misidentified as Sophia Granier; JACK CAPELLA, as the Executor of the Succession of Lilian Capella; GREGORY JACKSON; PETER ASCANI, III; ROBERT G HARVEY, SR Plaintiffs - Appellees - Cross-Appel..
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REVISED August 30, 2007
IN THE UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT United States Court of Appeals
Fifth Circuit
F I L E D
No. 07-30119 August 2, 2007
Charles R. Fulbruge III
Clerk
IN RE: KATRINA CANAL BREACHES LITIGATION
RICHARD VANDERBROOK; MARY JANE SILVA; JAMES CAPELLA;
MADELINE GRENIER, misidentified as Sophia Granier; JACK CAPELLA,
as the Executor of the Succession of Lilian Capella; GREGORY JACKSON;
PETER ASCANI, III; ROBERT G HARVEY, SR
Plaintiffs - Appellees - Cross-Appellants
v.
UNITRIN PREFERRED INSURANCE COMPANY; HANOVER
INSURANCE COMPANY; STANDARD FIRE INSURANCE COMPANY
Defendants - Appellants
STATE FARM FIRE AND CASUALTY COMPANY
Defendant - Cross-Appellee
KELLY A HUMPHREYS
Plaintiff - Appellee - Cross-Appellant
v.
ENCOMPASS INDEMNITY COMPANY
Defendant - Appellant - Cross-Appellee
XAVIER UNIVERSITY OF LOUISIANA
Plaintiff - Appellee
v.
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
Defendant - Appellant
GLADYS CHEHARDY; DANIEL FONTANEZ; JACQUELYN FONTANEZ;
LARRY FORSTER; GLENDY FORSTER; ET AL
Plaintiffs - Appellees - Cross-Appellants
v.
ALLSTATE INDEMNITY COMPANY; ALLSTATE INSURANCE
COMPANY; AMERICAN INSURANCE COMPANY; AEGIS SECURITY
INSURANCE COMPANY; LAFAYETTE INSURANCE COMPANY;
LIBERTY MUTUAL FIRE INSURANCE COMPANY; AAA HOMEOWNERS
AUTO CLUB FAMILY INSURANCE COMPANY; LOUISIANA CITIZENS
PROPERTY INSURANCE CORPORATION; LEXINGTON INSURANCE
COMPANY; ENCOMPASS INSURANCE COMPANY OF AMERICA; GREAT
NORTHERN INSURANCE COMPANY; HANOVER INSURANCE
COMPANY; STANDARD FIRE INSURANCE COMPANY
Defendants - Appellants
STATE FARM FIRE AND CASUALTY COMPANY
Defendant - Cross-Appellee
Appeals from the United States District Court
for the Eastern District of Louisiana, New Orleans
No. 07-30119
Before KING, DeMOSS, and OWEN, Circuit Judges.
KING, Circuit Judge:
On the morning of August 29, 2005, Hurricane Katrina struck along the
coast of the Gulf of Mexico, devastating portions of Louisiana and Mississippi.
In the City of New Orleans, some of the most significant damage occurred when
levees along three major canals—the 17th Street Canal, the Industrial Canal,
and the London Avenue Canal—ruptured, permitting water from the flooded
canals to inundate the city. At one point in Katrina’s aftermath, approximately
eighty percent of the city was submerged in water.
Each plaintiff in this case is a policyholder with homeowners, renters, or
commercial-property insurance whose property was damaged during the New
Orleans flooding. Despite exclusions in their policies providing that damage
caused by “flood” is not covered, the plaintiffs seek recovery of their losses from
their insurers. Their primary contention is that the massive inundation of water
into the city was the result of the negligent design, construction, and
maintenance of the levees and that the policies’ flood exclusions in this context
are ambiguous because they do not clearly exclude coverage for an inundation
of water induced by negligence. The plaintiffs maintain that because their
policies are ambiguous, we must construe them in their favor to effect coverage
for their losses.
We conclude, however, that even if the plaintiffs can prove that the levees
were negligently designed, constructed, or maintained and that the breaches
were due to this negligence, the flood exclusions in the plaintiffs’ policies
unambiguously preclude their recovery. Regardless of what caused the failure
of the flood-control structures that were put in place to prevent such a
catastrophe, their failure resulted in a widespread flood that damaged the
plaintiffs’ property. This event was excluded from coverage under the plaintiffs’
3
No. 07-30119
insurance policies, and under Louisiana law, we are bound to enforce the
unambiguous terms of their insurance contracts as written. Accordingly, we
conclude that the plaintiffs are not entitled to recover under their policies.
I. FACTUAL BACKGROUND AND PROCEDURAL HISTORY
The cases in this appeal are a handful of the more than forty currently
pending cases related to Hurricane Katrina that have been consolidated for
pretrial purposes in the Eastern District of Louisiana. In several of the
consolidated cases, property owners are suing their insurers to obtain recovery
under homeowners, renters, and commercial-property policies for the damage
their property sustained during the inundation of water into the city that
accompanied the hurricane. This appeal involves four such cases: Richard
Vanderbrook et al. v. Unitrin Preferred Insurance Company et al. (“the
Vanderbrook action”), Xavier University of Louisiana v. Travelers Property
Casualty Company of America (“the Xavier action”), Gladys Chehardy et al. v.
State Farm Fire & Casualty Company et al. (“the Chehardy action”), and Kelly
A. Humphreys v. Encompass Indemnity Company (“the Humphreys action”).1
The detailed factual and procedural background of each of these cases follows.
A. The Vanderbrook Action
In the Vanderbrook action, eight individuals (“the Vanderbrook plaintiffs”)
filed a petition for damages in Louisiana state court against their insurers.2 The
Vanderbrook plaintiffs allege that “[s]ometime between 10:00 and 11:00 a.m. on
August 29, 2005, before the full force of [Hurricane Katrina] reached the City of
New Orleans, a small section of the concrete outfall canal wall known as the
1
The Humphreys action was initially consolidated with the remaining cases, but on
Encompass Indemnity Company’s motion, the district court severed it from the consolidated
case.
2
The Vanderbrook plaintiffs also sued the Board of Commissioners for the Orleans
Levee District for the Parish of Orleans, but the claim against that defendant is not at issue
in this appeal.
4
No. 07-30119
17th Street Canal, suddenly broke, causing water to enter the streets of the
[c]ity,” resulting in damage to their insured property. They assert that the water
damage “was not the result of flood, surface water, waves, [tidal] water, tsunami,
seiche, overflow of a body of water, seepage under or over the outfall canal wall
or spray from any of the above but was water intrusion, caused simply from a
broken levee wall.”
The Vanderbrook plaintiffs allege that their insurers have refused to
adjust or pay for their losses, despite “a sudden break in the concrete wall of the
levee outfall canal” not being described in any of their policies as an excluded
loss. They assert that their insurance policies are contracts of adhesion and are
“unduly and unreasonably complex,” resulting in their lack of understanding of
the policies’ provisions. And they allege that the policies’ exclusions are so
“oppressive” to them and “unreasonably favorable” to the insurers that the
exclusions are unconscionable and void. The Vanderbrook plaintiffs seek
compensatory damages, additional damages for the insurers’ arbitrary and
capricious conduct, interest, expert fees, and attorney’s fees.
Plaintiffs-appellees James Capella and Madeline Grenier were insured
through defendant-appellant Hanover Insurance Company (“Hanover”),
plaintiffs-appellees Peter Ascani III and Gregory Jackson were insured through
defendant-appellant Standard Fire Insurance Company (“Standard Fire”), and
plaintiff-appellee Richard Vanderbrook was insured through defendant-
appellant Unitrin Preferred Insurance Company (“Unitrin”). The Hanover,3
Standard Fire, and Unitrin policies provide coverage for risk of direct physical
loss to structures on the property as well as for certain risks of loss to personal
3
At oral argument before the district court, a copy of Madeline Grenier’s policy with
Hanover that contains only the odd-numbered pages was inserted into the record. Because the
copy of the policy in the record is incomplete, we cannot adequately review it. Consequently,
we leave it to the district court on remand to obtain a copy of the entire policy and to interpret
it consistently with this opinion.
5
No. 07-30119
property, as long as the loss is not an excluded peril. The policies contain the
following flood exclusion:
We do not insure for loss caused directly or indirectly by
any of the following. Such loss is excluded regardless of
any other cause or event contributing concurrently or in
any sequence to the loss.
....
. . . Water Damage, meaning:
. . . Flood, surface water, waves, tidal water,
overflow of a body of water, or spray from any of
these, whether or not driven by wind . . . .
Plaintiffs-cross-appellants Mary Jane Silva and Robert G. Harvey Sr. were
insured through defendant-cross-appellee State Farm Fire and Casualty
Company (“State Farm”). The State Farm policies insured against loss to the
dwelling and for certain losses to personal property except as excluded by the
policy. The policies contained the following flood exclusion:
We do not insure under any coverage for any loss which
would not have occurred in the absence of one or more
of the following excluded events. We do not insure for
such loss regardless of: (a) the cause of the excluded
event; or (b) other causes of the loss; or (c) whether
other causes acted concurrently or in any sequence with
the excluded event to produce the loss; or (d) whether
the event occurs suddenly or gradually, involves
isolated or widespread damage, arises from natural or
external forces, or occurs as a result of any combination
of these:
....
. . . Water Damage, meaning:
(1) flood, surface water, waves, tidal water,
overflow of a body of water, or spray from
any of these, all whether driven by wind or
not . . . .
6
No. 07-30119
The Vanderbrook action was removed to federal court on the basis of
diversity jurisdiction. Hanover, Standard Fire, Unitrin, and State Farm filed
Rule 12(c) motions for judgment on the pleadings, contending that the
Vanderbrook plaintiffs’ losses were excluded under their respective policies. In
a single eighty-five-page order issued on November 27, 2006, the district court
addressed the availability of coverage under the policies at issue in all four cases
in this appeal, first addressing the Vanderbrook action. With respect to
Hanover, Standard Fire, and Unitrin, the district court denied their motions and
ruled that the plaintiffs’ policies insured them against loss from water damage
resulting from levee breaches where the breaches were induced by negligence.
The court determined that the policies’ flood exclusions were ambiguous because
the term “flood” was susceptible to two reasonable definitions: one that relates
to floods resulting from natural causes only and one that relates to floods
resulting from both natural causes and negligent or intentional acts.
The district court reached this conclusion based on several sources. First,
the court discussed dictionary definitions of the term “flood” and opined that the
definitions contemplated a natural event caused by rain or tide. Second, the
court looked to cases interpreting “water damage” exclusions in the context of
ruptured water mains, as well as “earth movement” exclusions, wherein courts
have applied a distinction between naturally and non-naturally occurring events.
Finally, the court considered but rejected cases that interpreted flood exclusions
as extending to inundations of water caused by the rupture of a dam or dike.
Having concluded that the term “flood” as used in the exclusions was
ambiguous, the district court construed the Hanover, Standard Fire, and Unitrin
policies in the insureds’ favor and concluded that the policies covered water
damage caused by a ruptured levee where the rupture was due to the levee’s
inadequate design, construction, or maintenance. Because the plaintiffs alleged
that the post-Katrina inundation of water into the City of New Orleans was
7
No. 07-30119
caused by negligent design, construction, and maintenance of the levees
alongside the city’s canals, the court decided that if the plaintiffs could prove
their allegations, they could prevail. Accordingly, the district court denied
Hanover’s, Standard Fire’s, and Unitrin’s motions.
With respect to State Farm’s policies, however, the district court concluded
that the flood exclusion’s “lead-in” clause removed any ambiguity and clearly
excluded coverage for all floods, whether natural or not. The “lead-in” language
on which the district court relied provides in part: “We do not insure for such loss
[i.e., loss resulting from flood] regardless of . . . the cause of the excluded event[]
or . . . whether the event . . . arises from natural or external forces.” The court
granted State Farm’s motions and dismissed the actions against it.
B. The Xavier Action
Plaintiff-appellee Xavier University of Louisiana (“Xavier”) filed suit
against its insurer, defendant-appellant Travelers Property Casualty Company
of America (“Travelers”), in federal court on the basis of diversity jurisdiction.
In its complaint, Xavier alleged that Hurricane Katrina caused in excess of
$30 million in damage to insured structures on its campus. The complaint itself
does not allege how the damage was caused—i.e., by water inundation from
failed levees or otherwise. Xavier avers that it has filed a claim with Travelers
and that despite lengthy communication, the insurer has failed to pay for the
damage to Xavier’s campus. Xavier brings claims for breach of contract and for
violations of various provisions of Title 22 of the Louisiana Revised Statutes,
seeking compensatory damages, attorney’s fees, and statutory penalties.
Xavier’s commercial policy with Travelers provided coverage for direct
physical loss to buildings and personal property, subject to policy limitations and
exclusions. The policy contained the following flood exclusion:
We will not pay for loss or damage caused directly or
indirectly by any of the following. Such loss or damage
8
No. 07-30119
is excluded regardless of any other cause or event that
contributes concurrently or in any sequence to the loss.
....
. . . Water
. . . Flood, surface water, waves, tides, tidal
waves, overflow of any body of water, or their
spray, all whether driven by wind or not . . . .
Xavier filed a motion for partial summary judgment, seeking a ruling that
as a matter of law (1) the damage to Xavier’s campus was “caused by ground
water which came from the collapses of the 17th Street Canal and the London
Avenue Canal levees as a result of man-made causes” and (2) such damage was
covered under Xavier’s policy with Travelers. The district court granted the
motion in part and denied it in part. For the same reasons that the court denied
Hanover’s, Unitrin’s, and Standard Fire’s motions in the Vanderbrook action, the
court granted partial summary judgment in Xavier’s favor on the second issue,
determining that water damage resulting from a failed levee due to negligence
would be covered under the insurance policy. But the court denied Xavier’s
partial-summary-judgment motion on the question whether the damage to the
campus was in fact caused by the collapses of the levees, concluding that there
were material questions of fact as to the cause of Xavier’s water damage.
C. The Chehardy Action
In the Chehardy action, a group of thirty individuals and one corporation
(“the Chehardy plaintiffs”)4 allege that their real and personal property was
damaged or destroyed by the inundation of water into the City of New Orleans
4
The Chehardy plaintiffs comprise plaintiffs-appellees-cross-appellants Gladys
Chehardy; Daniel and Jacquelyn Fontanez; Larry and Glendy Forster; Kenneth and Judy
Maier; Randy and Lori Gervais; Andre and Marlin Mauberret; Debbie and Dave Strawn;
Stephanie and Brad Boyd; New Orleans Flooring Supply, Inc.; Shawn and Angelina Burst;
Patricia Brown; Marie Fatheree; Katrina Daniels; Lionel and Edna Jones; Karen Lewis; Shane
Sylvester; Austra Zapata; Sabrina Perkins; Eldridge Pollard; Michael Peterson; Wendell
Glation; and Mack Barham.
9
No. 07-30119
that followed Hurricane Katrina. They bring a putative class action5 against
their insurers, asserting that their losses were covered by their respective
insurance policies.
The defendants in the Chehardy action are thirteen insurance companies.
Among them is a group of insurers hereinafter called “the ISO Defendants,” so
named because these insurers used policy forms provided by Insurance Services
Office, Inc. The ISO Defendants are defendants-appellants Lafayette Insurance
Company (“Lafayette”), Liberty Mutual Fire Insurance Company (“Liberty
Mutual”), American Insurance Company (“American”), Auto Club Family
Insurance Company (“Auto Club”), Standard Fire, Lexington Insurance
Company (“Lexington”), Aegis Security Insurance Company (“Aegis”), and
Hanover. The remaining Chehardy defendants are defendants-appellants
Allstate Indemnity Company and Allstate Insurance Company (collectively,
“Allstate”), Louisiana Citizens Property Insurance Corporation (“Louisiana
Citizens”), Encompass Insurance Company of America (“Encompass Insurance”),
and Great Northern Insurance Company (“Great Northern”), as well as
defendant-cross-appellee State Farm.
In their amended complaint, the Chehardy plaintiffs allege that after
Hurricane Katrina made landfall on August 29, 2005, the New Orleans-area
levee system was breached in at least eight places, causing water to be released
5
The amended complaint defines the class of policyholders as
all owners in the Parishes of Orleans, St. Bernard, and Jefferson,
State of Louisiana, who own immovable property with
improvements, principally houses or related residential
structures, as well as personal property located there, which was
destroyed or damaged by winds generated by Hurricane Katrina
in excess of their respective policy deductibles and not reimbursed
by their insurance companies, but excluding members of the
judiciary, their administrative staff and any other personnel who
may cause a member of the Louisiana bench to be unable to
preside over this action.
10
No. 07-30119
into the city and adjoining parishes. According to the amended complaint, by
9:00 a.m. on August 29, approximately three hours after the hurricane’s landfall,
there was six to eight feet of water in the Lower Ninth Ward area of New
Orleans, and approximately eighty percent of Orleans Parish ultimately became
submerged. The plaintiffs aver their properties sustained damage as a result of
these events.
The Chehardy plaintiffs also allege that “any damages attributable to the
levee failures are the result of improper and/or negligent design, construction,
[or] maintenance of the levees by various third parties and or third party
negligence.” The complaint refers to engineering reports concluding that “the
vast amounts of the water that entered the City of New Orleans and the
surrounding parishes came about as the result of levee failures caused by
negligent design, negligent maintenance and/or inadequate materials and not
by topping of the levees.” The complaint also summarizes the testimony of the
Chief of the Army Corps of Engineers that “the Corps neglected to consider the
possibility that the levee walls atop the 17th Street Canal levee would lurch
away from their footings under significant water pressure and eat away at the
earthen barriers below” and that “[t]he levees simply failed to work the way they
were supposed to work.” Additionally, the complaint alleges that “the levee
breach of the Industrial Canal to the Lower Ninth Ward side was caused by an
inadequately moored barge that crashed into the levee wall, rupturing the levee
and compromising its ability to hold water back.”
The Chehardy plaintiffs assert in their complaint that each was insured
under an all-risk insurance policy and that their losses are covered perils under
their all-risk policies. They allege that they timely filed claims with their
insurers but their insurers denied coverage and have refused to indemnify them.
The Chehardy plaintiffs acknowledge that their policies contained flood
exclusions, but they assert that these exclusions should not be read so broadly
11
No. 07-30119
as to disallow coverage for their damages because to do so “would contravene the
very purpose of [all-risk] policies.” They posit that the reasonable expectations
of Louisiana policyholders would be that “flood” would “encompass[] overflowing
of the Mississippi River, accumulation of water due to heavy rainfalls, or similar
phenomena, but not the failing of” the levees “due to negligent conduct beyond
[their] control.” Additionally, they opine in their complaint that they should not
be deprived of coverage where the insurers “have drafted vague, ambiguous and
unclear limitations on coverage”; they allege that although other policies on the
market clearly exclude harm caused by the failure of levees, theirs do not.
The Chehardy plaintiffs seek a declaratory judgment that the efficient
proximate causes of their damage were windstorm, acts of negligence, and storm
surge, all of which were covered perils; that “[t]he breaking or failure of
boundaries of lakes, reservoirs, rivers, streams, or other bodies of water was a
peril not specifically excluded by any of the . . . policies”; and that “[t]he damage
caused by water entering the City of New Orleans . . . due to the breaches in the
levees . . . neither falls within the regular definition of ‘flood,’ nor within any of
the subject insurance policies’ exclusions of ‘flood.’” The Chehardy plaintiffs also
bring claims for breach of contract, breach of the implied covenant of good faith
and fair dealing, and insurance bad faith under section 22:1220 of the Louisiana
Revised Statutes. Additionally, the plaintiffs bring claims for breach of fiduciary
duty against State Farm, Allstate, Liberty Mutual, and other insurers who sell
their homeowners insurance policies directly to their customers.
The Chehardy plaintiffs did not include in their complaint the pertinent
language from their insurance policies, nor did they attach the policies or
identify which plaintiff was insured through which defendant. Instead, copies
12
No. 07-30119
of the policies were attached to the defendants’ motions seeking dismissal of the
plaintiffs’ claims.6
The policies of American, Auto Club, Hanover, Lafayette, Lexington,
Liberty Mutual, Standard Fire, and Louisiana Citizens are nearly identical in
every respect relevant to this appeal. All of these policies provide coverage for
risk of direct physical loss to structures on the property as long as the risk is not
an excluded peril. They also provide coverage for direct physical loss to personal
property but only if the loss is caused by an enumerated peril and not by an
excluded peril. With respect to both structures and personal property, the
policies contain a list of exclusions that are not insured against—among them,
flood. The flood exclusions provide:
We do not insure for loss caused directly or indirectly by
any of the following. Such loss is excluded regardless of
any other cause or event contributing concurrently or in
any sequence to the loss.
....
. . . Water Damage, meaning:
6
In its order, the district court stated that it was unable to identify with certainty
which Chehardy plaintiffs were insured through which defendants:
The Court has attempted to ascertain this information for
purposes of specificity with respect to its ensuing orders herein;
however, there is some confusion which prevents the Court from
doing so. In addition to which, the information provided is not in
the record. However, it has been represented to the Court by
counsel that all insurers herein have provided at least one policy
to one plaintiff, thus the Court will enter its orders with respect
to the insurers and will not be able to identify the specific plaintiff
who is [a]ffected by such order.
We examined the record on appeal and identified what appear to be insurance policies
corresponding with each named Chehardy plaintiff except Wendell Glation and Andre and
Marilyn Mauberret. With respect to those plaintiffs, we granted unopposed motions to
supplement the record on appeal with copies of their policies. Nevertheless, we leave it to the
district court on remand to identify with certainty which plaintiff was insured under which
policy (or policies) for the purposes of orders to be entered subsequent to this appeal.
13
No. 07-30119
. . . Flood, surface water, waves, tidal water,
overflow of a body of water, or spray from any of
these, whether or not driven by wind . . . .7
The Aegis policy is identical in all relevant respects to the above policies,
with the exception of the lead-in clause before the flood exclusion. Aegis’s policy
contains an endorsement deleting the clause that excludes coverage “for loss
caused directly or indirectly by” water damage “regardless of any other cause”
and replacing it with the following: “We do not insure for loss caused by any of
the following.” The effect is that Aegis’s flood exclusion reads as follows:
We do not insure for loss caused by any of the following.
....
. . . Water Damage, meaning:
. . . Flood, surface water, waves, tidal water,
overflow of a body of water, or spray from any of
these, whether or not driven by wind . . . .
The Great Northern policies provide coverage for risk of physical loss to
the home and its contents except where provided otherwise or excluded by a
policy exclusion. The policies contain a “Surface water” exclusion, which
provides:
Surface water. We do not cover any loss caused by:
• flood, surface water, waves, tidal water, or water
borne material from any of these;
• overflow of water or water borne material from a body
of water;
...
from any source, even if driven by wind.
7
The only variations in language between these policies are immaterial to this appeal.
For example, American and Hanover substitute the words “loss or damage” for “loss,” Hanover
inserts “any” before “body of water,” and Hanover names its exclusion “Water” rather than
“Water Damage.”
14
No. 07-30119
The policies also define “caused by” as “any loss that is contributed to, made
worse by, or in any way results from that peril.”
The Allstate policies provide coverage for losses to the dwelling and other
structures on the insured property except as limited or excluded in the policies,
as well as coverage for losses to personal property caused by certain enumerated
causes and subject to exclusions. The policies contain the following flood
exclusion:
We do not cover loss to [insured] property . . . consisting
of or caused by:
. . . Flood, including, but not limited to surface water,
waves, tidal water or overflow of any body of water, or
spray from any of these, whether or not driven by wind.
The State Farm policies in the Chehardy action are identical in every
relevant respect to the State Farm policies in the Vanderbrook action.
Each of the defendants in the Chehardy action filed a Rule 12(b)(6) motion
to dismiss for failure to state a claim. (The ISO Defendants filed a consolidated
motion to dismiss.) The district court addressed only the claims for breach of
contract and the request for declaratory relief. With respect to all defendants
except State Farm, the court denied the motions to dismiss for the same reasons
it denied the motions for judgment on the pleadings in the Vanderbrook action.
With respect to State Farm, however, the district court granted the motion to
dismiss for the same reason it granted State Farm’s motion in the Vanderbrook
action. As to the extra-contractual claims (for breach of the implied covenant of
good faith and fair dealing, insurance bad faith, and breach of fiduciary duty),
the district court denied the motions to dismiss without prejudice to their being
re-urged at a later time, after the resolution of this appeal.
D. The Humphreys Action
In the Humphreys action, plaintiff-appellee-cross-appellant Kelly A.
Humphreys filed suit against her insurer, defendant-appellant-cross-appellee
15
No. 07-30119
Encompass Indemnity Company (“Encompass Indemnity”), in Louisiana state
court.8 Humphreys alleges that as Hurricane Katrina passed through New
Orleans, the city “began pumping storm water runoff through various feeder
canals into and through the 17th Street and London Avenue drainage canals
into Lake Pontchartrain.” “As a result of a ‘sudden and accidental event’ storm
water drainage exerted pressure against the storm wall and levee” erected along
the canals, “causing the levee and storm wall to collapse” and “result[ing] in
storm waters being distributed over large portions of New Orleans.” Humphreys
alleges that the cause of the collapse was “inadequate maintenance” of the levee
and storm wall on the part of the Orleans Levee District. She avers that as a
result of these events, her residence “was inundated with approximately 12
inches of storm water causing major damage to building and contents.” She
asserts that the efficient proximate cause of her loss was the levee and storm-
wall collapse, not flood and surface water. Humphreys states that Encompass
Indemnity has failed to pay for her losses, which she asserts were covered under
her policy. She brings claims for breach of contract and breach of the duty of
good faith and fair dealing, and she seeks compensatory damages, attorney’s
fees, and treble damages under various provisions of Title 22 of the Louisiana
Revised Statutes.
Humphreys’s homeowners policy with Encompass Indemnity covers direct
physical loss to real property, as well as direct physical loss to personal property
if caused by an enumerated peril. Both the real-property coverage and the
personal-property coverage are subject to exclusions, including the following
water-damage exclusion:
We do not insure for loss caused directly or indirectly by
any of the following. Such loss is excluded regardless of
8
Humphreys amended her petition to add the Orleans Levee District as a defendant.
Her claims against the Orleans Levee District are not at issue in this appeal.
16
No. 07-30119
any other cause or event contributing concurrently or in
any sequence to the loss.
1. Real Property and Tangible Personal Property.
We do not insure for loss:
a. Caused by water damage, meaning:
(1) Flood, surface water, waves, tidal
water, overflow of a body of water, or
spray from any of these, whether or
not driven by wind;
The policy also contains the following “Hurricane Deductible Endorsement”:
We will pay only that part of the total of the loss for all
Property Coverages that exceeds the hurricane
deductible stated on the Coverage Summary. The
hurricane deductible shown on the Coverage Summary
applies to all covered property for direct physical loss or
damage caused directly or indirectly by a hurricane as
defined below. Such deductible applies regardless of
any other cause or event contributing concurrently or in
any sequence to the loss. No other deductible provision
in the policy applies to direct physical loss caused by a
hurricane. In no event will the deductible applied for a
hurricane loss be less than the property deductible
shown on the Coverage Summary.
Hurricane means wind, wind gust, hail, rain, tornado,
cyclone or hurricane which results in direct physical
loss or damage to property by a storm system that has
been declared to be a hurricane by the National
Weather Service. . . .
....
All other provisions of this policy apply.
The Humphreys action was removed to federal court. On June 12, 2006,
Humphreys and Encompass Indemnity settled and agreed to dismiss with
prejudice (pursuant to Rule 41) the wind-damage portion of Humphreys’s claims
as well as the entirety of her bad-faith claim. The parties’ stipulation of partial
17
No. 07-30119
dismissal specified that the remaining claim was the “claim to seek recovery for
flood/rising water damage” under the policy.
The next day, Humphreys moved for partial summary judgment, asking
the district court to rule that her policy provided coverage for flood damage to
her residence pursuant to the policy’s hurricane-deductible endorsement. At oral
argument before the district court, according to the district court’s order,
Humphreys’s counsel also adopted the Chehardy, Vanderbrook, and Xavier
plaintiffs’ arguments concerning the ambiguity of the flood exclusion, and the
district court therefore construed Humphreys’s partial-summary-judgment
motion as also extending to the issue of the flood exclusion’s applicability.9
The district court granted in part and denied in part Humpreys’s motion.
The court concluded that the hurricane-deductible endorsement did not itself
create or extend coverage and denied Humphreys’s partial-summary-judgment
motion on this issue. But for the same reasons that the court construed most of
the policies in the Vanderbrook, Xavier, and Chehardy actions as providing
coverage, the court concluded that Humphreys’s alleged damage was covered
under her policy and granted partial summary judgment in her favor on this
issue.
E. Appeal
The district court certified that its orders involved a controlling question
of law as to which there is a substantial ground for a difference of opinion and
that appeal may materially advance the ultimate termination of the litigation.
All appellants and cross-appellants timely sought leave from this court to appeal
9
Encompass Indemnity disputes that Humphreys properly asserted the issue of the
flood exclusion’s applicability in her motion for partial summary judgment. Encompass
Indemnity characterizes the district court’s grant of partial summary judgment in
Humphreys’s favor on this issue as sua sponte and contends that it did not receive Rule 56(c)’s
requisite notice. Because we conclude that even if Encompass Indemnity did have notice, the
grant of partial summary judgment was nonetheless erroneous, we need not address whether
Encompass Indemnity received the required notice.
18
No. 07-30119
from the district court’s interlocutory order pursuant to 28 U.S.C. § 1292(b), and
we granted their requests.
All defendants except State Farm now appeal the district court’s order
concluding that the water damage resulting from the levee breaches was not
excluded by their policies’ flood exclusions. The Chehardy plaintiffs and the
Vanderbrook plaintiffs cross appeal the district court’s grant of State Farm’s
motions to dismiss. And Humphreys cross appeals the district court’s denial of
her motion for partial summary judgment on the issue whether her policy’s
hurricane-deductible endorsement provides coverage for her losses.
II. STANDARD OF REVIEW
We review de novo the district court’s order on a motion to dismiss for
failure to state a claim under Rule 12(b)(6). The “court accepts ‘all well-pleaded
facts as true, viewing them in the light most favorable to the plaintiff.’” Martin
K. Eby Constr. Co. v. Dallas Area Rapid Transit,
369 F.3d 464, 467 (5th Cir.
2004) (quoting Jones v. Greninger,
188 F.3d 322, 324 (5th Cir. 1999)). To survive
a Rule 12(b)(6) motion to dismiss, the plaintiff must plead “enough facts to state
a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 127 S.
Ct. 1955, 1974 (2007).10 “Factual allegations must be enough to raise a right to
relief above the speculative level, on the assumption that all the allegations in
the complaint are true (even if doubtful in fact).”
Id. at 1965 (quotation marks,
citations, and footnote omitted).
10
We have often stated that a claim should not be dismissed under Rule 12(b)(6) unless
the plaintiff would not be entitled to relief under any set of facts or any possible theory he may
prove consistent with the allegations in the complaint. See, e.g., Martin K. Eby
Constr., 369
F.3d at 467 (quoting
Jones, 188 F.3d at 324). This standard derived from Conley v. Gibson,
which stated that “a complaint should not be dismissed for failure to state a claim unless it
appears beyond doubt that the plaintiff can prove no set of facts in support of his claim which
would entitle him to relief.”
355 U.S. 41, 45-46 (1957). But recently in Bell Atlantic, the
Supreme Court made clear that the Conley rule is not “the minimum standard of adequate
pleading to govern a complaint’s
survival.” 127 S. Ct. at 1968-69.
19
No. 07-30119
Generally, in deciding a motion to dismiss for failure to state a claim, if
“matters outside the pleading are presented to and not excluded by the court, the
motion shall be treated as one for summary judgment.” FED. R. CIV. P. 12(b). In
this case, that would normally include the insurance contracts, since those
documents were not attached to the complaints. But because the defendants
attached the contracts to their motions to dismiss, the contracts were referred
to in the complaints, and the contracts are central to the plaintiffs’ claims, we
may consider the terms of the contracts in assessing the motions to dismiss. See
Causey v. Sewell Cadillac-Chevrolet, Inc.,
394 F.3d 285, 288 (5th Cir. 2004)
(“Documents that a defendant attaches to a motion to dismiss are considered
part of the pleadings if they are referred to in the plaintiff’s complaint and are
central to her claim.” (citing Collins v. Morgan Stanley Dean Witter,
224 F.3d
496, 498-99 (5th Cir. 2000))).
We also review de novo the district court’s decision on a Rule 12(c) motion
for judgment on the pleadings. See Great Plains Trust Co. v. Morgan Stanley
Dean Witter & Co.,
313 F.3d 305, 312 (5th Cir. 2002) (citing Hughes v. Tobacco
Inst., Inc.,
278 F.3d 417, 420 (5th Cir. 2001)). The standard for deciding such a
motion is the same as that for a Rule 12(b)(6) motion to dismiss for failure to
state a claim. See
id. at 313 n.8; see also 5C CHARLES ALAN WRIGHT & ARTHUR
R. MILLER, FEDERAL PRACTICE AND PROCEDURE § 1368 (3d ed. 2004). “The
central issue is whether, in the light most favorable to the plaintiff, the
complaint states a valid claim for relief.” Great Plains Trust
Co., 313 F.3d at 312
(citing
Hughes, 278 F.3d at 420).
We review a grant of summary judgment de novo, viewing all evidence in
the light most favorable to the nonmoving party and drawing all reasonable
inferences in that party’s favor. See Crawford v. Formosa Plastics Corp.,
234
F.3d 899, 902 (5th Cir. 2000). “Summary judgment is proper when the evidence
reflects no genuine issues of material fact and the non-movant is entitled to
20
No. 07-30119
judgment as a matter of law.”
Id. (citing FED. R. CIV. P. 56(c)). “A genuine issue
of material fact exists ‘if the evidence is such that a reasonable jury could return
a verdict for the non-moving party.’”
Id. (quoting Anderson v. Liberty Lobby,
Inc.,
477 U.S. 242, 248 (1986)).
III. DISCUSSION
A. Controlling Law
In diversity cases such as these, federal courts must apply state
substantive law. Erie R.R. Co. v. Tompkins,
304 U.S. 64, 78 (1938); Ashland
Chem. Inc. v. Barco Inc.,
123 F.3d 261, 265 (5th Cir. 1997). In determining
which state’s substantive law controls, the court applies the choice-of-law rules
of the forum state. See Klaxon Co. v. Stentor Elec. Mfg. Co.,
313 U.S. 487, 496
(1941). The parties agree that in these Louisiana actions involving the
interpretation of insurance policies issued in Louisiana for property located in
Louisiana, Louisiana’s substantive law controls. Cf. Am. Int’l Specialty Lines
Ins. Co. v. Canal Indem. Co.,
352 F.3d 254, 260 (5th Cir. 2003).
To determine Louisiana law, we look to the final decisions of the Louisiana
Supreme Court. See
id. In the absence of a final decision by the Louisiana
Supreme Court, we must make an Erie guess and determine, in our best
judgment, how that court would resolve the issue if presented with the same
case. See
id. In making an Erie guess, we must employ Louisiana’s civilian
methodology, whereby we first examine primary sources of law: the constitution,
codes, and statutes.
Id. (quoting Lake Charles Diesel, Inc. v. Gen. Motors Corp.,
328 F.3d 192, 197 (5th Cir. 2003)); Prytania Park Hotel, Ltd. v. Gen. Star Indem.
Co.,
179 F.3d 169 (5th Cir. 1999). “Jurisprudence, even when it rises to the level
of jurisprudence constante, is a secondary law source in Louisiana.” Prytania
Park
Hotel, 179 F.3d at 169 (footnote omitted); see also Am. Int’l Specialty Lines
Ins.
Co., 352 F.3d at 261 (quoting Transcon. Gas Pipe Line Corp. v. Transp. Ins.
21
No. 07-30119
Co.,
953 F.2d 985, 988 (5th Cir. 1992)). Thus, although we will not disregard the
decisions of Louisiana’s intermediate courts unless we are convinced that the
Louisiana Supreme Court would decide otherwise, we are not strictly bound by
them. Am. Int’l Specialty Lines Ins.
Co., 352 F.3d at 261.
Under Louisiana law, “[a]n insurance policy is a contract between the
parties and should be construed by using the general rules of interpretation of
contracts set forth in the Louisiana Civil Code.” Cadwallader v. Allstate Ins. Co.,
848 So. 2d 577, 580 (La. 2003). The Louisiana Civil Code provides that
“[i]nterpretation of a contract is the determination of the common intent of the
parties.” LA. CIV. CODE ANN. art. 2045 (1987); see also
Cadwallader, 848 So. 2d
at 580; La. Ins. Guar. Assoc. v. Interstate Fire & Cas. Co.,
630 So. 2d 759, 763
(La. 1994). An insurance contract must be “construed according to the entirety
of its terms and conditions as set forth in the policy, and as amplified, extended,
or modified by any rider, endorsement, or application attached to or made a part
of the policy.” LA. REV. STAT. ANN. § 22:654 (2004). Interpretation of an
insurance contract generally involves a question of law. Bonin v. Westport Ins.
Corp.,
930 So. 2d 906, 910 (La. 2006) (citing Robinson v. Heard,
809 So. 2d 943,
945 (La. 2002)); see also La. Ins. Guar.
Assoc., 630 So. 2d at 764.
“The words of a contract must be given their generally prevailing
meaning.” LA. CIV. CODE ANN. art. 2047 (1987); see also Cadwallader,
848 So.
2d at 580. “When the words of a contract are clear and explicit and lead to no
absurd consequences, no further interpretation may be made in search of the
parties’ intent.” LA. CIV. CODE ANN. art. 2046 (1987). “If the policy wording at
issue is clear and unambiguously expresses the parties’ intent, the insurance
contract must be enforced as written.”
Cadwallader, 848 So. 2d at 580.
Where, however, an insurance policy includes ambiguous provisions, the
“[a]mbiguity . . . must be resolved by construing the policy as a whole; one policy
provision is not to be construed separately at the expense of disregarding other
22
No. 07-30119
policy provisions.” La. Ins. Guar.
Ass’n, 630 So. 2d at 763 (citing LA. CIV. CODE
ANN. art. 2050 (1987) (“Each provision in a contract must be interpreted in light
of the other provisions so that each is given the meaning suggested by the
contract as a whole.”)). “Words susceptible of different meanings must be
interpreted as having the meaning that best conforms to the object of the
contract.” LA. CIV. CODE ANN. art. 2048 (1987). “A provision susceptible of
different meanings must be interpreted with a meaning that renders it effective
and not with one that renders it ineffective.”
Id. art. 2049 (1987).
Ambiguity may also be resolved through the use of the reasonable-
expectations doctrine—i.e., “by ascertaining how a reasonable insurance policy
purchaser would construe the clause at the time the insurance contract was
entered.” La. Ins. Guar.
Ass’n, 630 So. 2d at 764 (quoting Breland v. Schilling,
550 So. 2d 609, 610-11 (La. 1989)). “The court should construe the policy ‘to
fulfill the reasonable expectations of the parties in light of the customs and
usages of the industry.’”
Id. (quoting Trinity Indus., Inc. v. Ins. Co. of N. Am.,
916 F.2d 267, 269 (5th Cir. 1990)). “A doubtful provision must be interpreted in
light of the nature of the contract, equity, usages, the conduct of the parties
before and after the formation of the contract, and of other contracts of a like
nature between the same parties.” LA. CIV. CODE ANN. art. 2053 (1987).
“If after applying the other general rules of construction an ambiguity
remains, the ambiguous contractual provision is to be construed against the
drafter, or, as originating in the insurance context, in favor of the insured.” La.
Ins. Guar.
Ass’n, 630 So. 2d at 764. Article 2056 of the Louisiana Civil Code
provides: “In case of doubt that cannot be otherwise resolved, a provision in a
contract must be interpreted against the party who furnished its text. A
contract executed in a standard form of one party must be interpreted, in case
of doubt, in favor of the other party.” LA. CIV. CODE ANN. art. 2056 (1987).
“Under this rule of strict construction, equivocal provisions seeking to narrow an
23
No. 07-30119
insurer’s obligation are strictly construed against the insurer.”
Cadwallader,
848 So. 2d at 580. “That strict construction principle applies only if the
ambiguous policy provision is susceptible to two or more reasonable
interpretations; for the rule of strict construction to apply, the insurance policy
must be not only susceptible to two or more interpretations, but each of the
alternative interpretations must be reasonable.”
Id. The fact that a term is not
defined in the policy itself does not alone make that term ambiguous. Am.
Deposit Ins. Co. v. Myles,
783 So. 2d 1282, 1287 (La. 2001).
“An insurance contract, however, should not be interpreted in an
unreasonable or strained manner under the guise of contractual interpretation
to enlarge or restrict its provisions beyond what is reasonably contemplated by
unambiguous terms or achieve an absurd conclusion.”
Cadwallader, 848 So. 2d
at 580. “Courts lack the authority to alter the terms of insurance contracts
under the guise of contractual interpretation when the policy’s provisions are
couched in unambiguous terms.”
Id.
The policies in this case—which are homeowners, renters, and commercial-
property policies—are all-risk policies. All-risk policies “create[] a special type
of coverage that extends to risks not usually covered under other insurance;
recovery under an all-risk policy will be allowed for all fortuitous losses not
resulting from misconduct or fraud, unless the policy contains a specific
provision expressly excluding the loss from coverage.” Alton Ochsner Med.
Found. v. Allendale Mut. Ins. Co.,
219 F.3d 501, 504 (5th Cir. 2000) (applying
Louisiana law) (citing U.S. Indus., Inc. v. Aetna Cas. & Sur. Co.,
690 F.2d 459,
461 (5th Cir. 1982)). Insurers may, however, limit their liability under all-risk
policies: “[A]bsent a conflict with statutory provisions or public policy, insurers,
like other individuals, are entitled to limit their liability and to impose and to
enforce reasonable conditions upon the policy obligations they contractually
assume.” Carbon v. Allstate Ins. Co.,
719 So. 2d 437, 440 (La. 1998) (citing La.
24
No. 07-30119
Ins. Guar.
Assoc., 630 So. 2d at 763); see also
Bonin, 930 So. 2d at 911. But
“[e]xclusionary provisions in insurance contracts are strictly construed against
the insurer, and any ambiguity is construed in favor of the insured.” Ledbetter
v. Concord Gen. Corp.,
665 So. 2d 1166, 1169 (La. 2006) (citing Garcia v. St.
Bernard Parish Sch. Bd.,
576 So. 2d 975, 976 (La. 1991)).
B. Flood Exclusions
The plaintiffs contend that their policies’ flood exclusions do not
unambiguously exclude coverage for losses caused by an inundation of water
resulting from a breached levee where the breach occurred in part because the
levee was negligently designed, constructed, or maintained. The plaintiffs urge
us to conclude that the term “flood” is ambiguous in this context and that the
policies must be construed in favor of coverage. By contrast, the insurers
maintain that the policies unambiguously exclude coverage for the inundation
of water resulting from the breached levees.
The Louisiana Supreme Court has not interpreted a flood exclusion in the
context of breached levees. We must therefore make an Erie guess and
determine, in our best judgment, how that court would resolve the issue if
presented with this case.11 Am. Int’l Specialty Lines Ins. Co.,
352 F.3d 254 at
260.
11
The motions of Xavier and the Chehardy plaintiffs to certify the questions raised in
this appeal to the Louisiana Supreme Court pursuant to Rule XII of the Louisiana Supreme
Court Rules are denied. Although we acknowledge that the Louisiana Supreme Court has not
issued a definitive ruling on the interpretation of a flood exclusion in the context of the facts
before us, this is not alone sufficient to warrant certification. See Jefferson v. Lead Indus.
Ass’n, Inc.,
106 F.3d 1245, 1247 (5th Cir. 1997) (per curiam) (“Alone, the absence of a definitive
answer from the state supreme court on a particular question is not sufficient to warrant
certification.”). Because the rules of contract interpretation set forth in the Louisiana Civil
Code provide us with an adequate basis to decide this appeal, we decline the certification
requests. Cf. Swearingen v. Owens-Corning Fiberglas Corp.,
968 F.2d 559, 564 (5th Cir. 1992)
(refusing to certify question where “decisional analysis is relatively straightforward”).
25
No. 07-30119
The plaintiffs first contend that because the term “flood” is not defined in
the policies, it is ambiguous—indeed, the Chehardy plaintiffs say that the term’s
undefined status makes it per se ambiguous—requiring us to construe the term
in favor of coverage. But the fact that a term used in an exclusion “is not defined
in the policy itself . . . alone does not make the exclusion ambiguous; instead,
[the court] will give the term its generally prevailing meaning.” Am. Deposit Ins.
Co., 783 So. 2d at 1287 (citing LA. CIV. CODE art. 2047); see also Hendricks v. Am.
Employers Ins. Co.,
176 So. 2d 827, 830 (La. Ct. App. 1965);12 accord Bay Cities
Paving & Grading, Inc. v. Lawyers’ Mut. Ins. Co.,
855 P.2d 1263, 1270 (Cal.
1993) (rejecting rule that absence of definition makes term ambiguous even
where term has generally accepted meaning and stating: “[A]ny rule that rigidly
presumed ambiguity from the absence of a definition would be illogical and
unworkable. To avoid the ambiguity perceived . . . , an insurer would have to
define every word in its policy, the defining words would themselves then have
to be defined, their defining words would have to be defined, and the process
12
The Chehardy plaintiffs cite Hendricks for the proposition that if an insurance
company fails to define a pertinent term of the policy or exclusionary provision, the court must
adopt the meaning of that term most favorable to the policyholders. But Hendricks states:
“Where . . . a particular word or phrase is not defined [in the insurance policy], the courts will
endeavor by means of generally accepted legal techniques to ascertain the common and
popular meaning of such word or
phrase.” 176 So. 2d at 830. Rather than immediately
construe the undefined term in favor of the insured, the Hendricks court first looked to
dictionary definitions and other cases to determine if the term was ambiguous. See
id. at 830-
31.
The Chehardy plaintiffs also cite Arnette v. NPC Services, Inc.,
808 So. 2d 798 (La. Ct.
App. 2002). In that case the term being construed was “professional duty” in the context of a
professional-liability exclusion. The Arnette court did state: “Further, because ‘professional
duty’ is undefined in the First State policy, we conclude the professional liability exclusion is
ambiguous and must be construed in favor of NUS and against First State.”
Id. at 803. But
the term “professional duty,” unlike “flood,” lacks any generally prevailing meaning in common
parlance, and it thus provided no clear indication of what coverage was being excluded. Arnette
cannot stand for the proposition that even though a term has a generally accepted meaning
outside the context of the policy, the policy’s failure to define it nonetheless makes it
ambiguous; otherwise Arnette would conflict with article 2047’s command to give the words of
a contract their generally prevailing meaning. See LA. CIV. CODE ANN. art. 2047.
26
No. 07-30119
would continue to replicate itself until the result became so cumbersome as to
create impenetrable ambiguity.”).
The plaintiffs also maintain that because the insurers could have more
explicitly excluded floods that are caused in part by negligence, their failure to
do so in these policies makes the flood exclusions ambiguous. Specifically, the
Chehardy plaintiffs point to evidence that before Hurricane Katrina struck, the
insurer defendants knew about the availability of policy forms that more
explicitly excluded floods caused in part by man but that they elected not to
amend their policies’ language accordingly. Xavier, which was insured through
Travelers, also points to its policy’s “earth movement” exclusion, which excludes
earth movements “whether natural or man made”; Xavier asserts that Travelers
thus knew how to clearly exclude man-made floods but did not do so. Similarly,
the district court compared the flood exclusions in most of the policies with those
in the policies of State Farm and Hartford Insurance Company of the Midwest,13
remarking that those insurers succeeded with little effort in clearly excluding
water damage resulting from negligent acts and that the other insurers could
have done so as well.
But the fact that an exclusion could have been worded more explicitly does
not necessarily make it ambiguous. See La. Ins. Guar.
Ass’n, 630 So. 2d at 766
(“[T]hough . . . the Interstate policy could have more clearly delineated its
payment obligation, ‘that fact does not mandate the conclusion that the policy
was legally ambiguous.’” (quoting Garmany v. Mission Ins. Co.,
785 F.2d 941,
945-46 (11th Cir. 1986)). Nor does the fact that other policies have more
13
Hartford Insurance Company of the Midwest (“Hartford”) was a defendant in the
Vanderbrook action. The district court granted Hartford’s motion to dismiss for failure to state
a claim because its policy explicitly excluded coverage for loss caused by release of water held
by a levee. The Vanderbrook plaintiffs do not appeal this aspect of the district court’s order,
and Hartford is therefore not a party to this appeal.
27
No. 07-30119
explicitly defined the scope of similar exclusions. As the Louisiana Supreme
Court stated in Cadwallader when interpreting the term “relative”:
The appellate court further erred in reaching a
conclusion that because some insurance policies
specifically include foster children in their policy
definition of “relative” or “family member,” the term
“relative” is somehow rendered ambiguous in the policy
at issue. In making this assumption, the appellate
court ignored the fundamental precept that it was
required to interpret the term using its plain, ordinary
and generally prevailing meaning as set forth in the
policy at hand. . . . It is the particular insurance policy
of the insured that establishes the limits of liability and
it is well established that this contract of insurance is
the law between the parties. When we find the contract
of insurance is clear and unambiguous . . . we must
enforce the policy as written.
848 So. 2d at 583. We therefore reject the plaintiffs’ arguments that the flood
exclusions in the policies before us are ambiguous in light of more specific
language used in other policies.14
Furthermore, even where the scope of an exclusion is not readily apparent,
we do not immediately construe that exclusion in favor of coverage. Instead, we
first apply the general rules of contract construction set forth in the Civil Code.
La. Ins. Guar.
Ass’n, 630 So. 2d at 764. Under those rules, we give the words of
a contract their “generally prevailing meaning.” LA. CIV. CODE ANN. art 2047.
Dictionaries, treatises, and jurisprudence are helpful resources in ascertaining
a term’s generally prevailing meaning. See Gregor v. Argenot Great Cent. Ins.
Co.,
851 So. 2d 959, 964 (La. 2003) (“Dictionaries are a valuable source for
determining the ‘common and approved usage’ of words.”); Cadwallader,
848 So.
14
To the extent that the plaintiffs also argue that the language of the other policies may
be used to resolve ambiguity (not simply to demonstrate that an ambiguity exists), we need
not look to other policies because the flood exclusions in the policies before us are unambiguous
in the context of these facts.
28
No. 07-30119
2d at 581-83 (looking to dictionaries, treatises, and jurisprudence to interpret the
term “relative”). When the words of a policy provision are clear and
unambiguous in the context of the facts of the case and do not lead to an absurd
result, we apply the provision as written without any further interpretation. See
Cloud v. Nat’l Auto. Ins. Co.,
875 So. 2d 866, 870 (La. Ct. App. 2004); LA. CIV.
CODE ANN. art. 2046.
To ascertain the generally prevailing meaning of the term “flood,” we begin
by considering dictionary definitions of the term. Each of the dictionaries we
have accessed lists more than one definition of “flood,” but the existence of more
than one definition of a term does not itself make the term ambiguous. Citation
Ins. Co. v. Gomez,
688 N.E.2d 951, 953 (Mass. 1998); see also WEBSTER’S THIRD
NEW INTERNATIONAL DICTIONARY Explanatory Notes at 17a n.12.4 (2002)
(explaining that when a word has multiple definitions, the best definition “is the
one that most aptly fits the context of an actual genuine utterance”). Likewise,
when “a word has two meanings, one broad and one more restrictive included
within the broader meaning, it does not follow that the narrower meaning was
intended.” Comm. Union Ins. Co. v. Advance Coating Co.,
351 So. 2d 1183, 1186
(La. 1977); see also Falgout v. Walter Jester, Hampton Inc.,
883 So. 2d 515, 520
(La. Ct. App. 2004).
The Oxford English Dictionary has two pertinent definitions of “flood”: (1)
“[a]n overflowing or irruption[15] of a great body of water over land not usually
submerged; an inundation, a deluge” and (2) “[a] profuse and violent outpouring
of water; a swollen stream, a torrent; a violent downpour of rain, threatening an
inundation.” 5 OXFORD ENGLISH DICTIONARY 1075-76 (2d ed. 1989). Webster’s
Dictionary defines “flood” as “a rising and overflowing of a body of water that
15
“Irruption” is “[t]he action of bursting or breaking in; a violent entry, inroad,
incursion, or invasion, esp[ecially] of a hostile force or tribe.” 8 OXFORD ENGLISH DICTIONARY
104 (2d ed. 1989).
29
No. 07-30119
covers land not usu[ally] under water . . . [;] an outpouring of considerable
extent . . . [;] a great downpour.” WEBSTER’S THIRD NEW INTERNATIONAL
DICTIONARY 873 (2002). The sixth edition of Black’s Law Dictionary defines
“flood” as follows: “An inundation of water over land not usually covered by it.
Water which inundates area of surface of earth where it ordinarily would not be
expected to be.” BLACK’S LAW DICTIONARY 640 (6th ed. 1990). “Flood” itself is
not defined in the current (eighth) edition of Black’s Law Dictionary, but
“floodwater” is defined as “[w]ater that escapes from a watercourse in large
volumes and flows over adjoining property in no regular channel.” BLACK’S LAW
DICTIONARY 1622 (8th ed. 2004). The most straightforward definition comes
from the American Heritage Dictionary: “An overflowing of water onto land that
is normally dry.” AMERICAN HERITAGE DICTIONARY OF THE ENGLISH LANGUAGE
674 (4th ed. 2000). Finally, of particular interest is the discussion of “flood” in
the Columbia Encyclopedia, which specifically includes in the definition the
inundation of water resulting from the bursting of a levee:
[I]nundation of land by the rise and overflow of a body
of water. Floods occur most commonly when water
from heavy rainfall, from melting ice and snow, or from
a combination of these exceeds the carrying capacity of
the river system, lake, or ocean into which it runs. . . .
. . . Less predictable are floods resulting from . . .
the bursting of a natural or man-made dam or levee.
....
In the United States the Johnstown, Pa., flood of
1889, in which thousands of lives were lost, was caused
by the breaking of an earth dam above the city.
COLUMBIA ENCYCLOPEDIA 1002 (6th ed. 2000) (emphasis added).
We also consider the definitions of “flood” in treatises. Appleman’s
Insurance Law and Practice defines “flood waters” as “those waters above the
highest line of the ordinary flow of a stream, and generally speaking they have
30
No. 07-30119
overflowed a river, stream, or natural water course and have formed a
continuous body with the water flowing in the ordinary channel.” 5 JOHN ALAN
APPLEMAN & JEAN APPLEMAN, INSURANCE LAW AND PRACTICE § 3145 (1970). And
Couch on Insurance defines “flood” as “the overflow of some body of water that
inundates land not usually covered with water.” STEVEN PLITT ET AL., COUCH ON
INSURANCE § 153:54 (3d ed. 2006) [hereinafter COUCH]. Couch also states that
the term “flood” is generally unambiguous.
Id. § 153:49.
Additionally, we look to jurisprudence, both from Louisiana courts and
from courts outside Louisiana. In Riche v. State Farm Fire & Casualty Co., an
intermediate Louisiana court interpreted a policy’s exclusion for “flood, surface
water, tidal water or tidal wave, overflow of streams or other bodies of water, or
spray from any of the foregoing, all whether driven by wind or not.”
356 So. 2d
101, 103 (La. Ct. App. 1978). The plaintiff in Riche was fishing in a boat on a
lake when a windstorm caused the boat to sink,
id. at 103, and he sought
recovery under his homeowners insurance policy for the loss of his fishing gear,
which was on the boat when it sank,
id. at 102. The court held that the
exclusion did not preclude the plaintiff’s recovery, reasoning that the “exclusion,
when read as a whole, contemplates only such damage caused by water which
has risen over and covered areas not ordinarily covered by water” and does not
extend to “damage caused by windstorm (or resulting waves) over a body of
water, such as a lake or reservoir.”
Id. at 103-04. Riche, however, is of limited
value in this case because its determination was simply that a water-damage
exclusion applied only to losses that occurred on areas not normally covered by
water (i.e., dry land) and not to a loss occurring on a body of water. See
id. at
103-04; see also
COUCH, supra, at § 153:54 (citing Riche for the proposition that
“[b]ecause a flood is generally understood to mean the inundation of land, claims
by insurers that the inundation of a boat on the water is an excluded flood are
31
No. 07-30119
generally unsuccessful”). Unlike in Riche, the losses in this case occurred on
land that is normally dry.
Where courts outside Louisiana have considered whether a flood exclusion
similar to the ones here unambiguously precludes coverage for water damage
resulting from the failure of a structure such as a dam or dike, they have
uniformly declared that the inundation of water falls within the language of the
exclusion. Russell G. Donaldson, Annotation, What is “Flood” Within
Exclusionary Clause of Property Damage Policy,
78 A.L.R. 4th 817 (1990 & Supp.
2007) (citing Kane v. Royal Ins. Co. of Am.,
768 P.2d 678 (Colo. 1989); Bartlett
v. Cont’l Divide Ins. Co.,
697 P.2d 412 (Colo Ct. App. 1984); and E.B. Metal &
Rubber Indus., Inc. v. Fed. Ins. Co.,
84 A.D.2d 662 (N.Y. App. Div. 1981)).16
The most prominent such case is Kane, which arose in the context of the
failure of the Lawn Lake Dam in Colorado.
See 768 P.2d at 679. As a result of
the dam failure, water swept into the Fall River and inundated the plaintiffs’
insured property, causing extensive damage.
Id. The plaintiffs argued that
their all-risk policies provided coverage for the damage, even though the policies
16
The plaintiffs argue that E.B. Metal, which involved a broken dike, may be
distinguished because the flood exclusion in that case included in the definition of “flood” the
phrase “rising (including overflowing or breaking of boundaries) of lakes, reservoirs, rivers,
streams, or other bodies of
water.” 84 A.D.2d at 662-63 (emphasis added). The plaintiffs
assert that “breaking of boundaries” would include breaches of levees. We agree that E.B.
Metal’s rationale may not be fully applicable to this case on this basis. Nevertheless, the
plaintiffs have not directed us to any authority contradicting the proposition that in the context
of a broken dam, levee, or other similar structure, courts have reached a consensus that the
term “flood” is unambiguous and that flood exclusions preclude recovery.
We also do not include in our analysis TNT Speed & Sport Center, Inc. v. American
States Insurance Co.,
114 F.3d 731 (8th Cir. 1997), or Pakmark Corp. v. Liberty Mutual
Insurance Co.,
943 S.W.2d 256 (Mo. Ct. App. 1997), because the parties in those cases did not
dispute that a flood had occurred. Nor do we rely on Florida East Coast Railway v. United
States,
519 F.2d 1184 (5th Cir. 1975), or other cases interpreting the phrase “floods or flood
waters” in 33 U.S.C. § 702c, which grants the United States immunity for damage resulting
from floods, because the scope of the government’s immunity may be broader than the
exclusions in the policies before us, which we must strictly construe. See
Ledbetter, 665 So. 2d
at 1169.
32
No. 07-30119
contained flood exclusions.17
Id. at 680. The Colorado Supreme Court rejected
this argument and construed the term “flood” as extending to the water damage
resulting from the dam failure. The court relied in part on dictionary definitions
and the definition of “flood” in Appleman’s treatise and observed that “[t]he
inundation of insureds’ normally dry land falls squarely within these generally
accepted definitions of the term ‘flood.’”
Id. at 681. Concluding that the term
was unambiguous in light of its generally accepted meaning and in the context
of the facts of the case, the court declared that “there is no doubt that this large-
scale inundation of water was a ‘flood.’” Id.18
17
The flood exclusions in Kane provided:
The Company shall not be liable for loss:
....
12. caused by, resulting from, contributed to, or aggravated by
any of the following:
....
(b) flood, surface water, waves, tidal water or tidal waves,
overflow of streams or other bodies of water, or spray from any of
the foregoing, all whether driven by wind or
not.
768 P.2d at 679-80 (omissions in original).
18
The district court attempted to distinguish Kane in three ways, none of which
withstands scrutiny. First, the district court opined that Kane “applied the broadest possible
definition” of the term “flood,” whereas Louisiana law requires exclusions to be narrowly
construed. It is not clear on what basis the district court believed Kane applied the broadest
possible definition. The Kane court stated that it simply determined that in the context of the
facts before it, the flood exclusion was unambiguous, and it applied the exclusion as written.
This is entirely consistent with Louisiana law. See
Cadwallader, 848 So. 2d at 580 (“If the
policy wording at issue is clear and unambiguously expresses the parties’ intent, the insurance
contract must be enforced as written.”).
Second, the district court erroneously inferred that the failure of the Lawn Lake Dam
in Kane resulted from water overtopping the dam. The court opined that this factually
distinguished Kane from the case before us, where the allegations are not that the levees were
overtopped but that they collapsed when faced with conditions they should have withstood.
The district court relied on the following statement in Kane: “Although leakage from a
ruptured city water line does not fall within [Appleman’s] definition [of ‘flood’], the rising and
overflowing of Fall River does. . . . [T]he Fall River clearly overflowed above the highest line
of its ordinary flow.”
Kane, 768 P.2d at 682 (emphases added; brackets and quotation marks
33
No. 07-30119
In Wallis v. Country Mutual Insurance Co., an Illinois intermediate court
stated that the “plain and ordinary meaning” of “flood” is “water that escapes
from a watercourse in large volumes and flows over adjoining property in no
regular channel ending up in an area where it would not normally be expected.”
723 N.E.2d 376, 383 (Ill. Ct. App. 2000). The court held that it was immaterial
that a particular watercourse was originally man-made as long as it had a
defined bed, visible banks, and a recurrent water flow. See
id. Indeed, the court
observed that a permanent watercourse with these characteristics is considered
a natural watercourse. See
id. at 382; see also BLACK’S LAW DICTIONARY 1623
(8th ed. 2004) (“If [a man-made] watercourse is of a permanent character and
has been maintained for a sufficient length of time, it may be considered a
natural watercourse . . . .”). Accordingly, the Wallis court held that water that
had overflowed a man-made creek’s banks and damaged the plaintiff’s house was
a flood within the plain and ordinary meaning of the term,
id. at 383, and that
the plaintiff’s loss was excluded by his insurance policy’s flood exclusion,
id. at
384.
In light of these definitions, we conclude that the flood exclusions are
unambiguous in the context of this case and that what occurred here fits
squarely within the generally prevailing meaning of the term “flood.” When a
omitted). But Kane never stated nor implied that water overtopped the dam; instead, it stated
that the river, which was downstream from the dam, overflowed its ordinary boundaries due
to the large volume of water pouring in from the failed dam.
Third, the district court observed that it was unclear from Kane whether Colorado
follows the doctrine of efficient proximate cause, pointing to the clause: “the ‘efficient moving
cause’ rule, if it were to be adopted by this court.”
Id. at 685. Assuming without deciding that
Louisiana does follow the efficient-proximate-cause doctrine, the doctrine has no impact on how
a term within a policy exclusion should be construed. The doctrine comes into play only when
both a covered loss and an excluded loss are identified. See Pieper v. Commercial Underwriters
Ins. Co.,
69 Cal. Rptr. 2d 551, 557 (Cal. Ct. App. 1997). This distinction therefore is
immaterial.
34
No. 07-30119
body of water overflows19 its normal boundaries and inundates an area of land
that is normally dry, the event is a flood. This is precisely what occurred in New
Orleans in the aftermath of Hurricane Katrina. Three watercourses—the 17th
Street, Industrial, and London Avenue Canals—overflowed their normal
channels, and the levees built alongside the canals to hold back their floodwaters
failed to do so. As a result, an enormous volume of water inundated the city. In
common parlance, this event is known as a flood.
Additionally, a levee is a flood-control structure; its very purpose is to
prevent the floodwaters of a watercourse from overflowing onto certain land
areas, i.e., to prevent floods from becoming more widespread. See 50 AM. JUR.
2D Levees and Flood Control § 1 (2006) (defining “levee” as “an embankment
constructed along the edge of a river to prevent flooding” and describing levees
as one of three principal means of flood prevention and control); WEBSTER’S
THIRD NEW INTERNATIONAL DICTIONARY 1300 (2002) (defining “levee” as “an
embankment designed to prevent flooding”). By definition, whenever a levee
ruptures and fails to hold back floodwaters, the result is a more widespread
flood. That a levee’s failure is due to its negligent design, construction, or
maintenance does not change the character of the water escaping through the
levee’s breach; the waters are still floodwaters, and the result is a flood.
The plaintiffs, however, attempt to inject ambiguity into the term “flood”
by asserting that a reasonable interpretation of the term is that it refers only to
19
The district court noted the presence of the word “overflowing” in many of the
dictionary definitions and explicitly equated “overflowing” with“overtopping” (even though the
term “overtopping” was nowhere to be found in the definitions), referring to the definitions as
“the ‘overtopping’ definitions.” Since the levees’ failures here are not alleged to have occurred
due to water overtopping the levees, the court inferred that the breaches did not result in a
flood. But the court’s substitution of “overtopping” for “overflowing” was erroneous. “Overflow”
means (1) “[t]o flow over; to overspread or cover with water or other liquid; to flood, inundate”;
(2) “[t]o pass or spread over like a flood, so as to pervade, fill, cover, submerge, overwhelm,
etc.”; and (3) “[t]o flow over (the brim, banks, or sides).” 10 OXFORD ENGLISH DICTIONARY
1086. This is much broader than “overtop,” which means “[t]o rise over or above the top of; to
surpass in height, surmount, tower above, top.”
Id. at 1131.
35
No. 07-30119
inundations of water with “natural” causes, not those with a “non-natural”
cause. The plaintiffs rely primarily on cases interpreting flood exclusions in the
context of broken water mains. They also assert, applying two canons of
construction, noscitur a sociis and ejusdem generis, that a flood includes only
natural events because the other terms in the water-damage exclusions are
natural phenomena. Additionally, they contend that a reasonable policyholder
would expect that only naturally occurring floods would be excluded.
Before we address these contentions, we first question the notion that the
flood in this case was non-natural. The plaintiffs focus on the alleged negligent
design, construction, or maintenance of the levees as being the cause of the flood,
and we accept as true (for the purpose of assessing the motions to dismiss) their
allegation that the canals’ floodwaters would not have reached their property
had the negligence not occurred. This focus, however, ignores the sizeable
natural component to the disaster: a catastrophic hurricane and the excess water
associated with it. The non-natural component is simply that in certain areas,
man’s efforts to mitigate the effect of the natural disaster failed, with
devastating consequences. But if man’s failure to adequately prepare for a
natural disaster could alone transform the disaster into a non-natural event
outside the scope of a policy’s exclusion, it is difficult to conceive how an insurer
could ever exclude the resulting loss; any natural event could be recharacterized
as non-natural either because man’s preventative measures were inadequate or
because man failed to take preventative measures at all.
Even if we accept the plaintiffs’ characterization of the flood in this case
as non-natural, we disagree that the term “flood” in this context is limited to
natural events. The plaintiffs first maintain that dictionary definitions support
their interpretation, but the dictionaries we have reviewed make no distinction
36
No. 07-30119
between floods with natural causes and those with non-natural causes.20 Indeed,
the Columbia Encyclopedia specifically states that a flood may result from the
bursting of a levee. See COLUMBIA ENCYCLOPEDIA 1002. Similarly, Appleman’s
treatise states: “A ‘flood,’ contemplated by the exclusion, can result from either
natural or artificial causes.” 5 JOHN ALAN APPLEMAN & JEAN
APPLEMAN, supra,
at § 3145 (Supp. 2007) (citing Kane,
768 P.2d 678).
The plaintiffs next rely heavily on a line of cases, arising in the context of
broken water mains, holding that the term “flood” in a policy’s exclusion was
ambiguous based on a distinction between natural and non-natural events. For
example, in Ferndale Development Co. v. Great American Insurance Co., a
Colorado intermediate court observed that “[s]everal cases have held that [‘flood’]
appl[ies] only in cases where ‘natural’ water sources are involved,” and it
concluded that the term was ambiguous and thus did not extend to water from
a burst water main.
527 P.2d 939, 940 (Colo. Ct. App. 1974); see also Ebbing v.
State Farm Fire & Cas. Co.,
1 S.W.3d 459 (Ark. Ct. App. 1999) (following
Ferndale and concluding that “the term ‘flood’ is unambiguous but that its
common usage applies to water occasioned from natural events rather than a
burst water main”). Similarly, a New York intermediate court held that a flood
exclusion did not apply in the context of a broken water main because the term
“flood” “connotes an inundation; a deluge.” Popkin v. Sec. Mut. Ins. Co. of N.Y.,
20
Xavier points to the mentioning of “Act of God” in the sixth edition of Black’s Law
Dictionary’s definition of “flood” as authority for limiting floods to natural events. Since an
“Act of God” is “[a]n act occasioned exclusively by forces of nature without the interference of
any human agency,” BLACK’S LAW DICTIONARY 33 (6th ed. 1990), Xavier posits that for an
event to be a flood, it must be purely natural. But Black’s Law Dictionary does not include
“Act of God” in the definition of “flood” or indicate that they are entirely synonymous; it instead
cross-references (i.e., it states, “See also”) “Act of God” at the end of the definition. See
id. at
640. This singular cross-reference is not sufficient to persuade us that the dictionary
definitions of “flood” limit it to purely naturally occurring events. Furthermore, as we
explained, the flood occurred here in the context of an enormous hurricane, and it thus had a
significant natural component.
37
No. 07-30119
48 A.D.2d 46, 48 (N.Y. App. Div. 1975). That court also opined that even if the
term “flood” is to be read broadly so as to include any “great quantity” of water,
the term should be construed in light of the other terms in the exclusion (surface
water, waves, tidal water, tidal wave, etc.), which it stated “relate to natural
phenomena.” Id.; see also Ender v. Nat’l Fire Ins. Co. of Hartford,
169 A.D.2d
420, 421 (N.Y. App. Div. 1991) (following Popkin and concluding that flood
exclusion did not bar recovery for damage resulting from water-main break
because the exclusion “preclude[d] only recovery for damages arising from
natural causes, not from artificial devices”); cf. Mellon v. Hingham Mut. Fire Ins.
Co.,
472 N.E.2d 674, 675 (Mass. App. Ct. 1984) (concluding that exclusion for
“water below the surface of the ground” did not exclude damage from drainage
pipe’s rupture because the “loss was caused by an accidental break rather than
a natural occurrence” and, as a fortuity, was “the kind of risk an ‘all risk’ policy
is designed to cover”).21
Although we do not quibble with the results reached in the water-main
cases, we do not believe that a distinction between natural and non-natural
causes is applicable in this context. First, unlike a canal, a water main is not a
21
The plaintiffs also rely on cases interpreting “earth movement” exclusions in
insurance policies. Such exclusions typically define “earth movement” as including
earthquake, volcanic eruption, landslide, subsidence, mud flow, sink hole, erosion, sinking,
shifting, and settling. See, e.g., Murray v. State Farm Fire & Cas. Co.,
509 S.E.2d 1, 8 (W. Va.
1998). “A small majority of jurisdictions hold that [such] exclusions do not apply to earth
movements that are non-natural in origin or source.”
COUCH, supra, at § 153:65 (collecting
cases); see also
id. §§ 153:66-:67; Fayad v. Clarendon Nat’l Ins. Co.,
899 So. 2d 1082, 1086-89
(Fla. 2005);
Murray, 509 S.E.2d at 4-5, 10; Peach State Uniform Serv., Inc. v. Am. Ins. Co.,
507
F.2d 996, 1000 (5th Cir. 1975) (applying Georgia law).
We do not question the holdings or the rationale of the earth-movement cases. But the
usefulness of a distinction between natural and non-natural causes in one context does not
necessarily mean that the distinction is warranted in an unrelated context. These two contexts
are unrelated in part because the term “earth movement,” unlike “flood,” does not have a
generally prevailing meaning in common parlance. And as we explain, a distinction between
natural and non-natural causes in the context of a broken levee would be unworkable and
would yield absurd results.
38
No. 07-30119
body of water or watercourse. Many (although not all) dictionary definitions
define “flood” as an overflow or inundation of a body of water or watercourse.22
Likewise, Appleman’s treatise observes that flood waters generally come from
a “river, stream, or natural water course.”23 5 JOHN ALAN APPLEMAN & JEAN
APPLEMAN, supra, at § 3145. So where a water-main break is involved, it is less
clear that the flow of water is within the generally prevailing meaning of “flood.”
See
Kane, 768 P.2d at 681 (reasoning that in the context of a ruptured water
main, the term “flood” is ambiguous in part “because a water main is not so
clearly a body of water” (quotation marks omitted));
Wallis, 723 N.E.2d at 383
(distinguishing between rupture of water main and overflow of watercourse,
regardless of whether the watercourse was originally man-made or forged from
nature). Couch on Insurance recognizes a distinction between water-main
breaks and the overflow of a body of water and opines that the body-of-water
delineation is more useful than the natural/non-natural distinction in
determining whether an event is a flood:
Some jurisdictions attempt to distinguish
naturally occurring floods from inundations from
artificial or man-made causes such as dams or water
mains. Such distinctions lead to apparent
inconsistencies. For example, an inundation from the
failure of a dam is considered a flood, while water
pouring from a broken water main is not a flood.
Therefore, distinguishing events based on whether the
22
The Oxford English Dictionary and Webster’s Dictionary refer to “body of water.” 5
OXFORD ENGLISH DICTIONARY 1075-76; WEBSTER’S THIRD NEW INTERNATIONAL DICTIONARY
873. Black’s Law Dictionary refers to “watercourse.” BLACK’S LAW DICTIONARY 1622 (8th ed.
2004). And the Columbia Encyclopedia refers to “river system, lake, or ocean.” COLUMBIA
ENCYCLOPEDIA 1002.
23
A man-made watercourse may be considered natural if it is permanent and has been
maintained for a sufficient length of time. BLACK’S LAW DICTIONARY 1623 (8th ed. 2004); see
also Wallis v. Country Mut. Ins. Co.,
723 N.E.2d 376, 382 (Ill. Ct. App. 2000) (stating that a
permanent watercourse with a defined bed, visible banks, and a recurrent water flow is
considered natural, even if it was originally man-made).
39
No. 07-30119
inundation had a natural or artificial cause may be
unhelpful, especially if the policy itself does not make
such a distinction. Instead, the key to reconciling these
cases lies in the common definition of a flood as an
overflow from a body of water. Thus, when the
inundation results from the overflow of a body of water,
whether natural or artificial, the event is a flood.
Conversely, if the inundation does not arise from the
overflow of a body of water, as when a water main
breaks, the event is not a flood.
COUCH, supra, at § 153:54 (footnotes omitted).24
Second, the amount of water generally released from a broken water main
is not comparable to the massive inundation of water that occurred when the
levees in New Orleans ruptured. Cf.
Kane, 768 P.2d at 681 (distinguishing
water-main cases on the basis that the amount of water released from a broken
water main is “less clearly an inundation or deluge” (quotation marks omitted)).
A broken water main or other pipe would generally be expected to produce more
localized water damage and lacks the same potential to inundate large swaths
of land that a breached levee or a failed dam would have. Although the plaintiffs
argue that the quantity of water involved should make no difference and that the
key inquiry instead should be the cause of the water damage, inherent in the
definition of “flood” is the concept of inundation or deluge, and it seems apparent
that the greater the inundation involved in an event, the more clearly that event
is a flood. See
Popkin, 48 A.D.2d at 48 (concluding that flood exclusion does not
encompass water-main break because the term “flood” “connotes an inundation;
a deluge”).
Third, and most important, unlike water mains, levees are flood-control
structures, which by definition means that they interact with floodwaters.
24
Xavier’s counsel contended at oral argument that the canals in this case were not
bodies of water because they were man-made. We disagree; the canals in this case are plainly
watercourses, regardless of their man-made genesis. And a flood may result from the overflow
of a watercourse regardless of whether it was man-made. See
Wallis, 723 N.E.2d at 383.
40
No. 07-30119
Because levees are man-made, one could point to man’s influence nearly any
time a levee fails. If a levee fails despite not being overtopped by the
floodwaters, it is because the levee was not adequately designed, constructed, or
maintained. If a levee fails due to the floodwaters overtopping it or loosening its
footings, it is because the levee was not built high enough or the footings were
not established strongly or deeply enough. Even where a levee does not fail, one
could find a non-natural flood; where a properly designed and constructed levee
causes floodwaters to be diverted downstream to another area of land, the
resulting flood downstream occurs because the levee performs as designed. Any
time a flooded watercourse encounters a man-made levee, a non-natural
component is injected into the flood, but that does not cause the floodwaters to
cease being floodwaters. Cf. Smith v. Union Auto. Indem. Co.,
752 N.E.2d 1261,
1267 (Ill. App. Ct. 2001) (concluding that surface water does not lose its
characterization as surface water simply because it is touched or affected by
man-made structures). The distinction between natural and non-natural causes
in this context would therefore lead to absurd results and would essentially
eviscerate flood exclusions whenever a levee is involved. Consequently, we
decline to follow this approach in this case. See LA. CIV. CODE ANN. art. 2049
(directing the court to interpret a term with a meaning that renders that term
effective).
The plaintiffs additionally contend that the canons of construction known
as noscitur a sociis and ejusdem generis support the proposition that the term
“flood” is limited to purely natural events.25 Although we have concluded that
the distinction between natural and non-natural events in this context is
unworkable and would lead to absurd results, we will nonetheless engage the
25
In the context of interpreting earth-movement exclusions, some courts have applied
these canons of construction to support a distinction between naturally and non-naturally
occurring earth movements. See
COUCH, supra, at § 153:66; Murray v. State Farm Fire & Cas.
Co.,
509 S.E.2d 1, 9 (W. Va. 1998).
41
No. 07-30119
plaintiffs’ arguments about these canons. Under the canon of noscitur a sociis,
a term is interpreted by considering the meaning of the terms associated with
it. See United States v. Golding,
332 F.3d 838, 844 (5th Cir. 2003) (per curiam);
BLACK’S LAW DICTIONARY 1087 (8th ed. 2004) (“A canon of construction holding
that the meaning of an unclear word or phrase should be determined by the
words immediately surrounding it.”). Under the canon of ejusdem generis,
“where general words follow the enumeration of particular classes of persons or
things, the general words will be construed as applicable only to persons or
things of the same general nature or class as those enumerated.” First Am. Title
Ins. Co. v. First Trust Nat’l Ass’n (In re Biloxi Casino Belle Inc.),
368 F.3d 491,
500 (5th Cir. 2004); see also BLACK’S LAW DICTIONARY 556 (8th ed. 2004). The
plaintiffs assert that under these canons, the term “flood” includes only
naturally occurring events because the other terms in the water-damage
exclusions—e.g., “surface water,” “waves,” “tidal water,” and “overflow of a body
of water”—are events that occur naturally.
We disagree that the other terms in the exclusion necessarily refer to
natural events. For example, a “surface water” exclusion has been held to bar
coverage where the inadequate design of a drainage system caused water to
accumulate rather than drain away, resulting in water damage. See Front Row
Theatre, Inc. v. Am. Mfr.’s Ins. Cos.,
18 F.3d 1343, 1348 (6th Cir. 1994) (applying
Ohio law). And the term “waves” has been held to “encompass[] both those
waves which are motivated by natural forces and those motivated by artificial
forces” such as passing motorboats. See O’Meara v. Am. States Ins. Co.,
268
N.E.2d 109, 111-12 (Ind. Ct. App. 1971). Since at least some of the terms
immediately surrounding “flood” in the water-damage exclusions also relate to
both natural and non-natural events, the canon of noscitur a sociis does not
support the plaintiffs’ proposed limitation of the term “flood.” And ejusdem
generis is not at all applicable in interpreting “flood” in the exclusions before us.
42
No. 07-30119
This canon is used to interpret general terms (e.g., “and the like”) following a
list of specific terms. See First Am. Title Ins.
Co., 368 F.3d at 500. But “flood”
is not a general term; it is one of the specific terms listed in the definition of
“water damage.” Moreover, if we were to employ these canons to justify a
distinction between natural and non-natural floods in the context of the facts
before us, we would be injecting ambiguity into an otherwise unambiguous term.
We decline to do so. See Tourdot v. Rockford Health Plans, Inc.,
439 F.3d 351,
354 (7th Cir. 2006) (stating that ejusdem generis applies only where a term is
ambiguous, that it may not be used “both to create and to resolve the ambiguity,”
and that it “may not be used to defeat the obvious purpose or plain meaning of
the text”); Schenkel & Shultz, Inc. v. Homestead Ins. Co.,
119 F.3d 548, 551 (7th
Cir. 1997) (“We cannot use the doctrine [of noscitur a sociis] to create
uncertainty in an otherwise unambiguous term . . . .”).
The plaintiffs finally contend that the reasonable expectations of
homeowners insurance policyholders would be that damage resulting from man-
made floods would be covered. “[A]scertaining how a reasonable insurance policy
purchaser would construe the clause at the time the insurance contract was
entered” is one way that ambiguity in an exclusion clause may be resolved. La.
Ins. Guar.
Ass’n, 630 So. 2d at 764. But “Louisiana law . . . precludes use of the
reasonable expectations doctrine to recast policy language when such language
is clear and unambiguous.” Coleman v. Sch. Bd. of Richland Parish,
418 F.3d
511, 522 (5th Cir. 2005). As we have explained, the flood exclusions in the
policies are unambiguous in the context of the specific facts of this case; thus, we
need not resort to ascertaining a reasonable policyholder’s expectations. For the
sake of thoroughness, however, we will briefly address a few of the parties’
arguments.
First, the plaintiffs assert that because their policies are all-risk policies,
they have a heightened expectation of coverage and that a reasonable
43
No. 07-30119
policyholder thus would not expect water damage resulting from third-party
negligence to be excluded. Although a few courts have stated that insureds with
all-risk policies have “heightened expectations” of coverage, see, e.g., Murray v.
State Farm Fire & Cas. Co.,
509 S.E.2d 1, 14 (W. Va. 1998), we are not aware of
any Louisiana court that has so held. And although all-risk policies do generally
extend to all fortuitous losses, this is true only to the extent that the policy does
not expressly exclude the loss from coverage. See Alton Ochsner Med.
Found.,
219 F.3d at 504. Each policy in this case contains a specific provision expressly
excluding damage caused by flood, and none of the exclusions indicates that
whether a particular flood is excluded depends on whether its cause is purely
natural. Given the generally prevailing use of the term “flood,” we believe a
reasonable policyholder would expect a massive inundation of water from a
breached levee to be excluded, notwithstanding the all-risk nature of the policies.
Second, the plaintiffs assert that because many of the policies contained
a “Hurricane Deductible Endorsement,” reasonable policyholders would expect
those policies to cover damage resulting from a hurricane. Many of the policies
contained an endorsement materially similar to the following, from Humphreys’s
policy with Encompass Indemnity:
We will pay only that part of the total of the loss for all
Property Coverages that exceeds the hurricane
deductible stated on the Coverage Summary. The
hurricane deductible shown on the Coverage Summary
applies to all covered property for direct physical loss or
damage caused directly or indirectly by a hurricane as
defined below. Such deductible applies regardless of
any other cause or event contributing concurrently or in
any sequence to the loss. No other deductible provision
in the policy applies to direct physical loss caused by a
hurricane. In no event will the deductible applied for a
hurricane loss be less than the property deductible
shown on the Coverage Summary.
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No. 07-30119
Hurricane means wind, wind gust, hail, rain, tornado,
cyclone or hurricane which results in direct physical
loss or damage to property by a storm system that has
been declared to be a hurricane by the National
Weather Service. . . .
....
All other provisions of this policy apply.
The plaintiffs assert that in light of this language, a reasonable policyholder
would have expected the water damage in this case to be covered. Humphreys
goes a step further and argues that the hurricane-deductible endorsement in her
policy actually expands coverage to extend to any property damage caused by a
hurricane.
But the plain language of the hurricane-deductible endorsements indicates
that they do nothing more than alter the deductible for damage caused by a
hurricane. Nothing in the language of the endorsements purports to extend
coverage for floods or to restrict flood exclusions; indeed they do not even include
flood or water (other than rain) in the definition of “hurricane.” Further, the
endorsements state that all other provisions of the policies apply, indicating that
the flood exclusions remain in effect. The hurricane-deductible endorsements
therefore would not give a reasonable policyholder the impression that flood
resulting from a breached levee would be covered.
Finally, several defendants26 argue that in light of flood insurance
available though the National Flood Insurance Program (“NFIP”), a reasonable
policyholder would not expect homeowners policies to cover the flooding in this
case. The defendants assert that we may consider the NFIP in interpreting
“flood” because custom and industry usage is relevant under article 2053 of the
Civil Code. They contend that the NFIP’s existence over many years has made
26
Specifically, Standard, Hanover, Great Northern, and the ISO Defendants make this
argument.
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No. 07-30119
it clear to property owners that standard all-risk policies do not cover flood
damage, regardless of whether the cause of the flood is natural or non-natural,
and that property owners who want flood coverage must purchase it through the
NFIP; a reasonable policyholder thus would not expect the inundation of water
in this case to be covered under a standard homeowners, renters, or commercial-
property insurance policy.
The plaintiffs, in contrast, urge us not to consider the NFIP, contending
that it has no bearing on this appeal. And to the extent the NFIP may be
relevant, the plaintiffs argue that a reasonable policyholder would expect the
NFIP to provide coverage for naturally occurring floods but that floods induced
by negligence would be covered under standard all-risk policies.
We do not rely upon the NFIP to decide this appeal. Our decision is based
instead upon our determination that the flood exclusions in the policies before
us unambiguously preclude the plaintiffs’ recovery. But to the extent that the
NFIP’s definition of “flood” is further evidence of the term’s generally prevailing
meaning, we note that it is consistent with our interpretation. Standard
insurance policies issued under the NFIP define “flood” as follows:
A general and temporary condition of partial or
complete inundation of two or more acres of normally
dry land area or of two or more properties (one of which
is [the policyholder’s] property) from:
a. Overflow of inland or tidal waters,
b. Unusual and rapid accumulation or runoff of
surface waters from any source,
c. Mudflow.
44 C.F.R. Pt. 61, App. A(1), App. A(2), App. A(3) (2006); see also Federal
Emergency Management Agency, FloodSmart.gov: What is a Flood?, http://www.
floodsmart.gov/floodsmart/pages/whatflood.jsp (last visited July 25, 2007). The
NFIP makes no distinction between inundations of water caused by natural
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No. 07-30119
levee ruptures and those caused by man-made ruptures (even if such a
distinction were workable). The canals’ overflowing into the City of New Orleans
due to the levee ruptures was certainly an overflow of inland waters as used in
the NFIP’s definition, and it may also have been an unusual and rapid runoff of
surface waters.
In sum, we conclude that the flood exclusions in the plaintiffs’ policies are
unambiguous in the context of the facts of this case. In the midst of a hurricane,
three canals running through the City of New Orleans overflowed their normal
boundaries. The flood-control measures, i.e., levees, that man had put in place
to prevent the canals’ floodwaters from reaching the city failed. The result was
an enormous and devastating inundation of water into the city, damaging the
plaintiffs’ property. This event was a “flood” within that term’s generally
prevailing meaning as used in common parlance, and our interpretation of the
exclusions ends there. The flood is unambiguously excluded from coverage
under the plaintiffs’ all-risk policies, and the district court’s conclusion to the
contrary was erroneous.27
C. Efficient Proximate Cause and Anti-Concurrent-Causation Clauses
Lastly we turn to the doctrine of efficient proximate cause. Under this
doctrine, as it is applied in many jurisdictions, where a loss is caused by a
combination of a covered risk and an excluded risk, the loss is covered if the
covered risk was the efficient proximate cause of the loss.28 See, e.g., Chadwick
27
Because we reach this conclusion, we need not address the issue raised in the cross-
appeals of the impact of the “lead-in” language in the State Farm policies.
28
To our knowledge, the Louisiana Supreme Court has not addressed the applicability
of the efficient-proximate-cause doctrine in the context of an all-risk policy. But it has
concluded in the context of interpreting a windstorm insurance policy (which provided coverage
only for loss caused by windstorm) that “if a windstorm is the dominant and efficient cause of
the loss, the insured may recover notwithstanding that another cause or causes contributed
to the damage suffered.” Lorio v. Aetna Ins. Co.,
232 So. 2d 490, 493 (La. 1970); see also
Roach-Strayhan-Holland Post No. 20, Am. Legion Club, Inc. v. Continental Ins. Co. of N.Y.,
112
So. 2d 680, 683 (La. 1959) (“[I]t is sufficient, in order to recover upon a windstorm insurance
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No. 07-30119
v. Fire Ins. Exch.,
21 Cal. Rptr. 2d 871, 873 (Cal. Ct. App. 1993); Kish v. Ins. Co.
of N. Am.,
883 P.2d 308, 311 (Wash. 1994); see also
COUCH, supra, at §§ 101:43-
:45, :53-:55. The efficient proximate cause of the loss is the dominant,
fundamental cause or the cause that set the chain of events in motion. See
COUCH, supra, at § 101:45.
Many of the insurance policies at issue in this appeal excluded “loss caused
directly or indirectly by” flood “regardless of any other cause or event
contributing concurrently or in any sequence to the loss.” This language, which
the district court referred to as an anti-concurrent-causation clause, has been
recognized as demonstrating an insurer’s intent to contract around the operation
of the efficient-proximate-cause rule. See, e.g., TNT Speed & Sport Ctr., Inc. v.
Am. States Ins. Co.,
114 F.3d 731, 732-33 (8th Cir. 1997).
The district court considered the anti-concurrent-causation clauses in this
case and concluded that they are inapplicable here because there were not two
separate causes of the plaintiffs’ damage. The court remarked that this case
does not present a combination of forces that caused damage and that it
therefore is not analogous to cases where Hurricane Katrina may have damaged
property through both wind and water. Cf. Tuepker v. State Farm Fire & Cas.
Co.,
2006 U.S. Dist. LEXIS 34710 (S.D. Miss. May 24, 2006) (unpublished
opinion) (Hurricane Katrina case involving alleged damage from wind, rain, and
storm surge), appeal docketed, Nos. 06-61075 & 06-61076 (5th Cir.). Instead, the
court stated that “in this case the ‘cause’ conflates to the flood,” meaning that the
alleged negligent design, construction, or maintenance of the levees and the
resulting flood were not separate causes of the plaintiffs’ losses. Consequently,
policy not otherwise limited or defined, that the wind was the proximate or efficient cause of
the loss or damage, notwithstanding other factors contributing thereto.”). We express no
opinion on the extent to which Louisiana follows the efficient-proximate-cause rule in the
context of all-risk policies because we conclude that the rule is inapplicable to this case.
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No. 07-30119
the court concluded that the anti-concurrent-causation clauses needed not be
addressed at that time but stated that they may need to be addressed at later
stages in the litigation.
On appeal, several insurers rely in part on the language in their anti-
concurrent-causation clauses to demonstrate that floods are excluded regardless
of the cause. The Chehardy plaintiffs respond that “the District Court correctly
determined that the anti-concurrent causation clauses were inapplicable,”
contending that the cause of their damage (“man-made inundation of water or
inundation resulting from third-party negligent acts”) was a covered peril.29
Xavier responds that the district court “correctly noted that [the anti-concurrent-
causation clause] is inapplicable because there is no separate or other cause of
damage.”
We agree with the district court’s determination that we need not address
whether insurers may contract around the efficient-proximate-cause rule under
Louisiana law, nor need we address the operation of the efficient-proximate-
cause rule itself in this case. The efficient-proximate-cause doctrine applies only
where two or more distinct actions, events, or forces combined to create the loss.
See Pieper v. Commercial Underwriters Ins. Co.,
69 Cal. Rptr. 2d 551, 557 (Cal.
Ct. App. 1997) (“For the efficient proximate cause theory to apply, . . . there must
be two separate or distinct perils . . . .”);
Kish, 883 P.2d at 311 (“The efficient
proximate cause rule applies only where two or more independent forces operate
to cause the loss.”). But here, on these pleadings, there are not two independent
causes of the plaintiffs’ damages at play; the only force that damaged the
plaintiffs’ properties was flood. To the extent that negligent design,
construction, or maintenance of the levees contributed to the plaintiffs’ losses,
it was only one factor in bringing about the flood; the peril of negligence did not
29
The Vanderbrook plaintiffs and Humphreys adopted the Chehardy plaintiffs’
arguments.
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No. 07-30119
act, apart from flood, to bring about damage to the insureds’ properties.
Consequently, as the plaintiffs argue and as the district court held, the efficient-
proximate-cause doctrine is inapplicable. See
Chadwick, 21 Cal. Rptr. 2d at
1117 (“When, however, the evidence shows the loss was in fact occasioned by
only a single cause, albeit one susceptible to various characterizations, the
efficient proximate cause analysis has no application.”); see also Cornhusker Cas.
Co. v. Farmers Mut. Ins. Co.,
680 N.W.2d 595, 601-02 (Neb. 2004);
Kish, 883 P.2d
at 311.
Moreover, to the extent that the plaintiffs do attempt to recharacterize the
cause of their losses by focusing on negligence as the cause rather than water
damage, their argument fails. “An insured may not avoid a contractual
exclusion merely by affixing an additional label or separate characterization to
the act or event causing the loss.”
Kish, 883 P.2d at 311; Chadwick, 21 Cal.
Rptr. 2d at 874. “If every possible characterization of an action or event were
counted an additional peril, the exclusions in all-risk insurance contracts would
be largely meaningless.”
Chadwick, 21 Cal. Rptr. 2d at 874. Thus, in Pieper v.
Commercial Underwriters Insurance Co., where a policy covered loss caused by
arson but excluded loss caused by brush fire, a brush fire caused by arson was
excluded. 69 Cal. Rptr. 2d at 557-58. The Pieper court determined that the
cause of the brush fire was irrelevant; the plaintiffs’ property was damaged by
one cause alone, brush fire, and thus, the efficient-proximate-cause rule was
inapplicable.
Id. And in Kish v. Insurance Co. of North America, where a policy
covered loss caused by rain but excluded loss caused by flood, the court held that
the insured could not avoid the operation of the flood exclusion by merely
recharacterizing the flood as
rain. 883 P.2d at 311-13. The court held that there
was one cause of the plaintiffs’ loss—rain-induced flood—which was excluded,
and concluded that the efficient-proximfate-cause rule was inapplicable.
Id. We
similarly reject any attempt on the plaintiffs’ part to avoid the operation of the
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No. 07-30119
flood exclusion by recharacterizing the flood as negligence; the sole cause of the
losses for which they seek coverage in this litigation, flood, was excluded from
coverage regardless of what factors contributed to its development.
In sum, we need not address the applicability of anti-concurrent-causation
clauses or the efficient-proximate-cause rule because, as pleaded, there was not
more than one separate cause of the plaintiffs’ losses. As the district court
recognized, there are other cases arising in the context of Hurricane Katrina
where these issues may come into play, but this is not the case for their
resolution.
IV. CONCLUSION
With respect to the Vanderbrook action, the district court’s grant of State
Farm’s motion for judgment on the pleadings is AFFIRMED. The denial of the
motions for judgment on the pleadings filed by Hanover and Standard Fire is
VACATED and REMANDED.
With respect to the Xavier action, the motion to certify questions to the
Louisiana Supreme Court is DENIED. The district court’s grant of partial
summary judgment in favor of Xavier is VACATED and REMANDED.
With respect to the Chehardy action, the motion to certify questions to the
Louisiana Supreme Court is DENIED. The district court’s grant in part of State
Farm’s motion to dismiss is AFFIRMED. And the denial of the motions to
dismiss filed by Lafayette, Liberty Mutual, American, Auto Club, Standard Fire,
Lexington, Aegis, Hanover, Allstate, Louisiana Citizens, Encompass Insurance,
and Great Northern pertaining to the claims for declaratory judgment and
breach of contract is VACATED and REMANDED.
With respect to the Humphreys action, the district court’s denial of
Humphreys’s partial-summary-judgment motion on the question of coverage
under the policy’s hurricane-deductible endorsement is AFFIRMED. The grant
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No. 07-30119
of partial summary judgment in Humphreys’s favor on the question of the
interpretation of the policy’s flood exclusion is VACATED and REMANDED.
Motions DENIED; AFFIRMED in part, VACATED in part, and
REMANDED for further proceedings consistent with this opinion. The appellees
shall bear the cost of this appeal.
52