Filed: Dec. 08, 2011
Latest Update: Feb. 22, 2020
Summary: FILED United States Court of Appeals Tenth Circuit UNITED STATES COURT OF APPEALSDecember 8, 2011 Elisabeth A. Shumaker FOR THE TENTH CIRCUIT Clerk of Court MOUNT VERNON FIRE INSURANCE COMPANY, Plaintiff-Appellee, v. No. 11-7036 (D.C. No. 6:10-CV-00033-FHS) OKMULGEE INN VENTURE, LLC, (E.D. Okla.) Defendant-Appellant, and FRANCISCO OLMOS; LA MARGARITA MEXICAN RESTAURANT; STEVE EARL PERRY, JR.; MICHAEL WILSON; RANDY JAMES, Defendants. ORDER AND JUDGMENT * Before KELLY, Circuit Judge, PORFILIO, Sen
Summary: FILED United States Court of Appeals Tenth Circuit UNITED STATES COURT OF APPEALSDecember 8, 2011 Elisabeth A. Shumaker FOR THE TENTH CIRCUIT Clerk of Court MOUNT VERNON FIRE INSURANCE COMPANY, Plaintiff-Appellee, v. No. 11-7036 (D.C. No. 6:10-CV-00033-FHS) OKMULGEE INN VENTURE, LLC, (E.D. Okla.) Defendant-Appellant, and FRANCISCO OLMOS; LA MARGARITA MEXICAN RESTAURANT; STEVE EARL PERRY, JR.; MICHAEL WILSON; RANDY JAMES, Defendants. ORDER AND JUDGMENT * Before KELLY, Circuit Judge, PORFILIO, Seni..
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FILED
United States Court of Appeals
Tenth Circuit
UNITED STATES COURT OF APPEALSDecember 8, 2011
Elisabeth A. Shumaker
FOR THE TENTH CIRCUIT Clerk of Court
MOUNT VERNON FIRE
INSURANCE COMPANY,
Plaintiff-Appellee,
v. No. 11-7036
(D.C. No. 6:10-CV-00033-FHS)
OKMULGEE INN VENTURE, LLC, (E.D. Okla.)
Defendant-Appellant,
and
FRANCISCO OLMOS; LA
MARGARITA MEXICAN
RESTAURANT; STEVE EARL
PERRY, JR.; MICHAEL WILSON;
RANDY JAMES,
Defendants.
ORDER AND JUDGMENT *
Before KELLY, Circuit Judge, PORFILIO, Senior Circuit Judge, and
MATHESON, Circuit Judge.
*
After examining the briefs and appellate record, this panel has determined
unanimously to grant the parties’ request for a decision on the briefs without oral
argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore
ordered submitted without oral argument. This order and judgment is not binding
precedent, except under the doctrines of law of the case, res judicata, and
collateral estoppel. It may be cited, however, for its persuasive value consistent
with Fed. R. App. P. 32.1 and 10th Cir. R. 32.1.
In Oklahoma, insurers are required to defend their insureds whenever facts
give rise to the potential of liability under the policy. In this case, the district
court found the insurer owed no duty of defense or indemnification because the
precise facts alleged against the insured did not demonstrate there was coverage
under the policy. We agree the facts fail to conclusively demonstrate coverage,
but we think there is still a potential for coverage as permitted by Oklahoma law.
We therefore reverse and remand for entry of judgment in favor of the insured.
I
Okmulgee Inn Venture, LLC (“Okmulgee”) leased space to a nightclub-bar
and was a named insured on a liquor liability insurance policy. Under the policy
terms, Okmulgee was insured against injuries caused by “the selling, serving or
furnishing of any alcoholic beverage.” Aplt. App. Vol. 1 at 75. Also under the
policy, Okmulgee’s insurer, Mount Vernon Fire Insurance Company
(“Mt. Vernon”), assumed a duty to defend Okmulgee against suits seeking
damages for injuries covered by the policy. The relevant policy language states:
We will pay those sums that the insured becomes legally obligated to
pay as damages because of “injury” to which this insurance applies if
liability for such “injury” is imposed on the insured by reason of the
selling, serving or furnishing of any alcoholic beverage. We will
have the right and duty to defend the insured against any “suit”
seeking those damages. However, we will have no duty to defend the
insured against any “suit” seeking damages for “injury” to which
this insurance does not apply.
Id. (emphasis added).
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In 2006, three bar patrons sustained gunshot wounds during a fight at the
nightclub and sued Okmulgee, alleging, among other things, that Okmulgee failed
to ensure the safety of the bar’s patrons, properly train the bar’s staff, or
investigate the bar’s operator. The only specific allegations pertaining to alcohol
were that two of the three victims were under-age but were admitted to the bar
and served alcohol. Mt. Vernon refused to defend Okmulgee in these suits.
Mt. Vernon asserted there was no coverage under the policy, and thus no duty to
defend or indemnify, because the allegations did not indicate the injuries were
caused by the selling, serving, or furnishing of alcoholic beverages. Mt. Vernon
then initiated this declaratory judgment action to determine its obligations.
On cross motions for summary judgment, the district court ruled in favor of
Mt. Vernon. The court recognized that Oklahoma law requires an insurer to
defend an insured whenever facts give rise to the potential of liability under the
policy. But the court determined there was no potential of liability because there
were no specific allegations in the victims’ complaints (or other evidence)
indicating that alcohol caused the injuries. As a result, the court concluded that
Mt. Vernon owed Okmulgee no duty of defense or indemnification.
II
We review the grant of summary judgment de novo, employing the same
legal standard as the district court. Apartment Inv. & Mgmt. Co. v. Nutmeg
Ins. Co.,
593 F.3d 1188, 1192 (10th Cir. 2010). The district court’s interpretation
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of Oklahoma law, which governs this diversity action, is reviewed de novo. See
Mincin v. Vail Holdings, Inc.,
308 F.3d 1105, 1108-09 (10th Cir. 2002). Our
application of Oklahoma law requires us to interpret clear and unambiguous
insurance contracts so “as to give effect to the mutual intention of the parties, as
it existed at the time of contracting.” Mansur v. PFL Life Ins. Co.,
589 F.3d
1315, 1320 (10th Cir. 2009) (internal quotation marks omitted).
Okmulgee insists Mt. Vernon owes it a duty to defend because the facts
show that coverage is provided by the policy. Specifically, Okmulgee points out
that the victims were served alcohol, witnesses referred to beer bottles being used
in the bar fight just before the shooting, and a police report from a prior incident
revealed that the shooter previously had been arrested at the same bar for public
intoxication. 1 Mt. Vernon responds, however, that the victims merely allege they
were served alcohol, not the shooter, and there are no allegations that the shooter
was drunk or that alcohol precipitated the shooting. Under these circumstances,
Mt. Vernon contends, there are no indications that alcohol caused the injuries.
In Oklahoma, “[a]n insurer has a duty to defend an insured whenever it
ascertains the presence of facts that give rise to the potential of liability under the
policy.” First Bank of Turley v. Fid. & Deposit Ins. Co. of Md.,
928 P.2d 298,
303 (Okla. 1996) (footnote omitted). “The phrase ‘potentially covered’ means
1
Mt. Vernon does not contend it was unaware of this report when it denied
Okmulgee’s request for defense.
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that the insurer’s duty to defend its insured arises whenever the allegations in a
complaint state a cause of action that gives rise to the possibility of a recovery
under the policy; there need not be a probability of recovery.”
Id. n.14 (internal
quotation marks omitted); accord Am. Motorists Ins. Co. v. Gen. Host Corp.,
946 F.2d 1489, 1490 (10th Cir. 1991) (“So long as the insured can show a non-
frivolous possibility that the claim against it may fall within the coverage of the
insurance contract, the insurer has a duty to defend the insured.”) (applying
Kansas law). Moreover, the analysis is not restricted to the four-corners of the
complaint; rather, an “insurer’s defense duty is determined on the basis of
information gleaned from the petition (and other pleadings), from the insured and
from other sources available to the insurer at the time the defense is demanded.”
First Bank of
Turley, 928 P.2d at 303-04 (emphasis omitted) (footnote omitted).
The focus is “upon the facts rather than upon the complaint’s allegations, which
may or may not control the ultimate determination of liability.”
Id. at 303 n.13
(emphasis omitted).
The parties dispute whether the facts demonstrate that alcohol caused the
injuries, but the issue is whether the facts establish a potential for coverage, that
is, whether the circumstances alleged give rise to the possibility that the injuries
were suffered by reason of the selling, serving, or furnishing of alcoholic
beverages. And on this score, we have little difficulty concluding that they do.
The victims entered the bar and were served alcohol; a bar-fight ensued and
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witnesses recalled beer bottles shattering; then gunshots were fired by a shooter
who had been previously arrested at the same bar for being drunk in public.
These known and undisputed facts establish the possibility that alcohol
contributed to the injuries. We do not mean to suggest, of course, that the
potential for coverage exists because “later-revealed facts” may show coverage:
“‘the correctness of an insurer’s decision to [defend or not] cannot be determined
by “later-revealed facts” of which the insurer ha[s] no knowledge or notice,’”
id.
at 304 n.19 (quoting Great Am. Ins. Co. v. McKemie,
259 S.E.2d 39, 40
(Ga. 1979)); see also Gray v. Holman,
909 P.2d 776, 780 (Okla. 1995) (holding
that an insurer’s liability for failure to defend is “measured by the facts then
known and knowable to it”). But the known and undisputed facts in this case,
standing alone, establish a credible possibility that the injuries sustained were
caused by the selling, serving or furnishing of alcoholic beverages.
The district court arrived at a different conclusion because the victims’
complaints did not specifically allege that alcohol caused the injuries, and the
court declined to make that assumption based on the circumstances. We think the
court’s analysis was too restrictive. “The duty to defend cannot be limited by the
precise language of the pleadings. The insurer has a duty to look behind the third
party’s allegations to analyze whether coverage is possible.” First Bank of
Turley, 928 P.2d at 303 n.15. Given the nature of the facts gleaned from the
underlying complaints and other materials, we conclude there is a possibility of
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coverage. Consequently, Mt. Vernon is obligated to defend its insured, and
Okmulgee is entitled to summary judgment on the duty-of-defense issue.
Whether Mt. Vernon owes a duty of indemnification, however, is another
matter. “The duty to defend is separate from, and broader than, the duty to
indemnify . . . .”
Id. at 303. The duty to indemnify relates to liability actually
imposed on the insured for claims falling within the scope of coverage. E.g.,
United Fire & Cas. Co. v. Boulder Plaza Residential, LLC,
633 F.3d 951, 956-57
(10th Cir. 2011) (discussing Colorado law). Because the victims have yet to
establish Okmulgee’s liability for any claims, the question of Mt. Vernon’s duty
of indemnification is not ripe for adjudication. See Culp v. Nw. Pac. Indem. Co.,
365 F.2d 474, 478 (10th Cir. 1966); United Nat’l Ins. Co. v. Dunbar & Sullivan
Dredging Co.,
953 F.2d 334, 338 (7th Cir. 1992). Nevertheless, we point out that
if Okmulgee is found to be liable for any claims, Mt. Vernon’s duty of
indemnification will extend only to those claims falling within the scope of the
policy.
III
The judgment of the district court is REVERSED, and this case is
REMANDED with instructions to enter summary judgment in favor of Okmulgee
on the issue of the duty to defend.
Entered for the Court
Paul J. Kelly, Jr.
Circuit Judge
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