DANIEL L. DYSART, Judge.
Century Surety Company seeks review of the judgment of the trial court granting summary judgment against it. For the reasons that follow, and based upon our de novo review of the record, we find that the trial court erred in granting the motion for summary judgment. Accordingly, we reverse the trial court's judgment and remand this matter for further proceedings.
On August 13, 2010, Plaintiff, Jorge Espinosa, was robbed and shot in the parking lot of the Motel 6, located at 4200 Old Gentilly Road in New Orleans, Louisiana, where he was a guest and staying for business purposes. He survived the attack and filed the instant lawsuit on July 25, 2011, for personal injuries, including paralysis. Named as defendants are:
In his suit, plaintiff alleges that the defendants "were aware of the high rate of violent and other crimes on and around the premises" and that "several known criminals frequently loitered on the premises." However, according to plaintiff, the defendants failed to warn him of the dangers of the area, failed to provide adequate security and failed to take measures to insure the safety of their patrons.
Arch Insurance Company ("Arch"), the worker's compensation carrier for plaintiff's employer, TradeSource, Inc., intervened in the lawsuit on August 11, 2011, seeking to recover the amounts it paid in medical expenses and indemnity benefits. At the time it filed the Intervention, those sums amounted to $1,999,561.80. Arch named as defendants in intervention those parties identified in the original Petition for Damages.
A Second Petition of Intervention was filed on December 15, 2011 by Century Surety Company ("Century"), which insured Bayou at the time of the underlying incident.
In a first amending petition filed on May 21, 2012, plaintiff added Century and
On October 30, 2012, plaintiff filed a Motion for Partial Summary Judgment seeking a determination that Century's policy affords $1 million in liability coverage to Bayou. Accor then filed its own Motion for Partial Summary Judgment, joining in plaintiff's Motion for Summary Judgment and also seeking a determination that there is $1 million of coverage under Century's policy. Bayou later joined in these motions. A hearing was held on the motions and, by judgment dated February 14, 2013, the motions were denied.
On April 26, 2013, Bayou filed a Cross-Claim against Century, asserting that Century's policy provides policy limits of $1 million for the claims asserted by plaintiff. Bayou further asserted that Century owed it a defense in this litigation. Bayou then filed a Motion for Summary Judgment on June 17, 2013 against Century, asserting that, although Century had paid $25,000, it still owed Bayou a defense because of the claims asserted in the lawsuit pertaining to Bayou's alleged failure to secure its premises. It argued that, under the policy's premises liability provision, coverage is provided separate and apart from the assault and battery claims. Bayou essentially sought a reconsideration by the trial court of coverage under Century's policy.
After obtaining leave of court, Accor filed a Third Party Demand against Colonial Insurance Agency, Inc. ("Colonial"), in which it asserted that Colonial procured the Century policy for Bayou, but "negligently misrepresented to Accor that it was named as an additional insured under the policy." Accor alleged that Colonial provided it with a "Certificate Holder" indicating that it was an additional insured.
On August 20, 2013, plaintiff filed two Motions for Partial Summary Judgment. The first addressed the issue of comparative fault; plaintiff maintained that defendants are not entitled to submit a comparative fault instruction to the jury, whereby the jury could allocate fault between the owner of the motel and the person who robbed and shot plaintiff. The second motion sought a determination that Century's policy provided coverage for the allegations related to the failure to maintain a safe and secure premises, claims plaintiff maintained were separate and distinct from the assault and battery claims. Accor joined in plaintiff's second Motion, as well as Bayou's June 17, 2013 Motion for Partial Summary Judgment.
A hearing was held on the Bayou's, Accor's and plaintiff's Motions for Partial Summary Judgment on September 20, 2013. By judgment dated October 10, 2013, the trial court granted summary judgment as follows: (1) in favor of Bayou as to the issue of defense costs, ordering Century to pay "past, present and future reasonable and necessary attorney's fees and costs" in representing Bayou; and (2) in favor of Bayou, Accor and plaintiff on the issue of coverage under Century's policy, finding that the policy provides coverage with limits of $1,000,000 "for the claims made by plaintiff in the Petition for Damages against Bayou Hospitality, L.L.C." No reasons for judgment were assigned.
The trial court designated the October 10, 2013 judgment as final pursuant to La.
Appellate courts review judgments granting partial summary judgment under the de novo standard of review. Kimpton Hotel & Restaurant Group, Inc. v. Liberty Mut. Fire Ins. Co., 07-1118, 07-1209, 07-1310, p. 3 (La.App. 4 Cir. 12/19/07), 974 So.2d 72, 75. In this review, the appellate courts use the same criteria that govern the district court's consideration of whether summary judgment is appropriate. Ramos v. Tulane Univ. of La., 06-0487, p. 3 (La.App. 4 Cir. 1/31/07), 951 So.2d 1267, 1269, citing Smith v. Our Lady of the Lake Hosp., Inc., 93-2512, p. 26 (La.7/05/94), 639 So.2d 730, 750. Thus, a motion for summary judgment will be granted "if the pleadings, depositions, answers to interrogatories, and admissions, together with the affidavits, if any, show that there is no genuine issue of material fact, and that the mover is entitled to summary judgment as a matter of law." La. C.C. Pr. art. 966(B). The summary judgment procedure is designed to secure the just, speedy, and inexpensive determination of actions such as this. La. C.C. Pr. art. 966(A)(2).
Summary judgment is particularly appropriate in the context of insurance coverage issues. As the courts have consistently held, the "[i]nterpretation of an insurance policy ordinarily involves a legal question that can be properly resolved by a motion for summary judgment." Bernard v. Ellis, 11-2377, p. 9 (La.7/2/12), 111 So.3d 995, 1002; Bonin v. Westport Ins. Corp., 05-0886, p. 4 (La.5/17/06), 930 So.2d 906, 910.
Here, the material facts giving rise to the litigation are undisputed; the interpretation of Century's insurance policy is purely a question of law and, therefore, appropriate for summary judgment resolution.
The policy at issue in this matter provides commercial general liability ("CGL") coverage to Bayou. The policy's insuring agreement states that Century will pay "those sums that the insured becomes legally obligated to pay as damages because of `bodily injury' or `property damage' to which this insurance applies." The insuring agreement further provides that Century has "the right and duty to defend the insured against any `suit' seeking those damages."
The policy contains an assault and battery exclusion, form CGL 1704, which excludes coverage for "`bodily injury,' ... arising out of or resulting from:
The assault and battery exclusion limits Century's duty to defend and indemnify as well, by providing in subpart 2 as follows:
The policy is further modified by an endorsement which "changes the policy" (hereafter referred to as "the Endorsement"). The Endorsement, Form 1717a, entitled "Limited Coverage-Assault & Battery" "modifies insurance provided under the ... COMMERCIAL GENERAL LIABILITY COVERAGE PART" as follows:
Our jurisprudence regarding the interpretation of insurance contracts is well-settled. We note initially that "`liability under a comprehensive liability policy is only as provided in the policy and the attached endorsements.'" In re McDermott Inc., 03-1960, 03-1961, 03-1962, 03-1963, p. 5 (La.App. 4 Cir. 5/19/04), 875 So.2d 863, 866, quoting Michelet v. Scheuring Security Services, Inc., 95-2196, p. 11 (La.App. 4 Cir. 9/4/96), 680 So.2d 140, 147. Indeed, the parties to an insurance contract "are free to select the types of risks to be covered." Id. Likewise, insurance companies have the right to limit coverage in any manner they desire, so long as the limitations do not conflict with statutory provisions or public policy. Ledbetter v. Concord General Corp., 95-0809, p. 4 (La.1/6/96), 665 So.2d 1166, 1169. Accordingly, an insurance company is entitled to limit its liability and to change or amend coverage through attached endorsements so long as the coverage provided by those endorsements do not conflict with statutory law or public policy. See Edwards v. Daugherty, 03-2103, p. 23 (La. 10/1/04), 883 So.2d 932, 947.
Importantly, an insurance contract is to be construed as a whole; each of its provision is to be interpreted in light of the other provisions in the contract. Sims, 07-0054, p. 8, 956 So.2d at 589. The Sims Court made clear that "[o]ne provision of the contract should not be construed separately at the expense of disregarding other provisions." Id. (citations omitted.) It further indicated that "an insurance policy [should not] be interpreted in an unreasonable or a strained manner so as to enlarge or to restrict its provisions beyond what is reasonably contemplated by its terms or so as to achieve an absurd conclusion." Id. (citations omitted.) Accordingly:
Id., 07-0054, pp. 8-9, 956 So.2d at 589.
The determination of whether a contract is clear or ambiguous is a question of law. Orleans Parish School Bd. v. Lexington Ins. Co., 12-1686, p. 9 (La.App. 4 Cir. 6/5/13), 118 So.3d 1203, 1212. While ambiguous policy provisions are generally construed against the insurer and in favor of coverage,
As we explained in Burmaster.
Id.
With these principles in mind, we examine the provisions of the Century policy.
Century maintains that its policy provides coverage of $25,000 for plaintiff's assault and battery claims, or in the alternative, bars coverage altogether for the claims in this lawsuit. It contends that the trial court erred in finding ambiguities in the policy insofar as the assault and battery exclusion, combined with the Endorsement, clearly reflect the parties intent to afford limited coverage for an assault and battery claim, which includes claims against Bayou for the failure to warn, failure to provide adequate security and failure to insure the safety of its patrons. We agree.
At the outset, we note that assault and battery exclusions are routinely enforced by our courts. See, e.g., Hickey v. Centenary Oyster House, 97-1074 (La.10/20/98), 719 So.2d 421; Ledbetter v. Concord General Corp., 95-0809 (La.1/6/96), 665 So.2d 1166; Lawson v. Straus, 95-1537, p. 7 (La.App. 4 Cir. 3/14/96), 673 So.2d 223, 227, n. 3 ("assault and battery exclusions... are far from unknown to the insurance industry and have been enforced in numerous reported decisions"). As the Second Circuit recently court noted:
Hudson v. Jager Bomb LLC, 47,501, pp. 7-8 (La.App. 2 Cir. 11/14/12), 107 So.3d 712, 717. Accordingly, unless it is ambiguous, the assault and battery exclusion is to be enforced as written. See, e.g., Howell v. American Cas. Co. of Reading, PA, 96-0694, p. 16 (La.App. 4 Cir. 3/19/97), 691 So.2d 715, 726 ("if the exclusion unambiguously excludes coverage, then we must enforce that contractual language").
Here, we find Century's assault and battery exclusion to be clear and unambiguous; it plainly and unequivocally states that the insurance provided by Century's policy does not apply to "bodily injury" arising from "an actual, threatened or alleged
The policy, however, is modified by the Endorsement, which is the focus of this lawsuit. The clear and unambiguous provisions of the Endorsement reinstate coverage "on a limited basis" for the "[s]pecific coverage excluded under CGL 1704" (the assault and battery exclusion). The Endorsement clearly and unambiguously reinstates coverage for assault and battery claims, but only up to the limits provided by the Endorsement of $25,000 "per occurrence." We, therefore, find that Century is liable for assault and battery claims up to its limits of $25,000.
Included within the Endorsement is limited coverage for claims concerning "the failure ... to prevent or suppress any assault or battery" given that the Endorsement plainly states that the "specific coverage excluded under" Form 1704 "is reinstated." Thus, coverage for
The Endorsement likewise reinstates coverage for the remaining acts or omissions listed in part 1, including the "catch-all" phrase of subpart 1(f) — "any other cause of action arising out of or as a result of" the other acts or omissions listed in 1(a-e). Thus, for example, while section 1(d) provides that the insurance does not apply to "bodily injury" arising from "the failure of any insured or anyone else for whom any insured is or could be held legally liable to render or secure medical treatment necessitated by any assault or battery," the Endorsement reinstates that coverage. Accordingly, should a claim pertaining to the failure to secure medical treatment necessitated by an assault or battery arise, the Endorsement would limit coverage to the stated $25,000 policy limits.
We take note, as do several of the parties to this appeal, that the Endorsement has a definitions section, specifically defining the terms "assault" and "battery." No definition section, however, is provided in Form 1704. That the Endorsement defines what constitutes an assault and a battery has no bearing on the issue of
It is thus clear that the Endorsement is intended to reinstate limited coverage for all claims arising out of or in any way connected to an assault and battery, no matter how the various claims are alleged. It follows, therefore, that claims pertaining to the failure to prevent or suppress an assault or battery, like the other acts or omissions excluded by Form 1704, are reinstated by the Endorsement, up to the Endorsement's limits of $25,000.
Alexander v. Barflies, Inc., 96-2177 (La. App. 4 Cir. 1/15/97), 687 So.2d 603, for example, a case involving the death of a patron of a bar who was shot outside the bar, dealt with an assault and battery exclusion barring coverage for an "[a]ssault and battery, whether caused by or at the instruction of, or at the direction of or negligence of the insured, his employees, patrons
Id., 96-2177, pp. 2-3, 687 So.2d at 604-05.
The Alexander was case cited, with approval, by this Court's later decision of Washington v. Spurlock, 97-2411 (La.App. 4 Cir. 12/17/97), 703 So.2d 1378, which considered an exclusion similar to that involved in this matter. In Washington, the plaintiff was a patron in a bar when she was shot by unknown robbers. The bar's insurer filed a motion for summary judgment based on an exclusion in the policy for injuries "[a]rising out of assault or battery, or out of any act or omission in connection with the prevention or suppression of an assault or battery." Id., 97-2411, p. 1, 703 So.2d at 1379. One of the arguments asserted by the plaintiff was that her injuries "occurred prior to the battery in allowing the robbers onto the
Id., 97-2711, pp. 2-3, 703 So.2d at 1379.
Like we noted in Alexander and Washington, in the instant matter, plaintiff was injured by the shooting (battery) and not by any alleged act of Bayou in failing to warn him of the dangers of the area, failing to provide adequate security and/or failing to take measures to insure his safety. Similarly, as we found in Alexander, if plaintiff was able to prove that Bayou owed a duty to warn, provide adequate security or to insure plaintiff's safety, he would only succeed in showing that Bayou "was a `cause' of the assault and battery, thereby falling under the [Century] policy universal assault and battery [`any other cause of action or claim'] exclusion." Alexander, 96-2177, p. 3, 687 So.2d at 605. Accordingly, under the clear and unambiguous provisions of the policy (including the Endorsement), coverage for all claims arising out of the battery on plaintiff, including the alleged failure to provide a safe premises (and all claims related thereto), are subject to the reinstated policy limits of $25,000.
We next consider whether the Endorsement's inclusion of subpart A.2. renders the Endorsement ambiguous. As noted herein, A.2 provides:
Form 1701, referenced therein, is an endorsement to Century's policy which provides several other exclusions to coverage, none of which are applicable to this matter. Subpart A.8 of that form excludes from coverage "`bodily injury', or `property damage' arising out of, caused by, resulting from, or alleged to be related to any insured's failure to complete `your work.'" There is no mention in Form 1701 (or anywhere else in the policy) to the "failure to maintain secure or safe premises." It is evident that the inclusion of subpart A.2 and its reference to an unrelated provision was either a mistake or an error in the drafting of the policy. However, this does not render the entirety of the Endorsement ambiguous or otherwise alter the clear intent of the Endorsement, i.e., to provide limited coverage for assault and battery claims.
The trial court found that the inclusion of subpart A.2 and the lack of any corresponding provision in Form 1701 together
There appear to be no cases which discuss the narrow issue of whether a reference to a non-existent provision in an endorsement renders the endorsement or the policy ambiguous or operates to create coverage which is not specifically afforded by the policy. Construing Century's policy as a whole "so as [not] to enlarge or to restrict its provisions beyond what is reasonably contemplated by its terms,"
The trial court appears to have relied heavily on Proshee v. Shree, Inc., 04-1145 (La.App. 3 Cir. 2/2/05), 893 So.2d 939.
Applying both exclusions to the facts of the case, the Proshee court found no coverage under the policy, rejecting all of plaintiff's arguments that the policy contained ambiguities and citing both the Washington and Alexander cases. In so finding, the court expressly rejected the plaintiff's argument that the assault and battery exclusion did not apply to "a premises defect case (i.e., the lack of security in an area with a history of criminal activity)." Id., 04-1145, p. 8, 893 So.2d at 944. The Proshee court focused almost entirely on the assault and battery exclusion, finding that the plaintiff's "attempt to have the assault and battery exclusion deemed inapplicable" to his "premises defect case" to be "disingenuous at best." It then held:
Id.
The only discussion in Proshee of the exclusion for the failure to maintain a safe or secure premises concerns the insurer's duty to defend (and the court held that there was no duty to defend because of both the assault and battery exclusion and the exclusion dealing with the failure to maintain a safe or secure premises). It is clear that the Proshee court's conclusion is that all claims arising out of the plaintiff's shooting were barred by the assault and battery exclusion (including his premises defect claims) and not the exclusion dealing with the failure to maintain a secure or
We conclude that, although the Endorsement contains a reference to a nonexistent provision in the policy, it is of no consequence to the coverage under the policy in this case. Century's policy, as a whole, clearly and unambiguously provides limited coverage of $25,000 for all claims related to plaintiff's battery, no matter how those claims are couched. Accordingly, the lack of a provision in Form 1701 A.8. dealing with the failure to maintain a secure or safe premises does not alter the overall coverage of the policy; claims related to the failure to maintain a secure or safe premises are so interrelated with the assault and battery exclusion that our jurisprudence considers them to be indistinguishable. We follow the well-settled rule that an "insurance policy should not be interpreted in an unreasonable or a strained manner so as to enlarge or to restrict its provisions beyond what is reasonably contemplated by its terms or so as to achieve an absurd conclusion." Orleans Parish School Bd. v. Lexington Ins. Co., 12-1686, p. 10 (La.App. 4 Cir. 6/5/13), 118 So.3d 1203, 1212, citing Interstate Fire & Cas. Co., 93-0911, 630 So.2d at 763-64.
As a final note, the Endorsement provides that Century "will pay, with respect to any claim we investigate or settle, or any "suit" against an insured we defend, the expenses we incur associated with the coverage provided by this form. These expense payments will reduce the limits of insurance available and provided by this form." The duty to defend, though "ends when [Century has] used up the applicable limit of insurance ... in the payment of judgments or settlements or expenses for the coverage provided by this form." When "a policy has a provision that the insurer's duty to defend the insured ends upon the exhaustion of the policy limit..., then that policy provision must be enforced, and the insurer's duty to defend ends upon exhaustion of the policy limit." Howell, 96-0694, pp. 15-16, 691 So.2d at 726, citing Pareti v. Sentry Indemnity Co., 536 So.2d 417 (La.1988). There is no dispute that Century's policy limits have been exhausted by the payment of attorney's fees incurred in the defense of this suit. Accordingly, its duty to defend ended when its policy limits were exhausted.
For the reasons stated herein, and based upon our de novo review of the record, the trial court's judgment is reversed, and this matter is remanded for further proceedings.