ROBERT L. MILLER, Jr., District Judge.
Industrial Safety and Environmental Services, Inc., an environmental contractor and consulting firm, and Tristan Gour, its founder and CEO, were covered by a "claims made and reported" professional liability insurance policy issued by Savers Property & Casualty Insurance Company when Mr. Gour was named as a defendant in a civil RICO action in May 2012. Savers denied coverage and filed suit against Industrial Safety and Mr. Gours seeking a declaration that Savers had no duty to defend or indemnify the defendants in the underlying litigation. Its motion for summary judgment is before the court. For reasons that follow, the court grants Savers' motion.
Summary judgment is appropriate when "the pleadings, depositions, answers to the interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue of material fact and that the moving party is entitled to judgment as a matter of law." FED. R. CIV. P. 56(c). A genuine issue of material fact exists whenever "there is sufficient evidence favoring the nonmoving party for a jury to return a verdict for that party."
From August 1, 2011 to August 1, 2012, Industrial Safety and Mr. Gour were covered by Commercial Lines Policy No. GL 0642339 issued by Savers. The policy provided multiple types of coverage, including the Professional Liability Coverage (Coverage E) at issue in this case, and was comprised of the following forms and endorsements:
"Schedule of Forms and Endorsements" (CIL1500B). [Doc. No. 23-1 at p. 4] (emphasis added to highlight the forms and endorsements relating to Professional Liability Coverage).
SVEV 1900, the "Environmental Contractors & Consultants Commercial General Liability & Professional Liability Coverage Part-Declarations", identifies the policy limit, retroactive date, deductible, and schedule of hazards for each coverage. The Declarations state that "Consultant's Professional Liability Coverage E" is limited to $1,000,000 per claim, is retroactive to "2/01/05" with respect to "(ENV 0001 only)", and has a $2,500 per claim deductible. [Doc. No. 23-1 at p. 6]. The Declarations also contain this reference to retroactive dates for coverage under "ENV 0002":
[Doc. No. 23-1 at p. 6]. ENV 0002 isn't listed in the Schedule of Forms and Endorsements, and isn't contained in Industrial Safety's insurance policy.
Industrial Safety's coverage was provided under ENV 0001, the "Environmental Contractors & Consultants Commercial General Liability, Contractors Pollution Liability and Consultant's Professional Liability Policy", which provides in relevant part as follows:
(ENV 0001-Sec. I, Coverage E, ¶¶ 1 and 2(d)) [Doc. No. 23-1 at pp. 35-36].
The policy defines "wrongful act" as "an act or omission negligently made, or a series of related acts or omissions negligently made in the rendering of "professional services." (ENV 0001-Section VI, ¶ 42) [Doc. No. 23-1 at p. 47]. Under the "Specifically Covered Professional Services Endorsement" (ENV2002):
[Doc. No. 23-1 at p. 8].
Industrial Safety's Commercial Lines Policy was in effect in May 2012, when Tristan Gour was named as one of several defendants in
Industrial Safety notified Savers of the suit in May 2012. Savers denied coverage because the claims asserted against Mr. Gour involved alleged acts of misconduct that occurred before February 1, 2005, the retroactive date for professional liability coverage. Savers filed this suit for declaratory judgment against Industrial Safety and Mr. Gour seeking to enforce its interpretation of the policy.
In June 2013, the district court dismissed the claims against Mr. Gour in Browning, finding that:
The parties relied on Indiana law in their briefs and haven't raised a choice of law issue, so the court applies the law of Indiana as the forum state. See
Whether an insurer has a duty to defend in an underlying state court action is a question of contractual interpretation "that does not require the resolution of any facts or issues in that underlying action."
Savers maintains that it had no duty to defend or indemnify Industrial Safety or Mr. Gour in Browning because Industrial Safety wasn't a party to that litigation and the claims against Mr. Gour were excluded under Coverage E Consultant's Professional Liability, paragraph 1(b)(3), which limited liability to claims for "wrongful acts" that occurred on or after February 1, 2005, the "Professional Liability Retroactive Date" shown in the Declarations, and before the end of the policy period (August 1, 2012).
Mr. Gour contends that: (1) the policy is a "claims made" policy, not an occurrence policy, and the claim was made and reported during the policy period; (2) the Professional Liability Retroactive Date doesn't apply to the professional services rendered by him in Browning; and (3) even if it did, it doesn't bar coverage because he wasn't aware of the claim before the effective date of the policy (August 1, 2011) and the complaint asserts liability for acts of co-defendants that are alleged to have occurred after February 1, 2005 and before August 1, 2012. Mr. Gour's arguments are based on isolated words and phrases taken out of context. When the policy is viewed as a whole, it clearly and unambiguously excludes coverage for the claims asserted against Mr. Gour in Browning.
Industrial Safety's and Mr. Gour's professional liability coverage (Coverage E) is provided under endorsement ENV 0001, the "Environmental Contractors & Consultants Commercial General Liability, Contractors Pollution Liability and Consultant's Professional Liability Policy", not ENV 0002. Coverage E is "claims made and reported" coverage, which links coverage to the claim and notice, rather than to the original tort and injury. See
The Declarations (SVEV 1900) show that the Professional Liability Retroactive Date for Coverage E in ENV 0001 is "02/01/05" — the retroactive date that Mr. Gour specifically requested in Industrial Safety's application for insurance, which was attached to and incorporated in the policy as CSL 5000.
Mr. Gour notes that two endorsements are listed in the "Retroactive Date" section of the Declarations (ENV 0001 and ENV 0002), that both contain Professional Liability Coverage E, and that the Professional Liability Retroactive Date for Coverage E in ENV 0002 is listed as "N/A". He believes the reference to ENV 0002 must have been an error, since there is no ENV 0002 in the Schedule of Forms and Endorsements contained in Industrial Safety's policy, and opines that the Declarations must have been referring to ENV 2002 (the "Specifically Covered Professional Services Endorsement"), "the form number resembling most closely ENV 0002". From this, Mr. Gour reasons that the Declarations, as modified, show that there is no Professional Liability Retroactive Date for claims, like those in Browning, that are based on "professional services" (specifically "regulatory permitting and compliance consulting") covered under ENV 2002, and asks the court to adopt his interpretation of the policy provisions to avoid rendering them ineffective and meaningless. Citing
The court doesn't read the policy language the way Mr. Gour does. Nothing in the summary judgment record suggests that the reference to ENV 0002 was an error, or that the parties ever intended Industrial Safety's professional liability coverage to be open-ended. Mr. Gour specifically requested professional liability coverage retroactive to February 1, 2005, when he completed the application for insurance in June 2011. Consistent with his request, the Declarations in Industrial Safety's policy clearly state that Consultant's Professional Liability Coverage E under ENV 0001 is retroactive to February 1, 2005.
The Declarations also identify the types of coverage available under ENV 0002, and indicate that the Retroactive Date doesn't apply to Coverage A, B, D, or E under that endorsement. But Mr. Gour's coverage was provided under ENV 0001, not ENV 0002. The provision relating to ENV 0002 might have been unnecessary, but it isn't ambiguous or inconsistent with other policy provision.
The amended complaint in Browning alleged that Mr. Gour engaged in a scheme to defraud that continued from May 1997 through May 2012 (the filing of the lawsuit), but the only acts he is alleged to have committed — the illegal disposal of hazardous waste, mail fraud, and obstruction of justice to avoid detection — took place in 1997 and 1998, earlier than the retroactive date of Industrial Safety's professional liability coverage under the Commercial Lines Policy.
Mr. Gour argues alternatively that coverage is provided under paragraph 1(b)(4) of Coverage E because it's a "stand-alone" provision (shown by the absence of an "and" between paragraphs 1(b)(3) and (b)(4)), so the retroactive provision in paragraph 1(b)(3) doesn't apply if Industrial Safety and Mr. Gour "were unaware of a claim prior to the Effective Date of the Policy." Mr. Gour submitted an affidavit attesting that he didn't know about the claims asserted against him in Browning until May 17, 2012. [Doc. No. 24-2]. The court sees things differently, for several reasons.
The policy expressly and unequivocally provides that Professional Liability Coverage applies if and only if each requirement listed in paragraph (1)(b) is met. The absence of an "and" between paragraphs (b)(3) and (b)(4) doesn't dictate otherwise.
Under paragraph 1(b)(4), coverage applies only if:
Mr. Gour says the "but on or after" part of paragraph 1(b)(4) is "ambiguous" and "unintelligible" and so doesn't apply. The court disagrees.
Paragraph 1(b)(4) isn't ambiguous. It is akin to a preexisting condition provision, and excludes coverage when the insured knew about a "wrongful act" — not "a claim", as Mr. Gour argues — that occurred "on or after the Professional Liability Retroactive Date shown in the Declaration" (February 1, 2005) and before the "Effective Date of [the] policy" (August 1, 2011) and didn't report it to the insurance company. Had Savers denied coverage under that paragraph, Mr. Gour's knowledge of the acts alleged in Browning might have been an issue. But Savers didn't deny coverage under that paragraph.
In his final argument, Mr. Gour asserts that Coverage E applies because the Browning complaint alleges that he was part of a continuing scheme and is liable for the acts of other members of the enterprise that occurred after February 1, 2005. He is mistaken. Professional liability coverage is provided under paragraph 1(b)(3), if, any only if, the claim involves a "wrongful act" that occurred on or after February 1, 2005. The policy defines "wrongful act" as "an act or omission negligently made, or a series of related acts or omissions negligently made in the rendering of `professional services.'" (ENV 0001, Section VI, ¶ 42). The Browning complaint alleges that Mr. Gour and his co-defendants engaged in intentional acts of fraud, which are excluded from coverage under both Coverage E, paragraphs 1(b)(3) and (2)(d).
For the foregoing reasons, the court GRANTS Savers' motion for summary judgment [Doc. No. 22], and DIRECTS the Clerk to enter a declaratory judgment that Savers Property & Casualty Insurance Company owes no duty to defend or indemnify Industrial Safety and Environmental Services, Inc. or Tristan Gour in Browning et al. v. Flexsteel Industries, Inc., et al., Case No. 3:11-CV-480.
SO ORDERED.
See "Century Insurance Environmental Contractors and Consultants Application" (CSL 5000) [Doc. No. 23-1 at pp. 69].