GREGORY J. FOURATT, Magistrate Judge.
THIS MATTER comes before the Court upon the following three motions: Defendant's Motion for Summary Judgment [ECF 47] and Motion for Summary Judgment on the Expert Evidence [ECF 68], as well as Plaintiff's Motion for Partial Summary Judgment [ECF 50]. The Motions are fully briefed,
On July 31, 2014, a lightning storm occurred near a manufacturing plant of OSO Biopharmaceuticals Manufacturing, LLC ("OSO") in Albuquerque, New Mexico. ECF 50 at 11. At approximately 6:23 p.m. that evening, a lightning strike was recorded within 0.2 miles of this facility, which at the time was being used to manufacture an injectable antibiotic, Cubicin (daptomycin), for treating complicated infections. Id. at 12. Around this same time, the facility experienced a power interruption and doors leading from an interior "clean room" unexpectedly opened, while certain fans and other equipment shut down. See ECFs 47 at 3; 68 at 4; 71 at 8. Unacceptable levels of mold were later detected in this room, requiring OSO to discard the antibiotics that it was producing and cease further production until remediation efforts concluded in December 2014. See ECFs 47 at 5; 50 at 6; 68 at 3.
As a result, OSO submitted a claim for over $10 million in losses to Defendant Federal Insurance Company. See ECF 50 at 5. Defendant paid OSO the maximum sublimit of $600,000 under two of its contract provisions. Id. OSO then submitted a claim to Plaintiff Factory Mutual Insurance Company, which ultimately paid $7,385,110 to OSO for its losses. Id. at 6. Plaintiff, as an assignee of OSO, now seeks reimbursement from Defendant. Id. at 5.
Plaintiff's fundamental claim in this litigation is that Defendant breached its insurance contract by not paying for the loss under its "Building and Personal Property for Life Sciences" ("BPPLS") provision, which provided much higher limits of coverage. See ECF 64 at 2-3. Defendant's BPPLS provision states that it will "pay for direct physical loss or damage to: building; or personal property, that is caused by or resulting from a peril not otherwise excluded." ECF 47-2 (Defendant's insurance policy) at 92. Defendant's policy, however, generally excludes losses resulting from "contaminants" (e.g., mold), unless an exception applies:
Id. at 104 (emphasis added).
There are two fundamental issues raised by these motions: (1) the meaning of the term "directly" in Defendant's BPPLS provision, which requires this mold contamination to have been "directly caused by" (or to have "directly result[ed] from") lightning for these higher limits of coverage to apply; and (2) whether there is a genuine issue of material fact as to whether lightning "directly" caused this contamination. See ECF 47 at 7-14; ECF 68 at 9-20; ECF 50 at 17-28.
"The court shall grant summary judgment if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). A fact is material when it "might affect the outcome of the suit under the governing [substantive] law," and a dispute is genuine when "the evidence is such that a reasonable jury could return a verdict for the nonmoving party." Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986).
"A `judge's function' in evaluating a motion for summary judgment is not `to weigh the evidence and determine the truth of the matter but to determine whether there is a genuine issue for trial.'" Salazar-Limon v. City of Houston, 137 S.Ct. 1277, 1280 (2017) (quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 249 (1986)); see also First Nat. Bank of Ariz. v. Cities Service Co., 391 U.S. 253, 289 (1968) (the question at summary judgment is whether a jury should "resolve the parties' differing versions of the truth at trial"). In evaluating such a motion, the Court must "view the facts and draw reasonable inferences `in the light most favorable to the party opposing the . . . motion.'" Scott v. Harris, 550 U.S. 372, 378 (2007) (quoting United States v. Diebold, Inc., 369 U.S. 654, 655 (1962)).
"In cases arising under diversity jurisdiction, the federal court's task is . . . simply to `ascertain and apply the state law.'" Wade v. EMCASCO Ins. Co., 483 F.3d 657, 665 (10th Cir. 2007) (quoting Wankier v. Crown Equip. Corp., 353 F.3d 862, 866 (10th Cir. 2003)) (citing Erie R.R. Co. v. Tompkins, 304 U.S. 64, 78 (1938)). In such diversity actions, the federal court must "apply the substantive laws of the forum state," New York Life Ins. Co. v. K N Energy, Inc., 80 F.3d 405, 409 (10th Cir. 1996), by "follow[ing] the most recent decisions of the state's highest court." Wade, 483 F.3d at 665-66 (citing Wankier, 353 F.3d at 866). And "[w]here no controlling state decision exists, the federal court must attempt to predict what the state's highest court would do." Id. at 666 (quoting Wankier, 353 F.3d at 866).
"New Mexico law treats an insurance policy as an ordinary contract to be construed according to customary principles of contract interpretation." Carolina Cas. Ins. Co. v. Nanodetex Corp., 733 F.3d 1018, 1022 (10th Cir. 2013) (citing Rummel v. Lexington Ins. Co., 945 P.2d 970, 976 (N.M. 1997)). Consequently, "the interpretation of terms within an insurance policy is `a matter of law about which the court has the final word.'" United Nuclear Corp. v. Allstate Ins. Co., 285 P.3d 644, 647 (N.M. 2012) (quoting Rummel, 945 P.2d at 984); Ace Am. Ins. Co. v. Dish Network, LLC, 883 F.3d 881, 887 (10th Cir. 2018).
The New Mexico Supreme Court has opined that, "[a]s with other contracts, where an insurance policy's terms have a common and ordinary meaning, that meaning controls in determining the intent of the parties." United Nuclear Corp. v. Allstate Ins. Co., 285 P.3d 644, 647 (N.M. 2012) (emphasis added) (internal quotation marks omitted). "But where a policy term is reasonably and fairly susceptible of different constructions, it is deemed ambiguous and must be construed against the insurance company as the drafter of the policy." Id. at 648 (emphasis added) (internal quotation marks omitted); see also Battishill v. Farmers All. Ins. Co., 127 P.3d 1111, 1115 (N.M. 2006) (stating "it is the law in New Mexico that an insurance policy which may reasonably be construed in more than one way should be construed liberally in favor of the insured" (internal quotation marks omitted)). And "this principle applies with added force" when "limitations upon coverage are concerned." United Nuclear Corp., 285 P.3d at 656 (quotation marks omitted). Similarly, "[g]rants of coverage"—including through "an exception to an exclusion"—should be "construed broadly in favor of the insured." Id. at 649 (quotation marks and citations omitted).
In construing ambiguities "in favor of the insured and against the insurer," a court's interpretation "will be guided by the reasonable expectations of the insured." United Nuclear Corp., 285 P.3d at 648 (internal quotation marks and citations omitted); see also W. Commerce Bank v. Reliance Ins. Co., 732 P.2d 873, 875 (N.M. 1987) (emphasizing that "the test is not what the insurer intended its words to mean, but what a reasonable person in the insured's position would have understood them to mean"); Rummel v. Lexington Ins. Co., 945 P.2d 970, 976 (N.M. 1997) (stating that "ambiguous terms will be given the strongest interpretation against the insurer which they will reasonably bear" (internal quotation marks omitted)).
The New Mexico Supreme Court has not specifically stated whether, in the context of an insurance contract's requirement for causation, the term "directly" (or "direct") is ambiguous. See, e.g., United Nuclear Corp., 285 P.3d at 647-48. The New Mexico Supreme Court has, however, provided additional guidance on determining whether a term is ambiguous. First, "[t]he insurance contract . . . will be construed as a whole." Rummel, 945 P.2d at 976 (citations omitted). Second, "[i]f any provisions appear questionable or ambiguous, [the court] will first look to whether their meaning and intent is explained by other parts of the policy." Id. (emphasis added) (citation omitted).
Although not directly binding on this Court, the Court of Appeals of New Mexico has implied in dicta that, in the context of an insurance contract's causation provision, the term "direct" is ambiguous:
Healthsouth Rehab. Hosp. of N.M., Ltd. v. Brawley, 369 P.3d 27, 34 (N.M. Ct. App. 2015) (emphasis added) (quoting 3 Allan D. Windt, Insurance Claims and Disputes § 11:22C n.3 (6th ed. 2015) (collecting cases)).
The Court's first task is to determine the meaning of the disputed contractual provision. In other words, within Defendant's BPPLS provision—which requires the mold contamination to have been "directly caused by" (or to have "directly result[ed] from") lightning for higher limits of coverage to apply—the Court must determine meaning of the term "directly." ECF 47-2 at 104.
In applying New Mexico substantive contract law—by following its most recent Supreme Court decisions, as well as predicting what that court would do in this particular situation—this Court concludes that the term "directly," as used in Defendant's BPPLS provision, is ambiguous. Specifically, in construing Defendant's insurance contract "as a whole," including by assessing whether this term is "explained by other parts of the policy," this Court is of the view that a reasonably intelligent layman would find the term "directly" (as used in the BPPLS provision) to be "susceptible to more than one meaning"—i.e., ambiguous. Rummel, 945 P.2d at 976 (internal quotation marks and citations omitted). Indeed, a reasonably intelligent layman would notice that certain causation provisions in Defendant's contract omit such terms as "direct" or "directly," while other provisions include such terms.
Given that the term "directly" in this context is ambiguous, this Court must therefore construe this term "in favor of the insured and against the insurer" while also being "guided by the reasonable expectations of the insured." United Nuclear Corp., 285 P.3d at 648. In addition, "[a]s an exception to an exclusion," the clause in which this term is found
In further applying New Mexico law on proximate causation, this Court holds that to have "directly" caused the mold contamination, the lightning strike must have been "reasonably connected as a significant link to the contamination." New Mexico Uniform Jury Instruction ("UJI") 13-305 ("Causation (Proximate cause)") (commentary noting that "[t]he proximate cause element of causation is expressed by the phrase `reasonably connected as a significant link'"). Therefore, should this case go to trial, the Court will likely give some form of the following jury instruction, which is patterned after UJI 13-305:
In sum, this Court holds that, in Defendant's BPPLS provision, the phrase "directly caused by or directly results from" means proximate causation, which requires the lightning strike to have been "reasonably connected as a significant link" to the contamination.
Defendant's first motion [ECF 47] claims that, although "Plaintiff offers some evidence that tenuously and indirectly connects the lightning strike to . . . mold contamination," Plaintiff lacks any evidence that such contamination "was directly caused by or directly resulted from lightning." ECF 47 at 9 (emphasis in original). And Defendant's second motion [ECF 68] goes even further and asserts that Plaintiff lacks any evidence "such that a reasonable jury," Anderson, 477 U.S. at 248, could find any (let alone direct) causation between the lightning and the contamination. ECF 68 at 1, 9 (arguing that Plaintiff lacked any "reliable scientific evidence" of such causation). In contrast, Plaintiff contends in its motion [ECF 50] that (under its broad "any contributing factor" standard of causation) there is no genuine issue that lightning did anything other than directly cause the contamination. ECF 50 at 20-28.
At the motions hearing, the Court intended to leave the parties with no doubt where it stood with respect to the dueling motions for summary judgment. See Tr., ECF 114 at 200-01. After further review of the parties' contentions and the evidence supporting those contentions, this Court concludes that "the evidence is such that a reasonable jury could return a verdict for the [Plaintiff]," Anderson, 477 U.S. at 248, by finding that lighting proximately caused the mold contamination (and resulting loss to OSO). See, e.g., ECF 71 at 7-8 (Plaintiff citing to expert evidence (1) from engineer Frank Roberts that lightning caused a power anomaly that in turn caused OSO's interior clean room doors to open and (2) from industrial hygienist Robert Adams that it was "more likely than not" that lightning caused these doors to open and these open doors provided a pathway for the contamination); ECF ___ (order to be filed permitting Mr. Roberts and Mr. Adams to testify as expert witnesses). Consequently, the Court will deny Defendant's motions [ECFs 47, 68].
With respect to Plaintiff's Motion for Partial Summary Judgment [ECF 50], this Court likewise concludes that "the evidence is such that a reasonable jury could return a verdict for the [Defendant]," Anderson, 477 U.S. at 248, by finding that lighting did not proximately cause the mold contamination. See, e.g., Mot. Hr'g Tr. at pp. 113-16 (discussion of engineer Aurora's opinion that the "several other possibilities" could have caused the contamination and Plaintiff's acknowledgment that its summary judgment motion [ECF 50] rested on its "any contributing factor" standard of causation). Consequently, the Court will deny Plaintiff's motion.
In sum, based on this Court's decision about the appropriate causation standard and this Court's decision to permit Plaintiff's expert witnesses Roberts and Adams to render opinions about the causation of the mold contamination, this Court holds that it is for the jury to "resolve the parties' differing versions of the truth" as to whether lighting proximately caused the mold contamination (and resulting loss to OSO). First Nat. Bank of Ariz., 391 U. S. at 289.