interpreting 17 the Fair Credit Reporting Act
How later courts described this case
- interpreting 17 the Fair Credit Reporting Act
- “Simply put, summary 22 judgment is not a procedural second chance to flesh out inadequate pleadings.”
- “IFCA, as written and as intended, confers 10 a right of action to first-party claimants whether under a first-party or third-party 11 insurance contract.”
- applying state law to determine appropriate burden of proof because “[r]ules governing presumptions and burdens of proof are 22 generally regarded as substantive for purposes of Erie R. R. v. Tompkins,” 304 U.S. 64 (1938)
Written by the judges who cited it.
The opinion
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UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF WASHINGTON
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AT SEATTLE
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10 UNITED STATES FIDELITY AND CASE NO. C20-0369JLR
GUARANTY COMPANY,
11 ORDER
Plaintiff,
12 v.
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KAREN ULBRICHT, et al.,
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Defendants.
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I. INTRODUCTION
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There are four motions pending before the court: (1) Defendants PM Northwest,
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Inc. (“PM Northwest”), Heide Ulbricht, Karen Ulbricht, and Robert S. Ulbricht’s (the
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“Ulbrichts”) (collectively, “Defendants”) motion to realign the parties in this case
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(Realignment Mot. (Dkt. # 75); Realignment Resp. (Dkt. # 82); Realignment Reply (Dkt.
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# 88)); (2) Plaintiff United States Fidelity and Guaranty Company’s (“USF&G”) motion
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for summary judgment (USF&G MSJ (Dkt. # 70); USF&G MSJ Resp. (Dkt. # 112);
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1 USF&G MSJ Reply (Dkt. # 104)); (3) Defendants’ motion for partial summary judgment
2 (Defs. MSJ (Dkt. # 83); Defs. MSJ Resp. (Dkt. # 91); Defs. MSJ Reply (Dkt. # 102)); and
3 (4) Defendants’ motion to seal materials relied on in opposition to USF&G’s motion for
4 summary judgment (Seal Mot. (Dkt. # 94); Seal Reply (Dkt. # 114)), which USF&G joins
5 (Seal Resp. (Dkt. # 109)). Having considered the submissions of the parties, the relevant
6 portions of the record, and the applicable law, the court: (1) DENIES Defendants’
7 motion to realign the parties (Dkt. # 75); (2) GRANTS in part and DENIES in part
8 USF&G’s motion for summary judgment (Dkt. # 70); GRANTS in part and DENIES in
9 part Defendants’ motion for partial summary judgment (Dkt. # 83); and GRANTS in part
10 and DENIES in part Defendants’ motion to seal (Dkt. # 94).1
11 II. BACKGROUND
12 This action arises out of a personal injury lawsuit the Ulbrichts filed on January
13 24, 2018 in King County Superior Court against 18 defendants, including PM Northwest.
14 (Compl. (Dkt. # 1) ¶ 9; SAC (Dkt. # 27) ¶ 3.4; 12/3/21 Ackel Decl. (Dkt. # 86) ¶ 2, Ex. A
15 (the “Underlying Action”).) The underlying action alleged that Robert Ulbricht
16 contracted mesothelioma2 as a result of prolonged exposure to asbestos while working
17 alongside PM Northwest contractors at an oil refinery in Anacortes, Washington in the
18 //
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1 USF&G requested oral argument on the parties’ cross-motions for summary judgment.
20 (See USF&G MSJ Reply; Defs. MSJ Resp.) However, the court finds that oral argument would
not be helpful to its disposition of the matters addressed in this order. See Local Rules W.D.
Wash. LCR 7(b)(4).
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2 Mesothelioma is “a form of cancer closely associated with asbestos exposure.”
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McIndoe v. Huntington Ingalls Inc., 817 F.3d 1170, 1172 (9th Cir. 2016).
1 1970s and 80s. (SAC ¶ 3.5; Underlying Action at 3.) The underlying action was initially
2 scheduled for trial on July 8, 2019, but, at the Ulbrichts urging, was expedited to August
3 6, 2018. (11/16/21 Brownstein Decl. (Dkt. # 71) ¶¶ 1-2, Exs. 1-2.)
4 Sometime around the middle of March 2018, PM Northwest’s office manager,
5 Kesha Huntley, began looking through old files housed in PM Northwest’s office in an
6 effort to locate information about insurance policies that might have covered any liability
7 they faced from the underlying action. (See 12/3/21 Ackel Decl. ¶ 4, Ex. C (“Huntley
8 Depo. Tr.”) at 41:15-42:11.) She also discussed the search with former PM Northwest
9 officials to see if there were other company records that she should inspect as part of her
10 investigation. (Id. at 41:13-43:14.) This effort did not lead to the discovery of policy
11 documents, but Ms. Huntley’s predecessor, Linda Chambers—who served as PM
12 Northwest’s office manager in the 1970s and 80s—was able to point her to old PM
13 Northwest meeting minutes. (See id. at 42:21-43:03.) The meeting minutes indicated
14 that, at some point prior to 1981, PM Northwest had an insurance policy with USF&G.
15 (See 12/3/21 Ackel Decl. ¶ 7, Ex. F at 3.) The minutes also listed the insurance broker
16 that PM Northwest used at the time—Dougan, Eader, Reynolds & Wheller, Inc.—
17 although Ms. Huntley was unsuccessful in finding contact information for the firm.
18 (Huntley Depo. Tr. at 28:17-29:10.)
19 Ultimately, after going “through everything that [PM Northwest] had,” Ms.
20 Huntley could not find any policies or information about policies from the relevant time
21 period (id. at 51:18-19), although she acknowledged that files created before 2000 were
22 //
1 likely destroyed in an office flood in the 1990s or were shredded prior to PM Northwest
2 relocating office space “around 2010, 2012” (id. at 52:15-54:1).
3 On March 19, 2018, Ms. Huntley reached out to PM Northwest’s current
4 insurance broker and asked for assistance locating old policies but was told that they
5 would not have relevant information because their engagement with PM Northwest did
6 not begin until 1996. (12/3/21 Ackel Decl. ¶ 5, Ex. D.) The broker did offer that she had
7 checked the Washington Labor & Industries Contractor Registration website “to see if
8 they had insurance history online,” but found that the state’s registry “only goes back to
9 2012.” (12/3/21 Ackel Decl. ¶ 6, Ex. E.)
10 Ms. Huntley first contacted USF&G3 on March 27, 2018. (12/3/21 Ackel Decl.
11 ¶ 9, Ex. H at 2.) She sent the following message to “claims@travelers.com”:
12 I’m looking for information on an old policy that PM Northwest, Inc. had in
the 70’s or early 80’s. I don’t have a number for it all I can find is it looks
13 like we had a [General Liability] policy with U.S.F.&G. I called the
Traveler’s main office and they directed me to this email to try and find out
14 more info. We got served with some papers so I’m trying to see if the lawyer
we have been talking to is covered under our old policy or if we need to find
15 a new one. Any help you can give me would be appreciated. It might be
under PM Northwest, Inc. or P.M. Northwest, Inc. everyone kind of had their
16 own way of writing it.
17 Id. USF&G did not respond right away so Ms. Huntley resent her email a week later, on
18 April 4, 2018. (Id. at 1.) The following day, Karen Berneche, a senior consultant in
19 USF&G’s Claim Regulatory Compliance group, responded to Ms. Huntley to request
20 additional information. (See id.)
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3 For consistency and ease of reference, the court refers to USF&G’s affiliate, the
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Travelers Companies, Inc. (“Travelers”), as “USF&G” throughout this order.
1 Ms. Huntley responded the same day with answers to Ms. Berneche’s questions.
2 (12/3/21 Ackel Decl. ¶ 10, Ex. I at 1.) She also clarified that “[a]s of right now there is
3 no claim but we are named in a lawsuit by a man named Robert Ulbricht,” which she
4 speculated would result in PM Northwest’s dismissal “after a deposition,” though she
5 noted that PM Northwest nevertheless needed to resolve the insurance coverage issue
6 because PM Northwest’s “lawyer fees need to go thru [sic] it.” (Id.)
7 On April 12, 2018, Ms. Huntley followed up with Ms. Berneche to ask whether
8 there was “[a]ny new news,” because PM Northwest’s “lawyer is going to a deposition
9 on Friday so it would be nice to open a claim here for it soon.” (12/3/21 Ackel Decl.
10 ¶ 11, Ex. J at 1.) Ms. Berneche responded the same day that no policy had yet been
11 located but that, even if the policy was located, USF&G would still “have a claim
12 adjuster look at it to determine if there is any coverage” before opening a claim. (Id.) On
13 April 20, 2018, Ms. Berneche notified Ms. Huntley that USF&G’ records department had
14 completed its search “for any [general liability] and [workers compensation] policy”
15 during “the dates that the claimant had worked for P.M. Northwest, Inc.,” but had been
16 unable to locate any such policies. (12/3/21 Ackel Decl. ¶ 12, Ex. K at 1.)
17 Although Ms. Huntley took this news as an indication that USF&G would not be
18 opening a claim, Ms. Berneche clarified in her deposition that what she meant to convey
19 was that, while her initial search was unsuccessful, Ms. Huntley should continue
20 searching for a policy number but, whether a policy number was located or not, the
21 available information would still be passed along to USF&G’s claim department for
22 further investigation. (12/3/21 Ackel Decl. ¶ 13, Ex. L (“Berneche Depo. Tr.”) at
1 81:3-83:3.) Despite the fact that Ms. Berneche expected that Ms. Huntley would
2 conclude her search for a policy number within a couple of days of their April 20, 2018
3 email exchange, she did not follow up with Ms. Huntley. (Id. at 83:4-12.) Nor did Ms.
4 Berneche submit the information Ms. Huntley had provided to USF&G’s claim
5 department at that time. (Id. at 83:13-22.) As she stated in her deposition, the matter
6 simply “fell off [her] radar.” (Id. at 107:9.)
7 The next communication between PM Northwest and USF&G came on July 9,
8 2018, when Ms. Huntley emailed Ms. Berneche and reported that their attorney had
9 located the old policies and that PM Northwest “actually did have one from
10 3/31/77-3/31/78 with USF&G. The policy number is [1CCA56045].” (12/3/21 Ackel
11 Decl. ¶ 14, Ex. M at 2.) Ms. Huntley further indicated that “We need to get a claim
12 opened ASAP” because the “[t]rial date is set for 8/6/18 and mediation is 7/18/18.” (Id.)
13 On July 10, 2018, Ms. Berneche requested that Ms. Huntley “scan and send me the
14 policy information (specific to this claim) and any documents, claimant, insured, full
15 contact information for all parties involved, etc[.],” as well as “the actual policy,” which
16 she would then “forward to [USF&G’s] Customer Care Center to set up the claim.” (Id.
17 at 1.) Ms. Huntley responded immediately to provide five (5) certificates of insurance,
18 which she mistakenly identified as the actual policies, showing that PM Northwest held
19 general liability policies with “USF&G from 1977-1982.” (Id. at 1, 14-18.4) Ms.
20 //
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4 The policies are: 1CCA56045 (1977-78); 1CCB12875 (1978-79); 1CCC70507 (1979-
80); 1CCD17906 (1980-81); and MP50769 (1981-82). The court refers to these five (5) policies,
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collectively, as the “USF&G policies” or the “five policies.”
1 Huntley also attached the complaint and amended complaint from the underlying action
2 and encouraged Ms. Huntley to contact PM Northwest’s attorney for further information
3 about the litigation. (Id. at 4-13)
4 James Quimby, an Account Executive in USF&G’s Special Liability Group,
5 responded by letter dated July 10, 2018 to confirm that USF&G had received the
6 litigation documents and had “order[ed] the applicable [insurance] policies from [its]
7 off-site storage facility.” (12/3/21 Ackel Decl. ¶ 15, Ex. N.) Once those policy
8 documents arrived, USF&G would then review the information Ms. Huntley had
9 provided “in light of the coverage provided by the policies.” (Id.) Mr. Quimby advised
10 that, “[p]ending the outcome of [USF&G’s] coverage and policy investigation, PM
11 Northwest should continue to protect its own interest with any court imposed deadlines
12 and/or answer dates.” (Id.)
13 On July 16, 2018, Mr. Quimby responded to a voicemail left by Ms. Huntley
14 regarding the Ulbrichts’s demand for mediation in the underlying action and informed her
15 that she could send the mediation demand to his attention, but that USF&G was still
16 “trying to locate copies of the policies.” (12/3/21 Ackel Decl. ¶ 16, Ex. O at 1.) He
17 reiterated that “[p]ending the outcome of [USF&G’s] coverage and policy investigation,
18 PM Northwest should continue to protect its own interests” in the underlying action. (Id.)
19 Ms. Huntley responded moments later with the Ulbrichts’s July 9, 2016 mediation letter
20 demanding “$3.5 million from PM Northwest.” (Id. at 3.)
21 Mediation between PM Northwest and the Ulbrichts began on July 18, 2020.
22 (12/3/21 Ackel Decl. ¶ 18, Ex. Q ¶ 11.) During the course of mediation, PM Northwest’s
1 attorney, David Shaw, contacted Mr. Quimby and learned that USF&G had still not
2 located the policies and was operating on the assumption that “it was the insured’s
3 obligation . . . to prove the terms of the policies.” (Id.) Ms. Huntley also contacted Mr.
4 Quimby on July 30, 2018 to ask whether USF&G had found “[a]nything on [PM
5 Northwest’s] old Policies yet.” (12/3/21 Ackel Decl. ¶ 17, Ex. P at 1.) Mr. Quimby
6 responded to Ms. Huntley on August 2, 2018, and informed her that USF&G intended to
7 finalize its investigation “in the next few days” and would “respond further[] once we
8 have additional information.” (12/3/21 Ackel Decl. ¶ 19, Ex. R at 1.) Once more, he
9 reiterated that “[p]ending further review of this matter, PM Northwest should continue to
10 protect [its] interests.” (Id.)
11 On the same day, PM Northwest and the Ulbrichts entered into a stipulated
12 settlement agreement for judgment in the amount of $4.5 million, an assignment of rights,
13 and a covenant not to execute (12/3/21 Ackel Decl. ¶ 18, Ex. Q ¶ 14; 12/3/21 Ackel Decl.
14 ¶ 20, Ex. S at 7-8), which they filed as a stipulated judgment in the underlying action on
15 August 3, 2018 (12/3/21 Ackel Decl. ¶ 21, Ex. T).
16 PM Northwest sent the settlement agreement, stipulated judgment, motion for
17 reasonableness determination, and notice for hearing to USF&G on August 15, 2018.
18 (Id. ¶ 22, Ex. U.) The following day, Cara Corson, a legal specialist in USF&G’s Special
19 Liability Group, sent urgent requests for records to others within USF&G. (Id. ¶¶ 23-26,
20 Ex. V-Y.) By August 29, 2018, USF&G had located “copies of policy documents” for
21 one of the policies “within a couple of claim files,” was “expecting two additional claim
22 //
1 files,” and was “still working on” locating more information. (12/3/21 Ackel Decl. ¶ 32,
2 Ex. EE.)
3 Over USF&G’s objection, the King County Superior Court approved the covenant
4 judgment as reasonable on December 26, 2018. (Id. ¶ 28, Ex. AA (“Reasonableness
5 Order”) at 17.) Although USF&G appealed the determination, it paid the Ulbrichts $2.5
6 million as indemnification for PM Northwest’s bodily injury liability on May 1, 2019,
7 contending that the amount represented “the total potential limits available for all of the
8 policies . . . that are alleged to have been issued to PM Northwest by USF&G.” (12/3/21
9 Ackel Decl. ¶ 30, Ex. CC.) The court of appeals affirmed the reasonableness
10 determination on February 10, 2020. (12/3/21 Ackel Decl. ¶ 31, Ex. DD.)
11 USF&G initiated this action on March 6, 2020, seeking a declaratory judgment
12 that the total available limits of liability under any policies PM Northwest held with
13 USF&G are $2.5 million; that it had exhausted that amount by its May 1, 2019 payment
14 to the Ulbrichts and had no liability in excess of that amount; and that it neither acted in
15 bad faith nor violated IFCA through its handling of PM Northwest’s insurance claim.
16 (Compl. ¶¶ 31-49.) Defendants subsequently brought suit in federal court, which was
17 consolidated with USF&G’s declaratory judgment action. (9/21/20 Order (Dkt. # 16).)
18 Defendants’ suit alleges that USF&G breached its duty to defend and indemnify; denied
19 coverage in bad faith and in violation of its enhanced obligation of fairness towards its
20 insured; and violated the Washington Insurance Fair Conduct Act (“IFCA”) and the
21 Washington Consumer Protection Act (“CPA”). (SAC ¶¶ 4.1-8.2.)
22 //
1 III. ANALYSIS
2 The court begins by addressing Defendants’ motion to seal before turning to its
3 analysis of the parties’ cross motions for summary judgment. The court concludes by
4 discussing Defendants’ motion to realign the parties.
5 A. Defendants’ Motion to Seal Materials Relied on in Opposition to USF&G’s
Motion for Summary Judgment
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Defendants move to seal portions of the depositions of Cara Corson and Sherry
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Bowers, as well as seven exhibits used in connection with those depositions (12/6/21
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Ackel Decl. (Dkts. ## 100 (sealed), 101 (redacted)) ¶¶ 12-15, 17-21, Exs. K-N, P-T);
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portions of their opposition to USF&G’s motion for summary judgment (Dkt. # 96); and
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the declaration of Mark Hatley filed in support of Defendants’ opposition brief (Hatley
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Decl. (Dkts. ## 98 (sealed), 99 (redacted)). (Seal Mot. at 2; Seal Resp. at 2.) Defendants
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also confirm that the parties met and conferred about the need to seal these records prior
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to filing the motion, as required by the local rules. (See Ackel Decl. ISO Seal Mot. (Dkt.
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# 95) ¶ 2.) USF&G joins the motion and further clarifies that it “is not seeking to
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maintain the confidentiality of the statements” in Defendants’ opposition brief or the
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declaration of Mark Hatley and has also “agreed to remove the ‘Confidential Material’
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designation” for some portions of the Corson and Bowers depositions that Defendants
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have requested to seal. (Seal Resp. at 2.) Defendants subsequently filed unredacted
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versions of their response to USF&G’s summary judgment motion (Dkt. # 112) and the
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Hatley Declaration (Dkt. # 113). Accordingly, the parties only seek to seal the exhibits
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included in the Ackel Declaration through this motion.
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1 USF&G, as the party asserting a confidentiality interest in the records Defendants
2 propose to seal, bears the burden of providing compelling reasons to seal the documents.
3 See Local Rules W.D. Wash. LCR 5(g)(3). To meet that burden, USF&G argues that
4 sealing is necessary to protect its “proprietary computer search and indexing information,
5 as well as internal office protocols,” which it believes provide it with “a competitive
6 advantage through the development and maintenance of the indexing systems and
7 documents reflecting the use of these systems.” (Seal Resp. at 4 (citing Oestman Decl.
8 (Dkt. # 110) ¶ 4).) Disclosure of such information would, USF&G testifies, “give its
9 competitors a look into how USF&G conducts its business and,” thereby, “create a
10 competitive disadvantage.” (Oestman Decl. ¶ 3.) On this showing, the court finds that
11 USF&G has provided “compelling reasons” to overcome the presumption in favor of
12 judicial access for those records over which USF&G continues to assert a confidentiality
13 interest. See Kamakana v. City & Cty. of Honolulu, 447 F.3d 1172, 1178 (9th Cir. 2006).
14 Accordingly, the court GRANTS Defendants motion to seal in part and DENIES it
15 in part. The motion is GRANTED with respect to the sealed exhibits attached to the
16 Ackel Declaration (Dkt. # 100) and it is DENIED as moot as to all other currently sealed
17 documents. The Clerk is further DIRECTED to STRIKE (1) Defendants’ response to
18 USF&G’s motion for summary judgment (Dkts. ## 96 (sealed); 97 (redacted)) and (2)
19 Mr. Hatley’s Declaration (Dkts. ## 98 (sealed); 99 (redacted)), as those filings have been
20 replaced by unredacted versions (see Dkts. ## 112 and 113). To the extent Mr. Ackel’s
21 redacted declaration (Dkt. # 101) shields material over which USF&G no longer asserts
22 //
1 a confidentiality interest (see Seal Resp. at 3), Defendants are ORDERED to file an
2 amended redacted declaration within seven (7) days of the entry of this order.5
3 B. Summary Judgment Motions
4 USF&G moves for summary judgment in its favor on the ground that Defendants
5 “cannot establish the material terms of the USF&G policies,” and so, in turn, they
6 “cannot establish a contractual right to coverage under the policies, or bad faith claims as
7 a result of USF&G’s claim handling.” (USF&G MSJ at 6.) Defendants oppose
8 USF&G’s motion (USFG&G MSJ Resp.) and also cross-move for partial summary
9 judgment in their own favor on the following: (1) USF&G issued policy 1CCC70507 to
10 PM Northwest, which covered the Ulbrichts’s claims in the underlying action; (2)
11 1CCC70507 included a duty for USF&G to defend PM Northwest in the underlying
12 action; (3) the duty to defend did not expire until USF&G paid the Ulbrichts an amount
13 equal to the policy limit on May 1, 2019; (4) 1CCC70507 included a Supplemental
14 Payments clause that obligated USF&G to pay post-judgment interest, which USF&G
15 breached by failing to pay Defendants the accrued amount of $171,172.60; and (5)
16 USF&G’s breach of its duty to defend PM Northwest was unreasonable and amounted to
17 bad faith such that USF&G should be estopped from denying coverage for the unsatisfied
18 balance of the $4.5 million covenant judgment. (Defs. MSJ at 2-3.)
19 //
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5 The court has only relied on unredacted material in this order and so does not find it
necessary to direct the Clerk to provisionally file this order under seal. To the extent the parties
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believe this order contains confidential material, they should move, jointly if possible, to have
this order sealed within seven (7) days of the entry of this order and attach to their motion a
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proposed redacted version of this order.
1 Below, the court sets out the standard of review that applies to its consideration of
2 cross-motions for summary judgment; considers whether Defendants are barred under
3 Fed. R. Evid. 1004 from reconstructing the missing policies; and determines the burden
4 of proof that Defendants face when reconstructing a missing insurance policy. It then
5 turns to consider the parties’ remaining arguments in favor of their respective summary
6 judgment motions.
7 1. Summary Judgment Legal Standard
8 Summary judgment is appropriate if the evidence viewed in the light most
9 favorable to the non-moving party shows “that there is no genuine dispute as to any
10 material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P.
11 56(a); see Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986). A fact is “material” if it
12 might affect the outcome of the case. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248
13 (1986). A factual dispute is “‘genuine’ only if there is sufficient evidence for a
14 reasonable fact finder to find for the non-moving party.” Far Out Prods., Inc. v. Oskar,
15 247 F.3d 986, 992 (9th Cir. 2001) (citing Anderson, 477 U.S. at 248-49).
16 The moving party bears the initial burden of showing there is no genuine dispute
17 of material fact and that it is entitled to prevail as a matter of law. Celotex, 477 U.S. at
18 323. If the moving party does not bear the ultimate burden of persuasion at trial, it can
19 show the absence of such a dispute in two ways: (1) by producing evidence negating an
20 essential element of the nonmoving party’s case, or (2) by showing that the nonmoving
21 party lacks evidence of an essential element of its claim or defense. Nissan Fire &
22 Marine Ins. Co. v. Fritz Cos., 210 F.3d 1099, 1106 (9th Cir. 2000). If the moving party
1 meets its burden of production, the burden then shifts to the nonmoving party to identify
2 specific facts from which a factfinder could reasonably find in the nonmoving party’s
3 favor. Celotex, 477 U.S. at 324; Anderson, 477 U.S. at 250. Where cross motions are at
4 issue, the court must “evaluate each motion separately, giving the nonmoving party in
5 each instance the benefit of all reasonable inferences.” ACLU of Nev. v. City of Las
6 Vegas, 466 F.3d 784, 790-91 (9th Cir. 2006) (citations omitted); see also Burrows v. 3M
7 Co., No. C19-1649RSL, 2021 WL 1171999, at *2 (W.D. Wash. Mar. 29, 2021).
8 Finally, “the determination of whether a given factual dispute requires submission
9 to a jury must be guided by the substantive evidentiary standards that apply to the case.”
10 Anderson, 477 U.S. at 255.
11 2. Reconstruction of the Missing Policies
12 Before analyzing whether Defendants have met their burden to prove the existence
13 of material policy terms, the court first considers USF&G’s argument that Defendants are
14 absolutely barred from reconstructing the USF&G policies because the court in the
15 underlying action found there was “substantial evidence” that PM Northwest
16 intentionally destroyed records of its asbestos liability. (See USF&G MSJ Reply at 4
17 (first citing Seiler v. Lucasfilm, Ltd., 808 F.2d 1316, 1321 (9th Cir. 1986); and then citing
18 Fed. R. Evid. 1004(a))6; see also Defs. MSJ Resp. at 2-5.) The gravamen of USF&G’s
19 //
20
6 Arguments raised for the first time in a reply brief are ordinarily deemed to have been
waived. See Clearly Food & Beverage Co. v. Top Shelf Beverages, Inc., 102 F. Supp. 3d 1154,
21
1165 (W.D. Wash. 2015). The court considers the argument here because USF&G also raised it
in opposition to Defendants’ motion for partial summary judgment. (See Defs. MSJ Resp. at
22
2-5.)
1 argument is that “[p]reviously, the Ulbrichts argued that PM Northwest intentionally lost
2 or destroyed its business records with knowledge of its asbestos exposure. Now the
3 Ulbrichts argue PM Northwest innocently lost or destroyed its business records. The two
4 positions are in fundamental conflict,” and so Defendants should be estopped from
5 arguing the policies are missing and barred from attempting to reconstruct them. (See
6 USF&G MSJ Reply at 4; Defs. MSJ Resp. at 2-5.)
7 Even a cursory review of the underlying action reveals that the spoliation motion
8 brought by the Ulbrichts in that action was “referencing different business records
9 destroyed at different times.” (Defs. MSJ Reply at 4.) In the underlying action, the
10 Ulbrichts alleged the destruction by PM Northwest of “work records”—not insurance
11 policies—relating to “its asbestos liabilities.” (See Reasonableness Order at 5; see also
12 12/6/21 Brownstein Decl. (Dkt. # 92) ¶ 2, Ex. A (“Spoliation Motion”) at 6 (describing
13 the allegedly spoliated documents as showing “the work or jobs that [PM Northwest] did
14 in the 1970s or 80s”).) Because the issues are unrelated, USF&G’s estoppel argument
15 has no merit. Rather, the court finds that the USF&G policies are “lost or destroyed, and
16 not by the proponent acting in bad faith.” Fed. R. Evid. 1004. Accordingly, Defendants
17 are permitted to attempt reconstruction of the missing insurance policies.
18 3. Burden of Proof for Establishing the Terms of Missing Policies
19 Although the parties agree that Defendants bear the initial burden of proving the
20 terms of the missing policies, they disagree about what standard they must meet.
21 (USF&G MSJ at 7; USF&G MSJ Resp. at 7.) USF&G contends that Defendants must
22 prove the terms of the missing policies by “clear, cogent and convincing evidence.”
1 (USF&G MSJ at 7.) Defendants, by contrast, argue that the normal “preponderance of
2 evidence” standard applies and that, once met, the burden shifts to USF&G to provide
3 evidence of an applicable exclusionary policy. (USF&G MSJ Resp. at 7, 10.)
4 The law in Washington7 is that “[t]he burden of proof is on the insured to show
5 that a loss falls within the terms of the policy. Once the insured has sustained that
6 burden, then the burden shifts to the insurer to prove that the loss is not covered because
7 of exclusionary provisions within the policy.” City of Tacoma v. Great Am. Ins.
8 Companies, 897 F. Supp. 486, 487 (W.D. Wash. 1995). “Thus, the [insured] has the
9 burden of proving all elements of coverage, including the monetary value of coverage.”
10 Id. at 488.
11 USF&G relies on cases addressing “lost instruments,” generally, which hold that
12 “[t]o establish a lost instrument, the evidence must be clear, cogent and convincing.”
13 See, e.g., Lutz v. Gatlin, 590 P.2d 359 (Wash. Ct. App. 1979); Deglow v. Smith, 459 P.2d
14 786, 786 (Wash. 1969); Johnson v. Wheeler, 248 P.2d 558, 560 (Wash. 1952); Scurry v.
15 City of Seattle, 104 P. 1129, 1130 (Wash. 1909). Defendants argue that these cases are
16 inapposite because they do not specifically address lost insurance policies, though they
17 give no reason to think that insurance policies—which are “construed as contracts” under
18 Washington law, Weyerhaeuser Co. v. Com. Union Ins. Co., 15 P.3d 115, 122 (Wash.
19 //
20
7 The parties agree that the court must look to Washington law in determining the burden
of proof that should apply. (See USF&G MSJ at 7; USF&G MSJ Resp. at 8); see also Johnston
21
v. Pierce Packing Co., 550 F.2d 474, 476 n.1 (9th Cir. 1977) (applying state law to determine
appropriate burden of proof because “[r]ules governing presumptions and burdens of proof are
22
generally regarded as substantive for purposes of Erie R. R. v. Tompkins,” 304 U.S. 64 (1938)).
1 2000) (en banc), as amended (Jan. 16, 2001)—should be treated differently than other
2 kinds of contracts. (See USF&G MSJ Resp. at 8.)
3 Defendants suggest that City of Tacoma “supports the use of the ‘preponderance of
4 the evidence’ standard.” (Id.) In City of Tacoma, the parties stipulated to terms they
5 agreed were likely included in a missing insurance policy, including a $100,000 policy
6 limit. City of Tacoma, 897 F. Supp. at 487. They could not agree, however, “if the
7 $100,000 limit was a per occurrence limit or an aggregate limit per policy.” Id. The City
8 of Tacoma, as the insured, argued that question implicated an “exclusion from coverage”
9 for which the insurer had the burden of proof. Id. Alternatively, the City argued that the
10 limit should be applied on a per occurrence basis because other policy provisions covered
11 limitations on an aggregate basis. Id. The City moved for summary judgment in its favor
12 but did not present direct or circumstantial supplementary evidence in support of its
13 position. See id. The court found that the City failed to sustain its burden to prove that
14 the policy limit applied on a per occurrence basis and denied summary judgment, though
15 it invited the City to renew its motion if it could gather “substantially more evidence.”
16 Id. at 488. The court suggested that an investigation of “the coverage custom and
17 practice”; analogous insurance policies; “the records of premiums paid for known
18 coverage by” the insured or peer entities; or records held by the State Insurance
19 Commissioner “might lead to evidence from which the court could ascertain the limits of
20 coverage under [the missing] policies.” Id. at 488.
21 Defendants’ argument—that the City of Tacoma court must have been applying “a
22 lesser quantum of proof than clear and convincing” because, otherwise, “none of [the
1 secondary] evidence would establish the specific policy language used in the missing
2 policy”—is unpersuasive. (USF&G MSJ Resp. at 8.) City of Tacoma is silent on the
3 burden of proof it was applying, but it is a stretch to assume it was applying a
4 preponderance standard simply because it acknowledged that circumstantial evidence
5 might have been used to prove the “elements of coverage,” had any been provided. See
6 City of Tacoma, 897 F. Supp. at 488. Courts routinely accept that “strong circumstantial
7 evidence” may be used to meet a clear and convincing standard. See, e.g., Hong v.
8 Comm’r, 24 F.3d 246 (9th Cir. 1994); Weil v. Comm’r, 962 F.2d 16 (9th Cir. 1992).
9 More persuasive is USF&G’s suggestion that the court’s need for “substantially more
10 evidence” before it would have considered a renewed summary judgment motion
11 “impl[ies] a heightened standard of proof.” (USF&G MSJ Reply at 3.)
12 Defendants’ further argument that “the reasons behind the common law rule
13 requiring ‘clear and convincing’ evidence of a lost document are not present here” is
14 similarly unpersuasive. (USF&G MSJ Resp. at 9 (citing Powers v. Hastings, 612 P.2d
15 371 (Wash. 1980) (en banc) and Est. of Brownfield ex rel. Schneiter v. Bank of Am., N.A.,
16 285 P.3d 886 (2012)).) In Powers, the Washington Supreme Court found that the lessees
17 had “clearly” established the existence of an oral lease-purchase agreement but
18 nevertheless asserted that a weaker evidentiary showing would have sufficed to
19 “establish[] the agreement” and to “excus[e] application of the statute [of frauds]” since
20 the plaintiff sought legal damages rather than specific performance and had provided
21 “sufficient evidence of part performance of the lease-option agreement.” Id. at 374-75.
22 However, the court is not aware of any cases—and Defendants cite none—applying
1 Powers, or its progeny, outside of the context of cases “determining if there is sufficient
2 part performance to ‘remove’ an oral contract for the sale or lease of real property from
3 the operation of the statute of frauds.” Id. at 375. Those issues are not implicated on the
4 facts before the court and so the court concludes that Powers is inapposite.
5 Nor does Estate of Brownfield support the application of a preponderance
6 standard. Defendants contend that the court in that case “refus[ed] to apply [the] clear
7 and convincing standard to proof of the terms of a bank’s signed contract of deposit.”
8 (USF&G MSJ Resp. at 9.) But the court in Estate of Brownfield relied on cases,
9 discussed above, that applied a “clear and convincing” standard of proof for lost
10 documents. Est. of Brownfield, 285 P.3d at 890 (citing Smyser v. Smyser, 140 P.2d 959
11 (1943); Johnson, 248 P.2d at 558; Deglow, 459 P.2d at 786; and Lutz, 590 P.2d at 359).
12 Although the dissent argued that, on the facts before the court, the lost contract had not
13 been established “by clear, cogent, and convincing evidence,” there is no suggestion that
14 the dissent thought the majority had adopted a less burdensome test, only that it had
15 misapplied the clear and convincing standard to the facts before it. See Est. of
16 Brownfield, 285 P.3d at 891 (Kulik, J., dissenting).
17 Because Defendants provide no persuasive reason to deviate from “the common
18 law rule requiring ‘clear and convincing’ evidence of a lost document (see USF&G MSJ
19 Resp. at 9), the court finds that Defendants bear the initial burden of establishing by clear,
20 cogent, and convincing evidence the material terms of the policies. That “standard of
21 proof is a high one, requiring ‘that the trier of fact be convinced that the fact in issue is
22 ‘highly probable.’’” Queen City Farms, Inc. v. Cent. Nat. Ins. Co. of Omaha, 882 P.2d
1 703, 728 (Wash. 1994) (quoting Colonial Imports, Inc. v. Carlton Northwest, Inc., 853
2 P.2d 913 (Wash. 1993)).
3 4. The Material Terms of the Policies
4 Having established that Defendants bear the burden, in the first instance, of
5 proving the material terms of the policies by clear, cogent, and convincing evidence, the
6 court now considers whether Defendants have done so. USF&G moves for summary
7 judgment on the basis that Defendants have no evidence of the material policy terms for
8 policy numbers 1CCA56045, 1CCB12875, 1CCD17906, or MP50769 (collectively, the
9 “four policies”); that they possess incomplete evidence of policy 1CCC70507 because
10 they “have no knowledge or information regarding how many additional endorsements
11 comprised the policy, or what those endorsements might have been” (USF&G MSJ at
12 8-9; Defs. MSJ Resp. at 6-8); and that Defendants’ reconstruction expert, Mark Hatley,8
13 gave inconsistent testimony during his deposition that undercuts his testimony on
14 reconstruction of the policies (see Defs. MSJ Resp. at 6-7). Defendants oppose
15 USF&G’s motion for summary judgment as to all five policies (USF&G MSJ Resp. at
16 14-17) and cross-move for partial summary judgment in their own favor on the
17 establishment of “the existence, terms and conditions” of 1CCC70507, including general
18 //
19
20 8 USF&G does not challenge the admissibility of Mr. Hatley’s testimony as an expert
witness (see USF&G MSJ Reply), and the court, having reviewed his testimony and credentials,
finds that he is qualified, based on his knowledge and experience, to offer relevant and reliable
21
expert testimony that it may consider in deciding the motions for summary judgment. See
Hangarter v. Provident Life & Accident Ins. Co., 373 F.3d 998, 1018 (9th Cir. 2004).
22
1 liability coverage and a duty to defend bodily injury claims, like the Ulbrichts’s (Defs.
2 MSJ at 9-13).
3 As an initial matter, and notwithstanding arguments USF&G has made in the
4 course of summary judgment briefing,9 it is undisputed that USF&G issued the five
5 policies to PM Northwest (see Compl. ¶ 28; see USF&G MSJ at 14 (admitting existence
6 of five policies)) and that each “has limits of liability of Five Hundred Thousand Dollars
7 ($500,000)” (see Compl. ¶ 30; see also 12/3/21 Ackel Decl., Ex. M at 14-18). Thus, the
8 parties’ dispute centers around whether the USF&G policies included a duty to defend
9 PM Northwest in the underlying action and pay post-judgment interest, and excluded any
10 provisions that would have precluded coverage under these policies.
11 With respect to the disputed policy terms, Defendants substantially rely on the
12 declaration of their expert witness, Mr. Hatley, who testifies that “[t]he various
13 documents provided to [him], when viewed in toto, conclusively establish the existence,
14 material terms, and conditions of” all five of the USF&G policies. (See 1st Hatley Decl.
15 (Dkt. # 87) at 4; 2d Hatley Decl. (Dkt. # 113) at 4.) In drawing conclusions about the
16 terms of the four policies, Mr. Hatley drew inferences from certificates of insurance,
17 “extracts” from an internal USF&G database containing details on policy transactions,
18 specimen policy forms, and handwritten notes on USF&G policy documents. (See 2d
19 Hatley Decl. at 7-15.) For the fifth policy, 1CCC70507, he reviewed those same
20
9 In opposing Defendants’ motion for partial summary judgment, USF&G appears to
21
dispute that the five policies each contained limits of $500,000. (See Defs. MSJ Resp. at 8.)
However, “[a]llegations in a complaint are considered judicial admissions.” Hakopian v.
22
Mukasey, 551 F.3d 843, 846 (9th Cir. 2008).
1 materials but also had the benefit of a partial copy of the actual policy and claim
2 documents “relating to a significant bodily injury claim” stemming from workplace
3 accidents at a Shell Oil Refinery in Anacortes, Washington, which were covered under
4 policy 1CCC70507. (1st Hatley Decl. at 8-11.) Thus, Mr. Hatley’s testimony is based on
5 more “than that the insurer used standard forms.” (USF&G MSJ at 11 (citing Kleenit,
6 Inc. v. Sentry Ins. Co., 486 F. Supp. 2d 121, 133 (D. Mass. 2007)); Defs. MSJ Resp. at 8.)
7 Mr. Hatley testifies that the five USF&G policies would provide coverage for the
8 kinds of claims raised by the Ulbrichts in the underlying action, and included the
9 following material terms:
10 • A duty to defend within the “Insuring Agreement”;
11 • A duty to pay all post judgment payments within the “Supplementary
Payments” provision, which would apply to “any interest accrued after the
12 August 3, 2018 Entry of Judgment” in the underlying action; and
13 • Policy limits of “$500,000 in the occurrence and aggregate as respects
bodily injury,” however, “the bodily injury aggregate does not apply to the”
14 Ulbrichts’s claim in the underlying action.
15 (See 2d Hatley Decl. at 17-18; see also 1st Hatley Decl. at 16-17.) He further testifies
16 that the USF&G policies “do not contain an asbestos exclusion[] or other exclusionary
17 language that would bar coverage for” the Ulbrichts’s claim in the underlying action.
18 (See 2d Hatley Decl. at 16; see also 1st Hatley Decl. at 12.)
19 USF&G faults Defendants for their lack of “direct evidence regarding the lost
20 policies,” as well as for Mr. Hatley’s failure “to reliably link” the secondary evidence on
21 which he relies “to an actual policy” or to “to reconstruct the lost endorsements.”
22 (USF&G MSJ Reply at 5-7 (emphasis omitted).) While it is true, as Defendants concede,
1 that they have direct evidence only of policy 1CCC70507, they have marshaled
2 substantial secondary evidence, which their expert uses to testify as to the terms of the
3 missing policies. Mr. Hatley does not suggest that any one piece of this secondary
4 evidence establishes the missing policy, but that the “various documents . . . , when
5 viewed in toto, conclusively establish the existence, material terms, and conditions” of
6 the five policies. (1st Hatley Decl. at 4; 2d Hatley Decl. at 4.) These are precisely the
7 “avenues of investigation” this court thought “might lead to evidence from which”
8 material policy terms could be ascertained. City of Tacoma, 897 F. Supp. at 488; see also
9 52 Am. Jur. 2d Lost and Destroyed Instruments § 38 (2021) (“Sufficient proof of the
10 coverage provided by destroyed or lost policies of insurance can be provided through the
11 use of circumstantial evidence such as . . . prior claims files,” or “copies of comparable or
12 predecessor policies.”). And, indeed, Defendants proffer “substantially more” of it than
13 the insured did in City of Tacoma. See City of Tacoma, 897 F. Supp. at 488.
14 Nor is it true that Mr. Hatley fails to “reliably link” the secondary evidence, such
15 as the specimen forms, to an actual policy. (USF&G MSJ Reply at 5-6.) Indeed, he
16 testifies that the “specimen USF&G ‘1CC’ forms provide the wordings, terms and
17 conditions that would be attached to USF&G CGL Policy Nos. [1CCA56045,
18 1CCB12875, and 1CCD17906],” and that the Insurance Services Office (“ISO”) forms he
19 reviewed “provid[e] the policy wording, terms and conditions for Policy no MP 50769.”
20 (2d Hatley Decl. at 6-7.) He also explains how the declarations page of policy
21 1CCC70507, which indicates that it “renews” policy 1CCB12875 (see 12/3/21 Ackel
22 Decl. ¶ 27, Ex. Z), provides “strong evidence” that 1CCC70507 and 1CCB12875 “likely
1 include[d] the same policy terms and conditions.” (2d Hatley Decl. at 9.) As even cases
2 cited by USF&G acknowledge, “the material terms of a missing policy can be established
3 through competent testimony suggesting that a later policy was probably a renewal of the
4 earlier policy.” Kleenit, 486 F. Supp. 2d at 131.
5 USF&G also attacks the opinions Mr. Hatley offers in his declaration as in conflict
6 with the testimony he gave during his deposition as PM Northwest’s designated Rule
7 30(b)(6) witness, where he “acknowledge[d] that the Defendants have no evidence of the
8 terms of the endorsements and the extent to which they modified the scope of coverage
9 provided by the Policy.” (See USF&G MSJ Reply at 7 (citing 12/10/21 Brownstein Decl.
10 (Dkt. # 105) ¶ 2, Ex. 1 at 65-68).) Defendants’ explanation for this incongruence is that
11 Mr. Hatley’s deposition admissions were the product of USF&G’s instruction that he
12 should “confine his answers to only information reflected in PM Northwest’s own factual
13 knowledge, and not to respond on the basis of any expert testimony that Defendants
14 might offer.” (USF&G MSJ Resp. at 14 (citing 12/6/21 Ackel Decl. ¶ 24, Ex. W (Mr.
15 Hatley’s deposition transcript) at 13:5-14:4, 15:19-16:6.) Of course, issues of evidentiary
16 weight and witness credibility “are reserved for the jury.” City of Pomona v. SQM N.
17 Am. Corp., 750 F.3d 1036, 1044 (9th Cir. 2014). And, viewing this dispute in the light
18 most favorable to Defendants, their explanation is sufficiently mitigating.
19 USF&G’s ultimate contention—that Mr. Hatley’s testimony cannot be considered
20 as anything more than an “educated guess[]” about the policy terms since he cannot
21 “account for . . . the missing endorsements” (USF&G MSJ Reply at 6-7)—is based on its
22 own speculation as to unidentified terms that might have “restricted coverage [under
1 policy 1CCC70507] to particular locations or activities.” (USF&G MSJ at 10.) But that
2 speculative claim is belied by evidence showing that PM Northwest previously obtained
3 coverage under policy 1CCC70507 for a bodily injury claim related to a workplace
4 accident at an oil refinery in Anacortes, WA—i.e., a similar claim arising from a nearly
5 identical location. (See 12/3/21 Ackel Decl. ¶¶ 26-27, Exs. Y-Z; see also id. ¶ 29, Ex.
6 BB (“Oestman Depo. Tr.”) at 71:17-25.) Moreover, Mr. Hatley testifies that neither the
7 policies, nor the specimen forms he interprets, “contain an asbestos exclusion[] or other
8 exclusionary language that would bar coverage for the Ulbricht claim.” (See 1st Hatley
9 Decl. at 12; 2d Hatley Decl. at 16.)
10 Considering all of this evidence, and construing it in the light most favorable to
11 Defendants, a reasonable jury could conclude that the Ulbrichts’s claim clearly fell
12 “within the terms of the [USF&G] policy,” City of Tacoma, 897 F. Supp. at 487, and that
13 it is “highly probable” that the USF&G policies included the terms Mr. Hatley contends
14 were included. See Queen City Farm, 882 P.2d 728; (2d Hatley Decl. at 16-18; see also
15 1st Hatley Decl. at 12, 16-17). In light of this conclusion, the burden “to prove that the
16 loss is not covered because of exclusionary provisions within the policy” shifts to
17 USF&G, City of Tacoma, 897 F. Supp. at 487, which presents no evidence to support its
18 speculation that exclusionary terms limited coverage. (See generally USF&G MSJ;
19 USF&G MSJ Reply.)
20 Defendants have also moved for summary judgment on the existence and terms of
21 1CCC70507, including a duty to defend. USF&G’s principal attack on Defendants’
22 motion is that Mr. Hatley’s declaration testimony—which comprises a significant portion
1 of Defendants’ overall presentation—is substantially undercut by the conflicting
2 testimony he gave during his deposition as PM Northwest’s designated Rule 30(b)(6)
3 witness. (See Defs. MSJ Resp. at 7.) USF&G specifically highlights Mr. Hatley’s
4 acknowledgement that Defendants: cannot produce a complete copy of 1CCC70507; do
5 not know all of the terms and conditions of the policy; cannot say whether endorsements
6 to the policy would have precluded coverage for the Ulbrichts’s claims in the underlying
7 action; cannot say for sure whether hand-written notations on policy documents are
8 applicable or extraneous; and cannot dismiss the possibility that there are additional
9 policy parts that would affect the scope of coverage. (Defs. MSJ Resp. at 7 (citing
10 12/6/21 Brownstein Decl. ¶ 5, Ex. D (Mr. Hatley’s deposition transcript) at 56-57, 65-66,
11 69-71, 73, 84).)
12 As noted above, Defendants contend that these admissions are the product of
13 USF&G’s instructions limiting the scope of Mr. Hatley’s deposition testimony as PM
14 Northwest’s Rule 30(b)(6) designee and not inconsistencies in his understanding of key
15 topics. (USF&G MSJ Resp. at 14 (citing 12/6/21 Ackel Decl., Ex. W at 13:5-14:4,
16 15:19-16:6).) Defendants fail to respond to this argument in their reply in support of their
17 own partial summary judgment motion. (See generally Defs. MSJ Reply.) Construing
18 the evidence in the light most favorable to USF&G, a reasonable juror could find that this
19 testimony—which speaks to what PM Northwest understood about its coverage and the
20 reliability of Defendants’ key reconstruction witness—sufficiently undermines the weight
21 of Mr. Hatley’s reconstruction efforts such that Defendants are unable to prove that the
22 Ulbrichts’s claim was clearly and convincingly covered by the USF&G policies,
1 including 1CCC70507. See Deglow, 459 P.2d at 786; SQM N. Am. Corp., 750 F.3d at
2 1044 (noting that “[c]hallenges that go to the weight of the evidence” or “credibility
3 determinations . . . are reserved for the jury”).
4 For the reasons explained above, USF&G’s motion for summary judgment on
5 Defendants’ inability to establish the material terms of the USF&G policies by clear and
6 convincing evidence is DENIED. Likewise, Defendants’ motion for partial summary
7 judgment on the existence and terms of 1CCC70507, including a duty to defend and to
8 pay post-judgment interest, is also DENIED.
9 5. USF&G’s Alleged Breach of Contractual Duties
10 Defendants allege that the USF&G policies encompassed duties to defend PM
11 Northwest in the underlying action and to pay post-judgment interest on the covenant
12 judgment. (SAC ¶¶ 4.1-4.2.) USF&G moves for summary judgment, arguing that
13 Defendants cannot establish any duties through the certificates of insurance and so
14 USF&G cannot be in breach. (USF&G MSJ at 15.) Defendants cross-move for partial
15 summary judgment on their breach claims and further argue that the duty to defend did
16 not end when the stipulated judgment was entered. (Defs. MSJ at 13-17.) The court
17 considers USF&G’s arguments first before turning to consider Defendants’ arguments.
18 a. Breach of the Duty to Defend10
19 Courts in Washington “have long held that the duty to defend is different from and
20 broader than the duty to indemnify.” Am. Best Food, Inc. v. Alea London, Ltd., 229 P.3d
21
10 In its header, USF&G also references Defendants’ claims concerning the duty to
22
indemnify and enhanced duties of fairness. (See USF&G MSJ at 15.) It does not address them
1 693, 696 (Wash. 2010) (en banc), as corrected on denial of reconsideration (June 28,
2 2010). “The duty to defend generally is determined from the ‘eight corners’ of the
3 insurance contract and the underlying complaint.” Expedia, Inc. v. Steadfast Ins. Co.,
4 329 P.3d 59, 64–65 (2014), as corrected (Aug. 6, 2014). It is “triggered if the insurance
5 policy conceivably covers allegations in the complaint.” Am. Best Food, 229 P.3d at 696.
6 Thus, while an insurer “is entitled to investigate the facts and dispute the insured’s
7 interpretation of the law,” it is obligated to defend its insured “if there is any reasonable
8 interpretation of the facts or the law that could result in coverage.” Id.
9 “[E]xceptions to the [eight corner] rule . . . are narrow and favor the insured.” City
10 of Bothell v. Berkley Reg’l Specialty Ins. Co., No. C14-0791RSL, 2014 WL 5110485, at
11 *8 (W.D. Wash. Oct. 10, 2014). For instance, “[i]f coverage is not clear from the face of
12 the complaint but coverage could exist, the insurer must investigate and give the insured
13 the benefit of the doubt on the duty to defend.” Expedia, 329 P.3d at 65. Some courts
14 have also “permitted the insurer to investigate whether the claimant is actually an insured
15 under the policy and to rely on their findings when rejecting a tender.” City of Bothell,
16 2014 WL 5110485, at *8; see also Allstate Prop. and Cas. Ins. Co. v. A.R., C13–
17 6041RBL, 2014 WL 3579672, at *5-6 (W.D. Wash. July 21, 2014) (holding that it was
18 not a breach of the duty to defend for insurer to “mak[e] a threshold determination of who
19 is an insured under the policy”); Allan D. Windt, 1 Insurance Claims & Disputes, § 4.5
20 //
21
further in its summary judgment motion or reply brief (see generally id.; USF&G MSJ Reply),
however, so the court does not consider whether USF&G is entitled to summary judgment on
22
those claims.
1 (5th ed. 2010) (“Before the general principle regarding the duty to defend applies, it must
2 be shown that the person claiming coverage is, in fact, an insured. The insurer
3 has . . . not imposed upon itself a duty to defend a complete stranger to the contract.”).
4 In this case, although the actual policies were missing at the time PM Northwest
5 tendered the lawsuit to USF&G, PM Northwest sent certificates of insurance on July 10,
6 2018. (See 12/3/21 Ackel Decl., Ex. M at 1-2.) USF&G tries to diminish these
7 certificates as showing nothing more than “the insured’s promise to establish the policy
8 terms at some future date” (USF&G MSJ Reply at 10) but, in fact, they contained the
9 policy number; names of the insurer and insured; the dates on which the policies expired;
10 a description of the type of insurance; and the limits of bodily injury liability. (See
11 12/3/21 Ackel Decl., Ex. M at 14-18.) With that quantity of information in hand,
12 USF&G could have certainly undertaken a defense of PM Northwest, even under a
13 reservation of rights, without fear that it would be “impos[ing] upon itself a duty to
14 defend a complete stranger to the contract.” Windt, supra § 4.5.
15 In opposing Defendants’ motion for partial summary judgment, USF&G repeats
16 many of the same arguments it advanced in support of its own motion, which the court
17 has now rejected, but also points to: (1) the deposition of Mr. Quimby and (2) the expert
18 opinion testimony of Mr. Windt. (See Defs. MSJ Resp. at 8-9.) The court, however,
19 concludes that this testimony is insufficient to create a genuine dispute of material fact.
20 Mr. Quimby merely testifies that, when he spoke with Ms. Huntley in July 2018,
21 he didn’t “have information with respect to any policies that may have been issued to PM
22 Northwest,” so USF&G had “not determined any obligation” that it might have had in the
1 underlying action. (11/16/21 Brownstein Decl. ¶ 11, Ex. 10 at 89:4-11.) But it is
2 undisputed that Mr. Quimby had the certificates of insurance (see 12/3/21 Ackel Decl.,
3 Ex. N (acknowledging receipt of certificates)), and that the certificates of insurance
4 contained the policy number; names of the insurer and insured; the dates on which the
5 policies expired; a description of the type of insurance; and the limits of bodily injury
6 liability. (See 12/3/21 Ackel Decl., Ex. M at 14-18.) Thus, Mr. Quimby’s testimony
7 does not actually “contradict facts specifically attested by” Defendants, and so the court
8 need not accept his testimony as true or find that it creates a triable issue of fact. See
9 Clean Crawl, Inc. v. Crawl Space Cleaning Pros, Inc., 364 F. Supp. 3d 1194, 1203-04
10 (W.D. Wash. 2019).
11 Mr. Windt testifies that “it was reasonable for USF&G not to provide PM
12 Northwest a defense after USF&G received the certificates of insurance on July 10,
13 2018” because “[o]ne cannot tell from the certificates what the terms and conditions of
14 the policies were.” (11/16/21 Ackel Decl. (Dkt. # 69) ¶ 3, Ex. B at 4 (capitalization
15 omitted).) Within the context of Mr. Windt’s report—and drawing all inferences in
16 USF&G’s favor—it is nevertheless obvious that Mr. Windt means that the certificates do
17 not provide a complete picture of the policy terms and conditions, not that literally no
18 information can be gleaned from them. (Compare id., with 12/3/21 Ackel Decl., Ex. M at
19 14-18 (collecting the five insurance certificates).) He acknowledges, for instance, that
20 the certificates at least included the policy numbers. (See 11/16/21 Ackel Decl., Ex. B
21 ¶ 19(a).) Thus, Mr. Windt’s testimony does nothing to raise a disputed material fact
22 because, even if the certificates fail to tell the entire story, it is plain that they say enough
1 about what the USF&G policies conceivably covered to have triggered USF&G’s duty to
2 defend PM Northwest in the underlying action. Am. Best Food, 229 P.3d at 696.
3 Nor does Mr. Windt’s opinion testimony that USF&G behaved reasonably in
4 denying PM Northwest a defense, notwithstanding its awareness of the certificates,
5 change the outcome. Although Mr. Windt is permitted to offer his opinion (12/20/21
6 Order (Dkt. # 111) at 11), his “[c]onclusory, non specific statements” about USF&G’s
7 legal obligation is insufficient to create a triable issue of fact. See Clean Crawl, 364 F.
8 Supp. 3d at 1204 (citing Lujan v. Nat’l Wildlife Fed’n, 497 U.S. 871, 888-89 (1990)).
9 For the reasons given above, USF&G’s motion for summary judgment on
10 Defendants’ claim for breach of the contractual duty to defend is DENIED and
11 Defendants’ motion for partial summary judgment that USF&G breached the duty to
12 defend contained in policy 1CCC70507 is GRANTED.
13 b. Duration of Duty to Defend
14 Defendants further argue that USF&G not only had a duty to defend PM
15 Northwest in the underlying action, but that the duty continued “even after the Stipulated
16 Judgment was entered” until the earlier of the judgment becoming final or the policy
17 limits being paid out by USF&G. (Defs. MSJ at 15.) Specifically, Defendants point to
18 costs incurred by both PM Northwest and the Ulbrichts in defending the reasonableness
19 of the covenant judgment, which they argue was necessary to ensure PM Northwest
20 benefitted from the agreement, contained in the covenant judgment, that the Ulbrichts
21 would make no claims against PM Northwest’s assets. (See id. at 16.) USF&G makes
22 two arguments in response: (1) the parties’ settlement of the underlying action left only
1 the amount of the covenant judgment contingent upon a reasonableness determination,
2 and thus the Ulbrichts’s release of their claims against PM Northwest was not at issue;
3 and (2) even if the duty to defend was not extinguished by the settlement, USF&G had no
4 obligation to pay for the fees identified by Defendants. (See Defs. MSJ Resp. at 10.)
5 Once a duty to defend is triggered, “[a]n insurer must accordingly defend its
6 insured until it is clear that a claim is not covered under the policy.” Expedia, 329 P.3d at
7 64. Courts in Washington have additionally held that “where there are reasonable
8 grounds to believe a substantial interest of the insured may be served or protected
9 thereby, absent an express provision to the contrary, the insurer’s duty to defend includes
10 the duty to seek postjudgment relief.” Truck Ins. Exch. of Farmers Ins. Grp. v. Century
11 Indem. Co., 887 P.2d 455, 459 (Wash. Ct. App. 1995).
12 The settlement reached between the Ulbrichts and PM Northwest included a
13 release of the claims against PM Northwest, as well as a guarantee that the Ulbrichts
14 would never seek to enforce the judgment against PM Northwest’s assets. (See 12/3/21
15 Ackel Decl., Ex. S ¶¶ 4(c), (d).) Contrary to USF&G’s contention, these guarantees
16 were—like the ultimate amount of the judgment—contingent upon the court in the
17 underlying action determining that the settlement was reasonable. (See id. ¶ 4(e)
18 (discussing treatment of settlement admissions “[i]n the event the Court rejects the
19 stipulated judgment or any part of the Settlement Agreement, in full or in part.” (emphasis
20 added)).) In light of that risk, there were “reasonable grounds” for USF&G to believe
21 that PM Northwest’s “substantial interest[s]” were served by the pursuit of post-judgment
22 //
1 relief in the form of an order determining the settlement between the parties was
2 reasonable. See Truck Ins. Exch., 887 P.2d at 459.
3 Accordingly, USF&G’s duty to defend continued up until it made a payment of
4 $2.5 million to the Ulbrichts on May 1, 2019. Thus, the duty to defend would have
5 applied to expenses incurred by PM Northwest in pursuit of a reasonableness
6 determination, including costs associated with the deposition of its attorney, Mr. Shaw.
7 USF&G’s argument that expenses incurred by PM Northwest in connection with Mr.
8 Shaw’s deposition should not be covered because he purportedly appeared as a fact
9 witness is unavailing. (Defs. MSJ Resp. at 10.) USF&G does not expand on this
10 assertion but whether Mr. Shaw appeared as the deponent or the attorney defending the
11 deponent is immaterial to this inquiry; all that matters is that the expense served PM
12 Northwest’s interests in securing a reasonableness determination. USF&G makes no
13 argument the deposition testimony did not and so this argument is rejected. (See id.)
14 USF&G is correct, however, that it should not be liable for any post-judgment
15 expenses incurred by the Ulbrichts. (Id.) The Ulbrichts’s rights against USF&G are
16 defined by PM Northwest’s assignment of its interests in the settlement agreement, and
17 that assignment expressly reserved to PM Northwest “any claims for its attorney fees and
18 costs.” (See 12/3/21 Ackel Decl., Ex. S ¶ 4(b).)
19 Thus, USF&G’s liability for breaching its duty to defend extended beyond entry of
20 the covenant judgment and to the date of its $2.5 million payment to the Ulbrichts, but its
21 liability for this post-judgment breach does not include any post-judgment expenses
22 incurred by the Ulbrichts.
1 c. Breach of Duty to Pay Post-Judgment Interest
2 Defendants also argue that the USF&G policies include a Supplemental Payments
3 provision, which “require[s] an insurer to pay all interest accrued on the entire amount of
4 the judgment, even if the amount of the judgment exceeds the insurer’s limits of
5 liability.” (Defs. MSJ at 17.) USF&G, Defendants contend, “has thus far refused to pay
6 anything towards the accrued interest” and therefore “owes at least $171,172.60” in
7 interest on the $4.5 million covenant judgment. (Id.) However, the record in this case
8 shows that on May 22, 2019 Defendants filed a notice of partial satisfaction of judgment
9 with the court in the underlying action in which it represented that USF&G had “issued
10 payment of post-judgment interest on the partial satisfaction up through the delivery of
11 payment on May 2, 2019, totaling $171,172.60.” (See 12/10/21 Brownstein Decl. ¶ 4,
12 Ex. 3 (“Notice of Partial Satisfaction of Judgment”).) This not only met USF&G’s
13 alleged obligation to pay post-judgment interest on the covenant judgment but also “cut
14 off the running of its obligation to pay post judgment interest.” (See 12/3/21 Ackel Decl.
15 ¶ 33, Ex. FF at 2.)
16 Thus, even if Defendants are able to prove at trial that the USF&G policies
17 included a Supplementary Payment provision that contemplated the payment of
18 post-judgment interest, USF&G has complied with that term. Accordingly, there has
19 been no breach and Defendants’ motion for partial summary judgment on this issue is
20 DENIED.
21 //
22 //
1 6. Bad Faith and Coverage By Estoppel
2 Defendants allege that USF&G’s denial of coverage—by refusing to offer PM
3 Northwest a defense—without a reasonable investigation “into whether it had issued the
4 five CGL insurance policies reflected in the Certificates of Insurance received by
5 [USF&G] on July 10, 2018,” and without “giv[ing] equal consideration” to PM
6 Northwest’s interest in coverage, was bad faith. (SAC ¶¶ 5.2, 6.8.) All insurers owe
7 their insureds a general duty of good faith, which imposes a “broad obligation of fair
8 dealing,” St. Paul Fire & Marine Ins. Co. v. Onvia, Inc., 196 P.3d 664, 667-68 (Wash.
9 2008) (en banc), and requires insurers to not refuse to defend their insured for
10 “unreasonable, frivolous, or unfounded” reasons, see Xia v. ProBuilders Specialty Ins.
11 Co., 400 P.3d 1234, 1239 (Wash. 2017). See also Am. Best Food, 229 P.3d at 696
12 (holding that insurer’s refusal to defend insured “based upon an arguable interpretation of
13 its policy was unreasonable and therefore in bad faith”). Moreover, “[i]n deciding
14 whether to defend, an insurer may not put its own interest above that of its insured,” or
15 “give itself the benefit of the doubt rather than its insured.” Am. Best Food, 229 P.3d at
16 700-01. Where doubts linger, insurers are counseled to “defend under a reservation of
17 rights” and to simultaneously “seek declaratory relief to establish that its policy excludes
18 coverage.” Id.
19 The parties have cross-moved for summary judgment on the bad faith issue, which
20 cuts across Counts IV, V, and VI of Defendants’ second amended complaint. (See SAC
21 ¶¶ 4.1-6.8.) USF&G argues that summary judgment in its favor is appropriate because:
22 (1) the Washington insurance regulation Defendants cite in the second amended
1 complaint, WAC 284-30-330(4), imposes no duty to investigate; (2) its investigation to
2 locate the missing policies was reasonable and not done in bad faith; and (3) the
3 certificates of insurance do not create a duty to defend, and so it could not have breached
4 any duties unreasonably. (See USF&G MSJ at 12-15; USF&G MSJ Reply at 8-11.)
5 Defendants also move for summary judgment on bad faith, arguing that: (1) USF&G’s
6 search for the insurance policies was unreasonable, in part, because it violated various
7 Washington insurance regulations; and (2) the certificates of insurance provided USF&G
8 “sufficient evidence . . . that coverage conceivably applied to the Ulbricht claim to
9 require it to offer PM Northwest a defense.” (Defs. MSJ at 17-24.) Defendants also seek
10 summary judgment on their request for the application of the remedy of coverage by
11 estoppel. (See Defs. MSJ at 17-24; USF&G MSJ Resp. at 20-23.)
12 The court considers each argument in turn.
13 a. Applicability of Washington Insurance Regulations to USF&G’s
Policy Search
14
It is clear that a violation of the standards set forth in “WACs 284–30–300 through
15
–800 . . . constitutes a breach of the insurer’s duty of good faith.” Rizzuti v. Basin Travel
16
Serv. of Othello, Inc., 105 P.3d 1012, 1019 (Wash. Ct. App. 2005); Naxos, LLC v. Am.
17
Fam. Ins. Co., No. C18-1287JLR, 2020 WL 777260, at *20 (W.D. Wash. Feb. 18, 2020).
18
The Washington Supreme Court has further emphasized, citing to those same provisions
19
of the WAC, that “[u]nder Washington law every insurer has a duty to act promptly, in
20
both communication and investigation, in response to a claim or tender of defense.” St.
21
Paul Fire & Marine Ins., 196 P.3d at 668 (citing WAC 284-30-330(4), WAC
22
1 284-30-360, WAC 284-30-370, and WAC 284-30-380). And this court has previously
2 held that WAC 284-30-330(4), in particular, is violated by an insurer’s failure to
3 investigate before denying coverage. See Aecon Bldgs., Inc. v. Zurich N. Am., 572 F.
4 Supp. 2d 1227, 1239 (W.D. Wash. 2008). Accordingly, the court finds that there is
5 ample support for the proposition that WAC 284-30-330(4) can be violated by an
6 insurer’s unreasonable investigation prior to denying coverage and that such a violation
7 would amount to bad faith.11
8 But, even if WAC 284-30-330(4) does not encompass a duty to reasonably
9 investigate a claim prior to denying a defense, Defendants have also alleged a violation of
10 the “common law duty to act in good faith.” (SAC ¶¶ 5.2-5.4.) Meeting this duty will
11 necessarily require some investigation by the insurer to determine “if there is any
12 reasonable interpretation of the facts or the law that could result in coverage.” Am. Best
13 Food, 229 P.3d at 696; see also Aecon Bldgs., 572 F. Supp. 2d at 1236 (“[I]t is an
14 insurer’s affirmative duty to investigate a claim before it denies coverage, not the
15 insured’s duty to continue supplementing the record to an uninquisitive insurer.” (citation
16 omitted)). Although the insurer’s investigation is generally satisfied by examining “the
17 face of the complaint and the insurance policy” to determine whether “coverage under the
18 //
19
11 In their motion for partial summary judgment, Defendants also argue that USF&G
20 violated WAC 284-30-360(4), WAC 284-30-370, and WAC 284-30-380(1) and (3). (Defs. MSJ
at 20-21.) As USF&G rightly notes (Defs. MSJ Resp. at 16 n.6), Defendants did not allege that
those provisions of the WAC were violated in their second amended complaint. (See generally
21
SAC.) Accordingly, the court does not consider those arguments in this order. See Wasco Prod.,
Inc. v. Southwall Techs., Inc., 435 F.3d 989, 992 (9th Cir. 2006) (“Simply put, summary
22
judgment is not a procedural second chance to flesh out inadequate pleadings.”).
1 policy” is “conceivabl[e],” Xia, 400 P.3d at 1239, insurers may be required to go further
2 if the circumstances of a case—and their obligation to deal fairly with their insured—
3 warrant, see Expedia, 329 P.3d at 65 (requiring examination beyond the traditional “eight
4 corners” where extrinsic evidence might show that “coverage could exist”); see also City
5 of Bothell, 2014 WL 5110485, at *8.
6 Accordingly, whether under WAC 284-30-330(4) or the broader common law
7 duty, an insurer’s failure to reasonably investigate the legal and factual issues that might
8 give rise to coverage for its insured amounts to bad faith.
9 b. The Reasonableness of USF&G’s Investigation
10 Because the court finds that insurers are obligated to conduct a reasonable
11 investigation before denying coverage in the form of a defense, the question before the
12 court is whether USF&G’s “denial of coverage was unreasonable when it occurred.”
13 Aecon Bldgs., 572 F. Supp. 2d at 1236. This is a fact-intensive question that necessarily
14 invites some “fly-specking [of] the details of the search” USF&G undertook before
15 denying PM Northwest a defense. (USF&G MSJ Reply at 10.)
16 USF&G focuses on the reasonableness of its efforts to “establish that the complete
17 terms and conditions [of the USF&G policies] would cover the claim,” and notes that,
18 “[e]ven after an exhaustive search for secondary evidence, no policy has ever been
19 located and PM Northwest has no evidence to establish the entire terms or conditions of
20 any [policy].” (USF&G MSJ at 14.) The court agrees that USF&G expended significant
21 effort to locate the complete policy terms, including tasking increasingly specialized
22 departments to work from the information contained in the certificates to locate the actual
1 policies. (See, e.g., 11/16/21 Brownstein Decl. ¶ 13, Ex. 12 (forwarding the certificates
2 to a specialized document management department with a request for search assistance);
3 12/3/21 Ackel Decl., Exs. V-Y (submitting “rush” search requests to specialized offices
4 within USF&G).) Whether it did so in a sensible manner and with sufficient urgency is
5 hotly contested (see USF&G MSJ Resp. at 2-3 (highlighting evidence of missteps by Ms.
6 Berneche); see also Berneche Depo. Tr. at 107:9 (stating that the matter simply “fell off
7 [her] radar”)), as is PM Northwest’s responsibility for any delays (compare 12/3/21
8 Ackel Decl., Ex. M at 4-8 (complaint filed January 24, 2018), with id., Ex. J at 3 (Ms.
9 Huntley initiating contact with USF&G on March 27, 2018)). It is plain that reasonable
10 minds could differ on whether USF&G’s search for the completed policies was
11 reasonable or not and so summary judgment is DENIED to both parties on the issue of
12 whether USF&G’s search for the policies was unreasonable and undertaken in bad faith.
13 USF&G’s focus on its efforts to locate the completed policies overlooks, however,
14 whether it was reasonable for it to deny PM Northwest a defense until that process had
15 completed. The court thus considers whether its failure to defend on the basis of the
16 certificates alone was reasonable.
17 c. Failure to Defend Based on Certificates of Insurance
18 Even where, as here, a court has concluded that an insurer has breached its duty to
19 defend its insured, a claim for the tort of bad faith requires the further showing that the
20 contractual breach was “unreasonable, frivolous, or unfounded.” See Osborne Constr.
21 Co. v. Zurich Am. Ins. Co., 356 F. Supp. 3d 1085, 1091 (W.D. Wash. 2018). “An insurer
22 acts in bad faith when it relies on an ‘arguable legal interpretation of its own policy’ or a
1 ‘questionable interpretation of law’ to deny a tender of defense.” Id. (quoting Am. Best
2 Food, 229 P.3d at 700). However, “[a] breach of the duty to defend does not
3 automatically constitute bad faith,” Webb v. USAA Cas. Ins. Co., 457 P.3d 1258, 1272
4 (Wash. Ct. App. 2020) (citing Am. Best Food, 229 P.3d 693 n.5), and an insurer’s refusal
5 to defend “‘based upon a reasonable interpretation of the insurance policy,’ even if that
6 interpretation is ultimately incorrect,” does not constitute bad faith, Osborne Constr. Co.,
7 356 F. Supp. 3d at 1091 (quoting Kirk, 951 P.2d at 1126).
8 It is undisputed that by July 10, 2018, USF&G had copies of the certificates of
9 insurance. (See 12/3/21 Ackel Decl., Ex. N.) And while there is no dispute that the
10 certificates of insurance did not contain the complete insurance policies (see id.), they
11 nevertheless proved the issuance of the policies (see USF&G MSJ Reply at 8
12 (acknowledging that certificates proved the “issuance” of the policies”)); contained
13 accurate policy numbers; named USF&G as the insurer and PM Northwest as the insured;
14 listed the dates of the policy period; and showed the limits of liability for bodily injury
15 claims (see 12/3/21 Ackel Decl., Ex. M at 14-18). By July 10, 2018, USF&G also had
16 the complaint and amended complaint in the underlying action, which show that PM
17 Northwest had been sued by Mr. Ulbricht for bodily injury stemming from workplace
18 exposure to asbestos in the 1970s and 80s. (See id., Ex. M at 4-13.) Moreover, USF&G
19 admits that it accepted that the certificates were authentic, validly issued by its agent, and
20 represented “correct copies” of the actual insurance certificates. (See, e.g., Oestman
21 Depo Tr. at 31:2-13.) Rather, USF&G’s approach was driven by its resolute view that
22 “until a complete copy of a policy is located, USF&G doesn’t . . . ha[ve] any duty to
1 defend” its insured. (See, e.g., id. at 68:18-21.)
2 In effect, USF&G contends that, when confronted with the certificates of
3 insurance, it was unable to conceive of a scenario under which it would have extended
4 coverage and a defense to PM Northwest in the underlying action unless and until the full
5 policies could be located within its archives. Construing these facts in favor of
6 Defendants, it is easy to conclude that a reasonable jury could find that USF&G put its
7 own interests ahead of its insured and unreasonably denied PM Northwest a defense. See
8 Am. Best Food, 229 P.3d at 700-01. Accordingly, USF&G’s motion for summary
9 judgment on the issue of its bad faith refusal to defend PM Northwest is DENIED.
10 In opposing Defendants’ motion for partial summary judgment on bad faith,
11 USF&G rehashes arguments it has raised in connection with other claims, including that:
12 PM Northwest intentionally destroyed business records and so is estopped under the best
13 evidence rule from reconstructing the missing policies; Washington insurance regulations
14 impose no obligation to investigate prior to rendering a coverage decision; its search for
15 policy records was reasonable, albeit hampered by “PM Northwest repeatedly fail[ing] to
16 provide information in its possession about the claim” and underlying action; and the
17 certificates of insurance triggered no duty to defend PM Northwest and so its decision not
18 to defend cannot have been in bad faith. (See Defs. MSJ Resp. at 12-19.)
19 The results are not different when USF&G is in the position of nonmovant. The
20 undisputed facts provide no reason to estop Defendants from reconstructing 1CCC70507.
21 (See supra at 15.) And, while the court does not consider whether USF&G violated the
22 insurance regulations Defendants rely on in their partial summary judgment motion (see
1 supra at 37 n.11) and also finds that a genuine factual dispute exists concerning the
2 reasonableness of USF&G’s policy search (supra at 39), USF&G’s focus on the
3 reasonableness of its pursuit of the full policy documents was immaterial to its duty to
4 defend, given the information provided by the certificates. St. Paul Fire & Marine Ins.
5 Co., 196 P.3d at 668 (“[B]ad faith claims mishandling remains actionable in the absence
6 of coverage.”). The question it should have asked was not whether coverage would
7 ultimately lie but whether the certificates, which provided evidence of the existence of
8 the policies and the scope of coverage, “conceivably cover[ed] allegations in the
9 complaint.” Am. Best Food, 229 P.3d at 696. On the undisputed facts before the court,
10 including a plain reading of the certificates (see 12/3/21 Ackel Decl., Ex. M at 14-18), no
11 reasonable jury could conclude that coverage was inconceivable. (See supra at 31.) And
12 USF&G’s insistence on locating the full policies before it would consider offering a
13 defense to its insured reveals that it never gave PM Northwest “the benefit of any doubt
14 as to the duty to defend,” Am. Best Food, 229 P.3d at 700. As a matter of law, that
15 conduct is unreasonable and bad faith. Accordingly, Defendants’ motion for partial
16 summary judgment is GRANTED on the issue of whether USF&G’s failure to defend on
17 the basis of the certificates was bad faith.
18 d. Coverage by Estoppel
19 As a remedy for USF&G’s bad faith, Defendants ask the court to estop USF&G
20 from denying coverage for the unsatisfied amount due under the covenant judgment.
21 (Defs. MSJ at 17.) “[I]n the third-party context, if the insured shows by a preponderance
22 of the evidence the insurer acted in bad faith, there is a presumption of harm.” Mut. of
1 Enumclaw Ins. Co. v. Dan Paulson Const., Inc., 169 P.3d 1, 10 (Wash. 2007) (en banc).12
2 The insurer can rebut this presumption “by showing by a preponderance of the evidence
3 its acts did not harm or prejudice the insured.” Id. The “presumption is not rebutted
4 simply” because the insured’s claims against its insurer have been assigned to the third-
5 party claimant, “coupled with a covenant not to execute judgment against the insured.”
6 Id. Moreover, “[w]here coverage by estoppel applies, ‘the amount of a covenant
7 judgment is the presumptive measure of an insured’s harm caused by an insurer’s tortious
8 bad faith if the covenant judgment is reasonable.’” Id. at 13 (quoting Besel v. Viking Ins.
9 Co. of Wisconsin, 49 P.3d 887, 891 (Wash. 2002) (en banc).) “Once the covenant
10 judgment is found to be reasonable, ‘the burden shift[s] to the insurer to show that the
11 settlement [i]s the result of fraud or collusion.’” Id. (quoting Truck Ins. Exch. v. Vanport
12 Homes, Inc. (“Truck Ins. Exch. I”), 58 P.3d 276, 284 (Wash. 2002) (en banc)). “Absent
13 such a showing, the insurer is liable even beyond the limits of the insurance policy
14 because through its bad faith, the insurer ‘has voluntarily forfeited its ability to protect
15 itself against an unfavorable settlement.’” Id. (quoting Truck Ins. Exch. I, 58 P.3d at
16 284).
17 Here, USF&G acted in bad faith by unreasonably denying PM Northwest a
18 defense when it had certificates of insurance that triggered its duty to do so and it has
19 made no showing to suggest that Defendants were not harmed by its bad faith conduct.
20 //
21
12 Third-party coverage is that which “indemnif[ies] an insured for covered claims which others
[third-party claimants] file against him.” Mut. of Enumclaw Ins., 169 P.3d at 7 n.8 (quoting
22
THOMAS V. HARRIS, WASHINGTON INSURANCE LAW § 1.2 (2d ed. 2006)).
1 Aecon Bldgs., 572 F. Supp. 2d at 1238. Nor does it contend that the covenant judgment,
2 which has been deemed reasonable by the King County Superior Court and Washington
3 Court of Appeals (see 12/3/21 Ackel Decl., Exs. AA, DD), was unreasonable or the
4 product of fraud or conclusion. (See generally Defs. MSJ Resp.)
5 Indeed, USF&G’s only argument against the application of coverage by estoppel
6 is that, if proved, USF&G’s alleged violation of multiple insurance regulations amounts
7 to a claim of procedural bad faith, which USF&G contends, “cannot form the basis for a
8 substantive bad faith claim and therefore coverage by estoppel is not available.” (Defs.
9 MSJ Resp. at 18 (citing St. Paul Fire & Marine Ins. Co., 196 P.3d at 668).) But, as
10 described above, the court’s conclusion that USF&G acted in bad faith did not hinge on
11 its violation of insurance regulations but on its decision to ignore the obvious import of
12 the certificates of insurance and unreasonably deny its insured a defense. Accordingly,
13 this argument has no relevance and Defendants’ motion for partial summary judgment on
14 the remedy of coverage by estoppel is GRANTED and USF&G is estopped from denying
15 coverage for the unsatisfied amounts of the covenant judgment.
16 7. Violation of Washington Insurance Fair Conduct Act and Consumer
Protection Act
17
USF&G moves for summary judgment on Defendants’ claims alleging violations
18
of IFCA and the CPA as a result of USF&G “[m]isrepresenting pertinent facts or
19
insurance policy provisions”; “[r]efusing to pay claims without conducting a reasonable
20
investigation”; “fail[ing] to fully disclose . . . all pertinent benefits, coverages or other
21
provisions of an insurance policy or insurance contract under which a claim is
22
1 presented”; or “mak[ing] a payment of benefits without clearly advising the payee, in
2 writing, that it may require reimbursement, when such is the case.” (SAC ¶¶ 7.2, 8.1.)
3 USF&G argues that summary judgment is appropriate because (1) IFCA does not apply
4 to third-party insurance, and (2) even if it does apply, USF&G’s conduct did not violate
5 either statute. (USF&G MSJ at 16-17.) The court first considers whether Defendants’
6 claims may be brought under IFCA before considering USF&G’s conduct under IFCA
7 and the CPA.
8 a. IFCA’s Application to Third-Party Insurance
9 “The purpose of IFCA is to protect individual policy holders from unfair practices
10 by their insurers.” Trinity Universal Ins. Co. of Kansas v. Ohio Cas. Ins. Co., 312 P.3d
11 976, 985 (Wash. Ct. App. 2013). To that end, it permits “[a]ny first party claimant to a
12 policy of insurance who is unreasonably denied a claim for coverage or payment of
13 benefits by an insurer” to “bring an action . . . to recover the actual damages sustained,
14 together with the costs of the action, including reasonable attorneys’ fees and litigation
15 costs.” RCW 48.30.015(1). A “first party claimant” is “an individual, corporation,
16 association, partnership, or other legal entity asserting a right to payment as a covered
17 person under an insurance policy or insurance contract arising out of the occurrence of
18 the contingency or loss covered by such a policy or contract.” Id. 48.30.015(4).
19 USF&G relies on Cox v. Cont’l Cas. Co., No. C13-2288MJP, 2014 WL 2560433,
20 at *2 (W.D. Wash. June 6, 2014), and the Ninth Circuit’s unpublished opinion affirming
21 that order, which briefly concluded that the district court “did not err in dismissing the
22 Plaintiffs’ IFCA claim” because “[t]he policy in question is not a first party policy; thus,
1 the Plaintiffs, standing in [the insured’s] shoes, cannot be a first party claimant,” 703 F.
2 App’x 491, 497-98 (9th Cir. 2017). Cox is not controlling, see CTA9 Rule 36-3, and
3 other cases in this district have decided the issue differently. See, e.g., Navigators
4 Specialty Ins. Co. v. Christensen Inc., 140 F. Supp. 3d 1097, 1099 (W.D. Wash. 2015)
5 (collecting cases to illustrate the “two plausible readings” within this district of IFCA’s
6 “first-party claimant” requirement). Because the court finds that IFCA’s text does not
7 clearly answer whether IFCA gives a right of action to first-party claimants under a third-
8 party insurance contract, it joins those cases looking to IFCA’s legislative history and
9 concluding that it does. See, e.g., id. at 1102 (“IFCA, as written and as intended, confers
10 a right of action to first-party claimants whether under a first-party or third-party
11 insurance contract.”).
12 Even though IFCA applies to third-party insurance contracts, absent an assignment
13 of rights by the first-party insured, it confers no right of action to third-party claimants
14 “no matter how egregious the insurer’s conduct.” United States for use & benefit of
15 Ballard Marine Constr., LLC v. Nova Grp. Inc., No. C20-5954BHS-DWC, 2021 WL
16 3174799, at *4 (W.D. Wash. July 27, 2021), clarified on denial of reconsideration, No.
17 C20-5954BHS-DWC, 2021 WL 4948196 (W.D. Wash. Oct. 22, 2021); see also Hopkins
18 v. State Farm Mut. Auto. Ins. Co., No. C15-2014JCC, 2017 WL 881373, at *3 (W.D.
19 Wash. Mar. 6, 2017) (considering legislative history and permitting IFCA claim where a
20 first-party claimant to a third-party automobile insurance contract assigned its rights to
21 plaintiff). That requirement is no obstacle here, because PM Northwest, the first-party
22 claimant, is a party to this IFCA action and has also assigned its insurance rights to the
1 Ulbrichts. (See 12/3/21 Ackel Decl., Ex. S ¶ 4(b).) Because Defendants are not barred
2 from asserting a claim under IFCA, see Ballard Marine Constr., 2021 WL 3174799, at
3 *4, the court turns to consider whether USF&G’s conduct violated IFCA or the CPA.
4 b. USF&G’s Conduct Under IFCA and CPA
5 USF&G first argues that summary judgment should be granted in its favor on
6 Defendants’ “IFCA and CPA claims[] alleging a failure to investigate and defend based
7 on certificates of insurance” for “the same reasons” it gave in defense of its failure to
8 defend or investigate. (See USF&G MSJ at 17.) The court has already rejected those
9 arguments, see supra at 31, 39, and does so again here. That leaves the portions of
10 Defendants’ IFCA and CPA claims that relate to USF&G’s alleged “(i) failure to pay
11 post-judgment interest; (ii) misrepresentation of policy limits; and (iii) failure to disclose
12 that it might require reimbursement if USF&G were successful on its appeal,” in
13 violation of WAC 284-30-330(1) and WAC 284-30-350(1) and (7). (See SAC ¶¶ 7.2,
14 8.1; USF&G MSJ at 17.)
15 Defendants’ failure to pay and misrepresentation claims both revolve around
16 USF&G’s alleged failure to pay Defendants post-judgment interest on the $4.5 million
17 covenant judgment. (See SAC ¶ 7.1.) As discussed above, even if USF&G had an
18 obligation to pay post-judgment interest, it has fulfilled that obligation. See supra 34.
19 Defendants cannot sustain a claim by asserting to this court that their insurer breached,
20 misrepresented, or withheld information about a policy term with which they told a
21 different court—and USF&G—USF&G had complied. Seaway Properties, LLC v.
22 Fireman’s Fund Ins. Co., 16 F. Supp. 3d 1240, 1255 (W.D. Wash. 2014) (“The right to
1 sue [under IFCA] arises solely from an unreasonable denial of a claim for coverage or
2 payment of benefits.”). Accordingly, USF&G’s motion for summary judgment is
3 GRANTED as to Defendants’ claims that it violated IFCA by failing to pay post-
4 judgment interest, or making misrepresentations or omissions with respect to that alleged
5 policy benefit. See id.; see also Rinehart v. Life Ins. Co. of N. Am., No. C08-05486RBL,
6 2009 WL 2406333, at *3 (W.D. Wash. Aug. 4, 2009) (“A misstatement of the nature of
7 coverage may violate WAC 284–30–330, but there still must also be an injury to support
8 a claim for damages.”).
9 Finally, the record is clear that USF&G did not “fail[] to clearly disclose in writing
10 that it” would have “require[d] reimbursement if the appeal reversed the ruling that the
11 settlement was reasonable.” (SAC ¶ 8.1.) In the May 1, 2019 cover letter that
12 accompanied USF&G’s $2.5 million check to the Ulbrichts, USF&G expressly stated that
13 its payment was made without waiving any rights, pending the outcome of the appeal of
14 the underlying action. (See 12/3/21 Ackel Decl., Ex. CC at 1.) In response to
15 Defendants’ counsel asking whether that meant USF&G would seek “seek
16 reimbursement . . . in the event of a favorable appellate decision” (see id., Ex. FF at 2),
17 USF&G clarified by email on May 10, 2019 that it did intend to “seek to recover any
18 overpayment” if it prevailed on appeal (11/16/21 Brownstein Decl. ¶ 31, Ex. 27).13 Thus,
19 //
20
13 Defendants also seemingly understood from the May 1, 2019 letter that the $2.5
21
million was encumbered by the appeal process. (See 12/3/21 Ackel Decl., Ex. FF at 2 (noting
that USF&G’s reservation of rights “leaves our clients with no ability to make use of the
22
funds”).)
1 there is no dispute that USF&G met its obligation to “clearly advis[e]” Defendants of that
2 intention. See WAC 284-30-350(7).
3 Accordingly, USF&G’s motion for summary judgment on Defendants’ IFCA and
4 CPA claims is DENIED in part and GRANTED in part. It is DENIED as to the portion
5 of Defendants’ claims that relate to USF&G’s bad faith breach of its duty to investigate
6 and defend its insured. It is GRANTED as to the portion of Defendants’ claims that
7 relate to USF&G’s alleged (i) failure to pay post-judgment interest; (ii) misrepresentation
8 of policy limits; and (iii) failure to disclose that it would have sought recoupment of the
9 $2.5 million it paid to the Ulbrichts had it succeeded on appeal.
10 c. Actual Damages Under IFCA
11 Finally, USF&G moves for summary judgment on the basis “that the covenant
12 judgment does not establish the measure of ‘actual damages’ for purposes of IFCA.”
13 (USF&G MSJ at 19.) IFCA does not define “actual damages.” See generally RCW
14 48.30.015. However, in the context of other statutes, the Washington Supreme Court has
15 defined actual damages to “encompass all the elements of compensatory awards
16 generally.” Rasor v. Retail Credit Co., 554 P.2d 1041, 1050 (Wash. 1976) (interpreting
17 the Fair Credit Reporting Act). Thus, “[u]nder IFCA, an insurer ‘is liable only for those
18 damages proximately caused by [its] IFCA violation.’” Schreib v. Am. Fam. Mut. Ins.
19 Co., 129 F. Supp. 3d 1129, 1137 (W.D. Wash. 2015) (quoting Dees v. Allstate Ins. Co.,
20 933 F. Supp. 2d 1299, 1312 (W.D. Wash. 2013)); see also MKB Constructors v. Am.
21 Zurich Ins. Co., No. C13-0611JLR, 2015 WL 1188533, at *21 (W.D. Wash. Mar. 16,
22 2015) (requiring showing of proximate cause), aff’d, 711 F. App’x 834 (9th Cir. 2017).
1 Thus, the court has previously held that an arbitration award, which reflected damages
2 resulting from an “underlying motor vehicle accident,” did not constitute “actual
3 damages” under IFCA because they were not “proximately caused” by the statutory
4 violations. Schreib, 129 F. Supp. 3d at 1137.
5 Unlike the arbitration award at issue in Schreib, the covenant judgment in the
6 underlying action reflects both PM Northwest’s liability exposure from a jury verdict (see
7 Reasonableness Order at 9 (finding that “the $4.5 million covenant judgment fall within
8 the range of judgment that Plaintiffs could have recovered from PM Northwest”)) and an
9 assessment that “the risks of continued litigation to PM Northwest were especially high”
10 because USF&G declined to defend PM Northwest (id. at 13). Thus, the $4.5 million
11 covenant judgment reflects both “actual damages” and damages unrelated to the conduct
12 Defendants allege violated IFCA, which means that it does not establish Defendants’
13 “actual damages” under IFCA. See Schreib, 129 F. Supp. 3d at 1137.
14 Defendants argue in response that USF&G should be “bound” by the $4.5 million
15 covenant judgment because “[t]here is no reason to conclude that the unpaid amount of a
16 covenant judgment, recoverable for the bad faith breach of the duty to defend is not
17 ‘actual damages’ recoverable under IFCA.” (USF&G Resp. at 25.) But the cases
18 Defendants cite establish only that an insured who prevails on a bad faith claim may
19 recover beyond the policy limits, including for an award established in arbitration, see
20 Bird, 287 P.3d 551, 555-56 (Wash. 2012) (en banc); see also Miller v. Kenny, 325 P.3d
21 278, 292 (Wash. Ct. App. 2014), and that insureds may recover attorney and other fees
22 under IFCA where they can show those fees were proximately caused by the alleged
1 IFCA violation, see Gosney v. Fireman’s Fund Ins. Co., 419 P.3d 447, 480 (Wash. Ct.
2 App. 2018); see also MKB Constructors, 2015 WL 1188533, at *20. Defendants thus
3 provide no support for the proposition that IFCA’s damages enhancement applies to any
4 damages award—whether established through covenant judgment, bad faith action, or
5 otherwise—absent a showing that it was proximately caused by the IFCA violation. See
6 Schreib, 129 F. Supp. 3d at 1137.
7 Because this is not a situation “in which an IFCA violation cause[d] the entirety”
8 of the injuries reflected in the covenant judgment, the court will GRANT summary
9 judgment to USF&G on the issue of whether the covenant judgment establishes
10 Defendants’ “actual damages” under IFCA. See id. However, Defendants are entitled to
11 prove at trial that USF&G’s alleged IFCA violations proximately caused them to incur
12 actual damages but, in doing so, will need to differentiate those damages from the amount
13 of tort liability exposure PM Northwest would have faced anyway. See id.
14 C. Defendants’ Motion to Realign the Parties
15 Defendants ask the court to “realign the parties in this case,” such that PM
16 Northwest and the Ulbrichts will be described and treated as plaintiffs and USF&G will
17 be described and treated as a defendant. (Realignment Mot. at 2.) The court previously
18 declined to realign the parties when it consolidated Ulbricht, et al. v. USF&G,
19 C20-0617TLF (W.D. Wash.) with this case, preferring to wait for “more thorough
20 briefing from the parties on the claims that remain as trial approaches.” (9/21/20 Order at
21 5.) Defendants believe the pre-trial picture is now sufficiently clear for the court to
22 address realignment and urge that realignment is appropriate because: (1) they “bear the
1 burden of the primary causes of action,” i.e., their affirmative bad faith and contractual
2 claims; (2) USF&G’s declaratory judgment claims “are essentially only defenses” to
3 Defendants’ claims and were filed only in response to Defendants’ IFCA notice; and (3)
4 realignment will “promote the efficient, effective presentation of evidence at trial and
5 avoid confusion.” (Realignment Reply at 3-4.) The court agrees with Defendants that
6 the realignment issue is now ripe for the court to consider but disagrees that realignment
7 is appropriate.
8 As an initial matter, the parties disagree on the standard that should be applied.
9 Defendants rely on Plumtree Software, Inc. v. Datamize, LLC, No. C 02-5693 VRW,
10 2003 WL 25841157, at *3 (N.D. Cal. Oct. 6, 2003), a case applying the Ninth Circuit’s
11 decision in Prudential Real Estate Affiliates, Inc. v. PPR Realty, Inc., 204 F.3d 867 (9th
12 Cir. 2000), and argue that, “[i]n the Ninth Circuit, district courts look to the ‘primary
13 purpose’ of the litigation to determine, in their discretion, whether to realign the parties in
14 accordance with the primary dispute in controversy.” (Realignment Mot. at 4.) USF&G
15 contends that Prudential—and cases applying its “primary purpose” test, like Plumtree—
16 applies only to cases where the “district court lacks subject matter jurisdiction because
17 the parties were improperly aligned” in a manner that defeats diversity jurisdiction.
18 (Realignment Resp. at 4 (quoting Prudential, 204 F.3d at 872).)
19 The court need not resolve this dispute, however, because even under Defendants’
20 proposed “primary purpose” test, it finds that realignment is not justified in this case. In
21 Plumtree, the court relied on several factors that are either inapplicable to this case, or
22 counsel against realignment. For instance, the Plumtree court was persuaded by concerns
1 unique to the patent litigation context and the parties’ joint case management statement,
2 both of which expressed a preference for the patent-holder to be the first mover in certain
3 discovery matters and first presenter at a Markman hearing. See Plumtree, 2003 WL
4 25841157, at *5. Realignment of the parties was thus “more consistent” with these other
5 aspects of the case. Id.
6 Additionally, although the court in Plumtree recognized that declaratory judgment
7 actions are “ordinarily quite appropriate” to “relieve potential defendants from the
8 Damoclean threat of impending litigation,” it found that “basic rationale” inapposite
9 because the affirmative suit was filed before the declaratory judgment action. Plumtree,
10 2003 WL 25841157, at *4. “Thus, the ‘Damoclean’ threats to potential defendant
11 Plumtree [did] not exist.” Id. Here, USF&G arguably did act to remove the threat of
12 impending litigation by seeking a declaratory judgment after receiving an IFCA notice
13 and prior to Defendants suing on their affirmative claims. That approach, as USF&G
14 notes, is encouraged under Washington law where “the facts or the law affecting
15 coverage is disputed,” Truck Ins. Exch. I, 58 P.3d at 282 (“If in doubt, [the insurer] may
16 file a declaratory judgment action.”). (Realign Resp. at 4.)
17 Finally, Defendants’ argument that the parties’ current alignment will cause juror
18 confusion is unavailing. (See Realign Mot. at 4 (quoting Plumtree, 2003 WL 25841157,
19 at *5).) The issues that will proceed to trial have been narrowed considerably and the
20 court is confident that any risk of juror confusion can be sufficiently mitigated and
21 managed through careful jury instruction.
22 Accordingly, Defendants’ motion to realign the parties is DENIED.
1 IV. CONCLUSION
2 For the reasons set forth above, the court: (1) DENIES Defendants’ motion to
3 realign the parties (Dkt. # 75); (2) GRANTS in part and DENIES in part USF&G’s
4 motion for summary judgment (Dkt. # 70); (3) GRANTS in part and DENIES in part
5 Defendants’ motion for partial summary judgment (Dkt. # 83); and (4) GRANTS in part
6 and DENIES in part Defendants’ motion to seal (Dkt. # 94).
7 The Clerk is further DIRECTED to STRIKE (1) Defendants’ response to
8 USF&G’s motion for summary judgment (Dkts. ## 96 (sealed); 97 (redacted)) and (2)
9 Mr. Hatley’s Declaration (Dkts. ## 98 (sealed); 99 (redacted)), as those filings have been
10 replaced by unredacted versions (see Dkt. # 112; Dkt. # 113). To the extent Mr. Ackel’s
11 redacted declaration (Dkt. # 101) contains material over which USF&G no longer asserts
12 a confidentiality interest (see Seal Resp. at 3), Defendants are ORDERED to file an
13 amended redacted declaration within seven (7) days of the entry of this order.
14 Dated this 12th day of January, 2022.
15 A
16
JAMES L. ROBART
17 United States District Judge
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