Opinion

Hartford Casualty Insurance v. DP Engineering, L.L.C.

  • 827 F.3d 423
  • 2016 U.S. App. LEXIS 11951
  • 2016 WL 3552312
Court
Court of Appeals for the Fifth Circuit
Filed
Jun 29, 2016
Status
Published
Author
Southwick
On the bench
Davis, Southwick, Costa
Nature of suit
Private Civil Diversity
Cited by
28 cases
Authority
More cited than 76.1%

holding that it was error for the district court to grant summary judgment to insurer on duty to indemnify where the allegations in the underlying lawsuits did not conclusively foreclose that facts adduced at trial may show a duty to indemnify

How later courts described this case

  • holding that it was error for the district court to grant summary judgment to insurer on duty to indemnify where the allegations in the underlying lawsuits did not conclusively foreclose that facts adduced at trial may show a duty to indemnify
  • stating that “the duty to indemnify typically cannot be adjudicated until there has been a judgment in the underlying suit because facts proven at trial may differ slightly from the allegations”
  • holding the issue of indemnity was not ripe for review because the allegation did “not conclusively foreclose that facts adduced at trial” would establish coverage under the policy
  • affirming summary judgment for insurer on duty to defend but reversing district court’s grant of summary judgment because “[t]he factual allegations do not negate any possibility that [the insurer] will ever have a duty to indemnify”

Written by the judges who cited it.

The opinion

Case: 15-10443 Document: 00513571779 Page: 1 Date Filed: 06/29/2016

IN THE UNITED STATES COURT OF APPEALS

FOR THE FIFTH CIRCUIT United States Court of Appeals

Fifth Circuit

FILED

June 29, 2016

No. 15-10443

Lyle W. Cayce

Clerk

HARTFORD CASUALTY INSURANCE COMPANY; HARTFORD LLOYDS

INSURANCE COMPANY,

Plaintiffs - Appellees

v.

DP ENGINEERING, L.L.C.; JOHN SCROGGINS,

Defendants - Appellants

Appeal from the United States District Court

for the Northern District of Texas

Before DAVIS, SOUTHWICK, and COSTA, Circuit Judges.

LESLIE H. SOUTHWICK, Circuit Judge:

DP Engineering, L.L.C., and its employee, John Scroggins, were sued by

individuals injured in an industrial accident at an Entergy nuclear power

plant. The present suit concerns DP Engineering’s insurers, Hartford

Casualty Insurance Company and Hartford Lloyds Insurance Company. The

two Hartford companies sought a declaratory judgment that they had no duty

to defend or indemnify DP Engineering in those lawsuits. The district court

granted summary judgment to the insurers. DP Engineering appeals. We

AFFIRM in part and REVERSE and REMAND in part.

Case: 15-10443 Document: 00513571779 Page: 2 Date Filed: 06/29/2016

No. 15-10443

FACTUAL AND PROCEDURAL BACKGROUND

DP Engineering, L.L.C., entered into an agreement to provide

engineering services for a project at an Entergy nuclear power plant in

Arkansas. John Scroggins, an engineer with DP Engineering, worked on the

project. Entergy needed to remove and refurbish a “stator,” which is a

cylindrical 520-ton component of the electricity-generation system. The stator

was lifted out of its cradle and secured to a gantry. The gantry with its load

was then to be moved on tracks across a large deck. At an opening in the deck,

the stator would be lowered, placed onto a vehicle, and moved outside the

building for maintenance work. At some point in the procedure, the gantry

collapsed. Both the gantry and stator crashed to the floor, causing massive

property damage to Entergy’s plant. One worker died. Others were injured.

Entergy sued DP Engineering and Scroggins, along with others involved

in the project, for breach of contract and negligence (the “Entergy lawsuit”).

DP Engineering, Entergy, and the other companies involved in the stator

project were sued by the estate of the deceased worker and three injured

workers. Scroggins was not a defendant in these four lawsuits (collectively the

“personal injury lawsuits”).

DP Engineering’s insurers, Hartford Casualty Insurance Company and

Hartford Lloyds Insurance Company (together “Hartford”), sought a

declaratory judgment that there was no duty to defend or indemnify under

their policies. Hartford Casualty had issued a primary insurance policy and

an umbrella policy to DP Engineering. Hartford Lloyds had issued only a

primary insurance policy. All three policies contained an exclusion of coverage

for injuries or damages arising out of DP Engineering’s professional services.

DP Engineering asserted counterclaims against Hartford, seeking a

declaratory judgment that Hartford had a duty to defend and bringing a breach

of contract claim for Hartford’s refusal to accept the defense. Both parties

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No. 15-10443

moved for summary judgment. The district court granted Hartford’s motion

for summary judgment, holding there was no duty to defend or duty to

indemnify, and denied DP Engineering’s motion. The district court reasoned

that the allegations in the underlying lawsuits only related to DP

Engineering’s professional engineering services, and so the policies’

professional services exclusions applied. The court entered judgment for

Hartford on Hartford’s claims and DP Engineering’s counterclaims and

awarded taxes and costs against DP Engineering. DP Engineering timely

appealed.

DISCUSSION

We review the district court’s grant of a summary judgment de novo.

Adams v. Travelers Indem. Co. of Conn., 465 F.3d 156, 163 (5th Cir. 2006).

Summary judgment is proper when “the movant shows that there is no genuine

dispute as to any material fact and the movant is entitled to judgment as a

matter of law.” FED. R. CIV. P. 56(a). Texas law applies in this diversity suit.

See Graper v. Mid-Continent Cas. Co., 756 F.3d 388, 391 (5th Cir. 2014).

DP Engineering contends the district court erred in entering summary

judgment for Hartford on the duty to defend and duty to indemnify under the

policies. The parties have presented arguments only about whether the

professional services exclusion precludes policy coverage, so we limit our

review to that question. We address the duty to defend and then the duty to

indemnify. DP Engineering also complains about the district court’s resolution

of its counterclaims, which we address last.

I. Hartford’s Duty to Defend

DP Engineering claims Hartford is not relieved of its duty to defend

under the policies. Hartford has a duty to defend if the facts alleged in the

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No. 15-10443

pleadings would give rise to any claim covered by the policy. See National

Union Fire Ins. Co. of Pittsburgh v. Merchs. Fast Motor Lines, Inc., 939 S.W.2d

139, 141 (Tex. 1997). To determine whether a lawsuit would give rise to a

covered claim, Texas law applies the “Eight Corners Rule.” See Willbros RPI,

Inc. v. Cont’l Cas. Co., 601 F.3d 306, 309 (5th Cir. 2010). Under that rule, a

court looks only at the insurance policy itself and the pleadings in the

complaint in the underlying suit. Id. The court focuses “on the factual

allegations that show the origin of the damages rather than on the legal

theories advanced.” Id. The insurer has the burden to prove an exclusion

applies. Gore Design Completions, Ltd. v. Hartford Fire Ins. Co., 538 F.3d 365,

370 (5th Cir. 2008). We resolve doubts about an exclusion in favor of the

insured. Id. at 368–69. “If a complaint potentially includes a covered claim,

the insurer must defend the entire suit.” Zurich Am. Ins. Co. v. Nokia, Inc.,

268 S.W.3d 487, 491 (5th Cir. 2008). For example, where the policy excludes

coverage for professional services as it does here, if the underlying complaints

allege injury occurred both because of negligent professional services and

negligent services of some other kind, Hartford has to defend the entire

lawsuit. See Willbros, 601 F.3d at 312.

We first review the relevant policy language. The professional services

exclusions in each policy contain slightly different language but are

substantively the same. They exclude coverage for bodily injury or property

damage “arising out of” DP Engineering’s “rendering of or failure to render any

professional services . . . .” An injury arises out of professional services if there

is but-for causation, “though not necessarily direct or proximate causation,”

between the injury and the professional services. Utica Nat’l Ins. Co. of Tex. v.

Am. Indem. Co., 141 S.W.3d 198, 203 (Tex. 2004).

We must also determine what is meant by “professional services,” a term

which is defined similarly in each policy. Such services “include[] . . . [t]he

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No. 15-10443

preparing, approving, or failure to prepare or approve, maps, shop drawings,

opinions, reports, surveys, field orders, change orders, designs or drawings and

specifications; and . . . [s]upervisory, inspection, architectural or engineering

activities.” 1 The umbrella policy also contains an exclusionary endorsement

titled “Designated Professional Services,” which indicates that the professional

services are those described on Form IH 12 01. That Form states that the

excluded professional services are “Engineering Services.” 2

We also find caselaw instructive. A service is “professional” if it requires

“specialized knowledge or training,” not solely because a professional performs

the service. Atlantic Lloyd’s Ins. Co. of Tex. v. Susman Godfrey, L.L.P., 982

S.W.2d 472, 476–77 (Tex. App.—Dallas 1998, pet. denied). Professional

services are “mental or intellectual [work], rather than physical or manual”

and involve “a practical dealing with affairs” of others. Maryland Cas. Co. v.

Crazy Water Co., 160 S.W.2d 102, 105 (Tex. Civ. App.—Eastland 1942, no writ).

Another Texas appellate court held the following allegations fall within a

professional engineering services exclusion: failing to make daily inspections,

negligently designing an excavation system, and negligently drafting plans.

See Utica Lloyd’s of Tex. v. Sitech Eng’g Corp., 38 S.W.3d 260, 262–64 (Tex.

App.—Texarkana 2001, no pet.).

We have distinguished professional services from those that are non-

professional or administrative. See National Cas. Co. v. W. World Ins. Co., 669

1 The only differences between the quoted definition and the definition in the other

two policies is that the other two definitions do not include “shop drawings,” “field orders,” or

“architectural” activities. These minor differences, however, do not change the meaning of

the definition for our purposes.

2 To the extent DP Engineering argues that we should find this policy language

ambiguous and look to the definition of “engineering services” in TEX. OCC. CODE § 1001.003,

we reject such an argument. We agree with a Texas appellate court that did not find

“engineering services” in a similar policy exclusion ambiguous. See Utica Lloyd’s of Tex. v.

Sitech Eng’g Corp., 38 S.W.3d 260, 263–64 (Tex. App.—Texarkana 2001, no pet.).

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F.3d 608, 615 (5th Cir. 2012); Willbros, 601 F.3d at 310. While professional

services require specialized knowledge or training and involve the exercise of

judgment, administrative services usually occur in the “execution” of a decision

that was based on professional judgment. Western World, 669 F.3d at 615–16.

For example, approval of a drilling plan is a professional engineering service,

but the execution of the plan, which involves construction and conducting

drilling operations in accordance with the plan, does not clearly fall within the

exclusion. See Willbros, 601 F.3d at 310–11.

We now examine the factual allegations in the underlying lawsuits and

compare them to the policy language. As a preliminary matter, DP

Engineering does not direct us to specific allegations that describe non-

professional services. Instead, DP Engineering lists out the allegations in all

five complaints and states that “[o]ne, some or all of the above” allegations do

not arise out of DP Engineering’s professional services. Undertaking our own

more focused analysis, we look at the facts alleged in the Entergy lawsuit 3 and

then the personal injury lawsuits.

The Entergy complaint alleges DP Engineering breached its contract and

was negligent because it: (1) was involved in a decision not to perform a load

test on the gantry to ensure it could lift the stator; (2) knew or should have

known of certain inaccurate and false statements by the gantry engineer,

Claus Frederiksen, that it was not possible for the gantry to undergo a load

test and such a test was unnecessary because the gantry had previously lifted

heavier objects; (3) had concerns about the failure to anchor the gantry to the

3DP Engineering briefly complains that the district court should not have discussed

provisions of the contract between Entergy and DP Engineering, which was attached to the

Entergy complaint, in considering the factual allegations in the Entergy lawsuit. Hartford

responds that because the contract was attached to the complaint, it is a part of the pleadings.

We do not decide this argument because we do not rely on any of the provisions in the Entergy

and DP Engineering contract to decide whether there is a duty to defend.

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building itself but did not act on those concerns; (4) failed to provide qualified

and competent personnel; and (5) did not comply with applicable standards in

Entergy’s manual requiring a load test. The Entergy complaint alleges that

Scroggins was negligent because he was an agent of DP Engineering and had

superior knowledge and skill, which obligated him to disclose defects and

deficiencies of which he was aware.

The above allegations relate to the professional judgment that DP

Engineering and Scroggins exercised in designing, reviewing, and approving

the plan to remove the stator. All the factual allegations suggest that DP

Engineering or Scroggins designed and approved the plan, and none suggest

that they were involved in negligently executing it.

In the personal injury lawsuits, the complaints allege DP Engineering

gave “engineering advice” on the stator project and that DP Engineering

employees were used by other defendants for “non-engineering tasks.” The

personal injury complaints list 17 allegations against all the defendants, which

include allegations of negligence in the plan to construct and use the crane, the

decision to continue removing the stator after problems arose, and the hiring,

supervision, and training of independent contractors. Against DP Engineering

specifically, the personal injury complaints allege DP Engineering: (1) had

insufficient policies and procedures to hire and train qualified engineers and

other staff; and (2) provided incompetent and unqualified engineers and other

staff. The allegations relating to punitive damages state that DP Engineering

ignored the appropriate and applicable standards regarding the design

evaluation[,] . . . . improperly used an assumption of transverse frame

loading that was less than two percent of the handled load[, failed to

conduct] a required load test[,] . . . . did not inspect all load bearing welds

before and after a load test[, and] . . . . was unable to provide to the NRC

inspection team any alternate approved standard for the design and

testing of the crane . . . .

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The personal injury complaints describe how the defendants, including

DP Engineering, improperly planned and designed the stator project. None of

the allegations indicate that the accident happened because of something akin

to “subcontractors simply fail[ing] to aim the directional drill correctly” in

accordance with a properly designed plan, Willbros, 601 F.3d at 311, or, “a

worker . . . simply [making] a mistake in the implementation of the design,”

Gore Design Completions, 538 F.3d at 372. Instead, looking at the factual

allegations together, the underlying lawsuits “arise out of” DP Engineering’s

alleged failure to properly exercise its professional, engineering judgment on

the stator project.

For example, one allegation is that the defendants “[chose] not to inspect

the load bearing welds before the lift was attempted.” Hartford emphasizes

the description of these acts as choices, but we do not find that description

determinative. We must look at the underlying factual allegations, rather than

the way they are pled. Sitech Eng’g Corp., 38 S.W.3d at 264. This allegation

describes a professional service because inspecting equipment to ensure it is

properly designed and constructed before using the equipment for a complex

project such as this requires special knowledge, expertise, and training. See

Susman Godfrey, 982 S.W.2d at 476–77. Other allegations address the

defendants’ failure to require a load test, failure to provide a safe and effective

plan for stator removal, and failure to properly determine the appropriate

equipment to safely complete the project. These actions all require special

knowledge and expertise.

As mentioned, the personal injury complaints also contain general

statements that DP Engineering employees aided in “non-engineering tasks”

under the direction of Entergy’s and another defendant’s project managers. We

have rejected a “bald statement that certain (unspecified) acts were non-

professional” and instead focused on whether any of the alleged facts described

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non-professional conduct. See Admiral Ins. Co. v. Ford, 607 F.3d 420, 426 (5th

Cir. 2010). The facts alleged do not include administrative, non-professional

activities conducted by DP Engineering. DP Engineering asserts that “using

a crane, constructing a crane, providing a crane, welding a crane, [and]

assembling a crane” are not professional services because “the average

construction worker” who performs such activities would not need an

engineering degree to do so. While this statement may be true, DP

Engineering points to no factual allegation that it or its employee negligently

used a crane, constructed a crane, or welded a crane. While DP Engineering

and others allegedly “[chose] not to ensure the crane was properly assembled,”

we read this language to describe DP Engineering’s negligence in failing to

inspect the crane after it had been constructed, an inspection that would

require professional expertise.

Finally, the personal injury lawsuits contain allegations that DP

Engineering negligently hired, trained, supervised, or retained its employees

and contractors. These allegations fall within the professional services

exclusion because they are “related [to] and interdependent” with the allegedly

negligent rendition of professional services, rather than “independent and

mutually exclusive.” See Duncanville Diagnostic Ctr., Inc. v. Atl. Lloyd’s Ins.

Co. of Tex., 875 S.W.2d 788, 791–92 (Tex. App.—Eastland 1994, writ denied).

The negligent hiring allegations do not trigger a duty to defend.

The underlying lawsuits fall within the professional services exclusion

because the factual allegations in the underlying complaints describe injuries

that “arise out of” DP Engineering’s and Scroggins’s allegedly negligent

engineering services. Therefore, the district court correctly entered summary

judgment for Hartford that there was no duty to defend.

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II. Hartford’s Duty to Indemnify

“An insurer’s duty to defend and indemnify are distinct and separate

duties.” Farmers Tex. Cnty. Mut. Ins. Co. v. Griffin, 955 S.W.2d 81, 82 (Tex.

1997). An insurer may have a duty to defend a lawsuit but may not have a

duty to indemnify the insured. Id. Alternatively, an insurer may not have to

defend a lawsuit but may eventually have a duty to indemnify. See D.R.

Horton-Texas, Ltd. v. Markel Int’l Ins. Co., 300 S.W.3d 740, 743–45 (Tex. 2009);

Colony Ins. Co. v. Peachtree Constr., Ltd., 647 F.3d 248, 254 (5th Cir. 2011).

These duties can arise independently of one another because the duty to defend

is determined by pleadings, but the duty to indemnify is determined by the

facts that are eventually ascertained in the underlying lawsuit. See D.R.

Horton-Texas, 300 S.W.3d at 744. Accordingly, the duty to indemnify typically

cannot be adjudicated until there has been a judgment in the underlying suit

because facts proven at trial may differ slightly from the allegations. See

Griffin, 955 S.W.2d at 83–84; Peachtree, 647 F.3d at 254–55.

The Texas Supreme Court has identified one situation when a duty to

indemnify can be resolved solely on the pleadings in the underlying lawsuit.

See Griffin, 955 S.W.2d at 84. In Griffin, the court held that an insurer can

obtain a declaratory judgment on its duty to indemnify based only on the

pleadings in the underlying suit if “the same reasons that negate the duty to

defend likewise negate any possibility the insurer will ever have a duty to

indemnify.” Id. (emphasis omitted). In that case, the plaintiff alleged a drive-

by shooting caused injuries, and the insurance policy covered “auto

accident[s].” Id. The court reasoned that there was no set of facts that could

be proved in the underlying lawsuit that could transform an alleged drive-by

shooting into an auto accident covered under the policy. Id.

When a case is not analogous to Griffin, an insurer cannot obtain

resolution of the duty to indemnify solely on the basis of the pleadings in the

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underlying lawsuit. See D.R. Horton-Texas, 300 S.W.3d at 744–45. The

insurer may have to wait to resolve its duty to indemnify until after a trial in

the underlying litigation because facts established at trial determine the duty

to indemnify. Id. at 745. Alternatively, the parties may offer extrinsic evidence

to prove or negate the insurer’s duty to indemnify if the underlying lawsuit

never goes to trial or if trial does not develop the facts necessary to determine

policy coverage. Id. at 744; Peachtree, 647 F.3d at 254–55.

Hartford argued below, and the district court accepted, that Griffin

allowed the court to adjudicate the duty to indemnify based on the pleadings

in the underlying lawsuits. Hartford claimed that like Griffin, “nothing will

change the fact that advice provided with respect to the movement and removal

of a 550 ton stator requires specialized knowledge and training.” The district

court concluded that because there was no duty to defend, there was also no

duty to indemnify. The court stated “none of the allegations in any of the

underlying lawsuits states facts that would invoke coverage under any of the

three insurance policies at issue.”

Hartford submits that one of our court’s recent decisions supports the

district court’s resolution. See LCS Corr. Servs., Inc. v. Lexington Ins. Co., 800

F.3d 664 (5th Cir. 2015). We held there that an insurer had no duty to defend

the insured, a corporation that operated a detention center, in an inmate’s

Section 1983 lawsuit. Id. at 671–72, 674. A medical services exclusion applied

based on allegations in the complaint that officials at the detention center

refused to provide the inmate additional doses of medicine. Id. at 671, 674.

The court held there was also no duty to indemnify, finding Griffin applicable.

Id. at 668 n.4, 672, 674. “In the context of this case, it follows that there is no

duty to indemnify for the same reasons . . . there is no duty to defend . . . .” Id.

at 672.

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LCS Corrections Services is distinguishable. The sole alleged act of

negligence in LCS Corrections Services was a failure to provide medication to

an inmate. Id. at 671. The Griffin exception applied there because the panel

reasoned that no facts proved at a trial could transform the failure to provide

medication into something that was not medical services. Id. at 674. Unlike

in LCS Corrections Services, the underlying lawsuits here involve complex

facts and multiple allegedly negligent parties. The factual allegations do not

negate any possibility that Hartford will ever have a duty to indemnify

because, as DP Engineering argues, there is “an array of possible factual and

legal scenarios,” that could have caused the crane and stator to fall, some of

which may create coverage. The allegations in the underlying lawsuits here

do not conclusively foreclose that facts adduced at trial may show DP

Engineering also provided non-professional services, which would be covered

under the policy. Unlike the alleged drive-by shooting in Griffin, which under

no set of facts could become an “auto accident,” the rendition of professional

services alleged here could co-exist with the rendition of non-professional

services that contributed to the accident.

Because we hold that Griffin does not apply, we reverse the district

court’s grant of summary judgment to Hartford on the duty to indemnify. The

district court should not have determined the duty to indemnify based on the

pleadings in the underlying lawsuit. See D.R. Horton-Texas, 300 S.W.3d at

744–45; Peachtree, 647 F.3d at 254–55. The district court may need to “defer

resolution of indemnity issues until the liability litigation is resolved.” Griffin,

955 S.W.2d at 84. Alternatively, if trials in the underlying lawsuits do not

occur or if the trials do not resolve all factual issues related to coverage, the

parties may offer additional evidence to determine whether Hartford has a

duty to indemnify. See D.R. Horton-Texas, 300 S.W.3d at 744.

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III. DP Engineering’s Counterclaims

DP Engineering argues the district court erred in adjudicating its

counterclaims sua sponte without giving the required notice. Hartford

responds that once the district court decided there was no duty to defend, DP

Engineering’s counterclaims necessarily failed.

DP Engineering’s counterclaims relied on Hartford having a duty to

defend under the policies. DP Engineering presented all its legal arguments

about Hartford’s duty to defend in response to Hartford’s motion for summary

judgment, as well as in its own cross-motion for summary judgment.

Accordingly, DP Engineering had ample opportunities to present arguments in

support of its counterclaims as to why a duty to defend existed. See British

Caledonian Airways Ltd. v. First State Bank of Bedford, 819 F.2d 593, 595–96

(5th Cir. 1987) (citing 10A WRIGHT, MILLER & KANE, FEDERAL PRACTICE &

PROCEDURE § 2720 (3d ed.)). There was no error in entering judgment against

DP Engineering on its counterclaims because those claims were necessarily

resolved after the court considered all the arguments and determined that as

a matter of law, Hartford had no duty to defend. See Jensen v. Snellings, 841

F.2d 600, 618 (5th Cir. 1988) (entering summary judgment sua sponte when an

insurer’s duty to defend was argued at length to the district court). We agree

with the district court’s resolution of the duty to defend, and therefore DP

Engineering’s counterclaims. DP Engineering’s counterclaims do not address

Hartford’s duty to indemnify, which we hold the district court erred in

resolving at summary judgment.

We AFFIRM the district court’s grant of summary judgment on

Hartford’s duty to defend and the district court’s resolution of DP

Engineering’s counterclaims related to the duty to defend. We REVERSE the

district court’s grant of summary judgment to Hartford on its duty to indemnify

and REMAND for further proceedings consistent with this opinion.

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