Opinion

Gilbane Building Co. v. Admiral Insurance

  • 664 F.3d 589
  • 2011 WL 6153370
Court
Court of Appeals for the Fifth Circuit
Filed
Dec 13, 2011
Status
Published
Author
Elrod
On the bench
Wiener, Clement, Elrod
Cited by
91 cases
Authority
More cited than 88.7%

holding consideration of "whether [plaintiff in the underlying action] acted negligently ... goes directly to the merits of the underlying negligence suit, as well as to the duty to defend"

How later courts described this case

  • holding consideration of "whether [plaintiff in the underlying action] acted negligently ... goes directly to the merits of the underlying negligence suit, as well as to the duty to defend"
  • applying Texas law and reversing the trial court’s holding that insurer had a duty to defend but affirming the trial court’s holding that the insurer had a duty to indemnify
  • holding insurer had a duty to indemnify additional insured even when named insured was not part of the underlying suit due to employer immunity
  • stating that "[t]he duty to indemnify is separate and distinct from the duty to defend.”

Written by the judges who cited it.

The opinion

Case: 10-20817 Document: 00511692842 Page: 1 Date Filed: 12/12/2011

IN THE UNITED STATES COURT OF APPEALS

FOR THE FIFTH CIRCUIT United States Court of Appeals

Fifth Circuit

FILED

December 12, 2011

No. 10-20817

Lyle W. Cayce

Clerk

GILBANE BUILDING COMPANY,

Plaintiff - Appellee,

v.

ADMIRAL INSURANCE COMPANY,

Defendant - Appellant.

Appeal from the United States District Court

for the Southern District of Texas

Before WIENER, CLEMENT, and ELROD, Circuit Judges.

JENNIFER WALKER ELROD, Circuit Judge:

This insurance coverage case arises out of an underlying personal injury

lawsuit brought by Michael Parr against Gilbane Building Company. Gilbane,

a general contractor, sought defense and indemnification from Admiral

Insurance Company based on an insurance policy held by Empire Steel Erectors,

a subcontractor. On cross-motions for summary judgment, the district court

determined that Admiral owed a duty to defend and indemnify. We REVERSE

the summary judgment on the duty to defend and AFFIRM the judgment on the

duty to indemnify.

Case: 10-20817 Document: 00511692842 Page: 2 Date Filed: 12/12/2011

No. 10-20817

I. Background.

The material facts of this case are undisputed. Parr sustained injuries on

a construction site while climbing down a ladder. He sued Gilbane, the general

contractor operating the construction project, and Baker Concrete, the company

responsible for installing and maintaining the ladders at the site.1 He did not

sue his employer, Empire Steel. He alleged that recent rainstorms had caused

the construction site to accumulate mud and that Gilbane had been negligent in

failing to keep the workplace clean.

Gilbane requested that Admiral Insurance defend and indemnify it as an

additional insured under the commercial general liability (CGL) policy that

Empire Steel had obtained from Admiral. The CGL policy contains the following

provisions that are relevant here:

SCHEDULE

Name of Additional Insured Person(s) or Organization(s):

Any person or organization that is an owner of real property or

personal property on which you are performing ongoing operations,

or a contractor on whose behalf you are performing ongoing

operation, but only if coverage as an additional insured is required

by written contract or written agreement that is an “insured

contract,” and provided that the “bodily injury,” “property damage”

or “personal & advertising injury” first occurs subsequent to

execution of the contract or agreement. . . .

A. Section II - Who Is An Insured is amended to include

as an additional insured the person(s) or organization(s)

shown in the Schedule, but only with respect to liability

for “bodily injury,” “property damage” or “personal &

advertising injury” caused, in whole or in part, by:

1. Your acts or omissions; or

2. The acts or omissions of those acting on your

behalf;

1

Parr eventually settled his lawsuit against Baker Concrete, and Baker is not a party

to this appeal.

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No. 10-20817

in the performance of your ongoing operations for the

additional insured(s) at the location(s) designated

above. . . .

9. “Insured contract” means: . . .

f. That part of any other contract or agreement

pertaining to your business . . . under which you assume

the tort liability of another party to pay for “bodily

injury” or “property damage” to a third person or

organization, provided the “bodily injury” or “property

damage” is caused, in whole or in part, by you or those

acting on your behalf. Tort liability means a liability

that would be imposed by law in the absence of any

contract or agreement.

In other words, the CGL policy provides coverage to additional insureds for their

own or their agents’ acts or omissions, so long as Empire Steel had previously

assumed the liability of the potential additional insured in a written contract.

Gilbane requested coverage from Admiral, claiming that it qualified as an

additional insured under the CGL policy. Gilbane based its claim on the Trade

Contractor Agreement (TCA) between it and Empire Steel, according to which

Empire Steel agreed to secure insurance coverage for Gilbane as an additional

insured. Empire also agreed to “indemnify and hold harmless” Gilbane and all

of its agents for any losses caused by Empire, regardless of whether those losses

were caused in part by Gilbane.

Admiral denied coverage under the policy to Gilbane for reasons not

relevant here. Parr and Gilbane eventually settled the lawsuit, and Gilbane

filed an action for declaratory judgment and breach of contract against Empire

and Admiral, seeking a declaration that Admiral had a duty to defend and

indemnify it. The parties filed competing motions for summary judgment. The

district court granted Gilbane’s motion as to the duty to defend but initially

denied it as to the duty to indemnify because of outstanding factual issues.

Later, the district court held a trial by written submission on stipulated facts.

It found that Parr had tripped while climbing down a ladder carrying an

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extension cord, and his feet had gotten tangled in the cord. The court

determined that Admiral had a duty to indemnify because a jury would have

found Parr or Empire at least 1% responsible for Parr’s injuries. Admiral

appealed.

II. Standard of Review.

We review a district court’s grant of summary judgment de novo, applying

the same legal standards that the district court applied, and we view the

evidence in the light most favorable to the nonmoving party. Am. Int’l Specialty

Lines Ins. Co. v. Rentech Steel LLC, 620 F.3d 558, 561-62 (5th Cir. 2010). We

affirm “only if there is no genuine issue of material fact and one party is entitled

to prevail as a matter of law.” Cedyco Corp. v. PetroQuest Energy, LLC, 497 F.3d

485, 488 (5th Cir. 2007). We review the district court’s findings of fact for clear

error. One Beacon Ins. Co. v. Crowley Marine Servs., Inc., 648 F.3d 258, 262 (5th

Cir. 2011).

III. Interpreting Insurance Policies in Texas.

“In this diversity action, we must apply Texas law as interpreted by Texas

state courts.” Mid-Continent Cas. Co. v. Swift Energy Co., 206 F.3d 487, 491 (5th

Cir. 2000). Our primary obligation is to make an Erie guess as to how the Texas

Supreme Court would decide the question before us. Am. Int’l Specialty Lines

Ins. Co., 620 F.3d at 564. “When making an Erie guess, our task is to attempt

to predict state law, not to create or modify it.” SMI Owen Steel Co. v. Marsh

USA, Inc., 520 F.3d 432, 442 (5th Cir. 2008) (internal quotation marks omitted).

We consider Texas Supreme Court cases that, “while not deciding the issue,

provide guidance as to how the Texas Supreme Court would decide the question

before us.” Am. Int’l Specialty Lines Ins. Co., 620 F.3d at 564. Moreover, while

“the decisions and dicta of the Texas Supreme Court weigh more heavily in our

Erie analysis,” we also consider decisions of the intermediate appellate courts in

determining how the Texas Supreme Court would decide this issue. Id. at 566.

We are bound by our own precedent interpreting Texas law unless there has

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been an intervening change in authority. Lee v. Frozen Food Express, Inc., 592

F.2d 271, 272 (5th Cir. 1979); see, e.g., OneBeacon Ins. Co. v. Don’s Bldg. Supply,

Inc., 496 F.3d 361, 364-65 (5th Cir. 2007).

Under Texas law, an insurer may have two responsibilities relating to

coverage—the duty to defend and the duty to indemnify. See D.R. Horton-Tex.,

Ltd. v. Markel Int’l Ins. Co., 300 S.W.3d 740, 743 (Tex. 2009). The Texas

Supreme Court has explained that the two duties are distinct, and they are to

be decided separately. Id. “Two documents determine an insurer’s duty to

defend—the insurance policy and the third-party plaintiff’s pleadings in the

underlying litigation, which the court must review ‘without regard to the truth

or falsity of those allegations.’” Amerisure Ins. Co. v. Navigators Ins. Co., 611

F.3d 299, 309 (5th Cir. 2010) (quoting GuideOne Elite Ins. Co. v. Fielder Rd.

Baptist Church, 197 S.W.3d 305, 308 (Tex. 2006)). This is known as the

eight-corners rule. Id. The duty to indemnify, on the other hand, is “a matter

dependent on the facts and circumstances of the alleged injury-causing event,

[and] parties may introduce evidence during coverage litigation to establish or

refute the duty to indemnify.” D.R. Horton-Tex., 300 S.W.3d at 741. With these

principles in mind, we now consider Admiral’s duties to defend and indemnify.

IV. The Duty to Defend.

In order to decide whether Admiral owed Gilbane a duty to defend under

the policy, we must consider two issues: (1) whether Gilbane qualifies as an

additional insured under the policy, and (2) whether, under Texas’s strict eight-

corners rule, the facts alleged in the underlying Parr lawsuit are sufficient to

trigger Admiral’s duty to defend Gilbane. An affirmative answer to both is

required to affirm the district court’s determination that Admiral had a duty to

defend Gilbane. Gilbane bears the burden on each of these issues. Canutillo

Indep. Sch. Dist. v. Nat’l Union Fire Ins. Co., 99 F.3d 695, 701 (5th Cir. 1996).

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A. Additional Insured Status.

Initially, we must address whether Gilbane qualifies as an additional

insured under the CGL policy, which is issued solely to Empire as a named

insured. According to the policy, a party is an additional insured if coverage “is

required by written contract or written agreement that is an ‘insured contract.’”

“Insured contract” is a commonly used term of art in Texas insurance law,

usually defined by the insurance policy to mean a separate contract that acts as

insurance. See Gilbert Tex. Const., L.P. v. Underwriters at Lloyd’s London, 327

S.W.3d 118, 124-25 (Tex. 2010). Here, the policy defines an insured contract as

one where the named insured “assume[s] the tort liability” of the additional

insured. The district court found that the TCA, which required Empire to secure

insurance coverage for Gilbane, qualified as an insured contract.

Admiral argues that the TCA is not an insured contract because its

indemnity provision is unenforceable under Texas law, and therefore Empire

never actually assumed any tort liability. Because indemnity provisions effect

an extraordinary result—“exculpat[ing] a party from the consequences of its own

negligence” before that negligence even occurs—Texas imposes a fair notice

requirement. Dresser Indus., Inc. v. Page Petro., Inc., 853 S.W.2d 505, 508-09

(Tex. 1993); Ethyl Corp. v. Daniel Constr. Co., 725 S.W.2d 705, 708 (Tex. 1987).

Specifically, the fair notice requirement incorporates the express negligence

doctrine and the conspicuousness requirement. Dresser Indus., 853 S.W.2d at

508. A contract that fails to comply with either requirement is unenforceable

under Texas law. Storage & Processors, Inc. v. Reyes, 134 S.W.3d 190, 192 (Tex.

2004). Admiral argues that the TCA does not comply with the express

negligence doctrine, which requires that the intent to indemnify a party from the

consequences of its own negligence “must be specifically stated in the four

corners of the document.” Id.

We assume, without deciding, that the TCA’s indemnity provision is

unenforceable under Texas law. We therefore must decide whether the TCA can

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still be an insured contract under the policy. Although the Texas Supreme Court

has never addressed this precise issue, it is largely resolved by our opinion in

Swift Energy Co., 206 F.3d at 492-93. There, Swift sought coverage in an

underlying negligence case as an additional insured under a policy. Id. at 489.

The policy defined “insured contract” to include a contract under which the

insured “assume[s] the tort liability of another party.” The insurance company

argued that it had no duty to defend because the master service agreement

between the contractor and Swift violated the Texas Oilfield Anti-Indemnity Act.

See Tex. Prac. & Rem. Code Ann. §§ 127.001-.007. As such, the insurance

company contended that the agreement was unenforceable and not an insured

contract because it did not assume any liability. Swift Energy Co., 206 F.3d at

492-93. We first noted that, when an insurer seeks to deny coverage, the terms

of an insurance policy should be construed broadly in favor of coverage. Id.

Based on that principle and the lack of relevant precedent, we held that the

agreement was an insured contract within the context of interpreting the policy

because Mid-Continent had intended to assume Swift’s tort liability. Id. at 493.

The indemnity provision therefore qualified as an insured contract, and Swift

qualified as an additional insured. Id.; see also LeBlanc v. Global Marine

Drilling Co., 193 F.3d 873, 875 (5th Cir. 1999) (holding that an indemnity

provision need not be valid and enforceable to trigger obligations under the

contract, so long as the parties agreed to indemnity); Travelers Lloyds Ins. Co.

v. Pac. Emp’rs Ins. Co., 602 F.3d 677, 683 n.20 (5th Cir. 2010).

Indeed, our holding in Swift is consistent with Texas case law. The Texas

Supreme Court has declined to apply requirements for indemnification clauses

to additional insured provisions, noting that “the express negligence doctrine in

Texas has been applied only to indemnity provisions, not insurance-shifting

provisions.” Getty Oil Co. v. Ins. Co. of N. Am., 845 S.W.2d 794, 806 (Tex. 1992)

(citing Atlantic Richfield Co. v. Petroleum Personnel, Inc., 768 S.W.2d 724

(Tex.1989)). In Getty, the Texas Supreme Court considered whether the Texas

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Oilfield Anti-Indemnity Act, which “provides that an agreement pertaining to an

oil or gas well is void if it purports to indemnify a party from loss or liability for

damage arising out of its own negligence,” should be extended to render void an

additional insured provision effecting the same result. Id. at 803. The insurance

company argued that allowing the oil company additional insured status would

allow it to make an end run around the statute. The Texas Supreme Court

rejected that argument, however, emphasizing that an insurance contract is

separate and distinct from an indemnity provision. Id. at 806; see Evanston Ins.

Co. v. ATOFINA Petrochems., Inc., 256 S.W.3d 660, 670 (Tex. 2008).

Here, as in Swift, Admiral’s argument relies on the policy language

defining an insured contract as one that “assume[s] the tort liability of another

party,” and concludes that an unenforceable provision does not actually assume

liability.2 However, as we explained in Swift, the additional insured question

turns not on enforceability, but on whether Empire Steel agreed to “assume the

tort liability of another party.” In the TCA, Empire Steel contracted not only to

indemnify Gilbane, but also to secure insurance on its behalf; by doing so, it

agreed to assume Gilbane’s tort liability. That provision is not rendered void by

the indemnity provision, even if it is unenforceable. As such, Empire Steel

agreed to assume Gilbane’s tort liability, and Gilbane qualifies as an additional

insured.

2

In support of its argument to the contrary, that a contract can only be an insured

contract if it is enforceable, Admiral cites two unreported cases applying Texas law, neither

from the Texas Supreme Court or this court, see Tri-State Ins. Co. v. Rogers-O’Brien Const.

Co., No. 05-95-01639-CV, 1997 WL 211534, at *3-4 (Tex. App.—Dallas April 30, 1997); Motiva

Enters., LLC v. Liberty Mut. Ins. Co., No. H-05-1473, 2006 WL 3246039 (S.D. Tex. Nov. 6,

2006), and one case applying Mississippi law, Certain London Mkt. Ins. Cos. v. Pa. Nat’l Mut.

Cas. Ins. Co., 269 F. Supp. 2d 722, 733 (N.D. Miss. 2003). We do not find those cases

persuasive in light of our holding in Swift. Moreover, in Motiva and Tri-State Ins. Co., the

parties agreed that status as an additional insured turned on the enforceability of the insured

contract, so the courts did not squarely address whether that was the correct inquiry. See

Tri-State Ins. Co., 1997 WL 211534, at *3; Motiva, 2006 WL 3246039, at *4.

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B. Whether the Pleadings Triggered the Duty to Defend.

Having determined that Gilbane is an additional insured, we must

consider whether the pleadings in the underlying lawsuit are sufficient to trigger

Admiral’s duty to defend under the policy. In other words, we must decide

whether the pleadings sufficiently allege that Empire or someone acting on its

behalf, including Parr, caused Parr’s injuries.

1. Texas’s eight-corners rule.

Texas strictly follows the “eight-corners rule,” meaning the duty to defend

may only be determined by the facts alleged in the petition and the coverage

provided in the policy. Pine Oak Builders, Inc. v. Great Am. Lloyds Ins. Co., 279

S.W.3d 650, 654 (Tex. 2009). We consider only the facts affirmatively alleged in

the Third Amended Pleading, Utica Nat’l Ins. Co. v. Am. Indem. Co., 141 S.W.3d

198, 201-02 (Tex. 2004), and we take those facts as true, Pine Oak Builders, 279

S.W.3d at 654. If the petition does not affirmatively allege facts that would

trigger the duty under the policy, Admiral is not required to defend Gilbane. See

id.; Allstate Ins. Co. v. Hallman, 159 S.W.3d 640, 643 (Tex. 2005).

The eight-corners doctrine “strictly circumscribe[s]” a court’s analysis of

the duty to defend. D.R. Horton-Tex., 300 S.W.3d at 744. In performing its

eight-corners review, a court may not read facts into the pleadings, look outside

the pleadings, or speculate as to factual scenarios that might trigger coverage

or create an ambiguity. Nat’l Fire Ins. Co. v. Merchants Fast Motor Lines, Inc.,

939 S.W.2d 139, 142 (Tex. 1997). Moreover, “[t]he Texas Supreme Court has

never recognized any exception to the strict eight corners rule.” Northfield Ins.

Co. v. Loving Home Care, Inc., 363 F.3d 523, 529, 531 (5th Cir. 2004). Although

ambiguities will be resolved in favor of coverage, “[t]he fact that the parties

disagree as to coverage does not create an ambiguity.” Valmont Energy Steel,

Inc. v. Commercial Union Ins. Co., 359 F.3d 770, 773 (5th Cir. 2004).

The Texas Supreme Court has recently reiterated that a “policy imposes

no duty to defend a claim that might have been alleged but was not, or a claim

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that more closely tracks the true factual circumstances surrounding the third-

party claimant’s injuries but which, for whatever reason, has not been asserted.”

Pine Oak Builders, 279 S.W.3d at 655-56. In that case, the insurance company

would only have had a duty to defend if one of Pine Oak’s subcontractors had

caused the damage, not if Pine Oak had itself caused it. Id. at 654. The petition

alleged that Pine Oak negligently built the plaintiff’s house by, among other

things, “construct[ing] columns that provided inadequate support” and “fail[ing]

to properly seal seams.” Id. Pine Oak argued that the complained-of work was

performed by subcontractors, triggering the duty to defend. The court held that

there was no duty to defend, however, because “[the pleading] alleges that Pine

Oak alone is liable for its own actionable conduct.” Id. at 655. Based on Pine

Oak Builders, intermediate courts of appeals likewise have limited review to

those facts alleged in the petition without speculating as to facts that could have

been alleged. See, e.g., AccuFleet, Inc. v. Hartford Fire Ins. Co., 322 S.W.3d 264,

273 (Tex. App.—Houston [1st Dist.] 2009, pet. denied) (holding that it could not

“disregard [the] express pleadings” alleging negligence by specific parties); see

also Huffhines v. State Farm Lloyds, 167 S.W.3d 493, 501 (Tex. App.—Houston

[14th Dist.] 2005, no pet.) (holding that the insurer did not have a duty to defend

because the pleadings alleged that the defendants had acted intentionally rather

than negligently). Accordingly, in analyzing this case, we may not infer

additional facts that are not in the pleadings.

2. The policy.

We next consider the scope of coverage in the Admiral policy. In doing so,

we examine the policy as a whole to ascertain the parties’ true intent. Utica

Nat’l Ins. Co., 141 S.W.3d at 203. Here, the policy provides coverage for

additional insureds, “but only with respect to liability for ‘bodily injury,’

‘property damage’ or ‘personal & advertising injury’ caused, in whole or in part,

by . . . [Empire’s] acts or omissions; or . . . [t]he acts or omissions of those acting

on [Empire’s] behalf.”

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Gilbane argues that our interpretation of the policy should turn on the

phrase “with respect to,” which has been interpreted as requiring less than

proximate cause. Evanston Ins. Co., 256 S.W.3d at 666. In Evanston, ATOFINA

sought coverage for the death of an employee of its subcontractor, Triple S,

under a policy Triple S had with Evanston. The policy covered an additional

insured “only with respect to operations performed by [Triple S] or on [its]

behalf, or facilities owned or used by [Triple S].” Id. at 664. Evanston argued

that ATOFINA was not an additional insured because the death was caused by

ATOFINA’s own negligence, not by Triple S; as a result, it argued, the death was

not “with respect to . . . operations performed by [Triple S].” The Texas Supreme

Court rejected that argument, however, explaining that Evanston was equating

“with respect to” and proximate cause and that, in reality, the policy only

required “a causal connection or relation,” which was satisfied by the fact that

the death occurred at ATOFINA’s premises. Id. at 666-67.

Gilbane’s argument fails, however, when we examine the policy at issue

in this case as a whole. Unlike in Evanston, the policy here explicitly requires

that the injuries be “caused, in whole or in part, by” Empire. Moreover, the

Texas Supreme Court has defined “caused by” as requiring proximate causation.

Utica Nat’l Ins. Co., 141 S.W.3d at 202-03 (citing Red Ball Motor Freight, Inc.

v. Emp’rs Mut. Liab. Ins. Co., 189 F.2d 374, 378 (5th Cir. 1951)). As such,

Admiral owes Gilbane a duty to defend only if the underlying pleadings allege

that Empire, or someone acting on its behalf, proximately caused Parr’s injuries.

3. The petition.

We turn now to the facts alleged in the pleadings. Parr’s Third Amended

Petition alleges only one cause of his injuries: “[Parr’s] injuries were brought to

occur, directly and proximately by reason of the negligence of the Defendants

herein (the ‘Gilbane Defendants’).” Specifically, it alleges:

[T]he Gilbane Defendants failed to keep the construction site in a

clean and functional condition. During the month of January 2007

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the Houston area received large amounts of rainfall. As a result of

this rainfall, the construction site accumulated large amounts of

mud. This mud was tracked in from the surrounding area into the

building under construction. As a result of the mud being tracked

inside, the work area became slippery and hazardous. The Gilbane

Defendants had actual notice of the danger caused by the mud from

e-mails and other information given to them by their subcontractors.

Despite the Gilbane Defendants’ knowledge of the dangers posed by

the mud, these Defendants took no action to correct the problem,

and as a result, Plaintiff slipped and fell causing his injuries. . . .

[T]he Gilbane Defendants controlled the construction elevator on

the jobsite . . . . Despite the fact that the construction workers

worked until five o’clock each day, the Gilbane Defendants sent the

elevator operator home around four o’clock. Due to the fact that the

elevators were left unmanned and useless after the elevator

operator went home, Plaintiff was forced to walk down the ladder

where he ultimately slipped and fell.

In deciding that Admiral had a duty to defend, the district court characterized

the petition as stating that “the injuries occurred when Parr was walking down

the ladder with muddy boots,” which it considered sufficient to implicate Parr’s

contributory negligence. Contrary to that characterization, however, the petition

does not allege that Parr climbed down the ladder with “muddy boots.” Rather,

it alleges that Gilbane’s negligence caused the work area to become “slippery and

hazardous,” causing Parr’s injuries.

Gilbane argued before the district court, as it does here, that because Parr

or Empire could potentially be found contributorily negligent at a later trial,

inferring facts to support the plaintiff’s contributory negligence does not run

afoul of the eight-corners rule. The district court accepted that argument,

determining, “After reviewing only the eight-corners of the petition and the

Admiral policy, the court cannot say that Parr himself, acting on behalf of

Empire Steel in the course of his job, was not possibly a contributing, proximate

cause of his injuries.” In other words, it determined that the pleadings did not

conclusively rule out Parr’s negligence; it was possible a jury could eventually

find that Parr caused his own injuries.

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Such a construction, however, improperly shifts the burden of proof,

requiring the party disputing coverage to establish that the pleadings do not

potentially support a covered claim. Although the Texas Supreme Court has

held that an insurer has a duty to defend “if a plaintiff’s factual allegations

potentially support a covered claim,” it has never applied the “potentiality”

standard to deviate from the eight-corners rule. Zurich Am. Ins. v. Nokia, Inc.,

268 S.W.3d 487, 490 (Tex. 2008). Rather, it has used the standard to

characterize the description of claims in the petition, determining whether they

potentially were covered. In Zurich, for example, the Texas Supreme Court held

that the allegations in the pleadings that the plaintiffs had suffered “biological

injury” potentially included a claim for “bodily injury.” Id. at 492-93. It

considered only the facts alleged in the pleadings and did not make any factual

assumptions or inferences that were not pleaded. Id.; see, e.g., GuideOne Elite

Ins. Co., 197 S.W.3d at 310 (holding that allegations of sexual assault by an

employee of the church fell within coverage for “sexual misconduct”).

Likewise, the Texas Supreme Court has held that, even applying the

potentiality standard, courts cannot “imagine factual scenarios” that would

trigger coverage. Nat’l Union Fire Ins. Co., 939 S.W.2d at 142. There, the

insurance policy provided coverage for “bodily injury or property damage to

which this insurance applies, caused by an accident and resulting from the

ownership, maintenance or use of a covered auto.” Id. at 141. The pleading

alleged that the defendant “negligently discharged a firearm and caused a bullet

to strike” the victim. Id. The court of appeals had incorrectly applied the

potentiality standard, hypothesizing that “[i]f a driver were authorized by

Merchants to carry a weapon when operating its truck in order to protect the

truck and its contents and if the driver negligently discharged a firearm while

operating that truck, then damages caused by the discharge would arguably

arise out of the operation of that vehicle.” Nat’l Union Fire Ins. Co. of Pittsburgh

v. Merchs. Fast Motor Lines, Inc., 919 S.W.2d 903, 906 (Tex. App.—Eastland

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1996, writ granted). The Texas Supreme Court reversed, holding that the facts

affirmatively alleged did not potentially state a covered claim. 939 S.W.2d at

142. The district court should only have considered whether the facts pleaded

affirmatively implicated Parr’s or Empire’s negligence.

Applying the correct standard, the allegations in the pleadings do not

implicate either Parr’s or Empire Steel’s fault. Indeed, even the portion of the

petition relied on by the district court alleges that Parr’s injuries were caused

only by Gilbane: “Despite the Gilbane Defendants’ knowledge of the dangers

posed by the mud, these Defendants took no action to correct the problem, and

as a result, Plaintiff slipped and fell causing his injuries.” Simply put, the

petition does not allege any facts suggesting that Parr’s own negligence could

have caused his injuries.

Nor does the petition allege that Empire caused Parr’s injuries. Indeed,

the only mention of Empire in the pleadings is, “Plaintiff was an employee of

Empire Steel Erectors, L.P., performing work under a contract between Empire

Steel Erectors, L.P. and Gilbane . . . .” In its brief, Gilbane concedes that the

requisite language is not in the pleadings, recognizing “Parr’s petition’s silence

as to any acts or omissions of Empire.” Limiting our review to the face of the

petition, as we must, it does not affirmatively allege any facts implicating the

negligence of either Empire or Parr, and Admiral has no duty to defend.

4. Should we make an exception to the eight-corners rule?

Gilbane nonetheless asks us to create an exception to the strict eight-

corners rule—even though the Texas Supreme Court has never done so—that

would allow us to consider facts not alleged in the petition. The Texas Supreme

Court has made clear that a “policy imposes no duty to defend . . . a claim that

more closely tracks the true factual circumstances surrounding the third-party

claimant’s injuries but which, for whatever reason, has not been asserted.” Pine

Oak Builders, 279 S.W.3d at 655-56 (emphasis added). Employing that

principle, we decline to look outside the petition as requested by Gilbane.

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No. 10-20817

First, Gilbane asks us to create an exception to the eight-corners rule

because, it argues, a plaintiff would never allege his own negligence. It therefore

argues that we should infer that Parr’s negligence would be implicated at trial.

Gilbane argues that Texas’s contributory negligence statute, which requires that

the trier of fact determine the percentage of responsibility for multiple parties,

including for each claimant, automatically implicates a plaintiff’s own

negligence. See Tex. Civ. Prac. & Rem. Code § 33.003(a). Thus, under this logic,

a plaintiff would be assumed to be contributorily negligent for purposes of a duty

to defend regardless of whether any negligence is alleged.

Gilbane’s argument is contrary to Texas law. A plaintiff’s negligence is not

automatically implicated in every case. Texas does not require the trier of fact

to consider contributory negligence unless that allegation is in the pleadings and

the evidence presented at trial. See Tex. R. Civ. P. 278 (“The court shall submit

the questions, instructions and definitions in the form provided by Rule 277,

which are raised by the written pleadings and the evidence.”). In fact, section

33.003(b) mandates that a plaintiff’s negligence will not be submitted to the jury

“without sufficient evidence to support the submission.” Tex. Civ. Prac. & Rem.

Code § 33.003(b). As such, Texas’s contributory negligence statute has no

bearing on the duty to defend.

Moreover, the Texas Supreme Court recently recognized that if it were to

create an exception to the eight-corners rule, it would do so only “‘when it is

initially impossible to discern whether coverage is potentially implicated and

when the extrinsic evidence goes solely to a fundamental issue of coverage which

does not overlap with the merits of or engage the truth or falsity of any facts

alleged in the underlying case.’” GuideOne Elite Ins. Co., 197 S.W.3d at 309

(quoting Northfield Ins. Co., 363 F.3d at 531 (emphasis in original)). It declined

to create an exception for evidence that goes both to coverage and the merits of

the case because doing so would conflate the duty to defend with the duty to

indemnify, which is determined by the facts proven in the underlying trial. Id.

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at 310. Here, whether Parr acted negligently in climbing down the ladder goes

directly to the merits of the underlying negligence suit, as well as to the duty to

defend. We are without authority to create an exception where the Texas

Supreme Court has specifically declined to do so. See SMI Owen Steel Co., 520

F.3d at 442.

Second, Gilbane argues that we should go outside the eight corners of the

pleadings and policy in this case because Parr could not plead Empire’s

negligence without triggering workers’ compensation issues. Gilbane recognizes

the “silence” in the pleadings as to Empire’s negligence but asks that we

disregard it because it “indicate[s] not that Empire committed no acts or

omissions, but only that Empire is statutorily immune to suit.” Importantly,

however, there is no allegation of a workers’ compensation policy in the

pleadings, and “[f]acts outside the pleadings, even those easily ascertained, are

ordinarily not material to the determination.” Liberty Mut. Ins. Co. v. Graham,

473 F.3d 596, 600 (5th Cir. 2006).

The Texas Supreme Court has refused to recognize an exception to the

eight-corners rule even when everyone involved in the suit knows the true facts.

See Pine Oak Builders, 279 S.W.3d at 655. For example, in GuideOne Elite Ins.,

the court declined to consider undisputed evidence that the employee who had

allegedly assaulted the plaintiff ceased working for the defendant before the

policy took effect. 197 S.W.3d at 307. Similarly, here, it is only by looking to

evidence outside of the pleadings—which we may not do—that we know about

the existence of the policy. Creating an exception here would be contrary to

Texas law, and we decline to do so.3 Moreover, even if we could consider the

3

We recognize that this policy presents a seemingly difficult hurdle for additional

insureds to trigger coverage while navigating difficult workers’ compensation and contributory

negligence issues. Nonetheless, it is not our place to create exceptions where the Texas

Supreme Court has not shown that it would. As a practical matter, however, we observe that

parties sometimes amend their pleadings to trigger coverage on the verge of settlement. See,

e.g., Huffhines, 167 S.W.3d at 496.

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No. 10-20817

workers’ compensation policy, Texas law would still require an affirmative

allegation of Empire’s negligence in the pleadings, as discussed above. Pine Oak

Builders, 279 S.W.3d at 655-56. Thus, the district court erred in granting

summary judgment in favor of Gilbane on the duty to defend.

V. The Duty to Indemnify.

Next, we consider whether Admiral owes a duty to indemnify under the

CGL policy. The duty to indemnify is separate and distinct from the duty to

defend. Zurich Am. Ins. Co., 268 S.W.3d at 490-91. The duty to defend is

circumscribed by the eight-corners doctrine; the duty to indemnify, on the other

hand, is controlled by the facts proven in the underlying suit. Pine Oak

Builders, 279 S.W.3d at 656. Accordingly, we consider facts outside of those

alleged in the petition in determining the duty to indemnify. Burlington N. &

Santa Fe Ry. Co. v. Nat’l Union Fire Ins. Co., 334 S.W.3d 217, 219 (Tex. 2011).

Here, if the facts proven at trial establish “liability for ‘bodily injury’ . . . caused,

in whole or in part, by . . . [Empire’s] acts or omissions; or . . . [t]he acts or

omissions of those acting on [Empire’s] behalf,” then Admiral owed a duty to

indemnify.

The district court found that Parr was injured when he slipped while

descending a ladder carrying an extension cord. He told a co-worker

immediately after he fell that his “feet got wrapped up in the extension cord.”

The district court concluded that “Parr’s own conduct was a contributing

proximate cause of his damages claimed in the Underlying Lawsuit” and that

“[a] jury in the Underlying Lawsuit would have found Michael Parr or his

employer, Empire Steel, 1% or more responsible for causing the occurrence

and/or injuries at issue.” Thus, under the terms of the policy, the district court

concluded that Admiral had a duty to indemnify Gilbane.

Admiral does not argue that the district court erred in making those

findings. Rather, it argues only that there was no duty to indemnify Gilbane

because the TCA is not an insured contract, and Gilbane therefore does not

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No. 10-20817

qualify as an additional insured. As explained above, supra Part IV.A., Gilbane

does qualify as an additional insured. Therefore, the district court did not

clearly err in determining that Admiral owes Gilbane a duty to indemnify for the

cost of its settlement with Parr.4

VI. Conclusion.

Accordingly, we REVERSE the summary judgment on the duty to defend

and AFFIRM the judgment on the duty to indemnify. We remand for

proceedings consistent with this opinion.

4

Although this may seem like an unusual result, where there is no duty to defend but

the narrower duty to indemnify is triggered, the Texas Supreme Court has considered just this

situation. In D.R. Horton-Tex., 300 S.W.3d at 744, the insurance company argued that it could

not have a duty to indemnify if the facts alleged in the underlying pleadings did not trigger

the duty to defend. Id. The Texas Supreme Court rejected that argument, holding that it is

possible to prove facts at trial that give rise to a duty to indemnify even when those same facts

were not sufficiently pleaded to trigger the duty to defend. Id.

18

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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