Opinion

QBE Ins. Corp. v. Brown & Mitchell, Inc.

  • 591 F.3d 439
  • 2009 U.S. App. LEXIS 27747
  • 2009 WL 4855487
Court
Court of Appeals for the Fifth Circuit
Filed
Dec 17, 2009
Status
Published
Author
Jolly
On the bench
Jolly, Wiener, Barksdale
Cited by
52 cases
Authority
More cited than 90.1%

holding that professional services exclusion barred recovery for personal injuries

How later courts described this case

  • holding that professional services exclusion barred recovery for personal injuries
  • characterizing inquiry as whether a claim is “within or arguably within the scope of coverage” (quoting Am. Guar. & Liab. Ins. Co. v. 1906 Co., 273 F.3d 605, 610 (5th Cir. 2001))
  • stating ground must have been raised and be supported by record to affirm summary judgment
  • “[T]he movant has the burden of showing this court that summary judgment is appropriate.”

Written by the judges who cited it.

The opinion

IN THE UNITED STATES COURT OF APPEALS

FOR THE FIFTH CIRCUIT United States Court of Appeals

Fifth Circuit

FILED

December 17, 2009

No. 08-61043 Charles R. Fulbruge III

Clerk

QBE INSURANCE CORPORATION

Plaintiff-Appellee

v.

BROWN & MITCHELL, INC

Defendant-Appellant

Appeal from the United States District Court

for the Southern District of Mississippi

Before JOLLY, WIENER, and BARKSDALE, Circuit Judges.

E. GRADY JOLLY, Circuit Judge:

In this insurance coverage/exclusion dispute, Brown & Mitchell, Inc.

(“BMI”) appeals the district court’s grant of summary judgment to QBE

Insurance Corp. (“QBE”). QBE originally filed a declaratory judgment action to

determine whether BMI’s excess commercial general liability policy (the “Policy”)

required QBE to provide coverage for or defend BMI in a wrongful death suit.

QBE argued that the underlying incident did not constitute an “occurrence”

under the Policy or, in the alternative, that BMI’s alleged misconduct fell within

the Policy’s “professional services exclusion.” In its grant of summary judgment,

the district court concluded that BMI’s “intentional” conduct, as opposed to

No. 08-61043

negligent conduct, i.e., an accident, excluded it from coverage without reaching

whether the professional services exclusion applied. We hold that the

professional services exclusion applies and, therefore, pretermit the question of

whether the underlying incident constitutes an “occurrence” under the Policy.

Accordingly, the district court’s judgment is AFFIRMED.

I. FACTUAL BACKGROUND

Eleazar Casiano (“Casiano”) died when a trench collapsed during a sewer

installation job for which BMI served as the project engineer. On April 27, 2007,

Cilvia Casiano Tranqualino (“Tranqualino”), his mother, filed a wrongful death

action against BMI and others. At the time of his death, Casiano was an

employee of Big Warrior Corporation, the general contractor performing the

sewer installation. Tranqualino’s complaint alleged that “[a]s the [engineering]

firm overseeing the project, [BMI] . . . owed a duty to [Casiano] to perform its

professional responsibilities as engineers in accordance with the appropriate

standards” and that, with negligence and reckless disregard, it breached this

duty by failing to take steps to ensure the trench’s structural integrity.1

1

More specifically, the complaint stated:

Defendant, Brown & Mitchell, Inc., . . . was the engineering firm responsible for

overseeing the forced main sewer line that was being installed . . . . As the

engineering firm overseeing the project, Brown & Mitchell, Inc. was responsible

for the ultimate design, construction and inspection of and safety issues

associated with the trench which collapsed. At all times, Brown & Mitchell, Inc.

owed a duty to Eleazar Casiano to perform its professional responsibilities as

engineers in accordance with the appropriate standards . . . . Brown & Mitchell,

Inc. acted negligently . . . in the performance of its responsibilities by:

a. Failure to conduct a manual soil test;

b. Allowing the trench to be dug with near vertical walls

c. Allowing the roadway to be undermined by the trench construction

d. Allowing excavated materials to be placed on the edge of the trench

e. Failing to insure that the sidewalls of the trench were shored with

support walls

f. Failing to insure that a working trench box was in place for workers [sic]

safety

g. Allowing a track hoe to operate along the trench while Mr. Casiano was

in it

2

No. 08-61043

BMI sought policy coverage and defense benefits from QBE, with whom

it had an excess commercial general liability policy. The Policy provided

coverage to BMI for certain risks, including “bodily injury” caused by an

“occurrence.” The Policy defined an “occurrence” as “an accident, including

continuous or repeated exposure to substantially the same general harmful

conditions.” The Policy expressly excluded claims for bodily injury arising from

the rendering or failure to render professional services as follows: “This

insurance does not apply to . . . ‘bodily injury’ or ‘property damage’ due to the

rendering or failure to render any professional service. This includes but is not

limited to: . . . engineering services, including related supervisory or inspection

services; . . . .”

In response to BMI’s demand for coverage, QBE sought a declaratory

judgment to the effect that BMI’s claims were not covered by the Policy and that

QBE had no duty to defend BMI in the wrongful death suit. BMI and QBE then

filed cross-motions for summary judgment. The district court granted summary

judgment to QBE.2 The district court found that, although Tranqualino’s

complaint characterized BMI’s conduct as negligent, it only alleged “intentional”

actions and inactions and that any harm was a foreseeable consequence of the

h. Enlisting Mr. Casiano to assist in the measuring of the trench from

inside it

I. Failing to insure that a safe means of egress was available to Mr.

Casiano

j. Failing to instruct as to the recognition and avoidance of the hazards of

working in an unprotected trench

k. Failing to stop unsafe acts of the contractor

l. Contributing to the unsafe acts

m. Other acts of negligence to be shown at the trial of this matter.

(emphasis added).

2

The declaratory judgment sought relief against numerous parties, not all of which

were potential additional insureds. Only BMI has appealed. Thus, we address only QBE’s

duty to defend BMI.

3

No. 08-61043

alleged conduct. As a result, the district court concluded that there was no

“occurrence” as defined by the Policy and, thus, no coverage or duty to defend.

BMI appeals. As below, QBE argues on appeal that BMI’s conduct was not an

“occurrence” and, in the alternative, if the collapse was an “occurrence,” then it

is excluded by the Policy’s professional services exclusion.

II. DISCUSSION

We review a grant of summary judgment de novo, applying the same

standard as the district court. Bolton v. City of Dallas, 472 F.3d 261, 263 (5th

Cir. 2006). Our inquiry “is limited to the summary judgment record before the

trial court.” Topalian v. Ehrman, 954 F.2d 1125, 1131 n.10 (5th Cir. 1992). We

must view the evidence in the light most favorable to the non-moving party,

Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986), and

the movant has the burden of showing this court that summary judgment is

appropriate, Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). Summary

judgment is appropriate where the competent summary judgment evidence

demonstrates that there is no genuine issue of material fact and the moving

party is entitled to judgment as a matter of law. Bolton, 472 F.3d at 263; see

F ED. R. C IV. P. 56(c). A genuine issue of material fact exists if a reasonable jury

could enter a verdict for the non-moving party. Anderson v. Liberty Lobby, Inc.,

477 U.S. 242, 252 (1986). We may affirm summary judgment on any basis raised

below and supported by the record. Grenier v. Med. Eng’g Corp., 243 F.3d 200,

207 (5th Cir. 2001).

Under Mississippi law, whether a liability carrier has a duty to defend

depends on the policy language and the allegations of the complaint. U.S.

Fidelity & Guar. Co. v. Omnibank, 812 So. 2d 196, 200 (Miss. 2002). Under this

so-called “eight-corners” test, the allegations in the complaint are analyzed

against the language in the policy to determine coverage and the duty to defend.

Delta & Pine Land Co. v. Nationwide Agribusiness Ins. Co., 530 F.3d 395, 403

4

No. 08-61043

n.9 (5th Cir. 2008) (citing Ingalls Shipbuilding v. Fed. Ins. Co., 410 F.3d 214, 225

(5th Cir. 2005)). If the complaint states a claim that is “within or arguably

within the scope of coverage provided by the policy,” then the insurer has a duty

to defend. Am. Guar. & Liab. Ins. Co. v. 1906 Co., 273 F.3d 605, 610 (5th Cir.

2001). Finally, Mississippi law demands that “the language in insurance

contracts, especially exclusionary clauses, be construed strongly against the

drafter.” Burton v. Choctaw County, 730 So. 2d 1, 8 (Miss. 1997) (citing

Nationwide Mut. Ins. Co. v. Garriga, 636 So. 2d 658, 662 (Miss. 1994)).

As discussed above, the Policy between BMI and QBE limits coverage for

bodily injuries arising from rendition of or failure to render professional services

including “engineering services, including related supervisory or inspection

services.” 3 Neither “professional services” nor “engineering services” is defined

further. Mississippi courts, however, have concluded that in the context of a

professional service exclusion where the contract is silent on its meaning, “a

‘professional service’ involves the application of special skill, knowledge and

education arising out of a vocation, calling, occupation or employment.” Burton,

730 So. 2d at 5–6; Titan Indem. Co. V. Williams, 743 So. 2d 1020, 1026 (Miss. Ct.

App. 1999).

Applying the eight-corners test, then, we look to the complaint to

determine whether the conduct alleged falls within the “professional services”

3

In full, the exclusion reads:

2. Exclusions

This insurance does not apply to:

***

s. Professional Services

“Bodily injury” or “property damage” due to rendering or failure

to render any professional service. This includes but is not limited

to:

***

(3) Engineering services, including related supervisory or

inspection services . . .

5

No. 08-61043

exclusion of the Policy. As set forth above, Tranqualino’s complaint alleges that

BMI owed Casiano “a duty . . . to perform its professional responsibilities as

engineers” in accordance with appropriate standards. Each specific act of

wrongdoing is couched as a breach of those responsibilities.

We recognize that some of the conduct complained of may not require “the

application of special skill, knowledge and education.” The complaint does not,

however, allege that it was improper performance of BMI’s non-technical

activities that caused Casiano’s injuries. Cf. Thermo Terratech v. GDC Enviro-

Solutions, Inc., 265 F.3d 329, 336 (5th Cir. 2001) (finding a professional services

exclusion inapplicable when the conduct causing the accident did not require the

exercise of special judgment). Nor is there any dispute that BMI’s role on the

project was the provision of professional services. Cf. Cochran v. B.J. Services

Co. USA, 302 F.3d 499, 507 (5th Cir. 2002) (finding claims not excluded under

a professional services provision where, despite being identified as a “consulting

engineering firm,” the defendant was the “company man” on the site and not

hired to “design or approve design of any portion of the operation”).

Instead, the complaint is explicit in attributing the accident to a breach of

BMI’s “professional responsibilities” as the “engineering firm” on the site. It

asserts that, as the engineering firm, BMI did and did not do certain things; as

the engineering firm, BMI owed a professional responsibility to Casiano; and, as

the engineering firm, it breached that professional responsibility. These specific

allegations make it unlike other cases where there was some ambiguity in the

complaint’s allegations. See, e.g., Am. Guar. & Liab. Ins. Co. v. Leflore County,

No. 4:05CV109-M-B, 2006 U.S. Dist. LEXIS 23975 (N.D. Miss. Apr. 24, 2006).

In the light of the allegations in Tranqualino’s complaint, the only way to find

coverage under this policy language would be to deem the exclusion completely

meaningless.

6

No. 08-61043

Notwithstanding this analysis, BMI contends that Mississippi’s

jurisprudence permitting consideration of so-called “true facts” under the eight-

corners test resolves the professional services question in its favor. True facts,

once made known to the insurer, will defeat the application of an exclusion

where (1) the true facts, if established, present potential liability of the insured

for the underlying injury, and (2) a cause of action based on the true facts would

be covered by the policy. Nationwide Mut. Ins. Co. v. Lake Caroline, Inc., 515

F.3d 414, 418–19 (5th Cir. 2008); Acceptance Ins. Co. v. Powe Timber Co., 403 F.

Supp. 2d 552, 558–59 (S.D. Miss. 2005). “[I]f the unpled ‘facts’ would not support

a [potential] claim for liability against the insured, then knowledge of these facts

by the insurer does not give rise to a duty to defend.” Powe, 403 F. Supp. 2d at

559. Importantly, “an insured [cannot] trigger the duty to defend merely by

denying the allegations in the complaint” under Mississippi’s narrow true facts

exception. Am. States Ins. Co. v. Natchez Steam Laundry, 131 F.3d 551, 553 (5th

Cir. 1998).4

BMI argues that it made QBE aware of the “true fact” that BMI’s

representative at the site was not an engineer and, at the time of the accident,

was not performing activities that required technical expertise or skill. In fact,

according to BMI, its employee—who had asked Casiano to assist him—had

“only a high school education” and “was simply measuring pipe at the time of the

accident” for the purpose of determining payment. BMI urges that for this

reason, Tranqualino may prevail against BMI on a garden-variety negligence

claim that is unrelated to its provision of professional services, which would be

4

Also, to the extent that BMI has made QBE aware of facts suggesting that it properly

discharged its professional obligations—for example, that the city was ultimately responsible

for the trench design—we need not consider them. The question of whether BMI was actually

responsible for the trench construction and the failures that caused the collapse is irrelevant

to the question of coverage. See Great N. Nekoosa Corp. v. Aetna Cas. & Sur. Co., 921 F. Supp.

401, 406 (N.D. Miss. 1996) (“It is the nature of the claim that is to be considered and not its

merits in determining whether a duty to defend is created.”).

7

No. 08-61043

covered by the Policy. But “measuring pipe,” without more, is not necessarily

inconsistent with professional services. Nor is simply having one of its

employees ask Casiano to help him measure pipe sufficient to subject BMI to

potential liability. Simply put, BMI’s true fact either (1) does not take the action

outside of the professional services exclusion, or (2) does not “support a claim for

liability against [it],” and, thus, “knowledge of these facts by the insurer does not

give rise to a duty to defend.” Powe, 403 F. Supp. 2d at 559.

III. CONCLUSION

In sum, even studiously construing the Policy in favor of BMI, the

allegations in the complaint are precisely the sort of potential liability the

professional services exclusion is designed to excise from coverage. BMI’s

attempt to introduce true facts to overcome this problem is unavailing. As such,

QBE has no duty to defend under its Policy with BMI in response to the

complaint in question.5 Accordingly, the district court’s judgment is

AFFIRMED.

5

No party has raised or addressed whether the lack of a duty to defend under this

complaint also negates a duty to indemnify in general. Accordingly, that issue is not

addressed here.

8

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.

A word about cookies

We need a few to keep you signed in and the library working. The rest help us see which pages people use and where they get stuck. They stay off unless you say yes.