Petition for Writ of Certiorari — Universal Underwriters Insurance v. Gerrish Corp.
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| errice OF THE CLERK
In The
Supreme Court of the United States
October Term, 1991
*
UNIVERSAL UNDERWRITERS INSURANCE COMPANY,
Petitioner,
Vs.
GERRISH CORPORATION, doing business as
Gerrish Motors, doing business
as Scrub-a-Dub,
Respondent.
¢
Petition For Writ Of Certiorari To The
United States Court Of Appeals
For The Second Circuit
¢
PETITION FOR WRIT OF CERTIORARI
AND APPENDIX, VOLUME I,
PAGES 1-109
¢
Davip J. SPIELMAN KAREN McANbDREW
Dins—E, EROMANN & CLapp Dinse, ERDMANN & CLAPP
Burlington, Vermont 209 Battery Street
Of Counsel Burlington, VT 05402-0988
(802) 864 5751
Counsel of Record for
Petitioner
COCKLE LAW BRIEF PRINTING CO., (800) 225-6964
OR CALL COLLECT (402) 342-2831
QUESTIONS PRESENTED
I. Can a federal court disregard the notice and
hearing provisions of a state insurance regulatory statute,
where the statute would be constitutionally infirm with-
out those provisions?
II. Where a state’s insurance regulatory statutes
require the state to give an insurer notice and an oppor-
tunity for hearing if the state intends to withdraw
approval of a previously approved policy form, does a
federal court order requiring an insurer to amend an
insurance contract written on an approved form deprive
the insurer of constitutional rights where the state has not
notified the insurer that approval of the policy form is
withdrawn?
III. Where a federal court finds that an insurance
contract unambiguously excludes pollution coverage, can
the court nevertheless constitutionally compel the insurer
to provide pollution coverage, in the absence of a statute,
rule or regulation requiring such coverage?
IV. Can a federal court constitutionally compel an
insurer to provide insurance coverage where the state
with administrative jurisdiction in the matter would be
estopped to require such coverage?
V. Are government mandated environmental
response costs “damages” for which coverage is provided
under standard general liability insurance policy lan-
guage?
ii
PARTIES TO THE PROCEEDING
UNIVERSAL UNDERWRITERS INSURANCE
COMPANY!
Petitioner,
VS.
GERRISH CORPORATION, doing business as
Gerrish Motors, doing business as Scrub-a-Dub
Respondent.
1 Universal Underwriters is a wholly-owned subsidiary of
Maryland Casualty Company, which is a wholly-owned sub-
sidiary of Zurich Insurance Company - U.S. Branch, which in
turn is owned by Zurich Insurance Company, Zurich, Switzer-
land. In addition to several wholly-owned subsidiaries, Uni-
versal Underwriters owns a controlling interest in Zurich
American Life Insurance Company.
TABLE OF CONTENTS
Page
QUESTIONS PRESENTED .............-2200000000-
PARTIES TO THE PROCEEDING ............------ i
TABLE OF CONTENTS................00.00000008: iii
TABLE OF AUTHORITIES...............220000002- iv
OPINIONS BELOW..............ccc0ceeeeeeeeeeees 1
ee 2
CONSTITUTIONAL AND STATUTORY
PROVISIONS INVOLVED.............000.200005 2
STATEMENT OF THE CASE.................00005- 3
REASONS FOR GRANTING CERTIORARI ......... 15
ccc uns cesccnscssssesccccees 18
The notice and hearing provisions of Vermont's
insurance regulatory statutes are constitutionally
| TS Te Tree eee eee Ta eR In eho a 18
It is undisputed that VDBI neither adopted a rule
on pollution exclusions nor gave notice of its intent
to withdraw prior approval of the Unicover III
policy containing pollution exclusions. VDBI
would, under the circumstances, be estopped to
claim that coverage existed. ...................5. 20
Vermont’s Supreme Court has consistently held
that where statutory notice of intent to withdraw
approval of a license or permit is mandated, gener-
alized rulemaking or a change in agency position is
not sufficient to amend the license. Vermont law
also holds that an administrative agency cannot
exceed its delegated authority...................- 24
iV
TABLE OF CONTENTS - Continued
Page
In an unwarranted intrusion upon Vermont juris-
prudence, the federal courts in this case have, by
judicial construction, deprived a party of basic due
“sdaincnsasssth iesininan:sneinene. CCE CEE TET ee 26
The “as damages” issue warrants this Court’s
TABLE OF AUTHORITIES
Page
Cases
A. Johnson & Co., Inc. v. Aetna Casualty and Surety
Ce, 353 Fae OS (lat Cit: TGR). oi wc ces cecccciseses 28
Aetna Casualty and Surety Co. v. Hanna, 224 F.2d
Tae Cree Ri Wee si os-cnweeshniciecusrie tree 28
Aetna Casualty and Surety Co., Inc. v. Pintlar Corp.,
Oe a a | eee 28
Avondale Industries, Inc. v. Travelers Indemnity Co.,
887 F.2d 1200 (2d Cir. 1989), cert. denied, __ US.
ii A De ER CEE sek eS a hae 28
Blumenthal v. Brainerd, 38 Vt. 402 (1866)............. 14
Boute v. Columbia, 378 U.S. 347 (1964)............ 15, 26
Carpenter v. Home Telephone Co., 122 Vt. 50, 163
i Pe eer er TT rere rere 25
Claussen v. Aetna Casualty & Surety Co., 888 F.2d
FOr CERU Maes Ss es os oo oe nl eae ees oe ee ees 29
Continental Insurance Cos. v. Northeastern Phar-
maceutical & Chemical Co., Inc., 842 F.2d 977 (8th
Cir. 1988), cert. denied, 488 U.S. 821 (1988) ........ 28
Corniel-Rodriguez v. I.N.S., 532 F.2d 301 (2d Cir.
EWOMIK A 453 4kn cag csaven se cee eee ears 23
Dale v. Haeberlin, 878 F.2d 930 (6th Cir. 1989)........ 27
Detroit Edison Co. v. NLRB, 440 U.S. 301 (1979)...... 26
Goldberg v. Kelly, 397 U.S. 254 (1970)................ 18
Grisham v. Commercial Union Insurance Co., 951
Fae Ore Gee A peek ca nka sks ceive ees 29
Hannah v. Larche, 363 U.S. 420 (1960)................ 18
vi
TABLE OF AUTHORITIES - Continued
Page
Heckler v. Community Health Services, 467 U.S. 51
CHOON dnc ssi cka a bewnekebuseee wep eheroenene tenes 17, 24
In re Agency of Administration, 141 Vt. 68, 444 A.2d
8 Re eee errr Ty reer Tere Te Tere eee 17, 2
In re Petition of Vermont Welfare Rights Organiza-
tion, 132 Vt. 622, 326 A.2d 828 (1974).......... 16, 25
In re Vermont Gas Systems, Inc., 150 Vt. 34, 549
PBR GF CIOUED oi x 6 seein sande eeek sauce eennee ees 25
independent Petrochemical Corp. v. Aetna Casualty
and Surety Co., 944 F.2d 940 (D.C. Cir. 1991) ...... 28
McKart v. United States, 395 U.S. 185 (1969) ......... 26
Maryland Casualty Co. v. Armco, Inc., 822 F.2d 1348
Ce Bee eee ee er re 28
Morton v. Ruiz, 415 U.S. 199 (1974). .............068: a3
Mraz v. Canadian Universal Ins. Co., Ltd., 804 F.2d
ERED SOs CR. Ti id ei ai ok eee eee eres 28
My Sister's Place v. City of Burlington, 139 Vt. 602,
SBS Fil Bre ERM aa hee ss weeks es anees nes pees 17
New Castle County v. Hartford Accident and Indem-
nity Co, 933 F.2d 1162 Ged Cit. 1991)... .25..5.5: 28
New Hampshire-Vermont Physician Service v. Com-
missioner, 132 Vt. 592, 326 A.2d 163 (1974)........ 25
Parker Solvents Co. v. Royal Insurance Cos., 950 F.2d
eR Se .. ) Pepmrrceepenr rr Tare yee 29, 30
Pension Benefit Guaranty Corp. v. R. A. Gray & Co.,
a6? US. 717 GOB. eee 18
St. Regis Paper Co. v. United States, 368 U.S. 208
(T9GTD cis casudcsoetsynndupeuean verses sae ee 24
Vil
TABLE OF AUTHORITIES — Continued
Page
Schweiker v. Hansen, 450 U.S. 785 (1981)............. 24
Texaco, Inc. v. Short, 454 U.S. 516 (1982)............. 18
United States v. Goodheim, 651 F.2d 1294 (9th Cir.
| AOR A ail Ong arg kta ria er A NOE nee! 26
Vermont Real Estate Commission v. Martin, 132 Vt.
ee ee Fue Pe Ci oo os eee ke cae vow an 20
Village of Morrisville Water & Light Dept. v. Town of
Hyde Park, 129 Vt. 1, 270 A.2d 584 (1970)...... 23, 24
Wong Yang Sung v. McGrath, 339 U.S. 33 (1950)...... 18
CONSTITUTION
United ‘States Constitution, Article I, Section 10...... 2
United States Constitution, Amendment V............ 2
United States Constitution, Amendment XIV ......... 2
STATUTES
Vermont Statutes Annotated, Title 3
I oe ee ee we wk & oak 2; 13,19, 21
Tt cee hic eeu ae ees ee uw een 2, 15, 19
I 0 eer eae Taig Cat taed 15, 19
I se a ee ee 2.49
SI a ee eg oe 2, 15, 19
Vili
TABLE OF AUTHORITIES - Continued
Page
Vermont Statutes Annotated, Title 8
scaperssin Kcaiand TE TE EET TOOT Te TT PS passim
re 4, ae
NN ice ay oso can ceeusnackuces siecle 2,3
a ee ne en eS 3
i a ere 3
I re cee eae eee ee 3
Vermont Department of Banking and Insurance
IE HGR os cs suk ecdeuevencueresiscesl » Pe
+
In The
Supreme Court of the United States
October Term, 1991
4
UNIVERSAL UNDERWRITERS
INSURANCE COMPANY,
Petitioner,
VS.
GERRISH CORPORATION, doing business as
Gerrish Motors, doing business as Scrub-a-Dub,
Respondent.
¢
Petition For Writ Of Certiorari To The
United States Court Of Appeals
For The Second Circuit
*
PETITION FOR WRIT OF CERTIORARI
¢
Universal Underwriters Insurance Company, respect-
fully petitions for a writ of certiorari to review the judg-
ment of the United States Court of Appeals for the
Second Circuit in this case.
+
OPINIONS BELOW
The opinion of the Court of Appeals (App. 1) is
reported at 947 F.2d 1023. The opinion of the United
States District Court for the District of Vermont (App. 20)
is reported at 754 F.Supp. 358. The order of the Court of
Appeais (App. 57) denying petitioner’s motion for rear-
gument is not reported.
JURISDICTION
The opinion of the United States Court of Appeals
was entered on October 30, 1991. A timely motion for
reargument was denied cn November 29, 1991 (App. 57).
On February 20, 1992, this Court granted an extension of
time within which to file a petition for writ of certiorari
until March 29, 1992 (App. 59). Jurisdiction of this Court
is invoked under 28 U.S.C. §1254(1).
¢
CONSTITUTIONAL AND STATUTORY
PROVISIONS INVOLVED
The following constitutional provisions and statutes
are set out verbatim in the Appendix:
United States Constitution,
Article I, Sectian 10;
Amendment V;
Amendment XIV
Vermont Statutes Annotated, Title 3
Sections 801, 814, 831, 832, 835-848
Vermont Statutes Annotated, Title 8
Sections 3541, 3542, 4201-4210
+
STATEMENT OF THE CASE
Universal Underwriters Insurance Company (“Uni-
versal”) is a stock insurance company with its principal
place of business in Kansas City, Kansas. Universal,
which specializes in insuring automobile, truck and
motorcycle dealers, does business in nearly every state. It
staffs a Governmental Affairs Department, which is
responsible for compliance with all of the nuances of the
insurance regulatory requirements in the many states in
which it does business. In Vermont, as elsewhere, Univer-
sal files with the Department of Banking and Insurance
(“VDBI”) forms of insurance policies and manuals of the
rules and rates it intends to apply to those policy forms
when writing coverage in Vermont. By statute, a liability
insurance policy form cannot be used in Vermont unless
the carrier has received prior approval of that form from
VDBI, 8 V.S.A. §3541. (App. 87). Title 8 V.S.A. §§4201-4204
(App. 90) contains similar provisions specifically applica-
ble to liability insurance policies.
In May, 1980, Universal submitted to VDBI for
approval, its “Unicover III” insurance policy form. Uni-
cover III, like Unicover II which preceded it, is a policy
form especially designed for use in inguring automobile
dealer risks. The Unicover III policy form, which speci-
fically excludes coverage for claims based upon contam-
ination of a watercourse by a petroleum substance was
approved by VDBI for Universal’s use in Vermont on May
19, 1980. (App. 110). A Vermont endorsement (the “Ver-
mont State Amendatory Part”) which references the pol-
lution exclusions contained in the policy was filed with
and approved as mandatory for use with the Unicover III
policy. (App. 122-26). Universal subsequently filed a
number of amendments to its Unicover III policy form;
none of the amendments approved for Universal’s use
prior to May 6, 1985 changed the Unicover III exclusion
concerning petroleum pollution of a watercourse. An
amended Universal Vermont endorsement referencing the
Unicover III pollution exclusions (which remained
unchanged by the amendment) was again approved by
VDBI on October 26, 1983. (App. 231).
Universal’s Governmental Affairs Department care-
fully monitored filings made in Vermont and elsewhere
by the Insurance Services Office (“ISO”), an insurance
rating and services organization representing a large
number of carriers nationwide. Universal frequently
informed VDBI, in the cover letter accompanying its fil-
ings and amendments thereto, how its filing differed
from or was similar to “common insurance language,” or
a form ISO had on file. (See, e.g., App. 115). When Uni-
versal filed the first edition of its Unicover III policy form
in May, 1980, it pointed out to VDBI that the Unicover
exclusion pertaining to the “discharge or escape of petro-
leum into a body of water” differed from “standard lan-
guage.” (App. 121).
By statute, 8 V.S.A. §3541(b), (c) (App. 87), VDBI
would be required to give Universal notice and an oppor-
tunity for hearing if it intended to withdraw the approval
it previously gave to the Unicover III policy form. The
statute pertaining to filing and approval of liability insur-
ance policy forms provides, in pertinent part:
(b) ... The commissioner may at any time,
after notice and for cause shown, withdraw any
such approval. In any notice of disapproval, or
withdrawal of a previously approved form, the
commissioner shall state that a hearing will be
a
granted within twenty days upon request of the
Insurer.
(c) Any order of the commissioner disapprov-
ing any such form or withdrawing a previous
approval shall state the grounds therefor and
the particulars thereof in such detail as reason-
ably to inform the insurer thereof. . . .
8 V.S.A. §3541(b), (c) (emphasis added) (App.
87).
VDBI has never given Universal notice that it intends to
withdraw approval of the Unicover III policy form.
Prior to and during the period of time when Univer-
sal had on file with VDBI its approved Unicover III policy
form for automobile dealer risks, Universal, like many
other carriers, maintained membership in ISO and had on
file with VDBI a form authorizing ISO to file insurance
policy rates and forms on its behalf. (The last ISO Autho-
rization Form which Universal filed was dated October 1,
1982. (App. 266).)
The Vermont statute on filing and approval of policy
forms provides that forms for use in casualty insurance
may be filed by rating organizations on behalf of their
members or subscribers, “but this provision shall not be
deemed to prohibit any such member or subscriber from
filing any such forms on its own behalf.” 8 V.S.A. §3541(a)
(App. 87). The ISO Authorization Form itself makes no
suggestion that an insurer who signs it is thereafter pre-
cluded from filing separate, independent forms on its
own behalf. Universai’s Unicover III policy form con-
tained a comprehensive general liability segment; some
of the forms which ISO had on file with VDBI also con-
tained general liability provisions. Universal filed its ISO
Authorization Form with VDBI and the regulatory agen-
cies of other states so that Universal could, if it chose,
write coverage on ISO forms in situations where its own
specialized forms were not appropriate for the risk to be
underwritten. In the overwhelming majority of cases Uni-
versal wrote coverage on its own forms and not on ISO’s.
Testimony from VDBI employees established that they
could recognize the Unicover III policy on sight as being
different from an ISO form, and that VDBI treated the
Unicover III form as a filing separate from forms filed by
ISO. (App. 366). VDBI consistently communicated
directly with Universal, and not through ISO, about the
Unicover III form in its files. Amendments and endorse-
ments to the Unicover III policy were approved or disap-
proved on their own merit and not on the basis of
whether ISO had approval for similar language. (See, e.g.,
App. 389-92; 403-04). In particular, a revised version of
Universal’s Vermont State Amendatory Part referencing
the relevant poliution exclusions in the Unicover III pol-
icy was approved by VDBI on October 26, 1983, two
weeks after VDBI informed ISO that ISO’s general lia-
bility policy form could not contain pollution exclusions
and one year after the last ISO Authorization Form was
filed by Universal. (App. 231).
ISO’s comprehensive general liability policy utilizes a
different structure and different language from the Uni-
cover III policy form. The ISO form also differed from
Universal’s in that, from some time prior to May, 1980
until January, 1983, the ISO comprehensive general lia-
bility form approved for use by ISO members in Vermont
had a specific Vermont endorsement which deleted the
pollution exclusion contained in the ISO policy.? Until
2 ISO, like Universal, files policy forms nationwide. Both
ISO and Universal will submit a standard policy form to each
(Continued on following page)
|
January 1983, then, the approved ISO general liability
form, unlike the Unicover III policy form, provided pollu-
tion coverage. In January, 1983, after ISO had assured
VDBI that pollution coverage would be made available
on a separate policy form, VDBI approved an amended
ISO general liability policy form which excluded cover-
age for environmental pollution. In early October, 1983,
however, VDBI informed ISO that if pollution coverage
was not restored to ISO’s general liability policy form,
VDBI would withdraw its approval of that policy form.
After some months of drafting and discussion with VDBI,
ISO filed a Vermont endorsement which once again pro-
vided pollution coverage (by deleting the pollution exclu-
sions contained in ISO’s generic general liability policy
form). ISO’s Vermont endorsement was approved by
VDBI effective July 1, 1984. Like Universal’s Vermont
State Amendatory Part, ISO’s Vermont endorsement was
approved as “mandatory” for use with ISO’s comprehen-
sive general liability policy form in Vermont.3 Mandatory,
in this context, is something of a term of art, and means
that the endorsement must be used each time coverage is
a
(Continued from previous page)
State in which they are filing, but add to that form endorse-
ments or amendments designed to accommodate the pecu-
liarities of each state’s laws and regulations. Universal’s
Unicover II! policy, for example, had a Vermont State Amenda-
tory Part which was used with a Unicover Ill policy each time
Universal wrote coverage in Vermont. ISO had its own Ver-
mont endorsements.
° ISO did not delete the pollution exclusions from some of
its other forms, including its Business Owners’ Liability form,
until approximately one year later.
written on the policy form to which it belongs. The word
“mandatory” is used to make a distinction between endorse-
ments which form an integral part of an approved policy
form and endorsements which are optional — i.e., approved
for a carrier’s use when requested by and appropriate to a
given risk. Universal, like other ISO members, received
notice from ISO that ISO’s Vermont endorsement was man-
datory — in other words, that a carrier writing coverage on
ISO’s policy form in Vermont should in every instance attach
ISO’s Vermont endorsement.
At no time between May, 1980 when the Unicover III
policy was first approved and May 6, 1985, the date
plaintiff first received notice from the State of Vermont
concerning its potential responsibility for an environmen-
tal clean-up, did the Unicover III policy form provide
pollution coverage. Moreover, VDBI did not at any time
advise Universal that its policy had to contain pollution
coverage, or give Universal notice, pursuant to 8 V.S.A.
§3541(b) and (c), that VDBI’s approval of the Unicover III
policy was going to be withdrawn. Nor did VDBI advise
Universal that signing an ISO Authorization Form would
preclude Universal from filing other different forms on its
own behalf.4
\
4 The ISO Authorization Form (App. 266) states on its face
that ISO’s agency is “deemed amended” to the extent that
Universal makes any VDBI filing on its own behalf which is
inconsistent with the ISO filing on file. Universal’s Unicover III
insurance program, first approved by VDBI on May 19, 1980,
was inconsistent with ISO’s general liability policy if for no
other reason than the pollution exclusions contained in Univer-
sal’s policy. VDBI regulations provide that:
(Continued on following page)
Employees of VDBI testified at trial that a depart-
mental policy in effect from the mid-1970’s to January 1,
1983, and again after October 11, 1983, required carriers
writing insurance in Vermont to provide pollution cover-
age. No formal rule or regulation requiring pollution
coverage was adopted, however, and the Unicover III
policy containing pollution exclusions was nevertheless
approved while such a departmental policy was sup-
posedly in place. VDBI employees also testified that their
informal policy requiring pollution coverage (which they
simply agreed to among themselves) (App. 361-63) was
never applicable to insurance contracts written for
insureds at high risk of pollution claims, such as busi-
nesses like Gerrish’s which had underground storage
tanks on their premises. (App. 392-93). VDBI employees
later adopted, again informally, a procedure whereby
insurers could exclude pollution coverage in high risk
cases with the express consent of VDBI and acknowledge-
ment of the insured. Universal eventually obtained
(Continued from previous page)
An insurer who has authorized a rating organization
to submit . . . policy and/or form filings on its behalf
may submit exceptions to that filing authoriza-
tion. . . . The insurer may not use the insurance
. . . policy or form which was filed by the rating
organization in its behaif, on and after the effective
date of its exception filing. Consequently, all subse-
quent revisions to the excepted rule, rate(s), etc.,
which are submitted by the rating organization, will
not apply on behalf of such an insurer.
Such an exception filing applies indefinitely . . . or
until it is replaced or withdrawn.
Reg. 81-3, Sec. VIII (emphasis added) (App. 313-14).
10
blanket advance consent of VDBI (so long as each indi-
vidual insured acknowledged the pollution exclusions in
writing), because virtually all of Universal’s automobile
dealer insureds, including Gerrish, fall in the high pollu-
tion risk category. (App. 367; 392-93).
Universal issued a renewal insurance policy for Ger-
rish, effective September 1, 1984 through September 1,
1985, on its Unicover III policy form, as that form had
been approved, word-for-word, by VDBI. The renewal
policy thus took effect two months after the effective date
that pollution coverage was reincorporated into ISO’s
generic general liability policy form.
On May 6, 1985, Gerrish received notice from the
Vermont Agency of Environmental Conservation that a
petroleum product migrating from Gerrish’s property
was polluting the Ottauquechee River, a Vermont water-
course. Gerrish’s attorneys sought coverage from Univer-
sal under the comprehensive general liability provisions
of Gerrish’s Unicover III policy. Universal referred Ger-
rish to the pollution exclusions in the policy, and under-
took to monitor and manage environmental damage to
the site only under a reservation of rights agreement.
Gerrish then filed the instant declaratory judgment action
in the United States District Court for the District of
Vermont.
Gerrish’s complaint sought a declaration that Univer-
sal was obligated to defend and indemnify Gerrish
against costs it might incur in responding to the State’s
May 2, 1985 letter. Gerrish’s complaint sought to avoid
the effect of the pollution exclusions in his insurance
policy on the grounds that VDBI did not permit pollution
11
exclusions in general liability insurance policies written
in Vermont and, therefore, the policy issued to Gerrish
had to be amended to conform to departmental policy.
Complaint, {30 (App. 106).
Universal defended on the grounds that the insur-
ance policy issued to Gerrish constituted a contract, the
form of which was specifically approved for Universal’s
use in Vermont; that VDBI had not given Universal
notice, as required by 8 V.S.A. §3541(b) and (c) and the
Due Process Clause of the United States Constitution,
that its prior approval of the Unicover III policy form was
going to be withdrawn; and, that, in any event, VDBI had
no authority under its enabling legislation, specifically 8
V.S.A. §3542, to require that liability insurance policies
contain particular substantive provisions, such as pollu-
tion coverage. Universal also argued that environmental
response costs mandated by the State’s letter did not
constitute “damages” under the insuring agreements of
the policy, and that the “owned property exclusion” in
the Unicover III policy defeated coverage.
After hearing, the district court held, in an opinion
by the Hon. Fred I. Parker dated December 5, 1990, that:
(1) Universal had notice of VDBI’s departmental policy
prohibiting pollution exclusions through receipt in July,
1984, of an ISO bulletin stating that the pollution exclu-
sions contained in ISO’s general liability policy form had
to be deleted, and (2) that VDBI, therefore, was not
required to give Universal notice of and an opportunity
for a hearing on withdrawal of its prior approval of
Universal’s Unicover III policy form, as required by 8
V.S.A. §3541(b) and (c) (App. 87). The district court also
held that: (1) VDBI, by virtue of its general authority to
12
approve and disapprove policy forms, could “decide[ ] as
a matter of policy that it will not approve certain [sub-
Sstantive] types of coverage, or exclusions” (App. 52);5 (2)
that VDBI was not obligated to follow the rulemaking
procedures of Vermont’s Administrative Procedures Act,
3 V.S.A. §§801-849, in adopting a rule or regulation on
pollution coverage because VDBI “let it be known [to
ISO] what it intended to do with regard to filings pertain-
ing to pollution coverage” (App. 52); (3) that Universal
had waived the question of VDBI’s jurisdiction to adopt a
substantive rule on pollution coverage by not raising the
issue in October, 1983, when VDBI told ISO it intended to
withdraw approval of ISO’s general liability policy form
(App. 52); and (4) that Universal’s Unicover III policy
was, therefore, deemed amended by the provisions of
ISO’s endorsement deleting the pollution exclusion in
ISO’s general liability policy form. The district court con-
cluded by holding that environmental response costs con-
stitute damages under the insuring provisions of the
policy (App. 53), and that the owned property exclusion
contained in the policy did not defeat coverage. (App.
39). The court ordered Universal to afford Gerrish cover-
age for environmental clean-up costs in accordance with
the provisions of the July 1, 1984 ISO policy endorsement.
On appeal, the Second Circuit affirmed the decision
of the trial court, but on somewhat different grounds. The
° The district court either overlooked or ignored 8 V.S.A.
§3542, which provides that the Commissioner of VDBI can
disapprove a liability insurance policy form only on one or
more of four stated grounds, none of which includes any
reference to substantive policy provisions of any kind, let alone
to pollution coverage.
DL
13
Second Circuit did not address the notice and oppor-
tunity for hearing provisions of the Vermont statute or
consider Universal’s argument that those provisions in
the statute were constitutionally required. Nor did the
circuit court consider either VDBI’s jurisdiction to reject
liability insurance policies on substantive grounds or the
validity of VDBI’s informal “no pollution exclusions”
departmental policy. Indeed, the Second Circuit did not
even cite Vermont’s insurance regulatory statutes, but
purported to base its decision on “general rules of con-
tract and insurance law.” (App. 13). After citing the
“basic tenet of insurance law that once an insurance
contract is accepted by both parties, the parties are bound
by it” (App. 12), and finding that the “Universal Unicover
III policy in the form in which it was issued to Gerrish
did not cover [the state’s pollution] claim” (App. 10)
(emphasis added), the circuit court’s opinion goes on to
hold that Universal, by signing an ISO Authorization
Form in 1982, “implicitly empowered ISO to alter the
Unicover policy” (App. 11), and that the ISO endorse-
ment approved in July, 1984 for use with ISO’s generic
general liability policy, therefore, serves to amend Uni-
versal’s Unicover III policy.
The Second Circuit’s opinion in this regard curiously
does not explain why an insurance contract accepted by
both parties should be “deemed” amended by an
endorsement which the insured never saw and the
insurer had no intention of including in the contract. At
the district court level it had been assumed, as claimed in
the complaint, that Vermont's insurance statutes and reg-
ulations could have the effect of amending a contract not
in conformance therewith — and the district court had
ae
14
found that VDBI required pollution coverage. The Second
Circuit’s opinion, however, which does not refer to Ver-
mont’s insurance statutes or regulations, does not rely on
“conformance to law” principles to imply a contract
amendment. The Second Circuit purports to rely instead
on Vermont agency law, but takes a quantum leap beyond
the holdings of the Vermont automobile collision cases
which it cites. Vermont case law, like that of most states,
holds that an agent may bind his principal in a transac-
tion with a third party, where the third party relies upon
the authority of the agent — real or apparent - in the
transaction in question. See, e.g., Blumenthal v. Brainerd, 38
Vt. 402, 409 (1866). The Second Circuit's Opinion in this
case, however, binds the principal (Universal) by actions
of an agent (ISO) in an unrelated transaction of which the
third party (Gerrish) had no knowledge, and on which
the third party, therefore, did not rely. The only possible
rationale for such an extension of traditional contract and
agency principles would be the operation of Vermont’s
regulatory statutes, but the Circuit’s opinion omits any
reference to those statutes. Because it did not cite the
relevant insurance regulatory statutes, the Second Circuit
did not address (a) Universal's argument that notice from
VDBI of its intent to withdraw (or modify) Universal’s
previously approved Unicover III policy form was
required both by the Vermont statute and by the Due
Process Clause of the Federal Constitution or (b) Univer-
sal’s claim that VDBI had no authority to prohibit pollu-
tion exclusions.
The Second Circuit’s opinion also affirmed the dis-
trict court’s holding that environmental response costs
constitute damages under the insuring provisions of the
15
policy, and that the owned-property exclusion does not
defeat coverage even where the required environmental
response would entail cleaning up the insured’s own
property.
e-
REASONS FOR GRANTING CERTIORARI
Certiorari should be granted because the judicial
decisions in this case did what neither the legislature nor
the executive department of Vermont government could
constitutionally have done, namely read the notice and
opportunity for hearing provisions right out of the Ver-
mont insurance regulatory statutes.
When the State of Vermont determined to subject
contracts of insurance to state regulation, it built into its
statutes the procedural protections which the Due Pro-
cess Clause requires. Vermont statutes contain both an
Administrative Procedures Act (“APA”), 3 V.S.A.
§§801-849, which incorporates notice and comment provi-
sions appropriate for generalized rulemaking, and speci-
fic insurance form filing procedures, 8 V.S.A. §3541,
which contain notice and hearing provisions appropriate
to individualized adjudicatory determinations. No Ver-
mont proceeding, legislative or adjudicatory, has found
those constitutionally mandated protections inapplicable
to Universal’s use of its pre-approved insurance policy
form. Federal judicial construction, however, simply air-
brushed the constitutional protections out of Vermont's
regulatory scheme, thereby implicating both Universal’s
due process rights and serious issues of federalism. In
Boute v. Columbia, 378 U.S. 347 (1964), this Court found
16
that a due process violation was created by judicial con-
struction of a criminal statute. This case presents an anal-
ogous situation in the civil context; that is, Universal's
statutorily protected due process property rights have
been infringed by judicial decision.
Insurance companies nationwide file policy forms,
rates and schedules for approval by state regulatory
agencies, some independently and some through reliance
upon filings by ISO. As this case illustrates, carriers writ-
ing insurance policies need to know, not in a general way,
but down to the letter, the comma, and the last conjunc-
tion, what form has been approved for their use. The
chaos which would be occasioned if state administrative
agencies were to adopt the haphazard and casual regard
for notice and hearing procedures which the lower courts
adopted here would be staggering. The Vermont Supreme
Court has not countenanced such careless attention to the
notice and hearing protections of its state’s statutes. See,
e.g., In re Petition of Vermont Welfare Rights Organization,
132 Vt. 622, 326 A.2d 828 (1974). The Second Circuit's
opinion, however, which “deems” an insurance contract
amended in the admitted absence of administrative regu-
larity, leaves both insured and insurer in the dark with
respect to the terms of the contract between them. In the
instant case it was the insured who benefited by expan-
sion of the contracted coverage, but nothing in the Sec-
ond Circuit’s opinion distinguishes the case from one in
which an undisclosed amendment of a policy would
inure to the benefit of the carrier.
Universal wrote insurance coverage for Gerrish on a
form of policy which had received the affirmative prior
approval of VDBI for Universal’s use in Vermont. The
a
17
policy as written excluded coverage for pollution dam-
age. VDBI never advised Universal that approval of its
policy form was withdrawn or changed. VDBI would
have been estopped, both by virtue of the affirmative
approvals it gave to Universal’s pollution exclusions and
by its continued course of dealings with Universal to
compel Universal to afford Gerrish coverage for this
claim.®
The Vermont Supreme Court has been particularly
vigilant that the administrative agencies of the state act
only within their delegated powers, i.e., those set forth in
their enabling legislation. See, e.g., In re Agency of Admin-
istration, 141 Vt. 68, 75, 444 A.2d 1349, 1352 (1982). The
refusal of both the district court and the Second Circuit to
hear Universal on the issue of VDBI’s authority to pro-
hibit pollution exclusions is an unseemly breach of the
principles of federalism which should instruct a federal
court’s interpretation of state administrative and regula-
tory schemes.
The decisions of the district court and the Second
Circuit are not just wrong and contrary to the jurispru-
dence of the State of Vermont, which, after all, has the
primary interest in the matter at hand; the decisions
impose by judicial fiat a deprivation of constitutionally
guaranteed property rights.
© State courts, including Vermont’s, have been less loath to
find their governments estopped than have been federal
courts. Compare, e.g., My Sister’s Place v. City of Burlington, 139
Vt. 602, 433 A.2d 275 (1981) with Heckler v. Community Health
Services, 467 U.S. 51 (1984).
a
18
The holding of the Second Circuit that environmental
response costs constitute damages under the liability
insurance policy also adds fuel to the conflict among the
Circuits over the so-called “as damages” issue.
4
ARGUMENT
The notice and hearing provisions of Vermont's insur-
ance regulatory statutes are constitutionally required.
It is by this late date settled law that an administrative
agency charged with the regulation of what would otherwise
be private conduct must afford the regulated who appear
before it at least minimal due process protections of notice
and the opportunity to be heard. Hannah v. Larche, 363 U.S.
420 (1960); Wong Yang Sung v. McGrath, 339 US. 33 (1950).
(Due process requirements are, of course, made applicable to
the states by the operation of the 14th Amendment.) Notice
may be contained in the announcement of generalized
rulemaking which, through prospective application, may
affect property rights, Pension Benefit Guaranty Corp. v. R. A.
Gray & Co., 467 U.S. 717 (1984), Texaco, Inc. v. Short, 454 U.S.
516 (1982), or through individualized notice of adjudicatory
proceedings where general rules are applied to specific cases.
See, e.g., Goldberg v. Kelley, 397 U.S. 254 (1970). The nature of
the right which is in danger of infringement, of course,
determines the extent of the process which is due. Id. at 263.
Vermont’s APA and its insurance regulatory statutes
provide for the exercise, by VDBI, of both legislative and
adjudicatory functions. Vermont’s APA states that:
where due process or a statute directs or permits
an agency to adopt rules, regulations or both,
—————————
19
unless that statute expressly provides to the
contrary, it shall be construed as requiring or
permitting the agency to adopt rules in the man-
ner provided in this chapter.
3 V.S.A. §831(a) (App. 67).
The statute then goes on to set forth conventional notice
and comment provisions for administrative rulemaking, 3
V.S.A. §835-48 (App. 69-85). The Vermont APA also states
that:
no revocation, suspension, annulment, or with-
drawal of any license’ is lawful unless, prior to
the institution of agency proceedings, the
agency gave notice by mail to the licensee of
facts or conduct which warrant the intended
action, and the licensee was given an oppor-
tunity to show compliance with all lawful
requirements for the retention of the license. . . .
3 V.S.A. §814(c) (App. 66).
The insurance regulatory statutes reiterate these
notice and hearing requirements by providing that VDBI
may withdraw prior approval of a policy form only after
giving the insurer notice of the proposed withdrawal and
an opportunity for hearing thereon. 8 V.S.A. §3541(b)
(App. 87). The provision for notice is form-specific; that
is, the commissioner must direct his disapproval or with-
drawal of prior approval to a particular form. 8 V.S.A.
§3541(b) and (c) (App. 87).
7 A “licensee” is defined in the prefatory section of the
Vermont APA to include “the whole or part of any agency
permit, certificate, approval, registration, charter or similar
form of permission required by law.” 3 V.S.A. §801(b)(3) (App.
64).
20
While the statutes could arguably have been con-
structed differently, there is no doubt that the Vermont
Legislature intended the provisions to comport with the
mandates of due process. Vermont Real Estate Commission
v. Martin, 132 Vt. 309, 311, 318 A.2d 670, 672 (1974) (“An
administrative agency hearing on a license suspension is
subject to the essentials of due process. . . . The essentials
of due process are notice and the opportunity to be
heard,” (citations omitted)).
It is undisputed that VDBI neither adopted a rule on
pollution exclusions nor gave notice of its intent to
withdraw prior approval of the Unicover III policy con-
taining pollution exclusions. VDBI would, under the
circumstances, be estopped to claim that coverage exis-
ted.
In the complaint and at trial, Gerrish contended that
a VDBI departmental policy prohibiting pollution exclu-
sions rendered invalid those portions of the Unicover III
policy which contain the relevant pollution exclusions.
The district court relied upon the existence of a depart-
mental policy, albeit an informal one, to “deem” Univer-
sal’s policy amended to conform to VDBI’s requirements,
which stemmed from negotiations with [SO and resulted
in ISO’s “Vermont Pollution Endorsement.” In the face of
Universal’s argument on appeal that no validly enacted
VDBI policy compelled inclusion of pollution coverage in
the Unicover III policy, Gerrish abandoned reliance on its
claim grounded in VDBI agency policy, and the Second
Circuit made no finding that such a policy existed. With
the concessions, then, that rulemaking procedures had
not been followed and no regularly adopted departmen-
tal policy existed, support for judicial revision of previ-
ously approved contractual terms would seem to demand
Se
21
proof of compliance with statutory notice and hearing
requirements for withdrawal of (or amendment to) a pre-
viously approved “license,” as the Vermont APA, 3 V.S.A.
§801(b)(3) (App. 64), refers to agency approval. Neither
the court of appeals nor the district court found, however,
that procedures for withdrawal of prior approval had
been instituted. Both courts effectively held, instead, that
the statutorily required form-specific notice could be dis-
pensed with in the case of the Unicover III policy, since
Universal (the proprietor of the Unicover III form)
received from ISO notice that VDBI intended to withdraw
approval of an ISO policy form unless it were amended to
include pollution coverage.®
8 In this regard, Gerrish made much of several internal
Universal office memoranda, which demonstrated that Univer-
sal had notice of VDBI action with respect to the ISO general
liability policy form. The memoranda referred to are repro-
duced at App. 273-74. There is no doubt, as the memoranda
demonstrate, that Universal was on notice that ISO’s general
liability policy form was amended in July, 1984, to include
pollution coverage, and that the amendment was, in VDBI
parlance, “mandatory.” The memoranda also demonstrate that
Universal took the notice from ISO about changes in the ISO
policy to mean that Universal would eventually have to amend
its own policy, either because of pressure from VDBI or
because of the need to compete with the sale of ISO policies in
the marketplace. At the same time, however, the memoranda
suggest that it never occurred to Universal that the ISO
endorsement could simply be tacked onto the Unicover Ill
policy form, without its submission to and approval by VDBI
for use with the Unicover III policy form. Universal’s response
to the ISO notice was not to start printing the ISO language for
use with Universal policies, but was instead to begin to draft
language for a new Universal endorsement, which would track
the language of the Unicover III policy, while at the same time
discussing other alternatives to providing pollution coverage.
22
Constitutionally required notice from an administra-
tive agency can be waived in certain circumstances where
it is apparent that the regulated entity is advised of
expected agency action. In the case at hand, plaintiff was
able to prove that Universal had notice of expected
agency action toward another player, ISO, but offered
nothing to suggest that Universal was apprised that VDBI
action affected the previous stamp of approval issued to
the Unicover III policy. Learning that one’s neighbor will
have to alter plans submitted in support of a building
permit application, for example, is hardly adequate to
advise the holder of a previously approved permit that
his permit is now deemed amended.
The practice of VDBI, for all the years Universal dealt
with them, had been to communicate directly with Uni-
versal about changes, amendments, or additional filings
in connection with the Unicover III program. VDBI
employees discussed Universal’s filings with Universal
employees over the telephone and in writing. The trial
exhibits contained many items of correspondence
between VDBI and Universal’s Governmental Affairs
Department. Not one of the more than 400 pages filed in
connection with the Unicover III program between 1980
and 1985 was filed by ISO, and not one of VDBI’s
responses to those filings was directed to ISO. VDBI
employees testitied that they knew on sight that the
Unicover III policy “was obviously not an ISO form being
used” (App. 364), that they treated it as a separate and
distinct filing (App. 407), and that they did not consult
the ISO Filing Authorization Forms on file to determine
whether a filing was independent of ISO (App. 364). In at
least two instances, when universal sought VDBI
approval to use policy language which had been
approved for ISO’s use, approval was denied. VDBI’s
23
practice in this regard was consistent both with its own
rules on independent filings, which make the updating
and amendment of independent, i.e., non-ISO forms, the
responsibility of the filing carrier, VDBI Reg. 81-3, Sec.
VIII (App. 313-14), and with 8 V.S.A. §3541 (App. 87),
which contemplates form-specific approval or disap-
proval of filed forms.?
An administrative agency which adopts regulations
and practices for conducting its business must act in a
manner consistent therewith. Morton v. Ruiz, 415 U.S. 199,
232 (1974). A governmental agency’s failure to follow its
own procedures, even where not mandated by statute,
may preclude that agency from taking action which
affects the rights of an individual dealing with the
agency. See, e.g., Corniel-Rodriguez v. I.N.S., 532 F.2d 301,
306-07 (2d Cir. 1976). In Vermont, at least, a governmental
agency which has lulled another into inaction by its
assurance that individual notice will be provided is
estopped to benefit from the other’s inaction. Village of
® Given the attention to detail that must attend the draft-
ing, filing and administrative approval of insurance policy
forms, a filing system not directed to specific forms would be
unthinkably chaotic. Vermont statutes are very clear that VDBI
“shall disapprove” a form of liability policy if it contains
clauses that are “inconsistent, ambiguous or misleading.” 8
V.S.A. §3542(2) (App. 89). If forms were approved by reference
to similar filings by other insurers, or to vague departmental
positions on issues of social worth, such as the allocation of the
costs for environmental clean-up, rather than by reference to
the specific language of the particular form being examined
there would inevitably be inconsistencies and ambiguities.
Moreover, neither insurer nor insured could comfortably
assume that the policy he held in his hand was the contract
which governed his relationship with the other.
24
Morrisville Water & Light Dept. v. Town of Hyde Park, 129 Vt. 1,
3, 270 A.2d 584, 586 (1970), cited with approval in My Sister's
Place v. City of Burlington, 139 Vt. 602, 609, 433 A.2d 275, 279
(1981). While this Court has been reluctant to find the federal
government estopped by the conduct of its employees when
the public treasury will be charged, Schweiker v. Hansen, 450
U.S. 785 (1981), this case does not involve depletion of public
funds. Moreover, even while announcing a general distaste
for estoppel by government, this Court has quoted Justice
Black’s observation that:
It is no less good morals and good law that the
Government should turn square corners in dealing
with the people than that the people should turn
Square corners in dealing with their government.
St. Regis Paper Co. v. United States, 368 U.S. 208, 229 (1961)
(Black, J., dissenting), quoted in Heckler v. Community Health
Services, 467 U.S. at 61, fn. 13. If VDBI itself had sought to
compel Universal to provide coverage in accordance with the
terms of ISO’s Vermont endorsement, VDBI would have
been estopped, under Vermont law, by its own failure to give
Universal statutory notice, coupled with its prior conduct in
treating the filings as independent of ISO, from asserting that
Universal could not write coverage on the approved Uni-
cover III form. Village of Morrisville v. Town of Hyde Park,
supra.
Vermont's Supreme Court has consistently held that where
statutory notice of intent to withdraw approval of a license
or permit is mandated, generalized rulemaking or a change
in agency position is not sufficient to amend the license.
Vermont law also holds that an administrative agency can-
not exceed its delegated authority.
The Vermont Supreme Court has on several occasions
considered the effect on existing licenses or permits of
25
changes in the granting agency’s rules or policies of
general application. In both In re Petition of Vermont Wel-
fare Rights Organization, 132 Vt. 622, 326 A.2d 828 (1974),
and Carpenter v. Home Telephone Co., 122 Vt. 50, 163 A.2d
838 (1960), for example, the Vermont Supreme Court held
that the Public Service Board could not, even through
valid APA rulemaking with appropriate notice and com-
ment procedures, affect a utility’s individually filed rate
schedule previously approved by the Board, where the
statute specified procedures for withdrawal of an
approved rate schedule: “rate schedules on file with the
Public Service Commission become lawful rates which
remain in force until changed in the manner prescribed
by statute.” Carpenter v. Home Telephone Co., 122 Vt. at 53,
163 A.2d at 841 (citations omitted).
In the instant case, the district court and the Second
Circuit dispensed with the requirement for either
rulemaking or individualized notice, and found a negoti-
ated agreement with ISO sufficient to amend Universal's
approved license.
The Vermont reports are also replete with cases
where the Vermont Supreme Court has admonished
administrative agencies to “operate for the purposes and
within the bounds authorized by [their] enabling legisla-
tion.” In re Agency of Administration, 141 Vt. 68, 75, 444
A.2d 1349, 1352 (1982). See also, e.g., In re Vermont Gas
Systems, Inc., 150 Vt. 34, 549 A.2d 627 (1988); New Hamp-
shire-Vermont Physician Service v. Commissioner, 132 Vt.
592, 596, 326 A.2d 163, 166 (1974) (Commissioner of Bank-
ing and Insurance not authorized to “control aspects of
contract coverage”). Universal endeavored from the out-
set of this litigation to raise the issue of VDBI’s authority
—
26
to prescribe the substantive provisions of a liability insur-
ance policy. The district court found that Universal had
waived the issue of authority (App. 52) despite this
Court’s decisions in Detroit Edison Co. v. NLRB, 440 U.S.
301, 311, n. 10 (1979) and McKart v. United States, 395 U.S.
185, 197 (1960) that an agency’s authority to act is a
question of subject matter jurisdiction which is not
waived by failure to raise it before the agency. The Sec-
ond Circuit simply ignored the issue. The lower courts
themselves thereby prescribed the substantive provisions
of the liability insurance policy Universal issued to Ger-
rish.
In an unwarranted intrusion upon Vermont jurispru-
dence, the federal courts in this case have, by judicial
construction, deprived a party of basic due process pro-
tections.
In Bouie v. Columbia, 378 U.S. 347 (1964), this Court
held that due process protections preclude a federal court
from applying an expanded definition of criminality to
conduct which occurred prior to adoption of the new
standard. Interpreting Bouie, the Ninth Circuit Court of
Appeals has noted that “[iJt is whether an act of judicial
enlargement has occurred .. . that is determinative of the
due process question.” United States v. Goodheim, 651 F.2d
1294, 1298 (9th Cir. 1981). The Sixth Circuit Court of
Appeals has noted that:
The federal courts of appeals have universally
suggested that the right to due process prevents
judicially wrought retroactive increases in levels
of punishment [in the criminal context] in pre-
cisely the same way that the ex post facto clause
does when the changes are produced by legisla-
tiem. ...
27
Circuit courts have typically echoed language in
Bouie suggesting that ‘a state Supreme Court is
barred by the due process clause from achieving
by judicial construction a result which a state
legislature could not obtain by statute.’
Dale v. Haeberlin, 878 F.2d 930, 934 (6th Cir., 1989). In this
case, the federal courts have, by judicial construction,
required Universal to pay hundreds of thousands of dol-
lars of environmental response costs under the terms of
an insurance policy it never wrote, for which it never
charged a premium, and with respect to which it never
had opportunity to inquire about the extent of the risk
underwritten!° — a deprivation of basic due process notice
and hearing requirements which could not have been
accomplished by statute, and which would not have been
countenanced by the Vermont Supreme Court.
The “as damages” issue warrants this Court's review.
Finally, the holding of the Second Circuit that Univer-
sal must bear the financial burden of any environmental
response costs that Gerrish may be ordered to pay fuels
the fire of controversy that rages among the circuit courts
over the so-called “as damages” issue. Presently, four
circuits have interpreted the standard insurance policy
language, which appears in Gerrish’s Unicover III policy,
that obligates the insurer to pay all sums which the
insured legally must pay “as damages” to encompass
1 Gerrish knew that approximately 5,000 gallons of gas-
oline had escaped from an underground storage tank on his
property well before the policy at issue was written. Universal
did not inquire about such risks because the policy it wrote
excluded pollution coverage.
28
environmental response or clean-up costs! and four cir-
cuits have held that the term “damages,” as used in the
insurance policies at issue, does not encompass such
equitable or restitutionary relief.12 Curiously, in
'! Avondale Industries, Inc. v. Travelers Indemnity Co., 887
F.2d 1200 (2d Cir. 1989), cert. denied, _ US. —__, 110 S.Ct. 2588
(1990) (under New York law, clean-up costs come within com-
prehensive generai liability coverage “as damages”); New Cas-
tle County v. Hartford Accident and Indemnity Co., 933 F.2d 1162
(3rd Cir. 1961) (under Delaware law, the term “damages” as
used in insured’s general liability policy encompasses response
costs and other equitable relief the insured was required to
pay); Aetna Casualty and Surety Co., Inc. v. Pintlar Corp., 948
F.2d 1507 (9th Cir. 1991) (holding that, under Idaho law,
CERCLA response costs constitute “damages” as that term is
used in insured’s general liability policy); Independent
Petrochemical Corp. v. Aetna Casualty and Surety Co., 944 F.2d 940
(D.C. Cir. 1991) (under Missouri law, “damages” included costs
the insured was legally obligated to pay the United States and
State as reimbursement for activities in remedying environ-
mental harm).
12 A. Johnson & Co., Inc. v. Aetna Casualty and S:irety Co.,
933 F.2d 66 (1st Cir. 1991) (under Maine law, administrative
and clean-up costs were held equitable in nature and, there-
fore, not “damages” under insured’s policy); Mraz v. Canadian
Universal Ins. Co., Ltd., 804 F.2d 1325 (4th Cir. 1986) (CERCLA
response costs are economic loss and not equated with “injury
to or destruction of tangible property,” the policy at issue’s
definition of property damage); Maryland Casualty Co. v. Armco,
Inc., 822 F.2d 1348 (4th Cir. 1987) (CERCLA claim made against
insured for injunctive and restitutionary relief not a claim for
“damages” under insured’s general liability insurance policy);
Aetna Casualty and Surety Co. v. Hanna, 224 F.2d 499 (Sth Cir.
1955) (“damages,” as distinguished from injunctive or restitu-
tionary relief, includes only payments to third persons with a
legal claim for damages); Continental Insurance Cos. v.
(Continued on following page)
’ |
29
apparently only one case involving a dispute over a pol-
lution exclusion in an insured’s general liability policy
has a circuit court certified the issue to the relevant state
court.!% This fact is of particular relevance where, in the
instant case, there is nothing in Vermont law which com-
pelled the district and circuit courts to hold as they did
on this issue.
The present controversy concerning the “as dam-
ages” issue was recently forthrightly addressed by the
Eighth Circuit:
[S]tandard form CGL insurance policies use vir-
tually the same language around the country,
and general principles of insurance law do not
vary greatly from state to state. The real issue, of
(Continued from previous page)
Northeastern Pharmaceutical & Chemical Co., Inc., 842 F.2d 977
(8th Cir. 1988), cert. denied, 488 U.S. 821 (1988) (under Missouri
law, “damages” in the standard comprehensive general lia-
bility insurance policy does not include clean-up costs); Parker
Solvents Co. v. Royal Insurance Cos., 950 F.2d 571 (8th Cir. 1991)
(hereinafter Parker Solvents) (under Arkansas law, clean-up
costs not encompassed within meaning of the word “damages”
in standard form comprehensive general liability insurance
policy); Grisham v. Commercial Union Insurance Co., 951 F.2d 872
(8th Cir. 1991) (echoing holding of Parker Solvents).
13 In Claussen v. Aetna Casualty & Surety Co., 888 F.2d 747
(11th Cir. 1989) where there was a dispute between the insured
and the insurer over the meaning of the word “sudden,” the
Eleventh Circuit, recognizing that the issue involved inter-
pretation under Georgia law of the pertinent pollution exclu-
sion and policy language and that similar provisions and
language have received conflicting interpretations in other
jurisdictions, certified the question of liability to the Supreme
Court of Georgia.
30
course, is whether the insurance industry
should be compelled to help finance an
immense environmental clean-up obligation that
was not anticipated, by insureds or insurers, at
the time these policies were written. On this
difficult issue, which transcends state bound-
aries and has important public policy implica-
tions, it is not surprising that judges disagree.
Parker Solvents, 950 F.2d at 572. Accordingly, because of
the decisive split among the circuit courts, the federalism
and due process issues involved, and the far reaching and
potentially crippling public policy concerns unleased, the
“as damages” issue cries out for the wisdom of this Court
and the exercise of this Court’s supervisory powers.
¢
CONCLUSION
The district court and the Second Circuit, in their
eagerness to find available insurance coverage for envi-
ronmental response costs, have stripped the Vermont
statutes of the due process protections provided by the
Vermont Legislature. The judicial decisions of the lower
courts so far depart from the accepted and usual course
of judicial proceedings in this regard that a grant of
certiorari is appropriate.
Respectfully submitted,
KAREN McANbDREW*
Davip J. SPIELMAN
Dinse, ERDMANN & CLAPP
209 Battery Street
Burlington, Vermont 05402-0988
*Counsel of Record
March, 1991
TABLE OF CONTENTS
Page
VOLUME |
1. Opinion and Order of Second Circuit Court of
Appeals, October 30, 1991.................. App. 1
N
Opinion and Order of United States District
Court for the District of Vermont, December 5,
PE Aa ie eect wok cae Ce ae eee eee App. 20
3. Judgment of United States District Court for the
District of Vermont, December 6, 1990..... App. 55
4. Order of Second Circuit Court of Appeals,
November 29, 1991 denying Motion for
reer Teer ree Tee eer eee eee App. 57
5. United States Supreme Court Order, February
20, 1992, granting extension of time to file Peti-
tion for a Writ of Certiorari............... App. 59
6. United States Constitution, Article I,
ON Waa 3 ko ke oc cw adcesy euesen counnens App. 60
7. United States Constitution, Amendment V... App. 61
8. United States Constitution,
I eee ok check bea ESA App. 62
9. Vermont Statutes Annotated, Title 3 Sections
801, 814, 831, 832, 835-848. ............005:. App. 64
10. Vermont Statutes Annotated, Title 8 Sections
ae OU eS, ee ee App. 87
Ri. Pebaiili’s Comment. . ow. cca ccc taweee eas App. 97
12.
13.
14.
15.
16.
Ef.
18.
19.
ii
TABLE OF CONTENTS - Continued
Page
VOLUME II
Letter and attachments, May 2, 1980,
Universal Underwriters Insurance Company to
Vermont Department of Banking and
i PERRET REET ete App.
Letter and attachments, October 10, 1983
Universal Underwriters Insurance Company to
Vermont Department of Banking and
RIN 5.5. tah caKew ne dedueewan eee Canines App.
Letter and attachments, April 1, 1985,
Universal Underwriters Insurance Company to
Vermont Department of Banking and
cas oe at eae hee eek scuie App.
ISO Authorization Form.................. App
a a SS ced, on cuues a hee aia App
Vermont Department of Banking & Insurance
Administrative Rule 81-3................. App.
ISO Standard Commercial General Liability
CUNO SUM s oc cacu una ndadeeweemen App. ;
Transcript Excerpts
ys Re Serre rere rT App. ;
Bp ee | ee ererer rer App. :
me
App. 1
UNITED STATES COURT OF APPEALS
FOR THE SECOND CIRCUIT
No. 1480 August Term, 1990
(Argued May 22, 1991 Decided October 30, 1991)
Docket No. 91-7008
GERRISH CORPORATION, doing business as
Gerrish Motors, doing business as Scrub-a-
Dub,
Plaintiff-Appellee,
Vv.
UNIVERSAL UNDERWRITERS INSURANCE
COMPANY,
Defendant-Appellant
Before: VAN GRAAFEILAND, MESKILL and
McLAUGHLIN, Circuit Judges.
Appeal from a judgment entered in the United States
District Court for the District of Vermont, Parker, /., Ger-
rish Corp. v. Universal Underwriters Ins. Co., 754 F.Supp
358 (D. Vt. 1990), declaring that appellant Universal
Underwriters’ policy as amended by Insurance Services
Organization required Universal Underwriters to defend
appellee Gerrish Corp. and that Universal Underwriters
could be liable for cleanup costs as well as other dam-
ages.
The judgment of the district court is affirmed.
KAREN McANDREW, Burlington, V1
(Dinse, Erdmann & Clapp,
Burlington, VT, of counsel),
for Appellant.
App. 2
ROBERT E. MANCHESTER,
Burlington, VT
(Patricia S. Orr, Manchester Law
Offices, Burlington, VT, Leo A.
Bisson, Jr., Richard N. Bland,
Downs, Rachlin & Martin,
Burlington, VT, Gerald R.
Tarrant, Montpelier, VT,
of counsel),
for Appellee.
George A. Holoch, Jr., Miller,
Cleary & Faignant, Rutland, VT,
Thomas W. Brunner, Marilyn E.
Kerst, Frederick S. Ansell, John
W. Scott, Wiley, Rein & Fielding,
Washington, D.C., on the brief,
for Amicus Curiae Insurance
Environmental Litigation
Association.
William H. Allen, Saul B.
Goodman, William F. Greaney,
Stanlake J.T.M. Samkange,
Covington & Burling, Washington,
D.C., on the brief,
for Amici Curiae The American
Petroleum Institute, The American
Fiber Manufacturers Association,
International Business Machines
Corporation, and Olin Corporation.
MESKILL, Circuit Judge:
In this diversity action we must determine whether
an insurance organization authorized to act on behalf of
member insurance companies can substantively alter a
policy of insurance that was traditionally amended only
by the insurance company and whether environmental
App. 3
response costs fail within the meaning of “damages”
under a general liability policy.
This is an appeal from a judgment of the United
States District Court for the District of Vermont, Parker,
]., entered on December 5, 1990. See Gerrish Corp. v. Uni-
versal Underwriters Ins. Co., 754 F.Supp. 358 (D. Vt. 1990).
The judgment declared that appellant Universal Under-
writers Insurance Company (Universal) was required to
defend appellee Gerrish Corporation (Gerrish) in an envi-
ronmental action threatened by the State of Vermont. The
judgment also proclaimed that Universal could be
responsible for the payment of cleanup costs as well as
for other damages. Universal appeals claiming that the
liability policy issued to Gerrish excluded coverage for
Vermont’s pollution claim, that Insurance Services Orga-
nization (ISO) did not amend the Gerrish policy, that
environmental response costs are not recoverable as dam-
ages under the Gerrish policy, and that Gerrish cannot
succeed in this action because of the “owned property”
exclusion in the policy.
We agree with the district court that the policy issued
by Universal to Gerrish was amended by ISO, that the
policy covers Vermont’s pollution claim, that environ-
mental response costs are damages as that term is used in
exclusion does
””
the policy and that the “owned property
not bar Gerrish’s claim. We therefore affirm the judgment
of the district court.
BACKGROUND
The background of this litigation, filed under the
Federal Declaratory Judgments Act, 28 U.S.C.A. § 2201, is
App. 4
set forth in the opinion of Judge Parker. 754 F.Supp. 358.
The facts relevant to this appeal are summarized below.
Gerrish, a Vermont Corporation with its Principal
place of business in Woodstock, Vermont, is the owner of
Woodstock East, a small shopping center in Woodstock,
Vermont. Two of the businesses on the property are Ger-
rish Motors, an automotive dealership, and Scrub-a-Dub,
a car wash and gas station, both of which are subdivi-
sions of Gerrish.
Defendant, Universal is a stock insurance company
with its principal place of business in Kansas City, Mis-
souri. Universal is licensed to engage in the business of
selling insurance in the State of Vermont. On September
I, 1984 Universal issued a general liability policy, here-
inafter the Unicover III policy, covering the Gerrish prop-
erty. The events that led to the instant controversy are
Outlined below.
In November 1973 Scrub-a-Dub realized that approx-
imately 4,785 gallons of gasoline had been lost from its
underground fuel storage tanks. The tanks were tested,
excavated, and a tank thought to be leaking was replaced.
Gerrish made no attempt to clean up the subsurface
spilled gasoline. Gerrish subsequently leased the Wood-
stock East property and shopping center to Woodstock
Associates but, through various lease and leaseback
arrangements, Gerrish retained Ownership, possession
and control of the Scrub-a-Dub facilities.
On May 2, 1985 Gerrish was notified by Vermont's
Agency of Environmental Conservation that petroleum
pollution emanating from Woodstock East was migrating
into neighboring property and into a natural drainage
es rlrlr—<(j.Ce
App. 5
stream that emptied directly into the Ottauquechee River,
creating a hazard to the public and the environment.
Vermont advised that Gerrish could on its own take cor-
rective measures under Agency supervision to alleviate
the harm. Alternatively, if Gerrish failed to take action,
the Agency of Environmental Conservation would
arrange for the cleanup and would seek reimbursement
from Gerrish. Vermont informed Gerrish that a State-
managed cleanup is typically more expensive than a pri-
vately undertaken environmental response. Prior to its
discussions with Vermont, Gerrish was unaware of the
existence of any underground contamination on the
Woodstock East property.
On June 11, 1985 Gerrish contacted Universal, its
insurer, and demanded that Universal be responsible for
all costs involved in monitoring and cleaning up the
source of the pollution under the policy issued by Uni-
versal to Gerrish for the September 1, 1984 to September
1, 1985 period.
The Universal Unicover III Policy
The original policy issued to Gerrish by Universal
was the Unicover III Motor Vehicle Dealers Policy
approved by the Vermont Department of Banking and
Insurance (VDBI) in 1980. The policy obliged Universal to
“pay all sums which the INSURED legally must pay as
damages . . . because of INJURY” to which the policy
applies. The policy defined “INJURY” as “bodily injury,
sickness, disease, or disability . .. or damage to or loss of
use of tangible property.” The policy contained certain
App. 6
exclusionary language in Part 500 Garage Coverage,
including the following:
Exclusions ~ This insurance does not apply to:
(m) INJURY caused by the dumping, dis-
charge, or escape of irritants, pollutants or con-
taminants. This exclusion does not apply if the
discharge is sudden and accidental;
(n) INJURY caused by the discharge, release,
Or escape of any petroleum substance into or
upon any body of water or water course, regard-
less of the nature of the discharge, release, or
escape (whether accidental or not).
The same language was included in Part 950 General
Liability Coverage in sections labelled (e) and (f).
Two other pertinent exclusions were included in the
general liability portion of the Unicover II] policy. They
State:
Exclusions — This insurance does not apply to:
(k) INJURY to property owned by, rented or
leased to, used by, or in the care, custody or
control of the INSURED... .
(1) INJURY to premises after YOU transfer
ownership or possession to another, if INJURY
is caused prior to the transfer.
Although Universal revised the Unicover III policy sev-
eral times between 1980 and 1985, none of those alter-
ations affected any of the exclusions quoted above.
App. 7
Universal is a member of ISO, an insurance rating
organization comprised of insurance companies. ISO pro-
vides various services for its members, including the
drafting and filing of insurance forms with various state
insurance departments. In 1982 Universal signed a broad
authorization (Authorization), empowering ISO to act on
its behalf before the VDBI and filed it with Vermont's
Commissioner of Insurance. The document authorized
ISO to file “rates, rules, [and] forms” with respect to
general liability insurance, as well as several other insur-
ance areas. Universal did not limit ISO’s authority with
respect to general liability insurance policies or pollution
exclusions. The Authorization contained a provision that
stated: “This Filing Authorization shall be deemed
amended to the extent that any filing is made in your
office directly by the undersigned company and is incon-
sistent with the filing of said Insurance Services Office.”
In a circular dated June 4, 1984 ISO notified all its
members that a new pollution endorsement had been
developed, filed with the VDBI and approved for use.
The new pollution provision provided insurance cover-
age for all pollution incidents, whether sudden or not, on
a claims-made basis, subject to an aggregate limit, and
was to be included in all ISO members’ policies issued
after July 1, 1984. The ISO circular informed members
that they were automatically deemed to accept the
endorsement; they had to contact the VDBI prior to July
1, 1984 if they did not want to be bound by the terms of
the ISO endorsement. Universal did not contact the VDBI
with respect to the endorsement. Furthermore, Universal
had no relevant contact with the VDBI after receiving the
ISO circular and before issuing the Gerrish insurance
2g
App. 8
policy. A Universal interoffice memorandum made it
clear that Universal was aware of the endorsement.
On September 1, 1984, while ISO’s pollution endorse-
ment was still in effect, Universal issued a general lia-
bility and automotive dealer insurance policy, the
Unicover III policy, to Gerrish.
In April and May of 1985 Universal submitted to the
VDBI multiple endorsements affecting pollution coverage
under the Unicover III policy. After several exchanges
between Universal and VDBI and subsequent to Ver-
mont’s claim against Gerrish, the endorsements were
approved with the proviso that whenever Universal! spec-
ifically excluded pollution coverage under an insurance
policy an Individual Risk filing had to be made with the
VDBI.
Procedural Background
Based on the original Unicover III policy issued to
Gerrish and the endorsements and amendments filed by
Universal, Universal claimed that it would not cover the
costs of cleaning up the Woodstock East fuel spill. Uni-
versal claimed that it never amended the Unicover !II
pollution exclusions, that the Gerrish fuel spill was defi-
nitely excluded under the policy as originally written
and, therefore, Gerrish was not covered.
Gerrish commenced this action in the United States
District Court for the District of Vermont seeking a
declaratory judgment that the Unicover III policy issued
by Universal provided coverage for the gasoline cleanup
claim asserted by Vermont.
\ ie
App. 9?
Universal responded that the Unicover policy, which
Universal claimed was unaffected by either Universal or
ISO filings, excluded coverage of Gerrish’s claim. Univer-
sal claimed that the VDBI had never withdrawn approval
of the Unicover III policy as approved in 1980 and there-
fore continued use of that policy was appropriate. If the
VDBI had established a practice of requiring pollution
coverage in all insurance policies, urged Universal, not
only was Universal unaware of the practice, but mainte-
nance of such a practice was beyond the power of the
VDBI. Universal also contended that the cleanup or
“response” costs for the gasoline contamination were not
tantamount to damages under the policy because they
were equitable in nature, not legal under Vermont law.
Finally, Universal contended that the “owned property”
provision of Exclusion (k) found in the general liability
part of the policy excluded coverage of the claim. Univer-
sal, therefore, maintained that it was not responsible for
providing coverage for the gasoline cleanup.
The district court found that the Universal Unicover
Ill policy as originally issued excluded Gerrish’s claim.
While the court concluded that VDBI had authority to
establish practices with respect to insurance exclusions,
the court did not base its decision on this holding. The
court went on to rule that the Unicover III pollution
exclusions were negated by the 1984 ISO pollution
endorsement. Thus, the district court concluded that
under Vermont law, which we must apply, Erie v.
Tompkins, 304 U.S. 64 (1938), Gerrish was covered by the
Unicover III policy as amended by the ISO, inciuding
pollution cleanup costs. Furthermore, the court found
that the “owned property” exclusion did not bar the
App. 10
claim. In sum, the district court granted Gerrish the
declaratory judgment.
Universal appeals and reasserts on appeal the argu-
ments raised below.
DISCUSSION
First we must determine whether the policy provided
coverage to Gerrish for injury resulting from gasoline-
related pollution.
Universal contends that Gerrish is not covered for
this gasoline leak because as the district court held, the
Unicover III policy as originally issued to Gerrish did not
cover Vermont’s claim, the VDBI never withdrew
approval of the Unicover III policy and Universal never
amended the pollution exclusions prior to Vermont’s
claim against Gerrish. Universal also raises an argument
with respect to the practice of the VDBI in approving
policies and requiring certain types of coverage. Univer-
sal claims that the VDBI lacks authority to withhold
approval of policies until a specific type of coverage is
provided. Universal urges that it was just such a practice
of the VDBI that prompted ISO to file the pollution
endorsement. What motivated the filing of the endorse-
ment is irrelevant however. It is the effect of that endorse-
ment that controls the outcome in this case.
We agree with the district court that the Universal
Unicover III policy in the form in which it was issued to
Gerrish did not cover Vermont's claim. The original pol-
icy language explicitly excludes from coverage the type
of claim raised here. We conclude, however, that the
App. 11
policy was amended by Universal’s agent, ISO, to pro-
vide coverage for this claim. The basis for this conclusion
is rooted in the law of agency.
Under general agency principles the following holds
true:
§ 140. Liability Based upon Agency Principles
The liability of the principal to a third person
upon a transaction conducted by an agent-
. may be based upon the fact that:
(a) the agent was authorized;
(b) the agent was apparently authorized;
or
(c) the agent had a power arising from the
agency relation and not dependent upon author-
ity or apparent authority.
Restatement (Second) of Agency § 140, at 349 (1958).
Universal signed an authorization in 1982 permitting
ISO to file, on Universal’s behalf, amendments to its
general liability policies. Universal did not limit that
Authorization with respect to these policies or to the
Unicover III policy specifically, nor did Universal ever
withdraw the Authorization prior to Vermont’s claim
against Gerrish. Although Universal typically amended
the Unicover III policy independently, it did not reserve
the exclusive right to alter the Unicover III policy. When
Universal filed the Authorization in 1982, it implicitly
empowered ISO to alter the Unicover policy.
The existence of an agency relationship may be
shown in many ways. In an agency relationship, the
App. 12
agent has the power “to subject his principal to liability
for an act done in furtherance of the agency.” Young v.
Lamson, 121 Vt. 474, 476, 160 A.2d 873, 875 (1960) (citing
Ploof v. Putnam, 83 Vt. 252, 255, 75 A. 277, 277 (1910)).
“(T]he real test, as to third persons, is whether the act,
however trivial, is done by one for another, with the
knowledge of the person sought to be charged as master,
with his assent, expressed or implied, even though there
was no specific request on his part to do the act in
question.” Young, 121 Vt. at 477, 160 A.2d at 875 (inter-
preting law of agency with respect to operation of motor
vehicles) (citing Brown v,. Gallipeau, 116 Vt. 290, 293, 75
A.2d 694, 696 (1950)). In the instant case ISO clearly acted
on behalf of Universal with Universal’s knowledge and
with the authority conferred by Universal. In sum, ISO
was Universal’s agent and was empowered to bind Uni-
versal.
Universal claims that even in an express agency con-
text, absent reliance by a third party to the detriment of
that third party, there can be no liability on the principal.
In so arguing, Universal attempts to circumvent basic
Principles of contract and insurance law. The ISO
endorsement was, in effect, part of the insurance contract
between Universal and Gerrish. The ISO endorsement
affected all policies issued after July 1, 1984. The Gerrish
policy was issued on September 5, 1984, while the ISO
endorsement was in efiect. The ISO endorsement, there-
fore, affected the Gerrish policy and negated the original
pollution exclusions therein set forth.
It .s a basic tenet of insurance law that once an
insurance contract is accepted by both parties, the parties
are bound by it. See 1 Couch Cyclopedia of Insurance Law
App. 13
§ 12:16, at 807 (Rev. 2d ed. 1984). An insured, absent
fraud or misrepresentation, is bound by the terms of the
policy and “cannot thereafter complain that he did not
read or know its terms.” Id. Likewise, the insurer is
bound by those same terms, regardless of whether the
insured is aware of them. The parties are bound to the
terms of the policy on the formation of a contract of
insurance. A contract is formed when the insured accepts
a policy and pays the premium and the insurer accepts
the premium. By accepting the policy and paying the
premiums the insured agrees to the terms of the insur-
ance contract. By the same token, when the insurer issues
a policy and accepts payment for insurance coverage
under that policy, the insurer agrees to assume the risks
enunciated in the policy. See 6 Couch Cyclopedia of Insur-
ance Law § 31:10, at 19-20 (Rev. 2d ed. 1985).
Applying these general rules of contract and insur-
ance law to the instant case, we see that Gerrish was
entitled to coverage for the State’s pollution claim regard-
less of any lack of awareness on its part of the specific
terms of the contract. The pollution endorsement filed by
ISO affected all policies issued after July 1, 1984, includ-
ing the Gerrish policy. Despite Gerrish’s lack of aware-
ness of its inclusion, the pollution endorsement was part
of the Unicover III policy, approved by the VDBI, for
which Gerrish contracted and on which Gerrish paid
premiums. Universal failed to opt out of the endorsement
prior to issuing the policy to Gerrish. It accepted the
premiums tendered by Gerrish for the amended Unicover
III policy. As already stated, Universal was undeniably
aware of the endorsement. The contract of insurance
App. 14
formed between Gerrish and Universal, therefore,
included the ISO pollution endorsement.
Universal contends that because the ISO endorse-
ment was inconsistent with the original policy and prior
Universal amendments to it the Authorization did not
apply to the endorsement. This argument is based on the
inclusion in the Authorization which states:
This Filing Authorization shall be deemed
amended to the extent that any filing is made
directly by [Universal] and is inconsistent with
the filing of said Insurance Services Office.
Under Universal’s interpretation, any ISO filing
inconsistent with anything previous!y filed by Universal
would be deemed amended by the relevant Universal
filing. This explanation, however, is inconsistent with the
ISO Authorization itself. ISO was empowered to make
filings and to file amendments and endorsements on
behalf of its members, including Universal. An “amend-
ment” to a policy is, by definition, “a change for the
better; improvement” or “a correction of errors, faults,
etc.” Webster's New World Dictionary 43 (2d College ed.
1970). A “change” or “correction” is necessarily different
from or perhaps inconsistent with that which is being
changed or corrected. Furthermore, the ability to amend
implies the existence of some pre-existing filing to be
amended. Thus, there had to be a policy in existence,
whether filed by Universal or ISO, in order for ISO to
amend a policy. The Authorization permitting ISO to file
amendments would be eviscerated if we accepted Univer-
sal’s interpretation and concluded that ISO was not per-
mitted to amend the existing policies. We reject such an
interpretation.
App. 15
Universal's position also fails to recognize the time
sequence implicit in the ISO Authorization. The Authori-
zation is “deemed amended” when Universal makes a
filing inconsistent with a filing by ISO. A Universal filing
cannot be inconsistent with an ISO filing unless there is a
pre-existing ISO filing at the time the Universal filing is
made. In the instant case, Universal made no relevant
filings between the date the ISO amendment was submit-
ted to the VDBI for approval and the date of issuance of
Gerrish’s policy. Universal, therefore, made no filings
inconsistent with ISO filings such that the Authorization
should be deemed amended prior to the issuance of the
policy to Gerrish.
We conclude that the district court correctly held that
the ISO pollution endorsement applied to the Gerrish
policy and afforded Gerrish coverage against the State’s
claims.
Universal next contends that the district court erred
in concluding that the environmental response costs
involved in the State’s claim are “damages” as the term is
used in the Unicover III policy and that the “owned
property exclusion” in the policy was inapplicable. Uni-
versal bases its claim on the language of the policy.
Coverage Part 950 —- General Liability states, under the
heading “Insuring Agreement,” that Universal “will pay
all sums which the INSURED legally must pay as dam-
ages ... because of INJURY to which this Coverage Part
applies.” Exclusion (k), the “owned property” exclusion
also contained in Coverage Part 950, states: “This insur-
ance does not apply to: INJURY to property owned by,
rented, or leased to, used by, or in the care, custody or
control of the INSURED.” Injury is defined in the policy
App. 16
as “damage to . . . tangible property.” Universal’s inter-
pretation of these portions of the policy and its technical
reading of the terms result in its conclusion ihat environ-
mental response costs are not sums that Gerrish must
legally pay as damages because of injury, and that costs
to clean up Gerrish’s land are excluded under the Policy.
Universal’s arguments are unpersuasive.
The term “damages” is not defined in the Unicover
III policy issued to Gerrish. Vermont law provides some
guidance on this issue however. Vermont law is clear that
policies are to be interpreted in favor of complete cover-
age. See City of Burlington v. Glens Falls Ins. Co., 133 Vt.
423, 424, 340 A.2d 89, 90 (1975). Limitations and exclu-
sions in policies are to be strictly and narrowly construed.
Id. We find no cases interpreting Vermont law, however,
that determine whether environmental response costs or
cleanup costs constitute damages. Other courts are split
on this issue. Compare, e.g., Avondale Indus. v. Travelers
Indem. Co., 887 F.2d 1200, 1207 (2d Cir. 1989) (under New
York law damages include cleanup costs), and Ray Indus.
v. Liberty Mut. Ins. Co., 728 F.Supp. 1310, 1314-15 (E.D.
Mich. 1989) (under Michigan law “suit” includes environ-
mental cleanup action and insurer must defend), with
Maryland Casualty Co. v. Armco, Inc., 822 F.2d 1348,
1352-54 (4th Cir. 1987) (cleanup costs not damages under
Maryland law), cert. denied, 484 U.S. 1008 (1988). The
question is further clouded by the fact that the damages
must be “for injury,” and “injury” is defined in the policy
as “damage” to property.
In an earlier case we were required to construe under
New York law the term “damages” in an insurance policy
containing pollution exclusions similar to those in the
’
App. 17
instant case. See Avondale, 887 F.2d 1200. In Avondale we
concluded that the term “damages,” when given its natu-
ral meaning, could include cleanup costs, particularly
because an ordinary businessman reading the policy
would believe that “damages” included such costs.
Vermont, like New York, requires that the language
in an insurance policy be giver: its plain and ordinary
meaning. Kusserow v. Blue Cross-Blue Shield Plan of N.H.-
Vt., 140 Vt. 328, 333, 437 A.2d 1114, 1117 (1981). The
Unicover III policy states that Universal “will pay all
sums which the INSURED legally must pay as dam-
ages .. . because of INJURY to which this Coverage Part
applies.” We conclude that the plain and ordinary mean-
ing of this clause is that Universal agreed to pay all sums
Gerrish was ordered by a court to pay, regardless of the
technical, legal characterization of the particular judg-
ment. Even if we conclude that the term “damages” is
ambiguous, however, the result is the same because
under Vermont law all ambiguities in an insurance con-
tract must be construed in favor of the insured. Sanders v.
St. Paul Mercury Ins. Co., 148 Vt. 496, 500, 536 A.2d 914,
916 (1987). In this instance, construing the term “dam-
ages” in favor of Gerrish results in coverage under the
policy. Thus, if Gerrish is ordered by a court to pay the
environmental response costs associated with the gas-
oline leak, Universal must bear the financial burden. We
believe that the Vermont courts would reach the same
conclusion. Cf. Bean v. Sears, Roebuck & Co., 129 Vt. 278,
282, 276 A.2d 613, 616 (1971) (repair and restoration costs
may be a proper measure of damages under Vermont
law).
App. 18
The district court also correctly concluded that
because property beyond that owned, used, or controlled
by Gerrish was damaged, Exclusion (k) of Part 950 of the
Unicover III policy did not apply. Universal disputes this,
claiming that Gerrish failed to provide evidence that any
other landowner suffered a loss of use of his property or
diminution in property value as a result of the gasoline
leakage. We find Universal’s argument unpersuasive.
The pollution at issue in the instant case was, at the
time of the district court decision, “a plume of petroleum
product (dissolved hydrocarbons in groundwater) which
is located in the subsurface strata of the Woodstock East
property. It has migrated to an adjacent property of the
Marble Bank as well as into the right of way for a public
highway (Route 4).” It was also found that the pollution
is entering a “natural drainage stream” flowing into the
Ottauquechee River. Universal admits that the petroleum
seepage may demonstrate “an imminent and substantial
threat to the environment.” The presence of the pollution
in the drainage stream and Ottauquechee River and
groundwater clearly represent actual damage to the sur-
face and groundwater and deterioration of the ground-
water quality both on and off of the Gerrish property.
While the specific effects of this pollution migration have
not been provided, such effects are not required in this
declaratory judgment action. It is only proof of damage to
Property not owned, controlled or possessed by Gerrish
that must be proffered. Gerrish has met this burden. Its
claim is not barred by Exclusion (k). Universal, therefore,
is responsible for the cleanup costs of the property dam-
aged by the plume. This may require Universal to bear
the cost to clean up the leakage on Gerrish’s property for
App. 19
the purpose of abating seepage to neighboring property.
The cost of repairing Gerrish’s property is inextricably
linked to Vermont’s claims. We agree with the district
court that the cost of “on premises remedial work, as well
as any off premises remediation, is not excluded by the
language of exclusion (k).” 754 F.Supp. at 366.
CONCLUSION
We conclude that the ISO endorsement applied to the
Gerrish policy. The endorsernent negated Universal’s pol-
lution exclusions and required that Universal provide
coverage to Gerrish for the State of Vermont's pollution
claim. We further conclude that the environmental
response costs fall within the definition of damages as
that term is used in the insurance policy issued by Uni-
versal to Gerrish. In so holding, we do not pass upon the
<
merits of Vermont’s claims against Gerrish.
For the foregoing reasons, the judgment of the dis-
trict court is affirmed.
App. 20
UNITED STATES DISTRICT COURT
FOR THE
DISTRICT OF VERMONT
GERRISH CORPORATION, et. al, :
Woodstock East :
Woodstock, Vermont
Plaintiff Civil Action
V. File No. 89-19
Universal Underwriters
Insurance Company
: (Filed Dec. 5, 1990)
Kansas City, Missouri a
Defendant.
FINDINGS OF FACT, CONCLUSIONS OF LAW, OPIN-
ION AND ORDER
I. INTRODUCTION
In this Declaratory Judgment action, plaintiff, Gerrish
Corporation (hereinafter “Gerrish or plaintiff”) seeks a
declaratory judgment, declaring that a liability insurance
policy (“the policy”) issued by Universal Underwriters
Insurance Company (hereinafter “Universal, or defen-
dant”) to Gerrish, provides coverage for a petroleum
pollution clean-up claim, asserted against Gerrish by the
State of Vermont on May 2, 1985. Universal opposes
plaintiff’s petition and requests that the Court issue a
declaratory judgment that the Policy does not provide
coverage for plaintiff’s claim. The case was tried to Court
commencing Octeber 24, 1990.
App. 21
I]. FINDINGS OF FACT
Jurisdiction and Venue
1. This action is filed under the Federal Declaratory
Judgment Act, 28 U.S.C.A. § 2201 (West Supp. 1990).
2. Plaintiff, Gerrish d/b/a/ Woodstock East, d/b/a
Gerrish Motors and d/b/a/ Scrub-A-Dub is a Vermont
Corporation with a principal place of business in Wood-
stock, Vermont.
3. Defendant, Universal is a stock insurance com-
pany with its principal place of business in Kansas City,
Missouri. Universal is licensed to engage in the business
of selling insurance in the State of Vermont and has, for at
least twenty years, submitted its insurance forms and
rates for approval to the Vermont Department of Banking
and Insurance and sold policies in Vermont.
Backgrou nd
4. Plaintiff is the owner of a shopping center in
Woodstock, Vermont, known as “Woodstock East”. Kurt
Gerrish (a shareholder of Gerrish) has owned a portion of
the realty on which Woodstock East sits, since 1963 and
obtained the rest of the property in fee simple on May 29,
1967. Mr. Gerrish conveyed all the property he owned,
consisting of 7 acres, to Gerrish on May 29, 1968. The
portion known as Woodstock East is approximately 4.8
acres.
5. Plaintiff has developed the Woodstock East prop-
erty since 1968 and the property now includes approx-
imately 15 retail stores and 8 apartments. Plaintiff also
operates two other businesses on the property, one of
App. 22
which is Gerrish Motors, an automotive dealership, and
Scrub-A-Dub, a car wash and retail petroleum sales facil-
ity. Scrub-A-Dub and Gerrish Motors are corporate divi-
sions of Gerrish. Scrub-A-Dub sold petroleum products at
retail to customers of Gerrish Motors and others.
6. During 1972, Woodstock Structures, Inc. installed
oil storage tanks at Woodstock East as a part of Scrub-
A-Dub’s retail sales business. Retail sales began during
November 1972 and over the next year in excess of 75,000
gallons of petroleum were sold.
7. During November, 1973, Scrub-A-Dub discovered
that approximately 4,785 gallons of gasoline had been lost
due to either a gasoline spill or theft.
8. The tanks were air pressure tested to determine
whether the tank system might be faulty. The tanks were
thereafter excavated and a tank thought to be leaking was
replaced. At that time, it was determined that the leak
was actually caused by a cracked Pipe fitting, which was
also replaced. (Plaintiff’s Exhibit 13 — an invoice for the
fitting repair.) The tanks themselves had no evident leaks.
9. On September 8, 1975 Gerrish settled a claim
against Woodstock Structures, Inc., the contractor for the
gas island for Scrub-A-Dub, and Wyman, Inc., a sub-
contractor, for the then known damage resulting from the
gas leak. Gerrish received $2,085.96 for the value of the
lost gasoline product and released Woodstock Structures
and Wyman from damages it sustained. (Plaintiff’s
Exhibit 65.)
10. The settlement did not include any payment for
pollution clean-up. Between the date of settlement and
App. 23
May 6, 1985, when Gerrish received the State’s Pollution
Claim, Gerrish had no knowledge that pollution contam-
ination had resulted from the gasoline spill.
11. From the time of the gas spill in 1972-73 until
this claim arose, there have been no material changes to
the subsurface structure of the Woodstock East property
except for the installation of a “French drain” in 1981 or
1982. The “French drain” is an underground drainage line
which drains the property, in part, into a tributary of the
Ottauquechee River.
12. On May 31, 1984, Gerrish leased its Woodstock
East premises to Woodstock East Associates (a Vt. limited
partnership) for a term of five years with an option to
purchase. The option to purchase has not been exercised.
Gerrish continues to hold title in fee simple to the leased
property. (Plaintiff’s Exhibit 69.)
13. On May 31, 1984, Gerrish also entered into other
leases with Woodstock East Associates, leasing back a
portion of the premises. Gerrish thereby retained owner-
ship, possession and control of the Scrub-a-Dub facilities,
including the gasoline islands, tanks, piping and underly-
ing land. (Plaintiff’s Exhibit 68.)
Pollution Claim by Agency
14. On May 2, 1985, the State of Vermont through
the Agency of Environmental Conservation, (“Agency”)
notified plaintiff that Woodstock East was the source of
petroleum pollution which was entering a “natural drain-
age stream” which “empties directly” into the Ottau
quechee River. The migration of the material was
App. 24
considered hazardous. Pursuant to Vermont Statute, the
Agency gave notice that the State would investigate to
determine the magnitude and extent of the petroleum
pollution and take appropriate steps to minimize the
harm to the public and the environment. Prior to the
expenditure of State funds, the State notified plaintiff as a
potentially responsible party that it could voluntarily
take corrective measures under Agency direction to alle-
viate the pollution hazard. (Plaintiff’s Exhibit 2.)
15. The State in its notice Says that Marvin Wolf
owns the property on which both businesses (Gerrish
Motors and Scrub-A-Dub) are located. This statement is
simply erroneous.
16. Although there have been other minor petro-
leum spills on the Property over the years, the pollution
Siving rise to this claim is in all likelihood a result of the
1972-73 spill and the Court so finds.
17. Prior to the receipt of the State’s Pollution
Claim, Gerrish had no knowledge of any subsurface pol-
lution contamination of the Woodstock East property
resulting from the 1972-73 spill, and no one had asserted
any claim for clean up or damages against Gerrish due to
pollution contamination. Gerrish had no intention to
clean up any subsurface pollution before the Agency’s
Pollution Claim arose.
18. On June 11, 1985, Gerrish demanded that Uni-
versal be responsible for all costs involved in Monitoring
and cleaning up the source of the pollution under the
terms of a Universal insurance policy, No. 428584D,
which had been issued to Gerrish with a policy period of
September 1, 1984 to September 1, 1985. (Plaintiff’s
App. 25
Exhibit 2A, copy of the letter from Philip Johnson to
Universal.) (Plaintiff’s Exhibit 1, the Policy.)
19. Universal agreed to investigate the State’s Pollu-
tion Claim under a reservation of Rights/non-waiver
agreement dated June 18, 1985. (Plaintiff’s Exhibit 4.)
20. Thereafter, Ground Water Technology, Inc. (GTI)
was hired jointly by Aetna Insurance Co. (which pro-
vided coverage to a lessee of part of the premises) and
Universal to investigate the pollution contamination.
21. Universal now maintains that it is not respons-
ible to Gerrish under the policy for any damages for
environmental clean-up incurred as a consequence of the
State’s Pollution Claim, and refuses to reimburse Gerrish
for its expenses. (Plaintiff's Exhibits 17, 18, 19 and 20.)
(See defendant’s answer in this case.)
22. Pollution presently exists as a plume of petro-
leum product (dissolved hydrocarbons in groundwater)
which is located in the subsurface strata of the Woodstock
East property. It has migrated to an adjacent property of
the Marble Bank as well as into the right of way for a
public highway (Route 4). GTI Dec. 1988 Rprt. (Plaintiff's
Exhibits 14, 14(k), 14(1) and charts.)
23. In addition to the pollution plume in the subsur-
face of the property, there are two areas of seepage of
petroleum product into a tributary stream of the Ottau-
quechee River. One is near the opening of the “French
Drain”, which is on the north-westerly corner of the
Woodstock East property. The other point of seepage is
on the west side of Route 4, on property not owned by
Gerrish. (Plaintiff's Exhibit 66.) At these seepage areas
App. 26
GTI has installed “collection boxes” in which both dis-
solved and free-phase hydrocarbons have been collected.
The Insurance Policy
24. The prototype of what Universal calls its Uni-
cover III insurance policy, which is at issue here, was first
approved by the Vermont Department of Banking and
Insurance (VDBI) on May 19, 1980. Attached to the policy
that was then approved was a Vermont State Amendatory
Part (Edition 4-80). (Defendant’s Exhibit A, pp. 289-291.)
25. Gerrish’s Universal Unicover III Motor Vehicle
Dealers policy was issued with the Vermont State Amen-
datory Part attached. (Edition 9-83.) (Plaintiff’s Exhibit 1,
p. 5.)
26. The pertinent coverages in the instant case are
Part 500 Garage-Liability; Part 950 General Liability and
Part 980 Umbrella coverage.
27. INJURY under all these Parts includes: “bodily
injury, sickness, disease, or disability . . . or damage to or
loss of use of tangible property.”
28. The Gerrish 1984-85 Unicover III policy, (like the
1980 prototype), Part 500 Garage Coverage contained the
following exclusionary language:
Exclusions — This insurance does not apply to:
(m) INJURY caused by the dumping, dis-
charge, or escape of irritants, pollutants or con-
taminants. This exclusion does not apply if the
discharge is sudden and accidental;
App. 27
(n) INJURY caused by the discharge, release,
or escape of any petroleum substance into or
upon any body of water or waiter course, regard-
less of the nature of the discharge, release, or
escape (whether accidental or not)
29. Part 950 General Liability Coverage contained
the same exclusionary language, labelled (e) and (f) in
that Part. The Umbrella Part 980 also included the same
provisions, labelled (g) and (h).
30. The Vermont State Amendatory Part of the pol-
icy, as issued, deleted exciusions pertaining to pollution
and contamination for any “AUTO insured by this policy
and licensed or principally garaged in, or used for
GARAGE OPERATIONS in Vermont:
Coverage Part 500-GARAGE INSURANCE: (m)
and (n)
Coverage Part 900-BASIC AUTO INSURANCE:
(8)
Coverage Part 980-UMBRELLA: (g) and (h).”
31. The Vermont State Amendatory Part made no
deletion with respect to pollution from any source other
than an insured automobile, and no deletion of any kind
was made of the pollution exclusionary language con-
tained in the generai liability coverage part.
32. As defendant points out, the original Unicover
III specimen policy was revised numerous times by fil-
ings with the VDBI between the first filing in May, 1980
and the effective date of the Gerrish policy in September,
1984. (Defendant’s Exhibits C-Q.)
App. 28
None of those revisions pertained to the pollution exclu-
sions or the Vermont State Amendatory Part.
33. In addition to the previously referenced pollu-
tion exclusions, the Gerrish policy has two exclusions in
the General Liability Part 950 that are pertinent to the
issue of coverage in this case:
Exclusions — This insurance does not apply to:
(k) INJURY to property owned by, rented or
leased to, used by, or in the care, custody or
control of the INSURED... .
(1) INJURY to premises after YOU transfer
ownership or possession to another, if INJURY
is Caused prior to the transfer.
(Plaintiff’s Exhibit 1.)
34. The Gerrish Universal policy as issued to the
insured was in its pertinent parts, an “Occurrences” pol-
icy, providing coverage only for losses arising from inju-
ries occurring during the policy period. (Plaintiff’s Exhibit
1.)
35. Between its May 2, 1980 initial filing of its Uni-
cover III policy and an April 1, 1985 filing which con-
tained a certain pollution endorsement, (No 322),
Universal itself did not make any filing with the Depart-
ment which altered, amended or deleted the above-refer-
enced exclusionary language.
App. 29
Insurance Services Organization
36. Universal is a member of the Insurance Services
Organization (“ISO”). ISO is an umbrella rating organiza-
tion, which is owned by a number of insurance com-
panies. ISO provides various services to its members and
subscribers including drafting and filing of insurance
forms with state insurance departments, which it can do
on behalf of its member companies if given authority by
the members to do so.
37. Universal has filed ISO Filing Authorization
forms with the VDBI. The latest authorization bears the
effective date of October 1, 1982 and remained effective at
all times pertinent to this litigation. (Plaintiff’s Exhibit 6.)
38. The ISO authorization form gives ISO express
authority to act on Universal’s behalf before the Depart-
ment of Banking and Insurance. The authorization indi
cates that ISO has the authority to file “rates, rules, [and]
forms” in several areas of insurance, including “general
liability” insurance, with the VDBI on behalf of Univer
sal, a “MEMBER or SUBSCRIBER of the INSURANCI
SERVICES OFFICE.”
39. The only exception to this authority, rese:ved by
Universal is in the area of “personal auto” insurance
There is no exception in the ISO Authorization form filed
by Universal pertaining to General liability or pollution
exclusions for any states or Vermont specifically. (Plain
tiff’s Exhibit 6.) (Defendant’s Exhibit DD.)
40. Universal’s ISO Filing Authorization Form
states that “[t]his Filing Authorization shall be deemed
amended to the extent that any filing is made in your
App. 30
office directly by the undersigned company and is incon-
sistent with the filing of said Insurance Services Office.”
The History of the Pollution Exclusion
41. The Vermont Department of Banking and Insur-
ance has changed its position at various times, as to
whether insurance companies may exclude pollution cov-
erage from their general liability policies.
42. From the mid 1970’s through the end of 1982,
the VDBI did not approve policies containing a pollution
exclusion. This was merely Departmental policy; no regu-
lation addressed this issue. Nevertheless, the Department
did not “knowingly approve any form that contained any
pollution exclusion unless a companion mandatory
endorsement deleted that exclusion.” (Feb. 8, 1990 letter
of Paul Candage, Senior Insurance Analyst, VDBI, to
Robert Manchester, Plaintiff’s Exhibit 22.) During that
time, form GL 01 11 (Edition 01-73) was the contamina-
tion or pollution exception endorsement used in Vermont.
43. Late in 1982, ISO filed a pollution liability policy
for use by its members and subscribers, but did so on the
VDBI’s agreement to withdraw form GL 01 11. VDBI
accepted a withdrawal of GL 01 11 as of January 1, 1983.
Hence, the VDBI once again allowed pollution exclusions
because it believed that separate pollution policies were
available in Vermont.
44. Later in 1983, however, VDBI learned that the
pollution liability policy was not widely available and
therefore told ISO that VDBI intended to withdraw
ied
App. 31
approval of the pollution liability policy and to effec-
tively reinstate form GL 01 11 pursuant to Vt. Stat. Ann.
tit. 8, § 3541(c) (1984).
ISO 1984 Filing
45. Negotiations over the pollution coverage issue
between ISO and the VDBI resulted in ISO’s April 30,
1984 filing. This filing provided for a Vermont Pollution
Liability exception Endorsement GL 01 54. (Plaintiff's
Exhibit 9.) The Endorsement deleted the pollution exclu-
sion and provided coverage for sudden and non-sudden
pollution incidents on a modified claims-made basis sub-
ject to an aggregate limit.
46. Under Endorsement GL 01 54, “a claim... shall
be deemed to have been made when written notice of
such claim is received by the insured or by the company,
whichever comes first.”
47. The definition of “property damage” under the
GL 01 54 Endorsement (includes, in part) “physical injury
to or destruction of tangible property .... “
48. In addition to Endorsement GL 01 54, the April
30, 1984 ISO filing provided for two Pollution Exclusion
Endorsements, GL 21 31 and GL 21 32, for cases where
there was a “recognized hazard.” For insureds’ with rec-
ognized pollution hazards, the exclusions would totally
negate pollution coverage ona “risk by risk” basis, if the
insured either purchased a separate pollution liability
policy or the insurer filed an Individual Risk Filing with
VDBI. (Plaintiff's Exhibit 9.)
VEL een
App. 32
49. The April 30, 1984 filing stated that “these
changes are applicable to all policies written on or after
July 1, 1984.” (Emphasis added.) (Plaintiff’s Exhibit 9.)
50. After July 1, 1984, the VDBI allowed the equiva-
lent of GL 01 54 (the ISO form) to be attached to policies
issued in Vermont as long as the pollution exclusions
were deleted. (Paul Candage letter to Robert Manchester,
February 8, 1990, Plaintiff’s Exhibit 22.)
51. At the time ISO made its April 30, 1984 filing,
ISO was authorized to act as Universal's agent by virtue
of the October 1, 1982 filing with VDBI.
52. The VDBI approved ISO’s April 30, 1984 filing
on May 2, 1984.
53. Ina June 4, 1984 Circular, ISO notified all of its
members that the Vermont Contamination and Pollution
Endorsement GL 01 11, which previously deleted the
pollution exclusion in the General Liability Policy, was
withdrawn. Members were informed that a new Vermont
contamination or Pollution Exception Endorsement (GL
01 54) had been developed which provided coverage for
sudden and non-sudden pollution incidents on a claims-
made basis subject to an aggregate limit.
54. The Circular stated that these changes were
applicable to all policies written on or after July 1, 1984
and that GL 01 54 “must be attached to all policies provid-
ing general liability coverage in Vermont unless the cov-
erage is specifically excluded.” (ISO June 4, 1984 Circular,
p. 2, Plaintiff’s Exhibit 7.)
55. Universal received a copy of the ISO Circular on
July 9, 1984. (Plaintiff’s Exhibit 11.)
App. 33
56. On an interoffice memorandum dated August 9,
1984, in reaction to the June 4, 1984 ISO Circular, Bob
Oakes, a Universal Vice President, wrote, “we have no
choice — these endorsements are MANDATORY. Also, we
can’t delete them or charge for the coverage without the
Insured’s permission .... How do you propose we get
around this?” (Written notes between Al Birch and Bob
Oakes on Plaintiff’s Exhibit 11, p.7.)
57. The ISO Circular notified its members that Uni-
versal had to contact the Department before July 1, 1984 if
Universal wanted to either have a different effective date
or decided not to use the ISO endorsement form. Mem-
bers of ISO were not required to file anything with the
VDBI to use the new forms and effective date. Universal
did not notify VDBI regarding a different effective date or
any desire not to use the iSO form.
598. Universal made no contact or filing with VDBI
between the time of its receipt of the ISO Circular and the
time of plaintiff’s receipt of the State’s Pollution Claim on
May 6, 1985, pertaining to pollution coverage, except for
an April 1, 1985 filing.
Universal’s 1985 Filing
59. On April 1, 1985, Universal submitted to the
VDBI a proposed form of endorsement for its two Uni-
cover III policies (Motor Vehicle Dealers and Automotive
Parts Dealers). This filing is the first filing by Universal
itself pertaining to pollution exclusions since the original
filing of the prototype Unicover policy in May, 1980. The
endorsements, Nos. 322 (Auto, Truck and Motorcycle
TT
App. 34
Dealers) and 322P (Parts Dealers) would provide cover-
age for “sudden and non-sudden pollution incidents on a
claims-made basis.”
60. The claims-made provision of Endorsement 322
would change the policy from an occurrence type policy
to a claims-made policy. In other words, the “occurrence”
provisions of the policy covered incidents occurring dur-
ing the policy period regardless of when the claim was
made. Under the new endorsement, “[a]ny claim shall be
deemed to have been made when written notice of such
claim is received by the INSURED or US, whichever
comes first.”
61. On May 12, 1986, Universal filed Endorsement
No. 400 Pollution Exclusion with VDBI. This endorsement
excluded pollution coverage entirely under any Universal
policy to which it was attached:
This policy shall not apply to any INJURY aris-
ing out of the actual, alleged, or threatened dis-
charge, dispersal, release, or escape of
pollutants; or to any loss costs or expense aris-
ing out of any governmental direction or request
to monitor, clean up, remove, contain, treat,
detoxify, or neutralize pollutants.
(Plaintiff’s Exhibit 5, p. 756.) The VDBI initially disap-
proved Endorsement 400 on June 27, 1986, stating that
VDBI “did not allow the Pollution Hazard to be routinely
excluded. Pollution coverage must be provided unless
excluded by means of an Individual Risk filing submitted
to this Department each time it is attached to a policy.”
(Defendant’s Exhibit S, p. 740.)
App. 35
62. In response to the Department’s disapproval,
Universal drafted Endorsement 402, which was the same
as Endorsement 400 except for the addition of a place for
the insured’s acknowledgement. Universal assumed that
if the insured signed and Universal filed the endorsement
with VDBI, such an Endorsement would meet the
requirements of an Individual Risk filing. (Defendant's
Exhibit S, p. 739.)
63. On September 23, 1986, the VDBI disapproved
Endorsement 402 even with the space for the insured
acknowledgement. The VDBI explained that it needed
Universal’s agreement that the endorsement would “not
be attached to every policy, even with the insured’s signa-
ture. It may be used only when there is a recognized
exposure which must be described to this Department.”
(Defendant’s Exhibit S, p. 738.)
64. On October 13, 1986, Universal explained to the
VDBI that virtually all of their accounts had some “recog-
nized pollution exposure” as most had underground fuel
tanks and therefore, Universal was in a position of having
to exclude coverage. (Defendant’s Exhibit S, p. 742.)
65. On November 5, 1986, the VDBI approved
Endorsement 402 provided that whenever the pollution
hazard is excluded, an Individual Risk filing must be
made with the Department. Underneath the form, Ed
Mason (a Vice President of Universal) made a notation on
November 13, 1986, that says “[t]his means we send a
copy of the 402 signed by the Insured to the Vt. Insurance
Dept.” (Defendant’s Exhibit S, p. 734.)
App. 36
CONCLUSIONS OF LAW, OPINION AND ORDER
This is a declaratory judgment action in which plain-
tiff, Gerrish Corporation, seeks a declaration that a lia-
bility insurance policy issued by defendant, Universal
Underwriters Insurance Company, provides coverage for
a petroleum pollution clean-up claim asserted against
plaintiff by the State of Vermont on May 2, 1985. Defen-
dant opposes plaintiff’s petition and requests a declara-
tion that the policy does not Provide coverage for
plaintiff’s claims.
The underlying facts are that plaintiff owned prop-
erty in Woodstock, Vermont, which contained gasoline
Storage tanks used in connection with a retail gasoline
sales operation. Certain plumbing associated with those
tanks leaked petroleum products in 1972, or 1973, which
petroleum has migrated since that time off plaintiff's
Property to at least one adjacent property. Petroleum
contamination is also bleeding into a stream, which is a
tributary of the Ottauquechee River.
In May of 1985, the State of Vermont through its
Agency of Environmental Conservation, notified plaintiff
that the Agency had determined that a petroleum product
emanating from plaintiff’s proper.y is entering a natural
drainage stream, which empties into the Ottauquechee
River. The State also expressed its intention to investigate
and mitigate the situation and seek to recover the costs
from responsible parties. At the same time, the State
offered plaintiff the opportunity as a potentially respons-
ible party to take its own steps toward investigation and
mitigation.
lh
App. 37
Plaintiff received the notification on May 6, 1985 and
on June 11, 1985 transmitted its demand to defendant that
it should take responsibility for all costs of monitoring
and cleaning up the contamination under the terms of the
insurance policy at issue in this case, which policy was in
effect at the time the claim was made.
Defendant originally investigated the claim under a
reservation of rights and eventually denied coverage alto-
gether, claiming that the policy provided no coverage for
this type of contamination because of the application of
various exclusions in the policy.
Plaintiff acknowledges that the policy as issued con-
tained certain exclusionary language, but contends that:
(a) the exclusions do not apply to the injury which
occurred in this case, or (b) that the exclusions have been
deleted by an amendment to the policy, which was effec-
tive July 1 of 1984, or (c) that an amendment to the policy
occurred in May of 1985, which provides coverage for
plaintiff’s claim.
This Court rejects plaintiff’s contention (a) and holds
that the language of the policy as issued excluded cover-
age. There is no need to reach plaintiff’s contention (c) in
view of the Court’s holding with regard to contention (b),
which is, that an amendment to the policy did occur on
July Ist of 1984, which amendment applies to the policy
which issued in September, 1984, and which provides
coverage for the precise claim made by plaintiff in this
Case.
This Court has diversity jurisdiction over this declar
atory judgment action Pursuant to 28 U.S.C.A.
§ 1332(a)(1) (West Supp. 1990).
een ennai,
App. 38
We will first discuss defendant’s view that there are
general exclusions in the policy which defeat coverage
regardless of the existence or non-existence of specific
pollution exclusions.
Universai contends, in part, that coverage under the
policy is excluded by exclusions (1) and (k) in the general
liability coverage part.
Exclusion (l) provides that there is no coverage for:
“INJURY to premises after YOU transfer ownership or
possession to another, if INJURY is caused prior to the
transfer.” In fact, although Gerrish leased to another
entity at one point, it immediately leased back and has
maintained ownership, possession and control of the
property from which the pollution emanates throughout
the time when the pollution occurred and through the
time when the claim arose during the policy period.
Accordingly, exclusion (l) under the General Liability
Coverage Part 950 is inapplicable.
Exclusion (k) negates coverage for “INJURY to prop-
erty owned by, rented or leased to, used by, or in the care,
custody or control of the INSURED ....” Defendant
urges that this exclusion applies because the contamina-
tion in this case originates on plaintiff’s property and
constitutes damage to that property.
Vermont law provides that policy terms in an insur-
ance contract should be interpreted consistent with the
purpose of providing coverage, therefore, limitations and
exclusions should be strictly construed. City of Burlington
v. Glens Falls Ins. Co., 133 Vt. 423, 424, 340 A.2d 89, 90
(1975).
ee
App. 39
In this case, the “Injury” (damage to property) from
pollution includes not only damage to the Gerrish prop-
erty, but also includes potential damage to adjacent land-
owners including the Marble Bank and present damage to
a stream, which runs to the Ottauquechee. We hold that
the claim giving rise to this case encompasses injury to
property not owned by the plaintiff. Exclusion (k)
excludes injury to property owned by the insured. It
might be necessary to do remedial work on the insured’s
property in order to stop injury to the property of others.
The cost of such on premises remedial work, as well as
any off premises remediation, is not excluded by the
language of exclusion (k).
puag
The State of Vermont has the authority to regulate
pollution contamination of groundwater and the water-
ways and can recover clean-up costs. Vt. Stat. Ann. tit. 10,
§§ 1283, 1390-1410 (Supp. 1990).
Defendant contends that clean-up costs or “response
costs” in response to State Agency action under Title 10,
Section 1283 of the Vermont Statutes are not “damages”
under the policy. In the beginning of the General Liability
Coverage Part, the policy states that the Insurer “will pay
all sums the INSURED legally must pay as dam-
ages .. . because of INJURY.” The policy also provides
that Universal has a “duty to defend any suit asking for
these damages.” The question is whether clean-up costs
constitute legal damages or are remedial and restorative
and therefore only equitable in nature. This Court finds
that clean-up costs constitute damages within the mean-
ing of the policy. Legal authority on this issue is split and
5 & I
eT
App. 40
there are no Vermont cases on the issue. However, par-
ticularly in light of Avondale Indus. Inc. v. Travelers Indem.
Co., 887 F.2d 1200 (2d Cir. 1989), cert. denied, 110 S. Ct.
2588 (1990) (New York law), this Court believes that the
Vermont Supreme Court would find that pollution clean-
up costs are damages under the policy in this case, and
we so hold.
In Avondale, Avondale Industries was sued by neigh-
boring property owners for personal injury and property
damage caused by pollutants (petroleum products and
chemical compounds), emanating from a dump site in
Louisiana. Avondale’s insurance policy had similar pollu-
tion exclusions to plaintiff’s policy. Avondale was sued
' Cases holding that environmental clean-up costs or
response costs are covered under a general liability policy
include: Ray Indus. Inc. v. Liberty Mut. Ins. Co., 728 F. Supp.
1310, 1314 (E.D. Mich. 1989); Federal Ins. Co. v. Susquehanna
Broadcasting Co., 727 F. Supp. 169, 174 (M.D. Pa. 1989), order
amended by, 738 F. Supp. 896 (M.D. Pa. 1990); National Indem.
Co. v. United States Pollution Control Inc., 717 F. Supp. 765,
766-67 (W.D.Okla. 1989); Intel Corp. v. Hartford Accident and
Indem. Co., 692 F. Supp. 1171, 1186-93 (N.D. Cal. 1988); New
Castle County v. Hartford Accident and Indem. Co., 673 F. Supp.
1359, 1365-66 (D. Del. 1987); Township of Gloucester v. Maryland
Casaulty [sic] Co., 668 F. Supp. 394, 398-400 (D.N.J. 1987). Cases
finding clean-up or response costs are not covered damages
include: Maryland Casualty Co. v. Armco Inc., 822 F.2d 1348,
1352-54 (4th Cir. 1987), cert. denied, 484 U.S. 1008 (1988) (Mary-
land law); Cincinnati Ins. Co. v. Milliken and Co., 857 F.2d 979,
980-81 (4th Cir. 1988) (South Carolina law); Mraz v. Canadian
Universal Ins. Co., 804 F.2d 1325 (4th Cir. 1986) (Response costs
are not property damages under CERCLA); United States Fidel-
ity & Guar. Co. v. Morrison Grain Co., 734 F. Supp. 437, 449-50)
(D. Kan. 1990); Verlan, Ltd. v. John L. Armitage & Co., 695 F.
Supp. 950, 954-55 (N.D. III. 1988).
App. 41
by private individuals near the dump site and received a
“demand” letter from the Louisiana State Department of
Environmental Quality demanding that Avondale submit
a plan for remedial action at the site and informing
Avondale that it was a potentially responsible party.
The Second Circuit found that the insurer was
obliged to defend Avondale in private litigation and in
the public administrative proceeding. The Court also held
that “damages” included “remedial costs that may be
imposed on Avondale by the State of Louisiana.” 887 F.2d
at 1207. The Court expressed concern with public interest
and the prompt cleanup of the hazardous waste and
mentioned a report that found that private remedial
effort was quicker and less expensive than a government
sponsored program. Id. at 1206.
Furthermore, the Vermont Supreme Court has found
that in a property damage case: “[I]f the injury is tempor-
ary in the sense that restoration can cure the harm, the
reasonable cost of repair may serve the need and provide
adequate and fair compensation.” Bean v. Sears, Roebuck &
Company, 129 Vt. 278, 282, 276 A.2d 613, 616 (1971). Bean
involved a suit where plaintiffs sued defendant for faulty
installation of an oil furnace which resulted in pollution
of the water supply on plaintiff’s farm.
Under Vermont law, language in an insurance policy °
must be given its plain and ordinary meaning. Kusserow v.
Blue Cross-Blue Shield Plan of N.H.-Vt., 140 Vt. 328, 333,
437 A.2d 1114, 1117 (1981). Black’s Law Dictionary (5th
ed. 1979) defines “damage” as
Loss, injury, or deterioration, caused by the neg-
ligence, design, or accident of one person to
a
App. 42
another, in respect of the latter’s person or prop-
erty. The word is to be distinguished from its
plural, “damages”, which means a compensa-
tion in money for a loss or damage.
The policy defines “INJURY” as “damage to... tangible
property.” Environmental contamination is an injury or
damage to tangible property and the monetary damages
(clean-up costs) that flow from that property damage are
recoverable as damages Gerrish legally must pay.
Even if this Court were to determine that the term
“property damage” becomes ambiguous when consider-
ing environmental contamination, (which it does not),
ambiguities in an insurance contract must be construed in
favor of the insured. Sanders v. St. Paul Mercury Ins. Co.,
148 Vt. 496, 500, 536 A.2d 914, 916 (1987). (“Ambiguity in
policy language should be resolved in favor of the
insured since the insurer is in a far better position to
avoid latent ambiguity in the text of the policy.”) (citing
Town of Troy v. American Fidelity Co., 120 Vt. 410, 417, 143
A.2d 469, 474 (1958).
We now turn to what we have earlier called plain-
tiff’s contention (a), that is, that the language of the
policy as it was originally issued provided coverage.
/ The Universal policy as it issued to plaintiff effective
September 1, 1984 contained exclusions attached to both
the garage coverage (Part 500) and the general liability
coverage (Part 950) stating that the insurance in each of
those parts did not apply to:
INJURY caused by the dumping, discharge, or
escape of irritants, pollutants, or contaminants.
App. 43
This exclusion does not apply if the discharge is
sudden and accidental; .. .
INJURY caused by the discharge, release, or
escape of any petroleum substance into or upon
any body of water or water course, regardless of
the nature of the discharge, release, or escape
(whether accidental or not)... .
There is a developing body of law concerning the
meaning of “sudden and accidental” in this type of case
(See, 7A J. Appelman, Insurance Law and Practice
§ 4499.05) (Berdal ed. 1979 & Supp. 1990). However, we
need not address that issue since the exclusion barring
recovery for injury caused by a discharge “into or upon
any body of water or water course” applies in this
instance. The very reason for this claim is the escape of a
petroleum substance into a tributary of the Ottauquechee
River. Accordingly, we hold that the policy as initially
issued excluded coverage on that basis.
The crux of the dispute in this case, however, is
whether the policy as written controls plaintiff’s claim, or
whether instead an amendment to the policy existed
which provided coverage at the time the claim was made.
To resolve this dispute, we must first look at the April 30,
1984 filing by Insurance Services Organization (ISO) to
determine whether it impacts the Gerrish policy.
At the time of the April 30. 1984 filing, ISO was
authorized to act as Universal’s agent by the October 1,
1982 filing with VDBI. ISO had the authority to act on
behalf of its member insurers under Vermont law. Vt
Stat. Ann. tit. 8, § 3541(a) (1984). (“[T]he filing required
by this subsection may be made by rating organizations
App. 44
on behalf of its members and subscribers; but this provi-
sion shall not be deemed to prohibit any such member or
subscriber from filing any such forms on its own behalf.”)
(See also VDBI Regulation V-(D), Plaintiff’s Exhibit 50, p.
2.)
The April 30, 1984 filing by ISO was applicable to
policies written on or after July 1, 1984 and, quite clearly,
was intended to delete any pollution exclusions and pro-
vide coverage for both sudden and non-sudden pollution
incidents, in all policies to which the filing applied, on a
claims-made basis. In other words, if the ISO filing
applied to policies written by Universal on or after July 1,
1984, it would provide pollution coverage to any claims
arising during the policy period for which the Company
received a notice of claim. In this case, since the plain-
tiff’s policy period was September 1, 1984 to September 1,
1985 and the claim arose in May of 1985, with notice
given to the Company in June of 1985, pollution coverage
exists if the ISO amendment is applicable to the Universal
policy.
Universal contends in this litigation that the ISO
filing is not applicable to its policy for the reasons that:
(1) the Gerrish policy is part of what the Company char-
acterizes as its Unicover III Program, which it maintains
is independent of anything that ISO may have done and
was, therefore, immune from any impact of the April 30th
filing; (2) the ISO filing could not apply becaure the
language of that filing would be ambiguous if one
attempted to incorporate it into the Unicover III policy (it
does not fit the “structure” of the policy); (3) it had no
actual knowledge of the VDBI policy prohibiting pollu-
tion exclusions at that time and no knowledge of the ISO
App. 45
filing; and (4) VDBI had no power to implement such a
policy without doing so through the Administrative Pro-
cedures Act requiring notice and comment by insurers.
Addressing each of defendant’s arguments in order, we
rule as follows.
Universal certainly could have isolated its Unicover
III policy from the impact of any ISO filings by notifying
the VDBI that it was doing so. In fact, VDBI Regulation
81-03, Section XII provides that:
[A]ny insurer not electing to adopt a rating
organization filing shall be considered as having
adopted an independent filing on its own; and
is, thereafter, individually subject to Vermont’s
Statutory and regulatory filing requirements.
Furthermore, such an insurer must inform the
Department in writing that its filing authorization
with the rating organization has been so
changed.
(Plaintiff’s Exhibit 50, p.10 (emphasis added).)
Also, VDBI Regulation 81-03, Section VIII provides
for “Exception” filings and states that an insurer who has
authorized a rating organization to file on its behalf “may
submit exceptions to that filing authorization for Depart-
mental consideration in connection with any insurance
program, rule, rate(s), policy, form and/or line of insur-
Sa (Plaintiff's Exhibit 50, p. 7.)
Further, Universal could have indicated on its ISO
filing authorization form that it reserved an exception to
the filing authorization covering the Unicover III policy,
or the entire Unicover Program much as it did except
from the authorization any coverages concerning per-
sonal auto. (Plaintiff’s Exhibit 6.) Furthermore, Title 8,
App. 46
Section 3451(a) of the Vermont Statutes specifically
reserved the right to Universal (and all other insurers) to
modify, amend, withdraw or otherwise limit the author-
ity, which it granted to ISO. Universal did none of these
things. Universal seems to contend, however, that the
VDBI should have concluded that its Unicover III policy
was not to be amended by ISO filings because Universal
itself had historically done independent filings in connec-
tion with the Unicover policy. Universal’s position would
impose an obligation on the Department to somehow
limit the authority of ISO on the basis of an historical
practice, which the Department should have guessed at
in the face of the clear written authority which existed for
ISO to make filings on behalf of its members and speci-
fically on behalf of Universal except with regard to per-
sonal auto insurance. This is simply not a sound position
for the Company to take.
Universal’s second contention is that the 1984 ISO
‘filing could not apply because to do so would create
ambiguities. In fact, there was no ambiguity in the lan-
guage of the ISO filing, which stated: “On behalf of our
member and subscriber companies, we hereby enclose the
captioned revision. (Note there is no reservation with
regard to any member.) And later “these changes are
applicable to all policies written on or after July 1, 1984.”
(Once again, no reservation as to the policies to which
coverage would apply.) Further, on a page headed “Con-
tamination or pollution exception (Vermont),” the filing pro-
vides: “It is agreed that the exclusion relating to the
discharge, dispersal, release or escape of smoke, vapors,
soot, fumes, acids, alkalis, toxic chemicals, liquids or
gases, waste materials or other irritants, contaminants or
App. 47
pollutants is deleted.” Later, on a page referring to gen-
eral liability coverage, the following language appears:
CONTAMINATION OR POLLUTANTS EXCEP-
TION ENDORSEMENT GL 01 54
Attach Contamination or Poliution Exception
Endorsement GL 01 54 to all policies issued in
Vermont providing general liability coverage.
This endorsement affords coverage for sudden
and non-sudden pollution incidents on a claims-
made basis, subject to an aggregate limit... .
This endorsement is to be attached without
charge unless written application for a charge,
with the consent of the insured is made to the
Commissioner pursuant to the requirements of
the Vermont Statutes.
The filing and the endorsement language are clear
and unambiguous and could certainly have been attached
to the Universal Unicover III policy as an endorsement,
which would eliminate the pollution exclusion provisions
contained in the general liability part of that policy.
There is, however, reference in the ISO filing to
amendments to provisions entitled “Coverage A-Bodily
Injury Liability” and “Coverage B-Property Damage Lia-
bility”. Those coverages (A and B) did not exist in the
Unicover III policy at the time, suggesting to Universal
that at least that part of the filing could not apply to its
policy and would have been rejected by VDBI, if filed by
Universal.
That may be, however, the filing was not by Univer-
sal. It was by Universal’s agent “on behalf of our [ISO’s]
member and subscriber companies .. . ” to be “applicable
to all policies written on or after July 1, 1984.” (Plaintiff’s
Ee
App. 48
Exhibit 9, ISO 1984 filing.) Universal, of course, is bound
by the acts of its express agent done in furtherance of the
agency. Young v. Lamson, 121 Vt. 474, 476, 160 A.2d 873,
875 (1960); see also Costa v. Volkswagen of Am., 150 Vt. 213,
215 n.1, 551 A.2d 1196, 1197 n.1 (1988), overruled on other
grounds, Gochey v. Bombardier, Inc., 572 A.2d 921 (Vt. 1990);
Restatement (Second) of Agency § 140 comment a (1958)
(“principal is subject to liability upon a transaction con-
ducted by [it’s] agent”). Whatever ambiguities may have
been created by Universal’s agent certainly can not be
applied to the detriment of Universal’s insured. In any
event with regard to the general liability section of the
policy, there was no ambiguity whatsoever.
Universal also contends that the language of
endorsement GL 01 54, if applicable would only delete
exclusion (e) of the policy (injury caused by dumping
pollutants) and not exclusion (f) of the policy (release of
petroleum substances into streams). We are at a loss to
determine why this should be the case. The language of
the filing says that “the exclusion relating to the dis-
charge . . . of liquids or gases, . . . contaminants or
pollutants is deleted.” The endorsement applies with
equal impact to both exclusions.
Universal’s third argument is that it had no knowl-
edge of the VDBI policy, which during the time period
from July 1, 1984 until the present, required pollution
coverage in all policies either by deleting exclusions, or
attaching the equivalent of the ISO form GL 01 54 provid-
ing pollution coverage on a modified claims-made basis
except in individual risk or “risk by risk” situations.
(Plaintiff’s Exhibit 22.) Universal also contends that it had
no knowledge of the ISO April 30, 1984 filing.
————————
App. 49
In fact, it is abundantly clear that ISO was well aware
of the VDBI policy regarding pollution exclusions. In fact,
during the late 1983 and early 1984 time period, ISO
engaged in extensive negotiations with VDBI over that
very issue, ultimately resulting in the April 30, 1984
filing. For purposes of dealing with VDBI, ISO had an
agency relationship with Universal. Accordingly, even if
Universal had no actual knowledge of the Department
policy, it is charged with constructive knowledge of the
information, which was known to ISO. See Estate of Saw-
yer v. Crowell, 151 Vt. 287, 291, 559 A.2d 687, 690 (1989);
Solomon v. Design Dev., Inc., 143 Vt. 128, 131, 465 A.2d 234,
236 (1983).
Any contention that Universal was unaware of the
iSO action has even less merit. Plaintiff’s exhibit 11 is a
circular dated June 28, 1984 sent by ISO io Universal
clearly disclosing the filing and all of its particulars along
with various Universal documents reacting to the infor-
mation. The circular
announced the approval of Vermont contamina-
tion cr pollution exception endorsement GL 01
94. This endorsement provides coverage for
sudden and non-sudden pollution incidents on
a claims-made basis subject to an aggregate
limit.
The circular also indicates “that these changes were
applicable to all [emphasis added] policies written on or
after July 1, 1984.” It goes on to state that:
If you have authorized us to file on your behalf
and decide:
App. 50
not to use this revision, you should notify the
Vermont Insurance Department prior to our
effective date [which is July 1, 1984).
An inter-office memorandum from Ed Mason (Vice
President of Universal) dated August 9, 1984 notifies Bob
Oakes (another Universal Vice President) that:
[a]s I read this they [referring to ISO] are requir-
ing an endorsement providing coverage for
“sudden and non-sudden pollution incidents on
a claims-made basis subject to an aggregate
limit.” |
(Plaintiff’s Exhibit 11, p. 7.) Al Birch of Universal, in a
handwritten note to Bob Oakes and Ed Mason on the
same memorandum, expressed his wish not to convert to
claims-made coverage because “[i]t would be inconsistent
with GL & represents some negative future implications.”
Mr. Oakes’ handwritten reply was: “Al — we have no
choice — these endorsements are MANDATORY. Also, we
can’t delete them or charge for the coverage without the
insured’s permission. We’re even required to write it on a |
claims first made basis. How do you propose to get
around this?”
Despite the circular, Universal did not “notify the
Vermont Insurance Department prior to [or after the]
effective date that it had decided not to use the revision”.
This Court holds that the provisions of the April, 1984
ISO filing and specifically endorsement GL 01 54 became
a part of all Universal policies issued in Vermont after
July 1, 1984 until June 21, 1985, when Universal’s Uni-
cover III Endorsement 322 was approved by VDBI.
a
App. 51
The coverage provided by the April 30, 1984 filing
became a part of the coverage provided to Gerrish even
though the language was not included in the policy as
issued by virtue of Title 8, Section 3541 of the Vermont
Statutes and the CONFORMING TO LAW provision of
the policy. Section 3541 prohibits issuance of a policy in
Vermont, until the form has been approved by the Com-
missioner. Upon approval, the ISO endorsement deleted
the pollution exclusion language in Universal’s General
Liability coverage. In order to conform to law then, the
policy provided coverage by deletion of the exclusions.
As a matter of law, Universal was required to provide the
coverage once the ISO filing had been approved as to all
general liability policies issued in Vermont after July 1,
1984.
Defendant also contends that any obligation, which it
might have to provide pollution coverage in this case,
arose as a result of an unauthorized or ultra vires policy of
the Vermont Department of Banking and Insurance. Uni-
versal contends that VDBI had no authority under the
statutory scheme existing in Vermont, to impose a depart-
mental policy such as existed in this case, namely, that at
various periods of time the VDBI would not approve
policies which did not provide pollution coverage, or
which excluded such coverage in all instances. Since the
Department did not go through the procedures set out in
the Vermont Administrative Procedures Act for the adop-
tion of Regulations, it is contended that no authority
existed. This position on the part of Universal ignores the
natural impact of the authority the Department did have
under Title 8, Section 3541 of the Vermont Statutes, which
gives the Commissioner of Banking and Insurance the
a,
App. 52
authority to either approve, or disapprove forms of cov-
erage which are to be sold to insureds in the State of
Vermont. If the Department decides as a matter of policy
that it will not approve certain types of coverage, or
exclusions (for example policies containing pollution
exclusions), it need not wait for filings and reject them on
a policy by policy basis. As a practical matter, the sensible
approach, and the approach that the Department took in
this case, was to let it be known what it intended to do
with regard to filings pertaining to pollution coverage so
that the insurance industry could react and negotiate
with the Department as to the type of form which would
be approved for use in Vermont.
In any event, the argument that this action was ultra
vires is of no avail to defendant in this case. Universal's
agent (ISO) voluntarily negotiated with the Department
and ultimately decided to file endorsement GL 54 01,
which provided pollution coverage in general liability
policies. Since ISO chose to take that approach and Uni-
versal is bound by ISO’s actions on its behalf, Universal’s
suggestion that the Department acted outside of its
authority is of no avail. A challenge to the Department's
authority was available to defendant, or to ISO,-prior to
ISO’s filing. In fact, a statutory hearing process was avail-
able for that purpose, but not at this late date.2
Having determined that ISO’s April, 1984 filing pro-
vided pollution coverage to plaintiff, it is not necessary
for the Court to rule on plaintiff’s argument that Univer-
sal’s 1985 amendment to the Unicover III policy provides
2 Vt. Stat. Ann. tit. 8, §§ 3541(b), (c) (1984)
App. 53
coverage for this claim. Therefore, we make no ruling in
that regard.
On the basis of the foregoing opinion, the Court
issues the following ORDER:
The language of endorsement GL 01 54 is incorpo-
rated into the general liability section of Universal
Underwriters Insurance Company policy number
428584D issued to the plaintiff Gerrish Corporation. The
provisions of that endorsement afford coverage under the
policy for the claim made by plaintiff in June of 1985 in
response to the Vermont Agency of Environmental Con-
versation [sic] communication to Kirk Gerrish dated May
2, 1985. The property damage coverage referred to in
endorsement GL 01 54 and the “INJURY” to property
Provisions in the general liability insurance coverage part
of the Universal policy cover the clean-up costs asserted
by the Vermont Agency of Environmental Conservation
as well as the costs of investigation and defense of that
claim. Any environmental harm to the State’s waterways,
which has arisen, or may arise out of this claim, consti-
tute “damage to or loss of use of tangible property”
under the policy. Coverage is provided for Gerrish under
both the general liability part 950 and the umbrella part
750 of the Universal policy
Dated at Burlington in the District of Vermont, this
4th day of December. 1990
S/ Fred | Parker
Fred |. Parker
District Judge
App. 54
UNITED STATES DISTRICT COURT
FOR THE
DISTRICT OF VERMONT
GERRISH CORPORATION, et al,
Woodstock East : Civil Action
y ~ -L j
Woodstock, Vermont File No. 89-19
Plaintiff | (Filed
V. Dec. 7, 1990)
Universal Underwriters | (Received
Insurance Company Dec. 11, 1990)
Kansas City, Missouri
Defendant.
ERRATA ON OPINION AND ORDER
FILED DECEMBER 5, 1990
Page 34, line 8 - delete “Conversation” and insert “Con-
servation” in place thereof.
Dated at Burlington in the District of Vermont, this
7th day of December, 1990.
/s/ Fred |. Parker
District Judge
App. 55
| United States District Court
DISTRICT OF VERMONT
GERRISH CORPORATION, et al JUDGMENT
Woodstock East INA
Woodstock, Vermont CIVIL CASE
V. (Filed
UNIVERSAL UNDERWRITERS Dec. 6, 1990)
INSURANCE CoO., (Received
Kansas City, Missouri Dec. 7, 1990)
CASE
NUMBER:
89-19
_ Jury Verdict. This action came before the Court for a
trial by jury. The issues have been tried and the jury
has rendered its verdict.
X Decision by Court. This action came to trial or hearing
before the Court. The issues have been tried or heard
and a decision has been rendered.
IT IS ORDERED AND ADJUDGED
The language of endorsement GL 01 54 is incorporated
into the general liability section of Universal Underwri-
ters Insurance Company policy number 428584D issued
to the plaintiff Gerrish Corporation. The provisions of
that endorsement afford coverage under the policy for
the claim made by plaintiff in June of 1985 in response to
the Vermont Agency of Environmental Conservation
communication to Kirk Gerrish dated May 2, 1985. The
property damage coverage referred to in endorsement GL
01 54 and the “INJURY” to property provisions in the
general liability insurance coverage part of the Universal
App. 56
policy cover the clean-up costs asserted by the Vermont
Agency of Environmental Conservation as well as the
costs of investigation and defense of that claim. Any
environmental harm to the State’s waterways, which has
arisen, Or may arise out of this claim, constitute “damage
to or loss of use of tangible property” under the policy.
Coverage is provided for Gerrish under both the general
liability part 950 and the umbrella part 980 of the Univer-
sal policy.
December 6, 1990 RICHARD PAUL WASKO
Date Clerk
/s/ illegible
(By) Deputy Clerk
App. 57
United States Court of Appeals
FOR THI
Second Circuit
At a stated Term of the United States Court of
Appeals for the Second Circuit, held at the United States
Courthouse in the City of New York, on the 29th day of
November one thousand nine hundred and ninety-one
Present! HON. ELLSWORTH A. VAN GRAAFEILAND,
HON. THOMAS J. MESKILL,
HON. JOSEPH M. MCLAUGHLIN
Circuit Judges,
GERRISH CORPORATION, )
, ' ‘ Docket
doing business as Gerrish Motors, )
; No. 91-7008
doing business as Scrub-a-Dub, )
Plaintiff-Appellee, )
(Received
V Dec. 5, 1991
UNIVERSAL UNDERWRITERS
INSURANCE COMPANY,
Defendani-Appellant.
(ft iled
Nov. 29, 1991)
A petition for a rehearing having been filed herein b\
Defendant-Appeliant, Universal Underwriters Insurance
Company.
App. 58
Upon consideration thereof, it is
Ordered that said petition be and it hereby is
DENIED.
/s/ Elaine B. Goldsmith
Elaine B. Goldsmith
Clerk
App. 59
Supreme Court of the United States
No.
A-602
Gerrish Corporation, doing business as
Gerrish Motors, doing business as
Scrub-a-Dub,
Petitioner
V.
Universal Underwriters Insurance Company
ORDER
sel for the petitioner,
/s/
UPON CONSIDERATION of the application of coun-
IT IS ORDERED that the time for filing a petition for
a writ of certiorari in the above-entitled case, be and the
same is hereby, extended to and included March 29, 1992.
Clarence Thomas
Dated this 20th
day of February, 1992.
Associate Justice of the Supreme
Court of the United States
App. 60
§ 10. [Powers denied the several states]
No State shall enter into any Treaty, Alliance, or
Confederation; grant Letters of Marque and Reprisal; coin
Money; emit Bills of Credit; make any Thing but gold and
silver Coin a Tender in Payment of Debts; pass any Bill of
Attainder, ex post facto Law, or Law impairing the Oblig-
ation of Contracts, or grant any Title of Nobility.
No State shall, without the Consent of the Congress,
lay any Imposts or Duties on Imports or Exports, except
what may be absolutely necessary for executing its
inspection Laws; and the net Produce of all Duties and
Imports, laid by any State on Imports or Exports, shall be
for the Use of the Treasury of the United States; and all
such Laws shall be subject to the Revision and Control of
the Congress.
No State shall, without the Consent of Congress, lay
any Duty of Tonnage, keep Troops, or Ships of War in
time of Peace, enter into any Agreement or Compact with
another State, or with a foreign Power, or engage in War,
unless actually invaded, or in such imminent Danger as
will not admit of delay.
App. 61
AMENDMENT V. [Criminal indictment; double jeop-
ardy; self incrimination; due process; compensation for
taking private property]
No persons shall be held to answer for a capital, or
otherwise infamous crime, unless on a presentment or
indictment of a Grand Jury, except in cases arising in the
land or naval forces, or in the Militia, when in actual
service in time of War or public danger; nor shall any
person be subject for the same offense to be twice put in
jeopardy of life or limb; nor shall be compelled in any
Criminal Case to be a witness against himself, nor be
deprived of life, liberty, or property, without due process
of law; nor shall private property be taken for public use,
without just compensation.
App. 62
AMENDMENT XIV.
§ 1. [Citizens; privileges and immunities; due process;
equal protection]
All persons born or naturalized in the United States,
and subject to the jurisdiction thereof, are citizens of the
United States and of the State wherein they reside. No
State shall make or enforce any law which shall abridge
the privileges or immunities of citizens of the United
States; nor shall any State deprive any person of life,
liberty, or property, without the due process of law; nor
deny to any person within its jurisdiction the equal pro-
tection of the laws.
§ 2. [Representatives apportioned]
Representatives shall be apportioned among the sev-
eral States according to their respective numbers, count-
ing the whole number of persons in each State, excluding
Indians not taxed. But when the right to vote at any
election for the choice of electors for President and Vice
President of the United States, Representatives in Con-
gress, the Executive and Judicial officers of a State, or the
members of the Legislature thereof, is denied to any of
the male inhabitants of such State, being twenty-one
years of age, and citizens of the United States, or in any
way abridged, except for participation in rebellion, or
other crime, the basis of representation therein shall be
reduced in the proportion which the number of such male
citizens shall bear to the whole number of male citizens
twenty-one years of age in such State.
CC ee
App. 63
§ 3. [Rebellion disqualifies from office; removal of
disability]
No person shall be a Senator or Representative in
Congress, or elector of President and Vice President, or
hold any office, civil or military, under the United States,
or under any State, who, having previously taken an
oath, as a member of Congress, or as an officer of the
United States, or as a member of any State legislature, or
as an executive or judicial officer of any State, to support
the Constitution of the United States, shall have engaged
in insurrection or rebellion against the same, or given aid
or comfort to the enemies thereof. But Congress may bya
vote of two-thirds of each House, remove such disability.
§ 4. [Public debt; debts and claims incurred in aid of
rebellion]
The validity of the public debt of the United States,
authorized by law, including debts incurred for payment
of pensions and bounties for services in suppressing
insurrection or rebellion, shall not be questioned. But
neither the United States nor any State shall assume or
pay any debt or obligation incurred in aid of insurrection
or rebellion against the United States, or any claim for the
loss or emancipation of any slave; but all such debts,
obligations and claims shall be held illegal and void.
§ 5. [Enforcement powers]
The Congress shall have power to enforce, by appro-
priate legislation, the provisions of this article.
App. 64
Vermont Statutes Annotated, Title 3, Sect.on 801.
§ 801. Short title and definitions
(a) This chapter may be cited as the “Vermont
Administrative Procedure Act.”
(b) As used in this chapter:
(1) “agency” means a state board, commission,
department, agency, or other entity or officer of state
government, other than the legislature, the courts, the
Commander in Chief and the Military Department,
authorized by law to make rules or to determine con-
tested cases;
(2) “contested case” means a proceeding,
including but not restricted to rate-making and licensing,
in which the legal rights, duties, or privileges of a party
are required by law to be determined by an agency after
an opportunity for hearing;
(3) “license” includes the whole or part of any
agency permit, certificate, approval, registration, charter,
or similar form of permission required by law;
(4) “licensing” includes the agency process
respecting the grant, denial, renewal, revocation, suspen-
sion, annulment, withdrawal, or amendment of a license;
(5) “party” means each person or agency
named or admitted as a party, or properly seeking and
entitled as of right to be admitted as a party;
(6) “person” means any individual, partner-
ship, corporation, association, governmental subdivision,
or public or private organization of any character other
than an agency;
App. 65
A. I don’t believe it was in stopping right there. It
was asked in a variety of ways where other things after
that were asked.
Q. We'll talk about those variety of ways in just a
second, Doctor, but as far as that particular question,
would you agree with me that is a pretty simple question
[p. 1254] pretty simple, Straightforward question, isn’t it,
Doctor?
A. Your question?
Q. Yes.
A. Yes, it is pretty simple, I would Say.
Q. But you didn’t ask that, did you?
A. There were a lot of questions we didn’t ask. We
could go on in finitum. The people spent almost an hour
filling out questionnaires with lots of different questions.
Q. I’m not a social scientist, Doctor, but it seems to
me if you want to find out what the average person in
Our community thinks about that film, whether it is
acceptable or not, you simply ask them —
MR. KLEIN: Your Honor, | object to him mak-
ing a speech. If he wants to ask a question, let him ask a
question instead of making a speech to the jury.
THE COURT: I think we need to ask a question
if you have one.
Q. Do you think that would be an appropriate ques-
tion to ask these people in light of what you know these
jurors have to decide in this case, Doctor?
App. 66
veterans’ memorial cemetery advisory board and for the
fish and wildlife board, the chairman or executive secre-
tary of the board shall be the adopting authority. The
secretary of state shall be the adopting authority for the
office of professional regulation.
(12) “small business” means a business employ-
ing no more than twenty full-time employees.
Vermont Statutes Annotated, Title 3, Section 814.
§ 814. Licenses
(a) When the grant, denial, or renewal of a license is
required to be preceded by notice and opportunity for
hearing, the provisions of this chapter concerning con-
tested cases shall apply.
(b) When a licensee has made timely and sufficient
application for the renewal of a license or a new license
with reference to any activity of a continuing nature, the
existing license does not expire, until the application has
been finally determined by the agency, and, in case the
application is denied or the terms of the new license
limited, until the last day for seeking review of the
agency order or a later date fixed by order of the review-
ing court.
(c) No revocation, suspension, annulment, or with-
drawal of any license is lawful unless, prior to the institu-
tion of agency proceedings, the agency gave notice by
mail to the licensee of facts or conduct which warrant the
intended action, and the licensee was given an oppor-
tunity to show compliance with all lawful requirements
App. 67
for the retention of the license. If the agency finds that
public health, safety, or welfare imperatively requires
emergency action, and incorporates a finding to that
effect in its order, summary suspension of a license may
be ordered pending proceedings for revocation or other
action. These proceedings shall be promptly instituted
and determined.
(d) An agency having jurisdiction to conduct pro-
ceedings and impose sanctions in connection with con-
duct occurring during the time a license is operative shall
not lose jurisdiction if the license is not renewed or is
surrendered or otherwise terminated prior to initiation of
such proceedings.
Vermont Statutes Annotated, Title 3, Section 831.
§ 831. Required policy statements and rules
(a) Where due process or a statute directs or per-
mits an agency to adopt rules, regulations or both, unless
that statute expressly provides to the contrary, it shall be
construed as requiring or permitting the agency to adopt
rules in the manner provided in this chapter.
(b) An agency shall adopt a procedure describing
an existing practice when so requested by an interested
person.
(c) An agency shall initiate rulemaking to adopt as a
rule an existing practice or procedure when so requested
by 25 or more persons or by the legislative committee on
administrative rules.
(d) An agency required to hold hearings on con-
tested cases as required by section 809 of this title shall
App. 68
Q. I understand, but is it or is it not an entirely
different question than the question I am asking?
A. If you want is it acceptable to them, we didn’t
ask that. We asked if it was acceptable to them for other
people to obtain and view it.
Q. Is it the whole purpose of the survey to find out
whether this material is accepted or not accepted in this
community?
A. That’s correct.
Q. Isn’t the easiest way to do is ask if it is accepted
or not accepted to them, them being the community?
A. Weare doing that, but we are doing that, number
one, by asking this question and then by showing them
the material and asking them once again to determine
based on viewing the material.
Q. Let’s look at the question, number nineteen. Is
that the first one that you say is applicable to your
ultimate conclusion concerning this particular film?
A. Yes, it is.
Q. How does that question read, Doctor?
A. “Is it or is it not acceptable to you for adults in
your community to obtain and view such videos and [p.
1262] magazines if they should want to?”
Q. That is a question of toleration, isn’t it, Doctor?
A. No, in my opinion it is a question of accept-
ability.
App. 69
(c) Sections 831(b) and (c) of this title do not require
the attorney general to adopt procedures or rules describ-
ing the content of opinions or other legal advice given to
agencies.
(d) Notwithstanding sections 831(b) and (c), when
an agency receives a request to adopt a procedure or rule,
it may elect to issue a declaratory ruling when it has in
effect a procedure or rule, as requested, wh
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