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Volume 15, Edition 10 cases

Intransit, Inc. v. Travelers Property and Cas. Co. of America

United States District Court,

D. Oregon,

Medford Division.

INTRANSIT, INC., dba UTI Transport Solutions, Inc. an Oregon Corporation, Plaintiff,

v.

TRAVELERS PROPERTY AND CASUALTY COMPANY OF AMERICA, Defendant.

 

No. 1:11–CV–03146–CL.

Oct. 22, 2012.

 

David B. Paradis, Brophy Schmor Brophy, Paradis, Maddox & Weaver, LLP, Medford, OR, for Plaintiff.

 

Lloyd Bernstein, Elizabeth A. Eames, Gordon & Polscer, LLP, Portland, OR, for Defendant.

 

ORDER

CLARKE, United States Magistrate Judge.

*1 This case involves whether an insurer’s liability policy covering loss of property during transit, covers theft by a fraudulent or imposter carrier. Plaintiff Intransit, Inc., dba UTI Transport Solutions, Inc. brought this action to recover its policy limit of $300,000 under a liability insurance policy issued by defendant Travelers Property and Casualty Company of America. Both parties moved for summary judgment. For the reasons stated below, the court after careful scrutiny finds that the policy is ambiguous as to whether theft by fraudulent or imposter carriers is covered and thus construes the policy in plaintiff’s favor. Accordingly, plaintiff’s motion (# 23) is GRANTED, and defendant’s motion (# 20) is DENIED.

 

PROCEDURAL HISTORY

Plaintiff originally filed this action on October 31, 2011, in the Jackson County Circuit Court. Intransit Inc.v, dba UTi Transp. Solutions v. Travelers Prop. & Cas. Co. of Am., Case No. 115398D9. On December 6, 2011, defendant removed the case to federal court, alleging jurisdiction based on diversity of citizenship under 28 USC § 1332. The parties executed written consents to entry of judgment by a magistrate judge (# 9).

 

BACKGROUND

The material facts are not in dispute. Plaintiff is a transportation brokerage company incorporated under the laws of Oregon with its principal place of business in Medford, Oregon. Compl., ¶ 1. Defendant is an insurance company incorporated under the laws of Connecticut with its principal place of business in Connecticut. Notice of Removal, ¶ 5. In October 2010, defendant sold plaintiff inland marine insurance, providing up to $300,000 in coverage for property being transported from one location to another. Decl. of Lloyd Bernstein, Ex. A, pp. 4–12. The policy covered loss of the “property of others … [f]or which [the insured] arranged transportation with a ‘carrier’ of the type described in the Declarations …” Id., pp. 6. The declarations defined “carrier” as any railroad company, motor transportation company, or air freight company. Id., pp. 9. The policy also contained an exclusion and an endorsement relevant to this case. The exclusion barred any coverage for losses resulting from “dishonest or criminal acts” by the insured’s employees, carriers, and others with “interest in, or entrusted with, the property.” Id., pp. 11. The endorsement, however, provided limited coverage up to $50,000 for property losses resulting from dishonest acts by a carrier. Id.

 

On January 21, 2011, plaintiff agreed to broker a load of LCD monitors from the City of Industry, California, to Dinuba, California. Compl., ¶ 5. Following its standard routine regarding brokerage agreements, plaintiff posted the shipment details on various load-posting websites to find a carrier to transport the load. Gabrielle Ervin Depo. Trans., pp. 11–12. In the morning on January 31, 2011, a person representing himself as an employee of C & A Transportation Services, LLC (“C & A”) responded to the posting. Ervin Aff, ¶ 7.FN1 The supposed representative of C & A provided plaintiff with a Certificate of Liability Insurance from “Lavern Insurance Agency” and signed a carrier-broker agreement. Id., ¶ 9. After speaking with a supposed representative of Lavern Insurance, plaintiff approved C & A to transfer the load. Id., ¶ 10–12.

 

FN1. C & A is a legitimate motor transportation company based in San Diego. Pedro Martin Depo. Trans., pp. 7.

 

*2 In the afternoon on January 31, 2011, an individual who represented himself as a driver for C & A picked up the shipment of monitors. Compl., ¶ 7. The load did not arrive in Dinuba, however, and a subsequent criminal investigation revealed that an imposter had posed as a representative of C & A in order to receive authorization to pick up the shipment. Id., ¶ 8–9. Further investigation also revealed Lavern Insurance Agency was not a legitimate company, and that the Certificate of Liability Insurance submitted by the C & A imposter had been falsified. Pedro Martin Depo. Trans., pp 9–10; Nanette Minucci Depo. Trans., pp. 6–8.

 

In February 2011, plaintiff filed a proof of loss with defendant for $310,172, the estimated value of the stolen monitors. Marco Boccato Aff., Ex. 14, pp. 2. Defendant took the position that the fraudulent or imposter carrier was still a “carrier” under the policy and paid the $50,000 limits for dishonest acts by a carrier. Id. Plaintiff disputed defendant’s coverage determination, arguing that the policy fully covered theft by fraudulent or imposter carriers and that it should be awarded $300,000 under the general coverage grant. Plaintiff’s Memo, Ex. 15, pp. 1. In July 2011, defendant issued a letter in response, stating that under the terms of the policy, the imposter was a “carrier” and “entrusted with” the property, thus excluding the loss from general coverage. Boccato Aff., Ex. 15, pp. 1–2. In October 2011, Plaintiff filed the present lawsuit, seeking $300,000, plus interest, fees, and costs. Compl., ¶ 15.

 

SUMMARY

The ultimate issue before the court is whether the parties intended the insurance policy to cover theft by a fraudulent or imposter carrier? Based on the language and context of the policy, the court simply cannot tell. The court finds ambiguity in both the coverage grant and the exclusions sections of the policy that it construes against defendant and in favor of plaintiff.

 

APPLICABLE INSURANCE POLICY PROVISIONS

I. Coverage grant.

The policy in the coverage grant provides as follows:

 

COVERAGE

 

We cover “loss” to Covered Property from any of the Covered Causes of “Loss.”

 

1. Covered Property, as used in this Coverage Form, means property of others:

 

(a) For which you have arranged transportation with a “carrier” of the type described in the Declarations; and

 

(b) That you have agreed to insure.

 

We cover such property while in the due course of transportation.

 

DEFINITIONS

 

1. “Carrier” means any

 

a. Railroad company;

 

b. Motor transportation company; or

 

c. Air freight company.

 

II. Exclusions.

The policy in the exclusion section provides as follows:

 

We will not pay for “loss” caused by or resulting from any of the following:

 

a. Delay, loss of use, loss of market, loss of income, interruption of business or any other consequential loss.

 

b. Dishonest or criminal acts by any of the following whether or not acting alone or in collusion with other persons or occurring during the hours of employment:

 

*3 (1) You, your employees or authorized representatives;

 

(2) The “carrier” or its employees or authorized representatives; or

 

(3) Anyone else with an interest in, or entrusted with, the property. But this exclusion does not apply to coverage provided by the “carrier” Dishonesty Additional Coverage.

 

III. Endorsement.

The endorsement in the exclusion section provides as follows:

 

“Carrier” Dishonesty

 

We will pay up to $50,000 in any one occurrence for loss of or damage to Covered Property caused by or resulting from any fraudulent, dishonest, or criminal act committed by a “carrier.” But this Additional Coverage does not apply to any fraudulent, dishonest, or criminal act committed by you.

 

LEGAL STANDARD

Summary judgment is proper when there is no genuine issue as to any material fact and the moving party is entitled to judgment as a matter of law. Fed.R.Civ.P. 56(a); Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247 (1986). The court cannot weigh the evidence or determine the truth but may only determine whether there is a genuine issue of fact. Playboy Enters., Inc. v. Welles, 279 F.3d 796, 800 (9th Cir.2002). Material facts are those that might affect the outcome of the case. Anderson v. Liberty Lobby Inc., 477 U.S. 242, 248 (1986). A dispute over a material fact is “genuine” if there is sufficient evidence for a reasonable jury to return a verdict for the nonmoving party. Id.

 

ANALYTICAL FRAMEWORK

This case turns on the interpretation of terms in an insurance policy. The interpretation of an insurance policy is a question of law and not of fact.   Hoffman Constr. Co. of Alaska v. Fred S. James & Co., of Or., 313 Or. 464, 469 (1991). Only the four corners of the policy may be used when examining a policy; extrinsic evidence is not admissible as an aid to interpretation.   Ortiz v. State Farm Fire & Cas. Co., 244 Or. App 355, 360 (2011). When interpreting insurance contracts, “[t]he primary and governing rule” is to “ascertain the intention of the parties.” Hoffman, 313 Or. 464 at 469 (quoting Totten v. New York Life Ins. Co., 298 Or. 765, 770 (1985)). To obtain the intent of the parties, the court first looks to the terms and conditions of the policy. Id. If a particular critical term is not defined in the contract and could be construed in different ways, the court follows a series of steps to give the term meaning. Id. If the term’s meaning is still ambiguous after these steps, then the term is construed against the drafter and in the insured’s favor. Id. at 470–471.

 

The first step a court follows to define an unclear term is to identify the term’s “plain meaning.” Id. A dictionary definition may be used to help determine the plain meaning of a term. Id. If the term has a plain meaning, then that meaning is applied and no further analysis is done. Ortiz, 244 Or.App. 355 at 360. If the term is still susceptible to more than one plausible interpretation after this step, however, the court turns to the second step: analyzing the particular context in which the term is used in the policy and the broader context of the policy as a whole. Hoffman, 313 Or. 464 at 470. At this step, the court considers “if and how far one clause is modified, limited, or controlled by others.” Id. (quoting Denton v. Int’l Health & Life, 270 Or. 444, 450 (1974)). Only if multiple plausible interpretations of the term remain after this second step should the term be construed in the insured’s favor. Id. As the court stated in Hoffman, “when two or more competing, plausible interpretations prove to be reasonable after all other methods for resolving the dispute over the meaning of particular words fail, then the rule of interpretation against the drafter of the language becomes applicable, because the ambiguity cannot be permitted to survive.” Id. at 470–471.

 

PARTIES’ ARGUMENTS

*4 In their motions for summary judgment, plaintiff and defendant offer competing interpretations of two terms in the insurance policy: “carrier” and “entrustment.” Defendant argues that the term “carrier” means “legitimate carrier,” and thus the coverage grant only covers property loss when the carrier transporting the load is legitimate. Defendant contends that because plaintiff’s loss was the result of a transportation arrangement with a fraudulent or imposter carrier, plaintiff cannot recover anything under the policy’s general coverage grant. In response, plaintiff contends it “arranged transportation with a carrier” or at a minimum the meaning of “carrier” is ambiguous, and thus should be construed in plaintiff’s favor to include “fraudulent or legitimate carrier” and cover plaintiff’s loss up to $300,000.

 

Defendant argues that even if “carrier” is defined in plaintiff’s favor, the exclusion prohibiting coverage for anyone “with an interest in, or entrusted with, the property” bars any recovery by plaintiff. Defendant argues that property is “entrusted” when property is handed over to another. Because plaintiff handed over the monitor load to a fraudulent or imposter carrier, defendant contends that the fraudulent or imposter carrier was “entrusted” with the property, excluding any coverage for plaintiff’s loss. Plaintiff responds that the term “entrust” requires that the person receiving the property be the person in whom the owner of the property intended to repose confidence. Because it handed over property to a fraudulent or imposter carrier, plaintiff argues that it never “entrusted” the property, and the exclusion section does not apply. As further support for its definition, plaintiff points to cases from other jurisdictions analyzing similar “entrustment exclusions” where imposters acquired property. Though noting that the interpretation of an entrustment exclusion with an imposter is an issue of first impression for Oregon, plaintiff urges the court to follow other jurisdictions’ findings that insurers intending to exclude coverage for theft by fraud, imposters, or trickery have a duty to state so explicitly.

 

Defendant makes the alternative argument that if plaintiff is entitled to any recovery, it is the $50,000 under the “carrier” dishonest acts endorsement that defendant already tendered. Defendant states that if “carrier” is defined as “legitimate or fraudulent carrier” in the coverage grant, “carrier” should be defined similarly in the endorsement. Because the endorsement limits recovery to $50,000 for a fraudulent act committed by a carrier, and defendant tendered this amount to plaintiff in July, defendant argues that its obligations to plaintiff are satisfied. Plaintiff responds that because “carrier” is ambiguous, “carrier” should be construed in plaintiff’s favor throughout the policy-even if the result is that the same term is given different meanings in different parts of the policy. Plaintiff contends that “carrier” means “fraudulent or legitimate carrier” in the coverage grant, but that “carrier” means “legitimate carrier” in the exclusion and endorsement. As a result, plaintiff argues, the endorsement does not apply, and plaintiff should recover the full $300,000 in general coverage.

 

DISCUSSION

I. Coverage Grant.

*5 The court turns first to the question of whether plaintiff’s loss is covered by the policy’s general coverage grant. The coverage grant insures against loss to the property of others “for which [the insured has] arranged transportation with a ‘carrier’ of the type described in the Declarations.” Bernstein Decl., Ex. A, pp. 6. The declarations define “carrier” as any “(a) Railroad company; (b) Motor transportation company; or (c) Air freight company.” The policy does not further define “motor transportation company” and does not provide guidance on whether the definition of “carrier” includes fraudulent or imposter carriers, or is limited to legitimate carriers. Id., pp. 9. Another way to phrase the issue is does the “carrier” have to be licensed or authorized? As will be discussed further below, defendant itself has taken inconsistent positions on the meaning of the term.

 

When a term is not defined in an insurance policy, the court follows the procedure set out above to give the term meaning. First, the court examines the plain meaning of the term. Hoffman, 313 Or. 464 at 469. If the term does not have a plain meaning, the court analyzes the term in relationship to the policy as a whole. Id. If more than one plausible interpretation of the term remains after these two steps, then the term is considered ambiguous and is construed in favor of the insured. Id.

 

Because defining “carrier” as any railroad company, motor transportation company, or air freight company provides no guidance on whether these companies must be legitimate, the court looks to the plain meaning of “carrier.” “Carrier,” as used here, is “an individual, partnership, corporation, or any organization engaged in transporting passengers or goods for hire by land, water, or air.” Webster’s Third New Int’l Dictionary, 243 (unabridged ed.1986). This definition also does not provide clarification on whether “carrier” refers only to legitimate individuals, partnerships, corporations, and other organizations engaged in transportation, or whether the term also includes fraudulent or imposter individuals, partnerships, corporations, and other organizations engaged in transportation. After examining the dictionary definition of the term, the court determines that “carrier” is susceptible to both plaintiff’s and defendant’s interpretations.

 

The court looks next to the context of the policy as a tool to narrow down the interpretation of “carrier.” In this case, analyzing the policy as a whole provides little guidance. Indeed, defendant’s own use of the term demonstrates that “carrier” has multiple reasonable interpretations. In defendant’s July 15, 2011, letter to plaintiff explaining its decision to only cover plaintiff’s loss under the carrier dishonesty endorsement, defendant states “[t]he fact that the shipment was stolen by an Imposter/thief motor carrier does not, under the Policy’s definition, make it any less a ‘carrier.’ The Imposter was a motor carrier, albeit an illegal or criminal one.” Pl. Mot. Summ. J., Ex. 15, pp. 1. In defendant’s June 29, 2012 memorandum in support of its motion for summary judgment, however, defendant states, “the person/entity who obtained possession of the shipment of LCD monitors was an imposter, not a motor transportation company. Therefore, the person/entity that stole the load could not be considered a ‘carrier’ under the Policy’s definition of the term.” Def. Mot. Summ. J., pp. 5. Defendant’s varying definitions of “carrier” demonstrate that it is unclear whether “carrier” refers to fraudulent or imposter carriers. FN2

 

FN2. Plaintiff argues that because defendant initially stated that the imposter carrier was a “carrier,” defendant is barred by estoppel from arguing later that the imposter carrier was not a “carrier” (Pl. Res. to Def. Mot. Summ. J., pp. 3–4). Given the court’s method of resolving this case, the court does not reach the issue of estoppel. The court also notes that plaintiff has taken conflicting positions about the meaning of ‘carrier,” arguing initially that “carrier” should not include imposter carriers (Pl.Mot.Summ. J., pp. 16–17), and later arguing that “carrier” should include imposter carriers (Pl. Res. to Def. Mot. Summ J., pp. 9).

 

*6 Plaintiff argues that the intent of the parties was that the policy is intended to cover theft as long as it is not committed by UTI or its agents, a legitimate carrier or its agents, or a third party that UTI “entrusted” property which did not occur in this case. Plaintiff says it “arranged transportation with a carrier” as provided in the coverage grant even though it turned out to be a fraudulent or imposter carrier. Defendant argues why should this be any different than the property being stolen in transit by an unknown third party that is clearly covered under the policy.

 

Because the term “carrier” remains ambiguous after the above analysis, it is interpreted against the drafter and in favor of the insured. Hoffman, 313 Or. 464 at 469. Accordingly, the term “carrier” in the coverage grant is construed in favor of plaintiff to include fraudulent or imposter carriers, including the fraudulent or imposter representative of C & A. Defendant could have easily clarified the coverage grant by defining “carrier” to only include “authorized,” “legitimate,” or “licensed” carriers. This could have been further clarified in the exclusion section of the policy as discussed below. Interpreting ambiguities against defendant, the court finds that plaintiffs loss is fully covered under the policy’s coverage grant.

 

II. Exclusion and Endorsement.

Having found that the coverage grant applies to plaintiff’s loss, the court turns next to the question of whether recovery for plaintiff’s loss is barred by the policy’s exclusions section, and if so, whether the carrier dishonesty endorsement applies and provides limited coverage. Exclusions (b)(2) and (b)(3) provide:

 

“We will not pay for ‘loss’ caused by or resulting from any of the following …

 

b. Dishonest or Criminal acts by any of the following whether or not acting alone or in collusion with other persons or occurring during working hours of employment:

 

(1) You, your employees or authorized representatives;

 

(2) The “carrier” or its employees or authorized representatives; or

 

(3) Anyone else with interest in, or entrusted with, the property.”

 

The end of the exclusion states, “[b]ut this exclusion does not apply to coverage provided by the ‘Carrier’ Dishonesty Additional Coverage.” The carrier dishonesty endorsement states that defendant will pay up to $50,000 for any one loss resulting from a “fraudulent, dishonest, or criminal act” committed by a carrier.

 

A. Exclusion (b)(2) and Endorsement.

Exclusion (b)(2) prohibits coverage for dishonest or criminal acts by a carrier or a carrier’s employees or representatives. The endorsement provides limited coverage of $50,000 for dishonesty by a carrier. As stated above, the policy does not provide a definition of “carrier” beyond being a railroad company, motor transportation company, or air transit company, and following the steps to interpret the term does not provide assistance. Because the policy is ambiguous as to whether “carrier” refers to only legitimate carriers or also includes fraudulent or imposter carriers, the court interprets the term in favor of the insured. In the exclusion and endorsement, interpreting “carrier” in plaintiff’s favor means that the term is defined narrowly to mean “legitimate carrier.”

 

*7 Defendant contends that if “carrier” is defined in the coverage grant to include fraudulent carriers, the same broad definition of “carrier” should be used in the exclusions and in the endorsement. As a result, defendant argues, the carrier dishonesty additional coverage endorsement would apply to plaintiff’s loss, and plaintiff’s recovery would be limited to the $50,000 previously tendered by defendant. As explained above, however, the policy’s definition of “carrier” is ambiguous, and thus must be construed against defendant and in favor of plaintiff throughout the policy. Hoffman, 313 Or. 464 at 469. Interpreting the term in plaintiff’s favor, “carrier” as used in Exclusion (b)(2) and the endorsement, means “legitimate carrier” and does not include fraudulent carriers. Consequently, neither Exclusion (b)(2) or the endorsement apply to plaintiff’s loss.

 

B. Exclusion (b)(3).

Exclusion (b)(3) prohibits coverage for anyone with an interest in or “entrusted” with the property being transported. “Entrust” is not defined in the insurance policy. As explained above, the court gives undefined terms meaning by looking first for the plain meaning of the term. If the term does not have a plain meaning, it is analyzed in relationship to the policy as a whole. If the term has multiple plausible interpretations after resort to these two steps, then it is construed against the drafter.

 

Defendant argues that the plain meaning of “entrust” is clearly set out in Truck Insurance Exchange v. Bill Olinger Mercury, 262 Or. 8 (1972). Defendant contends that under the plain meaning of “entrust” in Truck Ins., property is entrusted whenever responsibility for the property is handed over to another. Defendant contends that under this definition, plaintiff clearly “entrusted” property, and thus Exclusion (a)(3) bars coverage for plaintiff’s loss.

 

In Truck Ins., the Oregon Supreme Court interpreted an “entrustment exclusion” relating to an insurance policy’s coverage of theft, finding that the exclusion applied to the plaintiff’s loss. Truck Ins., 262 Or. 8 at 14. In that case, the insured, the owner of a car dealership, gave access to its employees during the day by leaving keys in the cars. Id. at 11. An employee stole cars from the dealership, and the court examined a policy excluding losses arising from theft and other dishonest acts committed by any person “entrusted by the insured with custody or possession” of the cars. Id. at 9. Because the policy did not provide a definition of “entrust,” the court adopted the dictionary definition of the term: “to commit or surrender (something) to another with a certain confidence regarding his case, use, or disposal of it.”   Id. at 15 (citing Webster’s New Int’l Dictionary 855 (2nd ed.1961)). The court held that the entrustment exclusion applied to the dealership owner’s loss, because the employee’s responsibility for the keys and for watching over and handling the dealership owner’s merchandise was evidence that the dealer owner had a “certain confidence” in the employee. Id. at 15.

 

*8 While Truck Ins. provides a starting point for analyzing the term “entrustment,” it does not provide an answer as to whether property can be entrusted to a fraud or imposter. The court acknowledges that “entrust” means “to commit or surrender (something) to another with a certain confidence regarding his care, use, or disposal of it,” but finds ambiguity as to whether a person can have a “certain confidence” in an imposter. Truck Ins. involved theft by a known employee, while the case before this court involves theft by a fraudulent or imposter third party. Truck Ins . may have clarified that an employer can “entrust” property to an employee who subsequently steals the property, but it does not provided guidance on whether entrustment requires that the person receiving the property is in the fact the person in whom the owner intended to repose confidence. The court finds that the plain meaning of “entrust” does not resolve the issue of whether a person can have a “certain confidence” in an imposter.

 

Because several plausible interpretations of “entrust” remain after applying the plain meaning found in Truck Ins., the court turns next to an examination of the policy in its entirety. Under plaintiff’s definition of “entrust,” the Exclusion as a whole bars coverage for theft by any person who receives property and is in fact a person in whom the owner intended to repose confidence: Exclusion (b)(1) bars coverage for theft by employees, Exclusion (b)(2) bars coverage for theft by legitimate carriers, and Exclusion (b)(3) is a catch-all exclusion barring coverage for theft by anyone else who is an intended, legitimate recipient of property. Examining the policy in its entirety using plaintiff’s definition of the term, the policy covers dishonest or criminal acts by unintended recipients of property, but excludes coverage for dishonest or criminal acts committed by intended recipients of property. Plaintiff contends that using this definition is appropriate because the policy then consistently covers all third-party theft. Plaintiff argues that the policy clearly does not exclude from coverage loss resulting from a road-side holdup or theft, so the entrustment exclusion should not bar theft by a fraudulent or imposter carrier. Under its reading, all theft by unintended recipients of goods is covered under the policy, whether the unintended recipient is a roadside thief, or a fraudulent carrier.

 

Looking at the policy as a whole using defendant’s definition of “entrust,” the policy excludes coverage for dishonest or criminal acts committed by employees or anyone else that is given property, regardless of whether the person receiving property was the intended recipient. Under defendant’s definition, Exclusion (b)(3) was intended to bar coverage for cases where the person with possession of goods was a fraud. Defendant argues that its definition is appropriate because it puts the risk of misplaced trust on the insured. Defendant argues that the insured is in the best position to evaluate carriers and determine who it will entrust with property, and that the entrustment exclusion was written to encourage the insured to have a very thorough process to ensure carrier legitimacy.

 

*9 The court finds that both of these interpretations are plausible and that an examination of the policy as a whole does not clarify the meaning of “entrust.” The policy could have intended consistent coverage for all third-party theft, or it could have included the entrustment endorsement to put the risk of misplaced trust on the insured. Because both definitions are reasonable, the court finds the term ambiguous. Accordingly, the court interprets “entrust” in favor of plaintiff, finding that property may not be entrusted to a thief and that plaintiff’s coverage is not limited by Exclusion (b)(3).

 

The court’s finding that Exclusion (b)(3) is ambiguous and thus should be construed in favor of plaintiff is bolstered by the fact that defendant could have avoided ambiguity by drafting the policy to specifically exclude coverage for “theft by fraud, false pretense or trickery by imposters.” Though the interpretation of an entrustment exclusion with an imposter is an issue of first impression for Oregon, other courts have examined exclusions similar to the one at issue in this case and have held that insurers have a responsibility to clarify whether loss resulting from fraud is excluded from a policy. These cases are not binding on this court, but their reasoning is persuasive and worth noting.

 

In Security Ins. Co. of Hartford v. Investors Diversified Ltd., Inc., 407 So.2d 314 (Fla.Dist.Ct.App.1981), the court examined an entrustment exclusion and held that there was coverage when the insured dealt with an imposter under the mistaken belief that he was someone else. Id. In that case, a forklift dealer received a call from a supposed customer to test drive a forklift. Id. at 315. The person who then picked up the forklift did not return it, and a subsequent investigation revealed that the phone conversation had been with a fraud. Id. Examining the dealer’s insurance policy’s clause excluding loss from misappropriation or dishonest acts by anyone in whom the property was entrusted, the court determined that the loss did not apply because the dealer did intend to entrust the property to an imposter. Id. The court further noted that defendant could have explicitly excluded loss resulting from fraud in its endorsement, but chose instead to employ ambiguous language. Id.

 

Plaintiff also cites to Oscar Freedman v. Queen Ins. Co. of America, 56 Cal.2d 454 (Cal.1961), where a jeweler received a call from an individual representing himself as a known employee of a retail jeweler, requesting to borrow jewelry for examination. Id. at 456. After the jewelry was handed over, the jeweler discovered that the individual was not an employee of the retail jeweler. Id. The applicable insurance policy excluded theft by a person to whom property was “delivered or entrusted.” Id. On the issue of whether property may be entrusted to a fraud, the court noted that “at the very least, one tenable construction is that there can be no valid ‘delivery’ or ‘entrustment’ of property to another where the possession of the property is acquired by means of some fraudulent device.” Id. at 458. Finding ambiguity in the definition of “entrustment,” the court interpreted the term in favor of the insured. Id. As in Security Ins., the court found the insurer’s failure to explicitly include loss resulting from fraud significant: “Concededly insurance policies may be so written as to exclude from coverage a loss occurring by reason of a fraudulent scheme, trick, device, or false pretense … But in the absence of such express language as an exception to coverage, the exclusion may not be grafted into the parties’ contract….” Id.

 

*10 In this case, the court finds that the definition of “entrust” is ambiguous, and thus should be construed in favor of plaintiff. Though not binding, the court finds the reasoning in Security Ins . and Freedman persuasive that insurers have a responsibility to make exclusions clear and explicit. The court finds that property may not be entrusted to an imposter, and that the entrustment exclusion does not apply to plaintiff’s loss.

 

CONCLUSION

Interpreting all ambiguities in the insurance policy in favor of plaintiff, the court finds that plaintiff’s loss is fully covered under the policy and is not limited by any exclusion or endorsement. Accordingly, plaintiff’s motion for summary judgment is GRANTED, and defendant’s motion for summary judgment is DENIED.

 

IT IS SO ORDERED

Santana v. Inter-America Ins. Agency

Superior Court of New Jersey,

Appellate Division.

Eliel SANTANA, Plaintiff,

v.

INTER–AMERICA INSURANCE AGENCY, Manuel Seliz, Trac Lease, Inc., Yang Ming Shipping, Roy Tsai, Certain Underwriters at Lloyd’S, Defendants,

and

Larimar Trucking, LLC and Wilshire Insurance Company, Defendants–Appellants/Cross–Respondents,

and

Mediterranean Shipping Company, Defendant–Respondent/Cross–Appellant.

Submitted March 6, 2012.

Decided Oct. 23, 2012.

On appeal from Superior Court of New Jersey, Law Division, Passaic County, Docket No. L–4288–09.

Law Offices Floyd G. Cottrell, P.A., attorney for appellants/cross-respondents (Mr. Cottrell, of counsel; David A. Semple, on the briefs).

Geraghty Suarez, L.L.P., attorneys for respondent/cross-appellant (Robert A. Suarez, of counsel; Mr. Suarez and Aaron T. Duff, on the briefs).

Before Judges BAXTER and NUGENT.

PER CURIAM.

*1 Defendant Larimar Trucking FN1 and its insurer, defendant Wilshire Insurance Company, appeal from a Law Division judgment that awarded attorneys’ fees and costs to defendant Mediterranean Shipping Company based on Mediterranean’s indemnification claim. Mediterranean had incurred fees and costs to defend itself against a lawsuit filed by plaintiff Eliel Santana, a tractor-trailer driver. Plaintiff had been injured in a vehicular accident following his dispatch by Larimar to haul freight on a trailer leased by Mediterranean. Mediterranean cross-appeals, contending that the fee award is inadequate.

FN1. Although identified as Larimar Trucking in the pleadings, the defendant’s correct name is Larimar Trucking, LLC, according to the documents in the parties’ appendices.

We conclude that the terms of a Uniform Intermodal Interchange and Facilities Access Agreement (UIIA),FN2 to which Larimar and Mediterranean were signatories, required Larimar to defend and indemnify Mediterranean against plaintiff’s claim. We further conclude that an endorsement to the insurance policy issued by Wilshire to Larimar provided coverage for Larimar’s contractual indemnification obligation. Lastly, we conclude that the UIIA choice-of-law clause required application of Maryland law to the parties’ dispute, and that under Maryland law, Mediterranean was entitled to recover fees and costs that it incurred to investigate and defend against plaintiff’s claim before tendering its defense to Wilshire. Accordingly, we affirm in part, reverse in part, and remand for further proceedings.

FN2. The Intermodal Association of North America, a major trade association in the freight industry, describes the UIIA as “standard industry contract between Intermodal truckers/drayage companies (Motor Carriers) and Equipment Providers (ocean and rail carriers, equipment leasing companies)[,] … [that] drastically reduces the paperwork burden … by eliminating the need to execute individual, proprietary interchange contracts between motor carriers and each Equipment Provider [,]” and that “reduces the number of insurance filings that the Motor Carrier must provide to show proof of various coverages.” A Brief History and Overview of the Uniform Intermodal Interchange Agreement, Intermodal Association of North America. (Jan. 17, 2012), http:// www.uiia.org/documents/uiia-overview.pdf.

I.

In support of their summary judgment motions, Larimar, Wilshire, and Mediterranean presented the following facts, which were either undisputed, or presented no genuine issue, R. 4:46–2(c).

Plaintiff, the owner of a 2002 Freightliner tractor, contracted to perform “hauling services” for Larimar, a trucking company.FN3 The contract between plaintiff and Larimar was in effect when Larimar dispatched plaintiff to transport the freight container that plaintiff was hauling on the day of his accident. On March 10, 2008, while hauling the container on the trailer leased by Mediterrean,FN4 plaintiff lost control of the tractor-trailer when a driver “cut [him] off,” causing the tractor-trailer to overturn. The other driver and car were never identified.

FN3. Plaintiff had agreed in a written contract to perform “hauling services” for Larimar, an “Irregular Route Motor Carrier, engaged in the Interstate Transportation of property.” Plaintiff alleged in his complaint that his tractor “was under lease to … Larimar …” at the time of the accident. Because the parties have provided only parts of the contract between plaintiff and Larimar, we can not determine whether plaintiff had leased his tractor to Larimar.

FN4. Interpool Tilting Trust, the owner of the trailer, leased the trailer to Trac Lease, Inc., who sub-leased it to Mediterranean.

At the time of plaintiff’s accident, Larimar and Mediterranean were signatories to a UIIA. For purposes of the UIIA, Larimar was a “motor carrier” and Mediterranean was a “provider” who “interchanged” FN5 equipment used in intermodal FN6 transportation. The UIIA contained an indemnity clause in section F .4(a) that required motor carriers, such as Larimar, to indemnify providers, such as Mediterranean, for certain claims. The indemnity clause states in part:

FN5. The UIIA defines “interchange” as “[t]he transfer of physical possession of Equipment … [,]” including trailers.

FN6. An intermodal shipment is one “that uses several modes of transportation such as sea, rail and road.”Mack v. CONRAIL, 24 F.Supp.2d 126, 127 (D.Mass.1998).

Motor Carrier agrees to defend, hold harmless and fully indemnify the Indemnitees FN7 (without regard to whether the Indemnitees’ liability is vicarious, implied in law, or as a result of the fault or negligence of the Indemnitees), against any and all claims, suits, loss, damage or liability, for bodily injury …, including reasonable attorney fees and costs incurred in the defense against a claim or suit, or incurred because of the wrongful failure to defend against a claim or suit, or in enforcing subsection F.4 (collectively, the “Damages”), caused by or resulting from the Motor Carrier’s: use or maintenance of the Equipment during an Interchange Period….

FN7. The UIIA definition of “Indemnitees” includes a “Provider.”

*2 The UIAA also required a Motor Carrier to provide a commercial automobile insurance policy insuring all “Equipment involved in an Interchange,” and to “name the Equipment Provider as additional insured”; and to “attach[ ] to its commercial automobile liability policy, a Truckers Uniform Intermodal Interchange Endorsement (UIIE–1), which includes coverage specified in Section F.4.” Larimar complied with these requirements. Mediterranean was named as an additional insured and the Wilshire policy included a Truckers Uniform Intermodal Interchange Endorsement (UIIE–1). The endorsement, which identified Larimar as the named insured, stated “that such insurance as is afforded by the policy for Auto Bodily Injury and Property Damage Liability applies to liability assumed by the named insured, as ‘Motor Carrier Participant,’ under Subsection F.4. of the [UIIA] and any subsequent amendments thereto.” FN8

FN8. The endorsement effective date coincided with the date the Wilshire insurance policy became effective.

On October 5, 2009, plaintiff filed an eight-count complaint against Larimar, Wilshire, Mediterranean, and others,FN9 alleging that an unidentified driver had caused his accident and injuries. He also alleged that Larimar had failed to provide “underinsured [sic] motorist and workers’ compensation coverage,” that Mediterranean had failed to provide uninsured motorist (UM) coverage, and that Wilshire had improperly denied his claim for UM benefits. Mediterranean filed its answer and a cross-claim against Larimar and Wilshire for failing to defend and indemnify Mediterranean under the UIIA and the Wilshire policy.

FN9. Plaintiff subsequently amended his complaint to add as a defendant Certain Underwriters At Lloyd’s, London, who insured his tractor.

Although Wilshire eventually settled plaintiff’s claim, Mediterranean pursued its cross-claim and filed a summary judgment motion against Larimar and Wilshire. Larimar and Wilshire filed a cross-motion for summary judgment. Following oral argument, the trial court delivered its opinion from the bench, granted Mediterranean’s motion, and denied Larimar and Wilshire’s cross-motion. After providing the parties additional time to address the amount of counsel fees and costs sought by Mediterranean, the court entered judgment in favor of Mediterranean in the amount of $15,840.67, the reasonable fees and costs incurred by Mediterranean after it tendered its defense of plaintiff’s claim to Larimar and Wilshire. The court denied Mediterranean’s application for reimbursement of those fees it had incurred to investigate and defend against plaintiff’s claim before tendering its defense to Larimar and Wilshire. This appeal followed.FN10

FN10. The parties inform us that Larimar and Wilshire filed a motion for reconsideration, which the court denied because Mediterranean had already filed a notice of appeal.

II.

Larimar and Wilshire raise a single argument:

Point I

There is no coverage under the Wilshire policy and therefore [Mediterranean] is not entitled to reimbursement of attorneys’ fees.

When reviewing an order granting summary judgment, we “ ‘employ the same standard [of review] that governs the trial court.’ “ Henry v. N.J. Dep’t of Human Serv., 204 N.J. 320, 330 (2010) (quoting Busciglio v. DellaFave, 366 N.J.Super. 135, 139 (App.Div.2004)). Thus, we must determine whether there was a genuine issue of material fact, and if not, whether the trial court’s ruling on the law was correct. Prudential Prop. & Cas. Ins. Co. v. Boylan, 307 N.J.Super. 162, 167 (App.Div.), certif. denied, 154 N.J. 608 (1998). Legal conclusions are subject to de novo review. Henry, supra, 204 N.J. at 330.

*3 Larimar and Wilshire do not dispute that the terms of the UIIA required Larimar to defend and indemnify Mediterranean against plaintiff’s personal injury claim.FN11 Rather, they argue that the Wilshire policy did not provide UM coverage for plaintiff because neither the tractor he was driving nor the trailer he was pulling was described in the declaration page of the Wilshire policy, and the policy provided UM coverage only for “Larimar-owned” vehicles described in the declarations page.

FN11. In Point I of its brief, Mediterranean asserts that when Wilshire opposed Mediterranean’s summary judgment motion, it “did not dispute its obligations under the [UIIE–1].” Wilshire does not dispute Mediterranean’s assertion.

Larimar and Wilshire’s argument overlooks the UIIE–1. That endorsement provided coverage for liability assumed by Larimar under section F.4 of the UIIA. Under that section, Larimar assumed the obligation to defend and hold Mediterranean harmless against claims or suits, including reasonable attorneys’ fees and costs incurred in defense of claims or suits, that resulted from Larimar’s use of Mediterranean’s trailer. Plaintiff’s suit resulted from Larimar’s use of Mediterranean’s trailer; precisely the type of claim covered by the UIIE–1. Thus, though the Wilshire policy may not have provided coverage for a UM claim made by plaintiff, the policy provided coverage for Larimar’s obligation under the UIIE–1 endorsement to defend a “Provider” against such a claim. Larimar and Wilshire do not dispute Mediterranean’s standing to enforce the terms of the UIIE–1. Accordingly, there is no reason to disturb the trial court’s grant of summary judgment to Mediterranean.

We turn to Mediterranean’s cross-appeal. Mediterranean argues it is entitled to a judgment for all of the fees it incurred to investigate and defend against plaintiff’s claim, not merely the fees it incurred after tendering its defense to Wilshire. Mediterranean retained counsel on October 27, 2009, but did not tender its defense to Wilshire until December 4, 2009. In the interim, Mediterranean incurred $6,420 in legal fees.

Both the Wilshire insurance policy and the UIIA required the parties to provide prompt notice of any claims. The UIIA not only required prompt notice, but further stated that the “Provider, Equipment Owner and/or Facility Operator shall not undertake any legal defense of or incur any legal expenses pertaining to the claim submitted to the Motor Carrier, unless Motor Carrier fails to timely do so….” To be sure, Mediterranean breached both its contractual duty to provide prompt notice of plaintiff’s claim and its contractual duty to refrain from incurring pre-notice legal expenses. Mediterranean’s breach was fatal to its claim to recover pre-notice legal expenses, according to the trial court. Although the court reached the correct result under New Jersey law, it does not appear from the record before us that the court considered the UIIA choice-of-law clause requiring the application of Maryland law to the parties’ dispute.FN12

FN12. Although Mediterranean raises in this appeal the UIIA choice-of-law clause, it is not clear that Mediterranean raised this issue before the trial court. Wilshire, however, does not assert that Mediterranean is now raising the issue for the first time. Rather, Wilshire addresses the merits of Mediterranean’s claim that it is entitled to pre-notice legal expenses under Maryland law.

Relying upon SL Indus., Inc. v. Am. Motorists Ins. Co., 128 N.J. 188, 199–200 (1992), the trial court held that Mediterranean was obligated to promptly and properly notify Wilshire of plaintiff’s claims. The court further held that Mediterranean could not demand reimbursement for costs over which Wilshire had no control due to Mediterranean’s failure to promptly notify Wilshire of plaintiff’s claim. The trial court did not apply Maryland law, however, as required by the UIIA. Section G.7 of the UIIA, provides that the laws of Maryland “shall govern the validity, construction, enforcement and interpretation of this Agreement without regard to conflicts of law principles.” Wilshire contests neither the enforceability of the choice-of-law clause nor its applicability to Wilshire’s obligation under the UIIE–1 to insure claims that fall within section F.4 of the UIIA. Wilshire does dispute that Mediterranean is entitled to recover pre-notice defense costs under Maryland law, however.

*4 In Sherwood Brands v. Hartford Accident and Indem. Co., the Maryland Court of Appeals held that in those cases of delayed notice where an insurer declines to defend on the erroneous basis that a claim is not covered by the policy, and thereby breaches its duty to defend, the insurer is liable for reasonable pre-notice fees and expenses incurred by the insured. 698 A.2d 1078, 1086–87 (Md.1977). The Court explained that under Maryland law, an insurance policy provision requiring prompt notice is a covenant, not a condition, and the materiality of the covenant’s breach is measured by the standard of actual prejudice to the insurer. The Court reasoned that in a situation where the insurer declines to defend on the erroneous basis that a claim is not covered by the policy, the timing of the notice by the insured is ordinarily irrelevant, because the insurer “would have declined the defense in any event based on its mistaken conclusion that there was no potential coverage [.]” Ibid. The Court concluded that under those circumstances, an “insurer should not later be allowed to use the delay as a bar to reimbursing the insured for the reasonable expenses incurred in defending the covered claim.”   Id. at 1087.

Wilshire asserts that Sherwood Brands is distinguishable for two reasons: unlike the claimant in Sherwood Brands, here Mediterranean is not Wilshire’s insured; and, Sherwood Brands did not involve the UIIA. We find those distinctions unpersuasive. Although Mediterranean is not a named insured under the Wilshire policy, Mediterranean is an additional insured. More significantly, Wilshire has not asserted that Mediterranean lacks standing to enforce either the UIIA indemnification clause or the provisions of Wilshire’s insurance policy.

Additionally, Wilshire has not explained its assertion that Sherwood Brands is distinguishable because it did not involve a UIIA. We fail to see the significance of such a distinction. When the terms of an insurance policy obligate an insurer to provide a defense against specified claims, it does not matter whether the claims are based upon contractual indemnification or some other insured risk. Here, Larimar contracted in the UIIA to defend, hold harmless, and indemnify providers such as Mediterranean against certain claims. Wilshire, through the UIIE–1, insured Larimar’s contractual obligation to defend and indemnify such providers. Wilshire was therefore required to provide a defense to Mediterranean and the breach of its duty to defend entitled Mediterranean to recover its reasonable defense costs from Wilshire.

For the foregoing reasons, we remand this matter to the trial court to determine the reasonableness of Mediterranean’s pre-notice defense fees and costs.

Affirmed in part, reversed in part, and remanded for further proceedings. We do not retain jurisdiction.

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