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Volume 12, Edition 4

Great West Cas. Co. v. Flandrich

United States District Court,

S.D. Ohio,

Eastern Division.

GREAT WEST CASUALTY CO., Plaintiff,

v.

Wayne FLANDRICH dba J & W Transport, et al., Defendants.

No. 2:07-CV-1002.

March 31, 2009.

OPINION AND ORDER

ALGENON L. MARBLEY, District Judge.

I. INTRODUCTION

This matter comes before the Court on: (1) Plaintiff Great West Casualty Company’s (“Great West”) Motion for Partial Summary Judgment on the Carmack Amendment claim and/or breach of contract claim and attorney’s fees request against Defendant/Third Party Plaintiff Wayne Flandrich (“Flandrich”) dba J & W Transport (“J & W Transport”) (doc. no. 30); (2) Flandrich’s Motion for Summary Judgment against Great West on the Carmack Amendment claim (doc. no. 32); (3) Flandrich’s Motion for Summary Judgment against Third-Party Defendants Risk Retention Group, Inc., Commercial Truck Claims Management, and Owner-Operator Services, Inc. (collectively referred to as “OOIDA”) on the coverage claim (doc. no. 33); (4) OOIDA’s Motion for Summary Judgment against Flandrich on the coverage claim and breach of duty to defend claim (doc. no. 31); and (5) Flandrich’s Motion for Summary Judgment against Third Party Defendant OOIDA on the bad faith claim (doc. no. 38). For the reasons set forth below, this Court: (1) GRANTS Great West’s Motion against Flandrich on the Carmack Amendment claim, but DENIES Great West’s Motion against Flandrich on the breach of contract claim and request for attorney’s fees; (2) DENIES Flandrich’s Motion against Great West on the Carmack Amendment claim; (3) DENIES Flandrich’s Motion against OOIDA on the coverage claim; (4) DENIES OOIDA’s Motion against Flandrich on the coverage claim, but GRANTS OOIDA’s Motion against Flandrich on the breach of duty to defend claim; and (5) DENIES Flandrich’s Motion against OOIDA on the bad faith claim.

II. BACKGROUND

A. FACTUAL BACKGROUND

1. The Parties

Great West is a corporation in the insurance business. Great West provided a policy of insurance coverage to American Food Groups (“American Foods”), a Minnesota based corporation. J & W Transport is a dba of Flandrich, and is a trucking business based in Georgia. OOIDA is Flandrich’s insurance coverage provider and provides him with a Commercial Inland Marine Motor Truck Cargo Liability policy.

2. Transportation Agreement

On December 17, 2003, American Foods and J & W Transport entered into a transportation agreement (the “Transportation Agreement”), whereby J & W Transport would transport goods for American Foods. The Transportation Agreement establishes that “Carrier [J & W Transport] shall be responsible for all claims for loss, damage, injury, or delay.”(Transportation Agreement at § 3). Liability for losses commences when J & W Transport signs the relevant bill of lading and receives the goods for transport. (Id.)

The Transportation Agreement also contains an indemnification clause, which establishes that J & W Transport will indemnify and hold American Foods harmless,

from and against any and all loss, damages, cost, expense, including reasonable attorney’s fees, which may be incurred by [American Foods] … resulting from any acts, or omissions, negligent or otherwise, of [J & W Transport] or its employees in performing or failing to perform the transportation services specified hereunder….

(Transportation Agreement at § 8).

3. Bills of Lading

On November 14, 2006, American Foods retained J & W Transport to pick up a load of meat from American Foods. The load consisted of approximately 16,000 pounds of ground beef. J & W Transport was to deliver the load to The Kroger Company (“Kroger”) in Delaware, Ohio and Meijer, Inc. (“Meijer”) in Tipp City, Ohio [collectively referred to as “Buyers”].

In picking up the load, Flandrich, J & W Transport’s driver of the load, signed bills of lading (“Bills of Lading”) attesting that the meat was in “apparent good order.” Flandrich testified that he had no reason to believe that the goods were damaged when they were transferred into his possession from American Foods.

The Bills of Lading stated, “Buyer assumes all risk of loss upon Seller’s delivery of the goods to the carrier at the Shipping Point and Seller shall have no further responsibility for the goods.”(Bills of Lading at p. 2). In addition, the Bills of Lading stated that:

[i]t is mutually agreed, as to each carrier of all or any of said property over all or any portion of said route to destination, and as to each party at any time interested in all or any of said property, that every service to be performed hereunder shall be subject to the terms and conditions of [this] Uniform Domestic Straight Bill of Lading….

(Id.)The Bills of Lading also assured that, “[s]hipper hereby certifies that he is familiar with all the terms and conditions of said bill of lading,” and that “these terms and conditions of sale shall exclusively govern the purchase and sale of the goods….”(Id.)

The Bills of Lading, however, were only agreements between American Foods and J & W Transport, and were signed by representatives of each company. The Bills of Lading were never signed by either of the Buyers or even seen by them. The Buyers never contractually agreed to shifting the risk of loss to the Buyers when American Foods delivered the goods to American Foods’ own carrier. In fact, the price American Foods charged the Buyers was the price of goods delivered to the Buyers, as American Foods hired and paid the carrier, J & W Transport.

4. Accident

On November 15, 2006 at approximately 1:45 a.m., J & W Transport’s tractor-trailer was involved in a one-vehicle accident around U.S. 42 in Union County, Ohio. The accident occurred after J & W Transport picked up the load of meat from American Foods, and before it was delivered to the Buyers. Flandrich testified that he swerved to avoid some deer, and his tractor-trailer overturned on the side of the road and slid approximately 100 feet on its side.

When the meat left American Foods, the temperature inside the Thermo Unit containing the meat was listed at 28 degrees. About 45 minutes after the accident, Flandrich shut off the Thermo Unit. About two hours after the accident, Flandrich checked the temperature of the Thermo Unit, which registered approximately 30 degrees. According to Flandrich, at that time, the structural “integrity of the trailer was still all entirely intact.”(Flandrich dep. at p. 41). The Ohio State Highway Patrol (“OHP”) arrived on the scene and took photographs of the scene and the damage to the tractor-trailer.

The Union County Sheriff’s Department called Kevin Holt (“Holt”) dba Kevin’s Towing to the scene to tow the tractor-trailer. Holt arrived at the scene about 45 minutes after the accident. Holt took videotape of the truck before attempting to upright it. He alleges there was a tear in the left front top corner, approximately a foot, which he videotaped. The hole was not big enough for any of the packages of meat to come out of, but it was big enough for dirt to get in. He testified regarding the structural integrity of the trailer:

The entire left side of the trailer the structural integrity was compromised, because all the ribs that go from the bottom of the trailer to the top of the trailer were bent at a certain degree and the bottom of the trailer was the same shape of the drainage ditch, so the entire left side had been compromised, as well as the seam between the top of the trailer and the side of the trailer was split.

(Holt dep. at 46). Once cargo was removed from the trailer, Holt saw dirt inside.

To tow the trailer, Holt first needed to unload part of the meat onto a separate box truck. The seal to the doors of the trailer had to be broken to unload the meat. It took him several hours to off-load the cargo of meat onto his box truck, which was not refrigerated. By the time he began trying to upright the trailer at around 7:00 a.m., the Thermo Unit had been turned off for about five hours. Holt hooked up the trailer, and on his first attempt to raise it, the front end of the wrecker lifted about five feet in the air, but he was unable to move the trailer. He then set everything back down and repositioned. There was no damage caused by the towing wrecker to the trailer at that point.

After rehooking to get a different angle, Holt began trying to lift the trailer again. It came about three feet off the ground, then the main support of the trailer on the roof where the strap went across snapped, which caused the trailer’s side to split from top to bottom. According to Flandrich, this was “the first time that there had been any violation of the structural integrity of the trailer.”(Flandrich dep. at 64). The OHP took photographs of the damage to the trailer after it was split.

Two hours later, a second towing service, Rusty’s Towing, arrived at the scene and loaded the cargo of meat onto a reefer trailer. Rusty’s Towing eventually removed the truck, trailer, and remaining cargo from the scene, and took it to its lot. Rusty’s Towing would not release the meat without payment of its towing/salvage bill. Flandrich, his insurer (OOIDA), and Kevin’s Towing could not agree on responsibility for paying the bill to Rusty’s Towing or what to do with the meat. Consequently, the trailer and the meat sat at Rusty’s Towing. American Foods was not given the opportunity to access the meat until after it was completely spoiled.

Both Buyers had set dates and times for the delivery of cargo to arrive. Due to the accident, Flandrich could not meet the deadlines. Even if the trailer had been uprighted on the first attempt, by the time Flandrich obtained another tractor to pull it, the meat would have been several hours late. Flandrich alleges in his deposition testimony that the Buyers would not have accepted the cargo of meat if it was over an hour late.

Because the cargo was never delivered to the Buyers, American Foods was never paid by the Buyers for the value of the cargo. Pursuant to its cargo insurance policy with Great West, American Foods presented a cargo damage claim in the amount of $31,813.85 to Great West. Great West paid American Foods this amount. These damages break down as $700.00 for cargo movement (after the meat was ruined, it needed to be removed from the tow lot); $29,539.09 for cargo damage, and $1,754.76 for various disposal costs. American Foods gave written notice of this claim to Flandrich, but he never paid the claim.

5. OOIDA Coverage

At the time of the accident, Flandrich had a Commercial Inland Marine Motor Truck Cargo Liability policy issued by OOIDA that covered “loss or damage to cargo… caused by … overturning of the truck.”(Motor Truck Cargo Broad Form). However, such loss was only covered if the loss to the cargo occurred while the cargo was in Flandrich’s “care, custody or control.” (Id.) The maximum cargo limit of liability was $150,000, subject to a cargo deductible of $1,000 and a refrigeration breakdown deductible of $2,500. (Id.)

Immediately after the accident, Flandrich contacted a representative of OOIDA to file a claim. He alleges he informed OOIDA that the cargo of meat was lost at the moment the tractor-trailer hit the ditch. After notifying OOIDA of his claim, Flandrich alleges he was assured by representatives of OOIDA that they would take care of his claim and the situation. Flandrich asserts that he continuously contacted and/or followed up with OOIDA on the status of his claim and their handling of the cargo of meat. After OOIDA received notice of the accident, they assigned Flandrich’s claim to an adjustor, Interstate Casualty Claim Service (“ICCS”).

On November 30, 2006, Flandrich contacted the claims agent for OOIDA who he alleges informed him they were not sure what they were going to do. Flandrich asserts he then informed OOIDA that there were two dog food companies less than 20 minutes from the storage facility that would purchase the cargo of beef at 50 cents on the dollar. OOIDA did not follow up on this lead, however, or attempt to resell the meat. The cargo of meat was not disposed of until Rusty’s Towing contacted the USDA, approximately 60 days later. Subsequently, the cargo of meat was hauled to Sharonville and disposed of.

On January 10, 2007, Flandrich was informed by OOIDA that coverage on the loss of the cargo of meat was being denied. The reasons given by OOIDA were that no physical loss or damage occurred to the cargo while it was in his care, custody, or control. Rather, the damage occurred to Flandrich’s load when Kevin’s Towing took care, custody, and control of his trailer and negligently attempted to upright it. Furthermore, OOIDA alleged, the damage to the cargo was the result of the trailer being split by Kevin’s Towing, not the result of the overturning of the truck.

B. PROCEDURAL BACKGROUND

On October 3, 2007, Great West commenced suit against Flandrich, dba J & W Transport, alleging causes of action pursuant to 49 U.S.C.A. § 14706, et seq. (the “ Carmack Amendment”), breach of contract, negligence, and subrogation. In addition, Great West sued Kevin’s Towing, alleging negligence and subrogation causes of action. In response, Flandrich filed a cross-claim against Kevin’s Towing, seeking contribution and/or indemnification as to Great West’s claims, if any, against Flandrich. Further, Flandrich filed a Third-Party Complaint against OOIDA for breach of duty, bad faith, and breach of an insurance contract. This matter is now before the Court on Great West’s, Flandrich’s, and OOIDA’s Motions for Summary Judgment.

III. STANDARD OF REVIEW

Summary judgment is proper if “there is no genuine issue as to any material fact [such that] the moving party is entitled to judgment as a matter of law.”Fed.R.Civ.P. 56(c). But “summary judgment will not lie if the … evidence is such that a reasonable jury could return a verdict for the non-moving party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). In considering a motion for summary judgment, the court must construe the evidence in the light most favorable to the non-moving party. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986). The movant therefore has the burden of establishing that there is no genuine issue of material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 322-23, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986); Barnhart v. Pickrel, Schaeffer & Ebeling Co., 12 F.3d 1382, 1388-89 (6th Cir.1993). But the non-moving party “may not rest upon its mere allegations.”Fed.R.Civ.P. 56(e); see Celotex, 477 U.S. at 324; Searcy v. City of Dayton, 38 F.3d 282, 286 (6th Cir.1994). The non-moving party must present “significant probative evidence” to show that there is more than “some metaphysical doubt as to the material facts.” Moore v. Philip Morris Co., 8 F.3d 335, 339-40 (6th Cir.1993).

IV. LAW AND ANALYSIS

A. GREAT WEST’S CLAIMS AGAINST FLANDRICH

Great West has moved for partial summary judgment against Flandrich on its Carmack Amendment claim and breach of contract claim and attorney’s fees claim. Great West is subrogated to the rights of its insured, American Foods, due to its payment pursuant to its insurance policy. See, e.g., N. W. Mut. Ins. Co. v. Jackson Vibrators, Inc., 402 F.2d 37, 40 (6th Cir.1968); Shealy v. Campbell, 20 Ohio St.3d 23, 485 N.E.2d 701, 703 (Ohio 1985). Therefore, whether Flandrich is liable to American Foods determines whether Great West can recover from Flandrich.

1. Carmack Amendment Claim

The Carmack Amendment to the Interstate Commerce Act, 49 U.S.C.A. § 14706, et seq., makes common carriers liable “for any loss or damage” caused by such carriers to property received by them for transportation. See, e.g., Plough, Inc. v. The Mason and Dixon Lines, 630 F.2d 468, 470 (6th Cir.1980).

a. Standing

Flandrich asserts that Great West is not entitled to summary judgment because it does not have standing to bring a Carmack Amendment claim. The Amendment requires that a carrier transporting property issue a bill of lading to the shipper, and makes the carrier liable to the one entitled to recover under the bill of lading for loss of or injury to the property. Am. Road Serv. Co. v. Consol. Rail Corp., 348 F.3d 565, 568 (6th Cir.2003).

In this case, Great West’s form bills were used. Flandrich asserts that Great West is not entitled to recover under the Bills of Lading because it did not have title or an insurable interest in the cargo of meat at the time of the accident. The basis for Flandrich’s argument is that the form Bills of Lading state, “Buyer assumes all risk of loss upon Seller’s delivery of the goods to the carrier at the Shipping Point and Seller shall have no further responsibility for the goods.”(Bills of Lading at p. 2). Accordingly, Flandrich argues that Great West had no interest in the meat at the time of the accident because title to the meat passed to the Buyers, along with the risk of loss, at the time Flandrich received the meat.

A bill of lading is “the basic transportation contract between the shipper-consignor and the carrier.”S. Pac. Transp. Co. v. Commercial Metals Co., 456 U.S. 336, 342, 102 S.Ct. 1815, 72 L.Ed.2d 114 (1982); see also The Carlos Roses, 177 U.S. 655, 665, 20 S.Ct. 803, 44 L.Ed. 929 (1900) ( “[b]ills of lading stand as the substitute and representative of the goods described therein”). The purpose of the Carmack Amendment is to provide a remedy, “where a shipper whose cargo is lost or damaged by a carrier may recover damages for that loss.” Glass v. Crimmins Transfer Co., 299 F.Supp.2d 878, 884 (C.D.Ill.2004) (emphasis added). American Foods was the shipper whose cargo was lost, and Flandrich was the carrier. The Bills of Lading were issued to American Foods as representative of the cargo of meat for which Flandrich was entrusted. Hence, American Foods had title to the cargo of meat at the time of the accident, and this was an insurable interest. American Foods is entitled to recover under the Bills of Lading for loss of the cargo of meat due to the actions of Flandrich, the carrier.

Furthermore, it is a fundamental rule of contracts that a contract cannot bind a party who has not accepted the contract. Hamilton Foundry & Mach. Co. v. Int’l Molders & Foundry Workers Union of N. Am., 193 F.2d 209, 215 (6th Cir.1952). A buyer is not a party to the bills of lading and is not bound by their terms unless it contracts to be so. Stein Hall & Co., Inc. v. S.S. Concordia Viking, 494 F.2d 287, 291 (2d Cir.1974) (cited by Datas Indus. Ltd. v. OEC Freight (HK), Ltd., No. 98 Civ. 6904, 2000 WL 1597843, at(S.D.N.Y. Oct.25, 2000)); ITT Rayonier, Inc. v. S.E. Mar; Co., 620 F.2d 512, 514 (5th Cir.1980); see U.S. v. Waterman S.S. Corp., 471 F.2d 186, 188 (5th Cir.1973) (declining to find government liability when the “government was neither party nor privy to the bill of lading”). A carrier and shipper “cannot contract to bind an unconsenting party.” Stein, 494 F.2d at 291.

A party “cannot unilaterally employ definitions to bind another by provisions to which the other has not consented to be bound.” Waterman, 471 F.2d at 189 n. 4. In APL Co. Pte. Ltd. v. U.K Aerosols Ltd., Inc., 452 F.Supp.2d 939 (N.D.Cal.2006), the carrier tried to assert that a third party (who was not the shipper) was liable to it because the third party was a “merchant” within the meaning of the bill of lading, and the carrier asserted that an unnamed party in a bill of lading can still be bound under the bill’s definitions. Id. at 944.However, the court held that the ability to bind an unnamed party is still subject to the “acceptance” requirement, and there had been no acceptance. Id. at 944-45.

Similarly, in this case, Flandrich has presented no evidence that either Kroger or Meijer accepted the terms of the Bills of Lading or even saw the Bills of Lading. Only Flandrich and American Foods signed those Bills, and neither were agents of the Buyers or could bind them in any way. There is no evidence that there was any agreement between American Foods and Buyers that the “risk of loss” would pass to Buyers upon delivery to Flandrich, who was a carrier hired by American Foods. In fact, the price American Foods charged the Buyers was the price of goods delivered to the Buyers, as American Foods hired and paid Flandrich. Buyers would not be responsible for damages to a load which they did not receive and for which they did not arrange transportation. There is no evidence that either Buyer had ever entered into such a contract with American Foods in any of their numerous dealings.

Furthermore, nowhere in the Bills of Lading is either Kroger’s or Meijer’s name mentioned. The only name in the Bills of Lading is a generic contract term of “Buyer.” As stated in Waterman and APL, this definitional term cannot bind a party that has not agreed to be bound by the contract. Neither Buyer was a party to the Bills of Lading. As such, neither Buyer can be liable under such Bills, and neither Buyer can bring a claim for recovery under such Bills. The sole interest holder is American Foods, as the shipper, whose rights are subrogated to Great West. Therefore, Great West has standing to bring a claim under the Carmack Amendment.

b. Liability

The Supreme Court has construed the Carmack Amendment as follows:

[T]he statute codifies the common-law rule that a carrier, though not an absolute insurer, is liable for damage to goods transported by it unless it can show that the damage was caused by (a) the act of God; (b) the public enemy; (c) the act of the shipper himself; (d) public authority; (e) or the inherent vice or nature of the goods.

Missouri Pacific R.R. v. Elmore & Stahl, 377 U.S. 134, 137, 84 S.Ct. 1142, 12 L.Ed.2d 194 (1964) (citations omitted). The Court dealt with the burden of proof in such cases as follows:

Accordingly, under federal law, in an action to recover from a carrier for damage to a shipment, the shipper establishes his prima facie case when he shows delivery in good condition, arrival in damaged condition, and the amount of damages. Thereupon, the burden of proof is upon the carrier to show both that it was free from negligence and that the damage to the cargo was due to one of the excepted causes relieving the carrier of liability.

Id. at 138 (citations omitted).

First, to establish its prima facie case, Great West must show delivery of the meat in good condition to the carrier. There is no dispute that the meat was delivered to Flandrich in good condition. Flandrich admitted this in his deposition and it is attested to by the Bills of Lading Flandrich signed. Specifically, he testified that he was “absolutely positive” that he inspected the trailer’s temperature before he signed the load’s Bills of Lading, and further, that he had “no reason to believe the goods were damaged” when they were transferred into his possession by American Foods. (Flandrich dep. at 112, 113).

In the second element of the prima facie case, Great West must show that the meat arrived in damaged condition. Again, there is no dispute that the meat was damaged while Flandrich transported it. The meat never even arrived to its destination. Flandrich also testified that based on his past experience, the Buyers would not have accepted the meat, given that the meat was involved in an accident, and as such would need to pass USDA inspection prior to it being sold for human consumption. (Flandrich dep. at 111-12, 221).

Finally, to establish its prima facie case, Great West must show the amount of damages. There is no issue of material fact as to the amount of damages, as Great West was damaged in the amount of $31,813.85. Because American Foods has retained $1,000 from J & W Transport, Great West does not seek such $1,000 pursuant to summary judgment, and its damages therefore constitute $30,813.85. Therefore, there is no genuine issue of material fact about any of the Carmack Amendment’s three prima facie elements. Great West has established a prima facie case.

The burden of proof then shifts to Flandrich to show both that he was free from negligence and that the damage to the cargo was due to one of the excepted causes relieving the carrier of liability. Not one of the statutory defenses is available. There was no “act of God,” act of “the public enemy,” or act of a “public authority.” Nor was the meat ruined by any “act of the shipper,” or due to “any inherent vice or nature of the goods.”Flandrich cannot meet his burden. Accordingly, the Court GRANTS Great West’s Motion for Summary Judgment on its Carmack Amendment claim.

2. Breach of Contract Claim

[10][11] The Carmack Amendment preempts all state law to the contrary. See Adams Express Co. v. Croninger, 226 U.S. 491, 507, 33 S.Ct. 148, 57 L.Ed. 314 (1913), cited by Arctic Exp., Inc. v. Del Monte Fresh Produce NA, Inc., 366 B.R. 786, 793 (S.D.Ohio 2007). The doctrine of complete preemption eliminates state law claims against carriers and preserves uniform treatment of the carrier-shipper relationship. Automated Window Mach., Inc. v. McKay Ins. Agency, Inc., 320 F.Supp.2d 619, 620 (N.D.Ohio 2004). State law causes of action for breach of contract are preempted by the Carmack Amendment. Id. Thus, Great West’s Motion for Summary Judgment on the breach of contract claim, due to failing to deliver the cargo and causing damage to the cargo, is DENIED due to preemption.

3. Attorney’s Fees Request

[12] Great West asserts that pursuant to the Transportation Agreement between American Foods and J & W Transport, Great West is entitled to attorney’s fees incurred in this matter. The Transportation Agreement states:

Carrier shall indemnify and hold [American Foods] harmless from and against any and all loss, damage, cost, expense, including reasonable attorney’s fees, which may be incurred by [American Foods] or any person, persons, firm, association or corporation resulting from acts, or omissions, negligent or otherwise of Carrier or its employees, in performing or failing to perform the transportation services specified hereunder, including the … transportation … of the freight….

(Transportation Agreement § 8). Whether attorney’s fees are allowed under a Carmack Amendment claim appears to be an issue of first impression in this Circuit. And, the law arising out of the other federal courts is conflicting and unclear. Compare Rini v. United Van Lines, Inc., 104 F.3d 502, 505 (1 st Cir.1997) (finding attorney’s fees are not allowed under a Carmack Amendment claim if the fees awarded are pursuant to a state statute), with Mosso v. Dependable Auto Shippers, Inc., No. 1:07-cv-00005-OWW-NEW, 2007 WL 2746723, at(E.D.Cal. Sept.19, 2007) (finding attorney’s fees are allowed under a Carmack Amendment claim if the fees awarded are pursuant to a provision in the bill of lading).

Because the Carmack Amendment does not specifically provide for the shipper’s recovery of attorney’s fees (except in the case of “household goods”), a claim for attorney’s fees is based on statutory law or common law. In this case, the claim is based on common law, arising out of a private contractual agreement.

[13] A party cannot recover attorneys fees for succeeding on a Carmack Claim under a state statute. See, e.g., Rini, 104 F.3d at 505; Accura Sys., Inc. v. Watkins Motor Lines, Inc., 98 F.3d 874, 876 (5th Cir.1996). Nevertheless, some courts have held that the Carmack Amendment “[does] not prevent the parties from contractually providing for attorney’s fees to the prevailing party in a Carmack Amendment dispute.”See, e.g., Mosso, 2007 WL 2746723, at *6; OneBeacon Ins. Co. v. Haas Ind., Inc., No. C07-3540 BZ, 2008 WL 4291506, at(N.D.Cal. Sept.18, 2008).

In Mosso, the bill of lading provided, “the prevailing party shall be entitled to payment by the losing party of all attorneys’ fees …” 2007 WL 2746723, at *4. Similarly, in OneBeacon, the bill of lading provided that if a party successfully defended itself of any legal action, that party, “shall be entitled to reasonable attorneys fees and costs.” 2008 WL 4291506, at *1. And in Knight Transp., Inc., v. Westinghouse Digital Elecs., LLC, No. 3:07-CV-1210-D, 2008 WL 194739 (N.D.Tex. Jan.22, 2008), the court recognized that parties, in their bill of lading, can contract around the system of federal regulatory “default rules” that the Carmack Amendment established, to provide for attorney’s fees (though they failed to do so in that case).Id. at * 1.

Even if this Court agreed with Mosso, OneBeacon, and Knight that parties can contractually provide for attorney’s fees in a Carmack Amendment dispute, this case differs significantly from those cases. First, the attorney’s fees provision in this case is based on the Transportation Agreement, not the Bills of Lading. There is nothing in the Bills of Lading that entitles American Foods to attorney’s fees. There is no case law precedent that a contract other than the bill of lading can be used to award attorney’s fees in a Carmack Amendment dispute; therefore, this Court will not recognize such an expansion.

Second, the attorney’s fees provision in the Transportation Agreement provides fees for any loss or damage to cargo, even if the carrier is not found to be responsible under the Carmack Amendment. Specifically, it provides that J & W Transport shall indemnify American Foods for reasonable attorney’s fees incurred from acts of J & W Transport in failing to perform the transportation services. (Transportation Agreement at § 8). This attorney’s fees provision is not based on any determination of success on a claim or prevailing party status. Therefore, it directly contradicts the Carmack Amendment, in that it would allow an award of attorney’s fees even if, for example, the damage to the cargo was caused by an act of God and there was no negligence on the part of the carrier. As already stated, it is undisputed that the Carmack Amendment preempts all contradictory state law.And furthermore, this would lead to the strange result that American Foods could lose their Carmack Amendment claim, and have their breach of contract claim preempted, but still be entitled to recover attorney’s fees. For the foregoing reasons, Great West’s request for attorney’s fees is DENIED.

B. FLANDRICH’S CLAIMS AGAINST OOIDA

Flandrich has moved for summary judgment against OOIDA on the coverage claim and bad faith claim. OOIDA has moved for summary judgment against Flandrich on the coverage claim and breach of duty to defend claim.

1. Coverage Claim

[14] The parties do not dispute that Georgia law applies to the insurance contract coverage claim as the policies were made and payment was remitted in Georgia. In Georgia, insurance policies are governed by ordinary rules of contract construction. Chicago Title Ins. Co. v. Citizens & S. Nat’l Bank, 821 F.Supp. 1492, 1494 (N.D.Ga.1993). The construction of a contract is a question of law for the court; however, where any matter of fact is involved, such matter is for the jury. Ga.Code Ann. §§ 13-2-1.

It is undisputed that Flandrich had a Commercial Inland Marine Motor Truck Cargo Liability policy issued by OOIDA (the “ Cargo Policy”) in full force and effect at the time of the accident. OOIDA denies that the Cargo Policy covered the damage or loss to the cargo of meat for two reasons. First, OOIDA asserts that any loss or damage to the cargo did not occur, as required in the basic coverage, while such cargo was in Flandrich’s care, custody, or control. Second, OOIDA asserts that any loss or damage to the cargo falls under Exclusion # 5, which states as follows, “Loss or damage caused by spoilage, contamination, deterioration, freezing, rusting, electrical and/or mechanical failure, and/or damage to refrigerated and/or temperature controlled cargo [is not covered].”(Id.)This exclusion has an exemption for liability for loss or damage “caused by or resulting from … overturning of the truck.”(Id.) Nevertheless, OOIDA asserts this exemption does not apply.

Therefore, in order for OOIDA to deny coverage to Flandrich, it must be determined either that: (1) Flandrich is not entitled to basic coverage because the cargo of meat was not in his care, custody, or control at the time the loss or damage to the cargo occurred; or (2) even if Flandrich’s claim falls within basic coverage, coverage is excluded under Exclusion # 5 of the policy and the exemption to Exclusion # 5 is inapplicable.

a. Care, Custody, or Control

OOIDA asserts that the cargo of meat was in the care, custody, or control of Kevin’s Towing, and not Flandrich, at the time the physical loss or damage to the cargo occurred. In its denial of coverage letter to Flandrich, OOIDA stated:

[T]he information provided to this office reveals no physical loss or damage occurred to your load of hamburger while the hamburger was in your care, custody or control. Rather, the physical loss and/or damage that occurred to your load of hamburger occurred when Kevin’s Towing took care, custody and control of your truck and trailer and negligently attempted to upright them. Thus no coverage can be afforded on this loss.

(Denial Letter at p. 2).

[15] Under Georgia law, the insured, has the initial burden of proving that its loss was covered under the terms of the policy. Essex Ins. Co. v. H & H Land Dev. Corp., 525 F.Supp.2d 1344, 1346 (M.D.Ga.2007). Where the non-moving party bears the burden of proof, the moving party has the initial burden to demonstrate that “there is an absence of evidence to support the essential elements of [the non-moving party’s claims] claims.”Id. (citing Hickson Corp. v. N. Crossarm Co., 357 F.3d 1256, 1260 (11th Cir.2004). Where the moving party bears the burden of proof, it must demonstrate that “on all the essential elements of its case on which it bears the burden of proof at trial, no reasonable jury could find for the non-moving party.”Id. (citing Irby v. Bittick, 44 F.33 949, 953 (11th Cir.1995).

The parties debate whether the cargo was in Flandrich’s care, custody, or control when Holt attempted to upright the trailer. On one hand, Flandrich was at the scene the entire time Holt attempted to upright the trailer. (Flandrich dep. at 81). And, Holt testified that if at any time Flandrich would have asked him to stop what he was doing, he would have stopped. (Holt dep. at 100). On the other hand, Flandrich admitted that he gave Holt his permission to attempt to upright the trailer, did not participate in any of the steps that Holt undertook to upright the trailer, and did not give Holt any direction or instructions regarding the specific manner in which he should go about the work he was doing. (Flandrich dep. at 82-83).

The terms “Care,” “Custody,” and “Control” are undefined in the Cargo Policy. These terms are terms of art whose meaning varies depending on the underlying type of risk being insured. Tifton Mach. Works, Inc. v. Colony Ins. Co., 224 Ga.App. 19, 480 S.E.2d 37, 39 (Ga.App.Ct .1996). According to Black’s Law Dictionary (8th ed.2004), “Care” means: “Serious attention; heed.” “Custody” means, “The care and control of a thing or person for inspection, preservation, or security.”Id. And “Control” means, “The power or authority to manage, direct, or oversee.”Id.

From the facts alleged, it is unclear whether Flandrich was paying “serious attention” to the cargo and whether he had “power or authority to manage, direct, or oversee” the cargo. Thus, if the damage or loss to the cargo occurred when Holt attempted to upright the trailer, there is a genuine issue of material fact as to whether Flandrich had care, custody, or control, and it is for a jury to decide if such damage or loss is covered under the Cargo Policy.

It is undisputed, however, that Flandrich was operating the truck when it was overturned. As such, the cargo was in his care, custody, and control at that point. If the damage or loss to the cargo occurred when the truck was overturned, Flandrich is entitled to basic coverage.

i. Evidentiary Issues

Before analyzing the evidence surrounding whether the cargo was lost or damaged when the truck was overturned, this Court must first address OOIDA’s two challenges to the admission of affidavit statements of Holt and Hutchisson.

(a.) Affidavit Statements Inconsistent with Deposition

OOIDA asserts that portions of Holt’s affidavit cannot be used as evidence to support that the cargo was lost or destroyed when the truck was overturned. OOIDA reasons that Holt’s affidavit directly contradicts his previous deposition testimony.

[16][17][18][19][20] A party cannot create a genuine issue of material fact by filing an affidavit that essentially contradicts his earlier deposition testimony. Aerel, S.R.L. v. PCC Airfoils, L.L.C., 448 F.3d 899, 906 (6th Cir.2006). A party who was not directly questioned about an issue, however, will not be prevented from “supplementing incomplete deposition testimony with a sworn affidavit.” Id. at 907.That affidavit “fills a gap” and thus “provides the district court with more information, rather than less, at the crucial summary judgment stage.”Id. It is not the deponent’s obligation to volunteer information not fairly sought by the questionnaire.Id. The court must determine whether the affidavit “directly contradicts” the party’s prior sworn statement. Id. at 908.If there is no “direct contradiction” the court “should not strike or disregard that affidavit unless the court determines that the affidavit constitutes an attempt to create a sham fact issue.”Id. The existence of a sham fact issue turns on:

whether the affiant was cross-examined during his earlier testimony, whether the affiant had access to the pertinent evidence at the time of his earlier testimony or whether the affidavit was based on newly discovered evidence, and whether the earlier testimony reflects confusion [that] the affidavit attempts to explain.

Id. at 909.

[21] During Holt’s deposition, he was questioned about the condition in which he found the meat upon arriving at the scene of the accident. Holt’s testimony is as follows:

Q. Did you get a chance to view the meat?

A. I had an awful lot of it in my hands. I saw quite a bit of it….

Q. You didn’t inspect every package either, did you?

A. Of course.

Q. You don’t know if it was good or not, do you?

A. No.

Q. You don’t have any expertise in the meat industry.

A. I’m not an inspector.

Q. You eat meat.

A. That’s about as close as I get.

Q. You wouldn’t have looked at each package to see if there was a little rip in the plastic or perforation?

A. Correct

(Holt dep. at 128). The portions of Holt’s affidavit that OOIDA seeks to have stricken are:

5. The trailer had been loaded with beef, and when the accident occurred, the beef had been tossed about inside the trailer and intermixed with the dirt and other debris. It could no longer be sold at retail as apparently it was intended.

6. Both the trailer and its contents were heavily damaged, if not completely destroyed, in the accident before I was dispatched to the scene.

The Court does not find that these affidavit provisions “directly contradict” Holt’s deposition. In his deposition, he was questioned on whether he inspected every package, which he answered he did not. He was also questioned on whether he knew if the meat was “good or not,” which he answered he did not. This second question was vague. He could have interpreted it to mean whether he knew if the meat was spoiled by the accident due to a rise in temperature or debris getting inside the packaging. Or, he could have interpreted this to mean whether he knew if the meat was ever in good condition in the first place (i.e., whether the meat had left American Foods in good condition).

In his affidavit, Holt states that the meat was tossed about inside the trailer and intermixed with dirt and debris. That testimony does not “directly contradict” the above deposition statements and is consistent with his deposition statements that he could see dirt inside the trailer once the cargo was removed. (Holt dep. at 45 and 47-48). In his affidavit, Holt also states that the beef could no longer be sold at retail as it was intended, and that the beef was heavily damaged, if not completely destroyed, in the accident. This also does not “directly contradict” the above deposition statements and is consistent with his deposition statement that for food cargo which had to be temperature controlled, after it is in an accident, “under general circumstances it is not worth saving.”(Id. at 39). It also is consistent with his deposition statement that whenever there is a cargo of food involved in an accident “it’s generally trashed.” (Id. at 111). Finally, its consistent with his deposition statement that he has had experience with accidents involving a cargo of food dozens and dozens of times and, “[a]s soon as food product is involved in an accident, it’s compromised for sanitary reasons.”(Id. at 111-12).

Therefore, this Court finds OOIDA’s assertion that Holt’s affidavit is inconsistent with his deposition testimony to be without merit, and thereby DENIES OOIDA’s Motion to Strike on that basis.

(b.) Expert Opinion

OOIDA also asserts that portions of Holt’s and Hutchisson’s affidavits cannot be used to show that the meat was so heavily damaged that it could not be sold at retail. OOIDA reasons that Holt’s and Hutchisson’s opinions regarding the condition of the meat should be disregarded because they are not experts in retail meat markets. Federal Rule of Civil Procedure 56(e)(1) states:

A supporting or opposing affidavit must be made on personal knowledge, set out facts that would be admissible in evidence, and show that the affiant is competent to testify on the matters stated…. The court may permit an affidavit to be supplemented or opposed by depositions, answers to interrogatories, or additional affidavits.

(emphasis added).

[22] In their affidavits, Holt and Hutchisson opined that the condition of the meat after the crash was such that it “could no longer be sold at retail as apparently it was intended” and was “heavily damaged, if not completely destroyed.”(Holt aff. at ¶¶ 5-6; Hutchisson aff. at ¶¶ 5-6). OOIDA asserts that to establish whether Holt and Hutchisson were competent to testify as to whether any retailer would have accepted the meat, they must be established as experts, “with knowledge of the relevant standards governing whether a retailer will accept meat that has been involved in an accident. (Response of OOIDA at p. 5).Federal Rule of Evidence 702 states:

If scientific, technical, or other specialized knowledge will assist the trier of fact to understand the evidence or to determine a fact in issue, a witness qualified as an expert by knowledge, skill, experience, training, or education, may testify thereto in the form of an opinion or otherwise, if (1) the testimony is based upon sufficient facts or data, (2) the testimony is the product of reliable principles and methods, and (3) the witness has applied the principles and methods reliably to the facts of the case.

The question therefore is: does a person have to be an expert in the retail meat industry, as OOIDA asserts, in order to give the opinion that the meat could no longer be sold at retail and the opinion that the meat was heavily damaged?

This Court finds that these opinions are based on specialized knowledge and education acquired by experts in the retail meat industry. These are not issues germane to the towing industry. And though Holt and Hutchisson can testify, based on their observations and personal experiences, how overturned food products were treated in the past, they cannot opine in this case that the meat was damaged and not fit for human consumption.

Under the Federal Rules of Evidence, the only thing a court should be concerned with in determining the qualifications of an expert is whether the expert’s knowledge of the subject matter is such that his opinion will likely assist the trier of fact in arriving at the truth.

Mannino v. Int’l Mfg. Co., 650 F.2d 846, 851 (6th Cir.1981) (emphasis added). Holt and Hutchisson do not have knowledge about the retail meat industry such that they could give an opinion that would assist the Court in determining the condition of the meat.

Accordingly, this Court finds OOIDA’s assertion that portions of Holt’s and Hutchisson’s affidavits should be disregarded because they are not experts in retail meat markets to be meritorious. This Court GRANTS OOIDA’s Motion to Strike from paragraph five in both affidavits the statement: “It could not longer be sold as apparently it was intended,” and the Motion to Strike from paragraph six in both affidavits the statement: “Both the trailer and its contents were heavily damaged, if not completely destroyed, in the accident before I was dispatched to the scene.”

ii. Analysis of Evidence

OOIDA argues that the cargo was not lost or damaged when the truck was overturned because the temperature of the Thermo Unit was not rising, so the meat was staying cold, and there were no breaks in the perimeter of the trailer, so no dirt or other debris had gotten inside the trailer and mixed with the meat. OOIDA asserts that only after the trailer was split by Holt’s unsuccessful attempt to upright it was the cargo damaged because it was exposed to the elements.

Flandrich counters that the cargo of meat was destroyed due to the overturning of the truck, the inability to make the delivery on time, and the breaking of the seal on the trailer prior to attempting to upright it.

(a.) Temperature of Meat

[23] The only evidence provided as to the temperature of the meat inside the trailer is the testimony of Flandrich, who checked the temperature about two hours after the accident, which was about an hour after he turned off the Thermo Unit. At that time, the temperature read 30 degrees. According to the Bills of Lading, when the meat had left American Foods, the temperature was 28 degrees. The temperature had risen two degrees in the first hour the Thermo Unit was turned off. The temperature was not checked after this.

Before Holt could attempt to upright the trailer, he needed to unload about half of the meat onto a separate box truck, which was not temperature controlled. About three hours passed between the time Flandrich last checked the temperature and before Holt began trying to upright the trailer. None of the meat was in a temperature controlled environment during this time. If the temperature of the meat continued to rise two degrees every hour the Thermo Unit was turned off, the meat could have risen to a temperature of 36 degrees by the time Holt attempted to upright the trailer. According to Flandrich, most buyers had a small degree of temperature variation in the meat they would allow and still accept the meat, which was between four and six degrees. OOIDA does not dispute this fact. It would have taken at least several additional hours to arrange for an alternate truck to come pick up the trailer. Thus, even if the trailer had been uprighted on Holt’s first attempt, the temperature of the meat could have risen even more, far surpassing any four to six degree variance window. However, the meat also could have maintained its temperature as the accident occurred in November in the middle of the night. Therefore, there is a genuine issue of material fact about whether the meat was damaged or lost due to temperature variation caused by the overturning of the trailer.

(b.) Structural Damage and Dirt Infiltration

[24] Flandrich testified at his deposition that he believed the trailer was intact after the accident; however, Flandrich admitted that it was hard to tell what the damage to the trailer was when it was lying on its side because he could not see the side on the ground. The Traffic Crash Report, deposition testimony of Flandrich, and eye-witness accounts of Holt and Hutchisson all affirm that the trailer sustained a considerable amount of damage upon hitting the ditch and sliding over 100 feet.

Holt testified that when he arrived on the scene, there was a tear in the left front top corner, approximately a foot. He took videotape of this tear. The hole was not big enough for any of the packages of meat to come out of, but it was big enough that dirt could have gotten in. Also, he testified:

The entire left side of the trailer the structural integrity was compromised, because all the ribs that go from the bottom of the trailer to the top of the trailer were bent at a certain degree and the bottom of the trailer was the same shape of the drainage ditch, so the entire left side had been compromised, as well as the seam between the top of the trailer and the side of the trailer was split.

(Holt dep. at 46). Once cargo was removed from the trailer, Holt could see dirt inside the trailer.

Nevertheless, OOIDA asserts that even if dirt was able to filter into the trailer and mix with the packages of meat, the shrink-wrap covering the meat would have prevented the dirt from penetrating inside and contaminating the meat. The packages were not inspected by anyone to see if there were any tears in the plastic. Therefore, there is a genuine issue of material fact as to whether the meat was damaged or lost due to the structural damage and dirt infiltration caused by the overturning of the trailer.

(c.) Overturning of the Trailer

[25] Flandrich asserts the meat was lost due to the overturning of the trailer, regardless of whether the temperature rose or whether dirt mixed with the meat. Flandrich started the trucking business of J & W Transport six years ago. He has worked as an over-the-road truck driver for approximately 40 years. He has always owned his own trucking business. He has transported foods for American Foods for six years. Therefore, he is an experienced trucker who has particular familiarity with the transportation of food.

Flandrich testified at numerous points in his deposition that if the Buyers knew the trailer had been laid on its side, they would not accept it. As soon as the load hit the ditch, he testified that he knew it was going to have to go back to the American Foods plant. He also testified, “Irrespective of whether that trailer was breached, it was going to have to be inspected by the USDA.”(Flandrich dep. at 184). Though he had not personally laid over a load before, he had witnessed other truckers drive into the receiving dock with loads that had been dumped over, and he saw that the buyer refused to accept such loads. He had specifically seen Kroger refuse loads that had been laid over. He testified, “the minute they open the doors, the load is laying all over the whole inside of the trailer, they’re not going to accept that. The load would have went right back to Sharonville.”(Id. at 183-84).

OOIDA argues that this evidence does not demonstrate that Kroger always rejects such cargo or that Kroger has a uniform policy that they will never accept meat that was carried in a trailer that had been overturned. OOIDA also argues that this does not establish that Kroger, or some other buyer, would not have accepted the meat in this case. Furthermore, Larry Hulford (“Hulford”), president and chief of Interstate Casualty Claims Service, Inc., performed an investigation for OOIDA after the accident. Based on Hufford’s conversations with the owner of Rusty’s Towing and several brokers of distressed cargo, his inspection of the meat itself, the Crash Report, and the OHP photos, Hufford concluded the cargo was not damaged or lost before Holt attempted to upright it. Hufford has experience in making determinations regarding the condition of cargo following an investigation.

[26] In order to create a conclusion by circumstantial evidence, the evidence must be such that a reasonable juror would draw the conclusion from the circumstances proved. Cuna Mut. Ins. Soc. v. Turner, 138 Ga.App. 205, 225 S.E.2d 765, 766 (Ga.App.Ct.1976). This evidence establishes that Kroger has in the past refused cargo because it was overturned in an accident, and from this evidence, a reasonable juror could draw the conclusion that Kroger would take this same course of action in the future, and thereby would not have accepted the meat. Flandrich’s experience with Kroger also allows a reasonable juror to conclude that other buyers in the retail meat industry, such as Meijer, would also reject such a load. In addition, Holt’s previous observations of overturned loads of food being rejected also allows a reasonable juror to conclude that this load was destroyed when it was overturned. However, a reasonable juror could also conclude that Kroger, Meijer, or some other buyer would have accepted the meat, because there is no evidence that they actually rejected the meat in this case or had an official policy of rejecting overturned meat. In addition, Hulford’s conclusion from his investigation provides further evidence that the meat was not damaged or lost until the trailer was split. Therefore, there is a genuine issue of material fact as to whether the damage or loss of meat was due to overturning of the trailer.

(d.) Failing to Meet Delivery Time

Flandrich also asserts the Buyers would have rejected the meat because it would not have arrived on time. The Buyers had set specific times for delivery that Flandrich could not meet due to the accident. By the time Holt began his attempt to upright the trailer, it was already thirty minutes past the deadline for delivery to Kroger and approaching the deadline for delivery to Meijer. And, it still would have taken Flandrich a few hours to secure a new tractor to pull the trailer even if the trailer had been uprighted on the first attempt. Once Flandrich got the tractor, he would have to make arrangements to get the tractor out to a site where he could hook it onto the trailer. Furthermore, Flandrich testified that the load was going to have to be inspected again by the USDA, which would further delay the time. (Flandrich dep. at 184).

Flandrich testified that Kroger does not accept loads that are over an hour late. However, Flandrich could not testify that he has personally seen a load rejected for this reason or evidence that this was their official policy. Flandrich also could not testify that Kroger would not have accepted the meat late once the situation was explained to them and alternative arrangements were made. In fact, he testified that alternative arrangements for later delivery had been made in the past due to inclement weather. In addition, Flandrich could not testify that Meijer had such a policy, or that other buyers would not have accepted the meat. Without any evidence that Meijer or other buyers would have rejected the meat, and without any evidence that Kroger would not have agreed to a later delivery due to the circumstances, a reasonable juror could not conclude that the cargo was damaged or destroyed due to failure to meet the delivery time.

(e.) Breaking of Seal

Finally, Flandrich asserts the Buyers would have rejected the meat because the seal to the trailer had been opened and approximately one-half of the cargo was off-loaded prior to Holt even attempting to upright and load the tractor-trailer.

Before Flandrich left American Foods with the cargo of meat, they sealed the trailer with a metal seal, and the seal had a number that was noted on the paperwork. Flandrich testified that when he would get to Kroger’s distribution center, he would go to the guard shack and the guard would come out and check the seal on the trailer and note on the paperwork that the seal was still intact. Then he testified that he would go to the receiving dock and they would break open the seal and check that the number on the seal matched the number written by American Foods. This would insure that the cargo of meat had not been tampered with since leaving American Foods.

Flandrich has not put forth any evidence that Buyers would not have accepted the cargo once the seal was broken and cargo was off-loaded, as he could not testify to observing or experiencing this himself, and he has no evidence that Kroger or any other buyer has a policy of rejecting meat when the seal is broken and cargo is off-loaded.Therefore, Flandrich has not shown that the cargo was damaged or lost due to the breaking of the seal.

In conclusion, there is a genuine issue of material fact as to whether the cargo was damaged or lost due directly to the overturning of the trailer, or due to a rise in temperature or structural damage and dirt infiltration caused by overturning of the trailer. Even if the damage or loss was not due to overturning of the trailer, but was due to Holt attempting to upright the trailer, there is a genuine issue of material fact about whether the cargo was in Flandrich’s care, custody, or control at that time. Therefore, it is for a jury to decide whether Flandrich was entitled to basic coverage.

b. Exclusion # 5 and Its Exception

OOIDA asserts that even if this Court finds that loss or damage to the cargo occurred while the cargo was in Flandrich’s care, custody, or control, Flandrich should be denied coverage because Exclusion # 5 applies, which excludes the following from coverage:

[l]oss or damage caused by spoilage, contamination, deterioration, freezing, rusting, electrical and/or mechanical failure, and/or damage to refrigerated and/or temperature controlled cargo.

[27][28] All exclusions from coverage sought to be invoked must be strictly construed and insurance contracts are to be read in accordance with the reasonable expectations of the insured, where possible. Richards v. Hanover Ins. Co., 250 Ga. 613, 299 S.E.2d 561, 564 (Ga.1983). OOIDA bears the burden of proof and persuasion to show that the exclusion, if any, applies. Reliance Ins. Co. v. Walker County, 208 Ga.App. 729, 431 S.E.2d 700, 702 (Ga.App.Ct.1993).

[29] There is an exception to Exclusion # 5, which states that loss or damage falling under Exclusion # 5 is covered if such loss or damage is “caused by or resulting from … overturning of the truck.”The burden of proof as to whether an exemption to the exclusion applies lies with the party claiming the exemption. Jarrard v. Clarendon Nat’l Ins. Co., 267 Ga.App. 594, 600 S.E.2d 689, 690 (Ga.App.Ct.2004).

[30] If the loss or damage occurred while the cargo was in Flandrich’s care, custody, or control, whether Exclusion # 5 operates to exclude coverage depends on whether the loss or damage resulted from the truck overturning. If the loss or damage occurred when Holt attempted to upright the trailer, then Exclusion # 5 would exclude coverage. If, however, the loss or damage occurred either because the truck overturned, or because the truck overturning resulted in a rise in temperature or structural damage and dirt infiltration, then the exception to Exclusion # 5 would prevent exclusion of coverage. Accordingly, there is a genuine issue of material fact as to whether Exclusion # 5 operates to exclude coverage, which depends on a jury’s determination as to when the loss or damage to the trailer occurred.

For the foregoing reasons, Flandrich’s Motion for Summary Judgment on the coverage claim is DENIED, and OOIDA’s Motion for Summary Judgment on the coverage claim is DENIED.

2. Breach of Duty to Defend Claim

Flandrich alleges that OOIDA breached its duty to defend him, set forth in the Cargo Policy, by failing to defend Flandrich in the suit brought by Rusty’s Towing in the case of Rusty’s Towing Service Inc. v. Kevin Holt. et al. in the Ohio Court of Common Pleas, and by failing to defend Flandrich in this case. The Cargo Policy states:

[i]f legal proceedings be taken to enforce a claim against the Insured as respects any such loss or damage, Insurers reserve the right at their option, without expense to the Insured, to conduct and control the defense on behalf of and in the name of the Insured.

( Cargo Policy at p. 5, 600 S.E.2d 689, emphasis added). OOIDA asserts that this provision does not impose upon OOIDA a duty to defend, but rather “the right at [its] option” to defend Flandrich in the event of an action against him for loss or damage covered under the policy.

[31] Flandrich argues that this policy provision is ambiguous. He argues this provision may be interpreted to mean that OOIDA may provide a defense to Flandrich, but in the event they choose not to do so, Flandrich will not incur any expenses in defending himself. In other words, Flandrich asserts that the provision may be read to mean that OOIDA must cover Flandrich’s expense in providing his own defense to dispute claims that should be covered under the policy.

[32][33] All ambiguities in insurance contracts must be construed against the insurer to provide maximum coverage to the insured. Chicago Title, 821 F.Supp. at 1495. Genuine ambiguities arise “[w]henever the phrasing of an insurance policy is so confusing that an average person could not make out the boundaries of the coverage.” Isdoll v. Schottsdale Ins. Co., 219 Ga.App. 516, 466 S.E.2d 48, 50 (Ga.App.1995), cited by York Ins. Co. v. Williams Seafood of Albany, Inc., 223 F.3d 1253, 1255 (11th Cir.2000) (if “an insurance policy is confusing to a layman, the policy is ambiguous”). This Court does not find this provision to be confusing as it unambiguously gives the insurer the right, but not the duty, to defend claims on behalf of the insured. See E. Florida Hauling, Inc. v. Lexington Ins. Co., 913 So.2d 673, 677 (Fla.App.Ct.2005) (interpreting similar contractual language as unambiguous); Ohio Cas. Ins. Co. v. Carman Cartage Co., Inc., 262 Neb. 930, 636 N.W.2d 862, 867 (Neb.2001) (same). This language merely means that if OOIDA decides to conduct the defense, Flandrich does not have to pay for the defense OOIDA has decided to conduct.

[34][35] Flandrich also argues that this provision renders the insurance policy illusory.

[A] contract is illusory only when by its terms the promisor retains an unlimited right to determine the nature or extent of his performance; the unlimited right, in effect, destroys his promise and thus makes it merely illusory.

Century 21 Am. Landmark, Inc. v. McIntyre, 68 Ohio App.2d 126, 427 N.E.2d 534, 536-37 (Ohio App.Ct.1980). Flandrich asserts that the right to defend at OOIDA’s sole option and discretion is a hollow promise as OOIDA would never elect to exercise its option to defend Flandrich because there is no benefit to OOIDA. Flandrich asserts this would mean that Flandrich would remit premium payments for a promise that OOIDA would never have any obligation to fulfill.

This Court has found no case law which has held that a provision similar to the above was illusory. Rather, several courts in various jurisdiction have construed language similar to the above as providing the insurance carrier the right, but not the duty, to provide a defense to its insured, and these courts have enforced this language. Cincinnati Ins. Co. v. Sierra Rock and Dirt, Inc., No. 05-5094-KES, 2007 WL 690134, at(W.D.S.Dak. Mar. 2, 2007); E. Florida Hauling, 913 So.2d at 677; Ohio Cas., 636 N.W.2d at 867; Centennial Ins. Co. v. Transitall Serv., Inc., No. 00C1383, 2001 WL 289879, at(N.D.Ill. Mar.15, 2001); B & D Appraisals v. Guadette Mach. Movers, Inc., 752 F.Supp. 554, 556 (Dist. R.I.1990). This Court finds that the language in the Cargo Policy is not illusory and is enforceable.

Flandrich’s final argument is that his Motor Carrier Liability Policy (“Motor Policy”) states OOIDA has the “duty and the right” to defend any lawsuit. However, the Cargo Policy (which is the Commercial Inland Marine Motor Truck Cargo Liability Policy) is the policy that is applicable in this case because the damage at issue is to the cargo, not the truck or trailer. The Cargo Policy only creates a right to defend, not a duty.

Nevertheless, Flandrich argues that the following language in the Motor Policy incorporates the Cargo Policy:

These declarations and the common declarations together with the common policy conditions, coverage form(s) and endorsements, if any, issued to form a part thereof, complete this policy.

This Court does not agree. The above language simply means that the Motor Carrier Coverage Form Declaration, the Motor Carrier Coverage Form, the Motor Carrier Coverage Conditions, as well as the endorsements attached to the Motor Policy, comprise one policy: the Motor Policy. On the other hand, the Cargo Policy, including its forms, conditions, and endorsements, comprise a separate policy: the Cargo Policy. Nowhere does the Motor Policy incorporate the terms of the Cargo Policy, or vice versa.

Although the Cargo Policy grants OOIDA the right to defend Flandrich in a lawsuit over loss to cargo, there is no duty imposed upon OOIDA to defend Flandrich. As such, Summary Judgment for OOIDA is GRANTED on the breach of the duty to defend claim.

3. Bad Faith Claim

Flandrich alleges that OOIDA acted in bad faith by refusing to pay policy benefits to Flandrich for loss or damage to the cargo of meat without reasonable justification. Initially after the accident, Flandrich contacted Commercial Truck Claims Management (“CTCM”), the claims management arm of OOIDA, to report the accident. Later that morning, Flandrich contacted OOIDA to inform them that he had reported the accident to CTCM. CTCM assigned Interstate Casualty Claims Service, Inc. (“ICCS”), an independent insurance adjustment company, to investigate and to adjust the cargo loss arising out of the subject accident.

The day after the accident, Flandrich spoke with the claims agent, Travis Emley (“Emley”), for OOIDA about the accident. Flandrich alleges that at that time, he informed Emley that the cargo was lost when the trailer overturned. Further, Flandrich informed OOIDA that there was cargo being refrigerated in a trailer sitting at Rusty’s Towing. Flandrich alleges that OOIDA assured Flandrich that they would take care of the issue and get back to him; however, OOIDA did not do so. Flandrich alleges he called OOIDA every day for seven days straight trying to get an answer, but got nowhere.

Flandrich charges that the investigation performed by ICCS on behalf of OOIDA was grossly inadequate. Flandrich further asserts that OOIDA and/or ICCS’s investigation regarding Flandrich’s claim for coverage for the cargo of meat did not uncover evidence to support a finding that the cargo of meat was not in Flandrich’s care, custody, or control at the time the loss or damaged occurred. Flandrich asserts the investigation shows that OOIDA did not interview any witnesses, including Flandrich, who had first-hand knowledge of the accident scene. Further, Flandrich contends that the investigation shows that OOIDA intentionally sought a reason to deny Flandrich coverage.

[36] OOIDA argues that throughout the course of its adjustment activities relating to the subject cargo loss, ICCS undertook several steps in its investigation, which ICCS, in turn, reported to CTCM. According to Hulford, president and chief of ICCS, these steps included:

(a) An inspection of the recovered meat stored in a reefer trailer at Rusty’s Towing, conducted on the day after the accident;

(b) Discussions with Ernie McQuirt (“McQuirt”) of Rusty’s Towing regarding the cause of the cargo loss;

(c) Discussions with James Campbell of American Foods and several brokers of distressed cargo regarding the meat damaged during Holt’s recovery efforts; and

(d) Obtaining the Ohio Highway Patrol (“OHP”) Traffic Crash Report and OHP photographs of the trailer taken before and after Holt’s efforts to upright the trailer.

Therefore, OOIDA asserts it performed an adequate investigation.

[37][38] The law imposes upon the insurer a duty to act in good faith in the handling and payment of the claims of its insured, and a breach of this duty gives rise to a cause of action in tort against the insurer. Hoskins v. Aetna Life Ins. Co., 6 Ohio St.3d 272, 452 N.E.2d 1315, 1316 (Ohio 1983). The standard for analyzing a bad faith claim is set forth in Zoppo v. Homestead Co., 71 Ohio St.3d 552, 644 N.E.2d 397 (Ohio 1994). In Zoppo, the Supreme Court of Ohio held that “[A]n insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor.”Id. at 397.An insurer lacks reasonable justification when it denies the claim in an arbitrary or capricious manner. Hoskins, 452 N.E.2d at 1320.

[39] Even if Flandrich was entitled to coverage under the Cargo Policy, which is for a jury to decide, Flandrich has presented no evidence of bad faith because OOIDA had a reasonable justification for denying the claim. OOIDA asserts that the evidence shows that OOIDA began to investigate immediately upon learning of the subject accident. On the very same day of the accidence, CTCM made the assignment to ICCS to investigate the cargo loss. The day after the accident, Hufford of ICCS traveled to Rusty’s Towing Company and inspected the recovered meat.

OOIDA asserts that Hufford spoke with several individuals regarding the accident. Specifically, he questioned McQuirt of Rusty’s Towing regarding the cause of the cargo loss.McQuirt informed Hufford that Holt had attempted to upright the trailer and that this caused the trailer to split and to spill the cargo out into the elements. Hufford also interviewed James Campbell of American Foods as well as several brokers of distressed cargo regarding the subject cargo, and inspected the cargo the day after the accident.0OOIDA maintains that Hufford was diligent in speaking with individuals who may have had information about the subject accident and the loss to the cargo.

Hufford did not interview the OHP patrolman who arrived at the scene, but he did review the OHP Traffic Crash Report and the OHP photographs of the trailer and then forwarded these materials to CTCM. The Traffic Crash Report contains the patrolman’s version of the events and what he had witnessed at the scene of the accident. As such, OOIDA asserts it was not necessary for Hufford to interview the patrolman. Hufford also alleges that the OHP photographs, some of which were taken before Holt attempted to upright the trailer and some of which were taken after the trailer was split, revealed that the trailer was intact before Holt attempted to upright it.

Based on Hufford’s conversations, his inspection of the meat itself, the Crash Report, and the OHP photos, Hufford reported to CTCM that there was no evidence that the cargo was damaged or lost before Holt improperly attempted to upright it. OOIDA then denied coverage on this basis. OOIDA asserts that based on this evidence, it was reasonably justified in denying Flandrich’s claim.

Flandrich argues that OOIDA was not reasonably justified in denying his claim because it failed to perform an adequate investigation before denying his claim. In Zoppo, the court held that performing a cursory investigation and ignoring information that would tend to support the insured’s claim can constitute bad faith. 644 N.E.2d at 400. In that case, the basis for denial of the claim was that the insured himself had set the fire that destroyed his business. Id. In investigating the claim, the insurer failed to locate certain key suspects, verify alibis, investigate threats and prior attempts to set fire to the business, follow up with witnesses, or look into the insured’s alibi that he was out of state on the morning of the fire. Id.“In fact, evidence was presented that when interviewing some of the alleged perpetrators, the investigators did little more than ask cursory questions such as whether they were responsible for the fire .”Id. Thus, the matter was insufficiently investigated by the insurer which led to the basis on which the claim was ultimately denied. Id.

Flandrich argues that like Zoppo, OOIDA failed to interview key parties, investigate and/or verify facts, or follow up with witnesses, and OOIDA ignored evidence which would tend to support Flandrich’s claim that the cargo was lost or destroyed when the truck overturned. OOIDA did not interview Holt, Hutchisson, any of the police officers, or Flandrich, all of whom were at the accident scene following the accident and saw the trailer before and after Holt attempted to upright it. Flandrich argues that had OOIDA interviewed Flandrich and Holt, they would have informed OOIDA that the load was lost when the trailer overturned. Flandrich also argues that had OOIDA interviewed a representative from the Buyers, OOIDA would have received information that not only was the cargo not going to make it to the Buyers on time, but the Buyers would have never accepted the cargo.

Flandrich asserts that an email from Hufford to the claims adjuster for OOIDA sent November 28, 2006 reveals that OOIDA did not perform a through investigation. In the email, Hufford wrote “BINGO!” and provided a reason for OOIDA to deny the claim. The primary basis for the denial was the narrative report in the Traffic Crash Report from the OHP patrolman, citing the trailer being dropped by Kevin’s Towing. The email stated that the OHP patrolman would be a good witness; however, by OOIDA’s own admission, that officer was never interviewed. Flandrich asserts this email serves as further proof that OOIDA did not perform an adequate investigation and the “BINGO!” language shows that OOIDA was just looking for an excuse to deny coverage. Flandrich argues that OOIDA put forth a “hollow shell of an investigation,” to ensure that it would not uncover evidence that would support Flandrich’s claim.

This Court finds that though Hufford’s interview with McQuirt and the Traffic Crash Report could provide some justification for denial of the claim, OOIDA is only reasonably justified in denying the claim if it performed an adequate investigation. It cannot merely conduct a cursory investigation and fail to interview key witnesses and look into key facts in order to prevent uncovering evidence that would support coverage. It is unclear from the record whether OOIDA adequately investigated to find out whether the cargo was in Flandrich’s care, custody, or control of Flandrich when it was lost or damaged, or whether OOIDA just looked for a reason to deny the claim.1Because there are material issues of fact as to whether OOIDA performed an adequate investigation of Flandrich’s claim, it is for a jury to decide whether OOIDA was reasonably justified in denying Flandrich’s claim. Therefore, Flandrich’s Motion for Summary Judgment on the bad faith claim is DENIED.

V. CONCLUSION

For the foregoing reasons, this Court: (1) GRANTS Great West’s Motion for Summary Judgment against Flandrich on the Carmack Amendment claim, but DENIES Great West’s Motion for Summary Judgment against Flandrich on the breach of contract claim and request for attorney’s fees; (2) DENIES Flandrich’s Motion for Summary Judgment against Great West on the Carmack Amendment claim; (3) DENIES Flandrich’s Motion for Summary Judgment against OOIDA on the coverage claim; (4) DENIES OOIDA’s Motion for Summary Judgment against Flandrich on the coverage claim, but GRANTS OOIDA’s Motion for Summary Judgment against Flandrich on the breach of duty to defend claim; and (5) DENIES Flandrich’s Motion for Summary Judgment against OOIDA on the bad faith claim.

IT IS SO ORDERED.

American Foods explained that the terms on the bills were designed for situations where the buyer provides for the transport of the goods at issue, by either picking up the goods on its own or hiring its own carrier. This is referred to by American Foods as “CPU” or “Customer pick up.” This construction is sound, as the buyer is taking responsibility for transportation of the goods at issue, it should also take responsibility for the risk of the loss incurred in the transportation. However, while the form bills of lading used by American Foods may have been designed for CPU situations, that was not the arrangement in this case. Instead, American Foods, the seller, arranged for transport of the meat.

If an attorney’s fees provision provided fees to a party prevailing on a Carmack Amendment claim, such a provision would be providing a remedy not set out in the Carmack Amendment, but it would not necessarily be in direct contradiction.

The Thermo Unit regulated the temperature in the trailer and kept a computer record of the temperature inside the truck at all time. However, Flandrich had turned off the Thermo Unit, so there was no evidence for a buyer that the meat had been maintained at the correct temperature. It is questionable whether any buyer could accept meat where there was no record of the temperature that the meat had been maintained at.

Whether the cargo that was off-loaded would have been rejected due to the rise in temperature is a separate matter addressed earlier in this Order. This section, however, merely addresses whether the cargo would have been rejected because the seal was broken and meat was off-loaded.

ICCS performs independent insurance adjustment activities for several insurance companies and entities, including CTCM.

Flandrich makes the claim that portions of Hulford’s affidavit relating to discussions with McQuirt are inadmissable hearsay and should not be given weight in determining the issue of bad faith. (Flandrich Reply at p. 6, 644 N.E.2d 397). It is true that any statements by McQuirt regarding the actions of Holt and cause of the cargo loss could be inadmissable hearsay if offered for the truth of the matter asserted. However, any statements are merely being offered to show what McQuirt told Hulford, which he relied upon in forming his conclusion that the cargo was not lost or damaged. It is entirely irrelevant whether McQuirt’s statements were true. All that matters is that they were said to Hulford, and Hulford relied on them. Consequently, those statements are not hearsay under Fed.R.Evid. 801.

OOIDA cannot rely on information learned from deposition testimony taken subsequent to its denial of coverage to support that it did not act in bad faith. Any information OOIDA learned from deposition testimony did not impact its decision to deny coverage.

However, there is no evidence in the record that Hufford learned anything relevant as to the cause of the accident or as to whether the meat was lost or destroyed from his inspection. In fact, there is no evidence as to anything he learned from his inspection.

McQuirt was not at the scene when the accident occurred, before Holt began his attempt to upright the trailer, or when the trailer split.

0. However, there is no evidence in the record that Hufford learned anything relevant as to the cause of the accident or as to whether the meat was lost or destroyed from these conversations. In fact, there is no evidence as to anything he learned from these conversations.

1. For instance, OOIDA did not interview anyone who had first hand knowledge of events that transpired at the time of the accident or at the time the trailer split. Neither McQuirt nor Campbell could speak to whether the cargo was lost or damaged before Holt arrived on the scene. OOIDA did not investigate whether the Thermo Unit had been broken in the accident, which would have caused a rise of temperature of the meat. In addition, OOIDA did not investigate whether Flandrich even relinquished control to Holt to upright the trailer, as Flandrich could have been directing that process, thereby exercising control at all times.

Essex Ins. Co. v. Zota

United States District Court,

S.D. Florida.

ESSEX INSURANCE COMPANY, Plaintiff,

v.

Mercedes ZOTA, Miguel Zota, Lighthouse Intracoastal, Inc., Jack Farji, individually, and Broward Executive Builders, Inc., Defendants.

No. 04-60619-CIV.

April 8, 2009.

ORDER GRANTING IN PART DEFENDANTS’ MOTION FOR SUMMARY JUDGMENT AND GRANTING IN PART PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT

JAMES I. COHN, District Judge.

THIS CAUSE is before the Court upon Plaintiff Essex Insurance Company’s (“Essex”) Second Renewed Motion for Summary Final Judgment [DE 187] (“Plaintiff’s Motion for Summary Judgment”) and Defendants Lighthouse Intracoastal, Inc. (“Lighthouse”), Jack Farji (“Farji”) and Broward Executive Builders, Inc.’s (“Broward Executive”) Amended and Renewed Motion for Summary Judgment [DE 188] (“Defendants Motion for Summary Judgment”). The Court has carefully considered the Motions for Summary Judgment, the corresponding responses, replies, supplemental authority, argument heard on February 26, 2009, and is otherwise advised in the premises.

I. BACKGROUND

A. The Underlying Action

In February 2004, Mercedes Zota and Miguel Zota (the “Zota Defendants”) brought an action against Lighthouse, Broward Executive, and Farji in state circuit court in Broward County, Florida, for personal injuries suffered by Mercedes Zota (the “Underlying Action”). The Zota Defendants allege that Mercedes Zota (“Zota”) was an architectural wall artist and was painting murals and wall art on property at the “30th Court” job site, located at 2373 N.E. 30th Court in Lighthouse Point, Florida. The Zota Defendants allege that Mercedes Zota was seriously injured when she fell from the second floor to the ground below. The Zota Defendants contend that the second floor did not have the appropriate edge protection, railings, chains, or guards. Essex is providing a defense to Lighthouse and Farji in the Underlying Action.

B. The Present Action

In this Court, Essex sought a declaration of its rights and obligations with respect to the Defendants under the insurance policy (policy number 3CM0753) (the “Policy”) that it issued to Lighthouse. Essex sought a declaration that it was not required to provide indemnity under the Policy to Lighthouse or Farji for the Zota claim. In addition, Essex sought a declaration that it was not obligated to defend Lighthouse or Farji in the Underlying Action, and that Essex be released from any further obligation to defend or indemnify Lighthouse or any other potential additional insured under the Policy for the Zota claim.

In their original Motion for Summary Judgment, Defendants contended that they were entitled to summary judgment because Essex failed to deliver the Policy to Lighthouse in compliance with Fla. Stat. § 626.922. Defendants also asserted that they were entitled to judgment as a matter of law because Mercedes Zota was not an employee of Lighthouse under the terms of the Policy. They further argued that the Policy terms “contractor, builder or developer” were ambiguous and Lighthouse was not a contractor, builder, or developer.

In its original Renewed Motion for Summary Final Judgment, Plaintiff maintained that the Policy excluded coverage. Plaintiff argued that Lighthouse was acting as a contractor, builder or developer, and/or the underlying claim was made by an employee of the insured. Thus, Plaintiff contended that there was no coverage for the claim asserted in the Underlying Action pursuant to the terms of the Policy and it was entitled to judgment as a matter of law.

The Court granted Defendants’ Motion for Summary Judgment and denied Plaintiff’s Renewed Motion for Summary Final Judgement. (“District Court Order,” DE 119). The Court found that Essex and its surplus lines agent failed to deliver the Policy and its exclusions to Lighthouse as required by Fla. Stat. §§ 626.922(1) and 627.421. (Id., at p. 8.) Consequently, Essex was precluded from asserting lack of coverage and the Defendants were entitled to summary judgment as a matter of law. (Id.) The Court did not consider the other arguments raised by the parties, (Id.)Plaintiff appealed the District Court Order. (Notice of Appeal, DE 150.)

C. Zota I

The Eleventh Circuit Court of Appeals in Zota I stated that if the district court erred in holding that Essex was precluded from asserting lack of coverage because of its violation of Florida Statutes §§ 626.922 and 627.421, then the Court must determine whether Essex was entitled to judgment based on the two coverage exclusions. Essex Ins. Co. v. Zota, 466 F.3d 981, 986 (11th Cir.2006). The Eleventh Circuit advised that since Lighthouse did not obtain the required certificates of insurance covering Zota, there was no coverage if Lighthouse was a contractor, builder, or developer. Id. The Court also pointed out that there was no evidence that Jack Farji directly caused the injury and therefore there was no coverage if Lighthouse was a builder, contractor or developer. Id. However, the parties disputed the role Lighthouse played with respect to the property where the Zota incident occurred. Id. at 987.

Additionally, the parties disputed whether Zota was an employee of Lighthouse. In the Underlying Action, Lighthouse stated that it was the statutory employer of Zota for purposes of worker’s compensation laws. Id. at 987.Defendants countered that the Associate Vice President of Essex had admitted that Zota was not an employee of Lighthouse as that term is defined in the Policy. The Eleventh Circuit advised that, “[i]f the party’s contrary admissions do not determine the factual issue, then it appears that neither party is entitled to summary judgment on this issue…. In fact, Essex concedes that if Lighthouse is not bound by its admission that it was the ‘statutory employer,’ then the issue is a question of fact for trial.”Id.

The Eleventh Circuit Court of Appeals did not resolve the issues on appeal. Rather, Zota I certified a number of questions to the Florida Supreme Court because they involved unresolved issues of Florida law. The certified questions include:

1. Whether Fla. Stat. § 626.922 or § 627.421, or both, require delivery of evidence of insurance directly to the insured, so that delivery to the insured’s agent is insufficient.

2. Whether, if the delivery requirement of Fla. Stat. § 626.922 or § 627.421, or both, was not met in this case the appropriate remedy is to preclude the insurer from asserting lack of coverage under the terms of the policy.

3. If either the first or second question is answered in the negative, whether Lighthouse is a “builder, contractor or developer” under the terms of the insurance contract, so that there is no coverage.

4. If either the first or second question is answered in the negative, whether Zota is an employee of Lighthouse under the policy.

5. If Lighthouse is entitled to coverage, whether Fla. Stat. § 627.428 applies to surplus lines insurers.

Id., at 990.

D. Zota II

The Florida Supreme Court determined that the answer to question one was “no.” There was “no language present in section 626.922 and 627.421, Florida Statutes (2003), [that] precludes a surplus insurer or its direct surplus lines agent from delivering a copy of the coverage document to the insured’s independent representative-broker instead of direct to the insured.” Essex Ins. Co. v. Zota, 985 So.2d 1036, 1051 (Fla.2008). Because the Court answered the first question in the negative, there was no need to answer the second question. Id., at 1041.The Florida Supreme Court also declined to answer the third and fourth questions because “our analysis leads us to conclude that the third and fourth certified questions involve multiple undecided and underdeveloped factual questions.”Id. The fifth question was answered in part by the negative response to question one. Id. The Florida Supreme Court concluded that “[i]f Lighthouse and Mr. Farji ultimately prevail in this case against Essex, the federal courts remain free to impose an award of attorney’s fees in their favor.”Id. at 1051.

E. Zota III

The Eleventh Circuit Court of Appeals then issued Zota III.(Zota III, DE 176).Zota III vacated the District Court Order and remanded the case. The Eleventh Circuit stated that the remaining issues that they had previously certified could not be decided from the summary judgment record without additional findings by the district court.

II. ANALYSIS

In the present Motion for Summary Judgment, Defendants argue that (1) Zota was not an employee of Lighthouse; (2) Plaintiff did not follow the requirements of Fla. Stat. § 627.410 and as a result, the endorsement exclusions are void; (3) the terms contractor, builder and developer are not defined in the policy and are ambiguous, but if not ambiguous, do not apply because Lighthouse was the owner of the property. Plaintiff also moves for summary judgment arguing that there is no coverage under the Policy because Lighthouse was a builder, contractor and/or developer.

The Court may grant summary judgment “if the pleadings, the discovery and disclosure materials on file, and any affidavits show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law.”Fed.R.Civ.P. 56(c). The movant “bears the initial responsibility of informing the district court of the basis for its motion, and identifying those portions of [the record] which it believes demonstrate the absence of a genuine issue of material fact.” Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). To discharge this burden, the movant must demonstrate that there is an absence of evidence to support the nonmoving party’s case. Id. at 325.

After the movant has met its burden under Rule 56(c), the burden of production shifts and the nonmoving party “must do more than simply show that there is some metaphysical doubt as to the material facts.” Matsushita Electronic Industrial Co. v. Zenith Radio Corp. ., 475 U.S. 574, 586, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986). According to the plain language of Fed.R.Civ.P. 56(e), “an opposing party may not rely merely on allegations or denials in its own pleading; rather, its response must-by affidavits or as otherwise provided in this rule-set out specific facts showing a genuine issue for trial.”Fed.R.Civ.P. 56(e); Matsushita, 475 U.S. at 587.

Essentially, so long as the non-moving party has had an ample opportunity to conduct discovery, it must come forward with affirmative evidence to support its claim. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 257, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986).“A mere ‘scintilla’ of evidence supporting the opposing party’s position will not suffice; there must be a sufficient showing that the jury could reasonably find for that party.” Walker v. Darby, 911 F.2d 1573,1577 (11th Cir.1990). If the evidence advanced by the non-moving party “is merely colorable, or is not significantly probative, then summary judgment may be granted.” Anderson, 477 U.S. at 249-50.

A. The Requirements of Florida Statute § 627.410

Florida Statute § 627.410(1) provides that:

No basic insurance policy or annuity contract form, or application form where written application is required and is to be made a part of the policy or contract, or group certificates issued under a master contract delivered in this state, or printed rider or endorsement form or form of renewal certificate, shall be delivered or issued for delivery in this state, unless the form has been filed with the office by or in behalf of the insurer which proposes to use such form and has been approved by the office. This provision does not apply to surety bonds or to policies, riders, endorsements, or forms of unique character which are designed for and used with relation to insurance upon a particular subject (other than as to health insurance), or which relate to the manner of distribution of benefits or to the reservation of rights and benefits under life or health insurance policies and are used at the request of the individual policyholder, contract holder, or certificate holder. As to group insurance policies effectuated and delivered outside this state but covering persons resident in this state, the group certificates to be delivered or issued for delivery in this state shall be filed with the office for information purposes only.

Plaintiff argues that § 627.410(1) does not apply to surplus lines insurers because it is trumped by and conflicts with § 626.923. Florida Statute § 626.923 states that:

A surplus lines agent shall, within 30 days after the date of a request by the department or the Florida Surplus Lines Service Office, furnish an exact copy of any and all requested policies, including applications, certificates, cover notes, or other forms of confirmation of insurance coverage or any substitutions thereof or endorsements thereto. The department or the Florida Surplus Lines Service Office may also request and the agent shall furnish, within 30 days after the date of the request, the agent’s memorandum as to the substance of any change represented by a substitute certificate, cover note, other form of confirmation of insurance coverage, or endorsement as compared with the coverage as originally placed or issued.

Plaintiff contends that “[t]o hold that surplus-lines insurers must always file their policy forms and have them approved by the OIR prior to delivering or issuing any policy would have the effect of rendering § 626.923 and other provisions in Chapter 626 meaningless.”(Plaintiff Response, DE 202, p. 4.) Plaintiff’s argument is supported by the affidavits of Steven H. Parton and Gary Pullen.

Gary Pullen is the Executive Director of the Florida Surplus Lines Service Office. Mr. Pullen states that his office has never required surplus lines insurers to comply with § 627.410 nor does the Florida Office of Insurance Regulation (“OIR”) intend to require compliance with this statute even after the opinion in Essex Ins. Co. v. Zota, 985 So.2d 1036 (Fla.2008). (Pullen Affidavit, DE 203, p. 5-6.) Steven Parton is presently General Counsel for the Florida Office of Insurance Regulation. He maintains that § 627.410 applies to authorized insurers while §§ 626 .913-626.937 apply to surplus lines insurers. (Parton Affidavit, DE 203, p. 10.) Mr. Parton states that § 626.916(1)(c)  requires surplus lines insurers to file a form with the Office for review. The only other filing requirement is in House Bill 601 introduced in the 2008 Regular Session. (Id.)

The argument that the legislature did not intend for § 627.410 to apply to surplus lines insurance was presented to the Eleventh Circuit in CNL Hotels & Resorts, Inc. v. Twin City Fire Ins. Co., 291 Fed. Appx. 220 (11th Cir. Aug.18, 2008). The CNL Court found that § 627.410 applied to surplus lines insurance and remanded the case to determine whether an endorsement was void because it was not filed with the OIR. Id. at 225.The CNL Court was presented with similar arguments that Plaintiff raises here and declined reconsideration of its finding. See Defendants’ Reply, DE 221, and exhibits attached thereto. The CNL Court premised its finding on the Zota II decision where the Florida Supreme Court stated that:

this Court has previously held that-under a full statutory analysis-section 627.021(2)  applies exclusively to part I of chapter 627. See Nat’l Corporacion Venezolana, S.A. v. M/V Manaure V, 511 So.2d 968, 970-71 (Fla.1987); §§ 627.011-627.381, Fla. Stat. (2003) (part I of chapter 627). Furthermore, the relevant legislative materials, as well as the structure and organization of chapter 627, demonstrate that the exclusionary provisions of section 627.021(2) only relate to “the ratings laws of part I, chapter 627, F.S.,” as this Court has previously held …

Zota II, 985 So.2d at 1042. Therefore, part II of Chapter 627, which includes § 627.410, applies to surplus lines insurers.

Plaintiff argues that even if § 627.410 applies, then § 626.923 would create an exception to the extent that surplus line insurers are required to file policy forms and have them approved only upon request by the OIR. (Plaintiff’s Response, DE 202, p. 5.)

Defendants argue that there is no inconsistency between §§ 626.923 and 627.410 because § 627.410 discusses approval of policy forms before an insurance policy is issued and § 626.923 deals with filing a copy of a policy after issuance. (Defendants’ Reply, DE 221, p. 5-6.) Defendants assert that the requirements of § 626.923 are in addition to the requirements of § 627.410. (Id. at p. 6.) Because the Eleventh Circuit and the Florida Supreme Court determined that § 627.410 applies to surplus lines insurance, the Court finds that the most plausible reading of the statutes is as Defendants explain, the statutes both apply in different circumstances.

Plaintiff also submitted a copy of HB 853 that was filed in the Florida House of Representatives on February 12, 2009 and SB 1894 that was filed in the Florida Senate on February 19, 2009. (Notices of Supplemental Authority, DEs 229, 233.) The original draft of HB 853 would amend Fla. Stat. § 626.913 to state that:

Section 1. Subsection (4) is added to section 626.913, Florida Statutes, to read: 626.913 Surplus Lines Law; short title; purposes.-

(4) Except as may be specifically stated to apply to surplus lines insurers, the provisions of chapter 627 do not apply to surplus lines insurance authorized under ss. 626.913-626.937, the Surplus Lines Law.

Section 2. If any provision of this act or the application thereof to any person or circumstance is held invalid, the invalidity shall not affect other provisions or applications of the act which can be given effect without the invalid provision or application, and to this end the provisions of this act are declared severable.

Section 3. This act shall take effect upon becoming a law and shall operate retroactively to October 1, 1988.

These bills certainly evidence a current desire to remove surplus lines insurers from the obligations of chapter 627. (Response, DE 202, p. 13-17.) However, this legislation has not yet passed and has no impact on this action. The present state of the law as analyzed by the Eleventh Circuit and the Florida Supreme Court is that § 627.410 applies to surplus lines insurers.

Having determined that Fla. Stat. § 627.410 applies to surplus lines insurers, the Court must now determine what remedy or penalty, if any, results from Plaintiff’s admitted failure to abide by the statute’s filing requirements. (Defendants’ Motion for Summary Judgment, Exhibit K, DE 188-3, p. 4.) The CNL Court, citing Zota II, found that § 627.410(1) applies to surplus lines insurance and remanded to the district court to determine whether the endorsement was void because it was not filed with the OIR. CNL Hotels & Resorts, 291 Fed. Appx. at 225.

The CNL Court also cited Am. Mut. Fire Ins. Co. v. Illingworth, 213 So.2d 747, 749 (Fla.Dist.Ct.App.1968) for the proposition that failure to file a form with the OIR renders the form void. CNL Hotels & Resorts. Inc, 291 Fed. Appx. at 225.The Illingworth Court found that “[b]ecause the endorsement form was not approved by the insurance commissioner then any endorsement written on the unapproved form must be rendered void. If the form is not approved then the endorsement written on it in favor of the appellant must be in effect null and void.” Illingworth, 213 So.2d at 750. This Court is presented with a similar question as that presented on remand, whether failure to follow the filing requirements in the statute renders the endorsement void?

Plaintiff argues that the endorsement is not void because an insurer’s noncompliance cannot be used by an insured to create or resurrect coverage that never existed under the policy. (Plaintiff’s Response, DE 202, p. 6.) The principal case cited by Plaintiff is AIU Ins. Co. v. Block Marina Investment. Inc., 544 So.2d 998 (Fla.1989).

In Block Marina, the Florida Supreme Court addressed the issue of “whether petitioner AIU Insurance Company (AIU) is prohibited from denying coverage in connection with a loss, coverage which is excluded under a comprehensive liability policy, due to its noncompliance with the notice requirements of section 627.426(2), Florida Statutes (1985).” Block Marina, 544 So.2d at 998. The trial court granted Block Marina and Norfolk Marine summary judgment prohibiting AIU from denying coverage because AIU had failed to notify the insured as required by § 627.426(2)(b). Id. at 999.The Florida Supreme Court disagreed and stated that the legislature did not intend “to give an insured coverage which is expressly excluded from the policy or to resurrect coverage under a policy or an endorsement which is no longer in effect, simply because an insurer fails to comply with the terms of the aforementioned statute .”Id. The Court found that the statute, in effect, worked as an estoppel and “while the doctrine of estoppel may be used to prevent a forfeiture of insurance coverage, the doctrine may not be used to create or extend coverage.”Id. at 1000.The Court also found that construing the term “cover defense” which was in the statute:

to include a disclaimer of liability based on an express coverage exclusion has the effect of rewriting an insurance policy when section 627.426(2) is not complied with, thus placing upon the insurer a financial burden which it specifically declined to accept. Such a construction presents grave constitutional questions, the impairment of contracts and the taking of property without due process of law. Therefore, we hold that the term ‘coverage defense’ as used in section 627.426(2), means a defense to coverage that otherwise exists. Under this construction, for example, if the insurer fails to comply with the requirements of the statute, it may not declare a forfeiture of coverage which otherwise exists based on a breach of a condition of the policy. However, its failure to comply with the requirements of the statute will not bar an insurer from disclaiming liability where a policy or endorsement has expired or where the coverage sought is expressly excluded or otherwise unavailable under the policy or under existing law.

Id. Plaintiff draws parallels to the present situation by arguing that its failure to comply with statutory filing requirements should not be used to void the exclusions and broaden coverage for claims expressly excluded under the original Policy. (Response, DE 202, p. 6.) Defendants counter that they never asserted estoppel and have not sought coverage based on estoppel. (Reply, DE 221, p. 10.) Defendants also contend that the Block Marina decision is limited to § 627.426 and cite Doe v. Allstate Ins. Co., 653 So.2d 371 (Fla.1995) in support.

Doe, in discussing the Block Marina decision, stated that the decision “simply recognizes that section 627.426 does not create or extend nonexistent coverage.” Doe, 653 So.2d at 374. Despite the Doe decision’s limiting language, the underlying premise of Block Marina is that a technical statutory requirement should not be utilized to create coverage where coverage would not normally be found pursuant to the policy.

In Zota I, the Eleventh Circuit, relying on Block Marina, concluded that the Florida Supreme Court disfavored reforming an insurance contract to provide coverage that was not otherwise provided under the contract:

The opinion notes that the general rule that estoppel may not be used to create coverage is a “long-standing rule” not altered by the statute. It also states that interpreting the statute to preclude insurers from denying coverage based on an express coverage exclusion in the policy would have the effect of re-writing the policy and this would raise “grave constitutional questions [regarding] the impairment of contracts and the taking of property without due process of law.”The defendants attempt to confine the scope of the AIU decision to interpretation of the particular Florida statute at issue in that case. A strong argument can be made, however, that the AIU decision evidences the Florida Supreme Court’s reluctance to do what the defendants seek here, which would have the effect of altering the terms of the insurance contract to create coverage that is not provided for under the policy.

Zota I, 466 F.3d at 985. The present situation is quite similar to that addressed by Zota I. Defendants are asking the Court to void only the exclusions and find coverage under the remaining Policy. This would have the effect of altering the terms of the insurance contract because the insurance contract bargained for by the parties included the exclusions. See e.g. F.D.I.C. v. American Cas. Co. of Reading. Pa., 975 F.2d 677, 683 (10th Cir.1992) (“[v]oidance of exclusion to an insurance policy is a severe penalty which alters the very terms of the deal between the parties. It requires the insurer to provide coverage for uncontracted risk, coverage for which the insured has not paid.”) Voiding only the exclusions would transform the original Policy that included the bargained for exclusions. In light of the language in Block Marina and Zota I, this Court must refrain from any alteration of the terms of the insurance contract. Consequently, the Court finds itself in the position of finding that voiding is not the appropriate remedy for failing to abide by the filing requirements, but having no guidance in § 627.410 for what an appropriate remedy or penalty should be.

Plaintiff argues that rescission is the only available remedy for its failure to comply with § 627.410. (Response, DE 202, p. 6.) Rescinding the policy would require a refund of premiums and no coverage for this accident. (Id. at p. 7.) Plaintiff notes that operation of § 627.410 would result in the voiding of the entire policy because Essex failed to file the policy with the OIR. (Id. at p. 8.) Defendants respond that rescission is a harsh remedy utilized only when there has been fraud, accident or mistake.

Plaintiff submits case law which holds that the failure to fulfill a condition precedent results in there being no contract. See Mitchell v. Dimare, 936 So.2d 1178 (Fla. 5th DCA 2006); Southern Internet Systems, Inc. ex rel. Menotte v. Pritula, 856 So.2d 1125 (Fla. 4th DCA 2003). While this is a correct statement of the law, rescission is ordinarily granted only for fraud, accident or mistake. See Kaufman v. City Place South Tower, LLC, 2008 WL 4722106, * 6 (S.D.Fla. Oct.21, 2008). There is no evidence of fraud, accident or mistake in the record. As a result, rescission of the entire Policy is not a proper remedy.

Another possible solution identified by Plaintiff is that pursuant to Fla. Stat. § 627.418, noncompliance with Fla. Stat. § 627.410 should not invalidate an otherwise valid policy provision. This statute provides that:

Any insurance policy, rider, or endorsement otherwise valid which contains any condition or provision not in compliance with the requirements of this code shall not be thereby rendered invalid, except as provided in s. 627.415, but shall be construed and applied in accordance with such conditions and provisions as would have applied had such policy, rider, or endorsement been in full compliance with this code. In the event an insurer issues or delivers any policy for an amount which exceeds any limitations otherwise provided in this code, such insurer shall be liable to the insured or his or her beneficiary for the full amount stated in the policy in addition to any other penalties that may be imposed under this code.

Fla. Stat. § 627.418. Defendants posit that this statute is designed to prevent situations like the present, where an insurance company does not follow the insurance code, finds out after a claim is made that its provisions violate the law, and then attempts to void the entire policy and not pay the claim. (Reply, DE 221, p. 13 .)

Defendants are correct in stating that § 627.418“is designed to guarantee that the courts not bar coverage to policy holders because their contracts contain a condition or provision which violates the insurance code.” Excelsior Ins. Co. v. Pomona Park Bar & Package Store, 369 So.2d 938, 942 (Fla.1979). However, as Judge Middlebrooks explained, even though § 627.418(1) may have intended to benefit policy holders and not insurance companies, the statute suggests that, in the absence of an express penalty in the statute, courts should assume that a policy provision is valid despite noncompliance with the Insurance Code. Chalfonte Condominium Apartment Ass’n. Inc. v. QBE Ins. Corp., 526 F.Supp.2d 1251, 1257 (S.D.Fla.2007). The Court is faced with the same dilemma as Judge Middlebrooks. In QBE Judge Middlebrooks determined that QBE violated Fla. Stat. § 627.701(4) by not putting the language in the proper font size and by substituting the word ‘windstorm’ for ‘hurricane loss.’ Id. at 1256.The statute that was violated had no express penalty attached and the Court declined to create one. Id. Notably, Judge Middlebrooks did not void the deductible provision because construing the Insurance Code as a whole, an appropriate penalty could be some kind of fine from the Department of Insurance. Id. at 1257.Here, the Court has determined that Fla. Stat. § 627.410 applies and was violated. Yet, there is no express penalty for violation of the statute. The only case addressing a penalty for violation of Fla. Stat. § 627.410 is Am. Mut. Fire Ins. Co. v. Illingworth, 213 So.2d 747, 749 (Fla. 2nd DCA, 1968).Illingworth found that failure to file a form with the OIR renders the form void. However, this Court concludes that voiding only the endorsement and allowing the Policy to remain in force without the exclusions would raise grave constitutional concerns. Therefore, like Judge Middlebrooks in QBE, this Court concludes that pursuant to Fla. Stat. § 627.418(1), the endorsement provision is valid despite noncompliance with the Insurance Code.

B. The Builder, Contractor or Developer Exclusion

In Florida “an insurer, as the writer of an insurance policy, is bound by the language of the policy, which is to be construed liberally in favor of the insured and strictly against the insurer.” Berkshire Life Ins. Co. v. Adelberg, 698 So.2d 828, 830 (Fla.1997). If there is an ambiguity in an insurance policy, that ambiguity should be construed against the insurer. Purrelli v. State Farm Fire & Cas. Co., 698 So.2d 618, 620 (Fla. 2d DCA 1997). An insurance policy is ambiguous “if it is susceptible to two or more reasonable interpretations that can fairly be made.”Cont’l Cas. Co. v. Wendt, 205 F.3d 1258, 1261 (11th Cir.2000). Florida courts have made clear that it is only when there is a genuine inconsistency or ambiguity in the policy that this rule of construction is employed. “Thus, it is only where courts first determine that policy language is ambiguous that contractual language is to be construed in favor of the insured. When an insurance contract is not ambiguous, it must be given effect as written.” Siegle v. Progressive Consumers Ins. Co., 819 So.2d 732, 735 (Fla.2002). This rule of construction “ ‘does not allow courts to rewrite contracts, add meaning that is not present, or otherwise reach results contrary to the intentions of the parties.’ ” Swire Pac. Holdings, Inc. v. Zurich Ins. Co., 845 So.2d 161, 165 (Fla.2003) (citing Excelsior Ins. Co. v. Pomona Park Bar & Package Store, 369 So.2d 938, 942 (Fla.1979).

In Florida, insurance policies must be read as a whole. Fla. Stat. § 627.419(1); see also Matthews v. Ranger Ins. Co., 281 So.2d 345, 348 (Fla.1973). Just because an operative term is not defined, it does not necessarily mean that the term is ambiguous. Swire Pac. Holdings, 845 So.2d at 166. “[T]erms of an insurance policy should be taken and understood in their ordinary sense and the policy should receive a reasonable, practical and sensible interpretation consistent with the intent of the parties-not a strained, forced or unrealistic construction.” Siegle, 819 So.2d at 736 (quoting Gen. Accident Fire & Life Assurance Corp. v. Liberty Mut. Ins. Co., 260 So.2d 249, 253 (Fla. 4th DCA 1972)). The court may look to parol evidence in interpreting an insurance contract only if there is an ambiguity. Fireman’s Fund Ins. Co. v. Tropical Shipping and Const. Co., 254 F.3d 987, 1003 (11th Cir.2001).

The Combination General Endorsement (M/E-001) provides:

If you are a contractor, builder or developer, there is no coverage under this policy for:

1. “Bodily injury,” “personal injury,” or “property damage” caused by acts of Independent Contractors/ subcontractors contracted by you or on your behalf unless you obtain Certificates of Insurance from them providing evidence of at least like coverage and limits of liability as provided by this policy and naming you as an additional insured.

2. “Bodily injury,” “personal injury,” or “property damage” sustained by any independent contractor/ sub-contractor, or any employee, leased worker, temporary or volunteer help of same, unless a Named Insured or employee of a Named Insured is on site, at the time of the injury or damage, and the Named Insured’s actions or inactions are the direct cause of the injury or damage, or the injury or damage is directly caused by an employee of the Named Insured.

(Policy, DE 74, p. 34).

The parties dispute the role Lighthouse played with respect to the property where Zota was injured. Essex argues that even though the terms “contractor”, “builder” and “developer” are not defined in the Policy, they are not ambiguous, and given their usual and customary meaning, Lighthouse fits into all of these definitions. (Plaintiff’s Motion for Summary Judgment, DE 187, p. 7-13.) Defendants counter that at the time of the Policy, Lighthouse was the owner of the land, not a contractor, builder, or developer, and the exclusions do not apply. (Defendants’ Motion for Summary Judgment, DE 188, p. 24-25.) Lighthouse also maintains that the terms contractor, builder and developer are susceptible to two or more reasonable interpretations and consequently, the terms are ambiguous. (Id. at p. 16-24.)

1. Builder

Because the Policy provides no definition, the parties propose the following definitions for builder:

1. A person in the business of constructing buildings. Webster’s New World Dictionary, 183 (3d ed.1994); (Plaintiff’s Motion for Summary Judgment, DE 187, p. 8.)

2. A person who supervises and usually has a financial interest in building operations and the arts and trades involved in their progress-compare CONTRACTOR. Webster’s Third New International Dictionary, Unabridged.Merriam-Webster, 2002; (Defendants’ Motion for Summary Judgment, DE 188, p. 21.)

Lighthouse alleges that it did not supervise construction and therefore, is not a builder. (Defendants’ Response, DE 198, p. 6.) Lighthouse also argues that it was not a “person” performing the work and building the home, rather, Jack Farji and/or Broward Executive performed these duties. (Id.) Additionally, Lighthouse takes issue with Plaintiff’s characterization that it was acting as a contractor, builder or developer or it was acting with every indicia that it was a contractor, builder or developer because the policy exclusion only applies “if you are a contractor, builder or developer …” (Defendants’ Reply, DE 221, p. 16 (emphasis added).)

In construing terms appearing in insurance policies, the Court adopts the plain “meaning of the words contained in legal and non-legal dictionaries.” Wendt, 205 F.3d at 1263. Both of the definitions provided are reasonable and are from non-legal dictionaries. The most comprehensive definition is proposed by the Defendants and under either Lighthouse has identified itself as the builder. In correspondence on May 9, 2003, from Nissin Farji to Brandon & Co., Lighthouse is identified as the builder of the property at 30th Court. (Plaintiff’s Motion for Summary Judgment, DE 85, p. 178). Defendants argue this was simply a scrivener’s error because six days later the City of Lighthouse Point issued the permit for the construction of the home that listed Lighthouse as the owner and Broward as the contractor. (Defendants’ Response, DE 198, p. 13; Permit, DE 101, p. 19.) However, there was also an e-mail dated May 8, 2003, discussing Mr. Farji’s request for quotes for a “new builders risk” for the 30th Court property and Lighthouse is named as the builder. (Plaintiff’s Motion for Summary Judgment, DE 85, p. 222.)

Because there is record evidence indicating that Lighthouse was a builder and evidence that Lighthouse was the owner, there are disputed issues of material fact and summary judgment is not appropriate on this issue.

2. Contractor

The parties propose the following definitions for contractor:

1. A person who contracts to supply certain materials or do certain work for a stipulated sum, especially one who does so in any of the building trades. Webster’s New World Dictionary, 302 (3d ed.1994); (Plaintiff’s Motion for Summary Judgment, DE 187, p. 10.)

2. One that contracts to erect buildings. Merriam-Webster New Collegiate Dictionary (1973); (Plaintiff’s Motion for Summary Judgment, DE 187, p. 10.)

3. “ ‘Contractor’ means the person who is qualified for, and shall only be responsible for, the project contracted for and means, except as exempted in this part, the person who, for compensation, undertakes to, submits a bid to, or does himself or herself or by others construct, repair, alter, remodel, add to, demolish, subtract from, or improve any building or structure, including related improvements to real estate, for others or for resale to others; and whose job scope is substantially similar to the job scope described in one of the subsequent paragraphs of this subsection … Contractors are subdivided into two divisions, Division I, consisting of those contractors defined in paragraphs (a)-(c), and Division II, consisting of those contractors defined in paragraphs (d)-(q) …”Fla. Stat. § 489.105(3); (Defendants’ Motion for Summary Judgment, DE 188, p. 17.)

4. “ ‘General contractor’ means a contractor whose services are unlimited as to the type of work which he or she may do, who may contract for any activity requiring licensure under this part, and who may perform any work requiring licensure under this part, except as otherwise expressly provided in s. 489.113.”Fla. Stat. § 489.105(3)(a); (Defendants’ Motion for Summary Judgment, DE 188, p. 17.)

5. “ ‘Building contractor’ means a contractor whose services are limited to construction of commercial buildings and single-dwelling or multiple-dwelling residential buildings, which commercial or residential buildings do not exceed three stories in height, and accessory use structures in connection therewith or a contractor whose services are limited to remodeling, repair, or improvement of any size building if the services do not affect the structural members of the building.”Fla. Stat. § 489.105(3)(b); (Defendants’ Motion for Summary Judgment, DE 188, p. 18.)

6. One who contracts on predetermined terms to provide labor and materials and to be responsible for the performance of a construction job in accordance with established specifications or plans-called also building contractor. Webster’s Third New International Dictionary, Unabridged.Merriam-Webster, 2002; (Defendants’ Motion for Summary Judgment, DE 188, p. 19.)

Plaintiff points to other insurance contracts where Lighthouse identified itself as a contractor. (Plaintiff’s Motion for Summary Judgment, DE 187, p. 14-18.) But in this policy, Lighthouse describes itself as an “owner of land where dwellings are being built.”(Policy, DE 74, p. 26). Plaintiff also argues that Lighthouse was a contractor because it contracted with and paid all subcontractors on the job, contracted with the architectural firm who prepared the plans and obtained the construction loan. (Plaintiff’s Motion for Summary Judgment, DE 187, p. 10.) Plaintiff argues that although the Defendants assert that Mr. Farji qualified Broward Executive as its building contractor, there was no written agreement and Lighthouse did not pay Broward Executive as a contractor, builder or developer. (Id. at p. 10-11.)

Defendants argue that Farji was the licensed building contractor and he qualified Broward Executive. (Defendants’ Motion for Summary Judgment, DE 188, p. 18.) Defendants state that it was Broward Executive that pulled all of the permits for the construction of the home. (Id.) Defendants, citing the Webster’s Third New International Dictionary definition of contractor, maintain that Lighthouse was not a contractor because it was not responsible for the performance of the construction of the home in accordance with established specifications. (Id. at p. 19.)Additionally, Defendants argue that even using Plaintiff’s definition of a contractor: a person who contracts to supply certain materials or do certain work for a stipulated sum, Lighthouse does not qualify because it was the subcontractors that were supplying certain materials and doing certain work for a stipulated sum. (Id.)

Defendants argue that even if one who contracts was the definition it would not include Lighthouse because contracting:

shall not extend to an individual, partnership, corporation, trust, or other legal entity that offers to sell or sells completed residences on property on which the individual or business entity has any legal or equitable interest, or to the individual or business entity that offers to sell or sells manufactured or factory-built buildings that will be completed on site on property on which either party to a contract has any legal or equitable interest, if the services of a qualified contractor certified or registered pursuant to the requirements of this chapter have been or will be retained for the purpose of constructing or completing such residences.

Fla. Stat. § 489.105(6); (Defendants’ Motion for Summary Judgment, DE 188, p. 20.) Defendants maintain that Lighthouse falls within the exception because it is a corporation that offered to sell a completed residence on property which it owned and it retained the services of a qualified contractor who constructed the residence. (Defendants’ Motion for Summary Judgment, DE 188, p. 20.)

Policy language is considered ambiguous if it is susceptible to more than one reasonable interpretation. Wendt, 205 F.3d at 1261. Merely because the contract requires interpretation or fails to provide a definition for a term involving coverage does not mean that there is ambiguity. Id. at 1262.The definitions of contractor proposed by the parties are very similar and vary only slightly in their scope. The Court finds that the term contractor is not ambiguous. In construing terms appearing in insurance policies, the Court adopts the plain “meaning of the words contained in legal and non-legal dictionaries.” Wendt, 205 F.3d at 1263. Looking to the regular dictionary definition of the term, the Court finds that a contractor is “One who contracts on predetermined terms to provide labor and materials and to be responsible for the performance of a construction job in accordance with established specifications or plans-called also building contractor.”Webster’s Third New International Dictionary, Unabridged.Merriam-Webster, 2002. Having established the definition of the term, there is still a factual dispute about whether Lighthouse was a contractor. See e.g. Policy, DE 74, p. 26 (Lighthouse is the “owner of land where dwellings are being built”); Deposition of Todd Brandon, DE 76, p. 114-117; Inland Marine Declarations, DE 85, p. 181 (Lighthouse is the Residential Contractor); Building Permit, DE 101, p. 19 (Broward Executive is the Contractor); Statement of Disputed & Undisputed Facts, DE 192, p. 2. (undisputed that Lighthouse did not pay Broward Executive as a contractor while the house was being built). Because there are disputed issues of material fact regarding whether Lighthouse was a contractor, the Court cannot resolved this issue at the summary judgment stage.

3. Developer

Like the terms builder and contractor, developer is not defined in the Policy. The parties provide the following definitions for developer:

1. A person or thing that develops, specifically a person who develops real estate on a speculative basis. Webster’s New World Dictionary, 376 (3d ed.1994); (Plaintiff’s Motion for Summary Judgment, DE 187, p. 11.)

2. A person who develops real estate; often one that improves and subdivides land and builds and sells residential structures thereon. Webster’s Third New International Dictionary, Unabridged.Merriam-Webster, 2002. (Plaintiff’s Motion for Summary Judgment, DE 187, p. 11); (Defendants’ Motion for Summary Judgment, DE 188, p. 23.)

3. “ ‘Developer’ means either a building contractor who offers new residential dwelling units for sale or any person who offers a new one-family or two-family residential dwelling unit for sale, except for a person who sells or constructs less than 10 units per year statewide.”Fla. Stat. § 501.1375(1)(b); (Defendants’ Motion for Summary Judgment, DE 188, p. 22.)

Plaintiff asserts that Lighthouse was a developer because it bought the 30th Court residence, demolished the existing structure and erected a “spec” home which it then sold for profit. (Plaintiff’s Motion for Summary Judgment, DE 187, p. 11.) Plaintiff also points to the deposition testimony of Jack Farji where he agreed that Lighthouse put a spec home on the property, had developed the property and was paying for the construction of the spec home that was eventually sold. (Id. at p. 12-13.)Defendants agree that the Webster’s Third New International Dictionary definition of a developer is reasonable but state that Lighthouse never subdivided land and does not meet this definition. (Defendants’ Motion for Summary Judgment, DE 188, p. 23.) Defendants also propose that Lighthouse is not a developer under the statutory definition because it constructed less than 10 units per year statewide. (Id.)

Here there is an ambiguity. In construing terms appearing in insurance policies, the Court adopts the plain “meaning of the words contained in legal and non-legal dictionaries.” Wendt, 205 F.3d at 1263. Looking to the two proposed dictionary definitions, the testimony of Mr. Farji would qualify Lighthouse as a developer under the first definition. But it is also alleged that Lighthouse did not subdivide land and therefore Lighthouse would not be a developer under the second definition. Further, under the third definition it is alleged Lighthouse is not a developer because it did not construct more than 10 units. Consequently, the term developer as used in the Policy is ambiguous as it is susceptible to more than one reasonable interpretation, one providing coverage and the other limiting coverage. Wendt, 205 F.3d at 1261. The exclusion should therefore be construed against the insurer. Accordingly, the Court finds that Lighthouse was not a developer.

4. Exceptions to Exclusion

Even if Lighthouse is a builder, contractor, or developer, the Policy provides exceptions to the exclusions. For the sake of completeness, the Court will analyze these exceptions. The Eleventh Circuit addressed this issue and stated that:

Lighthouse did not obtain the required certificates of insurance covering Zota, so there is no coverage under the first paragraph If Lighthouse is a “contractor, builder or developer,” and there is none under the second paragraph unless an employee of Lighthouse was on site at the time of Zota’s accident and directly caused her injuries. Although Lighthouse asserts that Jack Farji was on site at the time of the Zota incident, it concedes that there is no evidence that Farji’s actions were the direct cause of Zota’s injury. Therefore, there would be no coverage if Lighthouse is a “contractor, builder or developer.”

Zota I, 466 F.3d at 986. Aside from the new Fifth Amended Complaint in the Underlying Action, Defendants have not produced additional evidence since the 11th Circuit’s finding.

During the Court’s hearing on the Motions for Summary Judgment, Defendants argued that the second exception applied. (Transcript, DE 236, p. 69.) The second exception states that the builder, developer, contractor exclusion applies:

unless a Named Insured or employee of a Named Insured is on site, at the time of the injury or damage, and the Named Insured’s actions or inactions are the direct cause of the injury or damage, or the injury or damage is directly caused by an employee of the Named Insured.

(Policy, DE 74, p. 34.) Defendants assert that it is a disputed issue of fact whether Lighthouse was the direct cause of Zota’s injury. (Transcript, DE 236, p. 72.) Defendants argue that the Underlying Action will determine whether the named insured or an employee of the named insured was the direct cause of Zota’s injury. (Id. at p. 75.)

The duty to defend is based entirely “on the facts and legal theories alleged in the pleadings and claims against the insured.” James River Ins. Co. v. Ground Down Engineering. Inc., 540 F.3d 1270, 1275 (11th Cir.2008) (internal quotation and citation omitted). The duty to defend does not hinge on the true facts of the cause of action against the insured, the insured’s version of the facts, or the insured’s defenses. State Farm Fire and Casualty Co. v. Steinberg, 393 F.3d 1226, 1230 (11th Cir.2004). The Court must look to the most recent amended pleading and “[i]f the allegations in the complaint state facts that bring the injury within the policy’s coverage, the insurer must defend regardless of the merits of the lawsuit.”Id. Any doubt about the duty to defend must be resolved in favor of the insured. Id. If the Court determines that there is no duty to defend, then there is no duty to indemnify as the duty to defend is much broader than the duty to indemnify. Philadelphia Indem. Ins. Co. v. Yachtsman’s Inn Condo Association, Inc., Case No. 08-10060-CIV, 2009 WL 230003,(S.D.Fla. January 22, 2009). To make a determination regarding the exception to the exclusion, the Court must look to the Fifth Amended Complaint in the Underlying Action [DE 235].

The Policy provides that “ ‘executive officers  and directors are Insureds, but only with respect to their duties as your officer or directors.”(Policy, DE 74, p. 48.) It is undisputed that Jack Farji is the Vice President of Lighthouse. (Joint Statement of Undisputed & Disputed Facts, DE 192, p. 1.) Therefore, Jack Farji is an Insured under the Policy, but only to the extent that he was acting as the VP of Lighthouse. Jack Farji was present at the time of Zota’s fall. (Transcript, DE 236, p. 69.) The first requirement of the exclusion is fulfilled, to the extent that Jack Farji was on the property as the VP of Lighthouse, a Named Insured was on site at the time of the injury. (Policy, DE 74, p. 34.) The question remains whether the “Named Insured’s actions or inactions are the direct cause of the injury or damage.”(Id.) The Fifth Amended Complaint alleges a premises liability cause of action against Lighthouse and avers that as a direct and proximate result of Lighthouses’ negligence, Zota was injured. (Fifth Amended Complaint, DE 235-2, p. 3.) Yet the allegations regarding Jack Farji deal exclusively with his work as a contractor working for Broward Executive, not as an executive officer of Lighthouse, (Id. at 6-8.)Consequently, the Court finds that there is no evidence that Jack Farji’s actions or inactions as the VP of Lighthouse were the direct cause of Zota’s injury. See e.g. Zota I, 466 F.3d at 986. Therefore, there would be no coverage, no duty to defend or indemnify if Lighthouse was a contractor, builder or developer.

C. The Employee Exclusion

Attorney McIntosh, representing the Plaintiff, stated that, “for the purposes of this motion, I have no trouble conceding that she [Mercedes Zota] was not an employee within the meaning of our policy .”(Transcript, DE 236, p. 85.) As a result, there is no dispute and the Court need not address this issue.

III. CONCLUSION

Based on the foregoing, it is

ORDERED AND ADJUDGED as follows:

1. Plaintiff’s Second Renewed Motion for Summary Final Judgment [DE 187] is GRANTED IN PART.The Court finds that the terms “builder” and “contractor” as used in the exclusionary endorsement are not ambiguous, however there are disputed issues of fact as to whether Lighthouse was a “builder” or “contractor.”

2. Defendants Lighthouse Intracoastal, Inc., Jack Farji and Broward Executive Builders, Inc.’ Amended and Renewed Motion for Summary Judgment [DE 188] is GRANTED IN PART.The Court finds that: (1) Florida Statute § 627.410 applies to surplus lines insurers and Essex was required to abide by the statute’s filing requirements; (2) the term “developer” as that term is used in the exclusionary endorsement is ambiguous and Lighthouse is therefore found not to be a “developer”; and (3) pursuant to the terms of the Policy, Zota was not an employee of Lighthouse.

3. The Court will conduct a trial to determine whether Lighthouse was a “builder” or “contractor” as those terms are used in the exclusionary endorsement.

4. Calendar Call is set for May 21, 2009 at 9:00 a.m. with Trial to commence during the two week trial period starting May 25, 2009.

DONE AND ORDERED.

Mercedes and Miguel Zota adopted Defendants’ Motion for Summary Judgment [DE 191].

Florida Statute § 626.916(1)(c) states that:

The policy or contract form under which the insurance is exported shall not be more favorable to the insured as to the coverage or rate than under similar contracts on file and in actual current use in this state by the majority of authorized insurers actually writing similar coverages on similar risks; except that a coverage may be exported under a unique form of policy designed for use with respect to a particular subject of insurance if a copy of such form is filed with the office by the surplus lines agent desiring to use the same and is subject to the disapproval of the office within 10 days of filing such form exclusive of Saturdays, Sundays, and legal holidays if it finds that the use of such special form is not reasonably necessary for the principal purposes of the coverage or that its use would be contrary to the purposes of this Surplus Lines Law with respect to the reasonable protection of authorized insurers from unwarranted competition by unauthorized insurers.

Florida Statute § 627.021 provides that:

(1) This part of this chapter applies only to property, casualty, and surety insurances on subjects of insurance resident, located, or to be performed in this state.

(2) This chapter does not apply to:

(a) Reinsurance, except joint reinsurance as provided in s. 627.311.

(b) Insurance against loss of or damage to aircraft, their hulls, accessories, or equipment, or against liability, other than workers’ compensation and employer’s liability, arising out of the ownership, maintenance, or use of aircraft.

(c) Insurance of vessels or craft, their cargoes, marine builders’ risks, marine protection and indemnity, or other risks commonly insured under marine insurance policies.

(d) Commercial inland marine insurance.

(e) Surplus lines insurance placed under the provisions of ss. 626.913-626.937.

(3) For the purposes of this chapter, all motor vehicle insurance shall be deemed to be casualty insurance only.

(4) This part does not apply to health insurance.

Florida Statute § 626.923 states that:

A surplus lines agent shall, within 30 days after the date of a request by the department or the Florida Surplus Lines Service Office, furnish an exact copy of any and all requested policies, including applications, certificates, cover notes, or other forms of confirmation of insurance coverage or any substitutions thereof or endorsements thereto. The department or the Florida Surplus Lines Service Office may also request and the agent shall furnish, within 30 days after the date of the request, the agent’s memorandum as to the substance of any change represented by a substitute certificate, cover note, other form of confirmation of insurance coverage, or endorsement as compared with the coverage as originally placed or issued.

Judge Middlebrooks’ analysis in Chalfonte Condominium Apartment Ass’n. Inc. v. QBE Ins. Corp., 526 F.Supp.2d 1251, 1257 (S.D.Fla.2007) was appealed to the Eleventh Circuit. The Eleventh Circuit in turn certified questions to the Florida Supreme Court including a question concerning the appropriate remedy for failing to comply with Florida statutory requirements for disclosure of hurricane deductibles. Chalfonte Condominium Apartment Ass’n. Inc. v. QBE Ins. Corp., 2009 WL 580775, (11th Cir. Mar 09, 2009). The Florida Supreme Court has yet to respond.

Executive officer is denied in the Policy as “a person holding any of the officer positions created by your charter, constitution, by-laws or any other similar governing document.”(Policy, DE 74, p. 51.)

S.D.Fla.,2009.

Essex Ins. Co. v. Zota

— F.Supp.2d —-, 2009 WL 959917 (S.D.Fla.)

END OF DOCUMENT

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