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August 08, 2008

8-Corners Rule Requires Close Look At Factual Allegations, Says Fifth Circuit

Gore Design Completions, Ltd. v. Hartford Fire Ins. Co., No. 08-50042 (5th Cir. Aug. 4, 2008) see text of Gore Decision.

This case involves issues of both additional-insured coverage and application of so-called "business-risk" exclusions.  The lower court granted summary judgment to Hartford holding that the alleged damage did not arise out of the named insured's operations, as required under Hartford's additional-insured endorsement.  The Fifth Circuit reversed and remanded the case on what I would say is a very close call.  But that is what this decision illustrates.  Insureds should have the benefit of the doubt in very close calls over the insurer's duty to defend.

Gore Design was the general contractor hired to refurbish a Boeing 737 Business Jet.  Gore subcontracted to BaySys Technologies responsibility for installing an in-flight entertainment/cabin management system (IFE/CMS).  BaySys's commercial general liability policy (CGL) contained an additional-insured endorsement that covers "any person or organization with whom [BaySys, as named insured,] agreed to provide insurance such as is afforded under this [policy], but only with respect to your operations . . ."  The aircraft owner sued Gore and one other subcontractor, but not BaySys, alleging that Gore and its agents (including Gore's subcontractors) improperly installed the electrical panels damaging electrical equipment throughout the aircraft.  Gore tendered the defense to Hartford, which Hartford refused.

Hartford denied coverage on two grounds.  First, Hartford asserted that the allegations do not mention the IFE/CMS system or BaySys, except to include it in a list of subcontractors.  Therefore, even if Gore were an additional insured, its liability was not sufficiently connected to BaySys's operations.  Second, the policy contains several exclusions, often called "business-risk" exclusions that exclude coverage for property damage to: (1) personal property in the insured's care, custody or control; (2) "that particular part of any property that must be restored, repaired or replaced because the named insured's work was incorrectly performed on it"; and (3) [property damage] due to the rendering of a professional service (this third exclusion is not, strictly speaking, a business-risk exclusion, meaning the ordinary risks of damaging what the insured was hired to work on or produce).  As I mentioned, the district court held that the allegations were not sufficiently tied to BaySys's operations and did not address the exclusions.

The appellate court agreed that the allegations did not explicitly refer to the IFE/CMS that BaySys worked on or target BaySys for damages, but Texas' "eight-corners" rule imposes a more liberal standard of weighing the factual allegations in favor of the insured than the lower court employed (see Exceptions to Texas' Strict 8-corner Rule for a discussion).   Although courts are instructed not to imagine unalleged factual scenarios, they should draw reasonable inferences from the allegations that might lead to a finding of coverage.  Applying that standard, the court found that the allegations "clearly implicate BaySys's work by stating that BaySys was employed by Gore and acted as its agent."  Because the allegedly faulty electrical work could have included the IFE/CMS, any doubts as to which systems were in fact miswired must be resolved in the insured's favor.  Another way of putting it, general factual allegations that are not inconsistent with application to the named insured's operations should be interpreted to include those operations for purposes of the duty to defend.

Actually, the case is even closer on the exclusions.  Gore was the general contractor, arguably with responsibility for work on the entire aircraft.  The "care-custody-control" and "impaired work" exclusions would appear to apply because the all alleged damage was to electrical systems within the aircraft and so within Gore's care and to its work.  In fact, Hartford points out that one of the counts against Gore is for breach of bailment, duties imposed when property is entrusted to the defendant's "care." 

But the court drills a little deeper and finds some potential inconsistencies.  The plaintiff also sued for breach of that portion of the contract requiring all services to be performed at Gore's facility in San Antonio Texas.  The court observed:

This allegation, together with the lack of discussion about in whose hands the Aircraft was at the time of the alleged wrongdoing, create an ambiguity as to whether the exclusion applies.

Hartford's position is reasonable, in fact arguably more reasonable than Gore's.  But the rule of interpretation employed by the court is that the insured's not unreasonable interpretation prevails even if the insurer's is more reasonable. 

The court has an easier time disposing of the impaired work and professional-services exclusions.  Basically, the general's work is not the same thing as the sub's work.  If a sub miswired the panels, it is not Gore's work, even though Gore may be legally liable for what the subs do.  Regarding the professional-services exclusion, even though the work was generally of an engineering nature, the court notes that the allegations may involve a mistake in implementing an engineering design, which is ordinary negligence.  Ties and ambiguities go to the insured. 

I would say this case could have gone either way.  The court conducted the analysis the law requires and determined that Gore's interpretation of the alleged facts was not without reasonable basis.  Another court could have held that the aircraft was in Gore's care because a legal cause of action, breach of contract, is not a factual allegation, and the mere lack of discussion about custody of the aircraft shouldn't trump positive evidence the other way.  On the other hand, the breach of contract allegation necessarily implies that the aircraft was not at Gore's facility.  So, where was it?  The court was not imaging factual scenarios when it inferred that the aircraft was at the shop of a subcontractor. 

The point is, the court dug in and took a closer look at the factual implications.  Too often courts get lazy and rely simply on a superficial first impression of the facts.  The 8-corners rule requires a court to look closer.

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