{"id":900085,"date":"2022-06-28T15:55:04","date_gmt":"2022-06-28T21:55:04","guid":{"rendered":"https:\/\/www.myconstructionexpert.com\/blog\/?p=900085"},"modified":"2022-06-28T15:55:08","modified_gmt":"2022-06-28T21:55:08","slug":"coverage-dispute-personal-injury","status":"publish","type":"post","link":"https:\/\/www.myconstructionexpert.com\/blog\/coverage-dispute-personal-injury\/","title":{"rendered":"Two Insurers Protected the Insured and Resolved the Coverage Dispute Later"},"content":{"rendered":"\n

Barry Zalma | Zalma on Insurance<\/a><\/p>\n\n\n\n

When two insurers dispute which is obligated to defend and indemnify the insured in a bodily injury suit<\/a>, they both paid half of the settlement and agreed to resolve their differences later in a declaratory relief action \u2013 an action of absolute good faith.<\/p>\n\n\n\n

In Old Republic Insurance Company v. The Young Men\u2019s Christian Association a\/k\/a YMCA Of Metropolitan Chicago and Riverport Insurance Company<\/em>, 2022 IL App (1st) 210294-U, No. 1-21-0294, Court of Appeals of Illinois, First District, Fifth Division (May 27, 2022) the Court of Appeals resolved the dispute after the trial court ruled in favor of Old Republic.<\/p>\n\n\n\n

BACKGROUND<\/strong><\/h2>\n\n\n\n

Old Republic Insurance Company (Old Republic), sued for declaratory judgment against the Young Men\u2019s Christian Association of Metropolitan Chicago (YMCA) and Riverport Insurance Company (Riverport). The circuit court granted summary judgment in favor of Old Republic. YMCA and Riverport appealed.<\/p>\n\n\n\n

In September 2012, YMCA hired Air Comfort Corporation (Air Comfort) as the contractor to perform routine HVAC maintenance on YMCA\u2019s Chicagoland facilities. On September 17, 2012, YMCA and Air Comfort entered into a \u201cMaster Agreement Between Owner and Contractor\u201d (Master Agreement). The Master Agreement was drafted by YMCA\u2019s counsel. The Master Agreement provided: Section 6 of the Master Agreement required Air Comfort to obtain commercial liability insurance and to name YMCA as an additional insured on the policy.<\/p>\n\n\n\n

On May 13, 2013, an Air Comfort employee, Joseph Dale, sustained injuries while working on the upgrade project at the Indian Boundary facility. Mr. Dale filed a negligence complaint against YMCA, claiming that YMCA failed to inspect and safely maintain the vent pit and grating at its Indian Boundary facility which resulted in his injuries.<\/p>\n\n\n\n

YMCA tendered defense and indemnification of Mr. Dale\u2019s lawsuit to Air Comfort\u2019s insurance carrier, Old Republic. Old Republic denied coverage.<\/p>\n\n\n\n

The declaratory relief suit sought a declaration that Old Republic owes \u201cno duty to defend, indemnify or otherwise provide additional insured coverage to YMCA\u201d under Old Republic\u2019s insurance policy with Air Comfort for losses incurred in connection with Mr. Dale\u2019s lawsuit. Old Republic\u2019s policy required additional insured persons or organizations to be included in a written contract or agreement.<\/p>\n\n\n\n

The complaint alleged: \u201cThere is no written contract that required Air Comfort to name YMCA as an additional insured on its *** Policy with respect to work performed by Air Comfort at the Indian Boundary YMCA pursuant to any such contract.\u201d<\/p>\n\n\n\n

While the declaratory judgment action was pending, Mr. Dale settled his lawsuit against YMCA for $700,000. In turn, YMCA and Riverport entered into a separate agreement with Old Republic, entitled \u201cSettlement Agreement and Release.\u201d The Settlement Agreement and Release provided that YMCA and Riverport would pay half of Mr. Dale\u2019s settlement amount ($350,000) and Old Republic would pay the other half ($350,000).<\/p>\n\n\n\n

The parties agreed that the resolution of Mr. Dale\u2019s lawsuit \u201cdoes not in any way resolve the matters to be litigated\u201d in the declaratory judgment action, which the Settlement Agreement and Release referred to as \u201cthe Coverage Suit.\u201d Pursuant to the Settlement Agreement and Release, the parties agreed that:<\/p>\n\n\n\n

\u201c[I]f in the Coverage Suit a judicial determination is made that Old Republic owes additional insured coverage under the Old Republic Policy to YMCA for the [Mr.] Dale Lawsuit, then Old Republic will pay YMCA and [Riverport] $350,000 plus the attorneys\u2019 fees and costs incurred by the YMCA and [Riverport] in defending the [Mr.] Dale Lawsuit.\u201d Similarly, the Settlement Agreement and Release further provided that YMCA and [Riverport] will pay Old Republic $350,000 plus $197,000 for a total payment of $547,000. This would reimburse Old Republic for the $350,000 paid to [Mr.] Dale plus the waived workers compensation lien $197,000.\u201d<\/em><\/p><\/blockquote>\n\n\n\n

The trial court granted Old Republic\u2019s motion for summary judgment and denied YMCA and Riverport\u2019s motion. In so ruling, the trial court stated: \u201cThis Court finds there\u2019s no genuine issue of material fact [t]hat there is no writing of which the YMCA becomes an additional insured for that specific location.\u201d<\/p>\n\n\n\n

ANALYSIS<\/strong><\/h2>\n\n\n\n

Summary judgment was granted by the trial court in this case, on the basis that the Indian Boundary Statement of Work did not require Air Comfort to add YMCA as an additional insured on its insurance policy, and so Old Republic does not have a duty to provide coverage to YMCA for Mr. Dale\u2019s lawsuit.<\/p>\n\n\n\n

Significantly, YMCA and Riverport do not contend that the Indian Boundary Statement of Work is ambiguous. The appellate court concluded that  Indian Boundary Statement of Work is, an unambiguous contract, as the language is clear, and the general meaning is easy to ascertain. The Indian Boundary Statement of Work does not provide, anywhere or in any way, that the parties intended for Air Comfort to add YMCA as an additional insured on its insurance policy with Old Republic. In fact, the word \u201cinsurance\u201d is not even mentioned in the Indian Boundary Statement of Work.<\/p>\n\n\n\n

The appellate court concluded that the Indian Boundary Statement of Work does<\/em> reference a contract entitled, \u201cMASTER SERVICES AGREEMENT DATED FEBRUARY 11, 2013,\u201d and \u201cStandard From [sic]<\/em> of Agreement Between Owner and Contractor, dated February 11, 2013.\u201d But, as the trial court pointed out, no such contract document exists. Further, YMCA and Riverport do not claim that they can produce that document. And they do not offer any other explanation regarding the discrepancies in the description of the referenced, non-existent, contract document.<\/p>\n\n\n\n

Rather, YMCA and Riverport asked the court to look to the Master Agreement and the Irving Park Agreement to demonstrate the parties\u2019 intent for the Indian Boundary Statement of Work. However, if a contract is unambiguous on its face, extrinsic evidence may not be used to interpret it.<\/p>\n\n\n\n

Mr. Dale\u2019s lawsuit arose out of the work contracted in the Indian Boundary Statement of Work between Air Comfort and YMCA for the upgrade project at the Indian Boundary facility. The Indian Boundary Statement of Work is a clear and unambiguous contract that does not reference any other existing contract document; there is no reason for the court to look to another contract.<\/p>\n\n\n\n

Accordingly, the court of appeal concluded that there is no genuine issue of material fact that the Indian Boundary Statement of Work did not require Air Comfort to add YMCA as an additional insured on its insurance policy, and so, Old Republic is not required to provide insurance coverage to YMCA for Mr. Dale\u2019s lawsuit. The trial court therefore properly granted summary judgment in favor of Old Republic in the declaratory judgment action<\/p>\n\n\n\n

ZALMA OPINION<\/strong><\/h1>\n\n\n\n

The two insurers did the right thing for their insured, the YMCA. The lawyer for the YMCA, who drew the various contracts between the Y and Air Comfort, erred in drafting a contract incorporating a non-existent contract and failed \u2013 for the project where Mr. Dale was injured \u2013 to require that Air Comfort make the Y an additional insured.\u00a0 The two insurers, although, they disagreed, acted in absolute good faith to their insured and resolved their differences without exposing the insured to damages.<\/p>\n\n\n\n

<\/p>\n\n\n\n

When one of your cases is in need of a construction expert, estimates, insurance appraisal or umpire services in defect or insurance disputes – please call Advise & Consult, Inc. at 888.684.8305, or email experts@adviseandconsult.net<\/a>.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Barry Zalma | Zalma on Insurance When two insurers dispute which is obligated to defend and indemnify the insured in a bodily injury suit, they both paid half of the settlement and agreed to resolve their differences later in a declaratory relief action \u2013 an action of absolute good faith. In Old Republic Insurance Company v.… Continue reading Two Insurers Protected the Insured and Resolved the Coverage Dispute Later<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[10721,8782],"tags":[9895,10593,361],"class_list":["post-900085","post","type-post","status-publish","format-standard","hentry","category-insurance","category-personal-injury","tag-advise-consult","tag-insurance-coverage-disputes","tag-personal-injury","entry"],"jetpack_publicize_connections":[],"yoast_head":"\nTwo Insurers Protected the Insured and Resolved the Coverage Dispute Later - 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