Davis v. Scottsdale Insurance Co.

Docket: Nos. 13-CA-255, 13-CA-256

Court: Louisiana Court of Appeal; October 30, 2013; Louisiana; State Appellate Court

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Plaintiffs appealed a summary judgment in favor of QBE Specialty Insurance Company, which had been dismissed from a lawsuit related to a fatal motor vehicle accident on July 18, 2009, in St. Charles Parish. The accident involved Knollie Jones, driving a 2006 Mack garbage truck owned by RKC, who ran out of gas and was subsequently hit by Misty Davis’s Honda, resulting in her death. Kenneth Davis, the surviving spouse, and Barry Terrell, representing his minor child, filed lawsuits against multiple defendants, including RKC and Ramelli Janitorial Services, Inc., which had contracted RKC for waste disposal services.

Ramelli sought summary judgment, arguing it was not liable since it did not own the garbage truck or employ Jones, asserting an independent contractor relationship with RKC. Ramelli provided affidavits and documentation to support its claim of lack of control over RKC’s operations. In opposition, plaintiffs argued that genuine issues of material fact existed regarding Ramelli's level of control over RKC’s work and employees, highlighting that the subcontractor agreement lacked independent contractor language and that Ramelli had supervisory responsibilities in its contract with the City of Kenner. The court ultimately reversed the summary judgment, indicating that these points warranted further examination.

Plaintiffs argue that vicarious liability and dual employee doctrines apply to their case, opposing summary judgment in favor of Ramelli. In September 2012, QBE filed a motion for summary judgment, claiming its commercial auto insurance policy for Ramelli does not cover the plaintiffs’ claims, as the policy only provides coverage for accidents involving vehicles owned or designated as 'covered autos.' QBE asserts that the garbage truck involved was neither owned nor listed as a 'covered auto,' thus the claims should be dismissed. Plaintiffs counter that the truck qualifies as a 'covered auto' under designation symbol 9, which covers vehicles not owned by Ramelli but used for its business, noting the truck was utilized in connection with Ramelli’s waste disposal services for the City of Kenner.

The trial judge first denied Ramelli's motion for summary judgment, citing genuine material fact disputes regarding Ramelli's control over RKC’s employees and operations under its contract with the City of Kenner. Subsequently, the judge granted QBE's motion for summary judgment, concluding that the garbage truck was operated in connection with RKC’s business and not Ramelli’s, resulting in the dismissal of the plaintiffs' claims against QBE with prejudice. The judgment was deemed final and appealable. The plaintiffs appealed, questioning whether the trial judge erred in determining that the truck was not a 'covered auto' under the QBE policy. Appellate courts will review the case de novo, assessing the existence of genuine material fact issues and the appropriateness of the summary judgment.

A fact is deemed 'material' if it can influence recovery outcomes or a litigant's success in a legal dispute. Courts, when evaluating genuine issues of material fact, must refrain from assessing the merits, credibility, testimony, or evidence. Insurance policy interpretation typically constitutes a legal question suitable for summary judgment; however, a ruling on lack of coverage cannot occur unless no reasonable interpretation of the policy exists that could afford coverage based on undisputed material facts. An insurance policy acts as a contract with the force of law, where the parties' intent, as expressed in the policy language, defines coverage extent. Courts must avoid strained interpretations that alter the policy's intended meaning, enforcing clear and unambiguous terms as written. Any ambiguities are construed against the drafter and in favor of the insured. In the current appeal, plaintiffs contend that the trial court incorrectly granted QBE's summary judgment, arguing that QBE's commercial auto insurance policy covered a garbage truck used in Ramelli's business, despite it not being owned by Ramelli. QBE counters that the policy does not extend coverage to the garbage truck, which was not listed as an insured vehicle and was solely operating RKC's business at the time of the incident. The relevant policy section stipulates liability coverage for damages resulting from the ownership, maintenance, or use of a covered auto.

Coverage under the QBE policy for the accident involving the garbage truck owned by RKC hinges on whether the truck qualifies as a 'covered auto.' The policy's 'Covered Autos' section outlines specific designations for coverage. Symbols 7 and 8 pertain to autos owned, leased, or borrowed by Ramelli, but plaintiffs do not argue coverage under these symbols. The focus is on symbol 9, which covers non-owned autos used in connection with Ramelli’s business, including those owned by employees or partners.

The trial judge initially determined that the garbage truck was used solely for RKC's business. However, there are genuine issues of material fact regarding this conclusion. Robert Ramelli, president of Ramelli, confirmed that the truck's operation was tied to a contract with the City of Kenner, which Ramelli supervised. Although RKC owned the truck, it bore the name 'Ramelli Waste, L.L.C.' This evidence raises questions about whether the truck was indeed utilized in connection with Ramelli’s business, affecting potential coverage under the QBE policy.

As a result, the appellate court found that genuine factual disputes prevent the granting of summary judgment in favor of QBE and reversed the lower court's decision. Additionally, a separate motion for summary judgment by RSUI Indemnity Company was denied, and Ramelli's writ application concerning this denial was also rejected. The court acknowledged ongoing genuine issues of material fact related to the subcontractor agreement and the contract with the City of Kenner. Robert Ramelli's ownership of both Ramelli Janitorial Services, Inc. and Ramelli Waste, L.L.C. was noted, with advertising implications for the trucks used by RKC.