STATE OF MAINE SUPERIOR COURT
CUMBERLAND, ss. CIVIL ACTION
Docket No. CV-2018-530
CONTINENTAL WESTERN )
INSURANCE CO., )
) ORDER ON PLAINTIFF'S
Plaintiff, ) MOTION FOR SUMMARY
) JUDGMENT REGARDING
V. ) INDEMNITY OBLIGATIONS OF
) FEDERAL INSURANCE
GEORGE BEAM, FEDERAL ) COMPANY AND
INSURANCE CO., and ) FRANKENMUTH MUTUAL
FRANKENMUTH MUTUAL ) INSURANCE COMPANY
INSURANCE CO., )
)
Defendants. )
Before the Court is Plaintiff Continental Western Insurance Company's
("Continental") Motion for Summary Judgment Regarding Indemnity Obligations of
Federal Insurance Company ("Federal") and Frankenmuth Mutual Insurance Company
("Frankenmuth"). For the following reasons, the Court denies Continental's motion.
I. Background
This action arises out of a personal injury action brought by George Beam against
Auburn Plaza, Inc. ("Auburn") in the Maine Superior Court in Androscoggin County,
captioned Beam v. Auburn Plaza, Inc., Docket No. CV-18-67 (the "Underlying Action").
(Continental's Supp'g S.M.F. 'JI 1.) In the Underlying Action, Mr. Beam alleged that he
was injured when he fell through a skylight on the roof of the Auburn Mall (the
"Accident") while working for his employer, Atlantic Comfort Systems, Inc. (" Atlantic").
(Continental' s Supp' g S.M.F. 'l['l[ 10-12.) Mr. Beam had entered the roof to repair an HVAC
system that serviced General Nutrition Corporation ("GNC"), a tenant at the mall.
(Continental's Supp'g S.M.F. 'JI 11.) Mr. Beam had completed his work on GNC's HV AC
Page 1 of 18 LERKS OFC
APR 3 ·'23 Pw:'.'.!:22
unit before the Accident and was not near GNC's HVAC unit when the Accident
occurred. 1 (Federal's S.M.F. 'l['l[ 21, 23-24.)2
Continental initiated this action to determine coverage obligations owed to
Auburn by Federal and Frankenmuth. (Continental's Supp' g S.M.F. 'l[ 2.) The Underlying
Action has since settled for $1,200,000. (Continental' s Supp' g S.M.F. 'l[ 9.) Continental and
Federal each contributed $400,000 to the settlement of the Underlying Action, reserving
their rights to seek reimbursement from each other and Frankenmuth. (Continental's
Supp'g S.M.F. 'l[ 62.)
There are three insurance policies at issue in this action that were in effect at the
time of the Accident: (1) a commercial general liability policy issued by Continental,
under which Auburn was insured (the "Continental Policy"); (2) a commercial general
liability policy issued by Federal, under which GNC was insured (the "Federal Policy");
and (3) a commercial general liability policy issued by Frankenmuth, under which
Atlantic was insured (the "Frankenmuth Policy"). (Continental's Supp'g S.M.F. 'l['l[ 46, 48,
54.)
Continental has moved for summary judgment on the issue of Federal and
Frankenmuth's duties to indemnify Auburn, on the theory that Auburn was an
additional insured under the Frankenmuth Policy and the Federal Policy. Continental
argues that Frankenmuth is obligated to reimburse Continental for the costs Continental
incurred to defend Auburn in the Underlying Action and is responsible for the remaining
1
Federal cites portions of the deposition testimony of Mark Tuller, President and CEO of Atlantic, in which
Mr. Tuller explains his theories on Mr. Beam's path of travel and intentions after completing work on
GNC' s HVAC unit. See Federal' s S.M.F. '['[ 21-23, 25. In that testimony, however, Mr. Tuller admits that he
was speculating and that he does not have personal knowledge of either issue. The Court will not consider
those portions of the record on summary judgment.
2
Federal incorporated its Statement of Material Facts supporting Federal' s Motion for Summary Judgment
as its Additional Statement of Material Facts opposing Continental' s Motion for Summary Judgment.
Citations to Federal' s Statement of Material Facts herein refer to Federal' s Statement of Material Facts
supporting Federal' s Motion for Summary Judgment.
Page2 of 18
settlement payment owed to Mr. Beam. In the alternative, Continental argues that Federal
is responsible for those same amounts.
A. The Frankenmuth Policy
The Frankenmuth Policy, issued to Atlantic, contains an additional insured
endorsement that provides:
Section II-Who Is An Insured is amended to include as an additional
insured any person or organization for whom you are performing
operations when you and such person or organization have agreed in
writing in a contract or agreement that such person or organization be
added as an additional insured on your policy. Such person or organization
is an additional insured only with respect to liability for "bodily injury",
"property damage" or "personal and advertising injury" caused, in whole
or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured.
(Continental's Supp'g S.M.F. 'l[ 49.)
Atlantic had entered into a general service agreement with Facility Source (the
"Service Agreement"). (Continental's Supp'g S.M.F. 'l[ 34.) On January 1, 2015, Facility
Source hired Atlantic to perform work on GNC's HV AC unit at the Auburn Mall.
(Continental's Supp'g S.M.F. 'l[ 36.) The January 1, 2015 work order (the "Work Order")
required Atlantic to be insured. 3 (Continental's Supp'g S.M.F. 'l[ 37; Frankenmuth's Resp.
to Continental's Supp'g S.M.F. 'l[ 37.)
Before Atlantic could perform work for GNC, it was required to produce a
Certificate of Insurance for both Facility Source and Auburn. (Continental's Supp'g
S.M.F. 'l['l[ 34-35; 67.) Atlantic provided Auburn with a Certificate of Insurance in 2015.
3
Frankenmuth properly controverted Continental' s statement to the extent that Continental asserted that
the Work Order required Atlantic to add Auburn as an additional insured.
Page 3 of 18
(Continental's Supp'g S.M.F. 'I[ 44.) Atlantic had previously provided Certificates of
Insurance to Auburn, indicating that Auburn was an additional insured. (Continental's
Supp'g S.M.F. 'I[ 38; Federal's Resp. to Continental's Supp'g S.M.F. 'I[ 38.) If Atlantic had
not provided Auburn with a Certificate of Insurance identifying Auburn as an additional
insured, Auburn would not have allowed Mr. Beam onto the roof. (Continental's Supp'g
S.M.F. 'I[ 45.) Frankenmuth and Continental dispute whether Atlantic specifically agreed
to add Auburn as an additional insured to the Frankenmuth Policy. (Continental' s Supp' g
S.M.F. 'I[ 43; Frankenmuth's Resp. to Continental's Supp'g S.M.F. 'I[ 43.)
B. The Federal Policy
The Federal Policy, issued to GNC, contains an additional insured provision that
provides, in relevant part:
Persons or organizations from whom you lease premises are insureds, but
they are insureds only with respect to the ownership, maintenance or use
of that particular part of such premises leased to you and only if you are
contractually obligated to provide them with such insurance as is afforded
by this contract.
However, no such person or organization is an insured with respect to any:
• Damages arising out of their sole negligence;
• Occurrence that occurs, or offense that is committed, after you cease to be
a tenant in the premises; or
• Structural alteration, new construction or demolition performed by or on
behalf of them.
(Continental's Supp'g S.M.F. 'I[ 47.)
GNC leased its premises at the Auburn Mall from Auburn. (Continental's Supp'g
S.M.F. 'I[ 31.) Section 10.2(B) of GNC's Lease Agreement (the "Lease") provides, in
relevant part:
[GNC's] obligations shall include, without limitation, repa1rmg,
maintaining, and making replacement to items such as the following
located within or serving the Leased Premises: ... heating, ventilating and
Page 4 of 18
air-conditioning equipment and systems (whether such heating, ventilating
and air-conditioning equipment and systems are located inside the Leased
Premises or on the roof of the Shopping Center) which are installed by
[GNC] or which exclusively serve the Leased Premises.
(Continental's Supp' g S.M.F. 'l[ 32; Continental's Ex. 6 at 40.)
Section 8.3 of the Lease requires GNC to maintain commercial general liability
insurance applicable to the Lease Premises and its appurtenances. (Continental's Supp'g
S.M.F. 'l[ 33; Continental's Ex. 6 at 37.) Section 8.4 of the Lease provides, in relevant part,
"Tenant shall carry and maintain, at its expense, or Tenant shall require any contractor
performing work on the Leased Premises to carry and maintain, at no expense to
Landlord ... Commercial General Liability Insurance .... " (Continental's Supp'g S.M.F.
'l[ 33; Continental's Ex. 6 at 37.) Section 8.5 of the Lease states: "All policies evidencing
Tenant's insurance shall specify Tenant, Landlord (and any designees of Landlord as the
interest of such designees shall appear) as additional insureds." (Continental's Supp'g
S.M.F. 'l[ 33; Continental's Ex. 6 at 37.)
The Federal Policy included a self-insured retention of $250,000 (the "SIR").
(Federal's S.M.F. 'l[ 12.) The SIR provided that the named insured, GNC was solely liable
for satisfying the retention. (Federal's S.M.F. 'l[ 13.) On or about June 23, 2020, GNC and
GNC Holdings, Inc. filed for bankruptcy. (Federal's S.M.F. 'l[ 28.) The SIR has not been
satisfied with respect to the Accident. (Federal's S.M.F. 'l[ 29.) The Federal Policy also
contains the following language: "Bankruptcy or insolvency of the insured or of the
insured' s estate will not relieve us of our obligations under this insurance." (Federal' s
S.M.F. 'l[ 34.)
II. Legal Standard
A party is entitled to summary judgment when review of the parties' statements
of material facts and the record to which the statements refer demonstrates that there is
Page5 of 18
no genuine issue as to any material fact in dispute, and that the moving party is entitled
to judgment as a matter of law. M.R. Civ. P. 56(c); Dyer v. Dep't of Transp., 2008 ME 106, '1[
14, 951 A.2d 821. A contested fact is "material" if it could affect the outcome of the case.
Dyer, 2008 ME 106, '1[ 14, 951 A.2d 821. A "genuine issue" of material fact exists if a
factfinder must "choose between competing versions of the truth." Id. (quoting
Farrington's Owners' Ass'n v. Conway Lake Resorts, Inc., 2005 ME 93, '1[ 9,878 A.2d 504).
The court considers the record in the light most favorable to the party objecting to
the grant of summary judgment. F.R. Carroll, Inc. v. TD Bank, N.A., 2010 ME 115, '1[ 8, 8
A.3d 646; Blue Star Corp. v. CKF Props., LLC, 2009 ME 101, '1[ 23, 980 A.2d 1270. "Facts
contained in a supporting or opposing statement of material facts, if supported by record
citations as required by this rule, shall be deemed admitted unless properly
controverted." M.R. Civ. P. 56(h)(4). To controvert an opposing party's statement of fact,
a party must "support each denial or qualification by a record citation." M.R. Civ. P.
56(h)(2). The evidence offered in support of a genuine issue of material fact "need not be
persuasive at that stage, but the evidence must be sufficient to allow a fact-finder to make
a factual determination without speculating." Est. of Smith v. Cumberland County, 2013 ME
13, '1[ 19, 60 A.3d 759.
III. Discussion
"If the language of an insurance policy is unambiguous, we interpret it in
accordance with its plain meaning, but we construe ambiguous policy language strictly
against the insurance company and liberally in favor of the policyholder." Concord Gen.
Mut. Ins. Co. v. Est. of Boure, 2021 ME 57, '1[ 15,263 A.3d 167 (quoting Haskell v. State Farm
Fire & Cas. Co., 2020 ME 88, '1[ 15, 236 A.3d 458). "An insurance contract is ambiguous if it
is reasonably susceptible of different interpretations from the perspective of an average
person untrained in either the law or the insurance field in light of what a more than
Page 6 of 18
casual reading of the policy would reveal to an ordinarily intelligent insured." Bibeau v.
Concord Gen. Mut. Ins. Co., 2021 ME 4, 'I[ 12,244 A.3d 712 (citations and quotation marks
omitted).
The Court will address Continental's motion with regards to each of the
defendants separately, beginning with Frankenmuth.
A. Frankenmuth
As described above, the Frankenmuth Policy covers as an additional insured:
"[A]ny person or organization for whom you are performing operations when you and
such person or organization have agreed in writing in a contract or agreement that such
person or organization be added as an additional insured." Frankenmuth argues that
neither of the conditions of the additional insured endorsement-first, the "performing
operations" condition and, second, the "agreed in writing" condition-are met with
respect to Auburn.
Regarding the first condition, the language requires that the named insured,
Atlantic, be performing operations for Auburn. The undisputed facts demonstrate that
Mr. Beam, on behalf of Atlantic, was performing operations pursuant to the Work Order
issued by Facility Source for GNC at the time of the Accident. There is no evidence in the
record of a service agreement between Auburn and Facility Source. However, the Lease
requires GNC to maintain the HVAC unit. The language of the endorsement does not
necessarily exclude operations that indirectly benefit the named insured. Construing the
facts in the light most favorable to Frankenmuth-but construing the language of the
endorsement strictly against Frankenmuth-the first condition is arguably met.
The second condition presents a greater hurdle for Continental. There is no Maine
law interpreting this language, and other jurisdictions that have addressed it are split.
Page 7 of 18
Frankenmuth and Continental focus much of their arguments on Pro Con, Inc. v. Interstate
Fire and Casualty Co., 794 F. Supp. 2d 242 (D. Me. 2011). 4
Pro Con, Inc. ("Pro Con") was the general contractor for a construction project. Id.
at 245. Pro Con hired a subcontractor, Canatal Industries, Inc. ("Canatal") who in turn
hired a subcontractor, CCS Constructors, LLC ("CCS"). Id. at 245-46. The Canatal-CCS
subcontract provided: "[Canatal], the General Contractor [Pro Con] and the Owner and
other entities as may be reasonably requested are to be included as additional insured
under the Commercial General Liability insurance policies as well as under Umbrella
Excess Liability." Id. at 246 (alterations in original). Analyzing an additional insured
provision identical to the provision in the Frankenmuth Policy, the United States District
Court for the District of Maine held that the "agreed in writing" condition was satisfied
by the Canatal-CCS subcontract, rendering Pro Con an additional insured under an
insurance policy issued to CCS, even though Pro Con was not a party to the Canatal-CCS
subcontract. Id. at 250-53.
The Court finds Pro Con unpersuasive for two reasons: (1) the Court disagrees with
the Maine District Court's interpretation of the additional insured provision, and (2) even
if the Court did agree with Pro Con, the facts of this case are distinguishable.
First, the Maine District Court focused its analysis on the language "in writing in
a contract or agreement," and concluded that the purported additional insured need not
be a party to the writing. To require a written agreement between the named insured and
4
Continental also cites cases analyzing language such as "written contract, agreement or pemrit." See, e.g.,
Superior Ice Rink, Inc. v. Nescon Contracting Corp., 861 N.Y.S.2d 362, 365 (N.Y. App. Div. 2008). The Court
agrees that this language is ambiguous because it is unclear whether "written" modifies agreement and
permit in addition to contract. These cases are not helpful to deciding the matter at hand, however, because
the provision in the Frankenmuth policy unambiguously requires a writing.
Page 8 of 18
the additional insured, the Maine District Court reasoned, the policy should have read
" ... agreed in writing in a contract or agreement with you." Id. at 251.
That interpretation overlooks the context of that language, which reads "any
person or organization ... when you and such person or organization have agreed in writing
in a contract or agreement that such person or organization be added as an additional insured."
This Court interprets the additional insured provision of the Frankenmuth Policy as
unambiguously requiring a written agreement between Atlantic and Auburn to add
Auburn as an additional insured. See State Auto Prop. & Cas. Ins. Co. v. Kin, Inc., 588 F.
Supp. 3d 870, 875 (N.D. Ill. 2022) (concluding that the language "when you and such
person or organization have agreed in a written contract or written agreement" required
direct privity of contract between named insured and additional insured); Westfield Ins.
Co. v. FCL Builders, Inc., 948 N.E.2d 115, 118 (Ill. App. Ct. 2011) ("The plain and ordinary
meaning of the term 'such person or organization' in this provision is that it refers back
to the same person or organization for whom [the named insured] is performing
operations, which was mentioned earlier in the same provision, and it does not
encompass any other entity."). No such writing exists.
Second, even if the Court agreed that the endorsement does not require direct
privity between the named and additional insured, there is no written agreement in this
record between any parties to add Auburn as an additional insured. In Pro Con, the CCS-
Canatal subcontract specifically required CCS to add the general contractor, Pro Con, to
its policy. The facts of this case would be analogous to those of Pro Con if the Service
Agreement or the Work Order between Atlantic and Facility Source specifically required
Atlantic to add Auburn as an additional insured to the Frankenmuth Policy. Neither
document requires Atlantic to add Auburn to the Frankenmuth Policy.
Page 9 of 18
Nor does the Certificate of Insurance listing Auburn as an additional insured
satisfy the writing requirement, as Continental argues. The Certificate of Insurance
specifically states that it is not a contract and that it does not confer any rights on the
certificate holder or amend the Frankenmuth Policy. (Continental's Ex. 10.) It cannot,
therefore, constitute an agreement in writing that such person or organization be added
as an additional insured. See FCL Builders, Inc., 948 N.E.2d at 120-21 (a party cannot rely
on a certificate of insurance to establish that it is an additional insured); cf Combined
Mgmt., Inc. v. Reliance Nat'/ Ins. Co., No. CV-96-101, 1996 Me. Super. LEXIS 393, at *15
(Dec. 9, 1996) (" A general rule of insurance law states that 'a certificate of insurance is not
a contract of insurance but is merely the evidence that a contract has been issued,' and
that the validity of any certificate actually provided therefore 'is conditioned upon the
issuance and existence of a policy."' (quoting Am. Hardware Mut. Ins. Co. v. BIM, Inc., 885
F.2d 132, 139 (4th Cir. 1989))); 10 Ellicott Square Ct. Corp. v. Mt. Valley Indem. Co., 634 F.3d
112, 122 (2d Cir. 2010) (New York law provides that a certificate of insurance is not a
contract to insure).
Continental has failed to demonstrate that it is entitled to judgment as a matter of
law on the issue of whether Auburn is an additional insured under the Frankenmuth
Policy.
B. Federal
Continental argues that Auburn is an additional insured under the Federal Policy
and that the Continental Policy is excess over the Federal Policy. Federal argues: (1) that
Auburn is not an additional insured; (2) that even if Auburn is an additional insured, the
Federal Policy and the Continental Policy both provide primary coverage; and (3) that
coverage was never triggered because the SIR was not satisfied or, in the alternative, that
Federal has already paid the amount of the loss exceeding the SIR.
Page 10 of 18
i. Additional Insured
The additional insured provision of the Federal Policy reads, in relevant part:
Persons or organizations from whom you lease premises are insureds, but
they are insureds only with respect to the ownership, maintenance or use
of that particular part of such premises leased to you and only if you are
contractually obligated to provide them with such insurance as is afforded
by this contract.
The undisputed facts establish that GNC leased premises from Auburn and that
the Lease required GNC to add Auburn as an additional insured to its commercial
general liability policy for the Leased Premises. The dispute centers on whether the
language "with respect to the ownership, maintenance or use" of the Leased Premises
encompasses damages related to the Accident. 5 Continental argues that Auburn is an
additional insured because Mr. Beam was injured while on the roof to repair the HV AC
unit that served the Leased Premises, which GNC was obligated to maintain under the
Lease.
This specific language has not been interpreted by the Law Court in the context of
a landlord's claim under a tenant's insurance policy, nor extensively discussed elsewhere.
In American Policyholders' Insurance Company v. Kyes, 483 A.2d 337, 340-41 (Me. 1984), the
Law Court interpreted an insurance policy that provided coverage for the individual
business owner "but only with respect to conduct of a business." Id. at 340. The Law Court
interpreted the language as covering accidents that are "business-related." Id. at 341.
Similarly, the plain meaning of the phrase "with respect to the ownership,
maintenance or use," suggests that the damages must be related to the ownership,
5
Continental also addresses the immediately following portion of the additional insured provision, which
reads: "However, no such person or organization is an insured with respect to any: Damages arising out of
their sole negligence ...." Continental argues that the Accident was caused at least in part by Atlantic's or
Mr. Beam's negligence, in addition to Auburn's negligence. Ordinarily, a dispute on this point would
prevent the Court from granting summary judgment. Federal, however, apparently concedes this issue,
having failed to address this language in their opposition to Continental' s motion or in Federal' s own
motion for summary judgment.
Page 11 of 18
maintenance, or use of the Leased Premises. 6 See id. It does not, as Federal argues, limit
coverage to damages that are solely and directly caused by GNC's ownership,
maintenance, or use of the Leased Premises. See Hartford Cas. Ins. Co. v. Travelers Indem.
Co., 2 Cal. Rptr. 3d 18, 25 (Cal. Ct. App. 2003) ("[N]othing in the meaning of 'only with
respect to' hints at a requirement of direct causation. Looking at the plain meaning of the
questioned phrase, we find definitions indicating that 'only with respect to' merely
indicates some relationship.").
Nor does the additional insured provision limit coverage to damages that occurred
inside the physical bounds of the Leased Premises. The fact that the Accident occurred
outside of the Leased Premises is not dispositive. 7 If Federal intended such a narrow
construction, it should have used narrower language.
Next, Federal argues that coverage does not exist because Mr. Beam had
completed the repairs to GNC' s HV AC unit before the Accident occurred. "[W]ith respect
to ... maintenance" encompasses more than active performance of maintenance work.
Navigating the roof after completing repairs to an HVAC unit is reasonably related in
time and purpose to the maintenance work that Mr. Beam entered the roof to perform on
GNC's behalf.
Finally, Federal argues that Mr. Beam was not on the roof for the sole purpose of
repairing GNC' s HVAC unit. Although Federal speculates about other HV AC units that
Mr. Beam may have thought he had to repair, there is no competent evidence in this
record to support this theory. It is undisputed that Mr. Beam had been invited to the
6 Federal and Continental seem to view the language "with respect to" as interchangeable with "with
respect to liability arising from." In the Court's view, the two are similar, but not identical in plain meaning.
7 Federal relies on Greater N. Y. Mut. Ins. Co v. Liberty Mut. Ins. Co., No. 01-cv-10632 GKF), 2003 U.S. Dist.
LEXIS 16332, at *11-15 (S.D.N.Y. Sept. 17, 2003), in which that court concluded that a landlord was not
covered as an additional insured because the accident did not occur within the leased premises, as defined
in the lease. The Court does not find this case, which rests on that court's interpretation of New York law,
persuasive.
Page 12 of 18
Auburn Mall on GNC' s behalf to repair its HVAC unit on the roof and that he did, in fact,
repair GNC' s HVAC unit. The record demonstrates an adequate causal connection
between the maintenance of GNC's HVAC unit and the Accident. Once again, the
language of the additional insured provision is not as narrow as Federal argues.
ii. Priority of Coverage
Having determined that Auburn is an additional insured under the Federal Policy
with respect to the Accident, the Court must now determine the priority of coverage. The
Federal Policy's "Other Insurance" provision states:
Primary Insurance
This insurance is primary except where the Excess Insurance provision
described below applies.
If this insurance is primary, our obligations are not affected unless any of
the other insurance is also primary. Then, we will share with all that other
insurance by the method described in the Method of Sharing provision
described below.
Excess Insurance
This insurance is excess over any other insurance, whether primary, excess,
contingent, or on any other basis:
A. That is Fire, Extended Coverage, Builder's Risk, Installation Risk or
similar insurance for your work;
B. That is insurance that applies to property damage to premises rented to
you or temporarily occupied by you with permission of the owners;
C. If the loss arises out of aircraft, autos or watercraft (to the extent not
subject to the Aircraft, Autos or Watercraft exclusion);
D. That is insurance:
1. Provided to you by any person or organization working under
contract or agreement with you; or
2. Under which you are included as an insured; or
E. That is insurance under any Property section of this policy.
Page 13 of 18
(Continental Supp' g S.M.F. 'l[ 52.)
As excerpted above, the Other Insurance provision of the Federal Policy
enumerates several scenarios in which it provides excess coverage. None of the
enumerated scenarios in the Other Insurance provision of the Federal Policy apply.' The
Federal Policy, therefore, provides primary coverage.
The Continental Policy provides that its coverage is primary, except that it is excess
over "[a]ny other primary, excess or contingent insurance available to you covering
liability for damages arising out of the premises or operations, or the products and
completed operations, for which you have been added as an additional insured by
attachment of an endorsement." (Continental Supp'g S.M.F. 'l[ 55.) Federal argues that
this provision is not applicable because Auburn is an insured by operation of the
definition of "Who Is An Insured" within the Federal Policy, not by attachment of an
endorsement.
The Court agrees that the plain and unambiguous language of the Continental
Policy's Excess Insurance provision is limited to policies that add additional insureds
specifically by means of an endorsement. See Graphic Arts Mut. Ins. Co. v. Essex Ins. Co.,
465 F. Supp. 2d 1290, 1294-95 (N.D. Ga. 2006) (holding that plain language of
substantively identical provision required adding an additional insured by means of an
endorsement); Wright-Ryan Constr., Inc. v. AIG Ins. Co., 647 F.3d 411, 416 (1st Cir. 2011)
(interpreting a materially identical provision as requiring the policy at issue to be treated
as excess over other insurance for which the named insured had been added as an
additional insured by means of an endorsement). Accordingly, the Continental Policy
also provides primary coverage.
8 Federal does not dispute this.
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iii. The SIR
Federal argues that coverage has not been triggered because the SIR has not been
and will not be satisfied.9 Other courts have compared a self-insured retention to primary
insurance and the coverage available after a self-insured retention is satisfied to excess
insurance. See Forecast Homes, Inc. v. Steadfast Ins. Co., 105 Cal. Rptr. 3d 200, 206 (Cal. Ct.
App. 2010). Generally, a self-insured retention must be satisfied before coverage is
triggered. See id. Self-insured retentions, as distinguished from deductibles, apply to
defense costs and settlements, rather than only damages. Id.
Continental argues that the self-insured retention applies only to the named
insured because the language regarding the SIR refers to "you," which is defined as the
named insured. Continental neglects other language in the SIR provision, which also
states that "[t]his insurance applies to amounts in excess of Self-Insured Retentions" and
that "[w]e have no obligation or liability unless and until the Self-Insured Retentions are
exhausted by payments you make .... " (Federal's Ex. 1 at 2.) Although liability for the
SIR is limited to the named insured, the applicability of the Self-Insured Retention is not
limited to claims brought by the named insured.
The Court is not aware of any jurisdiction that would require an insurer to
indemnify an additional insured for the full amount of the loss, including the amount of
an unpaid self-insured retention, as Continental proposes. Some courts, however, have
held that when the named insured is insolvent, the additional insured is still entitled to
coverage to the extent that the loss exceeds the amount of the SIR. See, e.g., Rosciti v. Ins.
Co. of Pa., 659 F.3d 92, 98-99 (1st Cir. 2011). Those courts have rested their decisions on
the presence in the policy of what is commonly referred to as a bankruptcy clause, state
9In the alternative, Federal argues that it has already satisfied its coverage obligations in excess of the SIR,
as will be discussed below.
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statute, public policy, or a combination of the foregoing. 10 See id. (public policy of Rhode
Island); Admiral Ins. Co. v. Grace Indus., Inc., 409 B.R. 275, 281-82 (Bankr. E.D.N.Y. 2009)
(bankruptcy clause mandated by New York statute); Home Ins. Co. v. Hooper, 691 N.E.2d
65, 69-70 (Ill. App. Ct. 1998) (bankruptcy clause mandated by Illinois statute).
Maine law does not mandate inclusion of a bankruptcy clause. Nevertheless, the
Federal Policy contains a standard bankruptcy clause, which reads: "Bankruptcy or
insolvency of the insured or of the insured's estate will not relieve us of our obligations
under this insurance."
The language of the bankruptcy clause seemingly conflicts with the language of
the SIR. This conflict creates an ambiguity. Reading the two clauses together, an
ordinarily intelligent insured could reasonably understand either (1) that Federal was
obligated to provide coverage to an additional insured even if the named insured is
insolvent and unable to satisfy the SIR, or (2) that Federal' s coverage obligations are
triggered only by exhaustion of the SIR, regardless of whether the named insured is
insolvent (as Federal argues).
Maine law would resolve this ambiguity to further the purpose of indemnification.
See Est. of Boure, 2021 ME 57, 'l[ 15, 263 A.3d 167. The Court concludes that Federal is
obligated to indemnify Auburn to the extent that its loss exceeds the SIR, even though
GNC has not and will not be able to exhaust the SIR. See Pinnacle Pines Cmty. Ass'n v.
Everest Nat'/ Ins. Co., No. CV-12-08202-PCT-DGC, 2014 U.S. Dist. LEXIS 65011, at *12-15
(D. Ariz. May 9, 2014) (holding that, even in the absence of clear public policy, a standard
bankruptcy clause obligated insurer to indemnify despite insured's inability to pay the
10A bankruptcy clause provides that an insured's insolvency does not relieve the insurer of its obligations
under the policy. Some states have mandated inclusion of a bankruptcy clause by statute. It is now standard
practice among insurers nationwide to include a bankruptcy clause. Rosciti, 659 F.3d at 98.
Page 16 of 18
SIR); In re Fed. Press Co., 104 B.R. 56, 62 (Bankr. N.D. Ind. 1989) (concluding that a
conflicting self-insured retention clause and a bankruptcy clause created ambiguity,
which the court resolved in favor of finding an obligation to indemnify); Sturgill v. Beach
at Mason Ltd. P'ship, No. 1:14cv0784 (WOB), 2015 U.S. Dist. LEXIS 142490, at *10 (S.D.
Ohio Oct. 20, 2015) (holding that presence of bankruptcy clause, even though not required
by state statute, obligated insurer to provide coverage regardless of satisfaction of the SIR
by insolvent insured).
iv. Apportionment
Finally, having determined that Auburn is an additional insured under the Federal
Policy, that the Federal Policy and the Continental Policy provide co-primary coverage,
and that Federal is obligated to indemnify for loss exceeding the $250,000 SIR, the Court
must apportion the remaining loss. $400,000 of the settlement remains to be apportioned.
The Continental Policy provides for the following method of sharing:
If all of the other insurance permits contribution by equal shares, we will
follow this method also. Under this approach, each insurer contributes
equal amounts until it has paid its applicable limits of insurance or none of
the loss remains, whichever comes first.
If any of the other insurance does not permit contribution by equal shares,
we will contribute by limits. Under this method, each insurer's share is
based on the ratio of its applicable limits of insurance to the total applicable
limits of insurance of all insurers.
(Continental's Supp'g S.M.F. 'I[ 57.) The Federal Policy contains a substantively identical
provision regarding the method of sharing. (Continental's Supp'g S.M.F. '['I[ 51, 53.)
The Federal Policy and the Continental Policy each have a per occurrence limit of
$1,000,000. (Continental's Supp'g S.M.F. '['I[ 58, 59.) Federal and Continental have already
contributed $400,000 each to the settlement of the Underlying Action. Continental and
Federal would each be required to contribute $200,000 in addition to the amounts they've
already contributed, subject to the SIR of the Federal Policy.
Page 17 of 18
As discussed above, Federal is only obligated to indemnify Auburn for amounts
exceeding $250,000, which is more than the remaining amount that Federal would
otherwise be required to contribute. Federal has therefore already met and exceeded its
obligation.
Because Federal is not obligated to contribute any additional amount towards the
underlying settlement, Continental's motion for summary judgment as to Federal must
be denied.
IV. Conclusion
For the foregoing reasons, the Court denies Continental's motion.
The entry is:
Plaintiff Continental Western Insurance Company's Motion for Summary
Judgment Regarding Indemnity Obligations of Federal Insurance Company
and Frankenmuth Mutual Insurance Company is DENIED.
The Clerk is directed to incorporate this Order into the docket by reference
pursuant to Maine Rule of Civil Procedure 79(a).
Dated: qau:J/i; dOJ,3
Page 18 of 18
STATE OF MAINE SUPERIOR COURT
CUMBERLAND, ss. CIVIL ACTION
Docket No. CV-2018-530
CONTINENTAL WESTERN )
INSURANCE CO., )
)
Plaintiff, )
) ORDER ON DEFENDANT
V. ) FEDERAL INSURANCE
) COMPANY'S MOTION FOR
GEORGE BEAM, FEDERAL ) SUMMARY JUDGMENT
INSURANCE CO., and )
FRANKENMUTH MUTUAL )
INSURANCE CO., )
)
Defendants. )
Before the Court is Defendant Federal Insurance Company's Motion for Summary
Judgment. For the following reasons, the Court grants Federal's motion in part.
I. Background
On February 18, 2015, Mr. Beam, an employee of Atlantic Comfort Services
(" Atlantic"), was injured when he fell through a skylight on the roof of the Auburn Mall
(the "Accident"). (Federal's Supp'g S.M.F. 'l[ 17.) Mr. Beam has no memory of the
Accident. (Federal's Supp'g S.M.F. 'l[ 26.) Mr. Beam sued Auburn Plaza, Inc.(" Auburn")
for damages arising from the Accident (the "Underlying Action"). (Federal's Supp'g
S.M.F. 'l[ 27.) At the time, Auburn was the named insured on a policy issued by
Continental (the "Continental Policy"). (Federal's Supp'g S.M.F. 'l[ 14.)
On the day of the Accident, Mr. Beam was at the Auburn Mall to perform services
on tenants' HVAC units, including GNC' s HVAC unit on the roof. (Federal' s Supp' g
S.M.F. 'l[ 18.) GNC leased premises from Auburn at all relevant times. (Federal's Supp'g
S.M.F. 'l['l[ 1, 2.) GNC's lease (the "Lease") defined the space leased to GNC as follows:
)
Page 1 of 13
[T]he "cross-hatched" space indicated on the lease plan attached as Exhibit
A, having a front footage of approximately twenty (20) linear feet and six
(6) inches, a depth of approximately ninety (90) linear feet and containing a
total floor space of approximately one thousand eight hundred forty-five
(1,845) square feet.
(Federal's Supp'g S.M.F. '1[ 3.)
Under Section 4.6B of the Lease,
If the Leased Premises are located immediately under the roof of the
Shopping Center, then Tenant is hereby given a non-exclusive right to use
that part of the roof of the building in which the Leased Premises are located
within the lines formed by projecting the perimeter wall lines of the Leased
Premises vertically, such use being solely for the installation and
maintenance of Tenant's heating, ventilating and air conditioning system,
if any ...
(Federal's Supp'g S.M.F. '1[ 4.) Pursuant to the Lease, GNC was responsible for:
"repairing, maintaining and making replacements to items such as the
following located within or serving the Leased Premises: . . . heating,
ventilating and air conditioning equipment and systems (whether such
heating, ventilating and air conditioning equipment and systems are
located inside the Leased Premises or on the roof of the Shopping Center)
which are installed by Tenant or which exclusively serve the Leased
Premises . . ."
(Federal's Supp'g S.M.F. '1[ 5.)
GNC' s HVAC unit was located directly above GNC' s store. (Federal' s Supp' g
S.M.F. '1[ 20.) Mr. Beam had completed his work on GNC's HVAC unit before the
Accident. (Federal's Supp'g S.M.F. '1[ 21.) Mr. Beam was neither above GNC nor near
GNC's HVAC unit when the Accident occurred.' (Federal's Supp'g S.M.F. '1['1[ 23-24.)
The Lease required GNC to obtain commercial general liability insurance
"applicable to the Leased Premises and its appurtenances .... " that covered Auburn as
1
Federal cites portions of the deposition testimony of Mark Tuller, President and CEO of Atlantic, in which
Mr. Tuller explains his theories on Mr. Beam's path of travel and intentions after completing work on
GNC's HVAC unit. See Federal's Supp'gS.M.F. '['[ 21-23, 25. In that testimony, however, Mr. Tuller admits
that he was speculating and that he does not have personal knowledge of either issue. The Court will not
consider those portions of the record on summary judgment.
Page 2 of 13
an additional insured. (Federal's Supp'g S.M.F. 'l['I[ 6-7.) Pursuant to the commercial
general liability policy issued by Federal to GNC (the "Federal Policy"), "Lessors of
Premises" are insureds under the Federal Policy, as follows:
Persons or organizations from whom you lease premises are insureds, but
they are insureds only with respect to the ownership, maintenance or use
of that particular part of such premises leased to you and only if you are
contractually obligated to provide them with such insurance as is afforded
by this contract.
However, no such person or organization is an insured with respect to any:
• Damages arising out of their sole negligence;
• Occurrence that occurs, or offense that is committed, after you cease to be
a tenant in the premises; or
• Structural alteration, new construction or demolition performed by or on
behalf of them.
(Federal's Supp'g S.M.F. 'II 8.) The Federal Policy defines the term "you" as GNC.
(Continental's Add'l S.M.F. 'I[ 33.) The Federal Policy did not have any endorsement
which added Auburn to the Federal Policy as an additional insured. (Federal's Supp'g
S.M.F. 'II 9.)
Federal and Continental entered into a settlement agreement with Mr. Beam in the
Underlying Action for $1,200,000. (Federal's Supp' g S.M.F. 'II 30.) Continental and Federal
each contributed $400,000 towards the settlement and retained their rights to seek
reimbursement of the settlement amount from each other and Defendant Frankenmuth
Mutual Insurance Company. (Federal's Supp'g S.M.F. 'I[ 32.)
On or about June 23, 2020, GNC and GNC Holdings, Inc. filed for bankruptcy.
(Federal' s Supp' g S.M.F. 'II 28.) The Federal Policy contains the following language:
"Bankruptcy or insolvency of the insured or of the insured's estate will not relieve us of
our obligations under this insurance." (Federal's Supp'g S.M.F. 'I[ 34.) The Federal Policy
included a self-insured retention of $250,000 ("the SIR"). (Federal's Supp'g S.M.F. 'II 12.)
Page3 of 13
The SIR provided that the named insured, GNC, was solely liable for satisfying the
retention. (Federal's Supp'g S.M.F. 'l[ 13.) The SIR has not been satisfied with respect to
the Accident. (Federal's Supp' g S.M.F. 'l[ 29.)
Federal requests that the Court enter summary judgment in its favor and against
Continental on the issue of Federal's indemnity obligations and order Continental to
reimburse Federal for sums it expended towards defense and settlement of the
Underlying Action.
II. Legal Standard
A party is entitled to summary judgment when review of the parties' statements
of material facts and the record to which the statements refer demonstrates that there is
no genuine issue as to any material fact in dispute, and that the moving party is entitled
to judgment as a matter of law. M.R. Civ. P. 56(c); Dyer v. Dep't of Transp., 2008 ME 106, 'l[
14, 951 A.2d 821. A contested fact is "material" if it could affect the outcome of the case.
Dyer, 2008 ME 106, 'l[ 14, 951 A.2d 821. A "genuine issue" of material fact exists if a
factfinder must "choose between competing versions of the truth." Id. (quoting
Farrington's Owners' Ass'n v. Conway Lake Resorts, Inc., 2005 ME 93, 'I[ 9,878 A.2d 504).
The court considers the record in the light most favorable to the party objecting to
the grant of summary judgment. F.R. Carroll, Inc. v. TD Bank, N.A., 2010 ME 115, 'I[ 8, 8
A.3d 646; Blue Star Corp. v. CKF Props., LLC, 2009 ME 101, 'l[ 23, 980 A.2d 1270. "Facts
contained in a supporting or opposing statement of material facts, if supported by record
citations as required by this rule, shall be deemed admitted unless properly
controverted." M.R. Civ. P. 56(h)(4). To controvert an opposing party's statement of fact,
a party must "support each denial or qualification by a record citation." M.R. Civ. P.
56(h)(2). The evidence offered in support of a genuine issue of material fact "need not be
persuasive at that stage, but the evidence must be sufficient to allow a fact-finder to make
Page4 of 13
a factual determination without speculating." Est. of Smith v. Cumberland County, 2013 ME
13, 'l[ 19, 60 A.3d 759.
III. Discussion
"If the language of an insurance policy is unambiguous, we interpret it in
accordance with its plain meaning, but we construe ambiguous policy language strictly
against the insurance company and liberally in favor of the policyholder." Concord Gen.
Mut. Ins. Co. v. Est. of Boure, 2021 ME 57, 'l[ 15, 263 A.3d 167 (quoting Haskell v. State Farm
Fire & Cas. Co., 2020 ME 88, 'l[ 15, 236 A.3d 458). "An insurance contract is ambiguous if it
is reasonably susceptible of different interpretations from the perspective of an average
person untrained in either the law or the insurance field in light of what a more than
casual reading of the policy would reveal to an ordinarily intelligent insured." Bibeau v.
Concord Gen. Mut. Ins. Co., 2021 ME 4, 'l[ 12, 244 A.3d 712 (citations and quotation marks
omitted).
Federal argues: (1) that Auburn is not an additional insured; (2) that even if
Auburn is an additional insured, the Federal Policy and the Continental Policy both
provide primary coverage; and (3) that coverage was never triggered because the SIR was
not satisfied or, in the alternative, that Federal has already paid the amount of the loss
exceeding the SIR. In essence, Federal argues that it either is not obligated to indemnify
Auburn or has already satisfied its obligation.
A. Additional Insured
The additional insured provision of the Federal Policy reads, in relevant part:
Persons or organizations from whom you lease premises are insureds, but
they are insureds only with respect to the ownership, maintenance or use
of that particular part of such premises leased to you and only if you are
contractually obligated to provide them with such insurance as is afforded
by this contract.
Pages of 13
The undisputed facts establish that GNC leased premises from Auburn and that
the Lease required GNC to add Auburn as an additional insured to its commercial
general liability policy for the Leased Premises. The dispute centers on whether the
language "they are insureds only with respect to the ownership, maintenance or use of
that particular part of such premises leased to you" encompasses damages related to the
Accident. 2 Continental argues that Auburn is an additional insured because Mr. Beam
was injured while on the roof to repair the HVAC unit that served the Leased Premises,
which GNC was obligated to maintain under the Lease.
This specific language has not been interpreted by the Law Court in the context of
a landlord's claim under a tenant's insurance policy, nor extensively discussed elsewhere.
In American Policyholders' Insurance Company v. Kyes, 483 A.2d 337, 340-41 (Me. 1984), the
Law Court interpreted an insurance policy that provided coverage for the individual
business owner "but only with respect to conduct of a business." Id. at 340. The Law Court
interpreted the language as covering accidents that are "business-related." Id. at 341.
Similarly, the plain meaning of the phrase "with respect to the ownership,
maintenance or use," suggests that the damages must be related to the ownership,
maintenance, or use of the Leased Premises. 3 See id. It does not, as Federal argues, limit
coverage to damages that are solely and directly caused by GNC's ownership,
maintenance, or use of the Leased Premises. See Hartford Cas. Ins. Co. v. Travelers Indem.
Co., 2 Cal. Rptr. 3d 18, 25 (Cal. Ct. App. 2003) ("[N]othing in the meaning of 'only with
2
Continental also addresses the immediately following portion of the additional insured provision, which
reads: "However, no such person or organization is an insured with respect to any: Damages arising out of
their sole negligence .... " Continental argues that the Accident was caused at least in part by Atlantic's or
Mr. Beam's negligence, in addition to Auburn's negligence. Ordinarily, a dispute on this point would
prevent the Court from granting summary judgment. Federal, however, apparently concedes this issue,
having failed to address this language in their opposition to Continental' s motion or in Federal' s own
motion for summary judgment.
3 Federal and Continental seem to view the language "with respect to" as interchangeable with "with
respect to liability arising from." In the Court's view, the two are similar, but not identical in plain meaning.
Page 6 of 13
respect to' hints at a requirement of direct causation. Looking at the plain meaning of the
questioned phrase, we find definitions indicating that 'only with respect to' merely
indicates some relationship.").
Nor does the additional insured provision limit coverage to damages that occurred
inside the physical bounds of the Leased Premises. The fact that the Accident occurred
outside of the Leased Premises is not dispositive. 4 If Federal intended such a narrow
construction, it should have used narrower language.
Next, Federal argues that coverage does not exist because Mr. Beam had
completed the repairs to GNC' s HVAC unit before the Accident occurred. "[W]ith respect
to ... maintenance" encompasses more than active performance of maintenance work.
Navigating the roof after completing repairs to an HVAC unit is reasonably related in
time and purpose to the maintenance work that Mr. Beam entered the roof to perform on
GNC's behalf.
Finally, Federal argues that Mr. Beam was not on the roof for the sole purpose of
repairing GNC's HVAC unit. Although Federal speculates about other HVAC units that
Mr. Beam may have thought he had to repair, there is no competent evidence in this
record to support this theory. It is undisputed that Mr. Beam had been invited to the
Auburn Mall on GNC' s behalf to repair its HVAC unit on the roof and that he did, in fact,
repair GNC' s HVAC unit. The record demonstrates an adequate causal connection
between the maintenance of GNC's HVAC unit and the Accident. Once again, the
language of the additional insured provision is not as narrow as Federal argues.
4 Federal relies on Greater N. Y. Mut. Ins. Co v. Liberty Mui. Ins. Co., No. Ol-cv-10632 OKF), 2003 U.S. Dist.
LEXIS 16332, at *11-15 (S.D.N.Y. Sept. 17, 2003), in which that court concluded that a landlord was not
covered as an additional insured because the accident did not occur within the leased premises, as defined
in the lease. The Court does not find this case, which rests on that court's interpretation of New York law,
persuasive.
Page 7 of 13
B. Priority of Coverage
Having determined that Auburn is an additional insured under the Federal Policy
with respect to the Accident, the Court must now determine the priority of coverage. The
Federal Policy's "Other Insurance" provision states:
Primary Insurance
This insurance is primary except where the Excess Insurance provision
described below applies.
If this insurance is primary, our obligations are not affected unless any of
the other insurance is also primary. Then, we will share with all that other
insurance by the method described in the Method of Sharing provision
described below.
Excess Insurance
This insurance is excess over any other insurance, whether primary, excess,
contingent, or on any other basis:
A. That is Fire, Extended Coverage, Builder's Risk, Installation Risk or
similar insurance for your work;
B. That is insurance that applies to property damage to premises rented to
you or temporarily occupied by you with permission of the owners;
C. If the loss arises out of aircraft, autos or watercraft (to the extent not
subject to the Aircraft, Autos or Watercraft exclusion);
D. That is insurance:
1. Provided to you by any person or organization working under
contract or agreement with you; or
2. Under which you are included as an insured; or
E. That is insurance under any Property section of this policy.
(Federal's Supp'g S.M.F. 'l[ 10.)
As excerpted above, the Other Insurance provision of the Federal Policy
enumerates several scenarios in which it provides excess coverage. None of the
Page8 of 13
enumerated scenarios in the Other Insurance provision apply. 5 The Federal Policy,
therefore, provides primary coverage.
The Continental Policy provides that its coverage is primary, except that it is excess
over "[a]ny other primary, excess or contingent insurance available to you covering
liability for damages arising out of the premises or operations, or the products and
completed operations, for which you have been added as an additional insured by
attachment of an endorsement." (Federal's Supp'g S.M.F. 'I[ 15.) Federal argues that this
is not applicable because Auburn is an insured by operation of the definition of "Who Is
An Insured" within the Federal Policy, not by attachment of an endorsement.
The Court agrees that the plain and unambiguous language of the Continental
Policy's Excess Insurance provision is limited to polices that add additional insureds
specifically by means of an endorsement. See Graphic Arts Mut. Ins. Co. v. Essex Ins. Co.,
465 F. Supp. 2d 1290, 1294-95 (N.D. Ga. 2006) (holding that plain language of
substantively identical provision required adding an additional insured by means of an
endorsement); Wright-Ryan Constr., Inc. v. AIG Ins. Co., 647 F.3d 411, 416 (1st Cir. 2011)
(interpreting a materially identical provision as requiring the policy at issue to be treated
as excess over other insurance for which the named insured had been added as an
additional insured by means of an endorsement). Accordingly, the Continental Policy
also provides primary coverage.
C. The SIR
Next, Federal argues that coverage has not been triggered because the SIR has not
been and will not be satisfied. 6 Other courts have compared a self-insured retention to
5
Federal does not dispute this.
6
In the alternative, Federal argues that it has already satisfied its coverage obligations in excess of the SIR,
as will be discussed below.
Page 9 of 13
primary insurance and the coverage available after a self-insured retention is satisfied to
excess insurance. See Forecast Homes, Inc. v. Steadfast Ins. Co., 105 Cal. Rptr. 3d 200, 206
(Cal. Ct. App. 2010). Generally, a self-insured retention must be satisfied before coverage
is triggered. See id. Self-insured retentions, as distinguished from deductibles, apply to
defense costs and settlements, rather than only damages. Id.
Continental argues that the self-insured retention applies only to the named
insured because the language regarding the SIR refers to "you," which is defined as the
named insured. Continental neglects other language in the SIR provision, which also
states that "[t]his insurance applies to amounts in excess of Self-Insured Retentions" and
that "[w]e have no obligation or liability unless and until the Self-Insured Retentions are
exhausted by payments you make .... " (Federal's Ex. 1 at 2.) Although liability for the
SIR is limited to the named insured, the applicability of the Self-Insured Retention is not
limited to claims brought by the named insured.
The Court is not aware of any jurisdiction that would require an insurer to
indemnify an additional insured for the full amount of the loss, including the amount of
an unpaid self-insured retention, as Continental proposes. Some courts, however, have
held that when the named insured is insolvent, the additional insured is still entitled to
coverage to the extent that the loss exceeds the amount of the SIR. See, e.g., Rosciti v. Ins.
Co. of Pa., 659 F.3d 92, 98-99 (1st Cir. 2011). Those courts have rested their decisions on
the presence in the policy of what is commonly referred to as a bankruptcy clause, state
statute, public policy, or a combination of the foregoing. 7 See id. (public policy of Rhode
Island); Admiral Ins. Co. v. Grace Indus., Inc., 409 B.R. 275, 281-82 (Bankr. E.D.N.Y. 2009)
7
A bankruptcy clause provides that an insured' s insolvency does not relieve the insurer of its obligations
under the policy. Some states have mandated inclusion of a bankruptcy clause by statute. It is now standard
practice among insurers nationwide to include a bankruptcy clause. Rosciti, 659 F.3d at 98.
Page 10 of 13
(bankruptcy clause mandated by New York statute); Home Ins. Co. v. Hooper, 691 N.E.2d
65, 69-70 (Ill. App. Ct. 1998) (bankruptcy clause mandated by Illinois statute).
Maine law does not mandate inclusion of a bankruptcy clause. Nevertheless, the
Federal Policy contains a standard bankruptcy clause, which reads: "Bankruptcy or
insolvency of the insured or of the insured's estate will not relieve us of our obligations
under this insurance."
The language of the bankruptcy clause seemingly conflicts with the language of
the SIR. This conflict creates an ambiguity. Reading the two clauses together, an
ordinarily intelligent insured could reasonably understand either (1) that Federal was
obligated to provide coverage to an additional insured even if the named insured is
insolvent and unable to satisfy the SIR, or (2) that Federal' s coverage obligations are
triggered only by exhaustion of the SIR, regardless of whether the named insured is
insolvent (as Federal argues).
Maine law would resolve this ambiguity to further the purpose of indemnification.
See Est. of Boure, 2021 ME 57, 'II 15, 263 A.3d 167. The Court concludes that Federal is
obligated to indemnify Auburn to the extent that its loss exceeds the SIR, even though
GNC has not and will not be able to exhaust the SIR. See Pinnacle Pines Cmty. Ass'n v.
Everest Nat'l Ins. Co., No. CV-12-08202-PCT-DGC, 2014 U.S. Dist. LEXIS 65011, at *12-15
(D. Ariz. May 9, 2014) (holding that, even in the absence of clear public policy, a standard
bankruptcy clause obligated insurer to indemnify despite insured's inability to pay the
SIR); In re Fed. Press Co., 104 B.R. 56, 62 (Bankr. N.D. Ind. 1989) (concluding that a
conflicting self-insured retention clause and a bankruptcy clause created ambiguity,
which the court resolved in favor of finding an obligation to indemnify); Sturgill v. Beach
at Mason Ltd. P'ship, No. 1:14cv0784 (WOB), 2015 U.S. Dist. LEXIS 142490, at *10 (S.D.
Ohio Oct. 20, 2015) (holding that presence of bankruptcy clause, even though not required
Page 11 of 13
by state statute, obligated insurer to provide coverage regardless of satisfaction of the SIR
by insolvent insured).
D. Apportionment
Finally, having determined that Auburn is an additional insured under the Federal
Policy, that the Federal Policy and the Continental Policy provide co-primary coverage,
and that Federal is obligated to indemnify for loss exceeding the $250,000 SIR, the Court
must apportion the remaining loss. $400,000 of the settlement remains to be apportioned.
The Continental Policy provides for the following the method of sharing:
If all of the other insurance permits contribution by equal shares, we will
follow this method also. Under this approach, each insurer contributes
equal amounts until it has paid its applicable limits of insurance or none of
the loss remains, whichever comes first.
If any of the other insurance does not permit contribution by equal shares,
we will contribute by limits. Under this method, each insurer's share is
based on the ratio of its applicable limits of insurance to the total applicable
limits of insurance of all insurers.
(Federal's Supp'g S.M.F. 'l[ 16.) The Federal Policy contains a substantively identical
provision regarding the method of sharing. (Federal's Supp'g S.M.F. 'l[ 11.)
The Federal Policy and the Continental Policy each have a per occurrence limit of
$1,000,000. Federal and Continental have already contributed $400,000 each to the
settlement of the Underlying Action. Continental and Federal would each be required to
contribute $200,000 in addition to the amounts they've already contributed, subject to the
SIR of the Federal Policy.
As discussed above, Federal is only obligated to indemnify Auburn for amounts
exceeding $250,000, which is more than the remaining amount that Federal would
otherwise be required to contribute. Federal has therefore already met and exceeded its
obligation. Federal has demonstrated that there is no dispute of material fact and that it
is entitled to judgment as a matter of law in its favor on this issue.
Page 12 of 13
Federal also requests that the Court order Continental to reimburse Federal
$50,000 for those contributions that exceeded Federal's obligation. Federal, however, did
not file a counterclaim in this declaratory judgment action. Nor was Federal ordered by
this Court to contribute to the defense. Accordingly, Federal is not entitled to such an
order.
IV. Conclusion
For the foregoing reasons, the Court grants Federal's motion in part.
The entry is:
Defendant Federal Insurance Company's Motion for Summary Judgment is
granted in part. Judgment is entered in Federal's favor regarding Plaintiff's
claims for indemnification, contribution, and reimbursement exceeding the
amount Federal has already contributed towards the defense and settlement of
the underlying action against Auburn Plaza, Inc.
The Clerk is directed to incorporate this Order into the docket by reference
pursuant to Maine Rule of Civil Procedure 79(a).
y Kennedy, Jusf
e Superior C
Page 13 of 13
STATE OF MAINE SUPERIOR COURT
CUMBERLAND, ss. CIVIL ACTION
Docket No. CV-2018-530
CONTINENTAL WESTERN )
INSURANCE CO., )
)
Plaintiff, )
) ORDER ON DEFENDANT
v. ) FRANKENMUTH MUTUAL
) INSURANCE COMPANY'S
GEORGEBEAM,FEDERAL ) SECOND MOTION FOR
INSURANCE CO., and ) SUMMARY JUDGMENT
FRANKENMUTH MUTUAL )
INSURANCE CO., )
)
Defendants. )
Before the Court is Defendant Frankenmuth Mutual Insurance Company's
("Frankenmuth") Second Motion for Summary Judgment. For the following reasons, the
Court grants the motion.
I. Background
In this action, Plaintiff Continental Western Insurance Co. ("ContinentaY') seeks a
judgment declaring that Frankenmuth and Defendant Federal Insurance Co. ("Federal")
are obligated to reimburse Continental for the costs it incurred to defend and indemnify
its insured, Auburn Plaza, Inc. (" Auburn"), in a personal injury action brought by George
Beam (the "Underlying Action"). (Frankenmuth's Supp'g S.M.F.