Lincoln General Insurance v. Aisha's Learning Center

                                                         United States Court of Appeals
                                                                  Fifth Circuit
                                                               F I L E D
                 UNITED STATES COURT OF APPEALS
                      FOR THE FIFTH CIRCUIT                    October 24, 2006

                       _______________________             Charles R. Fulbruge III
                                                                   Clerk
                             No. 05-10981
                       _______________________


               LINCOLN GENERAL INSURANCE COMPANY,

                                 Plaintiff-Counter Defendant-Appellee,

                                  versus

                       AISHA’S LEARNING CENTER,

                                 Defendant-Counter Claimant-Appellant.



         On Appeal from the United States District Court
               for the Northern District of Texas
                     Docket No. 3:04-CV-00063


Before JONES, Chief Judge, and REAVLEY and PRADO, Circuit Judges.

EDITH H. JONES, Chief Judge:

          Aisha’s Learning Center (“ALC”) challenges the district

court’s decision that it is not covered for injuries to a child in

its care by operation of the automobile exclusion of a commercial

general liability (“CGL”) policy.      Finding no error in the court’s

analysis, we AFFIRM.

                            I.    Background

          On September 4, 2002, a van owned and operated by ALC

transported two year old Le’Yazmine McCann from her home to the

daycare center in Dallas, Texas.      Upon arriving at ALC, the driver

did not unload Le’Yazmine along with the other children.         She was
trapped in the parked van for approximately seven hours while the

external temperature reached ninety-five degrees Fahrenheit.                            Her

mother sued ALC to redress the resulting tragic injuries.

              At the time of the incident, ALC was insured by two

policies: a CGL policy with appellee Lincoln General and a general

automobile policy with American International Insurance Company

(“American International”).               ALC and McCann’s mother agreed to

abate   the    proceedings     to        seek   a       determination    of    insurance

coverage.

              Taking   the    initiative,            Lincoln     General       sought     a

declaratory judgment in federal court against ALC to enforce a CGL

policy exclusion for injuries arising from the “use” of ALC’s van.

ALC answered and counterclaimed against Lincoln General.                        American

International     intervened,        seeking        a    declaratory    judgment      that

Lincoln General had the sole duty to defend ALC.                       McCann’s mother

also    intervened     in    the     coverage        dispute,    but     she    did     not

participate further.          The district court resolved the parties’

cross-motions for summary judgment in favor of Lincoln General,

holding that the company owed no duty to defend or indemnify ALC,

because of the CGL policy’s automobile exclusion.                          This appeal

followed.

                                   II.    Discussion

              This court reviews a district court’s grant of summary

judgment de novo.      Evans v. City of Houston, 246 F.3d 344, 347 (5th



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Cir. 2001).    Summary judgment is appropriate if “the pleadings,

depositions, answers to interrogatories, and admissions on file,

together with the affidavits, if any, show that there is no genuine

issue as to any material fact and that the moving party is entitled

to judgment as a matter of law.”          FED. R. CIV. P. 56(c); see also

Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S. Ct. 2548, 2552

(1986).   On a motion for summary judgment, a court must review the

facts in the light most favorable to the nonmovant.                   Walker v.

Thompson, 214 F.3d 615, 624 (5th Cir. 2000).

           Insurance policies are generally controlled by the rules

of construction and interpretation applicable to contracts.                 Nat’l

Union Fire Ins. Co. v. CBI Indus., Inc., 907 S.W.2d 517, 520 (Tex.

1995). Nevertheless, “[t]he court must adopt the construction of an

exclusionary   clause   urged   by       the   insured   as    long    as   that

construction is not unreasonable....” Nat’l Union Fire Ins. Co. v.

Hudson Energy Co., 811 S.W.2d 552, 555 (Tex. 1991).

           In Texas, the duty to defend is distinct from, and

broader than, the duty to indemnify.           Gulf Chem. & Metallurgical

Corp. v. Assoc. Metals & Minerals Corp., 1 F.3d 365, 369 (5th Cir.

1993). The duty to defend is governed by the “eight-corners” rule,

whereby a court considers only the allegations in the underlying

complaint and the terms of the insurance policy.              Nat’l Union Fire

Ins. Co. v. Merchants Fast Motor Lines, Inc., 939 S.W.2d 139, 141

(Tex. 1997).   If the petition filed against the insured, liberally

construed, alleges facts within the scope of coverage, the insurer

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must defend.     Id.    Doubts are resolved in favor of the insured.

Heyden Newport Chem. Corp. v. S. Gen. Ins. Co., 387 S.W.2d 22, 25

(Tex. 1965).    And, although the duty to indemnify is generally not

ascertainable until after the insured has been held liable, it is

justiciable prior to a finding of liability when the same reasons

negating the duty to defend also negate any duty to indemnify.

Farmers Tex. County Mut. Ins. Co. v. Griffin, 955 S.W.2d 81, 84

(Tex. 1997).

            The sole issue in this case is whether McCann’s injuries

arose out of the “use” of ALC’s van as a matter of law, thus

triggering the auto exclusion provision in the CGL policy.1                The

policy excludes: ‘[b]odily injury’ . . . arising out of the

ownership, maintenance, use or entrustment to others of any . . .

‘auto’ . . . owned or operated by or rented or loaned to any

insured.     Use includes operation and ‘loading or unloading.’

Lincoln    General   bears   the   burden   of   applying   the   exclusion.

Northfield Ins. Co. v. Loving Home Care, Inc., 363 F.3d 523, 528

(5th Cir. 2004).       If the policy is susceptible to two or more

reasonable interpretations, it is ambiguous and must be strictly

construed in favor of the insured to avoid the exclusion.             Kelley-

Coppedge, Inc. v. Highlands Ins. Co., 980 S.W.2d 462, 464 (Tex.



      1
            ALC’s American International auto policy provides a coverage limit
of up to $20,000 per person and $40,000 per occurrence, stating: “[w]e will pay
all sums an ‘insured’ legally must pay as damages because of ‘bodily injury’ .
. . to which this insurance applies, caused by an ‘accident’ and resulting from
the ownership, maintenance or use of a covered ‘auto.’”

                                      4
1998); see also Empire Fire & Marine Ins. Co. v. Brantley Trucking,

Inc., 220 F.3d 679, 681 (5th Cir. 2000).       An unambiguous policy

will, however, be accorded its plain meaning.    DeWitt County Elec.

Co-op., Inc. v. Parks, 1 S.W.3d 96, 100 (Tex. 1999).

          Texas courts define “use” broadly:    “the phrase ‘arising

from use’ is treated as being a ‘general catchall . . . designed

and construed to include all proper uses of the vehicle not falling

within other terms of definition....’”     Tucker v. Allstate Tex.

Lloyds Ins. Co., 180 S.W.3d 880, 886 (Tex. App. 2005)(quoting State

Farm Mut. Auto Ins. Co. v. Pan Am. Ins. Co., 437 S.W.2d 542, 545

(Tex. 1969)).   The phrase “arise out of” means there is “simply a

‘causal connection or relation,’ which is interpreted to mean that

there is but for causation, though not necessarily direct or

proximate causation.”   Utica Nat’l Ins. Co. v. Am. Indem. Co.,

141 S.W.3d 198, 203 (Tex. 2004) (citations omitted).     “Use” means

“to put or bring into action or service; to employ for or apply to

a given purpose.”   LeLeaux v. Hanshire-Fannett Indep. Sch. Dist.,

835 S.W.2d 49, 51 (Tex. 1992).

          In Texas, “[f]or liability to ‘arise out of’ the use of

a motor vehicle, a causal connection or relation must exist between

the accident or injury and the use of the motor vehicle.”       Mid-

Century Ins. Co. v. Lindsey, 997 S.W.2d 153, 156 (Tex. 1999)(citing

LeLeaux, 835 S.W.2d at 51).   Further, “the use required is of the

vehicle qua vehicle, rather than simply as an article of property.”

Lindsey, 997 S.W.2d at 156.   If the vehicle at issue “is only the

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locational setting for an injury, the injury does not arise out of

any use of the vehicle.”        Id.   Lindsey approved a list of factors

to determine whether an injury falls within the “use” coverage of

an automobile policy:

      . . . (1) the accident must have arisen out of the
      inherent nature of the automobile, as such, (2) the
      accident must have arisen within the natural territorial
      limits of an automobile, and the actual use must not have
      terminated, (3) the automobile must not merely contribute
      to cause the condition which produces the injury, but
      must itself produce the injury.

Id. at 157.

           Lindsey demonstrates just how broadly its test for “use”

is interpreted.     The case involved a child who attempted to enter

his parents’ parked and locked truck through its rear to retrieve

an   article   of   clothing.     Id.       at   154.     While    doing   so,   he

inadvertently caused a loaded shotgun in the truck’s gun rack to

fire, injuring a passenger in another vehicle.                    Id.   The court

concluded that the injury arose from the use of the truck as a

matter of law.      The child’s sole purpose was to gain entry to the

truck, his unorthodox method of entry was not an unexpected or

unnatural use of the vehicle for a child, and it was his intent to

enter the vehicle that directly caused the gun to discharge, thus

causing the injury.     Id. at 158.         The court reasoned that, had the

truck’s movement caused the shotgun to discharge, there would be

little question that the vehicle produced the injury; although a

moving vehicle would have more of a role in the accident, it would

not be significantly more.       Id. at 158-59.         Although it was a close

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call, the truck “produced” the injury and was not merely the situs

of activity, unrelated to the accident.            Id. at 159.

            Similarly, in Lyons v. State Farm Lloyds & Nat’l Cas.

Co., 41 S.W.3d 201, 205 (Tex. App. 2001), the court held that a

woman’s injury in trying to enter the trailer of a parked car arose

out of the “use” of the vehicle.           Although the vehicle was not in

motion, the injury occurred within the territorial limits of the

vehicle, the vehicle produced rather than simply contributed to the

injury, and the woman intended to use it as a vehicle.             Id. at 205-

06.2

            Applying the Lindsey factors to the instant case, we must

conclude that McCann’s injuries arose from the use of ALC’s van.

First, her injuries occurred while the van was being used for one

of its inherent purposes:           transportation of children to ALC.

Although the van was no longer in motion, its purpose —— as to

McCann —— had not yet been fulfilled and was thus ongoing.              Second,

the accident occurred within the van’s natural territorial limits




      2
            Where a vehicle is a mere situs of injury, fungible with any other
situs, it is not being “used.” In LeLeaux, supra, the Texas Supreme Court ruled
that an accident did not arise out of the use of a vehicle when a student was
injured after returning to a parked, empty bus after competing in a band
competition. The bus was not being used for its intended purpose—transporting
students—but instead was the mere situs of the injury. School officials and the
driver were not around, and “the manner in which school district employees loaded
and unloaded students had nothing to do with [the student’s] injury.” Id. at 52.

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before    the    actual       use—the    transportation        of     McCann    to

ALC—terminated.3

            Third, the vehicle caused, rather than merely contributed

to, the conditions that produced the injury.                       Le’Yazmine was

injured because she was left in a hot, unventilated vehicle by the

driver.   The vehicle was not merely the situs of the injury, but a

producing cause.      Unfortunately, the danger of leaving children in

locked vehicles during extreme weather conditions is well known; it

is a danger inherent in the manner in which automobiles trap heat.

The same dangers are not found in classrooms or parks. Thus, “but

for” the use of the van to transport Le’Yazmine, she would not have

been injured.

            Finally,    the    Lindsey       court   noted   the   importance   of

intent:    “Whether a person is using a vehicle as a vehicle depends

not only on his conduct but on his intent.”             997 S.W.2d at 156.      In

this case, the intent of all parties was to use the van to

transport the child to ALC.        Although the consequences of that use

clearly were not intended, this does not negate the fact that the

parties placed the young child in the van intending to use it for

transportation.



      3
            ALC argues that there were two separate purposes: one to transport
McCann from her home to ALC, and another to shepherd McCann from ALC’s parking
lot into the daycare center.     We decline to parse the various purposes so
narrowly; the overarching purpose of the van was to take the children safely from
their homes to the center.   Although the van’s purpose as to the other children
was successfully fulfilled, the purpose as to McCann was ongoing at the time of
the injury.

                                         8
            This conclusion is in accord with the holdings of other

courts that have considered the issue.                 In St. Paul Mercury Ins.

Co. v. Chilton-Shelby Mental Health Ctr., 595 So.2d 1375 (Ala.

1992), the       Supreme     Court    of    Alabama   held   that    an    automobile

exclusion    in    a   general       liability     insurance     policy    precluded

coverage where an infant suffered a heat-related death after being

left unattended in a van.            Although the negligence did not relate

specifically to the driving of the van, “the fact remain[ed] that

[the child] died in the van while it was being used by the Center

to provide transportation services....”                Id. at 1377.

            Citing     St.     Paul,       other   courts    have    enforced     auto

exclusions in these circumstances. For example, in a similar case,

a Maryland appeals court found that, under the plain meaning of the

policy’s terms, coverage was excluded.                Gallegos v. Allstate Ins.

Co., 797 A.2d 795, 808-09 (Md. App. 2002).                    The result did not

change just because the van was not moving at the time of the

injury.    Id. at 808.       Most recently, a California court cited that

State’s expansive view of the term “use” and the disinclination to

find overlapping coverage between the auto and general liability

policies.    Prince v. United Nat’l Ins. Co., 47 Cal.Rptr.3d 727, 733

(Cal.     App.    2006).       The     court       accordingly      held   that   the

“relationship between the use of the automobile and the injury was

sufficient to trigger the exclusion.”                  Id. at 735.         The court

observed that the type of rapid onset hyperthermia that killed the

children occurs almost exclusively in motor vehicles, making the

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car an instrumentality, rather than mere situs, of the injury.

Id.4

              ALC points to one decision holding that CGL coverage does

exist in a similar situation.         Mt. Vernon Fire Ins. Co. v. Heaven’s

Little Hands Day Care, 795 N.E.2d 1034 (Ill. App. 2003).                The court

found that “leaving an infant in an automobile used to transport

him...is not a normal or reasonable consequence of the use of the

vehicle.”      Id. at 1043.    The vehicle ceased being used as a method

for transportation when the other occupants exited.               Id.    In sum,

the negligence leading to the death was “nonvehicular conduct.”

Id.

              Mt. Vernon’s reasoning is unpersuasive.           First, although

a vehicle may have ceased being a mode of transportation for its

other      occupants,   the   purpose   of   transportation      had    not   been

fulfilled as to the victim at the time of injury.                  Second, the

negligence in not removing a child from the van or having in place

a system to insure the removal of all the children is vehicular

conduct; it relates directly to ALC’s use of the van as a mode of

transportation.         Third,   we   are    bound   by   the   more   expansive

treatment of the term “use” in Texas law, see Lindsey, 997 S.W.2d

153; Lyons, 41 S.W.3d 201, which led to the conclusion that the


       4
            See also Capital Indem. Corp. v. Braxton, 24 F.App’x 434, 2001 WL
1580220 (6th Cir. Dec. 6, 2001) (unpublished). The insurance exclusion at issue
was identical to the one here, see id. at 438, and the hyperthermia-induced death
was similarly caused. The court found that the accident arose out of the use of
the vehicle, as an unduly narrow interpretation would “defeat the evident purpose
of the exclusion.” Id. at 442.

                                        10
failure to remove a child from a vehicle after using that vehicle

to transport the child does arise out of the use of an automobile.

          Finally, the inclusion of similar language in the auto

and CGL policies indicates an intent by the companies involved to

avoid overlapping coverage, whatever the scope of “use” may be.

The district court found that American International was required

to defend and indemnify ALC under the auto policy, a finding that

ALC has not appealed.     See Lincoln Gen. Ins. Co. v. Aisha’s

Learning Ctr., 2005 WL 954997, at *9 (N.D. Tex. Apr. 26, 2005).

Consistency demands that the same terms in insurance policies,

which were written with any eye to governing state case law, be

interpreted similarly.   Pursuant to Lindsey’s factors, when an

automobile is being used as a vehicle, and that use has not ended

as to the victim, the injury does arise out of the use of the

automobile.

                         III.   Conclusion

          Because the injury to Le’Yazmine McCann arose out of the

use of the vehicle, the auto exclusion in ALC’s CGL policy applies,

and Lincoln General has no duty to defend or indemnify ALC in the

underlying suit. The district court’s grant of summary judgment to

Lincoln General is AFFIRMED.




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