Marina N. Garcia v. Federal Insurance Company

                                                                                  [PUBLISH]


                  IN THE UNITED STATES COURT OF APPEALS

                            FOR THE ELEVENTH CIRCUIT
                             _________________________                         FILED
                                                                     U.S. COURT OF APPEALS
                                                                       ELEVENTH CIRCUIT
                                     No. 05-14720                         December 26, 2006
                              _________________________                 THOMAS K. KAHN
                                                                              CLERK
                          D.C. Docket No. 05-20708-CV-PCH


MARIA N. GARCIA,

                                                            Plaintiff-Appellant,
       versus

FEDERAL INSURANCE COMPANY,

                                                          Defendant-Appellee.


                              _________________________

                  Appeal from the United States District Court for the
                             Southern District of Florida
                            _________________________

                                   (December 26, 2006)


Before DUBINA, KRAVITCH and JOHN R. GIBSON,* Circuit Judges.

PER CURIAM:



       *Honorable John R. Gibson, United States Circuit Judge for the Eighth Circuit, sitting by
designation.
      Maria N. Garcia appeals from an order of the district court dismissing her

action against the Federal Insurance Company claiming that its homeowner’s

policy insuring Laura Anderson extended coverage to Garcia, Anderson’s

employee. As the case presents issues that have not been directly addressed by the

Supreme Court of Florida, we believe the issues are appropriate for resolution by

Florida’s highest court and defer our decision in this case pending the certification

of questions to the Supreme Court of Florida.

                                I. BACKGROUND

      Maria Garcia worked as a caregiver for Laura Anderson, assisting her with

various tasks because of Anderson's poor health. Garcia served as a housekeeper

and also ran errands, for which she used a 1994 Volvo owned by Harry Mark

Vieth, Anderson's son-in-law. On April 18, 2003, while using the Volvo with the

permission of Vieth and Anderson, Garcia pulled up in front of a Publix

supermarket where a pedestrian, Gail Archer, was withdrawing money from an

ATM. When Garcia attempted to stop the Volvo, her foot slipped off the brake

pedal and the car struck Archer, causing serious injuries.

      On February 24, 2004, Archer filed suit in the Circuit Court for Miami-

Dade County against Vieth, Anderson, and Garcia, among others. The complaint

alleged that, as Garcia's employer, Anderson was vicariously liable for Garcia's

acts and omissions and also alleged that Anderson, Vieth, and Garcia had

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negligently failed to maintain the car, allowing the rubber pad on the brake pedal

to become so worn that bare metal showed through, which caused Garcia's foot to

slip off the brake. Anderson was the named insured under a homeowner's policy

issued by Federal Insurance Company, and Federal settled the claims against

Anderson. Garcia settled Archer's claim for $7,000,000 and sought coverage from

Federal, under Anderson's insurance policy, which denied her claim. Garcia then

filed this suit against Federal in the United States District Court for the Southern

District of Florida.

                                 II. DISCUSSION

      Garcia argues that, under the terms of Anderson's insurance policy

("Policy"), she qualifies as a "covered person" and is therefore entitled to

coverage. The Policy provides as follows:

             Personal Liability Coverage

             We cover damages a covered person is legally obligated
             to pay for personal injury or property damage which take
             place anytime during the policy period and are caused by
             an occurrence, unless stated otherwise or an exclusion
             applies ...

             A covered person means:
                  C      you or a family member;
                  C      any other person or organization with
                         respect to liability because of acts or
                         omissions of you or a family member; or
                  C      any combination of the above.


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                                              ***

                DEFINITIONS
                                              ***

                You means the person named in the Coverage
                Summary,1 and a spouse who lives with that person.

                                              ***

                Family member means your relative who lives with you,
                or any other person under 25 in your care or your
                relative’s care who lives with you.


      The dispute between Garcia and Federal hinges on whether the additional

insured clause covers only the additional insured's vicarious liability for the acts of

the named insured. Federal contends that the words "because of" are plain and

expressly limit liability to cases where individuals are legally responsible for the

acts and omissions of the named insured. Garcia argues that the language in the

policy regarding other covered persons is broad and does not limit liability to

cases where the covered person is vicariously liable for the acts or omissions of

the named insured. There is, of course, no claim that Garcia was vicariously liable

for Anderson, since Anderson was the employer. She does claim, however, that

she became liable because of Anderson's failure to maintain the car.




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          “You” refers to Anderson since she is the only named insured on the policy.

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      The district court held that Garcia was not entitled to coverage under the

policy as an additional insured. According to the district court, "A plain reading

of 'with respect to liability because of the acts or omissions of you' means, in this

case, Garcia is covered under the Policy if Garcia could be liable for striking the

pedestrian because of Anderson's failure" to maintain the car. The district court

also relied upon the Florida Supreme Court's decision in Container Corp. of

America v. Maryland Casualty Co., 707 So. 2d 733 (Fla. 1998), where the court

construed an additional insured clause. In that case, Southern Contractors

("Southern") entered into an agreement with Container Corporation ("Container")

to install a vacuum pump at a plant operated by Container. The contract stated

that Southern would indemnify Container for liabilities incurred or arising as a

result of the performance by Southern of its contractual requirements. Id. at 735.

Southern also purchased from Maryland Casualty Company ("Maryland") a

comprehensive liability insurance policy in which Southern was the named

insured, but which listed Container as an additional insured. A Southern

employee was injured and sued Container, alleging that Container's negligence

caused the accident. Maryland initiated a declaratory judgment action, arguing

that the additional insured clause only covered Container for vicarious liability for

Southern's actions, not Container's own negligence. Id. The Florida Supreme

Court concluded that, because the additional insured clause lacked limiting

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language, Container was covered for its own negligence as well as for acts of

Southern. Id. at 736.

      The Florida Supreme Court in Container pointed to Consolidation Coal Co.

v. Liberty Mutual Insurance Co., 406 F. Supp. 1292 (W.D. Pa. 1976), as a case in

which an additional insured clause stated a clear intent to cover an additional

insured for the named insured's negligence, but not for the additional insured's

negligence. In Consolidation Coal, the additional insured clause was limited as

follows: "but only with respect to acts or omissions of the named insured in

connection with the named insured's operations." Id. at 1294. The policy was

issued by Liberty Mutual Insurance Company to Long's Hauling Company. Long,

by contract, had agreed to haul various coal products for Consolidation Coal

Company. In the policy issued by Liberty, Consolidation had been added as an

additional insured, but limited by the "acts or omissions" clause. Following an

accident involving an employee of Long, Raymond Mazjer, and several

Consolidation employees, Mazjer filed suit claiming that Consolidation's

negligence was the sole and proximate cause of the incident. In the suit between

Consolidation Coal and Liberty Mutual Insurance Company, the district court first

determined that the policy's "acts or omissions" clause was ambiguous. Id. at

1295. It then concluded that the clause limited coverage to those instances where



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"the negligent acts or omissions of Long directly caused Consolidation's loss." Id.

at 1299.

      The district court in the instant case relied upon the Florida Supreme Court's

citation of Consolidation Coal. The district court concluded the following:

             The provision in Federal's Policy providing an additional
             insured coverage 'with respect to liability because of the
             acts or omissions of' the named insured, is stronger,
             clearer language of limitation than was at issue in
             Consolidation Coal, which held a similar provision
             limited coverage to vicarious liability. Consolidation
             Coal is thus persuasive authority for concluding that
             Garcia would be covered only if she is liable because of
             the acts or omissions of Anderson.

      Accordingly, the district court held that the policy only covered Garcia for

Anderson's acts for which Garcia was vicariously liable, not for Anderson's acts

that indirectly caused Garcia to become liable. The district court dismissed

Garcia's suit.

      After the district court's decision in the instant case, the Supreme Court of

Florida interpreted an insurance contract's use of the words "arising out of" in

Taurus Holdings, Inc. v. United States Fidelity & Guaranty Co., 913 So. 2d 528

(Fla. 2005). In that case, Taurus Holdings, Inc. and Taurus International

Manufacturing, Inc. ("Taurus") sought coverage under several commercial general

liability policies issued by various insurers for lawsuits by municipalities against

Taurus for damages arising from Taurus's manufacturing, distributing, and selling

                                          7
firearms. The policies required the insurers to defend Taurus in "lawsuits seeking

damages for bodily injury, property damage, advertising injury or personal injury."

Id. at 531. The municipalities, among other causes of action, alleged "negligence,

negligent supervision, negligent marketing, negligent distribution, negligent

advertising, negligent entrustment, public and private nuisance, failure to warn,

false advertising, and unfair and deceptive trade practices." Id. at 530.

      The insurers sought to avoid the obligation to defend, relying on exclusions

for products-completed operations hazards that covered bodily injury and property

damage occurring away from Taurus's premises and "arising out of" Taurus's

"products." Id. The question before the Supreme Court of Florida was whether

the policy excluded liability only for defective products or whether it excluded

liability for all product related injuries. The Supreme Court of Florida interpreted

the term "arising out of" broadly and held that the insurers had no duty to defend

Taurus against the lawsuits.

      In its analysis, the Supreme Court of Florida reiterated several principles of

insurance contract interpretation. It stated that "Under Florida law, insurance

contracts are construed according to their plain meaning." Id. at 532. If there is

more than one reasonable interpretation of an insurance policy, however, such

"ambiguities are construed against the insurer and in favor of coverage." Id. The

Supreme Court of Florida concluded that "the phrase 'arising out of your product'

                                          8
in the products-completed operations hazard exclusions at issue is unambiguous."

Id. at 539. The term has a broader meaning than the term "caused by" and

"requires more than a mere coincidence between the conduct (or, in this case, the

product) and the injury ... [b]ut it does not require proximate cause." Id. at 539-40.

      Garcia contends that the Florida Supreme Court's interpretation of the term

"arising out of" bolsters her argument that "because of" can support liability in

instances other than vicarious liability. According to Garcia, the term "because

of," similar to the term "arising out of," is a broad phrase that can indicate both

"has a connection with" as well as proximate causation. Garcia contends that in

the absence of a direct interpretation of the term "because of" by the Florida

Supreme Court, the holding in Taurus is the best guide for interpreting the Policy.

      Federal disagrees. Federal argues that the Florida Supreme Court's holding

in Taurus is of no avail to Garcia because the decisions in Container and

Consolidation Coal offer a clear explanation of what constitutes limiting language

in an additional insured clause, and any attempt by Garcia to rely upon Taurus is

therefore misplaced. Federal contends that the key policy language in both the

instant case and Consolidation Coal limits coverage to liability caused by the acts

or omissions of the named insured and Taurus does not address this point. Federal

argues the following:



                                           9
             In Consolidation Coal, the policy stated that
             "Consolidation was added as 'an additional insured but
             only with respect to the acts or omissions of the named
             insured in connection with the named insured's
             operations' on Consolidations's premises." 406 F. Supp.
             at 1294. It is this clear policy language, "acts or
             omissions," which the Florida Supreme Court pinpointed
             as unambiguously limiting an additional insured's
             coverage to its vicarious liability for the named insured.
             707 So.2d at 736.

      While Federal is correct that many of the cases discussed by both parties

make reference to the "acts or omissions" of the named insured, none of the

policies are identical in language to Anderson's. In the instant case, Federal

defined a covered person as "any other person with respect to liability because of

acts or omissions of you or a family member." In Consolidation Coal, the limiting

clause stated that the additional insured was covered, "but only with respect to acts

or omissions of the named insured in connection with the named insured's

operations." Id. at 1296.

      While Consolidation Coal stated that "[t]he effect of the words 'acts or

omissions' ... was to qualify the extent of the coverage provided," Id. at 1298-99, it

also recognized that "the use of the words 'but only' with respect, etc., in the

endorsement ... appears to be an attempt by defendant to qualify the extent to

which plaintiff is an additional insured under the policy." Id. It was the entire

clause, then, that allowed the court to determine that Consolidation was covered


                                          10
only if "the negligent acts or omissions of Long directly caused Consolidation's

loss." Id. at 1299. It is therefore arguable that the language in Consolidation

Coal, which the Florida Supreme Court considers to be clear, can be distinguished

from the language in the instant case. The court in Consolidation Coal determined

on the entirety of the clause's language that the policy was limited to vicarious

liability. Given the differences between the two clauses, and the limited

discussion of Consolidation Coal in the Florida Supreme Court's decision in

Container, there appears to be some ambiguity regarding the proper interpretation

of Federal's Policy. For this reason, along with the Florida Supreme Court's

decision in Taurus, we are unsure as to what interpretation Florida courts would

consider appropriate in the instant case.

      When significant doubt exists about the answer to a material state law

question upon which the case turns, a federal court should certify that question to

the state supreme court in order to avoid engaging in unnecessary speculation.

See, e.g., Mosher v. Speedstar Div. of AMCA Int'l, Inc., 52 F.3d 913, 916-917

(11th Cir. 1995).

                      III. QUESTIONS TO BE CERTIFIED

      Accordingly, we respectfully certify the following questions of law to the

Florida Supreme Court:



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1. Is an insurance policy that defines a covered person as "any other person with

respect to liability because of acts or omissions" of the insured ambiguous?

2. Does an insurance policy providing coverage for an additional insured "with

respect to liability because of acts or omissions" of the named insured limit

coverage to instances in which the additional insured is vicariously liable for acts

of the named insured?

      Our statement of the questions is not meant to restrict, in any way, the

Florida Supreme Court's response to the questions or its analysis of the issues

raised. We seek clarification (and possibly correction) in light of our own analysis

of Florida state law, and the questions posed are just a guide. To assist the Florida

Supreme Court, if it decides to accept this certification, with its consideration of

the case, the record and briefs will accompany this certification.

      QUESTIONS CERTIFIED




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