Court Opinion

ID: 5570
Source: CourtListenerOpinion
Date Created: 2010-04-25 05:07:17+00
Date Added: 2024-06-11T08:37:27.082003
License: Public Domain

IN THE UNITED STATES COURT OF APPEALS

                          FOR THE FIFTH CIRCUIT

                                No. 92-2288

HARBOR INSURANCE CO.,
                                                Plaintiff-Appellee,

                                  versus

URBAN CONSTRUCTION CO. AND AUGUSTA COURT
CO-OWNERS ASSOCIATION, INC.,
                                                Defendants,

URBAN CONSTRUCTION CO.,
                                                Defendant-Appellant.

            Appeal from the United States District Court
                 for the Southern District of Texas

                           ( April 22, 1993 )

Before Reynaldo G. GARZA, HIGGINBOTHAM, and Emilio M. GARZA,
Circuit Judges.

HIGGINBOTHAM, Circuit Judge:

     This   is   a   dispute   between   a   commercial   insurer   and   its

insured.    The insured, Urban Construction Co., was held liable for

damage caused by defects in its condominium project.                 Harbor

Insurance Co. held an umbrella policy during construction and,

relying on their diversity of citizenship, sought a declaration

from the federal courts that it had no duty to indemnify Urban.

Urban counterclaimed for damages.            The district court granted

summary judgment to Harbor.
     Harbor      sold   twelve-month     umbrella,     or   excess    liability,

policies to Urban for three successive years.1              These policies were

sold through Harbor's agent and affiliate, Swett & Crawford. Swett

dealt with Urban's independent insurance agent, Collier Cobb &

Associates.      The first of these policies contained a standard list

of exclusions, including the following:

     This Policy shall not apply . . . (e) to property damage
     to work performed by or on behalf of the Named Insured
     arising out of the work or any portion thereof, or out of
     materials, parts or equipment furnished in connection
     therewith.2

     For    the    second   policy     the   following      year,   the   parties

negotiated a special endorsement with a corresponding additional

premium.    This endorsement modified exclusion (e) by stating:

     It is understood and agreed that exclusion e [of the
     policy] is amended to read as follow:
     e.   to property damage to the Named Insured's work
     performed by the named insured arising out of the work or
     any portion thereof, or out of materials, parts, or
     equipment furnished in connection therewith.

This endorsement deleted exclusion (e)'s reference to work done "on

behalf of" the insured.         It was effective from April 1980 to April

1981.      The    endorsement    was   intended   to   broaden      the   policy's

coverage to property in the "care custody and control" of Urban.

This modification followed a similar modification of the underlying

primary policy.

     In 1981, Swett and Collier Cobb negotiated a twelve-month

renewal of the existing umbrella policy. Collier Cobb completed an

     1
        The policies covered 1979-80, 1980-81, and 1981-82.
     2
      We shall refer to this unmodified exclusion as "exclusion
(e)" or the "work performed" clause.

                                        2
application provided by Swett.         In response to the application's

inquiry about restrictions of the underlying primary coverage

policy, Collier Cobb indicated "Care Custody and Control Amendment-

Following Form Endorsement Required."         Exhibits produced by Swett

and Collier Cobb indicated that the umbrella policy was to be

renewed under the same terms as the existing policy.                   In its

summary   judgment    pleadings,    Harbor   admitted   that     the   parties

intended to modify exclusion (e) when they renewed the umbrella

policy for 1981-82.3

     Swett   signed    the   1981-82    renewal   policy   for   Harbor   and

delivered it to Collier Cobb.          The modifying endorsement was not

attached to the delivered renewal policy.          The renewal policy did

contain a "Contractors Limitation" endorsement.            This endorsement

stated:

     It is understood and agreed that except insofar as
     coverage is available to the Insured in the underlying
     insurances as set out in the attached schedule this
     insurance shall not apply:
     1.   to products and completed operations . . .
     3.   to loss of or damage to property while in the care,
     custody, or control of the insured.

The schedule referred to by the contractors limitation endorsement

listed the primary general liability insurance policy provided by

Aetna Casualty and Surety.         The primary policy included a "Broad

     3
      The brief supporting Harbor's "Additional Material in
Support of Plaintiff's Motion for Summary Judgment and Response
to Defendant's Motion for Continuance" reads: "[F]or the
purposes of its Motion for Summary Judgment only, Harbor will
admit Urban's allegations that the parties intended to modify the
work performed exclusion when they negotiated a renewal of the
1980-81 Harbor policy."

                                       3
Form Comprehensive      General   Liability    Endorsement"      modified    by

endorsement.4

      Collier Cobb recognized that the renewal policy lacked a

modifying endorsement. John Irwin of Collier Cobb directed someone

to see about obtaining the endorsement from Harbor. At some point,

Collier Cobb informed Urban of the omission.

      During the renewal policy's coverage period, Urban was the

general contractor for a condominium project.            Urban contracted

with Augusta Court Associates, Ltd. in 1979 to construct the

project. Urban subcontracted most of the work on the project.               The

project's certificate of substantial completion was dated March 22,

1982.     An architect, however, discovered water leakage problems

causing corrosion.      Urban then performed corrective roofing work.

When more leakage complaints arose in 1983, Urban denied that any

remaining problems were due to its work.

      On February 14, 1985, Augusta sued Urban alleging negligence

and   breach    of   contract.    Augusta     sought   damages    caused    by

construction defects.      Urban advised both Aetna and Harbor of this

lawsuit in July 1985.     By letter of April 19, 1989, Harbor reserved

its rights under the umbrella policy pending an investigation of

      4
       The governing endorsement thus read:
      VI. Broad form property damage liability coverage
      (including completed operations) The insurance for
      property damage liability applies, subject to the
      following additional provisions:
      (A) Exclusions (K) and (O) are replaced by the
      following:
      . . . (O) to property damage to that part of work
      performed by the named insured out of which the
      occurrence arises.

                                     4
Augusta's claims.   On June 28, 1989, Urban made demand upon all of

its primary and excess carriers, including Aetna and Harbor, to

settle the lawsuit prior to binding arbitration.5                Aetna and

another primary insurer each tendered $100,000, the limits of their

property damage liabilities, to Augusta.

     Urban advised Harbor that Augusta had made a settlement offer

within the limits of the umbrella policy, and advised Harbor of

Urban's willingness to pursue legal action against Harbor if Harbor

failed to comply with its obligations.

     Harbor   continued    to   reserve   its   rights   and   investigate.

Meanwhile, the arbitration proceeding awarded Augusta $1,261,450.00

on August 14, 1989.       Urban promptly demanded indemnification by

Harbor for this award.          On September 1, 1989, Harbor denied

coverage of the claim.     This suit followed.

     Harbor sued on September 6, 1989, seeking a declaration that

it had no liability or duty to indemnify Urban or pay Augusta.

Harbor asserted that Urban's claim for coverage was excluded by the

work performed provision.       Urban counterclaimed alleging breach of

contract, negligence, and violations of Texas's Insurance Code and

Deceptive Trade Practices Act.

     Harbor moved for partial summary judgment on the coverage

issue, contending that the work performed clause excluded coverage

for the arbitration award.      Urban responded by submitting evidence

to establish mutual mistake in the formation of the renewal policy

     5
      Urban moved to stay the state court action pending
arbitration pursuant to an arbitration clause in the construction
contract.

                                     5
contract.      According to Urban's evidence, the policy should have

been renewed on the same terms as the previous policy, including an

endorsement modifying the work performed clause.

       Harbor did not contradict the evidence of mutual mistake.

Harbor admitted that the parties intended to modify the work

performed      clause.     Harbor     maintained,    however,    that     Urban's

reliance on mutual mistake was an effort to reform the contract.

Relying upon the statute of limitations for reformation actions,

Harbor claimed that this effort was time barred.

       The district court granted Harbor's motion for partial summary

judgment on July 8, 1991.        The court did not reach the statute of

limitations issue.        Instead, the court held that it could not

consider any extrinsic evidence--even that offered to prove mutual

mistake.    Confining its inquiry to the terms of the renewal policy

as delivered, the court held that the work performed clause denied

coverage.      Finding that the exclusion of coverage gave Harbor a

reasonable basis for denying Urban's claim, the court also granted

judgment in Harbor's favor on Urban's claims for negligence and

breaches of the duties of good faith and fair dealing.

       Harbor then sought summary judgment on Urban's remaining

statutory claims.        Harbor asserted that those claims were time

barred, because the applicable statute of limitations began to run

when   Urban    became   aware   of    the    omission   of   the   endorsement

modifying the work performed clause.               Urban responded that the

limitations     period   did   not    begin   to   run   until   Harbor    denied

coverage in 1989.        Agreeing with Harbor, the district court held

                                        6
the statutory claims were time barred.    The court found that Urban

should have discovered that the renewal policy lacked the desired

endorsement when delivered, or at latest when Augusta sued Urban in

1985.   The court granted Harbor's supplemental motion and entered

its final judgment, disposing of the entire case, on February 28,

1992.   Urban filed a timely notice of appeal.

     We review the granting of summary judgment de novo, applying

the same criteria as the district court. Hanks v. Transcontinental

Gas Pipe Line Corp., 953 F.2d 996, 997 (5th Cir. 1992).       "Summary

judgment is proper only if 'there is no genuine issue as to any

material fact and . . . the moving party is entitled to judgment as

a matter of law.'"    Harbor Insurance Co. v. Trammell Crow Co., 854
F.2d 94, 98 (5th Cir. 1988)(quoting Fed. R. Civ. P. 56(c)).          We

consider all of the facts contained in the pleadings, depositions,

admissions,   answers   to   interrogatories,   affidavits,   and   the

inferences to be drawn therefrom in the light most favorable to the

non-moving party. Weyant v. Acceptance Ins. Co., 917 F.2d 209, 212

(5th Cir. 1990).    We review the district court's interpretation of

an insurance policy de novo. Heinhuis v. Venture Associates, Inc.,

959 F.2d 551, 553 (5th Cir. 1992).

     Our review is not limited to the district court's analysis.

A grant of summary judgment may be affirmed on a legal basis not

ruled upon below.    "We may affirm even in situations in which the

district court's ruling was incorrect, as long as the result was

proper."   Texas Refrigeration Supply, Inc. v. Federal Deposit Ins.

Corp., 953 F.2d 975, 980 (5th Cir. 1992).

                                   7
     Urban contends that the renewal policy should not be enforced

as written due to mutual mistake.          Harbor has admitted that the

delivered policy did not reflect the agreement of the parties.

Nevertheless, the district court held that the policy could not be

reformed to correct the mutual mistake, because the policy was an

integrated document that could not be altered by parol evidence.

Furthermore, the district court held that as a matter of law an

insured is bound by the terms of a policy when he accepts the

policy.

     We disagree with these rulings.         As we see it, under Texas

law, reformation requires an original agreement followed by a

mutual mistake made in reducing the original agreement to writing.

Cherokee Water Co. v. Forderhause, 741 S.W.2d 377, 379 (Tex. 1987).

Reformation is allowed even when a written contract purports to be

completely integrated.       See Restatement (Second) of Contracts

§ 155, comment a (1981).6        "[T]he parol evidence rule does not

preclude such a showing of mistake."        Id.    Moreover, the insured's

failure to read the policy does not bar correction of the mistake.

Aetna Ins. Co. v. Paddock, 301 F.2d 807, 811 (5th Cir. 1962)(Texas

law).     Texas adopted the majority rule that does not require the

insured to examine the delivered policy and permits him to rely

upon the     assumption   that   the   agreement   was   expressed   in   the

writing. Firemen's Fund Indemnity Co. v. Boyle Gen'l Tire Co., 392
S.W.2d 352, 355 (Tex. 1965).

     6
      This section was cited with approval by the Texas Supreme
Court in Forderhause, 741 S.W.2d at 379.

                                       8
       Harbor's admission equates to an admission of mutual mistake.

Both parties agreed that the renewal policy would contain the terms

of    the    existing   policy,   including    its   endorsement    modifying

exclusion (e).      Harbor does not contend that reformation is barred

by the parol evidence rule or Urban's acceptance of the policy.

Harbor urges us to affirm the grant of summary judgment on the

basis that Urban's request for reformation is barred by the statute

of limitations.

       The    parties   argue   that    different    four-year   statutes    of

limitations apply that began to run on different dates.                    Urban

contends that its suit for damages is governed by the statute of

limitations for actions on debts.             Tex. Civ. Prac. & Rem. Code

§    16.004(a)(3).      This    limitations    period   arguably    runs   from

Harbor's denial of coverage.           Harbor, on the other hand, maintains

that the statute of limitations for reformation actions applies.

Tex. Civ. Prac. & Rem. Code § 16.051.          It is well settled in Texas

that the limitations period for instrument reformation is subject

to the discovery rule.          See, e.g., Tucker v. Atlantic Richfield

Co., 787 S.W.2d 555, 558 (Tex. App.--Corpus Christi 1990, writ

denied). The discovery rule provides that limitations run from the

date the plaintiff discovers or should have discovered, in the

exercise of reasonable care and diligence, the nature of the

injury.       Willis v. Maverick, 760 S.W.2d 642, 644 (Tex. 1988).

Regarding reformation, the limitations period begins to run from

the time the party seeking reformation discovered, or should have

discovered, the error or omission in the instrument.               Tucker, 787
9
S.W.2d    at    558.       On       summary       judgment,      the    movant     asserting

limitations      as    a   defense         must    negate     the      discovery    rule   by

establishing that there is no genuine issue of fact about when the

plaintiff discovered or should have discovered the nature of his

injury.       Burns v. Thomas, 786 S.W.2d 266 (Tex. 1990).

     Urban insists that the statute of limitations for reformation

actions does not apply, because it does not seek the affirmative

relief of reformation.              Urban argues that the relief it seeks is

enforcement of the parties' intended agreement.                          Although Urban's

breach of contract claim requires that the policy be interpreted in

light    of    the     proof    of     mutual       mistake,        Urban    reasons    that

interpretation in an enforcement suit differs from praying for

relief in the form of reformation.

     We are not persuaded by this reasoning.                                The fact that

intended agreements may be enforced without a prior action for

reformation is not dispositive. See Republic Ins. Co. v. Silverton

Elevators, Inc., 493 S.W.2d 748, 754 (Tex. 1973) (holding that

intended agreement may be enforced upon proof of mutual mistake

without a formal reformation proceeding).                         This rule recognized

that the merger of law and equity permitted actions for reformation

and enforcement after a mutual mistake to be collapsed into a

single lawsuit.        Regardless of the label placed upon that lawsuit,

a party asserting mutual mistake seeks relief in the substance, if

not necessarily the form, of reformation.                         Texas courts reflect

this reality by applying the rules regarding the limitations of

reformation      actions       to    the    assertion       of   mutual     mistake    as a

                                              10
defense.    See Snellings v. Snellings, 482 S.W.2d 707, 709 (Tex.

Civ. App.--Waco 1972, writ ref'd n.r.e.).                Following that lead, we

hold that the statute of limitations may bar the assertion of

mutual mistake under the circumstances presented here.

      Collier Cobb was Urban's agent for procuring insurance.                      John

Irwin testified that Collier Cobb reviewed policies upon arrival to

check for errors. It followed that procedure when Harbor delivered

the renewal policy in May 1981.                   Irwin was made aware of the

endorsement's omission.          He made a note referring to the omission

on Collier Cobb's copy of a May 22, 1981, letter to Urban.                        Urban

notes that the record does not disclose the date that Irwin learned

of   the   omission,       but   otherwise    does      not   point       to   evidence

contradicting these facts.

      Harbor has the burden of establishing when the limitations

period began to run. Citing Irwin's testimony, Harbor demonstrated

that Urban or its agent, Collier Cobb, had actual knowledge of the

omission in 1981.          In the alternative, Harbor argues that with

reasonable care and diligence, Urban should have discovered the

omission of the endorsement when sued by Augusta in February 1985.

At   the   latest,    therefore,     the     limitations      period       expired   in

February 1989. Urban did not assert its right to reformation until

after this litigation commenced in September 1989.

      Urban suggests several avenues of escape from limitations.

All stem    from     the    public   policy       of   protecting     insureds     from

language in    insurance         policies    of    which   they     are    not   aware.

Because Urban had actual knowledge of the omission, none of these

                                        11
principles are of help to it.    For example, Urban asserts the rule

that insurers have a duty to call to the insured's attention any

changes in the coverage or conditions of a renewed policy.             See

generally   Annotation,   "Insurance   Company   as   Bound   by   Greater

Coverage in Earlier Policy Where Renewal Policy is Issued Without

Calling to Insured's Attention a Reduction in the Policy Coverage,"

91 A.L.R. 2d 546 (1963) (collecting cases); see also Liverpool &

London & Globe Ins. Co. v. Swann, 382 S.W.2d 521, 522 (Tex. Civ.

App.--Beaumont 1964, no writ)(noting that in absence of contrary

agreement, renewal is presumably upon same terms as original

policy). As noted above, Texas law does not require the insured to

examine the delivered policy.      Firemen's Fund Indemnity Co. v.

Boyle Gen'l Tire Co., 392 S.W.2d 352, 355 (Tex. 1965).

     This case does not involve the operation of policy terms of

which the insured was ignorant. Through Collier Cobb, Urban gained

actual knowledge that the policy did not contain the endorsement

modifying exclusion (e). Urban evidently assumed that the terms of

the intended agreement were enforceable,7 but took no legal steps

to ensure their enforceability until 1989.       The question presented

     7
      The testimony of E.A. Anderson, a claims executive with 34
years of insurance industry experience, indicates that this
assumption was not completely unreasonable. He state that it was
the industry's custom and practice to provide coverage on the
basis of intended agreements as shown by underwriting files,
regardless of the actual policy language. Nonetheless, we are
constrained by the holdings of the Texas courts, which state that
the statute of limitations for reformation begins to run from the
actual discovery of the error or omission. Accrual of the cause
of action "does not await the plaintiff's recognition that he has
grounds for a lawsuit." Arabian Shield Development Co. v. Hunt,
808 S.W.2d 577, 583 (Tex. App.--Dallas 1991, writ denied).

                                  12
is whether Urban may seek reformation eight years after learning

that the policy did not conform to the intended terms.                By the

statute of limitations, the answer is no.          The district court did

not   err   in   refusing    to   enforce   the   terms   of   the    omitted

endorsement.

      For the first time on appeal, Urban asserts the alternative

argument that the unmodified policy Harbor delivered provides

coverage.    The unmodified terms of the work performed clause, by

themselves, would exclude coverage.         See Eulich v. Home Indemnity

Co., 503 S.W.2d 846, 849 (Tex. Civ. App.--Dallas 1973, writ ref'd

n.r.e.); T.C. Bateson Constr. Co. v. Lumbermens Mutual Casualty

Co., 784 S.W.2d 692, 696 (Tex. App.--Houston [14th Dist.] 1989,

writ denied).     Urban contends that those terms are not operative

due   to    an   ambiguity    arising     from    the   umbrella     policy's

incorporation of provisions of Aetna's primary policy.             Generally,

this court will not rule on issues not presented to the district

court below.     Capps v. Humble Oil & Refining Co., 536 F.2d 80, 82

(5th Cir. 1976).    We will not address the merits of this argument.

      In addition to suing for breach of contract, Urban alleged

that Harbor violated its duties of reasonable care, good faith, and

fair dealing.     The district court held that because Harbor had a

reasonable basis for denying coverage it did not breach its duty of

good faith and fair dealing by refusing to pay Urban's claim or to

settle with Augusta.    Later, the district court ruled that Urban's

remaining statutory claims were time barred.

                                     13
       A cause of action for breach of the duty of good faith and

fair dealing occurs when there is no reasonable basis for the

denial or delay of payment of a claim or when an insurer fails to

determine whether there is any reasonable basis for the denial or

delay. Arnold v. National Cty. Mut. Fire Ins. Co., 725 S.W.2d 165,

167 (Tex. 1987).      Whether there is a reasonable basis for denial is

judged by the facts known to the insurer at the time the claim was

denied. Automobile Ins. Co. of Hartford v. Davila, 805 S.W.2d 897,

903 (Tex. App.--Corpus Christi 1991, writ denied)(citing Viles v.

Security Nat'l Ins. Co., 788 S.W.2d 566, 567 (Tex. 1990)).               We

assume without deciding that the duty of good faith and fair

dealing exists on the part of an excess carrier in a commercial

context.       See Beaumont Rice Mill, Inc. v. Mid-American Indemnity

Ins.    Co.,    948 F.2d 950,   952   (5th   Cir.   1991)(making   same

assumption).

       We agree with the district court's conclusion that Harbor

possessed a reasonable basis for the denial of Urban's claim.            We

note that the absence of policy coverage, by itself, does not

foreclose recovery for the breach of the duty of good faith and

fair dealing.      See First Texas Sav. Ass'n v. Reliance Ins. Co., 950
F.2d 1171, 1179 (5th Cir. 1992); see also Viles, 788 S.W.2d at 567.

In this case, Harbor reserved its rights under the policy in April

1989 and denied coverage on September 1, 1989.           The written terms

of the policy, containing the unmodified work performed clause,

provided a reasonable basis for this denial of coverage.

       We affirm the remainder of the district court's rulings.

                                     14
Urban's negligence claim fails because Harbor had a reasonable

basis for denying coverage and therefore for refusing to settle

Augusta's suit.   Urban's misrepresentation claims under the Texas

Insurance Code and DTPA are time barred due to its actual knowledge

of the omissions in 1981.   Aside from assertions in the argument of

counsel, Urban has not shown that Harbor made any representations

regarding coverage after delivering the renewal policy.

     AFFIRMED.

                                 15