Sprinkles
v. Associated Indemnity Corp. (2010), Cal.App.4th
[No.
B218417. Second Dist., Div. Five. Sep. 1, 2010.]
ROSE
SPRINKLES et al., Plaintiffs and Appellants, v. ASSOCIATED INDEMNITY CORPORATION et al., Defendants and
Respondents.
(Superior
Court of Los Angeles County, No. BC410998, Ronald M. Sohigian, Judge.)
(Opinion
by Mosk, J., with Turner, P. J., and Kriegler, J., concurring.)
COUNSEL
Grassini
& Wrinkle, Roland Wrinkle for Plaintiffs and Appellants.
Hager
& Dowling, John V. Hager for Defendants and Respondents. {Slip Opn. Page 2}
OPINION
MOSK,
J.-
INTRODUCTION
Plaintiffs
and appellants Rose, Austin, and Logan Sprinkles
fn. 1 are the heirs of
a motorcyclist who died in an accident caused by an employee, Juan Bibinz (Bibinz), of Sinco Co., Inc. (Sinco).
Sinco had an automobile liability policy issued by General Insurance Company of America (General), an excess and
umbrella policy issued by Fireman's Fund Insurance Company (Fireman's Fund), and a commercial general liability
(CGL) policy issued by Fireman's Fund.
fn. 2 Plaintiffs
partially settled with Sinco and Bibinz for the full policy limits under the automobile policy and the excess and
umbrella policy. Fireman's Fund denied coverage under the CGL policy and, under that policy, refused to defend an
action by plaintiffs against Sinco. In the partial settlement, plaintiffs, Sinco, and Bibinz agreed to arbitrate
plaintiffs' claims, and plaintiffs took an assignment of Sinco's claims under the CGL policy against Fireman's
Fund.
After
the arbitrator's award to plaintiffs of more than $27 million, plaintiffs filed this bad faith action against
Fireman's Fund. Before the trial court on a demurrer to the complaint, Fireman's Fund contended that Bibinz was
an insured under the CGL policy, and therefore the exclusion in the policy for automobile accidents applied. The
trial court sustained the demurrer without leave to amend, holding that the CGL policy provided no coverage for
the automobile accident that caused plaintiffs' damages.
Plaintiffs
assert, inter alia, that the policy definition of "insured" is not equivalent to vicarious tort liability;
Bibinz was not an "insured," and therefore the automobile accident exclusion did not apply; and Fireman's Fund
had a duty to defend the claim under the CGL policy because there is a potential for coverage due to the
possibility that {Slip Opn. Page 3} Bibinz was not an "insured" under the policy definition. In affirming the
order of dismissal, we hold under the complaint and matters judicially noticed that Bibinz was an insured,
rendering the automobile exclusion in the CGL policy applicable, and that Fireman's Fund had no duty to defend
Sinco.
BACKGROUND
As
this case arises from a demurrer, we set forth the following allegations in the complaint and matters of which
the trial court took judicial notice.
Michael
Sprinkles, the husband of Rose Sprinkles and father of Austin and Logan Sprinkles, died as a result of a
motorcycle accident caused by Bibinz, an employee of Sinco. Plaintiffs filed an action against Sinco and Bibinz
(the Sinco action) alleging that Sinco negligently hired Bibinz, an uninsured and undocumented alien with a
lengthy criminal record, who negligently drove his vehicle causing the death of Michael Sprinkles. Plaintiffs
also alleged that each of the defendants was an employee and agent of the other acting within the scope of his
or its authority.
At
the time of the accident, Sinco had a commercial automobile policy issued by General with a $1,000,000 limit, an
excess and umbrella policy issued by Fireman's Fund with a $1,000,000 limit, and a CGL policy issued by
Fireman's Fund with a $1,000,000 limit. General, the auto insurer, and Fireman's Fund, the insurer of the excess
over the automobile policy, agreed to provide coverage. Fireman's Fund separately denied coverage under the CGL
policy.
Plaintiffs
partially settled the Sinco action, with General paying its $1,000,000 primary limit and with Fireman's Fund
paying its $1,000,000 excess limit. The settlement agreement included an assignment to plaintiffs of rights that
Sinco may have against Fireman's Fund, and a provision that the plaintiffs would not execute on or record any
judgment they obtained against Sinco or Bibinz in excess of the $2 million combined policy limits that the
insurers agreed to pay. The settlement agreement also provided for an arbitration on the merits of plaintiffs'
claims and that the defendants in the Sinco {Slip Opn. Page 4} action had "neither the obligation nor the right
to present a defense or to cross-examine witnesses," but that "the parties and their counsel [would] do
everything necessary to ensure a full, fair and complete assessment and resolution of liability and damages."
Plaintiff Rose Sparkles petitioned to approve the partial settlement of the Sinco action on behalf of the minor
plaintiffs.
The
arbitration conducted by Judge Diane Wayne, Superior Court Judge (Ret.), resulted in an award to plaintiffs that
exceeded $27,000,000 and a finding that Bibinz was, at the time of the accident, acting within the course and
scope of his employment under the "required vehicle" exception to the "going and coming" rule and that Sinco had
been negligent in hiring and retaining Bibinz. The arbitrator stated that at the time of the accident, Bibinz
was employed by Sinco, a property management company, to service various properties in a single day and
therefore needed his automobile to visit job sites; he was on his way to work in the vehicle he used to go to
the job sites; and he was under the influence of drugs and driving erratically. The arbitration award was
confirmed by the superior court, and a judgment was entered on that award.
Plaintiffs
then filed this action for breach of the covenant of good faith and fair dealing, wrongful refusal to settle,
wrongful failure to defend, and breach of the insurance contract. Plaintiffs also asserted a claim under
Insurance Code section 11580 [direct right of judgment creditor against an insurer (Shafer v. Berger, Kahn,
Shafton, Moss, Figler, Simon & Gladstone (2003)
107 Cal.App.4th 54,
68)]. Plaintiffs alleged that Bibinz was not an insured under the policy. They alleged, "At the time of the
accident, Bibinz was not performing duties related to the conduct of SINCO'S business and there was a potential for
a finding that Bibinz was not acting in the scope of his employment with SINCO." The complaint included as exhibits
pertinent portions of the Fireman's Fund CGL policy, plaintiffs' complaint in the Sinco action, and the judgment
confirming the arbitration award. The trial court took judicial notice of other filings by plaintiffs: the minors'
compromise petitions for Austin and Logan Sprinkles and the petition to confirm the arbitration award, which
included the settlement agreement and the arbitration award. {Slip Opn. Page 5}
Fireman's
Fund demurred, asserting that the complaint failed to state a cause of action. The trial court sustained
Fireman's Fund's demurrer without leave to amend and entered its order of dismissal. Plaintiffs timely filed a
notice of appeal.
DISCUSSION
A.
Standard of Review
The
standard of review on appeal following the sustaining of a demurrer is de novo. (Linear Technology Corp. v.
Applied Materials, Inc. (2007)
152 Cal.App.4th 115,
122.) "In reviewing the sufficiency of a complaint against a general demurrer, we are guided by long-settled rules.
'We treat the demurrer as admitting all material facts properly pleaded, but not contentions, deductions or
conclusions of fact or law. [Citation.] We also consider matters which may be judicially noticed.' [Citation.]
Further, we give the complaint a reasonable interpretation, reading it as a whole and its parts in their context.
[Citation.] When a demurrer is sustained, we determine whether the complaint states facts sufficient to constitute
a cause of action. [Citation.]" (Blank v. Kirwan (1985)
39 Cal.3d 311,
318; see also Randi W. v. Muroc Joint Unified School Dist. (1997)
14 Cal.4th 1066,
1075.)
When
a demurrer is sustained without leave to amend, the reviewing court must determine whether there is a reasonable
probability that the complaint could have been amended to cure the defect; if so, it will conclude that the
trial court abused its discretion by denying the plaintiff leave to amend. (Williams v. Housing Authority of
Los Angeles (2004)
121 Cal.App.4th 708,
719.) The plaintiff bears the burden of establishing that it could have amended the complaint to cure the defect.
(Campbell v. Regents of University of California (2005)
35 Cal.4th 311,
320.) Plaintiffs have not sought to amend their complaint. {Slip Opn. Page 6}
B.
Interpretation of Insurance Policy
Ordinary
rules of contract interpretation apply to insurance policies. (Palmer v. Truck Ins. Exchange
(1999)
21 Cal.4th 1109,
1115; see AIU Ins. Co. v. Superior Court (1990)
51 Cal.3d 807,
821-822.) In setting forth these rules, the Supreme Court stated, "Under statutory rules of contract
interpretation, the mutual intention of the parties at the time the contract is formed governs interpretation.
[Citation.] Such intent is to be inferred, if possible, solely from the written provisions of the contract.
[Citation.] The 'clear and explicit' meaning of these provisions, interpreted in their 'ordinary and popular
sense,' unless 'used by the parties in a technical sense or a special meaning is given to them by usage'
[citation], controls judicial interpretation. [Citation.] Thus, if the meaning a layperson would ascribe to
contract language is not ambiguous, we apply that meaning. [Citations.] [¶] . . . In the insurance context, we
generally resolve ambiguities in favor of coverage. [Citations.] Similarly, we generally interpret the coverage
clauses of insurance policies broadly, protecting the objectively reasonable expectations of the insured.
[Citations.] These rules stem from the fact that the insurer typically drafts policy language, leaving the insured
little or no meaningful opportunity or ability to bargain for modifications. [Citations.] Because the insurer
writes the policy, it is held 'responsible' for ambiguous policy language, which is therefore construed in favor of
coverage." (AIU Ins. Co. v. Superior Court, supra, 51 Cal.3d at pp. 821-822, fn. omitted; see
Minkler v. Safeco Ins. Co. of America (2010) 49 Cal.4th 315, 321-322; Powerline Oil Co., Inc. v. Superior
Court (2005)
37 Cal.4th 377,
390-391.) When the facts are undisputed, as they are deemed to be in connection with a demurrer, the interpretation
of a contract, including the resolution of any ambiguity, is a question of law. (Waller v. Truck Ins. Exchange,
Inc. (1995)
11 Cal.4th 1,
18; Legacy Vulcan Corp. v. Superior Court (2010)
185 Cal.App.4th 677,
688; Fire Ins. Exchange v. Superior Court (2004)
116 Cal.App.4th 446,
453; United Services Automobile Assn. v. Baggett (1989)
209 Cal.App.3d 1387,
1397 [ambiguity is an issue of law]; 1 Croskey, Cal. Practice Guide: Insurance Litigation (The Rutter Group 2009) ¶
4:491, p. 4-69 [whether an exclusion or limitation is "'conspicuous, plain and clear'" is a question of law]
(Croskey).) {Slip Opn. Page 7}
C.
Duty to Defend
A
liability insurer has a duty to defend its insured whenever the insurer ascertains facts that give rise to the
potential of liability under the policy. (Montrose Chemical Corp. v. Superior Court (1993)
6 Cal.4th 287,
295; Gray v. Zurich Insurance Co. (1966)
65 Cal.2d 263,
275-277. "The insurer's duty to defend the 'insured' includes both the named insured(s) and anyone else included in
the policy's definition of 'insured.'" (2 Croskey, supra, § 7:514.5, p. 7B-7; see also Maryland Casualty
Co. v. Nationwide Ins. Co. (1998)
65 Cal.App.4th 21,
29-30.)
The
court in Legacy Vulcan Corp. v. Superior Court, supra, 185 Cal.App.4th at pages 692-693 provided a useful
summary of requirements for a duty to defend as follows: "The facts need only 'raise the possibility' that the
insured will be held liable for covered damages. (Montrose Chemical Corp. v. Superior Court,
supra, 6 Cal.4th at p. 304 ] 24 Cal.Rptr.2d 467, 861 P.2d 1153].) The insurer has a duty to defend even
if the claims against the insured are "'groundless, false, or fraudulent.'" (Horace Mann Ins. Co. v. Barbara
B. (1993)
4 Cal.4th 1076,
1086 [17 Cal.Rptr.2d 210, 846 P.2d 792].) 'Any doubt as to whether the facts establish the existence of the defense
duty must be resolved in the insured's favor.' (Montrose, supra, at pp. 299-300.) [¶] 'A duty to defend
arises upon the tender to the insurer of a potentially covered claim and continues until the lawsuit is concluded
or until the insurer shows that facts extrinsic to the third-party complaint conclusively negate the potential for
coverage. [Citations.] If a duty to defend arises, the insurer must defend the action in its entirety, including
claims that are not potentially covered. [Citation.] If a duty to defend arises by virtue of the existence of a
potential for coverage but is later extinguished, it is extinguished prospectively only, and not retroactively.'
(GGIS Ins. Services, Inc. v. Superior Court (2008)
168 Cal.App.4th 1493,
1505 [86 Cal.Rptr.3d 515].) Thus, the fact that an underlying action was settled has no impact on the existence of
a duty to defend if such a duty arose before the settlements. [¶] 'If any facts stated or fairly inferable in the
complaint, or otherwise known or discovered by the insurer, suggest a claim potentially covered by the policy, the
insurer's duty to defend arises and is not extinguished until the insurer negates all facts {Slip Opn. Page 8}
suggesting potential coverage. On the other hand, if, as a matter of law, neither the complaint nor the known
extrinsic facts indicate any basis for potential coverage, the duty to defend does not arise in the first
instance.' (Scottsdale [Ins. Co. v. MV Transportation (2005)] 36 Cal.4th [643,] 655.)"
D.
The Policy
The
Fireman's Fund CGL policy had the following pertinent terms: "1. Insuring Agreement a. We will pay those sums
that the insured becomes legally obligated to pay as damages because of bodily injury or property damage to
which this insurance applies. We will have the right and duty to defend the insured against any suit seeking
those damages. However, we will have no duty to defend the insured against any suit seeking damages for bodily
injury or property damage to which this insurance does not apply."
"Section
II--Who Is an Insured: [¶] 2. Each of the following is also an insured: [¶] a. Your . . . employees . . . but
only for acts within the scope of their employment by you while performing duties related to the conduct of your
business . . . ." [¶] [Exclusion] g. bodily injury or property damage arising out of the ownership, maintenance,
use or entrustment to others of any aircraft, auto or watercraft owned or operated by or rented or loaned to any
insured. Use includes operation and loading or unloading. [¶] This exclusion applies even if the claims against
any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring
of others by that insured, if the occurrence which caused the bodily injury or property damage involved the
ownership, maintenance, use or entrustment to others of any aircraft, auto or watercraft that is owned or
operated by or rented or loaned to any insured."
An
authority stated with regard to CGL policies as follows: "The standard commercial general liability insurance
policy was originally promulgated in 1940 under the title of 'comprehensive general liability.' Since that time,
the standard form has undergone five principal revisions, the most recent of which came into use in 1986 at
which time the name of the policy was changed from 'comprehensive' to 'commercial.' {Slip Opn. Page 9} Most
modern commercial general liability insurance policies in the United States are written on standardized forms
which are developed by the Insurance Services Office, Inc. [¶] Commercial general liability policies are
designed to protect the insured against losses to third parties arising out of the operation of the insured's
business. Consequently, a loss must arise out of the insured's business operations in order to be covered under
the policy issued to the insured. Risks incidentally related to the operation of the insured's business will
generally fall within coverage. Commercial general liability policies are not, however, strictly confined to
operations performed on the insured's business premises." (9A Couch on Insurance 3d (2005) §§ 129:1-129:2, pp.
129-5 to 129-9.) Generally, CGL policies exclude bodily injury arising out of the use of automobiles. (See
Stempel, "Assessing the Coverage Carnage: Asbestos Liability and Insurance After Three Decades of Dispute," 12
Conn. Ins. L.J. 349 (2005-2006) 358; 9 Couch on Insurance 3d (rev. 2008 ed.) § 122:33; ISO Properties, Inc.
Commercial General Liability CG 00 01 12 07, 2006 Form Policy, Section (2)(G); 1 Miller and Lefebvre, Miller's
Standard Insurance Policies Annot. (5th ed. 2007) p. 403.)
fn. 3
E.
Interpretation and Application of the Policy
1.
Plaintiffs' Contentions
Under
the CGL policy, the definition of insured includes employees, "but only for acts within the scope of their
employment while performing duties related to the conduct of your business." Plaintiffs assert that this
provision is unusual, as most CGL policies separate with a disjunctive the two conditions--scope of employment
and performing business-related duties. (See ISO Properties, Inc., Commercial General Liability CG 00 01 12 07,
supra, Section II (2)(a)); 1 Miller and Lefebvre, Miller's Standard Insurance {Slip Opn. Page 10}
Policies Annot, supra, at pp. 402.0-402.1.) Here, the policy only covers acts of employees "within the
scope of their employment . . . while performing duties related to the conduct of [Sinco's] business."
Plaintiffs assert that the latter phrase limits or is an added condition to the "within the scope of employment"
condition. According to plaintiffs, the two conditions are not identical. Thus, according to plaintiffs,
Fireman's Fund narrowed the definition of "insured," it thereby narrowed the scope of its automobile exclusion.
Although the arbitrator concluded that Sinco was liable under a respondeat superior theory because Bibinz was
acting within the scope of his employment, the insurance policy language is different than the requirement for
establishing respondeat superior. Accordingly, plaintiffs contend that there is a potential for finding that
Bibinz was not an insured--i.e., was not an employee acting within the scope of his employment "while performing
duties related to the conduct" of Sinco's business when he was driving to work.
The
arbitrator found that "Bibinz was on his way to work in a vehicle that was used to transport him from job to job
in a single day at the direction of his employer, Sinco. . . . While working in maintenance for Sinco, Bibinz
visited various sites around the county. . . . His employment demanded he transport himself between various job
sites." The arbitrator concluded that Sinco was vicariously liable because the acts of Bibinz were within the
"course and scope" of his employment by virtue of the "required vehicle" exception to the "going and coming"
rule.
fn. 4 (See Hinojosa
v. Workmen's Comp. Appeals Bd. (1972)
8 Cal.3d 150,
160-161 [required vehicle exception]; Smith v. Workmen's Comp. App. Bd. (1968)
69 Cal.2d 814,
820 ["employer's requirement that the worker furnish a vehicle of transportation on the job curtails the
application of the going and coming exclusion"]; Robinson v. George (1940)
16 Cal.2d 238,
245-246 [business {Slip Opn. Page 11} errand exception to "going and coming" rule]; Lobo v. Tamco
(2010)
182 Cal.App.4th 297,
301["'required vehicle' exception"].)
In
plaintiffs' complaint against Sinco, which was incorporated into their complaint in this action, plaintiffs
alleged the defendants Sinco and Bibinz were acting as agents of each other and within the scope and course of
their authority. Plaintiffs did not deny that because of the "required vehicle" exception to the "going and
coming rule," Bibinz was not acting within the course and scope of his employment.
fn. 5 Plaintiffs argue
that "while Bibinz was considered, for purposes of tort liability, to be in the course and scope of his employment
by virtue of the 'required vehicle' exception to the 'going and coming' rule, he was, for purposes of insurance
coverage, on his way but had not yet gotten there, to 'perform[ ] duties related to the conduct of
[Sinco's business].'"
Plaintiffs
also argue Fireman's Fund knew at the outset of the Sinco action that Bibinz was on his way to work at the time
of the accident and that Sinco and Fireman's Fund were unaware of any facts that would result in an exception to
the "going and coming" rule. In judicially noticed declarations in support of the petition for approval of the
partial settlement of the Sinco action, plaintiffs' attorneys asserted, "We launched a massive investigation to
support an exception to the 'going and coming rule.'" According to plaintiffs, at the inception of the Sinco
action, Bibinz was not an insured because he did not satisfy the "scope of employment condition." Thus,
plaintiffs contend that at least potentially, the automobile exclusion would not apply, and therefore, Fireman's
Fund also owed Sinco a duty under the CGL policy to defend on this basis
2.
Insured
The
plain language of the exclusion for bodily injury or property damage "arising out of the . . . use . . . of any
. . . acts by any insured," bars all of plaintiffs' claims because Bibinz was an insured under the policy. The
allegations of the complaint and {Slip Opn. Page 12} matters judicially noticed establish that Bibinz was acting
within the scope of his employment while performing duties related to the conduct of the business, and thus he
was an insured.
It
is difficult to conceive of activities within the course and scope of employment that would not constitute
duties related to the conduct of the business. (See Artukovich v. St. Paul-Mercury Indem. Co.
(1957)
150 Cal.App.2d 312,
323 [no distinction between "engaged in the employment" and "arising out of and in the course of his employment"].)
If an employee's act of driving his own vehicle to work was not covered by the "going and coming" rule because the
employer required the employee to use his vehicle in the conduct of his business, and thus such use of the vehicle
was within the scope and course of the employment, then driving the vehicle to work would be a duty "related" to
the conduct of the business. Plaintiffs assert that driving the vehicle to work precedes engaging in the conduct of
business. But plaintiffs overlook the words "related to." The Supreme Court in Hinojosa v. Workmen's Comp.
Appeals Bd., supra,
8 Cal.3d 150,
held that when an employee was required to use his own vehicle to go to various work sites, the use of the vehicle
not provided by the employer was a requirement of employment. In Smith v. Workmen's Comp. App. Bd., supra,
"69 Cal.2d at page 820, the Supreme Court said that in such situations, "the employer clearly benefited from [the
employee's] bringing the car to work." Sinco benefited from Bibinz bringing his vehicle to work for use in the
business. Only when the activities are purely personal should they not be considered related to the conduct of the
business (see National American Insurance Company v. Breaux (E.D. Tex. 2005) 368 F.Supp.2d 604, 618-619).
That is not the situation present here.
Plaintiffs
attach significance to the words "conduct of" in the phrase "related to the conduct of [the insured's]
business." If an employee's activity is not purely personal, it is related to the conduct of the business. Even
if the words "conduct of" somehow limit the meaning of the phrase, that does not assist plaintiffs. Here,
Bibinz's use of the vehicle was "related to" the requirement to use the vehicle to reach various locations for
maintenance work--the conduct of the business. {Slip Opn. Page 13}
If
the language of the policy is ambiguous, that ambiguity should be construed against the party that caused
it--the insurer--in order to protect the reasonable expectations of the insured as to coverage. (Forecast
Homes, Inc. v. Steadfast Ins. Co. (2010)
181 Cal.App.4th 1466,
1475.) Here, the ambiguity would be resolved in favor of a more expansive reading of the term "insured." "The
exclusion [' . . . bodily injury arising out of and in the course of employment'] is strictly construed against the
insurer and in favor of the insured in order to protect the insured's reasonable expectation of coverage." (1
Cornblum, Cal. Ins. Law Dictionary Desk Ref. (2010 ed.) § C129:2.1, p. 978.) It is true that such a reading also
expands the application of the automobile exclusion, and thus in this case limits coverage. But it makes no sense
to interpret broadly "insured" when an automobile is not involved and to read narrowly that word when an automobile
exclusion might be applicable. (See Mez Industries, Inc. v. Pacific Nat. Ins. Co. (1999)
76 Cal.App.4th 856,
869 ["Such an evaluation of an insured's objectively reasonable expectations under that criteria may result
in a restriction of coverage rather than an expansion. [Citation.] An insured will not be able successfully to
claim coverage where a reasonable person would not expect it"]; Sequoia Ins. Co. v. Royal Ins. Co. of
America (9th Cir. 1992) 971 F.2d 1385, 1390 ["we assume without deciding that an insured's reasonable
expectations may be considered to restrict rather than to expand coverage"].) Moreover, here the insured had an
automobile liability policy. It would therefore not seem that the insured had a reasonable expectation that its CGL
policy would provide coverage for automobile liability.
In
arguing that the course and scope of employment provision has been limited, plaintiffs suggest that if the
phrase "performing duties related to the conduct of [the] business" is broader than or the same as acts within
the course and scope of employment, the phrase would be surplusage and have no meaning, which would be contrary
to rules of interpretation. (ACL Technologies, Inc. v. Northbrook Property & Casualty Ins. Co.
(1993)
17 Cal.App.4th 1773,
1785; see Civ. Code, § 1641 ["The whole of a contract is to be taken together, so as to give effect to every part,
if reasonably practicable, each clause helping to interpret the other"].) But "[t]he character of a contract is not
to be determined {Slip Opn. Page 14} by isolating any single clause or group of clauses . . . ." (Transportation
Guarantee Co. v. Jellins (1946)
29 Cal.2d 242,
247.) Rather, the entire agreement must be read as a whole. Moreover, the rule that rendering part of an agreement
as surplusage should be avoided emanates from Civil Code section 1641 (see Thackaberry v. Pennington
(1955)
131 Cal.App.2d 286,
297), but is only applied "if reasonably practicable." (Civ. Code, § 1641.)
Perhaps
it is theoretically possible that the actions of an employee may be within the course and scope of employment
but not related to the conduct of the business, although we have said that this is difficult to conceive. But,
as stated above, existence of such a possibility is not present here. If Bibinz's use of his own vehicle
required by Sinco to drive to various locations was within the course and scope of the business, then driving
that vehicle to work was at least performing a duty "related" to the conduct of business. If the employee did
not drive his automobile to work, he would not be able to drive the automobile to various other locations, as
required.
Thus,
Bibinz was an insured under the policy, and, as a result, the automobile exception applied. That exception also
covered claims for negligent hiring and negligent retention. Plaintiffs therefore failed to state a cause of
action for breach of the covenant of good faith and fair dealing, breach of the insurance contract, direct
action under Insurance Code section 11580, and wrongful refusal to settle.
3.
Duty to Defend
The
CGL policy provides that Fireman's Fund "will have no duty to defend the insured against any suit seeking
damages for bodily injury or property damage to which this insurance does not apply." Our interpretation of the
insurance agreement establishes that the insurer had no duty to defend. There are no disputed facts. When the
duty to defend depends on the facts in the complaint, and the resolution of a legal issue establishes no
potential for liability, there is no duty to defend. (Waller v. Truck Ins. Exchange, supra, 11 Cal.4th at
pp. 25-26, citing with approval McLaughlin v. National {Slip Opn. Page 15} Union Fire Ins. Co.
(1994)
23 Cal.App.4th 1132,
1152.) Here coverage, or lack thereof, depended upon the interpretation of the policy--a legal question.
Plaintiffs
argue that Fireman's Fund had a duty to defend because at the outset of the Sinco action, there was a potential
that the "going and coming rule" would apply. At the time plaintiffs filed their complaint in the Sinco action,
plaintiffs alleged, in effect, that Bibinz was the agent of Sinco and acting within the course and scope of his
authority. Based on that allegation, Fireman's Fund had no duty to defend under the CGL policy. (See Montrose
Chemical Corp. v. Superior Court, supra, 6 Cal.4th at p. 295 ["'determination whether the insurer owes a
duty to defend usually is made in the first instance by comparing the allegations of the complaint with the
terms of the policy'"].) As we have discussed, the phrase "related to the conduct of [insured's] business" does
not add any further requirement to be an insured that would be applicable in this case.
Plaintiffs
argue that the extraneous facts showed that Bibinz was on his way to work and that there was a potential for a
finding that the "going and coming" rule would apply, thereby excluding Bibinz from having done the act in the
course and scope of his employment. This, in turn, would mean the automobile exclusion would not apply. Thus,
according to plaintiffs, at the time of the Sinco action, there was a potential for coverage.
But,
at the relevant times, the judicially-noticed extraneous facts also showed that the "required vehicle" exception
to the "going and coming" rule applied. Plaintiffs claim they had to undertake a "massive investigation" to
develop the "required vehicle" exception. There is no allegation in the complaint in the instant action that the
insurer at some point had the impression that the "going and coming" rule applied. Indeed, the insured, Sinco,
as the employer, knew the facts that established the exception, and these facts confirmed what plaintiffs had
alleged in the underlying complaint--that Bibinz was acting within the course and scope of his employment.
Plaintiffs did not allege what information Fireman's Fund had at the time of the tender of the defense, other
than that which they attached to their complaint. That attachment included the underlying complaint in the Sinco
action, which complaint included the allegation that Bibinz was {Slip Opn. Page 16} acting within the course and
scope of his employment. In addition, the arbitration award that was judicially noticed confirmed that Bibinz
was acting in a manner that made him an insured. Accordingly, the complaint and the matters that were judicially
noticed legally support Fireman's Fund's position that it had no duty to defend.
Plaintiffs
cite Safeco Ins. Co. of America v. Parks (2009)
170 Cal.App.4th 992 (Safeco)
in support of their position that Sinco was not provided with an effective defense or motivated counsel after
policy limits from the other policies were paid. The court in Safeco held, inter alia, that when two
insurers owe the insured a duty to defend, a defense by one does not excuse the other's failure to defend if the
latter's policy limits greatly exceed the former's limits. (Id. at pp. 1004-1005.)
fn. 6 In that case, the
insurer rejected the defense of a claim under a homeowners's policy, and an award against the insured was rendered
before the insurer discovered there was potential coverage under a renter's policy. (Id. at pp. 1008-1009.)
Thus, the court's holding concerning whether a defense provided by one insurer excuses another insurer's failure to
defend was premised on the existence of potential coverage of the claim, albeit based on a policy other than
the one under which the defense was tendered. That holding has no application to a case such as this one in which
there was potential coverage and a defense under other policies, but no potential coverage of the claim
under the CGL policy issued by Fireman's Fund. Based on the undisputed facts set forth in the complaint and
judicially noticed matters, Fireman's Fund was justified in rejecting the defense tendered under the CGL policy.
(See Croskey, supra, § 7:526, p. 7B-12, § 7:586, p. 7B-29.)
fn. 7 {Slip Opn. Page
17}
DISPOSITION
The
order of dismissal is affirmed. Fireman's Fund is awarded its costs on appeal.
Turner,
P. J., and Kriegler, J., concurred.
FN 1. Plaintiffs
Austin and Logan Sprinkles are minors. The action is brought on their behalf by their guardian ad litem, Rose
Sprinkles.
FN 2. Defendants
and respondents Associated Indemnity Company and Fireman's Fund Insurance Company are affiliated insurers and are
collectively referred to as Fireman's Fund.
FN 3. Most
insurance carriers use the basic Insurance Services Office, Inc. (ISO) forms, at least as a starting place. ISO is
a nonprofit trade association providing services to insurers. (See Montrose Chemical Corp. v. Admiral Ins.
Co. (1995)
10 Cal.4th 645,
671, fn. 13.)
FN 4. "Under
the so-called 'going and coming rule,' an employee is regarded as acting within the scope of his employment while
going or coming from his place of work. [¶] . . . [¶] The 'going and coming' rule has . . . been held inapplicable
where the employer requires an employee to furnish a vehicle of transportation on the job." (Ducey v. Argo Sales
Co. (1979)
25 Cal.3d 707,
722, 723.)
FN 5. Plaintiffs
are not collaterally estopped by the arbitration award. (Vandenberg v. Superior Court (1999)
21 Cal.4th 815,
828-838.)
FN 6. See
also Risely v. Interinsurance Exchange of the Automobile Club (2010)
183 Cal.App.4th 196,
201 ["mere fact that the insurer provided its insured with a defense under one policy does not necessarily insulate
the insurer from liability for its alleged breach of the duty to defend and settle under a second policy"].
FN 7. Because
of our conclusion, we do not have to reach other issues raised by the parties.
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