Carolina Casualty Insurance Company v. John D. Spicer, as Chapter 7 Trustee for the Bankruptcy Estate of Primcogent Solutions, LLC
CourtDistrict Court of Appeal of Florida
Date FiledJune 29, 2021
Docket1D20-0916
StatusPublished
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Full Opinion
FIRST DISTRICT COURT OF APPEAL
STATE OF FLORIDA
_____________________________
No. 1D20-916
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CAROLINA CASUALTY INSURANCE
COMPANY,
Appellant,
v.
JOHN D. SPICER, as Chapter 7
Trustee for the Bankruptcy
Estate of Primcogent Solutions,
LLC,
Appellee.
_____________________________
On appeal from the Circuit Court for Duval County.
Adrian G. Soud, Judge.
June 29, 2021
RAY, C.J.
Carolina Casualty Insurance Company (“Carolina Casualty”)
appeals a final order granting partial summary judgment to John
D. Spicer (the “Trustee”), as Chapter 7 Trustee for the Bankruptcy
Estate of Primcogent Solutions, LLC (“Primcogent”). The Trustee
sued Carolina Casualty to recover an arbitration award it obtained
against Santa Barbara Medical Innovations, LLC (“SBMI”).
Carolina Casualty had issued a management liability insurance
policy to SBMI, but it refused to satisfy the arbitration award. The
Trustee asserted a claim for breach of contract that is the subject
of this appeal, as well as claims of bad faith and fraudulent
transfers that remain pending in the trial court. The court found
that the arbitration award is a covered claim under the policy and
is not subject to any of the policy exclusions raised by Carolina
Casualty. We affirm the trial court’s order and write only to
address Carolina Casualty’s argument that the breach of contract
exclusion applies to bar coverage for the underlying arbitration
award against SBMI.
I.
This case began in Texas as a business dispute between
Primcogent and SBMI. Primcogent is the exclusive North
American distributor of medical equipment manufactured by
Erchonia Corporation (“Erchonia”), another Texas-based
corporation. SBMI was Erchonia’s prior exclusive distributor until
it breached its agreement with Erchonia and was unable to satisfy
its purchase commitments due to increasing customer problems
with the equipment. Primcogent then bought those distribution
rights from SBMI under an Asset Purchase Agreement (“APA”).
During negotiations leading to that acquisition, SBMI and
Erchonia misled Primcogent about the medical equipment’s
revenue-generating potential.
About two years later, Primcogent was forced to file for
bankruptcy to reorganize its business. Primcogent then sued SBMI
in bankruptcy court alleging it was fraudulently induced into
purchasing SBMI’s distribution rights. Erchonia was later added
as a defendant and all parties agreed to arbitrate their claims. The
Trustee was appointed to Primcogent’s bankruptcy estate and filed
a demand for arbitration asserting several claims, including one
for negligent misrepresentation against SBMI.
The Texas arbitration panel ruled in favor of the Trustee on
its claim for negligent misrepresentation. It determined that claim
is “a separate commercial tort claim because Primcogent suffered
an independent economic injury from any breach of contract claim
it could have asserted against SBMI,” and “SBMI failed to
establish its ‘economic loss rule’ limitation of damages defense.”
The panel found that SBMI misled Primcogent before the APA was
executed, Primcogent relied on those misstatements or
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misrepresentations, and they were important to Primcogent’s
decision to consummate the transaction. The panel awarded the
Trustee $18,301,260.00 as out-of-pocket losses Primcogent
incurred for expenditures it made toward execution of the APA,
with a credit of $1,200,000 for its settlement with Erchonia. A
federal court in Texas ultimately confirmed the arbitration award.
Erchonia Corp. v. Spicer, No. 4:13-CV-428-Y, 2018 WL 10447066
(N.D. Tex. January 30, 2018), aff’d, 757 F. App’x 387 (5th Cir.
2019).
Florida-based Carolina Casualty had issued a management
liability policy to SBMI. Relevant to this appeal, the policy has a
breach of contract exclusion clause that states the insurer shall not
be liable to pay for a loss in connection with a claim made against
any insured that is based on a breach of contract. Specifically, one
that is:
based upon, arising out of, directly or indirectly resulting
from or in consequence of, or in any way involving any
actual or alleged breach of any oral or written contract or
agreement; provided, however, this exclusion shall not
apply with respect to Insuring Agreements 1.A. and 1.B.
of this Coverage Section or to the extent that an Insured
Entity would have been liable in the absence of the
contract or agreement.
Despite several attempts by the Trustee to collect its arbitration
award, Carolina Casualty denied coverage.
The Trustee then sued Carolina Casualty for failing to honor
its policy and pay the arbitration award on behalf of SBMI. As a
third-party beneficiary of the policy and a party holding a
judgment against one of Carolina Casualty’s insureds, the Trustee
asserted a claim for breach of contract. The Trustee moved for
partial summary judgment on that count, and Carolina Casualty
moved for final summary judgment on all counts. Relevant for our
discussion, Carolina Casualty argued that the award was not a
covered loss because it fell under the breach of contract exclusion.
After several hearings on both motions, the trial court granted
the Trustee’s motion and denied Carolina Casualty’s motion. It
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found that the breach of contract exclusion did not apply because
the exclusion is limited to losses arising out of or involving a breach
of contract rather than those arising out of or involving any
contract or agreement. Also, the Texas arbitration panel had
concluded that the Trustee’s negligent misrepresentation claim
against SBMI was for pre-contract statements or representations
that fraudulently induced Primcogent to enter into the APA. Thus,
the Trustee’s claim sounded in tort, not contract, and was based on
a duty independent of any contractual obligation or duty. This
appeal followed.
II.
Both parties agree there is no genuine issue as to any material
fact. “Assuming the facts are not in dispute—and in this case they
are not—an order on a motion for summary judgment is subject to
the de novo standard of review.” Chase Bank of Tex. Nat’l Ass’n v.
State, Dep’t of Ins., 860 So. 2d 472, 475 (Fla. 1st DCA 2003). “A
summary judgment is appropriate where the material facts are not
in dispute and the judgment is based on the legal construction of
documents.” Ball v. Fla. Podiatrist Tr., 620 So. 2d 1018, 1022 (Fla.
1st DCA 1993). Both parties also agree that Texas law governs the
interpretation of the insurance policy.
“An insurance policy is a contract, generally governed by the
same rules of construction as all other contracts.” RSUI Indem. Co.
v. The Lynd Co., 466 S.W.3d 113, 118 (Tex. 2015). Policy terms
must be interpreted according to their plain and ordinary language
where the language is plain and unambiguous. Id. “We examine
the entire agreement and seek to harmonize and give effect to all
provisions so that none will be meaningless.” Gilbert Tex. Const.,
L.P. v. Underwriters at Lloyd’s London, 327 S.W.3d 118, 126 (Tex.
2010). “Exceptions or limitations on liability are strictly construed
against the insurer and in favor of the insured.” Evanston Ins. Co.
v. ATOFINA Petrochemicals, Inc., 256 S.W.3d 660, 668 (Tex. 2008)
(quoting Nat’l Union Fire Ins. Co. of Pittsburgh, Pa. v. Hudson
Energy Co., Inc., 811 S.W.2d 552, 555 (Tex. 1991)). “[I]f a contract
of insurance is susceptible of more than one reasonable
interpretation, we must resolve the uncertainty by adopting the
construction that most favors the insured.” Nat’l Union Fire Ins.
Co., 811 S.W.2d at 555 (Tex. 1991). “The court must adopt the
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construction of an exclusionary clause urged by the insured as long
as that construction is not unreasonable, even if the construction
urged by the insurer appears to be more reasonable or a more
accurate reflection of the parties’ intent.” Id. (citing Glover v. Nat’l
Ins. Underwriters, 545 S.W.2d 755, 761 (Tex. 1977); Cont’l Cas. Co.
v. Warren, 254 S.W.2d 762, 763 (Tex. 1953)).
“The insured has the initial burden to establish coverage
under the policy. If it does so, then to avoid liability the insurer
must prove one of the policy’s exclusions applies. If the insurer
proves that an exclusion applies, the burden shifts back to the
insured to establish that an exception to the exclusion restores
coverage.” Ewing Const. Co., Inc. v. Amerisure Ins. Co., 420 S.W.3d
30, 33 (Tex. 2014) (citations omitted). And while the duty to defend
is determined according to only the pleadings and policy language,
“the insurer’s duty to indemnify is determined based on the facts
actually established in the underlying suit.” Burlington N. &
Santa Fe Ry. Co. v. Nat’l Union Fire Ins. Co. of Pittsburgh, Pa., 334
S.W.3d 217, 219 (Tex. 2011).
In this case, the trial court properly concluded that the plain
and unambiguous language of the exclusion in the policy applies
only to losses arising out of or involving a breach of the contract or
agreement. Carolina Casualty’s interpretation is unreasonable
because it renders the term “breach” meaningless and attempts to
apply the exclusion to claims that arise from or merely involve a
contract. By contrast, the Trustee’s interpretation gives effect to
each term and all provisions in the exclusion. The second clause
states that “this exclusion shall not apply . . . to the extent that an
Insured Entity would have been liable in the absence of the
contract or agreement.” The arbitration panel determined that the
Trustee’s negligent misrepresentation claim arose during
negotiations and was separate from any breach of contract claim.
The claim did not arise from or relate to SBMI’s duties under the
APA; it arose from misrepresentations SBMI told Primcogent
before the APA existed and for the very purpose of inducing
Primcogent to enter into an agreement. See Sw. Bell Tel. Co. v.
DeLanney, 809 S.W.2d 493, 494 (Tex. 1991) (“If the defendant’s
conduct . . . would give rise to liability independent of the fact that
a contract exists between the parties, the plaintiff’s claim may also
sound in tort. Conversely, if the defendant’s conduct . . . would give
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rise to liability only because it breaches the parties’ agreement, the
plaintiff’s claim ordinarily sounds only in contract.”). The APA did
not cause the negligent misrepresentation claim, it only provided
the context in which the deception took place. See Admiral Ins. Co.,
Inc. v. Briggs, 264 F. Supp. 2d 460, 463 (N.D. Tex. 2003)
(concluding that a management liability insurance policy’s
contract exclusion clause did not apply because the alleged harm—
misleading the other party to accept the insured’s stock instead of
cash for payment by misrepresenting the future success of the
insured’s business—occurred before the contract was executed).
Thus, even assuming the exclusion did apply, the exception to that
exclusion would restore coverage.
In addition, by rejecting SBMI’s defense asserting the
economic loss rule, the arbitration panel specifically rejected its
argument that the Trustee’s claim sounded in contract. See Med.
City Dallas, Ltd. v. Carlisle Corp., 251 S.W.3d 55, 61 (Tex. 2008)
(reaffirming that the economic loss rule bars recovery for damages
when the action sounds in contract); see also Sterling Chems., Inc.
v. Texaco Inc., 259 S.W.3d 793, 797 (Tex. App. 2007) (“Under the
economic loss rule, a plaintiff may not bring a claim for negligent
misrepresentation unless the plaintiff can establish that he
suffered an injury that is distinct, separate, and independent from
the economic losses recoverable under a breach of contract claim.”).
Because the Trustee’s claim sounds in tort rather than contract,
the breach of contract exclusion cannot apply.
Lastly, Carolina Casualty relies on the arbitration panel’s
references to SBMI’s false or affirmative representations in
sections of the APA to argue that “by necessary implication” the
final award was, in fact, causally related to SBMI’s breach of the
APA. But those sections of the APA memorialize or describe
representations that SBMI made during negotiations before the
APA was executed; the APA formally reduced them to writing. The
arbitration panel’s citation to those sections does not transform the
Trustee’s claims into an award for breach of contract, and the trial
court properly granted the Trustee’s motion for partial summary
judgment. See Gore v. Scotland Golf, Inc., 136 S.W.3d 26, 32–33
(Tex. App. 2003) (holding that false statements or representations
about a business’s assets and its customer relations made during
negotiations to induce an agreement were actionable in tort even
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though they were subsumed in the terms of the asset purchase
agreement).
AFFIRMED.
LEWIS and OSTERHAUS, JJ., concur.
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Not final until disposition of any timely and
authorized motion under Fla. R. App. P. 9.330 or
9.331.
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Peter D. Webster of Carlton Fields, P.A., Tallahassee; Sina
Bahadoran and Michele A. Vargas of Clyde & Co US LLP, Miami,
for Appellant.
Jonathan Anthony Martin of Bishop & Mills, PLLC, Tallahassee;
John S. Mills and Thomas E. Bishop of Bishop & Mills, PLLC,
Jacksonville, for Appellee.
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