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MAINE SUPREME JUDICIAL
COURT
Reporter of Decisions
Decision: 2003 ME 6
Docket:
Cum-02-392
Argued:
November 13, 2002
Decided: January
15, 2003
Panel: SAUFLEY,
C.J., and CLIFFORD, RUDMAN, DANA, ALEXANDER, CALKINS, and
LEVY, JJ.
v.
ACADIA INSURANCE CO.
CLIFFORD, J.
[¶1] American Protection Insurance Company,
a Kemper Insurance Company (Kemper), appeals from a summary judgment entered
in the Superior Court (Cumberland County, Crowley, J.). Kemper contends that the court erred in
its conclusion that the contract in dispute is unambiguous and that Acadia
is entitled to judgment. Kemper
argues that the contract is unambiguous in its favor or, in the alternative,
that if the contract is ambiguous, then the undisputed extrinsic evidence
resolves the ambiguity in its favor.
Finding no error, we affirm the Superior Court’s judgment.
[¶2] In 1998, the Bureau of General Services
(BGS) and the Department of Corrections began planning to construct the
Northern Maine Juvenile Facility in Charleston (Project). BGS and the Department requested that
the Division of Risk Management, a division of BGS responsible for insurance
matters, set up an Owner-Controlled Insurance Program (OCIP) for the Project.[1] The Department and BGS contracted with
Granger Northern to be the general contractor for construction of the new
facility. The provisions of the
OCIP, described in the Contractor’s Insurance Requirements, became part of the
contract signed with Granger Northern.
Granger Northern entered into a subcontract agreement with Accidental
Anomalies pursuant to which Accidental Anomalies agreed to furnish structural
steel to the Project and furnish and install metal fabrications at the Project. The Contractor’s Insurance Requirements
were also incorporated into the contract between Granger Northern and
Accidental Anomalies. Reliance
Insurance Company originally provided the workers’ compensation insurance for
OCIP covered work. Acadia provided
workers’ compensation coverage for Accidental Anomalies for work not covered by the OCIP.
[¶3] Subsection 1.1 of the Contractor’s
Insurance Requirements provides that the OCIP insurance “covers the Owner,
Contractor and Subcontractor of all tiers, but not excluded entities as
defined herein.” (Emphasis added.) Subsection 2.3 defines “excluded
entities” to mean “vendors, suppliers, fabricators, material dealers, drivers
and others who merely transport, pick up, deliver or carry materials,
personnel, parts or equipment or any other items or persons to or from the
Project site
who are excluded from the OCIP.”[2] (Emphasis added.)
[¶4] Subsection 1.1 provides that “[e]ven if
Contractor and Subcontractors are insured in an O.C.I.P., they must purchase
the insurance in Subsection 3.8.” Subsection 3.8 is entitled
“Contractor-Provided Insurance Necessary for the work, but Outside the
O.C.I.P.” Subsection 3.8.6 describes the type and amount of workers’
compensation coverage that subcontractors must have to cover “operations away
from the Project site
of the Contractor or Subcontractor.”
(Emphasis in original.) In
contrast, subsection 2.3 states that those who qualify as excluded entities
under subsection 2.3 must provide insurance required by subsection 3.9. Subsection 3.9.1 describes the type and
amount of workers’ compensation coverage required to cover “work at the Project
site.”
[¶5] Subsection 3.1 lists the kinds of
insurance provided by the Owner, in this case the State, when the Owner awards
a contract and provides an OCIP. Subsection 3.2 describes the workers’
compensation coverage provided by the Owner and states that such insurance
“will cover operations of the Owner, Contractor and Subcontractors of
all tiers performed in connection with the work at the Project site. This insurance is primary for all
occurrences at the Project site.”
(Emphasis added.)
[¶6] The subcontract agreement between
Granger Northern and Accidental Anomalies also includes Exhibit C, which
defines the scope of work that Accidental Anomalies would be responsible for on
the Project. According to Exhibit
C, Accidental Anomalies was to do the following: “Furnish, F.O.B. jobsite, all Structural Steel complete and
without exception” and “[f]urnish and fully install all Metal Fabrications
complete and without exception.”
(Emphasis added.)
[¶7] On August 25, 2000, Wayne Gurschick, an
employee of Accidental Anomalies, was injured while unloading steel columns at
the Project. At the time the
accident occurred, Gurschick was delivering and unloading steel that was to be
used by another subcontractor.
Gurschick had intended to perform field verification work to aid in
Accidental Anomalies’ onsite installation after delivering the steel, but was
injured before he could do so. The
injuries Gurschick incurred in the accident required medical services,
including surgery, and he had to miss time from work. Because the injury occurred during the course of his
employment with Accidental Anomalies, he was entitled to collect workers’
compensation.
[¶8] By the summer of 2000, Reliance was in
financial difficulties, so Reliance, Kemper, and the Department entered into a
Novation Agreement on September 5, 2000, pursuant to which Kemper agreed to
assume all of Reliance’s rights and obligations under the policies regarding
the Project. Despite the Novation
Agreement, Reliance began to pay workers’ compensation benefits to Gurschick on
November 16, 2000. As of March
2002, Gurschick had received workers’ compensation benefits of $3008.19 for
wage replacement and $45,035.75 for his medical expenses. These benefits were originally paid by
Reliance; the payments were then assumed by Kemper. Gurschick has continuing
medical expenses and permanent restrictions caused by his injury, and he will
likely be entitled to future workers’ compensation benefits.[3]
[¶9] In July of 2001, Kemper filed a
complaint for declaratory judgment and damages requesting that the court find
Acadia responsible for the workers’ compensation payments to Gurschick. Both parties moved for summary
judgment. Entering a summary
judgment for Acadia, the court found that the language of the Subcontract
Agreement between Granger Northern and Accidental Anomalies, and the
Contractors’ Insurance Requirements under the OCIP to be unambiguous. Citing language from subsections 2.1
and 2.3, the court found that “a subcontractor is at all times a covered entity
under the O.C.I.P. unless that subcontractor is an Ôexcluded entity.’” Since
Accidental Anomalies was responsible for installing metal fabrications on the
jobsite, it was not an excluded entity.
Accordingly, the court concluded that under the unambiguous language of
the contract, Kemper was responsible for Gurschick’s workers’ compensation
benefits for the accident that occurred on the Project jobsite.
[¶10] We review a grant of summary
judgment “for errors of law, viewing the evidence in the light most favorable
to the non-moving party.” Acadia
Ins. Co. v. Buck Constr. Co., 2000 ME 154, ¶ 7, 756 A.2d 515, 517. Granting a motion for summary judgment
“is proper when the citations to the record found in the parties Rule 7(d) [now
Rule 56(h)] statements demonstrate that no genuine issue of material fact has
been generated and that a party is entitled to a judgment as a matter of law.” Id. An issue is considered genuine “if there is sufficient
evidence supporting the claimed factual dispute to require a choice between the
parties’ differing versions of the truth at trial.” Prescott v. State Tax Assessor, 1998 ME 250, ¶ 5,
721 A.2d 169, 171-72 (inner citation
omitted). A fact is considered to
be material if it could potentially affect the outcome of the case. Id. ¶ 5, 721 A.2d at 172.
[¶11] Determining whether or not a contract is ambiguous is a
question of law, which we review de novo. Apgar v. Commercial Union Ins. Co., 683 A.2d 497, 498 (Me.
1996). “Contract language is
ambiguous when it is reasonably susceptible of different interpretations.” Portland
Valve Inc. v. Rockwood Sys. Corp., 460 A.2d 1383, 1387 (Me. 1983). If we determine that the contract
is unambiguous, then its interpretation is also a question of law. Buck, 2000 ME 154, ¶ 8, 756
A.2d at 517. On the other hand, if
the contract is ambiguous, then “its interpretation is a question of fact for
the factfinder.” Id. The interpretation of an unambiguous
contract “must be determined from the plain meaning of the language used and
from the four corners of the instrument without resort to extrinsic evidence.” Portland
Valve, Inc.,
460 A.2d at 1387. Furthermore,
there is a long-standing rule in Maine, which provides that:
A contract of insurance,
like any other contract, is to be construed in accordance with the intention of
the parties, which is to be ascertained from an examination of the whole
instrument. All parts and clauses
must be considered together that it may be seen if and how one clause is
explained, modified, limited or controlled by the others.
Peerless Ins. Co. v.
Brennon,
564 A.2d 383, 384-85 (Me. 1989) (quoting Swift v. Patrons Androscoggin Mut.
Fire Ins. Co., 132
A. 745, 746 (Me. 1926)).
[¶12] Accordingly, when interpreting a
contract, a court needs to look at the whole instrument. Peerless Ins. Co., 564 A.2d at
384-85. Furthermore, a contract
should “be construed to give force and effect to all of its provisions” and not
in a way that renders any of its provisions meaningless. Buck, 2000 ME 154, ¶ 9, 756
A.2d at 517. In this case, the
Contractor’s Insurance Requirements were incorporated into the subcontract
agreement between the general contractor, Granger Northern, and the
subcontractor, Accidental Anomalies.
We consider the whole agreement, and not, as Kemper suggests, merely the
insurance requirements section.
The entire contract includes Exhibit C, which defines the scope of work
that Accidental Anomalies is responsible for completing.
[¶13] Language in a contract should be given
its plain meaning. Portland
Valve, Inc., 460
A.2d at 1387. Kemper argues that
whether or not an accident is covered under the OCIP is determined by the
activity being performed at the exact time of the accident, and since Gurschick
was delivering
at the time of his accident and not installing, his injuries are not
covered by the OCIP. Kemper
contends that subsection 2.3 lists types of work that are excluded, not
types of entities. This interpretation is contrary to the
very title of subsection 2.3, which is “excluded entities.” (Emphasis added.) Accidental Anomalies does not fall
within the definition of an “excluded entity.” Rather, Accidental Anomalies is a “subcontractor” under the
OCIP. Exhibit C of the contract
defines the scope of work that Accidental Anomalies is responsible for on the
Project, which includes furnishing structural steel to the jobsite and installing metal
fabrications. Also, Exhibit C
provides that Accidental Anomalies must complete the forms necessary to enroll
in the OCIP “prior to commencement on-site.” Excluded entities are not covered by the OCIP and are
required under subsection 3.9 to get their own insurance coverage for work at
the jobsite. Accordingly, it would
be contrary to the plain meaning of the subcontract agreement to require
Accidental Anomalies to enroll in the OCIP if it is excluded from the
OCIP. Furthermore, given the scope
of Accidental Anomalies’ work at the site, it is not an excluded entity in
subsection 2.3.
[¶14] The plain meaning of the document, when
read as a whole, is that subcontractors covered under the OCIP are
covered for work done at the Project site, but they must have their own
insurance to cover accidents that occur away from the Project site. In contrast, those entities that are excluded from the OCIP must
procure their own insurance to cover all accidents, even those occurring at the
Project site. The numerous
provisions of the contract, when read together, make such a conclusion
clear. For example, subsection
3.2.1 describes the workers’ compensation insurance provided by the OCIP as
covering work “at the Project site,” and subsection 3.1, in describing the
insurance provided by the Owner (i.e. the State), states that subsection
3.2 insurance covers only work “performed at the Project site,” and that no
insurance provided by the owner will cover work performed “at permanent yards
or other locations of any contractor or subcontractor.” Furthermore, according
to subsection 1.1, contractors and subcontractors within the OCIP are still
required to have the insurance required in subsection 3.8, which covers work
outside the OCIP, including workers’ compensation as described in subsection
3.8.6 that covers work performed “away from the Project site of the Contractor or
Subcontractor.” (Emphasis in
original.)
[¶15] The Superior Court correctly entered a
summary judgment in favor of Acadia.
Properly construed, the documents provide that subcontractors who are
not excluded entities are covered under the OCIP for work performed at the
Project site, but not covered for work performed away from the Project site.[4] Gurschick, employed by Accidental
Anomalies, a nonexcluded entity subcontractor, was injured at the Project site
during the scope of his employment.
Accordingly, Acadia was entitled to summary judgment because under
unambiguous provisions of the contract Kemper was responsible for payments
under the OCIP.
The entry is:
Judgment affirmed.
___________________________________
Attorney for plaintiff:
Robert J. Piampiano, Esq.
(orally)
Troubh, Heisler & Piampiano, P.A.
P.O. Box 9711
Portland, ME 04104-5011
Attorney for defendant:
James C. Hunt, Esq. (orally)
Robinson Kriger & McCallum
P.O. Box 568
Portland, ME 04112-0568
[1] The State uses OCIPs to
save costs, secure better coverage, and have better safety programs. If a construction project does not have
an OCIP, then each contractor and subcontractor has to procure its own
insurance and the higher cost of the insurance is passed on to the State. If a project does have an OCIP, then
the State decides what coverage and coverage limits are necessary, arranges for
that insurance, and pays the premiums.
The cost of the insurance is deducted from the contract price paid to
each contractor or subcontractor.
[2] Similarly, subsection
2.1 provides that:
Vendors, suppliers, fabricators, material
dealers, drivers and others who merely transport, pick up, deliver or carry
materials, personnel, parts or equipment or any other items to or from the
Project site shall not be considered Contractors or Subcontractors of any tier
for the purpose of insurance coverage.
(Emphasis added.)
[3] Although for the month
of August of 2000, Accidental Anomalies reported zero payroll for the OCIP
program, the policies issued by Reliance and Kemper are subject to a final
audit after the work is done.
Kemper may have been entitled to an additional premium if a greater
amount of payroll is allocated to work at the Project.
[4] The expansive language
used by the court, which could be read to mean that subcontractors are covered
even when not at the job site, is dicta that we need not address.