Ocean's 11 Bar & Grill, Inc. v. Indemnity Insurance Corporation of DC, Risk Retention Group

12-16261Court of Appeals for the Eleventh CircuitJun 26, 2013

Full text

[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
________________________
No. 12-16261
Non-Argument Calendar
________________________
D.C. Docket No. 0:11-cv-61577-CMA
OCEAN’S 11 BAR & GRILL, INC.,
a Florida corporation,
Plaintiff-Appellee,
versus
INDEMNITY INSURANCE CORPORATION
OF DC, RISK RETENTION GROUP,
Defendant-Appellant,
INDEMNITY INSURANCE CORPORATION,
a foreign corporation, et al.,
Defendants.
________________________
Appeal from the United States District Court
for the Southern District of Florida
________________________
(June 26, 2013)
Case: 12-16261 Date Filed: 06/26/2013 Page: 1 of 7

-- 1 of 7 --

2
Before HULL, WILSON and ANDERSON, Circuit Judges.
PER CURIAM:
After a bench trial, Defendant Indemnity Insurance Corporation of DC, RRG
(“Indemnity”) appeals the district court’s final judgment in favor of the insured,
Plaintiff Ocean’s 11 Bar & Grill, Inc. (“Ocean’s 11”), on its Florida law claims for
declaratory judgment and for damages for breach of contracts of insurance. After
review, we affirm the $5,000.00 judgment in favor of the Plaintiff insured.
I. BACKGROUND
A. Insurance Applications and Contracts
Joe Franco owns Ocean’s 11, which operates a restaurant and bar in Florida.
In 2009, Franco applied for and obtained liability insurance for Ocean’s 11 from
Indemnity. He repeated this process in 2010 and 2011. Each of the three
insurance applications, incorporated into their respective insurance policies,
contained a warranty stating, in relevant part, that the statements made in the
insurance application were true, correct and complete to the best of Franco’s
knowledge and belief:
The undersigned represents and warrants, to the best of his/her
knowledge and belief, based on reasonable inquiry, that the particulars
and statements set forth on this application are true, correct and
entirely complete, and there are no other risk factors that have not
been disclosed herein. If any particulars or statements are materially
misrepresented or material information has been omitted intentionally
or accidentally, such misrepresentation or omission will void any
issued coverages and the insurance company will have no duty to
Case: 12-16261 Date Filed: 06/26/2013 Page: 2 of 7

-- 2 of 7 --

3
defend any claims, pay any damages, or pay sums or perform acts or
services.
In 2011, a patron sued Ocean’s 11 for damages for assault and battery
sustained at its bar. After investigating, Indemnity advised Ocean’s 11 that it was
rescinding the three insurance contracts and declaring the insurance policies void
ab initio. Indemnity maintained that Franco had made various material
misrepresentations in the three insurance applications as to such things as square
footage, anticipated gross receipts, number of security personnel, employee
background checks and Franco’s years of experience. Indemnity did not provide
Ocean’s 11 with a defense to the bar patron’s pending suit or coverage for any
potential losses.
B. District Court Proceedings
Ocean’s 11 brought this diversity action seeking a declaration that Indemnity
had improperly rescinded the insurance contracts and for damages for breach of
contracts under Florida law. Following a bench trial, the district court entered final
judgment of $5,000, plus interest, in favor of Ocean’s 11 on both claims.
The district court concluded, inter alia, that Indemnity had not sustained its
burden to show that any of the alleged misrepresentations in Ocean’s 11’s
applications were incorrect or material, as required by Florida Statutes § 627.409.
Section 627.409 provides in relevant part:
Case: 12-16261 Date Filed: 06/26/2013 Page: 3 of 7

-- 3 of 7 --

4
A misrepresentation, omission, concealment of fact, or incorrect
statement may prevent recovery under the contract or policy only if
any of the following apply:
(a) The misrepresentation, omission, concealment, or statement
is fraudulent or is material either to the acceptance of the risk or the
hazard assumed by the insurer.
(b) If the true facts had been known to the insurer pursuant to a
policy requirement or other requirement, the insurer in good faith
would not have issued the policy or contract, would not have issued it
at the same premium rate, would not have issued a policy or contract
in as large an amount, or would not have provided coverage with
respect to the hazard resulting in the loss.
Fla. Stat. § 627.409(1)(a) & (b).
The district court noted that, as a general rule, under § 627.409 an insurer
may void a policy for misstatements or omissions without regard to whether they
are intentional or accidental. The district court determined, however, that under
Florida law, an insurer who includes the modifier “to the best of his knowledge and
belief” in an insurance application has agreed to a lesser knowledge standard than
the one in § 627.409. See Green v. Life & Health of Am., 704 So. 2d 1386, 1389-
91 (Fla. 1998); William Penn Life Ins. Co. of N.Y. v. Sands, 912 F.2d 1359, 1362-
64 (11th Cir. 1990). “To permit an insurer to rescind a policy containing
‘knowledge and belief’ language due to an unknowing misstatement not only
contravenes the terms of the contract itself, but is unfair as well.” Green, 704 So.
2d at 1391 (quoting Sands, 912 F.2d at 1364 n.7) (emphasis added). The district
court noted that an insurance applicant “faced with a policy that unambiguously
Case: 12-16261 Date Filed: 06/26/2013 Page: 4 of 7

-- 4 of 7 --

5
stated that it could be voided for unknowing misstatements might have rejected
those terms and sought another policy.” See id. In other words, because
Indemnity included the “to the best of his/her information and belief” language in
the warranty, Indemnity could void the policies only for statements Franco knew
were incorrect when he made them, but not for Franco’s unknowing misstatements.
The district court found credible Franco’s testimony about how he
interpreted the insurance application questions and then answered them. The
district court further found that: (1) many of the questions in Indemnity’s insurance
application were poorly drafted and ambiguous, (2) a reasonable person in
Franco’s shoes could have read them as Franco had, and (3) Franco had provided
truthful answers to the questions as Franco had reasonably interpreted them.
Accordingly, the district court concluded that: (1) Indemnity was not entitled to
rescind the insurance contracts and void the policies ab initio; (2) Indemnity
breached the insurance contracts by failing to provide a defense to any state court
suits against Ocean’s 11; (3) Indemnity failed to prove its last-minute affirmative
defense of unclean hands; and (4) Ocean’s 11 was entitled to damages in the
amount of $5,000 on its breach of contracts claim.
II. DISCUSSION
After review of the record and the parties’ briefs, we affirm the district
court’s final judgment on the declaratory judgment and breach of contract claims
Case: 12-16261 Date Filed: 06/26/2013 Page: 5 of 7

-- 5 of 7 --

6
for the reasons outlined in the district court’s thorough and well-reasoned order
dated November 2, 2012.1 We briefly address Indemnity’s argument on appeal
that the district court’s “analysis . . . d[id] not take into account the entirety of the
Warranty’s language.”
Specifically, Indemnity points to the warranty’s second sentence, which
follows the “to the best of his/her knowledge and belief” language. That sentence
provides that Indemnity could void the policies “[i]f any particulars or statements
are materially misrepresented or material information has been omitted
intentionally or accidentally.” Indemnity argues that by including “or
accidentally,” in the second sentence, the parties “contracted around the Green
holding upon which the District Court relied” and “place[d] Ocean’s 11’s
insurance policy [back] within the purview of Florida Statutes section 627.409.”
Thus, according to Indemnity, the warranty as a whole “unambiguously” allowed
Indemnity “to void any issued coverages for any particulars or statements
materially misrepresented or material information omitted regardless of the
applicant’s intentions.”
Indemnity’s construction of the second sentence of the warranty is doubtful
given that it would render the first sentence a nullity. See City of Homestead v.
1 “After a bench trial, we review the district court’s conclusions of law de novo and the
district court’s factual findings for clear error.” Proudfoot Consulting Co. v. Gordon, 576 F.3d
1223, 1230 (11th Cir. 2009); see also Fed. R. Civ. P. 52(a)(6).
Case: 12-16261 Date Filed: 06/26/2013 Page: 6 of 7

-- 6 of 7 --

7
Johnson, 760 So. 2d 80, 84 (Fla. 2000) (explaining that provisions of a contract
should be read harmoniously to give effect to all portions thereof). Further, to the
extent these two sentences in the warranty seem to impose different standards, the
warranty is ambiguous, and the district court was required to construe it against
Indemnity and in favor of coverage. See Flores v. Allstate Ins. Co., 819 So. 2d
740, 744 (Fla. 2002) (explaining that language in an insurance policy that is subject
to multiple interpretations is ambiguous and must be construed in favor of the
insured and strictly against the insurer as drafter). Accordingly, we find no error in
the district court’s construction of the warranty.
AFFIRMED.
Case: 12-16261 Date Filed: 06/26/2013 Page: 7 of 7

-- 7 of 7 --

Continue your research in ChatGPT or Claude

Connect Omnilex to search the legal corpus from your AI assistant.