Professional Services Exclusion Applicable in Wrongful Death Case
In QBE Ins. Corp. v. Brown & Mitchell, Inc., 2009 WL 4855487 [C.A.5 (Miss.), 2009], Eleazar Casiano died when a trench collapsed during a sewer installation job for which Brown & Mitchell, Inc. (BMI) served as the project engineer. At the time of his death, Casiano was an employee of Big Warrior Corporation, the general contractor performing the sewer installation. Tranqualino, his mother, filed a wrongful death action against BMI, alleging that as the firm overseeing the project, BMI owed a duty to Casiano to perform its professional responsibilities as engineers in accordance with the appropriate standards and that, with negligence and reckless disregard, it breached this duty by failing to take steps to ensure the trench's structural integrity.
BMI sought coverage and defense benefits from QBE, with whom it had an excess CGL policy. The policy provided coverage to BMI for “bodily injury” caused by an “occurrence,” and defined an “occurrence” as “an accident, including continuous or repeated exposure to substantially the same general harmful conditions.” The policy expressly excluded claims for bodily injury arising from the rendering or failure to render professional services as follows: “This insurance does not apply to … 'bodily injury' or 'property damage' due to the rendering or failure to render any professional service. This includes but is not limited to: … engineering services, including related supervisory or inspection services;….”
In response to BMI's demand for coverage, QBE sought a declaratory judgment to the effect that BMI's claims were not covered by the policy and that QBE had no duty to defend BMI in the suit. QBE argued that the underlying incident did not constitute an “occurrence” under the policy or, in the alternative, that BMI's alleged misconduct fell within the policy's “professional services exclusion.” BMI and QBE then filed cross-motions for summary judgment.
The district court granted summary judgment to QBE, finding that although Tranqualino's complaint characterized BMI's conduct as negligent, it only alleged “intentional” actions and inactions and that any harm was a foreseeable consequence of the alleged conduct. As a result, the court concluded that there was no “occurrence” and, thus, no coverage or duty to defend.
BMI appealed. The Court of Appeals, Fifth Circuit, affirmed, holding that the professional services exclusion applied and that QBE had no duty to defend.
According to the court, although the policy did not define “professional services” nor “engineering services,” Mississippi courts had concluded that in the context of a professional service exclusion where the contract is silent on its meaning, “a 'professional service' involves the application of special skill, knowledge and education arising out of a vocation, calling, occupation or employment.”
Thus, applying the eight-corners test, the court looked to the complaint to determine whether the conduct alleged fell within the “professional services” exclusion of the policy. Pursuant to the test, the professional services exclusion for bodily injuries was applicable. Although the conduct complained of included non-technical activities, the complaint in the underlying action explicitly attributed the accident to a breach of “professional responsibilities” as the “engineering firm” on the site, and these acts were excluded from coverage.
Editor's Note: The court emphasized in its holding that even studiously construing the policy in favor of the insured in this case, the allegations in the complaint were precisely the sort of potential liability the professional services exclusion is designed to excise from coverage.
This premium content is locked for FC&S Coverage Interpretation Subscribers
Enjoy unlimited access to the trusted solution for successful interpretation and analyses of complex insurance policies.
- Quality content from industry experts with over 60 years insurance experience, combined
- Customizable alerts of changes in relevant policies and trends
- Search and navigate Q&As to find answers to your specific questions
- Filter by article, discussion, analysis and more to find the exact information you’re looking for
- Continually updated to bring you the latest reports, trending topics, and coverage analysis
Already have an account? Sign In Now
For enterprise-wide or corporate access, please contact our Sales Department at 1-800-543-0874 or email [email protected]