.

Defense Digest

Eleventh Circuit Says Insurer Had No Duty to Cover Property Not Listed in Policy’s Scheduled Properties

Defense Digest, Vol. 27, No. 4, September 2021

September 1, 2021

Key Points:

  • Eleventh Circuit Court of Appeals holds that the insurer had no duty to defend an apartment complex in a case involving a shooting at a property that was not listed on the policy’s list of scheduled properties.
  • Court held that the insurance policy had to be read as a whole, along with the insurance application, which showed that the parties’ clear intent was to limit coverage to the scheduled properties.

In June 2021, the Eleventh Circuit Court of Appeals held that an insurer had no duty to defend an apartment complex in a case involving a shooting at a property that was not listed on the policy’s list of scheduled properties.

Miami-based Tzadik Acquisitions, LLC, and Tzadik Management Group 2, LLC, own and manage approximately 60 apartment complexes. However, in their 2015 insurance application for a commercial general liability policy, Tzadik listed only 45 properties to be insured. As such, the insurer issued a commercial general liability policy for the period of October 15, 2015, through October 15, 2016, which included only those 45 properties listed in Tzadik’s application. One location not included in the schedule was Kings Trail Apartments, a Jacksonville, Florida, apartment complex Tzadik owned and managed.

In October 2016, a man was fatally shot at the Kings Trail Apartment complex, and Tzadik was sued by the decedent’s wife in 2017 for wrongful death. When Tzadik reported the shooting to its insurer, United Specialty Insurance Company, in 2018, seeking coverage for the underlying suit, United denied coverage on the basis that the policy did not cover the Kings Trail Apartment Complex. United rejected coverage, stating that the policy’s declaration page limited coverage of $1 million per occurrence and $2 million in the general aggregate, subject to a “designated location’s general aggregate limit endorsement” that assigned each scheduled property its own liability limit, to only the properties listed on the policy’s schedule.

Because the apartment complex where the shooting occurred was not listed in the insured’s policy’s schedule of covered properties, United Specialty Insurance Company denied coverage and filed an action seeking to have the U.S. District Court in Jacksonville declare that it had no duty to defend or indemnify the insured for the shooting. United also alleged coverage was not required because Tzadik had failed to timely notify United of the shooting. In response, Tzadik countersued for breach of contract and bad faith. Ultimately, the U.S. District Court ruled in United’s favor.

In siding with United, U.S. District Judge Timothy J. Corrigan agreed that the absence of Kings Trail Apartment complex among the policy’s list of scheduled premises nullified any coverage for that property in the underlying wrongful death suit. United Specialty Ins. Co. v. Tzadik Acquisitions LLC, 488 F. Supp. 3d 1196 (M.D. Fla. 2020).

Tzadik appealed, arguing that the U.S. District Court erred because the policy was meant to apply to bodily injury or property damage caused by any “occurrence” that takes place in the “coverage territory,” defined in the policy as the United States, Puerto Rico and Canada. Tzadik argued that this broad definition of “coverage territory” meant that coverage automatically applied, regardless of whether the occurrence is associated with a listed property, so long as it occurs in the United States, Puerto Rico or Canada.

However, in affirming the lower court’s ruling by a unanimous three-judge appeals court panel, the Eleventh Circuit Court of Appeals rejected Tzadik’s argument that Kings Trail Apartments did not need to be listed for coverage to apply. The court determined that both Tzadik’s insurance application and the policy “as a whole” make it clear that the parties wished to limit coverage to the 45 listed properties.

The ruling explained that “a list of scheduled properties may unambiguously limit a policy’s application despite language elsewhere in the agreement that would broaden coverage if read in isolation,” and that the policy’s broad definition of “coverage territory” could not be read in isolation but, rather, had to be read along with the rest of the policy and Tzadik’s insurance application. The Eleventh Circuit concluded that in “[r]eading the application and the insurance policy as a whole . . . the parties’ clear intent was to limit coverage to the scheduled properties.” The Eleventh Circuit further stated that a “reasonable reader would not construe the application and policy to cover [Kings Trail Apartments].” The court held United Specialty Insurance Company had no duty to cover Kings Trail Apartments for the underlying suit. This Eleventh Circuit decision will be important for any insurer seeking to limit the scope of the coverage under the policy to scheduled properties.

*Jennifer is an associate in our Tampa, Florida, office. She can be reached at 813.898.1815 or jlhutchins@mdwcg.com.

Defense Digest, Vol. 27, No. 4, September 2021 is prepared by Marshall Dennehey Warner Coleman & Goggin to provide information on recent legal developments of interest to our readers. This publication is not intended to provide legal advice for a specific situation or to create an attorney-client relationship. ATTORNEY ADVERTISING pursuant to New York RPC 7.1. © 2021 Marshall Dennehey Warner Coleman & Goggin. All Rights Reserved. This article may not be reprinted without the express written permission of our firm. For reprints, contact tamontemuro@mdwcg.com.

Firm Highlights

Thought Leadership

Pennsylvania Superior Court Reaffirms Liberal Pleading Standard in Medical Malpractice Actions

Legal Roundup: Pennsylvania The Pennsylvania Superior Court has reinforced a broader fact-pleading approach that may make it more difficult for health care defendants to obtain dismissal at the preliminary objection stage. In DaSilva v. Abington Memorial Hospital, the court held that the plaintiffs’ second amended complaint satisfied Pennsylvania’s fact‑pleading requirements despite the absence of individually named negligent actors. In DaSilva, the plaintiffs filed a second amended complaint alleging that Abington Memorial Hospital was directly and vicariously negligent after the patient, who was experiencing a mental health crisis, was left unattended by hospital staff, exited the emergency department, and was struck by a vehicle, suffering serious injuries. The trial court sustained the hospital’s preliminary objections and dismissed the complaint with prejudice, stating plaintiffs “failed to plead any material factual allegations in support of their claims of negligence [and] set forth vague allegations of negligence and unidentified agency.” Id. at *5. The plaintiffs appealed. On appeal, the Superior Court reversed, holding that the complaint sufficiently pled negligence and vicarious liability claims under Pa.R.C.P. 1019(a). The court concluded that allegations describing the patient’s condition, the hospital’s awareness of that condition, and the alleged failure to monitor or prevent elopement were adequate to satisfy Pennsylvania’s pleading requirements. Significantly, the court rejected the hospital’s argument that the complaint failed because it did not identify the specific employees responsible for the alleged negligence. Instead, the court found that generalized references to “emergency room staff” were sufficient to place the hospital on notice of the claims because “the names of those who performed services for the plaintiff are known to the defendant or can be ascertained during discovery.” Id. at *12 (citing Est. of Denmark ex rel. Hurst v. Williams, 117 A.3d 300, 307 (Pa. Super. 2015)). The effect of DaSilva is that plaintiffs may proceed past the pleading stage with relatively generalized allegations, particularly in cases involving institutional defendants where relevant details are uniquely within the defendant’s control. As a result, health care defendants should anticipate that challenges to claim sufficiency may be resolved in the later stages of litigation, including discovery and summary judgment.

Thought Leadership

The Ohio Supreme Court Extends Sham-Affidavit Rule to Contradictory Expert Reports

Legal Roundup: Ohio In its June 23, 2026, decision in Moore v. Mercy Medical Center, the Ohio Supreme Court upheld a trial court’s decision to strike an expert witness’s affidavit that contradicted the opinions expressed in the expert’s prior report. This case pertains to allegations of medical malpractice after plaintiff Cheri Moore gave birth to an infant in respiratory distress who required intubation. Moore alleged that a delay in ordering an emergency cesarean section resulted in the need for intubation, causing her child’s injuries. Specifically, Moore sued Dr. Meniru, who completed his first shift at 7:00 a.m. on May 28, 2015, and did not resume treating Moore until 7:00 a.m. on May 29, 2015. One of Moore’s expert witnesses authored a report stating that the doctors, including Dr. Meniru, deviated from the standard of care by not advocating for a cesarean section in the evening of May 28, 2015. Based on this report, Dr. Meniru moved for summary judgment, arguing that the alleged breach occurred during a period when he was not on duty. In response to the summary judgment motion, the plaintiff filed an affidavit from the same expert. Although the expert expressly incorporated his previous report into his affidavit, he also offered an additional opinion: that Dr. Meniru breached the standard of care by failing to begin a cesarean section within 30 minutes of receiving reports of fetal distress. Dr. Meniru filed a motion to strike the expert’s affidavit, arguing that it contradicted the opinions set forth in his prior report in violation of the sham-affidavit rule. The sham-affidavit rule applies to “a contradictory affidavit that indicates only that the affiant cannot maintain a consistent story, or is willing to offer a statement solely for the purpose of defeating summary judgment”. Moore, supra, at ¶ 19, citing Pettiford v. Aggarwal, 126 Ohio St.3d 413, 2010-Ohio-3237. The trial court granted both the motion to strike and the motion for summary judgment, and the Fifth District affirmed. The Ohio Supreme Court accepted two questions of law: (1) whether the sham-affidavit rule applies when the sworn testimony contradicts prior unsworn statements; and (2) whether an inconsistency within the affidavit goes to credibility or admissibility, justifying an order striking the affidavit. Previous rulings by the Ohio Supreme Court regarding the sham-affidavit rule have pertained to contradictions between an affidavit and sworn deposition testimony. See, e.g., Byrd v. Smith, 2006- Ohio-3455, 110 Ohio St.3d 24, 850 N.E.2d 47. However, here, the Court was asked to apply the same rule to contradictions between a sworn affidavit and an unsworn expert report. The Court held that, because Moore’s expert incorporated his prior report into his affidavit, he effectively adopted the report as part of his sworn testimony.

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