‘Ultimate Net Loss’ shall mean the total sum which the insured, or the insured’s underlying insurance as scheduled, or both, become obligated to pay by reason of Personal Injuries, Property Damage or Advertising Liability claims, either through adjudication or compromise, and shall also include expenses consisting of: hospital, medical, and funeral charges; all sums paid as salaries, wages, compensation, fees, charges and law costs, premiums on attachment or legal bonds, interest, expenses for doctors, lawyers, nurses, and investigators and other persons; litigation, settlement, adjustment and investigation of claims and suits which are paid as a consequence of any Occurrence covered hereunder . . .
Zurich, 494 N.E.2d at 651. In this case, London’s policies provide coverage for liability imposed by law or assumed by CB&I under contract or agreement. The definition of "ultimate net loss" mirrors that in Zurich, and allows recovery for sums, including expenses such as law costs, lawyers, litigation, settlement, adjustment, and investigation of claims, that CB&I became obligated to pay by either adjudication or compromise. See id. We construe these provisions not as requiring London to assume charge of CB&I’s defense, but to pay for the costs of defense. See id. The applicable provisions neither limit recovery to claims for which liability is imposed nor exclude recovery for successfully defended claims. See generally Nicor, 860 N.E.2d at 286. The trial court did not err by requiring London to indemnify CB&I for defense costs that include dismissed claims. We overrule issue three.
Self-insured Retentions
In issue four, London contends that the trial court failed to properly apply three self-insured retentions ("SIR"). A SIR represents "[t]he amount of an otherwise-covered loss that is not covered by an insurance policy and that must be paid before the insurer will pay benefits[.]" Black’s Law Dictionary 1391 (8th ed. 2004). The SIR provision in London’s policies provides that "[u]nderwriters hereon shall only be liable for the ultimate net loss the excess of either (a) the amounts covered under the Schedule of Underlying Insurances or (b) $100, 000 ultimate net loss in respect of each occurrence, whichever is the greater[.]"
According to London, there are three policy periods: (1) March 18, 1961 through August 1, 1963, (2) August 1, 1963, through December 1, 1966, and (3) December 1, 1966, through February 2, 1970. London argues that numerous claims are not compensable under each SIR because the "exposure periods terminated before or began after those dates" and that CB&I must target all three SIRs before it can recover for the Bogalusa Mill claims in each coverage period. As previously discussed, this case involves a single occurrence. By its plain language, the SIR provision requires CB&I to satisfy one SIR per occurrence, not one SIR per occurrence for each policy period. See Fay, 905 N.E.2d at 753 ("An insurance contract will be liberally construed in favor of the insured."); see also Nicor, 860 N.E.2d at 286. Accordingly, CB&I was only required to satisfy one SIR. We overrule issue four.
Exclusion of Opinion Testimony from Dr. Joseph Renn
In issue five, London challenges the trial court’s exclusion of evidence that the claimants had not suffered actual injury. We review a trial court’s evidentiary rulings under an abuse of discretion standard. In re Living Ctrs. of Tex., Inc., 175 S.W.3d 253, 261 (Tex. 2005).
CB&I filed a motion to exclude the testimony of Dr. Joseph Renn. According to London’s offer of proof, Renn would opine that (1) none of the claimants had asbestosis, (2) the claimants’ diagnoses were flawed, (3) "consistent with asbestosis" is not the same as an actual diagnosis of asbestosis, (4) other conditions are consistent with asbestosis, (5) the claimants’ pulmonary function tests ("PFT") were not properly performed, and (6) the PFTs were normal when correctly performed. London maintained that this evidence was necessary to enable the jury to determine whether CB&I had a reasonable anticipation of liability and paid a reasonable amount to settle the claimants’ cases. The trial court disagreed, explaining that the issue is whether the parties believed that an injury existed, not that an injury actually did exist.
On appeal, London argues that exposure to asbestos does not equate with bodily injury and contends that it should have been allowed to present evidence that none of the claimants actually contracted asbestosis. However, the definition of "bodily injury" is not determined on a case-by-case basis; rather, "bodily injury" occurs "at or shortly after the time a claimant was exposed to asbestos and continues throughout a claimant’s exposure to asbestos." Zurich, 514 N.E.2d at 161; see John Crane, Inc. v. Admiral Ins. Co., No. 1-09-3240, 2013 Ill.App. LEXIS 109, at **45-47 (Ill.App.Ct. Mar. 5, 2013). Moreover, as in U.S. Gypsum, the issue before the jury was "whether the type of injury claimed is within the policies’ ambit of coverage, not whether any damage occurred in the underlying action below." U.S. Gypsum, 643 N.E.2d at 1243. Whether the claimants actually suffered from asbestosis is irrelevant and would have confused or misled the jury as to the issue in the case. See id; see also Tex. R. Evid. 401, 403; John Crane, 2013 Ill.App. LEXIS 109, at *46. The trial court did not abuse its discretion by excluding evidence regarding whether the claimants actually suffered from asbestosis. See Living Ctrs. of Tex., 175 S.W.3d at 261. We overrule issue five.
Compliance with Notice Provisions
In issue six, London contends that the trial court erroneously granted a directed verdict in favor of CB&I regarding London’s defense that CB&I breached the notice provision in the insurance policies. London argues that the trial court abused its discretion by allowing CB&I to admit evidence of notice and that CB&I relied on inadmissible documents to show compliance with the insurance policies’ notice requirements.
The insurance policies contain the following notice provision:
Whenever the Assured has information from which the Assured may reasonably conclude that an occurrence covered hereunder involves injuries or damages which, in the event that the Assured should be held liable, is likely to involve this Policy, notice shall be sent . . . as soon as practicable, provided, however, that failure to give notice of any occurrence which at the time of its happening did not appear to involve this policy but which, at a later date, would appear to give rise to claims hereunder, shall not prejudice such claims.
At trial, CB&I sought to introduce a redacted email from its attorney to London’s attorney and an omnibus submission providing London with information regarding the underlying asbestos claims. The original email stated that the submission was "for settlement purposes only." London objected to admission of these documents on grounds that they were not properly authenticated, were inadmissible hearsay, and were inadmissible settlement negotiations. The trial court overruled the objections. The trial court also granted CB&I’s motion for directed verdict, in which CB&I argued that it provided reasonable notice to London through regular omnibus submissions.
Evidence of settlement negotiations is inadmissible to prove liability for or invalidity of a claim or its amount. Tex. R. Evid. 408. Exclusion is not required when the evidence is offered for another purpose, such as proving bias, prejudice, or interest of a witness or party, negating a contention of undue delay, or proving an effort to obstruct a criminal investigation or prosecution. Id. Whether documents constitute an offer of settlement depends on "whether something is given up by one of the parties to avoid litigation where some concession is made by one or both of the parties." Tatum v. Progressive Polymers, 881 S.W.2d 835, 837 (Tex. App.—Tyler 1994, no writ). The trial court may properly exercise its discretion when deciding whether evidence is impermissibly offered as evidence of a settlement offer or is offered for another valid reason. TCA Bldg. Co. v. Nw. Res. Co., 922 S.W.2d 629, 636 (Tex. App.—Waco 1996, writ denied).
London argues that it made no contention of undue delay at trial and that the reasonableness of notice was not at issue. Nevertheless, even absent an exception to Rule 408, otherwise discoverable evidence need not be excluded merely because it is presented in the course of settlement negotiations. See Tex. R. Evid. 408. The record does not indicate that CB&I sought to admit the exhibits into evidence for purposes of showing London’s liability. See id. The documents cannot be construed as a concession by either party and were not offered as evidence that London made an agreement with CB&I acknowledging liability. See Tatum, 881 S.W.2d at 837. Under these circumstances, the trial court properly exercised its discretion when concluding that the evidence was being offered by CB&I for a purpose other than liability, invalidity of a claim, or the amount of a claim. See TCA Bldg. Co., 922 S.W.2d at 636.
London further complains that CB&I improperly introduced the exhibits through CB&I’s corporate counsel and for the truth of the matter asserted. A statement constitutes hearsay when it is made out of court and is offered into evidence to prove the truth of the matter asserted. Tex. R. Evid. 801(d). Evidence offered to show that a party had notice is not inadmissible hearsay. In re Morrison, 555 F.3d 473, 483 (5th Cir. 2009); U.S. v. Cent. Gulf Lines, Inc., 747 F.2d 315, 319 (5th Cir. 1984); City of Austin v. Houston Lighting & Power Co., 844 S.W.2d 773, 791 (Tex. App.—Dallas 1992, writ denied). Moreover, a document is authenticated "by evidence sufficient to support a finding that the matter in question is what its proponent claims." Tex. R. Evid. 901(a).
Walter Browning, CB&I’s managing general counsel of corporate and compliance, testified that he was responsible for informing insurers about the asbestos litigation and oversaw creation of a database to provide information to insurers to place them on notice. Browning testified that the exhibits:
[C]ontain[] the information that, when I became general counsel, I asked our people to put together relevant to all the asbestos matters, and it’s the same information that when I first gave my notice, it’s an update of that information through the fourth quarter.
. . . As I believe I said when we first started, I wanted to make sure everybody on the CB&I team, including the lawyers, made sure that the insurance carriers were kept apprised or noticed of what was going on in these asbestos cases[.] Based on the documents’ contents and his own knowledge of the documents’ purpose, Browning’s testimony establishes that the documents are what they claim to be: information regarding the underlying asbestos claims sent to London for purposes of giving London notice of the claims. See Tex. R. Evid. 901(a), (b)(1). The trial court did not abuse its discretion by admitting the exhibits into evidence. See Living Ctrs. of Tex., 175 S.W.3d at 261; see also Morrison, 555 F.3d at 483; Cent. Gulf Lines, 747 F.2d at 319; City of Austin, 844 S.W.2d at 791.
We now address London’s contention that CB&I failed to provide notice in accordance with London’s policies. The purpose of a notice of claim provision in an insurance policy is to afford the insurer the opportunity to conduct a timely and thorough investigation of the insured’s claim and the opportunity to locate and participate in the insured’s defense. IMC Global v. Cont’l Ins. Co., 883 N.E.2d 68, 78 (Ill.App.Ct. 2007). "Notice is sufficient where the insurer knows both that a cause of action has been filed and that the complaint falls within or potentially falls within the scope of coverage of the insurer’s policy." Vega v. Gore, 730 N.E.2d 587, 589 (Ill.App.Ct. 2000). "[C]onditions inserted into insurance policies are to be construed most favorably to the insured." Hartford Accident & Indem. Co. v. Rush-Presbyterian-St. Luke’s Med. Ctr., 595 N.E.2d 1311, 1315 (Ill.App.Ct. 1992). "The ‘appears likely’ notice provisions grant the insured greater discretion in deciding whether liability under the policy is likely, not just possible." Id. at 1317.
In August 2006, CB&I was added as a defendant in the "Bickham litigation, " which involved claims arising out of asbestos exposure at the Bogalusa Mill. In May 2007, CB&I provided London with an omnibus submission identifying the Bickham litigation. In 2008, 2009, and 2010, CB&I provided additional omnibus submissions. CB&I sent these submissions as "continuing notice" of the asbestos claims. London contends that these submissions were insufficient notice to both Certain Underwriters and Certain London Market Insurance Companies because the "Companies" were not "subscribers to any Direct Reporting Agreement." London further contends that only the 2009 submission indicated that the Bogalusa Mill claims would constitute a covered occurrence and that by 2009, CB&I had already entered large settlements with the claimants without notice to London.
The record indicates that Certain Underwriters and Certain London Market Insurance Companies shared legal representation when they received the May 2007 submission. Additionally, Browning testified that it would be reasonable for CB&I to provide notice to London’s counsel and that the law firm associated with the direct reporting agreement had merged with the firm representing London. The "appears likely" language in the notice provision gave CB&I greater discretion when deciding whether liability under London’s policies was likely. See Hartford, 595 N.E.2d at 1317. Moreover, the notice provision does not require the inclusion of any particular information. See Nicor, 860 N.E.2d at 286. The submissions contained information such as the number of claimants, type of claim, jurisdiction, date of service, closure date if applicable, status of case, defense costs, and settlement amount where applicable. With respect to the Bickham litigation, the number of plaintiffs alone suggests that the complaints against CB&I potentially fell within the scope of coverage. At the very least, the submissions placed London on notice that a cause of action had been filed against its insured and that the complaints against CB&I potentially fell within the policy’s scope of coverage. See IMC Global, 883 N.E.2d at 78; see also Vega, 730 N.E.2d at 589. The trial court properly found that London’s defense based on an alleged breach of the notice provision failed as a matter of law. We overrule issue six.
Compliance with Definite Claim Provision
In issue seven, London argues that the trial court erroneously granted a directed verdict on London’s defense to coverage based on an alleged breach of the "Definite Claim" provision in the policy. London’s "loss payable" clause states, in pertinent part:
The Assured shall make a definite claim for any loss for which the Underwriters may be liable under the policy within twelve (12) months after the Assured shall have paid an amount of ultimate net loss in excess of the amount borne by the Assured or after the Assured’s liability shall have been fixed and rendered certain either by final judgment against the Assured after actual trial or by written agreement of the Assured, the claimant, and Underwriters.
In its motion for directed verdict, CB&I argued that London (1) waived the right to assert a definite claim defense, (2) failed to establish breach of the provision, and (3) failed to establish prejudice as the result of any breach. The trial court granted CB&I’s motion and held that London’s defense failed as a matter of law. On appeal, London argues that the definite claim provision is an enforceable contractual statute of limitations. CB&I likens the "loss payable" provision to a proof of loss provision and argues that London "can waive, or be equitably estopped from asserting, the definite claim defense if they issue a general denial of coverage before CB&I’s duty to submit a definite claim is triggered."
Illinois law recognizes contractual limitations periods. See Medrano v. Prod. Eng’g Co., 774 N.E.2d 371, 378 (Ill.App.Ct. 2002). Illinois law also recognizes that "an insurer should not be allowed to assert a blanket denial of coverage and then assert the insured’s failure to provide proof of loss, since the law does not require the insured to perform what appeared to be a useless act." Owners Ins. Co. v. Seamless Gutter Corp., 960 N.E.2d 1260, 1271 (Ill.App.Ct. 2011). Policy provisions as to proof of loss may be waived by the insurer "by means of conduct which would lead the insured to believe the company did not intend to require compliance with the terms of the policy as to the furnishing of proof and ascertainment of loss." Di Leo v. U.S. Fid. & Guar. Co., 200 N.E.2d 405, 410-11 (Ill.App.Ct. 1964). The denial of liability, based on grounds other than the insured’s failure to furnish due notice and proof of loss, ordinarily constitutes a waiver or estoppel by the insurer to insist on compliance with proof of loss requirements. Id. at 411.
Our research does not reveal an Illinois case likening a proof of loss provision to a definite claim provision. However, in Chicago Bridge, London challenged the trial court’s findings that London waived compliance with the condition requiring CB&I to "’make a definite claim for any loss for which the Underwriters may be liable under the policy within twelve . . . months after the Assured shall have paid an amount of ultimate net loss in excess of the [$ 100, 000 SIR].’" Chicago Bridge, 797 N.E.2d at 446. The trial court had "relied on the principle that an insurer may waive a proof of loss requirement by its conduct[, ]" i.e., that CB&I could have reasonably "construed London’s initial telexed reply indicating that ALT was not covered by the policies, and then London’s ‘entire subsequent course of conduct in response to [CB&I's] coverage claims’ as a denial of coverage." Id. The Massachusetts Appellate Court upheld the trial court’s ruling that compliance with the above condition was not required. Id. at 446-47. In Liberty Mutual Insurance Company v. Those Certain Underwriters at Lloyds, 650 F.Supp. 1553 (W.D. Pa. 1987), the policy’s "loss payable" provision stated:
[t]he assured shall make a definite claim for any loss for which the Underwriters may be liable under the policy within twelve (12) months after the Assured shall have paid an amount of ultimate net loss in excess of the amount borne by the Assured or after the Assured’s liability shall have been fixed and rendered certain either by final judgment against the Assured after actual trial or by written agreement of the Assured, the claimant, and Underwriters.
Liberty Mutual, 650 F.Supp. at 1556. The federal court explained that "employing the Underwriter[s'] analogy to proof of loss provisions, where an insurer denies coverage on other grounds before expiration of the time allowed for proof of loss, the requirement of proof of loss becomes a useless gesture and is therefore deemed to be waived." Id. at 1557. The Court held that the law applicable to proof of loss provisions is equally applicable to definite claim provisions. Id. We agree that, as with proof of loss claims, it would serve no purpose for an insured to file a definite claim when the insurer has denied coverage. See Owners Ins. Co., 960 N.E.2d at 1271; see also Di Leo, 200 N.E.2d at 410-11; Chicago Bridge, 797 N.E.2d at 446-47; Liberty Mutual, 650 F.Supp. at 1557.
In March 2007, London entered a general denial, and London also specifically denied that CB&I was entitled to any relief and alleged several defenses to coverage. Subsequently, CB&I settled with numerous claimants. CB&I presented evidence that London did not respond to CB&I’s omnibus submissions or participate in the underlying asbestos cases. Browning testified that he understood London’s general denial as stating that London had no liability whatsoever. London’s denial of coverage and its course of conduct could lead CB&I to believe London did not intend to require compliance with the definite claim provision. See Di Leo, 200 N.E.2d at 410-11; see also Chicago Bridge, 797 N.E.2d at 446. London cannot now require CB&I to comply with the definite claim provision. See Owners Ins. Co., 960 N.E.2d at 1271; see also Di Leo, 200 N.E.2d at 411; Liberty Mutual, 650 F.Supp. at 1557. Because the trial court did not err by determining that London’s definite claim defense failed as a matter of law, we overrule issue seven. Having overruled London’s seven issues on appeal and CB&I’s sole issue on cross-appeal, we affirm the trial court’s judgment.
AFFIRMED.
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