Burlington Ins. Co. v. NYC Transit Authority, 29 N.Y.3d 315 (2017)
Under an insurance policy with an additional insured endorsement, coverage extends to the additional insured only if the named insured’s actions or omissions were the proximate cause of the injury, not just a “but for” cause.
Summary
Burlington Insurance Company sought a declaratory judgment that it did not owe coverage to the New York City Transit Authority (NYCTA) and MTA New York City Transit (MTA) as additional insureds under a policy issued to Breaking Solutions, Inc. (BSI). An NYCTA employee was injured when a BSI machine struck a live electrical cable. The court held that because BSI’s actions were not the proximate cause of the employee’s injury, the additional insureds (NYCTA and MTA) were not covered under the policy. The policy stated coverage was provided for injury “caused, in whole or in part, by” BSI’s acts or omissions. The Court of Appeals reversed the Appellate Division’s ruling, emphasizing that the policy language required proximate, not just “but for,” causation by the named insured.
Facts
NYCTA contracted with BSI for excavation work. BSI secured a commercial general liability insurance policy from Burlington, listing NYCTA, MTA, and New York City as additional insureds. An NYCTA employee was injured when a BSI machine contacted a live electrical cable, and the employee sued the City and BSI. Discovery revealed NYCTA’s negligence in failing to mark or de-energize the cable. Burlington initially defended the City, but later denied coverage, arguing BSI’s actions were not the proximate cause of the injury. Burlington settled the lawsuit. Burlington then sued for a declaratory judgment that it did not owe coverage to NYCTA and MTA.
Procedural History
The Supreme Court granted Burlington’s motion for summary judgment. The Appellate Division reversed, holding that the policy provided coverage. The New York Court of Appeals granted Burlington’s leave to appeal.
Issue(s)
1. Whether the additional insured endorsement in the insurance policy provided coverage to NYCTA and MTA where the named insured’s (BSI’s) actions were not the proximate cause of the injury.
Holding
1. Yes, because the insurance policy required proximate causation from BSI’s acts or omissions for the additional insureds to be covered.
Court’s Reasoning
The court interpreted the insurance policy according to principles of contract interpretation, giving “unambiguous provisions of an insurance contract… their plain and ordinary meaning.” The policy stated coverage for injuries “caused, in whole or in part, by” the named insured’s acts or omissions. The court determined that “caused, in whole or in part” meant that the named insured’s actions must be the proximate cause of the injury. The court distinguished between “but for” causation and proximate cause. “But for” causation is a link in the chain that can be one of many causes. Proximate cause is a legal cause to which the court has assigned liability. The court reasoned that the phrase “in whole or in part” modifies proximate cause, not merely any cause. The court also found that the additional insured language was not triggered because BSI was not at fault; the injury resulted from NYCTA’s sole negligence.
Practical Implications
This case clarifies the scope of additional insured endorsements. Insurance policies using the “caused, in whole or in part” language require the named insured’s actions to be the proximate cause of an injury for the additional insured to be covered. This means that even if a named insured’s actions played a role in an accident, coverage is not triggered unless those actions were a legally recognized cause of the injury. This case should be considered when drafting or interpreting such policies. Later courts have followed this precedent.