Mobile Infirmary Association d/b/a Mobile Infirmary Medical Center v. Quest Diagnostics Clinical Laboratories, Inc. ( 2023 )


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  • Rel: February 24, 2023
    Notice: This opinion is subject to formal revision before publication in the advance sheets of Southern
    Reporter. Readers are requested to notify the Reporter of Decisions, Alabama Appellate Courts,
    300 Dexter Avenue, Montgomery, Alabama 36104-3741 ((334) 229-0650), of any typographical or other
    errors, in order that corrections may be made before the opinion is printed in Southern Reporter.
    SUPREME COURT OF ALABAMA
    OCTOBER TERM, 2022-2023
    _________________________
    SC-2022-0641
    _________________________
    Mobile Infirmary Association d/b/a Mobile Infirmary Medical
    Center
    v.
    Quest Diagnostics Clinical Laboratories, Inc.
    Appeal from Mobile Circuit Court
    (CV-17-900403)
    SHAW, Justice.
    Mobile Infirmary Association d/b/a Mobile Infirmary Medical
    SC-2022-0641
    Center ("Mobile Infirmary"), the plaintiff seeking contractual indemnity
    in the action below, appeals the Mobile Circuit Court's summary
    judgment in favor of the defendant below, Quest Diagnostics Clinical
    Laboratories, Inc. ("Quest"). We affirm.
    Facts and Procedural History
    On March 17, 2014, Quest and Mobile Infirmary entered into a
    Laboratory Management Agreement ("the LMA"), in which Quest agreed
    to manage Mobile Infirmary's onsite clinical laboratory facilities and to
    provide clinical testing services used by Mobile Infirmary's medical staff
    to diagnose and treat patients. The LMA also contained indemnity
    provisions. Specifically, Section 8.1 of the LMA stated, in pertinent part:
    "Quest Diagnostics hereby agrees to indemnify, defend and
    hold [Mobile Infirmary], and [Mobile Infirmary's] officers,
    directors, employees and agents (collectively, the 'Lab
    Indemnitees'), harmless from and against any and all
    liability, losses, damages, claims or causes of action ('Claims'),
    and expenses connected therewith, including reasonable
    attorneys' fees, that are caused by or a result of (i) any
    negligent or intentional act, error or omission by Quest
    Diagnostics,       its employees,      agents,    servants     or
    representatives with respect to its responsibilities and/or the
    performance of Services hereunder, to the extent such Claim
    does not arise from an act or omission or cause for which
    [Mobile Infirmary] is required to provide indemnity pursuant
    to Section 8.2 below … [or] (v) any personal injury (including
    death) or property damage caused by or arising from the
    negligence, acts or omissions of Quest Diagnostics or any
    2
    SC-2022-0641
    employee or agent of Quest Diagnostics …."
    Section 8.2 of the LMA addressed Mobile Infirmary's indemnity
    obligations:
    "[Mobile Infirmary] hereby agrees to indemnify, defend and
    hold Quest Diagnostics and Quest Diagnostics Affiliates,
    officers, directors, employees and agents (collectively, the
    'Quest Indemnitees') harmless from and against any and all
    Claims, and expenses connected therewith, including
    reasonable attorneys' fees, (i) directly caused by or as a result
    of any negligent or intentional act, error or omission by
    [Mobile Infirmary], its employees, agents, servants,
    contractors or representatives with respect to its
    responsibilities hereunder, to the extent such Claim does not
    arise from an act or omission or cause for which Quest
    Diagnostics is required to provide indemnity pursuant to
    Section 8.1 above … [or] (v) any personal injury (including
    death) or property damage caused by or arising from the
    negligence, acts or omissions of [Mobile Infirmary] or any
    employee or agent of [Mobile Infirmary] …."
    On March 13, 2015, James A. Ward went to Mobile Infirmary's
    emergency room after suffering weakness, dizziness, loss of fluids, a mild
    cough, and severe body aches. While there, he was diagnosed with the
    flu, and he was later discharged with a prescription for medication. Two
    days later, Ward's symptoms worsened, and he returned to the
    emergency room.      Ward was eventually diagnosed with diabetic
    ketoacidosis.
    When his condition did not improve, Ward was moved into the
    3
    SC-2022-0641
    intensive-care unit, at which point his doctor ordered him to undergo
    glucose finger-sticks and a basic metabolic panel every four hours to help
    monitor his serum glucose, kidney function, acid/base status, and
    electrolytes. According to Mobile Infirmary, those basic metabolic panels
    were supposed to be performed by Quest, but they were allegedly
    canceled by one of Quest's employees.
    Over the next several hours, Ward developed cardiac dysfunction
    and lost consciousness. At some point, he suffered an "anoxic brain
    injury" and later died "as a result of multisystem organ failure secondary
    to severe sepsis and septic shock."
    In 2017, Ingrid Mia Ward ("Mia"), Ward's wife and the personal
    representative of his estate, commenced a wrongful-death action against
    Mobile Infirmary and other defendants, including Mobile Infirmary's
    doctors and nurses who were responsible for Ward's treatment and care.
    Mia alleged that the defendant medical-care providers had breached the
    standard of care in several ways, including by "failing to obtain serial
    basic metabolic panels every four hours" and by "failing to properly
    monitor and report Mr. Ward's blood glucose levels on an hourly basis."
    She also alleged that Mobile Infirmary was vicariously liable for those
    4
    SC-2022-0641
    who "undertook to and did provide medical, diagnostic, nursing,
    technical, and/or other health care services and treatment to [Ward]."
    According to Mia, her husband died as a proximate result of the acts or
    omissions of Mobile Infirmary and its staff in failing to properly diagnose
    and treat his condition.
    Quest was not named as a party to Mia's action. Mobile Infirmary
    informed Quest of the action and, as the case progressed, apprised Quest
    of the status of the proceedings, including its negotiations with Mia for
    potential settlement of the lawsuit. Mia and Mobile Infirmary ultimately
    settled the wrongful-death action. Before Mia's claims against Mobile
    Infirmary were dismissed pursuant to a joint motion of those parties,
    Mobile Infirmary filed a third-party complaint against Quest in which it
    sought contractual and equitable indemnity related to its defense and
    settlement of Mia's action. Quest filed a motion to dismiss, which the
    trial court granted in part by dismissing Mobile Infirmary's equitable-
    indemnity claim.
    Mobile Infirmary later amended its complaint to more specifically
    state its remaining claim of contractual indemnity against Quest. Mobile
    Infirmary alleged:
    5
    SC-2022-0641
    "4. The claims of [Mia] against Mobile Infirmary in this
    action were caused by and/or resulted from negligent acts,
    errors or omissions of Quest in its responsibilities under the
    [LMA] and/or the performance of services under [the LMA],
    and said claims did not arise from an act or omission or cause
    for which Mobile Infirmary is required to provide indemnity
    to Quest pursuant to Section 8.2 of the [LMA]. Such negligent
    acts, errors or omissions included the following:
    "a. Quest's failure to timely collect, test,
    diagnose and/or report the results of blood work
    ordered by doctors and other healthcare providers
    in connection with the care and treatment of the
    … Decedent, James Ward, on a timely basis, in
    breach of its duties under the [LMA] ….
    "b. Quest's unwarranted delay in collecting,
    testing, diagnosing and/or reporting the results of
    blood work ordered by physicians and other
    healthcare providers in connection with the care
    and treatment of … James Ward, in breach of its
    duties under the [LMA] ….
    "c. Quest's cancellation of physicians' and
    other healthcare providers' orders for blood work
    needed in the care and treatment of [Mia's]
    Decedent, James Ward, in breach of its duties
    under the [LMA] ….
    "5. As a proximate result of the aforesaid negligence, the
    physicians and other healthcare providers attending Mr.
    Ward lacked the information necessary to appropriately
    monitor and assess his condition on a timely basis and to
    administer the appropriate amounts of insulin and IV fluids,
    and take other action, in accordance with his on-going
    condition and, as a proximate result thereof, Mr. Ward died."
    Quest later served Mobile Infirmary with a set of requests for
    6
    SC-2022-0641
    admissions, to which Mobile Infirmary provided the following responses:
    "1. Admit that there were allegations of negligence in
    the Third Amended Complaint filed by Mia Ward, as personal
    representative of the Estate of James Ward, against Mobile
    Infirmary Medical Center that did not relate to the laboratory
    services provided by Quest Diagnostics pursuant to the [LMA]
    (hereinafter the 'non-lab allegations.').
    "RESPONSE: Admitted.
    "2. Admit that the death of James A. Ward was caused,
    in part, by the negligence of Mobile Infirmary Medical Center.
    "RESPONSE: Admitted.
    "3. Admit that the death of James A. Ward was caused,
    in part, by the negligence of Mobile Infirmary Medical for non-
    lab allegations.
    "RESPONSE: Denied.
    "4. Admit that the death of James A. Ward was caused,
    in part, by the negligence of Mobile Infirmary Medical Center
    within the meaning of Section 8.2 of the [LMA] between Quest
    Diagnostics and Mobile Infirmary Medical Center dated
    March 17, 2014.
    "RESPONSE: Admitted.
    "5. Admit that Mobile Infirmary Medical Center is solely
    seeking indemnification in this matter from Quest for monies
    it spent in defending itself and for the confidential settlement
    with the Estate of James A. Ward.
    "RESPONSE: Admitted.
    "6. Admit that Mobile Infirmary Medical Center
    7
    SC-2022-0641
    incurred legal defenses expenses in defending its conduct for
    those non-lab allegations referenced in Requests for
    Admission Nos. 1 and 3.
    "RESPONSE: Admitted.
    "7. Admit that Mobile Infirmary Medical Center settled
    the lawsuit filed by Mia Ward, as personal representative of
    the Estate of James A. Ward, based in part on allegations of
    Mobile Infirmary Medical Center's own negligent conduct in
    the care of James A. Ward.
    "RESPONSE: Admitted.
    "8. Admit that Mobile Infirmary Medical Center settled
    the lawsuit filed by Mia Ward, as personal representative of
    the Estate of James Ward, while claims based on allegations
    of Mobile Infirmary Medical Center's own negligent conduct
    were still pending.
    "RESPONSE: Admitted."
    Quest filed a motion for a summary judgment in which it argued in
    its supporting brief that Mobile Infirmary's contractual-indemnity claim
    failed as a matter of law. Relying on Mobile Infirmary's responses to its
    requests for admissions, Quest argued that because Mobile Infirmary's
    own negligence was at least a partial cause of Ward's death and because
    the parties had not agreed under either Sections 8.1 or 8.2 in the LMA to
    indemnify each other against losses caused by the indemnitee's own
    negligence, it was not required to indemnify Mobile Infirmary for the
    8
    SC-2022-0641
    settlement of Mia's action. Quest further argued that, absent clear and
    unequivocal language to the contrary, any argument by Mobile Infirmary
    that the reciprocal indemnity provisions found in Sections 8.1 and 8.2 of
    the LMA allowing each party to recover indemnification for the other's
    negligence also permitted partial indemnification based on the
    proportionate fault of the indemnitor was meritless.
    In response to Quest's motion, Mobile Infirmary filed a cross-motion
    for a summary judgment in which it argued that, under the LMA and
    upon proof that Quest's negligent acts or omissions in the performance of
    its duties under the LMA caused Ward's death, it was entitled to full
    indemnification from Quest. In the alternative, Mobile Infirmary argued
    that it was entitled to indemnification for the portion of its losses that
    were attributable to Quest's negligence under a comparative-fault
    analysis.
    After a hearing, the trial court entered a summary judgment in
    favor of Quest and denied Mobile Infirmary's cross-motion for a summary
    judgment. In its judgment, the trial court explained:
    "At this stage, the Parties have not conducted discovery
    on [Mobile Infirmary's] allegations of negligence against
    Quest. However, this Court does not need such evidence or
    lack thereof to rule on the pending motions. Rather, given the
    9
    SC-2022-0641
    foregoing indemnity provisions and [Mobile Infirmary's]
    admission of negligence, there are two threshold legal
    questions for this Court to decide at this juncture:
    "(1) Is [Mobile Infirmary] precluded from
    seeking contractual indemnity from Quest when
    its own independent negligence contributed to the
    death of Mr. Ward?; and
    "(2) Whether the indemnity provisions in
    Sections 8.1 and 8.2 are ambiguous, and if so,
    whether an agreement was reached as to
    comparative fault analysis despite the ambiguity?
    "As discussed below, the Court concludes the answer to
    the first question to be 'Yes', and thus [Mobile Infirmary]
    cannot recover here. The Court further concludes that the
    provisions are by [Mobile Infirmary's] own admission
    ambiguous and as such, the parties did not 'knowingly,
    clearly, and unequivocally' enter into a comparative fault
    indemnification contract. For either of these reasons,
    summary judgment on behalf of Quest is due to be granted."
    In support of its conclusions, the trial court explained:
    "Section 8.2 of the LMA provides the various scenarios
    in which [Mobile Infirmary] must indemnify, defend, and hold
    Quest harmless from and against any and all liability, losses,
    damages, claims or causes of action. Specifically, Section
    8.2(v) requires [Mobile Infirmary] to defend, indemnify, and
    hold Quest harmless against a death 'caused by or arising
    from the negligence, acts or omissions of [Mobile Infirmary]
    or any employee or agent of [Mobile Infirmary].' Based on
    [Mobile Infirmary's] admission that the death of Mr. Ward
    was indeed caused, in part, by the negligence of Mobile
    Infirmary, the Court concludes that Section 8.2(v) is
    triggered.
    10
    SC-2022-0641
    "The triggering of [Section] 8.2(v) is sufficient to end the
    Court's inquiry and dictates that Quest is entitled to
    summary judgment on [Mobile Infirmary's] third-party claim.
    Because Section 8.2(v) requires [Mobile Infirmary] to hold
    Quest harmless when [Mobile Infirmary] is negligent, [Mobile
    Infirmary] cannot advance a third-party claim against Quest
    while simultaneously conceding it [(Mobile Infirmary)] was
    negligent. Put another way, Section 8.2(v) imposes a duty on
    [Mobile Infirmary] to hold Quest harmless when [Mobile
    Infirmary] or its employees are negligent -- and there is no
    question they were negligent in this case. [Mobile Infirmary's]
    attempt here to recover damages from Quest while also
    admitting negligence defies the hold harmless nature of
    Section 8.2(v). [Mobile-Infirmary's] Third-Party Complaint is
    doing the opposite of holding Quest harmless. Accordingly,
    the Court need not look any further to determine that Quest
    does not owe [Mobile Infirmary] contractual indemnity in this
    case, and the Court's inquiry can end here.
    "[Mobile Infirmary] is essentially seeking indemnity
    from Quest for [Mobile Infirmary's] own negligence -- or at
    least in part for [Mobile Infirmary's] own negligence. See
    [Mobile Infirmary's] responses to Quest's Requests for
    Admission …. The Alabama Supreme Court has addressed
    the standard of review of agreements by one party to
    indemnify for another's wrongful conduct, stating:
    'Agreements by which one party agrees to indemnify [the
    other] for the consequences of the other's acts or omissions are
    carefully scrutinized .… An agreement by one person to
    indemnify the [other] for the other's negligence is enforceable
    only if the indemnity provisions are unambiguous and
    unequivocal.' Royal Ins. Co. v. Whitaker Contr. Corp., 
    824 So. 2d 747
    , 752 (Ala. 2002), quoting Industrial Tile, Inc. v.
    Stewart, 
    388 So. 2d 171
     (Ala. 1980).
    "Quest further contends that the competing indemnity
    provisions of [Sections] 8.1(i) and 8.2(i) cancel each other out
    when there is mutual negligence. Quest argues that [Section]
    11
    SC-2022-0641
    8.1(i) cannot be analyzed in a vacuum: if [Mobile Infirmary] is
    negligent -- as conceded in this case -- [Section] 8.2(i) must be
    read in conjunction with [Section] 8.1(i). The Court finds that
    when read together, [Sections] 8.1(i) and 8.2(i) establish that
    Quest and [Mobile Infirmary] agreed to indemnify the other
    for their own sole fault when the other is not also at fault.
    Under these circumstances, [Section] 8.2(i) is triggered
    because [Mobile Infirmary] has already admitted its own
    independent negligence. Thus, Quest cannot owe indemnity
    to [Mobile Infirmary] under [Section] 8.1(i), and the Court's
    inquiry could also end here.
    "In contrast, [Mobile Infirmary] wants the Court to
    interpret [Section] 8.1(i) independent of [Sections] 8.2(i) and
    8.2(v), and find that three (3) words, 'to the extent,' provides
    the framework for a comparative fault trial where [Mobile
    Infirmary] can ultimately recover partial indemnity from
    Quest in proportion to the Parties' respective comparative
    fault to the Estate of Mr. Ward. The Supreme Court of
    Alabama requires this Trial Court to find that any such
    purported agreement between [Mobile Infirmary] and Quest
    is clear and unequivocal with an agreed-upon formula for it to
    order a comparative fault trial. Holcim (US), Inc. v. Ohio Cas.
    Inc. Co., 
    38 So. 3d 722
    , 728 (Ala. 2009) (determining that 'if
    two parties knowingly, clearly, and unequivocally enter into
    an agreement whereby they agree that the respective liability
    of the parties will be determined by some type of agreed-upon
    formula, then Alabama law will permit the enforcement of
    that agreement as written'). Here, [Mobile Infirmary] and
    Quest did not 'knowingly, clearly, and unequivocally' craft
    Section 8.1(i) to create a comparative fault indemnification
    contract. This is further supported by the fact that Section
    8.1(i) lacks 'an agreed-upon formula' for a comparative fault
    trial.
    "Finally, the Court notes that under no circumstances
    should it grant [Mobile Infirmary's] Cross-Motion for Partial
    Summary Judgment against Quest because neither Party
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    SC-2022-0641
    suggest the record establishes negligence by Quest or
    proximate cause against Quest. The plain language of the
    agreement does not allow for [Mobile Infirmary] to recover
    against Quest for [Mobile Infirmary's] own negligence. Thus,
    the Cross-Motion for Partial Summary Judgment is due to be
    denied. As discussed above, the Court concludes [Section]
    8.1(i) is insufficient to compel a comparative fault trial."
    (Emphasis in original.) Mobile Infirmary appeals.
    Standard of Review
    The material issue at this stage of the case does not involve a
    question of fact. "We review a summary judgment and all questions of
    law de novo." Pinkerton Sec. & Investigation Servs., Inc. v. Chamblee,
    
    961 So. 2d 97
    , 101 (Ala. 2006).
    Discussion
    On appeal, Mobile Infirmary maintains that Quest was required to
    indemnify it for the settlement of Mia's wrongful-death action.
    Specifically, Mobile Infirmary argues that Quest's failure to perform the
    basic metabolic panels ordered by Ward's doctor caused or contributed to
    his death and, thus, triggered the indemnity provision found in Section
    8.1 of the LMA, thereby entitling it to full indemnification from Quest
    under that provision. To the extent, however, that its own admitted
    negligence contributed, at least in part, to Ward's death, Mobile
    13
    SC-2022-0641
    Infirmary argues in the alternative that, under Section 8.1(v) of the LMA,
    Quest was still required to indemnify it for Quest's proportionate share
    of the fault in causing or contributing to Ward's death. For these reasons,
    Mobile Infirmary argues that the trial court erred in entering a summary
    judgment in Quest's favor.
    We address the alternative argument first. The decision in Holcim
    (US), Inc. v. Ohio Casualty Insurance Co., 
    38 So. 3d 722
    , 727 (Ala. 2009),
    considered the following certified question, as rephrased by the Court:
    "Whether, under Alabama law, an indemnitee may enforce an
    indemnification provision calling for the allocation of an obligation or
    damages based on the respective fault of the indemnitee and
    indemnitor?"   The answer was "in the affirmative": "[I]f two parties
    knowingly, clearly, and unequivocally enter into an agreement whereby
    they agree that the respective liability of the parties will be determined
    by some type of agreed-upon formula, then Alabama law will permit the
    enforcement of that agreement as written." Holcim, 
    38 So. 3d at 729
    .
    In arriving at this answer, the Court first noted that, generally,
    "joint tortfeasors are not entitled to common-law indemnity or
    contribution." 
    Id. at 727
    .
    14
    SC-2022-0641
    "In Vandiver v. Pollak, 
    107 Ala. 547
    , 553, 
    19 So. 180
    , 182
    (1895), this Court explained that the basis of this prohibition
    is found in the maxim ex turpi causa non oritur actio:
    " 'As a general principle of the common law it
    is often stated that indemnity or contribution will
    not be enforced as between joint wrong-doers. The
    reason underlying the principle is, that courts will
    not lend assistance to him who founds his cause of
    action on an immoral or illegal act -- "Ex turpi
    causa, oritur non actio." A trespasser confessing
    that he has injured or taken the property of
    another, is not entitled to the assistance of courts,
    instituted as well for the protection of property as
    for the protection of persons, to recover indemnity
    or contribution from his associates in the
    trespass.' "
    
    38 So. 3d at 727
    . See also Sherman Concrete Pipe Mach., Inc. v. Gadsden
    Concrete & Metal Pipe Co., 
    335 So. 2d 125
    , 127 (Ala. 1976) ("The general
    rule in Alabama, subject to exceptions, prohibits one of several joint
    tortfeasors from enforcing contribution from the others who participated
    in the wrong. This is because of the maxim that no man can make his
    own misconduct the ground for an action in his own favor.").
    Despite the maxim ex turpi causa non oritur actio, indemnity
    agreements in which the indemnitor agrees to indemnify the indemnitee
    for the indemnitee's own negligence can be enforced:
    " 'The Court has, for many years, held that as
    15
    SC-2022-0641
    between private parties, indemnity contracts are
    enforceable if the contract clearly indicates an
    intention to indemnify against the consequences of
    the indemnitee's negligence, and such provision
    was clearly understood by the indemnitor, and
    there is not shown to be evidence of a
    disproportionate bargaining position in favor of
    the indemnitee.'
    "Industrial Tile, Inc. v. Stewart, 
    388 So. 2d 171
    , 175 (Ala.
    1980). This rule includes the enforcement of a valid indemnity
    agreement that requires an indemnitor to indemnify an
    indemnitee for the indemnitee's own wrongdoing: '[I]f the
    parties knowingly, evenhandedly, and for valid consideration,
    intelligently enter into an agreement whereby one party
    agrees to indemnify the other, including indemnity against
    the indemnitee's own wrongs, if expressed in clear and
    unequivocal language, then such agreements will be upheld.'
    
    388 So. 2d at 176
    . See also Apel Mach. & Supply Co. v. J.E.
    O'Toole Eng'g Co., 
    548 So. 2d 445
    , 448 (Ala. 1989) ('Although
    the general rule in Alabama is that joint tort-feasors are not
    entitled to indemnity, when one joint tort-feasor agrees in
    writing to indemnify the other, even for claims based on the
    other's own negligence, the agreement, if it is a valid
    indemnity agreement, can be upheld, and the joint tort-feasor
    can receive indemnification.')."
    
    38 So. 3d at 727-28
    .     That said, those agreements must be clear:
    "However, 'the intention to indemnify the negligence of the indemnitee
    must clearly appear from the wording of the instrument, but when that
    intention is clear, the indemnity provisions will be read and construed so
    as to give them the meaning the parties have expressed.' " Holcim, 
    38 So. 16
    SC-2022-0641
    3d at 728 (quoting Eley v. Brunner-Lay S. Corp., 
    289 Ala. 120
    , 124, 
    266 So. 2d 276
    , 280 (1972), overruled on other grounds by Goodyear Tire &
    Rubber Co. v. J.M. Tull Metals Co., 
    629 So. 2d 633
     (Ala. 1993)).
    Because parties may enter into agreements that allow an
    indemnitee to recover from the indemnitor even for claims resulting
    solely from the negligence of the indemnitee, this Court saw no legal
    obstacle to an indemnification agreement calling for the allocation of an
    obligation or damages based on the respective fault of the indemnitee and
    the indemnitor, that is, a contractual agreement providing a form of
    otherwise barred joint-tortfeasor contribution:
    "If, under Alabama law, the maxim ex turpi causa non
    oritur actio provides no barrier to a contractual agreement in
    which an indemnitor may obligate himself or herself to pay an
    indemnitee's obligation resulting from the indemnitee's own
    wrongs, then, a fortiori, we see no barrier to an agreement
    between parties for an indemnitor to provide indemnity where
    the indemnitor's own wrongs also contribute to the creation of
    the obligation. Similarly, we see no barrier to the freedom of
    parties to negotiate an agreement providing for the allocation
    of a proportionate part of the obligation or damages based on
    the parties' respective fault. As we have previously stated,
    when ' "dealing with an Alabama contract entered into by two
    competent contracting parties in this State, ... we are mindful
    of our duty to avoid, if at all possible, infringing upon the
    rights of either or both." ' Shoney's [LLC v. MAC East, LLC],
    27 So. 3d [1216,] 1223 [(Ala. 2009)] (quoting Summers v.
    Adams Motor Co., 
    34 Ala. App. 319
    , 324, 
    39 So. 2d 300
    , 304
    (1949))."
    17
    SC-2022-0641
    
    38 So. 3d at 728-29
     (footnote omitted).
    This Court held that such agreements, 1 which, again, are contrary
    to the general prohibition on indemnity or contribution between joint
    wrongdoers, must themselves be clear: "[I]f two parties knowingly,
    clearly, and unequivocally enter into an agreement whereby they agree
    that the respective liability of the parties will be determined by some type
    of agreed-upon formula, then Alabama law will permit the enforcement
    of that agreement as written." 
    Id. at 729
     (emphasis added). 2
    As noted previously, in Section 8.1 of the LMA, Quest agreed to
    indemnify and hold Mobile Infirmary harmless against
    "any and all liability, losses, damages, claims or causes of
    action … that are caused by or a result of (i) any negligent or
    intentional act, error or omission by Quest Diagnostics, its
    employees, agents, servants or representatives with respect
    to its responsibilities and/or the performance of Services
    hereunder, to the extent such Claim does not arise from an
    1In   Holcim, this Court specifically disclaimed "expressing an
    opinion as to the proper interpretation" of the agreement in that case. 
    38 So. 3d at 727
    .
    2Given  the above, we reject the conclusion of the Eleventh Circuit
    Court of Appeals in Ohio Casualty Insurance Co. v. Holcim (US), Inc.,
    
    589 F.3d 1361
    , 1363 n.1 (11th Cir. 2009), in which that court interpreted
    our decision in Holcim as not requiring such agreements to have "clear
    and unequivocal language."
    18
    SC-2022-0641
    act or omission or cause for which [Mobile Infirmary] is
    required to provide indemnity pursuant to Section 8.2 below
    … [or] (v) any personal injury (including death) or property
    damage caused by or arising from the negligence, acts or
    omissions of Quest Diagnostics or any employee or agent of
    Quest Diagnostics .…"
    (Emphasis added.) Under Section 8.2, Mobile Infirmary in turn agreed
    to indemnify Quest from and against
    "any and all Claims … (i) directly caused by or as a result of
    any negligent or intentional act, error or omission by [Mobile
    Infirmary] … with respect to its responsibilities [under the
    LMA], to the extent such Claim does not arise from an act or
    omission or cause for which Quest Diagnostics is required to
    provide indemnity pursuant to Section 8.1 above … [or] (v)
    any personal injury (including death) … caused by or arising
    from the negligence, acts or omissions of [Mobile Infirmary]
    or any employee or agent of [Mobile Infirmary] …."
    (Emphasis added.)
    Under Section 8.1(v), Quest has agreed to indemnify and hold
    Mobile Infirmary harmless for "any and all liability" caused by or that
    was the result of "any personal injury (including death)" that arose out of
    Quest's negligence, acts, or omissions. Likewise, under Section 8.2(v),
    Mobile Infirmary has agreed to indemnify and hold Quest harmless for
    "any and all" claims related to "any personal injury (including death)"
    that arose from Mobile Infirmary's negligence, acts, or omissions.
    19
    SC-2022-0641
    Together, these provisions may be read to mean that the parties have
    agreed to indemnify each other for all liability that may arise from their
    respective negligence, acts, or omissions.
    Mobile Infirmary admitted that Ward's death was caused in part
    by its negligence within the meaning of Section 8.2; its acts formed a
    basis for Mia's action (that is, Mia's action arose from Mobile Infirmary's
    acts). Under Section 8.2(v), it would be required to hold Quest harmless
    for all claims arising from such acts. If Quest's acts also contributed to
    Ward's death (that is, if Mia's action also arose from Quest's acts), then,
    under Section 8.1(v), Quest would hold Mobile Infirmary harmless from
    all claims arising from such acts. If both of these provisions apply, they
    could be read to require each party to hold the other harmless from all
    claims asserted in Mia's wrongful-death action.
    Mobile Infirmary argues, however, that Sections 8.1(v) and 8.2(v)
    instead require each party to indemnify the other for its own
    proportionate share of fault. As stated previously, Holcim makes clear
    that parties must "knowingly, clearly, and unequivocally enter into an
    [indemnity] agreement whereby they agree that the respective liability
    of the parties will be determined by some type of agreed-upon formula."
    20
    SC-2022-0641
    
    38 So. 3d at 729
    . In the present case, although Sections 8.1(v) and 8.2(v)
    can be read to address when a claim arises from either party's acts, they
    do not clearly and unequivocally address what happens when a claim
    arises out of acts of both parties. The provisions require indemnification
    for all liability; but, if both are at fault, it is unclear how both can be liable
    in full. Nowhere in these provisions do the parties expressly agree or
    clearly provide a formula that, in the event there is a claim that arises
    out of partial liability or concurrent acts by both parties, indemnification
    will be required for a proportionate share.            Without a "clear" and
    "unequivocal"     agreement     addressing     indemnification      in   such   a
    concurrent-fault situation, Mobile Infirmary's proposed reading of these
    sections does not comply with Holcim.
    The same analysis applies to Section 8.1(i).           Mobile Infirmary
    argues that this provision provides a proportionate-fault formula
    pursuant to which Quest must indemnify it for the portion of the damages
    resulting from its negligence that caused or contributed to Ward's death.
    Under Section 8.1(i), Quest has agreed to indemnify Mobile Infirmary
    against "any and all" claims that are caused by or are the result of "any
    negligent or intentional act, error or omission by Quest … to the extent
    21
    SC-2022-0641
    such Claim does not arise from an act or omission or cause for which
    [Mobile Infirmary] is required to provide indemnity pursuant to Section
    8.2." (Emphasis added.) As noted above, Section 8.2(v) can be read to
    require Mobile Infirmary to hold Quest harmless for all claims asserted
    in Mia's wrongful-death action. Further, the phrase "to the extent" can
    be read to mean that indemnity is required "if" the claim does not "arise"
    from Mobile Infirmary's own conduct, which would be consistent with a
    reading of Sections 8.1(v) and 8.2(v) requiring indemnity for "sole" fault.
    However, Mobile Infirmary suggests that the phrase can also be read as
    providing a quantity or proportion, meaning, "to the degree." If this
    alternate reading is also viable, it only amplifies the ambiguity of these
    indemnity provisions, demonstrating that they are not "clear" and
    "unequivocal" as required by Holcim.
    In summary, the LMA could have specified that each party was
    required to indemnify the other for any proportional share of fault in the
    case of potential joint liability. The cited provisions do not clearly and
    unequivocally do so. It might be implied, but so might other reasonable
    and contrary implications. Thus, Mobile Infirmary's alternate argument
    does not demonstrate reversible error.
    22
    SC-2022-0641
    As to Mobile Infirmary's initial argument, it contends that, because
    Sections 8.1(v) and 8.2(v) "cancel each other out," it would not be required
    to provide any indemnity to Quest under Section 8.2. Thus, it asserts,
    under Section 8.1(i), Quest would be required to indemnify it "in full" for
    all damages in Mia's wrongful-death action because the limitation in that
    part -- "to the extent such Claim does not arise from an act or omission
    or cause for which [Mobile Infirmary] is required to provide indemnity
    pursuant to Section 8.2" -- would not apply. (Emphasis added.) We
    disagree.   As the trial court held, "[b]ased on [Mobile Infirmary's]
    admission that the death of Mr. Ward was indeed caused, in part, by the
    negligence of [Mobile Infirmary], the Court concludes that Section 8.2(v)
    is triggered." In such a circumstance, the terms of Section 8.1(i) do not
    require indemnification by Quest.         That Quest could be required to
    indemnify Mobile Infirmary under Section 8.1(v) does not nullify the fact
    that Section 8.2(v) was, as the trial court held, "triggered" under the facts
    of this case.
    Conclusion
    For the reasons stated above, the trial court's judgment is affirmed.
    AFFIRMED.
    23
    SC-2022-0641
    Wise, Bryan, Sellers, Mendheim, and Stewart, JJ., concur.
    Cook, J., concurs specially, with opinion, which Mitchell, J., joins.
    Parker, C.J., dissents, with opinion.
    24
    SC-2022-0641
    COOK, Justice (concurring specially).
    I concur with the main opinion. I write specially to clarify my
    understanding of our holding in this case.
    In Holcim (US), Inc. v. Ohio Casualty Insurance Co., 
    38 So. 3d 722
    ,
    729 (Ala. 2009), this Court explained: "[I]f two parties knowingly, clearly,
    and unequivocally enter into an agreement whereby they agree that the
    respective liability of the parties will be determined by some type of
    agreed-upon formula, then Alabama law will permit the enforcement of
    that agreement as written." (Emphasis added.) Requiring that indemnity
    agreements be "clear and unequivocal" is not confined solely to the fact
    of indemnity but logically extends to the scope of that indemnity (that is,
    it applies even if the parties are joint tortfeasors). After all, indemnity,
    contribution among joint tortfeasors, and comparative negligence are all
    departures from our normal liability rules.
    In this case, Mobile Infirmary contends that simply by including
    the language "to the extent" in the Laboratory Management Agreement's
    indemnity provisions, the allocation of fault among the parties to those
    provisions was "clear and unequivocal." It was not. Although the parties
    string-cited cases from other jurisdictions interpreting similar "to the
    25
    SC-2022-0641
    extent" language in contracts, both sides admit that courts have reached
    conflicting results on whether this language is ambiguous. In fact, the
    Eleventh Circuit Court of Appeals held that this language was
    ambiguous. See Ohio Cas. Ins. Co. v. Holcim (US), Inc., 
    548 F.3d 1352
    ,
    1356-58 (11th Cir. 2008); Ohio Cas. Ins. Co. v. Holcim (US), Inc., 
    589 F.3d 1361
    , 1363 (11th Cir. 2009). If a number of courts have found this
    language to be "ambiguous," such language generally fails the
    heightened requirement of being "clear and unequivocal."
    Although the main opinion alludes to the need for an "agreed-upon
    formula" in such provisions, I do not understand our holding to require
    specific, talismanic language or a mathematical formula expressed in
    numbers or any heightened test of certainty in how a formula will work.
    For instance, I do not understand our holding to decide whether the
    words "to the degree" would have been sufficient. The problem here is
    that the contract was not "clear and unequivocal" regarding whether
    there would be any allocation if there was concurrent liability. What I
    understand our holding to say is that such provisions should make clear
    that some allocation of fault among the parties will occur. If necessary,
    the court can then apply traditional contract-construction principles to
    26
    SC-2022-0641
    provisions regarding how to actually make that allocation. Clarity is
    almost always a good thing, and the parties almost always understand
    -- far better than a court after the fact -- what they truly intend.
    Mitchell, J., concurs.
    27
    SC-2022-0641
    PARKER, Chief Justice (dissenting).
    In my view, the issue presented in this case was not decided by
    Holcim (US), Inc. v. Ohio Casualty Insurance Co., 
    38 So. 3d 722
     (Ala.
    2009). And I believe that Sections 8.1(v) and 8.2(v) of the Laboratory
    Management Agreement are best understood as requiring fault-based
    apportionment of indemnity between the parties.
    First, Holcim did not hold that apportioned-indemnity provisions
    must be unambiguous to be enforceable. In reading Holcim as so holding,
    the main opinion overlooks the analytical frame within which that case
    was decided.
    Holcim came to us on a certified question from the United States
    Court of Appeals for the Eleventh Circuit. The indemnity provision there
    required indemnification of losses suffered by the indemnitee " ' " 'to the
    extent such losses are attributable to the negligence or willful misconduct
    of [the indemnitor]. ' " ' " 
    Id. at 725
     (emphasis added; citations omitted).
    Before the Eleventh Circuit, the indemnitee argued that the phrase "to
    the extent" required indemnification based on apportionment of fault
    between the parties. 
    Id. at 726
    . The indemnitor argued that the
    indemnity provision's language was not specific enough to require
    28
    SC-2022-0641
    apportionment, partly because it did not provide a method for
    apportionment. 
    Id.
     The Eleventh Circuit thought both arguments were
    reasonable. 
    Id.
     But that court recognized that, if the indemnitee's
    argument were right and the provision required apportionment, a
    question would arise whether such a provision is enforceable under
    Alabama law. That question is the essence of what the Eleventh Circuit
    certified to us. See 
    id.
     We rephrased the certified question, distilling it to
    that essence. 
    Id. at 727
    .
    Crucially for the present case, we then made clear that we would
    answer the question "[w]ithout expressing an opinion as to the proper
    interpretation of the actual agreement between [the indemnitee] and [the
    indemnitor]." 
    Id.
     In other words, we did not decide the issue disputed by
    the parties in the Eleventh Circuit -- whether the indemnity provision's
    language was specific enough to require apportionment. Rather, we did
    the same thing the Eleventh Circuit had done in certifying the question:
    We assumed for purposes of our analysis that the indemnitee's view was
    correct -- that the provision's language was specific enough to require
    apportionment. That assumption was necessary to the whole analysis
    that followed, because if the provision did not require apportionment
    29
    SC-2022-0641
    because it was not specific enough, then the certified question --
    essentially,   whether      apportioned-indemnity       provisions     are
    unenforceable based on Alabama public policy -- was moot.
    In answering the (rephrased) certified question, we reviewed our
    precedent on contractual indemnity for an indemnitee's own wrongdoing,
    as discussed in today's main opinion. In summary, under common law,
    joint tortfeasors were not entitled to indemnity because courts generally
    will not assist a person whose claim is founded on his own wrongdoing.
    
    Id. at 727
    . Despite that equity-based rationale, courts will enforce
    contracts in which a party agrees to indemnify for the indemnitee's own
    negligence. 
    Id.
     However, to be enforceable, such provisions must be
    written in clear and unequivocal language and must be entered into by
    the indemnitor knowingly, evenhandedly, and without disproportionate
    bargaining position of the indemnitee, 
    id. at 727-28
    , presumably because
    of those provisions' tension with equity. Next, we reviewed our precedent
    on freedom of contract and its general applicability to indemnity. 
    Id. at 728
    . Finally, we applied these principles by reasoning from the greater
    to the lesser: If Alabama public policy did not prohibit an indemnitor from
    contracting to indemnify an indemnitee for the indemnitee's own
    30
    SC-2022-0641
    wrongdoing, then Alabama public policy also did not prohibit an
    indemnitor from contracting to indemnify an indemnitee for the
    indemnitor's apportioned wrongdoing as to a jointly caused harm. 
    Id. at 728
    . We then concluded: "Accordingly, if two parties knowingly, clearly,
    and unequivocally enter into an agreement whereby they agree that the
    respective liability of the parties will be determined by some type of
    agreed-upon formula, then Alabama law will permit the enforcement of
    that agreement as written." 
    Id. at 729
    .
    Within that last sentence, the words "knowingly, clearly, and
    unequivocally" and "by some type of agreed-upon formula" were
    necessarily dicta. As explained above, the only question before this Court
    was whether an indemnity provision whose language did require
    apportionment would be unenforceable under Alabama public policy.
    Clearly not before us was the question what language was necessary to
    require apportionment. Both the Eleventh Circuit and this Court had
    expressly declined to answer that question at that juncture, because both
    courts were focused on the public-policy question that required assuming
    that the subject provision required apportionment.
    31
    SC-2022-0641
    Put another way, today's main opinion views Holcim as requiring
    that apportioned-indemnity provisions be "clear and unequivocal" and
    provide a "formula" for apportionment. If that view were correct, in
    Holcim we would have held at the outset that the provision was
    unenforceable (and declined to answer the certified question as moot)
    because the Eleventh Circuit had already determined that the provision
    was ambiguous. But we did not approach the provision that way, because
    we were assuming that the provision was enforceable as a matter of
    language and were examining only whether it was unenforceable as a
    matter of policy.
    There is another reason why that surplus language in Holcim's
    conclusion sentence should be understood as dicta: It does not flow from
    the equitable, public-policy concerns that underlie our cases' "clear and
    unequivocal" requirement for provisions that agree to indemnification for
    an indemnitee's own wrongdoing. Such a provision does more than depart
    from the common-law rule against indemnity among joint tortfeasors. It
    goes further, requiring an indemnitor to indemnify against the
    indemnitee's own fault, separate from the indemnitor's fault, thus
    essentially requiring the indemnitor to act as an insurer. Cf. Industrial
    32
    SC-2022-0641
    Tile, Inc. v. Stewart, 
    388 So. 2d 171
    , 175-76 (Ala. 1980) (" '[S]uch
    provisions must be construed in favor of the indemnitor in instances
    where the indemnity is not contracted for from an insurance company
    engaged in the business of writing, for consideration, such coverage ….' "
    (citation omitted)). Such an arrangement cuts so deeply against the grain
    of ordinary principles of equity that, to be enforceable, it must have been
    entered into with the clearest of notice to the indemnitor. See 
    id. at 176
    ("The Court's insistence that such provisions be unambiguous and
    unequivocal arises from its concern that, generally speaking, one should
    not be able to contract against the consequences of his own wrong.").
    In contrast, a provision that calls for partial indemnity based on
    apportionment of fault does not trigger that equitable concern. The
    indemnitor is not indemnifying against the indemnitee's own fault, but
    only against the indemnitor's fault. Even absent a contractual indemnity
    provision, the common law itself would likely require that kind of
    indemnification (via contribution), at least outside the context of joint
    active tortfeasors. See American S. Ins. Co. v. Dime Taxi Serv., Inc., 
    275 Ala. 51
    , 55, 
    151 So. 2d 783
    , 785 (1963). An apportioned-indemnity
    provision merely extends the common law's fault-based scheme of
    33
    SC-2022-0641
    indemnity/contribution to the joint-tortfeasor scenario. Hence, the
    equitable justification for a "clear and unequivocal" requirement, so
    necessary as to an indemnitee's-own-wrongdoing provision, is simply not
    present when dealing with an apportioned-indemnity provision.
    In accord with this view was the Eleventh Circuit's follow-up
    Holcim decision after we answered the certified question:
    "The Supreme Court of Alabama explicitly declined to express
    an opinion about the proper interpretation of the language at
    issue here. Moreover, our conclusion that the contract
    language is ambiguous does not require the ultimate finding
    that no valid agreement on this issue existed between the
    parties. Alabama's requirement for 'clear and unequivocal'
    language seems to us to apply to those agreements in which
    an indemnitor agrees to assume the burden of losses
    attributable to the fault of the indemnitee. Here, however,
    [the indemnitee] only seeks indemnification from [the
    indemnitor] to the extent of [the indemnitee's] losses that
    were caused by [the indemnitor], pursuant to an analysis of
    comparative fault."
    Ohio Cas. Ins. Co. v. Holcim (US), Inc., 
    589 F.3d 1361
    , 1363 n.1 (11th Cir.
    2009) (citations omitted). In my view, that part of the Eleventh Circuit's
    decision correctly interpreted our Holcim opinion. That opinion did not
    hold that apportioned-indemnity provisions must be clear and
    unequivocal or that they must provide a formula for apportionment.
    34
    SC-2022-0641
    Second, the indemnity provisions here are best interpreted as
    requiring fault-based apportionment of indemnity between the parties.
    Outside the context of provisions requiring indemnification for an
    indemnitee's own wrongdoing, "[w]hen construing an indemnity
    agreement, this Court has applied the general rules of contract
    interpretation," Once Upon a Time, LLC v. Chappelle Props., LLC, 
    209 So. 3d 1094
    , 1096 (Ala. 2016). Specifically, when confronted with
    ambiguous indemnity provisions, we have looked to principles of contract
    interpretation that might resolve the ambiguity. See, e.g., FabArc Steel
    Supply, Inc. v. Composite Constr. Sys., Inc., 
    914 So. 2d 344
    , 357-61 (Ala.
    2005); Alfa Mut. Ins. Co. v. Nationwide Mut. Ins. Co., 
    684 So. 2d 1295
    ,
    1298-1301 (Ala. 1996).
    Thus, I would resolve the present provisions' ambiguity as we would
    resolve any other, by applying principles of contract interpretation. There
    are three possible interpretations of Sections 8.1(v) and 8.2(v) in a
    situation when both parties are at fault: (1) The two parties can obtain
    indemnification back and forth ad infinitum, (2) the provisions cancel
    each other out and have no effect, or (3) the provisions require
    apportionment of fault. " '[W]here there is a choice between a valid
    35
    SC-2022-0641
    construction and an invalid construction [of an indemnity provision,] the
    court has a duty to accept the construction that will uphold, rather than
    destroy, the contract and that will give effect and meaning to all of its
    terms.' " Once Upon a Time, 209 So. 3d at 1097 (citation omitted). Only
    option (3), apportionment, avoids both the absurdity of option (1) and the
    destruction that would result from option (2). Other courts have
    interpreted   similarly   dueling    indemnity    provisions   to   require
    apportionment. See Joseph Francese, Inc. v. DOS Concrete Servs., Inc.,
    
    47 Mass. App. Ct. 367
    , 
    713 N.E.2d 984
     (1999); Bank One, N.A. v. Echo
    Acceptance Corp., 
    522 F. Supp. 2d 959
    , 971-73 (S.D. Ohio 2007); Gap, Inc.
    v. Apex Xpress, Inc., No. A146176, June 14, 2017 (Cal. Ct. App. 2017)
    (unpublished opinion).
    In addition to allowing Sections 8.1(v) and 8.2(v) to be enforceable,
    this interpretation allows them to be read harmoniously with Sections
    8.1(i) and 8.2(i). The (i) subsections require indemnification for "any
    negligent or intentional act, error or omission by [the indemnitor] ... with
    respect to its responsibilities ... hereunder, to the extent such Claim does
    not arise from an act or omission or cause for which [the indemnitee] is
    required to provide indemnity pursuant to [the corresponding indemnity
    36
    SC-2022-0641
    section] ...." (Emphasis added.) The (v) subsections are more specific,
    requiring indemnification for "any personal injury (including death) or
    property damage caused by or arising from the negligence, acts or
    omissions of [the indemnitor]" (emphasis added) and do not contain the
    "to the extent" caveat. Under the general/specific canon of construction,
    specific provisions override general provisions in the specific situations
    to which they apply. See ERA Commander Realty, Inc. v. Harrigan, 
    514 So. 2d 1329
    , 1335 (Ala. 1987); Antonin Scalia & Bryan A. Garner,
    Reading Law 183-88 (Thomson/West 2012). Thus, under the (i)
    subsections, generally indemnity is not provided when both parties cause
    an indivisible harm ("to the extent such Claim does not arise from an act
    or omission or cause for which [the indemnitee] is required to provide
    indemnity" (emphasis added)). However, under the (v) subsections, when
    the harm is specifically personal injury, death, or property damage, there
    is no prohibition of reciprocal indemnity, and the parties are liable to
    indemnify each other based on their respective apportioned fault.
    Today's main opinion imposes new requirements that apportioned-
    indemnity provisions be clear and unequivocal and provide a formula for
    apportionment. Those requirements infringe on the parties' freedom of
    37
    SC-2022-0641
    contract (which we emphasized in Holcim, see 
    38 So. 3d at 727-28
    )
    without any justification in either Holcim's holding or the equitable
    principles underlying its analysis. Without such a justification, I would
    not impose those new requirements.
    38