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Volume 18, Edition 4, cases

Kut Suen LUI and May Far Lui, Respondents, v. ESSEX INSURANCE COMPANY, Appellant.

Court of Appeals of Washington, Division 1.

Kut Suen LUI and May Far Lui, Respondents,

v.

ESSEX INSURANCE COMPANY, Appellant.

No. 72835–1–I. | April 6, 2015.

Appeal from Pierce County Superior Court; Hon. Susan K. Serko, J.

Attorneys and Law Firms

Michael K. McCormack, Bullivant Houser Bailey, Seattle, WA, for Appellant.

Jose Dino Vasquez, Jacque Elizabeth St. Romain, Thomas Dean Adams, Karr Tuttle Campbell, Seattle, WA, for Respondents.

 

 

UNPUBLISHED OPINION

LAU, J.

*1 After a vacant building owned by Kut Suen and May Far Lui was damaged by a frozen water pipe, Essex Insurance Co. denied coverage for the property loss because the Luis’ insurance policy excluded losses due to water damage when the building is vacant. On the parties’ cross motions for summary judgment, the trial court granted the Luis’ motion and denied Essex’s motion.1 It concluded that the policy’s vacancy provisions are ambiguous and construed the policy in favor of the Luis. But because the plain language of the policy unambiguously denies coverage for water damage at the inception of any vacancy, we reverse and remand for further proceedings.

 

 

FACTS

The main facts are undisputed. Kut Suen and May Far Lui owned a three-story building containing tenant space. On or about January 1, 2011, a water pipe froze and burst, causing substantial damage to the building. No tenant occupied the building at the time. The previous tenant, The Agape Foundation Inc., was evicted around December 7, 2010, for failure to pay rent. Upon discovering the damage, the Luis notified Essex Insurance Co., their insurance provider. Essex investigated the Luis’ insurance claim and ultimately paid the Luis $293,578.05 for property damage. When Essex learned that the building was vacant during the time of the loss, it denied coverage of their insurance claim. In a letter to the Luis’ attorney, Essex explained that the vacancy endorsement in the Luis’ insurance policy prevented coverage for water damage occurring when the building is vacant. Essex stated that although it would refrain from seeking reimbursement for the almost $300,000 already paid, it would no longer provide any coverage for the loss:

This letter explains the reasons why Essex must deny your clients’ claim based on the investigation to date.

First, the policy contains a Change of Conditions Endorsement, which I copy here at Appendix A. This Endorsement was specifically endorsed to the policy over the past few years. As you will see, the Endorsement states:

Effective at the inception of any vacancy or unoccupancy, the Causes of Loss provided by this policy are limited to Fire, Lightening, Explosion, Windstorm or Hail, Smoke, Aircraft or Vehicles, Riot or Civil Commotion, unless prior approval has been obtained from the Company.

In this situation, the subject building was vacant and unoccupied at the time of the loss. The insurance company was never notified of the vacancy until after the loss, and hence never approved coverage beyond the named perils listed in the Endorsement. The cause of the January 1, 2011 loss was not one of the perils named in the Change of Conditions Endorsement. Therefore, the insurance company cannot provide coverage for the claimed loss.

 

The Luis sued Essex2 for the remainder of the total claimed amount.3 Both the Luis and Essex filed cross motions for summary judgment. The Luis argued that the policy’s vacancy provisions did not restrict insurance coverage until after 60 consecutive days of vacancy occurred. The Luis also claimed that (1) Essex waived its right to deny coverage, (2) Essex was estopped from claiming the vacancy provision in the policy restricted coverage, and (3) Essex denied coverage in bad faith. Essex argued in its motion for summary judgment that the policy’s vacancy provisions trigger at the inception of any vacancy and, therefore, unambiguously deny coverage for the Luis’ claim.

 

*2 The trial court denied Essex’s motion for summary judgment and granted partial summary judgment in favor of the Luis, concluding that the vacancy endorsement is ambiguous and construing the endorsement in favor of the Luis. The trial court declined to grant summary judgment on the Luis’ remaining claims of waiver, estoppel, and bad faith due to genuine issues of material fact: “I’m not making a determination on estoppel or waiver, and I’m not granting the plaintiff’s motion for bad faith. I believe there are issues of fact that govern all those latter issues.” Report of Proceedings (Aug. 30, 2015) at 25. The trial court’s ruling addressed the sole issue of whether the vacancy endorsement denied the Luis’ insurance coverage.

 

Essex moved for reconsideration. Alternatively, Essex requested that the trial court certify its ruling for interlocutory appeal under RAP 2.3(b)(4). The trial court denied Essex’s reconsideration motion but granted the motion to certify. Under RAP 2.3(b)(4), the trial court certified its prior ruling that the vacancy provision did not suspend coverage of the Luis’ insurance claim. Therefore, the sole issue in this interlocutory appeal is the interpretation of the vacancy provision:

The Court finds that its legal interpretation of the insurance policy language is a novel controlling question of law about which there are grounds for disagreement. There are no material issues of fact on which the Court’s interpretation depends…. [A]ppellate review will determine whether Plaintiff’s remaining claims should proceed to trial.

Accordingly, the Luis’ remaining claims of waiver, estoppel, and bad faith are not properly before us.

 

 

ANALYSIS

Standard of Review

This court reviews an order granting summary judgment de novo, performing the same inquiry as the trial court. Sheikh v. Choe, 156 Wn.2d 441, 447, 128 P.3d 574 (2006). Granting summary judgment is proper when there is no genuine issue as to any material fact and the moving party is entitled to judgment as a matter of law. CR 56(c); see Ranger Ins. Co. v. Pierce County, 164 Wn.2d 545, 552, 192 P.3d 886 (2008). Interpretation of an insurance contract is a question of law reviewed de novo. Woo v. Fireman’s Fund Ins. Co., 161 Wn.2d 43, 52, 164 P.3d 454 (2007).

 

 

The Vacancy Endorsement

The parties dispute whether the vacancy endorsement in the insurance contract requires an insured building to be vacant for 60 days4 before coverage is limited. The vacancy endorsement provides:

 

 

VACANCY OR UNOCCUPANCY

Coverage under this policy is suspended while a described building, whether intended for occupancy by owner or tenant, is vacant or unoccupied beyond a period of sixty consecutive days, unless permission for such vacancy or unoccupancy is granted hereon in writing and an additional premium is paid for such vacancy or unoccupancy.

Effective, at the inception of any vacancy or unoccupancy, the Causes of Loss provided by this policy are limited to Fire, Lightning, Explosion, Windstorm or Hail, Smoke, Aircraft or Vehicles, Riot or Civil Commotion, unless prior approval has been obtained from the Company.

*3 (Boldface omitted.) The policy provides a specific definition for “vacancy” in the building and personal property coverage form:

6. Vacancy

a. Description of Terms

(1) As used in this Vacancy Condition, the term building and the term vacant have the meanings set forth in 1(a) and 1(b) below.

….

(b) When this policy is issued to the owner or general lessee of a building, building means the entire building. Such building is vacant unless at least 31% of its total square footage is:

(i) Rented to a lessee or sub-lessee and used by the lessee or sub-lessee to conduct its customary operations; and/or

(ii) Used by the building owner to conduct customary operations.

(2) Buildings under construction or renovation are not considered vacant.

b. Vacancy Provisions

If the building where loss or damage occurs has been vacant for more than 60 consecutive days before that loss or damage occurs:

(1) We will not pay for any loss or damage caused by any of the following even if they are Covered Causes of Loss:

(a) Vandalism;

(b) Sprinkler leakage, unless you have protected the system against freezing;

(c) Building glass breakage;

(d) Water damage;

(e) Theft; or

(f) Attempted theft.

(2) With respect to Covered Causes of Loss other than those listed in b. (1)(a) through b.(1)(f) above, we will reduce the amount we would otherwise pay for the loss or damage by 15%.

(Boldface omitted.) Essex argues these provisions are unambiguous. It contends the vacancy provisions mean that, absent written permission and additional premium, the instant a building becomes “vacant” (i.e., “at the inception of any vacancy ….”), it is covered only for the limited causes of loss listed in the second paragraph of the vacancy endorsement (fire, lightning, explosion, windstorm or hail, smoke, aircraft or vehicles, riot or civil commotion). After 60 days of vacancy, coverage is suspended altogether. The Luis respond that the policy is ambiguous and could reasonably be read to mean that “the ‘vacancy’ condition does not occur until the building has been vacant or unoccupied for sixty days; upon inception of this vacancy condition, i.e., the post-sixty day period, and with payment of an additional premium, Essex provides coverage but the coverage is limited to certain enumerated Causes of Loss.” Br. of Resp’t at 12. Because the vacancy endorsement’s plain language unambiguously restricts coverage at the beginning of any vacancy, we reverse the trial court’s grant of summary judgment in the Luis’ favor.

 

The Vacancy Endorsement is Unambiguous

Insurance policies are construed as contracts. Findlay v. United Pac. Ins. Co., 129 Wn.2d 368, 378, 917 P.2d 116 (1996). Washington courts follow the objective manifestation theory of contracts, looking for the parties’ intent as objectively manifested rather than their unexpressed subjective intent. Hearst Commc’ns, Inc. v. Seattle Times Co., 154 Wn.2d 493, 503, 115 P.3d 262 (2005). Therefore, courts consider only what the parties wrote, giving words their ordinary, usual, and popular meaning unless the agreement as a whole clearly demonstrates contrary intent. Hearst, 154 Wn.2d at 504. “Every insurance contract shall be construed according to the entirety of its terms and conditions as set forth in the policy, and as amplified, extended, or modified by any rider, endorsement, or application attached to and made a part of the policy.” RCW 48.18.520. An insurance policy is construed as a whole, with the policy being given a “ ‘fair, reasonable, and sensible construction as would be given to the contract by the average person purchasing insurance.’ “ Key Tronic Corp. v. Aetna (CIGNA) Fire Underwriters Ins. Co., 124 Wn.2d 618, 627, 881 P.2d 201 (1994) (quoting Queen City Farms, Inc. v. Cent. Nat’l Ins. Co., 126 Wn.2d 50, 65, 882 P.2d 703, 891 P.2d 718 (1994)). Courts harmonize clauses that seem to conflict in order to give effect to all the contract’s provisions. Nishikawa v. U.S. Eagle High, LLC, 138 Wn.App. 841, 849, 158 P.3d 1265 (2007). Insurance limitations must be clear and unequivocal. Bordeaux, Inc. v. Am. Safety Ins. Co., 145 Wn.App. 687, 694, 186 P.3d 1188(2008).

 

*4 We will find a clause ambiguous only “when, on its face, it is fairly susceptible to two different interpretations, both of which are reasonable.” Am. Nat’l Fire Ins. Co. v. B & L Trucking & Constr. Co., 134 Wn.2d 413, 428, 951 P.2d 250 (1998). We construe ambiguity in favor of coverage. Key Tronic, 124 Wn.2d at 630. But we cannot “create ambiguity where none exists.” Quadrant Corp. v. Am. States Ins. Co., 154 Wn.2d 165, 171, 110 P.3d 733 (2005). We will not find a contract provision ambiguous simply because it is complex or confusing. McDonald v. State Farm Fire & Cas. Co., 119 Wn.2d 724, 734, 837 P.2d 1000 (1992). Therefore, our task is to determine whether each party’s proposed interpretation is reasonable. If both are reasonable, then we must construe the policy in favor of the Luis.

 

Essex proposes the only reasonable interpretation of the policy. Under Essex’s interpretation, the policy alters coverage in two ways, absent written permission to the contrary. First, it restricts coverage to specified causes of loss whenever usage of the insured building drops below 31 percent, i.e., when it becomes “vacant.”5 Second, after 60 consecutive days of vacancy, coverage is suspended altogether.

 

The plain language of the policy supports this interpretation. The vacancy section of the building and personal property coverage form states that the insured building “is vacant unless 31% of its total square footage is: (i) Rented to a lessee or sub-lessee and used by the lessee or sub-lessee to conduct its customary operations; and/or (ii) Used by the building owner to conduct customary operations.” Therefore, when less than 31 percent of the building is in use, it is “vacant.” According to the second paragraph of the vacancy endorsement, “at the inception of any vacancy or unoccupancy, the Causes of Loss provided by this policy are limited to Fire, Lightning, Explosion, Windstorm or Hail, Smoke, Aircraft or Vehicles, Riot or Civil Commotion, unless prior approval has been obtained from the Company.” Finally, under the first paragraph of the vacancy endorsement, the policy provides no coverage after 60 days of vacancy, absent written permission: “Coverage under this policy is suspended while a described building, whether intended for occupancy by owner or tenant, is vacant or unoccupied beyond a period of sixty consecutive days….”6

 

Insurers use vacancy provisions like this one to reflect the increased risk posed by vacant buildings. See, e.g., Heartland Capital Invs., Inc. v. Grange Mut. Cas. Co., 2010 WL 432333 (C.D.Ill.2010). Vacant buildings are more susceptible to insurance risks such as fire, trespass, leaks, and other defects that often cause greater damage because they go unnoticed. Rojas v. Scottsdale Ins. Co., 678 N.W.2d 527, 533 (Neb.2004). Washington courts have recognized that vacancy provisions are reasonable and should be enforced as any other contract provision. Brehm Lumber Co. v. Svea Ins. Co., 36 Wash. 520, 524, 79 P. 34 (1905).

 

*5 Nevertheless, the Luis argue that the vacancy endorsement is ambiguous. The Luis contend that the vacancy condition in the endorsement is not triggered until the building has been vacant for 60 days. At the inception of this condition, absent written permission to the contrary, coverage is suspended. But with written permission and an additional premium, Essex provides coverage for the enumerated causes of loss in the second paragraph of the endorsement.

 

The Luis’ interpretation is unreasonable because it contravenes the plain language in the vacancy endorsement. Specifically, it overlooks the plain meaning of the phrase “inception at any vacancy .” “Inception” means “ ‘an act, process, or instance of beginning .’ “ Panorama Vill. Condo. Owners Ass’n Bd. of Dirs. v. Allstate Ins. Co., 144 Wn.2d 130, 139, 26 P.3d 910 (2001) (quoting Webster’s Third New Int’l Dictionary 1141 (1981)). And if the policy defines “vacancy” as whenever the building’s usage drops below 31 percent of its total square footage,7 the “inception” or beginning of vacancy would be the instant that condition occurs. Indeed, as Essex notes, this definition of “vacant” is common in insurance policies. Accordingly, many courts have found that an insured building becomes “vacant” when its usage dropped below 31 percent of the total square feet. See, e.g., Heartland, 2010 WL 432333.

 

The Luis claim “inception” refers to the 60–day requirement in the first paragraph of the endorsement—i.e., vacancy coverage restrictions “incept” on day 61. But this ignores the plain language of the second paragraph, which unambiguously states that coverage is limited “at the inception of any vacancy….” (Emphasis added.) The second paragraph places no limit on the vacancy condition restricting coverage—“any” vacancy limits the available causes of loss. Therefore, as explained above, when the insured building satisfies the policy’s definition for vacancy, that qualifies as “any vacancy” under the terms of the endorsement, and the inception of that vacancy limits the available causes of loss. Ultimately, the Luis’ proposed interpretation improperly integrates the two paragraphs in the endorsement. They apply the 60–day requirement in the first paragraph to the second paragraph despite the fact that the plain language of the endorsement indicates there are separate consequences for (1) the beginning of a vacancy and (2) a vacancy lasting longer than 60 days.

 

Further, the Luis’ interpretation of the endorsement arguably renders the second paragraph superfluous. The first paragraph completely suspends coverage after 60 days of vacancy, while the second paragraph limits the available causes of loss. The second paragraph serves no purpose if it applies only after 60 days of vacancy. No reason exists to limit the available causes of loss after 60 days if, under the first paragraph, no coverage is available at all. “An interpretation of a contract that gives effect to all provisions is favored over an interpretation that renders a provision ineffective, and a court should not disregard language that the parties have used.” Snohomish County Pub. Transp. Benefit Area Corp. v. FirstGroup Am., Inc., 173 Wn.2d 829, 840, 271 P.3d 850 (2012).

 

*6 The Luis contend that Essex’s interpretation of the vacancy endorsement conflicts with other provisions in the policy. Specifically, the Luis point to the vacancy provisions in section E .6.(b) of the building and personal property coverage form. They claim their interpretation harmonizes the endorsement’s provisions with section E.6.(b). But regardless of any conflict between these two sections, the endorsement controls over other policy provisions. Transcon. Ins. Co. v. Wash. Pub. Utils. Dist. Util. Sys., 111 Wn.2d 452, 462, 760 P.2d 337 (1988). The Washington Supreme Court has held that an endorsement controls when it expressly states that it changes the policy:

An endorsement attached to a policy, which expressly provides that it is subject to the terms, limitations and conditions of the policy, must be read with the policy and will not abrogate or nullify any provision of the policy unless it is so stated in the endorsement. However, if there is ambiguity arising because of the difference of language used in the endorsement and the body of the policy, or between endorsements, the language of the contract is construed most strongly against the insurer.

Transcon., 111 Wn.2d at 462 (emphasis added). Indeed, it is a well-settled principle that endorsements alter and modify the other provisions in an insurance policy. See, e.g., 3 NEW APPLEMAN ON INSURANCE LAW LIBRARY EDITION §§ 21.01[1], 21.02[2][a] (Jeffrey E. Thomas & Francis J. Mootz III eds. (2010) ( “Endorsements are also often issued to modify or remove the effect of existing terms or exclusions contained in the policy form. In these instances, such an endorsement will supersede the term or exclusion in question .”).

 

Here, the endorsement expressly states that it alters the policy. The endorsement is entitled “CHANGE IN CONDITIONS ENDORSEMENT” and states “Please read carefully as this changes coverage under your policy.” (Emphasis added.) The end of the endorsement provides: “Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or limitations of the above mentioned Policy, other than as above stated.”8 (Emphasis added.) Therefore, in accordance with the plain language of the endorsement, we read the endorsement as superseding the policy, specifically section E.6.b. of the building and personal property coverage form. See Transcon., 111 Wn.2d at 462 (“As endorsements are later in time, they generally control over inconsistent terms or conditions in a policy.”). The Luis fail to cite any authority compelling us to harmonize the endorsement with the policy’s other provisions under the circumstances here.

 

Finally, the Luis cite policy considerations to support their interpretation of the insurance contract. For instance, they argue that Essex’s interpretation restricts coverage the instant a building becomes “vacant” and is therefore contrary to the “fundamental protective purpose of insurance.” State Farm Fire & Cas. Co. v. Ham & Rye, LLC, 142 Wn.App. 6, 13, 174 P.3d 1175 (2007). Further, they argue that courts view coverage exclusions with strict skepticism:

*7 The courts liberally construe insurance policies to provide coverage wherever possible…. Any remaining ambiguity must be given a meaning and construction most favorable to the insured. Coverage exclusions “are contrary to the fundamental protective purpose of insurance and will not be extended beyond their clear and unequivocal meaning. Exclusions should also be strictly construed against the insurer.”

Bordeaux, 145 Wn.App. at 694 (footnotes omitted). But the Luis fail to explain why these considerations should supersede the plain language of the vacancy endorsement. If the plain language of the endorsement is unambiguous, we adopt that meaning. Quadrant, 154 Wn.2d at 171 (“Most importantly, if the policy language is clear and unambiguous, we must enforce it as written; we may not modify it or create ambiguity where none exists.”).

 

Alternatively, the Luis argue that even if the vacancy endorsement excludes their claimed loss, the endorsement does not apply because the building was being renovated and therefore was not “vacant.” Under the policy’s vacancy definition, “Buildings under construction or renovation are not considered vacant.” The Luis claim that the building was under renovation because they were preparing for a new tenant. The record shows that the Luis failed to raise this issue below, and we therefore decline to address it on appeal. “As a general rule, appellate courts will not consider issues raised for the first time on appeal.” State v. McFarland, 127 Wn.2d 322, 332–33, 899 P.2d 1251 (1995); RAP 2.5(a).

 

We also decline to address the Luis’ remaining claims for bad faith, waiver, and estoppel. As discussed above, these remaining issues are not properly before us. Both parties agree that the trial court never ruled on these issues. Further, the trial court explicitly stated it was not granting summary judgment on these issues because of remaining issues of fact. The only issue properly before us in this appeal is the coverage question.

 

 

CONCLUSION

Because the plain language of the vacancy endorsement unambiguously limits coverage to only those enumerated causes of loss upon the inception of any vacancy, we reverse the trial court’s ruling construing the endorsement in favor of the Luis. We reverse the trial court’s grant of partial summary judgment and remand for further proceedings.

 

WE CONCUR: TRICKEY, J, and SPEARMAN, C.J.

 

 

Footnotes

 

1

 

Essex does not appeal the trial court’s denial of its motion for summary judgment.

 

2

 

The Luis initially included Avila & Sorenson Inc., as a defendant but later dismissed it from the case. Avila is not part of this appeal.

 

3

 

The Luis’ insurance claim totaled $758,863.31—$465,285.26 more than what Essex had already paid at the time the Luis filed the lawsuit.

 

4

 

The parties agree that the damage occurred before the building had been vacant for 60 days.

 

5

 

In its reply brief, Essex argues that “vacancy” and “unoccupancy” have different meanings. Resp’t’s Reply Br. at 6. Some persuasive authority supports this argument. See, e.g., Rojas v. Scottsdale Ins. Co., 678 N.W.2d 527, 532 (Neb.2004) (“The terms ‘vacant’ and ‘unoccupied’ … are not synonymous.”). However, the difference between these terms, if any, is irrelevant. The parties here do not dispute whether the building was either vacant or unoccupied or not, they dispute whether the building needed to be vacant or unoccupied for 60 days before the policy restricted coverage.

 

6

 

The record shows the Luis were aware of Essex’s interpretation of the policy in 2004, well before the incident at issue here. Essex partially suspended coverage in 2004 upon discovering the building was vacant. An insurance agent then explained to the Luis that coverage was restricted as soon as the building became vacant. Essex reinstated full coverage when a tenant moved into the property.

 

7

 

The Luis argue that this definition of vacancy applies only at the moment the policy is issued. They cite section E.6.a.(b), which provides: “When this policy is issued to the owner or general lessee of a building … [s]uch building is vacant unless at least 31% of its total square footage is: (i) Rented … or (ii) Used by the building owner The Luis argue that for a building to be “vacant,” less than 31 percent of the building must be in use “when the policy is issued….” But placing this temporal requirement on the vacancy provision nearly eliminates the various coverage provisions related to vacancy in both the policy and the endorsement. The “when” phrase can be more reasonably read to distinguish between when the policy is issued to an owner and when the policy is issued to a tenant. Indeed, the policy provides a separate definition for vacancy “when [it] is issued to a tenant,” rather than an owner. Otherwise, as long as a building was not “vacant” at the moment the policy was issued, it would never be vacant regardless of its usage.

 

8

 

At oral argument, the Luis argued that this provision indicates that the endorsement is not intended to alter the rest of the policy. But that provision states only that the endorsement does not change the policy other than as provided in the endorsement. In other words, the endorsement cannot be read to alter any provisions beyond its plain, unambiguous scope. When provisions in the policy conflict with the plain language in the endorsement, however, we must read the endorsement as controlling.  Transcon., 111 Wn.2d at 462.

 

 

ESSEX INSURANCE COMPANY, Plaintiff, v. J & J MASONRY LLC, HPH Properties LLC, Bonnie Adams, John Adams, Wendy Cook, and William Cook, Defendants.

United States District Court,

N.D. Alabama,

Southern Division.

ESSEX INSURANCE COMPANY, Plaintiff,

v.

J & J MASONRY LLC, HPH Properties LLC, Bonnie Adams, John Adams, Wendy Cook, and William Cook, Defendants.

No. 2:14–CV–2138–VEH. | Signed April 1, 2015.

Attorneys and Law Firms

Jannea S. Rogers, Annea S. Rogers Adams & Reese LLP, Grand Bay, AL, R. Scott Hetrick, Adams & Reese LLP, Mobile, AL, for Plaintiff.

David Horsley, Collins & Horsley, H. Arthur Edge, III, Arthur Edge, III, P.C., Birmingham, AL, for Defendants.

 

 

MEMORANDUM OPINION

VIRGINIA EMERSON HOPKINS, District Judge.

*1 This matter is before the court on plaintiff Essex Insurance Company’s (“Essex”) Motion For Default Judgment Against Defendant J & J Masonry LLC (“J & J Masonry”). (Doc. 19). Essex brought a Complaint for Declaratory Judgment on November 4, 2014 against J & J Masonry and the other listed defendants to seek a determination of its rights and obligations under five commercial liability insurance policies issued by Essex to J & J Masonry. (Doc. 1). J & J Masonry failed to answer or otherwise respond to the complaint, and so the clerk entered a default against J & J Masonry on January 30, 2015. (Doc. 18).

 

J & J Masonry has not responded to the Motion, and the deadline to do so passed on January 22, 2015. (See Doc. 3 at 23). Therefore, the Motion is under submission. For the reasons discussed below, the Motion is due to be granted.

 

 

I. STANDARDS

A. Motions For Default Judgment

In 2007, Judge Steele in the Southern District of Alabama summarized the appropriate standard for motions for default judgment:

In this Circuit, “there is a strong policy of determining cases on their merits and we therefore view defaults with disfavor.” In re Worldwide Web Systems, Inc., 328 F.3d 1291, 1295 (11th Cir.2003). Nonetheless, it is well established that a “district court has the authority to enter default judgment for failure … to comply with its orders or rules of procedure.” Wahl v.. McIver, 773 F.2d 1169, 1174 (11th Cir.1985).

Where, as here, a defendant has failed to appear or otherwise acknowledge the pendency of a lawsuit against her for nearly two months after being served, entry of default judgment may be appropriate. Indeed, Rule 55 itself provides for entry of default and default judgment where a defendant “has failed to plead or otherwise defend as provided by these rules.” Rule 55(a), Fed.R.Civ.P. In a variety of contexts, courts have entered default judgments against defendants who have failed to defend the claims against them following proper service of process. In short, then, “[w)hile modern courts do not favor default judgments, they are certainly appropriate when the adversary process has been halted because of an essentially unresponsive party. Flynn v. Angelucci Bros. & Sons, Inc., 448 F.Supp.2d 193, 195 (D.D.C.2006) (citation omitted).

The law is clear, however, that [the defendant’s) failure to appear and the Clerk’s subsequent entry of default against her do not automatically entitle [the plaintiff) to a default judgment. Indeed, a default is not “an absolute confession by the defendant of his liability and of the plaintiff’s right to recover,” but is instead merely “an admission of the facts cited in the Complaint, which by themselves may or may not be sufficient to establish a defendant’s liability.” Pitts ex rel. Pitts v. Seneca Sports, Inc., 321 F.Supp.2d 1353, 1357 (S.D.Ga.2004); see also Descent v.. Kolitsidas, 396 F.Supp.2d 1315, 1316 (M.D.Fla.2005) (“the defendants’ default notwithstanding, the plaintiff is entitled to a default judgment only if the complaint states a claim for relief”). Stated differently, “a default judgment cannot stand on a complaint that fails to state a claim.” Chudasama v. Mazda Motor Corp., 123 F.3d 1353, 1370 n. 41 (11th Cir.1997).

*2 Atl. Recording Corp. v. Carter, 508 F.Supp.2d 1019, 1021–23 (S.D.Ala.2007) (internal citations omitted).

 

“The allegations must be well-pleaded in order to provide a sufficient basis for the judgment entered.” De Lotta v. Dezenzo’s Italian Rest., Inc., No. 6:08CV2033ORL22KRS, 2009 WL 4349806 at *2 (M.D.Fla. Nov. 24, 2009) (citing Eagle Hosp. Physicians, LLC v. SRG Consulting, Inc., 561 F.3d 1298, 1307 (11th Cir.2009)). In making the determination as to whether the complaint is well pleaded, the court notes that the “plaintiff’s obligation to provide the grounds of his entitlement to relief requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 127 S.Ct. 1955, 1964–65, 167 L.Ed.2d 929 (2007) (quotations omitted). “Factual allegations must be enough to raise a right to relief above the speculative level.” Id. at 1965. Mere conclusory statements in support of a threadbare recital of the elements of a cause of action will not suffice. Ashcroft v. Iqbal, 556 U.S. 662, 129 S.Ct. 1937, 1949, 173 L.Ed.2d 868 (2009).

 

 

B. Substantive Law

Alabama courts apply a manifestation of damages rule for determining when an insurance policy’s defense and coverage obligations are triggered. In U.S. Fidelity & Guaranty Co. v. Warwick Development Co., 446 So.2d 1021 (Ala.1984), the Alabama Supreme Court adopted “as a general rule the time of an ‘occurrence’ of an accident within the meaning of an indemnity policy is not the time the wrongful act is committed but the time the complaining party was actually damaged.” As a practical matter, this general rule means “the insurance that is in force at the time of the property damage … is applicable rather than insurance that was in force when the work was performed.” Id.; see also Liberty Mut. Ins. Co. v. Wheelwright Trucking Co., Inc., 851 So.2d 466 (Ala.2002); American States Ins. Co. v. Martin, 662 So.2d 245, 250 (Ala.1995).

 

 

II. FINDINGS OF FACT1

 

A. The Underlying Lawsuits

Bonnie Adams and John Adams (“the Adamses”) are Alabama citizens and residents. At all relevant times, the Adamses owned a house located in the at 2291 Abbeyglen Circle, Hoover, Jefferson County, Alabama. On March 29, 2011, the Adamses filed a lawsuit against HPH Properties LLC in the Circuit Court of Jefferson County, Alabama in a case styled John and Bonnie Adams vs. HPH Properties, LLC et al., Case No. 1–CV–2011–901068. (Doc.1–6). According to the complaint, they closed on the purchase of the house located at 2291 Abbeyglen Circle, Hoover, Jefferson County, Alabama in July 2006. The Adamses had bought the home as an investment. During the first year of their ownership (i.e., July 2006 to July 2007), their tenant reported problems with the air conditioning. The Adamses contacted HPH Properties LLC, asked for that problem to be corrected, and were eventually told it had been corrected. At some point thereafter, the Adamses learned there were still problems with the air conditioning and that “Chinese drywall” had been used in the construction. The Adamses hired a third-party inspector, who identified several construction problems, including “the brick veneer is not installed properly; voids in mortar; improper or omitted weepholes”. (Doc.1–6 ¶ 3, ¶¶ 13–17, 19)

 

*3 Wendy and William Cook (“the Cooks”) are Alabama citizens and residents. At the times relevant to this lawsuit, they owned a house located at 2279 Abbeyglen Circle, Hoover, Alabama. On September 17, 2010, the Cooks filed a lawsuit against HPH Properties LLC in the Circuit Court of Jefferson County, Alabama styled William and Wendy Cook v. HPH Properties, LLC et al., Case No. 1–CV–2010–903410. (Doc. 1–7) According to the complaint, they closed on the purchase of the house located at 2279 Abbeyglen Circle, Hoover, Alabama in August 2006. At some time after the Cooks moved into the home, they noticed some “issues” with the home, reported these issues to HPH, and were later told these issues had been fixed. According to the complaint, the Cooks “continued to have problems” including a “roof leak.” Because they were “concerned,” the Cooks hired a third-party inspector to examine the house. The inspector made them aware of several problems, including “brick veneer was improperly installed; no proper through wall flashings or weepholes observe; no proper flashings observed above lintels, below openings or at base of brick veneer; brick rowlocks do not have the proper slope.” (Doc.1–7 ¶ 3, ¶¶ 15–20).

 

On June 26, 2014, HPH Properties LLC filed a third-party complaint against J & J Masonry LLC in each lawsuit. (Docs.1–8, 1–9). In each of these third party-complaints, HPH Properties LLC essentially alleged J & J Masonry was responsible for the defects in the houses arising from J & J Masonry’s brick masonry work on the exterior of each house and the damages arising therefrom as alleged by the underlying plaintiffs. (Docs. 1–8 and 1–9 ¶¶ 5–6, 10, 12, 15, 17–20, 22–23, 28, 31–32, and 34).

 

 

B. The Insurance Policies

Essex insured J & J Masonry (under the name J & J Masonry Inc.) under five insurance policies issued and in effect between December 2009 and December 2014. (Docs.1–1, 1–2, 1–3, 1–4, 1–5). Policy 3DC7370 had a policy period from 12/22/2009 to 12/22/2010. (Doc.1–1). Policy 3DE8489 had a policy period from 12/22/2010 to 12/22/2011. (Doc. 1–2). Policy 3DJ3073 had a policy period from 12/22/2011 to 12/22/2012. (Doc. 1–3). Policy 3DM6396 had a policy period from 12/22/2012 to 12/22/2013. (Doc. 1–4). Policy 3DS2057 had a policy period from 12/22/2013 to 12/22/2014. (Doc. 1–5).

 

The COMMERCIAL GENERAL LIABILITY COVERAGE FORM in all five Policies states in relevant part as follows:

SECTION I—COVERAGES

COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY

1. Insuring Agreement

a. We will pay those sums that the insured becomes legally obligated to pay as damages because of “bodily injury” or “property damage” to which this insurance applies. We will have the right and duty to defend the insured against any “suit” seeking those damages. However, we will have no duty to defend the insured against any “suit” seeking damages for “bodily injury” or “property damage” to which this insurance does not apply. We may, at our discretion, investigate any “occurrence” and settle any claim or “suit” that may result….

*4 b. This insurance applies to “bodily injury” and “property damage” only if:

(1) The “bodily injury” or “property damage” is caused by an “occurrence” that takes place in the “coverage territory”;

(2) The “bodily injury” or “property damage” occurs during the policy period; and

(3) Prior to the policy period, no insured listed under Paragraph 1. of Section II—Who Is An Insured and no “employee” authorized by you to give or receive notice of an “occurrence” or claim, knew that the “bodily injury” or “property damage” had occurred, in whole or in part. If such a listed insured or authorized “employee” knew, prior to the policy period, that the “bodily injury” or “property damage” occurred, then any continuation, change or resumption of such “bodily injury” or “property damage” during or after the policy period will be deemed to have been known prior to the policy period.

c. “Bodily injury” or “property damage” which occurs during the policy period and was not, prior to the policy period, known to have occurred by any insured listed under Paragraph 1. of Section II—Who Is An Insured or any “employee” authorized by you to give or receive notice of an “occurrence” or claim, includes any continuation, change or resumption of that “bodily injury” or “property damage” after the end of the policy period.

d. “Bodily injury” or “property damage” will be deemed to have been known to have occurred at the earliest time when any insured listed under Paragraph 1. Of Section II—Who Is An Insured or any “employee” authorized by you to give or receive notice of an “occurrence” or claim:

(1) Reports all, or any part, of the “bodily injury” or “property damage” to us or any other insurer;

(2) Receives a written or verbal demand or claim for damages because of the “bodily injury” or “property damage”; or

(3) Becomes aware by any other means that “bodily injury” or “property damage” has occurred or has begun to occur.

SECTION V—DEFINITIONS

3. “Bodily injury” means bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time.

13. “Occurrence” means an accident, including continuous or repeated exposure to substantially the same general harmful conditions.

17. “Property damage” means:

a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; or

b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the “occurrence” that caused it.

(See, e.g., Doc. 1–1 p. 4, 16–18).

 

Policy 3DC7370 (Doc. 1–1) and Policy 3DE8489 (Doc. 1–2) have a COMBINATION CONSTRUCTION RELATED ENDORSEMENT which states in relevant part as follows:

*5 The coverage under this policy does not apply to “bodily injury,” “property damage,” or “personal and advertising injury” or any injury, loss or damage:

(a) Which first occurred, began to occur, or is alleged to have occurred prior to, or is alleged to be in the process of occurring to any degree, as of the inception date of this policy;

(b) Which is caused by or alleged to have been caused by incremental, continuous or progressive damage arising from an “occurrence” which first occurred, began to occur, or is alleged to have occurred prior to the inception date of this policy;

(Doc. 1–1 at 23, Doc. 1–2 at 10).

 

Policy 3DJ3073 (Doc. 1–3) has a COMBINATION CONSTRUCTION RELATED ENDORSEMENT which states in relevant part as follows:

The coverage under this policy does not apply to “bodily injury,” “property damage,” or “personal and advertising injury” or any injury, loss or damage:

(a) Which first occurred, began to occur, or is alleged to have occurred prior to, or is alleged to be in the process of occurring to any degree, as of the inception date of this policy;

(b) Which is caused by or alleged to have been caused by incremental, continuous or progressive damage arising from an “occurrence” which first occurred, began to occur, or is alleged to have occurred prior to the inception date of this policy;

(Doc. 1–3 at 13).

 

Policy 3DM6396 (Doc. 1–4) and Policy 3DS2507 (Doc. 1–5) each has a PREEXISTING INJURY, LOSS OR DAMAGE EXCLUSION which states:

The coverage under this policy does not apply to “bodily injury,” “property damage,” or “personal and advertising injury” or any injury, loss or damage:

(a) Which first occurred, began to occur, or is alleged to have occurred prior to, or is alleged to be in the process of occurring to any degree, as of the inception date of this policy;

(b) Which is caused by or alleged to have been caused by incremental, continuous or progressive damage arising from an occurrence which first occurred, began to occur, or is alleged to have occurred prior to the inception date of this policy;

(Doc. 1–4 at 36, Doc. 1–5 at 39).

 

 

III. ANALYSIS

Essex seeks a default judgment under Rule 55(b) against J & J Masonry LLC declaring that it has no duty to defend or indemnify J & J Masonry in the underlying state court litigation under the five policies of insurance issued by Essex to J & J Masonry and in effect between December 2009 and December 2014. (Doc. 20).

 

Once the clerk has made an entry of default against a defendant who has failed to answer or otherwise respond to the complaint, Rule 55(b) allows for the court to enter judgment by default:

(b) [Default] Judgment. Judgment by default may be entered as follows:

(2) By the Court. In all other cases the party entitled to a judgment by default shall apply to the court therefor; but no judgment by default shall be entered against an infant or incompetent person unless represented in the action by a general guardian, committee, conservator, or other such representative who has appeared therein. If the party against whom judgment by default is sought has appeared in the action, the party (or, if appearing by representative, the party’s representative) shall be served with written notice of the application for judgment at least 3 days prior to the hearing on such application. If, in order to enable the court to enter judgment or to carry it into effect, it is necessary to take an account or to determine the amount of damages or to establish the truth of any averment by evidence or to make an investigation of any other matter, the court may conduct such hearings or order such references as it deems necessary and proper and shall accord a right of trial by jury to the parties when and as required by any statute of the United States.

*6 Fed.R.Civ.P. 55(b)(2).

 

The court finds that entry of a default judgment in favor of Essex and against Defendant J & J Masonry is appropriate under Rule 55(b). Essex has submitted affidavit testimony evidencing that Defendant J & J Masonry was duly served with a copy of the Summons and Complaint between November 6 and 10, 2014. (Doc. 17; see Doc. 7). Over ninety days have elapsed since the date on which J & J Masonry was served, and J & J Masonry has failed to answer or otherwise respond to Plaintiff’s Complaint.

 

Judgment is also due to be granted under the insurance provisions. Accepting the allegations made in the Adamses’ suit as true for purposes of this analysis, they acquired ownership of their house in July, 2006. (Doc. 1–6 ¶ 3). They first discovered the alleged property damage (which also, allegedly, caused their bodily injuries) during the first year that they owned their home—that is, by July of 2007 at the latest. (Doc. 1–6 ¶¶ 14–17). Similarly, according to the allegations in the Cooks’ suit, they closed on the purchase of their house in August, 2006 (Doc. 1–7 ¶ 3) and first discovered the alleged property damage (which also, allegedly, caused their bodily injuries) within a year of the purchase. (Id. at ¶¶ 14–19). Accordingly, both the Adamses and the Cooks have alleged damages which first began manifesting before the 12/22/2009 inception of Policy 3DC7370 and long before the 12/22/2010, 12/22/2011, 12/22/2012, and 12/22/2013 inception dates of the four other policies.

 

Each of the policies has exclusions for bodily injury and property damage “[w]hich first occurred, began to occur, or is alleged to have occurred prior to, or is alleged to be in the process of occurring to any degree, as of the inception date of this policy.” (See, e.g., Doc. 1–4 at 36). There are also exclusions for injury or damage that “is caused by or alleged to have been caused by incremental, continuous or progressive damage arising from an ‘occurrence’ which first occurred, began to occur, or is alleged to have occurred prior to the inception date of this policy.” (See, e.g., Doc. 1–1 at 23). Together, these exclusions clearly bar coverage under the policies for the occurrences alleged in the state court lawsuits filed by the Adamses and the Cooks against J & J Masonry. Therefore, Essex is entitled to a judgment holding that it has no duty to indemnify or to defend J & J Masonry in both of these state cases.

 

 

IV. CONCLUSION

The Complaint does not seek money damages, but rather seeks only a declaratory judgment. Because damages are not sought, an evidentiary hearing is unnecessary and the court may adjudicate the matter of default “upon request of the plaintiff and upon affidavit of the amount due.” Fed.R.Civ.P. 55(b)(1); see, e.g., United States Artist Corporation v. Freeman, 605 F.2d 854, 857 (5th Cir.1979).

 

For the reasons outlined above, Essex’s Motion for Default Judgment is due to be granted, and Essex is entitled to default judgment against J & J Masonry on its Complaint for a declaratory judgment that it has no duty to defend and indemnify J & J Masonry in the underlying lawsuits.

 

*7 DONE and ORDERED

 

 

 

Footnotes

 

1

 

Because J & J Masonry had a default entered against it by the clerk of court, these facts are deemed admitted by default.

 

 

 

 

 

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