Addison Insurance v. Fay

875 N.E.2d 190, 376 Ill. App. 3d 85
CourtAppellate Court of Illinois
DecidedSeptember 13, 2007
Docket3-06-0085
StatusPublished
Cited by8 cases

This text of 875 N.E.2d 190 (Addison Insurance v. Fay) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Addison Insurance v. Fay, 875 N.E.2d 190, 376 Ill. App. 3d 85 (Ill. Ct. App. 2007).

Opinions

PRESIDING JUSTICE LYTTON

delivered the opinion of the court:

Plaintiff, Addison Insurance Company, brought a declaratory judgment action against Donna Fay, as special administrator of the estate of Justice Carr, Laura Shackelford, as special administrator of the estate of Everett Hodgins, and Donald Parrish, d/b/a Parrish Blacktop, Inc., to determine the extent of insurance coverage available to Parrish to pay claims brought by Fay and Shackelford resulting from the deaths of their sons. The trial court declared that under the terms of the commercial general liability policy issued to Parrish, the boys’ deaths were two separate “occurrences,” thereby allowing aggregate liability coverage of $2 million. We reverse.

Parrish owned and operated Parrish Blacktop, Inc. The business was located on several acres of commercial property that included an excavation pit. Addison Insurance Company issued a general liability insurance policy to Parrish that provided coverage limits of $1 million per “occurrence” and $2 million aggregate. The policy defined “occurrence” as “an accident, including continuous or repeated exposure to substantially the same general harmful conditions.” The policy did not define the term “accident.”

On April 30, 1997, Justice Carr, age 14, and Everett Hodgins, age 15, left Hodgins’ house at approximately 5 p.m. to go fishing at the local cooling lakes located on Commonwealth Edison property near Carr’s house. They did not return home and were reported missing around 10:30 that evening. A severe storm accompanied by heavy rain, high winds and rapidly dropping temperatures struck the area sometime after the boys were last seen. The lowest recorded temperature on May 1 was 34 degrees Fahrenheit. Investigators discovered the boys’ bodies on May 3, 1997, on Parrish’s property. Both boys were trapped in the sandy, clay bottom excavation pit that had partially filled with standing water. Their bodies were located in close proximity to each other. Carr was found waist-deep in water with his feet and legs covered in submerged clay soil. Hodgins was lying next to Carr with one leg embedded in the soil.

The parents of both boys sued Parrish separately, alleging that he negligently caused the deaths of the two boys by failing to properly secure and control access to his property. Addison defended the consolidated lawsuit and filed a declaratory judgment action against Fay, Shackelford and Parrish to obtain a judicial declaration that the boys’ deaths resulted from a single occurrence, rendering the $1 million “per occurrence” limit applicable.

Through deposition testimony, defendants’ expert, Eugene Holland, opined that Parrish’s use of his property created a dangerous condition, which required proper site security and control. Holland testified that the boys’ deaths would have been prevented if Parrish had proper security because Carr and Hodgins would not have been able to access the property.

Officer Gary Knight testified in his deposition that the officers themselves became entrapped as they tried to remove the boys. He opined that Carr likely became stuck in the soil and water when he tried to jump over the water in the bottom of the excavation. Knight assumed that Hodgins attempted to come to his friend’s aid. Hodgins appeared to have sat down next to Carr, tried to pull Carr free, and in the process also became entrapped. Lieutenant Jerome Nudera agreed with Knight’s assessment of the scene.

Dr. Larry Blum, the forensic pathologist who performed autopsies on both bodies, testified through deposition that Hodgins died of hypothermia due to entrapment in the sand. Blum determined that Carr’s death was caused by drowning secondary to hypothermia due to entrapment. Mary Case, Addison’s expert pathologist, agreed with Carr’s findings. She concurred that the drowning of Carr was secondary to, or a result of, the advancement of hypothermia.

Addison filed a pretrial motion requesting that the circuit court rule that defendants, as plaintiffs in the underlying suit, bore the burden of proving that the deaths of Carr and Hodgins were caused by separate occurrences. The court denied the motion and held that as the plaintiff in the declaratory judgment action, Addison bore the burden of proving that the boys’ deaths resulted from a single occurrence.

At the conclusion of a bench trial at which the court considered only the deposition testimony, the court concluded that there was sufficient evidence to show that the causes and circumstances of death were different. Consequently, the court held that the boys’ deaths were two “separate occurrences,” and the $2 million aggregate limit applied.

ANALYSIS

I. Burden of Proof

Initially, Addison argues that as the insurer of the defendant Parrish in the underlying wrongful death suit, the burden is on Fay, Shackelford and Parrish in this declaratory judgment action to prove that the deaths were the result of two separate and distinct occurrences.

It is well established in Illinois insurance law that the insured bears the burden of establishing that a claim falls within the terms of a policy. Waste Management, Inc. v. International Surplus Lines Insurance Co., 144 Ill. 2d 178 (1991). However, once there is such proof, the burden is on the insurer to prove that the loss was limited or excluded by a provision of the contract. Farmers Automobile Insurance Ass’n v. Gitelson, 344 Ill. App. 3d 888, 896 (2003). The plaintiff in a declaratory judgment action bears the burden of proof. Board of Trade v. Dow Jones & Co., 98 Ill. 2d 109 (1983).

In the underlying lawsuit, Addison agreed to settle the parents’ claims for the policy limits as a third-party defendant. Addison then filed a declaratory judgment action, asking the court to find that the policy’s single-occurrence provision limits coverage to less than the aggregate limits provision. As the plaintiff, Addison bears the burden of proving that the limitation applies.

II. Single or Separate “Occurrence”

The case before us concerns construction of the limitations provision of the Addison Insurance policy. None of the parties dispute that the horrible event that took the lives of Carr and Hodgins qualifies as an occurrence for which Addison Insurance must provide coverage. The question is whether that event constituted two occurrences under Parrish’s liability policy; if so, the aggregate coverage limit would apply to the underlying lawsuit.

The interpretation of an insurance contract is a matter of law subject to de novo review. Illinois Farmers Insurance Co. v. Marchwiany, 222 Ill. 2d 472 (2006). Insurance policies are governed by the same rules of construction applicable as other types of contracts. Nicor, Inc. v. Associated Electric & Gas Insurance Services Ltd., 223 Ill. 2d 407 (2006). A court’s primary objective is to ascertain and give effect to the intention of the parties as expressed in the agreement. Crum & Forster Managers Corp. v. Resolution Trust Corp., 156 Ill. 2d 384 (1993). The words of the policy should be accorded their plain and ordinary meaning. State Farm Mutual Automobile Insurance Co. v. Villicana, 181 Ill. 2d 436 (1998).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

People v. French
2025 IL App (2d) 250035-U (Appellate Court of Illinois, 2025)
People v. Morgan
2025 IL 130626 (Illinois Supreme Court, 2025)
Travelers Personal Insurance Company v. Edwards
2016 IL App (1st) 141595 (Appellate Court of Illinois, 2016)
Addison Insurance Company v. Fay
Illinois Supreme Court, 2009
Addison Insurance v. Fay
905 N.E.2d 747 (Illinois Supreme Court, 2009)
Stoneridge Development v. Essex Insurance
Appellate Court of Illinois, 2008
Stoneridge Development Co. v. Essex Insurance
888 N.E.2d 633 (Appellate Court of Illinois, 2008)
Addison Insurance v. Fay
875 N.E.2d 190 (Appellate Court of Illinois, 2007)

Cite This Page — Counsel Stack

Bluebook (online)
875 N.E.2d 190, 376 Ill. App. 3d 85, Counsel Stack Legal Research, https://law.counselstack.com/opinion/addison-insurance-v-fay-illappct-2007.