ADRIAN SOSA VS. MASSACHUSETTS BAY INSURANCE COMPANY (L-0160-16, BERGEN COUNTY AND STATEWIDE)

206 A.3d 1011, 458 N.J. Super. 639
CourtNew Jersey Superior Court Appellate Division
DecidedApril 24, 2019
DocketA-5349-16T3
StatusPublished
Cited by12 cases

This text of 206 A.3d 1011 (ADRIAN SOSA VS. MASSACHUSETTS BAY INSURANCE COMPANY (L-0160-16, BERGEN COUNTY AND STATEWIDE)) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ADRIAN SOSA VS. MASSACHUSETTS BAY INSURANCE COMPANY (L-0160-16, BERGEN COUNTY AND STATEWIDE), 206 A.3d 1011, 458 N.J. Super. 639 (N.J. Ct. App. 2019).

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION DOCKET NO. A-5349-16T3

ADRIAN SOSA,

Plaintiff-Appellant, APPROVED FOR PUBLICATION

April 24, 2019 v. APPELLATE DIVISION MASSACHUSETTS BAY INSURANCE COMPANY,

Defendant-Respondent. ___________________________

Submitted December 19, 2018 – Decided April 24, 2019

Before Judges Ostrer, Currier and Mayer.

On appeal from Superior Court of New Jersey, Law Division, Bergen County, Docket No. L-0160-16.

Jeffrey A. Bronster, attorney for appellant.

Kennedys CMK LLP, attorneys for respondent (Matthew J. Lodge, of counsel and on the brief).

The opinion of the court was delivered by

OSTRER, J.A.D.

This insurance coverage dispute concerns the meaning of a homeowner's

insurance policy's water damage exclusion. Plaintiff, Adrian Sosa, appeals

from summary judgment dismissing his breach-of-contract complaint against his homeowner's insurer, defendant Massachusetts Bay Insurance Company.

Plaintiff unsuccessfully sought coverage for real and personal property

damages after a municipal water main broke under a public street and

inundated his home. Upon cross-motions for summary judgment, the court

dismissed the complaint, finding that the policy's plain language excluded his

claim. As we find that the water damage exclusion does not clearly bar

plaintiff's claim, we reverse the grant of summary judgment to Massachusetts

Bay. However, we also affirm the order denying summary judgment to

plaintiff, as plaintiff has not established that his personal damage claim

satisfies a named peril, and the balance of plaintiff's damages are not clearly

documented.

I.

The following facts are undisputed. 1 On September 30, 2015, a

municipal water-main pipe broke under Knox Avenue in Cliffside Park. The

pavement buckled on the side of the street opposite plaintiff's home and water

gushed about a foot into the air. The water flowed from the street into

plaintiff's driveway and then into the garage and basement apartment of his

home. About a foot of water filled the downstairs floor. Plaintiff identified

1 Plaintiff did not dispute Massachusetts Bay's statement of material facts and provided none of his own in support of his cross-motion.

A-5349-16T3 2 invoices exceeding $75,000 for work to remediate the damage to his real and

personal property. 2 Plaintiff was unaware whether any other homes were

affected. After he submitted a claim to Massachusetts Bay, an adjuster

inspected the property and concluded that the damage resulted from "surface

and ground water intrusion." On that basis, the company disclaimed coverage.

The Massachusetts Bay policy provided "all risk" coverage for damage

to the dwelling and other structures, and "named peril" coverage for damage to

personal property. See Victory Peach Grp., Inc. v. Greater New York Mut.

Ins. Co., 310 N.J. Super. 82, 87 (App. Div. 1998) (explaining that an "all risk"

policy generally covers all damages unless specifically excluded, and a

"named peril" policy only covers perils specifically identified). Both forms of

coverage were subject to the policy's water damage exclusion. Thus, plaintiff's

real property damages were covered unless subject to the exclusion. The

personal property damages were covered only if they also satisfied a named

peril. We consider the water damage exclusion first.

The underlying policy form excluded losses caused by "water damage."

An endorsement, entitled "Water Back-Up and Sump Discharge or Overflow"

("Sump Endorsement"), replaced "water damage" with "water." It also

2 In his deposition, plaintiff referred to four invoices for various repairs, but they are not included in the record on appeal.

A-5349-16T3 3 modified the exclusion's reach. Consistent with its title, the endorsement

expanded coverage to include damages caused by water from sewers, drains,

sumps, sump pumps or related equipment, except if caused by flood.

However, the endorsement also revised the water damage exclusion in other

respects having nothing to do with the subject of its title. Notably, it explained

that the exclusion "applie[d] regardless of whether" the water was "caused by

an act of nature or [was] otherwise caused."

As revised by the endorsement – we note the endorsement's additions in

bold and deletions in brackets – the policy states that water means:

(1) Flood, surface water, waves, including tidal wave and tsunami, tides, tidal water, overflow of any body of water, or spray from any of these, all whether or not driven by wind, including storm surge ("Exclusion 1");

(2) Water which: a. Backs up through sewers or drains; or [which] b. overflows or is otherwise discharged from a sump, sump pump or related equipment; as a direct or indirect result of flood ("Exclusion 2");

(3) Water below the surface of the ground, including water which exerts pressure on, or seeps, leaks or flows through a building, sidewalk, driveway, patio foundation, swimming pool or other structure ("Exclusion 3"); or

(4) Waterborne material carried or otherwise moved by any of the water referred to in D.1 through D.3 of this Exclusion ("Exclusion 4").

A-5349-16T3 4 This exclusion applies regardless of whether any of the above, in D.1 through D.4 is caused by an act of nature or is otherwise caused.

This exclusion applies to, but is not limited to, escape, overflow or discharge, for any reason, of waterborne material from a dam, levee, seawall or any other boundary or containment system.

However, direct loss by fire, explosion or theft resulting from [water damage] any of the above, in D.1 through D.4, is covered. All other provisions of this policy apply.

[Policy, Section I Exclusions, ¶ 1(c), as amended by section D of Sump Endorsement.]

The policy does not define "surface water" as used in the exclusion, but

the policy does elsewhere define "flood" in a "Notice Regarding Flood

Damage Coverage" ("Flood Notice"). It states:

2. Flood means a general and temporary condition of partial or complete inundation of normally dry land area from:

i. The overflow of inland or tidal waters; ii. The unusual and rapid accumulation or runoff of surface waters from any source; iii. Mudslides (that is, mudflows) that are proximately caused by flooding and are akin to a river of liquid and flowing mud on the surfaces of normally dry land areas, including your premises, as when earth is carried by a current of water and deposited along the path of the current;

3. Flood also includes the collapse or subsidence of land along the shore of a lake or other body of water

A-5349-16T3 5 as a result of erosion or undermining caused by waves or currents of water exceeding cyclical levels, which results in the partial or complete inundation of normally dry land area;

As noted, coverage for plaintiff's personal property damage claim

depends upon showing the damage also satisfied a named peril. The only

named peril arguably pertinent covers damages caused by:

Accidental discharge or overflow of water or steam from within a plumbing, heating, air conditioning or automatic fire protective sprinkler system or from within a household appliance.

The peril does not include loss:

....

c. On the "residence premises" caused by accidental discharge or overflow which occurs off the "residence premises."

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206 A.3d 1011, 458 N.J. Super. 639, Counsel Stack Legal Research, https://law.counselstack.com/opinion/adrian-sosa-vs-massachusetts-bay-insurance-company-l-0160-16-bergen-njsuperctappdiv-2019.