Amex Assurance Co. v. Allstate Insurance

5 Cal. Rptr. 3d 744, 112 Cal. App. 4th 1246, 2003 Daily Journal DAR 11837, 2003 Cal. Daily Op. Serv. 9402, 2003 Cal. App. LEXIS 1605
CourtCalifornia Court of Appeal
DecidedOctober 28, 2003
DocketB162493
StatusPublished
Cited by8 cases

This text of 5 Cal. Rptr. 3d 744 (Amex Assurance Co. v. Allstate Insurance) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Amex Assurance Co. v. Allstate Insurance, 5 Cal. Rptr. 3d 744, 112 Cal. App. 4th 1246, 2003 Daily Journal DAR 11837, 2003 Cal. Daily Op. Serv. 9402, 2003 Cal. App. LEXIS 1605 (Cal. Ct. App. 2003).

Opinion

Opinion

GILBERT, P. J.

A plumber installs a propane water heater at his Mend’s house. He allegedly causes a fire that destroys the house. The plumber’s *1249 homeowner’s policy excludes damages arising from professional services and business activities. We affirm summary judgment in favor of the plumber’s homeowner’s insurance carrier because the plumber could have no reasonable expectation of coverage under these circumstances.

FACTS

Micheline Zumbrun owns a home in Thousand Oaks. She lives there with her daughter, the Toulet family, and three renters. On the evening of April 5, 1995, the house burned to the ground. Shortly before the fire, Jan Cox, a plumber and friend of the Toulets, had installed a propane water heater at the house.

Zumbrun made a claim against her homeowner’s insurance carrier, appellant Amex Assurance Company (Amex). Amex denied coverage and brought an action against Zumbrun for declaratory relief. Zumbrun in turn brought an action against Amex for breach of contract and bad faith. These actions were consolidated. Amex cross-complained against Cox, alleging that the fire was the result of his negligence.

Eventually, Amex paid more than $1.5 million to settle Zumbrun’s claim. The settlement agreement granted Amex an assignment of Zumbrun’s claims against third parties. Amex pursued its cross-complaint against Cox.

Cox represented himself in propria persona. He missed two court-ordered settlement conferences and Amex moved to strike his answer as a sanction. The trial court granted the motion and entered a default against Cox, resulting in a judgment for $1.3 million.

Amex then obtained an assignment of Cox’s rights and made a claim against his homeowner’s insurance carrier, Allstate Insurance Company (Allstate). Allstate denied the claim and Amex brought this action alleging breach of contract and bad faith.

Allstate moved for summary judgment on the ground that Cox’s policy excluded coverage for professional services, business activities and damages arising out of any premises but the insured premises. In support of its motion, Allstate included certain admissions. Cox admitted that between 1963 and 1968 he served a union apprenticeship to become a plumber. He is a journeyman member of the plumbers’ and pipe fitters’ union. He worked as a plumber for H. W. Allen Plumbing Company from 1977 to 1989. He is a certified welder and worked as a welder from 1991 to 1993 for JAMPCO.

In his deposition, Cox stated that he had been at the Zumbrun residence working on the gas lines to install a propane water heater. His work involved *1250 repairing a joint on a copper pipe, connecting a branch outlet to a steel line by removing an elbow and replacing it with a “T,” putting the line back together with a right and left hand coupling and nipple, adding a valve, installing pipe and conducting a “bubble test” by applying soap to the pipes once the gas is turned back on.

Prior to April 5, 1995, Cox had done similar work for Zumbrun. Sometimes he received payment for the work and sometimes he did not. At the time he installed the water heater, Cox had no agreement for payment. But he stated he was “hoping to stir [Zumbrun] enough to pay [him] the money she owed [him] for [prior] construction [work].”

Amex objected that it should not be bound by Cox’s admissions. The trial court overruled the objection and granted summary judgment.

DISCUSSION

I

Summary judgment is proper only if all papers submitted show there is no triable issue as to any material fact and the moving party is entitled to a judgment as a matter of law. (Code Civ. Proc., § 437c, subd. (c).) The court must draw all reasonable inferences from the evidence set forth in the papers except where such inferences are contradicted by other inferences, or evidence that raises a triable issue of fact. (Ibid.) In examining the supporting and opposing papers, the moving party’s affidavits or declarations are strictly construed and those of his opponent liberally construed, and doubts as to the propriety of granting the motion should be resolved in favor of the party opposing the motion. (Szadolci v. Hollywood Park Operating Co. (1993) 14 Cal.App.4th 16, 19 [17 Cal.Rptr.2d 356].)

Interpretation of an insurance contract is a question of law. (Waller v. Truck Ins. Exchange, Inc. (1995) 11 Cal.4th 1, 18 [44 Cal.Rptr.2d 370, 900 P.2d 619].) The mutual intention of the parties governs. (Ibid.) If possible, such intent should be determined solely from the written contract. (Ibid.) The words of the contract are given their ordinary and popular meaning unless used by the parties in a technical sense. (Ibid.)

An insurer has a duty to defend when the underlying suit potentially seeks damages within the coverage of the policy. (Foster-Gardner, Inc. v. National Union Fire Ins. Co. (1998) 18 Cal.4th 857, 869 [77 Cal.Rptr.2d 107, 959 P.2d 265].) Whether the underlying suit potentially seeks damages within the coverage of the policy is determined by the pleadings and facts of which the insurer becomes aware. (Waller v. Truck Ins. Exchange, Inc., supra, 11 *1251 Cal.4th at p. 19.) Where the extrinsic facts eliminate the potential for coverage, however, the insurer may decline to defend even when the allegations of the complaint suggest potential liability. (Ibid.)

Where the policy is ambiguous, an insurer has a duty to defend where the insured would reasonably expect a defense based on the nature and kind of risk covered by the policy. (Foster-Gardner v. National Union Fire Ins. Co., supra, 18 Cal.4th at p. 869.) A policy provision is ambiguous only when it is capable of two or more constructions, both of which are reasonable. (Waller v. Truck Ins. Exchange, Inc., supra, 11 Cal.4th at p. 18.) A policy provision cannot be found to be ambiguous in the abstract, but must be interpreted in the context of the whole contract and in light of the circumstances of the case. (Ibid.)

II

Amex contends the policy’s professional services and business activities exclusions do not apply.

Allstate’s policy provides: “We do not cover bodily injury or property damage arising out of the rendering of or failure to render professional services by an insured person.” Allstate’s policy also provides: “We do not cover bodily injury or property damage arising out of the past or present business activities of an insured person.” The policy defines “business” as “any full or part-time activity of any kind engaged in for economic gain[.]”

It is undisputed that Cox is a journeyman plumber and certified welder. The fire at Zumbrun’s residence was allegedly caused by his work on gas lines in installing a propane water heater.

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5 Cal. Rptr. 3d 744, 112 Cal. App. 4th 1246, 2003 Daily Journal DAR 11837, 2003 Cal. Daily Op. Serv. 9402, 2003 Cal. App. LEXIS 1605, Counsel Stack Legal Research, https://law.counselstack.com/opinion/amex-assurance-co-v-allstate-insurance-calctapp-2003.