Breezewood of Wilmington Condominiums Homeowners' Ass'n v. Amerisure Mutual Insurance

335 F. App'x 268
CourtCourt of Appeals for the Fourth Circuit
DecidedJuly 1, 2009
Docket08-1476
StatusUnpublished
Cited by4 cases

This text of 335 F. App'x 268 (Breezewood of Wilmington Condominiums Homeowners' Ass'n v. Amerisure Mutual Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Breezewood of Wilmington Condominiums Homeowners' Ass'n v. Amerisure Mutual Insurance, 335 F. App'x 268 (4th Cir. 2009).

Opinion

Affirmed by unpublished PER CURIAM opinion.

Unpublished opinions are not binding precedent in this circuit.

PER CURIAM:

Breezewood of Wilmington Condominiums Homeowners’ Association, Inc. (“Breezewood CHOA”) sought a declaratory judgment that Amerisure Mutual Insur-anee Company (“Amerisure”) had a duty to defend and indemnify its insured, Quality Built Construction, Inc. (“Quality Built”), in whose shoes Breezewood CHOA stands by assignment, with respect to state court claims arising out of the construction of a condominium development. The district court granted Amerisure’s motion for summary judgment. We conclude that Amerisure had no duty to defend Quality Built and therefore affirm.

I.

Quality Built served as general contractor for a condominium development in Wilmington, North Carolina (the “Condominium Development”). On May 28, 2004, Breezewood CHOA filed a complaint in North Carolina state court against Quality Built and the Condominium Development developers, 1 alleging defects in construction and design of the Condominium Development buildings that necessitated “extraordinary repairs and reconstruction of major portions of the common elements” (the “Underlying Complaint”). (J.A. 38-39.) Approximately a year later, in May 2005, Quality Built notified Amerisure of the Underlying Complaint and submitted a claim under its commercial general liability insurance (the “CGL policy”) for damage to the building components and resulting loss of use. Amerisure denied coverage on May 25, 2005, on the ground that the Underlying Complaint did not allege “property damage” caused by an “occurrence.” 2 (J.A. 231-33.) Breezewood CHOA subsequently settled with Quality Built and one of the developers, accepting a $2,000,000 judgment and an assignment of Quality Built’s rights against Amerisure.

*270 Breezewood CHOA initiated the present lawsuit in the district court, seeking a declaratory judgment that Amerisure breached its duty to defend Quality Built against the Underlying Complaint. Amer-isure counterclaimed, seeking a declaratory judgment that Amerisure had no duty to defend Quality Built. On cross-motions for summary judgment, the district court granted Amerisure’s motion and denied Breezewood CHOA’s motion. Breezewood CHOA timely appeals the district court’s decision.

II

We exercise jurisdiction over this appeal under 28 U.S.C. § 1291. A district court’s grant of summary judgment is reviewed de novo. Jennings v. Univ. of N.C. at Chapel Hill, 482 F.3d 686, 694 (4th Cir.2007) (en banc). Because this is a diversity action, we apply the law of North Carolina, which treats the interpretation of insurance policy provisions as a question of law. ABT Bldg. Prods. Corp. v. Nat’l Union Fire Ins. Co., 472 F.3d 99, 115 (4th Cir.2006); N.C. Farm Bureau Mut. Ins. Co. v. Bliley, 127 N.C.App. 442, 444, 491 S.E.2d 656, 658 (1997). Insurance policies are construed in accordance with traditional rules of contract interpretation, so where the meaning of the policy is clear and only one reasonable interpretation exists the courts must enforce the contract as written. Patrick v. Wake County Dep’t of Human Servs., 188 N.C.App. 592, 596, 655 S.E.2d 920, 924 (2008) (citing Dawes v. Nash County, 357 N.C. 442, 448, 584 S.E.2d 760, 764 (2003)). The party seeking benefits under an insurance contract bears the burden of showing coverage for its claim. Fortune Ins. Co. v. Owens, 351 N.C. 424, 430, 526 S.E.2d 463, 467 (2000). Until the insured makes a prima facie case of coverage, the insurer has no burden to prove the applicability of any policy exclusion. Id. at 430, 526 S.E.2d at 467.

An insurer’s duty to defend is broader than its duty to indemnify — the former ordinarily being measured by the facts as alleged in the pleadings while the latter by facts ultimately determined at trial. Waste Mgmt. of Carolinas, Inc. v. Peerless Ins. Co., 315 N.C. 688, 691, 340 S.E.2d 374, 377 (1986). North Carolina applies the “comparison test” to determine whether the damage alleged by the insured is covered by the insurer’s policy. Id. at 693, 340 S.E.2d at 378. Under the comparison test, “the pleadings are read side-by-side with the policy to determine whether the events as alleged are covered or excluded.” Id. at 693, 340 S.E.2d at 378; Harleysville Mut. Ins. Co. v. Buzz Off Insect Shield, L.L.C., 190 N.C.App. 28, 32-34, 664 S.E.2d 317, 320 (2008). If the pleadings “state facts demonstrating that the alleged injury is covered by the policy, then the insurer has a duty to defend, whether or not the insured is ultimately liable.” Waste Mgmt., 315 N.C. at 691, 340 S.E.2d at 377. This is true even if the pleadings describe a hybrid of covered and excluded events or “disclose a mere possibility that the insured is covered.” Id. at 391 n. 2, 340 S.E.2d at 377 n. 2. On the other hand, if the pleadings “allege facts indicating that the event in question is not covered, and the insurer has no knowledge that the facts are otherwise, then it is not bound to defend.” Id. at 391, 340 S.E.2d at 377.

However, once “the insurer knows or could reasonably ascertain facts that, if proven, would be covered by its policy,” the duty to defend is not dismissed simply because the facts alleged in the complaint appear to be outside coverage. Waste Mgmt., 315 N.C. at 691, 340 S.E.2d at 377-78. Thus, the insurer has a “duty to investigate and evaluate facts expressed or implied in the [ ] complaint as well as facts learned from the insured and from other *271 sources.” Id. at 691, 340 S.E.2d at 378; accord Duke Univ. v. St. Paul Fire and Marine Ins. Co., 96 N.C.App. 635, 638, 386 S.E.2d 762, 764 (1990). Any doubt as to coverage is resolved in favor of the insured. Waste Mgmt., 315 N.C. at 693, 340 S.E.2d at 378. If it is later determined that an insurer breached its duty to defend, “the insurer is estopped from denying coverage and is obligated to pay the amount of any reasonable settlement made in good faith by the insured of the action brought against him by the injured party.”

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335 F. App'x 268, Counsel Stack Legal Research, https://law.counselstack.com/opinion/breezewood-of-wilmington-condominiums-homeowners-assn-v-amerisure-mutual-ca4-2009.