Cal-Farm Insurance v. TAC Exterminators, Inc.

172 Cal. App. 3d 564, 218 Cal. Rptr. 407, 1985 Cal. App. LEXIS 2544
CourtCalifornia Court of Appeal
DecidedSeptember 25, 1985
DocketB002219
StatusPublished
Cited by52 cases

This text of 172 Cal. App. 3d 564 (Cal-Farm Insurance v. TAC Exterminators, Inc.) 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
Cal-Farm Insurance v. TAC Exterminators, Inc., 172 Cal. App. 3d 564, 218 Cal. Rptr. 407, 1985 Cal. App. LEXIS 2544 (Cal. Ct. App. 1985).

Opinion

*570 Opinion

KLEIN, P. J.

Plaintiff and appellant Cal-Farm Insurance Company (Cal-Farm) 1 appeals from a declaratory judgment determining rights and obligations under a policy issued to defendant and respondent TAC Exterminators, Inc. (TAC) in its favor.

Because the general liability policy covered the nature and kind of risks in the underlying death action, Cal-Farm has a duty to defend TAC from the cross-complaint filed in said action, and the trial court’s ruling to that effect is affirmed. However, because exclusion (j) is applicable, Cal-Farm need not indemnify TAC, if TAC is found to have signed an indemnity agreement with Sunset Ladder Company (Sunset Ladder) and if Sunset Ladder suffers liability in the underlying action. That part of the trial court’s ruling to the contrary is reversed.

Procedural and Factual Background

Cal-Farm brought a declaratory relief action to determine the relative rights and duties of the parties under a policy of liability insurance issued by Cal-Farm to TAC, which was cross-complained against in an underlying wrongful death action.

On May 21, 1980, Donald Casey (Casey) was an employee of TAC and fell off a ladder while on the job. The fall resulted in injuries causing his death. The ladder was rented by TAC from Sunset Ladder. At the time of rental, a written contract was allegedly signed by TAC holding Sunset Ladder harmless from any liability.

After receiving workers’ compensation benefits upon Casey’s death, his widow and surviving children filed a wrongful death action naming various defendants, including Sunset Ladder, but not Casey’s employer, TAC. 2

State Compensation Insurance Fund, TAC’s workers’ compensation insurer, filed a lien in the wrongful death action for benefits paid to Casey’s *571 survivors. Sunset Ladder filed a cross-complaint against TAC and others alleging inter alia, that TAC had contracted to indemnify Sunset Ladder for any liability sustained by Sunset Ladder by reason of Casey’s heirs’ prevailing in their suit.

TAC tendered the defense of the cross-complaint to Cal-Farm which undertook said defense with a reservation of right to deny coverage.

Judgment in the declaratory relief action was entered on October 31, 1983, in favor of TAC, and other defendants, the trial court ruling that Cal-Farm has the duty to defend TAC, and that the policy provides indemnity coverage to TAC with respect to the subject matter in the underlying death action.

Cal-Farm appealed the ruling.

Contentions

Cal-Farm contends TAC’s general liability policy does not provide for the risks TAC is exposed to in the underlying death action because the provisions do not cover death actions. It further avers that the exclusion clauses deny relief as follows: Clause (a) denies coverage for liability assumed by TAC under any contract or agreement; clause (i) precludes coverage for any obligation for which TAC may be held liable under workers’ compensation; and clause (j) eliminates coverage for bodily injury to any employee of TAC arising in the course of employment or out of any obligation of TAC to indemnify another for damages arising out of such injury.

Discussion

1. Proper standard of review.

The interpretation of an insurance policy, like any other contract, is a matter of law as to which a reviewing court must make its own independent determination. (Boogaert v. Occidental Life Ins. Co. (1983) 150 Cal.App.3d 875, 879 [198 Cal.Rptr. 357]; Ohio Casualty Ins. Co. v. Hartford Accident & Indemnity Co. (1983) 148 Cal.App.3d 641, 644 [196 Cal.Rptr. 164]; Pechtel v. Universal Underwriters Ins. Co. (1971) 15 Cal.App.3d 194, 201 [93 Cal.Rptr. 53].)

This court is bound by the trial court’s factual findings as to the intent and expectations of TAC as to policy coverage which are supported by substantial evidence, and all factual conflicts must be resolved in favor *572 of the judgment. (Underwriters Ins. Co. v. Purdie (1983) 145 Cal.App.3d 57, 64 [193 Cal.Rptr. 248].) Both parties agree there are no material issues of fact in dispute.

However, since the underlying action has not yet been tried, the resolution of coverage must be determined by accepting as true all the allegations contained in the complaint in the underlying action. 3 (Ibid.)

2. The general liability provisions arguably cover a wrongful death action.

Cal-Farm first argues the policy does not cover the underlying wrongful death action because it is limited to bodily injury and/or property damage.

The policy, entitled on the front page as General Li ability-Automobile Policy, provides for general liability insurance as follows: “The company will pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of [1] A. bodily injury or [fj B. property damage [f] to which this insurance applies, caused by an occurrence, and the company shall have the right and duty to defend any suit against the insured seeking damages on account of such bodily injury or property damage, even if any of the allegations of the suit are groundless, false or fraudulent, and may make such investigation and settlement of any claim or suit as it deems expedient, ...”

Although “bodily injury” is defined in the policy as “sickness or disease sustained by a person,” “damages” is defined to include “damages for death and for care and loss of services resulting from bodily injury . . . .”

Cal-Farm also argues the policy was not issued for “contractual” coverage. However, nowhere does the policy define what “contractual” liability means. Instead, the policy promises to pay all sums which TAC becomes legally obligated to pay as damages for bodily injury even if the suit is groundless, false or fraudulent.

Insurance contracts are considered “adhesion contracts” (Gray v. Zurich Insurance Co. (1966) 65 Cal.2d 263, 269-270 [54 Cal.Rptr. 104, 419 P.2d 168]), and courts must evaluate not only the provisions of the policy but construe them to give the protection the insured reasonably had a right to expect. (Id., at p. 270, fn. 7.)

*573 Further, it is elementary insurance law that any ambiguity or uncertainty must be resolved against the insurer (Continental Cas. Co. v. Phoenix Constr. Co. (1956) 46 Cal.2d 423, 437 [296 P.2d 801]; Steven v. Fidelity & Casualty Co.

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Bluebook (online)
172 Cal. App. 3d 564, 218 Cal. Rptr. 407, 1985 Cal. App. LEXIS 2544, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cal-farm-insurance-v-tac-exterminators-inc-calctapp-1985.