Commonwealth Lloyds Insurance Co. v. Downs

853 S.W.2d 104, 1993 WL 92379
CourtCourt of Appeals of Texas
DecidedJune 8, 1993
Docket2-89-289-CV
StatusPublished
Cited by27 cases

This text of 853 S.W.2d 104 (Commonwealth Lloyds Insurance Co. v. Downs) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commonwealth Lloyds Insurance Co. v. Downs, 853 S.W.2d 104, 1993 WL 92379 (Tex. Ct. App. 1993).

Opinion

OPINION

LATTIMORE, Justice.

This is an action brought by H. Edward Downs (“Downs”) against Commonwealth Lloyds Insurance Company (“Commonwealth”) after its rejection of Downs’ claim on his casualty insurance policy. The jury found in Downs’ favor on his causes of action for: breach of the insurance contract; breach of the statutory and common law duty of good faith and fair dealing; violations of article 21.21 of the Texas Insurance Code; and violations of the Texas Deceptive Trade Practices — Consumer Protection Act (“D.T.P.A.”). The court rendered judgment in favor of Downs for violations of article 21.21 of the Insurance Code, and breach of the duty of good faith and fair dealing; Commonwealth appeals this judgment. The trial court denied Downs any recovery for breach of the insurance contract, or the D.T.P.A. violations; in two cross-points, Downs appeals this action of the court.

We reverse and render a take-nothing judgment in favor of Commonwealth.

In June of 1986, Downs contacted the William Rigg Insurance Agency for the purpose of procuring insurance on property he owned in Cooke County, Texas. The property included a horse barn and a covered arena, and was to be leased to a tenant. By the terms of the lease, Downs was obligated to maintain property insurance on the property. Through his administrative assistant Downs informed the agency that he needed a fire and extended coverage policy that corresponded with the insurance clauses in the lease. The relevant lease provision states:

CASUALTY INSURANCE: Owner shall at all times during the term of this Lease maintain a policy or policies of insurance with the premiums paid in advance, issued by and binding upon some solvent insurance company, insuring the building against loss or damage by fire, explosion or other hazards and contingencies of the full insurable value; provided that Owner shall not be obligated in any way or manner to insure any personal property (including but not lim *107 ited to, any furniture, machinery, goods or supplies) of Tenant which Tenant may have upon or within the lease[d] premises or any fixture installed by or paid for by Tenant upon or within the leased premises or any additional improvements which Tenant constructs on the leased premises. [Emphasis added.]

The insurance policy in question was issued by Commonwealth, effective September 23, 1986, for a one-year period; the policy was renewed for the period of September 23, 1987, through September 23, 1988. Under the section “PERILS INSURED AGAINST,” the policy provides that “PROPERTY as described under Coverage D is insured against” the following conditions: fire and lightning; smoke; windstorm, hurricane, and hail; explosion; aircraft and vehicles; and riot and civil commotion. Each of these coverages contained one or more exclusions. An endorsement was added providing coverage for vandalism and malicious mischief. The policy provision with which we are concerned provides:

PROPERTY as described under Coverage D is insured against:
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WINDSTORM, HURRICANE AND HAIL-
EXCLUSIONS — Insurance against these perils does not cover:
[a, b, and d are not applicable to the instant case]
c. Loss caused by rain, snow, sand or dust, all whether driven by wind or not, unless the wind or hail shall first make an opening in the walls or roof of the building, and the Company shall then be liable only for loss to the interior of the building, or the insured property therein, caused immediately by rain, snow, sand or dust entering the building through such opening.... [Emphasis added.]

On January 6, 1988, Cooke County experienced a severe winter storm consisting of precipitation in various forms causing ice to accumulate on the roof of Downs’ covered horse arena. The structure collapsed from the weight of the accumulated ice.

Soon thereafter, the property damage was reported by Downs to the William Rigg Agency. The “Property Loss Notice” submitted by the insurance agency to Commonwealth on January 11, 1988, and received by them on January 14, 1988, lists the “KIND OF LOSS (FIRE, WIND, EXPLOSION ETC)” as “Ice,” and “DESCRIPTION OF LOSS & DAMAGE” as “Ice became heavy on barn-roof collapsed killing tenants 5 horses and damaging their trailer.” This report of loss was handled by Jim Hayes, Regional Property Claim Manager for Crum & Forster Corporation, which owns Commonwealth. Hayes was the adjuster who reviewed the provisions of Downs’ policy and the applicable coverage. Hayes determined that the reported peril which was alleged to have caused the loss was not a covered peril under the insured’s policy. On January 18, 1988, Hayes notified Downs that the insurance policy did not extend coverage to include damage caused by weight of ice or snow or collapse.

On March 1, 1988, Hayes and a registered professional engineer traveled to the site of the loss to inspect the remains of the structure. Hayes testified that the purpose of the inspection was to determine whether there could have been any cause of the loss other than as reported by Downs, which might be covered under the policy. After this inspection, Commonwealth maintained its position that the cause of Downs’ loss was not a covered peril under the insurance policy.

Downs filed the instant lawsuit seeking a declaratory judgment “that a collapse due to ice is covered by the policy.” Additionally, Downs alleged the following causes of action:

By denying payment, Commonwealth breached the terms of the insurance contract;
By denying payment, Commonwealth breached the duty of good faith and fair dealing imposed upon an insurer by common law and by article 21.21, section 16 of the Texas Insurance Code;
Commonwealth misrepresented the benefits provided under the insurance *108 policy by failing to state material facts and by making statements in such a manner in order to mislead a reasonably prudent person to a false conclusion of a material fact; and
Commonwealth violated section 17.-46(b)(5), (7), (12), (23) and section 17.-50(a)(4) of the D.T.P.A.

The Court’s Charge

The court’s charge submitted all of the alleged causes of action, and the jury answered in favor of Downs on all issues. In summary, the jury questions were answered as follows:

(1) Commonwealth did not provide Downs with a policy conforming to the requirements of the insurance clause of the lease.
(2) Weather conditions listed under Downs’ insurance policy were the dominant cause of the collapse of his arena.
(3) $40,000 represents the diminution of market value of the area that was caused by the collapse.

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Bluebook (online)
853 S.W.2d 104, 1993 WL 92379, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commonwealth-lloyds-insurance-co-v-downs-texapp-1993.