Fire Insurance Exchange v. Jiminez

184 Cal. App. 3d 437, 229 Cal. Rptr. 83, 1986 Cal. App. LEXIS 1914
CourtCalifornia Court of Appeal
DecidedAugust 14, 1986
DocketB014499
StatusPublished
Cited by34 cases

This text of 184 Cal. App. 3d 437 (Fire Insurance Exchange v. Jiminez) 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
Fire Insurance Exchange v. Jiminez, 184 Cal. App. 3d 437, 229 Cal. Rptr. 83, 1986 Cal. App. LEXIS 1914 (Cal. Ct. App. 1986).

Opinion

Opinion

YEGAN, J. *

From a declaratory relief judgment, Fire Insurance Exchange (hereinafter Exchange) appeals the determination that it has a duty to defend its insured, Manuel Jiminez (hereinafter Jiminez), in a personal injury suit pending in the superior court. Jiminez has filed a cross-appeal and seeks relief from another aspect of the judgment which, notwithstanding the duty to defend, declares that Exchange is not required to indemnify him for any damages as a result of the underlying lawsuit.

On its appeal, Exchange contends: “I. An insurer has no duty to defend an insured where the exclusion of coverage is clear and the duty to defend is conditioned on coverage. II. The Ohio Casualty case [Ohio Casualty Ins. Co. v. Hubbard (1984) 162 Cal.App.3d 939 (208 Cal.Rptr. 806)] relied on by the trial court is distinguishable.” These contentions are meritorious.

On his appeal, Jiminez contends: “[I.] The knocking down of a lean-to porch which had become a nuisance is not a business pursuit of the insured. [II.] The allegedly negligent injury sustained during the course of knocking down the lean-to porch, which had become a nuisance, is a direct loss from activity normally considered non-business.” These contentions are without merit.

In 1979, Jiminez purchased a “Dwelling Package Policy” of insurance from Exchange which listed 962 Cheltenham Road as the “Location of Property Insured.” Jiminez did not disclose that he also owned a large commercial building at 434 Haley Street in Santa Barbara, a portion of which he used for his own produce business and 6,000 square feet of which he leased to Santa Barbara Ceramic Design. Moreover, Jiminez never told his insurance agent that he wanted insurance on his place of business and was advised that the homeowner’s policy would not cover “business pursuits.” Accordingly, the 434 Haley Street commercial building is not mentioned in the policy. On the reverse side of the policy in bold print, the carrier advertises that “Business Property” and “Commercial Comprehensive Liability” are “Other Lines Offered.”

In 1982, Jiminez decided to remove a lean-to type roof connected to his commercial building. Richard Metzger, plaintiff in the underlying action *440 for personal injury, received permission from Jiminez to salvage some of the materials in the roof. He was injured while doing so. When Metzger sued Jiminez, he looked to Exchange for defense and indemnification pursuant to the policy he purchased in 1979.

Exchange’s Appeal

Under the heading of ‘ ‘ Comprehensive Personal Liability , ’ ’ paragraph 43 of the subject policy provided that Exchange would “. . . pay all damages . . . because of bodily injury to any person . . . caused by an occurrence to which this insurance applies.” Under the same heading, paragraph 44 provided that Exchange would “. . . pay all reasonable expenses ... to or for each person who sustains bodily injury caused by accident, to which this insurance applies, while such person is: [11] (1) on an insured premises with the permission of any insured; or [If] (2) elsewhere, if such bodily injury [I] (a) arises out of a condition in the insured premises or the ways immediately adjoining, [1Í] (b) is caused by the activities of any insured, or by a residence employee in the course of his employment by any insured, [If] (c) is caused by an animal owned by or in the care of any insured, or [IT] (d) is sustained by any residence employee and arises out of and in the course of his employment by any insured.” (Italics added.)

Paragraph 47 provided that Exchange would “. . . defend, at its own expense, 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.” (Italics added.)

Under the subheading of “Exclusions,” the policy provided, inter alia: “This insurance does not apply under . . . 53(d) to bodily injury or property damage arising out of business pursuits of any insured except activities therein which are ordinarily incident to non-business pursuits; [11] 54(e) to bodily injury or property damage arising out of any premises, other than an insured premises, owned, rented or controlled by any insured . . . .”

After the court indicated that there could be no duty of indemnification pursuant to exclusions in paragraphs 53 and 54, the court, by minute order, ruled that there was nevertheless a duty to defend. 1

*441 Exchange’s contentions are meritorious. We disagree with the trial court’s view that the language concerning duty to defend “such” bodily injury or property damage claims “. . . would not place a reasonable person on notice that the Company does not have a duty to defend a lawsuit. . . .” Under this view, had Jiminez owned the Empire State Building, Exchange would have a duty to defend claims for bodily injury or property damage occurring there. No person could reasonably believe that the instant policy, with its exclusions for business pursuits and commercial rentals, could impose a “duty to defend” where the accident occurs on commercial property. (Gray v. Zurich Insurance Co., supra, 65 Cal.2d 263, 274.)

It is true that “[a]n insurer’s duty to defend is separate from its duty to indemnify. . . . The duty to defend is broader than the duty to indemnify and is measured by the reasonable expectation of the insured. [Citations.]” (Ohio Casualty Ins. Co. v. Hubbard, supra, 162 Cal.App.3d 939, 943-944.) But there is no duty to defend here because the word “such” in paragraph 47 can only refer to the bodily injury or property damage “to which this insurance applies,” set out in paragraphs 43 and 44. The trial court’s interpretation would, in essence, erase the modifier “such” and replace it with “any bodily injury or property damage including those arising out of a ‘business pursuit’ or commercial rentals.”

In Gray v. Zurich Insurance Co., supra, 65 Cal.2d 263, 272, the policy provided, inter alia, that “‘. . . the company shall defend any suit against the insured alleging such bodily injury or property damage and seeking damages which are payable under the terms of this endorsement, even if any of the allegations of the suit are groundless, false, or fraudulent’ . . . .”

In the companion case of Lowell v. Maryland Casualty Co. (1966) 65 Cal.2d 298, 299-300 [54 Cal.Rptr. 116, 419 P.2d 180], the policy provided, inter alia, that “‘with respect to such insurance as is afforded by this policy the company shall . . . defend any suit against the insured alleging such injury . . . and seeking damages on account thereof, even if such suit is groundless, false or fraudulent.’”

*442 These “wide promises” (Gray v. Zurich Insurance Co., supra, 65 Cal.2d 263, 272) were held to encompass the duty to defend intentional torts.

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Cite This Page — Counsel Stack

Bluebook (online)
184 Cal. App. 3d 437, 229 Cal. Rptr. 83, 1986 Cal. App. LEXIS 1914, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fire-insurance-exchange-v-jiminez-calctapp-1986.