G.E.M.S. PARTNERS LLC v. AMGUARD INSURANCE COMPANY

CourtDistrict Court, D. New Jersey
DecidedJuly 29, 2024
Docket2:22-cv-01664
StatusUnknown

This text of G.E.M.S. PARTNERS LLC v. AMGUARD INSURANCE COMPANY (G.E.M.S. PARTNERS LLC v. AMGUARD INSURANCE COMPANY) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
G.E.M.S. PARTNERS LLC v. AMGUARD INSURANCE COMPANY, (D.N.J. 2024).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

G.E.M.S. PARTNERS LLC, et al., Civil Action No. 22-1664 (MEF)(JBC) Plaintiffs,

v. OPINION and ORDER AMGUARD INSURANCE COMPANY,

Defendant.

I. Background A. The Facts B. Procedural History C. The Motion D. The Court’s Approach II. Legal Principles III. Analysis A. The Flood Exclusion B. Counterarguments 1. Villamil 2. T.H.E. Insurance Company C. “Surface Water” IV. Conclusion

* * * Certain buildings were damaged during a storm, and the insurer declined to make a requested pay-out. The buildings’ owners sued. The insurer now moves for summary judgment, arguing mainly that there is no coverage because the damage was caused by a flood. The motion is denied. * * * I. Background A. The Facts An insurance contract was signed, see Defendant’s Statement of Undisputed Facts ¶ 9, under which an insurance company1 agreed to cover three neighboring buildings in Union, New Jersey. See id.; Sipple Certification Exhibit A, Policy Declarations at 2, 5, 6. Per the contract, the insurer would “pay for . . . damage . . . caused by . . . [w]ater . . . which backs up through or overflows or is otherwise discharged from a sewer[.]” Sipple Certification Exhibit G, Water Back-Up and Sump Overflow Endorsement at 1. During a 2021 hurricane, there is evidence that happened. A plumber inspected the buildings after the storm, and described a “back up” of “sewer . . . water.” Sipple Certification Exhibit H, Plumbing Analysis Report of Michael Tardio (March 15, 2023) at 2. Payment was sought under the insurance contract from the insurer, and the insurer declined to pay. See Defendant’s Statement of Undisputed Facts ¶ 17, 19. B. Procedural History The building owners (from here, “the Plaintiffs”) sued the insurance company (“the Defendant”) in state court, seeking damages. The case was removed to federal court, and around a year later it was reassigned to the undersigned. Settlement efforts were undertaken but failed, and the Defendant then moved for summary judgment. The motion is now before the Court.

1 AmGUARD Insurance Company. See Complaint ¶ 8. C. The Motion The Defendant’s core summary judgment argument: any backup of sewer water was caused, at least in part, by the rain that lashed Union during the hurricane and then overwhelmed the city’s drainage system. See Defendant’s Summary Judgment Brief at 5-6. This amounted to a flood, the argument goes, and sewage backup caused by a flood is not covered. See id. at 8-9. The basis for this argument is a flood exclusion (“Flood Exclusion”) in the insurance contract: THIS IS NOT FLOOD INSURANCE. We will not pay for loss or damage from water or other materials that back up or overflow from any sewer, drain or sump that itself is caused, directly or indirectly, in whole or in part, by any flood. Flood means the overflow of surface water, waves, tides, tidal waves, streams, or other bodies of water, or their spray, all whether driven by wind or not. Sipple Certification Exhibit G, Water Back-Up and Sump Overflow Endorsement at 1.2 D. The Court’s Approach Evaluating the Defendant’s summary judgment motion requires the Court to interpret the Flood Exclusion, to determine whether it applies here. To do so, the Court first sets out the general legal principles that control interpretation of the Exclusion. See Part II. The Court then interprets the Exclusion, concluding that it does not apply here, see Parts III.A and III.C, and that the main counterarguments advanced by the Defendant do not alter this conclusion, see Part III.B. Accordingly, the Defendant’s summary judgment motion is denied. See Part IV.

2 The Defendant quotes a part of the insurance contract that changed the definition of “water” as used in other parts of the contract. See Defendant’s Summary Judgment Brief at 4. But the parties make no argument from this changed definition. Therefore, the Court does not consider it. See, e.g., Wu v. GSX Techedu Inc., 2024 WL 3163219, at *25 (D.N.J. June 25, 2024). II. Legal Principles Because the parties’ briefs assume that New Jersey law applies, it does. See Navigators Specialty Ins. Co. v. Citizens Ins. Co. of Am., 2024 WL 3287848, at *2 (D.N.J. July 3, 2024) (collecting cases). When applying New Jersey law, “the decisions of the [New Jersey] Supreme Court are the authoritative source.” Spence v. ESAB Grp., Inc., 623 F.3d 212, 216 (3d Cir. 2010). But as to interpreting the language of the Flood Exclusion, the New Jersey Supreme Court has not issued a “controlling decision.” Popa v. Harriet Carter Gifts, Inc., 52 F.4th 121, 125 (3d Cir. 2022). Accordingly, this Court must “predict” what the Supreme Court of New Jersey’s interpretation of the relevant contractual language would be. See Spence, 623 F.3d at 216. To make this prediction, a range of sources may be consulted. See, e.g., Nationwide Mut. Ins. Co. v. Buffetta, 230 F.3d 634, 637 (3d Cir. 2000) (listing sources); McKenna v. Ortho Pharm. Corp., 622 F.2d 657, 662-63 (3d Cir. 1980) (listing more sources). These include decisions of New Jersey intermediate appellate courts as to the meaning of state law. See Gov’t Emps. Ins. Co. v. Mount Prospect Chiropractic Ctr., P.A., 98 F.4th 463, 468-69 (3d Cir. 2024). Moreover, a federal court aiming to predict how a state supreme court will ultimately interpret a legal document (here, an insurance contract) should generally analyze the document “using the same interpretative approach that the state supreme court applies[.]” Navigators Specialty Ins. Co., 2024 WL 3287848, at *7. This is to increase the likelihood of an accurate prediction as to how the state supreme court would rule. See id. at *8. III. Analysis A. The Flood Exclusion The Court predicts that the New Jersey Supreme Court would hold that for purposes of the Flood Exclusion here, “flood” means “the overflow of . . . a bod[y] of water.” This interpretation does not cover rain hitting city streets during a storm and overwhelming municipal sewers --- but not causing a body of water to overflow. That, though, is all that the undisputed evidence in this case shows. Therefore, on the Court’s “overflow” interpretation, the Flood Exclusion is not in play here --- and, accordingly, the Defendant is not entitled to summary judgment. * * * There are three basic reasons for the Court’s prediction that “flood,” as used in the Flood Exclusion, would be interpreted by the New Jersey Supreme Court to mean an “overflow of . . . a bod[y] of water.” First, under New Jersey law, there is an established “interpretive approach” in this area. See generally Navigators Specialty Ins. Co., 2024 WL 3287848, at *8. Namely: insurance contracts are given their “plain, ordinary meaning.” Zacarias v. Allstate Ins. Co., 168 N.J. 590, 595 (2001). In turn, the “plain, ordinary meaning” of “flood” is an “overflow of . . . a bod[y] of water.” See Flood, Meriam- Webster.com, https://www.merriam-webster.com/dictionary/flood (last visited July 25, 2024) (first definition: “a rising and overflowing of a body of water”); 5 Oxford English Dictionary 1075-76 (2d ed. 1989) (first definition: “[a]n overflowing or irruption of a great body of water”).3 Second, an “overflow of a body of water” is the typical understanding of what a “flood” means in the context of insurance contracts. See 11 Couch on Insurance § 153:54, Flood (“[a] flood is generally defined as the overflow of some body of

3 To discern “the plain, ordinary meaning” of insurance contract terms, New Jersey courts routinely look to on dictionary definitions. See, e.g., On-Target Staffing, LLC v. Zurich Am. Ins. Co., 2024 WL 178215, at *10 (N.J. Super. Ct. App. Div.

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G.E.M.S. PARTNERS LLC v. AMGUARD INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gems-partners-llc-v-amguard-insurance-company-njd-2024.