Guillen Ex Rel. Guillen v. Potomac Ins. Co.

751 N.E.2d 104, 323 Ill. App. 3d 121, 256 Ill. Dec. 51, 2001 Ill. App. LEXIS 392
CourtAppellate Court of Illinois
DecidedMay 24, 2001
Docket1-00-2314
StatusPublished
Cited by22 cases

This text of 751 N.E.2d 104 (Guillen Ex Rel. Guillen v. Potomac Ins. Co.) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Guillen Ex Rel. Guillen v. Potomac Ins. Co., 751 N.E.2d 104, 323 Ill. App. 3d 121, 256 Ill. Dec. 51, 2001 Ill. App. LEXIS 392 (Ill. Ct. App. 2001).

Opinion

JUSTICE SOUTH

delivered the opinion of the court: This lawsuit arises from an insurance policy issued by Potomac Insurance Company of Illinois (Potomac), to Ezequiel and Maria Ortiz (insureds/defendants). The initial policy was issued for the period of October 12, 1991, to October 12, 1992, which contained no lead exclusion provision. Two additional policies were issued during the periods of October 12, 1992, to October 12, 1993, and October 12, 1993, to October 12, 1994. The October 12, 1993, policy contained a lead exclusion provision which provides in pertinent part:

“This insurance does not apply to:
1. ‘Bodily injury’, ‘property damage’, ‘personal injury’, or ‘advertising injury’ arising out of, resulting from, or in any way caused or contributed to by the actual, alleged or threatened ingestion, inhalation, absorption of, exposure to or presence of lead in any form emanating from any source, or
2. Any loss, cost or expense arising out of, resulting from or in any way related to any:
a. claim, suit, request, demand, directive or order by any person *** that any ‘insured’ or others test for, monitor, clean up, remove, contain, treat, detoxify, neutralize or in any way respond to, or assess the effects of lead in any form, or to any
b. claim or suit on behalf of any person, *** for damages because of testing for, monitoring, cleaning up, removing, containing, treating, or detoxifying or neutralizing, or in any way responding to, or assessing the effects of lead in any form.
We shall not be obligated to investigate, defend or indemnify any ‘insured’ or any person or entity claiming any right under the policy, for the matters excluded in this endorsement.”

This exclusion included all subsequent Potomac policies.

In May 1996, plaintiff, Denise Guillen, a minor, by Suamy Guillen, her father and next friend, filed a negligence complaint against the insureds. The insureds owned property located at 2700-02 North Sacramento in Chicago, Illinois. Plaintiff lived at the property between October 1993 to September 1995. The complaint alleged that while a tenant in one of the insureds’ buildings, the minor plaintiff was poisoned due to exposure to lead. Plaintiff asserted that she sustained substantial and permanent injury due to this lead poisoning, which has affected her educational, social, behavioral, vocational, and intellectual development. This complaint was based upon negligence, as well as violations of the Chicago Municipal Code (Chicago Municipal Code § 5—12—110 (amended November 6, 1991), § 13—196—540(d) (1990), §§ 7—4—030, 7—4—110 (added November 5, 1993)) and the Lead Poisoning Prevention Act (410 ILCS 45/1 et seq. (West 1996)).

Insureds tendered plaintiffs claims to Potomac. However, Potomac denied coverage and refused to defend insureds due to the lead hazard exclusion added to the October 12, 1993, policy. Potomac did not file a declaratory judgment action.

In July 1997, the insureds entered into a settlement agreement with plaintiff. Insureds agreed to pay plaintiff “$600,000, to be satisfied solely through the assignment to Plaintiff *** oí" *** all of their rights to payment, if any, from General Accident Insurance. *** By this paragraph, Defendants are not assigning to Plaintiff any of their rights to insurance protection or coverage otherwise provided to Defendants under the Policy, but only their rights to payments, if any, under the Policy arising out of the claims asserted against Defendant^] in the Action or settlement thereof, and only to the extent permitted by law or otherwise,” The settlement agreement also contained a mutual release provision which stated:

“5. Mutual Releases. Plaintiff hereby releases Defendants *** from all claims, whether in law or in equity, that Plaintiff now or could in the future have against them arising out of any matter occurring prior to the date of this agreement and which were asserted in the Action or are in any way related to the allegations made in the Action. This release, however, does not include claims arising out of a failure of a party to perform in conformity with the terms of this agreement.
Defendants *** hereby release Plaintiff from all claims, whether in law or in equity, that they now or could in the future have against Plaintiff arising out of any matter occurring prior to the date of this agreement and which were asserted in the Action or are in any way related to the allegations made in the Action. This release, however, does not include claims arising out of a failure of a party to perform in conformity with the terms of this agreement.”

In March 1998, plaintiff filed an amended complaint for declaratory judgment against Potomac. Plaintiff alleged that proper notice of the addition of the lead exclusion was not given to the insureds and, therefore, did not become a part of the policy or preclude coverage of the underlying case. Plaintiff further alleged that since Potomac wrongfully refused to defend the insureds, it was estopped from asserting any defenses under the policy. Plaintiff further argues that Potomac has a duty to indemnify the insureds and to honor the settlement agreement entered into with the minor plaintiff.

In May 1998, Potomac filed an answer to plaintiffs amended complaint raising 14 affirmative defenses.

The parties filed cross-motions for summary judgment. In Potomac’s motion for summary judgment, it asserted that on July 28, 1993, 75 days prior to renewal, it had provided written notice of the addition of the lead exclusion to the insureds. As such, it maintained that there was no duty to defend the insureds since the lead exclusion barred coverage for plaintiffs lawsuit. Furthermore, Potomac argues that it has no duty to indemnify the insureds because it is not “legally obligated to pay damages to the plaintiff, because no judgment exists against the defendants and they have not paid any money pursuant the settlement agreement.”

On June 23, 2000, the circuit court found that Potomac had breached its duty to defend the insureds and was estopped from raising any policy defenses. However, it granted summary judgment in favor of Potomac on the issue of Potomac’s duty to indemnify. Both parties have filed timely cross-appeals.

Plaintiff raises one issue on appeal: whether the trial court erred by permitting Potomac to raise its claimed defenses that there was a failure of a condition precedent under the policy or that its insureds were not “legally obligated to pay” the $600,000 they agreed to pay minor plaintiff even though the trial court concluded that Potomac breached its duty to defend and was estopped from raising any defenses.

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Cite This Page — Counsel Stack

Bluebook (online)
751 N.E.2d 104, 323 Ill. App. 3d 121, 256 Ill. Dec. 51, 2001 Ill. App. LEXIS 392, Counsel Stack Legal Research, https://law.counselstack.com/opinion/guillen-ex-rel-guillen-v-potomac-ins-co-illappct-2001.