Hurley Construction Co. v. State Farm Fire & Casualty Co.

10 Cal. App. 4th 533, 92 Daily Journal DAR 14165, 12 Cal. Rptr. 2d 629, 92 Cal. Daily Op. Serv. 8556, 1992 Cal. App. LEXIS 1227
CourtCalifornia Court of Appeal
DecidedOctober 15, 1992
DocketNo. B055665
StatusPublished
Cited by44 cases

This text of 10 Cal. App. 4th 533 (Hurley Construction Co. v. State Farm Fire & Casualty Co.) 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
Hurley Construction Co. v. State Farm Fire & Casualty Co., 10 Cal. App. 4th 533, 92 Daily Journal DAR 14165, 12 Cal. Rptr. 2d 629, 92 Cal. Daily Op. Serv. 8556, 1992 Cal. App. LEXIS 1227 (Cal. Ct. App. 1992).

Opinion

Opinion

YEGAN,J.

Here we hold that an insurance company has no duty to defend a civil action charging the insured with participation in a conspiracy to engage in fraudulent billing practices. We reach this conclusion because the policy limited coverage to third party claims for bodily injury and damage to tangible property.

William Hurley, doing business as Hurley Construction Company (Hurley), appeals from a summary judgment entered in favor of respondent, State Farm Fire and Casualty Company (State Farm), on an action for breach of an insurance contract. Hurley contends the trial court erred when it found that the comprehensive general liability insurance policy issued by State Farm provided no coverage. We disagree and affirm.

Hurley was a general contractor who furnished insurance repair services to the owners of homes and businesses insured by Fireman’s Fund Insurance Company (Fireman’s Fund). Fireman’s Fund filed suit against Hurley for [537]*537fraud, negligent misrepresentation, and breach of contract based on the allegation that Hurley conspired with a Fireman’s Fund property claims supervisor, Candido, and other contractors to overcharge for the repair and restoration of four properties. (L.A. Super. Ct. No. NWC 29762.)

Paragraph 25 of the complaint, in pertinent part, succintly states Fireman’s Fund’s theory: “The insurance fraud scheme was a wheel conspiracy to defraud Fireman’s Fund. Candido . . . formed the hub of the conspiracy. The remaining defendants . . . [including Hurley] were spokes of the conspiracy and were joint-venturers in the scheme to defraud Fireman’s Fund.” Hurley allegedly charged inflated prices, paid kickbacks to Candido, performed substandard work, used improper materials, and billed for services never performed.

Hurley tendered defense of the case to State Farm. State Farm denied coverage, prompting Hurley’s counsel to send eight demand letters between July and December of 1987. Hurley’s counsel believed the Fireman’s Fund action could potentially become an action for property damage and bodily injury, thereby triggering coverage. State Farm still denied coverage.

Hurley was required to finance his own defense, which he claims led to his bankruptcy. In 1988 Hurley filed the present action against State Farm alleging separate causes of action for declaratory relief, breach of contract, and breach of implied covenant of good faith and fair dealing.

Attached to Hurley’s complaint is a copy of State Farm’s comprehensive general liability insurance policy. The insuring clause states that State Farm will pay on behalf of Hurley “. . . all sums which the insured shall become legally obligated to pay as damages because of [][] A. bodily injury or [][] B. property damage [f] to which this insurance applies, caused by an occurrence . . . .” The policy defines an “occurrence” as “an accident, including continuous or repeated exposure to conditions, which results in bodily injury or property damage neither expected nor intended from the standpoint of the insured ....’’ “Property damage” is defined to mean the physical injury or destruction of tangible property.

State Farm filed a motion for summary judgment and summary adjudication of issues contending it had no duty to defend because (1) the Fireman’s Fund complaint did not seek compensation for property damage or bodily injury, (2) the alleged damages did not arise out of an occurrence as defined by the policy, (3) the policy did not insure against claims for fraud or negligent misrepresentation, and (4) the policy did not insure against claims arising out of contractual obligations.

[538]*538Hurley opposed the motion, citing the eight demand letters sent to State Farm in 1987. The trial court determined that no triable material facts existed because Hurley admitted all of the facts set forth in State Farm’s separate statement of undisputed facts. (Code Civ. Proc., § 437c, subd. (b).) Where, as here, the facts are not in dispute, it is the appellate court’s duty to make an independent determination of insurance coverage. (State Farm Mut. Auto Ins. Co. v. Partridge (1973) 10 Cal.3d 94, 100 [109 Cal.Rptr. 811, 514 P.2d 123].)

The premise to Hurley’s action against State Farm is that “. . . the insurer must furnish a defense when it learns of facts from any source that create the potential of liability under its policy. [Citations.]” (CNA Casualty of California v. Seaboard Surety Co. (1986) 176 Cal.App.3d 598, 606 [222 Cal.Rptr. 276].) A carrier must defend its insured against a claim “. . . which potentially seeks damages within the coverage of the policy.” (Gray v. Zurich Insurance Co. (1966) 65 Cal.2d 263, 275 [54 Cal.Rptr. 104, 419 P.2d 168].) Although an insurer’s duty to defend is broader than the duty to indemnify, the duty to defend depends upon facts known to the insurer at the inception of the suit. (CNA Casualty of Calif, v. Seaboard Surety Co., supra, 176 Cal.App.3d at p. 605, fn. 1; see also Saylin v. California Ins. Guarantee Assn. (1986) 179 Cal.App.3d 256, 263 [224 Cal.Rptr. 493].)

The Fireman’s Fund complaint, on its face, alleged no facts showing a potential for coverage. The extraneous “facts” regarding potential liability came from Hurley’s counsel who speculated about how Fireman’s Fund might amend its complaint at some future date. Hurley, however, misconstrued the concept of “potential liability” as defined by the policy. “We look to the nature and kind of risk covered by the policy as a limitation upon the duty to defend . . . .” (Gray v. Zurich Insurance Co., supra, 65 Cal.2d at p. 275; see also Giddings v. Industrial Indemnity Co. (1980) 112 Cal.App.3d 213, 218 [169 Cal.Rptr. 278].)

Our Supreme Court, anticipating imaginative counsel and the likelihood of artful drafting, has indicated that a third party is not the arbiter of the policy’s coverage. (Gray v. Zurich Insurance Co., supra, 65 Cal.2d at p. 276; see also Fire Ins. Exchange v. Jiminez (1986) 184 Cal.App.3d 437, 443, fn. 2 [229 Cal.Rptr. 83].) A corollary to this rule is that the insured may not speculate about unpled third party claims to manufacture coverage.

Here, the trial court reasonably concluded that the action filed by Fireman’s Fund involved no potential claim for property damage or bodily [539]*539injury. We too are unwilling to characterize the straightforward provisions of the policy to find coverage where none exists. (Nichols v. Great American Ins. Companies (1985) 169 Cal.App.3d 766, 778 [215 Cal.Rptr. 416].)

The underlying complaint alleged that Hurley conspired with Fireman’s Fund’s own claims supervisor to defraud Fireman’s Fund from 1983 and 1986. These allegations, read in connection with the insuring and exclusionary clauses in the State Farm policy, preclude coverage. Our conclusion is based on two interrelated coverage factors.

First, the insuring clause limited coverage to an accidental “occurrence.” This was the triggering event. No duty to defend arose unless the third party claim involved an “occurrence” neither expected nor intended from the standpoint of the insured. (Giddings v. Industrial Indemnity Co., supra,

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10 Cal. App. 4th 533, 92 Daily Journal DAR 14165, 12 Cal. Rptr. 2d 629, 92 Cal. Daily Op. Serv. 8556, 1992 Cal. App. LEXIS 1227, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hurley-construction-co-v-state-farm-fire-casualty-co-calctapp-1992.