Lui v. Essex Insur. Co.

Washington Supreme Court·Decided June 9, 2016·No. 91777-9·Published

Opinion

IN THE SUPREME COURT OF THE STATE OF WASHINGTON

KUT SUEN LUI and MAY FAR LUI, )

)

Petitioners, ) No. 91777-9 V. )

) En Bane

ESSEX INSURANCE COMPANY, )

Respondent. )

) Filed JUN 0 Q 20j6

WIGGINS, J.-Kut Suen Lui and May Far Lui (the Luis) owned a building that sustained water damage after a pipe burst while the building was vacant. The Luis' insurance policy for the building limited coverage for water damage in two ways based on vacancy: coverage was suspended if the building remained vacant for 60 consecutive days and, effective at the beginning of any vacancy, there was no coverage for certain specified losses, including water damage. The Luis argue that the policy is ambiguous and should be interpreted in the Luis' favor to mean that the exclusion of coverage for water damage would commence only after a 60-day vacancy. We reject the Luis' arguments and find that the policy unambiguously excluded coverage for water damage immediately upon vacancy. We reverse the trial court's contrary holding and affirm the Court of Appeals.

State v. Lui (Kut Suen & May Far), No. 91777-9

FACTS AND PROCEDURAL HISTORY The Luis owned a building containing tenant space. The building's last tenant, the Agape Foundation Inc., left the building in the first week of December 2010 after being evicted by the Luis for failure to pay rent. At the time of the incidents giving rise to this claim, the Luis were not renting the building to a tenant.

On or about January 1, 2011, less than 60 days after the Agape Foundation Inc. moved out of the building, a frozen sprinkler pipe broke in the building and caused substantial water damage to the building. Upon discovering the water damage, the Luis notified their insurance provider, Essex Insurance Company, and filed a cl.aim. Essex began investigating the Luis' claim and paid the Luis a total of $293,598.05 for property damage during the course of its investigation.

After paying this sum, Essex discovered that the property was vacant at the time of the water damage. Essex then denied the Luis' claim and refused to pay any more money. In denying the Luis' claim, Essex sent their attorney a letter explaining that the endorsement in the Luis' insurance policy excluded coverage for the water damage because it occurred while the building was vacant. The letter explained Essex's reasoning as follows:

This letter explains the reasons why Essex must deny your clients'

claim based on the investigation to date.

First, the policy contains a Change of Conditions Endorsement, which I copy here at Appendix A This Endorsement was specifically endorsed to the policy over the past few years. As you will see, that Endorsement states:

Effective at the inception of any vacancy or unoccupancy, the Causes of Loss provided by this policy are limited to Fire, Lightning, Explosion, Windstorm or Hail, Smoke,

State v. Lui (Kut Suen & May Far), No. 91777-9

Aircraft or Vehicles, Riot or Civil Commotion, unless prior approval has been obtained from the Company.

In this situation, the subject building was vacant and unoccupied at the time of the loss. The insurance company was never notified of the vacancy until after the loss, and hence never approved coverage beyond the named perils listed in the Endorsement. The cause of the January 1, 2011 loss was not one of the perils named in the Change of Conditions Endorsement. Therefore, the insurance company cannot provide coverage for the claimed loss.

In addition, the letter stated that Essex would refrain from seeking reimbursement for the money that Essex had already paid to the Luis on condition that the Luis would not pursue their claim any further.

The Luis sued Essex, claiming total damages in the amount of $758,863.31.

Both the Luis and Essex filed cross motions for summary judgment. Essex argued that the unambiguous language of the "Change in Condition Endorsement" (the endorsement) in the Luis' insurance policy immediately suspends coverage at the inception of any vacancy for all but specifically named causes of loss. Because the property was vacant and water damage was not one of the named causes of loss, Essex argued that the court should rule that the Luis were not entitled to coverage as a matter of law. The Luis argued that coverage restrictions from their policy's "Vacancy Provisions" become effective if the property is vacant for a period of 60 consecutive days. Further, the Luis sought summary judgment on the grounds that (1) Essex was estopped from denying coverage, (2) Essex waived its right to deny coverage, and (3) Essex denied the coverage in bad faith.

The trial court denied Essex's motion for summary judgment and granted partial summary judgment in favor of the Luis solely on its conclusion that the endorsement

State v. Lui (Kut Suen & May Far), No. 91777-9

was internally ambiguous and, therefore, had to be construed as providing coverage for the water damage. Specifically, the trial court stated, "The court finds there is a conflict in the two paragraphs of the change of conditions endorsement." The court resolved the conflict in favor of the Luis, holding that the word "inception" from the endorsement "does not suspend coverage automatically." The court acknowledged that it was ruling only on the "narrow issue" that there was "a conflict in the language" of the endorsement. Thus, the court declined to grant summary judgment on the Luis' waiver, estoppel, and bad faith claims, stating that there are questions of material fact that govern those issues. 1 Essex moved for reconsideration and asked in the alternative that the court certify the ruling for appeal under RAP 2.3(b)(4). The court denied Essex's motion for reconsideration but did certify its ruling for review. In certifying its ruling for review, the court also ordered "that all further action in this Court involving the Luis' claims against Essex are severed and stayed pending resolution of Essex' appeal to the Court of Appeals."

The Court of Appeals accepted review on the certified issue of whether the provisions within the endorsement were ambiguous. In an unpublished opinion, the Court of Appeals reversed the trial court's order granting summary judgment in favor of the Luis. The Court of Appeals ruled that the plain language of the endorsement unambiguously limited coverage to only the enumerated causes of loss at the moment

1 The issues of waiver, estoppel, and bad faith are not before our court. The Luis asked the Court of Appeals to review these issues, but the Court of Appeals refused on the basis that the issues were not properly before the court. Kut Suen Lui v. Essex Ins. Co., noted at 186 Wn. App. 1045, 2015 WL 1542380, at *7. The Luis do not raise these issues here.

State v. Lui (Kut Suen & May Far), No. 91777-9

the building became vacant, not after 60 days as the Luis argued. The Luis then filed a petition for review with this court, which we granted.

ANALYSIS

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