Lumbermen's Mutual Casualty Co. v. Sykes

890 N.E.2d 1086, 384 Ill. App. 3d 207, 322 Ill. Dec. 167, 2008 Ill. App. LEXIS 611
CourtAppellate Court of Illinois
DecidedJune 20, 2008
Docket1-07-0860
StatusPublished
Cited by28 cases

This text of 890 N.E.2d 1086 (Lumbermen's Mutual Casualty Co. v. Sykes) 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
Lumbermen's Mutual Casualty Co. v. Sykes, 890 N.E.2d 1086, 384 Ill. App. 3d 207, 322 Ill. Dec. 167, 2008 Ill. App. LEXIS 611 (Ill. Ct. App. 2008).

Opinion

JUSTICE JOSEPH GORDON

delivered the opinion of the court:

This is a case concerning coverage under a homeowner’s insurance policy. In early 2001, homeowner Gloria Sykes discovered water entering her home and submitted a claim for water damage under her homeowner’s insurance policy with Lumbermen’s Mutual Casualty Company (Lumbermen’s). Lumbermen’s paid the claimed damages and closed the file. Subsequently, in November 2001, Sykes reported toxic mold growth in her home which she alleged was a result of the prior occurrence. She later alleged that due to this mold growth, her home became uninhabitable and she was forced to move out. After sending various experts to Sykes’ home to investigate the damage over the course of several months, Lumbermen’s denied coverage. It filed a declaratory judgment action, seeking a ruling that it was not required to pay Sykes for the mold-related damage under the terms of her policy. Sykes countersued, alleging, among other things, that Lumbermen’s had breached its contract with her by refusing to pay and that waiver and estoppel prevented it from asserting noncoverage as a defense.

The trial court granted summary judgment for Sykes on count I of her counterclaim, breach of contract, and on count II, estoppel. It also issued a preliminary mandatory injunction ordering Lumbermen’s to pay Sykes’ additional living expenses that she incurred due to being unable to stay in her home. On appeal, Lumbermen’s challenges the injunction and the partial summary judgment upon which it is predicated. For the reasons that follow, we affirm in part, reverse in part, and remand for further proceedings.

I. BACKGROUND

On July 26, 2002, Lumbermen’s filed its complaint in the circuit court seeking declaratory relief against Sykes. In its complaint, it avers that it issued a homeowner’s insurance policy to Sykes effective from June 5, 2000, to June 5, 2001. It further avers that in February 2001, Sykes notified Lumbermen’s that her house had sustained water damage as a result of melting snow in January 2001; Lumbermen’s paid Sykes for that damage. Subsequently, in November 2001, Sykes notified Lumbermen’s that she had mold in her home. Lumbermen’s thereupon sent various experts to investigate the alleged mold damage, meanwhile sending multiple letters to Sykes notifying her that Lumbermen’s was reserving its rights under her policy. The complaint then alleges that after the investigation, Lumbermen’s concluded that Sykes’ claim for mold damage was not covered under her policy, and it sent her a letter denying coverage on July 24, 2002. Thus, Lumbermen’s requested that the court declare that it was not required to pay Sykes’ claim.

Attached to the complaint was a copy of Lumbermen’s July 24, 2002, letter to Sykes. In the letter, Lumbermen’s stated that its experts found “water infiltration and wood decay [that] have been occurring over a period of many years prior to the December 2000 ice damning [szc] occurrence.” 1 It further stated that “the observed conditions of mold growth and fungal decay have been caused by water infiltration... due to defective roof construction and not due to conventional ice damming conditions.” According to Lumbermen’s, this kind of long-term water infiltration caused by design defects in the house was not within the scope of the policy. The letter proceeded to list various policy conditions which purportedly showed that the damage was excluded from coverage. In particular, the letter stated that “the damage pre-dated the inception of your insurance policy.”

On October 21, 2002, Sykes filed a counterclaim against Lumbermen’s in ten counts, of which counts I and II are at issue in this appeal. Her complaint recites the following preliminary allegations.

In February 2001, due to heavy snowfall, ice dams formed on the roof of Sykes’ house. Sykes alleges that these ice dams caused water to enter her house and cause damage, and in turn, this water intrusion eventually caused the house to become contaminated with toxic mold. Sykes notified Lumbermen’s of the water damage. Lumbermen’s determined that the water damage was a covered loss under Sykes’ policy and paid for various repair costs. It closed its file in July 2001. Because Sykes had filed “too many claims,” Lumbermen’s declined to renew her policy for the following year.

Sykes further states that in November 2001, Lumbermen’s began to investigate Sykes’ claims of mold at her house. Experts hired by Lumbermen’s conducted an inspection of the house on January 22, 2002, and they confirmed the presence of mold in the house, likely caused by water accumulation due to roof leaks. Sykes learned of the possible dangerousness of the mold situation in February 2002, from speaking with representatives of one of these hired experts. Sykes then relocated to a hotel. Also in February 2002, Sykes signed an authorization form to allow Purofirst, a preferred company of Lumbermen’s, to begin remediation work on her house and on the contaminated personal property within.

Sykes then avers that on March 7, 2002, she received a letter from Lumbermen’s stating that the insurer required additional information to determine whether her claim was covered. However, Sykes alleges that on March 14, 2002, Lumbermen’s admitted that the mold was a result of a covered loss — namely, the ice dam event of January 2001— and that it would therefore be paid for. As evidence, she refers to an attached March 14, 2002, letter sent to Sykes by Susan Johansen, Lumbermen’s home office claims consultant. In the letter, Johansen said:

“I know that various people, including myself, have indicated to you that we need to determine what is leaking and why. I know that we paid to replace part of your roof due to ice dams, but since it was leaking this year in the same spot when there was snow on the roof, then someone missed something. If the cause of the roof damage is due to the ice dams, then there is coverage under the policy to repair the damage to the roof.”

Johansen then said that Lumbermen’s would compensate Sykes for various personal property items of hers that would be discarded, as well as for necessary increases in living expenses that she had incurred due to being out of her home. However, regarding a small area of mold in the basement, Johansen said, “[Y]ou indicated that you would take care of the repairs in this area as it was not related to the ice dam related repairs.” She also said:

“As you are aware, the policy does not insured [sic] for loss caused by, among other things, wear and tear, deterioration, wet or dry rot, mold, birds, insects, etc. In this claim, the mold was a result of a covered loss (the ice dams) and therefore it was covered.
Let me give you an example of mold that would not be covered under this claim. You advised out this morning that the remediators found mold in an area that was not related to the ice dams. (You stated that you would take responsibility for it as it is not part of this claim but is probably related to the water loss from last summer/fall.) That is an example of mold damage that is not covered by our policy or this claim as it is unrelated to the ice dams.

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Cite This Page — Counsel Stack

Bluebook (online)
890 N.E.2d 1086, 384 Ill. App. 3d 207, 322 Ill. Dec. 167, 2008 Ill. App. LEXIS 611, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lumbermens-mutual-casualty-co-v-sykes-illappct-2008.