Michael E McCartha v. State Farm Fire and Casualty Company

CourtMichigan Court of Appeals
DecidedAugust 16, 2016
Docket326689
StatusUnpublished

This text of Michael E McCartha v. State Farm Fire and Casualty Company (Michael E McCartha v. State Farm Fire and Casualty Company) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Michael E McCartha v. State Farm Fire and Casualty Company, (Mich. Ct. App. 2016).

Opinion

STATE OF MICHIGAN

COURT OF APPEALS

MICHAEL E. MCCARTHA, UNPUBLISHED August 16, 2016 Plaintiff-Appellant,

v No. 326689 Wayne Circuit Court STATE FARM FIRE & CASUALTY LC No. 14-006477-CZ COMPANY,

Defendant-Appellee.

Before: BECKERING, P.J., and CAVANAGH and GADOLA, JJ.

PER CURIAM.

Plaintiff appeals as of right an order granting defendant’s motion for summary disposition because no genuine issue of fact existed that exclusionary provisions in plaintiff’s homeowner’s insurance policy precluded coverage for roof and interior water damage to his home. We affirm.

I. PERTINENT FACTS AND PROCEDURAL HISTORY

On October 2, 2010, during a rainstorm, plaintiff’s daughter was alone sleeping inside plaintiff’s home when she heard a “loud crash” on the roof. She went outside and observed a large tree limb lying on the roof. It looked like the tree in plaintiff’s backyard had split and fell toward the right side of the house. Photographs submitted by plaintiff show a large tree limb resting on the corner of the edge, along the side of the house near or on the gutter. Plaintiff’s daughter observed damage to the fence and gutter, but she did not notice any damage “from the roof inward.”

After the tree limb fell, plaintiff made an insurance claim with State Farm, his homeowner’s insurer, for damage to his roof. A claims representative inspected the exterior of the property and observed the condition of the roof to be “very bad,” “severely deteriorated,” with signs of wear, tear, deterioration, and prior damage. There was a large hole in the middle of the roof, worn shingles, areas missing shingles, and the remains of a blue tarp that appeared to have been exposed to the weather for a significant time. Photographs of the roof taken at the time of the loss also show an area of damage and deterioration on the back slope of the roof toward the middle of the roof. State Farm paid plaintiff’s claim for the removal of tree debris and for repairs to the visible damage to his gutter and fencing. But State Farm denied coverage for the damage to the roof, determining that the damage was the result of wear, tear, deterioration or neglect; policy exclusions precluded coverage for such losses. -1- Several months after State Farm denied his claim for loss to his roof, plaintiff made an additional claim under his homeowner’s policy for interior water damage which he said occurred after the tree limb fell on his house in October 2010, and resulted from that incident. After re- inspecting the property in September 2011, State Farm denied plaintiff’s claim for interior water damage, citing his failure to immediately notify State Farm of the damage; his failure to protect the property at or after the time of the loss; the lack of policy coverage due to mold, rot, and neglect; and his willful failure to cooperate in State Farm’s investigation of the loss.

Thereafter, plaintiff filed this lawsuit, alleging that State Farm breached its insurance contract in failing to pay his claims. State Farm moved for summary disposition pursuant to MCR 2.116(C)(10), arguing that no genuine issue of material fact existed that the roof and interior water damage was not accidental but was the result of wear and tear, deterioration, or neglect—losses that were expressly excluded from coverage under the terms of the policy. State Farm further argued that coverage for the claimed losses was precluded by the anti-concurrent causation clause in the policy exclusions. State Farm supported its motion with deposition testimony, affidavits, photographs, and other documentary evidence indicating that the visible damage to the roof was not caused by the fallen tree limb; rather, plaintiff’s roof was already in a poor and deteriorated condition, and had not been properly maintained at least several months before the tree limb fell. The trial court granted State Farm’s motion for summary disposition, concluding that the policy exclusion for wear, tear or deterioration, along with the anti- concurrent causation exclusion, applied to preclude coverage for plaintiff’s claimed losses. This appeal followed.

II. SUMMARY DISPOSITION MOTION

Plaintiff argues that the trial court erred in granting State Farm’s motion for summary disposition under MCR 2.116(C)(10). We disagree.

We review de novo a trial court’s decision on a motion for summary disposition. Hayley v Allstate Ins Co, 262 Mich App 571, 573; 686 NW2d 273 (2004). “A motion under MCR 2.116(C)(10) tests the factual sufficiency of the complaint.” Maiden v Rozwood, 461 Mich 109, 120; 597 NW2d 817 (1999). “In evaluating a motion for summary disposition brought under this subsection, a trial court considers affidavits, pleadings, depositions, admissions, and other evidence submitted by the parties, MCR 2.116(G)(5), in the light most favorable to the party opposing the motion.” Id. “Where the proffered evidence fails to establish a genuine issue regarding any material fact, the moving party is entitled to judgment as a matter of law.” Id. ‘“When a motion under subrule (C)(10) is made and supported as provided in this rule, an adverse party may not rest upon the mere allegations or denials of his or her pleading, but must, by affidavits or as otherwise provided in this rule, set forth specific facts showing that there is a genuine issue for trial.”’ Id., quoting MCR 2.116(G)(4).

We also review de novo the construction of an insurance contract. Sunshine Motors, Inc v New Hampshire Ins Co, 209 Mich App 58, 59; 530 NW2d 120 (1995). “An insurance policy is a contract that should be read as a whole to determine what the parties intended to agree on.” McKusick v Travelers Indemnity Co, 246 Mich App 329, 332; 632 NW2d 525 (2001). “In interpreting insurance policies, we are guided by well-established principles of construction.” Id.

-2- “The policy must be enforced in accordance with its terms; therefore, if the terms of the contract are clear, we cannot read ambiguities into the policy.” Id.

Exclusionary clauses in insurance policies are strictly construed in favor of the insured. However, coverage under a policy is lost if any exclusion within the policy applies to an insured’s particular claims. Clear and specific exclusions must be given effect. It is impossible to hold an insurance company liable for a risk it did not assume.” [Auto-Owners Ins Co v Churchman, 440 Mich 560, 567; 489 NW2d 431 (1992) (citations omitted).]

We agree that the policy exclusions apply to preclude coverage for the roof and interior water damage in this case. The first exclusion at issue clearly and unambiguously excludes coverage for any loss consisting of, or directly and immediately caused by, wear, tear, or deterioration, and provides:

1. We do not insure for any loss to the property described in Coverage A which consists of, or is directly and immediately caused by, one or more of the perils listed in items a. through n. below, regardless of whether the loss occurs suddenly or gradually, involves isolated or widespread damage, arises from natural or external forces, or occurs as a result of any combination of these:

* * *

g. wear, tear, marring, scratching, deterioration, inherent vice, latent defect or mechanical breakdown[.]

On the evidence presented, there is no genuine issue of material fact that the damage to the roof consisted of wear, tear, or deterioration.

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Michael E McCartha v. State Farm Fire and Casualty Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/michael-e-mccartha-v-state-farm-fire-and-casualty-company-michctapp-2016.