Mohammed Ashraf, M.D. v. State Auto Property and Casualty Insurance

799 S.E.2d 550, 239 W. Va. 119, 2017 WL 1549582, 2017 W. Va. LEXIS 292
CourtWest Virginia Supreme Court
DecidedApril 26, 2017
Docket16-1042
StatusPublished
Cited by1 cases

This text of 799 S.E.2d 550 (Mohammed Ashraf, M.D. v. State Auto Property and Casualty Insurance) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mohammed Ashraf, M.D. v. State Auto Property and Casualty Insurance, 799 S.E.2d 550, 239 W. Va. 119, 2017 WL 1549582, 2017 W. Va. LEXIS 292 (W. Va. 2017).

Opinion

Justice Ketchum:

The Circuit Court of Marion County has certified two questions regarding a commercial fire insurance policy issued to the petitioner, Mohammed Ashraf, M.D., (“Dr. Ashraf’), by the respondent, State Auto Property and Casualty Insurance Company (“State Auto”). Respondent Wells Fargo Insurance Services of West Virginia, Inc. (‘Wells Fargo”), the named insurance agent on the policy, handled the sale of the policy issued to Dr. Ashraf.

The insured building, owned by Dr. Ashraf and his wife, was rendered a total loss by fire. Dr. Ashraf raised two coverage issues in a declaratory judgment action which resulted in the certified questions now before us. *121 First, Dr. Ashraf challenged the reduction of the covered building loss by 15% pursuant to the vacancy provision included in the State Auto policy. Second, although Dr. Ashraf was afforded coverage for asbestos removed under the policy’s debris removal coverage, he challenged State Auto’s denial of coverage for asbestos removal under the policy’s separate coverage for pollutant removal.

The certified questions and the circuit court’s answers are as follows:

Where there is a covered total loss by fire under a fire insurance policy, may an insurer reduce the policy’s limit of coverage for the insured premises by fifteen percent (15%) pursuant to a “vacancy” provision in the policy? The circuit court’s answer: Yes.
Does .a fire insurance policy that includes a “pollutant clean up and removal” provision that provides that the insurer will pay the insured’s expense to extract pollutants from land or .water, provide coverage in excess of the “debris removal” coverage afforded by the policy for the removal of asbestos contained in a fire-damaged or destroyed structure? The circuit court’s answer: No. 1

For the reasons stated, this Court concludes that the circuit court answered the certified questions correctly.

I. Factual Background

The facts pertaining to the certified questions are not in dispute and are largely set forth in the circuit court’s certification order.

In 1997, Dr. Ashraf and his wife purchased a building on Locust Avenue in the City of Fairmont, Marion County. The purchase took place at a sheriffs tax salé, and the amount paid was $91,000.00. After renovations were completed, Dr. Ashraf and his wife opened the building as an assisted living facility. The facility closed in 2006, and the building was vacant thereafter. Almost six years later, on October 29, 2012, a fire rendered the building a total loss.

The building was instated under a commercial fire insurance policy issued by State Auto. The named insured on the policy was Dr. Ashraf.

A. The State Auto Policy

The amount of insurance coverage on the building stated in the State Auto policy was $410,555.00. The policy, provided adjustments for .inflation, raising the stated total policy coverage limit to $420,228.35 on the building. In addition, the business personal property was covered under the State Auto policy in the amount of $21,632.00, which, according to Dr. Ashraf, provided, with adjustments, personal property coverage of $22,141.69. In addition to the building and personal property coverage, the State Auto policy provided separate coverages for debris removal and pollutant removal.

B. Insurance Proceeds Paid by State Auto

Dr. Ashraf reported the fire loss to State Auto. In response, State Auto told Dr. Ash-raf that, if the building had been vacant for more than sixty consecutive days, the amount of coverage payable for the loss would be reduced by 15% pursuant to the policy’s vacancy provision.

In the meantime, the City of Fairmont issued notices to Dr. Ashraf asserting the need to demolish the fire-destroyed building and that it would file a lien for debris removal if the City demolished and removed the building. See W.Va. Code, 38-10E-1 [2010] (providing a lien in favor of a municipality against fire insurance proceeds for' debris removal). Subsequently, Dr. Ashraf demolished and removed the fire-destroyed building, and no lien was filed.

In September 2013,' State Auto sent Dr. Ashraf a check in the amount of $25,000.00. In an accompanying letter, State Auto informed Dr, Ashraf that the check was an advance, pending cottiplétion of the investigation of the claim. Thereafter, by letter dated January 28, 2014, State Auto sent Dr, Ashraf two checks: $332,194.10, representing coverage for the building loss, and $22,141.69, *122 representing coverage for the business personal property loss.

The January 28, 2014, letter stated that the initial adjusted policy limit for the building of $420,228.35 was reduced by $63,034.25, a 15% reduction under the policy’s vacancy provision. That reduction, with the previous $25,000.00 advance, resulted in $332,194.10 in coverage for the building. State Auto explained:

In Dr. Ashraf s case, the building satisfies the definition to be considered vacant. In fact, this building appears to have been vacant for almost six years before the loss occurred. The loss at issue was a fire and that qualifies as a covered cause of loss. Because the building was vacant at the time of the loss and because this was a covered cause of loss, then State Auto is permitted, by the terms of the policy, to reduce the amount they would “otherwise pay” by 15%.

Finally, on March 3, 2014, State Auto, having verified the absence of a municipal lien, sent Dr. Ashraf a $10,000.00 check for debris removal. No coverage was extended for pollutant removal. Dr. Ashraf asserted that he incurred approximately $30,000.00 in demolition and debris removal costs as a result of the fire. He further asserted that he incurred an additional $4,925.00 in pollutant removal costs for the removal and testing of asbestos.

II. Procedural Background

On August 28, 2014, Dr. Ashraf filed a declaratory judgment action in the Circuit Court of Marion County. The complaint consisted of five counts, the first two of which resulted in the cei*tified questions. In count I, designated “Stated Value of Policy,” Dr. Ash-raf alleged entitlement to the full policy limit for building coverage in the amount of $420,228.35. Dr. Ashraf alleged that State Auto improperly reduced that amount by 15% under the policy’s vacancy provision. In count II, designated “Coverage for Pollutant Removal,” Dr. Ashraf alleged entitlement to the costs he incurred for the removal and testing of asbestos under the policy’s Pollutant Cleanup and Removal coverage. Dr. Ashraf alleged that asbestos is a pollutant and, therefore, a subject of coverage under the State Auto policy in addition to coverage for debris removal. 2

In January 2015, Dr. Ashraf and State Auto filed motions for summary judgment. Regarding count I, Dr. Ashraf asserted that the policy limit for the building coverage should not have been reduced by 15% because the State Auto policy was a “valued policy” under W.Va. Code,

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
799 S.E.2d 550, 239 W. Va. 119, 2017 WL 1549582, 2017 W. Va. LEXIS 292, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mohammed-ashraf-md-v-state-auto-property-and-casualty-insurance-wva-2017.