New Hampshire Insurance v. Ridout Roofing Co.

80 Cal. Rptr. 2d 286, 68 Cal. App. 4th 495
CourtCalifornia Court of Appeal
DecidedDecember 28, 1998
DocketA081858
StatusPublished
Cited by16 cases

This text of 80 Cal. Rptr. 2d 286 (New Hampshire Insurance v. Ridout Roofing 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
New Hampshire Insurance v. Ridout Roofing Co., 80 Cal. Rptr. 2d 286, 68 Cal. App. 4th 495 (Cal. Ct. App. 1998).

Opinion

Opinion

HAERLE, J.

I. Introduction

This is an appeal from a summary judgment granted in favor of the plaintiff and respondent (insurer) and against the defendant and appellant (insured). Both parties brought motions for summary judgment; the trial court granted the insurer’s and denied the insured’s. The case principally *499 poses the issue of the insurer’s right to settle multiple claims brought against the insured when that settlement substantially impacts the insured’s $5,000 “per occurrence” deductibles. We affirm.

II. Factual and Procedural Background

The appellant, the insured, is a San Lorenzo (Alameda County) based roofing contractor which does business substantially in that and neighboring counties. During the relevant time period, the insured did many major roofing jobs for, e.g., developers and general contractors on condominium and subdivision projects.

During the one year from May 1, 1989, to May 1, 1990, it was insured under a commercial general liability policy (CGL) issued by the respondent, the insurer. During the period between May 1989 and June 1994,11 separate claims were made against that policy, some in the form of simple claims, others apparently via actual litigation. Some of these claims were solely by the party then owning the property on which the insured had done its roofing work (i.e., the condominium association or an individual homeowner), but others included claims for indemnity by the general contractor or the developer, as the case may be. It seems apparent from the record that all 11 claims were tendered to the insurer by the insured. These tenders were accepted by the insurer, albeit under a reservation of rights.

These claims were adjusted by an independent outside adjusting firm, working, of course, in collaboration with the insurer. Also involved were several other insurers, i.e., those insurers who provided CGL coverage to the insured subsequent to the year for which this insurer provided that coverage. During a period commencing sometime in 1993 and apparently concluding in June 1997, the insurer (and the other insurers) settled all 11 claims; this insurer paid out a total of $155,340.94.

The policy included a deductible endorsement providing for a deductible of $5,000 “per occurrence.” After each settlement, the insurer demanded reimbursement of the full amount of the deductible (or such lesser amount as it had actually paid out) from the insured. The latter took the position, via letters to the insurer or its adjuster that, inter alia, it did not owe that sum because the policy at issue did not cover the claims asserted because there were no claims of damage to the property of third parties.

In February 1996, the insurer sued to recover its then claimed total of deductibles. It later amended that complaint to add other settled claims, and *500 alleged that the insured owed it a total of $50,583.34. After discovery, first the insurer and later the insured moved for summary judgment. The former’s motion was granted and the latter’s denied on December 31, 1997. A formal judgment was filed the same day, and a timely notice of appeal by the insured followed.

IE. Discussion

A.

The parties concede that the CGL policy implicated here is, in all material respects, the standard 1986 CGL policy.

The insuring clause of the policy is, of course, broad, but is followed by many itemized exclusions. The basic coverage is for “those sums that the insured becomes legally obligated to pay as damages because of . . . ‘property damage’ to which this insurance applies.” The term “property damage” is later defined to mean “[pjhysical injury to tangible property, including all resulting use of that property; or . . . [ljoss of use of tangible property that is not physically injured.” The policy is, as noted, written on a “per occurrence” basis with a stated deductible of $5,000 per occurrence.

One of many exclusions to the “property damage” prong of the policy 1 is exclusion “j,” which, in relevant part, excluded damage to: “(5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the ‘property damage’ arises out of those operations; or [^j (6) That particular part of any property that must be restored, repaired or replaced because ‘your work’ was incorrectly performed on it.” Another such exclusion is exclusion “1,” which in relevant part excluded “ ‘[pjroperty damage’ to ‘your work’ arising out of it or any part of it and included in the ‘products-completed operations hazard.’ ” We shall, hereafter, refer to these two exclusions as, collectively, the “work product exclusions.”

The policy also deals with indemnity claims by third parties against the insured by, first, excluding (via exclusion “b”) property damage “for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement.” However, this exclusion is then immediately followed by the following exception: “This exclusion does not apply *501 to liability for damages: fl[| (1) Assumed in a contract or agreement that is an ‘insured contract’ . . . .” The latter term is thereafter defined in definition 6, g, as including: “That part of any other contract or agreement pertaining to your business under which you assume the tort liability of another to pay damages because of . . . ‘property damage’ to a third person or organization, if the contract or agreement is made prior to the . . . ‘property damage.’ ”

The basic insuring agreement at the beginning of the policy also provides that the insurer “may investigate and settle any claim or ‘suit’ at our discretion.” And, as in most CGL policies (see Croskey et al., Cal. Practice Guide: Insurance Litigation 2 (The Rutter Group 1998) 7:419,15:488, pp. 7A-110, 15-111), there is also the requirement that the insured “[c]ooperate with us in the investigation, settlement or defense of the claim or ‘suit’ . . . .” (Id. at H 7:420, p. 7A-110, italics added.) Perhaps most importantly, the second page of the “Deductible Liability Insurance” endorsement (the endorsement which recorded the $5,000 per occurrence deductible) includes the following proviso: “4. We may pay any part or all of the deductible amount to effect settlement of any claim or suit and, upon notification of the action taken, you shall promptly reimburse us for such part of the deductible amount as has been paid by us.”

B.

The insured’s principal contention on appeal is that the settlements effectuated by the insurer were not binding on it and should not impact on its deductibles. It contends that the losses involved all fell within the work product exclusions, and hence were not covered “property damage” losses under the policy. It thus argues that the insurer was effectively a “volunteer” in effectuating the $150,000 plus in settlements it did, and such action on its part should have no impact on either it or its deductibles.

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Cite This Page — Counsel Stack

Bluebook (online)
80 Cal. Rptr. 2d 286, 68 Cal. App. 4th 495, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-hampshire-insurance-v-ridout-roofing-co-calctapp-1998.