Palacin v. All State Insurance

14 Cal. Rptr. 3d 731, 119 Cal. App. 4th 855, 2004 Daily Journal DAR 7482, 2004 Cal. Daily Op. Serv. 5470, 2004 Cal. App. LEXIS 980
CourtCalifornia Court of Appeal
DecidedJune 22, 2004
DocketD042813
StatusPublished
Cited by22 cases

This text of 14 Cal. Rptr. 3d 731 (Palacin v. All State Insurance) 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
Palacin v. All State Insurance, 14 Cal. Rptr. 3d 731, 119 Cal. App. 4th 855, 2004 Daily Journal DAR 7482, 2004 Cal. Daily Op. Serv. 5470, 2004 Cal. App. LEXIS 980 (Cal. Ct. App. 2004).

Opinion

Opinion

HALLER, J.

Alicia Palacin purchased a condominium owner’s insurance policy from Allstate Insurance Company (Allstate) covering real property items “which are your insurance responsibility as expressed or implied under the governing rules of the condominium.” When Palacin tendered a claim to Allstate for water damage to her walls and floors, Allstate denied the claim, stating that the damaged items were not Palacin’s “insurance responsibility” under the homeowners association rules.

Palacin brought a breach of contract, fraud, and bad faith action against Allstate. Allstate successfully demurred to the complaint on the basis that there was no coverage as a matter of law. Palacin appeals. We conclude the *859 court properly sustained the demurrer, but erred in failing to grant Palacin leave to amend to allege: (1) the claim is not covered by the homeowners association’s insurance policy and therefore the property damage was her implied insurance responsibility triggering policy coverage; and/or (2) Palacin’s real property that was damaged constituted covered “improvements” within the meaning of the insurance policy.

FACTUAL AND PROCEDURAL BACKGROUND

Palacin owns a condominium unit in a condominium development known as Casablanca, which is governed by a declaration of covenants, conditions and restrictions (Casablanca CC&R’s) and managed by a homeowners association (Homeowners Association). The Casablanca CC&R’s places responsibility on each condominium unit owner to maintain and repair the interior structures and surfaces of the condominium, and the Homeowners Association is responsible for maintaining the common areas and common structural components (roofs, exterior walls, exterior plumbing) of the buildings. The Casablanca CC&R’s imposes primary responsibility on the Homeowners Association to obtain liability and property insurance for the entire development, and permits a condominium unit owner to separately insure his or her unit only under certain limited circumstances, which will be discussed in more detail below.

In 2001, Palacin purchased from Allstate a first party “Condominium Owners” insurance policy that provided coverage for damage to real and personal property (the Allstate policy). With respect to the real property protection, the Allstate policy states in relevant part:

“Coverage A
Building Property Protection
Property We Cover Under Coverage A: We will cover items of real property pertaining directly to your resident premises which are your insurance responsibility as expressed or implied under the governing rules of the condominium. This includes fixtures, construction materials and supplies, installations or additions comprising a part of the residence premises, only when situated within that portion of the premises used exclusively by you and made or acquired at your expense.” (Boldface omitted, italics added.)
The policy covers “sudden and accidental direct physical loss to the property described in Coverage A—Building Property Protection, except as limited or excluded in th[e] policy.” (Underscoring omitted.)
*860 In approximately March 2002, Palacin made a claim to Allstate under the policy’s “Building Property Protection” provision, seeking insurance coverage for water damage to the interior of her condominium unit that resulted from a water leak from a neighboring unit. Allstate denied the claim on the basis that the Homeowners Association was responsible for obtaining insurance for the claimed loss and therefore the Allstate policy did not cover the loss under the policy terms.
Palacin filed a complaint against Allstate, alleging three causes of action: breach of contract, breach of the implied covenant of good faith and fair dealing, and fraud. Palacin’s complaint alleges that on two different days in February and March 2002, she sustained a “physical loss to the interior surfaces” of her condominium unit resulting from a “sudden and accidental discharge of water” on “that portion of the premises used exclusively by [Palacin] (the inner surfaces of the walls, ceilings, and floors) and which was expressly or impliedly [Palacin’s] maintenance and/or insuring responsibility under the governing rules of [Palacin’s] Condominium Association.” Palacin alleged that the loss “was precisely the type of loss” that the Allstate policy “is designed to and expressly covers.”
Allstate demurred to the complaint, arguing that Palacin’s insurance policy did not provide coverage for real property damage inside Palacin’s condominium because: (1) the policy covered only those real property items “which are your insurance responsibility as expressed or implied under the governing rules of the condominium”; and (2) the governing rules of the condominium (the CC&R’s) do not place the responsibility on Palacin to insure the interior structure of her condominium. In support of this argument, Allstate requested the court to take judicial notice of the Casablanca CC&R’s. Allstate additionally argued that its policy was an excess policy to the Homeowners Association’s insurance policy, and Palacin did not allege that these insurance limits had been exhausted.
In response, Palacin did not object to the request for judicial notice of the Casablanca CC&R’s, but argued that under the CC&R’s she was responsible for obtaining insurance for the interior structure of her condominium unit and therefore her damages were covered by the Allstate policy. At the hearing, Palacin’s counsel clarified that Palacin had initially made a claim for the water damage to the Homeowners Association’s insurer, but the insurer had denied the claim based on its assertion that the Association’s policy “doesn’t cover floods.” Counsel stated that Palacin could amend the complaint to reflect these facts.
The court ultimately concluded that even assuming Palacin could amend the complaint to allege that the loss was not covered by the Homeowners *861 Association’s insurance policy, the complaint would not state a basis for recovery because the Casablanca CC&R’s unambiguously place sole responsibility on the Homeowners Association to obtain insurance coverage for the interior structure of the Casablanca condominium units. Accordingly, the court sustained the demurrer, and entered judgment in Allstate’s favor.

DISCUSSION

I. Review Principles

On appeal from a judgment after a demurrer is sustained without leave to amend, we review the trial court’s ruling de novo, exercising our independent judgment on whether the complaint states a cause of action. (Lazar v. Hertz Corp. (1999) 69 Cal.App.4th 1494, 1501 [82 Cal.Rptr.2d 368].) The issue is whether the complaint states facts sufficient to constitute a cause of action on any available legal theory. (Rakestraw v. California Physicians’ Service

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14 Cal. Rptr. 3d 731, 119 Cal. App. 4th 855, 2004 Daily Journal DAR 7482, 2004 Cal. Daily Op. Serv. 5470, 2004 Cal. App. LEXIS 980, Counsel Stack Legal Research, https://law.counselstack.com/opinion/palacin-v-all-state-insurance-calctapp-2004.