Salem United Methodist Church of Cedar Rapids, Iowa v. Church Mutual Insurance Company
Opinion
IN THE COURT OF APPEALS OF IOWA
No. 16-0170
Filed February 8, 2017
SALEM UNITED METHODIST CHURCH OF CEDAR RAPIDS, IOWA, Plaintiff-Appellant,
vs.
CHURCH MUTUAL INSURANCE COMPANY, Defendant-Appellee.
Appeal from the Iowa District Court for Linn County, Ian K. Thornhill, Judge.
Insured appeals the district court’s entry of a judgment notwithstanding the verdict in a breach of contract case. AFFIRMED.
William H. Roemerman of Elderkin & Pirnie, P.L.C., Cedar Rapids, for appellant.
Robert B. McMonagle of Lane & Waterman L.L.P., Davenport, for appellee.
Heard by Mullins, P.J., and Bower and McDonald, JJ.
MCDONALD, Judge.
This insurance coverage dispute arises out of damage to Salem United Methodist Church (hereinafter “Salem”) occurring during the Cedar Rapids flood of 2008. At issue is whether damage to the church basement was the result of sewage backup and/or flood and consequently whether the loss was covered or excluded. A jury returned a verdict in favor of Salem in the amount of $705,765.07. On appeal, this court vacated the judgment and remanded the matter for new trial. See Salem United Methodist Church v. Church Mut. Ins. Co., No. 13-2086, 2015 WL 1546431, at *6 (Iowa Ct. App. Apr. 8, 2015). This court concluded the insurance policy excluded coverage for “damages that are concurrently caused by a covered cause—such as a sewer backup—and an uncovered cause—such as flooding.” Id. at *3. This court further concluded the district court erred in instructing the jury to the contrary. See id. This court remanded the case for a new trial. See id. at *6. Following remand, a jury again returned a verdict in favor of Salem, this time in the amount of $717,000. Church Mutual moved for judgment notwithstanding the verdict, arguing it was undisputed the cause of loss was the flood and consequently the loss was excluded. The district court granted the motion, and Salem timely filed this appeal.
I.
“We review a district court’s grant of a judgment notwithstanding the verdict for correction of errors at law.” Wieseler v. Sisters of Mercy Health Corp., 540 N.W.2d 445, 448 (Iowa 1995); see Iowa R. App. P. 6.907. The court views
the evidence “in the light most favorable to the party against whom the motion is directed.” Iowa Mut. Ins. Co. v. McCarthy, 572 N.W.2d 537, 541 (Iowa 1997).
Simply put, we ask, was there sufficient evidence to generate a jury question? These are the same principles that the district court is bound to follow on a motion for directed verdict.
Under this view of the evidence, if there is substantial evidence to support the claim or defense, the motion for directed verdict or judgment notwithstanding the verdict should be denied.
Conversely, without such evidence, a directed verdict or judgment notwithstanding the verdict is appropriate. Evidence is substantial when a reasonable mind would accept it as adequate to reach a conclusion.
Johnson v. Dodgen, 451 N.W.2d 168, 171 (citations omitted).
II.
We begin our analysis with the burden of proof. When an insured seeks to enforce a provision of an insurance policy, “the burden of proof initially is on the insured to prove that both the property and the peril were covered by the terms of the policy.” Hometown Plumbing & Heating Co. v. Secura Ins. Co., No. 11-0309, 2012 WL 1245755, at *4 (Iowa Ct. App. Apr. 11, 2012); 17A Couch on Insurance § 254:11 (2016) (“Generally speaking, the insured bears the burden of proving all elements of a prima facie case including the existence of a policy, payment of applicable premiums, compliance with policy conditions, the loss as within policy coverage, and the insurer’s refusal to make payment when required to do so by the terms of the policy.”). Once the insured has established a prima facie case, “[t]he burden of proving that coverage is excluded by an exclusion or exception in the policy rests upon the insurer.” W. Bend Mut. Ins. Co. v. Iowa Iron Works, Inc., 503 N.W.2d 596, 598 (Iowa 1993); see Long v. Glidden Mut. Ins. Ass’n, 215 N.W.2d 271, 274 (Iowa 1974) (“[A]n insurer has the burden to
prove the applicability of a policy exclusion. The insured is not required to negate the exclusion in order to present a prima facie case.” (citations omitted)); 17A Couch on Insurance § 254:12 (“Until a prima facie case of coverage is shown, the insurer has no burden to prove a policy exclusion. The insurer bears the burden of proving the applicability of policy exclusions and limitations or other types of affirmative defenses, in order to avoid an adverse judgment after the insured has sustained its burden and made its prima facie case.”). In both cases, the standard of proof is preponderance of the evidence, absent any higher burden required by statute. See Hometown Plumbing & Heating Co., 2012 WL 1245755, at *4.
We turn to the language of the policy at issue. Here, under the header “EXCLUSIONS,” the policy stated in part:
1. We will not pay for loss or damage caused directly or indirectly by any of the following. Such loss or damage is excluded regardless of any other cause or event that contributes concurrently or in any sequence to the loss. . . .
g. Water.
(1) Flood, surface water, waves, tides, tidal waves, overflow of any body of water, or their spray, all whether driven by wind or not;
(2) Mudslide or mudflow, (3) Water which backs up through sewers or drains except as provided under F. Additional Coverage – Back Up Through Sewers and Drains.
(4) Water under the ground surface pressing on or flowing or seeping through:
(a) Foundations, walls, floors, or paved surfaces;
(b) Basements, whether paved or not; or (c) Doors, windows, or other openings.
The policy did provide additional coverage:
F. ADDITIONAL COVERAGE – BACK UP THROUGH SEWERS AND DRAINS Subject to all other terms and conditions of this policy, we will pay for direct physical loss or damage to Covered Property
caused by back up of water or sewage through sewers or drains only if caused by an event away from the described buildings and when the damage is not caused by flood, surface water, waves, tides, tidal waves, overflow of any body of water, or their spray, all whether driven by wind or not, and which did not enter the building through foundations, walls, floors, windows, cracks, roofs, or through other openings of the building.
Sewer or water damage occurring as a result of, either before or after, the excluded flood, surface water, waves, tides, tidal waves, overflow of any body of water, or their spray, all whether driven by wind or not, and entering the building through foundations, walls, floors, windows, cracks, roofs, or through other openings of the building is not covered.
This ADDITIONAL COVERAGE – BACK UP THROUGH SEWERS OR DRAINS will not increase the Limits of Insurance provided in this Coverage Part.
The law regarding the interpretation and construction of insurance policies is well established and need not be repeated herein. See Amish Connection, Inc. v. State Farm Fire & Cas. Co., 861 N.W.2d 230, 236 (Iowa 2015). In our prior decision related to this case, this court determined the flood exclusion language was clear and unambiguous:
The exclusion for flood damage is clear. The policy also unambiguously excludes coverage for damages that are concurrently caused by a covered cause—such as sewer back up—and an uncovered cause—such as flooding by its language, “Such loss or damage is excluded regardless of any other cause or event that contributes concurrently or in any sequence to the loss.”
Salem United, 2015 WL 1546431, at *3; see also United Fire & Cas. Co. v. Iowa Dist. Ct. for Sioux Cty., 612 N.W.2d 101, 103 (Iowa 2000) (discussing the law-of- the-case doctrine). The jury was correctly instructed in accord with our prior decision.
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