Smith v. Roussel

809 So. 2d 159, 2001 WL 700390
Louisiana Court of Appeal·Decided June 22, 2001·No. 2000 CA 1028·Published·Cited by 20 cases

Opinion

809 So.2d 159 (2001)

John SMITH and Marie Smith
v.
Lori ROUSSEL, Nolan Roussel and Allstate Insurance Company.

No. 2000 CA 1028.

Court of Appeal of Louisiana, First Circuit.

June 22, 2001.
Rehearing Denied August 23, 2001.

*162 Maurice J. LeGardeur, Jr., Covington, Counsel for John Smith and Marie Smith Plaintiff-Appellee.

James S. Rees, III, Covington, Counsel for Allstate Insurance Company Defendant-Appellant.

William R. Alford, Jr., Covington, Counsel for Dr. Richard Celentano.

Before: WHIPPLE, KUHN, and DOWNING, JJ.

DOWNING, Judge.

This appeal involves an insurance coverage dispute between Allstate Insurance Company, defendant-appellant, and John and Marie Smith, plaintiff-appellees. The Smiths filed a suit against Lori and Nolan Roussel and their insurer, Allstate, alleging among other things that they were injured as a result of the Roussels' negligence in misrepresenting the nature and temperament of the horse the Smiths bought from them. The Roussels were ultimately dismissed from the litigation,[1] but the suit continued against Allstate directly. The trial court ruled that the Roussels did not intend to harm the Smiths and that Allstate was liable for the injuries caused to John Smith by the horse they purchased from the Roussels.

Allstate appeals the trial court decision. For reasons stated, we affirm.

FACTS

On September 17, 1995, the Roussels sold a Tennessee Walking horse named Stepper to Marie and John Smith. The Smiths alleged that the Roussels represented Stepper as having a calm and gentle nature, but, shortly after the sale, Stepper was discovered to be a spooky and skittish beast. The Smiths tried to return Stepper, but the Roussels refused to take him back, and after much negotiation, it was agreed that Stepper would be put on the auction block.[2] On October 7, 1995, less than three weeks after the purchase, John Roussel suffered a hand injury while trying to unload Stepper from a horse trailer at the livestock sale where he was to be auctioned off. On December 7, 1995, the Smiths filed suit against the Roussels and their homeowner's insurer, Allstate. The matter was tried August 30, 1999. The Roussels were dismissed during the trial without objection by Allstate. The trial court found in favor of the Smiths and against Allstate and awarded damages in the amount of $15,000 in general damages and $10,800 in medical expenses.

ASSIGNMENTS OF ERROR

Allstate alleges that the trial court erred in the following:

1. By not finding that the "intentional acts" exclusion of the Roussels' *163 homeowner policy with Allstate barred recovery.
2. By finding that the Roussels were negligent and thereby allowing plaintiffs to recover under their Allstate homeowner's policy.
3. By not finding that Mr. Smith was at least comparatively negligent.

John and Marie Smith allege the following assignments of error in their answer to appeal:

I. The trial court abused its discretion by miscalculating the general damage award.
II. The trial court abused its discretion by failing to award Mrs. Smith damages for loss of consortium.

DISCUSSION

INTENTIONAL ACTS EXCLUSION

Allstate claims that the homeowner's policy does not cover this loss which allegedly resulted from lies the Roussels told the Smiths enticing them to buy the horse. Allstate claims that these lies constitute intentional acts which are thus excluded under the policy.

The policy provides the following language concerning coverage:

Subject to the terms, conditions and limitations of this policy, Allstate will pay damages which an insured person becomes legally obligated to pay because of bodily injury or property damage arising from an occurrence to which this policy applies, and covered by this part of the policy.
The policy defines occurrence as follows:
"Occurrence"—means an accident, including continuous or repeated exposure to substantially the same general harmful conditions, during the policy period, resulting in bodily injury or property damage.

Allstate does not contest on appeal that Smith's injuries qualified as an occurrence under the policy. Rather, it claims the following exclusion applies to preclude its liability to the Smiths:

LOSSES WE DO NOT COVER UNDER COVERAGE X:

1. We do not cover any bodily injury or property damage intended by, or which may reasonably be expected to result from the intentional or criminal acts or omissions of, any insured person. This exclusion applies even if:
a. such insured person lacks the mental capacity to govern his or her own conduct.
b. such bodily injury or property damage is of a different kind or degree than intended or reasonably expected; or
c. such bodily injury or property damage is sustained by a different person than intended or reasonably expected.
This exclusion applies regardless of whether or not such insured person is actually charged with, or convicted of a crime.

Allstate argues that there is a well established public policy against allowing a person in insure himself against his own intentional acts causing injury to others, citing Williams v. Diggs, 593 So.2d 385, 387 (La.App. 1st Cir.1991). Allstate claims the Roussels intentionally misled the Smiths into buying the horse. Specifically, Allstate alleges the Roussels described Stepper's nature as being quiet and docile when in fact he was dangerous and unpredictable. Allstate contends that this intentional misrepresentation is what led to Smith's injury, and this act is not covered by the homeowner's policy.

*164 Although "fraud" is never specifically alleged in the petition, it is the underlying intentional tort to which Allstate alludes.[3] Fraud is a misrepresentation or a suppression of the truth made with the intention either to obtain an unjust advantage for one party or to cause a loss or inconvenience to the other. Fraud may also result from silence or inaction. La. C.C. art. 1953. Fraud, however, cannot be predicated on mere mistake or negligence, however gross, and it is generally held that fraudulent intent, intent to deceive, or equivalent thereof is an essential element of fraud. Bass v. Coupel, 93-1270, p. 5 (La.App. 1st Cir.6/23/95), 671 So.2d 344, 347.

The existence of fraud is a question of fact. Coffey v. Block, 99-1221, p. 7 (La.App. 1st Cir.6/23/00), 762 So.2d 1181, 1186, writ denied, 2000-2226 (La.10/27/00), 772 So.2d 651. A trial court's determination of fraud or its absence is a question of fact that will not be disturbed on appeal absent manifest error. See Harmon v. Schamberger, 536 So.2d 579, 581 (La.App. 1st Cir.1988).

In its brief, Allstate points to two alleged misrepresentations among other general allegations of mendacity. Marie Smith alleges Lori Roussel told her Stepper was a kind, docile, gentle horse. Marie Smith also alleges Lori Roussel said she was selling the horse because it was "too quiet" and she wanted a horse with more spirit for barrel racing.

While the evidence reveals Stepper is a skittish and high-spirited animal, there is no evidence that he had a violent temperament or overly aggressive nature. We cannot say the trial court was manifestly erroneous when

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