State Farm Fire and Casualty Co. v. American Family Mutual Ins. Co.

253 P.3d 65, 242 Or. App. 60, 2011 Ore. App. LEXIS 498
CourtCourt of Appeals of Oregon
DecidedApril 6, 2011
Docket07C11056; A142944
StatusPublished
Cited by1 cases

This text of 253 P.3d 65 (State Farm Fire and Casualty Co. v. American Family Mutual Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Farm Fire and Casualty Co. v. American Family Mutual Ins. Co., 253 P.3d 65, 242 Or. App. 60, 2011 Ore. App. LEXIS 498 (Or. Ct. App. 2011).

Opinion

*62 EDMONDS, S. J.

Defendant appeals, after the trial court granted summary judgment to plaintiff in this declaratory judgment action. The judgment entered by the trial court declares that defendant had a duty to defend its insured Edgewater Homes, Inc. (Edgewater) in an action for damages brought against Edgewater by Sorab and Haleh Vossoughis. We reverse and remand.

Plaintiff is also an insurer of Edgewater. After the Vossoughises’ action was filed against Edgewater, it tendered the defense of the claims to both plaintiff and defendant. Plaintiff undertook to defend Edgewater, but defendant denied coverage and refused to defend. This action brought by plaintiff seeks a declaration that defendant was obligated to defend Edgewater and is obligated to contribute to the costs of defense incurred by plaintiff. After plaintiffs action was filed, the parties filed cross-motions for summary judgment.

The summary judgment motions rely on the following facts. In July 2000, Edgewater contracted to build a residence for the Vossoughises. Work on the residence was substantially completed by Edgewater in December 2001. In 2006, the Vossoughises filed an action against Edgewater alleging that they had incurred damages to the residence as the result of Edgewater’s breach of contract; breach of implied warranties, including a warranty of habitability; and negligence. After hearing the parties’ motions, the trial court ruled that the Vossoughises’ claims alleged a time period covered within the policy issued by defendant to Edgewater, that an “occurrence” had resulted from Edgewater’s actions as defined by the policy, and that the allegations of damage were covered by the terms of the policy and were not subject to exclusion.

On appeal from the grant of summary judgment for plaintiff and the denial of defendant’s motion for summary judgment, defendant frames a number of issues, one of which is dispositive. Defendant argues that it does not owe a duty to defend Edgewater under its policy because the allegations in the Vossoughises’ complaint do not allege “property damage” within the terms of its policy. In defendant’s words: “Does a *63 claim against a construction contractor for failing to complete work, or for performing shoddy work, involve ‘property damage’ under a liability insurance policy that defines that term to include (1) physical injury to tangible property, or (2) loss of use of uninjured tangible property?”

In response to that question, plaintiff argues that

“[t]he [Vossoughises’] Complaint did not identify the nature of the damage or when the damage occurred. Given the Vossoughis[es]’ broad and ambiguous allegations, the Complaint would have allowed them to introduce evidence that that water had entered through their home’s exterior due to Edgewater’s negligence. The Vossoughis[es] additionally could have introduced evidence that the water intrusion damaged their home’s components or contents and that some of the damage had occurred [during the time that defendant’s policy was in effect]. If the Vossoughis[es] were to offer such evidence, coverage clearly would have applied because that evidence would have established that Edgewater’s negligence caused property damage during the policy period.”

In particular, plaintiff relies on the allegations in the Vossoughises’ complaint that Edgewater was negligent in “[alpplying a defective EIFS product and cladding system[,]” in “[flailing to seal the EIFS at through attachments[,]” in “[flailing to properly seal the metal rod flashings which penetrate through the EIFS systeml,]” and in “[flailing to properly install sealant on the back windows[,l” as the allegations that triggered defendant’s duty to defend Edgewater. 1

In general, we examine two documents, the insurance policy and the complaint, to determine whether an insurer has a duty to defend under its policy. Abrams v. General Star Indemnity Co., 335 Or 392, 396, 67 P3d 931 (2003). Thus, the threshold issue is whether the complaint contains allegations of conduct for which the policy provides coverage. Ledford v. Gutoski, 319 Or 397, 399-400, 877 P2d 80 (1994); Ferguson v. Birmingham Fire Ins., 254 Or 496, 505, 460 P2d 342 (1969). When the complaint contains allegations of conduct for which the policy provides coverage, the *64 insurer has a duty to defend even if the complaint also contains allegations of excluded conduct. Abrams, 335 Or at 400.

In this case, defendant’s policy provides coverage for “property damage” arising out of an “occurrence” that takes place “in the coverage territory” and that “occurs during the policy period.” An “occurrence” is defined by the policy as an “accident, including continuous or repeated exposure to substantially the same general harmful conditions.” “Property damage” is defined by the policy as “[plhysical injury to tangible property, including all resulting loss of use of that property.”

In plaintiffs view, “claims that a defective product or defective work have only altered a building’s appearance and delayed the building’s construction do not involve physical injury to the building and do not allege covered ‘property damage.’ ” Rather, “when defective products or work cause physical injury to other parts of a covered building, covered ‘property damage’ occurs.” Accordingly, plaintiff argues that the allegations would have allowed the submission of evidence that Edgewater’s negligent work permitted water to intrude into the residence and to cause wall studs or window frames to rot. Defendant counters that, because the complaint does not allege any consequential injury resulting from the allegations of defective workmanship, the Vossoughises could not have recovered damages for injury to other structures without amending their pleadings. It follows, under defendant’s view of the allegations in the complaint, that it had no duty to defend Edgewater under the terms of its policy.

Whether defendant had a duty to defend Edgewater under the terms of its policy turns into a pleading issue in light of the parties’ arguments. Plaintiff appears to concede that evidence that the Vossoughises were required to reseal the EIFS, replace the metal rod flashings in the EIFS system, and reseal the windows in the residence would not constitute evidence of “property damage” under the terms of the policy. Thus, defendant had no duty to defend Edgewater unless the Vossoughises’ complaint, without amendment, could result in liability for water damage to property other than to those components of the EIFS system. Consequently, the issue is *65 whether the law, in light of the Vossoughises’ allegations, would have permitted them to offer evidence and recover damages for injury to other components or contents of their residence.

ORCP 18 B provides that a pleading that asserts a claim for relief shall contain “[a] demand of the relief which the party claims.” Compensatory damages for injury to real property are generally divided into categories of general and what has been termed special or collateral damages.

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Cite This Page — Counsel Stack

Bluebook (online)
253 P.3d 65, 242 Or. App. 60, 2011 Ore. App. LEXIS 498, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-fire-and-casualty-co-v-american-family-mutual-ins-co-orctapp-2011.