Vardanyan v. AMCO Ins. Co. CA5

243 Cal. App. 4th 779, 197 Cal. Rptr. 3d 195, 2015 Cal. App. LEXIS 1181
CourtCalifornia Court of Appeal
DecidedDecember 11, 2015
DocketF069953
StatusUnpublished
Cited by3 cases

This text of 243 Cal. App. 4th 779 (Vardanyan v. AMCO Ins. Co. CA5) 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
Vardanyan v. AMCO Ins. Co. CA5, 243 Cal. App. 4th 779, 197 Cal. Rptr. 3d 195, 2015 Cal. App. LEXIS 1181 (Cal. Ct. App. 2015).

Opinion

*782 Opinion

HILL, P. J.

— Plaintiff appeals from the judgment entered after the trial court granted defendant’s motion for directed verdict in this action alleging breach of an insurance contract and bad faith denial of coverage. The trial court expressed its intention to instruct the jury that plaintiff’s property damage loss was covered by his policy only if it was caused by perils specifically listed in the collapse coverage provision and no others. Because it was undisputed that other perils contributed to some extent to the loss, plaintiff conceded he could not prevail if the jury was so instructed. The trial court also granted defendant’s motion for a directed verdict on plaintiff’s claim for punitive damages. Plaintiff appeals, contending the trial court’s intended jury instruction violated the efficient proximate cause doctrine and there was sufficient evidence to permit the jury to determine whether plaintiff met his burden of proving his claim for punitive damages. We find no error in the ruling on the punitive damages claim. We find merit in plaintiff’s challenge to the proposed jury instruction. Accordingly, we reverse and remand for retrial of plaintiff’s causes of action alleging breach of contract and breach of the covenant of good faith and fair dealing, but not the claim for punitive damages.

FACTUAL AND PROCEDURAL BACKGROUND

Plaintiff owned a rental house covered by an insurance policy issued by defendant. On December 6, 2010, he submitted a claim that stated plaintiff believed there was water damage to the flooring that might have come from the walls, and there was mold as well. Defendant sent an independent insurance adjustor, Douglas Hoppe, to investigate the claim the next day. Hoppe viewed the condition of the house and took photographs. His initial report stated the house seemed to be settling, possibly due to a water leak. The floors in some of the rooms were sinking, the bathtub was sinking, water was drizzling out of both the shower head and the bathtub faucet, the front door would not open, and there was mold in every room. Plaintiff told the adjustor the tenants had reported the problem to him two or three months before, and he had asked them to move out so repairs could be made. Plaintiff reported his claim to defendant after the tenants moved out.

The independent adjustor recommended defendant have an engineer inspect the house. In January 2011, Michael Jundt, a structural engineer, inspected the site and took photographs; he returned later, with plaintiff’s permission, to cut a hole in the floor to gain access to the subfloor area and investigate conditions below the house.

Jundt’s report reflected multiple potential leaks in the roof, gutters in disrepair, downspouts that originally deposited water at the base of the walls *783 of the house, but had become disconnected from the gutters, and evidence that a faucet or hose had been spraying the wall in one area for a significant length of time. He found water damage corresponding to these areas. Jundt reported the toilet and bathtub both leaked, and the floor beneath the bathtub had sunk two and a half inches. The northwest bedroom had a depression in the floor, eight inches deep and five to six feet across; there was damage due to leakage from the toilet in the closet of that bedroom. The closet in the southwest bedroom showed evidence of past damage and multiple repairs. The kitchen was water damaged and showed evidence of past termite infestation. The wood at the base of the back door to the kitchen and the utility room floor near the exterior door were also rotted and damaged by past termite infestation. The living room floor was not level and was separating from the wall.

The subfloor area lacked adequate ventilation, preventing the moisture below the house from drying. Jundt opined the original construction of the subfloor area without proper ventilation was not up to code at the time of construction. The various sources of moisture — roof leaks, gutters and downspouts that did not channel the water away from the house, a faucet spraying water on the exterior of the house, leaking toilet and bathtub, and humidity— contributed to the damage to the house, along with poor construction, termite damage and decay.

Defendant denied coverage of plaintiff’s loss, citing multiple policy exclusions, including exclusions for damage caused by seepage or leakage of water from a plumbing system, deterioration, mold, wet or dry rot, settling of foundations, walls or floors, earth movement, water damage, neglect, weather conditions, acts or decisions of any person, and faulty or defective design, workmanship, repair, construction, or maintenance. Plaintiff then retained a public adjustor, Michael DeCesare, to assist him in his claim. DeCesare wrote to defendant and expressed his disagreement with defendant’s conclusion that the loss was not covered by the policy.

Dissatisfied with defendant’s response to DeCesare’s communications, plaintiff filed suit against defendant, alleging breach of the insurance contract and breach of the implied covenant of good faith and fair dealing. Plaintiff alleged the house collapsed and the policy provided coverage for collapse. The policy, excluded coverage for collapse, “other than as provided in OTHER COVERAGES 9.” “Other Coverage 9” provided coverage for losses involving collapse of a building or part of a building “caused only by one or more” of a list of perils, including hidden decay, hidden insect damage, and weight of contents, equipment, or people.

At trial, Hoppe testified to the damage he observed in his investigation of the loss. Jundt testified to his investigation of the loss and gave his opinions *784 regarding the causes of the damage to plaintiff’s house. Testimony from plaintiff and the former tenants addressed the condition of the house prior to the time plaintiff reported the damage to defendant.

Plaintiff’s expert, Robert Bresee, a general contractor, testified to perceived errors in Jundt’s report, and to his opinions of the condition of the house and the cause of the damage. He had to open up the floor to investigate the cause of the damage. He noted the floors in the northwest bedroom and the living room were resting on the ground, and opined the cause was dry rot, decay, and termite damage. He opined the water in the subfloor area came from within the walls, where it was not readily visible to occupants of the house.

The evidence presented by both sides indicated there were multiple causes of the damage to plaintiff’s house. Plaintiff’s theory was that the coverage for collapse due to hidden decay or hidden insect damage applied, if either of those perils was the predominant cause of the collapse of the structure. Plaintiff requested that the trial court give a standard jury instruction explaining that, when a loss is caused by a combination of covered and- excluded risks, the loss is covered if the most important or predominant cause is a covered; risk. (CACI No. 2306.) Defendant instead proposed a special jury instruction (No. 12) placing on plaintiff the burden of proving the collapse of the house was “caused only by one or more” of the perils listed in Other Coverage 9. Defendant’s special instruction No. 12 specified that there was no coverage if the cause of the collapse involved any peril other than those listed.

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Cite This Page — Counsel Stack

Bluebook (online)
243 Cal. App. 4th 779, 197 Cal. Rptr. 3d 195, 2015 Cal. App. LEXIS 1181, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vardanyan-v-amco-ins-co-ca5-calctapp-2015.