Dale A. Drozd, UNITED STATES DISTRICT JUDGE.
This matter comes before the court on the parties' cross motions for summary judgment. A hearing on the motions was held on June 19, 2018.
The facts of this case are essentially undisputed.
Plaintiffs had a commercial insurance policy with defendant in place on June 3, 2016. (Doc. No. 35-1 at 5.) The policy affords coverage for all direct physical losses unless excluded or limited. (Id. at 5-6.)
(Doc. No. 35-1 at 7.)
Plaintiffs submitted their insurance claim on June 3, 2016. (Id.) Defendant retained structural engineer Mike Jundt to investigate the causes of the structural damage. (Id. at 8.) On June 17, 2016, Jundt concluded Truss Line 2 failed "as the result of a hidden anomaly present in the natural occurring wood member material and the degradation of the wood fibers due to the daily and seasonal cycling of temperature and humidity." (Id.) Jundt concluded, meanwhile, that Truss Line 5 failed "as a result of the combination of a defective method of construction and the degradation of the wood fibers due to the daily and seasonal cycling of temperature and humidity." (Id.) Specifically, Jundt concluded that the most likely reason for Truss Line 5's failure was the method of construction used to create the steel side plate connection.
In a letter dated June 13, 2016, defendant's third party claims administrator advised plaintiffs that it had assigned Jundt to investigate the loss, but noted that "since the roof did not collapse the additional coverage under your policy for collapse does not apply." (Id. at 42.) Over the next several months, defendant continued to investigate the causes of the truss failures, communicating this to plaintiffs in July and August 2016. (Id. at 52-54, 57.) Nevertheless, in an August 16, 2016 letter to the plaintiffs, defendant reiterated its position that the additional coverage did not apply because the roof did not collapse. (Id. at 56.) Defendant retained attorney John Feeley, on August 25, 2016 to provide a coverage analysis for plaintiffs' claim. (Id. at 58.) Attorney Feeley wrote a letter to defendant on September 9, 2016, noting that "to the extent wear and tear, deterioration, or cracking/shrinking/expansion, were causes of the loss, such causes are excluded by the `wear and tear,' `cracking, shrinking or expansion' and `deterioration' exclusions. (Id. at 60.) Feeley also advised defendant that the "hidden or latent defect," the "repeated seepage," and the "weather conditions" exclusion should apply. (Id. at 61, 66.) Feeley's letter also concluded that the policy's collapse coverage did not apply in this instance because the roof had not collapsed. (Id. at 69.)
Defendant denied the insurance claim on September 14, 2016, citing exclusions for "wear and tear," "deterioration," "hidden or latent defect," "any quality in property that causes it to damage or destroy itself," "settling, cracking, shrinking or expansion," "seepage or leakage of water," and "weather conditions." (Doc. No. 35-1 at 8-9.) The defendant also asserted that because the ceiling and roof of the property "had not fallen down ... there has been no `collapse,'" because the building was still standing. (Id. at 9.) Therefore, defendant asserted that the "collapse" coverage did not apply at all. (Id.)
Summary judgment is appropriate when the moving party "shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a).
In summary judgment practice, the moving party "initially bears the burden of proving the absence of a genuine issue of material fact." In re Oracle Corp. Sec. Litig., 627 F.3d 376, 387 (9th Cir. 2010) (citing Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986)). The moving party may accomplish this by "citing to particular parts of materials in the record, including depositions, documents, electronically stored information, affidavits or declarations, stipulations (including those made for purposes of the motion only), admissions, interrogatory answers, or other materials" or by showing that such materials "do not establish the absence or presence of a genuine dispute, or that the adverse party cannot produce admissible evidence to support the fact." Fed. R. Civ. P. 56(c)(1)(A), (B). If the moving party meets its initial responsibility, the burden then shifts to the opposing party to establish that a genuine issue as to any material fact actually does exist. See
In the endeavor to establish the existence of a factual dispute, the opposing party need not establish a material issue of fact conclusively in its favor. It is sufficient that "the claimed factual dispute be shown to require a jury or judge to resolve the parties' differing versions of the truth at trial." T.W. Elec. Serv., 809 F.2d at 631. Thus, the "purpose of summary judgment is to `pierce the pleadings and to assess the proof in order to see whether there is a genuine need for trial.'" Matsushita, 475 U.S. at 587, 106 S.Ct. 1348 (citations omitted).
"In evaluating the evidence to determine whether there is a genuine issue of fact," the court draws "all reasonable inferences supported by the evidence in favor of the non-moving party." Walls v. Cent. Contra Costa Cty. Transit Auth., 653 F.3d 963, 966 (9th Cir. 2011). It is the opposing party's obligation to produce a factual predicate from which the inference may be drawn. See Richards v. Nielsen Freight Lines, 602 F.Supp. 1224, 1244-45 (E.D. Cal. 1985), aff'd, 810 F.2d 898, 902 (9th Cir. 1987). Undisputed facts are taken as true for purposes of a motion for summary judgment. Anthoine v. N. Cent. Counties Consortium, 605 F.3d 740, 745 (9th Cir. 2010). Finally, to demonstrate a genuine issue, the opposing party "must do more than simply show that there is some metaphysical doubt as to the material facts.... Where the record taken as a whole could not lead a rational trier of fact to find for the nonmoving party, there is no `genuine issue for trial.'" Matsushita, 475 U.S. at 587, 106 S.Ct. 1348 (citation omitted).
In moving for summary judgment, defendant argues that the additional coverage provision for collapse does not apply in this case because the insured building is still standing and has not fallen to the ground. (Doc. No. 18 at 17-22.) Further, defendant maintains that because there is no coverage, plaintiffs' claim of breach of the implied covenant of good faith and fair dealing fails as well. (Id. at 22.) Even were there to be a triable issue of fact on the issue of coverage under the insurance policy, defendant maintains that it is entitled to summary judgment in its favor on plaintiffs' claim of breach of the implied covenant of good faith and fair dealing under the genuine dispute rule and given its' advice of counsel defense. (Id. at 23-24.) In moving for summary judgment in their favor, plaintiffs assert that under the undisputed facts the building sustained an
The court's first task is to determine what is covered by the collapse provision of the insurance contract and particularly whether coverage exists only, as defendant asserts, where the insured structure has fallen to the ground. The phrase used in the insurance contract at issue here is "abrupt collapse," which the contract defines as "an abrupt falling down or caving in of a building or any part of a building with the result that the building or part of the building cannot be occupied for its intended purpose." (See Doc. No. 33 at 206.) In this diversity action, the court's role in construing the insurance contract is to discern how the California Supreme Court would interpret this provision, if presented to it. See Med. Lab. Mgmt. Consultants v. Am. Broad. Cos., Inc., 306 F.3d 806, 812 (9th Cir. 2002) ("When a decision turns on applicable state law and the state's highest court has not adjudicated the issue, a federal court must make a reasonable determination of the result the highest state court would reach if it were deciding the case.") (quoting Kona Enters., Inc. v. Estate of Bishop, 229 F.3d 877, 885 n.7 (9th Cir. 2000)); see also Aetna Casualty & Surety Co., v. Sheft, 989 F.2d 1105, 1108 (9th Cir. 1993); Nammo Talley Inc. v. Allstate Ins. Co., 99 F.Supp.3d 999, 1003 (D. Az. 2015).
The issue of coverage under insurance policy provisions for "collapse" has been litigated with some frequency in California courts. As the California Court of Appeals has noted in one relatively recent case:
Grebow v. Mercury Ins. Co., 241 Cal.App.4th 564, 572-73, 194 Cal.Rptr.3d 259 (2015). Collapse coverage varies based on the specific language used in the insurance contract. See Tustin Field Gas & Food, Inc. v. Mid-Century Ins. Co., 13 Cal. App. 5th 220, 227, 219 Cal.Rptr.3d 909 (2017) ("The definition of collapse in insurance policies varies."). For example, collapse coverage has sometimes been extended to both actual and imminent collapse, and sometimes only to actual collapse, depending on the language of the policy. Compare Doheny West Homeowners' Ass'n v. Am. Guar. & Liab. Ins. Co., 60 Cal.App.4th 400, 406, 70 Cal.Rptr.2d 260 (1997) (finding that the policy's language was ambiguous and therefore covered both actual and imminent collapse) with Rosen v. State Farm Gen. Ins. Co., 30 Cal.4th 1070, 1075-76, 1080, 135 Cal.Rptr.2d 361, 70 P.3d 351 (2003) (distinguishing Doheny and noting that where the provisions unambiguously cover only actual collapse, no coverage may be found for imminent collapse); see also Jordan v. Allstate Ins. Co., 116 Cal.App.4th 1206, 1221-22, 11 Cal.Rptr.3d 169 (2004) (holding that where policy refers to an "entire collapse," the collapse must be actual rather than imminent). It is therefore clear that the coverage limits of any particular policy must be gleaned strictly from the language used in the particular insurance policy at issue.
Because the extent of collapse coverage depends on the precise policy language, cases interpreting collapse provisions with language different from this policy or that leave the term "collapse" undefined are of limited utility. Neither party has pointed the court to California case law discussing the meaning of the term "abrupt collapse" as defined in the contract in this case, and the court has found no such authority. Indeed, the precise coverage definition here has been referenced in few other cases and, even where it does appear, has largely not been a focal point of discussion. The one court in the Ninth Circuit to directly address the meaning of the precise language used in this policy held that coverage exists if a part of the building has suffered "a substantial impairment to the structural integrity of the property." Malbco Holdings, LLC v. AMCO Ins. Co., 719 F.Supp.2d 1311, 1314-16 (D. Or. 2010). However, the court in Malbco was interpreting Oregon law, again limiting the utility of that opinion.
Given the lack of directly relevant authority, the court turns to more general principles of insurance policy interpretation under California law. Insurance policies are construed under the typical rules of contract law, which require looking "first to the language of the contract
With these general principles in mind, the court turns to the language of the contract at issue to determine whether it is ambiguous. This insurance contract defines "abrupt collapse" as being an "abrupt falling down or caving in of a building or any part of a building with the result that the building or part of the building cannot be occupied for its intended purpose." (Doc. No. 33 at 206.) It further provides that this coverage does not extend to
(Id.)
The court concludes that the language of this policy is ambiguous because there is more than one reasonable interpretation of its intended meaning. One reasonable meaning of "caving in" is defendant's understanding: that the building has completely collapsed to the ground. The policy does attempt to differentiate between a building that has suffered an "abrupt collapse" and one that is standing. This suggests — even though, as explained below, it does not unambiguously require — that the building or part of the building must collapse completely to the ground.
However, in common parlance, a building can "cav[e] in ... with the result that the building ... cannot be occupied for its intended purpose" (Doc. No. 33 at 206) by having its roof or ceiling fall an appreciable distance, even if the building as a whole has not completely collapsed to the ground. Nothing in the policy unambiguously informs the insured that the building or a part thereof must fall completely to the ground to be covered. The term used by the contract is "abrupt collapse," which highlights the manner in which the collapse must occur to warrant coverage. See, e.g., Ass'n of Unit Owners of Nestani v. State Farm Fire & Cas. Co.,
Having concluded the policy language is ambiguous as to coverage, California law requires that the contract be interpreted in favor of the insured and against the insurer. See Minkler, 49 Cal. 4th at 322, 110 Cal.Rptr.3d 612, 232 P.3d 612; E.M.M.I., 32 Cal. 4th at 471, 9 Cal.Rptr.3d 701, 84 P.3d 385; Safeco Ins. Co., 26 Cal. 4th at 763, 110 Cal.Rptr.2d 844, 28 P.3d 889. A layperson would reasonably interpret this policy to provide coverage for partial collapses of parts of a building that render the building unusable, even if the building or that particular part had not fallen completely to the ground. (See Doc. No. 33 at 206) (stating that an "abrupt collapse" occurs when "any part of a building" has "fall[en] down" or "cav[ed] in" and "the building or part of the building cannot be occupied for its intended purpose").
It is undisputed here that the overhead monitors, the disco ball, and the entire ceiling of the building fell six to ten inches. (Doc. No. 35-1 at 2.) It is also undisputed that ceiling tiles and insulation fell to the tabletops and counters below. (Id.) These events constitute "any part of a building" that has "fall[en] down." Finally, it is undisputed that the business was closed by the County of Madera for public safety reasons until repairs could be completed and thus neither the building nor any part of it could be occupied for its intended purpose. (Id. at 3-4.) Therefore, there is no genuine dispute of material fact about whether a part of the building fell down and whether the building could be occupied for its intended purpose. Because the policy language is interpreted in favor of the insured, these facts are sufficient to establish coverage. Similarly, interpreting the policy in favor of the insured, the language of the policy stating coverage does not extend to parts of the building that are standing "even if it shows evidence of cracking, bulging, sagging, bending, leaning, settling, shrinkage or expansion" can be reasonably read as intending to exclude coverage for any regular maintenance costs, not as requiring a complete collapse for coverage to exist. See, e.g., Stamm Theatres, Inc. v. Hartford Cas. Ins. Co., 93 Cal.App.4th 531, 541, 113 Cal.Rptr.2d 300 (2001) (noting defendant had contended a broad definition of a particular term "would transform the policy into a maintenance agreement," and observing that "[t]he coverage provisions at issue come into play only when a building
Defendant also moves for summary judgment in its favor as to plaintiffs' claim that defendant breached the implied covenant of good faith and fair dealing. (Doc. No. 18 at 22-26.) Plaintiffs do not move for summary judgment on this claim. (Doc. No. 24 at 5.) As the undersigned believes the discussion above makes clear, summary judgment must be granted in favor of defendant on this claim because its decision to withhold payment was based on a genuine dispute about coverage.
California has a well-established cause of action sounding in tort, rather than contract, against an insurer who breaches the implied covenant of good faith and fair dealing with its insured, when it "unreasonably and in bad faith withholds payment of the claim of its insured." Foley v. Interactive Data Corp., 47 Cal.3d 654, 683-85, 254 Cal.Rptr. 211, 765 P.2d 373 (1988) (en banc) (quoting Gruenberg v. Aetna Ins. Co., 9 Cal.3d 566, 575, 108 Cal.Rptr. 480, 510 P.2d 1032 (1973)). For an insurer to fulfill its obligations, it "must give at least as much consideration to the latter's interests as it does to its own." Egan v. Mut. of Omaha Ins. Co., 24 Cal.3d 809, 818-19, 169 Cal.Rptr. 691, 620 P.2d 141 (1979) (en banc). "While an insurance company has no obligation under the implied covenant of good faith and fair dealing to pay every claim its insured makes, the insurer cannot deny the claim `without fully investigating the grounds for its denial.'" Wilson v. 21st Century Ins. Co., 42 Cal.4th 713, 720-21, 68 Cal.Rptr.3d 746, 171 P.3d 1082 (2007) (quoting Frommoethelydo v. Fire Ins. Exch., 42 Cal.3d 208, 215, 228 Cal.Rptr. 160, 721 P.2d 41 (1986) (en banc)). The ultimate question in considering a bad faith claim is "whether the refusal to pay policy benefits was unreasonable." Opsal v. United Servs. Auto. Ass'n, 2 Cal.App.4th 1197, 1205, 10 Cal.Rptr.2d 352 (1991) (quoting Austero v. Nat'l Cas. Co., 84 Cal.App.3d 1, 32, 148 Cal.Rptr. 653 (1978)) (emphasis omitted); Chateau Chamberay Homeowners Ass'n v. Associated Int'l Ins. Co., 90 Cal.App.4th 335, 347, 108 Cal.Rptr.2d 776 (2001) ("[B]efore an insurer can be found to have acted tortiously (i.e., in bad faith), for its delay or denial in the payment of policy benefits, it must be shown that the insurer acted unreasonably or without proper cause.") (emphasis added).
Wilson, 42 Cal. 4th at 723-24, 68 Cal.Rptr.3d 746, 171 P.3d 1082 (internal citations and quotations omitted). In particular, where language in an insurance policy is ambiguous, summary judgment is appropriately granted so long as the insurer is reasonable in its interpretation of the policy language. See Amadeo v. Principal Mut. Life Ins. Co., 290 F.3d 1152, 1162 (9th Cir. 2002); cf. Lunsford v. Am. Guar. & Liab. Ins. Co., 18 F.3d 653, 656 (9th Cir. 1994) (concluding that summary judgment was appropriate where a decision not to defend under an insurance policy was based on an investigation of the claim and "a reasonable construction of the policy," despite a finding that the policy was ambiguous as to coverage).
In this case, the basic facts are essentially undisputed. As discussed above, the language of the insurance contract at issue is ambiguous and susceptible of differing but reasonable interpretations. One such reasonable interpretation is that the collapse provision required the building to completely collapse to the ground, as evidenced by the language excluding coverage for structures that remain standing. It is undisputed here that the building did not completely collapse to the ground which, under defendant's interpretation, would mean there was no coverage under the policy. While plaintiffs contend that defendant formed this view at the outset of the claims process prior to conducting any investigation (see Doc. No. 37 at 42, 56), that is irrelevant, even if true. It is undisputed that the building did not fall to the ground, and nothing about the investigation would or could have impacted a coverage decision based on defendant's interpretation of the policy. While defendant's interpretation ultimately proved to be incorrect
For these reasons, plaintiffs' motion for summary judgment (Doc. No. 23) is granted. Defendant's motion for summary judgment (Doc. No. 17) is denied in part and granted in part.
IT IS SO ORDERED.