Plaintiff Vincent Guy Adamo filed a claim under his homeowner's policy after a wildfire damaged his 1,000-tree avocado grove, 10,000-gallon water tank, irrigation system, culverts, two woodsheds, and landscaping on his property. His insurance carrier, defendant Fire Insurance Exchange
This matter came on for a bench trial on stipulated facts. Following trial the court ruled (1) the water tank, piping and other property were not "attached" for Coverage A to apply; (2) none of the property was covered under Coverage A for "building equipment and outdoor equipment"; and (3) subsection 1 of "Other Coverages" did not establish a separate line of coverage but only established the Coverage B policy limits.
On appeal, Adamo asserts the court erred in ruling in favor of FIE because (1) the subject property is "attached" to the main dwelling for purposes of coverage under Coverage A; (2) the property could be considered equipment used to service the property for purposes of coverage under Coverage A; and (3) the "Other Coverages" section of Coverage A provides additional coverage. We affirm.
FIE insured Adamo under a standard first-party residential property insurance policy. The policy provided two separate categories of coverage for (1) the "Dwelling" (Coverage A) and (2) "Other Structures" (Coverage B).
Coverage A applies to four subcategories, all related to or including the dwelling: (a) "the dwelling on the Described Location, used principally for dwelling purposes"; (b) "structures attached to the dwelling"; (c) "materials and supplies on or adjacent to the Described Location for use in the construction, alteration or repair of the dwelling or other structures on this location"; and (d) "if not otherwise covered in this policy, building equipment and outdoor equipment used for the service of and located on the Described Location."
Coverage B applies to "other structures on the Described Location, separated from the dwelling by clear space." Specific examples of structures that
Coverage A and Coverage B have different coverage limits and sublimits. Coverage A has a $531,000 total liability limit. It also has a $26,500 sublimit, covering fire or smoke damage to "lawns, plants, shrubs, or trees." A payment under this sublimit reduces the "Coverage A limit of liability" for the "dwelling" "by the amount paid."
Coverage B for "other structures" has a lower $53,100 limit, which is defined under the heading "Other Coverages" in subsection 1: "Other Structures — You may use up to 10% of the Coverage A limit of liability [(i.e., 10 percent of $531,000 or $53,100)] for loss by a Peril Insured Against other structures described in Coverage B. Use of this coverage does not reduce the Coverage A limit of liability for the same loss." The declarations page shows a $531,000 policy limit for Coverage A and a $53,100 policy limit for Coverage B.
The October 2007 wildfires in San Diego County damaged Adamo's landscaping, retaining wall, two woodsheds (plus their contents), a 1,000-tree avocado grove and "property associated with his avocado grove," including an irrigation system, culverts and a detached 10,000-gallon water tank. Adamo's residence incurred some minor smoke damage, but it did not burn.
The principal fire damage was to Adamo's landscaping, woodsheds and the water system "associated with [the] avocado grove." The water system (i.e., the water tank, irrigation system, and culverts) was separated from Adamo's dwelling by clear space and was completely detached from the dwelling, except for an underground water pipe connecting the dwelling and water tank.
Adamo filed a claim under his policy seeking payment for his damaged property. Adamo admitted to FIE's adjuster that he had sold avocados grown on his property. After completing her initial investigation and damages inventory, FIE's adjuster notified Adamo that damage to the avocado trees was not covered under his policy because he "indicated that they were being used for [a] commercial purpose," and such use is excluded under Coverage
After the first payment, FIE conducted a further investigation of Adamo's claim for additional available coverage, including hiring an expert to evaluate the damages Adamo sustained to his culvert system. FIE reimbursed Adamo under Coverage B for damage to the culverts, which exhausted Coverage B's $53,100 policy limit.
When it made the second payment, FIE informed Adamo that the applicable coverages in his policy had been exhausted and that it did not owe more than the $116,000 it had already paid.
Adamo then sought payment under Coverage A (the "dwelling" coverage) for his water tank and irrigation system as well as additional coverage for damage to his culverts. FIE denied this claim, asserting the water tank was not "attached" to his dwelling for purposes of Coverage A limits, and the property was used for commercial purposes and thus excluded under Coverage B.
Adamo sued FIE for breach of contract, bad faith, promissory estoppel, declaratory relief and reformation. The complaint alleged that FIE "refused, and continues to refuse" to reimburse Adamo "for the cost of repair, replacement cost or the actual cash value of [his] ... irrigation system, or water tank as required by the terms and conditions of [his] policy."
The parties stipulated to try the coverage issue as a threshold matter based on stipulated facts. The court conducted a bench trial to decide the following coverage issue: Whether available coverage remained for the damaged water tank, irrigation system and culverts.
Adamo's theory at trial was that (1) Coverage A provided additional coverage for any structure or equipment that is "physically attached" to the dwelling and "absolutely necessary" for its use; (2) even though Coverage B expressly covers "other structures" "separated from the dwelling by clear space" and connected by a "utility line or similar connection," nothing in the policy precluded concurrent or additional coverage for the same property under Coverage A; (3) even after Coverage B limits have been exhausted, an additional $53,100 — i.e., 10 percent of the limits available in Coverage A — was also available to cover other structures defined in Coverage B; (4)
FIE in turn argued (1) Adamo's water tank, irrigation system and culverts were not "attached" to the dwelling so there was no coverage available under Coverage A; (2) coverage for the water tank would only be available under Coverage B (for "other structures") because it expressly covered circumstances where, as here, there was "clear space" between the dwelling and other structure, and they were only connected by a "utility line"; (3) because it was undisputed that Coverage B's limit was fully exhausted, no additional benefits were available to Adamo; (4) even if Coverage B's policy limit had not been exhausted, the water tank and other property associated with the avocado grove were not covered because they were used for a commercial purpose; and (5) the commercial-use exclusion was clear, conspicuous and unambiguous.
Following the trial, the court issued a statement of decision, finding in favor of FIE. Specifically, the court found (1) none of the applicable policy language was ambiguous; (2) coverage for damage to the water tank, the irrigation system and culverts fell under Coverage B and not Coverage A; (3) since Coverage B had already been exhausted, there was nothing left for FIE to pay under the policy; and (4) since there were no policy benefits due, there could be no breach of contract or bad faith.
The court did not address the commercial-use exclusion.
Adamo moved for a new trial on various grounds, including surprise and newly discovered evidence. In support of his motion, Adamo presented an expert declaration and an insurance industry bulletin that asserted the "other coverages" section of his policy provided a "distinct and separate category from which coverage is still available." Adamo's claim of surprise was FIE's alleged change of position that the "other coverages" section was a separate category of coverage.
The court denied Adamo's new trial motion. The court found that he "failed to meet his burden on any of the grounds he raised in his motion or otherwise." It also sustained FIE's objections to Adamo's newly proffered expert testimony and insurance industry bulletin.
Where, as here, the relevant facts are stipulated, the meaning and interpretation of the policy provisions at issue are reviewed de novo under wellsettled rules of contract interpretation. (E.M.M.I. Inc. v. Zurich American Ins. Co. (2004) 32 Cal.4th 465, 470 [9 Cal.Rptr.3d 701, 84 P.3d 385]; Employers Mutual Casualty Co. v. Philadelphia Indemnity Ins. Co. (2008) 169 Cal.App.4th 340, 347 [86 Cal.Rptr.3d 383].) Moreover, whether or not a policy provision is ambiguous is reviewed de novo as are the objectively reasonable expectations of coverage. (Union Oil Co. v. International Ins. Co. (1995) 37 Cal.App.4th 930, 936 [44 Cal.Rptr.2d 4].)
Adamo contends, however, that there is some ambiguity in the language used in Coverage B because the terms "clear space" and "utility line" are undefined. This contention is unavailing. The lack of a policy definition for every word used does not create ambiguity where none otherwise exists. (Bay Cities Paving & Grading, Inc. v. Lawyers' Mutual Ins. Co. (1993) 5 Cal.4th 854, 866 [21 Cal.Rptr.2d 691, 855 P.2d 1263].) The terms "clear space" and "utility line" have commonsense meanings. Further, even if the water pipe somehow was not a "utility line," it is a "similar connection" that would still keep it within Coverage B's coverage.
Although no California cases have interpreted this exact policy language, a federal case has interpreted this language and found it unambiguous. (Porco v. Lexington Ins. Co. (S.D.N.Y. 2009) 679 F.Supp.2d 432, 439 (Porco) ["the Court has found no decisions holding that the plain language used in Coverage A and Coverage B is ambiguous"].) As in this case, in Porco the court interpreted the phrase "`set apart from the dwelling by clear space ... [and] connected to the dwelling by only a fence, utility line, or similar connection.'" (Id. at p. 434.) As with the water tank and dwelling here, clear space separated the disputed damaged property, a swimming pool, from the dwelling and a water pipe connected the two structures. (Id. at p. 439.)
Accordingly, FIE was not in breach of Adamo's policy for refusing to pay additional amounts for "other structures" because no additional coverage was available under Coverage B.
Adamo contends that even though Coverage B's $53,100 limit was fully paid and exhausted, additional coverage exists because "the stipulated facts and the policy language established coverage was still available to indemnify for the loss" under Coverage A's $531,000 limit. Adamo argues that both Coverage A and Coverage B should apply to the same loss suffered as to the same property. We reject this contention.
It appears that Adamo is asserting that when the applicable coverage's limits have been exhausted, payment should be made under another inapplicable coverage. A commonsense reading of the policy means giving effect to
In the policy at issue here, the plain language and physical relationship between Coverage A and Coverage B dictate that the two coverages are mutually exclusive, not compounded. Coverage B for "other structures" immediately follows Coverage A for the "dwelling." In addition, "other structures" are defined in relationship to the "dwelling." They must be "separated from the dwelling by clear space" to qualify. Property is covered under either Coverage A or B, not both. Structures covered under Coverage B are structures "other" than, and distinct from, those covered under Coverage A. (See Black's Law Dict. (6th ed. 1990) p. 1101, col. 1 [defining "Other" as "Different or distinct from that already mentioned"].)
Moreover, nothing in the plain language of Coverage A would afford coverage to the 10,000-gallon water tank, irrigation system and culverts because they are not "attached" to the dwelling as required for Coverage A to apply.
Adamo asserts the water tank falls under Coverage A because it is "integral and necessary for legal occupancy" and thus, "reasonably considered part of the home." However, the policy does not contain any such "integral and necessary" language.
The only case Adamo cites in support of this proposition is Meyerstein v. Great American Ins. Co. (1927) 82 Cal.App. 131 [255 P. 220] (Meyerstein). However, that case dealt with different policy language. There, the sole issue was how the word "additions" should be interpreted. At issue was whether the parties intended to cover a separate laundry building and water tank as "additions" in connection with the main building. (Id. at p. 134.)
"Additions" coverage is not at issue here. Moreover, the policy in Meyerstein had no separate, express coverage for "other structures." Thus, Meyerstein does not assist our analysis.
Adamo also relies on Coverage A, subparagraph (d), which states "if not otherwise covered in this policy, building equipment and outdoor equipment
However, as the trial court found in rejecting this argument, prior to full payment of the Coverage B policy limit, the water system was "`otherwise covered' under Coverage B," and therefore, subparagraph (d) does not apply. Adamo's strained interpretation cannot create an ambiguity where none exists. (Reserve Insurance Co. v. Pisciotta (1982) 30 Cal.3d 800, 807 [180 Cal.Rptr. 628, 640 P.2d 764]; Bosetti v. United States Life Ins. Co. in City of New York (2009) 175 Cal.App.4th 1208, 1227 [96 Cal.Rptr.3d 744].) The water system is "otherwise covered" under Coverage B. This "catch-all" provision is for property not otherwise covered, not for covered property once a policy limit is exhausted.
The plain language of subparagraph (d) applies only where the policy provides no other coverage. Here, the property at issue is "otherwise covered" under Coverage B.
Adamo argues that where the loss has not been fully paid, but Coverage B's $53,100 limit has been exhausted. "Other Coverages, Subsection 1" provides "an additional benefit under the policy allowing [Adamo] to use 10 percent for whatever [he] want[s] elsewhere" beyond the limits stated on the policy's declarations page. This contention is unavailing.
As the court found, "Other Coverages, Subsection 1" is "a quantitative definition" of the policy limits for the various coverages, including Coverage B.
In other words, Coverage B's limit is calculated under "Other Coverages, Subsection 1." Coverage B's limit is 10 percent of Coverage A. That amount is $53,100, because it is 10 percent of Coverage A's $531,000 limit shown on the declarations page. That same 10 percent number, $53,100, is reflected as the Coverage B policy limit on the declarations page.
In support of this assertion, Adamo cites to the two pieces of extrinsic evidence that Adamo attached, for the first time, to his new trial motion: an insurance industry bulletin and an expert declaration. However, in denying the new trial motion, the trial court rejected Adamo's claim of surprise or
The judgment is affirmed. FIE shall recover its costs on appeal.
Benke, Acting P. J., and McIntyre, J., concurred.