STEPHAN P. MICKLE, Senior District Judge.
This case presents an insurance coverage dispute over damages that resulted from faulty workmanship in the construction of the Bartram Apartments, located in Gainesville, Florida. The insurance contracts between Plaintiff, who owns the Bartram Apartments, and the Defendant insurers provides primary coverage and three layers of excess coverage.
Summary judgment is appropriate when "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). The interpretation of an unambiguous insurance contract presents a pure issue of law that is appropriately determined on summary judgment. Saregama India Ltd. v. Mosley, 635 F.3d 1284, 1290 (11th Cir.2011); Acosta, Inc. v. Nat'l Union Fire Ins. Co., 39 So.3d 565 (Fla. 1st Dist.Ct.App.2010). Disputed factual issues may nevertheless exist about how an unambiguous contract term should be applied given the circumstances of the case, thus precluding summary judgment. Certain Interested Underwriters at Lloyd's v. Chabad Lubavitch of Greater Ft. Lauderdale, Inc., 65 So.3d 67, 70 (Fla.3d Dist.Ct.App.2011). In interpreting the insurance contracts, the Court will apply Florida law because the Bartram Apartments are located in Florida.
The primary policy issued by Landmark Insurance Company ("Landmark") and the second and third layer excess policies issued by Westchester Surplus Lines Insurance Company ("Westchester") and Landmark contain the same ensuing loss exception. The policies state: "We will not pay for a loss or damage caused by or resulting from: ... [d]efective materials, faulty workmanship, error, omission or deficiency in designs, plans or specifications. But if loss or damage by a Covered Cause of Loss results, we will pay for that resulting loss or damage." Doc. 145-1 at 15 (emphasis supplied). The first layer excess policy issued by Rockhill Insurance Company ("Rockhill") contains an analogous provision, which states: "We will not pay for a loss or damage caused by or resulting from [faulty workmanship]. But if an excluded cause of loss ... results in a Covered Cause of Loss, we will pay for the loss or damage caused by that Covered Cause of Loss." Id. (emphasis supplied). The wording of the policies are not identical, but the parties do not argue that they differ in meaning from each other.
Under Florida law, the insured bears the burden to establish that an exception to an exclusion applies. LaFarge, 118 F.3d at 1516; Fla. Windstorm Underwriting v. Gajwani, 934 So.2d 501, 506 (Fla.3d Dist.Ct.App.2005). So here, the burden is upon Plaintiff to establish that coverage is provided through the ensuing loss exception.
The principle Florida case interpreting the ensuing loss exception, which both parties cite to, is Swire Pacific Holdings, Inc. v. Zurich Ins. Co., 845 So.2d 161 (Fla. 2003). Swire involved design defects to a
Id. at 165. To fix the design defect, the insured was required to damage other portions of the property and the insured sought coverage for those damages. Id. at 164. In construing the policy language, the Swire court found that "loss or damage" as used in the first part of the exclusion "means loss caused directly by the design defect." Id. at 166. The court found that "physical loss or damage" in the ensuing loss exception in the second part of the provision means "damage that occurs subsequent to, and as a result of, a design defect." Id. The Swire court held that the insured could not recover under the policy because "[n]o loss separate from, or as a result of, the design defect occurred." Id. at 168. The insured's sole claim was to recover expenses incurred in repairing a design defect, and thus "[n]o ensuing loss resulted to invoke the exception to the [design defect] exclusionary provision." Id. at 167.
In this case, Plaintiff contends that it has suffered losses that are separate from and the result of the faulty workmanship, thus triggering the ensuing loss exception. Specifically, water intrusion that occurred because of the faulty workmanship caused damage to the buildings' exterior and interior finishes, wood sheathing, framing, balcony systems, drywall ceilings, and stuccoed walls. These damages are separate from the work needed to simply fix the faulty workmanship, and Plaintiff contends that while the policy excludes coverage for fixing the faulty workmanship, the ensuing losses that resulted from water intrusion are covered. Plaintiff's position is consistent with the Florida Supreme Court's holding in Swire. The loss Plaintiff is seeking coverage for resulted from water intrusion, which is separate from repair of the faulty construction.
Defendants, however, argue for a different reading of the exclusion and the ensuing loss exception. Citing to language from a Florida appellate court, Defendants contend that "an ensuing loss exception is not applicable if the ensuing loss is directly related to the original excluded risk." Nat'l Union Fire Ins. Co. v. Texpak Group N.V., 906 So.2d 300, 302 (Fla.3d Dist.Ct.App.2005).
The court reasoned that "[i]f the ensuing loss clause provides coverage for water damage to TMW's walls, the only role left for the faulty workmanship exclusion is to block coverage for remedying the defects that allowed water to infiltrate in the first place." Id. at 579. The court rejected that reading because it made superfluous the exclusion's parenthetical reference to "`the costs of correcting or making good'" the faulty workmanship. Id. at 579-80. There would be no need to have the parenthetical if the exclusion were construed to encompass only "the costs of correcting or making good" the defects, as proposed by the insured. Id. Thus the TMW court ruled that the faulty workmanship exclusion should encompass the costs for fixing the faulty workmanship and all losses proximately caused by the faulty workmanship; that is, losses that naturally and foreseeably resulted from the faulty workmanship. Id. With this reading, the ensuing loss exception was left to cover any "independent, non-foreseeable losses" that broke the chain of proximate cause flowing from the faulty workmanship. Id. at 578. The court reasoned that "because defective wall construction naturally and foreseeably leads to water intrusion, the language of the exclusion, not the exception to the exclusion, ought to apply." Id. at 579.
Similarly, in Chabad, the policy contained a windstorm exclusion that excluded coverage for loss or damage "[c]aused directly or indirectly by Windstorm or Hail, regardless of any other cause or event that contributes concurrently or in any sequence to the loss or damage...." Chabad, 65 So.3d at 68. The wording of the exclusion is specially crafted to counteract Florida's efficient proximate cause doctrine. See Empire Indem. Ins. Co. v. Winsett, 325 Fed.Appx 849, 851 (11th Cir.2009). Under Florida's efficient proximate cause doctrine, if the efficient proximate cause (i.e. a cause that sets other causes in motion) is covered, then the resulting loss will be covered even if the other causes that are not covered contribute to the loss. Id. Given the language in the Chabad policy against applying the efficient proximate cause doctrine to windstrorm claims, the only meaningful way to read the ensuing loss exception is to require an intervening cause to break the chain of proximate cause to trigger coverage.
In contrast to the exclusions in TMW and Chabad, the policy exclusions in the instant case do not require reading in a proximate cause element to make sense of the policy. Unlike TMW, Defendant can cite to no language in the policy that would be rendered superfluous by taking it to mean that the policy excludes coverage for
The exclusions here are similar to the one in Swire, which the Florida Supreme Court found applied to "loss caused directly by the design defect" with the ensuing loss exception allowing coverage for loss or damage "that occurs subsequent to, and as a result of, a design defect." Swire, 845 So.2d at 166. The Swire court did not apply a requirement that the chain of proximate cause be broken for the ensuing loss exception to apply. Only that the ensuing loss "occur[] subsequent to, and as a result of, a design defect." Id.
This means that ensuing losses, if they resulted from a covered cause, are covered under the policy regardless of whether the loss was naturally set in motion by an excluded cause of loss. Given the plain meaning of the policy language, if the faulty workmanship resulted in water intrusion that subsequently resulted in ensuing losses, the cost to repair the faulty workmanship is excluded but the ensuing losses from the water intrusion are covered.
Although the bulk of Defendants' summary judgment argument rested on the inapplicability of the ensuing loss exception, Defendants cite to a variety of policy exclusions to argue that Plaintiff's ensuing losses are nevertheless not covered because they fall within other policy exclusions. Each exclusion will be addressed in turn.
Each of the policies specifically excludes coverage for wear and tear and deterioration. The exclusions in the Landmark and Westchester policies contain the same wording: "We will not pay for loss or damage caused by or resulting from ... [w]ear and tear, any quality in the property that causes it to damage or destroy itself, hidden or latent defect, gradual deterioration, corrosion, rust, dampness or dryness, heat or cold." Doc. 145-1 at 16. The Rockhill policy has a similar exclusion: "We will not pay for loss or damage caused by or resulting from any of the following... [w]ear and tear; [r]ust or other corrosion, decay, deterioration, hidden or latent defect or any quality in the property that causes it to damage or destroy itself." Id. at 16-17.
Despite their identification of this exclusion, Defendants provide no facts to explain how the exclusion applies to Plaintiff's claim in this case. The cases Defendants cite to are likewise unhelpful. They deal with mechanical failure of aircraft engines. Arawak Aviation, Inc. v. Indem. Ins. Co. of N. Am., 285 F.3d 954 (11th Cir.2002); Little Judy Indus., Inc. v. Fed. Ins. Co., 280 So.2d 14 (Fla.3d Dist.Ct.App.1973). Defendants cite to no cases where the exclusion was found applicable
The burden is upon Defendants to show that Plaintiff's loss arose from an excluded cause. Royale Green Condo. Ass'n Inc. v. Aspen Specialty Ins. Co., Case No. 07-21404-CIV, 2009 WL 799429 at *2 (S.D.Fla. Mar. 24, 2009). Defendants have not met this burden with regard to the wear and tear exclusion.
The Landmark and Westchester policies, but not the Rockhill policy, contain a rain exclusion. The wording of the exclusion is the same for the Landmark and Westchester policies: "We will not pay for loss or damage caused by or resulting from ... [r]ain, snow, sand or dust, whether driven by wind or not, to the interior of any building or structure or the property inside the building or structure, unless the building or structure first sustains damage from a covered peril to its roof or walls through which the rain, snow, sand or dust enters." Doc. 145-1 at 17. Defendants argue that Plaintiff's loss is not covered because the damage to the roof and walls through which rain entered was caused by faulty workmanship, not a covered cause of loss.
The cases Defendants cite to are not particularly helpful because of differences in the facts and policy provisions. See New Hampshire Ins. Co. v. Carter, 359 So.2d 52 (Fla. 1st Dist.Ct.App.1978); Fla. Windstorm Underwriting v. Gajwani, 934 So.2d 501 (Fla.3d Dist.Ct.App.2005). Nevertheless, Defendants' argument here relies on its previous argument, rejected by the court, that the faulty workmanship exclusion extends to all losses proximately caused by the faulty workmanship. Defendants do not acknowledge that ensuing losses (losses that occur subsequent to and as a result of the faulty workmanship) are covered. Nor do they acknowledge that this is an "all risk" policy where all perils are covered unless excluded, and that the faulty workmanship exclusion is limited by the ensuing loss exception. Moreover, by its plain terms the rain exclusion applies to losses to the interior of the building and the property inside it, not to the exterior of the building or the structure of the building, which appears to be the bulk of the damage claimed by Plaintiff. For these reasons, Defendants have failed to show that the rain exclusion bars Plaintiff's claim.
The Rockhill policy contains a water seepage exception, which reads: "We will not pay for loss or damage caused by or resulting from any of the following: ... [c]ontinuous or repeated seepage or leakage of water, or the presence of condensation or humidity, moisture or vapor, that occurs over a period of 14 days or more." Doc. 145-1 at 19-20. Plaintiff contends that this exclusion should not apply because a separate section of the policy defines "water damage" as "accidental discharge or leakage of water or steam as the direct result of the breaking apart or cracking of a plumbing, heating, air conditioning, or other system or appliance (other than a sump system including its related equipment and parts), that is located on the described premises and contains water or steam." Doc. 132 at 19-20. And in fact, the sole case Defendants rely upon for application of this exclusion involved damages caused by a leak from a toilet supply line of a vacant home. Hoey v. State Farm Fla. Ins. Co., 988 So.2d 99 (Fla. 4th Dist.Ct.App.2008). Moreover, unless the water seepage is coming from a fixed source, such as plumbing, heating, or air conditioning, it is difficult to make sense of the language in the policy stating that the excluded water seepage must occur "continuous[ly] or repeated[ly]" for "14
Given the limited argument provided and the uncertainty about the damages excluded by the water seepage exclusion, the Court cannot conclude as a matter of law that the Rockhill policy excludes Plaintiff's claims.
The Rockhill policy also contains an exclusion for cracking, which reads: "We will not pay for loss or damage cause by or resulting from any of the following ... [s]ettling, cracking, shrinking, or expansion." Doc. 145-1 at 17. Defendants note that the exclusion does not limit the exclusion for cracking or settling to certain causes, and thus any losses by Plaintiff resulting from cracking or settling should be excluded.
Plaintiff contends that this exclusion applies to cracking associated with settlement or moving of the foundation, not to cracking that results from water intrusion of the building envelope. Plaintiff notes that the only Florida case relied upon by Defendants, Fla. Residential Prop. and Cas. Joint Underwriting Ass'n v. Kron, 721 So.2d 825, 827 (Fla.3d Dist.Ct.App. 1998), construed the exclusion against the insurers because of ambiguity about whether the exclusion applies "where the cause of the crack is an external penetrating force, as opposed to the gradual shifting of a structure." Kron, 721 So.2d at 827. The other cases Defendants rely upon deal with cracking that results from the settlement or movement of the foundation. See Montee v. State Farm Fire, 99 Or.App. 401, 782 P.2d 435 (Or.Ct.App. 1989); Gen. Ins. Co. v. Hallmark, 575 S.W.2d 134 (Tex.Civ.App.1978); Bentley v. Nat'l Standard Ins. Co., 507 S.W.2d 652 (Tex.Civ.App.1974). Furthermore, Defendants do not cite to any facts to explain how the exclusion applies to Plaintiff's claim in this case.
Given the limited argument provided and the uncertainty about the factual application of the exclusion to this case, the Court cannot conclude as a matter of law that the Rockhill policy's cracking exclusion applies to Plaintiff's claims.
All of the policies contain mold exclusions. The exclusion in the Landmark policies read:
Id. at 18-19. The mold exclusion in the Rockhill policy reads:
Id. at 19. Defendants argue that each of the mold exclusions preclude coverage for mold, especially given the anti-concurrent cause language in the provisions.
Plaintiff responds that it is not seeking payment for loss caused by mold or fungus, and not seeking payment for loss that was concurrently caused by mold and other cause. Accordingly, this issue is deemed moot.
All of the policies contain an exclusion for consequential losses caused by delay, loss of use, or loss of market. The policies also contain an endorsement that provides limited coverage for soft costs. Defendants argue that the exclusion for consequential loss bars coverage for lost rents, loan expenses, retention of consultants, and diminution in the value of the insured property.
The exclusions in the Landmark and Westchester policies read: "We will not pay for a loss or damage caused by or resulting from ... [d]elay, loss of use, loss of market or any other consequential loss." Doc. 145-1 at 20. The exclusion in the Rockhill policy reads: "We will not pay for loss or damage caused by or resulting from any of the following ... [d]elay, loss of use or loss of market." Id. The soft cost endorsement of the Landmark and Westchester policies read:
Id. at 21. The soft cost endorsement of the Rockhill policies read:
Id. at 22.
Plaintiff contends that its losses for lost rents, loan expenses, retention of consultants, and diminution of value are not the kinds of losses excluded under the exclusions. With regard to the costs for retention of experts, Plaintiff contends that this loss is the result of the water intrusion from the faulty construction, not from delay, loss of use, or loss of market. It is different in kind from the other losses because it flows directly from the water damage. The Court agrees.
With regard to the rents, loan expenses, and diminution of value, it is difficult to understand Plaintiff's argument.
In this case, lost rents, loan expenses, and diminution of value are consequential losses excluded by the policies. Accordingly, summary judgment will be granted in favor of Defendants on this issue.
Each of the policies requires the insured to take "all reasonable steps to protect the Covered Property from further damage." Doc. 116 at 23. Defendants contend that Plaintiff did not take reasonable steps to protect the property from further damage because Plaintiff knew of the faulty workmanship problems and did not require the contractor to make repairs immediately.
Plaintiff contests this matter. Resolution of the issue involves disputed material facts, thus precluding summary judgment.
Finally, Defendants argue that Plaintiff failed to comply with various postloss requirements of the policies for notice and examination under oath and refraining from filing legal action until all policy conditions have been satisfied.
Again, Plaintiff disputes these matters. Disputed issues of material fact preclude resolution of these matters on summary judgment.
Plaintiff's ensuing losses resulting from the faulty workmanship are covered under the policies. As to the mold exclusion, since Plaintiff is not making a claim for losses for mold, this exclusion is not at issue. The consequential loss exclusions bar coverage for lost rents, loan expenses, and diminution of value, but not the costs of retaining experts. As to the other exclusions, neither side has demonstrated an entitlement to judgment as a matter of law. Accordingly, it is
ORDERED AND ADJUDGED:
1. Defendants' motion for summary judgment (doc. 116) is granted as to the consequential loss exclusions but only for lost rents, loan expenses and diminution of value. The motion is denied as moot as to he mold exclusion. In all other respects, the motion is denied.
2. Plaintiff's cross motion for partial summary judgment (doc. 132) is granted as to liability for ensuing losses resulting from faulty workmanship. In all other respects, the motion is denied.