DANA L. CHRISTENSEN, Chief Judge.
Before the Court is Plaintiff Andrea Wood's ("Wood") motion for partial summary judgment on the duty to defend, and Defendant Preferred Contractors Insurance Company Risk Retention Group LLC's ("PCIC") motion for summary judgment. For the reasons explained below, the Court grants Wood's motion in part and denies PCIC's motion.
This case arises out of alleged physical damage to Wood's home in southern California as a result of work performed by construction contractors Arturo Botello ("Botello") and Gabriel Curiel ("Curiel"). In August 2009, Wood hired Botello and Curiel
In her complaint in the underlying action, Wood alleged four causes of action against Botello and Curiel specifically, including breach of contract, negligence, breach of express warranty, and breach of implied warranty. She cited the following defects in and damage resulting from Botello's and Curiel's work:
(Doc. 19-2 at 3.) Wood alleged that she "incurred expenses, costs, and liabilities in the sum of at least $225,000" as a result of these issues. (Id.)
The Policy provided coverage for "those sums that the insured [became] legally obligated to pay as damages because of... `property damage' to which" the Policy applied. (Doc. 19-1 at 13.) The Policy defined "property damage" as, in part, "physical injury to tangible property, including all resulting loss of use of that property." (Id. at 29.) Coverage was provided for property damage to the extent it was caused by an "occurrence" which took place "during the policy period," though an endorsement replaced the phrase "policy period" with "Term." (Id. at 8, 13.) The Policy defined "occurrence" as "an accident, including continuous or repeated exposure to substantially the same general harmful conditions. (Id. at 28.) Finally, the Policy defined "Term" as the calendar year following the inception date. (Id. at 11.)
Curiel tendered a defense of the underlying action to PCIC in a letter dated June 27, 2012, and PCI responded on August 9, 2012. In the response letter, PCIC first noted that Curiel's counsel "confirmed that [Curiel] had no knowledge, nor did he consent to [Botello] using his [contractor's] license in any matter." (Doc. 19-3 at 1.) PCIC then indicated that there was no coverage for Wood's claims against Curiel under the October 31, 2009 policy "due to the fact that there [was] no occurrence or property damage during this policy period," i.e. between October 31 and December 21, 2009, given that "the work was completed in January 2010." (Id.) PCIC proceeded to cite numerous policy provisions in the letter, but never explained why any of them precluded coverage. PCIC ultimately denied a defense in the letter.
Wood and Curiel then settled the underlying action on March 6, 2013. Curiel agreed to pay Wood $17,500 out of his own pocket, confessed judgment in the amount of $175,000, and assigned to Wood his rights under the PCIC policy. Wood then filed a coverage action against PCIC in California state court, but because the Policy's choice of law provision provided that Montana law controlled, the state court dismissed Wood's coverage action without prejudice.
Wood then filed her Complaint in this diversity action on May 8, 2014. She pleads five causes of action: (1) declaratory judgment, (2) breach of contract, (3) first-party statutory bad faith under Montana's Unfair Trade Practices Act, Montana Code Annotated § 33-18-201 ("UTPA"), (4) third-party bad faith pursuant to the same provision
A party is entitled to summary judgment if it can demonstrate 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).
A federal court sitting in diversity applies the substantive law of the forum state to state law claims. Mason & Dixon Intermodal, Inc. v. Lapmaster Int'l LLC, 632 F.3d 1056, 1060 (9th Cir.2011). Thus, the Court decides these motions for summary judgment pursuant to Montana insurance law.
Wood moves for partial summary judgment on PCIC's breach of the duty to defend Curiel in the underlying action. Wood asserts that PCIC's "unilateral fact determination" — that no property damage took place during the policy period — was inconsistent with the allegations in the Complaint and did not support denying Curiel a defense. (Doc. 16 at 13.). PCIC counters that there was no duty to defend Curiel because it determined there was no coverage for Wood's claims. PCIC cites three grounds for this conclusion: (1) Curiel had nothing to do with the construction work performed on Wood's house, meaning no "occurrence" was attributable to PCIC's insured during the policy period, (2) the Policy did not provide coverage for Curiel's own negligent or defective work product, and (3) damage to Wood's home first manifested prior to the Policy's inception. None of PCIC's arguments holds water, and so the Court holds as a matter of law that PCIC breached its duty to defend Curiel.
"Montana law is well-settled that an insurer's duty to defend its insured arises when an insured sets forth facts which represent a risk covered by the terms of an insurance policy." Farmers Union Mut. Ins. Co. v. Staples, 321 Mont. 99, 90 P.3d 381, 385 (2004) (citations omitted). "The duty to defend is independent from and broader than the duty to indemnify created by the same insurance contract." Id. The duty to defend specifically "arises when a complaint against an insured alleges facts, which if proven, would result in coverage" under the policy at issue. State Farm Mut. Auto. Ins. Co. v. Freyer, 372 Mont. 191, 312 P.3d 403, 410 (2013) (citations omitted). "Unless there exists an unequivocal demonstration that the claim against an insured does not fall within the insurance policy's coverage, an insurer has a duty to defend." Staples, 90 P.3d at 385 (emphasis added). "If there is no coverage under the terms of the policy based on the facts contained in the complaint, there is no duty to defend." Landa v. Assurance Co. of Am., 371 Mont. 202, 307 P.3d 284, 289 (2013) (citations omitted). "When a court compares allegations of liability advanced in a complaint with policy language to determine whether the insurer's obligation to defend was `triggered,' a court must liberally construe allegations in
"It is well-established that where an insurer refuses to defend a claim and does so unjustifiably, the insurer is estopped from denying coverage and becomes liable for defense costs and judgments." Tidyman's Mgmt. Services Inc. v. Davis, 376 Mont. 80, 330 P.3d 1139, 1149 (2014) (citations omitted). Furthermore, "a pretrial stipulated judgment may be enforceable against the defendant's liability insurer if the insurer breaches its contractual obligation to defend the insured," because "when an insurer improperly abandons its insured, the insured is justified in taking steps to limit his or her personal liability." Id. at 1150 (citations omitted). "[W]here an insurer believes it is not required to provide a defense under the policy, the prudent course of action is to defend the insured under a reservation of rights and file a declaratory judgment action to discern coverage." Id. at 1149.
Wood pled facts in her Complaint that, if proven, would trigger coverage under the key provisions of the Policy. As mentioned above, she alleged that Curiel's and Botello's negligence resulted in a laundry list of damages to her home. Wood alleged that she contracted with Curiel and Botello in August 2009, meaning the construction work itself began at that time and, construing this date in Wood's favor, reasonably extended into the policy period. On its face, the Complaint triggered PCIC's duty to defend.
Moreover, none of PCIC's justifications for denying Curiel a defense satisfy the "unequivocal demonstration" requirement in Montana law. First, the evidence in this case simply does not support a conclusion that Curiel had nothing to do with the construction work on Wood's home. Not only did Curiel confess to and, in part, personally satisfy the judgment in the underlying action, his construction company is listed as the contractor on the building permit for Wood's home, and he signed and filed a mechanic's lien against the property. (See Docs. 29-1, 29-2.) Second, the property damage alleged in Wood's underlying complaint can certainly be construed to include damage to parts of her home other than the new construction itself, taking it outside of the "your product" or "your work" exclusions (see Doc. 19-1 at 17), and distinguishing this matter from the cases PCIC cites where faulty workmanship was exclusively at issue. Third, though Wood noted in the underlying complaint that she contracted with Curiel and Botello in August 2009, PCIC has not unequivocally demonstrated that all property damage at issue occurred prior to October 31, 2009, the Policy's inception date. On the contrary, reading the underlying complaint liberally, one could easily conclude that damage occurred throughout the time Curiel and Botello were on the job, or from August 2009 through January 2010. Ultimately, if PCIC wanted to flesh out any of its theories contesting coverage, it should have done so by filing a declaratory action, not by making factual determinations after Curiel tendered a defense.
Based on the foregoing the Court concludes that PCIC breached its duty to defend Curiel in the underlying action, and so grants Wood's motion for partial summary judgment in this respect. This conclusion then compels the conclusion that PCIC is liable for the total amount of the settlement agreement, or $192,500, as well as defense costs. Tidyman's Mgmt. Services Inc., 330 P.3d at 1149. The Court declines to award interest on the underlying judgment.
Wood urges the Court to award her attorney's fees incurred in this case and in
Based on the analysis in the previous section, though the Court obviously agrees with Wood to an extent regarding her position vis-a-vis the Policy in this case, the Court declines to extend the insurance exception to cover an assignee of the indemnity right under an insurance contract. It is true that Wood was forced to file suit in order to light a fire under PCIC, but she did so to obtain a benefit owed to Curiel under the Policy, not to herself. Indeed, though the facts in Brewer are distinguishable — a third-party claimant, not an assignee, sought attorney's fees for its declaratory action in the case — the Montana Supreme Court refused to extend the insurance exception to "individuals who are strangers to the insurance contract." 69 P.3d at 661. This is because "[t]he rationale underlying the insurance exception to the American Rule is the existence of a fiduciary duty, and no such duty exists" between the insurer and a third-party claimant. Jacobsen v. Allstate Ins. Co., 351 Mont. 464, 215 P.3d 649, 656 (2009). Again, though the assignment in this case places Wood more in the position of a first-party claimant, the Court does not extend this notion so far as to transfer PCIC's fiduciary duty under the Policy to Wood.
For similar reasons, the Court also declines to award attorney's fees under the DJA. Montana case law makes clear that an insurer who breaches the duty to defend buys any underlying judgments and defense costs. The Court will keep it at that here. Wood's motion for partial summary judgment is denied as to attorney's fees.
PCIC moves for summary judgment on all of Wood's claims based on the following arguments: (1) Wood does not have standing to bring this coverage action because PCIC never consented to Curiel assigning his rights under the policy to her, (2) there is no coverage under the policy for the property damage alleged in Wood's underlying complaint, (3) Wood cannot sue PCIC under the UTPA because PCIC is not an insurer as defined in the statute, (4) Wood cannot sue PCIC under the UTPA because she is not an insured, and (5) Wood fails to state a claim under § 33-18-202 of the UTPA. Each of these arguments is readily dispensable.
As to PCIC's first argument regarding Wood's standing as assignee, it is fully settled law in Montana that when an insurer fails to uphold its end of an insurance contract, an insured-defendant may validly assign his rights under an insurance policy to a plaintiff. Tidyman's Mgmt. Services Inc., 330 P.3d at 1149 ("when an insurer improperly abandons its insured, the insured is justified in taking steps to limit his or her personal liability"). Furthermore, the transfer/assignment provision in the Policy, which purports to require PCIC's consent prior to any assignment, is ineffectual here given PCIC's breach of the duty to defend prior to Curiel assigning his rights to Wood. See 2 Allan D. Windt, Insurance Claims and
For these same reasons, PCIC's fourth argument — that Wood cannot sue PCIC under the UTPA because she is not an insured — fails as well. As assignee of Curiel's rights under the Policy, Wood stands in Curiel's shoes as the insured under § 33-18-242(1)
The Court in part addressed PCIC's second argument — that there is no coverage under the policy for the property damage alleged in Wood's underlying complaint — in its review of Wood's motion for partial summary judgment above. Indeed, PCIC takes its second argument here from its brief opposing Wood's motion for partial summary judgment verbatim. While the standard for determining whether an insurer's indemnity obligation has been triggered differs from the standard governing the duty to defend, PCIC nevertheless fails to meet the former. See State Farm Mut. Auto. Ins. Co. v. Freyer, 372 Mont. 191, 312 P.3d 403, 411 (2013) ("An insurer [ ] breaches the duty to indemnify by failing to provide coverage when (1) the established facts trigger coverage under the terms of the policy, and (2) the extent of the claimant's damages are undisputed or clearly exceed policy limits.") PCIC has not proven that "established facts" bring Wood's allegations outside the scope of the Policy. See Id. ("`Established facts' in this context are facts that are either undisputed or are initially disputed but subsequently determined by the fact finder.") Indeed, having breached the duty to defend, coverage is essentially a non-issue.
PCIC's third argument — that Wood's third and fourth causes of action fail under the UTPA because PCIC is not an insurer as defined by statute — is an absolute non-starter, and demonstrates a lack of diligence on PCIC's part. The statutes governing risk retention groups, Montana Code Annotated § 33-11-101 et seq., specifically provide that "[e]ach risk retention group, its insurance producers, and its representatives shall comply with [the UTPA]," and that "[e]ach risk retention group shall comply with the provisions of [the UTPA] regarding deceptive, false, or fraudulent acts or practices." Mont.
Finally, as mentioned in the footnote above, it is clear that Wood erroneously cited § 33-18-202 in her Complaint, and that leave to amend would more appropriately be granted here than would summary judgment in PCIC's favor on what is an unintended claim on Wood's part. See Fed.R.Civ.P. 15(a)(2) (leave to amend should be "freely give[n] ... when justice so requires"); Moss v. U.S. Secret Serv., 572 F.3d 962, 972 (9th Cir.2009) ("requests for leave should be granted with extreme liberality") (citations omitted).
Based on the foregoing, the Court finds that PCIC has not carried its burden on any of the grounds it asserts in its motion, and therefore is not entitled to judgment as a matter of law.
Accordingly, IT IS ORDERED that: