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**FINAL**
LAMBE REALTY INVESTMENT, INC., Plaintiff v. ALLSTATE INSURANCE
COMPANY, Defendant
No. COA99-503
(Filed 21 March 2000)
1. Appeal and Error--appealability--partial summary judgment--insurer's refusal to
defend
Certification under Rule 54(b) makes appellate review mandatory, but a trial court may
not render a decree immediately appealable by certification if it is not a final judgment. Here, a
partial summary judgment on the issue of an insurer's duty to defend was properly before the
Court of Appeals because it affected a substantial right which might be lost absent an immediate
appeal.
2. Insurance--commercial liability policy--coverage--insurer's duty to defend
The trial court correctly entered summary judgment for plaintiff on the issue of whether
defendant-insurer had a duty to defend an action arising from an mobile home being left in an
uninhabitable position after it was moved. Under the language of the policy, coverage was not
provided under a provision dealing with damaged property, but the allegations of the underlying
complaint triggered Liabilities Covered provisions. Exclusions for completed work and for
individuals involved in real estate sales or management do not apply because the work never
reached a state of completion which would trigger the clause and because a reasonable person in
plaintiff's position would have understood that normal business operations were covered under
the policy. Defendant's construction of the policy would render the policy worthless for all
practical purposes.
Judge HORTON concurring in the result.
Appeal by defendant from judgment entered 19 January 1999 by
Judge Roland H. Hayes in District Court, Forsyth County. Heard
in the Court of Appeals 26 January 2000.
MORGAN & YANKANICH, P.A., by Eric C. Morgan, for plaintiff-
appellee.
Burton & Sue, L.L.P., by Gary K. Sue and James D. Secor,
III, for defendant-appellant.
TIMMONS-GOODSON, Judge.
This appeal arises out of an action brought by Lambe Realty Investment, Inc. (LRI)
seeking a declaratory judgment determining its rights under a commercial liability policy issued to
it by Allstate Insurance Company (Allstate). The relevant facts follow.
On 19 May 1997, John C. and Tammy L. Kippe (the Kippes) filed a lawsuit (theunderlying action
8; or the underlying complaint) against LRI asserting claims for breach of
contract, negligence, breach of warranty, breach of implied covenant of quiet enjoyment,
constructive eviction, and unfair and deceptive trade practices. The underlying complaint alleges
that the Kippes owned a 1991 Redmon Flamingo mobile home and that they had leased a lot at
the East Forsyth Trailer Park on which to park the home. The trailer park was owned and
operated by LRI. In 1995, the Kippes entered into a contract with LRI wherein LRI agreed to
move the Kippes' mobile home to a new site in the town of East Bend, North Carolina. Under
the terms of the agreement, the Kippes were to pay $300, and LRI was to pay the balance of the
costs of moving and setting up the home, which included preparing a proper foundation, placing
the home on that foundation, and securing the home in place. According to the underlying
complaint, LRI moved the home to the new site but left it in an uninhabitable position. When LRI
refused to do any further work, the Kippes undertook to reposition the home themselves and
suffered severe damage, which rendered the home a total loss.
At the time the Kippes filed the underlying action, LRI had a commercial liability
insurance policy with Allstate. Clarence Lambe, the president of LRI, became aware of the suit
and notified his Allstate agent, Bob Hicks, of the litigation on or about 22 July 1997. Hicks
reported the lawsuit to the Allstate Claims Office, and Monty Hall, a claims representative,
informed Hicks that he would process the claim. Upon further investigation, however, Hall
determined that LRI's policy excluded coverage for the underlying action instituted by the Kippes.
Therefore, on 21 August 1997, Hall sent a letter to LRI denying any duty to defend it in the
underlying action or to indemnify it against any recovery by the Kippes.
On 4 November 1997, LRI initiated the present action for declaratory relief against
Allstate. The complaint seeks a judicial determination that Allstate owes LRI a duty both todefend it in the underlying action and to inde
mnify it for any resulting judgment or settlement.
Following some discovery, LRI filed a
motion for partial summary judgment on the issue of whether
Allstate had a duty to defend LRI in the underlying action. The
trial court conducted a hearing on the motion and, on 19 January
1999, entered judgment in favor of LRI. The court certified the
order as immediately appealable pursuant to Rule 54(b) of the North
Carolina Rules of Civil Procedure. Allstate filed timely notice of
appeal.
_________________________________
[1]Before addressing the merits of Allstate's appeal, we must
examine whether the order directing partial summary judgment for
LRI is immediately appealable. An interlocutory order, such as the
one here, is immediately appealable in only two instances. The
first is when the trial court enters a final judgment with respect
to one or more, but less than all of the parties or claims, and
certifies the judgment for immediate review under Rule 54(b) of the
Rules of Civil Procedure.
DKH Corp. v. Rankin-Patterson Oil Co.,
348 N.C. 583, 585, 500 S.E.2d 666, 668 (1998). The second instance
is when the order affects a substantial right and will work injury
to the appellant[] if not corrected before final judgment.
Perry
v. Cullipher, 69 N.C. App. 761, 762, 318 S.E.2d 354, 356 (1984).
In the present case, the trial court certified that partialsummary judgment order as immediately appealable pursuan
t to Rule
54(b). Although certification of an order under Rule 54(b) makes
appellate review mandatory, the trial court may not, by
certification, render its decree immediately appealable if '[it] is
not a final judgment.'
Sharpe v. Worland, 351 N.C. 159, 162, 522
S.E.2d 577, 579 (1999)(quoting
Lamb v. Wedgewood South Corp., 308
N.C. 419, 425, 302 S.E.2d 868, 871 (1983)). With respect to the
order in this case, the trial court apparently recognized that it
was not a final judgment and certified it for immediate review
based on the court's determination that the order effects (sic) a
substantial right of the parties. We agree with the court's
conclusion that the order affects a substantial right.
As noted by the Supreme Court of Ohio,
The duty to defend is of great importance to
both the insured and the insurer. If an
insurer mistakenly refuses to defend its
insured, the adverse consequences can be
great. When an indemnitor wrongfully refuses
to defend an action against an indemnitee, the
indemnitor is liable for the costs, including
attorney fees and expenses, incurred by the
indemnitee in defending the initial action and
in vindicating its right to indemnity in a
third-party action brought against the
indemnitor. (Citation omitted.) On the
other hand, if the insurer is required to
defend an insured, * * * [the insurer] may
try an expensive negligence case which a court
may later hold is not within the terms of the
policy. * * * (Citation omitted.)
The duty to defend is equally important
to the insured. If the insurance company
refuses to defend, then the insured often must
choose to settle the suit as quickly as
possible in order to avoid costly litigation,
bring a declaratory judgment action against
the insurer seeking a declaration that there
is a duty to defend, or defend the suit
without help from the insurer. Thus, the duty to defend involves a
substantial right to both the insured and the
insurer.
General Accident Ins. Co. v. Insurance Co. of North America, 44
Ohio St. 3d 17, 21-22, 540 N.E.2d 266, 271 (1989). Accordingly, we
conclude that the order of partial summary judgment on the issue of
whether Allstate has a duty to defend LRI in the underlying action
affects a substantial right that might be lost absent immediate
appeal. Having determined that the appeal is properly before us,
we proceed to our analysis of the contentions raised by the
parties.
[2]At the outset, Allstate argues that the trial court
improvidently granted LRI's motion for summary judgment on the
question of whether, under the terms of the policy issued to LRI,
Allstate had a duty to defend LRI in the underlying action brought
by the Kippes. Allstate contends that the Kippes' complaint
alleges facts which conclusively establish that their damages were
not covered by LRI's policy and, therefore, Allstate had no duty to
defend LRI in the underlying action. For the reasons hereinafter
given, we conclude that the trial court committed no error and
affirm the order of summary judgment.
In reviewing the propriety of summary judgment, this Court's
task is to determine whether the pleadings and other evidentiary
materials show that there is no genuine issue as to any material
fact and that the moving party is entitled to judgment as a matter
of law.
Yamaha Corp. v. Parks, 72 N.C. App. 625, 325 S.E.2d 55
(1985); N.C.R. Civ. P. 56(c). The instant case concerns theconstruction of language used in the policy of insurance issued by
Allstate to LRI. If the policy language as applied to the facts
conclusively shows that Allstate has a duty to defend LRI in the
underlying action, then the trial court was correct in entering
summary judgment for LRI.
There is no statutory requirement that an insurance company
provide its insured with a defense.
Brown v. Lumbermens Mut.
Casualty Co., 326 N.C. 387, 391, 390 S.E.2d 150, 152 (1990).
Nevertheless, an insurance provider may commit itself to such a
responsibility under the terms of an insurance policy.
Id. Thus,
an insurer's duty to defend an action brought against its insured
is determined by the language in the policy,
id. at 392, 390 S.E.2d
at 153, and this duty is absolute when the allegations of the
complaint bring the claim within the coverage of the policy,
Indiana Lumbermen's Mutual Ins. Co. v. Champion, 80 N.C. App. 370,
376, 343 S.E.2d 15, 19 (1986). This is true, even if the facts
alleged are only arguably covered by the policy.
See Wilkins v.
American Motorists Ins. Co., 97 N.C. App. 266, 269, 388 S.E.2d 191,
193 (1990)([I]f the pleadings allege any facts which disclose a
possibility that the insured's potential liability is covered under
the policy, then the insurer has a duty to defend.) Furthermore,
where a complaint contains multiple theories of recovery, some
covered by the policy and others excluded by it, the insurer still
has a duty to defend.
Waste Management of Carolinas, Inc. v.
Peerless Ins. Co., 72 N.C. App. 80, 85, 323 S.E.2d 726, 730 (1984),
rev'd on other grounds, 315 N.C. 688, 340 S.E.2d 374 (1986). It is axiomatic that an insurance policy is a
contract, the
provisions of which govern the rights and responsibilities of the
contracting parties.
Deason v. J. King Harrison Co., 127 N.C. App.
514, 517, 491 S.E.2d 666, 668 (1997),
aff'd in part and disc.
review improvidently allowed in part, 349 N.C. 220, 504 S.E.2d 784
(1998). 'As with all contracts, the goal of construction is to
arrive at the intent of the parties when the policy was issued.'
Brown, 326 N.C. at 392, 390 S.E.2d at 153 (quoting
Woods v.
Insurance Co., 295 N.C. 500, 505, 246 S.E.2d 773, 777 (1978)). In
reviewing an insurance policy, exclusions from coverage are
strictly construed,
Stanback v. Westchester Fire Ins. Co., 68 N.C.
App. 107, 114, 314 S.E.2d 775, 779 (1984), and any ambiguities in
the policy are resolved against the insurer and in favor of the
insured,
Brown, 326 N.C. at 392, 390 S.E.2d at 153. With these
principles in mind, we now examine the relevant provisions of the
commercial liability policy issued by Allstate to LRI.
The policy in question contains two primary types of coverage:
Coverage A applies to Business Property and Coverage B applies to
Business Liability. LRI takes the position that the underlying
action brought by the Kippes falls squarely within the Additional
Protection section of Coverage A and the Comprehensive Liability
section of Coverage B and, thus, Allstate has an absolute duty to
defend the underlying action. We will address each of these
sections separately.
The relevant provisions of Coverage A read as follows:
Part Tw
o -- Business Contents
Property Covered
This policy covers the
replacement cost . . .
of business contents owned by you, usual to
your business, on the premises described in
the Declarations, or within 100 feet of such
premises for which a limit of liability is
shown in the Declarations, including:
1. Property of others, but not that of an
employee, in your care, custody or
control for business purposes.
Additional Protection
In addition to the coverage under Parts One
and Two, this policy also gives you the
following protection for losses covered under
Coverage A:
2. Property in Transit
&
nbsp; When coverage is provided under Part Two,
we will also cover your business contents
while in transit on vehicles owned by,
rented to or controlled by you. . . .
(Emphasis added.)
LRI contends that pursuant to these provisions, Allstate has
a duty to defend it in the underlying action, because the Kippes'
mobile home was in LRI's care, custody, and control and was in
transit when it was damaged. Allstate, on the other hand,
persuasively argues that no duty to defend arises under Coverage A,
because that section refers only to the replacement cost of
damaged property and makes no mention of defending the insured
against a lawsuit. Although LRI argues that the duty to defend
is not limited to any particular type of coverage, this
construction is contrary to the express language of the policy. The Defense provision of the policy appears in Part One of
Coverage B and states that [the insurer] will defend any suit
brought against persons insured seeking damages to which this Part
applies. (Emphasis added.) Thus, we conclude that Coverage A does
not grant LRI any right to a defense in the underlying action. We
proceed then to the question of whether a duty to defend LRI exists
pursuant to Coverage B of the policy.
Under Coverage B, the policy pertinently provides the
following:
Part One -- Comprehensive Liability
Liabilities Covered
We will pay on behalf of persons insured all
sums which they become legally obligated to
pay as damages arising out of an accidental
event . . . that occurs while this policy is
in effect. We will cover accidental events
arising out of your completed work or products
only when the accidental event occurs away
from premises you own or rent and:
1. After the work has been completed or
abandoned.
2. The product is in the hands of the
consumer.
. . .
Defense
We will defend any suit brought against
persons insured seeking damages to which this
Part applies, even if the allegations in the
suit are groundless, false or fraudulent.
The policy defines an accidental event as an accident, including
continuous or repeated exposure to the same conditions, resulting
in bodily injury or property damage.
Allstate does not dispute that the allegations set forth inthe underlying complaint are sufficient to trigger the &
#147;Liabilities
Covered provisions of Coverage B. It is Allstate's position,
however, that coverage is denied under Exclusions 12(a) and 13(f),
which provide as follows:
Exclusions -- Liabilities We Do Not Cover
We do not cover:
. . .
12. Any accidental events arising out of
completed work resulting from:
a. Operations related to transporting
property, unless the accidental event
results from a condition in or on the
vehicle used to transport the property
and the condition was created while
loading or unloading the vehicle.
Loading or unloading extends from the
place where property is accepted for
movement onto a vehicle to the place
where property is finally delivered.
13. Any damage:
. . .
f. With respect to the completed work
performed by you arising out of such work
or any portion, or out of such materials,
parts or equipment furnished in
connection with the work.
LRI contends that these exclusions have no bearing on the present
set of facts, because the gravamen of the Kippes' complaint is that
the work to be done in setting up the mobile home was never
completed. LRI's contention has merit.
Under the policy, completed work is defined as follows:
1. Your operations or operations performed
on your behalf that are completed, or
2. Someone's reliance on a warranty or
representation made relating to those
operations.
Operations includes materials, parts and
equipment used in connection with your
operations.
We will consider work to be completed at the
earliest of the following times:
1. When all operations to be performed by
you or on your behalf under the contract
are finished, or
2. When all operations to be performed by
you or on your behalf at the site of
those operations are finished, or
3. When the portion of the work has been put
to use by any person or organization,
except for any contractor or
subcontractor working on the same
project.
Operations which may need further maintenance
or service, or which may require repairs or
replacement because of a defect, will be
considered to have been completed.
The Kippes' complaint alleges that LRI agreed to assume the
responsibility of moving and setting up their mobile home, which
include[d] preparing proper foundations, placing the mobile home
on those foundations, and tying the mobile home down. According
to the Kippes, after moving the home, LRI left it on the site in
an uninhabitable position and that LRI simply abandoned the
home, refusing to complete the set up process. The complaint
further states that after being contacted by the Kippes' attorney,
LRI again agreed to arrange to have the home properly set up and
tied down on the lot. The person selected by [LRI] . . . made no
effort to set the home up so that it was level[,] . . . left thehome sitting at a sharp angle so that the home was unlivable and
. . . improperly used 'X' bracing under the mobile home to tie it
down. When LRI refused to . . . make any further efforts to have
the work done properly, Mr. Kippe attempt[ed] to level the home
himself, during which the home fell off its supports . . . and
was destroyed.
The facts of this case are analogous to those of
Daniel v.
Casualty, 221 N.C. 75, 18 S.E.2d 819 (1942), wherein our Supreme
Court was called upon to interpret the term complete within the
meaning of a completed operations hazard exclusion. The insured,
a plumbing company, had contracted with a customer to remove a hot
water heater from their home and to convert it into a stove or room
heater. The plaintiff introduced evidence tending to show that the
plumbing company had agreed to fix the hot water heater so that it
would heat satisfactorily and would be safe. In performing the
job the plumbers sealed up the water jacket of the heater, but left
some water inside.
Id. at 76, 18 S.E.2d at 820. When the
customer subsequently lit a fire in the converted heater, the water
in the sealed water jacket turned to steam, expanded and created an
explosion, resulting in injury to the customer. The plumbing
company's insurance provider raised as a defense the completed
operations hazard exclusion.
In construing the term complete, the Court stated the
following:
We do not consider that the work is
complete within the meaning of the insurance
contract so long as the workman has omitted or
altogether failed to perform some substantialrequirement essential to its functioning, the
performance of which the owner still has a
contractual right to demand.
There is evidence here from which the
jury might infer that by reason of the
omission on the part of Alphin Plumbing and
Heating Co. to do work essential to the
functioning of the heater in the manner
intended and called for in the contract, the
work at the time plaintiff sustained her
injury had never reached that condition of
completeness that would render the restrictive
clause in the policy operable.
Id. at 77, 18 S.E.2d at 820.
Applying the Court's reasoning in
Daniel, we are convinced
that the Kippes' claims do not fall under Exclusions 12(a) and
13(f), because LRI's actions with regard to setting up the mobile
home do not come within the definition of completed work. Under
the terms of the agreement between the Kippes and LRI, setting up
the mobile home include[d] preparing proper foundations, placing
the mobile home on those foundations, and tying the mobile home
down. According to the complaint, LRI never satisfied this
obligation; therefore, LRI's work never reached that condition of
completeness that would render [Exclusions 12(a) and 13(f)]
operable.
Id.
Allstate also contends that the facts of this case trigger
Exclusion 22, which purports to withhold coverage for the following
individuals:
Anyone engaged in the business of real estate
sales and/or real estate management with the
exception of:
a. That part of any premises used by persons
insured for general office purposes, and
b. Premises listed with persons insured for
sale or rental, provided that suchpremises are not owned, operated, managed
by, rented or in the care, custody or
control of persons insured, or as to
which persons insured act as an agent for
the collection of rents or in any
supervisory capacity, unless such
premises are specifically insured under
Coverage A, Part One of this policy.
(Emphasis added.)
Allstate argues that Exclusion 22 applies here because at the time
of the incident involving the Kippes, [LRI] was engaged in the
business of real estate sales and/or real estate management. LRI
argues that the construction offered by Allstate is erroneous, as
it would effectively deny coverage for LRI's ordinary business
operations. Based on the reasoning that follows, we find that the
language of the exclusion creates an ambiguity as to the true
intention of the parties.
'An ambiguity exists when the language used in the policy is
susceptible to different, and perhaps conflicting,
interpretations.'
City of Greenville v. Haywood, 130 N.C. App.
271, 275, 502 S.E.2d 430, 433 (quoting
McLeod v. Nationwide Mutual
Ins. Co., 115 N.C. App. 283, 290, 444 S.E.2d 487, 492,
disc. review
denied, 337 N.C. 694, 448 S.E.2d 528 (1994)),
disc. review denied,
349 N.C. 354, ___ S.E.2d ___ (1998). In other words, a provision
of the policy is ambiguous if the writing leaves it uncertain as
to what the agreement was.
International Paper Co. v. Corporex
Constructors, Inc., 96 N.C. App. 312, 317, 385 S.E.2d 553, 556
(1989). As a general rule, [a]mbiguities in insurance policies
are to be strictly construed against the drafter, the insurance
company, and in favor of the insured and coverage since theinsurance company prepared the policy and chose the language.
West American Insurance Co. v. Tufco Flooring East, Inc., 104 N.C.
App. 312, 320, 409 S.E.2d 692, 697 (1991),
overruled on other
grounds by Gaston County Dyeing Co. v. Northfield Ins. Co., No.
10PA99, 2000 WL 126622 (N.C. Supreme Court Feb. 4, 2000).
Moreover, exclusions from coverage in insurance policies are
disfavored and, as such, must be narrowly construed.
Stanback, 68
N.C. App. at 114, 314 S.E.2d at 779.
As previously mentioned, Exclusion 22 appears in a section of
the policy entitled,
Liabilities We Do Not Cover. Notably,
however, Exclusion 22 is the only exclusion within this section
which purports to deny coverage to an individual or entity. Every
other exclusion in this section addresses a particular liability.
Indeed, the provision at issue makes no reference to losses
whatsoever; thus, it is unclear from the language of the exclusion
precisely what liabilities the parties intended to exclude under
the provision. Therefore, we conclude that Exclusion 22 is
ambiguous.
[W]hen an ambiguity exists, an insurance policy should be
construed as a reasonable person in the position of the insured
would have understood it to mean.
Tufco, 104 N.C. App. at 321,
409 S.E.2d at 697. In our judgment, a reasonable person in Lambe's
position would have understood that his normal business operations
were covered under the policy. As the name suggests, Lambe Realty,
Inc. (LRI) is in the business of selling, renting, and managing
real estate, and Lambe purchased the commercial liability policy atissue to insure LRI against liabilities arising out of its ordinary
business operations. Indeed, Lambe testified that when he
purchased the policy in 1984, he asked Bob Hicks, Allstate's agent,
for umbrella or blanket coverage to make sure [LRI was]
covered for any type of lawsuit that occurred. Allstate was aware
of the nature of LRI's business, and according to Hicks' testimony,
he advised Lambe that he was covered under the commercial policy
if [he got] sued for owning [his] business in a general or
comprehensive manner. Thus, we reject Allstate's construction of
Exclusion 22, as it would, for all practical purposes, render the
policy worthless to LRI.
See id. at 321, 409 S.E.2d at 697-98
(construing policy in favor of insured where insurance provider
attempted to deny coverage for insured's normal business
operations). Furthermore, given that the duty to defend is broader
than the insured's duty to pay damages,
Waste Management, 315 N.C.
at 691, 340 S.E.2d at 377, we hold that Allstate has a duty to
defend LRI in the underlying lawsuit.
Having concluded that the claims in the underlying complaint
fall within the protection of the commercial liability policy and
that none of the asserted exclusions apply, we hold that the trial
court was correct in entering summary judgment for LRI on the issue
of whether Allstate had a duty to defend it in the underlying
action. We have examined Allstate's remaining argument and find it
to be without merit. The order of the trial court is, therefore,
Affirmed.
Judge MARTIN concurs.
Judge HORTON concurs in the result with a separate opinion.
============================
Judge HORTON concurring in the result.
Because our Supreme Court has held that the duty to defend an
insured is broader than its duty to indemnify the insured for
damages incurred by events allegedly covered by the policy of
insurance, I concur in the result reached by the majority.
See
Waste Management of Carolinas, Inc. v. Peerless Ins. Co., 315 N.C.
688, 691, 340 S.E.2d 374, 377,
reh'g denied, 316 N.C. 386, 346
S.E.2d 134 (1986).
I also agree that the issue before us involves a substantial
right of the appellant, but write separately to stress that the
trial court cannot certify an appeal of an interlocutory order
pursuant to the provisions of N.C. Gen. Stat. § 1A-1, Rule 54(b),
on the grounds that it involves a substantial right. By its
express language, Rule 54(b) limits the situations in which the
trial court may certify a decision for immediate appeal. The rule
provides, in pertinent part, that where an action includes more
than one claim for relief, the trial court may
enter a final judgment as to one or more but
fewer than all of the claims or parties only
if there is no just reason for delay and it is
so determined in the judgment. Such judgment
shall then be subject to review by appeal or
as otherwise provided by these rules or other
statutes.
In the absence of entry of such a
final judgment, any order or other form ofdecision, however designated, which
adjudicates fewer than all the claims or the
rights and liabilities of fewer than all the
parties shall not terminate the action as to
any of the claims or parties and shall not
then be subject to review either by appeal or
otherwise except as expressly provided by
these rules or other statutes.
Id. (emphasis added). Thus, although a party may appeal an
interlocutory order and argue
on appeal that the issue appealed
affects a substantial right of the appellant, that argument must be
directed to the appellate court and not to the trial court.
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