John J. Polak
Nelson
R. Bickley
Rose & Atkinson
Bickley
& Jacobs
Charleston, West Virginia
Charleston,
West Virginia
Attorney for the Appellant,
Attorney
for the Appellant,
Joseph W. Corder, Jr., Executor
William W. Smith Excavating Co.
Mary H. Sanders
James C. Stebbins
Huddleston, Bolen, Beatty, Porter & Copen, LLP
Charleston, West Virginia
Attorneys for the Appellee
JUSTICE ALBRIGHT delivered the Opinion of the Court.
1.
A lawsuit commenced by a building owner against a building contractor
alleging damages caused by faulty workmanship is not within the coverage provided
by the contractor's general liability policy of insurance unless such coverage
is specifically included in the insurance policy. Syl. Pt. 2, in part,
Erie Ins. Prop. & Cas. Co. v. Pioneer Home Improvement, Inc., 206
W.Va. 506, 526 S.E.2d 28 (1999).
2.
Commercial general liability policies are not designed to cover poor workmanship.
Poor workmanship, standing alone, does not constitute an occurrence
under the standard policy definition of this term as an accident including
continuous or repeated exposure to substantially the same general harmful
conditions.
3.
A motion for summary judgment should be granted only when it is clear
that there is no genuine issue of fact to be tried and inquiry concerning
the facts is not desirable to clarify the application of the law. Syl.
Pt. 3, Aetna Cas. & Sur. Co. v. Federal Ins. Co., 148 W.Va. 160,
133 S.E.2d 770 (1963)
.
Albright, Justice:
Appellants
Joseph Corder and the William W. Smith Excavating Company (hereinafter Smith
Excavating) jointly appeal from the June 27, 2000, order of the Circuit
Court of Kanawha County granting summary judgment to Appellee United States
Fidelity and Guaranty Company (hereinafter USF&G) in an action
brought by Mr. Corder against Smith Excavating and USF&G in connection
with sewer line repair work performed by Smith Excavating on property owned
by Mr. Corder.
(See footnote 1) Based on the allegations of the complaint,
the lower court determined that there was no coverage under a commercial general
liability policy issued by USF&G
to Smith Excavating
and that USF&G had no duty to
defend Smith Excavating. Upon our review of the record, we determine that there
is a question of fact that must be resolved and, accordingly, we remand this
matter with directions set forth herein.
On or about September 21, 1995,
Defendant Smith was hired by Plaintiff's agent to perform certain work including,
but not limited to, sewer line repairs, storm drain repairs and slide correction,
at the [Plaintiff's] subdivision.
Based on these allegations,
Mr. Corder sought damages from Smith Excavating under theories of negligence,
breach of contract, and breach of warranty.
(See footnote 2) Given the policy exclusions
applicable to the work of the insured,
(See footnote 3) there was no dispute regarding
the lack of coverage for all claims save one, because the other claims clearly
arose out of the work of Smith Excavating.
(See footnote 4) The sole coverage issue
In ruling on cross motions for
summary judgment,
(See footnote 6) the circuit court applied this Court's decision
in Erie Insurance Property & Casualty Co. v. Pioneer Home Improvement,
Inc., 206 W.Va. 506, 526 S.E.2d 28 (1999),
In making their argument
for coverage, Appellants look to the Products- Completed Operations
Hazard provisions of the policy, which provides as follows:
Work
that may need service, maintenance, correction, repair, or replacement, but
which is otherwise complete, will be treated as completed. The loss of use
damages sought by Mr. Corder constitute property damage, which
is defined under the policy as: Before any coverage can
be found to exist under the products-completed operations hazard,
or any other portion of the commercial general liability policy, an occurrence,
(See footnote 9)
within the policy definition of that term, must be determined to have
occurred. An occurrence is defined by the policy as an accident,
including continuous or repeated exposure to substantially the same general
harmful conditions.
In the complaint filed by Mr.
Corder, as executor of the estate of Jane W. Mills, the following averments
are made:
On or about October 13, 1995,
Defendant Smith completed its work at the subdivision.
On May 13, 1996, A-1 Rental
Sales & Services performed a video pipe inspection for Plaintiff's agent,
which evidenced that the sewer line had been damaged by Defendant Smith.
On October 3, 1996, the City
of Charleston, West Virginia, informed Plaintiff's agent that the sewer system
for the subdivision had failed a mandrel test because of the damage done by
Defendant Smith to the sewer line. This failure delayed approval of the subdivision
by the Municipal Planning Commission of the City of Charleston.
The work performed by Defendant
Smith was done in a negligent and careless manner.
As a direct and proximate result
of Defendant Smith's negligence and carelessness, property which the Plaintiff
owned and/or was responsible for, including but not limited to the sewer line,
was damaged.
As a direct and proximate result
of the conduct of Defendant Smith, Plaintiff became obligated for repair work
performed to correct the damage to the property and has suffered consequential
damages including, but not limited to, loss of use of the property, aggravation,
annoyance and inconvenience.
Our review of this matter is
de novo as the order appealed from is a summary judgment ruling.
(See footnote 8)
See Syl. Pt. 1, Painter v. Peavy, 192 W.Va. 189, 451 S.E.2d
755 (1994).
We begin our analysis with a
recognition that in determining whether an insurer has a duty to defend, the
determination is made based upon the allegations of the complaint. As
a general rule, an insurer's duty to defend is tested by whether the allegations
in the plaintiff's complaint are reasonably susceptible of an interpretation
that the claim may be covered by the terms of the insurance policy. Aetna
Cas. & Sur. Co. v. Pitrolo, 176 W.Va. 190, 194, 342 S.E.2d 156, 160
(1986). We
have further recognized that the duty to defend an insured may be broader
than the obligation to pay under a particular policy. This ordinarily arises
by virtue of language in the ordinary liability policy that obligates the insurer to defend even though the suit
is groundless, false, or fraudulent. Id. at
194, 342 S.E.2d at 160. With these
general principles in mind, we turn to the issue of whether coverage exists
under the USF&G policy.
a a.
Products-completed operations hazard includes all bodily
injury and property damage occurring away from premises
you own or rent and arising out of your product or your
work except:
(1) Products
that are still in your physical possession; or
(2) Work
that has not yet been completed or abandoned.
b b.
Your work will be deemed completed at the earliest of the following
times:
b.1
(1) When all of the work called for in your contract
has been completed.
b.2
(2) When all of the work to be done at the site has
been completed if your contract calls for work at more than one site.
b.3
(3) When that part of the work done at a job site
has been put to its intended use by any person or organization other than
another contractor or subcontractor working on the same project.
c c.
This hazard does not include bodily injury or property damage
arising out of:
c.1
(1) The transportation of property, unless the injury
or damage arises out of a condition in or on a vehicle created by the loading
or unloading of it;
c.2
(2) The existence of tools, uninstalled equipment or
abandoned or unused materials;
c.3
(3) Products or operations for which the classification
in this Coverage Part or in our manual of rules includes products or completed
operations.
a a.
Physical injury to tangible property, including all resulting loss of use
of that property. All such loss of use shall be deemed to occur at the time
of the occurrence that caused it; or
b b.
Loss of use of tangible property that is not physically injured. All such
loss shall be deemed to occur at the time of the occurrence that
caused it.
In
its order granting summary judgment, the lower court states that: It
is the plaintiff's position that the Court should adopt the definition and
interpretation of 'occurrence' set forth in Calvert Ins. Co. v. Herbert
Roofing & Insulation, 807 F.Supp. 435 (E.D. Mich. 1992) and Ohio
Casualty Ins. Co. v. Terr[a]ce Enterprises, 260 N.W.2d 450 (Minn. 197[7]).
(See footnote 10)
In examining whether resulting damage from a leaky roof was the result
of negligent workmanship performed by the defendant contractor
in Calvert, the Michigan
district court observed:
Without taking a position on
the definition of accident
(See footnote 12) employed by the Michigan and
Minnesota courts, the circuit resolved the issue before it by applying this
Court's recent decision in Erie Insurance Property & Casualty Co. v.
Pioneer Home Improvement, Inc., 206 W.Va. 506, 526 S.E.2d 28 (1999). The
lower court In Pioneer, we discussed
at length the nature of commercial general liability policies and specifically
contrasted such policies and the risks they cover to performance bonds and builder's risk policies.
206 W.Va. at 509-12, 526 S.E.2d at 31-34. We cited with approval the following
discussion concerning the risks intended to be covered by commercial general
liability policies:
whether something is an accident
within the meaning of the standard liability policy depends in part upon whether
the resulting damage is unforeseen and unexpected by the person injured or affected
thereby. When the damage caused by an insured's defective workmanship is unforeseen
and unexpected by the person injured thereby, the damage is accidental. Thus the property owners [in another case] whose homes or offices were damaged
by water leaking from the insured's defective tubing were damaged by accident.
However, when the damage arising out of the insured's defective workmanship
is confined to the insured's own work product, the insured is the injured
party, and the damage cannot be viewed as accidental within the meaning of
the standard liability policy.
807 F.Supp. at 438 (emphasis omitted). Relying on Calvert, Appellants
maintain that because the loss of use damages are not confined
to Smith Excavation's work product, in this case repair on the sewer line,
and because Smith Excavating did not expect or intend the resulting property
damages, the requisite accident necessary to constitute an occurrence
has been established. See id., see also Ohio Cas., 260 N.W.2d
at 452-53 (finding settling of building to be occurrence on theory
that construction company's inadequate precautions may have been negligent,
but not reckless or intentional where definition of occurrence
included an 'accident . . . which results . . . in . . . property damage
neither expected nor intended from the standpoint of the insured').
(See footnote 11)
The
products hazard and completed operations provisions are not intended to cover
damage to the insured's products or work project out of which an accident
arises. The risk intended to be insured is the possibility that the goods,
products or work of the insured, once relinquished or completed, will cause
bodily injury or damage to property other than to the product or completed
work itself, and for which the insured may be found liable. The insured, as
a source of goods or services, may be liable as a matter of contract law to
make good on products or work which is defective or otherwise unsuitable because
it is lacking in some capacity. This may even extend to an obligation to completely
replace or rebuild the deficient product or work. This liability, however,
is not what the coverages in question are designed to protect against. The
coverage is for tort liability for physical damages to others and not for
contractual liability of the insured for economic loss because the product
or completed work is not that for which the damaged person bargained.
Pioneer, 206 W.Va. at 511, 526 S.E.2d at 33 (quoting Roger C. Henderson,
Insurance Protection for Products Liability and Completed Operations--What
Every Lawyer Should Know, 50 Neb. L. Rev. 415, 441(1971)).
Based on our determination
in Pioneer that CGL [commercial general liability] policies of
insurance do not provide protection for poor workmanship, we found that
there was no coverage for the breach of contract claims since the damages
being sought were connected to a contractor's faulty workmanship. Id.
at 511-12, 526 S.E.2d at 33-34.
Accordingly, we held in syllabus
point two of Pioneer that [a] lawsuit commenced by a building
owner against a building contractor alleging damages caused by faulty workmanship
is not within the coverage provided by the contractor's general liability
policy of insurance unless such coverage is specifically included in the insurance
policy.
206 W.Va. at 507, 526 S.E.2d at
29. Relying on Pioneer, the lower court reasoned that there was no coverage
under the policy because plaintiff's claims of 'negligence' is [sic] really
a claim of faulty workmanship. Because the damages at issue
in Pioneer were breach of contract in nature and limited to those costs
arising out of the repair and/or replacement of the defective workmanship,
Pioneer is not on all fours with the present case.
(See footnote 13) Here, the sole issue that
the lower court was asked to resolve is whether coverage exists for the loss
of use damages sought in connection with Mr. Corder's negligence claim.
Whether the lower court was correct in ruling that coverage does not exist
for loss of use damages by viewing this type of damage as arising
from the alleged faulty workmanship, requires a careful examination of the
policy language in conjunction with the allegations of the complaint.
The primary hurdle for the Appellants,
and the one that Appellee focuses heavily on, is the In reviewing the record
in this case, we find the facts of this case relevant to the work performed
by Smith Excavating and the alleged acts of negligence to be less than crystal
clear. While the lower court concluded that Mr. Corder's claim was essentially
a claim of faulty workmanship, we cannot definitively discern from the record
before us what caused the sewer line to fail to perform its intended function,
assuming that it did indeed fail or was inoperable at any time.
(See footnote 16)
Because the facts relevant to the alleged failure or buckling of the
sewer line are murky at best, we are incapable of determining whether the
lower court was correct in ruling that no occurrence took place
within the meaning of the policy.
After a factual development
of the acts which caused or led to the alleged buckling or failure of the
sewer pipe, the circuit court should apply the policy language in the following
manner. Initially, there must be proof of an occurrence, based
upon the policy definition. In determining whether the facts of this case
support the existence of an occurrence, the facts relevant to
the alleged failure of the pipe are critical. The key to determining the existence of
an occurrence
Assuming the proof of acts
that constitute an occurrence within the meaning of the policy,
the circuit court must then consider whether any exclusionary provisions are
applicable. The exclusionary language relied upon by the court below was that
of exclusion M, which excludes coverage for:
Property damage
to impaired property or property that has not been physically injured,
arising out of: While Appellants failed
below to discuss the operation of exclusion M, on appeal they rely upon the
exception to this exclusion which is operational upon proof of a sudden
and accidental physical injury. Just as we concluded that we could not
determine whether an occurrence took place given the sparse factual
development regarding the cause of the alleged pipe failure, we similarly
cannot determine from the record before us whether the facts permit Appellants to rely upon the exception to exclusion M. Because of
this Court's recognition that an insurer must meet a rigorous standard
to avoid its obligation to defend, we conclude that Appellants should
have the opportunity to produce whatever evidence they have in support of
their position that the sewer pipe's alleged failure resulted from sudden
and accidental physical injury. Silk v. Flat Top Constr. Inc.,
192 W.Va. 522, 525, 453 S.E.2d 356, 359 (1994). If Appellants can produce
evidence of a sudden and accidental physical injury to Smith Excavating's
work, then they will have simultaneously demonstrated both the
occurrence necessary to invoke coverage and also have implicated
the exception to exclusion M. Barring such evidence, however, exclusion M
will operate to defeat coverage for the loss of use damages being
sought by Mr. Corder. Based on the foregoing,
the decision of the Circuit Court of Kanawha County is hereby reversed and
remanded for further proceedings consistent with this opinion.
Because the lower court made
no findings in support of its determination that Mr. Corder's negligence claim
was solely a claim for faulty workmanship, we are without the necessary factual
underpinnings from which to determine whether an occurrence may
have taken place in this case sufficient to invoke coverage under the policy.
Based on the possibility that there is a genuine issue of material fact concerning
the existence of an occurrence,
prompted by our determination that the nature of the negligence complained
of or more particularly, the acts which caused the alleged buckling of the
sewer pipe, is not evident from the record, we must remand this matter for
further factual development. Given the presence of these genuine issues of
fact, the decision of the lower court cannot be affirmed under the longstanding
rule that [a] motion for summary judgment should be granted only when
it is clear that there is no genuine issue of fact to be tried and inquiry
concerning the facts is not desirable to clarify the application of the law.
Syl. Pt. 3, Aetna Cas. & Sur. Co. v. Federal Ins. Co., 148 W.Va.
160, 133 S.E.2d 770 (1963); see also W.Va. Code § 55-13-9
(1941) (Repl. Vol. 2000) (permitting determination of factual findings in
declaratory judgment matters in same fashion as other civil actions); Erie
Ins. Prop. And Cas. Co. v. Stage Show Pizza, No. 28482, 2001 WL 792717
at *2, ___ W.Va. ___, ___ S.E.2d ___ (July 9, 2001) (stating that when
a declaratory judgment proceeding involves the determination of an issue of
fact, that issue may be tried and determined by a judge or jury in the same
manner as issues of fact are tried and determined in other civil actions).
b.1
(1) A defect, deficiency, inadequacy or dangerous condition
in your product or your work or
b.2
(2) A delay or failure by you or anyone acting on your
behalf to perform a contract or agreement in accordance with its terms.
This exclusion does not apply
to the loss of use of other property arising out of sudden and accidental physical
injury to your product or your work after it has been
put to its intended use.
When applied to the facts of this case, exclusion M may preclude coverage for
property damage _ here, loss of use _ for property that
has not been physically injured and in which the alleged damages arose out of
a defect, deficiency, [or] inadequacy in Smith Excavation's work.
Accordingly, exclusion M will operate to defeat coverage unless Appellants can
demonstrate that the alleged loss of use arose out of sudden
and accidental physical injury to the work of Smith Excavating on the
sewer pipe.
[a]n 'accident' generally
means an unusual, unexpected and unforeseen event. . . . An accident is never
present when a deliberate act is performed unless some additional unexpected,
independent and unforeseen happening occurs which produces the damage. . .
. To be an accident, both the means and the result must be unforeseen, involuntary,
unexpected, and unusual.
State Bancorp, Inc. v. United States Fidelity and Guar. Ins. Co., 199 W.Va. 99, 105, 483 S.E.2d 228, 234 (1997) (quoting
Harrison Plumbing
& Heating, Inc. v. New Hampshire Ins. Group, 681 P.2d 875, 878 (1984)).