John M. Hedges
Charleston, West Virginia
Attorney for the Appellants
Carol P. Smith
Kay, Casto, Chaney, Love & Wise
Charleston, West Virginia
Attorney for the Appellee
CHIEF JUSTICE McHUGH delivered the Opinion of the Court.
"Where the policy language involved is exclusionary,
it will be strictly construed against the insurer in order that the
purpose of providing indemnity not be defeated." Syl. pt. 5,
National Mutual Ins. Co. v. McMahon & Sons, Inc., 177 W. Va. 734,
356 S.E.2d 488 (1987).
Bodily injury and property damage "arising out of"
uninsured premises, as that phrase is used in an uninsured premises
exclusion provision, refers to the condition of the uninsured
premises and does not exclude coverage for the allegedly tortious
acts of the insured committed on either such uninsured premises or
on premises closely related to the uninsured premises.
"Where an insured is required to retain counsel to
defend himself in litigation because his insurer has refused
without valid justification to defend him, in violation of its
insurance policy, the insured is entitled to recover from the
insurer the expenses of litigation, including costs and reasonable
attorney's fees." Syl. pt. 1, Aetna Casualty & Surety Co. v.
Pitrolo, 176 W. Va. 190, 342 S.E.2d 156 (1986).
"Where a declaratory judgment action is filed to
determine whether an insurer has a duty to defend its insured under
its policy, if the insurer is found to have such a duty, its
insured is entitled to recover reasonable attorney's fees arising
from the declaratory judgment litigation." Syl. pt. 2, Aetna
Casualty & Surety Co. v. Pitrolo, 176 W. Va. 190, 342 S.E.2d 156 (1986).
"Where attorney's fees are sought against a third party, the test of what should be considered a reasonable fee is determined not solely by the fee arrangement between the attorney and his client. The reasonableness of attorney's fees is generally based on broader factors such as: (1) the time and labor required; (2) the novelty and difficulty of the questions; (3) the skill requisite to perform the legal service properly; (4) the preclusion of other employment by the attorney due to acceptance of the case; (5) the customary fee; (6) whether the fee is fixed or contingent; (7) time limitations imposed by the client or the circumstances; (8) the amount involved and the results obtained; (9) the experience, reputation, and ability of the attorneys; (10) the undesirability of the case; (11) the nature and length of the professional relationship with the client; and (12) awards in similar cases." Syl. pt. 4, Aetna Casualty & Surety Co. v. Pitrolo, 176 W. Va. 190, 342 S.E.2d 156 (1986).
their (the plaintiffs') property by engaging in unauthorized
harvesting of timber thereon.See footnote 1
The Thornes notified Allstate of the plaintiffs' claims,
and following a reservation of rights by Allstate and refusal to
pay the claims, the Thornes instituted a pendent third-party action
against Allstate, seeking a declaration of rights and obligations
relating to coverage.
Following cross-motions for summary judgment, the circuit
court entered judgment in favor of Allstate. This appeal ensued.
Ins. Co. v. McMahon & Sons, Inc., 177 W. Va. 734, 356 S.E.2d 488
(1987). See Bituminous Casualty Corp. v. Sheets, 389 S.E.2d 696,
698 (Va. 1990); St. Paul Fire & Marine Ins. Co. v. S. L. Nusbaum &
Co., Inc., 316 S.E.2d 734, 736 (Va. 1984). Accordingly, the
uninsured premises exclusion provision in this case is to be
strictly construed against the insurer, Allstate.
The question of coverage under the uninsured premises
exclusion is one of first impression by this Court. However, a
review of other jurisdictions reveals the overwhelming authority
pertaining to this type of provision is that such an exclusion
applies only to conditions of the uninsured premises and not to
tortious acts committed by the insured on the property of others.
Under a very similar factual scenario, the Court of
Appeal of Louisiana held that the uninsured premises exclusion does
not apply to deny coverage to the insured. In Brodhead v. Scott,
497 So. 2d 1081 (La. Ct. App. 1986), cert. denied, 501 So. 2d 216
(La. 1987), the defendant engaged in the uprooting and clearing of
trees on his uninsured premises. However, the defendant also
uprooted and cleared trees from a strip of land belonging to the
plaintiff, which adjoined the defendant's uninsured premises. The
plaintiff successfully brought suit for the uprooting and clearing
of trees on the plaintiff's property, but the defendant's insurer
refused to pay the judgment, citing, among other things, the
uninsured premises exclusion, which was similar to the one at issue
in this case. The Louisiana court in Brodhead held that the
uninsured premises exclusion did not apply to the facts involved,
and therefore, coverage did exist to pay the judgment. Although
the defendant in Brodhead resided in another city, the court held
that the exclusion did not apply because the damaged property, that
is, the plaintiff's property, is not additional property owned by
the defendant. Consequently, the damaged property was not part of
the defendant's "uninsured premises."
However, the determining factor is not necessarily where
the tortious conduct takes place. Rather, under the overwhelming
authority addressing the scope of the uninsured premises exclusion,
as stated above, the key factor relates to the condition of the
uninsured premises and not to tortious acts committed thereon.
In MFA Mutual Ins. Co. v. Nye, 612 S.W.2d 2 (Mo. Ct. App.
1980), the plaintiff was struck by a riding lawnmower operated by
the defendant, a fifteen-year-old boy. The accident occurred on
the plaintiff's property where the defendant was mowing grass for
the plaintiff's father. Under the uninsured premises exclusion
provision, the defendant's insurer argued that coverage is excluded
because the accident occurred on uninsured premises. In rejecting
that argument, the court held that "under the terms of the policy,
there is floating coverage for the insured wherever he might be,
but coverage for defects in the land are excluded." 612 S.W.2d at
4 (emphasis supplied).
In reaching the conclusion that coverage is not excluded,
the Nye court relied on the extensive discussion contained in
Lititz Mutual Ins. Co. v. Branch, 561 S.W.2d 371 (Mo. Ct. App.
1977). In Lititz, the court stated:
The personal liability insured against is of
two kinds: first, that liability which may be
incurred because of the condition of the
premises insured; secondly, that liability
incurred by the insured personally because of
his tortious personal conduct, not otherwise
excluded, which may occur at any place on or
off the insured premises. The insurance
company may well limit (and has by [the
uninsured premises exclusion]) its liability
for condition of the premises to the property
insured for which a premium has been paid. It
is reasonable that the company may not provide
for liability coverage on 'conditions' which
cause injury on other uninsured land. It
would be a rare case where an insured was
liable for the condition of premises which he
did not own, rent or control. It is to be
expected, therefore, that the company's
liability for condition of the premises would
be restricted to accidents happening on or in
close proximity to the insured premises, and
that premiums would be charged with that in
mind. It would be unreasonable to allow an
insured to expand that coverage to additional
land and structures owned, rented or
controlled by him which are unknown and not
contemplated by the company.
The company has not chosen to
geographically limit the coverage provided for
tortious personal conduct of the insured. If
it had so intended, it could simply have
provided that the exclusion ran to an accident
'occurring on' other owned premises. There
appears to be little reason to exclude
personal tortious conduct occurring on owned
but uninsured land, as little correlation
exists between such conduct and the land
itself.
561 S.W.2d at 374 (emphasis supplied).
Other courts have held similarly. See, e.g., Safeco Ins.
Co. of America v. Hale, 189 Cal. Rptr. 463 (Ct. App. 1983) &
Hingham Mutual Fire Ins. Co. v. Herous, 549 A.2d 265 (R.I. 1988)
(both holding that uninsured premises exclusion not applicable
where horse wandered from uninsured premises and collided with
automobile on public road); Hanson v. General Accident Fire & Life Ins. Corp., Ltd., 450 So. 2d 1260, 1262 (Fla. Dist. Ct. App. 1984) (coverage is not excluded where plaintiff accidentally touched electric wire in helping defendant remove antenna because "accidental touching of the antenna to the uninsulated wire was totally unrelated to the condition of the [uninsured] premises."); Economy Fire & Casualty Co. v. Green, 487 N.E.2d 100, 104 (Ill. App. Ct. 1985) (coverage not excluded where defendant was allegedly negligent in caring for child who was struck by automobile on uninsured premises; because plaintiff's "injuries did not arise out of any defects of premises owned, rented or controlled by [defendant insured, then insurer's] premises exclusion is inapplicable and does not operate to preclude coverage of [defendant's] personal liability away from the insured premises."); Kitchens v. Brown, 545 So. 2d 1310, 1312 (La. Ct. App. 1989) (plaintiff injured while clearing brush at defendant's personal residence, which was uninsured; uninsured premises exclusion in defendant's policy held not to apply because "the only manner of bodily injury or property damage that can arise out of premises is that which results from a defect in said premises."); Newhouse v. Laidig, Inc., 426 N.W.2d 88, 90 (Wis. Ct. App.), review denied, 428 N.W.2d 559 (Wis. 1988) (coverage not excluded where plaintiff child's injuries from accident involving a silo unloader were allegedly caused by negligence of defendant guardians in leaving child unattended because "it was the alleged tortious conduct of
[the defendants] that caused [the plaintiff's] injuries.
Accordingly, the exclusion is inapplicable.").
The appellants in this case urge this Court to follow the
lead of the courts' opinions discussed above by holding that the
phrase "arising out of" in the uninsured premises exclusion relates
to the condition of the uninsured premises. Therefore, by
construing the provision in that way, the policy would still
provide floating coverage for the allegedly tortious acts committed
by the appellants.
The appellee, Allstate, relies upon a federal district
court's holding in St. Paul Fire & Marine Ins. Co. v. Ins. Co. of
North America, 501 F. Supp. 136 (W.D. Va. 1980), in support of its
position that the exclusion does apply to the facts in this case.
In St. Paul Fire & Marine, the policyholders, in an effort to
improve their uninsured land, removed a building situated thereon
by fire. The fire spread to adjoining land, and caused damage to
the plaintiff's property. The St. Paul Fire & Marine court, in
holding that the exclusion did apply (thereby denying coverage),
applied a "but for" causation analysis to the phrase "arising out
of." That court stated: "There would have been no fire but for
the building which the insureds desired to remove. Accordingly,
the insureds' liability resulting from the fire arose out of their
[uninsured] premises." 501 F. Supp. at 139. The appellee contends
that a similar analysis applies to the timber removal in this
case.See footnote 2
The appellants deem the decision in St. Paul Fire &
Marine aberrational and point out that it is specifically rejected
by the Court of Appeals of Wisconsin in Newhouse v. Laidig, Inc.,
426 N.W.2d 88 (Wis. Ct. App.), review denied, 428 N.W.2d 559 (Wis.
1988): "[W]e consider the interpretation of the phrase 'arising
out of' as stated in St. Paul Fire & Marine to be inconsistent with
Wisconsin's policy of strictly interpreting exclusionary clauses."
426 N.W.2d at 91.
We agree with the Wisconsin court's rejection of St. Paul
Fire & Marine as well as the conclusions reached by the courts
cited above, especially in light of this Court's policy that
exclusionary provisions in an insurance policy are to be strictly
construed against the insurer and in favor of the insured.
Consistent with the foregoing, we hold that bodily injury
and property damage "arising out of" uninsured premises, as that
phrase is used in an uninsured premises exclusion provision, refers
to the condition of the uninsured premises and does not exclude
coverage for the allegedly tortious acts of the insured committed
on either such uninsured premises or on premises closely related to
the uninsured premises.
2. Where a declaratory judgment action
is filed to determine whether an insurer has a
duty to defend its insured under its policy,
if the insurer is found to have such a duty,
its insured is entitled to recover reasonable
attorney's fees arising from the declaratory
judgment litigation.
The appellee, Allstate, urges this Court to hold that,
even if it were to find that coverage exists, it would only be
required to pay attorney's fees in the amount of one-third of the
policy's face amount. This contention is based upon the following:
(1) Allstate initially provided coverage and a defense under a
reservation of rights for the claim by the plaintiffs against the
appellants; (2) Allstate only denied coverage for Moore's cross-claim as that was based on "material misrepresentation;" and (3)
the circuit court granted summary judgment in favor of Allstate,
thus, providing valid justification for refusal to defend.
The appellee, in support of its argument that it should
only be compelled to pay a maximum of one-third of the policy's
face amount as attorney's fees, urges this Court to apply a similar
rationale as that discussed in Firstbank Shinnston v. West Virginia
Ins. Co., ___ W. Va. ___, ___, 408 S.E.2d 777, 785 (1991), where
this Court restated our observation in Hayseeds, Inc. v. State Farm
Fire & Cas., 177 W. Va. 323, ___, 352 S.E.2d 73, 80 (1986), that
"reasonable attorneys' fees in this type of case are one-third of
the face amount of the policy, unless the policy is either
extremely small or enormously large." However, our opinion in
Hayseeds went on to point out that "when a claim is for under
$20,000 or for over $1,000,000 . . . the court should then inquire
concerning what 'reasonable attorneys fees' are." 352 S.E.2d at
80.
In this case, the underlying complaint, which names
several defendants, seeks damages in the amount of $250,000. It is
yet to be determined the specific amount of liability apportioned
to the underlying defendants, including the Thornes. Consequently,
the specific amount of the claim by the Thornes against Allstate is
unknown. Rather, in this case, we only address the question of
coverage per se under the insurance policy. Moreover, there is no
record from the circuit court with respect to the question of
attorney's fees recoverable by the Thornes because the essence of
that court's order was that coverage does not exist. Consequently,
it was unnecessary for the circuit court to address the question of
attorney's fees prior to this appeal.
However, we do reiterate the factors to be considered in
determining reasonableness of attorney's fees in this type of case,
in the event the circuit court is confronted with this question
upon a subsequent disposition of this case:
Where attorney's fees are sought against
a third party, the test of what should be
considered a reasonable fee is determined not
solely by the fee arrangement between the
attorney and his client. The reasonableness
of attorney's fees is generally based on
broader factors such as: (1) the time and
labor required; (2) the novelty and difficulty
of the questions; (3) the skill requisite to
perform the legal service properly; (4) the
preclusion of other employment by the attorney
due to acceptance of the case; (5) the
customary fee; (6) whether the fee is fixed or
contingent; (7) time limitations imposed by
the client or the circumstances; (8) the
amount involved and the results obtained; (9)
the experience, reputation, and ability of the
attorneys; (10) the undesirability of the
case; (11) the nature and length of the
professional relationship with the client; and
(12) awards in similar cases.
Syl. pt. 4, Aetna Casualty & Surety Co. v. Pitrolo, 176 W. Va. 190,
342 S.E.2d 156 (1986).
This assertion has no merit. As the appellants point out, there is nothing in the record to indicate that this argument was raised in the circuit court, and accordingly, it was not addressed by that court as a basis for its ruling. Moreover, the underlying complaint alleges intentional and negligent conduct on the part of the Thornes. Therefore, as the appellants note in their brief before this Court, if the lower court finds only negligence on their part, Allstate could not utilize the intentional acts exclusion as a basis for denying coverage.