Filed 7/28/16 Olympic and Georgia Partners v. Arch Specialty Ins. Co. CA2/2
NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS
California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for
publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication
or ordered published for purposes of rule 8.1115.
IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
SECOND APPELLATE DISTRICT
DIVISION TWO
OLYMPIC AND GEORGIA PARTNERS B264647
LLC,
(Los Angeles County
Plaintiff and Appellant, Super. Ct. No. BC488313)
v.
ARCH SPECIALTY INSURANCE
COMPANY et al.,
Defendants and Respondents.
APPEAL from a judgment of the Superior Court of Los Angeles County.
William F. Highberger, Judge. Affirmed.
Scott W. Sonne, for Plaintiff and Appellant.
Horvitz & Levy, Peter Abrahams and Mitchell C. Tilner; Hinshaw & Culbertson,
Kent Keller and Larry M. Golub, for Defendants and Respondents Arch Specialty
Insurance Company, Lexington Insurance Company, Princeton Excess & Surplus Lines
Insurance Company, Crawford & Company, and James Whipple.
Cummins & White, Larry M. Arnold, Margaret R. Miglietta and Annabelle
M. Harris, for Defendants and Respondents Continental Casualty Company, Endurance
American Special Insurance Company, Great Lakes Reinsurance (UK) PLC, and XL
Insurance America.
******
The company that owned and developed a high-rise hotel and condominium in
downtown Los Angeles obtained builder’s risk insurance policies that protected against
“all risks of direct physical loss or damage” subject to certain exclusions. The company
hired subcontractors to install the stone flooring in the condos, and those subcontractors
used varying depths of mortar beneath the stone to ensure that the floor was level. The
drying mortar shrank, and where it was applied more thickly, it caused tiny fractures in
the stone. The company filed a claim with the consortium of insurers who issued the
builder’s risk policies for the cost of removing and replacing the flooring. The
consortium denied the claim, chiefly because the policies excluded the “[c]ost of making
good faulty or defective workmanship” and the “[c]ost of making good fault, defect,
error, deficiency or omission in design, plan or specification.” The company sued the
individual insurers in the consortium for breach of contract and bad faith denial of
coverage, and sued the insurers, the consortium’s independent investigator and the
individual claims adjuster assigned to the claim for fraud. The trial court granted
summary judgment against the company on all of its claims. Concluding there was no
error, we affirm.
FACTS AND PROCEDURAL BACKGROUND
I. Facts
A. The project
Plaintiff Olympic and Georgia Partners LLC (the LLC) developed and built a 54-
story high rise as part of the L.A. Live! mixed-used complex in downtown Los Angeles.
The high rise was to be constructed, completed and occupied in three phases, with a
Marriott hotel on its bottom floors, a Ritz-Carlton hotel in its middle floors, and 212 Ritz-
Carlton luxury condominiums on its upper floors. The LLC hired Webcor as its general
contractor, and Webcor hired two subcontractors to install the stone flooring in the
condos—J. Colavin & Son and SMG/AGI Stone Company. The two subcontractors
divided up the flooring work by room, with each fully installing the flooring in the rooms
in which it was assigned to do the work.
2
B. Acquisition and terms of builder’s risk insurance
In 2007, as construction commenced, the LLC hired Marsh USA, Inc. (Marsh) as
its insurance broker and risk management advisor. With the help of Marsh broker Jenni
Ashby (Ashby), the LLC obtained builder’s risk policies from a consortium of eight
different insurance companies, each of which agreed to a certain percentage of the overall
coverage: Defendant Lexington Insurance Company agreed to cover 45 percent, and six
other insurers whom the LLC sued (collectively, the insurance companies)—defendants
Princeton Excess & Surplus Lines Insurance Company, Endurance American Specialty
Insurance Company, Great Lakes Reinsurance (UK) PLC (Great Lakes), XL Insurance
America, Arch Specialty Insurance Company (Arch), and Continental Casualty Company
(Continental)—each covered 10 percent or less.1
Each insurance company issued its own policy, but the language in those policies
was largely the same. Every policy was an “all risk” policy—that is, it insured “all risks
of direct physical loss of or damage to insured property” during construction, subject to
several enumerated exclusions. Every policy had the following two exclusions from
coverage: (1) Exclusion B, which excluded from coverage the “[c]ost of making good
faulty or defective workmanship or material, unless direct physical loss or damage by an
insured peril ensues and then this policy will cover for such ensuing loss or damage
only”; and (2) Exclusion C, which excluded from coverage the “[c]ost of making good
fault, defect, error, deficiency or omission in design, plan or specification, unless direct
physical loss or damage by an insured peril ensues and then this policy will cover for
such ensuing loss or damage only.” (Italics added.) The italicized portion of each
exclusion is called an “ensuing loss” clause.
Every policy stated that it was effective from August 1, 2007 until August 1, 2010.
However, every policy also provided that “coverage will cease” prior to August 1, 2010,
upon “the placing of the Insured Property or any part of the Insured Project into
1 An eighth insurer, Landmark American Insurance Company, also covered a small
percentage but was dismissed from this case.
3
commercial service for its intended purpose.” Two of the policies added qualifications to
this early expiration provision: The Arch policy further stated that “[o]ccupancy occurs
when [the] insured project is put to its intended use, however, only as respects that
portion or portions put to that use,” and the Great Lakes policy further stated that
occupancy of “any completed or partially completed portion . . . shall not” for 90 days
“reduce[]” “the coverage of [that] policy.” All of the policies also required 90 days
written notice before they could be “cancelled.”
On behalf of Marsh, Ashby sent the LLC copies of these policies as well as
summaries of their provisions.
C. Opening of Marriott hotel and the LLC’s purchase of property insurance
In December 2009, Ashby e-mailed Michael Murkey (Murkey), who was the
Director of Risk Management for one of the two entities that owned the LLC. Because
the Marriott hotel was expected to open in February 2010, Ashby informed Murkey that
the LLC “need[ed] to know NOW who is responsible for the insurance going forward and
need[ed] to get values ASAP.” Shortly thereafter, Murkey responded that he had
obtained approval “to proceed with the marketing of the [permanent] property insurance”
for the high rise. Ashby and Murkey then worked together to compile the necessary
information about the property, and Ashby obtained proposals for permanent property
insurance to be in place by the scheduled Marriott hotel opening date of
February 14, 2010.
In early February 2010, Murkey asked Ashby whether the builder’s risk policies
could be continued in force as to the unfinished portions of the high rise after the Marriott
opened; Ashby “said she would check on it.” On February 5, 2010, Ashby responded
with an e-mail indicating that “we will not be able to have the builder[’s] risk polic[ies]
continue on a portion of the building” for two reasons—namely, “the builders risk
underwriters will not agree to continue coverage once there is occupancy” and “having
two separate programs in place covering the same building will create friction in the
claims process and cause two separate deductibles to apply.”
4
Four days later, on February 9, 2010, Marsh sent the LLC a proposed permanent
property insurance policy issued by Factory Mutual Global that would run from
February 14, 2010 through February 14, 2011. The LLC paid the $2,359,989.63
premium for that policy. On February 12, 2010, Ashby confirmed that Marsh had
purchased the new permanent property insurance policy, and the policy took effect on
February 14, 2010.
Approximately 21 months later, in October 2011, Marsh refunded the LLC the
amount of premiums the LLC had paid for the builder’s risk policies but not used (that is,
the coverage from February 14, 2010 to August 1, 2010). That amount came to
$256,566.82. None of the builder’s risk insurance companies gave written notice that the
policies had been “cancelled.”
D. The LLC makes a claim under its builder’s risk policies
On May 12, 2010, the LLC reported a claim to the builder’s risk insurers for
property damage—namely, hairline cracks called “indent fractures” in the natural stone
flooring installed in some of the condo units of the high rise. The two subcontractors
hired to install that flooring did so in pertinent part by laying an acoustical (sound-
proofing) mat atop a concrete slab, laying mortar atop that mat, and laying the specified
type of stone atop the mortar. The architect’s plans for the installation of the stone
flooring called for the mortar layer to be of either thin or medium thickness, and the
project manual for how to install the flooring provided for “a medium bed [of mortar] in
lieu of a thin set where required to achieve level floor and avoid lippage.” The mortar
thickness ended up varying from one-eighth of an inch to one and one-eighth inches.
Where the layer of mortar was thicker, the shrinking of the mortar as it dried caused
indent fractures in some of the stone affixed to the thicker mortar; where the mortar layer
was thinner, there were no indent fractures. Thus, although the insurance companies
asserted that the inability of the acoustical mat and certain types of stone to compensate
for the shrinkage of the mortar contributed to the indent fractures, the LLC and insurance
companies were in agreement that the “primary” cause of the fractures was the overly
thick application of mortar.
5
Although only a small percentage of the stone flooring developed indent fractures,
the LLC sought to replace the stone flooring in approximately 180 of the condo units.
The insurance companies’ adjuster calculated the cost of removing and replacing that
flooring to be approximately $7.5 million, while the LLC calculated those costs to be
more than $21.5 million, not including an additional $16 million in related costs.
The insurance companies hired defendant Crawford & Company to investigate the
claim, and Crawford appointed James Whipple (Whipple) as its claims adjuster. Whipple
hired three consultants to examine the claim: (1) Madsen Kneppers & Associates, as a
construction consultant; (2) Ceramic Tile & Stone Consultants, as a tile consultant; and
(3) Wiss Janney Elstner Associates, as forensic engineers.
On June 1, 2010, Whipple sent the LLC a letter indicating that the insurance
companies were “conducting a thorough investigation of the insurance claim,” “reserving
their rights under the policy to deny coverage,” and “reserv[ing] the right to amend their
reservation of rights as additional information is developed.” The letter purported to set
forth the pertinent provisions of the policies, but erroneously set forth language not found
in those policies. The letter stated that there may be additional applicable policy
provisions and that the insurance companies reserved the right to assert any other policy
provisions that may become pertinent.
Three months later, on September 14, 2010, Whipple sent a further letter
providing a “status report” on the investigation and “a supplemental reservation of rights
concerning recent developments.” This letter summarized several provisions from the
applicable policies, including that the policies “insure[] against all risks of direct physical
loss of or damage to insured property,” and that the policies excluded the “[c]ost of
making good faulty or defective workmanship or material” and the “[c]ost of making
good fault, defect, error, deficiency or omission in design, plan or specification” unless,
as to either, “direct physical loss or damage by an insured peril ensures and then this
policy will cover for such ensuing loss or damage only.” The letter also set forth the
policies’ stated term of August 1, 2007 until August 1, 2010, as well as the provision
specifying that coverage would expire before this period ended if “any part of the Insured
6
Property” was “plac[ed]” “into commercial service for its intended purpose.” The letter
did not include the 90-day cancellation provision or spell out the slightly different partial
occupancy provisions in the Arch and Great Lakes policies. Nor did it highlight that the
June 2010 letter had erroneously cited provisions from a wholly inapplicable policy.
On August 2, 2011, Whipple informed the LLC, in a written letter, that “the
Insurers [have] conclude[d] that [the LLC’s] claim for the removal and replacement of
[the] defective stone tile assemblies is not covered by the Insurers’ policy.” The letter
explained the insurance companies’ position that “the thicker application of thin-set
mortar . . . was a primary factor to what has led to the indent fractures;” that this
misapplication of mortar was due to the subcontractors’ acts in following the instructions
in the project manual to use mortar thickness as a means of leveling the floor; and that the
cost of removing and replacing the flooring accordingly fell within Exclusions B and C as
the “[c]ost of making good faulty or defective workmanship or material” and/or the
“[c]ost of making good fault, defect, error, deficiency or omission in design, plan or
specification.” The letter also cited the separate exclusions in the policies for “inherent
vice” (Exclusion D) and “cracking” (Exclusion M), and further noted that, “[t]o the
extent the loss manifested after coverage ceased under the [Insurers’] policy, there is no
coverage.”
II. Procedural Background
A. The LLC’s complaint
In July 2012, the LLC sued the insurance companies, Crawford, and Whipple
(collectively, defendants). In the operative, first amended complaint, the LLC sued for
(1) breach of contract, (2) breach of the covenant of good faith and fair dealing, and
(3) fraud. The first two claims were only against the insurance companies; the fraud
claim was against all defendants. The LLC alleged two instances of fraud—namely, that
(1) Ashby’s February 5, 2010 e-mail did not disclose and otherwise misrepresented that
two of the policies (namely, the Arch and Great Lakes policies) did not expire
immediately upon occupation of any portion of the high rise, which caused the LLC to
obtain permanent property insurance five and a half months before it needed to do so, and
7
(2) Whipple’s letters in June and September 2010 did not disclose the “all risk” provision
of the policies, the “ensuing loss” exception to Exclusions B and C, and the provisions
dealing with the expiration and cancellation of the policies. The LLC sought
compensatory damages and, on the fraud claim, punitive damages.
All of the defendants demurred to the first amended complaint, but the trial court
overruled the demurrer.
B. Motions for summary adjudication as to coverage
The LLC moved for summary adjudication of its breach of contract and breach of
the implied covenant of good faith and fair dealing claims. The insurance companies
filed a cross-motion for summary adjudication on those claims.
The trial court granted the insurance companies’ motion and denied the LLC’s
motion. Because it was undisputed that “the overly thick mortar bed was the primary if
not exclusive cause of the cracking of the natural stone,” the court concluded that
Exclusions B and C for the cost of making good defective design and defective
workmanship applied. The court further concluded that the “ensuing loss” exception to
those Exclusions did not apply, reasoning that “the cracking of the natural stone was not a
severable ‘ensuing loss’ such that it qualified for the exception to the exclusion.”
C. Motions for summary judgment on remaining fraud claim
Crawford and Whipple then moved for summary judgment on the fraud claim.
The insurance companies filed a similar motion.
The trial court granted both motions. As to the portion of the fraud claim based on
Ashby’s February 5, 2010 e-mail, the court concluded that Ashby was an employee of the
LLC’s insurance broker, that her e-mail did not set forth any representation of the
insurance companies, and that it would be unreasonable to infer any such representation
because Ashby testified during her deposition to a “lack of knowledge regarding any
purported conversations with the insurers.” The court also concluded that the LLC did
not justifiably rely on her e-mail because, in deciding whether to obtain the permanent
property insurance policy, (1) the LLC’s risk manager “had the policies available to him
at all times” and had admitted to reading them, and (2) the LLC was “in pressing need to
8
obtain replacement insurance at exactly the time that it in fact bought replacement
insurance,” negating any inference that the LLC somehow relied on any representations
by the insurance companies in Ashby’s e-mail in making that decision. As to the portion
of the fraud claim based on Whipple’s June and September 2010 letters, the court
concluded that “the cancellation or partial occupancy provisions had no bearing on the
actual handling of the cracked stone claim.”
D. Entry of judgment and appeal
The trial court entered judgment for defendants. The LLC thereafter filed a timely
notice of appeal.
DISCUSSION
A trial court may grant summary judgment or summary adjudication to a party
upon a showing “that there is no triable issue as to any material fact and that [it] is
entitled to a judgment as a matter of law.” (Code Civ. Proc., § 437c, subd. (c).) The
party moving for summary judgment or summary adjudication bears the initial burden of
showing that the opposing party cannot establish “[o]ne or more of the elements of [its]
cause of action” or by showing a valid affirmative defense. (Id., § 437c, subds. (o)(1)
& (p)(2).) If that burden is met, the “burden shifts” to the opposing party “to show that a
triable issue of one or more material facts exists as to that cause of action or [an
affirmative] defense.” (Id., § 437c, subd. (p)(2).) “‘There is a triable issue of material
fact if, and only if, the evidence would allow a reasonable trier of fact to find the
underlying fact in favor of the party opposing the motion in accordance with the
applicable standard of proof.’” (Burgueno v. Regents of University of California (2015)
243 Cal.App.4th 1052, 1057, quoting Aguilar v. Atlantic Richfield Co. (2001)
25 Cal.4th 826, 850; see also Wall Street Network, Ltd. v. New York Times Co. (2008)
164 Cal.App.4th 1171, 1176, fn. 2 [applying these standards to motions for summary
adjudication].) We review a trial court’s grant of summary judgment or summary
adjudication de novo; what matters is the court’s ruling, not its reasoning. (Burgueno, at
p. 1057; Ryder v. Lightstorm Entertainment, Inc. (2016) 246 Cal.App.4th 1064, 1072
(Ryder); Lindstrom v. Hertz Corp. (2000) 81 Cal.App.4th 644, 648.)
9
I. Motion For Summary Adjudication On Contract-Based Claims
A. Breach of contract
To prevail on a claim for breach of contract, a plaintiff must establish “(1) the
existence of the contract, (2) plaintiff’s performance or excuse for nonperformance,
(3) defendant’s breach, and (4) the resulting damages to the plaintiff.” (Oasis West
Realty, LLC v. Goldman (2011) 51 Cal.4th 811, 821.) In interpreting a contract, we start
with the “‘clear and explicit’ meaning of the [contract’s] provisions, interpreted in their
‘ordinary and popular sense,’ unless ‘used by the parties in a technical sense or a special
meaning is given to them by usage.’” (MacKinnon v. Truck Ins. Exchange (2003)
31 Cal.4th 635, 647-648 (MacKinnon), quoting Civ. Code, § 1644.) We are not bound by
the trial court’s interpretation of a contract. (Id. at p. 647.) Once the meaning of an
insurance contract is settled, “[t]he burden is on the insured to establish that [its] claim is
within the basic scope of the coverage and on the insurer to establish that the claim is
specifically excluded.” (Id. at p. 648.)
The trial court properly concluded that the cost of removing and replacing the
stone was not covered by the builder’s risk policies. Although the builder’s risk policies
covered “all risks of direct physical loss or of damage to insured property . . . ,” the
policies went on to exclude (in Exclusions B and C) the “[c]ost of making good” (that is,
removing and replacing) any “faulty or defective workmanship or material” and any
“fault, defect, error, deficiency or omission in design, plan or specification.” What is
more, it was undisputed that the “primary cause” of the indent fractures in the stone was
the overly thick application of mortar, which was itself the product of the architect’s
deficient plans authorizing a medium-thick layer of mortar and the project manual
directing thicker application of mortar when necessary to level the floor, as well as the
defective workmanship of the subcontractors in following those plans and the project
manual. Consequently, whether the damage to the stone is covered by the insurance
policies turns on two questions: (1) is the cost of repairing the stone part of the “cost of
making good” the faulty design and workmanship with the mortar, so as to be excluded
from coverage by Exclusions B and C; and, if so, (2) is the damage to the stone a “direct
10
physical loss or damage by an insured peril,” so as to be covered by the “ensuing loss”
exception to Exclusions B and C?
1. Cost of making good
A “cost of making good” provision excludes from coverage a contractor’s “own
work,” thereby placing “the risk of replacing or repairing [a contractor’s] defective work
or product” on that contractor’s insurer rather than the general contractor or builder’s
insurer. (CalFarm Ins. Co. v. Krusiewicz (2005) 131 Cal.App.4th 273, 287;
Southern Cal. Edison Co. v. Harbor Ins. Co. (1978) 83 Cal.App.3d 747, 756-757.)
Consistent with this purpose, a “cost of making good” provision excludes from coverage
not only the cost to repair or replace the contractor’s defective work, but also the cost to
replace or repair “‘the [contractor’s] satisfactory work that is damaged by
the . . . defective work.’” (CalFarm, at p. 288, quoting Diamond Heights Homeowners
Assn. v. National American Ins. Co. (1991) 227 Cal.App.3d 563, 571; see also
Armstrong World Industries, Inc. v. Aetna Casualty & Surety Co. (1996) 45 Cal.App.4th
1, 111; cf. Southern Cal. Edison Co., at pp. 755-756.) Also consistent with this purpose,
a “cost of making good” provision does not exclude from coverage the cost to repair or
replace damage to “other property,” thereby leaving it to the general contractor’s or
builder’s insurer. (Southern Cal. Edison Co., at pp. 755-756, italics added;
CalFarm, at p. 287; Armstrong, at p. 111.)
Here, the defective design and installation of one part of the flooring (the mortar)
damaged another, satisfactorily designed and installed part of the flooring (the stone).
Because only one subcontractor installed the flooring in any given room, and because it is
physically impossible to replace the mortar without replacing the stone sitting atop it, the
“cost of making good” provision excluded from coverage the cost of replacing or
repairing the stone as well as the mortar. (Accord, Golden Eagle Ins. Co. v. Travelers
Companies (9th Cir. 1996) 103 F.3d 750, 757 [cost of replacing satisfactorily installed
flooring in order to repair defective concrete under-flooring excluded by “defective
workmanship” provision].) Although the LLC’s expert stated that the flooring was
installed through “a sequence of construction using different contractors starting with the
11
subfloors and working upwards over a period of months until owner-supplied stone tile
finishes were installed,” this statement is consistent with the division of labor between the
subcontractors and does not create a material dispute as to the applicability of the “cost of
making good” provision.
The LLC argues that the preambles to Exclusions B and C in each of the policies
dictates a result in its favor. The preambles state that the “polic[ies] shall not pay for
loss, damage or expense caused directly or indirectly and / or contributed to, in whole or
in part, by” the “[c]ost of making good faulty or defective workmanship” (in Exclusion
B) or the “[c]ost of making good . . . [defective] design” (in Exclusion C). The LLC
asserts that, read literally, this language means that Exclusions B and C do not reach the
cost of replacing stone that is damaged by the defective design and installation of the
mortar because such damage was caused by the defective mortar, not by the “cost of
making good” the defective mortar. We reject this reading of the preambles. If we
accepted the LLC’s reading, we would be required to conclude that Exclusions B and C
also do not reach the damages corresponding to the cost of replacing the defective mortar
because those damages were caused by the defective design and installation of the
mortar, not by the “cost of making good” the defective mortar. Yet even the LLC
recognizes and concedes that Exclusions B and C exclude the cost of replacing the
defective mortar. Because we must avoid absurd results when interpreting insurance
policies (e.g., MacKinnon, supra, 31 Cal.4th at p. 650 [“‘insurance policies will not be
construed to reach an absurd result’”]), we reject the LLC’s preamble-based argument.
2. Ensuing loss
An “ensuing loss” provision provides for coverage when an original, excluded
peril triggers a second, subsequent peril that “causes a loss or injury separate and
independent . . . from the original excluded peril.” (Acme Galvanizing Co. v. Fireman’s
Fund Ins. Co. (1990) 221 Cal.App.3d 170, 179-180 (Acme Galvanizing); Croskey et al.,
Cal. Practice Guide: Insurance Litigation (The Rutter Group 2015) ¶ 6:322.5, p. 6B-63.)
In Murray v. State Farm Fire & Casualty Co. (1990) 219 Cal.App.3d 58 (Murray), a
corroded pipe caused the adjacent soil to become saturated and the ground to settle,
12
which in turn caused a crack in the concrete slab beneath a home. The court ruled that
the ground settling qualified as an “ensuing loss,” but that the insured was nevertheless
precluded from coverage because his policy also happened to exclude damage due to
“settling.” (Id. at pp. 62-65.) By contrast, in Acme Galvanizing, a steel kettle containing
molten zinc came apart and spewed zinc all over surrounding industrial equipment.
Because the defect with the kettle was excluded from coverage as a latent defect, the
insured sought to collect for damage to the equipment under an “ensuing peril” clause.
The court rejected this argument: “[T]here was no peril separate from and in addition to
the initial excluded peril of the welding failure and kettle rupture. The spillage of molten
zinc was part of the loss directly caused by such peril, not a new hazard or phenomenon.”
(Acme Galvanizing, at pp. 179-180.)
Acme Galvanizing is directly on point. Acme Galvanizing makes clear that an
“ensuing peril” provision applies only if there is, in fact, a second and subsequent “peril.”
A “peril” is “a hazard or occurrence which causes a loss or injury.” (Acme Galvanizing,
supra, 221 Cal.App.3d at pp. 179-180; Fire Ins. Exchange v. Superior Court (2004)
116 Cal.App.4th 446, 465, fn. 13 [“[a] peril is usually understood as the physical force
that brings about the loss”]; Doheny West Homeowners’ Assn. v. American Guarantee &
Liability Ins. Co. (1997) 60 Cal.App.4th 400, 405, fn. 4 [same].) Critically, a peril is not
the loss or injury itself. Here, as in Acme Galvanizing, the original, excluded peril did not
cause a second, covered peril; instead, the original, excluded peril (the defective mortar)
directly caused the very damage for which the insured is seeking recovery (the cracked
stone). Here, as in Acme Galvanizing, the “ensuing peril” clause does not cover such
damage. If it did, an ensuing peril exception would effectively negate the exclusion(s) to
which it applies; we may not construe a contract in a manner that nullifies any of its
language. (E.g., Food Pro Internat., Inc. v. Farmers Ins. Exchange (2008)
169 Cal.App.4th 976, 992; Westoil Terminals Co., Inc. v. Industrial Indemnity Co. (2003)
110 Cal.App.4th 139, 150.)
13
3. The LLC’s arguments
The LLC offers four challenges to this reasoning. First, the LLC argues the
ensuing peril clause applies because there is a second “peril.” In the LLC’s view, the
overly thick mortar is the original, excluded peril; this peril caused extraordinary
cracking, which is a second, insured peril (because the policy only excludes
“[n]ormal . . . cracking . . . of . . . floors”); and the extraordinary cracking caused the
damage necessitating repair. We reject this argument because the cracking of the stone
(extraordinary or not) is the very damage necessitating repair. (See, e.g., Alton Ochsner
Med. Found. v. Allendale Mut. Ins. Co. (5th Cir. 2000) 219 F.3d 501, 506 [rejecting
similar proffered dichotomy between “cracking” and “material impairment” of a
foundation because “[t]he cracking is the impairment; they are synonymous”].) We are
therefore unpersuaded by the LLC’s attempt to split this atom.
Second, the LLC assails two of the trial court’s evidentiary rulings. Although
there is still some uncertainty as to whether a trial court’s evidentiary rulings on a
summary judgment motion are to be reviewed de novo or for an abuse of discretion
(Reid v. Google, Inc. (2010) 50 Cal.4th 512, 535 [noting uncertainty]; Ryder, supra,
246 Cal.App.4th at p. 1072 [applying abuse of discretion review]), this uncertainty does
not matter here because neither ruling challenged by the LLC on appeal matters to our
analysis. The LLC argues that the court erred in overruling its hearsay and foundational
objections to the reports submitted by the three consultants Whipple hired. Even if we
assume this ruling was incorrect, the LLC has itself admitted the key findings from those
reports—namely, that the primary cause of the indent fractures was the overly thick
application of mortar, and that the architect’s plans authorized and project manual
directed that thicker application to level the flooring. The LLC also argues that the court
erred in considering the protocol the LLC adopted for replacing the damaged flooring
because that protocol constitutes a subsequent remedial measure inadmissible under
Evidence Code section 1151. Because we reach our conclusion that the damage to the
stone is not a “peril” without considering the LLC’s replacement protocol, any error here
is irrelevant and hence not prejudicial. (E.g., Grail Semiconductor, Inc. v. Mitsubishi
14
Electric & Electronics USA, Inc. (2014) 225 Cal.App.4th 786, 799 [“[a] judgment of the
trial court may not be reversed on the basis of the erroneous admission of evidence,
unless that error was prejudicial”], citing Code Civ. Proc., § 475.)
Third, the LLC contends that there are several remaining factual disputes that
preclude summary judgment. These include: (1) whether the type of stone and type of
acoustical mat also contributed to the indent fractures; and (2) whether the manner in
which the flooring was installed—that is, the stone atop the mortar atop the acoustical
mat—constitutes a unified “assembly” or multitude of divisible assemblies. Because
insurance law looks to the “efficient proximate cause” in assessing whether a claimed
loss is covered by a policy (Julian v. Hartford Underwriters Ins. Co. (2005) 35 Cal.4th
747, 754), because the “efficient proximate cause” is defined as “the predominant, or
most important cause of a loss” (ibid.), and because it is undisputed that the “primary
cause” of the damage to the stone was the overly thick application of mortar, a dispute
over whether there are additional, contributing causes is not material. Similarly, because
summary judgment is warranted due to each subcontractor’s installation of all of the
flooring in any given room and due to the absence of any second, ensuing peril, it does
not matter whether the flooring is conceived of as a single assembly or as multiple
assemblies. In sum, the factual disputes the LLC identifies are not material, so they do
not preclude summary judgment. (Beninati v. Black Rock City, LLC (2009)
175 Cal.App.4th 650, 656 [“‘a litigant may not avoid summary judgment by attempting
to generate disputes of fact as to issues which are not material to the legal theories and
claims in issue’”].)
Lastly, the LLC urges we are required, when interpreting insurance policies, to
construe provisions excluding coverage narrowly and provisions extending coverage
broadly. (MacKinnon, supra, 31 Cal.4th at p. 648.) This is true, but our chief task, as
noted above, is to adhere to the “‘clear and explicit’” meaning of a policy’s provisions
because that is the meaning that best accords with the “‘mutual intention’ of the parties.”
(Id. at pp. 647-648, quoting Civ. Code, §§ 1636 & 1644.) Here, the “ensuing peril”
15
clause is clear and explicit; we are not at liberty to rewrite it in the guise of construing it
narrowly.
Because the undisputed evidence establishes that the insurance companies’ denial
of coverage was supported by the language contained in the LLC’s policies, the trial
court properly granted summary judgment to the insurance companies on the LLC’s
breach of contract claim.
B. Breach of the implied covenant of good faith and fair dealing
To establish a claim for breach of the implied covenant of good faith and fair
dealing in the context of a denial of insurance benefits, “an insured must show [(1)] that
benefits were due under the policy, and [(2)] that the[se] benefits were withheld without
proper cause.” (Benavides v. State Farm General Ins. Co. (2006) 136 Cal.App.4th 1241,
1250 (Benavides).) The threshold requirement that benefits be due exists because the
implied covenant of good faith and fair dealing is “a supplement to the express
contractual covenants.” (Love v. Fire Ins. Exchange (1990) 221 Cal.App.3d 1136, 1153
(Love).) “[W]hen benefits are due [to] an insured, delayed payment based on inadequate
or tardy investigations, oppressive conduct by claims adjusters seeking to reduce the
amounts legitimately payable and numerous other tactics may breach the implied
covenant because it frustrates the insured’s primary right to receive the benefits of his
contract—i.e., prompt compensation for losses. Absent that primary right, however, the
auxiliary implied covenant has nothing upon which to act as a supplement, and should
not be endowed with an existence independent of its contractual underpinnings.” (Ibid.;
accord, Waller v. Truck Ins. Exchange, Inc. (1995) 11 Cal.4th 1, 36, citing Love, at
p. 1153.)
Because, as explained above, no benefits are due under the builder’s risk policies,
the insurance companies also prevail on the LLC’s auxiliary claim for breach of the
implied covenant of good faith and fair dealing. (San Diego Housing Com. v. Industrial
Indemnity Co. (1998) 68 Cal.App.4th 526, 544 [“[w]here a breach of contract cannot be
shown, there is no basis for a finding of breach of the covenant [of good faith and fair
dealing]”]; Kransco v. American Empire Surplus Lines Ins. Co. (2000) 23 Cal.4th 390,
16
408 [“without coverage, there can be no liability for bad faith on the part of the insurer”];
Love, supra, 221 Cal.App.3d at p. 1153 [same].) The LLC’s arguments on appeal that
insurance companies may still be liable for breach of the implied covenant for conducting
an inadequate investigation, for misrepresenting and concealing provisions of the
policies, and for trying to retroactively cancel the policies after the damage to the stone
was reported are squarely foreclosed by the law set forth above. (See also Benavides,
supra, 136 Cal.App.4th at p. 1250 [“[i]f the insurer’s investigation—adequate or not—
results in a correct conclusion of no coverage, no tort liability arises for breach of the
implied covenant”]; Murray, supra, 219 Cal.App.3d at p. 66 [“the fact that the
investigation yielded a correct conclusion precludes any claim that the inadequacy caused
any damage”].)
II. Motion for Summary Judgment On the Fraud Claim
To prevail on a claim for “fraud based on concealment,” a plaintiff must prove that
(1) the defendant misrepresented a material fact through false representation,
concealment or nondisclosure, (2) the defendant knew of the falsity of its
misrepresentation, (3) the defendant acted with the intent to defraud by inducing the
plaintiff to rely on its misrepresentation, (4) the plaintiff justifiably relied on the
defendant’s misrepresentation, and (5) the plaintiff suffered damage. (OCM Principal
Opportunities Fund, L.P. v. CIBC World Markets Corp. (2007) 157 Cal.App.4th 835,
845.) “[T]o establish fraud through nondisclosure or concealment of facts, it is [also]
necessary to show the defendant ‘was under a legal duty to disclose [those facts].’
[Citation].” (Ibid.)
A. Fraud claim based on Ashby’s February 5, 2010 e-mail
The trial court concluded that the insurance companies were entitled to summary
judgment on the portion of the LLC’s fraud claim based on Ashby’s February 5, 2010 e-
mail because (1) Ashby’s e-mail did not expressly or impliedly reflect any false
representations or concealments by the insurance companies, and (2) the LLC did not in
any event justifiably rely on Ashby’s e-mail in deciding whether to obtain the permanent
17
property insurance from Factory Mutual Global. We do not address the court’s first
rationale because we agree with its second rationale.
The LLC has not established any triable issue of material fact as to justifiable
reliance for two reasons. First, the LLC had copies of the policies and was accordingly
aware of their expiration provisions. Although insurers have a duty to call an insured’s
attention to “all benefits, coverage, time limits or other provisions of any insurance policy
issued by that insurer that may apply to the claim presented by the claimant,” that duty
attaches only when a “claim [has been] presented by the claimant.” (Cal. Code Regs.,
tit. 10, § 2695.4, subd. (a); Superior Dispatch, Inc. v. Insurance Corp. of New York
(2010) 181 Cal.App.4th 175, 189-190; Spray, Gould & Bowers v. Associated Internat.
Ins. Co. (1999) 71 Cal.App.4th 1260, 1272-1273 (Spray, Gould & Bowers).) Any other
time, “‘“‘“[i]t is the duty of the insured to read his policy”’”’” and the insured
“‘“‘“cannot . . . complain that he did not read it or know its terms. [Citations.]”’”’”
(Mission Viejo Emergency Medical Associates v. Beta Healthcare Group (2011) 197
Cal.App.4th 1146, 1155, italics added.) The LLC was looking for permanent property
insurance in the fall of 2009, six months before filing any claim with the insurance
companies. As a result, it was the LLC’s duty to read its policies and know the terms and
early expiration provisions of those policies. Because the LLC indisputably possessed a
copy of each of the policies, it is undisputed that the LLC was not “unaware” of the
policies’ actual terms and thus could not have justifiably relied upon the insurance
companies’ alleged concealment or misrepresentation of those terms.
Second, Ashby sent her e-mail at the tail end of the LLC’s months-long process of
working with Marsh to find a new insurer and to negotiate a permanent property
insurance policy that would replace the five builder’s risk insurance policies that were
about to expire in their entirety upon the opening of the Marriott hotel and the Arch and
Great Lakes policies that were about to expire as to the occupied portions of the high
18
rise.2 There is no evidence that representations of the insurance companies implied in
Ashby’s February 5, 2010 e-mail were what caused the LLC to seek or ultimately
purchase replacement insurance. The LLC points to one of its discovery responses and to
an allegation in its first amendment complaint. But the discovery response does not refer
to Ashby’s e-mail at all and does not assert that representations made by the insurance
companies and relayed in her e-mail were the reason why the LLC initially sought and
ultimately purchased replacement insurance. And allegations in the LLC’s complaint are
allegations, not evidence. (Cassady v. Morgan, Lewis & Bockius LLP (2006) 145
Cal.App.4th 220, 241.) Nor is it reasonable to infer that any of the contents of Ashby’s
February 5, 2010 e-mail were what prompted the LLC to start looking for a permanent
property insurance policy two months before that e-mail was sent or prompted the LLC to
purchase that insurance days later after months of negotiating and finalizing that policy.
(Cf. Miller v. Department of Corrections (2005) 36 Cal.4th 446, 470 [courts evaluating
summary judgment motions should draw reasonable inferences in favor of the
nonmoving party].) For much the same reason, we reject the LLC’s argument that the
insurance companies somehow ratified Marsh’s statements when they refunded to the
LLC the portion of the premiums attributable to the period after the policies expired, as
those refunds were a function of the policies themselves and not of anything Marsh did or
did not say.
2 The LLC ostensibly did not sue the insurance companies for Ashby’s earlier
representations that the builder’s risk policies would expire when the Marriott hotel
opened because any misrepresentations came from Ashby, who worked for the LLC’s
own insurance broker, and not from the insurance companies. The LLC seems to suggest
that Ashby’s earlier representations might be attributable to the insurance companies
because Ashby’s employer (Marsh) had, back in 1996, signed a contract agreeing to serve
as an agent for Continental and 20 other, unrelated insurance companies. By definition,
this would mean that Ashby would, at most, have been speaking for Continental, which
was responsible for 3.5 percent of the LLC’s policy; Ashby would not have spoken for
the insurers backing the remaining 96.5 percent. Moreover, because the 1996 contract
did not in any event empower Marsh to contradict the written terms of any Continental
policy, Ashby lacked the authority to modify the terms of Continental’s policy with the
LLC through her alleged oral statements.
19
Crawford and Whipple are also entitled to summary judgment on this portion of
the LLC’s fraud claim for the simple reason that they had nothing to do with Ashby’s
February 5, 2010 e-mail; they did not become involved until the LLC filed its claim
several months later in May 2010.
B. Concealment claim based on Whipple’s June 2010 and September 2010
reservation of rights letters
The trial court concluded that defendants were entitled to summary judgment on
the portion of the LLC’s fraud claim based on Whipple’s June 2010 and September 2010
reservation of rights letters because the only policy provisions that were not disclosed in
those letters did not form the insurance companies’ basis for denying coverage. We
agree with the court’s analysis.
Although, as noted above, an insurer presented with a claim has a duty to call an
insured’s attention to any “provisions of any insurance policy . . . that may apply”
(Cal. Code Regs., tit. 10, § 2695.4, subd. (a); Spray, Gould & Bowers, supra,
71 Cal.App.4th at pp. 1272-1273), defendants fulfilled that duty in the September 2010
reservation of rights letter. Contrary to what the LLC alleges in its complaint, the
September 2010 letter set forth the “all risk” coverage provision of the policy, Exclusions
B and C to that coverage, the “ensuing loss” exception to those Exclusions, and the
expiration provisions of the policies. The only additional provisions that the LLC alleges
should have been disclosed were the 90-day cancellation provisions of the policies and
the limited partial occupancy provisions in the Arch and Great Lakes policies. However,
as discussed above, the denial of coverage ultimately and independently rested on the
provisions of the policies that were disclosed. Thus, whether or not defendants violated
their duty to disclose the cancellation and limited partial occupancy provisions because
those provisions “may [have] appl[ied],” the LLC did not suffer any damage by their
omission from the September 2010 letter. The LLC’s alternative claim that defendants
did not highlight in the September 2010 letter that the June 2010 letter erroneously cited
provisions from an inapplicable insurance policy fails for the same reason: Defendants
corrected their error in the September 2010 letter and in the August 2011 denial letter,
20
and the LLC was not injured by absence of verbiage highlighting the mistake, particularly
when the LLC had both letters and could have compared them itself.
DISPOSITION
The judgment is affirmed. Defendants are entitled to their costs on appeal.
NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS.
_______________________, J.
HOFFSTADT
We concur:
________________________, Acting P. J.
ASHMANN-GERST
________________________, J.
CHAVEZ
21