French King Realty Inc. v. Interstate Fire & Casualty Co.
French King Realty Inc. v. Interstate Fire & Casualty Co.
Opinion of the Court
The plaintiff, French King Realty Inc. (French King or plaintiff), appeals from the allowance of two motions for summary judgment in favor of the defendant, Interstate Fire and Casualty Company (Interstate or defendant), that dismissed the plaintiff’s cause of action.
A. Background. French King owns real property and operates
On April 3, 2005, Interstate issued the commercial lines insurance policy in question to French King, effective until April 3, 2006. Relevant to the issue herein, the policy contained a protective safeguards endorsement (PSE) added to the commercial property coverage conditions, that provided, in pertinent part, that:
“As a condition of this insurance, you are required to maintain the protective devices or services listed in the Schedule above [e.g., ANSUL SYSTEM OR EQUIVALENT). . . .
“The following is added to the EXCLUSIONS section of . . . CAUSES OF LOSS — SPECIAL FORM[:] ... We will not pay for loss or damage caused by or resulting from fire if, prior to the fire, you:
“1. Knew of any suspension or impairment in any protective safeguard listed in the Schedule above and failed to notify us of that fact; or
“2. Failed to maintain any protective safeguard listed in the Schedule above, and over which you had control, in complete working order.”
The defendant issued the policy pursuant to an application of insurance (application), dated March 7, 2005, submitted on behalf of the plaintiff and signed by Prondecki. In the general information section of the application the plaintiff was asked in question number 6 whether any insurer had declined coverage, or had canceled or not renewed an insurance policy in the prior three years; Prondecki answered in the affirmative, disclosing that on April 3,2002, MassWest had done so because its “[u]nder-writing guideline required a ‘wet’ Ansul system.” Question
With respect to the Kidde system in place in the restaurant, Kidde Fire Systems had issued a bulletin to “All Kidde Pre-Engineered Distributors” dated February 11, 2002, advising that as of that date, Kidde Fire Systems would “no longer support the installation, inspection, service, recharge or repair of dry chemical systems protecting kitchen appliances and ventilation.”
Furthermore, the department of fire services for the Executive Office of Public Safety stated in an August 26, 2004, memorandum that in order for a fire suppression system to be in compliance with Massachusetts code (527 Code Mass. Regs. § 10.03[8]), the “system is to be installed, maintained and tested in accordance with [National Fire Protection Association] NFPA 96, 2001 edition. . . . Section 10.2.3 [of NFPA 96] requires the fire suppression system to be compliant with UL300 standard.” The memorandum noted that “[d]ry chemical extinguishing systems ... are found to be ineffective on cooking oil fires (deep fat fryers) [and that] [t]hese systems no longer have parts available by the manufacturers and in some cases have been delisted by Underwriter’s Laboratories.” As a result, such systems “will need to be upgraded to a UL300 compliant system.”
After a semiannual inspection by Fire Pro-Tec N.E., Inc.
Shortly after the issuance of the insurance policy at issue, the “manager” of the restaurant again was informed by Fire Pro-Tec, in a letter dated June 23, 2005, that the fire suppression system at the restaurant was not in accordance with the current NFPA requirements or the manufacturer’s UL listing on the system. According to this letter, in order to bring the Kidde system into compliance with the current standards, installation of a new automatic liquid (wet) fire suppression system was required. At that time, Fire Pro-Tec provided a second estimate at installing the wet fire suppression system, for a cost of $3,695.
Finally, in June, 2005, the building inspector of Erving advised French King that the system previously had been “red tagged”
In a letter dated February 28, 2006, French King, through counsel, made a demand, in writing, for payment under the policy. In a letter dated April 4, 2006, Interstate, also through counsel, declined, citing as reason that the plaintiff failed to comply with the PSE of the policy.
B. Discussion. The issue at the heart of this case is the interpretation of terms in the PSE that required French King to “maintain” the restaurant’s fire suppression system as a condition to coverage, and that also included two exclusions from coverage: one required the insured to “maintain” its system in “complete working order”; the other required the insured to notify the insurer in the event that the fire suppression system was suspended or impaired.
“The standard of review of a grant of summary judgment is whether, viewing the evidence in the light most favorable to the nonmoving party, all material facts have been established and the moving party is entitled to a judgment as a matter of law.” Augat, Inc. v. Liberty Mut. Ins. Co., 410 Mass. 117, 120 (1991), citing Mass.R.Civ.P. 56(c), 365 Mass. 824 (1974). An appellate court reviewing a grant of summary judgment must examine its allowance de novo and from the same record as the motion judge. Matthews v. Ocean Spray Cranberries, Inc., 426 Mass. 122, 123 n.1 (1997). The record is open to “independent consideration” on appeal, and the appellate court may make its own determination from the record to decide the ultimate questions of the correctness of summary judgment. Ibid. This court may affirm a motion judge’s ruling on any ground, even if it differs from the reason relied upon by the judge. Hawthorne’s, Inc. v. Warrenton Realty, Inc., 414 Mass. 200, 210 n.6 (1993).
Once the moving party establishes the absence of a triable issue, the party opposing the motion must respond and allege
It is well settled that the “interpretation of an insurance contract is a question of law for the court.” Kelleher v. American Mut. Ins. Co., 32 Mass. App. Ct. 501, 503 (1992). “Like all contracts, insurance contracts are to be construed according to the fair and reasonable meaning of the words in which the agreement of the parties is expressed. ... A policy of insurance whose provisions are plainly and definitely expressed in appropriate language must be enforced in accordance with its terms.” Cody v. Connecticut Gen. Life Ins. Co., 387 Mass. 142, 146 (1982) (quotations and citations omitted). Unambiguous words in a policy must be enforced according to its terms. Barnstable County Mut. Fire Ins. Co. v. Lally, 374 Mass. 602, 605 (1978). Doubts created by any ambiguous words or provisions, however, are resolved against the insurer in order not to defeat intended coverage or diminish the protection purchased by the insured. Camp Dresser & McKee, Inc. v. Home Ins. Co., 30 Mass. App. Ct. 318, 324 (1991).
An insured generally bears the burden of proving that a particular claim falls within a policy’s coverage, Markline Co. v. Travelers Ins. Co., 384 Mass. 139, 140 (1981), while an insurer has the burden of proving the applicability of a particular exclusion, see Hanover Ins. Co. v. Talhouni, 413 Mass. 781, 785 (1992); Great S.W. Fire Ins. Co. v. Hercules Bldg. & Wrecking Co., 35 Mass. App. Ct. 298, 302 (1993). The terms of an exclusionary clause will be upheld when “not reasonably susceptible of more than one meaning.” Mitcheson v. Izdepski, 32 Mass. App. Ct. 903, 905 (1992).
1. Requirements under the PSE. We agree that summary judgment was proper, but for reasons different from those relied upon by the first judge.
Here, the word “maintain” is not defined in the PSE and is ambiguous because the term is susceptible to more than one meaning. In Breton, LLC vs. Graphic Arts Mut. Ins. Co., U.S. Dist. Ct., No. I:09cv60 (E.D. Va. 2009),
Furthermore, within the PSE itself, the term “maintain” is used in two different contexts. First, as a condition, the PSE states: “[Y]ou are required to maintain the protective devices or services listed in the Schedule above” (emphasis supplied). Then, in the exclusions, the PSE states, “We will not pay for loss or damage caused by or resulting from fire if, prior to the fire, you: . . . Failed to maintain any protective safeguard listed in the Schedule above, and over which you had control, in complete working order” (emphasis supplied).
In contrast to its use in the exclusion, we consider the use of the term “maintain” in the condition to be ambiguous, as we think it is reasonably susceptible to a range of meanings — from one by which the obligation is simply to have a fire suppression system in place, to the further obligation to keep the system operational. To accept the defendant’s view of the PSE condition, to “maintain” the system would require us to determine that it is capable of only one meaning, one that is something akin to “maintain in complete working order,” which is a meaning at the extreme of the range of possible meanings. In the event that a policy provision is ambiguous, it must be
2. Coverage exclusions contained in the PSE. We next turn to whether the first judge’s decision to grant summary judgment can be sustained because the record establishes conclusively, against the existence of a genuine issue of fact, that either of the two exclusions apply. The PSE states that the insurer “will not pay for loss or damage caused by or resulting from fire if, prior to the fire, [the insured] . . . knew of any suspension or impairment in any protective safeguard listed in the Schedule above and failed to notify [the insurer] of that fact,” or “[f]ailed to maintain any protective safeguard listed in the Schedule above, and over which you had control, in complete working order.” In consideration of the motion record, Interstate has satisfied its burden to prove that both PSE exclusions apply to bar Interstate’s liability for this loss, that no genuine issues of fact exist to the contrary, and that it is entitled to judgment as matter of law.
a. Plaintiff’s knowledge of any suspension or impairment, and notification to the defendant. The plaintiff argues that a genuine issue of fact exists whether it knew that the fire suppression system was suspended or impaired; we disagree. The record shows clearly and conclusively that its fire suppression system was impaired, that French King knew it was impaired, and that it failed to inform its insurer.
Webster’s Third New International Dictionary 1131 (2002) defines “impair” as to “diminish in quantity, value, excellence, or strength.” Fire Pro-Tec had informed French King on several occasions that the system was noncompliant with the manufacturer’s UL listing, and that it was not in accordance with the current NFPA requirements. The last time Fire Pro-Tec had inspected the system was on June 10, 2004, sixteen months before the fire occurred, and on that date, French King and,
The record also contained two letters from Fire Pro-Tec, informing French King in both that “[p]ursuant to our recent inspection of your fire suppression system, we find that it is not in accordance with the current National Fire Protection Association . . . requirements or the manufacturer’s U.L. listing.” Each letter also “submitt[ed] for [French King’s] consideration” a proposal “to bring [the] system into compliance with the current UL 300 requirements.”
Thereafter, in 2005, the building inspector of Erving refused to issue a certificate of inspection to French King because the Kidde system had been “red tagged” on June 10, 2004, the date of the last service. The building inspector informed Prondecki that the certificate of inspection would not issue until the Kidde system was upgraded. Prondecki was aware that if the system was not “fixed,” and if the certificate of inspection did not issue, then the restaurant would not be able to renew its liquor, food, and health licenses in January of 2006.
Even if we were to accept, in a light most favorable to the plaintiff, that prior to the building inspector’s ultimatum in June, 2005, Prondecki was unaware of the significance that the Kidde system was noncompliant and “red tagged,” by June of 2005, he understood that the Kidde system needed to be “fixed” and that Fire Pro-Tec had “red tagged” it and had “flunked the system.” He was plainly aware of the deficiency of the restaurant’s fire suppression system and the ramifications of the deficiency as it related to the restaurant’s continuation in business. Twice he had contact with Fire Pro-Tec to get estimates for a system upgrade and on neither occasion did an upgrade occur. This record amply demonstrates that Prondecki kept putting off the day that French King had to upgrade the restaurant’s fire suppression system until it absolutely was forced to do so. At no point, however, was the defendant informed of the status of the Kidde system.
b. Plaintiff’s control over the system and keeping it “in complete working order.” Likewise, there are no issues whether the plaintiff had control over the fire suppression system and that the plaintiff failed to maintain the system “in complete working order.” French King had control over the system as it owned the property on which the system was located and had full access to the system. We disagree with French King’s specific contention that the term “in complete working order” is ambiguous. See, e.g., Schwartz & Schwartz of Va., LLC v. Certain Underwriters at Lloyd’s, London, 677 F. Supp. 2d 890, 910-911 (W.D. Va. 2009).
Webster’s Third New International Dictionary 2635 (2002) defines “working order” as “a condition of a machine in which it functions according to its nature and purpose.” On this record, French King failed to maintain the restaurant’s fire suppression system in complete working order: it no longer could be serviced; it was labeled noncompliant; parts were no longer available for repair or maintenance; and the building inspector of Erving refused to issue a certificate of inspection because the Kidde system had been “red tagged” as noncompliant and needed to be upgraded. While the condition precedent may have allowed the plaintiff to continue in its naive view that it could simply maintain the status quo with regard to its fire suppression system, the PSE exclusion did not; to require an insured to “maintain” a fire suppression system “in complete working order” means that French King was required to take steps to bring it into compliance. Such a requirement did not allow French King to ignore or minimize the clear warnings provided
Therefore, based on this record, while French King continues to assert an issue of fact over Prondecki’s imperfect state of knowledge about the significance of Fire Pro-Tec’s inspection of the restaurant’s fire suppression system, there is no genuine issue of material fact whether the Kidde system was in “complete working order” at the time the fire occurred, as it clearly was not, and there are no facts or circumstances that the plaintiff can show to the contrary.
3. Waiver. French King next argues that the defendant waived its coverage defenses. This argument has no merit.
“An insurance company is obliged to provide coverage to an insured who has violated a provision of the policy if the company has waived its right to assert the policy breach as a ground for denying liability. Waiver consists of the insurer’s voluntary or intentional relinquishment of a known right.” Merrimack Mut. Fire Ins. Co. v. Nonaka, 414 Mass. 187, 189 (1993). “[Whatever may be the scope of waiver in the law of insurance, it does not extend to the broadening of the coverage, so as to make the policy cover a risk not within its terms. That would require a new contract, and cannot be accomplished by waiver.” Id. at 191, quoting from Palumbo v. Metropolitan Life Ins. Co., 293 Mass. 35, 37-38 (1935). See Anderson, Vance on Insurance § 76, at 427 (3d ed. 1951) (insurer “cannot by a naked waiver assume a non-existent duty. Nothing less than a new agreement on con
Here, the issue is whether the defendant waived its right to enforce the PSE exclusions.
4. General Laws c. 93A claim. French King also argues that the first judge erred in dismissing its G. L. c. 93A claim for unfair claims handling. Given our determination that the defendant is not required to cover the fire loss that occurred on October 12, 2005, we conclude that French King’s 93A claim is deficient because it fails to show that Interstate engaged in unfair or deceptive insurance practices as defined by G. L. c. 176D, § 3(9).
5. Return of advance payment. French King next argues that it was not required to return to Interstate the advance payment made under the policy because Interstate did not reserve its rights and defenses in connection with the payment. We disagree.
Judgment affirmed.
The plaintiff’s complaint against the defendant, its insurer, alleged breach of contract, violations of G. L. c. 176D and c. 93A, and breach of the implied covenant of good faith and fair dealing, arising out of a fire loss that occurred on October 12, 2005. As part of its answer to the complaint, Interstate filed a counterclaim which sought restitution for funds advanced to the plaintiff and a declaration that it owed no duty of indemnity under the insurance policy. The parties filed cross motions for summary judgment.
The second judge ruled on the restitution issue and ordered final judgment.
Prondecki reported that the Kidde system might have been installed as early as 1964.
WhiIe “Ansul” appears to be a brand of fire suppression system, it appears that Prondecki used the term as a generic description of fire suppression systems.
interstate has not alleged that the plaintiff’s application contained any misrepresentations of fact.
The motion record reveals that, after 1994, dry chemical systems, like the one in the restaurant, did not meet new fire codes. The National Fire Protection Association required that all fire suppression systems be UL300 compliant, and there were no longer any dry chemical systems that would pass UL300 compliance for restaurants, and none were UL listed. As a result, effective February 11, 2002, Kidde Fire Systems, the manufacturer of the restaurant’s fire suppression system, would no longer support, service, or perform repairs on dry chemical systems.
While the plaintiff does not contend that its service provider had not received this bulletin, the plaintiff does not admit it knew of its contents prior to the fire.
Fire Pro-Tec was the company French King employed to maintain the Kidde system. Prondecki had a verbal agreement with Fire Pro-Tec that a technician would come and inspect the Kidde system “twice a year.”
While there is evidence that Fire Pro-Tec had inspected the Kidde system on August 16, 2002, and January 20, 2003, the results from the November, 2003, inspection appear to be the earliest reported in the record.
In Prondecki’s deposition, the terms “red tagged” and “red flagged” are used interchangeably.
The advisory was entitled: “Noncompliance inspection notice” and listed, as reasons for noncompliance, that it was “not UL300 listed” and that the system was “over pressurized.”
From the record, it appears undisputed that the fire was caused from an ignition of the “fryalator” during an after-hours use.
The judge’s endorsement states: “The Protective Safeguard Endorsement
There is a dearth of case law in the Commonwealth interpreting this type of policy language. The court in Breton, LLC vs. Graphic Arts Mut. Ins. Co., supra, interpreted identical PSE language and the issue there appears on all fours with the case at bar. In Breton, a fire destroyed Breton’s warehouse — “it appeared that a sprinkler system installed in . . . one of the damaged warehouse properties was not triggered by the fire because its water supply valve was in the ‘closed’ position at the time of the fire, thereby shutting off the system and rendering it inoperable.” Id. at 1. The plaintiff in Breton contended, as French King does here, that the word “maintain” in the PSE was ambiguous.
While Breton is not binding on us, the logic of its analysis and the similarity of facts provides persuasive assistance in our review.
Given this conclusion, the plaintiff’s argument that the condition was waived by its disclosure on its application for insurance of a prior declination of coverage by another insurer requires no discussion.
Our decision is not based upon the fact that the fire suppression system failed to function at the time of the fire.
As noted, supra, as background facts, by 2002, Kidde Fire Systems had eliminated all parts from its inventory for the HDR dry chemical systems and “Kidde Fire Systems w[ould] no longer support the installation, inspection, service, recharge or repair of dry chemical systems protecting kitchen appliances and ventilation.” Thus, Fire Pro-Tec no longer could service, repair, or maintain the Kidde system. Moreover, on several occasions, Fire Pro-Tec had informed French King that the system was “not in accordance with the current National Fire Protection Association . . . requirements or the manufacturer’s U.L. listing on this system.” We do not impute the knowledge of Fire Pro-Tec to French King, and have determined the applicability of these exclusions solely on the knowledge and actions of French King as shown in the motion record before us.
French King relies on the “class of waiver case [that] involves claimed misrepresentations by the insured that led the insurer to provide insurance coverage.” Merrimack Mut. Fire Ins. Co., supra at 190, citing Employers’ Liab. Assur. Corp. v. Vella, 366 Mass. 651, 657-658 (1975). See Charles, Henry & Crowley Co. v. Home Ins. Co., 349 Mass. 723, 726-727 (1965). The Vella court “held that the policyholder had made no material misrepresentation . . . , and that, in any event, the insurer lost its right to disclaim liability ‘when it [knew] the facts, [failed] to disclaim within a reasonable time, and [acted] in a way inconsistent with an intention to disclaim .... There, the insurer did not raise the question of its right to disclaim until one and one-half years after it had discovered the facts on which it relied.” Merrimack Mut. Fire Ins. Co., supra at 190 n.5. Indeed, had this case solely concerned the policy conditions, French King’s contention that the defendant waived coverage defenses because it knew or should have known of French King’s dry fire suppression system might have more currency because its application for coverage disclosed a prior declination by another insurance carrier based on the dry system. While French King’s additional statement on its application that it had an “Ansul System in place” is reasonably suggestive to an insurer that it had upgraded to a compliant system, such facts might be viewed as genuinely in conflict and material enough to withstand summary judgment.
However, this line of cases is inapplicable to the case at bar. The defendant is not justified in denying coverage to French King for having a dry fire suppression system, as French King claims; rather, the defendant’s decision to exclude French King’s loss from coverage for failing to inform the defendant of known suspensions or impairments, or failing to maintain the system in complete working order, are the operative decisions against which the plaintiff’s waiver arguments are ineffective.
See Kirschner v. Process Design Assocs., Inc., 459 Mich. 587, 593-594 (1999) (“The application of waiver and estoppel is limited, and, usually, the doctrines will not be applied to broaden the coverage of a policy to protect the insured against risks that were not included in the policy or that were expressly excluded from the policy”).
Because we have determined that, based on the language of the condition
To the extent that the plaintiff’s c. 93A claim is based upon an alleged delay in responding to its demand, this record demonstrates that in a letter dated two days after the fire, Interstate informed French King that an investigation would begin promptly; the defendant also sent a $15,000 “advance payment” so that French King could pay for cleaning the rest of the building that held the restaurant. A letter dated January 4, 2006, indicated that French King had yet to provide “information relative to the inspections and/or servicing of the ansul system.” The defendant denied coverage in a letter dated April 4, 2006. Thus, the defendant’s delay in denying coverage was at least in part based upon the plaintiff’s own delay in providing necessary information about the fire suppression system. The c. 93A claim correctly was dismissed.
Reference
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