Cremeans v. Nationwide Mutual Fire Ins., Unpublished Decision (11-27-2000)
Cremeans v. Nationwide Mutual Fire Ins., Unpublished Decision (11-27-2000)
Opinion of the Court
OPINION
Plaintiffs-appellants, Jerry Cremeans, et al., appeal from a judgment rendered by the Monroe County Common Pleas Court, overruling their motion for summary judgment and sustaining a motion for summary judgment filed by defendants-appellees, Nationwide Mutual Fire Insurance Company, et al. For the following reasons, the trial court's judgment is reversed and this cause is remanded.From October 22, 1995 to November 18, 1996, appellants were covered under a homeowners insurance policy issued by appellees. Appellees refused to provide a defense to appellants in the lawsuit brought against them by the Wells. Appellants filed a declaratory judgment action claiming that they were entitled to coverage and defense under the terms of their policy. Appellants and appellees filed respective motions for summary judgment. The trial court overruled appellants' motion and sustained appellees'. This appeal followed.
"THE TRIAL COURT ERRED IN GRANTING SUMMARY JUDGMENT TO DEFENDANT-APPELLEE AND IN DENYING SUMMARY JUDGMENT TO PLAINTIFF-APPELLANTS IN THEIR ACTION FOR A DECLARATORY JUDGMENT THAT DEFENDANT-APPELLEE OWES THEM A DEFENSE, COVERAGE, AND COSTS WITH RESPECT TO THE ACTION BROUGHT AGAINST PLAINTIFF-APPELLEES BY JAMES AND JOANETTE WELLS."
The movant has the initial burden of informing the trial court of the basis for its summary judgment motion by identifying the portions of the record that demonstrate the absence of a genuine issue for trial. Dresherv. Burt (1996),
Appellants claim that they are entitled to a legal defense in the action brought against them by the Wells. Their insurance policy provides:
"We will pay damages the insured is legally obligated to pay due to an occurrence.
We will provide a defense at our own expense by counsel of our choice. We may investigate and settle any claim or suit. Our duty to defend a claim or suit ends when the amount we pay for damages equals our limit of liability."
The policy defines "occurrence" as "bodily injury or property damage resulting from: (a) one accident; or (b) continuous or repeated exposure to the same general condition." "Property damage" is defined as "physical injury to or destruction of tangible property. This includes resulting loss of its use." An amendment to the policy excludes intentional and willful acts from coverage.
Appellants insist that the Wells' lawsuit meets this standard. They note that in addition to the intentional misrepresentation claim, the Wells alleged negligence. Appellants contend that the negligence count obligates appellees to provide a defense for the entire action.
Appellants further maintain that they are entitled to coverage under the policy, attorneys fees and costs associated with the Wells' action.
Appellees argue that they are not under a duty to defend appellants in the Wells' action. They contend that they did not agree to defend appellants for fraudulent conduct. Moreover, they note that the policy expressly excludes from coverage intentional conduct that results in a loss.
While this authority demonstrates that an insurer's duty to defend is quite broad, it is not all encompassing. The duty to defend does not extend to those instances in which the complaint contains no allegation that states a claim potentially or arguably within the policy coverage.Westfield Ins. Co. v. Jarrett Reclamation Serv., Inc. (1996),
The first count alleged in the Wells' complaint does not invoke a duty to defend on the part of appellees. The insurance policy expressly excludes personal liability "caused intentionally by or at the direction of an insured, including willful acts the result of which the insured knows or ought to know will follow from the insured's conduct." The first count alleged in the Wells' complaint alleges intentional misrepresentation. It is clear that this count is not within the scope of the insurance policy. Jones, supra. Furthermore, this allegation is not arguably or potentially within the policy coverage. Jones and Westfield,supra.
The second count, however, does invoke appellees' duty to defend appellants. This count alleges that appellants were negligent in failing to give notice of the contamination. As a result of that negligence, the complaint alleges that the value of the property was diminished and the pipes and appliances inside the house were ruined. Because this allegation claims destruction to tangible property, it satisfies the policy's definition of "property damage."
However, appellees claim that the Wells' complaint does not allege actionable negligence. Appellees correctly note that Ohio is a caveatemptor state. They argue that appellants had no duty to warn the Wells that the water supply was contaminated. As such, appellees conclude that they have no duty to defend appellants.
Under the doctrine of caveat emptor, a seller is only obligated to disclose those defects known to him that could not be readily discovered by a reasonable inspection. Blake v. John Doe 1 (1993),
Given the limited facts before us, it is unclear whether the doctrine of caveat emptor will prevent the Wells from recovering against appellants. Appellees' duty to defend appellants, however, does not turn on whether the Wells state a meritorious claim. It turns, rather, on whether the claim brings the action within coverage under the terms of the policy. Motorists Mut., supra. The Ohio Supreme Court has held:
"The test of the duty of an insurance company, under a policy of liability insurance, to defend the action against an insured, is the scope of the allegations of the complaint in the action against the insured, and where the complaint brings the action within the coverage of the policy the insurer is required to make defense, regardless of the ultimate outcome of the action or its liability to the insured." Id. at syllabus.
Furthermore, where a complaint states a claim that is partially or arguably within policy coverage, the insurer has an absolute duty to assume the defense of the entire action. Sanderson v. Ohio Edison Co.
(1994)
However, appellees insist that if there was property damage, it occurred subsequent to the policy period. They note that the policy lapsed on November 18, 1996. While James Wells could not recall the exact date on which he and his wife moved in, he testified that it was "right before Thanksgiving." (James Wells Depo. at 5). Thanksgiving fell on November 28 in 1996. Moreover, appellees note that James Wells testified that they did not experience any problems with the quality of water prior to the spring of 1997. (James Wells Depo. at 34-36). As such, appellees argue that they are not obligated to defend appellants.
Appellees further argue that if the allegations stated in the Wells' complaint are true, the alleged occurrence, damage to property caused by contamination, would have been on-going. They contend that damage would have necessarily occurred during the policy period.
This dispute concerning the date on which the alleged property damage occurred illustrates a genuine issue of material fact. If the damage arose subsequent to the policy period, no occurrence under the terms of the policy existed, and appellees have no duty to defend. However, if the property damage arose while appellants were insured, such damage amounts to an occurrence under the policy, invoking appellees' duty to defend appellants in the suit brought by the Wells. As such summary judgment was improper. Welco Indus., supra. Appellants' assignment of error, therefore, is found to have merit.
Additionally, if appellees are found to have a duty to defend appellants, they must reimburse appellants for costs and attorney fees incurred in this action and already expended in defending the lawsuit filed by the Wells. When an insurance company wrongfully refuses to defend an action against an insured, the insurance company is liable for costs, including attorney fees and expenses, incurred by the insured in defending the initial action and in vindicating his or her right to indemnity in an action brought against the insurance company. GeneralAcc. Ins. Co. v. Insurance Co. of North America (1989),
For the foregoing reasons, the judgment of the trial court is reversed and this cause is remanded for a determination as to whether the alleged occurrence happened during the policy period. If so, appellees must provide appellants with a defense, liability coverage if necessary, attorney fees and costs.
___________________ VUKOVICH, J.
Cox, P.J., concurs.
Waite, J., concurs.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.