Foremost Ins. Co. v. Nosam, LLC
Foremost Ins. Co. v. Nosam, LLC
Opinion of the Court
Plaintiff's Motion for Summary Judgment, ECF No. 22 - Granted
Joseph F. Leeson, Jr., United States District Judge *451This declaratory judgment action arises out of a personal injury complaint filed in the Berks County Court of Common Pleas, in which it is alleged that Gina Sylvestre, Barbara LeBrun, and Jeffrey LeBrun suffered carbon monoxide poisoning at their residence due to the negligence of Nosam, LLC, the owner and landlord of the property, for failing to ensure that the furnace was safe. Nosam sought a defense and indemnification from Foremost Insurance Company pursuant to its insurance policy. Foremost seeks a declaration from this Court stating that it does not owe a duty to defend, nor a duty to indemnify, Nosam in the state court action based on a Pollution Exclusion in the Policy. Foremost has filed a Motion for Summary Judgment. For the reasons discussed herein, Foremost has no duty to defend or indemnify because the Pollutant Exclusion bars coverage.
I. FACTS
In May 2017, Gina Sylvestre and her two children, Jeffrey and Barbara LeBrun ("the underlying plaintiffs"), sued Nosam
*452chimney. This allegedly caused a blockage in the heating apparatus at the underlying plaintiffs' residence, causing or contributing to the emission of carbon monoxide. The proper functioning of the furnace and heating apparatus is alleged to be the legal responsibility of Nosam.
Nosam had an insurance policy with Foremost for the premises at 151 West Douglass Street, which was in effect from April 20, 2015, through April 20, 2016. The Policy provides Nosam coverage "for damages because of bodily injury or property damage caused by an accident on [the] premises." Policy at 9, Sec. II(F), ECF No. 22-7. The Policy also contains the following exclusion: "We will not pay for bodily injury or property damage ... [a]rising out of the actual, alleged or threatened discharge, dispersal, release, escape of, or the ingestion, inhalation or absorption of pollutants." Policy at 10, Sec. II(F)(4), (G)(4) (hereinafter the "Pollutant Exclusion"). "Pollutant" is defined in the Policy to mean "any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals, metals, lead paint components and compounds, and waste.... However, irritants and contaminants released by an accidental fire on your premises are not a pollutant." Policy at 2, Definitions, ECF No. 22-6.
Nosam sought a defense and indemnification from Foremost under the Policy for the underlying action. Foremost thereafter filed the instant declaratory judgment action seeking a declaration from this Court that it has no duty to defend or indemnify Nosam based on the Pollutant Exclusion. Compl., ECF No. 1. Nosam answered, asserting that although the facts pled in the underlying lawsuit would fall under the Exclusion, such facts are contested and "some kind of a fire would make more logical sense." Nosam Answer ¶ 22, ECF No. 7. The underlying plaintiffs also answered, asserting that the Exclusion does not apply because the carbon monoxide was released by an accidental fire, which is an exception to the Exclusion. Sylvestre Answer ¶ 22, ECF No. 10.
Foremost has filed a Motion for Summary Judgment, arguing that the Pollutant Exclusion bars coverage, that there are no allegations in the underlying complaints of any fire, and that, regardless, there was no "accidental fire" as that term is used in the Policy. Mot., ECF No. 22. Nosam did not respond to the summary judgment motion. The underlying plaintiffs did respond in opposition to the motion, asserting that the Pollutant Exclusion does not apply because the carbon monoxide was released by an accidental fire. Resp., ECF No. 23. They allege that they were unaware the heating system had been improperly converted to gas and that the gas fire that was ignited when the furnace was turned on was unintended and unexpected, such that the carbon monoxide released was caused by an accidental fire.
In their response to Foremost's Motion for Summary Judgment, the underlying plaintiffs also present the work order/invoice and deposition testimony of Richard East, a contractor specializing in residential heating systems. See Invoice, Ex. C, ECF No. 23-6; East Dep., Ex. D, ECF No. 23-7. According to both, the heating system at 151 West Douglass Street had been converted from an oil heater to a gas heater. See Invoice; East Dep. 6:17-21, 7:19-22. However, no chimney liner was installed after the conversion to ensure that the chimney was the right size for the amount of heat produced, as is required. Id. at 8:21-24. Mr. East explained at his deposition how the heating system at 151 West Douglass Street works. See id. at 10:6 - 11:14. He stated: there is a mounted burner inside a sealed unit that releases *453natural gas when it senses that the pilot light is on. Id. at 11:4-14. The gas ignites, but because the unit is sealed, there are no exposed flames. Id. at 11:4-10. The excess gas goes up and out the chimney. Id. at 10:14-17. Mr. East testified that an oil heater burns hotter than a gas heater, and when a chimney is not sized properly, the condensation from excess gas will eat away at the brick and mortar and eventually fall in and collapse. Id. at 8:2-17. He testified that the burned gas produces carbon monoxide and that a chimney collapse could cause carbon monoxide to build up in a home. Id. at 11:19 - 12:15. Mr. East testified that an oiling burning system can also produce carbon monoxide. Id. at 12:16-19.
Foremost replied, arguing that the underlying plaintiffs improperly rely on evidence outside of the underlying complaints in contradiction of the four corners rule, and suggesting that their interpretation of an "accidental fire" is unreasonable. Reply, ECF No. 24.
II. STANDARDS OF REVIEW
A. Summary Judgment
Summary judgment is appropriate "if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). A disputed fact is "material" if proof of its existence or nonexistence might affect the outcome of the case under applicable substantive law. Anderson v. Liberty Lobby, Inc. ,
The party moving for summary judgment bears the burden of showing the absence of a genuine issue as to any material fact. Celotex Corp. v. Catrett ,
B. Contract Interpretation-Pennsylvania Law
"An insurer's obligation to provide a defense for claims asserted against its insured is contractual, and the language of the policy will determine whether an insurer has a duty to defend." Colony Ins. Co. v. Mid-Atlantic Youth Servs. Corp. ,
An insurer usually bears the burden of proving an exclusion to coverage, but the insured bears the burden of proving an exception to that exclusion. See N. Ins. Co. v. Aardvark Assocs. ,
III. ANALYSIS
A. Standing
Initially, this Court raises the issue of standing sua sponte. As will be discussed in greater detail below, because Foremost contends that the Pollutant Exclusion bars coverage, the burden shifts to the insured to either rebut this showing or to show that an exception to the exclusion applies. However, the insured, Nosam, did not respond to the Motion for Summary Judgment, or to the Statement of Undisputed Material Facts. Rather, the underlying plaintiffs have responded and argued that the Pollutant Exclusion does not apply because carbon monoxide was released by an accidental fire, which is an exception to the definition of a pollutant.
The Third Circuit Court of Appeals
*455B. This Court is not bound by the four corners rule.
An insurer has a duty to defend a claim against its insured " 'unless it is clear from an examination of the allegations in the complaint and the language of the policy that the claim does not potentially come within the coverage of the policy.' " ACE Capital Ltd. v. Morgan Waldon Ins. Mgmt., LLC ,
Extrinsic evidence may be used to either: (1) rebut the insurer's contention that a policy exclusion bars coverage, or (2) to show that an exception to an exclusion does not apply. See Unitrin Direct Ins. Co. v. Esposito ,
Thus, this Court is not confined to the four corners of the underlying complaints in determining whether the accidental fire exception to the Pollutant Exclusion applies.
C. The Pollutant Exclusion bars coverage.
It is undisputed that at the time the underlying plaintiffs suffered carbon monoxide poisoning, Nosam had an insurance policy with Foremost for the premises rented by the underlying plaintiffs. It is also undisputed that the underlying plaintiffs *456suffered bodily injury (carbon monoxide poisoning) on the premises. Under the Pollutant Exclusion, however, Foremost "will not pay for bodily injury or property damage ... [a]rising out of the actual, alleged or threatened discharge, dispersal, release, escape of, or the ingestion, inhalation or absorption of pollutants." Policy at 10, Sec. II(F)(4), (G)(4). The language of this exclusion is clear and unambiguous, and is therefore given effect. See Squires ,
The burden therefore shifts to the underlying plaintiffs "to show either that the exclusion does not apply or that an exception to the exclusion applies." Doherty v. Allstate Indem. Co. , No. 15-05165,
D. The "accidental fire" exception does not apply.
The Policy excepts from the definition of "pollutant" irritants and contaminants released by an "accidental fire." Policy 2. The underlying plaintiffs assert that the carbon monoxide poisoning they suffered on December 9, 2015, was caused by an accidental fire, as the nature of the fire was unexpected and unintended. They contend that because they did not know about the heating system's conversion to gas, they were unaware they were using gas when they turned on the furnace. The underlying plaintiffs further allege that there is no indication the conversion was performed with the intent to cause a chimney collapse or to cause a dangerous release of carbon monoxide. They argue that because their interpretation of the term "accidental fire" is reasonable, the term is ambiguous and must be construed in favor of the insured.
In deciding whether contract terms are ambiguous, the question is not to be resolved in a vacuum. See Whitmore ,
*457In Pennsylvania, "the term 'accident' within insurance polices [sic] refers to an unexpected and undesirable event occurring unintentionally...." Donegal Mut. Ins. Co. v. Baumhammers ,
Here, the term "accidental" is used in the Policy as an adjective to describe the type of fire. However, on December 9, 2015, the only fire at the premises was not accidental. Although the underlying plaintiffs contend that they did not know the heating system had been converted to gas, there is no suggestion they did not knowingly and intentionally start the December 9, 2015 fire by turning on the furnace. There is also no suggestion that any flames from, or any part of, this controlled fire extended outside the sealed unit where it was designed to burn. Further, although the chimney collapse may have contributed to the buildup of carbon monoxide inside the residence, the unexpected collapse did not cause the fire.
Although the buildup of carbon monoxide was accidental,
Moreover, even assuming arguendo that the term is ambiguous, the reasonable expectations doctrine bars coverage. "The doctrine of reasonable expectations ... requires examination of the reasonable expectations of the insured, when resolving an ambiguity in an insurance contract." Devcon Int'l Corp. v. Reliance Ins. Co. ,
The underlying plaintiffs argue that the Pollutant Exclusion does not apply because when they turned on the furnace, unaware that the heating system had been converted to gas, they started an accidental fire.
*458If this logic is accepted, then the underlying plaintiffs are essentially conceding that if the heating system had not been improperly converted and the oil burning furnace emitted a dangerous amount of carbon monoxide, the Pollutant Exclusion would bar coverage for any resulting loss. It is unlikely that the parties to the Policy would have intended such contradictory results.
For all these reasons, the underlying plaintiffs have failed to show either that the Pollutant Exclusion does not apply or that an exception to the definition of pollutant does apply. See VE Corp. ,
Because Foremost has no duty to defend, it also has no duty to indemnify. See Haines v. State Auto Prop. & Cas. Ins. Co.,
IV. CONCLUSION
Nosam had an insurance policy with Foremost covering damages for bodily injury on the premises rented by the underlying plaintiffs. During the length of this Policy, the underlying plaintiffs suffered carbon monoxide poisoning arising from Nosam's alleged negligence for failing to ensure that the heating system was safe. However, the Pollutant Exclusion in the Policy bars coverage. The underlying plaintiffs' argument that the carbon monoxide, which was emitted from the furnace, is excepted from the definition of pollutant because it resulted from an "accidental fire" is a strained interpretation of that term and contrary to the intent of the parties. They therefore failed to show that the Pollutant Exclusion does not bar coverage. Foremost has no duty to defend or to indemnify Nosam in the underlying action.
A separate order follows.
The undisputed facts are taken from Foremost's Statement of Undisputed Material Facts and the response thereto, compare Stmt Facts ¶¶ 1-17, ECF No. 22-2, with Resp. ¶¶ 1-17, ECF No. 23, unless otherwise noted.
Cathy Kopicz (spelled "Copicz" in the state case) was also named as a defendant in the underlying action. But, because she has been dismissed from the instant action, any facts pertaining to her are not "material" and are therefore eliminated from this Opinion.
The amended complaint names two new parties, Dolores Miller and God's Worship & Praise Ministries, Inc., who owned the property that abutted the residence of the underlying plaintiffs. Because neither of these defendants are parties to the instant action, facts pertaining to them are not "material" and are therefore eliminated from this Opinion.
"[S]tanding in federal court is a question of federal law, not state law." Hollingsworth v. Perry ,
Additionally, the underlying plaintiffs were named as defendants in the instant action by Foremost. They therefore have a right to defend themselves. See Carrasquillo v. Kelly , No. 17-4887,
The definition of pollutants in the insurance policy in Reliance contained identical language, apart from the accidental fire exception, to the one at issue in the instant action. Reliance Ins. Co. ,
For this reason, whether the conversion of the heating system was performed with the intent to cause a chimney collapse has no bearing on whether the fire happened by chance.
Both a gas fire and an oil fire produce carbon monoxide. See East Dep. 12:16-19.
This Court agrees with the underlying plaintiffs that there is no indication the conversion of the heating system was performed with the intent to cause a dangerous release of carbon monoxide. However, this fact is not relevant to determining whether the fire (as opposed to the release of carbon monoxide) on December 9, 2015, was accidental.
The parties' intent not to cover the loss to the underlying plaintiffs is also evidenced from the fact that the Policy excludes from coverage loss caused by "Smoke from fireplaces or other auxiliary heating devices." See Policy at 5, Sec. I(8).
The pollutant exclusion in Bernhardt did not apply to bodily injury "caused by heat, smoke or fumes from a hostile fire[, which] means [a fire] which becomes uncontrollable or breaks out from where it was intended to be." Bernhardt ,
Reference
- Full Case Name
- FOREMOST INSURANCE COMPANY v. NOSAM, LLC Cathy Kopicz Gina Sylvestre Jeffrey LeBrun and Barbara LeBrun
- Cited By
- 2 cases
- Status
- Published