Auto Owners Insurance Company v. Guardian Builders Inc et al
Filing
53
MEMORANDUM OPINION. Signed by Judge Virginia Emerson Hopkins on 3/25/2014. (JLC)
FILED
2014 Mar-25 PM 01:24
U.S. DISTRICT COURT
N.D. OF ALABAMA
IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF ALABAMA
EASTERN DIVISION
AUTO OWNERS INSURANCE
COMPANY,
)
)
)
Plaintiff,
)
) Case No.: 5:11-cv-04096-VEH
v.
)
)
GUARDIAN BUILDERS INC., et al, )
)
Defendants.
)
MEMORANDUM OPINION
This declaratory judgment action was filed by the plaintiff, Auto Owners
Insurance Company (“Auto Owners”), against the defendants, Guardian Builders, Inc.
(“Guardian”), Randall and Melissa Uselton (“the Useltons”), and Edgar Wayne
Tackett. (Docs. 1, 11). Guardian was the general contractor which built the
Useltons’ home. Tackett was the sole owner/officer of Guardian. (Doc. 40-9 at 7).
Auto Owners issued Commercial General Liability (CGL) policy number 05461738561274 (“the policy”) to Guardian.1 The plaintiff seeks a declaration that it has no
1
The plaintiff named as a defendant “Guardian Builders, Inc.,” not “Guardian Builders,
LLC.” Only “Guardian Builders, LLC” or “Guardian Builders, LLC and Value Plus
Construction,” not Guardian Builders, Inc. and not Tackett, are the named insureds on the policy.
(Doc. 40-3 at 27, 28, 29, 30, 31, 32, 33; doc. 40-4 at 22, 23, 39, 40, 41, 42, 43, 44, 45, 46; doc.
40-5 at 41, 42, 43, 44, 45, 46, 47, 48, 49, 50; doc. 40-6 at 45, 46, 47, 48, 49, 50; doc. 40-7 at 3, 4,
7, 8). Because this was not raised by the parties, and was not discussed in the recommendation,
duty under the policy to pay an arbitration award issued against Guardian, and in
favor of the Useltons. (Doc. 1 at 2, 6).2
On October 15, 2012, the plaintiff filed a motion for summary judgment. (Doc.
40). On November 5, 2012, the Useltons filed a response to the motion. (Doc. 45).
Guardian and Tackett did not respond to the motion. On November 13, 2012, the
plaintiff filed a reply.
(Doc. 47).
On September 16, 2013, the magistrate
recommended that the motion be granted in part and denied in part. (Doc. 51). The
case is before the court on the plaintiff’s objections to the recommendation, filed
September 30, 2013. (Doc. 52). The defendants have not responded to the
objections.
For the reasons stated herein, the magistrate’s recommendation is ADOPTED
to the extent that it is consistent with this memorandum opinion, and to the extent to
which no objections were made. To the extent that the objections are inconsistent
with this opinion, they are OVERRULED. The magistrate’s conclusion that a fact
this court will assume that this is a non-issue, and will further assume that Guardian Builders,
Inc. is covered under the policy to the same extent as Guardian Builders, LLC.
2
Although the complaint states that the award was entered “against Guardian” (doc. 1 at
2), on its face, the award states that it was issued against Guardian Builders, LLC and Tackett.
(Doc. 1 at 6). Neither the complaint, nor the amendment to the complaint (which merely adds
Tackett as a defendant), claims that the policy covered Tackett. Neither document seeks a
declaration as to Tackett’s rights. This issue also was not raised in the recommendation or by the
parties.
2
question remains as to whether the defendants have shown that there is coverage for
the award is not adopted.
The plaintiff’s objection to that conclusion is
SUSTAINED. Summary Judgment will be GRANTED to the plaintiff by separate
order.
I.
STANDARDS
A.
Summary Judgment Standard
The Eleventh Circuit has summarized the summary judgment burden, including
when a defendant seeks judgment as a matter of law on the basis of an affirmative
defense, as follows.
Summary judgment is appropriate “if the pleadings, depositions,
answers to interrogatories, and admissions on file, together with the
affidavits, if any, show that there is no genuine issue as to any material
fact and that the moving party is entitled to a judgment as a matter of
law.” Fed. R. Civ. P. 56(c). Once the moving party has properly
supported its motion for summary judgment, the burden shifts to the
nonmoving party to “come forward with specific facts showing that
there is a genuine issue for trial.” See Matsushita Elec. Indus. Co. v.
Zenith Radio Corp., 475 U.S. 574, 586-87, 106 S. Ct. 1348, 1356, 89 L.
Ed. 2d 538 (1986) (quotations and emphasis omitted). If the movant
bears the burden of proof on an issue, because, as a defendant, it is
asserting an affirmative defense, it must establish that there is no
genuine issue of material fact as to any element of that defense. See
Martin v. Alamo Community College Dist., 353 F.3d 409, 412 (5th
Cir.2003).
International Stamp Art, Inc. v. U.S. Postal Service, 456 F.3d 1270, 1273-74 (11th
3
Cir. 2006).3
B.
District Court Review of Report and Recommendation
After conducting a “careful and complete” review of the findings and
recommendations, a district judge may accept, reject, or modify the magistrate judge’s
report and recommendation. See 28 U.S.C. § 636(b)(1) (“A judge of the court may
accept, reject, or modify, in whole or in part, the findings or recommendations made
by the magistrate judge.”); Williams v. Wainwright, 681 F.2d 732 (11th Cir. 1982)
(quoting Nettles v. Wainwright, 677 F.2d 404, 408 (5th Cir. 1982), overruled on other
grounds by Douglass v. United Services Auto. Ass’n, 79 F.3d 1415 (5th Cir. 1996)).4
The “facts” are determined for summary judgment purposes only. They
may not be the actual facts. See Cox v. Administrator U.S. Steel & Carnegie, 17
F.3d 1386, 1400 (11th Cir. 1994) (“[W]hat we state as ‘facts’ in this opinion for
purposes of reviewing the rulings on the summary judgment motion [ ] may not be
the actual facts” (internal quotation marks omitted) (quoting Swint v. City of
Wadley, 5 F.3d 1435, 1439 (11th Cir. 1993))). Where the facts are in dispute, they
are viewed in the manner most favorable to the plaintiff. See Fitzpatrick v. City of
Atlanta, 2 F.3d 1112, 1115 (11th Cir. 1993) (“The district court should resolve all
reasonable doubts about the facts in favor of the non-movant, and draw all
justifiable inferences in his [or her] favor.” (internal quotation marks omitted)
(quoting United States v. Four Parcels of Real Property, 941 F.2d 1428, 1437
(11th Cir. 1991) (en banc))).
3
The Eleventh Circuit has adopted as binding precedent all Fifth Circuit
decisions issued before October 1, 1981, as well as all decisions issued after that
date by a Unit B panel of the former Fifth Circuit. Stein v. Reynolds Sec., Inc., 667
F.2d 33, 34 (11th Cir. 1982); see also United States v. Schultz, 565 F.3d 1353,
1361 n.4 (11th Cir. 2009) (discussing the continuing validity of Nettles).
4
4
The district judge may also receive further evidence or recommit the matter to the
magistrate judge with instructions. 28 U.S.C. § 636(b)(1).
A district judge “shall make a de novo determination of those portions of the
report or specified proposed findings or recommendations to which objection is
made.” 28 U.S.C. § 636(b)(1). This requires that the district judge “give fresh
consideration to those issues to which specific objection has been made by a party.”
Jeffrey S. v. State Bd. of Educ., 896 F.2d 507, 512 (11th Cir. 1990) (citing H.R. Rep.
No. 94-1609, 94th Cong., 2nd Sess., reprinted in 1976 U.S. Code Cong. & Admin.
News 6162, 6163). In contrast, those portions of the R&R to which no objection is
made need only be reviewed for clear error. Macort v. Prem, Inc., 208 Fed. App’x.
781, 784 (11th Cir. 2006).5
“Neither the Constitution nor the statute requires a district judge to review, de
novo, findings and recommendations that the parties themselves accept as correct.”
Macort dealt only with the standard of review to be applied to a
magistrate's factual findings, but the Supreme Court has held that there is no
reason for the district court to apply a different standard to a magistrate's legal
conclusions. Thomas v. Arn, 474 U.S. 140, 150, 106 S. Ct. 466, 88 L. Ed. 2d 435
(1985). Thus, district courts in this circuit have routinely applied a clear-error
standard to both. See Tauber v. Barnhart, 438 F. Supp. 2d 1366, 1373–74 (N.D.
Ga. 2006) (collecting cases). This is to be contrasted with the standard of review
on appeal, which distinguishes between the two. See Monroe v. Thigpen, 932 F.2d
1437, 1440 (11th Cir. 1991) (when a magistrate's findings of fact are adopted by
the district court without objection, they are reviewed on appeal under a
plain-error standard, but questions of law remain subject to de novo review).
5
5
United States v. Woodard, 387 F.3d 1329, 1334 (11th Cir. 2004) (internal quotation
marks omitted) (quoting United States v. Reyna-Tapia, 328 F.3d 1114, 1121 (9th Cir.
2003)). It is incumbent upon the parties to timely raise any objections that they may
have regarding a magistrate judge’s findings contained in a report and
recommendation, as the failure to do so subsequently waives or abandons the issue,
even if such matter was presented at the magistrate judge level. See, e.g., United
States v. Pilati, 627 F.3d 1360 at 1365 (11th Cir. 2010) (“While Pilati raised the issue
of not being convicted of a qualifying offense before the magistrate judge, he did not
raise this issue in his appeal to the district court. Thus, this argument has been
waived or abandoned by his failure to raise it on appeal to the district court.”).
However, the district judge has discretion to consider or to decline to consider
arguments that were not raised before the magistrate judge. Stephens v. Tolbert, 471
F.3d 1173, 1176 (11th Cir. 2006); see also Williams v. McNeil, 557 F.3d 1287, 1292
(11th Cir. 2009) (“Thus, we answer the question left open in Stephens and hold that
a district court has discretion to decline to consider a party’s argument when that
argument was not first presented to the magistrate judge.”).
“Parties filing objections must specifically identify those findings objected to.
Frivolous, conclusive or general objections need not be considered by the district
court.” Nettles, 677 F.2d at 410 n.8. “This rule facilitates the opportunity for district
6
judges to spend more time on matters actually contested and produces a result
compatible with the purposes of the Magistrates Act.” Id. at 410. Indeed, a contrary
rule “would effectively nullify the magistrate judge’s consideration of the matter and
would not help to relieve the workload of the district court.” Williams, 557 F.3d at
1292 (internal quotation marks omitted) (quoting United States v. Howell, 231 F.3d
615, 622 (9th Cir. 2000)).
II.
THE MAGISTRATE’S FINDINGS OF FACT
There is no objection to the magistrate’s findings of fact. The court has
reviewed them for clear error and found none. Accordingly, the magistrate’s findings
of fact are ADOPTED, verbatim, by this court, and set out herein as follows:
Guardian Builders built a home for Randall and Melissa Uselton that
was completed in 2008. The Useltons first occupied it in February of
2008. Very soon after moving in, the Useltons noticed several problems,
including water intrusion into the home. They complained to Guardian
Builders at that time.
Guardian Builders had liability insurance through Auto-Owners
pursuant to a policy issued in 2007 that provided as follows:
SECTION I – COVERAGES
COVERAGE A. BODILY INJURY AND PROPERTY
DAMAGE LIABILITY
1.
Insuring Agreement
a. We will pay those sums that the insured
7
becomes legally obligated to pay as damages
because of “bodily injury” or “property
damage” to which this insurance applies. We
will have the right and duty to defend the
insured against any “suit” seeking those
damages. We may at our discretion
investigate any claim or “occurrence” and
settle any claim or “suit” that may result. But:
(1)
The amount we will pay for damages is
limited as described in Section III –
Limits of Insurance; and
(2)
Our right and duty to defend end when
we have used up the applicable limit of
insurance in the payment of judgments
or settlements under Coverage A or B
or medical expenses under Coverage C.
No other obligation or liability to pay sums or perform acts
or services is covered unless explicitly provided for under
Supplementary Payments – Coverage A and B.
a.
This insurance applies to “bodily
injury” and “property damage” only if:
(1)
The “bodily injury” or “property
damage” is caused by an “occurrence”
that takes place in the “coverage
territory”;
(2)
The “bodily injury” or “property
damage” occurs during the policy
period; . . . .
***
8
2.
Exclusions
This insurance does not apply to:
***
j.
Damage to Property
“Property damage” to:
***
(7)
That particular part of any property that
must be restored, repaired or replaced
because “your work” was incorrectly
performed on it.
k.
Damage To Your Product
“Property damage” to “your product” arising
out of it or any part of it.
l.
Damage To Your Work
“Property damage” to “your work” arising out
of it or any part of it and included in the
“products-completed operations hazard.”
m.
Damage to Impaired Property Or
Property Not Physically Injured
“Property damage” to “impaired property” or
property that has not been physically injured,
arising out of:
(1)
A defect, deficiency, inadequacy or
dangerous condition in “your product”
9
or “your work”; or
(2)
A delay or failure by you or anyone
acting on your behalf to perform a
contract or agreement in accordance
with its terms.
This exclusion does not apply to the loss of
use of other property arising out of sudden
and accidental physical injury to “your
product” or “your work” after it has been put
to its intended use.
***
SECTION IV – COMMERCIAL
LIABILITY CONDITIONS
2.
GENERAL
Duties In The Event of Occurrence,
Offense, Claim, Suit
a. You must see to it that we are notified as
soon as practicable of an “occurrence” or an
offense which may result in a claim. To the
extent possible, notice should include:
(1)
How, when and where the
“occurrence” or offense
took place;
(2)
The names and addresses
of any injured persons and
witnesses; and
(3)
The nature and location of
any injury or damage
arising out of the
10
“occurrence” or offense.
(See Doc. 40-3 through 40-9).
The policy defines “occurrence” as “an accident, including
continuous or repeated exposure to substantially the same general
harmful conditions.” (Doc. 40-6 at 18). It defines “property damage” as
“[p]hysical injury to tangible property, including all resulting loss of use
of that property. All such loss of use shall be deemed to occur at the time
of the physical injury that caused it.” (Id. at 19).
Upon receiving notice from the Useltons that there were problems
with the home, Guardian Builders returned to the home numerous times
in an unsuccessful effort to remedy the problems. Guardian Builders
expended $10,000 before April 8, 2008, in connection with digging up
the front yard to re-waterproof the front exterior wall of the home. The
builder, Wayne Tackett, believed that this had stopped the water
intrusion into the home. (Tackett Depo. at 54, 59-64, 68-69). Tackett did
not notify Auto-Owners about these expenditures. (Id. at 64). Although
Tackett testified that he believed he had taken care of the problems, the
Useltons testified that he had not.
On April 4, 2008, Tackett wrote a letter to the Useltons advising
them that he would discontinue any further warranty work in their home
unless he was paid $18,628.53 he claimed that he was still owed for the
construction of the residence. (Melissa Uselton Depo. at Ex. 7). At the
time he wrote the letter to the Useltons in April 2008, Tackett stated that
he did not believe the relationship had “gone sour,” but he had not been
paid all of the money he believed he was owed for building the
residence. (Tackett Depo. at 50-51). In the letter, he noted that “we have
been very patient, but now we are getting concerned.” (Id. at 51). He
also states that he had left numerous messages on Randall Uselton’s cell
phone but had not received any return calls. (Id. at 52).
The Useltons paid Tackett another $15,000 thinking this would
cause Tackett to take care of the problems with the home which they had
outlined for him in a list of problems that needed to be addressed.
(Randall Uselton Depo. at 13-14; Melissa Uselton Depo. at 62-63).
11
Tackett is not sure how many trips he made to the Uselton residence to
try to repair the problems; however, he testified that he made more than
ten trips. (Tackett Depo. at 46-49). However, the Useltons saw very little
work being done on these problems. The water continued to enter their
home. (Melissa Uselton Depo. at 74). It damaged the flooring and some
of the furniture in the residence. (Id. at 75). However, according to
Tackett, the leakage was caused by water running up against the house
due to improper grading of the yard, which was work performed by
someone hired by the Useltons and not by Tackett or one of his
subcontractors.
Tackett testified that had this other contractor hired by the
Useltons done the grading correctly, the water would have been diverted
away from the house. (Tackett Depo. at 60). Tackett testified that, even
though he thought he had finished everything by April 2008, he admits
that he did some work after that time. (Tackett Depo. at 53-54).
According to Tackett, Guardian Builders dug up the Useltons’ front yard
again after his April 4, 2008, letter because there was still water leaking
into the house. This cost him an additional $20,000. (Id. at 69).
According to Tackett, he was never paid for the work he did attempting
to fix the Useltons’ house. He testified that the only money he received
from them, including the $15,000 he received in April 2008, was money
he was owed under his contract with the Useltons for construction of the
home. (Id. at 95-96, 112-13). In October 2008, Tackett sent a crew out
to repair concrete at the Uselton residence, but Mr. Uselton refused to
allow them to work and sent them away. (Id. at 71).
In addition to water leaking into the home, the Useltons noticed
that there were places in the home where water poured off the porches
and settled on all the sidewalks around the house. This washed out
plants and shrubs in the front of the house. It also came in through the
back windows of the house. (Melissa Uselton Depo. at 57). Water
leaking into the house damaged sheetrock and molding in the garage. It
also resulted in mold. (Id. at 50-51). Water also has damaged a balcony
in the home. (Tackett Depo. at 109-10).
Subsequently, the Useltons hired a home inspector. (Randall
12
Uselton Depo. at 14-15). As a result of the inspection, the Useltons
sought out an attorney. (Id. at 15). When the problems with their
property were not fixed by Tackett and Guardian Builders, counsel for
the Useltons sent Tackett a letter dated December 8, 2008, advising
them of the problems, seeking mediation through the North Alabama
Better Business Bureau and seeking to have Guardian Builders
voluntarily agree to repair the defects cited in the letter. (Melissa
Uselton Depo. at Ex. 9).
After receiving the letter, Mr. Tackett notified his insurance
company, on December 18, 2008. (Tackett Depo. at 65). He testified that
he had not notified Auto-Owners before that time because he “didn’t see
a need to.” (Tackett Depo. at 66). According to Tackett, he believed the
work that he was doing on the Uselton residence was “warranty work”
that he was responsible for completing. (Id.). He only decided to contact
Auto-Owners after he received a letter from the Useltons’ attorney. (Id.).
According to Tackett, he was not aware that the problems had caused
any damage to the Uselton house prior to contacting his insurance
company. (Id. at 93). In his statement to the insurance adjuster, Tackett
advised that, as far as he knew at that time, the only damage to the
Uselton residence was that some sheetrock in one room may have gotten
wet. (Doc. 40-9 at 11).
After receiving notice of the demand letter from Tackett,
Auto-Owners conducted an insurance coverage analysis and, on
February 8, 2009, issued a letter to Guardian Builders stating that it had
made an initial determination that no coverage was available. After
Guardian Builders went out of business, Guardian Builders’ policy with
Auto-Owners was cancelled effective October 2, 2009. (Tackett Depo.
at 13-14, 32-33, and Ex. 19).
On April 13, 2010, the Useltons sued Guardian Builders and
Wayne Tackett in the Circuit Court of Madison County regarding the
construction of their house and the resulting damage. The Circuit Court
ordered the dispute to arbitration pursuant to an arbitration agreement.
In November 2011, after arbitration, the Useltons were awarded
$307,111.05. In December 2011, a supplemental award of attorney fees
13
was made, bringing the total award to $452,275.20. The damages
awarded by the arbitrator were set out as follows:
A. The rough grading and the final grading: $14,000
B. The sidewalk in front of the house: $ 8,000
C. The driveway: $ 4,000
D. The decks and balconies-surfaces and flashing: $12,000
E. The decks/balconies structural and support: $10,000
F. The front foundation wall: $100,000
G. The front porch-structural and surface: $22,000
H. The brick work veneer and related: $35,000
I. Two masonry block piers in the basement: $ 1,000
J. Repair and/or replace interior surfaces: $ 8,500
K. Soffits, eaves and underside of decks/balconies: $ 7,500
L. Landscaping: $10,000
M. Balustrade/Baluster repairs: $ 3,000
N. Cleanup: $ 4,000
O. Management/supervision/contractor profit: $24,000
P. Temporary housing: $ 5,000
Q. For all other damages of any nature: $29,000
14
R. Legal Fees: To be determined on submission
S. Arbitrator costs: $10,311.05
(Doc. 1 at Ex. A, Decision of Arbitrator, at 11).
For the most part, the damages awarded by the arbitrator were for
defects resulting from the negligent construction of the residence.
However, some of the damages were a subsequent consequence of the
negligent construction. For instance, the report cites the incorrect and/or
negligent installation of the Seal-O-Flex deck surface as the cause of
water leaking and resulting damage to adjacent materials. It noted, with
regard to Item D above, that in addition to replacing the deck surface
material with the proper flashing and caulking, the underlayment must
be inspected for damage and replaced as needed. (Id. at 9, ¶ 4).
Likewise, the report also states, with regard to Item J above, that it is
necessary to
[r]epair, paint and/or replace interior surfaces as needed to
correct damage caused either by the moisture and water
that has been allowed to enter the structure or that will
result as the needed repairs are made. Includes walls, floors
and ceilings. Replacement and/or sheetrock in the
basement is included in this item as is the repair and/or
replacement of any subsurface wood that must be replaced.
(Id. at 10, ¶ 10). However, nearly all of the property damage resulting
from the negligent construction appears to have been to items installed
by Guardian Builders during the construction of the home. The only
evidence submitted to reflect that there was any damage to property or
items installed by the Useltons or anyone not employed by Guardian
Builders was damage to the Useltons’ furniture and to hardwood floors
which were installed through Melissa Uselton’s father who owns Carpet
One. (Melissa Uselton Depo. at 29-30). The arbitrator’s report does not
state at what point in time after the construction of the house that these
damages occurred.
15
(Doc. 51 at 1-11) (bold in original).
III.
ANALYSIS
The plaintiff objects that the magistrate’s recommendation: 1) identified the
wrong issues before the court; 2) improperly determined that the issue of timely
notice of the claim was for the trier of fact to decide; 3) improperly found that the
issue of coverage was for the trier of fact to decide; and 4) failed to find that the “your
work” exclusion applied to exclude coverage. The court will address each objection
in turn.
A.
There Is No Error in the Magistrate’s Statement of the Issue
The plaintiff first objects to the way the magistrate framed the issue in this
case. The magistrate’s report states:
This litigation involves a question regarding whether an insurance
policy issued by Auto-Owners Insurance Company (Auto Owners)
provides coverage for damages that resulted from the defective
construction of a home by Guardian Builders, Inc. (Guardian Builders).
(Doc. 51 at 1). The plaintiff argues:
Actually, the issues were and are (i) did Defendant Guardian Builders
adduce substantial evidence that it complied with the conditions in the
policy, and (ii) did Guardian Builders adduce substantial evidence of
what, if any, dollar amount entered against Guardian Builders in an
arbitration award is within the indemnity provisions of that policy.
Doc. 52 at 1-2) (citations omitted).
16
The court finds no error in the magistrate’s statement. The issue in this case
is whether there is coverage. The plaintiff’s statements merely focus on sub-issues
relevant to that determination.6
B.
There Is no Error in the Determination that the Issue of Notice Is
for the Trier of Fact
Auto Owners next objects to the magistrate’s determination that a factual
question exists on the issue of whether Guardian gave timely notice to Auto Owners,
as required under the policy.
Section IV.2.a. of the policy provides, as a condition to coverage, that the
insured “must see to it that [Auto Owners is] notified as soon as practicable of an
‘occurrence’ or an offense which may result in a claim.” (Doc. 40-4 at 2). The
plaintiff’s motion for summary judgment argued that the ten month delay from the
time the Useltons notified Tackett and Guardian7 of the problem (February 2008),
until Guardian, through Tackett, notified Auto Owners (December 2008), breached
this condition to coverage. (Doc. 40 at 11-13).
“‘[T]he failure of an insured to comply within a reasonable time with such
conditions precedent in an insurance policy requiring the insureds to give notice of
6
These sub-issues are actually the same as some of the plaintiff’s objections. They are
considered by the court below.
7
The arbitrator and parties treat Guardian and Tackett as one and the same.
17
an accident or occurrence releases the insurer from obligations imposed by the
insurance contract.’” Travelers Indemnity Co. of Connecticut v. Miller, 86 So. 3d
338, 342 (Ala. 2011) (quoting Reeves v. State Farm Fire & Cas. Co., 539 So.2d 252,
254 (Ala.1989)). In this case, the policy requires notice “as soon as practicable.”
“The term ‘as soon as practicable’ has been interpreted ‘to mean that notice must be
given within a reasonable time in view of the facts and circumstances of the case.’”
Travelers Indemnity, 86 So. 3d at 342 (quoting Haston v. Transamerica Ins. Servs.,
662 So.2d 1138, 1141 (Ala.1995) (internal quotations omitted)). The Alabama
Supreme Court has stated:
Only two factors are to be considered in determining the reasonableness
of a delay in giving notice to the insurer: the length of the delay and the
reasons for the delay. Whether notice of the occurrence or claim was
given to the insurer within a reasonable time rests on the reasonableness
of the delay. Prejudice to the insurer from any such delay in providing
notice is not a factor.
Id. (citing U.S. Fidelity & Guar. Co. v. Baldwin County Home Builders Ass'n, 770
So.2d 72, 75 (Ala.2000)) (internal citations omitted). The court continued:
Where facts are disputed or where conflicting inferences may
reasonably be drawn from the evidence, the question of the
reasonableness of a delay in giving notice is a question ... for the [trier
of fact]. Conflicting inferences concerning the reasonableness of a delay
may sometimes be drawn where the insured offers evidence of
mitigating circumstances.
However, where an insured fails to show a reasonable excuse or
18
the existence of circumstances which would justify a protracted delay,
the Court should as a matter of law hold that there has been a breach of
the condition as to notice. . . ..
Thus, the determination of the fundamental issue, whether notice
of the occurrence or claim was given to the insurer within a reasonable
time, rests on the reasonableness of the delay. . .. If conflicting
inferences can be drawn from the evidence, the question of
reasonableness is submitted to the trier of fact. If the facts are
undisputed, however, and the insured does not show justification for the
protracted delay, the court may find the delay unreasonable as a matter
of law.
Id. at 343-44 (internal quotations and citations omitted). Finally, the court noted:
A five-month delay in giving notice is sufficiently protracted as to
require the insured to offer evidence of a reasonable excuse for the
delay. See Phoenix Assurance Co. v. Harry Harless Co., 303 F.Supp.
867 (N.D.Ala.), aff'd, 414 F.2d 794 (5th Cir.1969) (four-month delay);
Pharr v. Continental Cas. Co., 429 So.2d 1018 (Ala.1983) (eight-month
delay); Southern Guar. Ins. Co. v. Thomas, 334 So.2d 879 (Ala.1976)
(six-month delay).
Id. at 344.
In his opinion, the magistrate noted the cases cited in the preceding paragraph,
then wrote: “Thus, it is necessary to determine whether Tackett has established a
reasonable excuse for this delay.” (Doc. 51 at 14). The magistrate then wrote:
Tackett testified that when he became aware of the problem with
water entering the residence, he took steps to try to alleviate the
problem. He considered this “warranty work.” He did not consider it to
be an “occurrence” under the policy. In fact, according to Tackett, the
only damage he was aware of was that some sheetrock in the basement
had gotten wet. Furthermore, he also concluded that the water was
19
coming into the residence as a result of poor grading of the property
performed by another company hired by the Useltons, and not the result
of any work that had been performed by Guardian Builders.
Consequently, according to Tackett, it was not until he received a letter
from the Useltons’ attorney that he had any indication that a claim
would result from his work.
...
In this case, while Tackett returned to the property in an attempt
to cure the problem, he testified that he was not aware of the problem
and that he believed it was actually the result of work done by another
contractor. Under these circumstances, a factual question exists
regarding whether a reasonable and prudent person would believe this
occurrence would give rise to a claim for damages against him.
(Doc. 51 at 14-16).
The plaintiff argues in its objection that the facts cited by the magistrate go
only to Tackett’s subjective belief, and that “reasonableness of the delay” should be
judged according to an objective standard. Indeed, the Alabama Supreme Court has
stated that the standard is an objective one. In Pan Am. Fire & Cas. Co. v. DeKalbCherokee Counties Gas Dist., 289 Ala. 206, 266 So. 2d 763 (1972), the court, citing
45 C.J.S. Insurance § 1056, stated:
“Clearly, notice is necessary when there has been such an
occurrence as would lead a reasonable and prudent man to believe that
it might give rise to a claim for damages. In this connection the test [is]
not a subjective one measured merely by the good faith of insured, but
is an objective one, and hence the mere fact that insured believes that an
injury resulting from an accident is slight, or that he does not believe
that any valid claim will arise out of an accident, is not of itself an
20
excuse for failure to give notice of the accident to insurer . . .”
Pan Am., 266 So. 2d at 771; see also, CIE Serv. Corp. v. Smith, 460 So. 2d 1244,
1247 (Ala. 1984) (The reasonable and prudent man test “is not a subjective one
measured merely by the good faith of the insured, but an objective one.”);
Progressive Specialty Ins. Co. v. Steele ex rel. Steele, 985 So. 2d 932, 945 (Ala. Civ.
App. 2007) (Thomas, J.) (concurring and dissenting) (“Thus, it is not a party’s
subjective opinion as to the reasonableness of the delay in providing notice to his
insurance company that is determinative; rather, it is an objective reasonableness test
that our courts apply in such circumstances.”); Phoenix Assur. Co., 303 F. Supp. at
869-70) (quoting Young v. Travelers Ins. Co., 119 F.2d 877, 879 (5th Cir. 1941) (“[I]t
was held that a subjective test should not be applied as to the insured’s duty to give
notice ‘as soon as practicable,’ so as to excuse the insured from reporting on the
ground that he was not at fault and no claim would be made against him. ‘The duty
of giving notice is not measured in terms of good faith.’”). That being said, when the
insured gives a reason for the delay, Alabama courts still seem to focus on subjective
belief.
For example, in U.S. Fidelity & Guarantee Co. v. Bonitz Insulation Co. of
Alabama (Bonitz), 424 So. 2d 569 (Ala. 1982), a case cited by the magistrate, Bonitz,
on June 9, 1972, entered into a contract with the City of Midfield, Alabama, for the
21
construction of the roofing and insulation on a gymnasium as part of a larger school
construction project. It subcontracted part of the roofing job to Vulcan Roofing
Company. When the roof began to leak, Bonitz was informed of the problem by two
letters, one in November of 1972, and another in July of 1973. It referred the issue
to Vulcan, who attempted, unsuccessfully, to repair the roof. The problem continued
“over the next several years,” and the roof eventually had to be completely replaced
in 1978. On August 18, 1977, the City of Midfield filed suit against Bonitz and
others. Only then did Bonitz provide notice of the claim by forwarding the lawsuit
to its insurers. Noting that the applicable policy required notice “as soon as
practicable,” the Alabama Supreme Court wrote:
Hunter Price, president of Bonitz, testified that it was not unusual for
leaks of this type to occur, that he was unaware of the extent of the
problem, and that he thought that Vulcan Roofing Company was taking
care of the problem. We find this testimony sufficient to raise conflicting
inferences as to the reasonableness of the delay.
Bonitz, 424 So. 2d at 573.
The plaintiff argues that the facts of Bonitz are “like night and day from those
in the instant case.” (Doc. 52 at 3). It points out that, in Bonitz, there was testimony
that the insured was unaware of the extent of the problem and thought that it was
being taken care of by another entity. It then notes that, in the instant case
Guardian Builders admittedly not only knew the extent of the problems,
22
it spent $30,000 (without Auto-Owners’ consent) in multiple
unsuccessful efforts to fix them, including two excavation projects in the
front yard of the home in an effort to re-waterproof the front exterior
wall of the home. Moreover, as many times as Guardian Builders was at
the Uselton home (“more than ten times”), it could not have failed to see
all of the other problems later noted by the arbitrator, or recognized the
mental distress being caused to the Useltons.
(Doc. 52 at 3-4).
The plaintiff is correct that the facts of the instant case do show that Guardian
was more involved in the attempts to fix the problem, and had a greater knowledge
of the extent thereof, that the insured in Bonitz. However, these facts alone do not
mean that the insured’s duty to notify the insurer had been triggered.
Illustrative of this point is U.S. Fidelity & Guarantee Co. v. Baldwin Cnty.
Home Builders Ass'n, Inc. (Baldwin County Home Builders), 770 So. 2d 72 (Ala.
2000). In Baldwin County Home Builders, the Crowes, on or about January 10, 1994,
purchased a new house from the Baldwin County Home Builders Association
(“BCHBA”). The house had been constructed by L.M. Smith Construction Company,
Inc., of which L.M. Smith was the president. Soon after the Crowes moved in to the
house, they began experiencing drainage problems in the yard, which the court
described as follows:
Specifically, water tended to collect and form a pool at the base of an
oak tree in the southwest corner of the lot. The house was served by a
septic tank, and the tree was located at the edge of the soil fill covering
23
the septic tank. Eventually, the water would flow from that pool into the
street.
Baldwin County Home Builders, 770 So. 2d at 72. In the early part of 1994, Robert
Crowe informed Smith of this problem. Smith then referred Crowe to John Barr of
Heaton Septic Tank Services. That company was the subcontractor which had
installed the Crowes’ septic tank.
After Barr visited and inspected the property, Crowe wrote him a letter
proposing various ways to fix the water problem. However, Barr took no action. On
January 13, 1995, about a year after first informing Smith of the problem, Crowe sent
Smith a letter “stating that something had to be done to correct the seepage from the
septic-tank field lines and that the Crowes expected the homebuilder's warranty to
cover any necessary repairs.” Id. at 73. The letter stated:
“The [principal] issue concerns the seepage from the septic field in the
front yard of our residence. I am also enclosing a copy of the letter
previously written to your subcontractor, Heaton Septic Tank Services
at Bay Minette, Alabama which generally describes the problem and the
prescribed corrective actions. [Inasmuch] as the work was identified
many months ago and despite numerous attempts to resolve the matter,
no actions were taken, I am advising you of my intention to seek an
independent solution to the problem. When satisfactory corrective
actions have been completed, I will forward to you for payment, a
detailed invoice for the services rendered.
“....
“We look forward to resolving these issues. This home is absolutely
24
beautiful, the work of a true artisan. We have enjoyed and we expect to
continue to enjoy our lives in this wonderfully livable home.”
Id. at 73. On January 16, 1995, Smith responded to Crowe’s letter and stated that he
had informed Heaton Septic Tank Services about Crowe’s proposed corrections. In
the same letter, Smith also offered to contact the designer of the septic-tank system,
Seth Moore, of Moore Engineering Company. The Crowes heard nothing further from
Smith, Heaton Septic Tank Services, or Moore Engineering Company.
On March 18, 1995, Crowe sent Smith another letter requesting correction of
the septic-tank seepage problem. In this letter, Crow wrote: “Please understand that
for months I have sought an amicable solution because I am not a litigious individual.
Nevertheless, I have the resolve to find the end of this matter.” Id. at 73. In a May
29, 1995, letter, Crowe advised Smith that he had taken corrective action and
requested reimbursement for $498.31 which he said he had spent on the project. On
June 6, 1995, Smith responded to Crowe with a letter stating that the problem had
been misdiagnosed as a septic-tank problem when it was actually related to the
underground water table. The court noted:
Smith then referred the matter to BCHBA. The Crowes filed a claim
with BCHBA for reimbursement for the drainage repairs. In June 1995,
BCHBA refused to reimburse Crowe because, it said, damage caused by
subsurface water was not covered by the Crowes' homebuilder's
warranty. In January 1996, the Crowes sued BCHBA and Smith, seeking
damages based on claims of negligence, breach of contract, fraud, and
25
civil conspiracy.
BCHBA and Smith were insured under a general commercial
liability policy issued by USF&G. On January 18, 1996, BCHBA
notified USF&G of the Crowes' lawsuit. However, USF&G denied
coverage, stating that it had not received timely notice of the claim. USF
& G also denied coverage on the breach-of-contract claim, the fraud
claim, and the negligence claim (alleging negligent design and/or
installation) on the basis that the USF & G policy provided no coverage
for liability based on such claims.
BCHBA and Smith sued for a judgment declaring that USF&G
was obligated to defend them against the Crowes' claims. BCHBA,
Smith, and USF & G filed motions for summary judgment. On October
20, 1998, the trial court entered a summary judgment in favor of
BCHBA and Smith, declaring that USF&G was liable to defend them in
the Crowes' action. On November 30, 1998, USF&G appealed.
Id. at 73-74.
The policy in Baldwin County Home Builders, like that in this case, required
notice of an “‘occurrence’ or offense” “as soon as practicable.” Id. at 74. In
deciding the issue, the court first referred to Bonitz, saying, “this Court held that an
insured’s five-year delay in notifying its insurer of an ‘occurrence,’ a delay based on
the insured’s believing that the subcontractor was repairing the leaking roof, was
reasonable.” Id. at 75-76. However, the court then seemed to draw a distinction
between Bonitz and the conduct before it by saying:
Although Smith referred Crowe to the subcontractors, Heaton Septic
Tank Services and Moore Engineering, Smith remained in constant
contact with the subcontractors, and Smith was probably aware that the
26
subcontractors were not correcting the seepage problem at the Crowe
residence. In Crowe's letter to Smith dated January 13, 1995, Smith was
told that Heaton Septic Tank Services had taken no action.
Id. at 76. The court found that the issue of reasonableness of notice was for the trier
of fact where:
–
Smith testified that he and BCHBA did not notify USF&G until
after the lawsuit had been filed because they had believed until
then that the problem could be “worked out.”
–
BCHBA and Smith argued that because Crowe did not respond to
Smith's June 6 letter informing Crowe that the problem would not
be covered under his homebuilder's warranty, BCHBA and Smith
considered the issue resolved.
–
BCHBA and Smith argued that the letters from Crowe to Smith
did not indicate that the Crowes would sue.
–
BCHBA and Smith argued that notice to USF&G was not
required, because, they believed that they were not liable for the
alleged injury to the Crowes because the drainage problem was
not covered under the homebuilder's warranty.
Id. at 76. The Alabama Supreme Court noted that in making these arguments
BCHBA and Smith offered mitigating circumstances, leading to
conflicting inferences concerning the reasonableness of the delay; their
excuses could be found to justify the protracted delay. Thus, the matter
should be resolved by the trier of fact.
Id. at 76.8
8
In Baldwin County Home Builders, the trial court had granted summary judgment in
favor of the insureds without an opinion, simply “stat[ing] on its docket sheet that a summary
judgment was entered in favor of the plaintiffs and against USF&G.” Baldwin County Home
27
Like the instant case, the circumstances present in Baldwin County Home
Builders put the insureds on notice of a problem immediately after the owners moved
into the home. Unlike the instant case, the contractor in Baldwin County Home
Builders referred the homeowners to a subcontractor. However, this court feels that
the referral to a subcontractor was not the determinative fact in Baldwin County Home
Builders. As noted by the court, “Smith remained in constant contact with the
subcontractors, and Smith was probably aware that the subcontractors were not
correcting the seepage problem at the Crowe residence. In Crowe's letter to Smith
dated January 13, 1995, Smith was told that Heaton Septic Tank Services had taken
no action.” Id. at 76. Thus, the court distinguished the facts before it from the case
where a contractor merely refers to the issue to a subcontractor and forgets all about
it. Instead, the court focused on what the insureds subjectively believed. See, id. at
76 (noting that Smith and BCHBA “believed . . . that the problem could be ‘worked
out,’” “considered the issue resolved,” and thought they were not liable “because the
drainage problem was not covered under the homebuilder’s warranty.”). This is
comparable to the facts of the instant case, where Tackett considered this “warranty
Builders, 770 So. 2d at 75. Even though there was no opinion by the trial court, the decision
effectively found as a matter of law that late notice was reasonable under these circumstances.
Even though it reversed the trial court, the Alabama Supreme Court found that these
circumstances still created a fact question. If the court had thought otherwise, it could have so
stated and rendered judgment for USF&G. It did not.
28
work” instead of an “occurrence” under the policy, and thought that the problem was
the result of poor grading of the property performed by another company hired by the
Useltons.
It is true that, in the instant case, Guardian, through Tackett, performed work
on the home in an attempt to repair the problem, a fact not present in Baldwin County
Home Builders. The plaintiff argues, inter alia, that his failure to give notice was less
reasonable for that reason. Of course, Baldwin County Home Builders had one
additional fact not present in the instant case–a letter sent to the insured that at least
implied the possibility of litigation. Each respective fact is only relevant to the extent
that it goes to what the insured should have known. If the Alabama Supreme Court
found a fact issue under the circumstances in Baldwin County Home Builders, this
court cannot say, as a matter of law, that there is no fact question in the instant case,
which deals with similar facts, a much short period of time, and no express or implied
threat of litigation by the homeowners.9
C.
The Determination that the Issue of Coverage Was for the Trier of
Fact Was in Error
In its motion for summary judgment, the plaintiff argued:
9
Although the plaintiff cites to many cases other than Bonitz, it does not examine the
facts of any of those cases in any of its filings. Thus it has not pointed the court to any case, with
similar facts, in which the deciding court has not found a fact question precluding summary
judgment as to coverage.
29
Given the coverage provisions of the Auto-Owners policy, this means
that Guardian Builders and Wayne Tackett must demonstrate what
portion, if any, of the judgment against them was for “bodily injury” or
“property damage” occurring during the policy period and caused by an
“occurrence.”
(Doc. 40 at 15). The magistrate judge wrote:
According to plaintiff, the arbitration award and the judgment
rendered on that award do not reveal what portion fits within those
coverage provisions. Furthermore, the Useltons testified that the water
intrusion into their home continued into and throughout 2011, after the
coverage period under the final policy period ended on October 2, 2009.
However, unlike the defendants in [Am. States Ins. Co. v. Martin, 662
So. 2d 245 (Ala. 1995)],10 the Useltons have not conceded that the
damage occurred outside the policy coverage period. In fact, they assert
that at least some of the damage did occur during the coverage period.
It will be up to them to demonstrate that they did, in fact, suffer damages
during this time period and the dollar amount attributable to that time
period. This is a fact issue not subject to summary judgment.
(Doc. 51 at 18) (emphasis added). The plaintiff objects to this conclusion.
The subject policy provides that the plaintiff must “pay those sums that the
insured becomes legally obligated to pay as damages because of ‘bodily injury’ or
‘property damage’ to which this insurance applies.” It also provides that
[t]his insurance applies to “bodily injury” and “property damage” only
if:
(1)
10
The “bodily injury” or “property damage” is caused
by an “occurrence” that takes place in the “coverage
territory”;
The magistrate judge did not examine the Martin case in further detail.
30
(2)
The “bodily injury” or “property damage” occurs
during the policy period; . . . .
(Doc. 40-3 at 40). Further, under the type of CGL policy at issue in the instant case,
faulty workmanship itself is not an occurrence but . . . faulty
workmanship may lead to an occurrence if it subjects personal property
or other parts of the structure to “continuous or repeated exposure” to
some other “general harmful condition” . . . and, as a result of that
exposure, personal property or other parts of the structure are damaged.
Town & Country Prop., L.L.C. v. Amerisure Ins. Co., 111 So. 3d 699, 706 (Ala.
2011); see also, Shane Traylor Cabinetmaker, L.L.C. v. Am. Res. Ins. Co., Inc., 126
So. 3d 163, 168 (Ala. 2013) (same). The Alabama Supreme Court has since clarified
further that “faulty workmanship performed as part of a construction or repair project
may lead to an occurrence if that faulty workmanship subjects personal property or
other parts of the structure outside the scope of that construction or repair project to
continuous or repeated exposure to some other general harmful condition and if, as
a result of that exposure, that personal property or other unrelated parts of the
structure are damaged.” Owners Ins. Co. v. Jim Carr Homebuilder, LLC, No.
1120764, 2013 WL 5298575 at *5 (Ala. Sept. 20, 2013) (emphasis in original)
(internal quotation marks omitted).11 Under Alabama law, the burden is on the insured
11
The plaintiff and the Useltons agree that this is the proper standard in this case. (Docs.
40 at 16; 45 at 11; 47 at 5-8).
31
“as the one seeking coverage to prove that coverage existed within the terms of the
policy.” Alabama Hosp. Ass'n Trust v. Mut. Assur. Soc. of Alabama, 538 So. 2d
1209, 1216 (Ala. 1989).12
This fact issue can be decided on summary judgment. As in this case, where
the movant does not bear the burden of proof at trial, it can satisfy its initial burden
on summary judgment in either of two ways. Fitzpatrick v. City of Atlanta, 2 F.3d
1112, 1115-16 (11th Cir. 1993). First, the movant may simply show that there is an
absence of evidence to support the non-movant’s case on the particular issue at hand.
Id. at 1116. In such an instance, the non-movant must rebut by either (1) showing
that the record in fact contains supporting evidence sufficient to withstand a directed
verdict motion, or (2) proffering evidence sufficient to withstand a directed verdict
motion at trial based on the alleged evidentiary deficiency. Id. at 1116-17. When
responding, the non-movant may no longer rest on mere allegations; instead, it must
set forth evidence of specific facts. Lewis v. Casey, 518 U.S. 343, 358 (1996). The
second method a movant in this position may use to discharge its burden is to provide
12
“[T]he Alabama Supreme Court has required the party seeking to recover under the
policy to prove the apportionment of the [award] in order to show that some or all of it was for
covered damages.” Owners Ins. Co. v. Shep Jones Const., Inc., CIV.A. 08-AR-514-S, 2012 WL
1642169 at *9 (N.D. Ala. May 3, 2012), appeal dismissed (Nov. 19, 2012) (citing Alabama
Hosp. Ass'n Trust, 538 So.2d at 1209). The magistrate judge correctly noted the obligation of the
insured “through admissible evidence, [to show] that the judgment against it fits within each of
the coverage provisions of the policy.” (Doc. 51 at 17 (citing Alabama Hosp. Ass’n Trust, 538
So. 2d at 1209)).
32
affirmative evidence demonstrating that the non-moving party will be unable to prove
its case at trial. Fitzpatrick, 2 F.3d at 1116. When this occurs, the non-movant must
rebut by offering evidence sufficient to withstand a directed verdict at trial on the
material fact sought to be negated. Id.
In its motion for summary judgment, the plaintiff argued both that the
defendants can provide no evidence of coverage, and also provided evidence tending
to negate coverage. It stated:
[T]he arbitration award and the judgment rendered on that award do not
reveal what portion fits within those coverage provisions. (Melissa
Uselton Depo., Exhibit 12). Moreover, the Defendants admit that they
do not know what amount, if any, of the arbitration award and judgment
consisted of bodily injury or property damage, or non-covered economic
loss such as diminution in value. (Guardian Builders Answers to
Interrogatory 3; Uselton Answer to Interrogatory 3; Randall Uselton
Depo., 24-25). In addition, the Useltons and their attorney are adamant
that they sought no award for bodily injury or mental anguish, and that
no such award was made. (Melissa Uselton Depo., 65-67, 69-70;
Randall Uselton Depo., 16,18, 22-23).
As their attorney put it during the depositions of the Useltons, “If
it is not in black and white on the arbitration award, why are you asking
about it...”. (Melissa Uselton Depo., 72). Furthermore, the Useltons
testified that the water intrusion into their home continued into and
throughout 2011 (Melissa Uselton Depo., 73-74, 77, 87; Randall
Uselton Depo., 17-18), after the coverage period under the final policy
period had ended on December 2, 2009. (Tackett Depo., 13-14, 32-34).
Thus, they cannot even carry the burden of proof on the issue of
whether the award includes an element for property damage or bodily
injury during a policy period, much less how much of the award was for
33
either of those elements. Cf., Kizer v. Finch, 730 So. 2d 1197 (Ala. Civ.
App. 1998) (it was impossible to determine what portion of a general
verdict consisted of punitive damages); Kumar v. Lewis, 561 So. 2d
1082, 1086 (Ala. 1990).
(Doc. 40 at 15-16). This showing was sufficient to shift the burden to the defendants.
In response, the defendants wrote:
In the instant case, the damages awarded by the arbitrator all
relate to the arbitrator’s findings set forth in pages 3 – 5 of the award.13
13
In this statement, the insureds reference the conclusion of the arbitrator’s award which
reads in part:
The failure of [Guardian and Tackett] to construct the house in a workmanlike
manner and/or to properly utilize the appropriate materials has damaged the
[Useltons]. [The Useltons] are awarded damages plus legal fees and forum costs.
The items for which damages are ordered to be paid are as follows:
(Doc. 1 at 9). Thereafter follows a list of 18 separate categories of problems with the home/elements
of damage to the Useltons, explaining the work which needed to be done (and why) where
appropriate. The arbitrator then set out the award for each category as follows:
A. The rough grading and the final grading: $14,000
B. The sidewalk in front of the house: $ 8,000
C. The driveway: $ 4,000
D. The decks and balconies-surfaces and flashing: $12,000
E. The decks/balconies structural and support: $10,000
F. The front foundation wall: $100,000
G. The front porch-structural and surface: $22,000
H. The brick work veneer and related: $35,000
I. Two masonry block piers in the basement: $ 1,000
J. Repair and/or replace interior surfaces: $ 8,500
K. Soffits, eaves and underside of decks/balconies: $ 7,500
L. Landscaping: $10,000
M. Balustrade/Baluster repairs: $ 3,000
N. Cleanup: $ 4,000
O. Management/supervision/contractor profit: $24,000
P. Temporary housing: $ 5,000
Q. For all other damages of any nature: $29,000
34
Each and every one of those items in pages 3 – 5 is an item where some
completed portion of the Useltons’ house was damaged by a
subcontractor’s faulty workmanship on another part of the house. In
other words, everything found by the Arbitrator is clearly covered by
Plaintiff’s Policy, both under the Policy’s language and also under the
Alabama Supreme Court’s interpretation of what is covered by such
policies.
(Doc. 45 at 15). As the magistrate judge correctly noted, “the arbitration award and
the judgment rendered on that award do not reveal what portion fits within [the]
coverage provisions.” (Doc. 51 at 180.)14 Accordingly, this vague and conclusory
reference to the arbitrator’s award, and the policy language, does not satisfy the
insureds’ burden to provide evidence showing how the damages awarded are for
either property damage or personal injury covered under the policy. Also, the
defendants do not even allege, must less provide evidence, that any of the award was
for damage that occurred within the policy period. The fact that the defendants did
not carry their burden at the summary judgment stage is decisive of this issue and this
case. See, Alabama Hosp. Ass'n Trust, 538 So. 2d at 1216 (summary judgment
R. Legal Fees: To be determined on submission
S. Arbitrator costs: $10,311.05
14
The magistrate judge noted that the award’s problems are “not due to a lack of
specificity on the Useltons’ part but, rather, on the part of the arbitrator in making the award.”
(Doc. 51 at 20). In such cases, there is typically an “impossible burden of proof” for the insured.
Duke v. Hoch, 468 F.2d 973, 980 (5th Cir. 1972); see also, Alabama Hosp. Ass'n Trust, 538 So.
2d at 1216 (issue of coverage “impossible to resolve” when there is a general verdict). However,
the defendants have not shown why they should be relieved from their burden of proof merely
because the award is not helpful.
35
appropriate where insured could not demonstrate that damages awarded in general
verdict were covered.).15
D.
The Failure To Exclude Coverage Based on the “Your Work”
Exclusion Was Not in Error
The magistrate judge also wrote:
The Auto-Owners policy excluded damage to property defined as
“your work.” “Your work” is defined to include “[w]ork or operations
performed by you or on your behalf . . . .” (Doc. 40-6 at 20). The
exclusion denies coverage for “‘property damage’ to ‘your work’ arising
out of it or any part of it and included in the ‘products-completed
operations hazard.’” (Id. at 5). The result of this is that no damage to
property built by Guardian Builders or any of its subcontractors is
covered by the policy regardless of whether the damage occurred as a
result of negligence in the construction process or resulted from the
negligence. In other words, if the roof leaked and damaged the walls and
an outside deck and all of these areas were the work of Guardian
Builders or its subcontractors, there is no coverage for any of this
damage. The only coverage would be for property damage to the
property not built or installed by Guardian Builders or its
subcontractors. While there is testimony that the water leakage resulted
in damage to furniture and to the hardwood floors installed by the
Useltons, there is no specific item in the arbitration decision which is set
out as damages for these items. There is, however, an item which lists
damages of $8,500 to “repair and/or replace interior surfaces.” While
this would not cover any damage to furniture, it could cover damage to
the hardwood floors if the Useltons can demonstrate that the damage, or
the extent of the damage, occurred during the life of the policy/policies
at issue. This can be accomplished by special interrogatories to the jury.
15
The defendants’ brief does discuss at length various cases from Alabama and other
jurisdictions on the proper interpretations of CGL policies. (Doc. 45 at 15-27). Still, in that
discussion they neither identify, nor provide evidence of, any item of damage from the award
which falls under a coverage provision of the instant policy.
36
(Doc. 51 at 19). The plaintiff objects as follows:
The Magistrate also failed to properly apply the “your work” exclusion.
He held that it excluded “damage to property built by Guardian Builders
or any of its subcontractors” (Doc. 51, pp. 18-19), but failed to apply
that principle to any specific portion of the award. Instead, the
Magistrate skipped over that analysis in an unsuccessful effort to find
a line item in the award that was not within the purview of the exclusion.
(Report, Doc. 51, pp. 19-20). As discussed above, the Magistrate found
only two that might be, but did not take the next step and recommend
that the others were subject to the exclusion. (Report, Doc. 51, pp.
19-20).
(Doc. 52 at 9-10).
“[T]he ultimate burden of proof as to the applicability of the exclusionary
clause rests with the []insurer.” Fleming v. Alabama Farm Bureau Mut. Cas. Ins.
Co., 293 Ala. 719, 722, 310 So. 2d 200, 202 (1975). The plaintiff states that “[t]he
Useltons testified that their only complaints were about . . . “faulty workmanship.”
(Doc. 40 at 17). It argues that the exclusion applies to damage to the work of
Guardian and Tackett, as well as to that of their subcontractors. (Doc. 47 at 9). But
the plaintiff provides no evidence as to what portion of the award falls under the
exclusion.
The general nature of the arbitration award cuts both ways. Just as the
defendants have the “impossible burden” of proving coverage, the plaintiff has a
similar problem proving that any portion of the award falls under an exclusion. In the
absence of evidence proving the application of the exclusion, the magistrate judge’s
37
opinion was not in error.
IV.
CONCLUSION
Based on the foregoing, the objections will be SUSTAINED to the extent that
they argue that the defendants have not provided evidence of coverage. Otherwise,
the objections will be OVERRULED. By separate order, summary judgment will be
GRANTED to the plaintiff.
DONE and ORDERED this 25th day of March, 2014.
VIRGINIA EMERSON HOPKINS
United States District Judge
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