Bible World Christian Center v. Colony Insurance Company
Filing
54
RULING granting 32 Motion for Summary Judgment. Signed by Judge James J. Brady on 12/20/2016. (LLH)
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF LOUISIANA
BIBLE WORLD CHRISTIAN CENTER
CIVIL ACTION
VERSUS
NO. 15-397-JJB-EWD
COLONY INSURANCE COMPANY
RULING
This matter is before the Court on a Motion for Summary Judgment (Doc. 32) brought by
the Defendant, Colony Insurance Company (“Colony”). The Plaintiff, Bible World Christian
Center (“Bible World”), filed an Opposition (Doc. 41), and the Defendant filed a Reply Brief (Doc.
44). The Court requested supplemental briefs from the parties and it has considered those as well
(Doc. 53).1 Oral argument is unnecessary. The Court’s jurisdiction exists pursuant to 28 U.S.C. §
1332. For the reasons stated herein, the Defendant’s Motion for Summary Judgment is
GRANTED.
I.
BACKGROUND
After a heavy rainstorm damaged its building in February 2014, Bible World took
immediate action to repair its property in the belief that any repairs would be covered by a
commercial property insurance policy (“Policy”) it had with Colony. Bible World’s claims arise
from its belief that there are uncompensated losses stemming from the rainstorm. Colony argues
that its $10,000 payment to Bible World satisfied its obligation under the Policy. Colony contends
that there is no additional coverage for the losses or damages sought by Bible World.
A.
The 2014 Rain Event and Repairs
Bible World owns a commercial property in Baton Rouge, Louisiana, consisting of a
sanctuary, offices, and rental space which is used as a day care facility by Jehovah Jireh Christian
1
The Plaintiff did not file a supplemental brief by the December 12th deadline as requested by the Court.
1
Academy (“Academy”).2 On February 20, 2014, the interior of the building was damaged by water
that leaked in from the roof after a heavy rain storm (“the Rain Event”).3
David Griffin (“Griffin”) is the Pastor and President of Bible World. Dirk Ricks (“Ricks”)
is the Principal of the Academy, the tenant who runs the day care facility.4 Robert Chandler
(“Chandler”) is an employee of Omni Insurance Group.5 Chandler assisted Bible World with
procuring a commercial property insurance policy from Colony.6 Griffin claims that Chandler
“represented” that he was an agent of Colony.7 However, Ricks apparently knew that Chandler
worked for Omni Insurance.8
On the morning after the Rain Event, Bible World began the process of repairing the
damaged property. Griffin and Ricks met with Chandler the morning after the storm.9 Additionally,
they both state that Chandler told them “to do whatever it took to get the school up and running”
and that the cost of repairs would be covered under the Policy.10 Chandler admits that the meeting
took place.11 He also admits that he told them to take the necessary steps to protect the property.12
However, he denies telling Bible World that any repairs would be covered.13
Based on Chandler’s alleged instructions, Griffin hired Guarantee Service Team of
Professionals (“GSTP”) to fix the Bible World property.14 GSTP charged Bible World $79,876.81
for the water remediation work.
Pl.’s Statement of Material Facts ¶ 1, Doc. 41-1.
Id. at ¶ 4.
4
Id. at ¶¶ 5, 17.
5
Chandler Dep. 6:4-9, Doc. 32-8.
6
Id. at 9:6-11; Commercial Insurance Policy CF4061610, Doc. 32-3 (“Policy”).
7
Griffin Affidavit 2, Doc. 41-4.
8
Ricks Affidavit, Doc. 41-5 (“I made a call to Mr. Chandler with Omni Group Insurance.”).
9
Griffin Affidavit 3-6, Doc. 41-4; Ricks Affidavit, Doc. 41-5; Chandler Dep. 20:4-19, Doc. 32-8.
10
Griffin Affidavit 6, Doc. 41-4; Ricks Affidavit, Doc. 41-5.
11
Chandler Dep. 24-25, Doc. 32-8.
12
Id.
13
Chandler Dep. 25, 47-48, Doc. 32-8.
14
Griffin Affidavit, 4, Doc. 41-4.
2
3
2
Based on Colony’s investigation of the damages, it issued a $10,000 payment to Bible
World for sewer and water backup coverage contained in a part of the Policy called the Gold-Pak
Endorsement.15 Colony continues to maintain that this $10,000 payment satisfied its obligation
under the Policy.
B.
The State Court Action16
This matter was initiated by GSTP against Bible World and its tenant, the Academy, in the
19th Judicial District Court for the Parish of East Baton Rouge. GSTP was seeking to recover
$79,876.81 for unpaid water remediation work. Eventually, a consent judgment was entered in
favor of GSTP against Bible World. Prior to being removed to this Court, Bible World filed a third
party demand against Colony alleging that coverage existed under the Policy issued by Colony to
Bible World.
C.
Cause of the Damage
Bible World designated Leon Hickman and Bertell James as its experts. Colony designated
Kevin Vanderbrook as one of its experts. Each of the experts examined the roof drainage system
which contains twenty-one downspouts that are located inside the wall cavity of the building.
These downspouts all lead to subsurface drainage located in the rear of the building.
All of the experts appear to agree on two major issues. First, they all noted that there were
no physical holes or other damage to the roof from the Rain Event.17 Second, they all agreed that
the damage to the interior of the property was caused by water that overflowed at the gutter and
entered the interior of the building through openings in the ceiling that were part of the original
Def’s. Supp. Br. 2, Doc. 53.
This information is taken from Def.’s Supp. Mem. 2-3, Doc. 32-1.
17
James Affidavit 2, Doc. 41-10; Vanderbrook Report 3, Doc. 32-7 (“There was no indication of uplift, wind damage,
openings, or other penetrations in this roof.”). While Hickman did not directly state that there was no damage to the
roof, he stated that he “could not determine damages to the roofing insulations without removal of area roofing.”
Hickman Affidavit 2, Doc. 41-9.
15
16
3
design of the building.18 The design of the gutter system “created openings where the corrugated
metal roof decking intersected the gutter drain.”19
While the three experts seem to agree that the gutters overflowed causing extensive damage
to the interior, they seem to disagree as to why the gutters overflowed.
Colony’s expert, Vanderbrook, believed that the gutter overflowed because of clogged
downspouts caused by improper maintenance. He reached this conclusion after examining the
gutter system. Vanderbrook found that the gutter overflowed because fourteen of the twenty-one
downspouts were blocked.20 They were plugged by both debris and roofing material. He
determined that when the Rain Event occurred, the downspouts could not handle all the water
which led to the overflow.21 He also noted that “the remaining seven drains appeared to be
generally free of obstructions at the top level,” but he was unable to “determine whether these
drains operated properly all the way to the subsurface storm sewer in the rear yard without
obstructions down the pipe.”22
Hickman and James appear to disagree with Vanderbrook. They admit that the gutter
overflowed but deny that it was solely attributable to the blocked downspouts. Hickman disagreed
with Vanderbrook but did not offer an alternative explanation as to how the gutters overflowed.
Hickman stated that “it would be necessary to perform a thorough examination…[in] making a
determination that the fourteen (14) [downspouts were] allegedly blocked or partially blocked and
Hickman Affidavit 2, Doc. 41-9 ([T]he water over flowed and entered the roof structure.”); James Affidavit 2, Doc.
41-10 (“[B]ecause of the constant rainfall on February 20, 2014, with no place for the rain to go, the gutters were
simply overwhelmed and filled with water, and were simply not able to absorb the rainfall fast enough to overcome
the amount of rain that poured onto the building, which he is simply unable to explain, which resulted in the sustained
water, combined with no place for the water to go other than crevasses and openings down the walls.”); Vanderbrook
Report 6, Doc. 32-7.
19
Id. at 4.
20
Id. at 3.
21
Id.
22
Id.
18
4
whether or not the blocked fourteen (14) roof drains alone would have cause[d] water to back up
in the building without further explanation.”23 Hickman did not perform an examination of the
downspouts.
James, however, seemed to offer an alternative explanation as to how the gutters
overflowed. He stated that he thought there may have been leaves plugging the drains but that
these plugs would not have been significant enough to cause the overflow.24 He believed that “a
number of factors combined may have resulted in the backup of water [including] extensive rain,
street flooding, sewage backup, and other related problems.”25 James did not elaborate further on
how these other related problems, rather than the fourteen clogged drains, would have led to the
gutter overflow.
II.
SUMMARY JUDGMENT STANDARD
Summary judgment should be granted 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.26 An issue is
material if its resolution could affect the outcome of the action.27 When assessing whether a dispute
as to any material fact exists, a court must consider all of the evidence in the record but refrain
from making credibility determinations or weighing the evidence.28 However, a court does not
have a duty to search the record for material fact issues. Rather, the party opposing the summary
judgment is required to identify specific evidence in the record and to articulate precisely how this
evidence supports his claim.29
23
Hickman Affidavit 3, Doc. 41-9.
James Affidavit 2, Doc. 41-10.
25
Id.
26
Fed. R. Civ. P. 56(a).
27
DIRECTV Inc. v. Robson, 420 F.3d 532, 536 (5th Cir. 2005) (citation omitted).
28
Delta & Pine Land Co. v. Nationwide Agribusiness Ins. Co., 530 F.3d 395, 398-99 (5th Cir. 2008) (citations
omitted).
29
Ragas v. Tenn. Gas Pipeline Co., 136 F.3d 455, 458 (5th Cir. 1998).
24
5
A dispute is considered genuine if a reasonable jury could return a verdict for the
nonmoving party.30 A party moving for summary judgment must demonstrate the absence of a
genuine issue of material fact, but need not negate the elements of the nonmovant’s case.31 If the
moving party satisfies its burden, the nonmoving party must show that summary judgment is
inappropriate by setting forth specific facts showing the existence of a genuine issue concerning
every essential component of its case.32 A court must resolve all reasonable factual inferences in
favor of the nonmoving party.33 However, the nonmoving party’s burden is not satisfied with some
metaphysical doubt as to the material facts, by conclusory allegations, by unsubstantiated
assertions, or by only a scintilla of evidence.34
III.
LAW AND ANALYSIS
In determining whether to grant summary judgment and dismiss the claims against Colony,
this Court must resolve two issues. First, it must address whether Chandler was an agent of Colony
who had the power to bind Colony when it came to coverage decisions. Second, it must address
whether the Policy provides any additional coverage, beyond the $10,000 payment Colony made
to Bible World, for the damages alleged in this case. This Court finds that Chandler was not an
agent of Colony and therefore had no power to bind Colony to pay for the repairs. Further, there
is no additional coverage, beyond the $10,000 that has already been paid to Bible World, for the
alleged damage that took place here. Louisiana law governs both these issues.
30
Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986).
Guerin v. Pointe Coupee Parish Nursing Home, 246 F.Supp.2d 488, 494 (M.D. La. 2003) (internal quotation marks
and citations omitted).
32
Rivera v. Houston Independent School Dist., 349 F.3d 244, 247 (5th Cir. 2003) (internal quotation marks and
citations omitted).
33
Galindo v. Precision American Corp., 754 F.2d 1212, 1216 (5th Cir. 1985).
34
Willis v. Roche Biomedical Laboratories, Inc., 61 F.3d 313, 315 (5th Cir. 1995) (internal quotations and citations
omitted).
31
6
A.
Chandler is Not an Agent of Colony.
Bible World argues that Chandler was an agent of Colony and therefore, when he told Bible
World to repair the property damage, he bound Colony to pay for those repairs. Colony argues that
Chandler is not an agent of Colony and so any alleged statements he made about coverage cannot
be imputed to Colony.
Under Louisiana law, an insurer can waive a no coverage defense or, alternatively, it can
be equitably estopped from asserting the no coverage defense by its conduct in a given case.35 In
other words, coverage can be extended or enlarged by an agent’s representations. The acts of one
procuring insurance as agent of the insurer are imputable to the insurer.36 Therefore, if Chandler
was an agent of Colony, Chandler’s alleged statement that the repairs would be covered could
modify Colony’s liability under the Policy.
Insurance agents are individuals employed by the insurance company to solicit risks and
effect insurance.37 “Insurance brokers, on the other hand, solicit insurance from the public under
no employment from any special company, placing the insurance with any company selected by
the insured.”38 While Louisiana statutes define terms like agent, broker, and solicitor for the
purposes of determining what sort of license or examination is required, “these regulatory statutes
do not prevent the courts from finding that an agency relationship exists in fact, outside the scope
of the statutes.”39
Tate v. Charles Aguillard Ins. & Real Est., 508 So.2d 1371, 1375 (La. 1987) (“[W]aiver may apply to any provision
of an insurance contract under which the insurer knowingly and voluntarily elects to relinquish his right, power or
privilege to avoid liability, even though the effect may bring within coverage risks originally excluded or not
covered.”); Cugini, Ltd. v. Argonaut Great Cent. Ins. Co., 04-795, p. 15 (La. App. 5th Cir. 11/30/04), 889 So.2d 1104,
1114 (finding that coverage existed under a policy under theories of waiver, equitable estoppel, or detrimental reliance,
where insurer knew plaintiff was proceeding with repairs but did not indicate to plaintiff that repairs would not be
covered).
36
Tassin v. Golden Rule Ins. Co., 94-0362, p. 7 (La. App. 1st Cir. 12/22/94), 649 So.2d 1050, 1054.
37
Id.
38
Id.
39
Tiner v. Aetna Life Ins. Co., 291 So.2d 774, 777 (La. 1974) (internal quotation marks and citation omitted).
35
7
Generally, the broker is considered to be the agent of the insured.40 However, in certain
circumstances, a broker may be found to be the agent of the insurer with the capability to bind the
insurer.41 Whether a broker in any particular transaction acts as the agent of the insurer is a question
of fact dependent upon the particular circumstances of the case.42 Under Louisiana law, a court
can look to four factors to determine if an insurance broker is an agent of the insurer in a specific
case—(1) whether there is a direct relationship between the insurer and the broker; (2) whether the
broker is an agent in fact; (3) whether there was an ongoing or prior relationship between the
broker and the insurer; and (4) whether the insurer exercises significant control over the broker.43
Additionally, “a principal/agent relationship is determined from the facts surrounding the
two parties involved. [A court does] not consider the subjective belief of a third party to determine
whether or not an agency relationship exists between two different parties.”44 Accordingly, Bible
World’s belief that Chandler was a representative of Colony has no bearing on whether Chandler
was actually an agent of Colony. This Court must look to the four factors to determine if an agency
relationship existed.
After analyzing the four factors, there can be no reasonable inference that an agency
relationship existed between Chandler and Colony. Chandler was a broker employed by Omni
Insurance. His role in that company was to act as a liaison between insurance companies, like
Colony, and potential clients.
40
Karam v. St. Paul Fire & Marine Ins. Co., 265 So.2d 821, 824 (La. App. 3d Cir. 1972), affirmed, 281 So.2d 728
(La. 1973).
41
Tassin, 649 So.2d at 1054.
42
Tiner, 291 So.2d at 778; Tassin, 649 So.2d at 1054; Smason v. Celtic Life Ins. Co., 615 So.2d 1079, 1084 (La. App
4th Cir. 1993).
43
Smason, 615 So.2d at 1084-85; North Am. Capacity Ins. Co. v. Brister’s Thunder Karts, Inc., Civil Action No. 97330, 1998 WL 259966, at *4 (E.D. La. May 20, 1998) (applying Louisiana law).
44
Smason, 615 So.2d at 1085.
8
The first factor noted by the Smason court was whether a direct relationship existed
between the broker and the insurer. The absence of that direct relationship was demonstrated by
the fact that the application forms were not furnished by the insurance company to the broker.45
Additionally, the broker in Smason communicated with the insurance company only through
another broker.46 Like the broker in Smason who used application forms not provided by the
insurance company, Chandler used standard industry application forms to apply for insurance for
Bible World rather than forms issued by Colony.47 Additionally, Chandler generally
communicated with Colony only indirectly through a broker called Interstate.48 Accordingly, there
was no direct relationship between Colony and Chandler.
The second factor, whether the broker was an agent in fact, requires a determination of
whether an agent represents only one insurer or whether he considers other companies and presents
applications to those companies. Chandler was not an agent in fact of Colony because he worked
with approximately fifty different companies.49
The third factor examines whether there was an ongoing or prior relationship between the
broker and the insurer. Although Chandler worked for approximately fifty companies, he had a
15-20 year relationship with Colony.50 This factor weighs in favor of finding an agency
relationship.
45
Id. at 1084.
Id.
47
Chandler Dep. 9:12-19, Doc. 32-8.
48
Id. at 21:19-24; 41:9-13.
49
Id. at 43.
50
Id. at 7:15-23.
46
9
The fourth factor, control, is the most important factor.51 If a certain entity controls a
broker, that broker is most likely an agent of the entity. The Court finds that Colony had no power
to control or order Chandler to do anything.
Viewing the facts in the light most favorable to Bible World, as this Court is required to
do, and taking it as true that Chandler directed Bible World to repair the property, Colony is not
liable to Bible World because no reasonable factfinder could find that Chandler was an agent of
Colony.52
B.
Bible World Has Satisfied Its Obligation Under the Policy.
Having determined that Chandler was not an agent of Colony and was unable to change
the coverage that the Policy provided, this Court must next determine whether the damages to the
Bible World property are covered under the Policy.
Under Louisiana law, the interpretation of an insurance contract is typically a question of
law which can be properly resolved in the framework of a motion for summary judgment.53 An
insurance policy is an agreement between the parties and is interpreted using ordinary contract
principles.54 “Therefore, when the words of the policy are clear, unambiguously express the intent
of the parties, and lead to no absurd consequences, the contract must be enforced as written.”55
Words and phrases used in the policy are to be construed using their ordinary and generally
prevailing meaning.56 “An insurance policy should not be interpreted in a strained manner so as to
51
Smason, 615 So.2d at 1085.
In finding that Chandler was not an agent with the ability to bind Colony, the Court also finds the holding in
Neustadter v. Bridges persuasive: “Fulton & Johnson acted as insurance ‘brokers’ or agents for the insured, the
Church, and not as agents for the insurance company. Under these circumstances, any representations made by the
brokers to the Church concerning coverage were not binding on the insurer… Likewise, any fault of the brokers in
handling the matter for the Church is not imputable to the insurer.” 406 So.2d 738, 741 (La. App. 4th Cir. 1981)
(citations omitted).
53
Dunn v. Potomac Ins. Co. of Ill., 94-2202 (La. App. 1st Cir. 6/23/95), 657 So.2d 660, 664.
54
Reynolds v. Select Props. Ltd., 93-1480 (La. 4/11/94), 634 So.2d 1180, 1183.
55
St. Joseph’s Condominium Ass’n, Inc. v. Pacific Ins. Co., Civil Action No. 07-3959, 2008 WL 4717463, at *3 (E.D.
La. Oct. 27, 2008) (applying Louisiana law).
56
Reynolds, 634 So.2d at 1183 (citations omitted).
52
10
enlarge or restrict its provisions beyond what is reasonably contemplated by its terms or so as to
achieve an absurd conclusion.”57 “If, after applying the other rules of construction, an ambiguity
remains, the ambiguous provision is to be construed against the drafter and in favor of the
insured.”58
Although policies should be construed to effect, and not to deny coverage, insurance
companies have the right to limit coverage in any manner they desire, so long as the limitations do
not conflict with public policy.59 In other words, although exclusions are to be strictly construed
in favor of coverage, this rule of strict construction does not authorize a “perversion of language
or the exercise of inventive powers” to find coverage where none exists.60
In general, the burden is on the insured to demonstrate that a loss is encompassed by the
general provisions of the policy, while the burden is on the insurer to show that coverage is negated
by a specific exclusion or limitation.61
1. Relevant Policy Provisions
The insuring agreement of the policy provides:
***
BUILDING AND PERSONAL PROPERTY COVERAGE FORM
***
A. Coverage
We will pay for direct physical loss of or damage to Covered Property at the premises
described in the Declarations caused by or resulting from any Covered Cause of Loss.62
***
3. Covered Causes of Loss
See applicable Causes of Loss Form as Shown in the Declarations.63
***
57
Id.
Id.
59
Id.
60
Id. (internal quotation marks and citations omitted).
61
Doerr v. Mobil Corp.,00-0947 (La. 12/19/00), 774 So.2d 119, 124.
62
Policy, 42, Doc. 32-3.
63
Id. at 44.
58
11
The Declaration page of the Policy designates a “Special” Causes of Loss Form64 and, thus,
the applicable policy language reads as follows:
***
A. Covered Causes of Loss
When Special is shown in the Declarations, Covered Cause of Loss means Risks of Direct
Physical Loss unless the loss is:
1. Excluded in Section B., Exclusions; or
2. Limited in Section C., Limitations; that follow.65
***
For purposes of interpreting the Policy, this Court finds that three sections of the Policy are
relevant—(1) a section that excludes coverage for damages to an interior of a building caused by
rain unless the rain enters through an opening created by damage to the building (“Rain
Limitation”); (2) a section that excludes coverage for damages from water that overflows from a
sewer or drain (“Overflow Exclusion”); and (3) a section that brings back coverage for damages
from water that overflows from a drain for damages totaling up to $10,000 (“Gold-Pak
Endorsement”). These sections are excerpted below:
***
C. Limitations
The following limitations apply to all policy forms and endorsements, unless otherwise
stated.
1. We will not pay for loss of or damage to property, as described and limited in this section…
c. The interior of any building or structure, or to personal property in the building or
structure, caused by or resulting from rain, snow, sleet, ice, sand, or dust, whether driven by
wind or not, unless:
(1) The building or structure first sustains damage by a Covered Cause of Loss to its roof
or walls through which the rain, snow, sleet, ice, sand or dust enters.66
***
WATER EXCLUSION ENDORSEMENT
A. The exclusion in Paragraph B. replaces the Water Exclusion in this Coverage Part or
Policy.
B. Water…
3. Water that backs up or overflows or is otherwise discharged from a sewer, drain, sump,
sump pump or related equipment;67
64
Id. at 8.
Id. at 59.
66
Id. at 64.
67
Id. at 69.
65
12
***
GOLD PAK ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUILDING AND PERSONAL PROPERTY COVERAGE FORM
Section A. Coverage, Item 4. Additional Coverages is amended to include the following
coverage for the Limits of Insurance specified in the SCHEDULE below…
***
20) Sewer and Water Backup……$10,00068
***
20. SEWER AND WATER BACK-UP
We will pay for loss or damage up to the limit specified in the SCHEDULE above arising
out of a Covered Cause of Loss to covered Property at the premises described on the
Declarations. Under this endorsement, Covered Cause of Loss means loss or damage
resulting from or cause [sic] by water that backs up from sewer or drains.69
***
2. Analysis
Colony makes two arguments as to why there is no coverage. First, it argues that in order
for rain damage to be covered under the Policy, the rainwater must have entered through an exterior
opening created by damage to the property. Colony argues that there is no coverage under this
theory because the water did not enter through exterior damage to the building. Second, Colony
argues that the Policy does not pay for damages caused by a defective or poorly maintained roof
drainage system.70 In opposing the summary judgment motion, Bible World states, without further
discussion, that it disagrees with Colony’s interpretation. Bible World argues that there is coverage
by pointing the Court to six provisions of the Policy without explaining how they apply to the
alleged damages that occurred here.71
The Court finds that, based on the experts’ reports, it is undisputed that the damage to the
interior of the building would not have happened but for three conditions: (1) a heavy rainstorm;
68
Id. at 28.
Id. at 37.
70
The Court need not address Colony’s defect exclusion argument because, even construing the Policy in favor of
coverage, the Court finds that the most amount of money Bible World can recover under the Policy is $10,000 based
on the Gold-Pak Endorsement.
71
Pl.’s Opp. 6, Doc. 41.
69
13
(2) some clogged downspouts; and (3) a gutter design that allowed water from the full gutter to
enter the interior (design of the drain in this area created openings where the corrugated metal roof
decking intersected the gutter drain).
In other words, the Court finds that there were two main causes of the damages that
occurred here – the rain and the failure of the downspouts to drain properly. Assuming that the
rain was the cause of the loss, the Court finds that Colony does not owe Bible World anything.
Alternatively, assuming that the cause of the damages was the failure to drain, the Court finds that,
at most, Colony owes Bible World $10,000. However, because Colony has already issued that
amount to Colony, it owes Bible World nothing more under the Policy and granting summary
judgment in Colony’s favor is appropriate.
The Rain Limitation
The Court agrees with Colony’s interpretation of the Rain Limitation and its applicability
to the instant case. Pursuant to the Rain Limitation, Colony argues that coverage does not exist for
damages to the interior of any building caused by rain unless the building first sustains damage to
its roof or walls through which the rain enters. It is undisputed that the Bible World property did
not sustain damage resulting in physical openings to its roof or walls through which the rain
entered. Both Colony’s expert and Bible World’s expert found that the roof was intact and that the
water seeped in through pre-existing openings in the ceiling.72 Assuming that the rain was the
cause of the damages to the interior of Bible World’s building, Bible World does not have any
coverage.
James Affidavit 2, Doc. 41-10 (“[T]here were no defects or problems with roof itself…[there was] no place for the
water to go other than crevasses and openings down the walls.”); Vanderbrook Report 3-4, Doc. 32-7 (“There was no
indication of uplift, wind damage, openings, or other penetrations in this roof…The source of water intrusion was
overflow in the roof gutter drain, specifically on the edge furthest from the rear wall. The design of the drain in this
area created openings where the corrugated metal roof decking intersected the gutter drain.”).
72
14
The Overflow Exclusion and Gold-Pak Endorsement
However, the Court is aware that under Louisiana law, “policies should be construed to
effect, and not to deny, coverage.”73 In arguing that coverage exists for the damages that occurred
here, Bible World places heavy emphasis on the Federal First Circuit case Fidelity Co-op. Bank v.
Nova Casualty Co.74 Bible World argues that in that case “the First Circuit held that a so-called
‘chain’ or ‘train’ of events, i.e., rain, the rain backed up at the drain, and the backed up water
eventually pooled high enough to flow over the tops of the skylights, such as the one experienced
by Bible World, caused the water damages it sustained, concluding that the pooled water on the
roof was surface water, not rain, and therefore, coverage was not excluded, and such is the case in
this matter.”75
The Court understands the Plaintiff to be citing this case to argue that the true cause of the
damage here was not the rain, but rather, the blocked drains. Notwithstanding the fact that the
Fidelity case is not binding on this Court, the Plaintiff fails to see another key distinction between
the Fidelity case and the instant case. In Fidelity, damage caused by blocked roof drains was
covered under the Policy.76 Here, damages caused by blocked roof drains are covered under the
73
Reynolds, 634 So.2d 1180.
726 F.3d 31, 38 (1st Cir. 2013).
75
Pl.’s Opp. 9, Doc. 41.
76
726 F.3d at 38 (“Thus, we find that, when the blocked or inadequate drain was overwhelmed by the severe rainstorm,
it set in motion a ‘train of events’ lacking the intervention of any forces or the activation of a new source to cause the
interior water damage. The failure of the drain must properly be deemed the ‘efficient proximate cause’ of the
damage, not the rain. The blocked or inadequate roof drain was a covered loss under the Policy…it was error
for the district court to conclude that the interior damage was ‘caused by rain’ and was excluded from coverage under
the rain limitation provision.”) (emphasis added).
74
15
Policy but only up to a limit of $10,000.77 It is undisputed that Colony has already paid Bible
World $10,000, and so the Court finds that Colony has satisfied its obligation to Bible World.78
IV.
CONCLUSION
For the reasons stated above, the Defendant’s Motion for Summary Judgment (Doc. 32) is
GRANTED.
Signed in Baton Rouge, Louisiana, on December 20, 2016.
JUDGE JAMES J. BRADY
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF LOUISIANA
Initially, damage caused by “water that backs up or overflows or is otherwise discharged from a sewer, drain, sump,
sump pump or related equipment” is not covered. Policy 69, Doc 32-3. However, the Gold-Pak Endorsement brings
back coverage for up to $10,000 worth of damage caused by “water that backs up from sewers or drains.” Id. at 37.
78
Def’s. Supp. Br. 3, Doc. 53 (“[T]he $10,000.00 payment to Bible World was tendered based on the $10,000.00
coverage limit for Sewer and Water Back-up coverage in the Gold-Pak Endorsement of the Colony Policy…But for
the Gold-Pak Endorsement, there would not have been any coverage for Bible World’s claimed loss based on Colony’s
investigation.”).
77
16
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