Ardente v. The Standard Fire Insurance Company
Filing
29
OPINION AND ORDER granting in part and denying in part 21 Motion for Summary Judgment, granting in part and denying in part 25 Cross-Motion for Summary Judgment. So Ordered by Judge William E. Smith on 11/27/12. (Jackson, Ryan)
UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF RHODE ISLAND
______________________________
)
)
)
Plaintiff,
)
)
v.
)
)
THE STANDARD FIRE INSURANCE
)
COMPANY,
)
)
Defendant.
)
______________________________)
EVAN ARDENTE,
C.A. No. 10-362 S
OPINION AND ORDER
WILLIAM E. SMITH, United States District Judge.
I.
Facts 1
In
1999,
Evan
Ardente,
the
Plaintiff
in
this
case,
purchased a 1997 580 Super Sun Sport Sea Ray yacht (the “Yacht”)
from its original owner.
During the period of time relevant to
this suit, the Yacht was insured by the Defendant, Standard Fire
Insurance Company (“Standard”).
The
“accidental
insurance
direct
policy
physical
covers,
among
other
loss
damage
caused
or
occurrence” to the Yacht and auxiliary equipment.
things,
by
an
(Ex. A to
Parties’ Joint Statement of Undisputed Facts in Supp. of their
1
The facts are derived from the parties’ joint statement of
undisputed facts and are not disputed, unless noted as such.
(See Parties’ Joint Statement of Undisputed Facts in Supp. of
their Cross-Mots. for Summ. J. (“SUF”), ECF No. 23.)
Cross-Mots. for Summ. J. (“SUF”), ECF No. 23-1.)
coverage
is,
however,
subject
to
several
This grant of
exclusions,
two
which are of particular relevance in the instant case.
policy
excludes
loss
caused
by
“[d]efects
in
of
The
manufacture,
including defects in construction, workmanship and design other
than latent defects as defined in the policy.”
(Id.)
The
policy separately excludes loss caused by latent defects, but it
goes on to state that “any resulting direct physical loss or
damage to your yacht resulting from the latent defect will be
covered.”
(Id.)
The
policy
defines
“latent
defect”
as
“a
hidden flaw inherent in the material existing at the time of the
original building of the yacht, which is not discoverable by
ordinary observation or methods of testing.”
During
the
summer
of
problems with the Yacht.
2009,
Ardente
(Id.)
began
to
experience
He noticed that the Yacht’s top speed
had decreased and that the Yacht was listing to starboard.
In
November of 2009, Ardente retained Stafford Marine Services, LLC
(“Stafford”) to perform a marine survey of the Yacht.
After
conducting a survey, Stafford concluded that water intrusion had
caused damage to the Yacht’s hull and deck.
Around
November
16,
2009,
Ardente
Standard for the damage to the Yacht.
Standard
Yacht
and
staff
found
surveyor
high
Christopher
moisture
a
claim
to
On November 20, 2009,
MacDougall
levels
2
presented
in
the
inspected
hull
and
the
deck.
MacDougall
that
reported
Standard
his
obtain
findings
a
to
Standard
and
expert
to
laminations
determining the cause of the water intrusion.
Stephen
J.
(“Burke”)
Burke,
to
inspection,
of
infrared
naval
further
conducted
moisture levels.
Ashton
a
architect
inspect
on
the
with
15,
assist
in
Standard retained
Burke
Yacht.
December
recommended
Design,
Burke’s
2009,
LLC
initial
revealed
high
At Burke’s recommendation, Standard hired Mark
Independent
survey
of
Marine
the
Systems
Yacht.
to
conduct
Ashton,
like
a
thermal
Stafford,
MacDougall, and Burke before him, found high moisture levels in
the Yacht.
Burke, based on his own inspection of the boat and
review of the thermal infrared survey, reported to Standard that
the
damage
techniques
vessel.”
of
the
was
caused
employed
during
by
“poor
the
composite
original
manufacturing
construction
of
the
More specifically, Burke concluded that “the failure
builder
to
terminate
the
(balsa)
core
material,
and
substitute solid composite laminate, [in the area of] hardware,
equipment, fasteners and related installations, allowed moisture
to enter the hull and deck laminates at many locations on the
vessel.” (SUF ¶ 16.)
In a properly built boat, port lights and other hardware
installed into the hull should be surrounded by solid laminate.
This is because solid laminate is a dense material that does not
transmit moisture.
Balsa wood, on the other hand, is not water
3
proof.
If it gets wet, it can rot.
In Ardente’s Yacht, balsa
wood is present in the areas surrounding installations in the
hull.
This poor manufacturing technique caused the damage to
the Yacht.
(See SUF ¶¶ 19-25; Exs. B, D, and F to SUF, ECF Nos.
23-2, 23-4, and 23-6.)
On February 17, 2010, Standard conducted a conference call
with its claims personnel and determined that the damage to the
Yacht
fell
defects.
called
within
the
policy
exclusion
for
manufacturing
On February 19, 2010, Standard employee Greg Forester
Ardente
to
explain
Standard’s
position.
During
this
call, Ardente told Forester that he believed the loss was caused
by a latent defect.
Forester responded, “it is a construction
issue and that is our position.”
(SUF ¶ 33.)
Finally, in a
letter dated February 25, 2010, Standard denied Ardente’s claim.
At no point did Standard discuss whether the damage to Ardente’s
Yacht may have been the result of a latent defect.
(SUF ¶ 34;
Pl.’s Statement of Additional Undisputed Facts in Supp. of his
Mot. for Summ. J. (“Pl.’s SUF”) ¶¶ 3-5, ECF No. 22.)
Ardente brought suit against Standard alleging breach of
contract,
breach
of
implied
covenant
and
fair
dealing, 2 and bad faith failure to pay an insurance claim.
(See
2
of
good
faith
Ardente’s claim for breach of the implied covenant of good
faith and fair dealing “is merely a recitation of an element of
bad faith . . . and is not a separate and distinct claim.”
4
Compl., ECF No. 1-1.)
(Id.)
Ardente also sought declaratory judgment.
Now before the Court are the parties’ cross-motions for
summary judgment. 3
II.
Discussion
Summary judgment is appropriate when, viewing the record in
the light most favorable to the non-moving party, there is no
genuine issue of material fact and the moving party is entitled
to judgment as a matter of law. See Fed. R. Civ. P. 56; see also
Taylor
v.
Am.
Chemistry
Council,
576
F.3d
16,
24
(1st
Cir.
2009).
In the instant case, there is no factual dispute concerning
the
cause
of
the
damage
to
the
Yacht:
the
damage
occurred
because the hull was constructed in such a way that the holes
where
the
fixtures
attached
to
the
boat
passed
through
both
laminate and balsa wood; because of this, water intruded and
saturated the balsa wood over time.
The only dispute concerns
whether the loss sustained is covered by the insurance policy.
This issue may be properly resolved by the Court at the summary
Skaling v. Aetna Ins. Co., 799 A.2d 997, 1015 (R.I. 2002). For
this reason, this Court does not separately discuss this claim.
3
In its answer, Standard raised various affirmative
defenses that it failed to develop in its summary judgment
papers.
(See Answer 5-6, ECF No. 5.)
These affirmative
defenses are waived. See Am. States Ins. Co. v. LaFlam, 808 F.
Supp. 2d 400, 405 n.9 (D.R.I. 2011) (granting the plaintiff’s
motion for judgment on the pleadings and refusing to consider
affirmative defenses raised in the defendant’s answer but not
developed in her motion papers).
5
judgment stage.
See Littlefield v. Acadia Ins. Co., 392 F.3d 1,
6 (1st Cir. 2004) (“The parties contest only the interpretation
of the yacht insurance policy’s exclusion provisions.
Whether
there is any ambiguity in the exclusion provisions is a question
of law for the court to determine.”).
The parties agree that the use of balsa wood in the areas
surrounding installations in the hull is a manufacturing defect.
They
also
agree
that,
if
a
particular
manufacturing
defect
qualifies as a latent defect, the exclusion for manufacturing
defects does not apply.
(See Pl.’s SUF ¶ 2.)
Indeed, this
proposition is clear from the plain language of the policy which
excludes
manufacturing
(Ex. A to SUF.)
the
Yacht
defects
“other
than
latent
defects.”
Thus, whether the policy covers the damage to
depends
upon
whether
that
damage
resulted
from
a
latent defect.
The policy defines the term “latent defect” as “a hidden
flaw
inherent
in
the
material
existing
at
the
time
of
the
original building of the yacht, which is not discoverable by
ordinary observation or methods of testing.”
(Id.)
The parties
agree that the balsa wood was present in the areas surrounding
installations at the time of the Yacht’s original construction
and
that
this
condition
was
not
observation or methods of testing.
discoverable
by
ordinary
(See SUF ¶¶ 26-27.)
Thus,
the only disputed issue is whether the damage to Ardente’s Yacht
6
resulted
from
a
“flaw
inherent
in
the
material”
within
the
meaning of the policy.
The parties agree that Rhode Island law should govern the
Court’s
analysis
of
applies
to
interpretation
the
this
issue.
While
of
federal
yacht
maritime
insurance
law
policies,
“[s]tate law may supplement maritime law when maritime law is
silent or a local matter is at issue.”
Windsor Mount Joy Mut.
Ins. Co. v. Giragosian, 57 F.3d 50, 54 (1st Cir. 1995).
there
is
“no
federal
interpretation”
applies
in
(applying
of
this
New
statute
maritime
case.
or
insurance
See
Hampshire
federal
law
governing
contracts,
Littlefield,
to
rule
interpret
392
a
Because
state
F.3d
yacht
the
law
at
6-7
insurance
policy).
Under Rhode Island law, if the terms of an insurance policy
are unambiguous “no further judicial construction is needed and
the
parties
are
bound
by
the
terms
as
they
are
written.”
Narragansett Jewelry Co. v. St. Paul Fire and Marine Ins. Co.,
526 F. Supp. 2d 245, 247 (D.R.I. 2007) (citing St. Paul Fire and
Marine Ins. Co. v. Warwick Dyeing Corp., 26 F.3d 1195, 1199 (1st
Cir. 1994)).
“On the other hand, if the policy, as written, is
ambiguous or its terms can be reasonably interpreted in more
than one way, the policy ‘will be construed liberally in favor
of the insured and strictly against the insurer.’”
Warwick
Dyeing
Corp.,
26
F.3d
at
7
1199).
Id. (quoting
However,
“a
court
should not, through an effort to seek out ambiguity when there
is no ambiguity, make an insurer assume a liability not imposed
by the policy.”
Id. (quoting McGowan v. Conn. Life Ins. Co.,
289 A.2d 428, 429 (R.I. 1972)).
In the present case, Ardente argues that the policy’s use
of
the
suggests
word
“inherent”
that
such
a
in
its
defect
definition
must
characteristic to the material.”
be
of
latent
“something
defect
intrinsic
or
(See Pl.’s Opp’n to Def.’s
Cross-Mot. for Summ. J. 5, ECF No. 27.)
Indeed, “inherent” is
defined as “involved in the constitution or essential character
of
something
:
Merriam-Webster
belonging
Dictionary,
by
nature
available
webster.com/dictionary/inherent.
or
at
habit
:
intrinsic.”
http://www.merriam-
Because susceptibility to rot
is a characteristic of all balsa wood, Ardente contends that it
constitutes a latent defect within the meaning of the policy. 4
4
Standard cites Carrier v. RLI Ins. Co., 854 F. Supp. 2d
1324 (S.D. Ga. 2010), aff’d, 463 F. App’x 824 (11th Cir. 2012),
and Egan v. Washington Gen. Ins. Corp., 240 So. 2d 875 (Fla.
Dist. Ct. App. 1970), in support of its contention that
Ardente’s interpretation of the policy is unreasonable, but
these cases are of little help. In Carrier, the court held that
a policy exclusion for latent defects did not modify a
completely separate exclusion for manufacturing defects, which
made no mention of latent defects. See 854 F. Supp. 2d at 1326
(quoting policy). In the present case, by contrast, the policy
excludes manufacturing defects “other than latent defects.”
Egan, unlike the present case, involved a policy which did not
expressly define “latent defect.”
See 240 So. 2d at 876
(quoting policy).
8
Standard counters by emphasizing the policy’s use of the
word “flaw.”
It argues that a “flaw,” unlike a characteristic,
cannot be something common to all balsa wood.
(See Standard
Fire Insurance Company’s Mem. of Law in Opp’n to Pl.’s Mot. for
Summ. J. and in Supp. of Cross-Mot. for Summ. J. (“Def.’s Mem.”)
13, ECF No. 26.)
A “flaw” is defined as “a feature that mars
the perfection of something; defect; fault.”
French Cuff, Ltd.
v. Markel Am. Ins. Co., 322 F. App'x 669, 673 (11th Cir. 2009)
(quoting
The
Random
House
Dictionary
503
(rev.
ed.
1980)).
Here, susceptibility to rot is a characteristic of balsa wood,
but it is not a flaw.
The balsa wood used in Ardente’s Yacht
was perfectly good balsa wood notwithstanding its susceptibility
to rot. 5
There
is
a
fundamental
definition
of
latent
material.”
The word “inherent” requires that a latent defect be
defect
contradiction
in
as
inherent
a
“flaw
characteristic of or intrinsic to the material.
5
the
policy’s
in
the
The word “flaw”
Ardente relies on French Cuff in arguing that his
interpretation of the policy language is reasonable.
This
reliance is misplaced.
In French Cuff, the Eleventh Circuit
held, on similar policy language, that the use of foam that was
“too thin or friable” in a yacht’s hull constituted a latent
defect under a reasonable reading of the policy.
French Cuff,
Ltd. v. Markel Am. Ins. Co., 322 F. App'x 669, 673 (11th Cir.
2009).
The present case is different than French Cuff because
there is no problem with the material used in the construction
of the hull beyond those features characteristic to all pieces
of that material. While the thinness of the foam in French Cuff
could reasonably be construed as a “flaw,” the susceptibility of
all balsa wood to rot cannot be reasonably construed as a flaw.
9
imposes the exact opposite requirement.
with
a
specific
piece
of
It includes problems
material,
characteristic of the material itself.
but
not
problems
In short, giving the
terms their plain and reasonable meaning, there can be no such
thing as an inherent flaw.
Contradictory provisions in an insurance contract “must be
interpreted
insured.”
to
reflect
the
reasonable
expectations
of
the
Stratford Sch. Dist. v. Emp’rs Reinsurance Corp., 105
F.3d 45, 47 (1st Cir. 1997) (citing Commercial Union Assurance
Co. v. Gilford Marina, Inc., 408 A.2d 405, 407 (N.H. 1979)).
Here, the policy language at issue contains a grant of coverage,
an exclusion for losses caused by manufacturing defects, and an
exception to that exclusion.
It would be inconsistent with the
insured’s reasonable expectations to hold that, because there is
no
such
thing
as
an
“inherent
flaw,”
the
exception
to
the
manufacturing defects exclusion is entirely meaningless.
Gilford,
408
contradictory
A.2d
at
provisions
407
in
a
(interpreting
manner
that
a
gave
policy
effect
See
with
to
an
exception to a coverage exclusion).
If Standard intended to
exclude
from
all
manufacturing
exception,
it
“should
language.”
have
defects
so
stated
in
coverage
plain
and
without
simple
Id. at 408.
A reasonable insured would expect the term “latent defect”
to include the use of an otherwise appropriate boat building
10
material
in
a
flawed
manner
where
such
discoverable by ordinary observation.
improper
use
is
not
The parties agree that
the areas of the Yacht’s hull surrounding installations should
have
been
wood.
constructed
from
solid
laminate
rather
than
balsa
The use of balsa wood in these areas was a flaw in the
construction of the Yacht, even if it was not a flaw in the
underlying material itself.
defective
manufacturing
Here we have what amounts to a
technique;
the
flaw
results
from
a
combination of an inherent characteristic of balsa wood, i.e.
its susceptibility to rot, and the placement of that material in
and around the boat’s fixtures.
thing
as
a
“flaw
inherent
in
Thus, while there is no such
the
material,”
this
case
does
involve a flaw in the construction of the hull resulting from an
inherent characteristic of balsa wood.
Court
interprets
the
policy
language
For this reason, the
to
cover
the
to
Ardente’s
loss
to
Yacht
is
Ardente’s Yacht.
Standard
contends
that
the
loss
excluded from coverage even if this Court finds that it was
caused by a “latent defect.”
excluding
manufacturing
This is because, in addition to
defects,
exclusion for latent defects.
“any
resulting
defects.
direct
policy
has
a
separate
The policy does, however, cover
physical
(Ex. A to SUF.)
the
loss
or
damage”
from
latent
Standard argues that, to the extent
the costs of repair in this case are necessary to remove wet
11
balsa wood from the hull, those costs would go to repairing the
latent
defect
latent
itself
defect.
rather
This
than
damage
reasoning
resulting
relies
on
a
misconception of the latent defect in this case.
from
the
fundamental
As previously
explained, the “latent defect” is the use of balsa wood in areas
surrounding
hull
installations.
infiltrated
the
hull
and
was
The
loss
absorbed
caused
by
when
balsa
the
constitutes a loss resulting from that defect.
water
wood
This, in turn,
is distinct from the underlying latent defect itself.
To put it
another way, replacing the material around the fixtures would
repair the defect; replacing the damaged balsa wood repairs the
damage resulting from the defect. 6
Ardente also brings a claim of bad faith refusal to pay an
insurance claim under R.I. Gen. Laws § 9-1-33.
That section
provides, in pertinent part:
Notwithstanding any law to the contrary, an insured
under any insurance policy as set out in the general
laws or otherwise may bring an action against the
insurer issuing the policy when it is alleged the
insurer wrongfully and in bad faith refused to pay or
settle a claim made pursuant to the provisions of the
policy, or otherwise wrongfully and in bad faith
refused to timely perform its obligations under the
contract of insurance. In any action brought pursuant
to this section, an insured may also make claim for
6
Because Ardente moves for summary judgment as to liability
only, this Court does not consider the amount of damages he is
entitled to recover.
(See Pl.’s Mot. for Summ. J. 1, ECF No.
21; Cross-Mots. for Summ. J. Hr’g Tr. 36.) Rather, the Court
merely holds that the loss to Ardente’s Yacht does not fall
within the policy’s exclusion for latent defects.
12
compensatory damages, punitive damages, and reasonable
attorney fees.
In all cases in which there has been
no trial in the Superior Court on or before May 20,
1981, the question of whether or not an insurer has
acted in bad faith in refusing to settle a claim shall
be a question to be determined by the trier of fact.
R.I.
Gen.
Laws
§
9-1-33(a).
Notwithstanding
the
statute’s
explicit reservation of the issue of bad faith failure to settle
for
the
trier
recognized
of
that
fact,
summary
the
Rhode
judgment
appropriate on § 9-1-33 claims.
Ins.
Co.,
742
plaintiff’s
A.2d
Island
is,
in
Supreme
some
has
circumstances,
See Lewis v. Nationwide Mut.
1207,
1209-10
(R.I.
that
summary
judgment
argument
Court
2000)
(rejecting
was
the
inappropriate
because § 9-1-33 directs that bad faith is an issue for the
trier
of
fact);
see
also
Prudential
Ins.
Co.
of
Am.
v.
Tanenbaum, 167 A. 147, 149 (R.I. 1933) (affirming the dismissal
of a bill in equity seeking payment under two life insurance
policies
on
the
grounds
that
the
insured
made
material
mistatements in procuring those policies despite R.I. Gen. Laws
§
27-4-10,
which
provides
that
the
materiality
misstatement “shall be a question for the jury”).
of
such
a
Additionally,
it is notable that the relevant statutory language is explicitly
limited to bad faith failure “to settle a claim.”
Laws § 9-1-33(a) (emphasis added).
R.I. Gen.
This portion of the statute
does not, on its face, apply to bad faith failure to pay a
claim.
13
The Rhode Island Supreme Court has held that “not every
refusal to pay amounts to insurer bad faith.
A plaintiff must
demonstrate an absence of a reasonable basis in law or fact for
denying
properly
the
claim
or
investigate
cognitive evaluation.”
1012 (R.I. 2002).
an
the
intentional
or
claim
subject
and
reckless
the
failure
to
result
to
Skaling v. Aetna Ins. Co., 799 A.2d 997,
In the present case, Ardente does not contend
that Standard’s interpretation of the policy was unreasonable.
Rather, Ardente’s bad faith claim is predicated upon Standard’s
alleged failure to perform an adequate investigation.
Ardente has failed to create a genuine issue of fact with
respect to whether Standard’s response to his claim constituted
“an intentional or reckless failure to properly investigate the
claim and subject the result to cognitive evaluation.” 7
Just
days after Ardente filed his claim, Standard’s staff surveyor,
7
In his motion for summary judgment papers, Ardente
purports to reserve the right “to conduct discovery on the bad
faith claim which, in the ordinary course, would be severed and
tried separately from the breach of contract action.”
(Pl.’s
Mem. of Law in Supp. of Pl.’s Mot. for Summ. J. (“Pl.’s Mem.”)
15 n.4., ECF No. 21-1.)
As authority for this reservation,
Ardente cites Corrente v. Fitchburg Mut. Fire Ins. Co., 557 A.2d
859 (R.I. 1989). In Corrente, the court held that “[s]ince the
burden of proof on a bad-faith claim is so formidable . . . it
is inherently prejudicial for a trial justice to decline to
sever that claim from a breach-of-contract claim.” Id. at 862.
The Corrente decision, however, predates the Rhode Island
Supreme Court’s decision in Skaling, which rendered the burden
of proof on a bad faith claim far less “formidable” than it once
was. Additionally, in the present case, unlike in Corrente, the
parties made no motion to sever.
14
MacDougall, inspected the Yacht.
Later, Standard retained both
Burke and Ashton to conduct further investigation.
Plaintiff’s
expert, Halsey C. Herreshoff, agreed that the reports prepared
by Burke and Ashton were “thorough.”
The
thoroughness
of
Standard’s
(Ex. I to Def.’s Mem.)
investigation
concerning
the
cause of the damage to Ardente’s Yacht distinguishes the present
case from Skaling.
Ardente argues that the Court should grant summary judgment
in his favor on the bad faith claim because there is no evidence
that
Standard
manufacturing
latent
ever
discussed
defect
it
defect.
or
discovered
However,
analyzed
in
the
because
whether
Yacht
was
Standard’s
the
also
a
thorough
investigation did not reveal any “flaw” in the balsa wood, the
policy’s requirement of a “flaw inherent in the material” was
clearly not met.
Standard was, thus, under no obligation to
debate the question with Ardente.
policy
language
interpretation
A difference of opinion as to
does
not
a
bad
faith
investigation make.
III. Conclusion
For
the
reasons
stated
above,
Plaintiff’s
motion
for
summary judgment as to liability is GRANTED with respect to his
breach
of
contract
claim.
Defendant’s
motion
for
summary
judgment is GRANTED with respect to Plaintiff’s claims of breach
15
of implied covenant of good faith and fair dealing and bad faith
failure to pay an insurance claim.
IT IS SO ORDERED.
/s/ William E. Smith
William E. Smith
United States District Judge
Date: November 27, 2012
16
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