Lui v. Essex Insur. Co. ( 2016 )

IN THE SUPREME COURT OF THE STATE OF WASHINGTON
KUT SUEN LUI and MAY FAR LUI, )
)
Petitioners, ) No. 91777-9
V. )
) En Bane
ESSEX INSURANCE COMPANY, )
Respondent. )
) Filed JUN 0 Q 20j6
WIGGINS, J.-Kut Suen Lui and May Far Lui (the Luis) owned a building that
sustained water damage after a pipe burst while the building was vacant. The Luis'
insurance policy for the building limited coverage for water damage in two ways based
on vacancy: coverage was suspended if the building remained vacant for 60
consecutive days and, effective at the beginning of any vacancy, there was no
coverage for certain specified losses, including water damage. The Luis argue that
the policy is ambiguous and should be interpreted in the Luis' favor to mean that the
exclusion of coverage for water damage would commence only after a 60-day
vacancy. We reject the Luis' arguments and find that the policy unambiguously
excluded coverage for water damage immediately upon vacancy. We reverse the trial
court's contrary holding and affirm the Court of Appeals.
State v. Lui (Kut Suen & May Far), No. 91777-9
FACTS AND PROCEDURAL HISTORY
The Luis owned a building containing tenant space. The building's last tenant,
the Agape Foundation Inc., left the building in the first week of December 2010 after
being evicted by the Luis for failure to pay rent. At the time of the incidents giving rise
to this claim, the Luis were not renting the building to a tenant.
On or about January 1, 2011, less than 60 days after the Agape Foundation
Inc. moved out of the building, a frozen sprinkler pipe broke in the building and caused
substantial water damage to the building. Upon discovering the water damage, the
Luis notified their insurance provider, Essex Insurance Company, and filed a cl.aim.
Essex began investigating the Luis' claim and paid the Luis a total of $293,598.05 for
property damage during the course of its investigation.
After paying this sum, Essex discovered that the property was vacant at the
time of the water damage. Essex then denied the Luis' claim and refused to pay any
more money. In denying the Luis' claim, Essex sent their attorney a letter explaining
that the endorsement in the Luis' insurance policy excluded coverage for the water
damage because it occurred while the building was vacant. The letter explained
Essex's reasoning as follows:
This letter explains the reasons why Essex must deny your clients'
claim based on the investigation to date.
First, the policy contains a Change of Conditions Endorsement,
which I copy here at Appendix A This Endorsement was specifically
endorsed to the policy over the past few years. As you will see, that
Endorsement states:
Effective at the inception of any vacancy or unoccupancy,
the Causes of Loss provided by this policy are limited to
Fire, Lightning, Explosion, Windstorm or Hail, Smoke,
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Aircraft or Vehicles, Riot or Civil Commotion, unless prior
approval has been obtained from the Company.
In this situation, the subject building was vacant and unoccupied
at the time of the loss. The insurance company was never notified of the
vacancy until after the loss, and hence never approved coverage beyond
the named perils listed in the Endorsement. The cause of the January 1,
2011 loss was not one of the perils named in the Change of Conditions
Endorsement. Therefore, the insurance company cannot provide
coverage for the claimed loss.
In addition, the letter stated that Essex would refrain from seeking reimbursement for
the money that Essex had already paid to the Luis on condition that the Luis would
not pursue their claim any further.
The Luis sued Essex, claiming total damages in the amount of $758,863.31.
Both the Luis and Essex filed cross motions for summary judgment. Essex argued
that the unambiguous language of the "Change in Condition Endorsement" (the
endorsement) in the Luis' insurance policy immediately suspends coverage at the
inception of any vacancy for all but specifically named causes of loss. Because the
property was vacant and water damage was not one of the named causes of loss,
Essex argued that the court should rule that the Luis were not entitled to coverage as
a matter of law. The Luis argued that coverage restrictions from their policy's "Vacancy
Provisions" become effective if the property is vacant for a period of 60 consecutive
days. Further, the Luis sought summary judgment on the grounds that (1) Essex was
estopped from denying coverage, (2) Essex waived its right to deny coverage, and (3)
Essex denied the coverage in bad faith.
The trial court denied Essex's motion for summary judgment and granted partial
summary judgment in favor of the Luis solely on its conclusion that the endorsement
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was internally ambiguous and, therefore, had to be construed as providing coverage
for the water damage. Specifically, the trial court stated, "The court finds there is a
conflict in the two paragraphs of the change of conditions endorsement." The court
resolved the conflict in favor of the Luis, holding that the word "inception" from the
endorsement "does not suspend coverage automatically." The court acknowledged
that it was ruling only on the "narrow issue" that there was "a conflict in the language"
of the endorsement. Thus, the court declined to grant summary judgment on the Luis'
waiver, estoppel, and bad faith claims, stating that there are questions of material fact
that govern those issues. 1
Essex moved for reconsideration and asked in the alternative that the court
certify the ruling for appeal under RAP 2.3(b)(4). The court denied Essex's motion for
reconsideration but did certify its ruling for review. In certifying its ruling for review, the
court also ordered "that all further action in this Court involving the Luis' claims against
Essex are severed and stayed pending resolution of Essex' appeal to the Court of
Appeals."
The Court of Appeals accepted review on the certified issue of whether the
provisions within the endorsement were ambiguous. In an unpublished opinion, the
Court of Appeals reversed the trial court's order granting summary judgment in favor
of the Luis. The Court of Appeals ruled that the plain language of the endorsement
unambiguously limited coverage to only the enumerated causes of loss at the moment
1 The issues of waiver, estoppel, and bad faith are not before our court. The Luis asked the
Court of Appeals to review these issues, but the Court of Appeals refused on the basis that
the issues were not properly before the court. Kut Suen Lui v. Essex Ins. Co., noted at 186
Wash. App. 1045, 2015 WL 1542380, at *7. The Luis do not raise these issues here.
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State v. Lui (Kut Suen & May Far), No. 91777-9
the building became vacant, not after 60 days as the Luis argued. The Luis then filed
a petition for review with this court, which we granted.
ANALYSIS
I. Standard of Review
"This court reviews summary judgment determinations de novo, engaging in
the same inquiry as the trial court." Durland v. San Juan County, 182 Wash. 2d 55, 69,
340 P.3d 191 (2014 ). "Summary judgment is proper where there are no genuine issues
of material fact and the moving party is entitled to judgment as a matter of law." /d.
Courts interpret language in an insurance policy as a matter of law, and we review de
novo. Expedia, Inc. v. Steadfast Ins. Co., 180Wn.2d 793,802,329 P.3d 59 (2014).
II. The Luis' Insurance Policy Did Not Cover the Water Damage
We construe insurance policies as contracts. Weyerhaeuser Co. v. Commercial
Union Ins. Co., 142 Wash. 2d 654, 665, 15 P.3d 115 (2000). When we interpret an
insurance policy, we consider the insurance policy as a whole, giving the policy '"a
fair, reasonable, and sensible construction as would be given to the contract by the
average person purchasing insurance."' Key Tronic Corp. v. Aetna (CIGNA) Fire
Underwriters Ins. Co., 124 Wash. 2d 618, 627, 881 P.2d 201 (1994) (quoting Queen City
Farms, Inc. v. Cent. Nat'! Ins. Co. of Omaha, 126 Wash. 2d 50, 65, 882 P.2d 703, 891
P.2d 718 (1994)). Where possible, we harmonize clauses that seem to conflict in order
to give effect to all of the contract's provisions. Realm, Inc. v. City of Olympia, 168 Wn.
App. 1, 5, 277 P.3d 679 (2012). "Every insurance contract shall be construed
according to the entirety of its terms and conditions as set forth in the policy, and as
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State v. Lui (Kut Suen & May Far), No. 91777-9
amplified, extended, or modified by any rider, endorsement, or application attached to
and made a part of the policy." RCW 48.18.520.
In this case, the language of the Luis' insurance policy,· including the
endorsement, is plain-it did not cover water damage. Specifically, reading the
endorsement, the average insured would understand by the policy's plain language
that (1) the endorsement's terms supersede the terms of the underlying policy, (2) the
endorsement's first paragraph excluded all coverage after 60 days of vacancy, and
(3) the endorsement's second paragraph provided only limited coverage from when
the building first became vacant up until 60 days of that vacancy. Because the
language of the policy is plain, we enforce that language.
A. Description of the endorsement
The endorsement to the Luis' insurance policy stated in relevant part:
CHANGE IN CONDITIONS ENDORSEMENT
Please read carefully as this changes coverage under your policy.
VACANCY OR UNOCCUPANCY
Coverage under this policy is suspended while a described building,
whether intended for occupancy by owner or tenant, is vacant or
unoccupied beyond a period of sixty consecutive days, unless
permission for such vacancy or unoccupancy is granted hereon in writing
and an additional premium is paid for such vacancy or unoccupancy.
Effective at the inception of any vacancy or unoccupancy, the Causes of
Loss provided by this policy are limited to Fire, Lightning, Explosion,
Windstorm or Hail, Smoke, Aircraft or Vehicles, Riot or Civil Commotion,
unless prior approval has been obtained from the Company.
This endorsement superseded the original terms of the underlying insurance
policy. Insurance policies may be "amplified, extended, or modified by any ...
endorsement ... attached to and made a part of the policy." RCW 48.18.520. "An
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State v. Lui (Kut Suen & May Far), No. 91777-9
endorsement becomes a part of the insurance contract even if the result is a new and
different contract. As endorsements are later in time, they generally control over
inconstant terms or conditions in a policy." Transcon. Ins. Co. v. Wash. Pub. Uti/s.
Dists.' Uti/. Sys., 111 Wash. 2d 452, 462, 760 P.2d 337 (1988). By its plain language, the
endorsement changed the terms of the underlying policy. In italicized letters, the
endorsement asked the insured to "[p]lease read carefully as this changes coverage
under your policy" Because the endorsement changed the terms of the underlying
insurance policy, the terms of the endorsement control.
Despite the plain language of the endorsement, the Luis argue that an
ambiguity exists between the endorsement's two paragraphs. We therefore analyze
the operative language of the endorsement and its meaning.
B. Plain language and meaning of terms of the endorsement
The plain language of the endorsement provides that whenever an insured
building becomes vacant, insurance coverage is limited, and that after 60 days of
vacancy, insurance coverage is suspended. "[l]f the policy language is clear and
unambiguous, we must enforce it as written; we may not modify it or create ambiguity
where none exists." Quadrant Corp. v. Am. States Ins. Co., 154 Wash. 2d 165, 171, 110
P.3d 733 (2005). Language in an insurance contract is ambiguous if it is susceptible
to two different but reasonable interpretations. State Farm Mut. Auto. Ins. Co. v. Ruiz,
134 Wash. 2d 713, 722, 952 P.2d 157 (1998). If an insurance contract contains an
ambiguity,
we may rely on extrinsic evidence of the intent of the parties to resolve
the ambiguity. Any ambiguity remaining after examination of the
applicable extrinsic evidence is resolved against the insurer and in favor
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State v. Lui (Kut Suen & May Far), No. 91777-9
of the insured. But while exclusions should be strictly construed against
the drafter, a strict application should not trump the plain, clear language
of an exclusion such that a strained or forced construction results ....
[l]n Washington the expectations of the insured cannot override the plain
language of the contract.
Quadrant Corp., 154 Wash. 2d at 171-72 (citations omitted).
We begin with the plain language of the first paragraph. It states that
"[c]overage under this policy is suspended while a described building ... is vacant ...
beyond a period of sixty consecutive days" unless the insured pays an additional
premium and Essex agrees to the vacancy. The underlying policy defines "vacant."
When a term is defined in a policy, that definition applies throughout the policy. See
Kitsap County v. Allstate Ins. Co., 136 Wash. 2d 567, 576, 964 P.2d 1173 (1998) ("lfterms
are defined in a policy, then the term should be interpreted in accordance with that
policy definition."). In this case, the policy defines "vacant" in the following provision:
6. Vacancy
a. Description of Terms
(1) As used in this Vacancy Condition, the term building and
the term vacant have the meanings set forth in ... (1 )(b)
below:
(b) When this policy is issued to the owner or general
lessee of a building, building means the entire
building. Such building is vacant unless at least 31%
of its total square footage is:
(i) Rented to a lessee or sub-lessee and used by
the lessee or sub-lessee to conduct its
customary operations; and/or
(ii) Used by the building owner to conduct
customary operations.
(2) Buildings under construction or renovation are not
considered vacant.
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State v. Lui (Kut Suen & May Far), No. 91777-9
Therefore, a condition to the first paragraph of the endorsement becoming effective is
that less than 31 percent of the building is being rented or used for its customary
operations, unless it is under construction or renovation.
The first paragraph of the endorsement also contains the terms "suspended"
and "beyond," which are not defined within the policy. We give undefined terms in an
insurance policy their popular and ordinary meaning in accord with the understanding
of the average purchaser of insurance, which we may determine by reference to
dictionary definitions. Queen City Farms, Inc., 126 Wash. 2d at 77. The ordinary meaning
of "suspended" to the average insured is that there is no insurance coverage "beyond"
60 days of vacancy. Indeed, the dictionary definition of "suspended" is "temporarily
debarred, inactive, inoperative : held in abeyance." WEBSTER's THIRD NEW
INTERNATIONAL DICTIONARY 2303 (2002). Similarly, the average insured would
understand "beyond" to mean after the 60 days of vacancy, which is again confirmed
by the dictionary definition. See id. at 210 ("beyond" means "farther away or farther
along in space, time, or any developing temporal activity"). Therefore, the average
insured would understand that the first paragraph of the endorsement ends all
insurance coverage if less than 31 percent of the building has been rented or used for
its customary operations for more than 60 consecutive days.
We turn now to the plain language of the endorsement's second paragraph:
"Effective at the inception of any vacancy ... , the Causes of Loss provided by this
policy are limited to Fire, Lightning, Explosion, Windstorm or Hail, Smoke, Aircraft or
Vehicles, Riot or Civil Commotion, unless prior approval has been obtained from the
Company." While not defined in the Luis' policy, we have ruled that the average
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insured would understand the term "inception" to mean "'an act, process, or instance
of beginning."' Panorama Village Condo. Owners Ass'n Bd. of Dirs. v. Allstate Ins. Co.,
144 Wash. 2d 130, 139, 26 P.3d 910 (2001) (quoting WEBSTER'S THIRD NEW
INTERNATIONAL DICTIONARY 1141 (1981 )). Therefore, by the plain language of the
second paragraph, the endorsement provides only limited coverage at the moment
the building becomes vacant (meaning that less than 31 percent of the building is
rented or used for its customary operations).
C. Structure and policy
Reading the endorsement's two paragraphs together, the average insured
would understand that the endorsement alters the underlying insurance policy to the
extent that when a building becomes vacant, the policy provides limited coverage and,
after a 60 consecutive day vacancy, the policy provides no coverage.
The policy reasoning for vacancy provisions supports this plain language
reading. Potentially damaging conditions in a vacant building are more likely to go
undiscovered. See Rojas v. Scottsdale Ins. Co., 267 Neb. 922, 929-30, 678 N.W.2d
527 (2004 ). The longer a building is vacant, the greater the risk and the greater the
damage if there is a condition causing damage. /d. Therefore, it makes sense that a
vacancy endorsement would limit coverage for the first 60 days of a vacancy and then
exclude all coverage if the building remains vacant after 60 days. Indeed, the facts of
this case highlight the risks to a vacant building and why an insurance company would
include such a vacancy endorsement. Because the Luis' building was vacant, the
water leak went unnoticed until someone called the fire department to report "water
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State v. Lui (Kut Suen & May Far), No. 91777-9
coming from a building." Had the Luis or a tenant occupied the building, the response
time and resulting damage may have been reduced.
The Luis argue that the structure of the endorsement leads to a different
conclusion. The Luis assert that the endorsement can reasonably be read to mean
that there are no coverage consequences at all until after 60 days of vacancy. The
Luis make this argument based on the order of the two paragraphs of the
endorsement-that that the first paragraph is the "dominant concept" of the
endorsement and controls the reading of the second paragraph. Specifically, the Luis
state that because the first paragraph prescribes the coverage consequences of 60
days of vacancy, the second paragraph can reasonably be read as also not effective
until after 60 days of vacancy.
The Luis also contend that their interpretation of the vacancy endorsement
harmonizes with the Vacancy Provisions of the underlying policy. The Vacancy
Provisions of the underlying policy state that
[i]f the building where loss or damage occurs has been vacant for more
than 60 consecutive days before that loss or damage occurs:
(1) We will not pay for any loss or damage caused by any of the
following even if they are Covered Causes of Loss: ...
(d) Water damage.
The Luis argue that the endorsement says that it only changes the policy, it does not
say that it replaces it, and that their interpretation harmonizes the provisions of the
entire policy.
The Luis' interpretation of the endorsement is unreasonable because it ignores
the plain language of the second paragraph and causes much of the endorsement's
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State v. Lui (Kut Suen & May Far), No. 91777-9
language to become superfluous. See Queen City Farms, Inc., 126 Wash. 2d at 94
(refusing to interpret an insurance policy in a manner that would cause some of its
terms to be superfluous and without meaning). If we were to accept the Luis' assertion
that insurance consequences do not exist until after 60 days of vacancy, the phrase
"effective, at the inception of any vacancy" in the endorsement's second paragraph
becomes meaningless in light of the first paragraph's statement that "coverage under
this policy is suspended while a described building ... is vacant or unoccupied beyond
a period of sixty consecutive days." The Luis' interpretation of the endorsement further
creates an unresolvable contradiction where the first paragraph would cause all
coverage to be suspended while the second paragraph simultaneously provides
limited coverage.
The Luis' argument that that their interpretation harmonizes with the Vacancy
Provisions is similarly unreasonable. While the Vacancy Provisions section of the
underlying policy may have excluded coverage for water damage only after 60 days
of vacancy, the endorsement changes the terms of the policy to exclude coverage for
water damage at the inception of any vacancy. See Transcon. Ins. Co., 111 Wash. 2d at
462 (endorsement provisions control over underlying policy provisions if so stated in
the endorsement). The Luis' argument is unavailing because it ignores the controlling
nature of the endorsement. We must read the insurance policy as a whole, including
endorsements that explicitly change the terms of the policy. RCW 48.18.520; see also
Transcon. Ins. Co., 111 Wash. 2d at 462. In this case, the endorsement excludes
coverage for water damage in the first 60 days of a vacancy. To interpret these
provisions to the contrary would cause the endorsement's language that it changes
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State v. Lui (Kut Suen & May Far), No. 91777-9
the underlying policy to either be superfluous or be in direct conflict with the Vacancy
Provisions. See Quadrant Corp., 154 Wash. 2d at 170 (we may not create an ambiguity
where none exists). Because the Luis' interpretation of the endorsement and the
overall insurance policy is unreasonable, it does not create an ambiguity that must be
resolved in their favor.
Lastly, the Luis claim that the Court of Appeals erred by inserting subjectivity
into its analysis of whether the endorsement was ambiguous. Specifically, the Luis
claim that the Court of Appeals inappropriately construed the policy based on what
the court presumed the Luis knew about Essex's interpretation of the policy. In a
footnote, the Court of Appeals elaborated on the fact that the Luis had a prior
insurance policy with Essex in 2004, and that the coverage under that prior policy was
partially suspended when Essex discovered that the insured building was vacant. Kut
Suen Lui v. Essex Ins. Co., noted at 186 Wash. App. 1045, 2015 WL 1542380, at *4 n.6
(insurance agent explained to the Luis that coverage was restricted as soon as the
building became vacant). From this prior experience, The Court of Appeals stated that
"[t]he record shows the Luis were aware of Essex's interpretation of the policy in
2004 .... " 2015 WL 1542380, at *4 n.6.
Although the Court of Appeals noted the Luis' prior knowledge in a footnote, the
court did not base its analysis of ambiguity on their knowledge. /d. at *5-7. Indeed, the
court's analysis focused solely on the plain language of the endorsement and the
policy reasoning behind such endorsements. /d. Further, even if the Luis are correct
in their assertion that the Court of Appeals inappropriately considered their prior
understanding of the endorsement, it does not impact our resolution of this case. Our
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State v. Lui (Kut Suen & May Far), No. 91777-9
review of the insurance policy is de novo. Expedia, Inc., 180 Wash. 2d at 802. As
discussed above, our objective analysis of the insurance policy, considering the plain
language as would be understood by an average insured, demonstrates that Luis'
policy unambiguously excluded coverage for the water damage.
Therefore, we affirm the Court of Appeals' reversal of the trial court's ruling
construing the endorsement in favor of the Luis. The building was vacant. The Luis'
policy endorsement did not cover water damage in a vacant building.
Ill. Tt1e Luis' Insurance Policy Unambiguously Defines "Vacancy"
As stated above, the only issue certified for appeal was whether the trial court
erred when it granted summary judgment for the Luis on finding that the endorsement
was internally ambiguous. However, for the first time on appeal, the Luis now ask that
we hold that the term "vacancy" is ambiguous. We have discretion to decide whether
we address an issue asserted for the first time on appeal. RAP 2.5(a). We choose to
address the definition of "vacancy" because we need to look no further than the
definitions section of the insurance policy.
Tl1e Luis assert that the term "vacancy" in the insurance policy is undefined and
ambiguous. Specifically, the Luis seem to argue that because the endorsement and
the Vacancy Provisions do not "explicitly define 'vacancy,"' we should hold the term is
ambiguous and interpret it in their favor. The Luis advocate that we adopt a definition
of "vacancy" that precludes a finding of vacancy if the building's owners maintain "a
continuous physical presence at the property."
The Luis' argument is not well taken. The insurance policy defines a "vacancy"
as follows: a "building is vacant unless at least 31% of its total square footage is: (i)
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State v. Lui (Kut Suen & May Far), No. 91777-9
[r]ented to a lessee or sub-lessee to conduct its customary operations; and/or (ii)
[u]sed by the building owner to conduct customary operations." When an insurance
policy defines a term, that definition applies throughout the policy. See Kitsap County,
136 Wash. 2d at 576 ("If terms are defined in a policy, then the term should be interpreted
in accordance with that policy definition."). The Luis offer no conflicting language from
within the insurance policy to demonstrate that this definition is ambiguous.
IV. We Decline To Exercise Our Discretion To Rule on Whether the Building Was
under Renovation
Alternatively, the Luis ask us to affirm the trial court's decision on the ground
that the building was under renovation at the time of the loss and thus not "vacant."
The Court of Appeals refused to address this issue under the general rule that
appellate courts will not consider issues raised for the first time on appeal. Essex Ins.
Co., 2015 WL 1542380, at *7 (quoting State v. McFarland, 127 Wash. 2d 322, 332-33,
899 P.2d 1251 (1995); RAP 2.5(a)). Similarly, in response to the Luis' argument, Essex
now asserts that the policy distinguishes between "vacant" and "unoccupied" property
and that we should rule that the policy excluded coverage for the water damage
because the building was "unoccupied." We decline to consider these issues because
they were not certified by the trial court for appeal and are not sufficiently developed
for our review.
CONCLUSION
We affirm the Court of Appeals. The plain language of the Luis' insurance policy,
as modified by the endorsement, did not cover the water damage to their vacant
building.
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WE CONCUR.
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