Auto-Owners Insurance Co. v. Fleming
701 F. App'x 738
| 10th Cir. | 2017Background
- The Flemings hired Timbersmith (with LC Builders involved) to construct a home; framing was defective and both builders abandoned the project.
- The Flemings obtained a state-court judgment against LC Builders (~$1,113,780.63) and an arbitration award against Timbersmith (~$1,109,642.50); both companies later filed bankruptcy.
- LC Builders was insured by Charter Oak; Timbersmith was insured by Auto-Owners. Charter Oak declined to defend; Auto-Owners’ notice of arbitration was disputed and it later sought a declaratory judgment denying coverage.
- The Flemings counterclaimed that both insurers must pay the judgments against their insureds; the insurers moved for summary judgment denying coverage and the district court granted it.
- On appeal, the Tenth Circuit reviewed de novo, applying Utah substantive law, and affirmed the district court’s ruling that neither policy provided coverage.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether insurer estoppel prevents coverage contest after insurer refused to defend | Flemings: insurers breached duty to defend and are estopped from denying coverage | Insurers: estoppel only binds insurer for issues actually adjudicated; coverage was not litigated | Held: No estoppel — Utah law allows insurers to contest coverage when liability/coverage were not necessarily decided (affirmed) |
| Whether judgments arose from an "occurrence" under CGL policies | Flemings: defective construction and resulting latent/dangerous conditions constitute an occurrence | Insurers: faulty workmanship causing damage to the work itself is not an "occurrence"; coverage excluded | Held: No covered occurrence — judgments arose from faulty workmanship to the insureds’ work, not a fortuitous occurrence (affirmed) |
| Whether exceptions to faulty-workmanship rule apply (damage to other property or subcontractor negligence) | Flemings: latent defects or subcontractor-caused damage could trigger coverage | Insurers: no evidence damages were to property other than the work product or caused by subcontractors | Held: Exceptions not met — plaintiffs failed to present evidence of covered damage or subcontractor status (affirmed) |
| Burden of proof on coverage | Flemings: insurance should cover award | Insurers: insured must prove coverage elements | Held: Burden on Flemings to demonstrate coverage; they failed to meet it (affirmed) |
Key Cases Cited
- McCarty v. Parks, 564 P.2d 1122 (Utah 1977) (insurer who refuses to defend may be bound by judgment only as to issues actually litigated)
- Speros v. Fricke, 98 P.3d 28 (Utah 2004) (reaffirming limits of estoppel for insurers and distinguishing coverage issues)
- Alf v. State Farm Fire & Cas. Co., 850 P.2d 1272 (Utah 1993) (insurance policies interpreted as ordinary contracts; construed by ordinary meaning)
- N.M. ex rel. Caleb v. Daniel E., 175 P.3d 566 (Utah 2008) (definition of "accident" for insurance coverage — natural and probable consequences are not accidental)
- Emp’rs Mut. Cas. Co. v. Bartile Roofs, Inc., 618 F.3d 1153 (10th Cir. 2010) (faulty or unworkmanlike construction generally does not constitute an "occurrence")
- Farmington Cas. Co. v. Duggan, 417 F.3d 1141 (10th Cir. 2005) (business risk/faulty workmanship generally excluded from CGL coverage)
- Cincinnati Ins. Co. v. AMSCO Windows, 921 F. Supp. 2d 1226 (D. Utah 2013) (possible exception when defective workmanship causes damage to other property)
- Great Am. Ins. Co. v. Woodside Homes Corp., 448 F. Supp. 2d 1275 (D. Utah 2006) (possible exception when subcontractor negligence causes damage)
