790 F.3d 995
9th Cir.2015Background
- Kaady, a subcontractor, installed manufactured stone, masonry caps, and wrapped deck posts at Collins Lake; construction completed May 2006.
- Kaady noticed cracks in the manufactured stone and caps in Sept. 2006 and inspected them; he purchased a one-year CGL policy from Mid-Continent in Dec. 2006.
- In 2007 the homeowners sued up the chain; Kaady settled claims against him and sought indemnity from Mid-Continent, which denied coverage based on the policy’s known-loss provision.
- The known-loss provision disqualifies coverage if an insured knew the ‘‘property damage’’ had occurred in whole or in part before the policy period, and treats continuations/changes/resumptions as preexisting.
- Kaady admitted knowledge of masonry cracks but denied knowing about damage to underlying deck posts and wall sheathing; Mid-Continent produced no record evidence directly tying the earlier cracks to the later structural deterioration.
- The district court granted summary judgment to Mid-Continent; the Ninth Circuit reviewed de novo and reversed and remanded.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether insured’s knowledge of cracks in finished work bars coverage for later damage to underlying components | Kaady: knowledge of cracks in his work is not knowledge of distinct property damage to underlying deck posts/sheathing; known-loss should apply only where the claimed damage is the same or a continuation of the known damage | Mid‑Continent: any known damage to the structure (cracks) means the insured knew the property was damaged, so all related claims on that structure are barred | The court: knowledge of damage to the insured’s own work does not automatically equal knowledge of damage to other components; known-loss bars only same or continuing/related damage, not all damage to the structure |
| Whether record shows the claimed damage was a "continuation, change or resumption" of the earlier cracks | Kaady: no admissible evidence links the earlier cracks to the underlying structural deterioration; Mid‑Continent failed to meet its summary judgment burden | Mid‑Continent: the cracks permitted water intrusion that caused the wood/sheeting damage, so the later damage continued from the known loss | The court: Mid‑Continent did not produce evidence sufficient to establish the connection on summary judgment; material factual dispute remains, so summary judgment was improper |
Key Cases Cited
- Assurance Co. of Am. v. Wall & Assocs. LLC, 379 F.3d 557 (9th Cir. 2004) (standard of review for summary judgment and insurance interpretation guidance)
- St. Paul Fire & Marine Ins. Co. v. McCormick & Baxter Creosoting Co., 923 P.2d 1200 (Or. 1996) (understanding policy terms from insured’s perspective under Oregon law)
- Botts v. Hartford Acc. & Indem. Co., 585 P.2d 657 (Or. 1978) (principles for policy interpretation cited by Oregon courts)
- Hoffman Constr. Co. v. Fred S. James & Co., 836 P.2d 703 (Or. 1992) (construction and insurance coverage interaction)
- St. Paul Fire & Marine Ins. Co. v. Sears, Roebuck & Co., 603 F.2d 780 (9th Cir. 1979) (distinguishing damage to insured’s work from damage to others’ property)
- Wilshire Ins. Co. v. RJT Constr., LLC, 581 F.3d 222 (5th Cir. 2009) (coverage limits for defective workmanship claims)
- Celotex Corp. v. Catrett, 477 U.S. 317 (U.S. 1986) (summary judgment burden-shifting framework)
- Westfield Ins. Co. v. Wensmann, Inc., 840 N.W.2d 438 (Minn. Ct. App. 2013) (discussing when later damage is a continuation/change of a known loss)
- Alkemade v. Quanta Indemnity Co., 28 F. Supp. 3d 1125 (D. Or. 2014) (treatment of related-damage requirement under known-loss language)
