The Ridgewood Group v. Millers Capital Insurance
The Ridgewood Group v. Millers Capital Insurance No. 1138 EDA 2016
| Pa. Super. Ct. | Feb 28, 2017Background
- Ridgewood owned a rental property insured by Millers under an all-risks businessowners policy that contained exclusions for surface water/flood and for loss caused by faulty, inadequate, or defective maintenance (negligent work), with an exception for ensuing covered causes of loss.
- In March 2014 rainwater entered the basement during a storm after flowing from the roof into a window (air) well and then into the basement; Ridgewood admitted the water never reached the ground.
- Millers denied coverage, citing the policy’s surface-water exclusion and the negligent-work exclusion; Ridgewood sued for breach of contract and bad faith.
- The trial court granted Millers summary judgment; Ridgewood appealed arguing the surface-water exclusion did not apply.
- The Superior Court reviewed disputed legal issues about whether the water was "surface water" and whether the negligent-work exclusion (and its ensuing-loss exception) precluded coverage.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the water that flowed from roof → window well → basement is “surface water” excluded by the policy | Water never reached the ground; it traveled directly from roof through an artificial channel (window well) so is not surface/ground water and thus is covered | Rain/melted snow are surface water even if traveling over artificial surfaces; exclusion applies | Court: water is not “surface water” under the facts (trial court erred on this ground) |
| Whether the negligent-work exclusion bars coverage or the exclusion’s ensuing-loss exception covers the loss | The exception negates the exclusion here (would swallow the exclusion), so the loss is covered | Exception applies only where an independent, new, non-foreseeable covered peril ensues; loss here was a foreseeable result of poor maintenance, so exclusion applies | Court: adopted a foreseeability test for the ensuing-loss exception; loss was a natural/foreseeable result of neglected roof/gutters and is excluded |
| Whether summary judgment for Millers was proper | Trial court erred because surface-water exclusion does not apply; coverage should be found | Even if surface-water exclusion doesn’t apply, negligent-work exclusion excludes coverage as a matter of law | Court: affirmed summary judgment for Millers based on negligent-work exclusion (alternative ground) |
Key Cases Cited
- Richman v. Home Ins. Co. of N.Y., 94 A.2d 164 (Pa. Super.) (definition of “surface water” as waters on ground surface, casual and vagrant)
- Heller v. Fire Ins. Exchange, 800 P.2d 1006 (Col.) (artificial channels that concentrate/redirect surface water can change its character)
- TMW Enterprises, Inc. v. Fed. Ins. Co., 619 F.3d 574 (6th Cir.) (ensuing-loss clause analysis hinging on foreseeability and whether an independent new peril intervenes)
- Platek v. Town of Hamburg, 24 N.Y.3d 688 (N.Y.) (discussion of ensuing-loss clauses’ historical purpose and use)
- McEwing v. Lititz Mut. Ins. Co., 77 A.3d 639 (Pa. Super.) (insurer bears burden to prove applicability of exclusions)
- Continental Cas. Co. v. Pro Machine, 916 A.2d 1111 (Pa. Super.) (policy interpretation is a question of law; words construed in ordinary sense)
