Lead Opinion
The plaintiff general contractor obtained a judgment against the defendant subcontractor based on claims of breach of contract, breach of warranty, and negligence in the erection of reinforcing steel in a wall of a power substation constructed under a contract with the Massachusetts Bay Transportation Authority (MBTA). This appeal concerns the question whether a comprehensive general liability insurance
This third-party action, between the subcontractor and its insurer American was submitted to a District Court judge on a statement of agreed facts. Without any explanation for his decision, the judge concluded that the policy did not provide coverage. On report to it, the Appellate Division of the District Courts agreed with the trial judge’s conclusion and dismissed the report. We affirm the order of the Appellate Division dismissing the report.
In August, 1978, the subcontractor contracted with the general contractor to install reinforcing steel and welded wire mesh (rebar work) in connection with concrete construction for the power station. The contract required the subcontractor to furnish evidence that it had comprehensive general liability insurance coverage for the work to be performed. After the subcontractor advised the general contractor that the rebar work had been completed for the north wall, the general contractor poured concrete into the form. In fact, a portion of the rebar work had not been performed and, as the MBTA discovered, the wall did not meet design criteria, was structurally unstable, and required remedial work. The general contractor advised the subcontractor that it would hold the subcontractor liable for the cost of the remedial work. The subcontractor notified American of the claim. The general contractor did the work and advised the subcontractor of the cost. American denied coverage of the loss and declined to defend the general contractor’s claim.
As we have said, the general contractor obtained judgment against the subcontractor, and American was successful in its defense of the subcontractor’s third-party action against it. This appeal involves only the question whether American’s comprehensive general liability insurance policy covers the subcontractor’s loss.
We need not consider all the arguments made by American because we conclude, as did the Appellate Division of the Dis
The subcontractor claims that another exclusion in the policy, exclusion (a), creates such an ambiguity concerning coverage that, under principles of strict construction of exclusions against insurers, we should conclude that coverage was available. See Vappi & Co. v. Aetna Casualty & Sur. Co.,
The subcontractor argues that the italicized language, stating an exception to the exclusion, provides coverage for breach of a warranty (even as part of a contractual arrangement) that work will be done in a workmanlike manner. At least, the contractor argues, the combination of exclusion (y) (2) (d) (iii) and the exception in exclusion (a) creates an apparent ambiguity that must be construed in its favor. We reject this view in accord with the distinct weight of authority and better reasoned opinions elsewhere in the country dealing with similar claims.
Because, as we have said, exclusion (a) has been common to many comprehensive general liability insurance policies, the issue of exclusion (a)’s interrelationship with other policy exclusions has arisen numerous times elsewhere.
In any analysis of the scope of the coverage of an insurance policy, it may be appropriate to consider what a policyholder reasonably should expect his coverage to be in the circumstances. See R. Keeton, Insurance Law 351 (1971); Restatement (Second) of Contracts § 211 comment e (1980) (“Apart from government regulation, courts in construing and applying a standardized contract seek to effectuate the reasonable expectations of the average member of the public who accepts it”). Such an approach may be a better way of considering claims of policy ambiguity than a clinical study of the policy language, a process that tends to lead to a dispositive, abstract conclusion that the policy either is or is not ambiguous. Although we have not yet explicitly adopted such an approach to the interpretation of an insurance policy (Markline Co. v. Travelers Ins. Co.,
The subcontractor objects that American should not have the benefit of exclusion (y) (2) (d) (iii) in deciding this case because American did not argue that exclusion to the trial judge or to the Appellate Division. We do not know why the trial judge ruled in American’s favor because he gave no explanation for his action, and it appears that the Appellate Division identified the exclusion’s significance on its own. We see no prejudice, however, to the subcontractor’s presentation of its case because the Appellate Division identified the issue. The coverage claim was presented on a statement of agreed facts. The question of the application of policy exclusions was involved in the third-party action from its beginning. Certainly the Appellate Division was not obliged to consider or to rely on an argument not presented to it. See Royal Indem. Co. v. Blakely,
So ordered.
Notes
The particular exclusion on which an insurer has relied has not always been the same, but that fact is irrelevant to the issue of the effect of exclusion (a).
Insurers certainly did not intend that the standard form of policy providing comprehensive general liability coverage would insure contractual obligations arising from defective workmanship. See Weedo v. Stone-E-Brick, Inc.,
Dissenting Opinion
(dissenting, with whom Liacos, J., joins). The court recognizes that exclusion (a) is somewhat confusing, ante at 549, and the insurer concedes that “[a] fast reading of [exclusion (a)] would appear to grant coverage when work is not performed in a workmanlike manner.” Even so, the court permits the insurer to escape liability. In such circumstances, I would apply the doctrine of reasonable expectations, see Markline Co. v. Travelers Ins. Co.,
The exclusion on which the insurer relies on appeal, (y) (2) (d) (iii), is found in an endorsement entitled “General Liability Multi/Cover Endorsement,” which states in its first sentence that the insurance afforded by the policy “is amended to include the following additions and extensions of coverage” (emphasis supplied). Thereafter, contrary to the implication of the first sentence, the policy sets forth a series of exclusions including (y) (2) (d) (iii). In order to determine whether there was coverage, the plaintiff would have had to make a. detailed study of the policy. I think it unconscionable to defeat reasonable expectations by inserting exclusionary language in fine print in an endorsement to a policy, particularly where the endorsement’s stated and clear purpose is to extend coverage. “[Insurers ought not to be allowed to use qualifications and excep-
I do not agree with the court’s conclusory statement that the cases denying coverage are better reasoned. Ante at 549. A number of prestigious courts have reached the opposite result. See, e.g., Federal Ins. Co. v. P.A.T. Homes, Inc.,
Where, as here, the insurer concedes that “[a] fast reading” would appear to grant coverage, the policy should “be construed as laymen would understand it and not according to the interpretation of sophisticated underwriters. . . . An important corollary of the expectations principle is that insurers ought not to be allowed to use qualifications and exceptions from coverage that are inconsistent with the reasonable expectations of a policyholder having an ordinary degree of familiarity with the type of coverage involved.” R. Keeton, Insurance Law 351 (1971). I think it unconscionable to permit “[t]he use of fine-print clauses negating the reasonable expectations of the non-drafting party.” 15 S. Williston, Contracts § 1763A, at 215 (3d ed. 1972). I dissent.
