MEMORANDUM DECISION ON DEFENDANT’S MOTION TO DISMISS (Docs. 7, 8)
I. INTRODUCTION.
On January 27, 2010, the Raisin Bargaining Association (“RBA”), Glen S. Goto, and Monte Schütz (“Plaintiffs”) filed a complaint in the Superior Court of California, County of Fresno, against Hartford Casualty Insurance Company (“Defendant”) alleging various state causes of action. (Doc. 1, Ex. B). Defendant removed Plaintiffs’ action pursuant to 28 U.S.C. § 1441(b) on the basis of diversity jurisdiction. (Doe. 1).
Defendant filed a motion to dismiss Plaintiffs’ complaint on March 5, 2010. (Docs. 7, 8).
1
Plaintiffs filed opposition to
II. FACTUAL BACKGROUND.
Plaintiff RBA is a nonprofit California cooperative association. (Complaint at 1). Plaintiffs Glen Goto and Monte Schütz are and were, at all times relevant to this action, members of the Board of Directors of RBA. (Complaint at 2).
Plaintiffs entered into contracts for insurance with Defendant whereby Defendant agreed to insure Plaintiffs against various claims brought against Plaintiffs for actions taken in RBA’s business capacity. (Complaint at 1, 3). The insurance policies relevant to this action encompass coverage periods from at least 2005 to the present and obligate Defendant to provide defense and indemnity for covered claims made against RBA. (Complaint at 1-3).
Beginning in or about January 2007, Richard Garabedian (“Garabedian”), through counsel, sent several letters threatening litigation and demanding almost $900,000.00 to settle a dispute between RBA, Goto, and Schütz concerning the RBA Board of Director’s decision not to recommend Garabedian to the Secretary of the U.S. Department of Agriculture (“USDA”) for appointment to the RBA’s reserved seats on the Raisin Administrative Committee of the USDA. (Complaint at 3). On or about March 2, 2007, Garabedian filed a complaint against Plaintiffs alleging defamation, slander, and breach of the common law Fair Procedure Doctrine in Fresno County Superior Court. (Complaint at 3).
In response to the Garabedian complaint, on or about April 4, 2007, Plaintiffs filed an Anti-SLAPP motion against Garabedian. (Complaint at 4). On November 8, 2007, the Superior Court granted Plaintiffs’ Anti-SLAPP motion and struck Garabedian’s entire complaint. (Complaint at 5).
The complaint alleges that upon receipt of Garabedian’s complaint in March 2007, Plaintiffs immediately tendered the complaint to Defendant. (Complaint at 5). On or about March 19, 2007, Plaintiffs received a letter from Defendant agreeing, without any reservations, to defend and provide indemnity to Plaintiffs. (Complaint at 5). Plaintiffs, met with Defendant’s counsel, attorneys Gordon Park and Mohammed Mandegary, who “suggested/recommended” to Defendant that Plaintiffs counsel, the law firm of Campagne, Campagne, & Lerner, remain working on defending against the Garabedian complaint until resolution of an Anti-SLAPP motion. (Complaint at 5). The complaint alleges that Park and Mandegary promised they would recommend to Defendant that it should reimburse Plaintiffs for the fees incurred in defending the Garabedian complaint. (Complaint at 5). Plaintiffs allege that they “performed all of the Anti-SLAPP work and expected to be reimbursed” by Defendant. (Complaint at 5). Defendant paid Plaintiffs’ invoices from March 2007 through September 2007, after taking additional write downs at the .expense of Plaintiffs. (Complaint at 5). Defendant reimbursed Plaintiffs $38,891.42. (Complaint at 5).
On or about November 12, 2009, Defendant sent Plaintiffs a document entitled “Case Summary.” (Complaint at 6). The Case Summary refused full payment of legal fees incurred by Plaintiffs. (Complaint at 6). Plaintiffs allege that the Case Summary set forth an incorrect account of the defense provided in connection with the Garabedian complaint. (Complaint at 6). The Case Summary asserts that Defendant paid a total of $69,366.48 in legal fees. (Complaint at 6). The Case Summary also indicated that Defendant intended to collect the attorneys’ fees awarded by the Superior Court in connection with Plaintiffs successful Anti-SLAPP motion.
The total amount of fees and costs for work performed by Plaintiffs’ counsel from January 2007 through September 2007 was $77,056.81. (Complaint at 5). According to the FAC, none of the work performed by Plaintiffs’ counsel was duplicative of the work performed by Defendant’s counsel. (Complaint at 6). Plaintiffs allege that Defendant’s actions were taken in bad faith, and that Defendant had actual knowledge that its conduct constituted bad faith. (Complaint at 7).
Plaintiffs allege they have incurred costs and attorney’s fees as a result of Defendant’s actions. (Complaint at 7). Plaintiffs also contend they have suffered great emotional distress as a result of Defendant’s conduct. (Complaint at 7). Plaintiffs contend that Defendant owes Plaintiffs $88,165.33, plus 10% APR as well as punitive damages and attorneys’ fees incurred in the prosecution of the instant law suit. (Complaint at 5).
III. LEGAL STANDARD.
Dismissal under Rule 12(b)(6) is appropriate where the complaint lacks sufficient facts to support a cognizable legal theory.
Balistreri v. Pacifica Police Dep’t,
The Ninth Circuit has summarized the governing standard, in light of
Twombly
and
Iqbal,
as follows: “In sum, for a complaint to survive a motion to dismiss, the nonconclusory factual content, and reasonable inferences from that content, must be plausibly suggestive of a claim entitling the plaintiff to relief.” Moss
v. U.S. Secret Serv.,
In deciding whether to grant a motion to dismiss, the court must accept as true all “well-pleaded factual allegations” in the pleading under attack.
Iqbal,
IY. Discussion
A. Plaintiffs’ Breach of Contract Claim
A claim for breach of contract under California law requires: 1) the existence of the contract; 2) plaintiffs performance or excuse for nonperformance of the contract; 3) defendant’s breach of the contract; and 4) resulting damages.
E.g. Armstrong Petrol. Corp. v. Tri-Valley Oil & Gas Co.,
Interpretation of an insurance policy is a question of law. Id. As the California Supreme Court stated in Waller,
The fundamental rules of contract interpretation are based on the premise that the interpretation of a contract must give effect to the “mutual intention” of the parties. “Under statutory rules of contract interpretation, the mutual intention of the parties at the time the contract is formed governs interpretation. Such intent is to be inferred, if possible, solely from the written provisions of the contract. The ‘clear and explicit’ meaning of these provisions, interpreted in their ‘ordinary and popular sense,’ unless ‘used by the parties in a technical sense or a special meaning is given to them by usage’, controls judicial interpretation.” A policy provision will be considered ambiguous when it is capable of two or more constructions, both of which are reasonable. But language in a contract must be interpreted as a whole, and in the circumstances of the case, and cannot be found to be ambiguous in the abstract. Courts will not strain to create an ambiguity where none exists.
The provisions of the insurance contract central to this dispute are contained in the “Business Liability Coverage Form” found at pages 59 through 70 of Exhibit A to the complaint. 2 Section A(l)(a) of the Business Liability Coverage Form provides, in pertinent part:
We will pay those sums that the insured becomes legally obligated to pay as damages because of “bodily injury”, “property damage”, or “personal and advertising injury” to which this insurance applies. We will have the right and duty to defend the insured against any “suit” seeking those damages.... No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Coverage Extension-Supplementary Payments.
(Complaint, Ex. A at 59). Section E(2)(d), entitled “Obligations at the Insured’s Own Cost” provides:
No Insured will, except at that insured’s own cost, voluntarily make any payment, assume any obligation, or incur any expense, other that for first aid, without our consent.
(Complaint, Ex. A at 66).
Section A(l)(a) confers on Defendant the right to control defense of a claim, and section E(2)(d) establishes that, unless Defendant consents to an expenditure, Defendant is not liable for voluntary payments made by Plaintiffs in defense of a covered claim.
See, e.g., Jamestown Builders v. General Star Indem. Co.,
Defendant contends that Plaintiffs’ breach of contract claim is barred as a matter of law, citing
Truck Ins. Exch. v. Unigard Ins. Co.,
The complaint contains the following allegations concerning issue of Defendant’s consent;
20. Plaintiffs ... met with [Defendant’s] Counsel, who suggested/recommended to Defendant that Plaintiffs’ counsel ... remain working on defending against the Garabedian Complaint until the conclusion of the Anti-SLAPP motion.
21. Acknowledging the Plaintiffs’ Counsel’s experience with Anti-SLAPP motions, [Defendant’s counsel] then promised they would recommend to Defendant that it should reimburse the Plaintiffs for their fees for defending against Garabedian’s Complaint.
(Complaint at 5). The complaint also alleges that Defendant reimbursed Plaintiffs $38,891.42. (Complaint at 5).
Plaintiffs’ allegations that (1) Defendant’s counsel stated they would “recommend/suggest” to Defendant that Plaintiffs’ counsel continue working on the Anti-SLAPP motion; (2) Defendant’s counsel “promised they would recommend” to Defendant that Plaintiffs be reimbursed; and (3) Defendant partially reimbursed Plaintiffs for fees paid to Plaintiffs’ private counsel, taken together, are sufficient to support a reasonable inference
B. Tortious Breach of Implied Covenant of Good Faith and Fair Dealing 4
California law provides that “every contract imposes upon each party a duty of good faith and fair dealing in its performance and its enforcement.”
E.g. Jonathan Neil & Assoc., Inc. v. Jones,
Under California law, an insurer’s unreasonable refusal to defend an insured is considered a breach of the implied covenant of good faith and fair dealing and is actionable as a tort.
See, e.g., Amato,
Plaintiffs contend that “implicit in [Defendant’s] obligations to act fairly and in good faith toward Plaintiffs was their [sic] duty to promptly and adequately reimburse Plaintiff as agreed.” (Complaint at 10). Defendant contends that the following facts evince Defendant’s bad faith:
24.Subsequent to [Defendant’s] payment of the $38,891.42 to Plaintiffs ... [Defendant] sent a “Case Summary” to the Plaintiffs refusing full payment evincing [Defendant’s] bad faith tactics ... This “Case Summary” sets forth an incorrect account of the ‘Defense’ provided .... First, Defendant Hartford incorrectly states that the Plaintiffs law firm continued working on the case at the request of the RBA with the understanding it would not be paid by [Defendant]. (Complaint at 6).
25. In addition, [Defendant] improperly asserts in the “Case Summary” that it has paid a total of $69,366.48 in legal fees to the Plaintiffs. Yet, the RBA has received only $38,891.42 ... (Complaint at 6).
26. Further, despite the fact that [Defendant] acknowledges in its “Case Summary” that it will be filing a claim ... to collect the attorneys’ fees that were awarded by the court following ... the successful Anti-SLAPP motion, it still fails/refuses in bad faith to pay the remainder owed to Plaintiffs. (Complaint at 6).
28. [Defendant] was put on notice of its bad faith tactics on July 30, 2007, when Plaintiffs’ counsel sent Ms. Menezes a letter setting forth [Defendant’s] duties and obligations ... The letter cited case authority for this proposition. 6 (Complaint at 7).
32. [Defendant] ... [requested] that Plaintiffs send [Defendant] a copy of its very own letter, which should have been in its file ... This is further evidence of [Defendant’s] bad faith and delay tactics ... (Complaint at 8).
The statement Plaintiffs complain of in paragraph 24 of the complaint does not evince bad faith. The Case Summary simply demonstrates a difference of opinion between Defendant and Plaintiffs with respect to the amount due pursuant to the purported arraignment between Defendant’s counsel and Plaintiffs’ private counsel. Given the equivocal allegations underlying the alleged arrangement, the opinion expressed in the Case Summary is not so unreasonable as to demonstrate bad faith. 7
C. Plaintiffs’ Waiver/Estoppel Claim
Waiver and estoppel are distinct concepts. Waiver exists when an insurer intentionally relinquishes a known right.
E.g. State Farm Fire & Casualty Co. v. Jioras,
Defendant cites
Manneck v. Lawyers Title Ins. Corp.,
The rule is well established that the doctrines of implied waiver and of estoppel, based upon the conduct or action of the insurer, are not available to bring within the coverage of a policy risks not covered by its terms, or risks expressly excluded therefrom and the application of the doctrines in this respect is therefore to be distinguished from the waiver of, or estoppel to assert, grounds of forfeiture.
D. Plaintiffs Quasi-Contract Claim
California courts turn to the legal fiction of “quasi-contract” to prevent unjust enrichment.
Earhart v. William Low Co.,
E.Plaintiffs’ Quantum Meruit Claim
Quantum meruit is a quasi-contractual claim which rests upon the equitable theory that a contract to pay for services rendered is implied by law for reasons of justice.
E.g. Hedging Concepts, Inc. v. First Alliance Mortgage Co.,
F. Breach of Oral Contract Claim
Plaintiffs’ claim for breach of oral contract fails to state facts sufficient to support a plausible inference that any oral contract was entered into by Plaintiffs and Defendant. Plaintiffs’ allegations are inherently implausible, as the complaint states that “prior to the occurrence of the actions giving rise to [the Garabedian complaint] ... Defendant agreed to accept defense of the [Garabedian complaint].” (Complaint at 16). Plaintiffs oral contract claim is DISMISSED without prejudice.
G. Negligence Claim
A claim for negligence requires a plaintiff to plead duty, breach, causation, and damages.
See, e.g., Ortega v. Kmart Corp.,
73. At all times relevant, the conduct of Defendant was negligent and constituted breach of their duties, including, but not limited to, statutory duties, common law duties, and other duties mandated by law. Defendant, and their agents, represented that they were experts and held themselves out as having superior training education, and knowledge in the insurance industry. In view of the relationship between the parties and the representations of Defendant and their agents, Plaintiff relied totally on Defendant to timely, fairly, and adequately reimburse Plaintiffs under the terms of the contracts of insurance. (Complaint at 17).
74. Defendant failed to reimburse Plaintiffs as agreed. Because of [Defendant’s] failure to comply with the agreement, and Plaintiffs’ reliance thereon,Plaintiffs were forced to pay counsel to defend them in the underlying suit without the promised reimbursement. (Complaint at 17).
75. [Defendant] had, and has, a duty to Plaintiffs, and all other respective insureds, to act at all times with due and reasonable care ... Defendant failed to do so. (Complaint at 17).
76. [Defendant] breached its duty by failing to act in a manner consistent with the standard of care required by ... law ... (Complaint at 17).
77. As a direct and proximate result of Defendant’s negligence, Plaintiffs have suffered damages ... (Complaint at 17).
Plaintiffs’ allegations are insufficient to establish a duty independent of the insurance contract. Further, Plaintiffs’ conclusory allegation regarding Defendant’s status as an insurance “expert” is not related to the breach of duty Plaintiffs allege. Rather, the breach of duty alleged by Plaintiffs is failure to comply with a duty imposed by a contract term. Negligence based on a insurer’s breach of a contract term is not a cognizable cause of action under California law.
Sanchez v. Lindsey Morden Claims Services, Inc.,
H. State Law Statutory Claims
Plaintiffs attempt to assert claims for relief “on behalf of the public” in connection with Defendant’s alleged violation of California Business and Professions Code section 17200
et
see/., Title 10, California Code of Regulations section 2695.7, and California Insurance Code section 780. (Complaint at 18). Defendant correctly points out that California law does not provide a private right of action for violations of California Insurance Code section 780 or the attendant regulations. (Motion to Dismiss at 14-15). “Neither the California Insurance Code nor regulations adopted under its authority provide a private right of action.”
Rattan v. United Servs. Auto. Ass’n,
I. Reformation Claim
“Reformation may be had for a mutual mistake or for the mistake of one
Initially, Plaintiffs’ reformation claim must be dismissed because Plaintiffs conclusory allegations of mutual mistake and “false representations” are not supported by any facts stated in the complaint. (Complaint at 20). More importantly, however, Plaintiffs claim for reformation must be dismissed because it is predicated on the assumption that the written agreement between Plaintiffs and Defendant does not require Defendant to reimburse Plaintiffs for costs incurred in defense of an authorized claim. (Complaint at 20). As discussed above in section IV(A), the plain language of the contract is sufficient to establish Defendant’s duty to reimburse Plaintiffs for expenditures consented to by Defendant. Further, it is undisputed that Defendant did in fact reimburse Plaintiffs some of the funds paid in connection with defense of the Garabedian complaint. (Complaint at 5). The instant action is not about whether the contract creates a duty to reimburse Plaintiffs for authorized expenditures; rather, the dispute between Plaintiffs and Defendant concerns when this duty arose, and which of Plaintiffs’ expenditures were actually authorized. Accordingly, reformation is unnecessary, and Plaintiffs’ claim must be DISMISSED with prejudice. 13
V. CONCLUSION
For the reasons stated, IT IS ORDERED:
1) Plaintiffs’ breach of contract claim and claim for declaratory relief are DISMISSED, without prejudice;
2) Plaintiffs’ claim for breach of the implied covenant of good faith and fair dealing is DISMISSED, with prejudice;
3) Plaintiffs’ claim for tortious breach of the implied covenant of good faith and fair dealing is DISMISSED, without prejudice;
4) Plaintiffs’ claim for waiver/estoppel is DISMISSED, with prejudice;
5) Plaintiffs’ quasi-contract claim is DISMISSED, without prejudice;
6) Plaintiffs’ quantum meruit claim is DISMISSED, without prejudice;
7) Plaintiffs’ claim for negligence is DISMISSED, with prejudice;
8) Plaintiffs’ statutory claims are DISMISSED, with prejudice;
10) Plaintiffs’ claim for breach of oral contract is DISMISSED, without prejudice;
11) Plaintiffs’ claim for reformation is DISMISSED, with prejudice; and
12) Plaintiffs shall lodge a formal order consistent with this decision within five (5) days following electronic service of this decision by the clerk. Plaintiff shall file an amended complaint within fifteen (15) days of the filing of the order. Defendant shall file a response within fifteen (15)days of receipt of the amended complaint.
IT IS SO ORDERED.
Notes
. Docket number 7 is Defendant’s motion to dismiss, and docket number 8 is the memorandum in support thereof. Citations in this order to the “Motion to Dismiss” refer to Defendant’s memorandum.
. The original page numbers for Exhibit A are illegible. Page citations to Exhibit A contained within this order correspond to the pagination of the PDF document contained on the CM/ECF docket.
. Defendant asserts three arguments in support of its motion to dismiss Plaintiffs' breach of contract claim: (l)Defendant is not liable for fees incurred pre-law suit; (2) Defendant is not liable for fees incurred pre-tender; and (3) Defendant is not liable for voluntary payments made by Plaintiff without Defendant's consent. (Motion to Dismiss at 5-8). Defendant’s first and second contentions are not grounds for dismissal of Plaintiffs contract action. Assuming Defendant's first and second arguments are correct, the complaint may still state a claim for breach of contract with respect to costs incurred after Plaintiffs tendered defense of the Garabedian complaint to Defendant.
. Plaintiff asserts two claims for breach of the implied covenant; an ordinary breach and a "tortious” breach. California law does not recognizes Plaintiffs' distinction; either the refusal to defend is an ordinary breach compensable pursuant to contract remedies, or the refusal is an unreasonable action compensable pursuant to tort remedies.
See Amato,
. Plaintiffs’ claim for tortious breach includes allegations that Defendant acted with either malice, fraud, or oppression. (Complaint at 12-13). Because the complaint is insufficient to allege bad faith, a fortiori, the complaint does not state sufficient facts to allege malice, fraud, or oppression.
. All three of the case citations contained in Plaintiffs’ counsel’s July 20 letter were incorrect.
. Plaintiffs allege merely that (1) Defendant's counsel stated they would "recommend/suggest” to Defendant that Plaintiffs' counsel continue working on the Anti-SLAPP motion; and (2) Defendant’s counsel "promised they would recommend” to Defendant that Plaintiffs be reimbursed. (Complaint at 5). Plaintiffs' allegations give no indication of whether Defendant's counsel’s statement regarding re
. At oral argument, Plaintiffs’ counsel conceded that dismissal with prejudice is appropriate for this claim.
. Plaintiffs rely on the same authorities in opposition to the motions to dismiss the quasi-contract, oral contract, and quantum meruit claims. Plaintiffs' authorities discuss the general rule that oral contracts may be enforceable.
. At oral argument, Plaintiffs' counsel conceded that dismissal with prejudice is appropriate for this claim.
. Defendant cites
Textron Financial Corp. v. National Union Fire Ins. Co.,
.At oral argument, Plaintiffs’ counsel conceded that dismissal with prejudice is appropriate for this claim.
. At oral argument, Plaintiffs’ counsel conceded that dismissal with prejudice is appropriate for this claim.
