STATE OF NEW JERSEY VS. JUAN A. FERRER, JR. (15-03-0210, BURLINGTON COUNTY AND STATEWIDE)
A-2474-15T2
| N.J. Super. Ct. App. Div. | Aug 21, 2017|
Check Treatment NOT FOR PUBLICATION WITHOUT THE
APPROVAL OF THE APPELLATE DIVISION
This opinion shall not "constitute precedent or be binding upon any court."
Although it is posted on the internet this opinion is binding only on the
parties in the case and its use in other cases is limited. R.1:36-3.
SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
DOCKET NO. A-2744-15T3
GRACIOSO BALACUIT,
Plaintiff-Appellant,
v.
TOWER NATIONAL INSURANCE
COMPANY,
Defendant-Respondent.
—————————————————————————————————
Submitted April 6, 2017 – Decided May 3, 2017
Before Judges Hoffman, O'Connor and Whipple.
On appeal from Superior Court of New Jersey,
Law Division, Hudson County, Docket No. L-
4535-14.
Law Offices of Jonathan Wheeler, P.C.,
attorneys for appellant (Jonathan Wheeler, on
the briefs).
Methfessel & Werbel, attorneys for respondent
(Jacqueline Falcone, of counsel and on the
brief).
PER CURIAM
Plaintiff Gracioso Balacuit appeals from a January 26, 2016
Law Division order granting summary judgment to defendant Tower
National Insurance Company (Tower). At all relevant times, Tower
insured plaintiff's home in Jersey City. In December 2012, Tower
received a claim for damage to plaintiff's home, described as
"[building] structure is collapsing." Defendant assigned an
adjuster and an engineer to inspect the property.
The engineer's report detailed settlement and cracking
throughout the home and concluded the damage resulted from a failed
sewer pipe beneath the home. Plaintiff also retained an engineer
who inspected the property and agreed the damage came from a faulty
sewer pipe. Plaintiff's expert concluded water leaking from the
pipe caused soil erosion and consolidation, which caused a movement
under the home and resulted in the damage.
Plaintiff's dwelling policy contained a provision excluding
coverage for "earth movement," which the policy defined as "earth
sinking, rising or shifting." The policy also contained a general
exclusion, which excluded coverage for damages caused by earth
movement "regardless of any other cause or event contributing
concurrently or in any sequence to the loss."
On February 4, 2014, Tower issued a letter "disclaiming
coverage" for plaintiff's claim, "[a]s this loss is expressly
excluded in the insured's policy." Plaintiff then commenced this
action. After discovery, Tower filed the motion under review.
Following oral argument, Judge Francis Schultz entered an order
granting Tower's motion and dismissing plaintiff's complaint, and
2 A-2744-15T3
issued a written opinion explaining his decision. The judge
concluded, in pertinent part:
Accepting as true the plaintiff's version of
the events[,] it is clear that the earth
movement exception, which in particular
includes "any other earth movement including
earth sinking, rising or shifting" caused by
or resulting from "human or animal forces or
any act of nature" clearly applied here.
Whether the pressure on the pipe causing it
to fail was due to "faulty or inadequate
construction" of the building (not covered)
or not, is irrelevant considering the anti-
sequential clause found at the beginning of
General Exclusions A. According to the
plaintiff's expert[,] where the earth had
been[,] it no longer was due to erosion caused
by the leaking pipe. This court cannot find
that the exclusion is unclear or ambiguous.
It should also be noted that the policy
includes under General Exclusions A. 3. "water
damage" which includes at b. "water and water-
borne material which backs up through sewers
or drains or which overflows or is discharged
from a sump, sump pump or related equipment;
or c. water or water-borne material below the
surface of the ground, including water which
exerts pressure on or seeps or leaks through
a building, sidewalk, driveway, foundation,
swimming pool or other structure.["] This
exclusion is also subject to the anti-
sequential clause. For the foregoing reasons
the defendant's motion for summary judgment
is granted.
We apply a de novo standard of review when evaluating whether
summary judgment was proper. Wilson ex rel. Manzano v. City of
Jersey City, 209 N.J. 558, 564 (2012). We first decide if there
is a genuine issue of material fact, and if none exists, whether
3 A-2744-15T3
the moving party is entitled to judgment as a matter of law. Brill
v. Guardian Life Ins. Co. of Am., 142 N.J. 520, 528-29 (1995).
Summary judgment must be granted "if the pleadings,
depositions, answers to interrogatories and admissions on file,
together with the affidavits, if any, show that there is no genuine
issue as to any material fact challenged and that the moving party
is entitled to a judgment or order as a matter of law." R. 4:46-
2(c). "[A] non-moving party cannot defeat a motion for summary
judgment merely by pointing to any fact in dispute[,]" and must
bring forth evidence creating a genuine issue as to a material
fact. Brill, supra, 142 N.J. at 529.
As with other contracts, the terms of an insurance policy
define the rights and responsibilities of parties to it. N.J.
Citizens United Reciprocal Exch. v. Am. Int'l Ins. Co. of N.J.,
389 N.J. Super. 474, 478 (App. Div. 2006). "The interpretation of an insurance contract is a question of law for the court to determine, and can be resolved on summary judgment." Adron, Inc. v. Home Ins. Co.,292 N.J. Super. 463
, 473 (App. Div. 1996). The court's standard of review regarding conclusions of law is de novo. Estate of Hanges v. Metro. Prop. & Cas. Ins. Co.,202 N.J. 369
, 385 (2010).
"Generally, an insurance policy should be interpreted
according to its plain and ordinary meaning." Voorhees v.
4 A-2744-15T3
Preferred Mut. Ins. Co., 128 N.J. 165, 175 (1992). If the plain language of the policy is clear and unambiguous, then there is no need for further inquiry, and courts often consider identical or similar language in prior cases to determine the parties' intent. Chubb Custom Ins. Co. v. Prudential Ins. Co. of Am.,195 N.J. 231
, 238 (2008). While language is "construed liberally in favor of the insured and strictly against the insurer," courts must seek to settle on a reasonable meaning consistent with the express purposes and language of the policy. Sinopoli v. N. River Ins. Co.,244 N.J. Super. 245
, 250-51 (App. Div. 1990), certif. denied,127 N.J. 325
(1991). "[A]n insurance policy is not ambiguous
merely because two conflicting interpretations have been offered
by the litigants." Simonetti v. Selective Ins. Co., 372 N.J.
Super. 421, 428 (App. Div. 2004).
On appeal, plaintiff argues the motion court erred in granting
summary judgment, asserting Tower's policy contains "ambiguous
language" that "gives rise to a genuine issue of material fact."
We disagree and affirm substantially for the reasons set forth in
Judge Schultz's cogent and well-reasoned opinion.
Affirmed.
5 A-2744-15T3
