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Grow House Claims
Last Post 12 Nov 2009 10:31 PM by insprojohn. 29 Replies.
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William S Cook
 Member
 Posts:64

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| 09 Jun 2009 04:27 PM |
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Any discussions available on covearage issues related to vandalism losses caused by tenants modifying a house to do indoor farming.
William S Cook PA |
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| William S Cook
Public Adjuster/Umpire/Appraiser |
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Medulus Moderator
 Advanced Member
 Posts:691

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| 09 Jun 2009 04:33 PM |
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Does this involve the farming of contraband substances? AND
Does there appear to be a smoky haze in the house?
Once we have answered those questions just because inquiring minds want to know....
What type of policy? HO, Farm, or Commercial? Can't speak to coverage without knowing the forms, Sir Cook.
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Steve Ebner CPCU AIC AMIM
"With great power comes great responsibility." (Stanley Lieber, Amazing Fantasy # 15 August 1962) |
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Ray Hall
 Senior Member
 Posts:2443

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| 09 Jun 2009 05:14 PM |
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There is a line between tenant abuse and criminal acts of a tenant. Did the owner file a police report? start with that. |
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ChuckDeaton Life Member
 Veteran Member
 Posts:897

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| 09 Jun 2009 06:46 PM |
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A basic thought is that most insurance covers occurrences that are sudden and accidental. My first question would be how tenants accomplished sudden and accidental modification intended for a particular purpose. |
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| "Prattling on and on about being an ass with experience doesn't make someone experienced. It just makes you an ass." Rod Buvens, Pilot grunt |
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William S Cook
 Member
 Posts:64

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| 09 Jun 2009 08:33 PM |
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This is a State Farm landlord policy to protect the property owner against unspecified perils. Not like a DP with specified peril coverage for what I consider to be a vandalism loss or malisious mischief. Damages to the property are extensive. I have been absent from posting in the this forum for a while, but still follow the threads on a regular basis. I always enjoyed the challenge of Jim Flynt, Jim Lakes, Ray Hall and some of the other old timers that thought they new more than me. I found out that they did in most every instance. This thread should give rise to some interesting dialog regarding the validity of my client's claim. Ray has started the controversy with his comment tht there exista line between tenant abuse and criminal act. Perhaps he will share where I can locate that line for a starter. Chuck opines tht vandalism must be accidental. For Steves purposes of having the policy I have not been favord with a copy of the policy as yet but I think SF does not use the standard ISO forms or language. Now, prior to any of you hotshots getting your boxers in a bunch, consider if your parents had a rental house fully insured with a good paying tenant and six months later the cops busted the door down with a search wwarrant in hand, your good tenants have vamoosed back to Mexico and you found that their $300,000.00 investment was reworked to be a marijuana grow house or methlab, with about $&5,000.00 in damages. Please remember that I include spelling errors and typos for the ones that like to find them William S Cook Public Adjuster |
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| William S Cook
Public Adjuster/Umpire/Appraiser |
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dcmarlin
 Member
 Posts:110

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| 09 Jun 2009 08:56 PM |
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You really need a copy of the policy. Assuming it is "all risk", is it is probably covered unless you have an exclusion.
I have a claim now where a tenant applied drywall mud all over the walls. She even applied it over the popcorn ceiling texture. She cut the carpeting and installed bubble wrap underneath. She did all this to keep fumes from the imaginary meth lab next door from seeping through. Obviously, in this case, the tenant was a few cards shy of a full deck. It is also obvious this was not all done in a day but discovered at one time.
Regardless, we checked the CP1030 and could not find any exclusion which applies. Thus, it is a covered loss. I believe the same would apply to your loss; gotta read the policy! |
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| Gimme a bottle of anything and a glazed donut ... to go! (DLR) |
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Ray Hall
 Senior Member
 Posts:2443

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| 09 Jun 2009 10:04 PM |
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I will chime in again in a few says, but I need some more reading/ If you have the CP 30 you must have the CP10 which has a lot of the basic language and it seems some of the dates of the act are in play was well as when it was brought to the owners attention and how close he checked on the tenant. You all can see the way I am going. |
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ChuckDeaton Life Member
 Veteran Member
 Posts:897

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| 10 Jun 2009 08:39 AM |
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As this is a State Farm policy I expect that you are right in that it is proprietary, as most State Farm policies are. My experience is that State Farm policies tend to be written to exclude risks that State Farm does not want to take. My guess is that if State Farm sees "grow houses" as a threat they will have addressed them in the policy language. All Risk except as excluded is certainly a different cat from named peril. Generally speaking all that is required of the insured is the notice of loss and it is up to the insurer to react with acceptance or denial. Has State Farm denied the claim? However, a basic tenet of insurance is that the occurrence be sudden and accidental. Whether the intentional modification of a rental unit into a grow house could be considered sudden and accidental from the insureds point of view is outside my experience and probably depends on Florida case law. Could the modification be considered sudden and accidental because the insured was unaware and found the modification suddenly. Residential water damage claims, caused by small slow leaks, rot and decay, can be sudden and accidental and covered, in Arkansas. |
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| "Prattling on and on about being an ass with experience doesn't make someone experienced. It just makes you an ass." Rod Buvens, Pilot grunt |
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Tom Toll Moderator & Life Member
 Senior Member
 Posts:1865

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| 10 Jun 2009 02:38 PM |
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Bill, this is a difficult question to answer. My take is that it is not sudden and accidental, but an alteration of property. Not having the benefit of the policy and its language, this is impossible to answer. |
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| Success is not final, failure is not fatal: it is the courage to continue that counts. |
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Medulus Moderator
 Advanced Member
 Posts:691

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| 10 Jun 2009 02:52 PM |
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Since we don't have a copy of the coverage form, we really cannot speak to whether this loss is covered. Were I the PA on this one, William, I would first request in writing a certified copy of the policy. This way you get not just the main form, but all the forms and endorsements. (But you probably already knew that.)
The questions we can answer, or at least make some inroad on, are:
1. Is this vandalism/malicious mischief?
2. Is it sudden and accidental?
In my thinking, it is not malicious mischief because this would, by definition involve malice. Without any additional information, I don't see the malice here. Does vandalism of neccessity involve malice? Is it synonymous with "malicious mischief? That is the question I would be bringing to the claim committee if this is a specified peril policy that includes the peril of vandalism. I will leave it as a question. A trip to Funk and Wagnalls might be in order if vandalism is not defined in the policy. If it is an "open peril" policy (the new politically correct name for "all risks") I agree with the others. It all depends on whether an exclusion applies.
Is it sudden and accidental? It obviously involves an intentional act that occurred over a period of time. But the intentional act was not committed by an insured, and the discovery was sudden with regard to the insured. I would tend to believe it is sudden and accidental in that sense and would give the insured the benefit of the doubt for that one question. In fact many forced place policies will cover intentional damage done by someone who has discovered they are being evicted - even though the person committing the act was the technical owner of the property at the time the damage was done -- because the owner is not the insured (the mortgage company). |
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Steve Ebner CPCU AIC AMIM
"With great power comes great responsibility." (Stanley Lieber, Amazing Fantasy # 15 August 1962) |
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William S Cook
 Member
 Posts:64

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| 10 Jun 2009 09:18 PM |
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Really the question of covrage is not at issue in this thread. The issue at hand is in regard to the peril of vandalism. almost every policy will conditionally cover vandalism. Some policies have vacancy period restrictions. None of those restricitions apply, the policy is a State Farm FP-8127 and is not a spcified peril so the debate is restricted to what would be considered vandalism. Since the definiition is not in the policy I went to Blacks Law dictionary. I have two editions and they both provide what I would interpret as allowing coverage to apply for the peril of vandalism. I recall reading several court cases of coverage disputes in courts across the nation for methlab damage caused by tenants home cooking in a rental home or apartment. These damages were not sudden and were not accidental, But without regard for the damage they were aware they were causing when they did the deeds. Because it is intentional in nature with full awarness that modifications to the home to make it a hydroponic plant farm was causing damage to property of others, it is vandalism. Intentional damage to property of others was the controlling issue with the courts. If it is an all peril policy or a specified peril policy it will still be reduced to the definition of vandalism. It did not fit under malicious mischief based on my law dictonary due to an absence of getting back at someone. I think that insurers will soon be forced to place language in the policy to address the methlab/growhouse issues as they can cause significant damage to an insured property. Absent a polution exclusion would the toxic chemicals poured down the toilet into the septic tank out into the drain field be a part of the loss to correct the contaminated soil. Will the insured be entitled to a loss in value of the property due to a stigma attached to a grow house that must be disclosed to any future buyer. Stigma losses are being recognized as valid claims in sme limited juristictions. Again when considering all of the elements involved and that it is an allperil policy...and intentional damage to property of others may be considered vandalim and vandalism is a recognized peril any loss over the deductible should be paid in my opinion, and some couurts as well.
Thanks to all who contributed to the thread.
I will post the outcome when the matter is resolved with State Farm.
William S Cook
Public Adjuster |
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| William S Cook
Public Adjuster/Umpire/Appraiser |
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Ray Hall
 Senior Member
 Posts:2443

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| 10 Jun 2009 10:42 PM |
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From the first ship and/ or its cargo that was insured for perils of the sea the elemet of unforseeable , sudden & accidental has been in all property policies. When insurance came ashore the peril was fire and then broadened to all the 16-18 named perils today. The perils are easly understood by common english language. What better describes this loss tenant abuse or unauthorized destruction of property of others. or V&MM. Keep in mind what gerneral liability coverage does for respensible people. It protects them from torts. The conerstone of general liability is property in YOUR care custody and control is excluded from the damage the policyholder does to it. Now if you have a shop for repairs you purchase a bailees policy, or a builders risk or a care custody and control policy.
I probably work 10 losses per year that have a CP 10, and 20 (named peril on a thief stealing the AC condensing system or dismanteling the unit for the copper and taking the copper) and its not vandalizm, but theft and not covered. (many states including Texas agree).
Have any one ever seen a proof of loss form that did not require the date and time of the loss. Forced placed insurance for mortgage companies can not be part of this debate. The state of Arkansas is one of the few that still covers drip drip if Chuck is right.
I contend a "risk of loss" loss must have a secific date and time of the sudden and accidental event that was the basis of the reported claim. In my years I have recommend fire and puff back smoke losses as its reasonable to assume the tenant did not report to the landlord for good reasons
The law books are full of these V & MM losses. I will do more research.
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ChuckDeaton Life Member
 Veteran Member
 Posts:897

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| 11 Jun 2009 08:53 AM |
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Generally speaking, "perils of the sea" is an exclusion. |
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| "Prattling on and on about being an ass with experience doesn't make someone experienced. It just makes you an ass." Rod Buvens, Pilot grunt |
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Medulus Moderator
 Advanced Member
 Posts:691

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| 11 Jun 2009 09:33 AM |
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Bill, I would diverge from your analysis in one respect. Since you state that the policy is not a specified peril policy, it really is a moot point whether this scenario can be defined as "vandalism". In an open perils policy it is covered if it is direct physical damage and not excluded. As an example, I had a claim where a child knocked over a five gallon bottle of red wine, breaking the bottle in the process. The policyholder described the ensuing occurence as "a wave of red wine washed across my carpet". It was a covered cause of loss under the open perils policy -- at least with regard to the building elements affected (carpeting, cleanup, etc.). It was not neccessary to qualify the cause of loss as any particular peril. It simply was direct physical damage (generally incorporates the concepts of sudden and accidental) and not excluded. I got this claim early on in my career and knew much less than I now know. So, I spent an inordinate amount of time trying to figure out what peril it was. In the final analysis, it just didn't matter. The first question to ask is "Is this property covered under the dec pages?" The second question is "Does this fit the insuring agreement?" This will require determining whether it qualifies as direct physical damage (or similar language depending on the policy). The third question is "Have the policy conditions been met?" The next question will be "Does any exclusion apply?" A final question to be asked if any exclusion applies is "Are there any exceptions to the exclusion or coverage extensions that allow coverage for this despite the exclusion?" In terms of loss of value -- maybe the value is enhanced. It could be marketed as "Converted Grow House. All Ready outfitted to start your own home based business. Just move in and start planting your own stash of the wacky weed." It might bring a premium price. |
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Steve Ebner CPCU AIC AMIM
"With great power comes great responsibility." (Stanley Lieber, Amazing Fantasy # 15 August 1962) |
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Ray Hall
 Senior Member
 Posts:2443

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| 11 Jun 2009 03:13 PM |
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I have been thinking about Esquire Cooks loss for days and have reached my decision if it was up to me me to determine coverage. I assume the landlord did not have the right to inspect the house wtihout the tenants permission. If any kind of loss is straight foward and fits the definition of one of the named perils in the personal property coverage it is what it is. If its theft its not V & MM and vise versa (the peril of theft is not named). In squire Cooks case the damage was not intended or expected by the insured when the premises was leased to the tenant. The act was not an accident, but certainly not anticipated by the insured. The loss must be reported to the police and charges filed I would recommend payment with a loan receipt and get an judgement against the grower and give it to a collector person.
Many of the risk of loss polices I have read over the years have a discovery period, and a sudden an accidental clause, a time frame of hours or days or at least a not intended or expected clause. (non admitted manuscript) I am 99.9% convinced State Farm has non of these clauses as they do not have the experience in the risk of loss, off shore underwriters. Give em hell Bill, its good PA's and attorneys that keeps me in this business.
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Ray Hall
 Senior Member
 Posts:2443

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| 11 Jun 2009 04:25 PM |
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I have had a few risk of loss claims. The front door blew open in a gust of wind the impact of the door against the wall caused the glass shelf on the other wall to fall foward and was demolished when it shattered on the tile floor. (windstorm on UPP, Homeowners) An adjuster rear ends an auto. His lap top in the front seat hits the dash/floor and damages the case and screen. ( peril of auto damage to UPP off premises)
A Texas Homeowners C ( All risk on coverage A & C) Insured was swimming near a rip tide on a Pensicola beach and a member of the party need a hand to get out of the current. She reached out with her left hand and pulled her back in but her diamond ring was pulled off and lost forever.
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R. Estes
 Member
 Posts:138

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| 17 Jun 2009 06:51 PM |
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MUST see the policy in its entirety, forms and endorsements. |
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| "Each of us as human beings has a responsibility to reach out to help our brothers and sisters affected by disasters. One day it may be us or our loved ones needing someone to reach out and help." |
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Leland
 Advanced Member
 Posts:628

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| 17 Jun 2009 07:53 PM |
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Some of these claims are paid and some are not. The defintions of "vandalism", "malicious mischief" etc. vary according to state case law. I have posted a Washington State case below which has no relevance to Florida cases or the policy you are adjusting except that it might illustrate some of the issues the courts look at. You need to find previous Florida cases with similar sets of facts to even approach what the law is. This is a great case to read because it deals with proximate cause and all kinds of other issues, but PLEASE don't assume it applies to other states. Court of Appeals Division III State of Washington Opinion Information Sheet Docket Number: 18306-8-III Title of Case: Bethany Bowers v. Farmers Insurance Exchange, a Foreign Ins. Corp. File Date: 01/25/2000 SOURCE OF APPEAL ---------------- Appeal from Superior Court of Spokane County Docket No: 98-2-03129-2 Judgment or order under review Date filed: 02/26/1999 Judge signing: Hon. Salvatore F. Cozza JUDGES ------ Authored by Frank L. Kurtz Concurring: John A. Schultheis Stephen M. Brown COUNSEL OF RECORD ----------------- Counsel for Appellant(s) Martin Gales Montgomery Carroll & Gales 2206 N Pines Rd Spokane, WA 99206-4756 Counsel for Respondent(s) Mark S. Cole 1001 4th Ave Ste 3810 Seattle, WA 98154-1106 Gregory D. Zamudio 1001 4th Ave Plz #3810 Seattle, WA 98154-1131 State of Washington Division 111 BETHANY BOWERS, a single woman, ) No. 18306-8-III ) Appellant, ) ) v. ) ORDER GRANTING MOTION ) FOR RECONSIDERATION FARMERS INSURANCE EXCHANGE, a ) AND AMENDING OPINION foreign insurance corporation, ) ) Respondent. ) ) THE COURT has considered respondent's motion for reconsideration and the answer thereto, and is of the opinion the motion should be granted. Therefore, the motion for reconsideration of this court's decision of January 25, 2000, is granted. IT IS FURTHER ORDERED that the last sentence of the opinion 'On remand, the superior court shall enter a judgment in conformity with this opinion and make an award of reasonable attorney fees to Ms. Bowers' shall be amended to read: On remand, the trial court shall enter an order of partial summary judgment in favor of Bethany Bowers on the issue of coverage, and shall make an award of reasonable attorney fees pertaining to the issue of coverage. The matter is remanded for further proceedings consistent with this opinion. DATED: FOR THE COURT: FRANK L. KURTZ CHIEF JUDGE IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON BETHANY BOWERS, a single woman, ) No. 18306-8-III ) Appellant, ) ) Division Three v. ) Panel Five ) FARMERS INSURANCE EXCHANGE, a ) foreign insurance corporation, ) PUBLISHED OPINION ) Respondent. ) ) FILED KURTZ, C.J. - Bethany Bowers was denied coverage by Farmers Insurance Exchange (Farmers) for mold damage to a rental house which occurred when her tenants, without the knowledge of Ms. Bowers, converted the house into a marijuana grow operation. The marijuana cultivation caused damage to the house, including mold growth throughout the house. Upon cross-motions for summary judgment, the court held in favor of Farmers. Ms. Bowers appeals contending the court erred in holding that the insurance did not cover the mold damage caused by the marijuana grow operation, and in not awarding her reasonable attorney fees. We conclude the tenants' acts constitute vandalism, for which there is coverage under Ms. Bowers' landlord's insurance policy. We further conclude that the tenants' acts are the efficient proximate cause of Ms. Bowers' loss. The judgment of the superior court is reversed. Ms. Bowers is awarded her attorney fees. FACTS On November 1, 1997, Bethany Bowers rented her single family house to new tenants. Prior to being rented, the house had been well-maintained, without problems of mold or excess water vapor condensation. A Landlord's Protection Package insurance policy was issued by Farmers to Ms. Bowers and was in effect from November 1, 1997, to June 6, 1998. The tenants converted a basement portion of the house into a hothouse for growing marijuana. Halide lights were used, the basement windows were covered, foil was put on the walls, and the marijuana grow operation was vented directly into the chimney. The house was otherwise sealed. All heat in the house was diverted to the basement grow operation room. The lack of heat throughout the house, together with excessive water condensation from the halide lights and marijuana grow operation, caused mold to grow rapidly throughout the house. There were deposits of mold on floors, carpets, walls, paneling, doors, window coverings, insulation, rafters, joints and other surface areas in the house. Initially, Ms. Bowers was unaware of the marijuana grow operation. However, after almost three months, she became suspicious and contacted the Spokane police. The marijuana grow operation was discovered and removed by the Spokane police. Ms. Bowers thereafter submitted an insurance claim to Farmers for (1) replacement of warped paneling in the basement, and (2) an additional $14,802.90 for clean up of mold damage. Farmers paid for the warped wall paneling, but denied the claim for mold-related damage as not being covered under the policy. Ms. Bowers filed an action against Farmers for the repair costs and lost rent. Upon cross-motions for summary judgment, the trial court held in favor of Farmers. Ms. Bowers appeals. ANALYSIS An insurer is liable under a contract for insurance when a covered peril causes a loss. The court must first determine the scope of the policy's coverage. Graham v. Public Employees Mut. Ins. Co., 98 Wn.2d 533, 540, 656 P.2d 1077 (1983) (Brachtenbach, J., dissenting). The court determines coverage by characterizing the perils contributing to the loss, and determining which perils the policy covers and which it excludes. Kish v. Insurance Co., 125 Wn.2d 164, 170, 883 P.2d 308 (1994). Interpretation of insurance policy language is a matter of law that we review de novo. McDonald v. State Farm Fire & Cas. Co., 119 Wn.2d 724, 730-31, 837 P.2d 1000 (1992). The Farmers policy's exclusion section states in relevant part: We do not cover direct or indirect loss from: . . . . 4. Vandalism or Malicious Mischief, breakage of glass and safety glazing materials if the dwelling has been vacant for more than 30 consecutive days just before the loss. A dwelling under construction is not considered vacant. . . . . 6. Wear and tear; marring; deterioration; inherent vice; latent defect; mechanical breakdown; rust; mold; wet or dry rot; contamination; smog; smoke from farm smudging or industrial operations; settling, cracking, shrinking, bulging or expansion of pavements, patios, foundation, walls, floors, roofs or ceiling; birds, vermin, rodents, insects or domestic animals. If any of these cause water to suddenly and accidentally escape from a plumbing, heating, air conditioning system or household appliance, we cover loss caused by water. We also cover the cost of tearing out and replacing any part of a building necessary to repair the system or appliance not otherwise excluded under item 5 above. We do not cover loss to the system or appliance from which the water escaped. (Emphasis added.) Ms. Bowers contends the purpose of the Farmers' policy was to insure her as landlord from accidental loss to the insured rental property. She emphasizes that there is no dispute that the loss was 'accidental' insofar as she was concerned. She argues there should be coverage for this loss under the coverage for vandalism or malicious mischief because the tenants willfully, wantonly and recklessly damaged her property. In response, Farmers argues the cause of Ms. Bowers' loss is mold, not vandalism or malicious mischief. In plain language, the policy excludes loss due to mold. Farmers maintains there is no ambiguity or provision in conflict with the exclusion. Farmers asks this court to enforce the exclusion. The Farmers' policy specifically covers loss caused by vandalism or malicious mischief, but does not define those terms. 'Courts interpret insurance contracts as an average insurance purchaser would understand them and give undefined terms in these contracts their 'plain, ordinary, and popular' meaning.' Kish, 125 Wn.2d at 170 (quoting Boeing Co. v. Aetna Cas. & Sur. Co., 113 Wn.2d 869, 877, 784 P.2d 507, 87 A.L.R.4th 405 (1990)); accord State Farm Gen. Ins. Co. v. Emerson, 102 Wn.2d 477, 480, 687 P.2d 1139 (1984). 'Vandalism' is defined as 'willful or malicious destruction or defacement of things of beauty or of public or private property.' Webster's third New International Dictionary 2532 (1993). 'Malicious mischief' is defined as 'willful, wanton, or reckless damage or destruction of another's property.' Webster's, supra, at 1367. A person who acts willfully acts knowingly. RCW 9A.08.010(4). The criminal statutes require that 'malicious mischief' be done 'knowingly and maliciously.' RCW 9A.48.070, .080, .090. Farmers argues that the tenants' conduct was not vandalism or malicious mischief because the conduct was not malicious. Farmers emphasizes that the tenants' conduct was not motivated by any ill will or malice towards the owner. In this context, malice does not require ill will, hatred, or vindictiveness of purpose. Malice may be inferred from the act of destruction. It is sufficient if the actor is guilty of wanton or intentional disregard of the rights of others. 13A George J. Couch, Couch on Insurance 2d sec. 48:210 (Mark S. Rhodes, rev. ed. (1982)); Michael A. Sabatino, Annotation, What Constitutes 'Vandalism' or 'Malicious Mischief' Within Meaning of Insurance Policy Specifically Extending Coverage to Losses from Such Causes, 56 A.L.R.5th 407 (1998). As stated in Frontier Lanes v. Canadian Indem. Co., 26 Wn. App. 342, 613 P.2d 166 (1980), '{p}roperty has been damaged 'willfully and maliciously' if the damage results from an intentional act from which damage was reasonably expected to result.' Id. at 347. This is illustrated in Livaditis v. American Cas. Co., 117 Ga. App. 297, 160 S.E.2d 449 (1968), in which a tenant operated a moonshine still in a rental house. The moonshine operation was vented so that the smoke, fumes and vapor were pulled by a fan to the interior of the house. As a result of smoke and condensation, the paint in the rooms peeled, plaster was loosened, and rugs, drapes, and walls were stained, soiled and covered with mold. The issue before the court was whether the tenant's acts were vandalism, for which there was coverage. In concluding that the tenant's acts were vandalism, the court rejected the insurance company's contention that the owner was required to show that the tenant acted with specific intent to injure the property and was motivated by actual malice. Id. at 299-300. In this case, the tenants diverted all of the heat from the furnace to the basement in order to create a marijuana grow room. They irrigated the marijuana plants under grow lights. This created a sauna-like environment in the basement. Additionally, they sealed the house and thereby trapped the water vapor generated by their activities in the basement. These activities caused certain damage to Ms. Bowers' house. The tenants acted in conscious or intentional disregard for her property rights. Malice may be inferred from their acts. We conclude that the tenants' acts are vandalism. Ms. Bowers argues that the 'efficient proximate cause' of her loss was not the mold, but the vandalism of her tenants. The question is whether the tenants' acts, the covered peril, or the mold, the excluded peril, are the proximate cause of Ms. Bowers' loss. In Graham, the court addresses the issue of whether an all-risk insurance policy covers a loss caused by two or more perils when one of the perils is excluded and the other peril is covered. Graham held that where an insured peril 'sets other causes in motion which, in an unbroken sequence and connection between the act and final loss, produce the result for which recovery is sought' that peril is the 'proximate cause' of the loss. Graham, 98 Wn.2d at 538. The proximate cause is 'the efficient or predominant cause,' not necessarily the last act in a chain of events leading to the damage. Id. When the insured can identify an insured peril as the proximate cause, there is coverage 'even if subsequent events in the causal chain are specifically excluded from coverage.' Findlay v. United Pac. Ins. Co., 78 Wn. App. 17, 20, 895 P.2d 32 (1995), aff'd, 129 Wn.2d 368, 917 P.2d 116 (1996). In Sunbreaker Condominium Assoc. v. Travelers Ins. Co., 79 Wn. App. 368, 901 P.2d 1079 (1995), the court applied the efficient proximate cause rule to find that where wind-driven rain was a distinct, covered peril under the policy, the policy's fungus damage exclusion did not necessarily bar recovery for fungus damage. Even though expert testimony identified rain as the cause of fungus, a jury could find that wind-driven rain was the efficient proximate cause of the loss. Similarly, Ms. Bowers recognizes that mold growth was the immediate cause of her loss but argues that her tenants' vandalism was the efficient proximate cause of the loss. If the efficient proximate cause rule applies, the question of which peril constitutes the proximate cause is usually referred to the factfinder unless the facts are undisputed and there can be no reasonable difference of opinion regarding their meaning. In the latter case, the issue of proximate cause may be a question of law for the court. Kish, 125 Wn.2d at 170. Here, there can be no reasonable difference of opinion regarding the cause of Ms. Bowers' loss. It was the tenants' acts, which 'in an unbroken sequence . . . {produced} the result for which recovery is sought{.}' Graham, 98 Wn.2d at 538. We conclude that the tenants' acts are the efficient proximate cause of the owner's loss. The judgment of the superior court is reversed. Ms. Bowers is awarded her reasonable attorney fees in superior court and on appeal. Olympic S.S. Co. v. Centennial Ins. Co., 117 Wn.2d 37, 51-54, 811 P.2d 673 (1991). On remand, the trial court shall enter an order of partial summary judgment in favor of Bethany Bowers on the issue of coverage, and shall make an award of reasonable attorney fees pertaining to the issue of coverage. The matter is remanded for further proceedings consistent with this opinion. Kurtz, C.J. WE CONCUR: Schultheis, J. Brown, J.
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Ray Hall
 Senior Member
 Posts:2443

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| 17 Jun 2009 08:32 PM |
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Thanks for the nice read Leland. Sometimes we will have a risk of loss claim that could be better described by one of the named peril's. The risk of loss presentation was made because the instant proximate cause was excluded under the basic exclusions,(faulty workmanship) but under the risk of loss "it was never intended nor expected from the standpoint of the insured". It was paid by the presentation argument sent to the carrier. Phone calls from peers welcome. |
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Leland
 Advanced Member
 Posts:628

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| 17 Jun 2009 10:39 PM |
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There is another case in Colorado - Asbaugh v. State Farm. A methamphetamine cleanup was denied as excluded "contamination" but paid on appeal under VM&M. I can't find the case except for the plaintiff's lawyer's website mentioning it. I found some articles that this type of claim is getting more common. When I worked in restoration my boss mentioned that he worked a claim where at least a foot of dirt and sprinkler system had been brought inside a home for some illicit indoor farming, this would have been more than 10 years ago. The meth contamination is very toxic, some police officers have claimed that they got cancer after raiding large numbers of meth labs. That's why meth cleanup is specialized and expensive. Anybody here adjust any of these claims? What Xactimate line items did you use? Did you feel like you had more energy than usual when you scoped the loss? Did you feel especially alert? Did you find yourself measuring the same room 34 times in a row? Just askin'. |
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