J & N Realty, Inc. -- real estate, property, planned unit development (PUD), townhouse, townhome, hoa, condo,
condominium, homeowner association, common interest development (CID) management services in Los
Angeles
 Forecast
Homes, Inc. v. Steadfast Ins. Co. (2010) 181 Cal.App.4th 1466, -- Cal.Rptr.3d --
[No.
G040876. Fourth Dist., Div. Three. Jan. 12, 2010.]
FORECAST
HOMES, INC., et al., Plaintiffs and Appellants, v. STEADFAST INSURANCE COMPANY, Defendant and Respondent.
(Superior
Court of Orange County, No. 06CC00060, David C. Velasquez, Judge.)
(Opinion
by O'Leary, J., with Bedsworth, Acting P. J., and Aronson, J., concurring.)
COUNSEL
Ulich
& Terry; Andrew K. Ulich, Timothy A. Gravitt and Lori M. Cullman for Plaintiffs and Appellants.
Horvitz
& Levy, David M. Axelrad, Peter Abrahams; Sinnott, Dito, Moura & Puebla, Randolph P. Sinnott and Gail
Orr for Defendant and Respondent. [181 Cal.App.4th 1469]
OPINION
O'LEARY,
J.-
Housing
developers, Forecast Homes, Inc., and K. Hovnanian Forecast Homes, Inc. (referred to collectively and in the
singular as Forecast), appeals from the judgment entered in its declaratory relief action in favor of Steadfast
Insurance Company (Steadfast). Forecast contractually required all its subcontractors to defend and hold it
harmless against any liability arising out of the subcontractors' work. Subcontractors were required to add
Forecast to their general liability insurance policies as an additional insured. Several [181 Cal.App.4th
1470] subcontractors obtained their required insurance coverage from Steadfast, who later refused to
indemnify Forecast when a lawsuit was filed by several homeowners against Forecast for construction defects.
Steadfast maintained the subcontractor did not pay the policy's self-insured retention (SIR), which was a
precondition for coverage. It argued only the named insured, not Forecast, could satisfy the policies' SIR and
trigger coverage. The trial court agreed and concluded the policies were unambiguous, not against public policy,
and not illusory. We agree and affirm the judgment.
I
Forecast
develops and sells single family homes. Forecast ordinarily hires subcontractors to build the homes, and it
requires subcontractors to maintain general liability insurance policies naming Forecast as an additional
insured. Forecast's contract with each subcontractor specified in great detail the required insurance policy
language and coverage specifications.
However,
Forecast's contract did not require any specific language regarding the insurance policies' SIR provisions. The
sole issue on appeal relates to the interpretation of the SIR endorsements. Consequently, we must discuss these
provisions in greater detail.
Although
there were over a dozen subcontractors, there were essentially only four different kinds of Steadfast policies
at issue in this case (referred to in the briefs and by the trial court as the 98 form, the Rev. form, the 01
form, and the B form). However, the parties agree there are really only two different versions, which we will
refer to as Form-A (containing the 98 and Rev. form endorsements) and Form-B (containing the 01 and B form
endorsements).
All
the endorsements contain the following: On the top of the page in capital letters is the statement, "This
endorsement changes the policy. Please read it carefully." (Original capitalization omitted.) This warning is
followed by a large box, titled "Schedule. [¶] SELF-INSURED RETENTION AMOUNTS." The amounts varied depending on
the policy but, for example, in one policy the amount was listed as "$2,500 [p]er [o]ccurrence [¶] $[0] [p]er
[c]laim [¶] AGGREGATE $[0]." Under the schedule box in italicized lettering was the notation, "throughout this
policy the words 'you' and 'your' refer to the [n]amed [i]nsured shown in the declarations, and any other person
or organization qualifying as a [n]amed [i]nsured under this policy. The words 'we,' 'us,' and 'our' refer to
the company providing this insurance." (Original italics omitted.) [181 Cal.App.4th 1471]
After
the schedule box, Form-A's endorsement provisions provided, inter alia:
"I.
Self-Insured Retention and Defense Costs -- Your Obligations.
"A.
The self-insured retention amounts stated in the Schedule of this endorsement apply as follows:
"1.
If the [p]er [o]ccurrence self-insured retention amount is shown in the Schedule of this endorsement, you shall
be responsible for payment of all damages and defense costs for each occurrence or offense, until you have paid
self-insured retention amounts and defense costs equal to the [p]er [o]ccurence amount shown in the Schedule,
subject to the provisions of A. 3. below, if applicable. The [p]er [o]ccurrence amount is the most you will pay
for self-insured retention amounts and defense costs arising out of any one occurrence or offense, regardless of
the number of persons or organizations making claims or bringing suits because of the occurrence or offense. [¶]
. . . [¶]
"4.
Except for any defense costs that we may elect to pay, you shall pay all such defense costs as they are incurred
until you have paid defense costs and damages for bodily injury, property damage, personal injury . . . or any
other such coverages which may be included in the policy, equal to the applicable self-insured retention amount.
If any final judgment or settlement and defense costs is less than the self-insured retention amount stated
above, we shall have no obligation to reimburse you or pay defense costs under this policy."
The
endorsement contained additional provisions forbidding settlement without written permission, requiring
notification of an occurrence or offense that may result in a claim, seeking reporting of SIR incurred amounts,
and announcing Steadfast's right to deny payment if the rules are not followed.
The
last section of the endorsement provided only two definitions: (1) "A. Self-insured retention means: [¶] the
amount or amounts which you or any insured must pay for all compensatory damages which you or any insured shall
become legally obligated to pay because of bodily injury, property damage . . . or any other such coverage
included in the policy, sustained by one or more persons or organizations[]"; and (2) "B. Defense costs means:
[¶] expenses directly allocated to specific claims and shall include but not be limited to all [s]upplementary
payments as defined under the policy(ies); all court costs, fees and expenses; costs for all attorneys,
witnesses, experts. . . and any other fees, costs or expenses reasonably chargeable to the investigation,
negotiation, settlement or defense of a claim or a loss under the policy(ies)." [181 Cal.App.4th 1472]
The
parties agree this endorsement permitted SIR damages and defense costs to be used separately or in tandem to
satisfy the per occurrence amount set forth in the schedule. For example, if the per occurrence amount was
$2,500, the payment of any combination of damages or defense costs that add up to $2,500 would trigger
Steadfast's duty to defend both the named insured subcontractor and Forecast, the additional insured. In a
nutshell, what the parties dispute on appeal is who is permitted to activate coverage by paying the
specified SIR per occurrence amount.
Section
1 of Form-B, like Form-A, is titled, "Self-Insured Retention and Defense Costs -- Your Obligations." We have
highlighted in bold the additional language found in Form-B, which is not contained in Form-A. In all other
respects, the provisions are identical.
"A.
The self-insured retention amounts stated in the Schedule of this endorsement apply as follows: 1. If the [p]er
[o]ccurrence self-insured retention amount is shown in the Schedule of this endorsement, it is a condition
precedent to our liability that you make actual payment of all damages and defense costs for each occurrence
or offense, until you have paid self-insured retention amounts and defense costs equal to the [p]er [o]ccurence
amount shown in the Schedule, subject to the provisions of A. 3. below, if applicable. Payments by others,
including but not limited to additional insureds or insurers, do not serve to satisfy the self-insured
retention. Satisfaction of the self-insured retention as a condition precedent to our liability applies
regardless of insolvency or bankruptcy by you. The [p]er [o]ccurrence amount is the most you will pay for
self-insured retention amounts and defense costs arising out of any one occurrence or offense, regardless of the
number of persons or organizations making claims or bringing suits because of the occurrence or offense."
In
all the policies, Forecast became an insured under the subcontractor's policy through issuance of an additional
insured endorsement (AIE) by either the insurance carrier or by an agent/broker acting on behalf of the
insurance carrier. The AIE amended the policy to include Forecast as an insured party under the policy.
In
2001 through 2003, Forecast was served with five different lawsuits for construction defects by homeowners
living throughout Southern California (the underlying actions). After being served with the complaints in the
underlying actions, it tendered its defense to several insurance carriers, including Steadfast who had insured
many of the subcontractors. In the underlying actions, the only named defendant was Forecast, not the
subcontractors. [181 Cal.App.4th 1473]
Steadfast
denied Forecast's tender on the grounds that only the named insured under each policy was able to satisfy the
bargained for per occurrence amounts set forth in the SIR endorsements, and none of the subcontractors (the
named insureds) had satisfied the SIR to trigger Steadfast's obligation to defend. It did not dispute Forecast
was an additional insured party under each policy, and Forecast had proof it incurred defense costs sufficient
to satisfy the per occurrence amounts in the SIR endorsements.
Forecast
filed an action against Steadfast for declaratory relief, breach of contract, and breach of the covenant of good
faith and fair dealing. It asserted the endorsements permitted an additional insured to satisfy the SIR through
payment of defense costs in the underlying action. It also asserted Steadfast's position violated public policy
and rendered the coverage illusory by precluding the additional insured from having a chance to invoke the
insurance coverage it expected. The trial court bifurcated the declaratory relief action.
Prior
to trial, the parties stipulated to the admissibility of the insurance policies and the SIR endorsements. The
parties also stipulated to the fact Forecast tendered its defense, and Steadfast denied coverage. The court
received into evidence the testimony of Douglas Kaufman regarding industry practices as parol evidence. The
court ruled it would only consider his testimony if it found ambiguity in the SIR endorsements. After
considering briefs and argument, the court took the matter under submission.
The
court ruled that in both the A and B Forms, only the named insured subcontractors, not Forecast, had the right
to satisfy the SIR per occurrence amounts and Steadfast's defense obligation had not been triggered. It
concluded the SIR endorsements did not violate public policy and were not illusory.
II
A.
Standard of Review
"The
interpretation of an insurance policy is a question of law subject to our independent review. [Citation.] To the
extent the facts below were undisputed and capable of only one reasonable inference, we will independently
review them as well to determine their legal effect. [Citation.]" (Vons Companies, Inc. v. United States Fire
Ins. Co. (2000)
78 Cal.App.4th 52,
57-58 (Vons).)
B.
Self-Insured Retention or SIR
[1]
"Liability insurance polices often contain a 'deductible' or a 'self-insured retention' (SIR) requiring the
insured to bear a portion of a loss [181 Cal.App.4th 1474] otherwise covered by the policy." (Croskey et
al., Cal. Practice Guide: Insurance Litigation (The Rutter Group 2008) ¶ 7:378, p. 7A-121.) A deductible is a
portion of an insured loss for which the insured is responsible. (Id. at ¶ 7:379, p. 7A-121.) It
generally is "a specific sum that the insured must pay before the insurer owes its duty to indemnify the insured
for a covered loss." (Ibid.) A deductible relates only to the "damages for which the insured is
indemnified, not to defense costs. The insurer is fully responsible for defense costs regardless of the
amount of the deductible so long as there is a potential for coverage under the policy." (Ibid.)
"The
term 'retention' (or 'retained limit') refers to a specific sum or percentage of loss that is the insured's
initial responsibility and must be satisfied before there is any coverage under the policy. It is often
referred to as a 'self-insured retention' or 'SIR.'" (Croskey et al., Cal. Practice Guide: Insurance
Litigation, supra, ¶ 7:384, p. 7A-126.) Unlike a deductible which generally relates only to damages, an
SIR also applies to defense costs and settlement of any claim.
[2]
"It is well recognized that self-insurance retentions are the equivalent to primary liability insurance, and
that policies which are subject to self-insured retentions are 'excess policies' which have no duty to indemnify
until the self-insured retention is exhausted. [Citations.]" (Pacific Employers Ins. Co. v. Domino's Pizza,
Inc. (1998) ¶ 144 F.3d 1270, 1276 -1277, applying California law.) The distinction between excess and
primary insurers is significant because "[d]ifferent rules govern the obligations of excess and primary
insurers. . . . Defense obligations of excess insurers arise only when primary insurance coverage is exhausted.
[Citations.]" (City of Oxnard v. Twin City Fire Ins. Co. (1995)
37 Cal.App.4th 1072,
1077].)
However,
as noted by one respected legal treatise, "The analogy between 'primary' and 'excess' insurance should not be
carried too far. An SIR is not the same as primary insurance for all purposes." (Croskey et al., Cal.
Practice Guide: Insurance Litigation, supra, ¶ 7:387, p. 7A-128.) For example in Montgomery Ward &
Co. v. Imperial Casualty & Indemnity Co. (2000)
81 Cal.App.4th 356,
370, the court rejected "'stacking'" of SIRs in other triggered policies as this practice would furnish the insured
far less coverage than it purchased. The court rejected the argument an SIR was the same as primary insurance and
was not subject to the "horizontal exhaustion rule," i.e., the rule stating all primary policies in effect must be
exhausted before any excess policy is triggered. (Id. at p. 365.)
"The
insured may purchase other insurance to cover the SIR unless the policy clearly requires the insured
itself, not other insurers, to pay this amount. [(Citing Vons, supra, 78 Cal.App.4th at pp. 63-64, . . .
fact that policy [181 Cal.App.4th 1475] referred to 'other valid and collectible insurance' indicated
other insurance could be used to exhaust SIR).]" (Croskey et al., Cal. Practice Guide: Insurance Litigation,
supra, ¶ 7:385.5, p. 7A-127.) As noted by the court in Vons, some policies may specifically preclude
other insurance and "require the insured to be at risk for the retention amount." (Id. at ¶ 7:385.6, p.
7A-151.)
Similarly,
a codefendant's payment may satisfy the SIR. "Where the insured and another defendant are jointly and severally
liable for the injury or damage, an SIR under the insured's liability policy may be satisfied by payments made
by the other defendant or its liability insurer . . . unless the policy clearly provides otherwise." (Croskey et
al., Cal. Practice Guide: Insurance Litigation, supra, ¶ 7:387.3, p. 7A-128; Vons, supra, 78
Cal.App.4th at pp. 63-64.)
[3]
However, the Vons court, and other courts interpreting SIRs are all careful to note an SIR, like any
insurance provision, must be enforced according to its plain terms. Who may satisfy the SIR depends on each
policy's express provisions. Accordingly, we turn to the basic rules of contract interpretation to determine the
unique issue raised in this appeal, i.e., can an additional insured satisfy this SIR?
C.
General Rules Regarding Insurance Contract Interpretation
[4]
"While insurance contracts have special features, they are still contracts subject to the ordinary rules of
contract interpretation. The fundamental goal of contract interpretation is to give effect to the parties'
mutual intentions, which, if possible, should be inferred solely from the written terms of the policy. If that
language is clear and explicit, it governs. [Citation.] Policies must be interpreted as a whole, giving force
and effect to every provision where possible. [Citation.]" (Vons, supra, 78 Cal.App.4th at p. 58.)
[5]
"Policy provisions are ambiguous only if they are capable of two or more reasonable constructions. We will not
adopt a strained or absurd interpretation to create an ambiguity where none exists. The policy terms must be
construed in the context of the whole policy and the circumstances of the case and cannot be deemed ambiguous in
the abstract. [Citation.] If an ambiguity cannot be eliminated by the language and context of the policy, then
we invoke the principle that ambiguities are construed against the party who caused the uncertainty--the
insurer--in order to protect the insured's reasonable expectations of coverage. [Citation.]" (Vons,
supra, 78 Cal.App.4th at p. 58, fn. omitted.)
Forecast
asserts SIR endorsements, like deductibility clauses, are subject to a heightened level of scrutiny and are to
be interpreted narrowly and [181 Cal.App.4th 1476] strictly construed against the insurer. For this
purported rule, it relies on Beaumont-Gribin-Von Dyl Management Co. v. California Union Ins. Co.
(1976)
63 Cal.App.3d 617 (Beaumont),
disapproved on other grounds by Bay Cities Paving & Grading, Inc. v. Lawyers' Mutual Ins. Co.
(1993)
5 Cal.4th 854,
865), which contains a statement, the thrust of which is that a deductibility clause must be treated as any other
limitation in the policy. The context of that statement is, however, that ambiguities, wherever they appear in an
insurance policy, will be construed against the insurer. The Beaumont case does not announce a new rule
regarding how courts should approach interpreting an unambiguous exclusionary clause.
[6]
On a final note: "A contract extends only to those things which it appears the parties intended to contract. Our
function is to determine what, in terms and substance, is contained in the contract, not to insert what has been
omitted. We do not have the power to create for the parties a contract that they did not make and cannot insert
language that one party now wishes were there. Finally, words used in a certain sense in one part of a contract
are deemed to have been used in the same sense elsewhere. [Citation.]" (Vons, supra, 78 Cal.App.4th at
pp. 58-59.)
D.
Form-B Plainly Provides Only a Named Insured May Satisfy the SIR
The
Form-B's SIR endorsement starts off with the boilerplate sentence "'you' and 'your' refer to the [n]amed
[i]nsured . . . ." Thereafter, the first full paragraph of the endorsement (provision I. A. 1.) titled "Your
Obligation" contains a statement plainly and clearly limiting who can satisfy the SIR (by making payment
of damages and/or defense costs). It states in relevant part, "it is a condition precedent to our liability that
you [the named insured] make actual payment . . . until you [the named insured] have paid" the SIR
amount. It clarifies, "Payments by others, including but not limited to additional insureds or insurers, do not
serve to satisfy the self-insured retention. Satisfaction of the self-insured retention as a condition precedent
to our liability applies regardless of insolvency or bankruptcy by you." Later section I, subdivision 4,
reiterates the previous sections, stating, "you shall pay all such 'defense costs' as they are incurred
until you have paid" costs equal to the SIR. (Italics added.) Because the word "you" was previously defined to
be the named insured, it logically follows the named insured must pay defense costs to satisfy the SIR. This
section of the policy regarding who can make the payment to satisfy the SIR is clear and unambiguous.
Forecast
argues these statements are contradicted and rendered ambiguous by a paragraph in the endorsement's last section
(section IV), titled simply "Definitions." One definition describes what are "defense costs." It defines [181
Cal.App.4th 1477] defense costs as "expenses" related to litigation claims, and it provides a lengthy list
of possible litigation related expenses. The second definition describes what qualifies as SIR. It defines SIR
as "the amount or amounts" that "you or any insured must pay for all compensatory damages which you or any
insured shall become legally obligated to pay because of . . . 'property damage' . . . or any other such
coverage included in the policy . . . ."
[7]
Forecast focuses on the phrase "you or any insured" and argues "any insured" necessarily includes an additional
insured. It then leaps to the conclusion the definition of SIR creates ambiguity as to who can pay the SIR.
Steadfast replies the premise of this conclusion is fatally flawed as it is based on a misreading of section IV.
We agree. The definitions must be read in context of the entire policy and the intended purpose of the policy.
(Bank of the West v. Superior Court (1992)
2 Cal.4th 1254,
1265 (Bank of the West).) Section I plainly relates to describing who is obligated to pay the SIR.
Both definitions in section IV are devoted to describing what amounts and expenses qualify for the named
insured's SIR payment. When read in context of the surrounding provisions of the endorsement, it would be a
strained interpretation to view section IV as simply a duplicative provision or worse, conflicting surplusage, to
section I. A layperson would reasonably look to section I and section IV for different pieces of information
regarding the SIR obligation. "We will not adopt a strained or absurd interpretation to create an ambiguity where
none exists. The policy terms must be construed in the context of the whole policy and the circumstances of the
case and cannot be deemed ambiguous in the abstract. [Citation.]" (Vons, supra, 78 Cal.App.4th at p. 58.)
[8]
As correctly noted by Steadfast, a broad definition of the amounts qualifying as SIR payments benefits the
insured (the subcontractor) and supports the intended function of the policy. When a court is "faced with an
argument for coverage based on assertedly ambiguous policy language [it] must first attempt to determine whether
coverage is consistent with the insured's objectively reasonable expectations. In so doing, the court must
interpret the language in context, with regard to its intended function in the policy. [Citation.] This is
because 'language in a contract must be construed in the context of that instrument as a whole, and in the
circumstances of that case, and cannot be found to be ambiguous in the abstract.' [Citations.]" (Bank of the
West, supra, 2 Cal.4th at p. 1265, italics omitted.)
Section
IV defines SIR as any "amounts" the named insured or any other insured "must pay" or "shall become legally
obligated to pay" because of any [181 Cal.App.4th 1478] damages covered by the policy.
fn. 1 This broadly-worded definition was designed to include debts incurred by the additional
insured, and not just those obligations belonging to the named insured. This expansion was necessary for the
parties' reasonable expectations that lawsuits naming only the additional insured, Forecast, would still be covered
by the subcontractor's policy. The endorsement purposefully defined the "amounts" to include debts and obligations
arising from Forecast's lawsuit, in which the subcontractors were not named. If Forecast requested the
subcontractor to make payments (pursuant to its hold harmless agreement with the developer) this would satisfy the
subcontractor's SIR obligation and trigger further insurance coverage for an additional insured, like Forecast. We
conclude the purpose of the policy is satisfied by this interpretation of the unambiguous language of the SIR
endorsement.
We
reject Forecast's theory the insurer was required to specifically list who was precluded from paying the SIR out
of their pocket. It asserts Steadfast could have easily inserted language to the effect that only the
named insured may pay, or specifically precluded payment by other insurance or by any additional insured (such
as Forecast). Forecast maintains it reasonably expected it would not be treated any differently than the named
insured subcontractor, and either insured could trigger insurance coverage.
We
conclude Forecast's theory would turn the law of contract interpretation on its head. The parties' mutual
intentions must first be determined, if possible, from the written terms of the policy. If it is "clear and
explicit, it governs." (Vons, supra, ¶ 78 Cal.App.4th at p. 58.) The endorsement clearly defines "you"
and "your" to mean the named insured. Section I, concerning "Your Obligation" explicitly and plainly refers to
the named insured's obligation. The paragraph below this title, warning, "it is a condition precedent to our
liability that you make actual payment of all damages and 'defense costs' for each 'occurrence' . . .
until you have paid [SIR] amounts" clearly describes who pays. It is only the named insured. Steadfast
could not have been clearer, without being repetitive. It was not necessary to envision, and then create a list
of who possibly could not satisfy the condition precedent.
The
cases Forecast relies upon do not support its theory. Fireman's Fund Ins. Cos. v. Atlantic Richfield Co.
(2001)
94 Cal.App.4th 842,
852 (Fireman's Fund), is but one of many cases illustrating the consistently broad interpretation given by
California courts to coverage [181 Cal.App.4th 1479] phrases such as "arising out of" or "arising from" and
"resulting from." In Fireman's Fund, an employee of a construction company was injured in the course of work
he was doing for an oil company. The injury occurred when a step owned and maintained by the oil company collapsed.
The employee sued the oil company, and it sought a defense under a contractor's liability policy to which the oil
company had been added as an additional insured. The endorsement provided that the oil company's coverage was
limited to "'"liability arising out of"'" the contractor's work for the oil company. (Id. at pp. 845-846.)
The court concluded insurance coverage was triggered because the policy language broadly "connotes only a minimal
causal connection or incidental relationship" between the factual situation with the event creating liability.
(Id. at p. 849.)
The
court rejected the insurer's public policy argument, explaining, "With respect to the words used to express the
mutual intent of the parties, several courts have observed an insurance company's failure to use available
language to exclude certain types of liability gives rise to the inference that the parties intended not to so
limit coverage. [Citations.] For example, in Merchants Ins. Co. of New Hampshire, Inc. v. USF&G (1st
Cir. 1998) 143 F.3d 5, 10, the court stated: 'After all, if [the insurer] had really intended to limit coverage
under the additional insured Endorsement to those situations in which an added insured . . . was to be held
vicariously liable only for the negligence of a principal insured such as Great Eastern, USF&G was free to
draft a policy with qualifying language that expressly implemented that intention. [Citation.]" (Fireman's
Fund, supra, 94 Cal.App.4th at p. 852.)
The
case is not at all like ours. Clearly an insurer cannot use broad coverage language such as "liability arising
out of" if it desires to limit coverage of an additional insured to a particular standard or causation or theory
of liability. It does not follow that an insurer who uses specific language to designate the named insured as
obligated to make the SIR payment to trigger coverage, to also list the other foreseeable payees who it will
not accept payment from. As noted in Fireman's Fund, public policy generally favors freedom of
contract. Forecast contractually required specific language be used in the subcontractors' policies. It was
certainly free to require modification of the SIR endorsement to permit payment by any additional insurance or
insured.
Likewise,
the Vons case does not support Forecast's argument. That case concerned whether the named insured (Vons)
could use other insurance proceeds to satisfy Vons' SIR obligation. (Vons, supra, 78 Cal.App.4th at p.
59.) The insurer, United States Fire Insurance Co. (USF) argued that to be self-insured under an SIR means, as a
matter of law, the insured must pay the SIR from its own pocket. (Ibid.) The court concluded this
argument failed for [181 Cal.App.4th 1480] two reasons. First, the SIR "expressly stated that it was
'subject to' all of the policy's terms and conditions, which remained unchanged. [Citations.]" (Id. at p.
62.) The court concluded, "There is nothing ambiguous about this language, which meant that the SIR was
controlled by the various terms and conditions of the Vons policy." (Ibid.) Among the conditions in the
USF policy was a provision stating the policy was excess to any other valid insurance that covered the same
occurrence. (Id. at pp. 62-63.) The court noted USF could not explain why the SIR provided excess
coverage which precluded payment by other insurance, but it was also subject to the terms stating the policy was
excess if any other insurance was available. The court held the only reasonable construction of the SIR, "in
light of the other insurance provisions to which it was subject," permitted payment of the SIR through other
insurance. (Id. at p. 52.) Second, it concluded any conflict between USF's interpretation and the other
policy provisions rendered the SIR ambiguous. Turning to the rules for interpreting ambiguous contract
provisions, the court reasoned, "Nowhere does the SIR expressly state that Vons itself, not other insurers, must
pay the SIR amount. Because the SIR was subject to the other insurance provisions, which also made the Vons
policy excess if there were another policy covering the accident, Vons as a reasonable insured could read the
policy as permitting the use of other insurance proceeds to cover the SIR amount. [Citation.]" (Id. at p.
64.)
The
Vons case is distinguishable from ours because the SIR endorsement in Steadfast's policy does not state
the terms were "subject to" all of the policy's terms and conditions. To the contrary, in highlighted language
the insured is clearly warned the terms of the endorsement "shall control" if there is a conflict with other
policy language. In other words, in the event a policy provision was found to conflict with an SIR term, the
endorsement provisions would prevail. Thus, under the terms of the Steadfast policy, the endorsement trumps all
other provisions.
[9]
Moreover, the Vons court's resolution of its ambiguous SIR, by noting there was no express language
forbidding payment by other insurance, is not applicable to this case. The SIR in our case is not ambiguous. It
plainly provides the named insured must pay the SIR. Steadfast was not required to further clarify only
the named insured could pay or predict and name all entities and parties who are not the named insured and
therefore not permitted to pay the SIR. Forecast's lengthy discussion of its reasonable expectations as a
developer would be relevant only if the SIR endorsement is ambiguous. It simply is not.
E.
Form-A Plainly Provides Only a Named Insured May Satisfy the SIR
Form-A
is identical to Form-B discussed above, except it is an earlier version not containing the clarifying sentence,
"Payments by others, including [181 Cal.App.4th 1481] but not limited to additional insureds or insurers,
do not serve to satisfy the self-insured retention. Satisfaction of the self-insured retention as a condition
precedent to our liability applies regardless of insolvency or bankruptcy by you." Forecast argues that
Steadfast modified Form-A by adding this sentence because it recognized Form-A allowed an additional insured to
satisfy the SIR retention. We disagree.
[10]
The endorsement in Form-A still contains section I. A. describing who's obligation it is to pay the SIR. It
plainly states "you," the named insured, must "make actual payment" of defense costs and/or damages. Section IV
in the old and new version is the same. The definition of SIR states what amounts owed by either the named
insured or other insured (additional insured) qualify. Although the modification in section I. A. further
clarifies the question of who pays, it does not prove the prior version permitted satisfaction of the SIR by an
additional insured. In light of the amount of growing litigation regarding this point, it was likely a remedial
measure. It is against public policy to view modification of the policy as creating a negative inference. (See
Tzung v. State Farm Fire and Cas. Co. (9th Cir. 1989) 873 F.2d 1338, 1341; Suarez v. Life Ins. Co. of
North America (1988)
206 Cal.App.3d 1396,
1406 ["the fact that [policy] language could be more explicit does not render it ambiguous"].)
F.
Public Policy Considerations
Forecast
argues interpreting the insurance policy to allow only the named insured to satisfy the SIR obligation violates
public policy and is not enforceable. Citing cases regarding the public-policy-created implied covenant of good
faith and fair dealing, Forecast summarizes the "precise nature and extent of the duty [to act fairly and in
good faith] depends on the contractual purposes, that is, the nature of the bargain struck and the legitimate
expectations arising from the contract." It concludes courts must invalidate or restrict policy provisions that
frustrate the purpose behind the coverage.
Applying
these legal principles, Forecast asserts, "There is no question that Steadfast's coverage position has
frustrated the reasonable expectations of Forecast, has frustrated the purposes of Forecast being named as an
additional insured under the policies, and is therefore contrary to the public policy principles inherent in
insurance policies issued in this state." Forecast points to the fact it insisted on being named as an
additional insured because its liability would likely be derivative and arising from a problem with the
subcontractor's work. Forecast stated it took commercially reasonable steps to assure itself it would be
provided a defense against claims, and ultimately be indemnified. It explains Steadfast's coverage position
means Forecast will [181 Cal.App.4th 1482] be left without a defense "if the named insured decides it
does not want Steadfast to defend it, refuses to pay defense fees to trigger the defense obligation, is not
named in a lawsuit, or even if it wants to pay defense costs but is financially incapable of doing so . . . ."
It adds Steadfast's coverage position interferes with the developer-subcontractor relationship and undermines
their bargained for arrangement.
This
public policy argument invites the question, if Steadfast could require its subcontractors to carry certain
insurance, why didn't it require a policy permitting the additional insured to satisfy the SIR obligation? As
Forecast told us at the beginning of its brief, "given our litigious society, Forecast is also in the 'business'
of getting sued over the homes that it builds. It is not too much of an exaggeration to say that as soon as the
last nail in a project is hammered and the keys are handed over to the homeowners, the ink on the first lawsuit
over the construction of the homes is starting to dry." Forecast asserts that given this "unfortunate reality"
it will "insist that each subcontractor not only obtain one or more commercial general liability
insurance policies . . . . but also that Forecast be named as an additional insured party under each of these
policies" to assure Forecast it will be covered in the event of lawsuit. (Italics added.)
We
have reviewed Forecast's contract with the subcontractors, and it contains several paragraphs providing detailed
instructions on the scope, language and extent of required insurance coverage. For example, Forecast specified
the insurance "shall provide coverage with limits not less than combined single limit of $1,000,000 for bodily
injury and property damage." In addition, it specifies "[T]he required insurance shall be subject to the
approval of the [c]ontractor . . . ."
[11]
Given Forecast's bargaining position with the subcontractors, it is difficult to fathom what public policy would
be advanced by requiring the court to rewrite an unambiguous policy provision and essentially insert an
additional phrase permitting the additional insured to satisfy the SIR obligation. As noted by Steadfast, our
Supreme Court consistently admonishes against rewriting insurance policy language to deny parties their general
freedom to contract. Where policy provisions are unambiguous, and not contrary to any statute, they generally
will not be deemed unenforceable as contrary to public policy. (See, e.g., Rosen v. State Farm General Ins.
Co. (2003)
30 Cal.4th 1070 (Rosen)
[court refused to rewrite coverage provision based on notions of sound public policy where coverage extended only
to instances of actual collapse, rather than imminent collapse of a building].)
The
record shows the subcontractors had sound reasons for wanting to control whether and when coverage under the
policy would be triggered. [181 Cal.App.4th 1483] Forecast acknowledged the primary purpose of an SIR
provision is to allow the named insured to contain its insurance costs. As with deductibles, the more risk the
named insured claims for itself, the lower the premiums will be. In addition, Steadfast asserted the endorsement
protects a subcontractor anticipating several claims as it may choose to preserve the coverage offered in later
policies, and satisfy the SIR in earlier policies to obtain the maximum benefit.
It
cannot be overlooked that the subcontractor, not Forecast, formed the insurance contract with Steadfast. "[B]y
agreeing to this contract of insurance, the insurer made promises, and the insured paid premiums, against the
risk of loss. To rewrite the provision [limiting who can satisfy the SIR obligation] would compel the insurer to
give more than it promised and would allow the insured to get more than it paid for, thereby denying their
freedom to contract as they please. [Citation.]" (Rosen, supra, 30 Cal.4th at p. 1080.)
Indeed,
Forecast could have required its subcontractors to obtain insurance policies listing Forecast as a named insured
but this likely would have resulted in higher insurance premiums, which would have increased the cost of the
subcontracts and the overall bid price, jeopardizing Forecast's chances to gain the development contract.
Presumably, the parties took all this into account in deciding what course to follow. Under these circumstances,
public policy does not allow a reviewing court to interfere and change the bargain the parties reached merely
because certain recognizable risks come to pass.
On
a final note, we question why Forecast apparently never asked the subcontractors to activate their policies by
funding the SIR. Its argument on appeal is entirely premised on "if" the subcontractors refused to pay. Forecast
does not assert this is actually what happened. The record is silent as to whether Forecast also filed a lawsuit
against the subcontractors pursuant to their agreed upon hold harmless clause. No public policy supports a
lawsuit that could have been rendered moot if Forecast had in the first instance simply requested the
subcontractors activate their policies by paying the required SIR.
G.
The Policy is Not Illusory
[12]
Forecast argues that because only the named insured can satisfy the SIR obligation, the coverage afforded by the
policy to additional insured is illusory. We disagree. A contract is illusory if performance is "conditional on
some fact or event that is wholly under the promisor's control and bringing it about is left wholly to the
promisor's own will and discretion." (Asmus v. Pacific Bell (2000)
23 Cal.4th 1,
15.) The [181 Cal.App.4th 1484] condition of requiring the named insured to pay the deductible amount before
coverage is triggered is not a fact or event under Steadfast's control or discretion. After the payment is made,
Steadfast must cover the named and additional insured. Forecast is protected by its hold harmless agreements with
its subcontractors, which will require the subcontractors to provide a defense and pay damages regardless of
insurance coverage. Steadfast's policy is not illusory.
III
The
judgment is affirmed. The respondent shall recover its costs on appeal.
Bedsworth,
Acting P. J., and Aronson, J., concurred.
FN 1. As
correctly noted by Steadfast, section I states the SIR will be satisfied when the expenses and damage amounts
"have" been paid by the named insured. Whereas, section IV uses the future tense, stating amounts that must be paid
or amounts that shall become legally obligated to pay qualify as SIR amounts.
J & N Realty, Inc. -- real estate, property, planned unit development (PUD), townhouse, townhome, hoa, condo,
condominium, homeowner association, common interest development (CID) management services in
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