Case Law Villamil v. Sentinel Ins. Co.

Villamil v. Sentinel Ins. Co.

Document Cited Authorities (23) Cited in (4) Related

Liberato P. Verderame, Edelson & Associates, Newtown, PA, for Plaintiffs.

David D. Blake, III, Marshall, Dennehey, Warner, Coleman & Goggin, Mount Laurel, NJ, for Defendants.

WOLFSON, United States District Judge:

This matter comes before the Court on the Motion for summary judgment by Defendants Sentinel Insurance Company, Limited ("Sentinel") and The Hartford Financial Insurance Company's (cumulatively, "Defendants") on insurance coverage claims asserted in the Complaint of Plaintiffs Tere Villamil ("Ms. Villamil") and Villa Components, Inc. d/b/a/ La Jolie Salon and Spa ("La Jolie") (cumulatively, "Plaintiffs"). The instant dispute arises from Defendants' denial of Plaintiffs' insurance claim in connection with damages caused as a result of a storm which occurred in the Princeton, New Jersey, area on July 30, 2016. For the reasons set forth below, Defendants' Motion is GRANTED .

I. FACTUAL BACKGROUND AND PROCEDURAL HISTORY

Sentinel issued an insurance policy, i.e. , the "Hartford Spectrum Business Insurance Policy" ("the Policy"), to La Jolie, a beauty salon located at the intersection of Witherspoon and Hulfish Streets, in Princeton, New Jersey, for the period from June 15, 2016 to June 15, 2017. Sentinel's Statement of Undisputed Facts ("Defs.' Statement of Facts"), ¶¶ 1-2. La Jolie occupies two floors in the Hulfish Building. Id. ¶ 3, Exhibits E & F. A descending stairwell, enclosed by three concrete walls, leads to La Jolie's lower floor, which is below the street level and accessible through a glass door entrance. Id. ¶ 26, Exhibit H. Moreover, a landing area with a drain inlet is located at the bottom of the stairwell; the stairwell, however, is not protected by a roof and "is subject to direct entry of rains, snow and all elements." Id.

The Policy's terms and provisions, in relevant part, obligate the insurer to provide coverage for the "physical loss of or physical damage to Covered Property" that is "caused by or resulting from a covered Cause of Loss." Id. ¶ 21. Specifically, Covered Property and Cause of Loss are defined pursuant to the Agreement to include:

1. Covered Property
b. Business Personal Property located in or on the building(s) described in the Declarations at the "scheduled premises" or in the open (or in a vehicle) within 1,000 feet of the "scheduled premises," including:
(1) Property you own that is used in your business;
(2) Tools and Equipment owned by your employees, which are used in your business operations
(3) Property of others that is in your care, custody or control; [and]
(4) "Tenant Improvements and Betterments"
3. Covered Cause of Loss
Risks of Direct Physical Loss unless the loss is
a. Excluded in Section B., Exclusions
b. Limited in Paragraph A.4 Limitations; that follow.

Id. ¶ 21, Exhibit A.

However, the Policy's terms and provisions do not provide coverage for damage or loss arising from "[f]lood, including the accumulation of surface water" or "[w]ater that backs up from a sewer or drain"; indeed, as the Policy sets forth: "[s]uch loss or damage is excluded regardless of [whether] any other [covered] cause or event ... contributes concurrently or in any sequence to the loss." Id. ¶ 22, Exhibit S. Notwithstanding that exclusion, the Parties entered into a seperate "STRETCH" agreement, which modifies the contract to include additional coverage for various forms of physical loss or physical damage, including those arising from:

17. Sewer and Drain Back Up
The following Additional Coverage is added:
We will pay for direct loss of or physical damage to Covered Property solely caused by water that backs up from a sewer or drain. This coverage is included within the Covered Property Limits of Insurance.
THIS IS NOT FLOOD INSURANCE
We will not pay for water or other materials that back up from any sewer or drain when it is caused by any flood. This applies regardless of the proximity of the flood to Covered Property. Flood includes the accumulation of surface water, waves, tides, tidal waves, overflow of steams or other bodies of water, or their spray, all whether driven by wind or not that enters the sewer drain system.

Id. ¶ 23, Exhibit Q.

During the policy period, on July 30, 2016, a severe thunderstorm, estimated to constitute a two hundred to five hundred year storm, resulted in approximately five to seven inches of rain within a two-hour period.1 Id. ¶¶ 4, 5-7. As a consequence, water pooled at the bottom of the stairwell which is next to La Jolie's lower floor entrance, and subsequently, the water leaked through the building's glass door entrance, causing the building to sustain damages. Id. ¶¶ 12-13. On the day after the storm, Ms. Villamil telephoned Sentinel to report an insurance claim and provided the following explanation to a representative:2

Thank you for calling The Hartford, this is Christina, how may I help you?
Tere Villamil: Hi, yes, this is Tere Villamil, I'm calling from La Jolie Salon & Spa in Princeton, uh, we have had a flood in our lower level yesterday that was quite awful, actually. I'll send you a video. Um, and the first floor was damaged of the business and I need to put in a claim. I also put in a claim with the landlord as well.
Christina: New Jersey, ok. And when did this flood happen?
Tere Villamil: Yesterday. Uh, we were there the entire day trying to clean it all up. I sent the email and a notice to my agent, but I was in the middle of cleaning so I never called you. I called the landlord first.
Christina: Oh, okay.
Tere Villamil: Yesterday's um extreme rain that we got in two hours that was incredible.
Christina: Ok, thank you very much. And you said it was uh a flooding, correct?
Tere Villamil: Yes, uh, the water came in within 15 minutes, the water came in and flooded the entire lower level.
Christina: Oh, that's quite a bit, ok.
Tere Villamil: Yeah. It came through the door, it seeped right through the door. And if you could provide me with an email, I have videos and pictures of the entire incident.
Christina: Ok, and just uh, and just to check, I'm so sorry, did you have a separate flood insurance as well?
Tere Villamil: Uh, I don't believe so because we never had a flood there. So, I don't know if the landlord does, but, I don't have any flood insurance.

Id.

Defendants ultimately denied Plaintiffs' insurance claim on the basis "that the cause of loss was a flood," which is not covered under the provisions of the Policy or Stretch agreement. Pls.' Response, ¶ 19. In that regard, (1) the manner in which the water accumulated at the base of the salon's stairwell; (2) and whether that water constitutes "surface water" are disputed on this motion. Indeed, as the basis for denying coverage, Defendants maintain that heavy rain flooded areas in Princeton, including the intersection of Hulfish and Witherspoon Street, at which corner the Hulfish Building is located. Id. ¶¶ 4, 11. Exhibit D. Moreover, Defendants posit that the flood water flowed over the curb and accumulated at the bottom of the stairwell which led to the lower level, prior to entering the premises through the glass door, notwithstanding Plaintiffs' efforts to block it with partially filled garbage bags from the inside of the building. Id. ¶¶ 12-13, Exhibit J.

Plaintiffs, on the other hand, contend that the water which entered through the lower level of the premises does not constitute flood water. Plaintiffs' Response, ¶ 13. Rather, as a consequence of the storm, Plaintiffs maintain that water accumulated on the building's roof and, in turn, entered the building's drain system. Plaintiffs' Counter Statement of Facts ("Pls.' Statement of Facts"), ¶ 32. The high volume of water which entered the building's drain system created an "over-pressurization" and, as a consequence, that water "ejected through the Salon's numerous sinks and through the [Salon's] toilets," and drains. Id. ¶ 33. According to Plaintiffs, that water also, as opposed to the flood water from the street, accumulated at the bottom of the salon's stairwell, entered the premises, and caused the damage. Pls.' Response, ¶ 4.

Subsequent to the denial of coverage, on March 8, 2018, Plaintiffs filed the instant Complaint against Defendants, asserting claims for: (a) breach of contract; and (b) a bad faith violation. Now, Defendants move for summary judgment on the basis that Plaintiffs have failed to demonstrate a genuine dispute of a material fact as to the issue whether surface water contributed to the damage which the building sustained on July 30, 2016. Plaintiffs oppose the Motion.

II. DISCUSSION
A. Standard of Review

Summary Judgment is appropriate "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 and that the moving party is entitled to a judgment as a matter of law." Fed. R. Civ. P. 56(c). A factual dispute is genuine only if there is "a sufficient evidentiary basis on which a reasonable jury could find for the non-moving party," and it is material only if it has the ability to "affect the outcome of the suit under governing law." Kaucher v. County of Bucks , 455 F.3d 418, 423 (3d Cir. 2006) ; see also Anderson v. Liberty Lobby, Inc. , 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). Disputes over irrelevant or unnecessary facts will not preclude a grant of summary judgment. Anderson , 477 U.S. at 248, 106 S.Ct. 2505. "In considering a motion for summary judgment, a district court may not make credibility determinations or engage in any weighing of the evidence; instead, the non-moving party's evidence ‘is to be believed and all justifiable inferences are to be drawn in his favor.’ " Marino v. Indus. Crating Co. , 358 F.3d 241, 247 (3d Cir. 2004) (...

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Downs Ford, Inc. v. Zurich Am. Ins. Co.
"...or custom, which cannot override an unambiguous contract provision or be invoked to create an ambiguity. See Villamil v. Sentinel Ins. Co., 356 F. Supp. 3d 418, 423 (D.N.J. 2018) (citing Chubb Custom Ins. Co. v. Prudential Ins. Co., 948 A.2d 1285, 1289 (N.J. 2008)) ("[W]here the language of..."
Document | U.S. District Court — District of New Jersey – 2021
Count Basie Theatre Inc. v. Zurich Am. Ins. Co.
"... ... App. Div. 2004) (quoting ... Kampf v. Franklin Life Ins. Co. , 161 A.2d 717, 720 ... (1960)); see also Villamil v. Sentinel Ins. Co. , 356 ... F.Supp.3d 418, 423 (D.N.J. 2018) (“[W]here the language ... of the contract is clear, extrinsic evidence ... "
Document | U.S. District Court — District of New Jersey – 2024
Count Basie Theatre Inc. v. Zurich Am. Ins. Co.
"...Basie Br. at 21-22.) As the Court finds the Policy's language is unambiguous, it declines to consider extrinsic evidence. See Villamil, 356 F.Supp.3d at 423 (“Only a policy's language is ambiguous, may a court rely upon extrinsic or parol evidence to determine the intent of the parties; how..."

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3 cases
Document | U.S. District Court — District of New Jersey – 2021
Downs Ford, Inc. v. Zurich Am. Ins. Co.
"...or custom, which cannot override an unambiguous contract provision or be invoked to create an ambiguity. See Villamil v. Sentinel Ins. Co., 356 F. Supp. 3d 418, 423 (D.N.J. 2018) (citing Chubb Custom Ins. Co. v. Prudential Ins. Co., 948 A.2d 1285, 1289 (N.J. 2008)) ("[W]here the language of..."
Document | U.S. District Court — District of New Jersey – 2021
Count Basie Theatre Inc. v. Zurich Am. Ins. Co.
"... ... App. Div. 2004) (quoting ... Kampf v. Franklin Life Ins. Co. , 161 A.2d 717, 720 ... (1960)); see also Villamil v. Sentinel Ins. Co. , 356 ... F.Supp.3d 418, 423 (D.N.J. 2018) (“[W]here the language ... of the contract is clear, extrinsic evidence ... "
Document | U.S. District Court — District of New Jersey – 2024
Count Basie Theatre Inc. v. Zurich Am. Ins. Co.
"...Basie Br. at 21-22.) As the Court finds the Policy's language is unambiguous, it declines to consider extrinsic evidence. See Villamil, 356 F.Supp.3d at 423 (“Only a policy's language is ambiguous, may a court rely upon extrinsic or parol evidence to determine the intent of the parties; how..."

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Start Your 3-day Free Trial of vLex and Vincent AI, Your Precision-Engineered Legal Assistant

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