FILED: December 15, 1999
PROTECTION MUTUAL INSURANCE
CO., an Illinois corporation,
Appellant,
v.
MITSUBISHI SILICON AMERICA
CORPORATION,
Respondent.
Appeal from Circuit Court, Marion County.
Paul J. Lipscomb, Judge.
Argued and submitted September 15, 1998.
I. Franklin Hunsaker argued the cause for appellant. With him on the briefs were Douglas G. Houser and Bullivant Houser Bailey.
James T. McDermott argued the cause for respondent. With him on the brief was Ball Janik LLP.
Before De Muniz, Presiding Judge, and Haselton and Linder, Judges.
Reversed and remanded.
LINDER, J.
LINDER, J.
This case arises out of an insurance coverage dispute between plaintiff
Protection Mutual Insurance Company (Protection Mutual) and defendant Mitsubishi
Silicon America Corporation (known as and referred to in this opinion as "Siltec"). The
specific issue is whether Siltec's general property casualty policy, issued by Protection
Mutual, covers certain "business interruption" losses that Siltec incurred when it lost
useable water and water discharge services due to a flood. Protection Mutual filed a
complaint seeking a declaration that the policy does not cover the losses. Siltec
counterclaimed for coverage on breach of contract, negligent misrepresentation, and
estoppel theories. Protection Mutual moved for summary judgment on its declaratory
judgment claim, and Siltec cross-moved for summary judgment solely on its breach of
contract claim. After ruling that the policy provides the disputed coverage, the trial court
granted Siltec's motion for summary judgment, denied Protection Mutual's motion, and
did not reach Siltec's counterclaims for negligent misrepresentation and estoppel. On
appeal, we hold that the policy does not cover the losses in question. We therefore
reverse the summary judgment for Siltec and remand for entry of summary judgment in
Protection Mutual's favor and for further proceedings on Siltec's counterclaims.
The facts pertinent to our review are not disputed.(1) Siltec operates a silicon
wafer manufacturing plant in Salem, Oregon. In February 1996, the Salem area
experienced a severe flood. On February 7, responding to increased turbidity in its
water, the City of Salem (Salem) shut down its water treatment facility and requested that
Siltec voluntarily reduce its water consumption. Siltec stopped all discretionary water
uses, but it continued its nondiscretionary uses, which required Siltec to specially filter
the incoming water to prevent dirt particles from damaging its equipment. On February
8, Salem closed its wastewater treatment facility because of the threat of imminent
flooding at its plant. As a result, Siltec could not discharge its wastewater into the sewer
system. Because the space in its waste storage tanks was limited, Siltec was forced to
cease most of its operations. Two days later, Salem restored sewer services, and Siltec
was able to resume discharging wastewater. The incoming water from Salem's water
treatment facility still lacked its usual clarity, however, so Siltec began buying clean
water from an alternate source. Siltec used that supply until Salem's water was restored
to normal.
Siltec incurred a loss of business revenue due to the limitations on its
ability to conduct its operations. It also sustained increased operating expenses due to
added costs for filtering water, performing equipment repairs, and purchasing clean water
from the alternate source. Siltec sought coverage for those losses under its general
property damage insurance policy with Protection Mutual. Protection Mutual denied
coverage, and this litigation followed.
The particular type of coverage in dispute is often termed "business
interruption" insurance. By way of background, it is helpful to understand the general
nature of that coverage. Commercial property casualty policies, in their most basic form,
insure against the risk of damage to or loss of a business's real and personal property.
When real and personal property is lost or damaged, commercial enterprises often incur
further consequential economic losses (e.g., increased costs, lost profits) flowing from
their inability, or impaired ability, to conduct their business operations. Special
additional coverage, in the form of endorsements to a casualty policy, can be negotiated
to cover those economic damages. In covering those consequential economic damages,
so-called "business interruption" insurance is "designed to do for the business what the
business would have done for itself had no loss occurred." A & S Corporation v.
Centennial Insurance Company, 242 F Supp 584, 589 (ND Ill 1965). Typically the
added endorsement is closely tied to the underlying property damage coverage. That is,
the endorsement usually covers business interruptions that result from physical loss or
damage to covered property from a covered peril. See generally B. Glenn, Annotation,
Business Interruption Insurance, 83 ALR2d 885 (1962). Few generalizations about
business interruption endorsements can be made, however, because the nature of the
coverage varies widely. In any given case, the particular terms and conditions of the
policy in question must be examined to determine whether a specific business
interruption loss falls within the scope of the coverage. See generally id. at 891.
The interpretation of an insurance policy is a question of law. Hoffman
Construction Co. v. Fred S. James & Co., 313 Or 464, 469, 836 P2d 703 (1992). To
determine an insurance policy's meaning, Oregon courts use a familiar and settled
methodology, the goal of which is to ascertain the intent of the parties, based on the
terms and conditions of the policy. Id.; Totten v. New York Life Ins. Co., 298 Or 765,
770, 696 P2d 1082 (1985). The analysis begins with an examination of the plain
meaning of the policy's terms, turns next to the context in which those terms appear, and,
as a last resort resolves ambiguity by applying the rule of interpretation against the
drafter of the language. Hoffman, 313 Or at 469-70.
In this particular case, the parties' dispute over the scope of the policy's
coverage is not a result of different meanings that they attribute to a particular word,
term, or phrase. Rather, the crux of their disagreement lies in the interplay between the
policy's provisions and how the policy should be understood as a whole. The policy's
overall design is typical of many insurance policies, especially those negotiated for
complex business coverage, in which the nature and scope of the coverage is determined
by a general statement of coverage that is modified, limited, and expanded by other
provisions. See generally Denton v. International Health & Life, 270 Or 444, 450, 528
P2d 546 (1974) ("all parts and clauses [of an insurance contract] must be construed to
determine if and how far one clause is modified, limited or controlled by others"). Thus,
our essential interpretative task in this case turns less on the meaning of the individual
parts or specific words and more on the meaning of the parts combined. See generally
Fisher v. California Insurance Co., 236 Or 376, 380, 388 P2d 441 (1964) ("Contracts,
including insurance contracts, are to be construed as a whole, not as a congeries of
separate parts.").
Before examining the combined meaning of the particular policy provisions
at issue, it is helpful to be precise about Siltec's losses and, hence, the nature of the
coverage that Siltec and Protection Mutual dispute. Siltec suffered two distinct types of
losses: (1) lost business income due to interruption of the water and sewer services; and
(2) extra expenses incurred due to quality problems with Salem's water supply (e.g., filter
replacements, equipment repair, and an alternative supply source). Both losses were
consequences of the 1996 flood. Significantly, however, neither loss occurred because
Siltec's property was itself flooded or directly damaged by flood waters. Rather, the
losses were indirect consequences of flooding at the site of Salem's water supply and
waste treatment facilities.
That distinction lies at the heart of the parties' disagreement about the
policy's interpretation. Ultimately, the parties agree that the policy, through a special
endorsement, covers some business interruption losses. They also agree that the policy
covers some economic losses due to interruption of utility services. Finally, the parties
agree that the policy covers some flood-related losses. They disagree, however, whether
those endorsements, in combination, cover business interruption losses caused by loss of
or impaired delivery of utility service due to flooding at the utility site.
With the focus of the dispute sharpened, we turn to an examination of the
insurance policy in question. Overall, it is a general property casualty policy that
indemnifies Siltec for damage and loss to its real and personal property. In what might
be considered a declaration of its "base" coverage, the policy provides that Siltec is
insured "against all risks of physical loss or damage" to its property, except as
specifically excluded. A "general coverage clause" then incorporates "Property Damage
Form 3000" and explicitly declares that any coverage beyond what that form provides
must be provided by separate endorsements.
Form 3000, therefore, is the beginning point for determining the scope of
the coverage provided by the policy. It first describes the property insured (generally,
most of Siltec's real and personal property) and the property excluded (such things as
valuable papers, fine art, vehicles, property in transit, etc.). Then, and of significance
here, the policy specifies certain sources of damage or loss (i.e., perils) that are not
insured against. In a section labeled "C. Exclusions," the policy divides excluded perils
into two groups. "Group A" contains two exclusions relevant to this case:
"This Policy does not insure against loss or damage caused by or resulting
from any of the following regardless of any other cause or event
contributing concurrently or in any other sequence to the loss:
"* * * * *
"5. lack of incoming electricity, fuel, water, gas, steam or refrigerant caused
by an occurrence off the locations described in this Policy unless
specifically endorsed herein; however, if the lack of such a service causes
physical damage otherwise insured under this Policy on the described
locations, this Policy shall cover such resulting damage;
"6. flood waters, waves, tide or tidal water, the release of water, the rising,
overflowing or breaking of boundaries of natural or man-made bodies of
water, or the spray from any of the foregoing * * *."
"Group B" contains one provision that is relevant, stating that the "[p]olicy does not
insure against":
"6. contamination including but not limited to pollution; shrinkage or
change in color, flavor, texture or finish; all unless such damage directly
results from other physical damage not excluded by this Policy."
If the policy contained no further provisions--that is, if there were no
endorsements--the issue before us would be readily resolved by the base coverage and
exclusions in the policy. The base coverage is for damage or loss to physical assets only.
There is no "business interruption" coverage whatsoever and losses caused by lack of
incoming utility services, flood, and contamination are generally excluded.
This dispute exists, however, because attached to the base coverage
provisions are a series of endorsements that add further coverage to the base policy.
Among the endorsements relevant to this dispute is a general "Gross Earnings
Endorsement" that provides general business interruption coverage through the following
terms:
"In consideration of additional premium, this Policy is extended to cover
the Actual Loss Sustained by the Insured during a Period of Interruption
directly resulting from physical loss or damage of the type insured against
by this Policy, to property not otherwise excluded by this Policy * * *."(2)
Expressly, however, the coverage is limited to actual consequential losses that result
when Siltec's insured property is physically lost or damaged as a result of a covered peril.
Here, Siltec's business operations were impaired because utility service was interrupted,
not because its insured property was physically damaged by the flood.
Two further endorsements, however, are specifically directed to utility
service interruptions. One of the two is both relevant and central to the parties'
respective positions on the coverage dispute.(3) Entitled "Service Interruption
Endorsement (Time Element)," it provides, in part:
"In consideration of additional premium, the Time Element [i.e., business
interruption] coverage of this Policy is extended to cover the actual loss
sustained caused directly by the interruption of the specified incoming
services during a Period of Service Interruption, or if applicable, during the
Restoration of Normal Operations, both as defined in this Endorsement.
"* * * * *
"Coverage is provided for loss resulting from interruption of the following
specified incoming services: Gas, Water, Electricity, Telephone[,] by
reason of any accidental [occurrence(4)] to the facilities of the following
suppliers: Any Public Utility[,] that immediately prevents in whole or in
part the delivery of useable services specified above to the following
locations: As stated elsewhere in this Policy subject to the additional
conditions of this Endorsement."
As those provisions suggest, and as the parties agree, that endorsement uses the
terminology "time element" to refer to business interruption losses.(5) The net effect of the
endorsement, therefore, is to extend the policy's more general "time element" coverage
(i.e., the business interruption coverage provided by the Gross Earnings Endorsement) to
losses sustained due to interruption of useable water and sewer services. Thus, if the
provisions quoted above were the full text of the endorsement, Siltec's losses would be
covered inasmuch as both types of Siltec's losses--lost revenue and the extra expenses
incurred because of lack of water quality--were due to interruption of utility service.(6)
Significantly, however, the Service Interruption Endorsement contains
specific exclusions that narrow the coverage. Flood and contamination are among the
expressly stated exclusions:
"As respects this Endorsement, the exclusions in Part C. EXCLUSIONS of
Form 3000 are deleted and replaced by:
"This Endorsement does not insure against loss or damage caused by the
interruption of incoming services caused by or resulting from any of the
following regardless of any other cause or event contributing concurrently
or in any other sequence to the loss:
"* * * * *
"c. Flood, unless otherwise specifically provided elsewhere in this Policy
with a Service Interruption Time Element Limit of Liability for Flood, but
this exclusion does not apply to the Insured's loss as defined in the Time
Element Coverage of this Policy resulting from fire, explosion, or sprinkler
leakage caused by Flood at a supplier facility;
"* * * * *
"e. [C]ontamination, including but not limited to pollution, unless such
damage directly results from other physical damage not excluded by this
Endorsement."(7)
By its express terms, then, the policy does not cover business interruption
caused when a utility service is halted or not useable due to flooding at the utility site.
To extend coverage to utility service interruption caused by a flood, a further
endorsement (i.e. "Service Interruption Time Element Limit of Liability for Flood") is
required.(8) The parties agree on that much. They disagree, however, whether the policy
contains that further endorsement.
In arguing that it does, Siltec points to the "Flood Endorsement," which
provides in part:
"In consideration of additional premium, and by deleting EXCLUSION
No. 6 in GROUP A of Part C. EXCLUSIONS, this Policy is extended to
cover physical loss or damage caused by or resulting from flood waters,
waves, tide or tidal water, the release of water, the rising, overflowing, or
breaking of boundaries of natural or man-made bodies of water, or the
spray from any of the foregoing."
(Emphasis added). That provision deletes the specific exclusion in the base coverage for
flood damage and expressly clarifies that, due to the deletion, the policy extends to
physical loss or damage to Siltec's covered property caused by flooding. Thus, the Flood
Endorsement adds coverage for physical damage to covered property for an otherwise
uncovered peril (flood).
Although nothing in the Flood Endorsement extends coverage to service
interruption or to service interruption due to flooding, Siltec relies on a clause in the
Flood Endorsement entitled "Limits of Liability," which states:
"[Protection Mutual] shall not be liable under the terms of this
Endorsement for more than the flood limits of liability specified elsewhere
in this Policy for each occurrence and during any policy year. If this Policy
includes Time Element Coverage, the foregoing limits shall be the
maximum amount collectible under this Endorsement."
Siltec argues that the quoted language "expressly provides the restoration of coverage
cross-referenced in the flood exclusion of the Service Interruption (Time Element)
Endorsement."
We disagree. The Flood Endorsement adds coverage only for property
damage and loss caused by flood, not interruption in business operations. The "Limits of
Liability" clause that follows it, as quoted above, is not a coverage provision and does
not alter or expand the scope of coverage. It sets the amount of Protection Mutual's
liability for the added flood coverage. The cross-reference to any limit of liability
applicable to business interruption ("time element") similarly is directed to liability limits
and not to coverage. That cross-reference ensures that any covered business interruption
due to flooding is indemnified to the extent of the liability limit applicable to that
endorsement, if any, rather than to the extent of the Flood Endorsement liability limits.
In short, the "Limits of Liability" clause does not, in and of itself, expand the scope of
coverage for flood-related damage and loss. Rather, coverage for business interruption
still depends on the terms of whatever endorsement provides that coverage.
In this policy, general business interruption ("time element") coverage is
provided by the Gross Earnings Endorsement, which insures Siltec against general
economic losses that are a consequence of covered property damage and destruction.
Combined, the Flood Endorsement and the Gross Earnings Endorsement indemnify
Siltec for flood-caused loss or damage to its property, and also for lost business revenue
or increased expenses if its business operations are impaired by flood damage to its
property. Reading the two provisions together, the "Limitations of Liability" can only be
understood to provide that, if Siltec incurs flood damage to its property, and if it then
cannot operate its business because of the damaged or destroyed property, the liability
limits set by the Gross Earnings Endorsement control Protection Mutual's liability, rather
than the limits contained in the Flood Endorsement alone.
On the other hand, the Service Interruption Endorsement specifies that, for
flooding at the utility facility to be covered, there must be a "Service Interruption Time
Element Limit of Liability for Flood" endorsement. Although it may not be important
for the policy to contain a provision with that exact title, the policy must contain a
provision that provides in substance what that title suggests: a liability limit specifically
directed to business operation losses (i.e., time element) caused by an interruption of
utility service due to flooding. The liability limit contained in the Flood Endorsement
does not satisfy that requirement because the coverage to which it relates--that is, the
Gross Earnings Clause and the Flood Endorsement--does not encompass losses due to
service interruptions of any kind. Nor does the underlying coverage extend to service
interruptions caused by flooding. There simply is no provision in the policy, in title or
substance, that satisfies the service interruption flood exclusion's requirement of a further
endorsement.(9)
In sum, we agree with Protection Mutual that the "Limits of Liability"
clause in the Flood Endorsement cannot plausibly be understood to be the special
endorsement that the flood exclusion in the Service Interruption Endorsement requires.
Because it cannot, we decline Siltec's invitation to construe the terms against Protection
Mutual. See Hoffman, 313 Or at 470-71 ("when two or more competing, plausible
interpretations prove to be reasonable * * * the rule of interpretation against the drafter
of the language becomes applicable").(10) The only reasonable interpretation of the policy
is that coverage in this circumstance required a further endorsement to cover service
interruptions due to flooding at utility service facilities. That further endorsement is not
contained in this policy. As a result, Siltec's losses due to flooding at Salem's water and
water treatment sites are not covered.
Beyond Siltec's arguments based on its construction of the policy
provisions, Siltec also urges us to consider extrinsic evidence, including evidence of its
belief, based on negotiations leading to policy issuance, that the policy would cover its
losses. The trial court, in ruling for Siltec, appears to have relied on some of that
extrinsic evidence.(11) To the extent that the trial court did so, it did so in error. To the
extent Siltec that invites us to do the same, we are not at liberty to do so. A court can
consider such extrinsic evidence in interpreting an insurance contract only if it first finds
the policy to be ambiguous. See Yogman v. Parrott, 325 Or 358, 363, 937 P2d 1019
(1997) (contract interpretation); ABCD...Vision v. Fireman's Fund Ins. Companies, 84 Or
App 645, 650, 734 P2d 1376, rev'd and rem'd in part on other grounds, 304 Or 301,
744 P2d 998 (1987) (insurance contract interpretation). This commercial property
damage policy is intricate, technical, and complicated. But that does not necessarily
make it ambiguous. As we have already concluded, the policy permits only one plausible
interpretation. There is no ambiguity that permits us to resort to extrinsic evidence.
We therefore reverse the trial court's entry of summary judgment in favor
of Siltec on its breach of contract claim.(12) We remand for entry of summary judgment in
favor of Protection Mutual on its claim for declaratory judgment. In light of our
disposition, Siltec's counterclaims for negligent representation and estoppel are not moot.
Consequently, we remand for further proceedings.
Reversed and remanded.
1. Because the facts are not in dispute, we review the rulings on the cross-motions for summary judgment to determine whether either party is entitled to judgment
as a matter of law. See Jones v. General Motors Corp., 325 Or 404, 420, 939 P2d 608
(1997); Cochran v. Connell, 53 Or App 933, 939, 632 P2d 1385, rev den 292 Or 109
(1981).
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2. The Gross Earnings Endorsement further specifies that the losses covered
are to make up for lost production or the inability to continue business operations or
services in the event that Siltec "is wholly or partially prevented from producing goods or
from continuing business operations or services." Covered economic losses include lost
earnings and any expenses, "over and above normal operating expenses, necessarily
incurred by the Insured in making up lost production or in reducing loss otherwise
payable under this Endorsement."
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3. The other of the two--"Service Interruption Endorsement (Physical
Damage)"--extends coverage only to physical loss or damage to Siltec's property as a
result of interruption of utility services, such as water and sewer. Again, Siltec did not
incur physical loss or damage to its property. Consequently, that endorsement is not
applicable.
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4. The bracketed language reflects the text of the endorsement as of the date
of the losses. An earlier version of the endorsement was also attached to the policy, and
that earlier version is what the trial court discussed in its ruling. As the parties appear to
agree, however, the bracketed language does not alter anything pertinent to this case and
the trial court's analysis would not have been affected had it focused on the amended and
operative version.
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5. For consistency and clarity, we use the term "business interruption" in lieu
of "time element" whenever possible.
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6. For present purposes, we assume without deciding that the loss of sewer
service qualifies as the loss of an incoming utility service. In fact, Protection Mutual
disputes that point. Given our conclusion that the policy does not extend to the losses in
any event, we need not resolve that particular question.
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7. Contamination as a cause of service interruption is covered only if the contamination results from covered physical damage. Beyond that, contamination-caused physical damage is excluded under the base coverage, as noted earlier. Apparently because of those limitations, Siltec does not argue that any of its losses fall within the scope of coverage for contamination.
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8. The Service Interruption Endorsement for physical damage to property likewise expressly excludes flood-caused and contamination-caused service interruption.
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9. Relatedly, Siltec also argues that the "Flood Limit of Liability Clause" in Part A of the policy provides the added endorsement referred to in the Service Interruption Endorsement to extend its provisions to flooding. That clause, however, merely provides a maximum coverage amount ($120 million) for any losses covered under the Flood Endorsement. There is no mention in that clause of coverage for service interruption events; in fact, its specific reference to the Flood Endorsement (Form 3301) suggests that it is limited to the "physical loss or damage" covered by that endorsement.
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10. Regarding Siltec's claim for expenses incurred as a result of the service interruptions, Siltec makes one further argument, but only by way of a summary and unanalyzed assertion in its brief. Specifically, Siltec contends that its added expenses for filtering the water were a result of direct flood damage to its property (i.e., damaged filters), not water contamination. Suffice it to say, we consider that interpretation of the policy also to be implausible. The policy defines "flood" to mean actual flood waters, waves, tide or tidal waters, release of water, and other "rising, overflowing, or breaking of boundaries of natural or man-made bodies of water, or the spray from any of the foregoing." The turbid water did not flood Siltec's property, but instead flowed through Salem's water system and through Siltec's plumbing. The plumbing was Siltec's to turn on or turn off, to use or not use to supply water. Indeed, Siltec eventually choose not to use the water. Siltec's damage was due to contamination in the form of dirt particles flowing through the water system in the ordinary course. That qualifies as contamination, not flooding.
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11. The trial court also may have relied on the fact that a co-insurer had paid 10 percent of Protection Mutual's liability on the same risk under the same policy. Protection Mutual argues that "[w]hether, how, and for what reason" a different insurer chose to pay on the policy is irrelevant in construing the policy or in determining if it is ambiguous. Siltec, in response, does not defend the propriety of considering the co-insurer's payment, but instead argues that the trial court "did no such thing." To whatever extent the trial court did consider the co-insurer's decision to pay on the claim, we agree with Protection Mutual that it is not relevant to determining if the contract is ambiguous.
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12. Because we reverse the trial court's entry of summary judgment and supplemental judgment to Siltec, it is unnecessary to address Protection Mutual's second and third assignments of error regarding damages.
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