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City of Burlington v. Indemnity Insurance Company of North America, Ace Property and Casualty Insurance Company, Hartford Steam Boiler Inspection and Insurance Co., Factory Mutual Insurance Company, the Home Insurance Company, Allianz Insurance Company

Citations: 332 F.3d 38; 2003 U.S. App. LEXIS 11482Docket: 02-7691

Court: Court of Appeals for the Second Circuit; June 9, 2003; Federal Appellate Court

Narrative Opinion Summary

The case involves a dispute between a municipality and an insurance company over coverage for defects in a power generator's welds under all-risk insurance policies. The municipality held two policies with Indemnity Insurance Company of North America that excluded coverage for losses caused by latent defects. After weld leaks were discovered, the insurer denied coverage, leading the municipality to file a lawsuit in the U.S. District Court for Vermont. The court ruled against coverage due to the latent defect exclusion. On appeal, the court identified unresolved issues in Vermont law: whether all-risk policies cover only externally caused losses and the applicability of the latent defect exclusion. These questions were certified to the Vermont Supreme Court. The court also discussed the interpretation of 'latent defect' and 'direct physical loss or damage,' noting the lack of Vermont precedent. The court found the term 'mechanical breakdown' ambiguous, favoring coverage for failed welds. The court emphasized the need for losses to be fortuitous to qualify under all-risk policies, indicating a shift toward subjective interpretations of fortuity. The case outcome hinges on Vermont Supreme Court clarifications, with a focus on policy exclusions for internal causes of damage and the fortuitous loss requirement.

Legal Issues Addressed

All-Risk Insurance Coverage in Vermont

Application: The court is considering whether Vermont all-risk insurance policies cover only externally caused losses.

Reasoning: The appellate court identified two unresolved questions of Vermont law critical to the case: (1) whether all-risk policies in Vermont cover only externally caused losses...

Direct Physical Loss or Damage

Application: The court considers whether the failed welds constitute 'direct physical loss or damage' under the policies.

Reasoning: Indemnity raised other independent points for denying coverage, asserting that the Policies only cover 'direct physical loss or damage,' and argued that the defective welds did not constitute such loss...

Exclusion for Latent Defects

Application: The court examines whether the exclusion for 'latent defects' applies to the failed welds on the generator's boiler.

Reasoning: The City filed a lawsuit in the U.S. District Court for Vermont, where the court ruled that the defective welds were not covered under the policies due to the exclusion.

Faulty Workmanship Exclusion

Application: The court finds that the 'faulty workmanship' exclusion does not apply to the failed welds due to the ambiguity of the term 'mechanical breakdown.'

Reasoning: The court finds the term 'mechanical breakdown' ambiguous under the Policies, and per Vermont law, ambiguities favor the insured.

Fortuitous Loss Requirement

Application: The court is considering whether losses must be fortuitous, i.e., arising from unforeseen events, to be covered under all-risk policies.

Reasoning: A loss must be 'fortuitous'—arising from an unforeseen event—to be covered.

Interpretation of 'Latent Defect' in Insurance Policies

Application: The court has determined that the term 'latent defect' is not defined in the policies and lacks a clear Vermont precedent.

Reasoning: The court concluded that the Vermont Supreme Court would interpret 'latent defect' as a hidden flaw undiscoverable through standard inspection.