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The Decks are Collapsing.




FACTS:

George decided to remove and repair two decks at his Palos Verdes Estates Palos Verdes Estates (păl`əs vûr`dēz), city (1990 pop. 13,512), Los Angeles co., S Calif.; inc. 1939. It is a residential community.  home. He decided that after being told by a contractor that he had discovered severe deterioration de·te·ri·o·ra·tion
n.
The process or condition of becoming worse.
 in the framing members supporting the decks. George believed his decks were in a state of imminent collapse.

After spending $87,000 to repair the decks, George submitted a claim to State Farm, his homeowner's insurer. His State Farm policy insured for direct physical loss to covered property involving the "sudden, entire collapse of" the building or any part of the building. "Collapse" was defined to mean: "Actually fallen down or fallen into pieces."

Upon receipt of the claim, State Farm investigated. It denied the claim pointing out to George that his decks had not "actually fallen down . . . into pieces" and that byrepairing the decks prior to submitting the claim, he had prejudiced State Farm bydepriving it of the opportunity to inspect the damage.

George sued State Farm for breach of contract and bad faith. Superior Court Judge Soussan G. Bruguera held that public policy dictates that policyholders are entitled en·ti·tle  
tr.v. en·ti·tled, en·ti·tling, en·ti·tles
1. To give a name or title to.

2. To furnish with a right or claim to something:
 to coverage "for collapse as long as the collapse is imminent, irrespective of irrespective of
prep.
Without consideration of; regardless of.

irrespective of
preposition despite 
 policylanguage." (Emphasis in original.)

On appeal the Court of Appeals filled four pages with feel-good newspeak newspeak

official speech of Oceania; language of contradictions. [Br. Lit.: 1984]

See : Hypocrisy



Newspeak - A language inspired by Scratchpad.

[J.K. Foderaro. "The Design of a Language for Algebraic Computation", Ph.D. Thesis, UC Berkeley, 1983].
, and then without analysis, without citation Citation

(foaled 1945) U.S. Thoroughbred racehorse. In four seasons he won 32 of 45 races, finished second in ten, and third in two. He won the 1948 Triple Crown, and became the first horse to win $1 million. He set a world record in 1950 by running a mile in 1:33 3/5.
 to a statute, without citation to a regulation, without citation to a legal authority, and without citation to a single legal opinion, announced that "public policy" mandates that State Farm provide coverage for "imminent collapse."

HOLDINGS:

The plain language is unambiguous.

The plain language is susceptible of only one reasonable interpretation.

Under no stretch of the imagination does "actually" mean "imminently".

The contractual language controls.

"We therefore conclude that notwithstanding the language of the collapse provision, public policy mandates that State Farm afford Mike coverage for the imminent collapse of his decks."

COMMENT:

Nothing I can say can adequately convey the monstrous implications of this decision. These three judges have arrogated to themselves the power to declare public policy, a power that resides with the Legislature. They have usurped the power to review and approve insurance forms, a power that resides with the Insurance Commissioner. The opinion is an affront af·front  
tr.v. af·front·ed, af·front·ing, af·fronts
1. To insult intentionally, especially openly. See Synonyms at offend.

2.
a. To meet defiantly; confront.

b.
 to our fundamental notion of the separation of powers separation of powers: see Constitution of the United States.
separation of powers

Division of the legislative, executive, and judicial functions of government among separate and independent bodies.
 inherent in our tripartite TRIPARTITE. Consisting of three parts, as a deed tripartite, between A of the first part, B of the second part, and C of the third part.  form of government.

But on the other hand, my contractor said my east deck was going to collapse under the weight of the Guiness. So he fixed it and gave me a bill for $11,000. Where did I put my homeowner's policy?Citation to the case: Rosen v.

State Farm Gen. Ins. Co., 98 Cal. App. 4th 1322 (2002).

The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.

Mr William Hickman

Reed McClure

Two Union Square

Suite 4901

601 Union Street

Seattle

98101-3920

UNITED STATES United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area.  

Tel: 2062924900

E-mail: whickman@rmlaw.com

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Article Details
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Title Annotation:homeowner insurance claim
Publication:Mondaq Business Briefing
Article Type:Brief Article
Geographic Code:1USA
Date:Aug 9, 2002
Words:500
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