Learn About the Law
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
UNITED SPECIALTY INSURANCE COMPANY, a Delaware corporation, Plaintiff-counter-defendant-Appellee, v. SHOT SHAKERS, INC., a Washington corporation; Scott Simpson, a Washington resident; Michelle Simpson, a Washington resident, Defendants-counter-claimants-Appellants.
MEMORANDUM ***
Shot Shakers, Inc. and Michelle and Scott Simpson (collectively, Appellants) appeal the district court's summary judgment in favor of their insurer, United Specialty Insurance, on coverage issues following a fire. Reviewing de novo, we affirm. See Sandoval v. Cnty. of Sonoma, 912 F.3d 509, 515 (9th Cir. 2018) (reviewing summary judgment de novo).
United Speciality issued a policy covering the Simpsons’ family business, the Roosevelt Ale House (Ale House). The policy included a “Concealment, Misrepresentation or Fraud” condition that voided the policy “in any case of fraud” relating to coverage, the covered property, interest in the covered property, or a claim. Following a fire at the Ale House, United Specialty denied coverage based on this condition in the policy.
Under Washington law, a clause voiding an insurance policy due to fraudulent statements is enforceable. See Mut. of Enumclaw Ins. Co. v. Cox, 110 Wash.2d 643, 757 P.2d 499, 502 (1988) (en banc). The insurer may void the policy if “false statements were knowingly made in the application for the policy and [if], in making them, the applicant had an intent to deceive the company.” St. Paul Mercury Ins. Co. v. Salovich, 41 Wash.App. 652, 705 P.2d 812, 814 (1985) (citation omitted).
In their insurance application, Appellants represented that: (1) their fire extinguishing system covered all cooking surfaces and deep fryers, and (2) their hoods, ducts, and filters were cleaned at least every six months or more frequently. However, Appellants were aware that these statements were false. Their hoods, ducts, and filters were not cleaned at least every six months and their system did not protect all cooking areas and deep fryers. See Kay v. Occidental Life Ins. Co., 28 Wash.2d 300, 183 P.2d 181, 182 (1947) (“[W]here a false statement has been knowingly made, there is a presumption that it was made with intent to deceive.”). The district court did not abuse its discretion by refusing to consider Appellants’ arguments, newly raised in their final reply brief, on the admissibility of the application. See Zamani v. Carnes, 491 F.3d 990, 997 (9th Cir. 2007) (“The district court need not consider arguments raised for the first time in a reply brief․”) (citation omitted).
United Specialty also denied coverage under the “Protective Safeguards” endorsement to the policy. That endorsement contained a safeguards condition and an accompanying exclusion. The safeguards condition required the insured to maintain an automatic sprinkler system and fire alarm in conformity with a defined schedule. The schedule, in turn, required a “[f]ully functional actively engaged fire extinguishing system over the entire cooking area with an automatic shut off for the heat source with a semi-annual service contract.”
Under the accompanying exclusion, coverage could be denied if Appellants:
1. Knew of any suspension or impairment in any protective safeguard listed in the Schedule above and failed to notify [the insurer] of that fact; or
2. Failed to maintain any protective safeguard listed in the Schedule above, and over which [the insured] had control, in complete working order.
Appellants failed to raise a material issue of fact regarding coverage denial under this exclusion because the fire suppression system did not cover the broiler that was the source of the fire. In addition, Appellants had ample notice through inspection reports to make the necessary adjustments to the fire suppression system.
AFFIRMED.
Thank you for your feedback!
A free source of state and federal court opinions, state laws, and the United States Code. For more information about the legal concepts addressed by these cases and statutes visit FindLaw's Learn About the Law.
Docket No: No. 19-35192
Decided: December 16, 2020
Court: United States Court of Appeals, Ninth Circuit.
Search our directory by legal issue
Enter information in one or both fields (Required)
Harness the power of our directory with your own profile. Select the button below to sign up.
Learn more about FindLaw’s newsletters, including our terms of use and privacy policy.
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Search our directory by legal issue
Enter information in one or both fields (Required)