Lopez ex rel. Lopez v. Amer. Fam. Mut. Ins.
Decision Date | 05 October 2006 |
Docket Number | No. 05CA1361.,05CA1361. |
Citation | 148 P.3d 438 |
Parties | Frankie LOPEZ, a minor, by and through his next friends and parents, Frank and Paula LOPEZ, Plaintiff-Appellant, v. AMERICAN FAMILY MUTUAL INSURANCE COMPANY, Garnishee-Appellee. |
Court | Colorado Court of Appeals |
William H. Remine, Littleton, Colorado, for Plaintiff-Appellant.
Harris, Karstaedt, Jamison & Powers, P.C., A. Peter Gregory, Englewood, Colorado, for Garnishee-Appellee.
Opinion by Chief Judge DAVIDSON.
In this garnishment proceeding, plaintiff, Frankie Lopez, appeals from the order dismissing the writ of garnishment filed against American Family Mutual Insurance Company, garnishee. We affirm.
The underlying action was initiated by plaintiff's filing of a complaint against Jaime Erivas and his father, Jorge Erivas-Saines (insured), who carries a homeowners policy with American Family. Seeking personal injury damages under various theories of negligence, plaintiff alleged that "Jaime Erivas retrieved a BB gun from his older brother's room, and proceeded to shoot Plaintiff [Frankie Lopez] five times in the head and back."
American Family refused insured's request to defend the lawsuit, determining, as relevant here, that the injury to Lopez was caused by an intentional act and, therefore, fell within the exclusions in the policy.
Insured did not file responsive pleadings, and after a damages hearing, the court entered a default judgment in favor of plaintiff in the principal amount of approximately $185,000. Seeking to collect on the judgment, plaintiff filed a writ of garnishment against American Family.
American Family denied the writ based on the intentional act provision in insured's policy, which excluded liability coverage for "bodily injury or property damage caused intentionally by or at the direction of any insured even if the actual bodily injury or property damage is different than that which was expected or intended from the standpoint of the insured." Plaintiff traversed the denial.
Following briefing, the court dismissed the writ. Reasoning that "five separate shots that all hit the target do not support a claim of accidental discharge," the trial court concluded that American Family held no monies owed to the insured because, as a matter of law, the factual allegations of the complaint fell within the intentional act exclusion of the policy.
On appeal, plaintiff contends that this was error. Specifically, plaintiff argues that the facial allegations of his complaint could support a claim of negligence and, therefore, were not necessarily excluded from the policy's coverage. Accordingly, plaintiff asserts, American Family was obligated to defend the action and by its refusal to do so was obligated to plaintiff for the amount of the judgment against insured. We disagree.
An insurer's duty to defend arises when a complaint against its insured includes factual allegations that, if sustained, would impose a liability on the insured that is covered by the policy. The allegations in the complaint, together with the insurance policy, are the sole bases for determining whether a duty to defend exists. See Hecla Mining Co. v. N.H. Ins. Co., 811 P.2d 1083, 1089 (Colo. 1991).
Thus, to defeat the duty to defend, an insurer must establish that the factual allegations provide no basis from which the insurer could be held liable for indemnifying the insured under the policy. See Cotter Corp. v. Am. Empire Surplus Lines Ins. Co., 90 P.3d 814, 829 (Colo.2004). The duty to defend is designed to cast a wide net in favor of coverage. See Thompson v. Md. Cas. Co., 84 P.3d 496, 502 (Colo.2004). However, an insurer has no duty to defend if the claims asserted in the complaint are clearly excluded from coverage. See, e.g., Horace Mann Ins. Co. v. Peters, 948 P.2d 80, 85 (Colo.App.1997).
The intentional act exclusion, such as the provision at issue here, applies "whenever some injury is intended, even though the injury that actually results differs in character or degree from the injury actually intended." See Am. Family Mut. Ins. Co. v. Johnson, 816 P.2d 952, 955 (Colo.1991); see also Butler v. Behaeghe, 37 Colo.App. 282, 548 P.2d 934 (1976).
Plaintiff argues that, contrary to the trial court's conclusion, the intentional act exclusion did not relieve American Family of its duty to defend because it cannot be determined from the face of the complaint whether the acts alleged were intended to cause injury or were merely negligent. We are not persuaded.
Generally, it may be inferred that when an individual deliberately aims a loaded BB gun at someone and pulls the trigger, the shooter intends or expects to cause some harm. See People in Interest of J.R., 867 P.2d 125, 127 (Colo.App.1993) ( ); Bookout v. Victor Comptometer Corp., 40 Colo.App. 417, 419, 576 P.2d 197, 198 (1978) (); Am. Family Mut. Ins. Co. v. Wubbena, 496 N.W.2d 783, 785 (Iowa Ct.App.1992) ( ); Bell v. Tilton, 234 Kan. 461, 471, 674 P.2d 468, 477 (1983) ().
However, plaintiff asserts that regardless of the danger of BB guns or the likelihood of injury, the shooter's intent to harm cannot be assumed if the shooting was accidental. And, he argues, nothing on the face of the complaint here is determinative of whether "shooting [Frankie Lopez] five times in the head and back" was intentional or anything more than "horseplay by a teenage boy who was not intending to injure his friend." We disagree.
To the contrary,...
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