insurers do not owe a “fiduciary duty to . . . advise [policyholders] of inadequacies in coverage of which [the policyholders] should, as reasonable persons, have themselves been aware”
How later courts described this case
- insurers do not owe a “fiduciary duty to . . . advise [policyholders] of inadequacies in coverage of which [the policyholders] should, as reasonable persons, have themselves been aware”
- reversing judgment and holding that underlying claim fell within insurance policy exclusion
- “Insurers are not required to sit beside a policy holder and force them to read (and ask if they understand) every provision in an insurance policy.”
- “[A]n insurance broker by definition represents policyholders, not insurers.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘0’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
Present: The Honorable CHRISTINA A. SNYDER
Catherine Jeang Not Present N/A
Deputy Clerk Court Reporter / Recorder Tape No.
Attorneys Present for Plaintiffs: Attorneys Present for Defendants:
Not Present Not Present
Proceedings: (IN CHAMBERS) - PLAINTIFF’S MOTION FOR SUMMARY
JUDGMENT (Dkt. 50, filed on May 5, 2023)
I. INTRODUCTION
On August 4, 2022, plaintiff Associated Industries Insurance Company, Inc.
(“ATIC”) brought suit against Robert Bandari dba L.A. Art Cabinetry (“Bandari”) and
Does | through 20. Dkt. 1. AIIC issued a commercial general liability policy to Bandari,
numbered XN1063077-05 (the “policy”). The policy provided coverage to Bandari for
all sums up to a limit of $1,000,000 per occurrence of bodily injury or property damage
that Bandari becomes legally obligated to pay. While this policy was in effect, an
underlying claim arose after the injury of one of Bandari’s customers on March 16, 2022.
AIIC sought declaratory relief that (1) it has no duty to defend Bandari; and (2) no duty
to indemnify Bandari with respect to the underlying claim. AIIC also requests that it be
awarded its costs incurred in this action.
On September 28, 2022, Bandari answered the complaint and filed a counterclaim
against AIIC, Customer Care Insurance Services, Inc., and Builders & Tradesmen’s Inc.,
dba Unitas Insurance Services. Dkts. 16, 17. Bandari brought claims of relief for (1)
promissory estoppel and waiver against AIIC; (2) breach of contract against AIIC; (3)
breach of the covenant of good faith and fair dealing against AIIC; (4) promissory fraud
against AIIC; and (5) negligence against Customer Care and Builders. Id.
On October 19, 2022, AIIC brought a motion to dismiss Bandari’s counterclaim.
Dkt. 25. While that motion was pending, Bandari and AIIC filed a joint stipulation to
dismiss Bandari’s counterclaim in its entirety without prejudice, and for the Court to
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘0’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
grant AIIC leave to file a first amended complaint. Dkt. 33. On November 18, 2022, the
Court granted the parties’ joint stipulation and denied AIIC’s motion to dismiss Bandari’s
counterclaim as moot. Dkt. 34.'
On November 29, AIIC filed an amended complaint against Bandari. Dkt. 37
(“FAC”). The FAC brings the same claims and seeks the same relief as the original
complaint. The FAC adds further factual allegations relating to third party litigation of
the underlying claim, which 1s discussed in detail below.
On May 5, 2023, AIIC brought the instant motion for summary judgment. Dkt. 50
(“Mot.”). On May 26, 2023, Bandari filed an opposition. Dkt. 61 (“Opp.”). On June 9,
2023, ATIC filed its reply. Dkt. 63 (“Reply”).
On June 26, 2023, the Court held a hearing. The Court permitted Bandari to file a
supplemental brief attaching his initial insurance application to support his arguments
relating to the application. Bandari filed the supplemental material on July 3, 2023. Dkt.
72 (“Bandari’s Supp.”). AIIC filed a responsive brief on July 10, 2023. Dkt. 74 (““AIIC’s
Supp.”).
Having carefully considered the parties’ arguments and submissions, the Court
finds and concludes as follows.
II. BACKGROUND
Unless otherwise noted, the Court references only facts that are uncontroverted and
to which evidentiary objections, if any, have been overruled.’
Customer Care and Builders did not appear in this action prior to the Court’s
order granting Bandari and AJIC’s joint stipulation to dismiss Bandari’s counterclaim,
and they were accordingly terminated as parties.
The parties assert numerous evidentiary objections to the other side’s evidence.
Dkts. 61-3; 64. “In motions for summary judgment with numerous objections, it is often
unnecessary and impractical for a court to methodically scrutinize each objection and
give a full analysis of each argument raised.” Capitol Records, LLC v. BlueBeat, Inc.,
765 F. Supp. 2d 1198, 1200 (C.D. Cal. 2010).
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘0’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
A. —AIIC issued commercial general liability policy to Bandari
AIIC is a Florida-based corporation engaged in the business of issuing insurance
policies, including the one at issue in this case. See FAC § 4. Robert Bandari lives in
Los Angeles, California, and does business under the name L.A. Art Cabinetry. Id.
Bandari makes cabinets, cases, sashes, doors, trims, nonbearing partitions and other items
of “finish carpentry” by cutting, surfacing, joing, gluing and fabricating wood or other
products to provide a functional surface. Dkt. 61-3 (“Statement of Disputed Facts” or
“SDF”), § 21. Bandari also places, erects, and finishes such cabinets and millwork in
structures. Id. ¥ 23.
AIIC issued a commercial general liability policy to Bandari as an individual. The
policy, numbered XN1063077-05, was renewed by the parties and was in effect from
April 1, 2021 to April 1, 2022. The policy provided coverage to Bandari for all sums up
to a limit of $1,000,000 per occurrence that the insured becomes legally obligated to pay
as damages because of “bodily injury” or “property damage” to which the insurance
applies. Id. {[ 9, 16. The policy also contained endorsement number GL990186 0317
entitled “EXCLUSION - UNLICENSED CONTRACTORS,” (emphasis original)
which reads as follows:
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
A. The following is added to Paragraph 2. Exclusions:
This insurance does not apply to:
“Bodily injury” or “property damage” arising out of “your work” if you
or the contractor(s) performing the work on your behalf out of which the
To the extent that the Court relies on objected-to evidence, it has considered and
OVERRULED the parties’ evidentiary objections. Evidence not considered by the
Court is not addressed.
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘0’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
“bodily injury” or “property damage” arose was not a “validly licensed
contractor” at the time the work was performed.
B. The following definition is added to the Definitions section:
“Validly licensed contractor” means a person or organization with a
license in good standing in the jurisdiction in which the work was
performed that permits the person or organization to perform the type of
work out of which the “bodily injury” or “property damage” arose,
whether or not a license was required to perform the work.
But if no such license was available in the jurisdiction, then this
exclusion does not apply.
See SDF 4] 13; Dkt. 54-8 (“Insurance Policy”).
B. Occurrence of injury at Bandari’s shop leads to litigation
On March 16, 2022, nonparty Oshin Shabani visited Bandari’s cabinet shop. SDF
At the time of Shaban1’s visit, Bandari was using a Powermatic table saw to
manufacture stairs for a project with an estimated value between $5,000 and $7,000. Id.
Earlier in the morning, Bandari had removed the blade safety cover from the table
saw to clean dust out of it and forgot to replace it. Id. 45. Shabani began to assist
Bandari with cutting the wood on the table saw. Id. 6. Shabani’s hand got too close to
the blade and he cut off several fingers and part of a thumb. Id. AIIC’s insurance
coverage was in effect on the date of Shabani’s accident. Id. § 8.
On August 25, 2022, Shabani sued Bandari in Los Angeles Superior Court for
personal injury and premises liability. Id. { 11. Bandari tendered the defense of that
action to AIIC, which agreed to provide a defense to Bandari under a reservation of
rights. Id. § 12.
C. Bandari is not a licensed contractor in California
In California, the Contractors State License Board (“CLSB”) licenses and regulates
contracting work and the construction industry through approximately 44 different
classifications. Aside from B-1 general and B-2 remodeling contracting licenses, see Cal.
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘0’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
Bus. & Prof. Code § 7055, two specialty licenses are relevant to this litigation: the Class
C-5 and C-6 licenses. The C-5 class defines a “framing and rough carpentry” contractor
as one who “performs any form work, framing or rough carpentry necessary to construct
framed structures; installs or repairs individual components of framing systems and
performs any rough carpentry or associated work, including but not limited to the
construction or installation of: sub-flooring, siding, exterior staircases and railings,
overhead doors, roof decking, truss members, and sheathing.” Cal. Code Regs. tit. 16, §
832.05. The C-6 class defines a “cabinet, millwork and finish carpentry” contractor as
one who “makes cabinets, cases, sashes, doors, trims, nonbearing partitions and other
items of ‘finish carpentry’ by cutting, surfacing, joining, gluing and fabricating wood or
other products to provide a functional surface,” and who “also places, erects, and finishes
such cabinets and millwork in structures.” Id. § 832.06.
Here, it is undisputed by the parties that Bandari has not held any contractor’s
license issued by the state of California. SDF § 2.
Il. REQUEST FOR JUDICIAL NOTICE
Federal Rule of Evidence 201 permits a court to take judicial notice of facts that
are either “(1) generally known within the territorial jurisdiction of the trial court; or (2)
capable of accurate and ready determination by resort to sources whose accuracy cannot
reasonably be questioned.” Fed. R. Evid. 201(b); see also Mullis v. U. S. Bankr. Court
for Dist. of Nevada, 828 F.2d 1385, 1388 n.9 (9th Cir. 1987).
Here, plaintiff requests that the Court take judicial notice of the following
documents:
(1) Complaint filed by Shabani against in Los Angeles County Superior
Court, entitled Oshin Shabani v. Robert Bandari, et. al, Case No.
22STCV27796 (Dkt. 53, Request for Judicial Notice “RJN,” Ex. 1):
(2) First Amended Complaint in the instant litigation brought by ATIC
against Bandari (RJN Ex. 2):
(3) “A true and correct copy of the Contractors State License Board
Description of Classifications and opening page” of the Contractors State
License Board” website (RJN Ex. 3); and
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘0’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
(4) “A true and correct copy of the California Department of Insurance
License Details of Armen Margaryan” (Dkt. 68, RJN Ex. 4).
Defendant appears to oppose plaintiffs request for judicial notice on the basis that
the request is “not relevant to [the] issues in this case,” and the documents “contain
hearsay statements for which there is no exception.” Dkt. 61-1. However, a court may
take judicial notice of “matters of public record” as well as “records and reports of
administrative bodies.” Mack v. S. Bay Beer Distributors, Inc., 798 F.2d 1279, 1282 (9th
Cir. 1986); see e.g., Love v. Marriott Ownership Resorts, Inc., No. 20-CV-07523-CRB,
2021 WL 1176674, at *3 (N.D. Cal. Mar. 29, 2021) (taking judicial notice of public
website and documents maintained by government agencies).
Accordingly, the Court GRANTS plaintiff's request for judicial notice as to these
documents.
IV. LEGAL STANDARD
Summary judgment is appropriate where “there is no genuine dispute as to any
material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P.
56(a). The moving party bears the initial burden of identifying relevant portions of the
record that demonstrate the absence of a fact or facts necessary for one or more essential
elements of each claim upon which the moving party seeks judgment. See Celotex Corp.
v. Catrett, 477 U.S. 317, 323 (1986).
If the moving party meets its initial burden, the opposing party must then set out
specific facts showing a genuine issue for trial in order to defeat the motion. Anderson v.
Liberty Lobby, Inc., 477 U.S. 242, 250 (1986): see Fed. R. Civ. P. 56(c), (e). The
nonmoving party must not simply rely on the pleadings and must do more than make
“conclusory allegations [in] an affidavit.” Lujan v. Nat’] Wildlife Fed’n, 497 U.S. 871,
888 (1990): see Celotex, 477 U.S. at 324. Summary judgment must be granted for the
moving party if the nonmoving party “fails to make a showing sufficient to establish the
existence of an element essential to that party’s case, and on which that party will bear
the burden of proof at trial.” Celotex, 477 U.S. at 322: see Abromson v. Am. Pac. Corp.,
114 F.3d 898, 902 (9th Cir. 1997).
In light of the evidence presented by the nonmoving party, along with any
undisputed facts, the Court must decide whether the moving party is entitled to judgment
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘Oo’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
as amatter of law. See T.W. Elec. Serv., Inc. v. Pac. Elec. Contractors Ass’n, 809 F.2d
626, 631, 631 n.3 (9th Cir. 1987). When deciding a motion for summary judgment, “the
inferences to be drawn from the underlying facts . . . must be viewed in the light most
favorable to the party opposing the motion.” Matsushita Elec. Indus. Co. v. Zenith Radio
Corp., 475 U.S. 574, 587 (1986) (citation omitted); Valley Nat’] Bank of Ariz. v. ALE.
Rouse & Co., 121 F.3d 1332, 1335 (9th Cir. 1997). Summary judgment for the moving
party is proper when a rational trier of fact would not be able to find for the nonmoving
party on the claims at issue. See Matsushita, 475 U.S. at 587.
V. DISCUSSION
AIIC argues that because Bandari’s insurance policy excluded coverage for bodily
injury or property damage arising out of unlicensed carpentry work and because Bandari
was unlicensed at the time of Shabani’s injury, AIIC has no duty to indemnify or defend
Bandari.
A. Duty to indemnify and duty to defend
“The first obligation, the duty to indemnify, requires the insurer to indemnify
claims that are covered by the policy.” Harper Constr. Co., Inc. v. Nat’] Union Fire Ins.
Co. of Pittsburgh, PA, 377 F. Supp. 3d 1134, 1142 (S.D. Cal. 2019) (citation omitted).
This obligation arises only after liability has been established. Id. However, in contrast,
an insurer’s duty to defend its insured is broad. Pension Trust Fund for Operating
Engineers v. Federal Ins. Co., 307 F.3d 944, 949 (9th Cir. 2002). An insured is entitled
to a defense “if the underlying complaint alleges the insured's liability for damages
potentially covered under the policy.” Montrose Chemical Corp. v. Superior Court, 6
Cal.4th 287, 299 (1993) (emphasis in original). “The duty to defend is broader than the
duty to indemnify, and it may apply even in an action where no damages are ultimately
awarded.” Scottsdale Ins. Co. v. MV Transp., 36 Cal.4th 643, 654 (2005). Whether there
is a duty to defend turns upon “those facts known by the insurer at the inception of a third
party lawsuit.” Montrose, 6 Cal.4th at 295.
“When determining whether a particular policy provides a potential for coverage
and a duty to defend, [courts] are guided by the principle that interpretation of an
insurance policy is a question of law.” Waller v. Truck Ins. Exch., Inc., 11 Cal.4th 1, 18
(1995). “Moreover, that the precise causes of action pled by the third-party complaint
may fall outside policy coverage does not excuse the duty to defend where, under the
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘0’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
facts alleged, reasonably inferable, or otherwise known, the complaint could fairly be
amended to state a covered liability.” Scottsdale Ins. Co., 36 Cal.4th at 654.
Crucially for purposes of the instant motion, defense of a policyholder is excused
only when “the third party complaint can by no conceivable theory raise a single issue
which could bring it within the policy coverage.” Montrose, 6 Cal.4th at 300. An insurer
may rely on an exclusion to deny coverage only if it provides conclusive evidence
demonstrating that the exclusion applies. Atl. Mut. Ins. Co. v. J. Lamb, Inc., 100 Cal.
App. 4th 1017, 1038-39 (2002). When an underlying claim falls within an explicit
coverage exclusion in the insurance policy, the insurer has no duty to defend. See, □□□□□
Itzhaki v. United States Liab. Ins. Co., 536 F. Supp. 3d 651, 657 (C.D. Cal. 2021)
(granting summary judgment and concluding that underlying claim fell within insurance
policy exclusion); Titan Corp. v. Aetna Cas. & Sur. Co., 22 Cal. App. 4th 457, (1994)
(reversing judgment and holding that underlying claim fell within insurance policy
exclusion). And “where there is no duty to defend, there cannot be a duty to indemnify.”
Certain Underwriters at Lloyd’s of London v. Superior Ct, 24 Cal. 4th 945, 958 (2001).
Here, it is undisputed by the parties that the insurance coverage policy contained
the unlicensed contractor exclusion and that Bandari did not have any license. Bandari
offers no evidence to create a triable issue of fact as to whether the claims in the
underlying action brought by Shabani fall within the unlicensed contractor exclusion.
Instead, Bandari argues on various grounds that the unlicensed contractor exclusion
should not be enforced. The Court addresses these arguments in the following section.
B. — Enforceability of the unlicensed contractor exclusion
In opposition to AIIC’s motion for summary judgment, Bandari makes several
arguments that the unlicensed contractor exclusion should not be enforced. First, Bandari
argues that “reading and understa[nd|ing an issue policy are not one [and] the same,” and
that “courts will not enforce policy limitations and exclusions that are not brought to the
attention of insureds.” Opp. at 12—13 (citing Haynes v. Farmers Ins. Exch., 32 Cal. 4th
1198, 1204 (2004)). Specifically, Bandari contends that his primary language 1s
Armenian and that he needs to have documents in English translated “to properly
understand” them. Id. at 14. Bandari further contends that he relied upon a broker,
Armen Margaryan of Customer Care, whom Bandari claims is an agent of AIIC and did
not properly explain the insurance policy to him. Id. at 14-15. Bandari also appears to
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘Oo’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
argue that waiver and estoppel should preclude enforcement of the unlicensed contractor
exclusion on the basis that AIIC knew Bandari does not have any carpentry license and
nonetheless chose to issue and renew the insurance policy to him. See Opp. at 17 (“Had
Defendant not brought forth this claim, Plaintiff would have continued to collect [its]
premium and led Defendant to believe that he was appropriately insured. The Court
cannot reward Plaintiff with that type of behavior [because doing so| would go against
Public Policy.”).
In reply, AIIC argues that Margaryan, as an independent insurance broker, is
statutorily defined as an agent of the insured and not the insurer. Reply at 7 (citing Cal.
Ins. Code § 33). Accordingly, AIIC contends that none of Margaryan’s actions can
legally be imputed to it. Plaintiff additionally cites to case law holding that Bandari has a
duty to read the insurance policy and that he is bound by all of its clear and conspicuous
provisions, which here includes the unlicensed contractor exclusion. Id. at 4—6 (citing
Mission Viejo Emergency Med. Assocs. v. Beta Healthcare Grp., 197 Cal. App. 4th
1146, 1156 (2011); Merrill & Seely, Inc. v. Admiral Ins. Co., 225 Cal. App. 3d 624, 631
(1990)). Finally, AIIC contends that Bandari provides no legal support for his position
that AIIC waived the unlicensed contractor exclusion in the policy. Instead, AIIC argues
that coverage under an insurance policy cannot be established by estoppel or waiver. Id.
at 9-10 (citing Manneck v. Lawyer’s Title Ins. Corp., 28 Cal. App. 4th 1294, 1303
(1994): Harper v. National Union Fire Ins., 377 F. Supp. 3d at 1154).
As noted above, the Court permitted the parties to file supplemental briefing
addressing defendant’s arguments related to his insurance application. The insurance
application asked Bandari to provide information about his business and contracting
work, including any license number. Dkt. 72-1. Bandari left the box for the license
number blank. Id. In his supplemental briefing, Bandari raises two arguments relating to
this blank box of the application. First, defendant argues, without citation, that a
“Tcontracting| license number was required to determine whether there was a valid
license per AIIC’s own policy requirements.” Bandari’s Supp. at 1-2. Defendant states,
again without supporting authority, that “[a]s the insurer is responsible for drafting the
application, it is appropriate that they be required to review the application and rescind it
based on an incomplete application.” Id. at 8. In essence, Bandari argues that in light of
the fact that he left the license box blank, that omission created an affirmative duty on the
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘0’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
part of AIIC to make further inquiries regarding whether Bandari was licensed and
whether the policy was appropriate for his needs.
Additionally, Bandari cites to California case law addressing a party’s waiver of its
right to rescind an insurance contract.? While concealment of material facts typically
entitles an injured party to rescind insurance, Bandari cites to cases supporting the
proposition that “an insurer waives information about a material fact where it neglects to
make inquiry about material facts distinctly implied from other facts that had been
revealed.” Id. at 9 (citing Colony Ins. Co. v. Crusader Ins. Co., 188 Cal. App. 4th 743,
753—54 (2010); Gemini Ins. Co. v. W. Marine Ins. Servs. Corp., No.
210CV03172KJMCKD, 2016 WL 3418413, at *1 (E_D. Cal. June 22, 2016)). Here,
Bandari argues that AIIC has waived its right to rescind the policy because Bandari’s
failure to disclose a contracting license was material to the policy application and
triggered AIIC’s duty to inquire into his failure to disclose.
Finally, Bandari argues for the first time that a “volunteer worker” provision within
the policy requires coverage for Shabani’s injuries. According to Bandari, the “volunteer
worker” provision provides a “layer of [policy] protection for those who assist in the
operation of the business,” which applies to Shabani to the extent he “volunteered” to
help Bandari at his shop and sustained injuries while doing so. Id. at 3.
In reply, AIIC argues that “[t]here is no evidence or case law before this Court
holding that AIIC was required to reject the policy or force Bandari to disclose additional
information.” AIIC’s Supp. at 7. Instead, AIIC argues that “insurance companies have
no affirmative duty to advise their insured to procure particular or different kinds of
coverage than [that which] they obtained.” Id. at 6 (citing Fitzpatrick v. Hayes, 57 Cal.
App. 4th 916, 927 (1997), as modified (Oct. 16, 1997)). ATIC additionally emphasizes
that Bandari’s citations to Gemini and its discussion of the waiver of an insurer’s right to
rescind a policy is inapposite here. AIIC notes that in Gemini and the other cited cases,
the insurer sought to rescind the policy ab initio upon a discovery of material
misrepresentation made by the insured in the application. AIIC reiterates that it does not
seek rescission of the policy, it rather simply seeks to enforce the plain terms of the
unlicensed contractor exclusion because it “clearly and unambiguously excludes
> Bandari first cited to Gemini Ins. Co. v. W. Marine Ins. Servs. Corp. at the
Court’s June 26, 2023 hearing.
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘0’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
coverage” in this case. Finally, as to the “volunteer worker” provision, AIIC argues that
it is inapplicable here, because that provision, located within “Coverage C (Medical
Payments),” is “not a liability coverage and imposes no obligation to defend or
indemnify.” AIIC also notes that Coverage C “indicates that it excludes all damages
excluded under Coverage A—which would include the unlicensed contractor exclusion.”
Id. at 4.
The Court concludes that Bandari’s arguments are unavailing. An “insurer has the
right to limit the coverage of a policy issued by it and when it has done so, the plain
language of the limitation must be respected.” Am. Home Assurance Co. v. SMG Stone
Co., Inc., 119 F. Supp. 3d 1053, 1062 (N.D. Cal. 2015) (quoting Reg’] Steel Corp. v.
Liberty Surplus Ins. Corp., 226 Cal. App. 4th 1377, 1394 (2014)). “[T]o be enforceable,
any provision that takes away or limits coverage reasonably expected by the insured must
be ‘conspicuous, plain and clear’ to be enforceable.” Haynes, 32 Cal. 4th at 1204 (citing
Steven v. Fidelity & Casualty Co., 58 Cal.2d 862, 878 (1962)).
First, the unlicensed contractor exclusion is “conspicuous, plain and clear” under
California case law. To be conspicuous, the exclusion “must be placed and printed so
that it will attract the reader’s attention.” Id. To be plain and clear, the provision must be
stated “in words that are part of the working vocabulary of the layperson.” Id. Here, as
set forth above, the unlicensed contractor exclusion is written in plain and clear
language—according to the provision, insurance coverage does not apply to:
“Bodily injury” or “property damage” arising out of “your work” if you or
the contractor(s) performing the work on your behalf out of which the
“bodily injury” or “property damage” arose was not a “validly licensed
contractor” at the time the work was performed.
Dkt. 54-8, Insurance Policy. Bandari does not argue that this provision is not plain or
clear. Additionally, aside from quoting generally to the California Supreme Court’s
decision in Haynes, Bandari does not make any showing that the provision is not
“conspicuous” or “placed to attract the reader’s attention.” On the contrary, the provision
has typographical design features similar to those upheld by California courts: the
heading of the exclusion states in large, capitalized, and boldfaced type, “EXCLUSION
- UNLICENSED CONTRACTORS.” which is also listed in the table of contents after
other endorsements and coverage exclusions. Compare id. with Nat’] Ins. Underwriters
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘Oo’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
v. Carter, 17 Cal. 3d 380, 384 (1976) (exclusion was conspicuous where located in a
section of the policy under the bold face heading, “EXCLUSIONS,” in print of the same
size and density as the rest of the policy).
Second, Bandari’s contentions relating to Margaryan are not relevant to
determining the enforceability of the unlicensed contractor exclusion. Bandari cites to no
evidence in the record or legal authority to support his conclusory assertion that
Margaryan operated as AIIC’s agent. Instead, the available evidence and case law leads
the Court to the opposite conclusion: Margaryan, as an independent insurance broker,
was Bandari’s agent. California Department of Insurance records indicate that
Margaryan 1s not listed as an authorized agent of AIIC, see RJN, Ex. 11, while California
Insurance Code § 33 provides that “insurance broker” means a “person who, for
compensation and on behalf of another person, transacts insurance other than life,
disability or health with, but not on behalf of, an insurer.” See also LA Sound USA, Inc.
v. St. Paul Fire & Marine Ins. Co., 156 Cal. App. 4th 1259, 1268 (2007) (“[A]n insurance
broker by definition represents policyholders, not insurers.”).
To the extent Bandari’s contentions amount to allegations that his broker misled
him during the application and renewal of the insurance policy, such arguments might be
appropriately raised as against the broker, but they do not implicate AIIC. Ultimately, “it
is a duty of the insured to read his policy,” and the insured is generally “bound by clear
and conspicuous provisions in the policy even if evidence suggests that the insured did
not read or understand them.” Chase v. Blue Cross of California, 42 Cal. App. 4th 1142,
1155 (1996) (citation omitted): Malcom v. Farmers New World Life Ins. Co., 4 Cal. App.
4th 296, 304 (1992) (citation omitted); see also Mission Viejo, 197 Cal. App. 4th at 1156
(“Insurers are not required to sit beside a policy holder and force them to read (and ask if
they understand) every provision in an insurance policy.”).
Third, as to the issue of waiver and estoppel, the Court agrees with AIIC’s cited
authorities that in California, “[t]he rule is well established that the doctrines of implied
waiver and of estoppel, based upon the conduct or action of the insurer, are not available
to bring within the coverage of a policy risks not covered by its terms, or risks expressly
excluded therefrom.” R & B Auto Ctr., Inc. v. Farmers Grp., Inc., 140 Cal. App. 4th 327,
352 (2006), as modified (July 5, 2006) (quoting Manneck, 28 Cal. App. 4th 1294, 1303,
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘Oo’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
33 Cal. Rptr. 2d at 777). Accordingly, waiver and estoppel are not appropriate grounds
on which to preclude the enforceability of the unlicensed contractor exclusion.*
Moreover, to the extent that Bandari argues that enforcement of the exclusion
would render the policy illusory, AIIC notes that even if the unlicensed contractor
exclusion is enforced, the policy would still provide other coverages to Bandari,
including but not limited to “bodily injury sustained because someone tripped over a
defective sidewalk outside the premises;” “if the insured’s dog bites an invitee[]; a
plumbing leak from the insured’s property which causes “property damage’ to a
neighbor’s property; a limited discharge of contaminants which damages property or
causes ‘bodily injury’: or any “personal and advertising injury’ under Coverage B such as
slander, libel, wrongful entry eviction, defense of malicious prosecution, etc.” Reply at
8; AIIC’s Supp. at 7-8; see generally Dkt. 54-8, Insurance Policy, § 1 (“Coverage A
Bodily and Property Damage Liability”), (“Coverage B Personal and Advertising Injury
Liability”). “|To render] the Policy ‘illusory,’ the exclusion must result in a complete
lack of any policy coverage . . . [while] the mere possibility of some coverage is enough.”
Secard Pools, Inc. v. Kinsale Ins. Co., 318 F. Supp. 3d 1147, 1153 (C.D. Cal. 2017), aff'd
sub nom. Secard Pools Inc v. Kinsale Ins. Co., 732 F. App’x 616 (9th Cir. 2018)
(intellectual property provision that excluded false advertising and Lanham Act claims
from policy coverage did not make policy illusory because other “advertising injury”
offenses such as defamation claims were still covered). While “plain language may not
be enforced if doing so would render the promised coverage illusory |. . . i]nstead, the
language will be construed in a manner” to avoid rendering the policy illusory. Croskey
et al., Cal. Practice Guide: Insurance Litigation, § 4:29: compare Crusader Ins. Co. v.
Burlington Ins. Co., No. CV195371PSGPLAX, 2020 WL 4919387, at *10 (C.D. Cal.
June 12, 2020) (‘clear and unambiguous” assault and battery exclusion provision did not
render insurance policy illusory because the policy covered premises liability claims):
with Safeco Ins. Co. of Am. v. Robert S., 26 Cal. 4th 758, 766 (2001) (plain text meaning
* Bandari appears to argue both that AIIC waived the right to rescind the entire
policy and that AIIC is estopped from enforcing the unlicensed contractor exclusion. For
the reasons set forth below, AIIC does not seek rescission, so waiver of rescission 1s
irrelevant. As to estoppel, the Court finds that Bandari has provided no basis to estop
AIIC from enforcing the exclusion. As described throughout, the provision was clear and
conspicuous and does not render the policy illusory.
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘0’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
of “illegal acts” exclusion to insurance policy would render policy illusory). Here,
however, there is no ambiguity in the unlicensed contractor exclusion, and the plain text
meaning of the exclusion does not preclude the policy from providing coverage in many
other circumstances. On this basis, Bandari’s policy is not illusory.
Fourth, the Court finds that the “volunteer worker” provision is clearly
inapplicable here. As AIIC notes, Coverage C concerns “Medical Payments.” Coverage
C provides that AIIC will rermburse medical expenses for “bodily injury caused by an
accident” on Bandari’s premises or “because of [his] operations.” Dkt. 54-8. Coverage
C has a list of exclusions for which AIIC will not pay medical expenses. The “volunteer
worker” provision cited by Bandari is Subsection A, which provides that AIIC “will not
pay expenses for “bodily injury’ [t]o any insured, except ‘volunteer workers.’ ” Id. The
final exclusion, Subsection G, states that AIIC “will not pay expenses for “bodily injury’
[e]xcluded under Coverage A.” Id. Properly construed, AIIC’s obligation to insure
medical payments pursuant to Coverage C does not apply to Coverage A exclusions,
which includes the unlicensed contractor exclusion. Moreover, even if Coverage C
somehow applied to the accident here, it would only cover Shabani’s medical expenses
up to the applicable limit, provided that the “expenses are incurred and reported to AIIC
within one year of the date of the accident; and || the injured person submits to
examination, at our expense, by physicians of our choice.” Nothing, however, in
Coverage C imposes a duty to defend or indemnify, so the provision has no relevance to
Bandari in this litigation.
Finally, the Court concludes that Gemini and defendant’s other cited cases
addressing waiver of rescission are not relevant to this case. Those cases addressed the
issue of when an insurer waives its right to rescind a policy by neglecting to inquire about
a potential material concealment by the policyholder. None of the cases obligate the
insurer to pursue the remedy of rescission, nor do they suggest that in the absence of
recission, a policyholder is entitled to coverage when there is an otherwise applicable
exclusion. See, e.g., Gemini v. W. Marine, 2016 WL 3418413; Colony v. Crusader, 188
Cal. App. 4th 743; Old Line Life Ins. Co. v. Superior Ct., 229 Cal. App. 3d 1600, 1606
(Ct. App. 1991). Here, AIIC does not seek recission but rather enforcement of the policy,
including the unlicensed contractor provision. Accordingly, Gemini and the other cases
addressing rescission are inapplicable.
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘0’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
Bandari essentially argues that because he submitted an application without a
contractor license number, AIIC should have either made further inquiry about his
licensing status, rejected the application, or specially warned him about the unlicensed
contractor exclusion in the policy. Counsel for Bandari stated at oral argument that if
Bandari knew that his policy coverage would not cover bodily injury arising from
unlicensed contracting work, he would not have paid for the policy. However, in light of
clearly established law that an applicant is presumed to have read a policy’s application
and terms, AIIC was not required to notify Bandari that he effectively chose poor policy
coverage for his own circumstances.* See Croskey et al., Cal. Practice Guide: Insurance
Litigation, § 2:84 (insurer does not owe “an independent duty to determine whether the
policy applied for is adequate to meet the applicant’s economic needs or to recommend
additional coverages”); Gibson v. Gov’t Emps. Ins. Co., 162 Cal. App. 3d 441, 452 (Ct.
App. 1984) (insurers do not owe a “fiduciary duty to . . . advise [policyholders] of
inadequacies in coverage of which [the policyholders] should, as reasonable persons,
have themselves been aware”).°
Ultimately, AIIC created a policy whose exclusions are “conspicuous, plain and
clear” as required by California law. Bandari had a duty to read the policy and to
accurately fill out his application. AIIC had not duty to ensure that Bandari understood
the policy. AIIC additionally did not have any duty to make further inquiry of Bandari,
warn or advise Bandari about his unlicensed status, or outright reject his application
simply because it did not list a license number. AIIC validly elected to issue the policy to
Bandari upon the submission of his application. Although the unlicensed contractor
° The insurer’s duties differ from a broker’s duties, who “[u]nder certain
circumstances . . . may be liable for negligence in recommending coverage to an
insurance applicant (because a broker acts on behalf of the insured).” Croskey et al., Cal.
Practice Guide: Insurance Litigation, § 2:84.5. Therefore, as discussed above, Bandari
might have claims against his broker to the extent he alleges that his broker misled him
during the application and renewal of the insurance policy.
To the extent that Bandari appears to argue that the absence of a license number
on his application made the application deficient in some material way, the Court
concludes that this argument 1s without merit. Bandari cites to nothing in the record or in
the case law supporting the proposition that a valid license was a requirement for AIIC to
accept his application and issue the policy.
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES — GENERAL ‘0’
Case No. 2:22-cv-05477-CAS-ASx Date August 10, 2023
Title ASSOCIATED INDUSTRIES INSURANCE COMPANY, INC. v.
ROBERT BANDARI DBA L.A. ART CABINETRY ET AL.
provision excludes coverage, the policy 1s not illusory. Bandari has provided no
cognizable basis to preclude enforcement of the unlicensed contractor exclusion.
Therefore, because the Court finds that the unlicensed contractor exclusion is enforceable
against Bandari, the Court accordingly concludes that AIIC has no duty to defend or
indemnify Bandari in connection with Shabani’s March 16, 2022 visit to Bandari’s shop.
VI. CONCLUSION
In accordance with the foregoing, the Court GRANTS AIIC’s motion for summary
judgment.
IT IS SO ORDERED.
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