We recently had a severe storm with high winds and much rain. A tree fell onto our insured's dwelling (he is insured on a standard ISO HO 00 03) with such force that it damaged the eaves trough and soffit. In fact, the eaves damage resulted in a change in pitch, and so water that normally would have drained off the roof fell instead into the basement window well, and on into the insured's finished basement.
The insurer denied coverage for the water damage, citing exclusion 3. c. water damage, meaning "flood, surface water, waves, tidal water, overflow of a body of water, etc." The adjuster said in the denial that the water coming off the roof was "overflow of a body of water" from the surface of the roof.
We disagree with this interpretation, and would like your thoughts.
Iowa Subscriber
We believe the insurer is misreading the exclusion. This was certainly not the overflow of a body of water; nor was it flood, surface water, nor water beneath the surface of the ground. That exclusion refers to water damage that would be covered by the flood policy. In fact, the flood policy (dwelling form POL 3, Dec. 31, 200 ed) says that "flood" means, among other things, "collapse or subsidence of land along the shore of a lake or similar body of water…" Common English usage denotes a body of water as a lake, pond, stream, river, ocean, sea, or even a reservoir. The expression would never be used to refer to water coming off a roof. Indeed, Webster's Collegiate Dictionary (Tenth Edition) states that in this instance body refers to "a mass of matter distinct from other masses (a body of water)…."
In the described loss, a severe windstorm caused the tree to damage the roof and eaves trough which in turn caused the water to go into the basement well. "Surface water" is water derived from falling rain or melting snow which follows no direct course and meanders across the ground; the water here never actually touched the ground at all. It went directly into the well and then into the basement. For this same reason, it was not water beneath the surface of the ground seeping into the foundation.
The water damage loss is covered.
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