Our insured's rental dwelling is covered under form DP 00 03 12 02. During a recent storm, four inches of rain fell in a short time. The eaves trough separated from the home, and so most of the rain hitting the roof went down into a window well. Due to the extra water, the basement wall collapsed.

The insurer denied the claim, citing general exclusion 1.a. This exclusion eliminates damage caused by flood, surface water, and water below the surface of the ground.

We contend that if the eaves trough had not separated, the water would have been diverted and, thus, would not have caused the problem. What are your thoughts?

Michigan Subscriber

Falling rain—regardless of how heavily it falls—is not flood or surface water. Neither is it backing up through sewers or drains; nor is it below the surface of the ground. Each of these terms has a specific meaning; each meaning sharply different from falling rain. In this case, the rain collected in the window well and thus never became surface water. Once falling rain reaches the ground, it may become surface water (run-off of melting snow or rain that meanders over the surface of the ground) or water below the surface of the ground; however, in this case, it never reached the ground or ran off, but went straight from the roof into the window well.

Since the DP 00 03 is an open perils form, the loss must be specifically excluded. Only certain causes of water damage are excluded, and "falling rain" is not one of them.

The exclusion cited does not apply in this case and the loss should be paid.

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