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January 13, 2023
Pollution Exclusions Clear

Intentionally Building Houses on Contaminated Property Excluded
Barry Zalma

Read the full article at https://lnkd.in/gjR4EgVz and see the full video at https://lnkd.in/gjhekva4 and at https://lnkd.in/g62UURwm and https://zalma.com/blog plus more than 4400 posts.

Plaintiffs Victor Rosario, Nilda Maldonado, Jose Flores, and Noemi Flores appealed from three Law Division orders dismissing their second amended complaint against the defendant insurance carriers on dispositive cross-motions on whether insurance coverage applies. Having obtained a nearly $2 million judgment against the bankrupt developer of their residential properties – for failing to disclose their homes were built on contaminated properties – plaintiffs sought the proceeds of the comprehensive general liability (CGL) policies issued by the defendant insurance carriers to the developer. The motion judge in the present action concluded the pollution exclusion contained in defendants’ CGL policies precluded coverage.

Victor Rosario, Nilda Maldonado, Jose Flores, and Noemi Flores v. The Hartford Fire Insurance Co., and The Western World Insurance Co., No. A-1968-20, Superior Court of New Jersey, Appellate Division (January 4, 2023)

The Plaintiffs purchased a single-family homes from developer Marco Construction and Management, Inc. in 2006.

Unbeknownst to plaintiffs, before Marco Construction subdivided the lots, they were utilized by the previous owner and co-developer, Stephan Musey, Jr., for commercial purposes that contaminated the property. Automotive fluids and waste oil were discharged into floor drains and the soil. In 1988, the underground storage tanks were removed from the site without proper notice to the authorities. Thereafter, the Department of Environmental Protection (DEP) directed Musey to conduct a remedial investigation of the property, but it was not completed.

On December 31, 2004, Musey and Dominic Antonini, the principal of Marco Construction, executed a joint venture agreement to develop the property. Antonini was apprised of the property’s prior usage. Before Marco Construction took title to the property in February 2005, Antonini received several documents confirming the presence of outstanding environmental issues on the site; thereafter Antonini was told the property was contaminated. Later that year, Antonini built two single-family homes on the subdivided lot. However, Antonini failed to disclose the environmental issues to the realtors or prospective purchasers, including plaintiffs.

THE AVAILABLE INSURANCE

The following CGL policies issued by the defendant insurance carriers to Marco Construction are at issue in this appeal:

1. defendant Hartford Fire Insurance Company’s policy, in effect from April 20, 2004 to May 20, 2005 (Hartford policy); and

2. defendant Western World Insurance Company’s policy issued for the following year, May 20, 2005 to May 20, 2006 (Western World policy).

Both policies provided substantially similar coverage. Each policy contained virtually identical pollution exclusions and exceptions to those exclusions. In pertinent part, the policies provided:

(1) “Bodily injury “or “property damage” arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of “pollutants”:

(a) At or from any premises, site or location which is or was at any time owned or occupied by, or rented or loaned to any insured. However, this subparagraph does not apply to: ….

(ii) “Bodily injury” or “property damage” for which you may be held liable, if you are a contractor and the owner or lessee of such premises, site or location has been added to your policy as an additional insured with respect to your ongoing operations performed for that additional insured at that premises, site or location and such premises, site or location is not and never was owned or occupied by, or rented or loaned to, any insured, other than that additional insured [(pollution exclusion exception)] ….

The policies also contained exclusions for expected or intended injury, precluding coverage, in pertinent part, for: “‘Bodily injury’ or ‘property damage’ expected or intended from the standpoint of the insured.” In addition, Western World’s policy excluded coverage for known injuries or damages, defined as “bodily injury or property damage which first occurs before the inception date of the policy but continues to occur during the policy period if such bodily injury or property damage is known to any insured prior to the inception date of this policy.”

FACTUAL BACKGROUND

Plaintiffs filed the underlying action. In May 2008, Marco Construction, through its insurance agent, filed a notice of claim under the Hartford policy, advising: “Claimants allege that insured subdivided a property that had known chemical pollutants. Following an investigation, on August 11, 2008, Hartford denied coverage under the pollution and expected or intended injury exclusions set forth in its policy.

Marco Construction demanded Hartford and Western World provide “defense and liability coverage protection.” Both insurers refused.

In June 2014, a five-day bench trial was conducted in the underlying matter against the sellers and builders. On October 16, 2014, the trial court issued a thirty-five-page written opinion accompanying its aggregate judgment of $1,930,118.86, plus interest, on most of plaintiffs’ claims. Among several other factual findings, the court determined, “Antonini knew that the contamination issues had not yet been resolved at the site when he agreed to allow Marco Construction to take title to the property.” The court further found Marco Construction and Antonini were aware “the property was contaminated before Antonini began excavating the foundations” and “before he built any of the houses” because Trischitta, “told Antonini that ‘this ground is contaminated.'”

Following plaintiffs’ unsuccessful efforts to collect the judgment, a writ of execution was issued against the assets of Marco Construction and Antonini in September 2018. However, the writ was returned unsatisfied.

Thereafter plaintiffs sued Antonini, Marco Construction, and Hartford, seeking to satisfy the October 16, 2014 judgment. In October 2020, Western World moved to dismiss the complaint for failure to state a claim. Immediately following oral argument on January 8, 2021, the motion judge issued a decision dismissing plaintiffs’ claims on summary judgment. The motion judge also determined the known injury and punitive damages exclusions barred coverage under the policies.

THE APPEAL

The interpretation of an insurance contract is a question of law for the court to determine and can be resolved on summary judgment. Courts should interpret insurance policies according to their plain, ordinary meaning. If there are no ambiguities in the language, courts cannot write for the insured a better policy of insurance than the one purchased.

The pollution exclusion unambiguously excluded coverage for: “‘Bodily injury’ or ‘property damage’ arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of ‘pollutants'” at the property, which was owned by Marco Construction during the policy periods. The record evidence established Marco Construction and Antonini knew of the property’s contaminated status as early as 2004, when Antonini learned of the property’s prior usage. The court, therefore concluded that the insurers satisfied their burden of demonstrating the pollution exclusion contained in their policies applied.

The plaintiffs’ last attempt related to a Certificate of Insurance issued to a bank. The court did away with that argument noting that Certificates of Insurance do not create or bind coverage. A standard Certificate of Insurance only evidences the existence of the policies to which it refers; it does not alter the terms of an indemnity agreement or the parties’ contract, nor does it alter or amend the terms of the policies to which it refers. It is not an insurance policy.

Accordingly, the court concluded that a certificate conferred no rights on its holder, Sterling Bank. The trial court’s decision was affirmed.

ZALMA OPINION

No insurance contract insures against any possible risk of loss. For the last few decades CGL policies exclude pollution caused damages and all policies – for the last three centuries – exclude intentional acts. In this case the developers, with knowledge that the property was contaminated, knew they were required to eliminate the contamination by order of the appropriate federal agencies, did nothing to cure the contamination, and built houses on the contaminated property and sold it to innocent buyers. That type of tortious, and probably criminal act, is never an act that can be insured against.

(c) 2023 Barry Zalma & ClaimSchool, Inc.

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Barry Zalma, Esq., CFE, now limits his practice to service as an insurance consultant specializing in insurance coverage, insurance claims handling, insurance bad faith and insurance fraud almost equally for insurers and policyholders. He practiced law in California for more than 44 years as an insurance coverage and claims handling lawyer and more than 54 years in the insurance business. He is available at http://www.zalma.com and [email protected]

Write to Mr. Zalma at [email protected]; http://www.zalma.com; http://zalma.com/blog; daily articles are published at 
Zalma on Insurance
Insurance, insurance claims, insurance law, and insurance fraud .

By Barry Zalma

. Go to the podcast Zalma On Insurance at https://anchor.fm/barry-zalma; Follow Mr. Zalma on Twitter at https://twitter.com/bzalma; Go to Barry Zalma videos at Rumble.com at https://rumble.com/c/c-262921; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg; Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library

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Zalma’s Insurance Fraud Letter – January 15, 2026

ZIFL Volume 30, Number 2

THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL

Post number 5260

Read the full article at https://lnkd.in/gzCr4jkF, see the video at https://lnkd.in/g432fs3q and at https://lnkd.in/gcNuT84h, https://zalma.com/blog, and at https://lnkd.in/gKVa6r9B.

Zalma’s Insurance Fraud Letter (ZIFL) continues its 30th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ This issue contains the following articles about insurance fraud:

Read the full 19 page issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2026/01/ZIFL-01-15-2026.pdf.

The Contents of the January 15, 2026 Issue of ZIFL Includes:

Use of the Examination Under Oath to Defeat Fraud

The insurance Examination Under Oath (“EUO”) is a condition precedent to indemnity under a first party property insurance policy that allows an insurer ...

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January 14, 2026
USDC Must Follow the Finding of the Administrator of the ERISA Plan

ERISA Life Policy Requires Active Employment to Order Increase in Benefits

Post 5259

Read the full article at https://lnkd.in/gXJqus8t, see the full video at https://lnkd.in/g7qT3y_y and at https://lnkd.in/gUduPkn4, and at https://zalma.com/blog plus more than 5250 posts.

In Katherine Crow Albert Guidry, Individually And On Behalf Of The Estate Of Jason Paul Guidry v. Metropolitan Life Insurance Company, et al, Civil Action No. 25-18-SDD-RLB, United States District Court, M.D. Louisiana (January 7, 2026) Guidry brought suit to recover life insurance proceeds she alleges were wrongfully withheld following her husband’s death on January 9, 2024.

FACTUAL BACKGROUND

Jason Guidry was employed by Waste Management, which provided life insurance coverage through Metropolitan Life Insurance Company (“MetLife”). Plaintiff contends that after Jason’s death, the defendants (MetLife, Waste Management, and Life Insurance Company of North America (“LINA”)) engaged in conduct intended to confuse and ultimately deny her entitlement to...

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January 13, 2026
Mediation in State Court Resolves Action in USDC

Failure to Respond to Motion to Dismiss is Agreement to the Motion
Post 5259

Read the full article at https://lnkd.in/gP52fU5s, see the video at https://lnkd.in/gR8HMUpp and at https://lnkd.in/gh7dNA99, and at https://zalma.com/blog plus more than 5250 posts.

In Mercury Casualty Company v. Haiyan Xu, et al., No. 2:23-CV-2082 JCM (EJY), United States District Court, D. Nevada (January 6, 2026) Plaintiff Mercury Casualty Company (“plaintiff”) moved to dismiss. Defendant Haiyan Xu and Victoria Harbor Investments, LLC (collectively, “defendants”) did not respond.

This case revolves around an insurance coverage dispute when the parties could not be privately resolved, litigation was initiated in the Eighth Judicial District Court of Nevada. Plaintiff subsequently filed for a declaratory judgment in this court.

On or about April 15, 2025, the state court action was dismissed with prejudice pursuant to a stipulation following mediation. Plaintiff states that the state court dismissal renders its ...

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December 31, 2025
“Sudden” is the Opposite of “Gradual”

Court Must Follow Judicial Precedent
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Read the full article at https://www.linkedin.com/pulse/sudden-opposite-gradual-barry-zalma-esq-cfe-h7qmc, see the video at and at and at https://zalma.com/blog plus more than 5250 posts.

Insurance Policy Interpretation Requires Application of the Judicial Construction Doctrine

In Montrose Chemical Corporation Of California v. The Superior Court Of Los Angeles County, Canadian Universal Insurance Company, Inc., et al., B335073, Court of Appeal, 337 Cal.Rptr.3d 222 (9/30/2025) the Court of Appeal refused to allow extrinsic evidence to interpret the word “sudden” in qualified pollution exclusions (QPEs) as including gradual but unexpected pollution. The court held that, under controlling California appellate precedent, the term “sudden” in these standard-form exclusions unambiguously includes a temporal element (abruptness) and cannot reasonably be construed to mean ...

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December 29, 2025
Doctor Accused of Insurance Fraud Sues Insurer Who Accused Him

Lack of Jurisdiction Defeats Suit for Defamation

Post 5250

Posted on December 29, 2025 by Barry Zalma

See the video at and at

He Who Represents Himself in a Lawsuit has a Fool for a Client

In Pankaj Merchia v. United Healthcare Services, Inc., Civil Action No. 24-2700 (RC), United States District Court, District of Columbia (December 22, 2025)

FACTUAL BACKGROUND
Parties & Claims:

The plaintiff, Pankaj Merchia, is a physician, scientist, engineer, and entrepreneur, proceeding pro se. Merchia sued United Healthcare Services, Inc., a Minnesota-based medical insurance company, for defamation and related claims. The core allegation is that United Healthcare falsely accused Merchia of healthcare fraud, which led to his indictment and arrest in Massachusetts, causing reputational and business harm in the District of Columbia and nationwide.

Underlying Events:

The alleged defamation occurred when United ...

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December 15, 2025
Zalma’s Insurance Fraud Letter – December 15, 2025

Zalma’s Insurance Fraud Letter

Read the full article at https://lnkd.in/dG829BF6; see the video at https://lnkd.in/dyCggZMZ and at https://lnkd.in/d6a9QdDd.

ZIFL Volume 29, Issue 24

Subscribe to the e-mail Version of ZIFL, it’s Free! https://visitor.r20.constantcontact.com/manage/optin?v=001Gb86hroKqEYVdo-PWnMUkcitKvwMc3HNWiyrn6jw8ERzpnmgU_oNjTrm1U1YGZ7_ay4AZ7_mCLQBKsXokYWFyD_Xo_zMFYUMovVTCgTAs7liC1eR4LsDBrk2zBNDMBPp7Bq0VeAA-SNvk6xgrgl8dNR0BjCMTm_gE7bAycDEHwRXFAoyVjSABkXPPaG2Jb3SEvkeZXRXPDs%3D

Zalma’s Insurance Fraud Letter (ZIFL) continues its 29th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/

Zalma’s Insurance Fraud Letter

Merry Christmas & Happy Hannukah

Read the following Articles from the December 15, 2025 issue:

Read the full 19 page issue of ZIFL at ...

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