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  • Case Opinion

Abouzaid v. Mansard Gardens Associates, LLC

Abouzaid v. Mansard Gardens Associates, LLC

Supreme Court of New Jersey

January 19, 2011, Argued; June 21, 2011, Decided

A-5 September Term 2010, 066223

Opinion

 [*70]  [**340]   JUSTICE LONG delivered the opinion of the Court.

The question presented on this appeal is whether a Portee 1 claim that does not allege physical sequelae triggers the duty to defend under a "bodily injury" provision in a commercial general liability insurance policy. In Voorhees v. Preferred Mutual Insurance Co., 128 N.J. 165, 607 A.2d 1255 (1992), we held that ] a "bodily injury" provision affords coverage for an emotional distress claim accompanied by physical manifestations. Id. at 169, 607 A.2d 1255. We also required the insurer to defend the complaint for emotional distress, which did not allege physical injury, at least until physical manifestation was disproved or otherwise dropped out of the case. The rationale for the requirement of defense was the existence of a "potentially" covered claim. Id. at 174-75, 607 A.2d 1255. Because a Portee  [***10] claim may, but need not, involve physical sequelae, such a claim is potentially, but not necessarily, covered by a "bodily injury" provision. In such  [*71]  circumstances, the burden of defense must be borne by the insurer until the question of physical injury clearly drops out of the case.

In 2007, defendants, Jack and Sally Pomeranc, d/b/a Mansard Gardens Associates, LLC (Mansard), were the owners of an apartment building on West 23rd Street in Bayonne, New Jersey. At the time, Greater New York Mutual Insurance Company (GNY) was Mansard's insurer under a commercial general liability insurance policy (Policy). The Policy provided, in relevant part:

SECTION I—COVERAGES

COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY

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207 N.J. 67 *; 23 A.3d 338 **; 2011 N.J. LEXIS 684 ***

MAGDY ABOUZAID, AS GUARDIAN AD LITEM FOR MOUSTAFA ABOUZEID, A MINOR CHILD; MANAL ABOUZEID, EMADILDIN OSMAN, AS GUARDIAN AD LITEM FOR OMAR OSMAN; AND EMAN KANDIL, PLAINTIFFS, v. MANSARD GARDENS ASSOCIATES, LLC; JACK POMERANC; SALLY POMERANC; JONATHAN CHAVIANO, DEFENDANTS.MANSARD GARDENS ASSOCIATES, LLC, JACK POMERANC AND SALLY POMERANC, THIRD-PARTY PLAINTIFFS-APPELLANTS, v. GREATER NEW YORK MUTUAL INSURANCE COMPANY, THIRD-PARTY DEFENDANT-RESPONDENT.

Prior History:  [***1] On certification to the Superior Court, Appellate Division.

Abouzaid v. Mansard Gardens Assocs., LLC, 2010 N.J. Super. Unpub. LEXIS 1025 (App.Div., May 14, 2010)

CORE TERMS

insurer, bodily injury, coverage, duty to defend, emotional distress, trigger, physical manifestation, emotional, physical injury, insurance policy, damages, emotional distress claim, covered claim, teacher's, negligent infliction of emotional distress, cause of action, trial court, allegations, suffering, physical impact, property damage, third-party, ambiguous, quotation, marks, pain, summary judgment, interrogatories, accompanied, plaintiffs'

Insurance Law, Liability & Performance Standards, Good Faith & Fair Dealing, Duty to Defend, Torts, Types of Negligence Actions, Negligent Infliction of Emotional Distress, Elements, Obligations of Parties, Insurers, Allegations in Complaints, Business Insurance, Commercial General Liability Insurance, Policy Interpretation, Reasonable Expectations, General Overview