Toney v. State Farm Lloyds
Toney v. State Farm Lloyds
Opinion of the Court
ORDER
Pending before the Court is the motion for summary judgment filed by Defendants State Farm Lloyds (“State Farm”) and Rolando Renteria (“Renteria”) (collectively, “Defendants”).
I. Background
Plaintiff filed a homeowner’s insurance claim with State Farm for damages resulting from a hail and windstorm which occurred on March 28, 2012. Thereafter, Plaintiff invoked the appraisal provision of the policy,
Decking requirements for roof repairs are governed by the International Residential Code (“IRC”), as adopted by the State of Texas.
On March 5, 2013, Plaintiff filed his original petition, which asserts claims for breach of contract, as well as violations of the bad-faith and prompt-payment-of-claims provisions of the Texas Insurance Code.
II. Initial Matters
As an initial matter, the Court first addresses the parties’ noncompliance with the Federal Rules of Civil Procedure with regard to the instant filings. Rule 7(b)(2) of the Federal Rules of Civil Procedure provides that “[t]he rules governing captions and other matters of form in pleadings apply to motions and other papers.”
Secondly, the Court addresses the continued joinder of Defendant Rolando Renteria in this action. As previously noted, this Court’s jurisdiction was invoked on the basis of the parties’ complete diversity, which in turn was contingent on the assertion of Defendant Rolando Renteria’s improper joinder.
III. Motion for Summary Judgment
Defendant’s motion seeks summary judgment on Plaintiffs breach of contract claim, based on the position that its payment was sufficient in light of contractual provisions described below, and the motion consequently seeks judgment on the remaining claims. In response, Plaintiff contests the Defendant’s motion entirely, and seeks partial summary judgment on the breach of contract claim alone. The Court will utilize the following standard in evaluating the summary-judgment relief requested in each motion.
A. Legal Standard
In a summary judgment analysis under Federal Rule of Civil Procedure 56, the Court considers evidence from the entire record, and views that evidence in the light most favorable to the non-movant.
Viewing, the evidence in that manner, summary judgment is proper where two conditions are met: first, the movant must show that the evidence presents no genuine issues of material fact and, second, the movant is entitled to a judgment as a matter of law.
The movant bears the initial burden of showing the absence of a genuine issue of material fact.
B. Summary Judgment Evidence
Although Plaintiff largely adopts and incorporates the summary-judgment evidence attached to Defendant’s motion for ■summary judgment, Plaintiff objects to the Court’s consideration of certain evidence, specifically Exhibit D, the January-22 letter, and Exhibit H of Defendant’s motion, an appraisal report by Mark West.
C. Breach of Contract Claim
The Court first considers summary judgment as to the breach of contract claim, for which both parties seek summary judgment. “In Texas, the essential elements of a breach of contract claim are: (1) the existence of a valid contract; (2) performance or tendered performance by the plaintiff; (3) breach of the contract by the defendant; and (4) damages sustained by the plaintiff as a result of the breach.”
Appraisal Provision. The appraisal provision of the contract between the parties provides that, upon disagreement as to the amount of loss, either party may demand that the amount of loss be set by the agreement of the party-designated appraisers or, alternatively, by a single par
The purpose of an appraisal clause is to provide a binding, extra-judicial remedy for any disagreement regarding the amount of the loss. Appraisal awards made under the provisions of an insurance contract are binding and enforceable, and a court will indulge every reasonable presumption to sustain an appraisal award. The effect of an appraisal provision is to estop one party from contesting the value of damages in a suit on the insurance contract, leaving only the question of liability for the court.39
The foregoing highlights the limits of the appraisal process as only extending to the amount of loss, but falling short of determining liability for that loss. Indeed, though Plaintiffs response makes much ado about the binding nature of appraisal awards, such awards only speak to the amount of loss. Disputes regarding coverage, such as Defendant’s challenge to the decking-replacement coverage, are not governed by appraisal awards, which “leav[e] ... the question of liability for the court.”
As noted previously, Defendant never challenged the appraisal-determined amount of loss attributable to the solid-decking replacement, but rather challenged its liability for coverage of that loss.
Contractual Interpretation. At the outset, the Court sets forth the relevant principles of interpretation for the purposes of summary judgment, which the Fifth Circuit has broadly explained is precluded only when a choice of reasonable interpretations creates a material fact issue regarding the parties’ intent.
For the purposes of applying those contractual principles, the Court sets out in full the disputed contractual terms, found in the endorsement “Coverage A Loss Settlement Endorsement”
2. Damaged Portions of Dwelling
When the dwelling covered under COVERAGE A — DWELLING is damaged by a Loss Insured we will pay for the increased cost to repair or rebuild the physically damaged portion of the dwelling caused by the enforcement of building, zoning or land use ordinance or law if the enforcement is directly caused by the same Loss Insured and the requirement is in effect at the time the Loss Insured occurs.
3. Undamaged Portions of Damaged Dwelling
When the dwelling covered under COVERAGE A — DWELLING is damaged by a Loss Insured we will also pay for:
c. the legally required changes to the undamaged portion of the dwelling caused by the enforcement of a building, zoning or land use ordinance or law if the enforcement is directly caused by the same Loss Insured and the requirement is in effect at the time the Loss Insured occurs.
4.Building Ordinance or Law Coverage Limitations
b. We will not pay more for loss to the undamaged portion of the dwelling caused by the enforcement of any ordinance or law than:
(1) the depreciated value of the undamaged portion of the dwelling, if the dwelling is not repaired or replaced;
(2) the amount you actually spend to replace the undamaged portion of the dwelling if the dwelling is repaired or replaced.50
As previously noted, the “building, zoning or land use ordinance or law” at issue is found in International Residential Code, as adopted by the State of Texas.
Defendant’s Contractual Compliance. In the motion and response, the parties do not disagree that enforcement is
The crux of these competing contentions is whether the City’s issuance of the letter constitutes enforcement under the contract. The Court finds that the letter does not constitute enforcement, and that the City had not effected enforcement of the requirement such that Defendant is liable for the cost of solid sheathing. In reaching this conclusion, the Court first relies upon contractual language alone. In the contractual provisions for repair to both damaged and undamaged portions of the roof, the contract provides two conditions for Defendant’s liability: (1) enforcement of a building requirement; and (2) existence of the requirement at the time of the loss. By way of evidentiary support that these conditions have been met, the October-24 Letter only evidences the City’s recognition of the existence of the requirement at the time of loss. This interpretation is consistent with the Court’s obligation to give effect to each clause of the contract, since otherwise equating the City’s recognizing the existence of the requirement with the City’s enforcement of the requirement would render the existence condition both duplicative and unnecessary. As a second consideration based solely on the contractual language, the Court finds support in St. Luke’s Episcopal Health System Corporation v. Factory Mutual Insurance Company, a district court decision cited by Defendant in which insurance coverage liability was likewise dependent on enforcement of a building provision.
“Enforcement” is the “carrying out of a mandate or a command.” The phrase “enforcement of a law” focuses not on what the code technically says but on what building officials actually require. The city carries out the “mandate or command” of a code provision by executing building standards and withholding permits for construction in violation of those standards. Here, no positive action was undertaken by city officials, nor was the [plaintiff] sanctioned as a result of the alleged non-compliance.58
As was the case in St. Luke’s, Plaintiff’s allegations are devoid of any instance of the City of Mission taking affirmative action to “carry out the mandate or com
Finally, the foregoing concerns speak to the parties’ contractual intent to avoid a circumstance which would potentially obligate an insurer to make a nearly-$10,000 repair solely based on conjecture of enforcement, rather than actual enforcement. Therefore, the Court finds as a matter of law that Defendant is not liable for the cost of solid decking under the terms of the contract. In turn, Defendant directs the Court to the Fifth Circuit opinion in Blum’s Furniture Co., Inc. v. Certain Underwriters at Lloyds London, which recognized the Texas Supreme Court’s holding that estoppel of a breach of contract claim by appraisal is effective where a defendant can show three elements: (1) the existence and enforceability of an appraisal award; (2) the timely payment of the award; and (3) the acceptance of the appraisal award.
Accordingly, the Court GRANTS the Defendant’s motion for summary judgment as to the contract claim. Since Plaintiffs response only seeks summary judgment in its favor on the breach of contract claim, the Court DENIES Plaintiffs request in its entirety.
D. Extra-Contractual Claims
Violation of Prompt-Payment-of-Claims Requirements. Defendant’s next arguments concern Plaintiffs remaining extra-contractual claims, for violations of Chapters 541 and 542 of the Texas Insurance Code. Of these claims, the Court first addresses Plaintiffs claim for violation of the prompt payment of claims requirements under Chapter 542.
Bad Faith/DTPA Violations. In addition to the claim for breach of contract, Plaintiff asserts that Defendant violated Chapter 541 of the Texas Insurance Code.
In light of the Court’s determination regarding the breach of contract claim, Plaintiffs’ common law or statutory bad faith claims survive the summary analysis only if Plaintiffs raise a genuine issue of material fact as to either of two exceptions recognized in Republic Ins. Co. v. Stoker: (1) the insurer’s failure to timely investigate the insured’s claim; or (2) the insurer’s commission of “some act, so extreme, that would cause injury independent of the policy claim.”
As noted previously, however, Plaintiff has not challenged the applicability of Blum’s Furniture, nor attempted to show an exception under Stoker. Therefore, the Court finds that Plaintiff has failed to raise a genuine issue of material fact for essential elements of his remaining extra-contractual claims. Indeed, Plaintiffs response does not address Defendant’s discussion of the lack of any factual allegations, let alone evidence, beyond the disagreement as to roof-repair coverage. Accordingly, the Court GRANTS summary judgment in Defendant’s favor on Plaintiffs claims under Chapter 541 of the Texas Insurance Code.
IV. Conclusion
For the reasons stated above, the Court GRANTS Defendant’s motion for summary judgment, DENIES the summary-judgment relief requested in Plaintiffs response, and Plaintiffs claims are DISMISSED. A final judgment will issue separately.
IT IS SO ORDERED.
DONE this 21st day of June, 2014, in McAllen, Texas.
. Dkt. No. 14 ("Motion for Summary Judgment”).
. Dkt. No. 15 ("Response”).
. Dkt. No. 16 (“Reply”).
. See Motion for Summary Judgment at p. 4; see also Response, Undisputed Facts at ¶ 4.
. See Motion for Summary Judgment, Attach. 5 (“Appraisal Award”).
. See Motion for Summary Judgment at p. 4 6 Appraisal Award.
. Tex. Loc. Govt. Code § 214.212.
. Motion for Summary Judgment, Attach. 3 (''October-24 letter”).
. See Motion for Summary Judgment, Attach. 6.
. Motion for Summary Judgment, Attach. 4 (''January-22 letter”).
. See Dkt. No. 1, Attach. 3 (‘‘Petition”) at p. 3.
. See Dkt. No. 1 at ¶ 10.
. See Motion for Summary Judgment at I.
. Fed. R. Civ P. 7(b)(2).
. Fed. R. Civ. P. 10(b) (emphasis added).
. See Dkt. No. 1.
. See Dkt. No. 7 at Query 6.
. See Dkt. No. 10 at Query 6.
. See Moore v. Willis Indep. Sch. Dist., 233 F.3d 871, 874 (5th Cir. 2000); see also Fed. R. Civ. P. 56.
. See id.
. See Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986).
. Burrell v. Dr. Pepper/Seven Up Bottling Grp., Inc., 482 F.3d 408, 411 (5th Cir. 2007).
. Fordoche, Inc. v. Texaco, Inc., 463 F.3d 388, 392 (5th Cir. 2006).
. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986).
. See Celotex Corp., 477 U.S. at 323, 106 S.Ct. 2548.
. Gossett v. Du-Ra-Kel Corp., 569 F.2d 869, 872 (5th Cir. 1978).
. See Celotex Corp., 477 U.S. at 323, 106 S.Ct. 2548.
. See id. at 323-25, 106 S.Ct. 2548; see also Transamenca Ins. Co. v. Avenell, 66 F.3d 715, 718-19 (5th Cir. 1995).
. Dkt. No. 1 at III.
. See Exxon Co. U.S.A., Div. of Exxon Corp. v. Banque De Paris Et Des Pays-Bas, 889 F.2d 674, 676 (5th Cir. 1989); see also Erie R.R. Co. v. Tompkins, 304 U.S. 64, 58 S.Ct 817, 82 L.Ed. 1188 (1938).
. Id. (quoting West v. AT & T, 311 U.S. 223, 237, 61 S.Ct. 179, 85 L.Ed. 139 (1940)) (internal quotation marks omitted).
. See Response at p. 2.
. See Response, Undisputed Facts at ¶ 12.
. See Motion for Summary Judgment at p. 5.
. See Response, Exh. 1 ("Black Declaration”) at p. 2.
. Mullins v. TestAmerica, Inc., 564 F.3d 386, 418 (5th Cir. 2009) (quoting Aguiar v. Segal, 167 S.W.3d 443, 450 (Tex.App.-Hous. [14th Dist.] 2005, pet. denied)) (internal quotations omitted).
. See Notice of Removal, Attach. 3 at p. 3.
. See Motion for Summary Judgment, Attach. 1 atp. 33.
. Amine v. Liberty Lloyds of Texas Ins. Co., 01-06-00396-CV, 2007 WL 2264477 (Tex.App.-Houston [1st Dist.] Aug. 9, 2007) (quoting Breshears v. State Farm Lloyds, 155 S.W.3d 340, 344 (Tex.App.-Corpus Christi 2004, pet. denied)) (citing In re Allstate Cty. Mut. Ins. Co., 85 S.W.3d 193, 195 (Tex. 2002)); Franco v. Slavonic Mut. Fire Ins. Ass'n, 154 S.W.3d 777, 786 (Tex.App.-Houston [14th Dist.] 2004, no pet.) (internal quotations omitted).
. Lundstrom v. United Servs. Auto. Ass’n., 192 S.W.3d 78, 87 (Tex.App.-Hous. [14th Dist.] 2006, pet denied).
. Motion for Summary Judgment, Attach. 5.
. See fns. 7-9, supra.
. Gonzalez v. Denning, 394 F.3d 388, 392 (5th Cir. 2004) (per curiam).
. Gonzalez, 394 F.3d at 392 (quoting Amoco Prod. Co. v. Texas Meridian Res. Exploration, Inc., 180 F.3d 664, 669 (5th Cir. 1999))
. Int’l Turbine Servs., Inc. v. VASP Brazilian Airlines, 278 F.3d 494, 497 (5th Cir. 2002)
. Id.
. See Friendswood Dev. Co. v. McDade & Co., 926 S.W.2d 280, 282 (Tex. 1996).
. Hermann Holdings Ltd. V. Lucent Technologies, 302 F.3d 552, 559-560 (5th Cir. 2002) (citing Balandran v. Safeco Ins. Co. of Am., 972 S.W.2d 738, 741 (Tex. 1998) (“Our primary goal ... is to give effect to the written expression of the parties’ intent. We must read all parts of the contract together, striving to give meaning to every sentence, clause, and word to avoid rendering any portion inoperative.’’ (internal citations omitted))).
. See Motion for Summary Judgment, Exh. B ("Endorsement”).
. Endorsement at pp. 3-4.
. See Tex. Loc. Govt. Code § 214.212.
. See Motion for Summary Judgment at p. 7.
. Id.
. See October-24 Letter at p. 1.
. See Response at ¶ 11.
. See id.
. No. H-03-5534, 2007 WL 1217763 (S.D.Tex. Apr. 24, 2007).
. Id. at *2 (citing BLACK’S LAW DICTIONARY 528 (6th ed. 1990)) (internal citations omitted).
. See Black Declaration at p. 2.
. Galindo v. Precision Am. Corp., 754 F.2d 1212, 1216 (5th Cir. 1985).
. Blum's Furniture Co., Inc. v. Certain Underwriters at Lloyds London, 459 Fed.Appx. 366, 368 (5th Cir. 2012) (citing Blum's Furniture Co. v. Certain Underwriters at Lloyds London, 2011 WL 819491, *1, *3 (S.D.Tex. 2011) (quoting Franco v. Slavonic Mut. Fire Ins. Ass’n, 154 S.W.3d 777, 787 (Tex.App.-Houston [14th Dist.] 2004)) (internal quotations omitted) (''[W]hen an insurer makes timely payment of a binding and enforceable appraisal award, and the insured accepts the payment, the insured is estopped by thé appraisal award from maintaining a breach of contract claim against [the insurer].”)).
. See Petition at V.B.
. See Response at pp. 4-8.
. See Petition at V.C.
. Liberty Nat. Fire Ins. Co. v. Akin, 927 S.W.2d 627, 629 (Tex. 1996) (citing Republic Ins. Co. v. Stoker, 903 S.W.2d 338, 341 (Tex. 1995); Transportation Ins. Co. v. Moriel, 879 S.W.2d 10, 17 (Tex. 1994)).
. Texas Mut. Ins. Co. v. Sara Care Child Care Ctr., Inc., 324 S.W.3d 305, 317 (Tex.App.-El Paso 2010, review denied) (citing Progressive County Mut. Ins. Co. v. Boyd, 177 S.W.3d 919, 922-23 (Tex. 2005) (per curiam)).
. See Higginbotham v. State Farm Mut. Auto. Ins. Co., 103 F.3d 456, 460 (5th Cir. 1997).
. Republic Ins. Co. v. Stoker, 903 S.W.2d 338, 341 (Tex. 1995).
. See Blum’s Furniture Co., 459 Fed.Appx. at 369 (affirming summary judgment on that basis as to the breach of contract and extra-contractual claims) (citing Akin, 927 S.W.2d at 629; Stoker, 903 S.W.2d at 341).
Reference
- Full Case Name
- Kenneth TONEY v. STATE FARM LLOYDS
- Status
- Published