Acuity Insurance v. a Maxon and Weatherspoon

2024 S.D. 53
South Dakota Supreme Court·Decided September 4, 2024·No. 30463·Published

Opinion

#30463-a-MES 2024 S.D. 53

IN THE SUPREME COURT

OF THE

STATE OF SOUTH DAKOTA

****

ACUITY, A MUTUAL INSURANCE COMPANY, Plaintiff and Appellee,

v.

A MAXON COMPANY, LLC, Defendant, and GREG AND TAMMY WEATHERSPOON, Defendants and Appellants.

****

APPEAL FROM THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT CORSON COUNTY, SOUTH DAKOTA

****

THE HONORABLE GORDON SWANSON Retired Judge

****

NATHAN R. CHICOINE of DeMersseman, Jensen, Tellinghuisen & Huffman, LLP Rapid City, South Dakota Attorneys for defendants and appellants.

MARK J. ARNDT TYLER A BRADLEY of Evans, Haigh & Arndt, LLP Sioux Falls, South Dakota Attorneys for plaintiff and appellee.

****

CONSIDERED ON BRIEFS

APRIL 23, 2024

OPINION FILED 09/04/24

SALTER, Justice [¶1.] Following a fire that damaged a malt beverage store owned by A Maxon Company, LLC (AMC), Acuity Insurance Company brought a declaratory judgment action to determine a question of coverage under the terms of an insurance policy, which listed Greg and Tammy Weatherspoon as additional loss payees. In a counterclaim, the Weatherspoons alleged a breach of contract. At trial, the circuit court granted Acuity’s motion for judgment as a matter of law with respect to the Weatherspoons’ counterclaim based upon the court’s determination that the terms of the insurance policy prevented the Weatherspoons from recovering damages unless AMC successfully asserted a claim for coverage. The jury ultimately determined that AMC principal, Russel Maxon, had intentionally started the fire, which, in turn, meant that coverage was excluded under AMC’s policy. The Weatherspoons appeal, challenging the court’s decision to grant the motion for judgment as a matter of law as well as two evidentiary rulings made during trial. We affirm.

Factual and Procedural Background [¶2.] The Weatherspoons originally owned and operated T-Spoons, a malt beverage store in McLaughlin. In July 2017, they entered into a contract for deed to sell T-Spoons to Russel and Tracy Maxon. The Maxons purchased the property through their company, AMC, and began operating T-Spoons. Pursuant to the contract for deed, the Maxons were required to insure the property and list the Weatherspoons as loss payees. AMC purchased property coverage under a commercial general liability insurance policy issued by Acuity in August 2017.

[¶3.] The insurance contract contained a “Loss Payable Clauses” endorsement that governed Acuity’s obligation to pay listed loss payees who were not insureds, like the Weatherspoons, in the event of a loss. The Loss Payable Clauses endorsement delineated four individual clauses that addressed specific loss payable situations: 1) the Loss Payable Clause, 2) the Lender’s Loss Payable Clause, 3) the Contract of Sale Clause, and 4) the Building Owner Loss Payable Clause. Also included was a schedule that listed the Weatherspoons as loss payees and designated their “applicable clause” as the “Loss Payable” clause, the first of the four individual clauses listed in the Loss Payable Clauses endorsement. [¶4.] On April 15, 2018, the T-Spoons building was damaged by a fire that originated in the basement. Acuity hired Chris Rallis to investigate the fire. Rallis concluded that the fire was intentionally set and believed Russel had started it because Russel was the only person who had access to the building immediately prior to the fire. Rallis reasoned, though not noted in his investigation report, that Russel had a motive to start the fire because AMC was struggling financially. Beer distributors had stopped delivering to T-Spoons because the Maxons had written bad checks, and Russel had supplied T-Spoons with inventory by purchasing beer from a retail source. Special Agent Derek Hill of the Bureau of Alcohol, Tobacco, and Firearms (ATF) also conducted an investigation and determined the fire was intentionally started by Russel. [¶5.] Following the fire, the Weatherspoons filed a proof of loss with Acuity in an effort to claim damages relating to the T-Spoons fire. However, Acuity denied the claim, reasoning that the Weatherspoons’ ability to collect, as loss payees, was

dependent on whether AMC could make a compensable claim. AMC had not made a claim initially, though it later made a claim on July 31, 2020, over two years after the fire. [¶6.] After Acuity denied the Weatherspoons’ claim, it commenced this declaratory judgment action in December 2018, naming the Weatherspoons and AMC as defendants. The Weatherspoons filed an answer and counterclaim alleging that Acuity breached the insurance contract by not paying damages to the Weatherspoons as loss payees. AMC was initially represented by counsel, but its attorney later withdrew. AMC has been unrepresented and has not participated in the litigation since that time. See Smith v. Rustic Home Builders, LLC, 2013 S.D. 9, ¶¶ 7–8, 826 N.W.2d 357, 359–60 (holding that corporations and limited liability companies may not appear pro se without a licensed attorney); but see SDCL 15-39- 47 (providing a limited exception in small claims actions). [¶7.] The Weatherspoons filed a motion for summary judgment, arguing that “[n]o genuine issue of material fact exists that [the Weatherspoons] are Loss Payees under the insurance policy subject to this action, and the Weatherspoons are entitled to judgment declaring their right to coverage as a matter of law.” They also argued the insurance contract language surrounding the different loss payable clauses was ambiguous and that two of the individual clauses under the Loss Payable Clauses endorsement were at odds. The first clause among the four, designated as the Loss Payable Clause, did not appear to allow a loss payee to seek payment for a loss, but the second individual clause, the Lender’s Loss Payable

Clause, did because it specifically allows loss payees to make their own claim for coverage if the insured did not. [¶8.] In its response to the Weatherspoons’ motion for summary judgment, Acuity argued that the contract language made it clear that “the Weatherspoons’ rights are only equal to the rights of the policy holder, [AMC].” Acuity further argued that because AMC had not made a claim for damages, the Weatherspoons were not able to pursue loss benefits under the insurance contract. As support, Acuity cited the language of the individual Loss Payable Clause which provided that Acuity would first “adjust the loss” with AMC and then “[p]ay any claim for loss or damage jointly to [AMC] and the loss payee, as interests may appear.” (Emphasis added.) Pointing to the schedule appearing after the Loss Payable Clauses endorsement, Acuity noted that the only clause listed under “Applicable Clause” was the Loss Payable Clause and not the Lender’s Loss Payable Clause that the Weatherspoons hoped to invoke. [¶9.] In addition, Acuity claimed that even if AMC had made a claim—and it eventually did—there could be no joint payment with AMC and the Weatherspoons because the claim would be denied under a “Dishonest or Criminal Act Exclusion” included within the insurance contract. Acuity argued that because Russel intentionally started the fire, coverage for the loss was excluded. [¶10.] The circuit court denied the Weatherspoons’ motion for summary judgment. The court concluded the insurance contract was unambiguous and that the Weatherspoons were not entitled to benefits under the contract because AMC had not submitted a claim for benefits.

Free access — add to your briefcase to read the full text and ask questions with AI

Acuity Insurance v. a Maxon and Weatherspoon, 2024 S.D. 53 (S.D. 2024).

2024 S.D. 53 (Acuity Insurance v. a Maxon and Weatherspoon) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Smith v. Rustic Home Builders, LLC
2013 S.D. 9 (South Dakota Supreme Court, 2013)
Johnson v. Albertson's
2000 SD 47 (South Dakota Supreme Court, 2000)
Tosh v. Schwab
2007 SD 132 (South Dakota Supreme Court, 2007)
Hercules Inc. v. AIU Insurance
783 A.2d 1275 (Supreme Court of Delaware, 2000)
State v. Black Cloud
2023 S.D. 53 (South Dakota Supreme Court, 2023)
Estate of Tank
998 N.W.2d 109 (South Dakota Supreme Court, 2023)
Sedlacek v. Prussman Contracting, Inc.
941 N.W.2d 819 (South Dakota Supreme Court, 2020)
Western Agricultural Ins. Co. v. Arbab-Azzein
940 N.W.2d 865 (South Dakota Supreme Court, 2020)
State v. Little Long
962 N.W.2d 237 (South Dakota Supreme Court, 2021)
Powers v. Turner County Board of Adjustment
983 N.W.2d 594 (South Dakota Supreme Court, 2022)
Suvada v. Muller
983 N.W.2d 548 (South Dakota Supreme Court, 2022)