Alice Ward Valdivieso v. Citizens Property Insurance Corporation

CourtDistrict Court of Appeal of Florida
DecidedMarch 6, 2024
Docket2022-2137
StatusPublished

This text of Alice Ward Valdivieso v. Citizens Property Insurance Corporation (Alice Ward Valdivieso v. Citizens Property Insurance Corporation) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Alice Ward Valdivieso v. Citizens Property Insurance Corporation, (Fla. Ct. App. 2024).

Opinion

Third District Court of Appeal State of Florida

Opinion filed March 6, 2024. Not final until disposition of timely filed motion for rehearing.

________________

No. 3D22-2137 Lower Tribunal No. 18-23350 ________________

Alice Ward Valdivieso, et al., Appellants,

vs.

Citizens Property Insurance Corporation, Appellee.

An Appeal from the Circuit Court for Miami-Dade County, Oscar Rodriguez-Fonts, Judge.

Giasi Law, P.A., and Melissa A. Giasi and Erin M. Berger (Tampa); Law Offices of Christopher F. Zacarias, P.A., and Christopher F. Zacarias, for appellants.

Dean, Ringers, Morgan & Lawton, P.A., and Jessica C. Conner (Orlando), for appellee.

Before SCALES, LINDSEY, and LOBREE, JJ.

SCALES, J. In this first-party insurance case, appellants Alice Ward Valdivieso and

Vincent Valdivieso (“Insureds”) appeal a November 20, 2021 final order that:

(i) denied Insureds’ motion for attorney’s fees under section 627.428 of the

Florida Statutes (2017),1 and (ii) entered final summary judgment in favor of

appellee Citizens Property Insurance Corporation (“Citizens”) on Insureds’

underlying claim to compel Citizens’s participation in the appraisal process.

Both determinations were based on the trial court’s determination that

Insureds had prematurely filed their lawsuit while Citizens was actively

participating in the appraisal process in compliance with the subject policy’s

appraisal clause. We affirm the challenged order.

I. RELEVANT FACTS AND PROCEDURAL BACKGROUND

1 Section 627.428 provided, in relevant part:

(1) Upon the rendition of a judgment . . . by any of the courts of this state against an insurer and in favor of any named . . . insured . . . under a policy . . . executed by the insurer, the trial court . . . shall adjudge . . . against the insurer and in favor of the insured . . . a reasonable sum as fees or compensation for the insured’s . . . attorney prosecuting the suit in which the recovery is had.

§ 627.428(1), Fla. Stat. (2017). Effective March 24, 2023, the Florida Legislature repealed section 627.428. See Ch. 2023-15, § 11, Laws of Fla.

2 In September 2017, Insureds, whose home was insured by Citizens,

made a claim after their home was damaged by Hurricane Irma. After

Citizens adjusted the loss and issued a partial loss payment, Insureds

provided Citizens with their own repair estimate and requested that Citizens

reevaluate their claim. Citizens did so and issued a second loss payment.

Insureds’ attorney, on Insureds’ behalf, then sent Citizens a May 16, 2018

letter demanding the matter go to appraisal pursuant to the policy’s appraisal

clause.2 In response to Insureds’ letter, Citizens requested that Insureds

provide a sworn proof of loss before going to appraisal, and, consistent with

the appraisal clause, Citizens chose its appraiser. Citizens also sent a June

2 The policy’s appraisal clause provided, in relevant part, as follows:

2. Appraisal.

Appraisal is an alternate dispute resolution method to address and resolve disagreement regarding the amount of the covered loss.

a. If you and we fail to agree on the amount of loss, either party may demand an appraisal of the loss. If you or we demand appraisal, the demand for appraisal must be in writing and shall include an estimate of the amount of any dispute that results from the covered cause of loss. . . .

b. In this event, each party will choose a competent appraiser within 20 days after receiving a written demand from the other.

3 21, 2018 letter to Insureds acknowledging Insureds’ appraisal demand and

naming Citizens’s appraiser. Apparently, Insureds did not receive this letter.

On July 10, 2018, Insureds filed the instant action in the Miami-Dade

County Circuit Court, alleging that Citizens had failed to comply with the

policy’s appraisal clause. Insureds’ complaint sought both specific

performance (i.e., to compel Citizens to go to appraisal) and attorney’s fees

under section 627.428. On October 1, 2018, Citizens filed an answer denying

Insureds’ allegations and, as it second affirmative defense, alleged that

Citizens had both acknowledged Insureds’ appraisal demand and was

actively participating in the appraisal process when Insureds filed their

lawsuit. That same day, Citizens filed a motion below to compel appraisal.

On October 24, 2018, the trial court entered an agreed order staying

the litigation and compelling appraisal. On December 17, 2018, an appraisal

award was entered that resulted in Citizens issuing an additional loss

payment to Insureds. The parties then took separate actions to resolve this

litigation. Insureds filed a motion for section 627.428 attorney’s fees (“Fees

Motion”), claiming that the trial court should view Citizens’s payment of the

appraisal award as the functional equivalent of a confession of judgment 3

3 See State Farm Fla. Ins. Co. v. Lorenzo, 969 So. 2d 393, 397 (Fla. 5th DCA 2007) (“The confession of judgment doctrine turns on the policy underlying section 627.428: discouraging insurers from contesting valid claims and

4 because filing suit was purportedly Insureds’ only recourse to compel an

appraisal. Whereas Citizens moved for summary judgment, alleging that (i)

attorney’s fees were not awardable because there was no breakdown in the

claims process that served as the catalyst for Insureds’ filing their lawsuit,4

and (ii) Citizens had timely complied with the policy’s appraisal clause and

made a loss payment per the policy’s terms.

Without objection, the trial court conducted a hearing on the parties’

competing motions that was both evidentiary (as to Insureds’ Fees Motion)

and non-evidentiary (as to Citizens’s summary judgment motion) in nature.

At this hearing, as it related to the Fees Motion, the trial court heard

testimony from Citizens’s corporate representative who testified that Citizens

had chosen its appraiser on May 24, 2018, eight days after Citizens received

Insureds’ written appraisal demand. Citizens’s corporate representative also

testified that Citizens had mailed the June 21, 2018 appraisal

acknowledgment letter to Insureds. Insureds’ former attorney, who also

reimbursing insureds for attorney’s fees when they must sue to receive the benefits owed to them.”). 4 See Hill v. State Farm Fla. Ins. Co., 35 So. 3d 956, 960 (Fla. 2d DCA 2010) (“It is only when the claims adjusting process breaks down and the parties are no longer working to resolve the claim within the contract, but are actually taking steps that breach the contract, that the insured may be entitled to an award [of] fees under section 627.428, Florida Statutes (2004).”).

5 testified at the hearing, acknowledged that she and Citizens’s adjuster had

discussions as late as June 20, 2018, pertaining to Citizens’s request that

Insureds provide a sworn proof of loss before proceeding to appraisal. 5

Documents introduced into evidence at the hearing confirmed the attorney’s

testimony.

After hearing evidence with respect to Insureds’ Fees Motion, the trial

court then heard only legal argument on Citizens’s summary judgment

motion. The trial court adjourned the hearing without issuing a ruling.

On November 20, 2021, the trial court entered the challenged order

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Related

Hill v. State Farm Florida Insurance Co.
35 So. 3d 956 (District Court of Appeal of Florida, 2010)
US Fidelity & Guar. Co. v. Romay
744 So. 2d 467 (District Court of Appeal of Florida, 1999)
STATE FARM FLORIDA INS. CO. v. Lorenzo
969 So. 2d 393 (District Court of Appeal of Florida, 2007)
Citizens Property Insurance Corp. v. Mango Hill Condominium Ass'n 12
54 So. 3d 578 (District Court of Appeal of Florida, 2011)

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Alice Ward Valdivieso v. Citizens Property Insurance Corporation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/alice-ward-valdivieso-v-citizens-property-insurance-corporation-fladistctapp-2024.