AM Grand Court Lakes LLC v. Rockhill Insurance Company

68 F.4th 1354
CourtCourt of Appeals for the Eleventh Circuit
DecidedJune 5, 2023
Docket20-13954
StatusPublished
Cited by1 cases

This text of 68 F.4th 1354 (AM Grand Court Lakes LLC v. Rockhill Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
AM Grand Court Lakes LLC v. Rockhill Insurance Company, 68 F.4th 1354 (11th Cir. 2023).

Opinion

USCA11 Case: 20-13954 Document: 53-1 Date Filed: 06/05/2023 Page: 1 of 23

[PUBLISH] In the United States Court of Appeals For the Eleventh Circuit

____________________

No. 20-13954 ____________________

AM GRAND COURT LAKES LLC, AM 280 SIERRA DRIVE LLC, Plaintiffs-Counter Defendants-Appellees, versus ROCKHILL INSURANCE COMPANY,

Defendant-Counter Claimant-Appellant.

Appeal from the United States District Court for the Southern District of Florida D.C. Docket No. 1:18-cv-23576-KMW ____________________ USCA11 Case: 20-13954 Document: 53-1 Date Filed: 06/05/2023 Page: 2 of 23

2 Opinion of the Court 20-13954

Before JILL PRYOR, NEWSOM, and GRANT, Circuit Judges. JILL PRYOR, Circuit Judge: AM Grand Court Lakes LLC and AM 280 Sierra Drive LLC (collectively “AM Grand”) owned a group of buildings that were operated as an assisted living facility. AM Grand submitted a claim to its insurer, Rockhill Insurance Company, for damage caused by Hurricane Irma. Rockhill denied the claim because it determined that the hurricane caused only minor damage to the property and the cost of any repairs was less than the insurance policy’s deducti- ble. AM Grand sued Rockhill for breach of the policy. The case went to trial, where a jury found that Rockhill had breached the terms of the insurance policy and that AM Grand’s covered losses amounted to $9,280,000. Based on the jury’s findings, the district court entered judgment in AM Grand’s favor. After the district court entered judgment, Rockhill filed a motion for a new trial ar- guing that the jury’s damages award was excessive. The district court denied the motion. Rockhill argues on appeal that the district court erred in denying its motion for a new trial because there was no evidence in the record to support the jury’s finding that AM Grand sustained a loss of $9,280,000. After careful consideration, and with the ben- efit of oral argument, we conclude that the evidence was sufficient to sustain the verdict. Thus, we affirm. USCA11 Case: 20-13954 Document: 53-1 Date Filed: 06/05/2023 Page: 3 of 23

20-13954 Opinion of the Court 3

I. A. AM Grand owned property in Miami Gardens, Florida, which it operated as an assisted living facility. The facility com- prised five buildings, each of which was five stories tall. The build- ings were connected by a series of catwalks. There were about 200 residential units at the facility. The facility also included a dining room, an activity center, and nursing stations. All together, the fa- cility totaled approximately 165,000 square feet. AM Grand insured the property against certain losses, in- cluding losses due to hurricanes. Under the insurance policy’s terms, Rockhill was required to “pay for direct physical loss of or damage to” the property. Doc. 203-2 at 30. 1 The maximum cover- age under the policy was $15,112,500. For claims arising out of damage caused by a hurricane, the policy had a deductible of $330,250, which represented two percent of the total insured value. On September 10, 2017, Hurricane Irma made landfall. In the area near the facility, the storm produced heavy rain and wind gusts of over 100 miles per hour. According to Jonathan Kirschner, who was responsible for overseeing the property for AM Grand, the five buildings were in good condition before the hurricane. Alt- hough parts of some of the buildings previously had sustained

1 “Doc.” numbers refer to the district court’s docket entries. USCA11 Case: 20-13954 Document: 53-1 Date Filed: 06/05/2023 Page: 4 of 23

4 Opinion of the Court 20-13954

water damage, Kirschner reported that AM Grand had repaired this damage before the hurricane. After the storm, Kirschner visited the property and saw that it had suffered substantial damage. He observed that portions of the roofs on two of the buildings (Buildings B and D) “had been pulled up” in the storm and were missing. Doc. 270-3 at 25–26. To keep additional water from permeating these buildings due to the roof damage, AM Grand hired a contractor who performed tem- porary repairs to the roof of Building D and potentially also Build- ing B.2 AM Grand notified Rockhill that the property had sustained damage in Hurricane Irma and submitted a claim for the damage. AM Grand hired a public insurance adjuster, Five Star Claims Ad- justing, to assist with its claim. After inspecting the property, Five Star concluded that the roofs of all five buildings had been damaged in the hurricane and needed to be replaced. It estimated a cost of approximately $1,200,000 to replace all the roofs. Because AM Grand could not afford to replace the roofs, it waited for Rockhill to approve its claim. Rockhill hired an independent adjusting firm, Engle Martin, to review AM Grand’s claim. Colby Chavers, an Engle Martin

2 There is conflicting evidence in the record about whether temporary repairs were made to the roof of Building B. Several witnesses testified at trial that temporary repairs were made to the roof of Building D only. But at least one witness reported that temporary repairs were made to the roof of Building B as well. USCA11 Case: 20-13954 Document: 53-1 Date Filed: 06/05/2023 Page: 5 of 23

20-13954 Opinion of the Court 5

employee, was assigned the claim. Chavers’s role was to determine the extent of the damage caused by the hurricane and estimate how much it would cost to repair the damage. Shortly after the storm, he visited the property and conducted a physical inspection. From his inspection, Chavers determined that the only damage from the storm was to a portion of the roof of Building D. When he in- spected the buildings, Chavers saw some evidence of water dam- age inside the buildings. But he concluded that this water damage had occurred over time before Hurricane Irma. In addition, Rockhill hired third-party experts to evaluate the scope of the damage caused by the hurricane.3 Engle Martin engaged Timothy Philmon from Donan Engineering and Mason Mitchell from the Tines Group. About three months after the hur- ricane, Philmon and Mitchell inspected the property, including the roofs and some interior areas of the buildings. After this physical inspection, Philmon determined that the damage from Hurricane Irma was confined to Building D and that only a portion of Building D’s roof needed to be repaired. Philmon found “no interior or structural damage” to Building D from the hurricane. Doc. 270-3 at 162. Philmon admitted that he saw “severe deterioration” of parts of Building B’s roof, id. at 180, but he con- cluded that this deterioration was the result of regular “wear and tear” that occurred before Hurricane Irma. Doc. 270-4 at 34–35.

3 AM Grand does not dispute that the policy permitted Rockhill to retain these additional experts. USCA11 Case: 20-13954 Document: 53-1 Date Filed: 06/05/2023 Page: 6 of 23

6 Opinion of the Court 20-13954

Mitchell prepared an estimate of the cost of these repairs. He estimated that it would cost approximately $149,000 to repair the portions of Building D’s roof that Philmon determined had been damaged in the hurricane. 4 Based on this estimate and the cost of the temporary repairs that AM Grand had already completed for Building D, Rockhill de- termined that AM Grand sustained a loss of $235,556.80 due to the hurricane. Because this amount was less than the policy’s hurricane deductible, Rockhill concluded that it owed nothing under the pol- icy. In May 2018, approximately eight months after the hurricane, Rockhill notified AM Grand of its decision. AM Grand maintains that while it was awaiting Rockhill’s decision, the condition of the buildings deteriorated. According to Kirschner, moisture damage began to appear inside the buildings. AM Grand’s maintenance department tried to make repairs. But the moisture damage kept recurring, requiring additional repairs.

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Bluebook (online)
68 F.4th 1354, Counsel Stack Legal Research, https://law.counselstack.com/opinion/am-grand-court-lakes-llc-v-rockhill-insurance-company-ca11-2023.