American Manufacturers Mutual Insurance v. Osborn

104 Wash. App. 686
CourtCourt of Appeals of Washington
DecidedFebruary 2, 2001
DocketNo. 25637-1-II
StatusPublished
Cited by24 cases

This text of 104 Wash. App. 686 (American Manufacturers Mutual Insurance v. Osborn) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Manufacturers Mutual Insurance v. Osborn, 104 Wash. App. 686 (Wash. Ct. App. 2001).

Opinion

Seinfeld, J.

Lora Osborn appeals the trial court’s summary judgment dismissing her bad faith and Consumer Protection Act (CPA) claims against American Manufacturers Mutual Insurance Company (AMMI). She alleges that there are questions of fact as to whether the insurer acted [690]*690in bad faith and she requests sanctions against the insurer for citing a Court of Appeals case that the Supreme Court had reversed. We affirm.

FACTS

On December 7,1992, a fire damaged Osborn’s residence. AMMI had issued an insurance policy that covered the loss. The policy provided that in the event the parties could not agree as to the amount of the loss, either party could petition for an appraisal.1

AMMI assigned adjuster Paul Brown to Osborn’s claim. Brown contacted Osborn on the day of the fire and visited the residence the following day, at which time Osborn authorized Crystal Clean Care to begin cleaning and itemizing her personal property. Brown visited the residence again on December 9, and Osborn authorized Mt. Hood Cleaners to inspect, inventory, and clean the clothing that had been in the residence during the fire.

Brown also had Lay’s Construction prepare a bid for building repairs. Lay’s Construction estimated that the cost to repair the building would be $20,895.30, and Brown estimated that the repairs would take about 60 days. Brown and Osborn discussed the coverage of her additional living expenses during that 60-day period.

On December 17, Osborn retained the Kaye Company, a firm of public adjusters, to assist with her claim. Shortly thereafter, she instructed Crystal Clean Care to discontinue cleaning her personal property and refused to allow Lay’s Construction to repair the residence.

In January 1993, Brown told Carol Portalski of the Kaye Company that AMMI would pay Osborn’s additional living expenses for the previous month and for the time it took to complete the repairs if Osborn would immediately authorize repairs. A few days later, he sent a follow-up letter to Osborn with a proof of loss form enclosed. He asked her to [691]*691complete and return the form within 60 days.

Six days later, Brown met with Osborn and a Kaye Company representative. Apparently at the direction of Roger Howson of the Kaye Company, Osborn refused to authorize the cleaning of the residence and instead insisted that the interior be completely gutted and replaced. She also refused to give Brown a statement, apparently on Howson’s advice.

On February 1, 1993, Osborn contacted Brown and asked when the repairs would start. In response to Brown’s explanation that she had refused to allow the repairs, Osborn again said that the house was ruined and that Brown’s recommended repairs would not be adequate. Three days later, Howson wrote to Brown and informed him that Osborn had retained a new firm of public adjusters. Howson also confirmed that Osborn had requested an appraisal pursuant to the terms of the insurance contract.

In February, Brown again asked Osborn for authority to begin repairs but told her that AMMI would consider only “normal and recognized repair [and] restoration cleaning techniques.” Clerk’s Papers (CP) at 36. Brown reiterated that he had obtained a repair bid for $20,895.30 and that the repairs would take approximately 60 days.

Brown recommended that Osborn obtain her own bids if she was not satisfied with the bid from Lay’s Construction. He stated that AMMI was willing to review such bids and any proposed procedures and come to a compromise. He also informed Osborn that any delay in cleaning and repairs might cause additional damage to her property and violate her obligation to protect her property and mitigate her loss.

Brown asked Osborn to respond to his letter and to allow the cleaning and repairs to start or face suspension of her coverage for additional living expenses and for additional damage caused by the delay. Osborn again refused to allow the repairs to proceed.

Brown contacted Osborn’s new public adjuster, Wayne [692]*692Magnoni, on February 9. Magnoni had not yet received Osborn’s file from the Kaye Company and did not have any bids or estimates to submit but he asserted that the repairs did not need to commence until after Osborn submitted her proof of loss form, which was not yet due. Magnoni requested that AMMI extend Osborn’s additional living expense coverage until after Osborn submitted her proof of loss form and there was time for “reasonable repair.” Magnoni said that if AMMI disputed any delay, they could resolve the issue in appraisal. Magnoni also informed Brown that he would be unavailable until February 21 and that he hoped to review the Kaye Company file when he returned.

Brown, Osborn, and Magnoni met on March 11, 1993, to review the damage to the residence. Osborn again objected to the bid Brown had obtained, asserting that the residence needed more than cleaning. But she still did not have a written estimate or repair bid; she merely informed Brown that her neighbor said he could perform the repairs for $60,000.

Osborn submitted her proof of loss form a week later. There was no supporting documentation for her figures but she stated that a “letter of explanation” would follow. Osborn indicated a $50,000 actual cash value (ACV) and $65,327.49 replacement cost value (RCV) loss on the building and over $100,000 ACV and RCV on her personal property.

Magnoni wrote to Brown on March 23, complaining that AMMI had not allowed Osborn additional time to complete the proof of loss form. Later that same week, Brown told Magnoni that AMMI was rejecting the proof of loss and, on April 14, Brown notified Osborn by letter that AMMI had rejected her proof of loss because there was insufficient documentation of the claimed amounts and because AMMI disagreed with those amounts. Brown agreed that there should be an appraisal to resolve the matter.

On April 20, Magnoni informed Brown by letter that Osborn would not agree to an appraisal because AMMI’s [693]*693rejection of her proof of loss was four days late. Magnoni reasserted this position in letters dated May 4 and May 13, 1993.

In his April 20 letter, Magnoni apparently included a copy of a county record indicating that the residence had an assessed value of $166,000; a copy of a comparative market analysis indicating a market value of $165,000 to $172,000; and a copy of an offer from a local contractor to buy the property in its present condition for $110,000.2 Magnoni stated that Osborn had independently obtained the building loss estimate she used on the proof of loss form from a contractor but did not supply a written estimate. Osborn had personally performed the majority of the personal property inventory and valuation; the Kaye Company, however, had provided some of the clothing prices without Osborn’s review. Magnoni claimed that the time constraints that Brown imposed forced Osborn to submit evaluations performed in that manner.

AMMI decided to pursue the appraisal and, apparently because Osborn resisted the process, petitioned on July 15, 1993, for the appointment of an umpire. On July 30, Osborn’s attorney requested a postponement of the hearing on this petition. Soon after filing the petition, AMMI issued checks to Osborn for the undisputed amounts of her losses.

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Bluebook (online)
104 Wash. App. 686, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-manufacturers-mutual-insurance-v-osborn-washctapp-2001.