Anthon Minor Ltd v. State Automobile Mutual Insurance Company

CourtDistrict Court, W.D. Texas
DecidedJanuary 20, 2023
Docket5:21-cv-01180
StatusUnknown

This text of Anthon Minor Ltd v. State Automobile Mutual Insurance Company (Anthon Minor Ltd v. State Automobile Mutual Insurance Company) is published on Counsel Stack Legal Research, covering District Court, W.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Anthon Minor Ltd v. State Automobile Mutual Insurance Company, (W.D. Tex. 2023).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF TEXAS SAN ANTONIO DIVISION

ANTHON MINOR, LTD.,

Plaintiff,

v. Case No. SA-21-CV-01180-JKP

STATE AUTOMOBILE MUTUAL IN- SURANCE COMPANY,

Defendant.

MEMORANDUM OPINION AND ORDER Before the Court is Defendant State Automobile Mutual Insurance Company’s (State Au- to) Motion for Summary Judgment. ECF Nos. 24,28,32. Plaintiff Anthon Minor, Ltd. (Minor Ltd.) responded. ECF Nos. 26,31. Upon consideration, the Court concludes the Motion shall be DENIED.

Undisputed Factual Background State Auto issued to Minor Ltd. an insurance policy (the “Policy”) on commercial proper- ty, with a policy period effective from November 28, 2019, to November 28, 2020 (the “Policy Period”). The Policy covered direct physical loss or damage to Minor Ltd.’s commercial proper- ty located at 7876 IH 35 North, San Antonio, Texas 78218 (the “Property”) for damage caused by wind, hail, and water, unless otherwise excluded. Prior to issuance of the Policy, Minor Ltd. entered a long-term lease agreement with a tenant on October 7, 2006. A wind and hail storm occurred in the area of the Property on May 27, 2020. On February 9, 2021, Minor Ltd. notified State Auto of damage to the Property that it alleged was caused by this May 2020 storm. State Auto acknowledged receipt of this notice the same day. Also on the same day, State Auto received an email from Minor Ltd.’s independent adjuster, Blackstone Claim Services, Inc. (“Blackstone”). On February 9 and 10, 2021, State Au- to initiated its investigation and communicated with Edward Camis, Blackstone’s desk adjuster,

to discuss Minor Ltd.’s insurance claim and to schedule an inspection of the Property. State Auto also retained Senior Engineer, Eric Moody, who, on April 15, 2021, performed his forensic engi- neering inspection of the Property with Matthew Tomarchio of State Auto. Moody investigated for hail or wind damage to the Property’s metal, single-ply membrane and clay tile roofs, as well as for the source of any water damage to the interior wall, ceiling drywall, and floor coverings. Following his inspection, Moody completed a report, in which he noted the weather data con- firmed the Property encountered hail the size of 3.25 inch diameter on April 12, 2016, and hail the size of 1.00 inch diameter on May 27, 2020. Moody concluded: 1. According to the available severe weather from the weather data noted above, the Property was located in an area that incurred significant hailstone impacts on May 12, 2016. In this well publicized storm, the Property likely received approximately 2.10 – 3.25 inch diameter hail. The noted distress in localized areas of the single-ply roofing membrane and clay tile roofing is consistent with this large hail. 2. Approximately 15-20 clay roofing tiles were cracked. There were also isolated clay tile that had been repaired and/or replaced on a prior occasion. 3. The metal R-panel roofing exhibited evidence of minor indentations due to hailstone impacts and are strictly cosmetic in nature as they will not affect the utility, structural capacity, or functionality of the metal panel roofing. 4. The metal caps on the parapet walls revealed a history of prior repairs. There was evidence of minor hailstone indentations on the metal caps. 5. There was no evidence of hail damage to the stucco walls but there was signif- icant evidence of roofing cement repairs to the stucco at several areas. 6. The Property has been subjected to numerous smaller hailstorms wherein the hail size ranged from approximately 0.75 – 1.25 inches in diameter. This in- cludes the more recent hailstorm that occurred on May 27, 2020. It is unlikely these smaller hailstorms, including the May 27, 2020 storm, caused or con- tributed to the noted hail damage observed to the metal R-panel, single-ply membrane, or clay tile roof coverings.

On April 15, 2021, State Auto also sent Minor Ltd. and Camis of Blackstone, its “Proof Of Loss In Abeyance and Reservation of Rights Letter.” This letter acknowledged receipt of Mi- nor Ltd.’s Proof of Loss, stated its investigation was ongoing, and described its current under- standing of the factual background while providing reasons and Policy provisions that may po- tentially limit coverage for some or all aspects of Minor Ltd.’s damage claim. On April 20, 2021, Blackstone sent a letter in response, disagreeing with the expressed potential coverage issues of Minor Ltd.’s damage claim. Blackstone also requested State Auto’s coverage decision and its estimate. On June 29, 2022, State Auto sent Minor Ltd. and Blackstone Moody’s report, stating Minor Ltd.’s damage claim was not covered under the Policy, as Moody’s report noted the prior hailstorm in May 2016 was the cause of the hail damage. As an additional basis for denial of coverage under the Policy, State Auto also concluded Minor Ltd. was not responsible for the

subject roof repairs and maintenance, as the Lease Agreement placed this responsibility on Mi- nor Ltd.’s tenant. Based upon its reading of the Lease Agreement, State Auto concluded the ten- ant’s responsibility to maintain the roof relieved Minor Ltd. of responsibility to fix or maintain the roof. Consequently, even if the subject storm did cause the subject damage, it would not be covered under Minor Ltd.’s Policy because Minor Ltd. lacks an insurable interest in the Property for the alleged loss. Minor Ltd. filed suit asserting causes of action for breach of contract, violations of Texas Insurance Code §541 and violation of the Prompt Payment of Claims Act under Texas Insurance Code § 542.055. Minor Ltd. seeks Declaratory Judgment stating the Policy provides coverage for the cost to repair the damaged property, less the deductible. In the alternative, Minor Ltd. asserts the Policy is ambiguous and must be interpreted in favor of coverage and against State Auto. During litigation, State Auto retained an engineering expert, Darin Lasater, with Nelson Foren- sics, and a construction expert, Scott Lansing, with Riverstone Building & Consulting. Minor Ltd. also hired expert witnesses for litigation, Art Boutin and Moises Cruz.

Legal Standard Summary judgment is appropriate if the record shows “there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a); Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986); see also Rodriguez v. Pacificare, Inc., 980 F.2d 1014, 1019 (5th Cir. 1993).1 “A fact is material only if its resolution would affect the outcome of the action.” Wiley v. State Farm Fire & Cas. Co., 585 F.3d 206, 210 (5th Cir. 2009). A genuine dispute for trial exists if the record taken as a whole could lead a reasonable trier of fact to find for the nonmoving party. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986); Bayle v. Allstate Ins. Co., 615 F.3d 350, 355 (5th Cir. 2010). Because

there must be a genuine dispute of material fact, “the mere existence of some alleged factual dispute between the parties will not defeat an otherwise properly supported motion for summary judgment.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48 (1986).

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