Baron v. Fire Insurance Exchange

65 Cal. Rptr. 3d 502, 154 Cal. App. 4th 1184, 2007 Cal. App. LEXIS 1467
CourtCalifornia Court of Appeal
DecidedSeptember 4, 2007
DocketH029830
StatusPublished
Cited by4 cases

This text of 65 Cal. Rptr. 3d 502 (Baron v. Fire Insurance Exchange) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Baron v. Fire Insurance Exchange, 65 Cal. Rptr. 3d 502, 154 Cal. App. 4th 1184, 2007 Cal. App. LEXIS 1467 (Cal. Ct. App. 2007).

Opinion

Opinion

ELIA, J.

After a jury trial, appellant Fire Insurance Exchange (Fire) was found to have intentionally concealed and misrepresented an important fact and to have unreasonably failed to investigate and pay a claim covered under a fire insurance policy. On appeal, Fire contends that the judgment should be reversed because the appointment of respondent James H. Baron as receiver for the insured property was void or at least invalid for purposes of recovering punitive damages. Notwithstanding the righteous, histrionic tone of respondent’s brief, we find no error in the trial court’s judgment upholding the verdict.

Background 1

From 1992 to 2001 Dennis Sanfilippo and Carole Vemi were engaged in a joint venture pertaining to property located on Big Talk Court in San Jose. *1187 Under the terms of their written agreement, any disputes were to be settled by arbitration. In 2001 a dispute did arise, and in March they engaged an arbitrator, the Honorable Read Ambler (ret.).

On May 28, 2001, the property was extensively damaged by a fire. Vemi was insured on the property under a Farmers Insurance Company policy provided by Fire. 2 Vemi filed a claim, which was assigned to Gary Corbett, an independent adjuster. Independent adjusters handled claims when in-house adjusters were unavailable, but unlike the latter, independent adjusters had no authority to settle claims.

In July 2001 the arbitrator reached a decision in Sanfilippo’s favor. In accordance with the parties’ subsequent stipulation, he appointed respondent as receiver to take possession of the property, together with “any and all insurance proceeds relating to past, present, or future claims for damages to the [property] . . . including . . . those settlement proceeds in response to claims made against Farmers Insurance Exchange [sic] Policy No. 91261-54-57.” The order also specifically authorized respondent to restore or sell the property and to “institute, prosecute, defend, compromise, intervene in or become a party to such suits, actions or proceedings as may in his reasonable judgment be necessary or proper for the protection, maintenance, operation, preservation or enhancement of the Receivership Estate, or the performance of his obligations pursuant to the terms of this Order . . . .” Respondent was to be compensated at an hourly rate.

In December 2001 Gregory Sterling, respondent’s associate, wrote to Corbett advising him that respondent had been appointed as receiver to handle the insurance claim. Corbett appeared to welcome the appointment because he had been frustrated that the claim had not progressed. Corbett gave Sterling the names of two “approved contractors” for the purpose of repair, including Double R Construction. Corbett told Sterling that if he and respondent used an approved contractor, processing the claim would be “much smoother” and it would be easier to get “full value” for their insurance claim; but if they selected a contractor that was not on the approved list, it would be more difficult to give them “full value” for the claim.

Corbett affirmed his recommendation in a followup letter and advised respondent that he was forwarding respondent’s contact information to *1188 Double R Construction. In a subsequent meeting at the property site, Corbett told Sterling that based on Farmers’ experience, Double R would be a “very good choice.” Sterling made it clear that he and respondent expected to pay for any improvements not covered by the policy, but Corbett suggested that some of those additions might be compensated if some covered repairs were not made. Corbett estimated the total cost of the repairs to be $200,000 or more. He represented to respondent and Sterling that he had “full authority to settle the claim, and that he was Farmers.” He promised that he would take care of respondent on the claim “completely.”

At trial Ron Iwasaki, Corbett’s supervisor, testified, as did Suzanne Slater, a former manager of adjusters in the large-loss division, and Sharon Sims, a Northern California zone manager, that there had never been any list of approved contractors for large losses. 3 Both Iwasaki and Slater admitted that using the term “approved contractor” could mislead an insured into believing that the contractors had been screened by the insurer and that the insurer was guaranteeing the contractor’s work.

Iwasaki understood that the property was under the management of a receiver and that all payments were to be made to that person. He testified that he treated respondent the same way he would have treated a homeowner. However, Iwasaki “probably” did not correct Corbett’s misrepresentation to respondent that Double R Construction was on a list of approved contractors.

Based on Corbett’s “very strong” recommendation and representation about the ease of reimbursement, respondent hired Double R Construction to perform the repairs on the property. Respondent notified Corbett that he intended to hire Double R since it was an approved contractor for Farmers. Respondent added that he expected the insurance proceeds to be “adequate to fully repair the home with the exception of the pool.” Respondent asked Corbett to advise him if his understanding was incorrect; but he received no response to that effect. On March 4, 2002, Sterling wrote to Corbett, asking him to address specific coverage conditions and to verify that certain repair costs would be compensated. Corbett did not respond.

Farmers sent respondent a payment of $127,950.88, representing its estimate of the actual cash value of the loss. The company also paid for the removal of asbestos in the damaged house. Additional payments were expected once repairs were completed. Other work, such as city-mandated *1189 structural upgrades, became necessary, but when Sterling requested confirmation that the costs would be reimbursed, he received no response from anyone at Farmers.

Double R began demolition work in March or April of 2002. The repair did not progress expeditiously, however. By September both respondent and Sterling were “extremely worried.” In mid-July respondent had already paid the contractor $63,361.44 of the amount he had received from Farmers. Around the beginning of October, Sterling expressed his concern to Corbett. He asked Corbett whether there was something he should know about Double R, but Corbett said he could not talk to Sterling about that. No one associated with Farmers informed respondent or Sterling that as early as June 2002 the company had been sending checks to Double R at an address in Arizona. Respondent and Sterling nevertheless decided that Double R had abandoned the job. Sterling called Corbett to obtain additional names from the “approved” list and thereafter solicited bids from other contractors. Eventually, respondent hired Sun Restoration, which completed the reconstruction of the home between January and June of 2003 at a cost of $258,528.75.

Meanwhile, on November 1, 2002, Sterling received a letter from Corbett stating that his office would “address” only “supplemental changes required by the Building Department and unit prices for existing line items.

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Cite This Page — Counsel Stack

Bluebook (online)
65 Cal. Rptr. 3d 502, 154 Cal. App. 4th 1184, 2007 Cal. App. LEXIS 1467, Counsel Stack Legal Research, https://law.counselstack.com/opinion/baron-v-fire-insurance-exchange-calctapp-2007.