Brizuela v. Calfarm Insurance

10 Cal. Rptr. 3d 661, 116 Cal. App. 4th 578, 2004 Daily Journal DAR 2822, 2004 Cal. Daily Op. Serv. 1885, 2004 Cal. App. LEXIS 257
CourtCalifornia Court of Appeal
DecidedMarch 3, 2004
DocketB160875
StatusPublished
Cited by31 cases

This text of 10 Cal. Rptr. 3d 661 (Brizuela v. Calfarm Insurance) 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
Brizuela v. Calfarm Insurance, 10 Cal. Rptr. 3d 661, 116 Cal. App. 4th 578, 2004 Daily Journal DAR 2822, 2004 Cal. Daily Op. Serv. 1885, 2004 Cal. App. LEXIS 257 (Cal. Ct. App. 2004).

Opinion

Opinion

MOSK, J.

Plaintiff and appellant Sergio Brizuela (Brizuela) appeals from the trial court’s entry of summary judgment in favor of defendant and respondent CalFarm Insurance Company (CalFarm) in Brizuela’s action against CalFarm for breach of contract and breach of the implied covenant of good faith and fair dealing. In affirming the judgment we hold, as a matter of law, that Brizuela violated the requirement of the insurance policy that he submit to an examination under oath; that the insurer could on that basis deny his claim without a showing of prejudice; that the availability of a deposition in litigation does not excuse his breach of the examination under oath requirement; that he had no valid bad faith claim; and that the court properly dismissed his action.

FACTUAL AND PROCEDURAL BACKGROUND 1

In July 1998, Brizuela entered escrow to purchase the El Toro de San Juan Market (El Toro). During escrow, Brizuela obtained a business owner’s insurance policy from CalFarm Insurance Company (CalFarm) with limits of $500,000 on personal property. His wife, Karina Brizuela, was also an insured under the policy. Escrow closed on February 1, 1999. Just over one month later, on March 18, a fire destroyed the market. Brizuela hired a public adjuster to assist with his insurance claim.

Brizuela reported the loss to CalFarm, and CalFarm assigned one of its employees, Jack Hosford, to investigate the claim. The CalFarm investigator took recorded statements from Brizuela, his wife, and an El Toro employee. CalFarm subsequently learned that Brizuela had a felony conviction for receipt of stolen property; that Brizuela had been denied transfer of the alcohol license for El Toro; that beer and wine sales had accounted for a substantial portion of El Toro’s business; that the purchase price for the *583 business was less than the amount Brizuela claimed; and that laboratory tests of the premises showed the presence of gasoline, an accelerant commonly used in arson fires.

CalFarm submitted a “Suspected Fraud Claim Referral” to the Department of Insurance and a request to the district attorney that criminal charges for arson and insurance fraud be filed against Brizuela. The Department of Insurance concluded there was insufficient information to support a criminal investigation, and the record contains no evidence that any criminal charges were filed against Brizuela. There is no indication in the record as to when Brizuela became aware of CalFarm’s submissions to the Department of Insurance and district attorney.

On April 23, 1999, Brizuela’s adjuster faxed CalFarm 33 pages of documents, including alarm company information, checks and checking account statements, and documents related to the purchase of the business. On May 27, 1999, CalFarm’s counsel sent a letter to Brizuela’s adjuster advising him that CalFarm had scheduled examinations under oath for Brizuela and Brizuela’s wife on June 16, 1999, at that counsel’s offices in Marina del Rey, California. The insurance policy CalFarm issued to Brizuela included a provision allowing CalFarm to “examine any insured under oath” in the event of a claim. In the May 27, 1999 letter, CalFarm’s counsel asked that Brizuela produce certain documents by June 10, 1999, and confirm the examination date by June 11, 1999. Brizuela’s adjuster responded by requesting copies of recorded statements that Brizuela and his wife had given to CalFarm shortly after reporting the claim. CalFarm’s counsel denied this request.

Neither Brizuela nor his adjuster confirmed the proposed examination date, and on June 14, 1999, CalFarm’s counsel offered to reschedule the examination and extend the time to produce documents. Brizuela’s adjuster responded by reiterating the request for copies of the recorded statements, and CalFarm’s counsel again denied the request.

On June 17, 1999, CalFarm’s counsel wrote to Brizuela’s adjuster stating: “We understand that you have counseled Mr. Brizuela to appear for the examination under oath without additional delay, but he has elected instead to draw out the claims investigation by insisting on receiving documentation which the Insurance Code clearly and unambiguously indicates he has no entitlement at this stage of the proceedings .... [f] If Mr. Brizuela’s final position on this matter is that he is unwilling to come to an examination under oath without first receipt and review of his recorded statement testimony and that of his wife, please confirm same to our offices, in writing, on or before June 24, 1999. At that time we will make our recommendations to CalFarm based upon the information contained in the claim file and the lack *584 of cooperation to date.” The letter further stated, “If Mr. Brizuela withdraws this request and agrees to appear for the examination under oath, please submit available dates for his examination under oath and that of his wife.”

Brizuela then retained counsel, who wrote to CalFarm’s counsel on June 24, 1999, complaining at length about CalFarm’s refusal to provide the Brizuelas’ previously recorded statements. Brizuela’s counsel wrote that “[t]he only purpose served by refusing to provide the transcripts would be the interest of the insurance carrier and its counsel to trick and confuse the insured to establish a basis for denial.” Brizuela’s counsel offered no dates for the examination under oath; instead he wrote that “[w]e will contact you directly to discuss time, dates and places for proceeding with the Examination Under Oath as demanded.”

On July 6, 1999, CalFarm’s counsel sent Brizuela’s counsel a letter reiterating CalFarm’s denial of Brizuela’s request for the previously recorded statements and requesting proposed dates for the examination under oath. Brizuela’s counsel responded by letter the next day accusing CalFarm of having “no interest to act fairly in this matter” by putting Brizuela “through an exercise to allow CalFarm to take advantage of its insured and subsequently deny the claim.” But in that letter, Brizuela’s counsel proposed no dates for the examination. On July 9, 1999, CalFarm’s counsel sent another request for examination dates and asked Brizuela’s counsel to respond by July 16, 1999. Brizuela’s counsel then sent two letters, dated July 20, 1999, and July 27, 1999, suggesting no dates for the examination but instead asking CalFarm’s counsel to provide dates.

Shortly thereafter, counsel for Brizuela and CalFarm had a telephone conversation during which CalFarm’s counsel said he would be unavailable for three weeks in August 1999, and the parties discussed proposed dates for the examination. On August 18, 1999, CalFarm’s counsel sent a letter to Brizuela’s counsel stating, “[w]hen we last spoke, several weeks ago, several proposed dates for your client’s examination under oath were exchanged: We have heard nothing from your offices since that time.” CalFarm’s counsel requested that “a date certain for the examination and the production of documents requested in our initial letter be supplied to our offices on or before the close of business on Wednesday, August 25, 1999,” noting that CalFarm would reach a decision on the claim “based on the available information to date” if no examination under oath occurred. On August 20, *585

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10 Cal. Rptr. 3d 661, 116 Cal. App. 4th 578, 2004 Daily Journal DAR 2822, 2004 Cal. Daily Op. Serv. 1885, 2004 Cal. App. LEXIS 257, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brizuela-v-calfarm-insurance-calctapp-2004.