Burns v. Federal Emergency Management Agency

84 F. Supp. 2d 839, 2000 U.S. Dist. LEXIS 1921, 2000 WL 220384
CourtDistrict Court, S.D. Texas
DecidedFebruary 18, 2000
DocketCIV. A. G-99-695
StatusPublished
Cited by4 cases

This text of 84 F. Supp. 2d 839 (Burns v. Federal Emergency Management Agency) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Burns v. Federal Emergency Management Agency, 84 F. Supp. 2d 839, 2000 U.S. Dist. LEXIS 1921, 2000 WL 220384 (S.D. Tex. 2000).

Opinion

ORDER DENYING DEFENDANT’S MOTION TO DISMISS OR IN THE ALTERNATIVE FOR SUMMARY JUDGEMENT

KENT, District Judge.

Plaintiff S.A. Burns owns a beach house in Galveston, Texas which suffered flood damage caused by Tropical Storm Frances on September 11,1998. Defendant Federal Emergency Management Agency (“FEMA”) provided flood insurance on the beach house. Burns lodged a claim with FEMA for her damages, which FEMA paid in part. Burns then instituted the present suit to collect the unpaid portion of her claim. Now before the Court is FEMA’s Motion To Dismiss Or In The Alternative For Summary Judgment, filed January 21, 2000. For reasons explained more fully below, Defendant’s Motion is DENIED in its entirety.

I. Factual & Procedural Summary

Burn’s beach house was among the many properties damaged when Tropical Storm Frances visited its wrath upon the Texas Gulf Coast in September of 1998. Located approximately one hundred feet from the waters of the Gulf of Mexico, Plaintiffs beach house experienced substantial damage: among other things, about three feet of sand was washed out from under it, various support pilings were damaged, the air conditioner was washed away, and the septic system was damaged.

Burns had insured her beach house under a Standard Flood Insurance Policy (“SFIP”) issued through the National Flood Insurance Program (“NFIP”). The NFIP was established in 1968 pursuant to the National Flood Insurance Act, 42 U.S.C. § 4001 et seq. The NFIP is a federally subsidized program which provides flood insurance at or below actuarial rates. See Gowland v. Aetna, 148 F.3d 951, 958 (5th Cir.1998). Currently, the NFIP is administered by the Federal Insurance Administration, an administration within FEMA.

About a month after the storm, Burns hired Fittz & Shipman, a firm of consulting engineers, to conduct a “Structural Examination” of her beach property. Fittz & Shipman’s report of October 19, 1998 concluded that “Tropical Storm Frances did severe damage to the Burns beach house” and that “the storm' appears to have damaged the property beyond repair.” The report also predicted that because “the vegetation line has been moved inland of the property.. .various state and local agencies will not allow rebuilding of the property.” Apparently relying on the Fittz & Shipman report and her own evaluation of the property, Burns concluded that her beach house was a total loss, and consequently filed a Proof of Loss form with FEMA for “36,589.78 approximately.” FEMA ultimately rejected this claim on the grounds that Burns had failed to timely supply bills, receipts, and related documents for the amount claimed.

Meanwhile, FEMA had a different engineering firm, Norex Engineering, Inc., conduct a “Structural Evaluation” of the beach house. Norex concluded that the structure had been in poor condition before the storm and that “because of a *841 previous lack of routine maintenance on the structure, damage caused by winds and tides was in excess of what would have been considered normal.” In particular, Norex noted that much of the damage “had existed for some time” and that only 35% of the floor deflection was “a direct result of the storm.”

FEMA chose the firm of Ray Graf, Inc. to handle the claim adjustment work. Andy Reed, an insurance adjuster associated with Ray Graf, prepared a detailed National Flood Insurance Program Final Report. Reed’s Report estimated the damages at $20,013.41, based largely on the conclusions of the Norex firm that much of the flood damage was caused by the lack of routine maintenance and the poor condition of the house before the storm.

FEMA’s position throughout the pre-litigation negotiations was that Burns was not entitled to any flood insurance proceeds due to her alleged failure to timely comply with the documentation requirements of her policy. Nevertheless, on April 29, 1999, without waiving any defenses it might have under the policy, FEMA sent Burns a check for $19,013.41. This amount represented the undisputed portion of the damages, less a $1000 deductible.

At this point, the difference between Burns’ original claim and the actual payment made was $17,576.37. FEMA denied liability for this amount, and reminded Plaintiff that if she wished to recover the difference she had one year from the date of the original claim denial to file suit in federal court. Pursuant to the provisions of 42 U.S.C. § 4072, Burns timely filed suit in this Court on November 12, 1999, alleging that Defendant’s non-payment of her claim amounts to breach of the SFIP contract.

Now before the Court is FEMA’s Motion To Dismiss, Or In The Alternative For Summary Judgment. FEMA seeks dismissal of the suit for lack of subject matter jurisdiction pursuant to Fed. R.Civ.P. 12(b)(1); dismissal for failure to state a claim for relief pursuant to Rule 12(b)(6), and summary judgment, pursuant to Rule 56, that Burns is owed nothing further under the flood policy.

All three of these Motions are based on FEMA’s contention that Burns failed to timely comply with all the conditions precedent for recovering under her Standard Flood Insurance Policy. The terms and conditions of the SFIP are set out in 44 C.F.R. Pt. 61, App. A(l). More specifically, FEMA points to the provisions of Art. 9, “General Conditions and Provisions,” Paragraph J, “Requirements in Case of Loss,” Clause 5, which provides:

Document the loss with all bills, receipts, and related documents for the amount being claimed;

Clause 3 of Paragraph J provides:

Within 60 days after the loss, send us a proof of loss, which is your statement as to the amount you are claiming under the policy signed and sworn to by you and furnishing us with the following information ...

Clause 3 goes on to specifically list nine items of information which must be furnished to FEMA within 60 days of the date of loss. See 44 C.F.R. Pt. 61, App. A(l), Art. 9, ¶ J, cl. 3, a-i. FEMA argues that Burns failed to provide “bills, receipts, and related documents” within sixty days of the date of loss to substantiate her claim for “$36,589.78 approximately.” Consequently, according to FEMA, dismissal is appropriate pursuant to Rule 12(b)(1) and 12(b)(6), or in the alternative, that FEMA is entitled to summary judgment. The Court will address these three Motions in turn.

II. Lack of Subject Matter Jurisdiction

A case is properly dismissed for lack of subject matter jurisdiction when the court lacks the statutory or constitutional power to adjudicate the case. See Home Builders Ass’n of Miss., Inc., v. City of Madison, 143 F.3d 1006, 1010 (5th Cir.1998). The burden of proof on a motion to dismiss under Rule 12(b)(1) is on *842 the party asserting jurisdiction. See Strain v. Harrelson Rubber Co.,

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Bluebook (online)
84 F. Supp. 2d 839, 2000 U.S. Dist. LEXIS 1921, 2000 WL 220384, Counsel Stack Legal Research, https://law.counselstack.com/opinion/burns-v-federal-emergency-management-agency-txsd-2000.