Carla Abraham v. Farmers Insurance Exchange

CourtMichigan Court of Appeals
DecidedAugust 21, 2018
Docket335353
StatusUnpublished

This text of Carla Abraham v. Farmers Insurance Exchange (Carla Abraham v. Farmers Insurance Exchange) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carla Abraham v. Farmers Insurance Exchange, (Mich. Ct. App. 2018).

Opinion

STATE OF MICHIGAN

COURT OF APPEALS

CARLA ABRAHAM, UNPUBLISHED August 21, 2018 Plaintiff-Appellant/Cross Appellee,

v No. 335353 Wayne Circuit Court FARMERS INSURANCE EXCHANGE, LC No. 14-014367-NO

Defendant-Appellee/Cross Appellant, and

U.S. DISASTER SERVICES LLC, doing business as SERVICE MASTER DON’T PANIC,

Defendant-Appellee.

Before: SWARTZLE, P.J., and SHAPIRO and BOONSTRA, JJ.

PER CURIAM.

Plaintiff, Carla Abraham, appeals the trial court’s order granting defendants’ motions for summary disposition. For the reasons set forth below, we affirm the grant of summary disposition to Farmers Insurance, reverse the grant of summary disposition to U.S. Disaster, and remand for further proceedings consistent with this opinion.

I. FACTUAL BACKGROUND

Plaintiff, Carla Abraham, is the daughter of Lillian Abraham. Lillian owned a home in Melvindale, Michigan (“Melvindale home”). Due to Lillian’s ill health, she moved out of the home in 2011, before this case arose, and signed a power of attorney giving plaintiff broad authority to act on her behalf. Plaintiff lived in Canada, but regularly came to Michigan to see her mother and to check on the home. According to her testimony, there were times that she stayed at the Melvindale home for extended periods, including the year following the flood giving rise to this case. The Melvindale home was covered by a homeowners insurance policy

-1- issued by defendant Farmers Insurance Exchange (“Farmers”), that covered remediation1 of structural damage due to flood/water damage resulting from a leaking home appliance, but specifically excluded remediation of mold damage.2

On February 13, 2012, plaintiff arrived at the Melvindale home in the evening, and discovered that water had leaked from the refrigerator, flooding the kitchen floor, part of the hallway, and some areas in the basement. After plaintiff cleaned up as much water as she could, she contacted Farmers and reported the flooding. According to Famers’ initial loss report, plaintiff reported:

Floorboards in laundry room are soaked and turning black. Water is dripping through ceiling into basement. Wood planks in ceiling are soaked. Kitchen pergo flooring is bubbled.

Farmers assigned the claim to its adjuster, Gisele Walsh. Walsh contacted plaintiff by telephone and advised that obtaining remediation services could proceed in one of two ways. First, the insured could hire any mitigation specialist she selected. In such case, Farmers would pay that portion of the bill it concluded was a reasonable fee for covered services; any billing greater than that amount would be the insured’s responsibility. Alternatively, the insured could agree to use a mitigation company recommended by Farmers through what it called its Emergency Mitigation Referral Program (EMRP). If an insured chose this option, the

1 The policy defines “remediation,” stating: Remediate—means to:

a. (1) decontaminate, abate, treat, contain, isolate, remove, extract, clean, mitigate, neutralize, quarantine or detoxify;

(2) monitor, evaluate, detect, investigate, test or measure for;

(3) haul away or dispose of;

(4) respond in any way to, or assess the effects of

Any nuclear substance, noxious substance, pathogen, fungus, or pollutant, or any contamination, whether on or off the residence premises; or

b. remove, restore or replace any land, water, air, building, structure or personal property which is threatened with or has been affected, damaged, infested, polluted or injured by contamination. 2 The exclusion states, “We do not insure loss or damage consisting of, composed of or which is fungi unless if by fire or lightning . . . we do not insure any remediation . . . for expenses directly or indirectly due to, arising out of or resulting from remediation of fungi.”

-2- recommended mitigation company would bill Farmers directly and no fees would be billed to the insured beyond any applicable deductible. If the recommended company performed work that was not covered under the policy, Farmers would still be liable for those fees, but only through the end of the day on which it determined there was no coverage.3

Farmers recommended U.S. Disaster Services LLC d/b/a Service Master Don’t Panic (“U.S. Disaster”) under the EMRP program, and plaintiff, acting on behalf of her mother, agreed to retain them under the conditions of that program.

U.S. Disaster arrived at the Melvindale home on February 15, 2012. It appears that on that date,4 plaintiff signed a U.S. Disaster’s form captioned “Work and Direct Payment Authorization” document. The contract named Lillian, plaintiff’s mother, as the insured homeowner. The terms of the contract provided that “the Company and Homeowner listed above herein referred to as the CUSTOMER, [agree] to proceed with the COMPANY’S recommended procedures to preserve, protect and secure [the property] from further damage . . .

3 In her claim notes, Walsh stated that she told plaintiff that: 1. The EMRP program was an independent service offered to our insureds and that use of an EMRP vendor was voluntary. The customer was free to contact with any water mitigation vendor the customer wished and the customer would be responsible for authorizing and drying and/or other work by the vendor, including demolition. However, we would only pay reasonable and necessary amounts based on the mitigation services required.

2. If the deductible was not met, the insured would owe any remaining deductible directly to the program vendor and we would review the EMRP bill for accuracy before making payment directly to the vendor for their services after the deductible.

3. If the loss was not covered, we would pay only pay the cost of emergency mitigation services by an EMRP program vendor through the end of the day on which we determined there was no coverage, excluding any buildback costs associated with demolition completed to facilitate the drying process. 4 As with many of the documents in this case, the dating of the contract is quite confusing and in some respects inexplicable. The document itself is dated 2/21/12, which is three days after the last day on which work was performed. However, the printed date next to plaintiff’s signature at the bottom is 2/15/12. In addition, the signature is the only item on page two of the document. The entire text of the contract is on page one. Another document captioned “AUTHORIZATION FOR REPAIRS & PAYMENT,” is dated 2/21/12 while the signature on it is dated 2/17/12. The RELEASE OF LIABILITY, which will be discussed later in this opinion, is dated 2/21/12 with a signature dated 2/15/12. And the “CERTIFICATE OF COMPLETION AND SATISFACTION,” also discussed below, is dated 2/21/12 while the signature on it is dated 2/18/12.

-3- .” It went on to state, “The COMPANY will undertake best efforts to clean and remove any mold and mildew it discovers but does not have the ability to guarantee identification or removal of all mold or mildew which may be present in the areas serviced, or in other areas of the structure . . . CUSTOMER hereby agrees to release and hold harmless the COMPANY from any liability for the existence of undetected mold and mildew and any resulting effects or damages therefrom.” Finally, it stated that “The COMPANY represents that its employees have been trained to perform remediation and restoration services of the highest quality and in a workmanlike manner.”

U.S. Disaster conducted remediation services, including setting up drying fans and vacuuming the water on the floor of the kitchen, basement, and hallway. On the third and final day of work, U.S. Disaster’s employees removed a portion of the linoleum flooring in the kitchen and detected the presence of mold in the subfloor.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Hill v. Sears, Roebuck and Co
492 Mich. 651 (Michigan Supreme Court, 2012)
Johnson v. Recca
821 N.W.2d 520 (Michigan Supreme Court, 2012)
Gilbert v. DaimlerChrysler Corp.
685 N.W.2d 391 (Michigan Supreme Court, 2004)
Fultz v. Union-Commerce Associates
683 N.W.2d 587 (Michigan Supreme Court, 2004)
Klapp v. United Insurance Group Agency, Inc
663 N.W.2d 447 (Michigan Supreme Court, 2003)
Paterek v. 6600 Ltd.
465 N.W.2d 342 (Michigan Court of Appeals, 1990)
McMillan v. State Highway Commission
393 N.W.2d 332 (Michigan Supreme Court, 1986)
Chris Nelsen & Son, Inc. v. Shubow
132 N.W.2d 122 (Michigan Supreme Court, 1965)
Casey v. Auto-Owners Insurance
729 N.W.2d 277 (Michigan Court of Appeals, 2007)
Sands Appliance Services, Inc v. Wilson
615 N.W.2d 241 (Michigan Supreme Court, 2000)
Babcock v. Public Bank
114 N.W.2d 159 (Michigan Supreme Court, 1962)
Bolhuis Lumber & Manf'g Co. v. Brower
233 N.W. 415 (Michigan Supreme Court, 1930)
Simon v. Tropp
233 N.W. 413 (Michigan Supreme Court, 1930)
Boylan v. Fifty Eight Ltd. Liability Co.
808 N.W.2d 277 (Michigan Court of Appeals, 2010)

Cite This Page — Counsel Stack

Bluebook (online)
Carla Abraham v. Farmers Insurance Exchange, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carla-abraham-v-farmers-insurance-exchange-michctapp-2018.