CARLOS VEGA v. SAFEPOINT INSURANCE COMPANY

District Court of Appeal of Florida·Decided August 18, 2021·No. 19-2214·Published

Opinion

Third District Court of Appeal State of Florida

Opinion filed August 18, 2021.

Not final until disposition of timely filed motion for rehearing.

No. 3D19-2214

Lower Tribunal No. 16-9441

Carlos Vega,

Appellant,

vs.

Safepoint Insurance Company, Appellee.

An Appeal from the Circuit Court for Miami-Dade County, Pedro P.

Echarte, Jr., Judge.

Giasi Law, P.A., Melissa A. Giasi and Erin M. Berger (Tampa), for appellant.

Cole Scott & Kissane, P.A., and Alexandra Valdes, for appellee.

Before LOGUE, GORDO and LOBREE, JJ.

GORDO, J.

Carlos Vega appeals the trial court’s order granting Safepoint Insurance Co.’s motion for summary judgment and subsequent entry of final judgment. We have jurisdiction. See Fla. R. App. P. 9.030(b)(1)(A). Vega argues his expert’s affidavit in opposition to summary judgment and other record evidence were sufficient to create a genuine issue of material fact as to the cause of the property damage, precluding the entry of summary judgment. We agree, reverse and remand.

FACTUAL AND PROCEDURAL BACKGROUND Vega purchased the subject property in 2005. Prior to moving into the property in 2007, he renovated it, which included painting, replacing doors, installing impact windows, and redoing the kitchen and a bathroom. At that time, the roof was in good condition.

On July 3, 2015, Vega’s home experienced a windstorm, which knocked down a large tree in front of his home. As a result of this windstorm, water came pouring in through the ceilings and walls of several rooms in his house from the roof. Prior to this windstorm, he had never experienced any water coming into his property or issues with his roof. 1

1 Vega testified to this and other facts at his deposition.

The day after the windstorm, Vega called a remediation company that came out to the property, cleaned up, dried out the water, and placed a tarp on the roof. He also contacted a public adjusting company, Contender Claims (“Vega’s Public Adjuster”), which sent someone out to assess the damage and prepare an estimate. Vega’s Public Adjuster inspected the inside of the property and did not actually climb on to the roof at any point. He also did not know whether there had been any wind damage to the roof or a wind event preceding the loss because he had not performed an inspection of the roof and had not been there on the date of loss. Based on his inspection of the property, Vega’s Public Adjuster determined that the “interior water damage . . . was indicative of water coming from the outside onto the inside.”2 The property was insured by Safepoint from April 28, 2015, to April 28, 2016. As such, Vega filed a claim with Safepoint and provided his Public Adjuster’s estimate of damages. Safepoint inspected the property and denied coverage based on its determination that there was no opening in the roof caused by a covered peril, and the damage was the result of long-term repeated seepage due to wear and tear and deferred maintenance.

2 Vega’s Public Adjuster testified to this at his deposition.

Following the denial of coverage, Vega filed suit for breach of contract, claiming the damage was the result of a one-time windstorm and covered under the policy. Safepoint answered, asserting various affirmative defenses, including that the policy did not afford coverage based a provision stating, in relevant part, as follows:

PERILS INSURED AGAINST COVERAGE A – DWELLING and COVERAGE B – OTHER STRUCTURES

We insure against risk of direct loss to property described in Coverages A and B only if that loss is a physical loss to property. This includes the peril of “catastrophic ground cover collapse” as provided in Part A. below. However, we do not insure loss:

...

2. Caused by:

...

i. Rain, snow, sleet, sand or dust to the interior of a building unless a covered peril first damages the building causing an opening in a roof or wall and the rain, snow, sleet, sand or dust enters through this opening.

j. (1) wear and tear, marring deterioration.

That provision goes on to state a covered loss is any loss “not excluded or otherwise excepted.”

Safepoint eventually filed a motion for summary judgment, arguing that the alleged damage was excluded from coverage. In support of its motion, Safepoint filed several documents and affidavits. One such affidavit was of

Neil A. Greenspoon, P.E., of Rimkus Consulting Group, Inc. (“Safepoint’s Expert”), which prepared a report based on its evaluation of the property. Safepoint’s Expert opined that the loss was not covered because it was the result of natural age-related material expansion and long-term exposure to moisture, and that there had been no significant wind events in the months prior to and on July 3, 2015. Safepoint also designated Vega’s deposition testimony and Vega’s Public Adjuster’s deposition testimony as summary judgment evidence.

Vega opposed the motion, contending there was a genuine issue of material fact as to whether the loss to Vega’s property was caused by a one- time windstorm event resulting in an opening in the roof or was the result of a long-term, age-related exposure to moisture. He filed an affidavit and report from his expert, Rafael Leyva (“Vega’s Expert”), in support of his position. Vega’s Expert obtained a bachelor’s in architecture in 1993 and has worked in construction, in various capacities, since then. He is presently a licensed general, roofing, and plumbing contractor, as well as an independent insurance adjuster.

He inspected Vega’s property on September 23, 2019, after the roof had already been replaced and after some of the interior repairs had taken place. Thus, to form his opinions regarding the property’s condition closer

to the time of the incident, Vega’s Expert examined numerous photographs of the roof taken and relied on by Safepoint’s Expert. Specifically, one of the photographs taken by Safepoint’s Expert had a notation that the roof tile was detached and cracked. Vega’s Expert also reviewed Safepoint’s denial letter, the engineer’s report, and the water mitigation package.

Based on his review of those items and his twenty-six years of experience at the time, Vega’s Expert opined “that the damages [were] a result of [a] one-time event which permitted water to compromise the roofing material and damage the interior of the home.” He reached this conclusion based on several things, including the condition of the roof membrane near the time of the incident, the lack of fungal growth, and the signs of forced physical damage. More particularly, he stated that moisture could not have been coming in for several months because there would have been extensive fungal growth, which was not present. He also opined that the wind data relied on by Safepoint’s Expert was not from the subject property, could not explain what was happening there and failed to account for many other variables that could have affected the roof. Finally, he stated that nothing in Safepoint’s Expert’s photographs showed that the roof’s membrane was deteriorated in any way, which would be expected had the membrane been repeatedly exposed to moisture.

The trial court granted Safepoint’s motion and entered judgment in its favor, finding no genuine issue of material fact as to whether a windstorm damaged Vega’s home by causing an opening in the roof.

LEGAL ANALYSIS

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CARLOS VEGA v. SAFEPOINT INSURANCE COMPANY, (Fla. Ct. App. 2021).

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