Cox v. State Farm Fire and Casualty Company

CourtDistrict Court, E.D. Michigan
DecidedApril 16, 2020
Docket3:19-cv-12235
StatusUnknown

This text of Cox v. State Farm Fire and Casualty Company (Cox v. State Farm Fire and Casualty Company) is published on Counsel Stack Legal Research, covering District Court, E.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cox v. State Farm Fire and Casualty Company, (E.D. Mich. 2020).

Opinion

UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION ______________________________________________________________________

KATHY COX,

Plaintiff,

v. Case No. 19-12235

STATE FARM FIRE AND CASUALTY COMPANY,

Defendant/Third-Party Plaintiff,

v.

ANDREW HARMS,

Third-Party Defendant. __________________________________/

OPINION AND ORDER DENYING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING THIRD-PARTY DEFENDANT’S MOTION FOR SUMMARY JUDGMENT

Plaintiff Kathy Cox sues Defendant State Farm Fire and Casualty Company (“State Farm”) for breach of contract, appraisal, and statutory interest. (ECF No. 12, PageID.91-95.) Plaintiff alleges Defendant failed to pay her the full value of an insurance claim for a fire that damaged her residence. Defendant filed a third-party complaint against Plaintiff’s son, Andrew Harms. (ECF No. 3.) Defendant alleges Third-Party Defendant was negligent in overloading an electrical circuit while running an illegal marijuana grow operation, causing the fire in Plaintiff’s residence. Plaintiff moves for summary judgment, asking the court to order appraisal of the property’s damage. (ECF No. 26.) Third-Party Defendant also moves for summary judgment on Defendant’s negligence claim. (ECF No. 28.) The matter has been fully briefed. (ECF Nos. 30-33.) The court finds a hearing unnecessary, and for the reasons provided below, the court will deny Plaintiff’s and Third-Party Defendant’s motions. E.D. Mich. L.R. 7.1(f)(2).

I. BACKGROUND The following facts are taken from the record established by both parties. Each fact is either agreed upon or lacks contradictory evidence. Plaintiff owned property in Willis, Michigan. (ECF No. 12, PageID.92; ECF No. 13, PageID.98.) On June 30, 2017, Plaintiff obtained a fire insurance policy from Defendant. (ECF No. 20-3, PageID.211.) While the property was covered, on May 27, 2018, a fire occurred on Plaintiff’s property, resulting in extensive damage. (ECF No. 12, PageID.92; ECF No. 13, PageID.99.) Defendant initially provided payments to Plaintiff pursuant to the policy. On August 8, 2018, Defendant issued a check in the amount of $110,969.43 for Plaintiff’s “dwelling claim.” (ECF No. 12, PageID.92; ECF No. 13,

PageID.99.) On October 15, 2018, Defendant sent Plaintiff another check worth $13,255.00 for Plaintiff’s “contents claim.” (ECF No. 12, PageID.92; ECF No. 13, PageID.99.) Plaintiff disputed the amounts received from Defendant. Most significantly, Plaintiff claimed that the house was a total loss and could not be rebuilt, requesting the policy limit of $285,248.00. (ECF No. 30-5, PageID.512, ¶ 10 (affidavit of Defendant’s claim team manager).) In response, Defendant hired an outside inspector to review the damage to Plaintiff’s property and determine whether the house was a total loss. (Id., ¶ 13; ECF No. 30-7, PageID.522, ¶ 4 (affidavit of outside inspector).) The inspector found that the house was not a total loss, that it could be repaired, and that, in addition to the payments already made to Plaintiff, Defendant owed an additional $16,294.47 to compensate for repairs. (ECF No. 30-5, PageID.512, ¶ 14; ECF No. 30-7, PageID.522, ¶¶ 7-8.)

After receiving the inspector’s report, Defendant notified Plaintiff that it would pay her an additional $16,294.47, in line with the inspector’s recommendation. (ECF No. 30- 5, PageID.512, ¶¶ 15-16.) Defendant transferred that amount to Plaintiff on December 17, 2018. (Id., ¶ 15; ECF No. 30-3, PageID.475 (Defendant’s payment log for Plaintiff’s claim).) Nonetheless, Plaintiff continued to dispute the amounts paid by Defendant. (ECF No. 30-5, PageID.512, ¶ 16-17.) Plaintiff asserted that both contractors she hired and the outside inspector Defendant hired had informed Plaintiff that the house was a total loss and could not be repaired. (Id.) However, the outside inspector never said such a thing to Plaintiff. (ECF No. 30-7, PageID.522, ¶ 10 (Inspector’s testimony: “I never told Ms. Cox that her property could not be repaired, and was a total loss.”).) In

addition, Defendant reached out to one of Plaintiff’s initial contractors, Scott Seidel, who stated that Plaintiff’s house was “absolutely repairable.” (ECF No. 30-5, PageID.513, ¶ 19; ECF No. 30-9, PageID.543, ¶¶ 7, 9; ECF No. 30-10, PageID.547.) Seidel also stated that Plaintiff had never asked him whether the home could be rebuilt and had simply requested an estimate for new construction. (ECF No. 30-5, PageID.513, ¶ 20; ECF No. 30-9, PageID.543, ¶¶ 8, 9; ECF No. 30-10, PageID.547.) After conducting this investigation, Defendant sent Plaintiff a letter on January 10, 2019, informing Plaintiff the outside inspector and her own contractor had stated the house was repairable and that Plaintiff’s request to max out the policy limit would be denied. (ECF No. 30-11, PageID.549.) Defendant also warned Plaintiff that “no tarping, or other temporary repairs, has been done to keep weather or other elements from further damaging your property.” (Id.) Defendant notified Plaintiff that it was her duty to “protect [the] property from further damage after a loss,” and asked that Plaintiff

“immediately hire someone to tarp the home,” mentioning that such costs would be covered by Defendant. (Id.) Plaintiff responded by hiring a public insurance adjuster, Mark Plaskov. (ECF No. 30-12, PageID.552 (Residential Public Adjusting Contract).) Plaskov came back with a repair estimate of $369,283.59, which became the subject of controversy. (ECF No. 30- 5, PageID.513, ¶ 23.) A central issue of concern was that Plaskov did not conduct his inspection until after the house had been exposed to the elements for over seven months, referred to in Defendant’s January 10 letter. (ECF No. 30-10, PageID.547 (a claim specialist employed by Defendant, noting in Plaintiff’s file history that “[Plaintiff] never did anything with the property. She has not protected it from further loss.”); ECF

No. 30-11, PageID.549 (January 10 Letter); ECF No. 30-14, PageID.570 (Another claim specialist employed by Defendant who personally observed the dwelling stated: “I discovered that 60%-70% of the roof had remained uncovered since May 27, 2018.”); ECF No. 30-13, PageID.557, 562 (Plaskov conducted his inspection between January 23 and February 3, 2019, noting that “the interior, the structure, [was] open to the elements”).) In addition to calculating water damage, Plaskov valued fire damage to walls containing mold. (ECF No. 30-13, PageID.562 (Plaskov’s testimony: “And what actually was damaged by the mold? . . . Drywall . . . [D]id you estimate to replace all of the drywall on the walls and the ceilings? Yes.”) Defendant sent another, and final, inspector to the property on March 27, 2019, this time a claim specialist hired internally by Defendant. (ECF No. 30-14, PageID.570, ¶ 7.) The claim specialist determined that the house has been exposed since May 27, 2018, the day of the fire, and that the major difference between Defendant’s and

Plaskov’s estimates was that “[Defendant’s] estimate was written nearly ten months earlier, before additional damages were caused by the property being exposed to the elements.” (Id., ¶ 9.) Defendant subsequently informed Plaintiff that it would be denying Plaintiff’s request for additional compensation, and this lawsuit ensued. (ECF No. 30-5, PageID.513, ¶¶ 25-26.) Before much of this controversy, on June 6, 2018—ten days after the fire— Defendant retained an investigator to determine the cause and origin of the fire. (ECF No. 31-3, PageID.643 (Defendant’s Expert Disclosure).) Upon analyzing the fire scene, the electrical components of the house, and the area of the fire’s origin in the attic of the home, and upon interviewing Plaintiff and a Fire Marshall, the investigator determined

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Bluebook (online)
Cox v. State Farm Fire and Casualty Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cox-v-state-farm-fire-and-casualty-company-mied-2020.