Darlene Mendoza Gonzales v. Safeco Insurance Company of America

District Court, W.D. Washington·Decided May 22, 2026·No. 2:24-cv-01832·Unknown

Opinion

HONORABLE RICHARD A. JONES

WESTERN DISTRICT OF WASHINGTON

DARLENE MENDOZA Case No. 2:24-cv-01832-RAJ GONZALES,

Plaintiff,

vs.

COMPANY OF AMERICA, a foreign company,

Defendant. I. INTRODUCTION This matter comes before the Court on Defendant Safeco Insurance Company of America’s Motion for Summary Judgment (the “Safeco Motion,” Dkt. # 33), and Plaintiff Darlene Mendoza Gonzales’ Partial Motion for Summary Judgment (the “Gonzales Motion,” Dkt. # 35). The Court has reviewed the Safeco Motion and the Gonzales Motion (collectively, the “Motions”), the submissions in support of and in opposition to the Motions, the balance of the record, and the governing law. Plaintiff requests oral argument on the Gonzales Motion, but the Court finds that oral argument is not necessary to resolve either of the Motions. For the reasons set forth below, the Court DENIES each of the Safeco Motion and the Gonzales Motion in their entirety. II. BACKGROUND1 In 2021, Plaintiff Darlene Mendoza Gonzales purchased her home (the “Property”) in Tacoma, Washington. Dkt. ## 34-1, 34-2. Defendant Safeco Insurance Company of America (“Safeco”) issued a homeowner’s insurance policy, No. OH2219404 (the “Policy”) on the Property beginning in 2021. Dkt. # 34-3. The Policy, which names Plaintiff as the insured, was renewed for subsequent annual policy periods, including, as relevant here, from May 5, 2023 through May 5, 2024. Id. During the 2023-2024 policy period, Plaintiff sustained and submitted claims for two successive water losses at the Property, one in September 2023 (the “First Loss”) and one in January 2024 (the “Second Loss”). Dkt. ## 34-5, 34-6. Plaintiff’s claim for the Second Loss, and Safeco’s handling of that claim, forms the basis of this action. However, because the aftermath of the First Loss is relevant to the parties’ claims in this action, the Court will provide a brief factual overview of both losses. The First Loss occurred on September 3, 2023, when a hot water supply line burst and flooded the crawlspace at the Property. Dkt. ## 34-5; 34-8 at 9, 30–31. Safeco initially agreed to afford partial coverage for the claim and issued payment of $20,621.97 for dwelling repairs. Dkt. ## 34-16, 34-17. However, Plaintiff disputed the scope of the repair estimate and submitted independent estimates from two separate contractors. Dkt. # 34-19. Additionally, Plaintiff requested additional living expenses (ALE) coverage under the Policy. Dkt. # 34-8 at 25. Safeco reviewed and approved the contractor estimates provided by Plaintiff, and issued a supplemental check totaling $55,578.60.

1 The following factual allegations are undisputed unless otherwise noted. Dkt. ## 34-16, 34-20. Safeco also approved a temporary housing assignment for Plaintiff pursuant to the Policy’s ALE coverage. Dkt. # 34-8 at 23–24. On January 15, 2024, before repairs related to the First Loss had been completed, multiple pipes burst throughout the Property, including in the upstairs master bedroom and the garage, resulting in the Second Loss. Dkt. # 34-27 at 24; Dkt. # 34-28. Safeco received notice of the Second Loss the following day, and sent correspondence to Plaintiff acknowledging the incident. Dkt. ## 34-6, 34-22, 34-23. Shortly after the occurrence of the Second Loss, Plaintiff retained public adjusting firm Pacific Public Adjusters (“PPA”) to assist with adjustment and negotiation of the Policy. Dkt. # 34-26. PPA sent Safeco a notice of its representation of Plaintiff on January 26, 2024, and Safeco acknowledged receipt of PPA’s notice on February 20, 2024. Dkt. ## 34-26, 34-29. A PPA representative conducted an inspection of the Property on February 16, 2024, while mitigation work was underway. Dkt. # 47 ¶ 2. PPA prepared a specialized video and three-dimensional walkthrough, known as an “iGuide,” which depicted the state of the Property at that point in time. Id. ¶ 3. Based on initial reports relating to the incident, Safeco sent PPA a Reservation of Rights letter on February 22, 2024, and commenced a preliminary investigation into whether heat had been maintained at the Property at the time of the Second Loss. Dkt. # 34-30. Safeco also relayed that, in addition to Senior Claims Resolution Specialist III Amber Cruz, field specialist John “J.C.” Windmueller and personal property specialist Brianna Okoro had been assigned to assist with the claim. Dkt. # 34-31. On February 28, 2024, PPA provided Safeco with its repair estimate of $211,928.27. Dkt. # 31-33. The following day, PPA provided Safeco with copies of Plaintiff’s utility bills for the previous 12 months. Dkt. # 34-34. After reviewing the bills, Safeco advised PPA that coverage had been afforded for the Second Loss. Id. Cruz noted that Windmueller would inspect the Property on March 7, 2024, prepare an estimate, and work with PPA and the involved contractor to “reach an agreed cost of repairs.” Id. On March 7, 2024, Windmueller conducted his inspection of the Property. Dkt. # 46-3 at 15–16. Taylor Babb, the owner of PPA, was present at the inspection. Id.; Dkt. # 49. Windmueller’s notes in Safeco’s claim log for the Second Loss provide that Babb had “had very little information about the claims,” including the location of the damage from the First Loss, and that Windmueller would “need to be discussing repairs with handling team for overlap potential of the two claims.” Dkt. # 46-3 at 15. Babb, however, declares that Windmueller “maintained an abrasive and unprofessional demeanor” and engaged in “obstructive conduct” throughout the inspection. Dkt. # 49 ¶¶ 5–6. Windmueller purportedly “refused to acknowledge or inspect specific areas of water damage [Babb] pointed out,” leading Babb to “conduct[] a comprehensive walkthrough to document the evidence of damages [Windmueller] ignored.” Id. ¶¶ 6–7. Following the inspection, Windmueller recommended setting a dwelling reserve of $300,00. Dkt. # 46-3 at 16. Subsequently, Windmueller requested “an estimate, photos, and scarn [sic] for the initial claim damages from 9/3/2023,” corresponding to the First Loss, to assure that Safeco was “accounting for overlap between the two claims.” Dkt. # 34-36 at 5. PPA responded: “We do not have an estimate for the original claim, please let us know how you would like to identify and address the overlap areas.” PPA subsequently clarified on March 19, 2024 that they were “not involved” prior to the Second Loss and therefore did “not have a walkthrough of the previous loss.” Id. at 4. Windmueller’s claim log notes from the same day provide : Received the same iGuide scan/walkthru as previously rcvd. Requested an iGuide for the prior water claim from 9/3/2023. I cannot tell if the scan was done prior to the water mitigation for this claim, or was done as mitigation had begun on this claim. I am trying to differentiate the damage/ mitigation for this claim from the last. I did download the previous claims photos, and it appears that damage from the prior claim makes up a lot of the damage to the home. The PA firm has not separated out the damages between the two claims, and if they do not have a prior iGuide scan, it will be difficult and time consuming to figure out what the damage differences are. Dkt. # 46-3 at 15. On April 1, 2024, Windmueller called Washington Restorer, the mitigation company on the First Loss, and learned that the company “did not take a matterport/docusketch or any other type of scan at the time.” Id. Windmueller noted that he downloaded the documents sent by Washington Restorer in September 2023 “to differentiate between the old and new claims.” Id. On April 12, 2024, Windmueller conducted an “Initial Tech [Technical] Review” relating to the Second Loss and sent the review to his manager. Dkt. # 46-4. The Initial Tech Review includes $228,249.38 in “DW Base Covered Damages,” and requests $238,249.38 in “Total Dwelling Exposure Authority.” Id. at 4. Safeco’s claim log includes Windmueller’s note

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