DENC, LLC v. PHILADELPHIA INDEMNITY INSURANCE COMPANY

CourtDistrict Court, M.D. North Carolina
DecidedApril 13, 2020
Docket1:18-cv-00754
StatusUnknown

This text of DENC, LLC v. PHILADELPHIA INDEMNITY INSURANCE COMPANY (DENC, LLC v. PHILADELPHIA INDEMNITY INSURANCE COMPANY) is published on Counsel Stack Legal Research, covering District Court, M.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DENC, LLC v. PHILADELPHIA INDEMNITY INSURANCE COMPANY, (M.D.N.C. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF NORTH CAROLINA

DENC, LLC, ) ) Plaintiff, ) ) v. ) 1:18-CV-754 ) PHILADELPHIA INDEMNITY ) INSURANCE COMPANY, ) ) Defendant. )

MEMORANDUM OPINION AND ORDER Catherine C. Eagles, District Judge. Philadelphia Indemnity Insurance Company denied the claim of its insured, DENC, after the breezeway collapsed on a building owned by DENC. The Court granted summary judgment for DENC on its declaratory judgment and breach of contract claims as to coverage and on one of DENC’s Chapter 75 Unfair and Deceptive Trade Practices Act claims based on a deceptive letter from Philadelphia denying coverage. Summary judgment was entered for Philadelphia on DENC’s other extra-contractual claims. DENC now moves for attorneys’ fees and costs under N.C. Gen. Stat. § 75-16.1. Because Philadelphia acted willfully and refused to resolve the matter fully for many months, DENC’s motion is granted. The Court will reduce the amount of the fee after factoring in appropriate considerations. Findings of Fact Philadelphia issued a commercial lines insurance policy to DENC covering “direct physical loss” to an apartment building DENC owned in Alamance County. See DENC, LLC v. Philadelphia Indemnity Ins. Co., 421 F. Supp. 3d 224, 226 (M.D.N.C. 2019); Doc. 2 at ¶ 13. On January 14, 2018, the breezeway of the building collapsed during a college party. DENC, LLC, 421 F. Supp. 3d at 227.

After DENC notified Philadelphia of the damage to the building, Doc. 2 at ¶ 32; Doc. 14 at ¶ 32; Doc. 34-14 at 1, Philadelphia retained an adjuster, William Nunn. Doc. 32-6. Mr. Nunn inspected the breezeway on January 16, see Doc. 32-11, and then hired a structural engineer to assess the breezeway. Doc. 32-12 at 1. On January 23, Philadelphia advised DENC it was conducting the investigation

under a reservation of rights. Doc. 32-12. Two days later, it sent DENC a letter stating that “[w]e have issued, or will be issuing payment to you, or on your behalf, for damages or injuries sustained” for the claim and that Philadelphia will “be looking to those parties responsible for the damages sustained and we will be seeking reimbursement of all monies paid under the policy.” Doc. 34-12.

The structural engineer visited the building on January 31 and issued his report on February 8. Doc. 32-14 at 2, 4. He catalogued multiple ways in which water had seeped into the breezeway’s wood framing, photographed the resulting biological growth and wood decay, id. at 4–12, and opined that “[t]he damage is not the result of a sudden, short-term event.” Id. at 12.

Around this time, and despite the January 25 letter saying it would provide coverage, a property claims specialist at Philadelphia drafted a letter denying coverage for DENC’s loss. Doc. 34-1 at 6–7. The letter was revised and approved by a Philadelphia vice president. Id. at 9; Doc. 16-1. The vice president had the engineer’s report when he approved the letter. Doc. 34-1 at 10. On February 19, Philadelphia sent DENC an eight-page, single-spaced denial letter. Doc. 34-14. The denial letter was confusing in many ways. It did not mention, much less

rescind or explain, its earlier letter saying it would provide coverage. Id. The letter repeated verbatim several pages of what purported to be policy excerpts, then—without explaining how these policy excerpts apply individually or in combination—noted Philadelphia would deny coverage for a reason not mentioned by those cited policy excerpts. See DENC, LLC v. Philadelphia Indemnity Ins. Co., — F. Supp. 3d —, 2019

WL 6615330, at *2–3 (M.D.N.C. Dec. 5, 2019). The letter included provisions that were not even part of the policy—several had been deleted and superseded by policy amendments or endorsements—and it also quoted other provisions that patently did not apply to the breezeway collapse at issue. Id.1 The letter quoted a collapse provision that had been replaced in its entirety by an endorsement, see Doc. 34-15 at 7–8, and it failed

to address or discuss at all the collapse provision in the endorsement or the particular provision that the Court later found did, in fact, cover DENC’s loss. DENC, LLC, 421 F. Supp. 3d at 231–33. At their depositions, neither the author of the letter nor the vice president who reviewed and approved the letter were able to offer any coherent explanation for the confusing and irrelevant information in it. See generally Docs. 34-1,

34-15. Philadelphia’s denial letter invited DENC to respond if it disagreed with Philadelphia’s decision.

1 The Court will not repeat all the ways in which this letter tended to deceive, which the Court summarized in a previous summary judgment order. See DENC, LLC, 2019 WL 6615330. DENC hired counsel, who wrote to Philadelphia on July 13, 2018, and outlined the reasons DENC believed the Philadelphia policy provided coverage. Doc. 34-18. DENC specifically identified the parts of the policy that the Court ultimately found provided

coverage. Id. at 2–4. It also pointed out the many quotations of inapplicable language and corrected various mistakes and oversights in the February 19 denial letter. DENC advised Philadelphia that the letter could give rise to an unfair and deceptive trade practices claim under N.C. Gen. Stat. § 75-1.1, which would trigger treble damages and attorneys’ fees. Id. at 6–8. DENC demanded that Philadelphia accept coverage for the

collapse, stating that “[u]pon assumption of liability by Philadelphia, DENC will submit its damages for processing and reimbursement.” Id. at 9. DENC asked Philadelphia to respond and stated that if it did not hear from Philadelphia within two weeks, it would “institute litigation.” Id. After Philadelphia received the letter, it did not have any internal meetings to

discuss the letter, and the vice president did not provide a copy of the letter to his supervisor. Doc. 34-1 at 32–33. Indeed, there is no evidence that Philadelphia gave DENC’s letter any attention, much less that it re-evaluated its coverage decision, looked at the applicable language it had not mentioned in the denial letter, or considered the possibility of a Chapter 75 violation. Even though Philadelphia’s own policies require it

to respond to such letters, id. at 33–34, Philadelphia did not respond within the requested time frame. Id. at 34–35. DENC filed suit in state court on July 30, 2018. In the complaint, DENC sought a declaratory judgment and damages for breach of contract and violations of the North Carolina Unfair and Deceptive Trade Practices Act. Doc. 1-1. Consistent with North Carolina practice, the complaint did not state a specific dollar amount of damages. In contrast to Philadelphia’s denial letter—which cited superseded policy

provisions on collapse and omitted the applicable provision covering a collapse caused by the “[w]eight of people,” Doc. 32-8 at 181—Philadelphia’s answer “specifically denied that the Breezeway collapsed suddenly when a large number of students were congregated on the Breezeway.” Doc. 14 at ¶ 32; id. at 17–20 (fourth, eighth, and ninth affirmative defenses addressing collapse provision). The answer did not include

affirmative defenses based on the inapplicable provisions cited in the denial letter, such as steam boilers and flood. Compare Doc. 14 at 16–20 with Doc. 34-14 at 3. During the next several months, various things happened in the litigation, including service on Philadelphia, removal to this court from state court, and the filing of an answer. At no point during these early proceedings did the plaintiff demand, nor did

the defendant offer, a specific amount to settle the case.2 As far as the record shows, the first time DENC told Philadelphia the amount it contended Philadelphia owed on the insurance contract was on December 19, 2018, when DENC served its initial pretrial disclosures under Fed. R. Civ. P.

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DENC, LLC v. PHILADELPHIA INDEMNITY INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/denc-llc-v-philadelphia-indemnity-insurance-company-ncmd-2020.