Dietz International Public Adjusters of California, Inc. v. Evanston Insurance

796 F. Supp. 2d 1197, 2011 U.S. Dist. LEXIS 75080, 2011 WL 2684941
CourtDistrict Court, C.D. California
DecidedJune 29, 2011
DocketCase CV 09-06662 MMM (Ex)
StatusPublished
Cited by2 cases

This text of 796 F. Supp. 2d 1197 (Dietz International Public Adjusters of California, Inc. v. Evanston Insurance) is published on Counsel Stack Legal Research, covering District Court, C.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dietz International Public Adjusters of California, Inc. v. Evanston Insurance, 796 F. Supp. 2d 1197, 2011 U.S. Dist. LEXIS 75080, 2011 WL 2684941 (C.D. Cal. 2011).

Opinion

*1200 ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT

MARGARET M. MORROW, District Judge.

On September 14, 2009, Dietz International Public Adjusters of California brought this action against its insurer, Evanston Insurance Company. 1 Seeking declaratory relief and damages, Dietz asserts claims for breach of contract and breach of the implied covenant of good faith and fair dealing. 2 Evanston has moved for summary judgment on all of Dietz’s claims. 3 Dietz opposes the motion. 4

I. FACTUAL BACKGROUND

Dietz is an independent public insurance adjuster, retained by clients who have suffered property damage covered by insurance. 5 In exchange for a fee, Dietz acts as the liaison between the client, the insurer, and contractors hired to repair the damage. 6 It negotiates a settlement with its client’s insurer, holds the settlement funds, and makes payments from those funds to the contractors or the client. 7

In April 2006, Dietz discovered that one of its employees, Jessica Estrada, was embezzling funds from the company. 8 Thereafter, Dietz was “faced with a flood of demands exceeding $2,000,000 from third parties whose checks were diverted by Jessica Estrada.” 9 As a result, it “reimbursed third[-]party clients for forty[-]nine claims, in a sum exceeding $2.17 million.” 10 Dietz seeks to recover the amounts paid and associated attorneys’ fees under a professional liability insurance policy issued by Evanston. 11

A. Dietz’s Professional Liability Insurance Agreement with Evans-ton

Evanston issued a series of three professional liability insurance policies to Dietz, which covered the period from June 23, 2005 to June 23, 2008. 12 The policies provided that Evanston would “pay on behalf of [Dietz] all sums in excess of the deductible amount stated in the Declarations which [Dietz] ... bec[a]me legally obligated to pay as damages as a result of CLAIMS FIRST MADE AGAINST [IT] DURING THE POLICY PERIOD ... by reason of any act, error or omission in professional services rendered or that should have been rendered by [Dietz] or by any person for whose acts, errors and omissions [it was] legally responsible, and arising out of the conduct of the profes *1201 sional services of [Dietz] as an insurance claim adjuster.” 13

The parties agree that the second policy, which was effective from June 23, 2006 to June 23, 2007 (“the 2006/2007 Policy”) is the relevant policy, since it was in force when Dietz received the first alleged claim concerning Estrada’s embezzlement. 14 The 2006/2007 Policy provides that “[t]wo or more claims arising out of a single act, error or omission, or a series of related acts, errors or omissions, shall be treated as a single claim. All such claims, whenever made, shall be considered first made on the date on which the earliest claim arising out of such acts, errors or omissions was first made, and all such claims shall be subject to the same limit of liability.” 15

The 2006/2007 policy has specific provisions that govern Dietz’s ability to investigate and pay potential claims. It states:

“[Dietz] shall give full assistance and cooperation to the Company as respects all claims made against [Dietz] at [Dietz’s] expense. [Dietz] shall not, except at their own cost, make any payment, admit any liability, settle any claims, assume any obligation or incur any expense without the written consent of the Company.” 16

The 2006/2007 policy also states: “As a condition precedent to the right to the protection afforded by this insurance, [Dietz] shall, as soon as practicable, give to the Company written notice ... of any claim against [it]. In the event suit is brought or arbitration is instituted against [Dietz], [it] shall immediately forward to the Company through Shand Morahan & Company, Inc., every demand, notice, summons or other process received directly or by [its] representatives.” 17

B. Estrada’s Embezzlement and Dietz’s Affected Clients

Sometime prior to April 2006, Estrada began “forging endorsements on insurance drafts and ceased timely paying clients the balance of monies Dietz owed them once the clients’ insurance claims were settled. Instead, Estrada began diverting both clients’ monies and Dietz’s monies to herself through a variety of schemes and artifices.” 18 Estrada allegedly concealed her embezzlement “by constantly moving money between Dietz’s accounts, creating forged statements, creating forged endorsements, making excessive wire transfers, writing excessive numbers of checks and improperly accessing Dietz’s line of credit.” 19 Dietz contends that Estrada “altered books and otherwise made misrepresentations to clients on the status of claims payment and timing of payment.” 20

*1202 After discovering Estrada’s acts in April 2006, Dietz investigated and reported the matter to the police. 21 Estrada was arrested on August 26, 2006 and subsequently pled nolo contendere to a charge of grand theft. 22 On November 26, 2006, Donald Lettiere, Dietz’s President, signed a “Statement of Loss” for the Los Angeles County Probation Department in support of a request for an order for restitution against Estrada. 23 Lettiere asserted that Dietz had suffered losses of $2,068,151.93-$1,664,783 that Dietz had paid to clients as of November 30, 2006, and $403,368.93 that it owed but had not yet paid. 24 Although Estrada was ordered to pay restitution of $2,068,151.93, 25 Dietz “got very little money” from her. 26

Dietz contends that, faced with a “flood” of client claims due to Estrada’s criminal acts, its “very survival ... as a company depended on promptly scrambling to address each of the claims.” 27

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Related

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Cite This Page — Counsel Stack

Bluebook (online)
796 F. Supp. 2d 1197, 2011 U.S. Dist. LEXIS 75080, 2011 WL 2684941, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dietz-international-public-adjusters-of-california-inc-v-evanston-cacd-2011.