Dixson Produce, LLC v. National Fire Insurance Co.

2004 OK CIV APP 79, 99 P.3d 725, 75 O.B.A.J. 3036, 2004 Okla. Civ. App. LEXIS 61, 2004 WL 2360830
CourtCourt of Civil Appeals of Oklahoma
DecidedJune 1, 2004
Docket98,261
StatusPublished
Cited by5 cases

This text of 2004 OK CIV APP 79 (Dixson Produce, LLC v. National Fire Insurance Co.) is published on Counsel Stack Legal Research, covering Court of Civil Appeals of Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dixson Produce, LLC v. National Fire Insurance Co., 2004 OK CIV APP 79, 99 P.3d 725, 75 O.B.A.J. 3036, 2004 Okla. Civ. App. LEXIS 61, 2004 WL 2360830 (Okla. Ct. App. 2004).

Opinion

Opinion by

JOHN F. REIF, Presiding Judge:

" 1 This appeal concerns a dispute between a retail produce business and its insurance company over insurance company's lability to pay losses that allegedly resulted from a tornado that struck the City of Moore (where insured business was located) on May 3, 1999. Insured business has complained that insurance company denied its initial claim for lost income, and has persisted in refusing to pay any of its losses, on technical grounds that insured business sustained no storm damage and was closed for only two days after the tornado. Insured business has *727 maintained that insurance company has ignored the fact that its sales took a downturn following the tornado and never recovered. Insured business has asserted that insurance company has never investigated its contention that the downturn in business resulted from the disruption of daily life in the City of Moore and restrictions on travel into and within the City of Moore in the weeks that followed the tornado. In particular, insured business believes that the restrictions on travel amounted to a denial of access to its business premises by civil authority, a covered cause of lost income.

{2 Insurance company has pointed out that insured business did not give any notice that it was claiming loss due to the tornado of May 3, 1999, until August 3, 1999. Insurance company has noted that insured business initially claimed only lost income. Insurance company has stressed that its telephone inquiry to the owner of insured business about the initial claim revealed there was no damage to the business premises and that business was only closed a few days. Insurance company admits this initial claim was denied on the basis of such limited information, because the business was not closed due to restoration of storm damage-the only coverage that appeared to apply.

T3 Insurance company has further noted that it reopened the claim by insured business after receiving notice from the Oklahoma Insurance Commissioner that insured business was claiming a loss due to product spoilage in addition to lost income. After receiving this new information, a representative of insurance company contacted the owner of insured business both by phone and in writing.

T4 According to the insurance company file note, dated September 5, 1999, a representative spoke with the owner of insured business, but the owner did not know the amount of his spoilage nor have any idea about the income lost from business interruption. The note indicates that the owner of insured business would provide documentation soon.

[5 On September 8, the same representative for insurance company placed a follow-up call to the owner of insured business and made a file note concerning their conversation the next day. The file note recounts that insured business had ceased doing business. Concerning losses, the note records that the business lost electricity for twelve to fourteen hours and that between $500 and $1,000 worth of food went bad due to the lack of electricity. The note further reflects that the business was closed only two days, but not due to physical damage to the business premises.

T 6 The note further reflects that the owner of insured business really did not know exactly how much spoilage occurred and refused to give any type of figure regarding the amount of money he would have lost from closing for two days. The note records that business owner was advised that if he would not give any amounts that he thought he may have lost, then the representative could not possibly try to adjust or settle his claim.

T7 The note also records that the owner of insured business felt like he should have had coverage for the downturn in business that followed the tornado and which lead to the eventual closing of his business. The owner of insured business was of the opinion that the agent who sold him the policy should have provided coverage for a total loss of business, even in a case where there was no physical damage to the business premises and the business reopened. The note concludes with the representative asking the owner of insured business to think it over a few days and to call back if he wanted the representative to pay the loss as it is covered under the policy.

T8 In a letter dated September 15, 1999, insurance company requested a formal proof of loss from the owner of insured business, pointing out to the owner that he had theretofore "refused to provide us with enough information to fully investigate and evaluate your claim." A week later, on September 22, insurance company notified the Oklahoma Insurance Commissioner that the owner of insured business had been contacted to learn more facts following his added report of food spoilage. The Insurance Commissioner was advised that the owner refused to cooperate *728 in providing any facts of his losses or give supporting documentation for them. This letter also notes that insurance company had encouraged owner's cooperation and had provided a proof of loss for his completion and return within the 60-day policy period.

T 9 Business owner acknowledged that the Oklahoma Insurance Commissioner provided him a copy of the letter insurance company sent to the Commissioner. He further acknowledged that the cover letter from the Oklahoma Insurance Commissioner "[slug-gest[ed] you immediately provide the company with the information they are requesting so they can properly consider your claim."

£10 In his deposition, the owner of the insured business admitted that he did not complete the proof of loss and return it to insurance company. He did, however, explain that he believed that insurance company was only interested in settling for spoilage when he believed he had a valid loss of income claim. He would ultimately admit, however, that he had the opportunity to complete the proof of loss and send it in with what he perceived to be his loss and that he did not take that opportunity. Owner also indicated that he did not discuss the proof of loss with anybody or seek advice about what to do with the proof of loss.

T 11 Insured business sued insurance company on May 22, 2001, claiming breach of contract, failure to deal fairly with insured business, and negligence for failing to provide full coverage for its losses. Insurance company moved for summary judgment on the breach of contract and "bad faith" claims, citing (1) the failure of insured business to provide proof of loss for the spoilage claim as required by the policy, and (2) the absence of coverage under the policy for the claim for lost income because there had been no business interruption for damage restoration, or denial of access to the premises by civil authorities. In response, insured business contended that there was a controversy over the need for a proof of loss in light of deposition testimony that insurance company only "occasionally required" a formal proof of loss as well as a controversy on the issue of whether travel restrictions into and within the City of Moore after the tornado constituted denial of access to the business premises by civil authorities.

1 12 The trial court determined that there was no material controversy in these regards and granted summary judgment in favor of insurance company. 1 Upon review, we agree.

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2004 OK CIV APP 79, 99 P.3d 725, 75 O.B.A.J. 3036, 2004 Okla. Civ. App. LEXIS 61, 2004 WL 2360830, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dixson-produce-llc-v-national-fire-insurance-co-oklacivapp-2004.