Ebrahimian v. Nationwide Mutual Fire Insurance

960 F. Supp. 2d 405, 2013 WL 2477171, 2013 U.S. Dist. LEXIS 81258
CourtDistrict Court, E.D. New York
DecidedJune 10, 2013
DocketNo. 11-CV-04136 (ADS)(AKT)
StatusPublished
Cited by5 cases

This text of 960 F. Supp. 2d 405 (Ebrahimian v. Nationwide Mutual Fire Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ebrahimian v. Nationwide Mutual Fire Insurance, 960 F. Supp. 2d 405, 2013 WL 2477171, 2013 U.S. Dist. LEXIS 81258 (E.D.N.Y. 2013).

Opinion

MEMORANDUM OF DECISION AND ORDER

SPATT, District Judge.

On July 22, 2011, the Plaintiffs Moosa Ebrahimian and Sheila Ebrahimian filed this action against the Defendant insurer Nationwide Mutual Fire Insurance Company in New York State Supreme Court, Nassau County. The complaint relates to an insurance policy which the Plaintiffs allege the Defendant breached by disclaiming certain coverage for damage sustained by the Plaintiffs’ residence due to a severe storm. The Plaintiffs seek declaratory relief as to the parties’ rights and obligations [408]*408under the insurance policy as well as special damages and punitive damages arising out of the Defendant’s alleged bad faith disclaimer of coverage. On August 25, 2011, the Defendant removed this action to this Court pursuant to 28 U.S.C. § 1441 on the basis of diversity of citizenship jurisdiction. Presently pending before the Court is the Defendant’s motion for summary judgment pursuant to Federal Rule of Civil Procedure (“Fed. R. Civ. P.”) 56 dismissing the complaint in its entirety. For the following reasons, the motion for summary judgment is granted in part and denied in part.

I. BACKGROUND

A. Factual Background

Unless otherwise stated, the following facts are drawn from the parties’ Rule 56.1 statements and are undisputed.

The Plaintiffs are a married couple who own the premises located at 7 Birchwood Lane in Kings Point, New York. The Defendant is a company incorporated in Ohio with its principal place of business in Iowa. On or about July 5, 1995, the Defendant issued a homeowners policy under the number 66 31 [¶] 095769 (“the Policy”) to Plaintiffs in the amount of $1,486,000. According to the Defendant, the Plaintiffs’ son Robert procured the policy. The Plaintiffs concede that neither of them played a role in the purchase of the policy, and that neither ever saw or read of the policy. The Policy was renewed for the term of July 5, 2009 through July 5, 2010.

The Policy contains the following pertinent provisions:

Coverage Agreements
COVERAGE A — DWELLING
We cover:
1. the dwelling on the residence premises used mainly as your private residence, including attached structures and attached wall to-wall carpeting.

(The Policy, at 132). The policy also contains the following provision as to Additional Living Expenses

COVERAGE D — LOSS OF USE
We cover, subject to the coverage limit which is the total limit, all of the following:
1. Additional Living Expense. If a
covered loss requires you to leave the residence premises, we will pay the required increase in living expenses you incur to maintain your normal standard of living. Payment will be for the shortest time required to repair or replace the premises; or, if you permanently relocate, for the shortest time required for your household to settle elsewhere. Payment will not exceed the limit of liability shown on the Declarations or 12 months, whichever occurs first. This period of time is not limited by the end of the policy period

(Id. at 133). In short, Additional Living Expenses are only payable for the “increase” over normal expenses. Further, the policy contains the following pertinent exclusion:

1. We do not cover loss to any property resulting directly or indirectly from any of the following....
(h) Ordinance or Law, meaning enforcement of any ordinance or law regulating the construction, repair or demolition of a building or other structure.

(Id. at Dl). The policy also excludes damages resulting from “birds, vermin, rodents, insects or domestic animals.” (Id. at D2). In addition, the policy contains the following terms and conditions:

3. Your Duties after Loss. In case of loss, you must:
[409]*409a) give immediate notice to us or our agent; and also to the police in ease of theft. In case of loss under the credit card coverage, also notify the credit card (Electronic Fund Transfer Card) company. If loss is caused by or results from the peril of hail, loss must be reported to us or our agent within 6 months of the loss event.
b) Protect from further damage. You must make repairs required to protect the property and keep a record of repair expenses.
c) As often as we reasonably require:
(1) show us the damaged property; and
(2) provide records and documents we request and permit us to make copies.
(3) submit to examinations under oath and sign same. At your or our request, the exams will be conducted separately and not in the presence of any other persons except legal representation.
d) submit to us, within 60 days after we request, your signed, sworn proof of loss which sets forth, to the best of your knowledge and belief:
(1) the time and cause of loss.
(2) interest of the insured and all others in the property involved and all liens on the property.
(3) other insurance that may cover the loss.
(4) changes in title or occupancy of the property during the term of the policy.
(5) specifications of any damaged property and detailed estimates for repair of damage.
(6) a list of damaged personal property showing in detail the quantity, description, actual cash value, and amount of loss. Attach all bills and receipts that support the figures.
(7) receipts for additional living expenses and records supporting the fair rental value loss.
(8) evidence or affidavit supporting a claim under the Credit Card, Electronic Fund Transfer Card, Access Device and Forgery Coverage. It should state the amount and cause of loss.

(Id. at El). Finally, the policy requires that a waiver or change in its terms “must be in writing to [the Defendant] to be valid.” (Id. at LI).

On June 24, 2010, a storm damaged the Plaintiffs’ home and personal property. In particular, the storm damaged the “bedroom wing” of the house. The Defendant subsequently assigned one of its employees, Paul Maggio, to adjust the Plaintiffs’ claim (Maggio Decl ¶ 2). According to Maggio, “[l]arge tree limbs hit the home at two locations due to heavy winds and caused damages to include residual interi- or water damages” (Id. ¶ 4). The Plaintiffs claim that the damages to the residence included the “second floor master bedroom, rear left bedroom, four bathrooms, hallway, stairway, front hallway, first floor office and exercise room” (Sheila Ebrahimian Deck, at ¶ 5).

Maggio inspected the premises and met with the Plaintiffs’ son, Steven.

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Bluebook (online)
960 F. Supp. 2d 405, 2013 WL 2477171, 2013 U.S. Dist. LEXIS 81258, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ebrahimian-v-nationwide-mutual-fire-insurance-nyed-2013.