Endurance American Specialty Insurance Company v. William Kramer & Associates, LLC

CourtDistrict Court, D. Connecticut
DecidedSeptember 16, 2020
Docket3:18-cv-00192
StatusUnknown

This text of Endurance American Specialty Insurance Company v. William Kramer & Associates, LLC (Endurance American Specialty Insurance Company v. William Kramer & Associates, LLC) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Endurance American Specialty Insurance Company v. William Kramer & Associates, LLC, (D. Conn. 2020).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

ENDURANCE AMERICAN SPECIALTY INSURANCE COMPANY, ET AL.

Plaintiffs, No. 3:18-cv-00192 (MPS)

v.

WILLIAM KRAMER & ASSOCIATES, LLC, ET AL. Defendants.

RULING ON WKA’S MOTION TO DISMISS Endurance American Specialty Insurance Company (“Endurance”) brought this action on February 1, 2018, against William Kramer & Associates, LLC (“WKA”), a loss adjustment firm, related to WKA’s assessment of damages to the Caravelle Resort in Myrtle Beach, South Carolina following Hurricane Matthew. ECF No. 1. Two additional property insurers of the Caravelle Resort, James River Insurance Company and AXIS Surplus Insurance Company, intervened as plaintiffs (hereinafter Endurance, AXIS, and James River collectively referred to as “the Plaintiffs”). See ECF Nos. 32, 34. The Plaintiffs assert negligence claims and a claim for breach of fiduciary duty against WKA related to its adjustment of the losses at the Caravelle Resort. ECF No. 126 at 6-8. On August 31, 2018, WKA filed third-party complaints for common law indemnification against Madsen Kneppers and Associates, Inc. (“Madsen”) and York Risk Services Group, Inc. (“York”). ECF No. 58-59. Madsen filed a motion to dismiss WKA’s third-party complaint, which I granted on August 15, 2019. ECF No. 121. On October 1, 2019, the Plaintiffs amended their complaint to assert a negligence claim against Madsen. ECF No. 126 at 9 (Count Four). Madsen filed an Amended Answer, Affirmative Defenses and Cross-Claims against WKA and York. ECF No. 146. The cross-claims against WKA assert contractual indemnification (Count One), common law indemnification (Count Two), and apportionment and contribution (Count Three). ECF No. 146 at 12-13 ¶ 9, 13 ¶ 6, 14-15 ¶ 4. WKA moves to dismiss Counts Two and Three under Fed. R. Civ. P. 12(b)(6). ECF No. 148 at 2. For the reasons set forth below, the

motion to dismiss is GRANTED in part and DENIED in part. I. FACTUAL ALLEGATIONS The following facts are drawn from the operative complaints, including the Plaintiffs’ First Amended Joint Complaint, ECF No. 126, and Madsen’s Amended Answer, Affirmative Defenses and Cross-claims. ECF No. 146.1 The factual allegations are accepted as true for the purposes of this ruling. On “October 8, 2016, Hurricane Matthew impacted Myrtle Beach, South Carolina, causing [The] Caravelle [Resort] (‘Caravelle’) to sustain damage.” ECF No. 126 ¶¶ 8, 15. Caravelle held insurance policies issued by Endurance, Liberty, James River, and AXIS. Id. at ¶¶ 9-12.2 On

“October 10, 2016, Caravelle submitted its claim to the [Plaintiffs] for the damages alleged to have been sustained due to Hurricane Matthew (the ‘Claim’).” Id. at ¶ 16. WKA, “an independent loss adjusting firm who acts on behalf of insurance companies, including the [Plaintiffs],” was “the designated loss adjuster pursuant to the terms of the [Plaintiffs’] policies and was assigned to adjust

1 “The cross-claim must be construed against the background of the complaint, for it is only if the plaintiffs prevail against [the cross-claim plaintiffs] that they would have any basis to seek indemnity against [the cross-claim defendant]. Further, it is only on grounds alleged against [the cross-claim plaintiffs] that plaintiffs could prevail against them.” Cimino v. Yale Univ., 638 F. Supp. 952, 958 (D. Conn. 1986). 2 The policies consisted of a primary layer of $10 million, divided evenly between Endurance and Liberty, and an excess layer of $34 million, divided evenly between AXIS and James River. Id. at ¶ 12. all claims made against the [Plaintiffs’] policies.” Id. at ¶¶ 13-14. “On October 14, 2016, WKA representatives arrived on site at Caravelle to begin its inspection and assessment of the storm related damage.” Id. at ¶ 18. At that time, “WKA had a duty in adjusting the Claim to retain experts, if necessary, to assist them in understanding the loss, determining the extent of the damage proximately caused by Hurricane Matthew and to take such steps as were necessary to mitigate

the potential for future damage.” Id. at ¶ 19. “After an initial assessment of damage, it became apparent that WKA would require additional assistance; therefore, on or about October 18, 2016, the construction consulting and engineering firm, Madsen[,] was retained by WKA, on behalf of the [Plaintiffs] to assist in the investigative and adjusting process.” Id. at ¶ 20. “Among Madsen’s responsibilities was to identify and estimate the cost of the damage proximately caused by Hurricane Matthew and develop protocols for remediation and repairing the damage caused by Hurricane Matthew.” Id. at ¶ 21. “Madsen was designated to report its findings and recommendations to WKA for publication to the [Plaintiffs].” Id. at ¶ 22. The initial estimate totaled $2,900,000, but “over the

next weeks, the loss estimate continued to rise substantially.” Id. at ¶¶ 23-24. “Concerned by the precipitous rise in WKA’s and Madsen’s damage assessment, the Excess Layer retained an independent adjusting firm to peer review WKA’s work on the project and to act as the loss adjuster on behalf of AXIS and James River.” Id. at ¶ 25. “On or around December 30, 2016, WKA estimated a total loss value of $18,000,000.” Id. at ¶ 26. “On or around January 27, 2017, [the Plaintiffs] agreed to resolve Caravelle’s Claim for approximately $24,000,000. . . .” Id. at ¶ 27. The Plaintiffs allege that “[WKA and Madsen] repeatedly and consistently failed to disclose to the [Plaintiffs] material facts and issues, including that Caravelle’s claimed damages were either from preexisting mold or not proximately caused by Hurricane Matthew.” Id. at ¶ 29. “Madsen informed WKA that certain rooms that had been designated for reconstruction because of moisture had no evidence of mold growth,” but that information “was never relayed … to the [Plaintiffs].” Id. at ¶¶ 31, 33. “Thus, the [Plaintiffs] relied upon [WKA’s and Madsen’s] representations regarding the scope and cost of damages without being informed that much of the

continuing remediation costs, as well as the costs of certain repairs and reconstruction was unwarranted or unrelated to Hurricane Matthew damage.” Id. at ¶ 34. “Because of [WKA’s and Madsen’s] failure to disclose relevant and material information to the [Plaintiffs] about the source and extent of the damage, the [Plaintiffs] ultimately paid for the rehabilitation of the entire Resort, rather than for the Hurricane Matthew-specific damages.” Id. at ¶ 36. The Plaintiffs assert claims against WKA for negligence. ECF No. 126 at 6-8. They allege, among other failures, that WKA “failed to advise the [Plaintiffs] that a significant amount of the assessed damage was actually preexisting and not covered by the [Plaintiffs] policies.” Id. at ¶ 41. The Plaintiffs also allege that “WKA owed a duty to the [Plaintiffs] to take those

necessary actions to mitigate the damage and to safeguard [Caravelle] to prevent further damage from occurring.” Id. at ¶ 47. “WKA breached its duty owed to the [Plaintiffs] by failing to protect the site, allowing additional damage to occur, failing to document the pre-existing mold damage to allow it to be distinguished from mold damage caused as a result of water intrusion during Hurricane Matthew, and by failing to estimate and compare the cost to remediate the water damage, mold damage, and construction costs as opposed to the cost of gutting and rehabilitating the units.” Id. at ¶ 48.

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Endurance American Specialty Insurance Company v. William Kramer & Associates, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/endurance-american-specialty-insurance-company-v-william-kramer-ctd-2020.