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

District Court, D. Connecticut·Decided September 16, 2020·No. 3:18-cv-00192·Unknown

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 YORK’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 at 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 York assert apportionment, contribution, and common law indemnification. ECF No. 146 at 15 ¶ 5, 17 ¶ 7. York moves to dismiss the cross- claims under Fed. R. Civ. P. 12(b)(6). ECF No. 151-1 at 5. 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 all claims made against the [Plaintiffs’] policies.” Id. at ¶¶ 13-14. “On

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. October 14, 2016, WKA representatives arrived on site at Caravelle to begin its inspection and assessment of the storm related damage.” Id. at ¶ 18. “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. One of “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 [Axis and James River] retained an independent adjusting firm3 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 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 126 ¶ 41. The Plaintiffs also allege that WKA failed to “mitigate the damage and to safeguard

3 It is apparent from Madsen’s pleading, ECF No. 146 at 15 ¶ 2, and from WKA’s own third-party complaint against York, ECF No. 59 ¶ 17, that the independent adjusting firm hired to review WKA’s work on the project was York. [Caravelle] to prevent further damage from occurring.” Id. at ¶¶ 47-48. Finally, the Plaintiffs allege that WKA breached its fiduciary duty by, among other failures, “failing to disclose to the [Plaintiffs] that a significant amount of the assessed damage was actually preexisting and not covered by the [Plaintiffs’] policies.” Id. at ¶ 54. The Plaintiffs assert a negligence claim against Madsen for breaching its duty “to act in a

manner consistent with the level of care and skill ordinarily exercised by other professional consultants retained to assist in the investigation, documentation, repair and adjustment of insurance claims for large weather-related losses.” ECF No. 126 at ¶ 58. The Plaintiffs also allege that “Madsen violated its duty [to Plaintiffs] by failing to perform an appropriate and adequate site inspection and moisture survey, failing to determine an appropriate scope or pricing to repair interior storm damage caused by Hurricane Matthew, failing to determine whether initial efforts undertaken by the insured and/or WKA to remediate the loss were reasonable, sufficient, or appropriate, failing to properly monitor repairs, failing to audit the contractors’ costs, failing to properly document and differentiate the extent of pre-existing water damage and

mold growth from water and mold damage that occurred as a result of Hurricane Matthew, failing to take necessary steps to mitigate the damage to Caravelle, failing to safeguard the site to prevent further damage from occurring, and by failing to recognize and communicate to the [Plaintiffs] that the property could be completely gutted and rehabilitated for less than the amount spent to remediate and repair the damage.” Id. at ¶ 60. In its cross-claims against York, which are the subject of this motion, Madsen alleges that York was “retained by Plaintiffs to provide certain adjusting services with respect to the Claim and provided such services to Plaintiffs.” ECF No. 146 at 15 ¶ 2. Madsen alleges that “[i]f Plaintiffs sustained the losses and/or damages alleged in the Complaint, which Madsen denies, said losses and/or damages were caused in whole or in part by the negligence of York . . .

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

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