Espinoza v. State Farm Lloyds

CourtDistrict Court, W.D. Texas
DecidedSeptember 16, 2024
Docket1:23-cv-00751
StatusUnknown

This text of Espinoza v. State Farm Lloyds (Espinoza v. State Farm Lloyds) is published on Counsel Stack Legal Research, covering District Court, W.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Espinoza v. State Farm Lloyds, (W.D. Tex. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF TEXAS AUSTIN DIVISION

DAVID ESPINOZA, § § Plaintiff, § § v. § 1:23-CV-751-DII § STATE FARM LLOYDS, § § Defendant. §

ORDER Before the Court is Defendant State Farm Lloyd’s (“Defendant”) Motion for Summary Judgment. (Dkt. 37). Plaintiff David Espinoza (“Plaintiff”) filed a response, (Dkt. 40), and Defendant filed a reply, (Dkt. 42). Having considered the parties’ submissions, the record, and the applicable law, the Court will grant the motion for summary judgment. I. BACKGROUND In his original petition, which is the live complaint in this case, Plaintiff alleges that he purchased a homeowner’s insurance policy from Defendant that ran from March 6, 2021, to March 6, 2022. (Pet., Dkt. 1-1, at 5). Policy Number 53 E1 V588 8 (the “Policy”) insured Plaintiff’s property located at 548 Wiltshire Drive, Hutto, Texas 78634 (the “Property”). (Id.; see also Pl.’s Homeowners Policy, Dkt. 37-1, at 1). Plaintiff alleges that on May 28, 2021, the Property sustained extensive damage from a severe hail-and-wind storm. (Pet., Dkt. 1-1, at 6). On April 30, 2022, nearly a year after the alleged date of loss, Plaintiff submitted a claim to Defendant, requesting coverage for damage to the main dwelling roof and exterior gutters and downspouts of the Property resulting from the May 28, 2021 storm (the “Claim”). (Mot., Dkt. 37, at 3; see also Claim Activity File Notes, Dkt. 37-1, at 66). Defendant conducted an inspection of the Property on May 4, 2022. (Mot., Dkt. 37, at 3). The inspection was completed by Defendant’s claim specialist, Alex Kemp. (Resp., Dkt. 40, at 2).

Kemp did not find any hail damage to the roof shingles or the metal roof appurtenances. (File History, Dkt. 37-1, at 76). Kemp did note that the shingles showed “normal granule loss and deterioration for their age” and that there was “pen tip size spatter” on “some of the metal roof appurtenances.” (Id.). Kemp also noted a single wind damaged shingle on the left slope of the roof. (Id.). Apart from any observations of the roof itself, Kemp also noted “hail damage to the gutter system on the back elevation of the home that showed quite large hail.” He stated that “it was clear that these impacts had been present for awhile due to the build up of dirt and soot in them, which means they do not correlate to the [date of loss] of the claim.” (Id.). Based on Kemp’s inspection, State Farm drafted an estimate as to the one wind damaged shingle on the left slope of the Property’s roof for $580.25 at replacement cost value. (Mot., Dkt. 37, at 3). Kemp did not estimate any damages as to the gutter system because he found that they did not occur on the alleged date of loss. (File History, Dkt. 37-1, at 76). This estimate for the roof shingle

fell below Plaintiff’s deductible of $3,650.00 under the Policy; therefore, Defendant did not issue any payment to Plaintiff. (Id.). Defendant sent Plaintiff a letter explaining its claim decision the same day as the inspection. (Id.). On January 21, 2023—about 8 months after Defendant conducted its inspection and issued its claim letter to Plaintiff—Defendant received a letter from Plaintiff’s public adjuster, Tyler Mishoulam (“Mishoulam”). Mishoulam, who inspected the Property on or around January 19, 2023, estimated that the storm on May 28, 2021, caused $51,400.76 in damages to the Property. (Id.). Defendant states that it reviewed Mishoulam’s estimate and photographs and concluded that “many of the alleged damages were not actually damages and/or were not covered damages under the policy.” Further, Defendant concluded that the “larger hail impacts observed to the overhead garage door, A/C fins, gutters and downspouts were old damage that did not occur on May 28, 2021.” (Id. at 3–4).

A few months later, on March 14, 2023, Defendant received a letter from the Chad T. Wilson Law Firm on behalf of Plaintiff asserting that the storm on May 28, 2021 resulted in $62,642.32 of damages to the Property. (See Letter, Dkt. 37-1, at 100). Defendant responded that Plaintiff failed to provide any documentation supporting the $62,642.32 damages estimate and explained that it had already determined that the $51,400.76 damages estimate from Mishoulam included items that were outside the scope of the Policy. (Mot., Dkt. 37, at 4). Therefore, Defendant refused to revise the $580.25 estimate based on its own inspection. (Id.). Plaintiff filed suit against Defendant on May 30, 2023, in the 480th Judicial District of Williamson County, Texas. (Pet., Dkt. 1-1, at 4). Defendant filed its answer to Plaintiff’s petition on June 23, 2023. (Answer, Dkt. 1-1, at 24). Defendant then removed this case to federal court on July 7, 2023, based on diversity jurisdiction. (Not. Removal, Dkt. 1). In his petition, Plaintiff asserts claims for (1) breach of contract; (2) non-compliance with the Texas Insurance Code: Unfair

Settlement Practices, Tex. Ins. Code § 541.060(a); (3) non-compliance with the Texas Insurance Code: the Prompt Payment of Claims, Tex. Ins. Code § 542.060; (4) breach of the duty of good faith and fair dealing; and (5) several violations of the Texas Deceptive Trade Practices Act, Tex. Bus. & Com. Code §§ 17.41–17.63. (Pet., Dkt. 1-1, at 10–13). Plaintiff claims that the storm on May 28, 2021 damaged the Property’s roof, vents, flashings, windows, window screens, fascia, gutters, downspouts, and HVAC system. (Id. at 6). Plaintiff requests actual damages to the Property in the amount of $62,642.32, as well as additional damages under each of his causes of action. (Id. at 14– 16). The Court set this case for trial on October 7, 2024, and the deadline for dispositive motions was July 19, 2024. (Order, Dkt 12). On June 24, 2024, Defendant filed a motion to limit the testimony of Plaintiff’s designated expert, Brandon Allen. (Dkt. 27). United States Magistrate Judge Dustin Howell granted in part and denied in part that motion, granting it on the basis that Allen’s

testimony should be excluded as to how damages relate to definition of covered causes of loss under Plaintiff’s insurance policy. (Order, Dkt. 44). On July 19, 2024, Defendant filed the instant motion for summary judgment on all of Plaintiff’s claims. (Dkt. 37). II. LEGAL STANDARDS Summary judgment is appropriate when there is no genuine dispute as to any material fact and the moving party is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a); Celotex Corp. v. Catrett, 477 U.S. 317, 323–25 (1986). A dispute regarding a material fact is “genuine” if the evidence is such that a reasonable jury could return a verdict in favor of the nonmoving party. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). “A fact is material if its resolution in favor of one party might affect the outcome of the lawsuit under governing law.” Sossamon v. Lone Star State of Tex., 560 F.3d 316, 326 (5th Cir. 2009) (quotations and footnote omitted). When reviewing a summary judgment motion, “[t]he evidence of the nonmovant is to be believed, and all justifiable inferences

are to be drawn in his favor.” Anderson, 477 U.S. at 255. Further, a court may not make credibility determinations or weigh the evidence in ruling on a motion for summary judgment. Reeves v.

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Espinoza v. State Farm Lloyds, Counsel Stack Legal Research, https://law.counselstack.com/opinion/espinoza-v-state-farm-lloyds-txwd-2024.