Flores v. Allstate Texas Lloyd's Co.

278 F. Supp. 2d 810, 2003 U.S. Dist. LEXIS 13403, 2003 WL 22006302
CourtDistrict Court, S.D. Texas
DecidedJuly 16, 2003
DocketCIVIL ACTION NO. M-02-410
StatusPublished
Cited by18 cases

This text of 278 F. Supp. 2d 810 (Flores v. Allstate Texas Lloyd's Co.) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Flores v. Allstate Texas Lloyd's Co., 278 F. Supp. 2d 810, 2003 U.S. Dist. LEXIS 13403, 2003 WL 22006302 (S.D. Tex. 2003).

Opinion

MEMORANDUM OPINION

CRANE, District Judge.

Defendant Allstate moves for summary judgment on the grounds that Plaintiffs’ failure to comply with the requirements of prompt notice and reasonable repairs under their homeowner’s insurance policy precludes coverage for mold growth resulting from water damage to the Plaintiffs’ home. This case presents a question arising in numerous other mold cases pending before this Court: whether failure to provide prompt notice of an initial water event within the home should preclude, as a matter of law, homeowner’s insurance coverage for mold growth resulting from such water event? In analyzing this question the Court finds that, while the answer will typically be based on the facts of each case, a homeowner’s failure to provide initial notice of a water event within the home should not, as a general rule, prevent the homeowner from subsequently providing prompt notice of, and receiving coverage for, ensuing mold damage that becomes manifest well after the initial water event, where such initial failure to provide notice is reasonable under the circumstances.

I. BACKGROUND

Mr. and Mrs. Oscar Flores filed suit in state court on September 9, 2002, alleging breach of contract, bad faith and insurance code violations against Allstate for failing to properly investigate and fully pay the Floreses’ claim for water and mold damage to their home in Mission, Texas. 1 Allstate timely removed the case to this Court based on diversity jurisdiction. Plaintiffs purchased a Texas Standard Homeowner’s Form B Policy (“Policy”) from Allstate in 1988 and have renewed it annually through the time of Plaintiffs’ claimed losses. (Doc. 12 at 2). Plaintiffs state that they “became concerned about, wetness and mold in their home” and contacted an attorney to advise them. (Doc. 1, Exh. A State Petition at 3). The attorney then arranged for contractors to investigate Plaintiffs’ home on November 1, 2001. This investigation revealed several leaks and mold growth in the following areas of the home: air conditioning unit, hall and master bathrooms, and kitchen sink. On November 5, 2001, Plaintiffs filed an insurance claim for losses resulting from these leaks, 2 which they contend constitutes *813 “prompt notice” under the Policy from the date they discovered the mold damage. (State Petition at 3). At the summary judgment hearing of May 9, 2003, counsel for Plaintiffs further clarified that Plaintiffs do not seek damages associated with the initial water leaks (e.g. repair of a water stain); rather, Plaintiffs seek coverage only for ensuing mold damage.

Defendant Allstate moves for summary judgment on the grounds that Plaintiffs’ claims are barred for failure to comply with certain conditions precedent to coverage under the Policy, specifically prompt notice and mitigation of damages. (Doc. 11). Defendant’s position is that Plaintiffs had a duty under the Policy to provide prompt notice of each initial water event that they contend caused ensuing mold damage. All of the leaks identified by the Plaintiffs occurred months to years prior to their claim for mold damage. (Doc. 11 and deposition exhibits). Had Plaintiffs provided such notice, and made necessary repairs, Defendant argues that it would not be faced with the ensuing mold claim and present coverage dispute. (Doc. 11 at ¶¶ 17-18). Defendant further asserts that, because Plaintiffs’ water damage claims are barred for their failure to comply with the conditions precedent under the Policy, Plaintiffs’ bad faith claims must also fail as a matter of law. (Doc. 11 at ¶¶ 19-20).

II. STANDARD OF REVIEW

A court may grant summary judgment when “the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” Fed.R.Civ.P.56(c); see also Celotex Corp. v. Catrett, 477 U.S. 317, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). The Court must first determine whether there are genuine and material issues of fact by reviewing applicable law. Crescent Towing & Salvage Co., Inc. v. M/V Anax, 40 F.3d 741, 743 (5th Cir.1994). The Court then examines the evidence on those issues, viewing any contested facts in the light most favorable to the non-moving party. Id.

The movant bears the initial responsibility of informing the district court of the basis for its motion and must identify the portions of the record that it believes dém-onstrate the absence of genuine issues of material fact. Celotex Corp., 477 U.S. at 323, 106 S.Ct. 2548. Here, Defendant’s motion for summary judgment contends that Plaintiffs failed to comply with the conditions precedent in their insurance policy. Because such contention states an affirmative defense, for which the Defendant has the burden of proof at trial, the Defendant must further establish each element of the defense as a matter of law. Id. at 322-23, 106 S.Ct. 2548. If the Defendant carries its burden then the Plaintiff must produce significant probative evidence demonstrating that a triable issue of fact exists on at least one element of the defense. Kansa Reinsurance Co. v. Congressional Mortg. Corp., 20 F.3d 1362, 1371 (5th Cir.1994).

III. ANALYSIS

A. Interpretation of the Policy

Under Texas law, construction of insurance contracts is governed by the general rules of contract interpretation. Texas Farmers Ins. Co. v. Murphy, 996 S.W.2d 873, 879 (Tex.1999). Therefore, the Court must “give effect to the written expression of the parties’ intent, viewing the contract in its entirety” and strive to give each sentence, clause, and word meaning in order not to render any portion of the contract inoperative. Id. The burden is on the insurance company to prove the applicability of any exclusions under its policy. Id.

*814 The Parties here do not argue that the Policy is ambiguous with respect to the coverage issues in dispute. The Court will assume, therefore, that the Parties believe the sections of the Policy relevant to the present dispute are clear and unambiguous. In addition, the Parties do not generally dispute that the Policy covers ensuing mold damage.

Plaintiffs’ Policy covers all physical loss to both the dwelling (“Coverage A”) and certain personal property contained within the dwelling (“Coverage B”), unless otherwise excluded. (Doc. 12, Exh. 2 Policy at 4, Section I Perils Insured Against).

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Bluebook (online)
278 F. Supp. 2d 810, 2003 U.S. Dist. LEXIS 13403, 2003 WL 22006302, Counsel Stack Legal Research, https://law.counselstack.com/opinion/flores-v-allstate-texas-lloyds-co-txsd-2003.