Franco v. Slavonic Mutual Fire Insurance Ass'n

154 S.W.3d 777, 2004 Tex. App. LEXIS 11284, 2004 WL 2902518
CourtCourt of Appeals of Texas
DecidedDecember 16, 2004
Docket14-03-01433-CV
StatusPublished
Cited by98 cases

This text of 154 S.W.3d 777 (Franco v. Slavonic Mutual Fire Insurance Ass'n) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Franco v. Slavonic Mutual Fire Insurance Ass'n, 154 S.W.3d 777, 2004 Tex. App. LEXIS 11284, 2004 WL 2902518 (Tex. Ct. App. 2004).

Opinion

OPINION

JOHN S. ANDERSON, Justice.

Appellants, Patsy Franco, individually and as next friend of her four children Jesse Ryan, Alyssa, Victoria, and Pete Villanueva, and Jesse Villanueva, her husband, appeal summary judgments granted *766 in favor of appellees. This suit arises from a claim filed by Patsy Franco, the insured, with her insurer seeking coverage under a fire and extended coverage insurance policy for damage caused by a plumbing leak in her home. Appellants, Patsy Franco and her family, filed suit against appellees, the insurer, adjuster, and individuals who handled the insurance claim, alleging breach of contract and extra-contractual causes of action stemming from alleged misrepresentations made concerning the policy and the handling of the claim. We affirm.

Factual and Peocedural BackgRound

On June 18, 2000, Patsy Franco noticed water on her porch. It was discovered that the water was the result of a plumbing leak in her home. She notified her insurer, Slavonic Mutual Fire Insurance Association, of the plumbing leak and sought coverage for the cost of repairing the damage caused by the plumbing leak under a fire and extended coverage insurance policy issued by Slavonic insuring her home from certain losses. 1

Jed Walzel, secretary of Slavonic, acknowledged Franco’s claim and hired Southland Services, Inc. to inspect the premises at Franco’s residence and adjust the claim. Southland assigned the claim to individual adjustors Ernie Afflitto and Carl King. King contacted Franco about her claim and instructed her to contact a plumber. The section of the pipe that was leaking was located within the wall cavity, and King authorized the kitchen wall to be opened for plumbing repairs. It was discovered that the leak was caused by a hole in a drain pipe connected to the kitchen sink that leaked only when the sink was used. Franco did not know how long the pipe had been leaking.

After the plumbing repairs were made, King returned to Franco’s home, inspected the damage, and prepared an estimate of the repairs. On July 7, 2000, King sent his estimate of the cash value of the repairs to Slavonic. King estimated the amount of the actual cash value of the repairs as $3,930.55, less a $250 deductible, for a total cash value of $3,680.55. On July 18, 2000, Slavonic tendered a check in that amount to Franco. Slavonic also paid an invoice in the amount of $285 for emergency services at the Franco residence related to the plumbing leak. Franco did not cash the check for $3,680.55.

On July 21, 2000, Southland was notified by John Kubala, Franco’s designated appraiser, that Franco was invoking the appraisal provision of the Slavonic policy. On July 31, Walzel received a fax from Southland transmitting Franco’s demand for appraisal. The appraisal provision in the policy provides the following:

Appraisal. In case the insured and this Company shall fail to agree as to the actual cash value or the amount of loss, then, on the written demand of either, each shall select a competent and disinterested appraiser and notify the other of the appraiser selected within twenty days of such demand. The appraisers shall first select a competent and disinterested umpire; and failing for fifteen days to agree upon such umpire, then, on request of the insured or this Company, such umpire shall be selected by a judge of a district court of a judicial district where the loss occurred. The appraisers shall then appraise the loss, stating separately actual cash value and loss to each item; and, failing to agree, shall submit their differences only to the umpire. An award in writing, so item *767 ized, of any two when filed with this Company, shall determine the amount of actual cash value and loss. Each appraiser shall be paid by the party selecting him and the expenses of appraisal and umpire shall be paid by the parties equally.

On August 14, 2000, Afflitto notified Kuba-la that Slavonic designated Sergio Garibay as its appointed appraiser.

In mid-July 2000, prior to Garibay’s appointment as Slavonic’s appraiser, South-land had contacted Garibay to examine the premises of the Franco home and determine the cause of the damage, and Garibay issued a report regarding his examination of the Franco residence and his findings. Franco protested Garibay’s appointment as Slavonic’s appraiser because of his previous investigation of the leak. However, on October 4, 2000, Kubala and Garibay agreed on the appointment of Lynn Taylor as the umpire, and the appraisal process moved forward.

Franco and Kubala claimed mold in Franco’s home was caused by water from the plumbing leak and needed to be tested. Kubala estimated the cost of repair as $12,397.72. Garibay disagreed with Kuba-la’s estimate and, instead, agreed with an estimate prepared by Southland estimating the cost of repair as $4,002. 2

On December 28, 2000, Taylor sent a proposed appraisal award to Kubala and Garibay proposing $8,273.53 as the cost of repair and $6,863.03 as the amount of the loss with depreciation deducted. Taylor’s proposed award included an allowance for “mold treatment” but not for any special remediation effort because Taylor had “not been presented with any information that the mold condition that presently exists is one that warrants special environmental remediation.”

On January 13, 2001, Taylor submitted a revised, proposed award to Kubala and Garibay. Taylor and Kubala both agreed to the revised proposed award of $8,350.51 for the cost of repair and $6,902.03 for the actual amount of loss, and Slavonic paid Franco $6,652.03 on January 22, which represented the actual value of the loss as determined by the revised, proposed award agreed to by Kubala and Taylor, less the $250 deductible specified in the policy. Franco accepted payment and deposited the check.

In June 2001, appellants filed suit against Slavonic, Walzel, Southland, Afflit-to, and King, alleging violations of Texas Insurance Code articles 21.21 and 21.55 and the Texas Deceptive Trade Practices Act (“DTPA”) and claims of negligent misrepresentation, fraud, breach of contract, breach of the duty of good faith and fair dealing, breaches of warranty, unconscionable conduct, gross negligence, and malice. All of appellants’ claims stem from alleged misrepresentations made by appellees concerning the policy and its coverage and the appellees’ alleged mishandling of Franco’s claim. 3 Appellants sought economic and mental anguish damages, treble damages under the DTPA, exemplary damages, and attorney’s fees.

In April 2003, Slavonic and Walzel filed a joint motion for summary judgment (“Slavonic’s motion”) asserting traditional and no-evidence grounds as follows:

1. The Plaintiffs submitted their contractual claim to binding appraisal under the policy [and the appraisal award] was paid by Defendant Slavonic;
*768 2. The Plaintiffs are estopped to claim additional damages under the policy of insurance since they have retained the benefit of the appraisal award paid by Slavonic;
3.

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Bluebook (online)
154 S.W.3d 777, 2004 Tex. App. LEXIS 11284, 2004 WL 2902518, Counsel Stack Legal Research, https://law.counselstack.com/opinion/franco-v-slavonic-mutual-fire-insurance-assn-texapp-2004.