Garland L. Bowman, II v. State Farm Fire and Casualty Company

Court of Appeals of Virginia·Decided November 21, 2023·No. 1256223·Unpublished

Opinion

COURT OF APPEALS OF VIRGINIA UNPUBLISHED

Present: Judges Raphael, Lorish and Callins Argued at Lexington, Virginia

GARLAND L. BOWMAN, II

MEMORANDUM OPINION BY

v. Record No. 1256-22-3 JUDGE LISA M. LORISH NOVEMBER 21, 2023

STATE FARM FIRE AND CASUALTY COMPANY

FROM THE CIRCUIT COURT OF THE CITY OF ROANOKE Onzlee Ware, Judge

Dennis P. Brumberg (BWLAW PLC, on briefs), for appellant.

David R. Berry (Guy M. Harbert, III; Monica Taylor Monday;

Gentry Locke, on brief), for appellee.

After Garland L. Bowman, II’s home was severely damaged by fire, he filed a claim with his insurer, State Farm Fire and Casualty Company. Under his policy, Bowman was entitled to receive the “actual cash value” of the damage to his home until “repair or replacement” was completed, at which point State Farm would reimburse him for repair or replacement costs if they exceeded the actual cash value. While the policy did not state that repair or replacement must be completed within two years of the date of loss, the policy did include a limitation on “[s]uit[s] [a]gainst [u]s.” It stated that “[n]o action shall be brought [against State Farm] unless there has been compliance with the policy provisions and the action is started within two years after the date of the loss or damage.”

State Farm paid Bowman the actual cash value of the damage to his home and then told Bowman that he had to complete any repair or replacement within two years of the date of the

This opinion is not designated for publication. See Code § 17.1-413(A).

loss. Just before the two-year mark, Bowman filed an action for declaratory relief, asking the circuit court to interpret the insurance policy and hold that State Farm could not refuse to make payments for repair or replacement costs incurred after two years from the date of loss. State Farm demurred, arguing that Bowman could not bring a suit unless he had complied with the policy, which required him to complete repairs or replacement within two years. Because he had not done so, State Farm argued there was no justiciable controversy. The circuit court agreed. We conclude that whether Bowman failed to comply with the policy cannot be determined from the face of the complaint. Accordingly, we reverse and remand for further proceedings.

BACKGROUND

We consider the facts as stated in the complaint, “along with those reasonably and fairly implied from them, in the light most favorable to the plaintiff.” Doe v. Zwelling, 270 Va. 594, 597 (2005).

Bowman purchased a rental dwelling policy from State Farm. As required by Code § 38.2-2105, the policy includes the following: “Suit Against Us. No action shall be brought unless there has been compliance with the policy provisions and the action is started within two years after the date of the loss or damage.” The first page of the policy lists numerous included forms, options, and endorsements and states that “[y]our policy consists of this page, any endorsements and the policy form.” One such endorsement, the “Extra Replacement Cost Coverage Endorsement,” states that “[w]e will settle covered losses for the amount you actually and necessarily spend to repair or replace the dwelling . . . , up to the applicable limit of liability shown in the Declarations.” Pertaining to loss settlement, the endorsement stated, “Buildings under Coverage A . . . at replacement cost without deduction for depreciation, subject to the following . . .”

(2) We will pay the cost of repair or replacement, without deduction for depreciation, but not exceeding the smaller of the following amounts:

(a) the replacement cost of that part of the building damaged for equivalent construction and use on the same premises;

(b) the amount actually and necessarily spent to repair or replace the damaged building; or

(c) the limit stated in the Extra Replacement Cost Coverage provision.

(3) We will pay the actual cash value of the damage to the buildings or other structures, up to the policy limit, until actual repair or replacement is completed.

Nothing in the endorsement, or the policy, states that repairs or replacement need to be completed within any specified period.

Bowman’s house was severely damaged by fire on March 24, 2020, and he made a timely claim to State Farm under his policy. State Farm began to investigate, and in October 2020, provided Bowman a first estimate of the cost to repair his house, as well as an initial actual cash value payment. In addition to enclosing a 60-page breakdown of estimated repair costs by room and item, the letter attached an “Explanation of Building Replacement Cost Benefits” form, which stated that “[t]o receive replacement cost benefits you must . . . [c]omplete the actual repair or replacement of the damaged part of the property within two years of the date of loss.” The original policy did not list or attach this form.

A year later, in October 2021, State Farm provided a written notification to Bowman, in compliance with Virginia Department of Insurance regulations, to explain that his claim had not been concluded because “[t]he requested engineer inspection report has been received and is currently under review.” In November 2021, State Farm provided an additional actual cash value payment along with an updated, and increased, total amount of claim based on an updated

60-page repair estimate. This letter provided another copy of the “Explanation of Building Replacement Cost Benefits” form.

On February 23, 2022, State Farm wrote to Bowman summarizing the status of his claim to date and stating that Bowman’s policy “outline[s] a timeframe for bringing action related to this loss,” and then quoting the “Suit Against Us” language. The letter concludes with State Farm stating that “[t]he Company does not intend, by this letter, to waive any policy defense in addition to those stated above, but specifically reserves its right to assert such additional policy defenses at any time.”

Bowman filed his complaint on March 22, 2022, seeking a declaration that “State Farm may not as of March 25, 2022, restrict Bowman to payments for the actual cash value of the damaged part of the property, which may include a deduction for depreciation, as opposed to replacement cost benefits up to the policy limits.” He attached a copy of each of the documents mentioned above and alleged that, given the nature of the damage and the amount of time State Farm took to investigate the claim, it would “not be possible” to complete the repairs within two years of the date of loss. Bowman also alleged that the two-year limit was “not detailed or mentioned in the Policy.”

State Farm demurred, arguing that Bowman could not maintain an action because he had not complied with the policy provisions regarding replacement cost coverage, which required repairs or replacement to be completed within two years of the loss, and because more than two years had now elapsed since the loss. State Farm asserted that Bowman’s failure to repair or replace the property within two years meant that there was no actual controversy between the parties because Bowman could no longer sue State Farm to reimburse him for any repair or replacement costs he could incur in the future.

The circuit court agreed and sustained the demurrer because “Bowman seeks to enforce payment beyond the scope of his insurance policy” and that therefore “[h]e has no justiciable interest as there is no actual controversy.” The court also observed that “Bowman filed the instant action on March 22, 2022, within the two year time frame, but he was out of compliance with his policy for failure to complete the repairs and/or replacement” and that “[e]ven if Bowman has now or eventually completes the repairs and/or replacement to the property, any subsequent action for the value is barred for failure to institute suit for them within two years of the date of loss.”

Bowman appeals.

ANALYSIS

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Garland L. Bowman, II v. State Farm Fire and Casualty Company, (Va. Ct. App. 2023).

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