Goldstein v. Berkshire Hathaway Guard Insurance Companies

CourtDistrict Court, E.D. New York
DecidedNovember 15, 2024
Docket1:23-cv-00349
StatusUnknown

This text of Goldstein v. Berkshire Hathaway Guard Insurance Companies (Goldstein v. Berkshire Hathaway Guard Insurance Companies) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Goldstein v. Berkshire Hathaway Guard Insurance Companies, (E.D.N.Y. 2024).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK ---------------------------------------------------------------------x MOTTEL GOLDSTEIN,

Plaintiff, MEMORANDUM AND ORDER 23-CV-00349 (OEM) (RML) -against-

AMGUARD INSURANCE,

Defendant. ----------------------------------------------------------------------x ORELIA E. MERCHANT, United States District Judge: Mottel Goldstein (“Plaintiff”) brings this breach of contract action against Defendant AmGUARD Insurance (“AmGUARD” or “Defendant”) seeking coverage under an insurance policy for losses related to a flood that damaged Plaintiff’s home on or about December 7, 2020.1 Complaint (“Compl.”), ECF 1. On January 18, 2023, this action was removed from the Supreme Court of the State of New York, County of Kings, to federal court. Before the Court is Defendant’s motion pursuant to Federal Rule of Civil Procedure 56 for summary judgment, seeking to dismiss the complaint in its entirety, and for summary judgment in favor of Defendant on its Counterclaims against Plaintiff on the theory that Plaintiff vitiated coverage by violating the concealment or fraud provision of the policy. Defendant’s Memorandum in Support of Motion for Summary Judgment (“Def.’s Mem.”), ECF 30-15. For the reasons set forth below, Defendant’s motion is denied in its entirety.

1 On May 17, 2023, Berkshire Hathaway Guard Insurance Companies was substituted by its corporate entity, AmGUARD Insurance Company. BACKGROUND2 Plaintiff resides in a home located at 1781 45th Street, Brooklyn, New York 11204-1210 (the “Premises”) for which AmGUARD issued Homeowner’s Insurance Policy Number MOHO150710 (the “Policy”) to Plaintiff on June 15, 2020. See Plaintiff’s Counter Statement of Material Facts (“Pl.’s 56.1 Counter Stmt.”), ECF 31-33 ¶¶ 1-2. The Policy was effective from July

20, 2020, through July 20, 2021. Id. ¶ 3. On or about December 7, 2020, Plaintiff’s personal and physical property were destroyed by a flood. Id. ¶ 6. Plaintiff hired non-party Medina Contractors LLC (“Medina Contractors”) to perform repairs on the Premises. Id. ¶ 29; Def.’s Ex. L (“Medina Dep.”), ECF 30-13 at 18:22-25, 19:1-2. Jonathan Medina (“Mr. Medina”), the main contractor and owner of Medina Contractors testified that he was paid for work performed at the property. Medina Dep. at 25:1-14; see also Pl.’s Ex. 2-31 (“Payment Exhibits”), ECF 31 (checks and Zelle payments). Plaintiff’s complaint rests on the assertion that that Defendant had a contractual duty under the Policy to cover Plaintiff for losses, damages, and repair costs due to the flood. See Compl. at 5 ¶¶ 16, 22. Defendant has paid Plaintiff insurance proceeds totaling $51,751.50 for his claim. 3

Defendant’s Rule 56.1 Statement of Undisputed Material Facts (“Def.’s 56.1 Stmt.”), ECF 30-14 ¶ 12. However, Plaintiff asserts that Defendant owes additional monies, giving rise to this lawsuit. Compl. at 5 ¶ 22; see Pl.’s 56.1 Counter Stmt. ¶¶ 10-12. Plaintiff’s insurance policy contains a provision prohibiting concealment or fraud. See Pl.’s 56.1 Counter Stmt. ¶ 4. The relevant provision in Plaintiff’s insurance policy, “Section I –

2 Unless otherwise indicated, the facts are taken from the parties’ statements of material facts and annexed exhibits pursuant to Local Rule 56.1. To the extent any fact is disputed, it is so indicated.

3The insurance claim is a combination of mitigation, dwelling damages, property damage, loss of property, and damage from loss of usage of Plaintiff’s basement. Compl. at 5 ¶¶ 16-22. Conditions (R) of the Policy,” “Concealment or Fraud” provides as follows: “We provide coverage to no ‘insureds’ under this policy if, whether before or after a loss, an ‘insured’ has: 1. Intentionally concealed or misrepresented any material fact or circumstance; 2. Engaged in fraudulent conduct: or 3. Made false statements; relating to this insurance.”

Id.; Def.’s 56.1 Stmt. ¶ 4; see Decl. of A. Augustus LaSala, Esq., ECF 30-1; Def.’s Ex. A (“Burns Decl.”), ECF 30-2 ¶ 6; Def.’s Ex. B., ECF 30-3. Defendant explains that it denied coverage because, it says, Plaintiff submitted fraudulent construction invoices in support of his damages claims and provided false testimony regarding these invoices and the work performed. Def.’s Mem. at 2. A. The Two Invoices The first invoice Plaintiff provided was a text-searchable PDF titled “Invoice for Mottel Goldstein” for $60,000.00 (“$60,000 Invoice”), created by Medina Contractors, that identified the Premises’ address, included a job description, and was on “Medina Contractors LLC” and “Johnathan Medina” letterhead. See Pl.’s 56.1 Counter Stmt. ¶¶ 30-35. Plaintiff produced a second invoice titled “Invoice for Mottel Goldstein” for $15,000 (“$15,000 Invoice”). Pl.’s 56.1 Counter Stmt. ¶ 39. During his deposition, Plaintiff stated that the $15,000 Invoice was provided by Medina Contractors as an estimate for the additional repair work that needed to be completed at the Premises; was disclosed as a text-searchable PDF;4 identified the Premises address; was provided on “Medina Contractors LLC” and “Johnathan Medina”

4 Mr. Medina testified that he never communicated with Plaintiff by text message, neither during the project at the Premises nor at the time of his deposition. Def.’s 56.1 Stmt. ¶ 51. letterhead5; included a section titled “Job Description;”6 was created by Medina Contractors; and that the items listed under Job Description were not completed on the subject premises. Id. ¶¶ 40- 46. B. Testimony as To the Invoices Mr. Medina testified he did not recall Medina Contractors creating any documents related

to construction work at the Premises. Pl.’s 56.1 Counter Stmt. ¶ 55. Mr. Medina also testified that he nor anyone else from Medina Contractors created the $60,000 Invoice. Pl.’s 56.1 Counter Stmt. ¶¶ 58-59. However, Plaintiff points out that Mr. Medina’s testimony was inconsistent: At page 23 of Medina’s deposition when asked[,] ‘did Medina Contractors prepare estimates for the repair work?[’] Mr. Medina answered[,] ‘No, I don’t remember.’ when asked[,] ‘Did Medina Contractors prepare invoices for the repair work?’ Mr. Medina responded, ‘No.’ At page 19 of the Medina deposition, when asked ‘What was Medina Contractors hired to do,’ Mr. Medina answered, ‘Okay, to do construction work, I can’t remember a lot. . .’ . . . At page 25 of the deposition, when asked[,] ‘were you and Medina Contractors paid for the work?[’] Mr. Medina responded[,] ‘Yes.’ And when asked how much were you and Medina Contractors paid for the work?[’] Mr. Medina stated, ‘I don’t remember[.] [I]t was many days of work.[’]

Pl.’s 56.1 Counter Stmt. ¶¶ 55, 58-59 (emphasis removed); Pl.’s Exhibit C (“Pl.’s Medina Dep.”) ECF 31-32 at 23:3-8; Id. at 25:3-8. At his deposition, Plaintiff stated (1) he did not know who created the $60,000 Invoice, (2) he did not create it, and (3) that Medina Contractors created it. Def.’s Exhibit K (“Pl.’s Dep.”), ECF 30-12 at 18:17-25, 19:1-3; Pl.’s 56.1 Counter Stmt. ¶ 35. Plaintiff testified he received the $60,000 Invoice from Medina Contractors. Id. However, Defendant says Mr. Medina testified

5 Defendant states Mr. Medina’s name was misspelled the same way on both invoices as “Johnathan” and on at least one of Plaintiff’s checks issued to Mr. Medina. Def.’s 56.1 Stmt. ¶¶ 57, 75, 82-83; Pl.’s 56.1 Counter Stmt. ¶¶57, 75, 82-83. Plaintiff admitted both of these facts. Pl.’s 56.1 Counter Stmt. ¶¶ 57, 75, 82-83.

6 Defendant points to Mr. Medina’s testimony that he was only hired to perform repairs to part of the floors on Plaintiff’s first floor. Def.’s Mem. at 4 (citing Def.’s 56.1 Stmt. ¶ 79). Plaintiff admits to this fact but qualifies it by arguing that Mr. Medina’s testimony is contradictory, and his inability to remember renders him unreliable.

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Bluebook (online)
Goldstein v. Berkshire Hathaway Guard Insurance Companies, Counsel Stack Legal Research, https://law.counselstack.com/opinion/goldstein-v-berkshire-hathaway-guard-insurance-companies-nyed-2024.