Goralnik v. United Fire & Casualty Co.

240 S.W.3d 203, 2007 Mo. App. LEXIS 1696, 2007 WL 4301227
CourtMissouri Court of Appeals
DecidedDecember 11, 2007
DocketED 88138
StatusPublished
Cited by24 cases

This text of 240 S.W.3d 203 (Goralnik v. United Fire & Casualty Co.) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Goralnik v. United Fire & Casualty Co., 240 S.W.3d 203, 2007 Mo. App. LEXIS 1696, 2007 WL 4301227 (Mo. Ct. App. 2007).

Opinion

PER CURIAM.

Jack Goralnik, Goralnik Realty Company, LLC, and Goralnik Holding Company, LLC (collectively referred to as “Insured”) appeal from the judgment of the trial court entered after a jury returned verdicts in favor of United Fire and Casualty Company (“Insurer”) on Insured’s claims, and in favor of Insurer on its counterclaim. In its judgment, the trial court granted Insur *205 er’s motion for attorneys’ fees and expenses, awarding Insurer $389,740.91. We affirm in part and reverse in part.

Jack Goralnik is a partner in Goralnik Realty Company, LLC and Goralnik Holding Company, LLC, which own and manage real property including Twill Manor and Parkwood Place apartment complexes. These properties were insured by Insurer as of April 10, 2001. On that date, a hail storm passed through the St. Louis region that damaged many properties, including Twill Manor and Parkwood Place. Insurer had an independent adjusting company, Allmark Services, Inc. (“Allmark”) handle the adjustment of the claim. Allmark assigned an employee, Robert Kannall, to perform the adjustment. Insured retained Anderson Roofing to negotiate and settle its claims with Insurer and to repair the damage.

Kannall inspected the property at Twill Manor, though he did not make an estimate for repairs or replacement at that time. He did not inspect all of the roofs at Parkwood Place, believing that they were all likely to be similarly damaged, but was not aware that two buildings at Parkwood Place had new roofs. Anderson Roofing prepared a scope of damages for Twill Manor, which it sent to Kannall, who used it in submitting an estimate to Insurer. Anderson Roofing sent a separate proposed scope of damages for Parkwood Place, which Kannall did not review. Kan-nall did not submit an estimate for damages to Insurer regarding Parkwood Place. He did not make any agreement about monetary damages for repairing the properties. Insurer terminated the services of Allmark, and Allmark in turn fired Kannall for performing incomplete work in adjusting the claims for Twill Manor and Park-wood Place.

Insurer thereafter had its Claims Supervisor for Missouri, Scott Gaddis, perform a claims adjustment of the properties at issue. Gaddis inspected the properties, including the roofs and siding, and determined that they did suffer some hail damage from the April 20, 2001, storm, but concluded that the roofs at Parkwood Place could be repaired and did not need to be replaced, and that the siding at Twill Manor could be repaired without replacing the siding on every structure there. Insurer thereafter sent separate checks to Insured based on Gaddis’s adjustment, which Insured refused to accept. Insurer requested in writing that Insured enter into the appraisal process, a procedure set forth contractually in the insurance policies for the properties to try to resolve disputes. Although Insured apparently agreed initially to engage in the appraisal process, Insured filed a lawsuit before the appraisal process could be completed, in breach of the contractual provisions of the insurance policies.

Insured made several claims. Count I alleged that through their respective agents, Insurer had offered and Insured had accepted the sum of $335,698.38 for replacement for damages to Twill Manor, and that despite Insured performing all conditions required under the insurance policy, Insurer refused to pay the amount demanded on August 14, 2001. Insured further alleged that Insurer unreasonably and vexatiously refused to pay the amounts owed, and had not acted in good faith to settle the matter, and Insured sought monetary damages. In Count II, Insured alleged that it and Insurer, through their respective agents, had agreed to a settlement for the damage at Parkwood Place from the April 10, 2001, storm, and that Insured had performed all conditions precedent. Insured further alleged that it demanded payment and Insurer refused this demand on October 15, 2001, resulting in damages of $873,399.60, *206 as well as additional damages for emergency repairs made during the vexatious refusal to pay this claim by Insurer, and Insured sought monetary damages for this total amount. Insured also claimed that Insurer’s refusal to pay was unreasonable and vexatious. Count III of Insured’s petition was for declaratory judgment of the scope of the insurance policies between Insured and Insurer for Twill Manor and Parkwood Place, and requested that the trial court declare that Insurer had a duty to repair Insured’s buildings, for costs of the litigation, and for any other relief that the trial court deemed just and proper.

Insurer filed an answer that raised a number of affirmative defenses, as well as a counterclaim for declaratory judgment, which was amended. As its first affirmative defense, Insurer contended that Counts I, II, and III of Insured’s petition failed to state a claim upon which relief could be granted. For its second affirmative defense, Insurer asserted that neither Allmark nor its employee Kannall had any implied or express authority to enter into “agreements” with Insured and had no authority to bind it. In its third affirmative defense, Insurer stated that Insured was barred from recovery because it intentionally concealed and/or misrepresented material facts about the claimed losses, and thereby breached the contracts of insurance. As its fourth affirmative defense, Insured averred that Insured is barred from recovery for claimed losses because it failed to permit Insurer to inspect the properties sufficiently, failed to cooperate with it in the investigation and settlement of the claims, and filed the lawsuit without fully complying with the terms of the insurance policies. In its fifth affirmative defense, Insurer stated that Insured is barred from recovery for the claimed losses because Insured is seeking recovery for losses due to the age of the properties and the failure to maintain the properties, which are not covered under the policies. As part of its fifth affirmative defense, Insurer also alleged that Insured is barred from recovery because “the alleged damages” were a pre-existing condition and not a covered loss.

In its amended counterclaim, Insurer alleged that during its investigation of the claims, Insured concealed and/or misrepresented material facts about the claims, thereby breaching the policies. Insurer further alleged that it had no knowledge of the falsity of Insured’s representations and reasonably relied on these representations, thereby proximately causing damage to Insurer. Insurer also averred that Insured was also barred from recovery for the claimed losses under the policies because Insured was seeking recovery for losses due to age and condition of the property and the failure to maintain the property, which are not covered under the policies. Insurer additionally claimed that Insured is barred from recovery for the claimed losses because the “alleged” damages to the properties were pre-existing conditions, and therefore not covered losses under the policies. Insurer also alleged that during its investigation of the claims, Insured refused to let it onto the properties to investigate the damages, filed suit prior to fully complying with all of the contractual conditions of the policies, and “otherwise failed to cooperate” with its investigation of the claims, thereby breaching the conditions of the policies.

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Cite This Page — Counsel Stack

Bluebook (online)
240 S.W.3d 203, 2007 Mo. App. LEXIS 1696, 2007 WL 4301227, Counsel Stack Legal Research, https://law.counselstack.com/opinion/goralnik-v-united-fire-casualty-co-moctapp-2007.