Hamilton Insurance DAC v. Pfeifer Sutter Family LLC

CourtDistrict Court, S.D. Alabama
DecidedSeptember 30, 2022
Docket1:22-cv-00282
StatusUnknown

This text of Hamilton Insurance DAC v. Pfeifer Sutter Family LLC (Hamilton Insurance DAC v. Pfeifer Sutter Family LLC) is published on Counsel Stack Legal Research, covering District Court, S.D. Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hamilton Insurance DAC v. Pfeifer Sutter Family LLC, (S.D. Ala. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF ALABAMA SOUTHERN DIVISION

HAMILTON INSURANCE DAC, :

Petitioner/Counter Defendant, :

vs. :

PFEIFER SUTTER FAMILY LLC, :

Respondent/Counter Plaintiff/ : CA 22-0282-KD-MU Third Party Plaintiff, : vs. : JOHNS EASTER COMPANY, INC., et al., :

Third Party Defendants.

REPORT AND RECOMMENDATION This cause is before the Magistrate Judge for issuance of a report and recommendation, pursuant to 28 U.S.C. § 636(b)(1) and S.D. Ala. GenLR 72(a)(2)(S), on the Petition for Declaratory Judgment (Doc. 1), Respondent Pfeifer Sutter Family, LLC’s (“Pfeifer”) Answer, Counterclaim and Third Party Complaint (Doc. 7), Petitioner Hamilton Insurance DAC’s (“Hamilton”) motion to dismiss fraud claim of Respondent’s Counterclaim (see Doc. 18), the motion to dismiss Pfeifer’s third-party complaint filed by third-party defendants Johns Eastern Co., Inc (“Johns Eastern”), John Stelter (“Stelter”), J.S. Held, LLC (“J.S. Held”), and Rimkus Consulting Group, Inc. (“Rimkus”) (Doc. 20), and the motion to dismiss Pfeifer’s third-party complaint filed by third-party defendant James Crowell (“Crowell”) on September 27, 2022 (Doc. 30). The Court took the first two motions to dismiss under submission separately and instructed Pfeifer to file its responses in opposition, or otherwise plead, not later than September 22, 2022 (compare Doc. 19, PageID.283 with Doc.21, PageID.290); however, to date, Pfeifer has neither opposed those motions to dismiss nor has it sought to amend its counterclaim and/or its third-party complaint (see Docket Sheet). Because Crowell’s motion to

dismiss Pfeifer’s third-party complaint is identical to the earlier-filed motion to dismiss by Johns Eastern, Stelter, J.S. Held, and Rimkus (compare Doc. 30 with Doc. 20) and as Pfeifer filed no response in opposition (or an amended third-party complaint) with respect to the “Johns Eastern” motion to dismiss (see Docket Sheet), the undersigned finds that it is unnecessary to enter a submission order on Crowell’s motion to dismiss (see Doc. 30; compare id. with Doc. 20).1 Based on the contents of the pleadings outlined above and the relevant legal analysis, the Magistrate Judge RECOMMENDS that the motions to dismiss be GRANTED; that Pfeifer’s fraud claim asserted against Hamilton and the third-party defendants be dismissed without prejudice for failure to

plead with the particularity required by Rule 9(b) of the Federal Rules of Civil Procedure; and that Pfeifer’s bad faith claim asserted against the third-party defendants be dismissed with prejudice. PROCEDURAL/FACTUAL BACKGROUND On September 16, 2020, Hurricane Sally moved onshore in Gulf Shores, Alabama, causing extensive flooding and damage to property. (See Doc. 1, PageID.2- 9). Respondent Pfeifer owns Units A&B at 1328 W. Lagoon Avenue, Gulf Shores,

1 Pfeifer will in no manner be prejudiced by the undersigned’s failure to take Crowell’s motion to dismiss under submission because Pfeifer has the opportunity to file objections to the undersigned’s recommended disposition of all pending motions to dismiss. Alabama, and this property sustained damage from the hurricane. (See id., PageID.2- 3). The Gulf Shores property owned by Pfeifer was insured by Hamilton, who issued a Commercial Property Policy, bearing number JTA1500225, to Pfeifer effective May 22, 2020 through May 22, 2021. (Id., PageID.2). After Pfeifer reported a loss to the

covered property, Hamilton began its investigation. (See id., PageID.3-9). Hamilton initially assigned James Crowell, a Johns Eastern Company, Inc. field inspector, to inspect the property on October 2, 2020 (id., PageID.3), but after receipt of Pfeifer’s November 3, 2020 Sworn Proof of Loss (which reflected a total loss of $252,352.00, as well as other claims), “Hamilton assigned J.S. Held and a Building Consultant from Rimkus to conduct further investigation and provide an expert analysis of the claimed damage.” (Id., PageID.3&4; see also id, PageID.4 (“The Building Consultant from Rimkus inspected the property on November 25, 2020. J.S. Held conducted its inspection on 11/30/2020.”)). Based on these inspections and the report issued by J.S.

Held, in early February and March of 2021, Hamilton made several payments to Pfeifer, the first for covered damage to the real property/building and the second in partial payment of the claim for loss of business income. (See id., PageID.6). Thereafter, Hamilton continued its investigation of Pfeifer’s claims for loss of business income and business personal property; on March 25, 2021, Hamilton made a second payment to Pfeifer for the claim of loss of business income and, on April 22, 2021, Petitioner issued a $50,000 payment to Respondent on its claim for loss of business personal property. (See id., PageID.6&7). In addition, after Pfeifer submitted (on April 16, 2021) a claim for emergency mitigation services by Patriot Disaster Specialist in the amount of $65,733.73, Hamilton ultimately settled this claim “and paid Patriot a negotiated amount of $51,610.59.” (Id., PageID.7). Hamilton’s petition for declaratory judgment goes on to outline the purported remaining areas of dispute (id., PageID.7-8), the Respondent’s invocation of the appraisal process on September 2, 2021, and the appraisers’ June 14, 2022 entry of an

“award for the replacement costs of the building, regardless of the scope of covered damages[.]” (Id., PageID.8; see also id., PageID.9 (“The award does not break[]down the scope of the damages to determine if they are covered or not covered under the Policy.”)). The appraisers’ “award” was $379,904.25 based on replacement cost value, and $367,618.56 based on actual cash value. (Id., PageID.8). On July 18, 2022, Hamilton filed a petition for declaratory judgment in this Court, seeking this Court’s declaration that “no coverage is afforded under the Hamilton policy for loss or damage to the interior of the covered building, caused by or resulting from rain and/or water intrusion, on 09/16/2020, that is not first caused by an opening to its

roof or walls that resulted from a covered cause of loss[.]”(Id., PageID.14). Respondent Pfeifer filed its answer, counterclaim, and third-party complaint on August 11, 2022. (Doc. 7). In support of its counterclaim and third-party complaint, Pfeifer made numerous self-described general allegations of fact, inclusive of the following: 16. The claim was assigned to the [Johns Eastern] Company for adjusting with [James] Crowell and [John] Stelter being the individual adjusters.

17. Crowell did a site inspection and sent the results to Stelter.

18. Upon information and belief, Stelter further transmitted this information to the Company and Hamilton. 19. This information was then communicated by mail and the internet with an intent to defraud PSF.

20. The initial site inspections were intentionally false and concluded that most of the damage done to PSF’s property was by wind driven rain. Instead, most of the damage was done by storm created openings, as Hamilton’s appraiser ultimately concluded.

21. Rimkus and J.S. Held both conducted inspections on the property. These inspections were similarly erroneous and intended to defraud PSF. PSF requested that the inspection be videotaped, but Defendants refused because the video would have debunked their fraudulent denial of the claim. Eventually, Hamilton paid just a small percentage of Plaintiff’s damages. But Stelter was not done.

22. Stelter continued his charade by asking for an examination under oath (EUO).

23. During the EUO, Hamilton and Stelter spent hours questioning PSF.

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Bluebook (online)
Hamilton Insurance DAC v. Pfeifer Sutter Family LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hamilton-insurance-dac-v-pfeifer-sutter-family-llc-alsd-2022.