Hartman v. Erie Ins. Co.

2017 Ohio 668
Ohio Court of Appeals·Decided February 24, 2017·No. WD-16-022·Published·Cited by 8 cases

Opinion

IN THE COURT OF APPEALS OF OHIO SIXTH APPELLATE DISTRICT

WOOD COUNTY

Chad Hartman, et al. Court of Appeals No. WD-16-022 Appellants Trial Court No. 2015CV0434 v. Erie Insurance Company DECISION AND JUDGMENT Appellee Decided: February 24, 2017

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Stephen B. Mosier, for appellants.

Gordon D. Arnold and Carl A. Anthony, for appellee.

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SINGER, J.

{¶ 1} Appellants, Chad and Erin Hartman, appeal from the April 18, 2016 judgment of the Wood County Court of Common Pleas granting summary judgment to appellee, Erie Insurance Company, and dismissing the claims of appellants. For the reasons which follow, we affirm.

{¶ 2} On appeal, appellants assert the following assignments of error:

ASSIGNMENT OF ERROR NO. 1 THE TRIAL COURT ERRED WHEN IT STRUCK ALL OF PLAINTIFFS’ EVIDENCE ON THE STATED GROUND THAT PLAINTIFFS FAILED TO PRESENT IT IN THE FORM OF AN AFFIDAVIT, WHEN PLAINTIFFS’ EVIDENCE WAS IN FACT SUPPORTED BY AFFIDAVIT SWORN TO UNDER OATH BEFORE A PROPER OFFICER, FULLY COMPLIANT WITH RULE 56 (E).

ASSIGNMENT OF ERROR NO. 2 THE TRIAL COURT MISCONSTRUED THE HOMEOWNERS’

INSURANCE POLICY, AND ERRED IN GRANTING SUMMARY JUDGMENT AGAINST RATHER THAN IN FAVOR OF THE POLICYHOLDERS ON THE “ADDITIONAL ENDORSEMENT”

COVERAGE FOR “LOSS CAUSED BY WATER WHICH BACKS UP THROUGH SEWERS OR DRAINS.”

ASSIGNMENT OF ERROR NO. 3 THE TRIAL COURT MISCONSTRUED THE HOMEOWNERS’

INSURANCE POLICY, AND ERRED IN GRANTING SUMMARY JUDGMENT AGAINST RATHER THAN IN FAVOR OF THE POLICYHOLDERS ON THE COVERAGE PERTINENT TO “FUNGI, WET OR DRY ROT OR BACTERIA.”

ASSIGNMENT OF ERROR NO. 4 THE TRIAL COURT ERRED IN OVERRULING PLAINTIFFS’

TIMELY EVIDENTIARY OBJECTIONS TO “EXPERT” TESTIMONY PROFFERED BY ERIE, WITHOUT PROPER FOUNDATION AND CONTRARY TO EVIDENCE RULE 702 AND 703, AND ERRED FURTHER IN RELYING ON THAT CONTROVERTED TESTIMONY AS ITS BASIS FOR GRANTING SUMMARY JUDGMENT AGAINST THE POLICYHOLDERS.

{¶ 3} Appellants brought suit against appellee alleging breach of contract and a breach of appellee’s duty of good faith and fair dealing. Appellants allege that on May 29, 2015, their home and personal property was damaged by water backing up from the storm drain system (hereinafter the “first claim”). Appellants reported the first claim to appellee, who accepted the loss as being within the coverage of the policy. Appellee reimbursed appellants $11,500 for their loss, $10,000 for the damage caused by the sump pump back up and $1,500 as an additional payment for debris removal by a restoration company. Appellants asserted this was only a partial payment of the loss, which appellee ceased to continue to pay after a second claim was made.

{¶ 4} Appellants allege that on June 27, 2015, their home and personal property was again damaged by the backup of water from the storm drain system (hereinafter the “second claim”). Appellee denied the second claim on the ground that the anti- concurrent causation clause precluded recovery. Appellants asserted that appellee had represented to appellants that the separately-purchased endorsement was not subject to any other policy exclusions.

{¶ 5} Appellants argued they are also entitled under the policy provisions for “Additional Payments” to reimbursement for the cost of testing the property for fungi or bacteria and remediating the damage from fungi or bacteria. They assert they were never informed of this coverage by appellee.

{¶ 6} Appellants moved for partial summary judgment. The parties agreed that the only issue before the court on summary judgment was whether there was coverage under the policy for both loss claims. Appellants asserted that while the basic policy provides an exclusion for “water damage” (hereinafter the “water damage exclusion”), appellants purchased, for an additional premium, an endorsement for coverage of “Loss Caused By Backup Of Sewers Or Drains” (hereinafter the “backup coverage endorsement”), which did not separately restate the water damage exclusions listed in the main policy.

{¶ 7} Appellee also moved for summary judgment on all of the claims asserting that it paid the first claim in full and coverage for the second claim was excluded under the policy arguing the two loss claims were not identical. The first claim was based on water entering the basement of the home through the sump pump system. The second claim was based upon water entering the basement of the home through the sump pump system and through the basement windows.

{¶ 8} Appellee attached to its motion the affidavits of Alexander Davis, appellee’s insurance agent who handled the first claim; John Fetters, appellee’s insurance agent assigned to handle the second claim; and Stephen Bostwick, a registered architect, who specialized in forensic evaluations of homes regarding water damage and the existence of mold.

{¶ 9} Davis attested that he initially advised Mrs. Hartman that there was a coverage deductible and the limit for the claim was $10,000, plus an additional percentage of the limit was available for debris removal. Davis inspected the home and took photographs. He completed an estimate of the repairs and completed the claim when he received the invoice from the restoration company hired by the Hartmans. Davis further attested the total payout on the claim was $11,500 and appellee did not stop making payments on the first claim.

{¶ 10} In a second affidavit, Davis attested that during the course of handling the first claim, he “was never made aware of any fungi or mold, or anything that would have triggered coverage under the ‘Fungi, Wet or Dry Rot Or Bacteria’ provision in the insurance contract. * * * Neither of the Hartmans, nor anyone else, told me there was a problem with, or existence of, anything that would have triggered his coverage.” Davis understood from Mr. Hartman that one of the functions of the restoration company was to prevent problems with mold and there was nothing in the invoice suggesting fungi or bacteria were found on the premises. Upon his inspection of the house after the restoration work, Davis did not see any evidence of mold or observe anything that would lead him to believe the fungi/bacteria coverage would have been triggered and the Hartmans did not inquire about such coverage.

{¶ 11} Furthermore, Davis attested he did not learn of the Hartmans’ claim of hydrostatic pressure damage occurring during the first claim incident until November 2015 in connection with this litigation. Davis never observed such damage when he inspected the property.

{¶ 12} Fetters attested he exchanged e-mail messages with Mr. Hartman regarding the second claim. Fetters authenticated a copy of an email Mr. Hartman sent to Fetters, in which Mr. Hartman stated:

the area experienced a very substantial amount of rainfall within a 12-15 hour period. I once again had water entering into and accumulating several inches deep in my basement * * * this time from groundwater entering the basement through the basement windows and presumably also by back-up from the storm drain system and up through the basement sump pump. The storm drain system was overwhelmed, and overflowed forming a large pool and accumulating around the foundation of my home. The foundation and basement floor buckled and cracked * * *. Due to the second incident, several inches of * * * insulation and drywall have become saturated and will necessarily be required to be removed to prevent mold from forming.

Fetters also attested Mr. Hartman called and provided more details about the loss, telling Fetters the water trickled through the windows, but mostly came through the sump crock.

Fetters attested that he informed Mr. Hartman coverage would probably be excluded if water came through the windows.

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Hartman v. Erie Ins. Co., 2017 Ohio 668 (Ohio Ct. App. 2017).

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