Houstoun, Woodard, Eason, Gentle, Tomforde and Anderson, Inc. D/B/A Insurance Alliance v. Escalante's Comida Fina, Inc.

Court of Appeals of Texas·Decided June 3, 2014·No. 01-11-00746-CV·Published

Opinion

Opinion issued June 3, 2014

In The

Court of Appeals

For The

First District of Texas

Escalante’s Comida Fina, Inc. sued its former insurance agent, Houstoun, Woodard, Eason, Gentle, Tomforde and Anderson, Inc., d/b/a Insurance Alliance for breach of contract and violations of the Deceptive Trade Practices Act 2 and the Texas Insurance Code. The breach of contract claim was based on the failure to procure an insurance policy with coverages requested by Escalante’s, and the DTPA and Insurance Code claims were for misrepresentations and non-disclosure of information about the policy and the coverage afforded thereunder. The jury returned a verdict in favor of Escalante’s, and the trial court signed a final judgment awarding $56,835 in actual damages, $75,780 in additional damages for Insurance Alliance’s “knowing” violation of the DTPA and the Insurance Code, attorney’s fees, costs, and pre- and post-judgment interest.

Insurance Alliance raises the following ten points of error:

1. The trial court erred in submitting jury questions 3A, 3B, 4A, and 5B regarding DTPA and Insurance Code violations, and breach of contract because there was legally insufficient evidence of causation to support the jury submissions;

2. The trial court erred in submitting jury questions 3A and 4A regarding DTPA and Insurance Code violations because there was legally insufficient evidence that Insurance Alliance made any misrepresentation of fact;

3. The trial court erred in submitting jury question 3B regarding failure to disclose because there was legally insufficient evidence

dismissed as moot. See Brookshire Bros., Inc. v. Smith, 176 S.W.3d 30, 40 & n.2 (Tex. App.—Houston [1st Dist.] 2004, pet. denied).

2 TEX. BUS. & COM. CODE ANN. §§ 17.001–.926 (West 2011 & Supp. 2012).

to support the submission and because there was a disclosure as a matter of law;

4. The trial court erred in refusing to instruct the jury on questions 3A, 3B, 4A, and 7B as to longstanding Texas law about an insurance agent’s duties;

5. The trial court erred in submitting a breach of contract question to the jury because there was legally insufficient evidence that the parties entered a valid and binding agreement or that Insurance Alliance breached an alleged agreement to procure coverage that compared “apples to apples” vis-a-vis Escalante’s prior coverage;

6. The trial court erred in submitting a breach of contract question because a cause of action for failure to perform a professional service is a tort rather than a breach of contract;

7. The trial court erred in entering final judgment because the uncontroverted evidence was that the off-premises failure of power to the restaurants resulted from the direct physical loss or damage to overhead power lines—excluded from coverage on Escalante’s “Ike claim” for business interruption—and thus the jury’s finding was against the great weight of the evidence;

8. The trial court erred in entering final judgment because the evidence to support the damage award was legally and factually insufficient because there was no evidence of what the policy procured by Insurance Alliance would have paid had it been identical to the prior policy;

9. The trial court erred in submitting a question on knowing conduct because there was legally and factually insufficient evidence that Insurance Alliance knowingly provided a policy that was not comparable to the prior policy; and

10.The trial court erred in allowing expert testimony about attorney’s fees despite Escalante’s failure to properly designate an expert and to provide documents relied upon by the expert to Insurance Alliance.

We reverse and render judgment in favor of Insurance Alliance.

Background

Between 2003 and 2008, Escalante’s owned and operated four restaurants in the Houston area. Between 2003 and 2006, the property and casualty insurance policy on the restaurants was with Ohio Casualty Group. 3 The Ohio Casualty Policy provided, subject to certain exceptions, coverage against the loss of business income caused by an off-premises power or utilities outage. In 2005, Hurricane Rita struck Houston. Escalante’s subsequently made a claim against the policy and Ohio Casualty paid the claim.

The Ohio Casualty Policy recited (Section III, n.):

The following items are added to the Additional Coverages section of Part A coverage of the Property Coverage form:

n. Off Premises Power Failure

We will pay up to $25,000 for loss of Business Income and Extra Expenses caused by the failure of power or other utility service supplied to the described premises if the failure occurs away from the described premises.

The failure of power or other utility service must result from direct physical loss or damage by the Covered Cause of Loss.

We will only pay for the loss you sustain after the first 24 hours following the direct physical loss to the off premises property. Off Premises Power Failure under this Additional Coverage does not apply to failure of power or other utility service resulting from direct physical loss or damage by any Covered Cause of Loss to overhead transmission lines.

3 The Ohio Casualty Policy was acquired for Escalante’s by its insurance agent, Mace Meeks. Insurance Alliance had been Escalante’s insurance agent prior to 2003.

Patrick Torres, the president of Escalante’s, testified that during this same time period, Insurance Alliance’s principal, Kirk Gentle, was seeking to regain Escalante’s as a client. Toward this end, Escalante’s provided Insurance Alliance with a copy of its then-current policy and agreed to purchase coverage under a new policy procured by Insurance Alliance if the coverage matched the Ohio Casualty coverage but cost less. According to Torres, Insurance Alliance told him that it had such a policy. Torres specifically reminded Insurance Alliance of his prior claim from Hurricane Rita and emphasized that the coverage he sought from Insurance Alliance had to be the same as that provided by the Ohio Casualty Policy. In fact, Torres asked if the coverage under the new policy matched the Ohio Casualty Policy “apples to apples,” and was assured that it did.

In reliance upon Insurance Alliance’s assurances, Escalante’s declined to renew the Ohio Casualty Policy and, instead, purchased a new insurance policy issued by Allied Property & Casualty Insurance Company from Insurance Alliance in 2006. No claims were made on the Allied Policy during the first year, and the policy was renewed for 2007–2008.

In September 2008, Hurricane Ike caused a temporary loss of electrical power at all four Escalante’s restaurants, and Escalante’s lost revenue as a result of the interruption. Apart from minor damage suffered at one location, none of the other restaurant locations suffered physical damage, but all experienced food

spoilage and business interruption. Escalante’s complained that it never recovered for these losses under the Allied Policy because losses caused by an off-premises power failure were expressly excluded from coverage.

Exclusion (e) to Section B of the Allied Policy stated:

We will not pay for loss or damage caused directly or indirectly by any of the following. Such loss or damage is excluded regardless of any other causes or event that contributes concurrently or in any sequence to the loss.

...

e. Off-Premise Services

The failure of power or other utility service supplied to the described premises, however caused, if the failure occurs away from the described premises.

But if a failure of power or other utility service results in a Covered Cause of Loss, we will pay for the loss or damage caused by that Covered Cause of Loss.

Escalante’s maintained that had the Allied Policy’s coverage been identical to the prior Ohio Casualty Policy, as Insurance Alliance had assured, the restaurants’ losses would have been covered. Escalante’s sued Insurance Alliance for its failure to procure coverage that matched the prior Ohio Casualty Policy “apples to apples.”

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Houstoun, Woodard, Eason, Gentle, Tomforde and Anderson, Inc. D/B/A Insurance Alliance v. Escalante's Comida Fina, Inc., (Tex. Ct. App. 2014).

Houstoun, Woodard, Eason, Gentle, Tomforde and Anderson, Inc. D/B/A Insurance Alliance v. Escalante's Comida Fina, Inc. (Houstoun, Woodard, Eason, Gentle, Tomforde and Anderson, Inc. D/B/A Insurance Alliance v. Escalante's Comida Fina, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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