Island Roofing and Restoration LLC v. Empire Indemnity Insurance Company

District Court, M.D. Florida·Decided September 19, 2022·No. 2:21-cv-00211·Unknown

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION

ISLAND ROOFING AND RESTORATION LLC, a/a/o Enclave at Naples Condominium Association, Inc.,

Plaintiff,

v. Case No: 2:21-cv-211-JLB-KCD

EMPIRE INDEMNITY INSURANCE COMPANY,

Defendant.

ORDER Island Roofing and Restoration LLC (“Island Roofing”), as the assignee of the Enclave at Naples Condominium Association, Inc. (“Enclave”), sues Empire Indemnity Insurance Company (“Empire”) for breach of an insurance policy based on Empire not paying an appraisal award. Invoking the Court’s diversity jurisdiction, the parties have filed cross-motions for summary judgment. (Docs. 30, 37.) Island Roofing asks that the Court confirm the appraisal award. Empire maintains it has satisfied its contractual obligation because it has already paid Island Roofing more than the amount that was actually spent to repair the insured property. Alternatively, Empire seeks additional discovery into the appraisal panel’s determination so that it can challenge purported procedural discrepancies with the award. Island Roofing, in response to that discovery request, moves for a protective order that largely reasserts the arguments in its summary judgment motion. (Doc. 31.) This dispute turns on Empire’s payment obligations under the policy. And the plain language of the policy states that Empire is liable for no more than the necessary amount Island Roofing spent in repairing the property. As will be

explained, Island Roofing’s motion for summary judgment (Doc. 30) is GRANTED IN PART, Empire’s motion for summary judgment (Doc. 37) is DENIED WITHOUT PREJUDICE, and Island Roofing’s request for a protective order (Doc. 31) is GRANTED IN PART. BACKGROUND A review of the parties’ respective Statements of Undisputed Facts reveals

little, if any, disagreement as to the factual background of this case. (Compare Doc. 30 at 2–5, with Doc. 37 at 2–4.)1 The Enclave is a condominium association that insured its buildings through a commercial lines policy with Empire. (Doc. 16- 1.) After Hurricane Irma allegedly damaged the insured property, the Enclave submitted a claim for its loss to Empire. (Doc. 37-1 at ¶ 6.) Between July and October 2018, Empire conceded at least partial coverage for the loss and made three separate payments on the Enclave’s claim. (Id.) Then, in November 2018, the

Enclave hired Island Roofing to repair the insured property and assigned its rights and benefits, along with any proceeds under the policy, to Island Roofing (“Assignment”). (Doc. 16-2.)

1 Despite neither expressly admitting nor denying the other’s assertions, the parties’ statements largely overlap in every material and substantive way. Accordingly, the Court will summarize those facts while viewing the same “in the light most favorable to the non-moving party on each [cross-]motion.” Chavez v. Mercantil Commercebank, N.A., 701 F.3d 896, 899 (11th Cir. 2012). Specifically, the Enclave assigned Island Roofing “any and all insurance rights, benefits, and proceeds” under the policy relating to its claim. (Id. at 1.) In exchange, Island Roofing agreed “to perform a replacement of the roof and other

repairs on the property.” (Id.) Island Roofing and the Enclave estimated the cost of repairs in the Assignment at $6,853,187.60. (Id. at 3.) But they also agreed that the Enclave “shall be responsible for only the insurance deductible in the amount of $2,500,000 . . . and no other amounts in any circumstances.” (Id. at 1.) Empire subsequently “confirmed the assignment” and began adjusting the claim with Island Roofing. (Doc. 30-2 at ¶ 3; Doc. 37-1 at ¶ 7.)

Empire requested a proof of loss from Island Roofing who, in turn, provided an estimate for the full cost of repair or replacement at $10,382,724.64. (Doc. 37-1 at 3, 170.) But in the permit applications for the repair work that Island Roofing submitted to the local government around the same time, it provided an estimate of $6,595,386. (See Doc. 37-2.) In any event, between February and May 2019, Empire made three additional payments for “roof repairs” and “Enclave Hurricane Repairs.” (Doc. 30-2 at 12, 19, 22.) All in all, Empire paid $3,552,199.60 in

adjusting the claim. (Doc. 37-1 at ¶ 13.) Not shockingly, the parties still disagreed over the amount of loss. (Doc. 30- 2 at ¶ 7; Doc. 37-1 at ¶ 14.) So, in August 2019, Empire invoked the policy’s Appraisal provision: 2. Appraisal If we and you disagree on the value of the property or the amount of loss, either may make written demand for an appraisal of the loss. In this event, each party will select a competent and impartial appraiser. The two appraisers will select an umpire. If they cannot agree, either may request that selection be made by a judge of a court having jurisdiction. The appraisers will state separately the value of the property and amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding. . . . . If there is an appraisal, we will still retain our right to deny the claim. (Doc. 16-1 at 37 (emphasis added); Doc. 30-2 at 25.) The parties convened an appraisal panel, where Island Roofing submitted a repair estimate of $6.4 million. (Doc. 37-1 at 4, 25, 169.) The appraisal panel issued its award in August 2020. (Doc. 16-3.) Specifically, the appraisal award valued the amount of loss for both the Actual Cash Value (“ACV”) and Replacement Cost Value (“RCV”) at $10,761.515.65, “less any prior payments.” (Id. at 1.) A detailed, line-item valuation accompanied the award. (Id. at 3.) The appraisal panel certified that it “investigated and conscientiously considered all the material facts while performing the duties within [their] appointment pursuant to the appraisal clause of the subject policy.” (Id. at 1.) They also clarified that “[t]his award does not include nor does this award account for or deduct the insured’s deductible and/or any prior or advance payments that were made to the insured.” (Id.) “Additionally, this award does not consider any limitations or exclusions which may or may not exist under the terms of the contract of insurance.” (Id. (emphasis added).) Under the policy, if Island Roofing has “complied with all the terms of [applicable coverage],” Empire “will pay for covered loss or damage” within thirty days of receiving “the sworn proof of loss” and “[t]here is a filing of an appraisal award with [it].” (Doc. 16-1 at 76.) Empire made no further payments though. (Doc. 37-3.) In September 2020,

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