John Davis D/B/A J.D. House of Style v. National Lloyds Insurance Company

484 S.W.3d 459, 2015 Tex. App. LEXIS 10506, 2015 WL 6081411
CourtCourt of Appeals of Texas
DecidedOctober 13, 2015
DocketNO. 01-14-00278-CV
StatusPublished
Cited by19 cases

This text of 484 S.W.3d 459 (John Davis D/B/A J.D. House of Style v. National Lloyds Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
John Davis D/B/A J.D. House of Style v. National Lloyds Insurance Company, 484 S.W.3d 459, 2015 Tex. App. LEXIS 10506, 2015 WL 6081411 (Tex. Ct. App. 2015).

Opinion

OPINION

Evelyn V. Keyes, Justice

In this insurance dispute, appellant, John Davis, d/b/a J.D. House of Style, sued appellee, National Lloyds Insurance Company (“National Lloyds”), following its denial of Davis’s claim for damage to his roof and other property caused by Hurricane Ike. A jury found National Lloyds liable for breach of contract, breach of the duty of good faith and fair dealing, and knowing violations of the Texas Insurance Code. Regarding damages, the jury determined that the actual cash value of Davis’s property damage claim was $0, while the replacement cost value was $100,000.

National Lloyds moved for judgment notwithstanding the verdict, arguing in part that the trial court should (1) disregard the jury’s finding on the replacement cost value of Davis’s claim and (2) enter judgment on the jury’s finding of zero damages based on the actual cash value of the claim. It argued that Davis’s policy covered only the actual cash value of the claim and the jury found no damages based on that measure. The trial court *463 granted National Lloyds’ motion and rendered a final, take-nothing judgment on Davis’s claims.

In his sole issue on appeal, Davis argues that the trial court erred in granting the take-nothing judgment based on National Lloyds’ motion “despite legally sufficient evidence to support the jury’s material findings in [his] favor.” Finding that National Lloyds was not obligated to pay Davis’s claim under the insurance policy, we affirm.

Background

In 1994, Davis purchased a building located at 5901 Laura Koppé in Houston, Texas for $150,000. In the building, Davis opened a barber shop and clothing store, known as J.E).’s House of Style, which also served as Davis’s residence. The building was built in the 1960s. The roof was mostly flat with a “modified bitumen” 1 cover, but it also had a gabled portion that was covered with shingles. The record contains no evidence regarding when the roof was installed, but Davis had not replaced it since he acquired the property in 1994.

Davis subsequently purchased an insurance policy from National Lloyds. The policy covered losses from named perils dp to $185,000 for the building and $125,000 for the building’s contents, with deductibles of $3,700 for the building and $2,500 for the contents. Named perils included fire, hail, and windstorms; however, the policy excluded'damage from rain “unless the building or structure first sustains wind or hail damage to its roof or walls through which the rain .,. enters.”

Under “Valuation,” the policy provided, “We will determine the value of the Covered Property in-the event of loss or damage ..; [a]t actual cash value as of the time of loss or damage[.]” The policy also provided for “Optional Coverages,” stating, “If shown as applicable in the Declarations, the following Optional Coverages apply separately to each item.” Optional Coverages included provisions for “Agreed Value,” “Inflation Guard,” and “Replacement Cost,” which stated that “Replacement Cost (without deduction for depreciar tion) replaces actual cash value in the Loss Condition, Valuation, of this Coverage Form.”

The Declarations Page of Davis’s policy identified the insured premises and coverage provided by listing a premium number, building number, and basic coverage information in' the coverage schedule. Below that was a section stating, “Optional Coverages — applicable only when entries are made in the schedule below.” Under the “Optional Coverages” line was a row of headings listing “Prem. No.,” “Bldg. No.,” “Agreed Value Expiration Date, Coverage, [and] Amount,” and “Replacement Cost (X) Building, Personal- Property, Including ‘Stock’ ” as information to be entered into the schedule. There were no entries under these headings. ■ In another box, also falling under the “Optional. Coverage” schedule, was another row of headings for “Prem. No.,” “Bldg. No.,” “Inflation Guard (Percentage) Building [and] Personal Property,” “Monthly Limit of Indemnity (Fraction),” “Maximum Period of Indemnity (X),” and “Extended Period of Indemnity (Days).” Again, no- entries were made in the schedule beneath this row of headings.

In- 2005, Hurricane Rita struck the Houston area and Davis’s building experienced roof leaks. . He made a claim under *464 his policy, which National Lloyds denied. Following the denial of his insurance claim, Davis hired “[t]he guy that was doing my maintenance around the building” to patch the roof. The maintenance man placed white patches on the roof, and the leaks stopped.

In September 2008, Hurricane Ike struck the Houston area. Davis’s roof again began leaking and his air conditioning unit was damaged. He also experienced le'aking in the interior of the building. Davis made another claim for property damage under his insurance policy. National Lloyds sent Jeffrey Edwards, an insurance adjuster, to evaluate the claim in November 2008. Edwards filed a loss .report, stating that his inspection of the flat portion of the roof revealed no visible storm-created openings or damage from Hurricane Ike. He noted minor wind damage to three shingles on the gabled portion of the roof and some damage to “the wood soffit and siding on the roof around the AJG unit.” Edwards determined that all of the damage to Davis’s property caused by Hurricane Ike would cost a total of $1,825 to repair. Because Davis’s deductible was $3,700, Edwards determined that there would be no payment on Davis’s claim. National Lloyds accordingly sent Davis a letter denying his claim because the value of covered damage was less than his deductible.

In August 2010, almost two years after Hurricane Ike, a public insurance adjuster, Christopher Fife, determined that Davis’s property was damaged as a result of Hurricane Ike.

On September 11, 2010, Davis filed suit against National Lloyds, alleging, in relevant part, that it had failed to comply with the insurance contract, it had knowingly violated various provisions of the Texas Insurance Code, and it had breached its duty of-good faith and fair dealing. He complained that National Lloyds and its adjuster failed to properly adjust the claims and denied “at least a portion of the claims without an adequate investigation.” He asserted that National Lloyds wrongfully failed to pay his claim and failed to perform its contractual duty to compensate him under the terms of the policy; that National Lloyds “misrepresented to [him] that the damage to the Property was not covered under the Policy, even though the damage was caused by a covered occurrence”; that National Lloyds failed to settle his claim in a fair manner or offer him adequate compensation; and that National Lloyds failed to inform him of its denial of his claim in a timely manner.' Davis argued that National Lloyds’ liability under the policy was “reasonably clear” from the time he first filed his property damage claim. He also sought attorney’s fees under Civil Practice and Remedies Code Chapter 38 and under the Insurance Code.

At trial, Davis presented evidence regarding the history of the roof, including his purchase of the property in 1994, the first roof leaks in 1997, and subsequent damages to the. roof and other property during Hurricanes .Rita and Ike. He also presented the testimony of his experts, Fife and engineer Peter De La Mora.

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Bluebook (online)
484 S.W.3d 459, 2015 Tex. App. LEXIS 10506, 2015 WL 6081411, Counsel Stack Legal Research, https://law.counselstack.com/opinion/john-davis-dba-jd-house-of-style-v-national-lloyds-insurance-company-texapp-2015.