J.P.F.D. Investment Corporation v. United Specialty Insurance Company

Court of Appeals for the Eleventh Circuit·Decided April 16, 2019·No. 18-13586·Unpublished

Opinion

[DO NOT PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT

No. 18-13586

Non-Argument Calendar

D.C. Docket No. 6:17-cv-01415-PGB-GJK

J.P.F.D. INVESTMENT CORPORATION, Plaintiff - Appellant,

versus UNITED SPECIALTY INSURANCE COMPANY, Defendant - Appellee.

Appeal from the United States District Court for the Middle District of Florida

(April 16, 2019)

Before JILL PRYOR, ANDERSON and HULL, Circuit Judges. PER CURIAM:

In this insurance contract case, plaintiff-appellant J.P.F.D. Investment Corporation (“JPFD”) appeals the district court’s August 1, 2018 order denying its Motion for Entry of Judgment on the Appraisal Award and for Attorney’s Fees and Costs pursuant to Florida Statutes § 627.428 and dismissing this case. After careful review of the record and briefs, we find no reversible error and affirm.

I. BACKGROUND FACTS

Plaintiff JPFD owns a commercial building in Orlando, Florida. In October 2016, defendant United Specialty Insurance Company (“USIC”) issued an insurance policy to JPFD providing coverage for direct physical loss of or damage to the property. In January 2017, JPFD’s building suffered water damage, which the parties agreed was a covered loss under the policy. The dispute here is not about coverage. Rather, this case arose out of a dispute between JPFD and USIC regarding the amount of loss that resulted from the water damage. We first outline what the policy provides as to loss amount. A. Loss Amount Under the Policy The policy contained a “Loss Payment” provision, which, inter alia, governed the conditions under which USIC would pay for a covered loss. Specifically, the policy obligated USIC to pay the covered loss in the amount that was: (1) the agreed amount; or (2) the appraisal award, as follows:

g. We will pay for covered loss or damage within 30 days after we receive a sworn proof of loss, if you have complied with all the terms of this Coverage Part, and:

(1) We have reached agreement with you on the amount of loss;

or

(2) An appraisal award has been made.

The policy also contained a “Loss Conditions” provision that, inter alia, described the appraisal process if the parties disagreed about the amount of loss, as follows:

2. Appraisal

If we and you disagree on amount of loss, either may make written demand for an appraisal of the loss. Appraisal is mandatory if invoked by either party. In this event, each party will select a qualified, impartial appraiser. The two appraisers will select a qualified, impartial umpire. If the appraisers cannot agree on the umpire, either you or we may request, after reasonable written notice to the other, that the selection be made by court having jurisdiction. We and you will cooperate with the appraisers and umpire to provide information and access to the property to appraise the loss. If the appraisers agree, they shall issue a detailed appraisal decision which will be binding on you and us. If the appraisers fail to agree, they will submit their differences to the umpire. The umpire shall consider the submissions, independently appraise the loss, and issue a detailed appraisal decision that will be binding on you and us. Each party will:

a. Pay its chosen appraiser; and b. Bear the other expenses of the appraisal and umpire equally.

In the event the parties could not resolve a dispute about loss amount, the policy contained a service of suit clause, which provided in relevant part:

It is agreed that in the event of the failure by us to pay any amount claimed to be due hereunder, we will, at your request, submit to the jurisdiction of a court of competent jurisdiction within the United States of America.

B. Parties’ Efforts to Resolve Their Disagreement About the Loss Amount After plaintiff JPFD’s building was water-damaged on January 20, 2017, JPFD promptly notified defendant USIC and submitted a claim under the policy. On January 25, 2017, USIC sent an independent insurance adjuster to inspect JPFD’s property. After the inspection, JPFD’s representative, public adjuster Eric Osking of Advanced Building Assessment, Inc., advised defendant USIC that he would be preparing an estimate of damages, which would take some time.

On the same day as the inspection, defendant USIC met with Dryfast Recovery Systems (“Dryfast”), a water extraction company, which shortly thereafter began water extraction and remediation at the property. In early April 2017, USIC paid Dryfast $152,262.52, the full amount of the invoice less the $2,500 deductible under the policy.

Meanwhile, on March 28, 2017, Osking, on behalf of plaintiff JPFD, submitted to defendant USIC a sworn proof of loss in the amount of $302,772.46, along with Osking’s estimate of damages. On April 26, 2017, defendant USIC notified plaintiff JPFD (by letter to Osking) that it rejected JPFD’s proof of loss because, based on the independent adjuster’s inspection, USIC disagreed with the scope of the damages in Osking’s estimate. On May 2, 2017, defendant USIC further advised Osking that it would pay plaintiff JPFD the initial undisputed

actual cash value of $91,080.97,1 but that it had “retained a building consultant to further address any scope of differences between our offices.” The next day, defendant USIC received a “preliminary and partial” sworn proof of loss from Osking for the $91,080.97 amount, which USIC paid to plaintiff JPFD.

On June 15, 2017, after defendant USIC had obtained a comparative estimate of the remaining damages from Dryfast, USIC sent correspondence to Osking and also tried to contact him to discuss their differing damage estimates. When Osking did not respond, defendant USIC selected an appraiser on June 20, 2017, so that an appraisal process could be started. As noted above, the policy itself provided for an appraisal if the parties did not agree as to the loss amount. On June 26, 2017, USIC formally demanded an appraisal pursuant to the policy’s appraisal provision, citing the difference in the amount of damages estimated by the parties, and again Osking did not respond.

In the meantime, on June 23, 2017, plaintiff JPFD filed the instant complaint in Florida state court, alleging defendant USIC breached the insurance contract by refusing to pay for JPFD’s losses. 2 On June 29, 2017, plaintiff JPFD served the

1 USIC arrived at this amount by stating that the property incurred $112,716.90 in building repair costs and $154,762.52 in water extraction costs, for a total replacement cost of $267,479.42. USIC then subtracted $21,635.93 in recoverable depreciation, the $152,262.52 payment to Dryfast, and the $2,500.00 deductible, which left $91,080.97.

2 The complaint contained a second count seeking a declaration as to the meaning of certain terms in the policy, which JPFD later voluntarily dismissed.

complaint on the State of Florida’s Chief Financial Officer, who then electronically delivered a copy of the complaint to defendant USIC on July 3, 2017. USIC had selected an appraiser and invoked the appraisal process before it was served with the lawsuit. C. Removal to District Court and Appraisal Award Defendant USIC removed the diversity action to federal district court and promptly moved to compel appraisal. Over plaintiff JPFD’s opposition, the district court granted USIC’s motion to compel and directed the parties to obtain an appraisal in the manner provided by the policy.

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J.P.F.D. Investment Corporation v. United Specialty Insurance Company, (11th Cir. 2019).

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