Laird v. CMI LLOYDS

261 S.W.3d 322, 2008 WL 2756837
CourtCourt of Appeals of Texas
DecidedAugust 7, 2008
Docket06-07-00091-CV
StatusPublished
Cited by6 cases

This text of 261 S.W.3d 322 (Laird v. CMI LLOYDS) 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
Laird v. CMI LLOYDS, 261 S.W.3d 322, 2008 WL 2756837 (Tex. Ct. App. 2008).

Opinions

OPINION

Opinion by

Justice CARTER.

After several water leaks at his home in Marshall, Neal Laird made a claim on his homeowners policy against his insurance company, CMI Lloyds. CMI paid Laird over $30,000.00 for his loss, but a dispute arose as to the total damages that ultimately resulted in this lawsuit in which the trial court found by summary judgment that CMI had paid all it owed under the policy. Laird, the insured homeowner, appeals the trial court’s order granting insurer CMI’s motion for summary judgment and denying Laird’s motion for partial summary judgment.

Laird asks this Court to reverse the trial court’s granting of CMI’s motion for summary judgment; to reverse the trial court’s denial of his motion for summary judgment; to render judgment that the policy affords Laird coverage of the appraisal award elements of UPP manipulation costs (moving and storage of the house contents) in the amount of $7,239.76, build back estimate costs (construction costs) of $25,644.43, and mold remediation in the amount of either $9,908.00 or $5,000.00; and to render judgment in favor of Laird that the policy affords him coverage for loss of use during the repairs. CMI maintains that it has already paid more than the policy required on this loss and points out the limitations and exclusions that demonstrate such.

To resolve the issues on appeal, we must determine if the trial court properly decided that the summary judgment evidence established, as a matter of law, that CMI had no further financial obligation under the policy. We must also determine whether Laird brought forth more than a scintilla of evidence to support his extra-contractual claims.

I. PROCEDURAL AND FACTUAL HISTORY

A. Background Facts

On July 10, 2003, and while the homeowners policy was in effect, Laird made a claim with CMI for an accidental discharge from the plumbing system. CMI assigned three occurrences to the three separate leaks detected: 1) shower pan leak in hall bath, 2) hot water line leak in hall bath, and 3) drain line leak in utility room. CMI paid Laird $29,725.59 on the loss, and a dispute arose concerning the amount that CMI should pay Laird.

Laird and CMI disagreed on the total amount of the loss, prompting Laird to demand an appraisal pursuant to the policy terms. Under those terms, the parties choose their own appraisers. If the two appraisers do not reach an agreement as to the amount of the loss, the two agree as to an umpire to resolve the issue. H.G. Postert was Laird’s appraiser; Allen Neff was CMI’s. The two did not agree as to the amount of loss, but did agree on Ron

[325]*325Rasberry as umpire. Rasberry rendered his appraisal award December 23, 2004. The appraisal award consisted of the following figures:

$ 9,908.00 Mold remediation . based on North American Restoration’s estimate to comply with ERI’s report

$ 7,239.76 UPP manipulation costs. based on North American Restoration’s estimate

$25,644.43 Build back costs.

based on Rasberry’s own estimate

Total (replacement) $45,673.51

Total (actual cash value (ACV)) $42,792.19

After the appraisal, CMI paid an additional $1,019.60.1 CMI explains that it paid $30,745.19 to Laird, an amount, CMI claims, more than it should have paid under the policy. CMI has not sought a refund in this matter.

B. CMI’s Suit and Laird’s Counterclaims

CMI sought a declaratory judgment that it complied with its payment obligations under the homeowner’s policy of insurance. CMI also asked the trial court to adjudicate the liabilities of the parties with respect to the policy. Laird filed his counterpetition alleging breach of contract, violations of the Texas Deceptive Trade Practices Act (DTPA), violations of the Texas Insurance Code, and violations of the duty of good faith and fair dealing.

C. CMI’s Motion for Summary Judgment

CMI, as cross-defendant, filed its motion for summary judgment April 24, 2006. In that motion, CMI took the position that Laird’s breach of contract claims should be dismissed because CMI could prove that it had no further obligation under the policy. CMI also contended Laird’s extra-contractual claims should also fail because Laird could not provide evidence of an essential element of those claims. CMI supplemented that motion November 22, 2006, and did so again December 11, 2006. CMI makes clear in its motion and supplements that it moves for a no-evidence summary judgment as to Laird’s extra-contractual claims, citing to Rule 166a(i) of the Texas Rules of Civil Procedure and identifying the element on which Laird could not produce evidence.

D. Laird’s Response and His Motion for Partial Summary Judgment

Laird filed his first amended response March 27, 2007. In his response and in his own motion, Laird contended that the mold limitation does not apply to build back and manipulation figures, that the exclusions and limitations of the policy apply in such a way as to obligate CMI to pay Laird $37,884.19 or $42,792.19, that CMI is responsible for loss of use, that the appraisal award is binding on CMI, and that the issue of coverage does not protect CMI from extra-contractual claims. CMI responded to that motion.

E. Trial Court’s Final Judgment

The trial court granted CMI’s motion for summary judgment and denied Laird’s motion for partial summary judgment. It declared that CMI had no further financial obligation under the policy. The trial [326]*326court’s judgment did not specifically address CMI’s request to “determine and adjudicate” the respective liabilities of the parties under the policy.2 Although the trial court’s judgment does not outline the precise extent of the amount CMI owed under the policy, it did decide that the summary judgment evidence established that CMI did not owe Laird any more than the $30,745.19 it had already paid. The amount CMI overpaid, if any at all, then was never definitely decided. The judgment makes clear that it denied CMI’s request to make such a declaration. At the outset, we point out that we, too, decline to make any conclusion as to the precise amount of coverage or any overpayment by CMI.

II. APPLICABLE LAW

A. Preliminary Matter

The parties agree that, since Laird has not completed the repairs to the house, the appraisal award figure from which we begin is the ACV figure of $42,792.19 rather than the $45,673.51 replacement cost.

B. Effect of the Appraisal Award

Laird contends that umpire Ras-berry’s appraisal award is binding and that the policy requires CMI to pay the entire appraisal amount. To the contrary, the effect of the appraisal is not one that binds CMI to pay those amounts. See Wells v. Am. States Preferred Ins. Co., 919 S.W.2d 679, 685 (Tex.App.-Dallas 1996, writ denied). Questions of causation and coverage remain. See Timberlake v. Metro. Lloyds Ins. Co., 230 S.W.3d 798, 800 (Tex.App.-Dallas 2007, no pet.).

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261 S.W.3d 322 (Court of Appeals of Texas, 2008)

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Bluebook (online)
261 S.W.3d 322, 2008 WL 2756837, Counsel Stack Legal Research, https://law.counselstack.com/opinion/laird-v-cmi-lloyds-texapp-2008.