Lauro ACEVES, Jamie Aceves, Plaintiffs-Appellants, Cross-Appellees, v. ALLSTATE INSURANCE COMPANY, Defendant-Appellee, Cross-Appellant

68 F.3d 1160, 1995 WL 604009
CourtCourt of Appeals for the Ninth Circuit
DecidedOctober 16, 1995
Docket94-55087, 94-55088
StatusPublished
Cited by110 cases

This text of 68 F.3d 1160 (Lauro ACEVES, Jamie Aceves, Plaintiffs-Appellants, Cross-Appellees, v. ALLSTATE INSURANCE COMPANY, Defendant-Appellee, Cross-Appellant) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lauro ACEVES, Jamie Aceves, Plaintiffs-Appellants, Cross-Appellees, v. ALLSTATE INSURANCE COMPANY, Defendant-Appellee, Cross-Appellant, 68 F.3d 1160, 1995 WL 604009 (9th Cir. 1995).

Opinion

BRUNETTI, Circuit Judge:

Lauro and Jamie Aceves (the Aeeveses) appeal from a judgment against Allstate Insurance Company (Allstate) for its failure to pay a claim on their homeowners’ policy. The Aeeveses argue that the district court, after conducting a bench trial, understated their contract damages, overstated their liability for Allstate’s costs, and gutted their bad faith claim by its evidentiary rulings at trial. Allstate cross-appeals from the district court’s denial of summary judgment on their contract claim.

I. Introduction

A. Facts

The Aeeveses’ coverage claim arises as a result of structural damage to their house. In 1978, they bought a house in Bonita, California from the McMillin Construction Company. In 1981, they discovered a crack more than one-quarter inch wide, running longer than thirty feet of the length of a wall. They notified McMillin immediately and insisted that the damage was too serious to be patched. Although the Aeeveses notified McMillin in 1981, they did not notify Allstate, their home insurer. Their homeowners’ policy specified that they could only sue to enforce a coverage claim within one year of the loss giving rise to the claim.

In 1985, the structural damage to the Aeeveses’ house worsened; the initial crack widened and other cracks appeared. The Aeeveses notified McMillin and soon after filed a lawsuit against it in propria persona. On August 12, 1985, they finally notified Allstate of the damage. Greg Martin, the adjuster who first processed the Aeeveses’ claim, set the date of the loss at September 30, 1983, to maximize the Aeeveses’ coverage under the different homeowners’ policies they had from 1981 to 1985.

Martin made no mention of the one-year suit limitation when he first received the Aeeveses’ claim. Martin confirmed coverage orally in 1987 and the next adjuster to handle their claim reconfirmed coverage in a January 1988 letter. Neither raised the suit limitation.

It took Allstate five years to investigate the Aeeveses’ claim and negotiate with the Aeeveses until it finally concluded that it could assert the suit limitation as a bar to their claim. In 1989, Joyce Almeida, another Allstate claims adjuster, took over the Aeeveses’ file. She was the first Allstate representative to consider that the Aeeveses’ claim might be time-barred. In December 1989, she referred their claim to outside counsel for a coverage opinion, analyzing in particular the suit limitation. On January 12, 1990, she received an opinion letter in response, advising her that Allstate had not waived the right to deny coverage because of the time bar, and that Allstate could deny coverage. Over the next seven months, she received other letters from the same attorney confirming this view, and communicated to Cannon, the Aeeveses’ attorney, that Allstate was considering denying their coverage.

On August 1, 1990, Allstate sent Cannon a letter denying the Aeeveses coverage because they failed to file their claim within one year of discovering the loss giving rise to it. In February 1991, the Aeeveses settled with McMillin for $90,000.

B. Proceedings below

In March 1991, the Aeeveses filed suit against Allstate in California Superior Court, alleging breach of contract and bad faith denial of coverage. In February 1992, Allstate removed the action to the United States District Court for the Southern District of California.

After removal, Allstate brought a motion for summary judgment, seeking a ruling of law that the one-year suit limitation precluded the Aeeveses’ contract and bad faith claims. The district court denied summary judgment on the contract claim, but granted *1163 partial summary judgment on the bad faith claim. The district court later sua sponte ordered the parties to brief whether it should reconsider its decision in light of a Ninth Circuit case applying California insurance waiver law, Intel Corp. v. Hartford Accident & Indemnity Co., 952 F.2d 1551 (9th Cir.1991). In a published opinion, 827 F.Supp. 1473 (S.D.Cal.1993), the district court reconsidered and affirmed its previous ruling in light of Intel. Id. at 1487.

The contract claim and the remainder of the bad faith claim went to a bench trial. The district court made findings of fact and conclusions of law that Allstate had not acted in bad faith, that it was liable for $99,000 in damages on the insurance policy, but that its liability should be offset by the $90,000 settlement the Aceveses obtained from MeMil-lin. Before trial, Allstate had made a settlement offer of $50,100 under California Code of Civil Procedure section 998(c). Because the $9,000 judgment was less than Allstate’s pretrial settlement offer, the court ordered the Aceveses to pay Allstate’s trial costs under section 998(c). These costs came to $9,625, including full fees for expert witness engineers, geotechnical consultants, and claims adjusters. The Aceveses appealed, and Allstate cross-appealed.

C. Issues on appeal

We have jurisdiction over this appeal and cross-appeal under 28 U.S.C. § 1291. The Aceveses bring three issues on appeal. First, they argue that the district court erred in offsetting their $99,000 judgment against Allstate by the $90,000 settlement they obtained from McMillin. They concede that if they do not prevail on this issue; they owe Allstate costs under an offer of judgment rule. Their second claim is that the district court erred in applying state law instead of federal law to determine Allstate’s costs. Last, they argue that the district court made several trial errors which require reversal of the court’s judgment for Allstate on their bad faith claim. Allstate’s cross-appeal presents a single issue: whether the district court erred when it denied Allstate summary judgment on the Aceveses’ breach of contract claim.

II. Allstate could not have waived the suit limitation

We begin with Allstate’s cross-appeal. We review the district court’s denial of summary judgment de novo. Intel, 952 F.2d at 1556. Because the Aceveses’ suit was removed to federal court on the basis of diversity jurisdiction, California law governs the substantive issues of the case. Id. “We apply California law as we believe the California Supreme Court would apply it.” Id. We conclude that the district court erred by denying Allstate summary judgment on the Aceveses’ contract claim.

On the factual record before the court at the summary judgment stage, it was undisputed that the Aceveses’ claim was time-barred. Their policy required them to sue to enforce a coverage claim within one year of their loss, they did not notify Allstate until four years after having discovered the damage to their house, and they did not sue until six years after giving notice. “[T]he one-year suit provision would, unless otherwise inapplicable or excused, bar [the Aceveses] from pursuing the present action.” Prudential-LMI Ins. Co. v. Superior Court (Lundberg), 51 Cal.3d 674, 687, 274 Cal.Rptr.

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68 F.3d 1160, 1995 WL 604009, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lauro-aceves-jamie-aceves-plaintiffs-appellants-cross-appellees-v-ca9-1995.