Leigh Rothschild v. Great Northern Insurance Company

Court of Appeals for the Eleventh Circuit·Decided July 9, 2024·No. 22-14129·Unpublished

Opinion

[DO NOT PUBLISH]

In the

United States Court of Appeals For the Eleventh Circuit

No. 22-14129

Non-Argument Calendar

LEIGH ROTHSCHILD, Plaintiff-Appellant,

versus GREAT NORTHERN INSURANCE COMPANY,

Defendant-Appellee.

Appeal from the United States District Court for the Southern District of Florida D.C. Docket No. 1:21-cv-23148-MGC

2 Opinion of the Court 22-14129

Before LUCK, ABUDU, and ANDERSON, Circuit Judges. PER CURIAM:

Leigh Rothschild appeals the district court’s summary judgment for Great Northern Insurance Company on his breach of contract claim. We affirm.

FACTUAL BACKGROUND AND PROCEDURAL HISTORY

Rothschild owns a condominium unit in a four-story complex , and his unit sits atop a common-area parking garage. The entrance to Rothschild’s unit is adjacent to a patio with tile flooring . Rothschild purchased an all-risk insurance policy for his unit from Great Northern. The policy afforded coverage for any “occurrence ,” which it defined as “a loss or accident,” including “[c]ontinuous or repeated exposure to substantially the same general conditions .”

The policy also had two exclusions that are relevant here.

One of those exclusions was for “[g]radual or sudden loss.” It provided that Great Northern would not “provide coverage for the presence of wear and tear, gradual deterioration, rust, bacteria, corrosion , dry or wet rot, or warping, however caused, or any loss caused by wear and tear, gradual deterioration, rust, bacteria, corrosion , dry or wet rot, or warping.” The policy separately excluded losses caused by “[f]aulty planning, construction[,] or maintenance .”

22-14129 Opinion of the Court 3

In November 2020, soon after a tropical storm, a maintenance staffer for the complex told Rothschild that water was leaking into the garage from his patio. The leak was discovered after an electrical box in the garage short-circuited. The complex’s management personnel told Rothschild that it was his responsibility to fix the leak. So he filed a claim with Great Northern, saying that his patio tile assembly was damaged.

Great Northern retained forensics engineer Jeffrey Bradley to investigate Rothschild’s claim. Bradley opined that the patio leak was caused by improper installation of its waterproofing layer. Citing Bradley’s opinion, Great Northern denied coverage for the patio tiles. Its denial letter explained that both the gradual or sudden loss exclusion and the faulty planning, construction, or maintenance exclusion applied. Great Northern did partially extend coverage for repairs needed in the garage. But because the estimated cost of repairs did not exceed Rothschild’s deductible, it paid nothing on the claim.

Rothschild retained an expert of his own, Mario Farnesi.

Farnesi inspected the property in 2022 and prepared a report after finding two types of damage: first, “[d]amaged patio tile assembly,” and second, “[w]ater damaged electrical components in the parking garage.” In his view, the patio’s leak “was not caused by improperly installed waterproofing.” He found that “water migration ” into the garage was “caused by a crack in the building structure that damaged the patio’s waterproofing system.” He cited how he observed “several sections of spalling concrete deck . . . on

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the ceiling deck in the parking garage” below Rothschild’s patio. The leak, Farnesi explained, “was caused by a tear in the waterproofing membrane system that occurred as a result of concrete spalling of the concrete deck.”

Farnesi later expounded on his observations during a deposition , repeating that he saw “several spalling areas” in the garage. He explained that “spalling . . . in a nutshell” is “basically when you have the rebar within concrete, when it gets exposed to water and begins to rust, that rust[] . . . expands the rebar which, in turn, begins to push out and crack the concrete that is around it.” He had observed rust during his inspection. So, “essentially,” Farnesi believed a crack formed in the concrete below Rothschild’s patio that “went up through the deck layer and tore the [waterproofing] membrane.” He couldn’t opine as to exactly when the spalling began , although he thought it likely started within the four years preceding his inspection. He said that in the usual case, “you really don’t notice [spalling] until the damage is basically well beyond . . . a point where you can really correct it.” That’s because spalling occurs over a period of time before any damage to the concrete becomes visible.

Rothschild sued Great Northern in state court for breach of contract. Great Northern removed the case to federal court, and the parties filed cross motions for summary judgment. In support of its motion, Great Northern argued that Rothschild could not show any covered cause of loss to his property. It contended that Farnesi opined the cause of Rothschild’s loss was spalling and that

USCA11 Case: 22-14129 Document: 38-1 Date Filed: 07/09/2024 Page: 5 of 9

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he opined the spalling was caused by expansion of rusty rebar. And because he also opined that spalling occurs over a period of time and is not a sudden loss, Great Northern argued that the gradual or sudden loss exclusion necessarily barred coverage. Great Northern separately argued it was entitled to summary judgment based on two other exclusions: the one for faulty construction or maintenance and another for accumulated surface water, which was not raised in its denial letter. It also argued that Rothschild couldn’t prove that the loss, if any, occurred while the policy was effective, that he lacked any insurable interest in the garage, that he couldn’t prove damages, and that any damages didn’t exceed the policy deductible .

As to the gradual or sudden loss and faulty construction or maintenance exclusions, Rothschild responded that Farnesi’s report and testimony created a genuine factual dispute as to what caused the tile damage. He contended Farnesi actually opined that rainwater was the cause of the leak and rain is not an excluded peril. To the extent there was evidence of excluded causes, Rothschild argued that Florida’s concurrent cause doctrine applied. Rothschild argued that the “mend the hold” doctrine barred Great Northern from relying on the accumulated surface water exclu-

1

sion, citing how Great Northern didn’t cite that exclusion in its

1 The “mend the hold” doctrine reflects that “[w]here a party gives a reason for his conduct . . . , he cannot, after litigation has begun, change his ground, and put his conduct upon another and a different consideration.” Ohio & M.R. Co. v. McCarthy, 96 U.S. 258, 267–68 (1877).

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coverage denial letter. Lastly, Rothschild argued that he offered enough evidence of damages exceeding the deductible to create a genuine dispute of material fact.

The district court granted Great Northern’s motion and denied Rothschild’s as moot. It found that Rothschild’s response did not comply with Federal Rule of Civil Procedure 56(c)(1)(A) because , although his statement of facts included citations to the record , his opposition brief didn’t include any. See Fed. R. Civ. P. 56(c)(1)(A) (“A party asserting that a fact . . . is genuinely disputed must support the assertion by . . . citing to particular parts of materials in the record . . . .”). The district court also explained that Farnesi’s report and testimony did not show any covered peril caused damage to the property. It cited how Farnesi opined the cause of patio damage was concrete spalling. And because Farnesi explained that spalling occurs over a period of time, the district court reasoned the gradual or sudden loss exclusion was triggered. Finally, the district court rejected Rothschild’s reliance on the mend the hold doctrine, reasoning that Great Northern’s coverage denial letter expressly relied on the gradual or sudden loss exclusion .

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