Lemon v. Hartford Insurance Company of the Midwest

CourtDistrict Court, M.D. Florida
DecidedJune 26, 2025
Docket2:23-cv-01140
StatusUnknown

This text of Lemon v. Hartford Insurance Company of the Midwest (Lemon v. Hartford Insurance Company of the Midwest) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lemon v. Hartford Insurance Company of the Midwest, (M.D. Fla. 2025).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION

MICHAEL LEMON AND DARYL LEMON,

Plaintiffs,

v. Case No: 2:23-cv-01140-JLB-NPM HARTFORD INSURANCE COMPANY OF THE MIDWEST,

Defendant. / ORDER This insurance dispute arises from damage to Michael Lemon and Daryl Lemon’s (collectively, Plaintiffs’) home during Hurricane Ian. Following the storm, Plaintiffs submitted an insurance claim to Hartford Insurance Company of the Midwest (Defendant). Plaintiffs and Defendant disagree on the amount due under the insurance policy. Accordingly, Plaintiffs brought this action alleging breach of contract. (Doc. 5). Defendant now moves for summary judgment. (Doc. 51). Plaintiffs responded. (Doc. 54). After careful review of the Complaint, the parties’ briefing, and the entire record, the Court GRANTS in part and DENIES in part Defendant’s Motion for Summary Judgment. BACKGROUND Viewing the facts in the light most favorable to Plaintiffs, the nonmoving party here, the facts are as follows: Plaintiffs submitted an insurance claim for damage to their home following Hurricane Ian under Policy 55RBF628837. (Doc. 42 at ¶¶ 4–8). The claim reported wind damage to the roof, lanai, and pool heater. (Id. at ¶ 7). That same day, Defendant acknowledged the claim and sent Plaintiffs a letter explaining how payment would be issued for covered losses. (Id. at ¶ 8; Doc.

47 at 63). Defendant’s “Estimator,” Mr. Alex Tsai, inspected the property and prepared a repair estimate for the observed covered damage. (See Doc. 42 at ¶11; Doc. 42-3). Specifically, Mr. Tsai’s estimate set forth an observed covered loss of $2,049.14, and Defendant submitted a payment to Plaintiffs in that amount. (Doc. 42 at ¶¶ 10–11; Doc. 47-1 at 66). After application of the policy’s $5,500 deductible and the Actual Cash Value (“ACV”) calculation, the $2,049.14 payment derived from the repair estimate broke down as follows: “$1,521.78 for the Dwelling, $274.78 for

the Contents, and $252.58 for the Other Structures.” (Doc. 42 at ¶11). A week later, Mr. Lemon provided Defendant with an estimate/proposal from Colonial Roofing, along with an unsigned, $44,932 contract between himself and Colonial Roofing to replace the entire roof of the home.1 (Doc. 42 at ¶ 12; Doc. 47 at 14). Defendant then retained Donan Engineering to reinspect the property in response to Mr. Lemon’s concerns about replacing the entire roof. (Doc. 42 at ¶ 13).

Other than identifying two damaged roof tiles, Donan Engineering found no other signs of damage to the remaining roof tiles or the roof tiles’ underlayment. (Id. at ¶¶ 13–15). Plaintiffs subsequently retained Rodney Buvens from Archer Adjusting &

1 Mr. Lemon did not sign the contract with Colonial Roofing prior to filing this litigation. (Doc. 47-1 at 14, 65). Appraisal to prepare an estimate (“the Archer estimate”) of their losses. (Doc. 47-1 at 63, 68–70). The Archer estimate provides actual cash value (“ACV”)2 and replacement cost value (“RCV”)3 estimates. (Doc. 44-1 at ¶¶ 5,7; Doc. 49-1 at 149–

51, 153–54). The Archer ACV-derived estimate includes costs for matching, code compliance, loss assessment damages, and costs to repair pre-existing damage to the kitchen ceiling. (Doc. 49-1 at 94–95, 120, 131–32, 135, 146, 149–51). Additionally, Byron Anderson, the Plaintiffs’ causation expert, testified that he factored in Florida Building Code compliance and matching to conclude that a complete roof replacement is necessary. (Doc. 48-1 at 133–35). Anderson also testified that his inspection revealed several areas of damaged roof tiles and a deteriorated

underlayment. (Doc. 48-1 at 86–87, 100–01, 129, 165). Before bringing this action, the only documentation Plaintiffs provided Defendant regarding repairs performed was for temporary work, which Defendant reimbursed. (Doc. 42 at ¶ 18). No other repairs have been performed before bringing this action. (Doc. 47-1 at 83–84). After removal from state court, the operative complaint alleges breach of

contract for “fail[ure] to pay all benefits due” under the Policy and “[d]enying coverage for all or a portion of the . . . loss,” including denying coverage for “full and complete replacement of the . . . roof[.]” (Doc. 5 at ¶¶ 17–21). Defendant moves for summary judgment, arguing that the Policy’s Coverage provision “insur[ing]

2 The actual cash value represents “the replacement cost minus depreciation.” CMR Constr. & Roofing, LLC v. Empire Indem. Ins. Co., 843 F. App’x 189, 191 (11th Cir. 2021). 3 The replacement cost value is the replacement cost of Plaintiff’s property without deductions for depreciation. See id. against risk of direct physical loss” entitles Plaintiffs only to ACV—not RCV, matching, pre-existing damage, or Ordinance or Law expenses. (Doc. 42-1 at 39; see generally Doc. 51). Plaintiffs responded in opposition. (Doc. 54).

LEGAL STANDARD Summary judgment is appropriate when the movant can show that there is no genuine issue of material fact and the movant is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a). “Summary judgment is particularly suited to cases of insurance coverage because the interpretation of a written contract is a matter of law to be decided by the court.” Int’l Ship Repair & Marine Servs., Inc. v. N. Assur. Co. of Am., 2011 WL 5877505, at *3 (M.D. Fla. Nov. 23, 2011) (citations omitted).

“A district court must grant a motion for summary judgment only if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” Essex Ins. Co. v. Barrett Moving & Storage, Inc., 885 F.3d 1292, 1299 (11th Cir. 2018) (citation and internal quotation marks omitted). “An issue of fact is ‘material’ if,

under the applicable substantive law, it might affect the outcome of the case” and “[a]n issue of fact is ‘genuine’ if the record taken as a whole could lead a rational trier of fact to find for the nonmoving party.” Hickson Corp. v. N. Crossarm Co., 357 F.3d 1256, 1259–60 (11th Cir. 2004) (citations omitted). In ruling on a motion for summary judgment, courts must “resolve all ambiguities and draw reasonable factual inferences from the evidence in the non- movant’s favor.” Travelers Prop. Cas. Co. of Am. v. Moore, 763 F.3d 1265, 1268 (11th Cir. 2014) (citation and internal quotation marks omitted). DISCUSSION

To establish a breach of contract claim under Florida law,4 Plaintiffs must show “(1) a valid contract; (2) a material breach; and (3) damages.” Beck v. Lazard Freres & Co., 175 F.3d 913, 914 (11th Cir. 1999) (citation omitted). When “the terms of an insurance contract are clear and unambiguous, a court must interpret the contract in accordance with its plain meaning.” , 90 F.3d 1546, 1549 (11th Cir. 1996) (citations omitted). While Plaintiffs “do not dispute ACV is the [appropriate] damage evaluation,”

they argue that “the correct ACV valuation remains to be determined[.]” (Doc. 54 at 10). Plaintiffs rely on the Archer estimate and Bryon Anderson’s evaluation–– Plaintiffs’ causation expert––which both consider costs for matching, code compliance, and pre-existing damages. (Doc. 49-1 at 94–95, 120, 131–32, 135, 146, 149–51; Doc. 48-1 at 133–35).

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