Maloney Cinque, L.L.C. v. Pacific Insurance Co.

89 So. 3d 12, 2011 La.App. 4 Cir. 0787, 2012 WL 234439, 2012 La. App. LEXIS 71
CourtLouisiana Court of Appeal
DecidedJanuary 25, 2012
DocketNo. 2011-CA-0787
StatusPublished
Cited by11 cases

This text of 89 So. 3d 12 (Maloney Cinque, L.L.C. v. Pacific Insurance Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Maloney Cinque, L.L.C. v. Pacific Insurance Co., 89 So. 3d 12, 2011 La.App. 4 Cir. 0787, 2012 WL 234439, 2012 La. App. LEXIS 71 (La. Ct. App. 2012).

Opinions

MAX N. TOBIAS, JR., Judge.

| ,The defendant/appellant, Pacific Insurance Company, Limited (“Pacific”),1 has appealed a judgment in favor of the plaintiffs/appellees, Maloney Cinque, L.L.C. and Maloney Sept, L.L.C. (collectively hereinafter, “plaintiffs”), for (a) breach of contract and (b) violations Louisiana’s bad faith statutes related to the timing of insurance payments of proceeds on plaintiffs’ Hurricane Katrina-related claims for wind damage on their businesses.2 For the reasons that follow, we affirm in part, reverse in part, amend the judgment in part, and render.

|2The plaintiffs own a number of truck stops in the New Orleans area, including the Mardi Gras Truck Stop (“the Mardi Gras”), located at 2411 Elysian Fields Avenue, and the Big Easy Truck Stop (“the Big Easy”), located at 5000 Old Gentilly Highway. Both businesses include fuel pumps, convenience stores, and video poker casinos. As a result of Hurricane Katrina, the properties were damaged from and by both flood and wind. It is undisputed that the flood waters reached a minimum of four feet at each location.

The plaintiffs filed suit against Pacific, arguing that, while the amounts due were paid under the policy, these amounts were not paid timely as required by law.3 Trial was held in late May 2010. On 10 December 2010, the district court rendered judgment finding in favor of the plaintiffs for (1) $290,908 in extra business expenses, with interest from date of judicial demand; (2) consequential damages of $335,170 ($1,300,000 in lost profits less the policy’s coinsurance provision) with interest from date of judicial demand; and (3) statutory penalties of $939,109.50; and in favor of Pacific for the plaintiffs’ claims of (a) additional damages for business income loss; and (b) attorney’s fees. A motion for new trial was timely filed.

[17]*17On 3 February 2011, the trial court issued its written reasons for judgment. Specifically, the court stated:

While Pacific Insurance Company paid the amounts due under the policy, the evidence revealed that they failed to make many of the payments timely. For ¡.¡example: Those amounts that were due at various times under the policy were made in excess of 30 or 60 days from satisfactory proof of loss. Satisfactory proof of loss existed at the time Pacific Insurance Company’s own expert determined a value for the disputed losses. At that time, Pacific had an obligation to make payment of at least the amounts that they determined were due as a result of the loss.
Pacific Insurance Company also failed to make any payment on the extra-expenses coverage. With the exception of extra-expenses losses, the Court applied — at least to those profits that were lost as a result of the failure to be able to open earlier — the co-insurance penalty provision. Had the plaintiffs been able to cover those additional months of business loss, those amounts would have been reduced by their coinsurance penalty provision.
For these reasons, the Court granted consequential damages in the following amounts:
For Maloney Sept, LLC, the Court found the loss of profits to be $700,000.00; and using the coinsurance penalty provision, the Court assessed this at 27.25% for an amount of $190,720.00.
For Maloney Cinque, LLC, the Court found the loss of profits to be $600,000.00 and assessed 24.67% of that sum for a total loss of $144,420.00. As previously indicated, the Court made no such reduction for the extra-expenses loss.
As to damages under LSA-R.S. 22:1220 and 22:658, the Court assessed damages in the amount of 1.5 times the damages awarded. In calculating this amount, the Court added the sum of $290,903.00 (extra expenses) and the sum of $335,170.00 (combined lost profits) for a total of $626,073.00. By assessing the penalty at 1.5 times that amount, the Court arrived at the figure of $939,109.50. The Court found that the damages that were incurred were incurred prior to the August 15, 2006, effective date of the revision. Therefore, the Court assessed no attorney’s fees.

|4The court issued an amended and restated judgment on 3 March 2011 following a hearing on motions for new trial filed by both parties.4 The court retained the award in favor of the plaintiffs in the amount of $290,903 for extra expenses, plus judicial interest from the date of judicial demand. With respect to the consequential damage award, “[f]inding the Defendant failed to pay within both 30 and 60 days of satisfactory proof of loss,” the court eliminated its prior application of the coinsurance penalty provision, and awarded $1,300,000 for lost profits, plus judicial interest from the date of judicial demand. Finally, with respect to statutory penalties, “¡Binding the Defendant failed to pay within both 30 and 60 days of satisfactory proof of loss,” the court awarded penalties in the amount of $2,386,354.50, “in accordance with the Written Reasons for Judgment issued on February 3, 2011.” Pacific timely appealed.

[18]*18Pacific has assigned five errors for review:

1. The district court erred in awarding consequential damages for lost profits.
2. The district court erred in awarding statutory penalties.
3. The district court erred in awarding interest on the consequential damage award from the date of judicial demand rather than from the date of judgment.
4. The district court erred in awarding contractual damages for extra expenses.
| y5. The district court erred in awarding statutory penalties under La. R.S. 22:1973 on the extra expense award.

We begin our analysis with the issue of whether Pacific made timely payments under the insurance contract and under applicable state law. If its payments were timely, then our analysis need go no further.

The record reveals the following time-line taken, in part, from the reports by Gary Steen (“Steen”), an independent adjuster with Axis International, Inc. (“Axis”), hired to adjust the claims for Pacific.5 The reports were prepared by Steen and sent to Steven Karkos (“Kar-kos”), assistant claims manager with First State Management Group, Inc. (“First State”), of which Pacific is a part.6 In addition, the timeline is taken from internal communications between Steen and First State as well as internal First State communications among the personnel responsible for adjusting plaintiffs’ claims.7

• 29 August Hurricane Katrina strikes the New Orleans area.

• 16 September First notice of claim by plaintiffs to Pacific.

• 23 September First notice of claim by Pacific to Steen.

• 28 October Advance of $50,000 by Pacific for each property on wind-damage claim.

In* 31 October Madsen, Kneppers & Associates (“MKA”) hired by Pacific (through Axis) as construction consultants.

• 23 November Estimate of $1,467,853.17 to repair the Big Easy by Bruce Frazier of the Alliance Consulting Group, L.L.C. (“Alliance”) public adjusters hired by the plaintiffs; Matthew Adrian (“Adrian”) of Matson, Driscoll & Damico (“MDD”), forensic accountants, hired by Pacific (through Axis) to assist in the evaluation of the loss of business income (“BI”) claim.

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89 So. 3d 12, 2011 La.App. 4 Cir. 0787, 2012 WL 234439, 2012 La. App. LEXIS 71, Counsel Stack Legal Research, https://law.counselstack.com/opinion/maloney-cinque-llc-v-pacific-insurance-co-lactapp-2012.