Maria Reyes v. Southern Vanguard Insurance Company

Court of Appeals of Texas·Decided November 17, 2020·No. 14-19-00728-CV·Published

Opinion

Affirmed in Part and Dismissed in Part and Memorandum Opinion filed November 17, 2020.

In The

Fourteenth Court of Appeals

NO. 14-19-00728-CV

MARIA REYES, Appellant V.

SOUTHERN VANGUARD INSURANCE COMPANY, Appellee

On Appeal from the County Civil Court at Law No. 3 Harris County, Texas Trial Court Cause No. 1099091

MEMORANDUM OPINION

Appellant Maria Reyes appeals from a take-nothing judgment after a bench trial on the denial of her insurance claim by appellee Southern Vanguard Insurance Company. In eleven issues Reyes challenges the trial court’s findings of fact and conclusions of law. Because our appellate record contains no reporter’s record of the bench trial, we presume the evidence supports the trial court’s findings and affirm the trial court’s judgment. BACKGROUND

Reyes purchased homeowners’ insurance from Southern Vanguard, which covered her property from March 2, 2017 through March 2, 2018. Reyes alleged the interior of her home was damaged by water during Hurricane Harvey, specifically on August 29, 2017. Southern Vanguard denied Reyes’s claim citing the following provision in her policy:

We do not cover loss caused by windstorm, hurricane or hail to the inside of a building or personal property contained in a building unless direct force of wind or hail makes an opening in a roof or wall and rain, snow, sand or dust enters through this opening and causes the damage.

Southern Vanguard determined there was no evidence of wind, hurricane or hail damage to the roof of Reyes’s home and denied her claim. Initially, Reyes filed an original petition in the trial court to “manage appraisal.” The insurance policy contained an appraisal provision, which allowed the parties to each hire a disinterested appraiser to assess any damage. If the appraisers could not agree the policy provided for appointment of an umpire. Southern Vanguard responded asserting, inter alia, that Reyes breached the policy by suing Southern Vanguard before engaging in the appraisal process. Reyes subsequently filed a motion to compel appraisal and request to abate the suit pending completion of the appraisal process, which the trial court denied.

Reyes amended her original petition to allege claims for breach and anticipatory breach of contract, breach of the duty of good faith and fair dealing, violations of the Deceptive Trade Practices Act (“DTPA”), violations of the Texas Insurance Code, fraud, and conspiracy. Southern Vanguard answered asserting several affirmative defenses and a counterclaim for breach of contract.

A bench trial was held after which the trial court made the following relevant findings of fact and conclusions of law: 2 Findings of Fact 2. The uncontested evidence is that the policy [issued by Southern Vanguard] excluded and did not cover “loss caused by windstorm, hurricane, or hail, to the inside of a building or personal property contained in a building unless direct force of wind or hail makes an opening in a roof or wall and rain, snow, sand, or dust enters through its opening and causes the damage.” ***** 4. The uncontested evidence is that the Property had suffered prior roof damage and water damage as a result of Hurricane Ike, and that Plaintiff had filed an insurance claim. 5. Plaintiff offered no specific evidence regarding the amount of damage (or repairs, if any) related to Hurricane Ike, and she testified it was too long ago and she could not remember. ***** 8. On September 3, 2017, Defendant’s independent adjuster, Chris Cotter of ARJ Adjusters inspected the interior, exterior, and roof of the Property. Cotter found no evidence of an opening in a roof or wall, or wind damage to Plaintiff’s roof. Cotter found evidence that wind-driven rain had leaked into multiple rooms in the house. 9. Mr. Cotter found the interior damage resulted from wind-driven rain. He did not prepare a damage estimate. He explained his findings to Plaintiff that the policy did not provide coverage for interior damage caused by rain unless wind first makes an opening in the roof or wall through which the rain entered the house. ***** 12. In May 2018, Plaintiff’s independent adjuster, Ray Choate, made a visual inspection of the interior, exterior, and roof of the Property and took pictures. His file also included pictures taken by Chris Cotter (September 2017) and Richard Gadrow of RGC Services (January 2017). Mr. Choate observed that the roof had more than one type of shingle, that there were repairs made on the roof, and there were unsealed shingles in the different areas. He did not find creased, bent, torn, or blown away shingles on Plaintiff’s roof. His testimony failed to distinguish between the portions of the roof damage as specific to: Hurricane Harvey, Hurricane Ike, or deterioration due to age or wear in

3 between those events. 13. Mr. Choate found individual sites of interior water damage in the house but did not link the damage locations to, or identify them as related to, “an opening in the roof or wall” made during Hurricane Harvey. 14. Mr. Choate opined that Hurricane Harvey winds lifted the shingles, and water entered the house. This evidence was insufficient to prove that “an opening in a roof or wall” was made by direct force of wind or hail. Even if the existence of a roof or wall opening or openings were assumed, Mr. Choate’s testimony failed to establish the connection between specific water damage in any particular room and the type and location of the opening(s) through which the water allegedly entered. l5. Mr. Choate’s evidence was also insufficient to determine what, if any, of the water damage was dissimilar in scope or location to the damage suffered during Hurricane Ike. ***** 17. The evidence was insufficient to support a finding that the property damage alleged by Plaintiff was in fact caused by a covered peril in the policy. Conclusions of Law l. Plaintiff failed to prove the existence of a valid insurance policy covering the denied claims and failed to prove entitlement to money damages on that claim. ***** 4. An appraisal award is insufficient to prove causation and damages because the appraisal award does not provide sufficient evidence for the Court to determine as a matter of law which damages, if any, were caused by a covered peril. 5. An appraisal may be set aside for “mistake,” and the evidence is sufficient to set aside the appraisal in this case. 6. Without a contract claim, Plaintiff cannot recover on extra- contractual claims. The trial court signed a final judgment in which it found that both parties take

4 nothing on their claims. This appeal followed.

ANALYSIS

I. This court does not have jurisdiction over the purported appeal of Reyes’s attorney Eric Dick or his firm Dick Law Firm, PLLC. Eric Dick, Reyes’s attorney at trial and on appeal, filed notice of appeal in this case on behalf of Reyes, himself, and his law firm, Dick Law Firm, PLLC. Dick and his law firm, however, are not parties to the trial court’s judgment.

Under Texas jurisprudence, an appeal can generally only be brought by a named party to the suit. City of San Benito v. Rio Grande Valley Gas Co., 109 S.W.3d 750, 754 (Tex. 2003). Standing is implicit in the concept of subject-matter jurisdiction. Tex. Ass’n of Bus. v. Tex. Air Control Bd., 852 S.W.2d 440, 443 (Tex. 1993). Thus, an appellate court lacks jurisdiction to review a ruling appealed by a person without standing. See id. at 444. A person generally has standing to appeal a ruling only if the person is personally aggrieved by it. Cf. Austin Nursing Ctr. v. Lovato, 171 S.W.3d 845, 848 (Tex.

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