Pappa Yolk's Grill, Inc. v. AmGuard Insurance Company

CourtDistrict Court, S.D. Texas
DecidedApril 15, 2020
Docket4:18-cv-02995
StatusUnknown

This text of Pappa Yolk's Grill, Inc. v. AmGuard Insurance Company (Pappa Yolk's Grill, Inc. v. AmGuard Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pappa Yolk's Grill, Inc. v. AmGuard Insurance Company, (S.D. Tex. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF TEXAS HOUSTON DIVISION PAPA YOLK’S GRILL, INC., § § Plaintiff, § § v. § CIVIL ACTION NO. H-18-2995 § AMGUARD INSURANCE COMPANY, § § Defendant. § MEMORANDUM OPINION AND ORDER Plaintiff Papa Yolk’s Grill, Inc. (“Plaintiff”) asserts state- law claims against AmgGUARD Insurance Company (“Defendant”) for breach of contract, bad faith denial of an insurance claim, and deceptive trade practices.1 Pending before the court is Defendant’s Motion for Summary Judgment (Docket Entry No. 27). (“Defendant’s MSJ”). For the reasons explained below, Defendant’s MSJ will be granted. I. Factual and Procedural Background Plaintiff operated a restaurant business in Pasadena, Texas,

1Plaintiff’s Second Amended Complaint (“Amended Complaint”), Docket Entry No. 22, pp. 4-6. Unless otherwise noted, all page numbers for docket entries in the record refer to the pagination inserted at the top of the page by the court’s electronic filing system, CM/ECF. when Hurricane Harvey struck in August of 2017.2 The restaurant’s premises, leased from Quadvo, LLC, were inaccessible until the third day after the hurricane when the owners entered the property to find “inches of water.”3 Water appeared to have entered the building from the roof, primarily coming into a storage room in the southwest corner of the property and causing damage inside.4 Plaintiff contends that hurricane winds damaged the roof and caused rainwater to enter the property.5 Plaintiff filed a claim with Defendant, its insurer, to recover water damages.6 The insurance in question is an all-risks policy that covers any cause of loss other than those excluded in the contract.7 The insurance policy excludes losses that are caused by rainwater damage to the interior unless preceded by

2Declaration of Neel McGovern, Exhibit D to Plaintiff Pappa Yolk’s Grill, Inc.’s Response to Defendant AmGUARD Insurance Co.’s Motion for Summary Judgment (“Plaintiff’s Response”), Docket Entry No. 39-4, p. 1. 3Id. at 2 ¶¶ 2, 4. 4Videotaped Deposition of Neel McGovern (“McGovern Deposition”), Exhibit D to Defendant’s MSJ, Docket Entry No. 27-7, pp. 43 lines 8-15, 44 lines 2-5. 5Amended Complaint, Docket Entry No. 22, p. 3 ¶ 6. 6McGovern Deposition, Exhibit D to Defendant’s MSJ, Docket Entry No. 27-7, pp. 54 lines 10-16, 55 lines 4-15. 7Businessowner’s Coverage Form (“Insurance Policy”), Exhibit A to Defendant’s MSJ, Docket Entry No. 27-1, p. 75 § I ¶ A(3). -2- covered damage to the roof or walls. The policy also excludes most damage caused by wear-and-tear to or negligent maintenance of property.9 A field adjuster, Timothy Frazier, inspected the property on behalf of AmGUARD on September 7, 2017.10 Frazier observed that the roof was in “fair condition” and appeared to have been recently coated with sealant.11 He concluded that the roof was not damaged by a covered peril under the policy such as wind.12 He noted two possible other sources that may have allowed water to enter the building. First, he found leaking water from an air conditioner pooling on the roof above the southwest storage room.13 Second, he concluded that water may have entered the building through a roof extrusion that was directly over the southwest part of the property.14 Frazier’s expertise was to examine the roof; his report

8Insurance Policy, Exhibit A to Defendant’s MSJ, Docket Entry No. 27-1, p. 75 § I ¶ A(4)(a)(5). 9Id. at 91 § I ¶ B(2)(l)(1), 92 § I ¶¶ B(3), B(3)(c)(4). 10Audio Transcription of Videotaped Deposition of Timothy Frazier (“Frazier Deposition”), Exhibit C to Plaintiff’s Response, Docket Entry No. 39-3, p. 27 lines 1-7. 11Claim Adjuster’s Report, Exhibit A to Plaintiff’s Response, Docket Entry No. 39-1, pp. 2, 12, 22. 12Id. at 2; Frazier Deposition, Exhibit C to Plaintiff’s Response, Docket Entry No. 39-3, p. 49 lines 14-19. 13Claim Adjuster’s Report, Exhibit A to Plaintiff’s Response, Docket Entry No. 39-1, pp. 28, 30-31. 14Id. at 3, 34. -3- suggested Defendant could hire a cause-and-origin investigator to further look into the source of the water that entered the building.15 Defendant did not hire a cause-and-origin investigator because it concluded Frazier’s inspection had provided enough information.16 Based on Frazier’s report, Defendant denied Plaintiff’s insurance claim in a letter dated September 18, 2017, explaining that the policy does not cover water damage and that there was no evidence of damage to the roof from a “covered peril” such as hurricane wind.17 Defendant declined to provide Frazier’s report to Plaintiff, as it considers such reports to be confidential work product.18 On August 29, 2018, Plaintiff filed this action asserting breach of contract, bad faith denial of an insurance claim, and deceptive trade practices against Defendant.19 Plaintiff amended

15See id. at 3 (“We have requested authorization to possibly employ a Cause and Origin Investigator.”); Frazier Deposition, Exhibit C to Plaintiff’s Response, pp. 31-32. 16Videotaped Deposition of Nona F. Loftus (“Loftus Deposition”), Exhibit B to Plaintiff’s Response, Docket Entry No. 39-2, p. 20 lines 9-21. 17Letter from AmGUARD to Pappa Yolk’s Grill, Inc. (“Denial Letter”), Exhibit B-2 to Defendant’s MSJ, Docket Entry No. 27-4, pp. 1, 3; see also Insurance Policy, Exhibit A to Defendant’s MSJ, Docket Entry No. 27-1, p. 89. 18See Loftus Deposition, Exhibit B to Plaintiff’s Response, Docket Entry No. 39-2, p. 21 lines 11-23. 19Plaintiff’s Original Complaint, Docket Entry No. 1, pp. 1, (continued...) -4- its complaint on January 2, 2019.20 Discovery has concluded.21 On November 25, 2019, Defendant filed its motion for summary judgment.22 Plaintiff filed its response on January 31, 2020.23 Defendant replied on February 6, 2020.24 II. Standard of Review Summary judgment is appropriate if the movant establishes that there is no genuine dispute about any material fact and the movant is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a). Disputes about material facts are genuine “if the evidence is such that a reasonable jury could return a verdict for the nonmoving party.” Anderson v. Liberty Lobby, Inc., 106 S. Ct. 2505, 2510 (1986). The moving party is entitled to judgment as a matter of

law if “the nonmoving party has failed to make a sufficient showing on an essential element of her case with respect to which she has the burden of proof.” Celotex Corp. v. Catrett, 106 S. Ct. 2548, 2552 (1986). 19(...continued) 4-5. 20Amended Complaint, Docket Entry No. 22. 21Docket Control Order, Docket Entry No. 17, p. 2 ¶ 6. 22Defendant’s MSJ, Docket Entry No. 27. 23Plaintiff’s Response, Docket Entry No. 39. 24Defendant’s Reply to Plaintiff’s Response to Its Motion for Summary Judgment (“Defendant’s Reply”), Docket Entry No. 41. -5- A party moving for summary judgment “must ‘demonstrate the absence of a genuine issue of material fact,’ but need not negate the elements of the nonmovant’s case.” Little v. Liquid Air Corp., 37 F.3d 1069, 1075 (5th Cir. 1994) (en banc) (per curiam) (quoting Celotex, 106 S. Ct. at 2553). “If the moving party fails to meet this initial burden, the motion must be denied, regardless of the nonmovant’s response.” Id. If the moving party meets this burden, Rule 56(c) requires the nonmovant to go beyond the pleadings and show by affidavits, depositions, answers to interrogatories, admissions on file, or other admissible evidence that specific facts exist over which there is a genuine issue for trial. Id. The nonmovant “must do more than simply show that there is some metaphysical doubt as to the material facts.” Matsushita Electric Industrial Co., Ltd. v. Zenith Radio Corp., 106 S. Ct. 1348, 1356 (1986). In reviewing the evidence “the court must draw all reasonable

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Pappa Yolk's Grill, Inc. v. AmGuard Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pappa-yolks-grill-inc-v-amguard-insurance-company-txsd-2020.