Phoenix Restoration Group, Inc. v. Liberty Mutual Group Inc.

District Court, District of Columbia·Decided February 10, 2020·No. Civil Action No. 2018-2121·Published

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

PHOENIX RESTORATION GROUP, INC. and AVSMOOT, LLC,

Plaintiffs, Civil Action No. 18-2121 (BAH)

v. Chief Judge Beryl A. Howell

LIBERTY MUTUAL GROUP INC. d/b/a LIBERTY MUTUAL INSURANCE and OHIO SECURITY INSURANCE COMPANY,

Defendants.

MEMORANDUM OPINION

The plaintiffs initiated this lawsuit to recover amounts they claim the defendants are obligated to pay under two insurance policies, after “a fire ravaged Plaintiffs’ business location at 3150 Blandensburg Road, NE, in Washington, DC, on July 13, 2016.” Compl. ¶ 1, ECF No. 1-1. At the trial scheduled to begin on March 9, 2020, the defendants plan to call a witness, David R. Elmore, Jr., who is identified as a certified public accountant, a certified valuation analyst, and a master analyst in financial forensics, to testify both as a fact witness and the defendants’ sole expert. See Defs.’ Mem. Opp’n Pls.’ MIL (“Defs.’ Opp’n”) at 2 & n.1, ECF No. 32. This proposed defense expert witness is well known to the plaintiffs. Indeed, the actions of Elmore and Elmore’s firm, MDD Forensic Accountants (“MDD”), figure prominently in the factual allegations underlying the plaintiffs’ claims. See, e.g., Compl. ¶¶ 11, 13, 14, 18, 20.

According to the Complaint, Elmore was hired by the defendants’ claims adjustor “to assist in evaluating Plaintiffs’ claims,” id. ¶ 11, and then allegedly made critical misrepresentations about how the plaintiffs’ claims would be treated, upon which misrepresentations the plaintiffs relied to their detriment, id. ¶¶ 11–19. The plaintiffs’ harm has

allegedly been compounded by the defendants’ alleged “fail[ure] to make other required payments due to Plaintiffs.” Id. ¶ 20. The parties agree that, given Elmore’s integral involvement in the events giving rise to this lawsuit, he “will likely be the Defendants’ single most important fact witness” in the entire case. Pls.’ Mot. in Limine to Exclude or Limit the Expert Opinion Testimony of David Elmore (“Pls.’ MIL”) at 2, ECF No. 31 (emphasis in original); see Defs.’ Opp’n at 6–7 (acknowledging that “Mr. Elmore, likely, has the best understanding of the facts of any individual involved in this case given his heavy involvement over the years”).

Given the undisputed significance of Elmore’s fact testimony, the plaintiffs object to this witness also being called and permitted to testify as the defendants’ expert. To this end, the plaintiffs have filed a motion in limine to exclude or limit Elmore’s testimony, Pls.’ MIL, which motion became ripe for resolution with the completion of briefing on February 7, 2020. For the reasons explained below, the plaintiffs’ motion is granted. I. BACKGROUND The factual and procedural history of this litigation is set out in this Court’s recently issued Memorandum Opinion, ECF No. 36, denying the defendants’ motion for judgment on the pleadings, pursuant to Federal Rule of Civil Procedure 12(c), and thus only those facts pertinent to resolving the pending motion are provided here. The plaintiffs, Phoenix Restoration Group, Inc. (“Phoenix”) and AVSmoot, LLC, two restoration subcontractors, each purchased commercial insurance through defendant Liberty Mutual Group Inc. (“Liberty”), in 2016, with the policies underwritten by defendant Ohio Security Insurance Company. Compl. ¶ 8.

Following the fire in July 2016, the defendants assigned the plaintiffs’ claims under their insurance policies to a claims adjustor, Paul Barnett, who “promptly arranged for Liberty Mutual to hire” Elmore and MDD. Id. ¶ 11; Defs.’ Opp’n at 1, 2 (stating that Elmore was hired “within

eight days of the fire”). The parties then allegedly had a “series of meetings,” including on August 31, 2016, “to discuss Plaintiffs’ then-known or already anticipated claims, and also to review the insurance coverages that may be available.” Compl. ¶¶ 12–13. Elmore was involved in these meetings and allegedly provided guidance to the plaintiffs as to how certain losses would be categorized. Id. ¶¶ 13–16; Defs.’ Opp’n at 1 (confirming that Elmore’s task “to measure the damages under applicable coverages, necessitat[ed] his complete involvement in the adjustment process, including participating in meetings and communications with the Plaintiffs”). The defendants confirm that Elmore “met with representatives of the Plaintiffs to discuss the Plaintiffs’ claim no less than nine times” between July 25, 2016 and December 18, 2017. Id. at 4. Elmore’s firm also allegedly provided schedules showing how the plaintiffs’ claimed losses would be categorized, consistent with prior representations, but then subsequently changed those schedules “to reallocate certain losses,” Compl. ¶ 19, “thereby subjecting those losses to” caps on reimbursement, id. ¶ 18. According to the plaintiffs, in addition to “the improper reallocation of certain of Plaintiffs’ losses,” id. ¶ 20, the defendants “fail[ed] to make other required payments due to Plaintiffs,” id., including for certain business income losses, “which even MDD recommended for payment,” id. ¶ 20(a).

Based on these factual allegations of misrepresentations and refusal to pay “substantial insurance proceeds appropriately owed,” id. ¶ 27, the plaintiffs assert three claims for relief: in Count I, for breach of contract, id. ¶¶ 23–28; in Count II, for promissory estoppel based on the plaintiffs’ reliance on the explanations and promises made by the defendants’ agents, including Elmore, id. ¶¶ 29–34; and in Count III, for violation of the District of Columbia’s Consumer Protection Procedures Act, D.C. Code § 28-3901, et seq., premised, again, on the alleged misrepresentations made by the defendants’ agents, including Elmore, Compl. ¶¶ 35–39. Elmore’s testimony will be highly relevant to each of these claims, relating what he said and did,

the opinions he formed while working on the plaintiffs’ claims under the insurance policies at issue, and the manner in which the defendants processed the plaintiffs’ claims, including his and MDD’s sanction of or disagreement with any steps taken by defendants or its other agents in the treatment of those claims. See generally Elmore Report, ECF No 11-1. II. LEGAL STANDARD As the Supreme Court has recognized, “[a]lthough the Federal Rules of Evidence do not explicitly authorize in limine rulings, the practice has developed pursuant to the district court’s inherent authority to manage the course of trials.” Luce v. United States, 469 U.S. 38, 41 n.4 (1984). Pretrial motions in limine effectuate the directive, embodied in Federal Rule of Evidence 103(d), that “[t]o the extent practicable, the court must conduct a jury trial so that inadmissible evidence is not suggested to the jury by any means.” FED. R. EVID. 103(d). Pretrial motions in limine also further the general purpose of the Rules of Evidence to administer the proceedings “fairly . . . to the end of ascertaining the truth and securing a just determination.” FED. R. EVID. 102. To this end, “[a] pre-trial ruling, if possible, may generally be the better practice, for it permits counsel to make the necessary strategic determinations.” United States v. Jackson, 627 F.2d 1198, 1209 (D.C. Cir. 1980). III. DISCUSSION The plaintiffs object, under Federal Rule of Evidence 403, to Elmore providing both factual testimony and independent expert testimony to rebut plaintiffs’ proffered experts on general industry standards for processing insurance claims and forensic accounting because of the danger of prejudice and jury confusion. See Pls.’ Reply Mem. Supp. Pls.’ MIL (“Pls.’ Reply”) at 3, ECF No. 33 (objecting to Elmore “testify[ing] as an independent Rule 702 expert (a) to rebut the independent expert testimony of insurance industry claims handling expert David Stegall; (b) to rebut the independent expert testimony of forensic accountant Marylee Robinson;

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Phoenix Restoration Group, Inc. v. Liberty Mutual Group Inc., (D.D.C. 2020).

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