Pleasant Hill Christian Church Ministries, Inc. v. Ohio Security Insurance Company

CourtDistrict Court, M.D. Florida
DecidedDecember 10, 2025
Docket2:24-cv-00417
StatusUnknown

This text of Pleasant Hill Christian Church Ministries, Inc. v. Ohio Security Insurance Company (Pleasant Hill Christian Church Ministries, Inc. v. Ohio Security Insurance Company) 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
Pleasant Hill Christian Church Ministries, Inc. v. Ohio Security Insurance Company, (M.D. Fla. 2025).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION

PLEASANT HILL CHRISTIAN

CHURCH MINISTRIES, INC.,

Plaintiff, Case No. 2:24-cv-417-KCD-DNF v.

OHIO SECURITY INSURANCE COMPANY,

Defendant. /

ORDER Before the Court is Plaintiff Pleasant Hill Christian Church Ministries, Inc.’s Motion for Summary Judgment. (Doc. 54.)1 Ohio Security Insurance Company has responded (Doc. 56), making this matter ripe. For the reasons below, the motion is GRANTED. I. Background The facts needed to decide what remains of this case are not in dispute. Pleasant Hill’s building was damaged by Hurricane Ian. Following the storm, Pleasant Hill made a claim with Ohio Security. Ohio Security found covered damage to some of the building, but a dispute arose regarding the amount of

1 Unless otherwise indicated, all internal quotation marks, citations, case history, and alterations have been omitted in this and later citations. loss. The parties eventually landed in litigation, where they agreed that their dispute should go to appraisal. (Doc. 25.)

The appraisal panel issued its award in June 2025. (Doc. 54-1.) The panel valued the damages at $274,531.94 for actual cash value (ACV) and $251,433.91 for replacement cost (RCV). (Id. at 5.) RCV refers to the cost of replacing the damaged property. ACV is that figure minus depreciation.

After reviewing the award, Ohio Security decided that portions of the ACV figure were wrong, but only two figures remain in dispute: $15,330.86 for the roof tarp and $49,173.20 for the roof shrink wrap. According to Ohio Security, Pleasant Hill is not entitled to the roof tarp and shrink wrap claims

for a host of reasons, including causation and coverage defenses. (Doc. 56.) Pleasant Hill disagrees with Ohio Security’s treatment of the appraisal award and now seeks summary judgment to collect payment for the tarp and shrink wrap services because “there is nothing contained within the appraisal

award determining that [those services] were performed for anything other than Hurricane Ian damage.” (Doc. 54 at 4.) II. Legal Standard “Summary judgment is appropriate when a movant shows that there is

no genuine dispute as to any material fact and [he] is entitled to judgment as a matter of law.” Gonzalez v. Indep. Ord. of Foresters, No. 24-10758, 2025 WL 337898, at *2 (11th Cir. Jan. 30, 2025). “When deciding a motion for summary judgment, a judge is not himself to weigh the evidence and determine the truth of the matter but to determine whether there is a genuine issue for trial.” Las

Brisas Condo. Homes Condo. Ass’n, Inc. v. Empire Indem. Ins. Co., No. 2:21- CV-41-KCD, 2023 WL 8978168, at *1 (M.D. Fla. Dec. 28, 2023). “An issue is genuine if a reasonable jury could return a verdict for the nonmoving party.” Do v. Geico Gen. Ins. Co., No. 1:17-CV-23041-JLK, 2019 WL 331295, at *2 (S.D.

Fla. Jan. 25, 2019). “And a fact is material if it may affect the outcome of the case under the applicable substantive law.” Toca v. Debonair Props. LLC, No. 2:23-CV-303-KCD, 2025 WL 2106674 (M.D. Fla. July 28, 2025). “If the record presents disputed issues of fact, the court may not decide

them; rather, [it] must deny the motion and proceed to trial.” Jones v. UPS Ground Freight, 683 F.3d 1283, 1292 (11th Cir. 2012). Summary judgment should only be granted “[w]here the record taken as a whole could not lead a rational trier of fact to find for the non-moving party.” Matsushita Elec. Indus.

Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986). III. Discussion A federal court sitting in diversity, as here, applies the substantive law of the forum state. Following the conclusion of an appraisal, Florida courts

have allowed an insured to move for payment of the appraisal award. See Three Palms Pointe, Inc. v. State Farm Fire & Cas. Co., 250 F. Supp. 2d 1357, 1362 (M.D. Fla. 2003). In such cases, the insurer is free to assert any affirmative defenses that might apply, including policy limits or a violation of policy conditions because of fraud, lack of notice, or failure to cooperate. Id. “If an

insurer fails to assert any successful affirmative defenses, a court will enter a final judgment in favor of the insured.” Pelican Pointe of Sebastian II Condo. Ass'n, Inc. v. Empire Indem. Ins. Co., No. 05-14142-CIV, 2007 WL 9702449, at *2 (S.D. Fla. Aug. 8, 2007).

It is undisputed that an appraisal award was issued here. It is also undisputed that Ohio Security has not paid the entire ACV award. So the only question remaining is whether Ohio Security has offered any defense to avoid the outstanding ACV balance.

According to Ohio Security, it need not pay anything further from the ACV award because the appraisal panel included the tarp and shrink wrap claims, which are not covered. (See Doc. 56 at 12-13, 15 n.63.) In other words, “a genuine and disputed issue of material fact exists on coverage and liability

for the tarp and shrink wrap claims.” (Id. at 12.) Ohio Security cannot contest the appraisal award in this fashion. “[T]he Eleventh Circuit has found that Florida law on this issue is clear: if an insurer and an insured party go to appraisal, the insurer can only dispute coverage for

loss as a whole.” Mont Claire At Pelican Marsh Condo. Ass’n, Inc. v. Empire Indem. Ins. Co., No. 2:19-CV-601-SPC-MRM, 2022 WL 3701584, at *3 (M.D. Fla. Aug. 11, 2022) (citing Three Palms Pointe, Inc. v. State Farm Fire & Cas. Co., 362 F.3d 1317, 1318 (11th Cir. 2004)).)

Under Three Palms, an insurer cannot “challenge coverage with respect to part of the appraisal award.” Id. at 1319. Yet that is what Ohio Security offers in response to Pleasant Hill’s motion. Ohio Security might be right that the appraisal panel went beyond the policy and awarded uncovered benefits in

their ACV figure. But “state and federal courts in Florida have repeatedly stated that mere errors of fact or law by an appraiser are not enough to set aside an appraisal award.” Westchester Surplus Lines Ins. Co. v. Portofino Master Homeowners Ass’n, Inc., No. 3:23CV00453-MCR-HTC, 2025 WL

2697481, at *5 (N.D. Fla. Sept. 22, 2025); see also Mont Claire at Pelican Marsh Condo. Ass’n, Inc. v. Empire Indem. Ins. Co., No. 23-14162, 2024 WL 4635575, at *3 (11th Cir. Oct. 31, 2024). “[U]nless and until the Eleventh Circuit overrules Three Palms, [we are] duty-bound to follow its clear and unequivocal

holding that an insurer cannot challenge coverage with respect to part of the appraisal award.” Outback Storage v. Indian Harbor Ins. Co., No. 5:21CV90- TKW-MJF, 2023 WL 9234934, at *4 (N.D. Fla. Oct. 2, 2023). With an appraisal award issued in this case, Ohio Security “may only

rely on its defenses to the extent that they assert a lack of coverage as a whole or a violation of one of the standard policy conditions,” such as fraud, lack of notice, or failure to cooperate. Mont Claire, 2022 WL 3701584, at *4. Ohio Security has identified two affirmative defenses that allegedly fall into this category and “are still at issue.” (Doc. 56 at 17.) First, “Plaintiff failed to

comply with post-loss duties and obligations.” (Id. at 6.) Second, “Plaintiff’s lawsuit is barred by the Policy’s Legal Action Against Us provision because Plaintiff did not fully comply with all terms of the Policy before it sued.” (Id.) While the Court agrees that these defenses survive the appraisal award,

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Pleasant Hill Christian Church Ministries, Inc. v. Ohio Security Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pleasant-hill-christian-church-ministries-inc-v-ohio-security-insurance-flmd-2025.