Pollock v. Federal Insurance Company

District Court, N.D. California·Decided March 29, 2022·No. 3:21-cv-09975·Unknown

Opinion

THOMAS POLLOCK, et al., Case No. 21-cv-09975-JCS Plaintiffs, v. ORDER DENYING MOTION TO DISMISS AND MOTION TO STRIKE FEDERAL INSURANCE COMPANY, COMPLAINT Defendant. Re: Dkt. No. 14

Plaintiffs Thomas Pollock and Eileen Tabios bring this action against Defendant Federal Insurance Company seeking compensation under a homeowners’ insurance policy purchased from Defendant on their home in St. Helena, California, which was severely damages in the 2020 Glass Fire. Presently before the Court is Defendant’s Motion to Dismiss and Motion to Strike Complaint (“Motion”), in which Defendant argues, inter alia, that Plaintiffs’ claims are not ripe for adjudication because investigation of the insurance claim is ongoing and Plaintiffs have not supplied requested documents or completed examinations under oath (“EUOs”), as required under the policy. The Court finds that the Motion is suitable for determination without oral argument and therefore vacates the motion hearing set for April 1, 2022 pursuant to Civil Local Rule 7-1(b). The Case Management Conference set for April 1, 2022 will be moved from 9:30 a.m. to 2:00 p.m. on that date. For the reasons stated below, the Motion is DENIED.1 A. The Complaint Plaintiffs allege that they have resided at 256 North Fork Crystal Springs Road, St. Helena, CA 94574 (the “Property”) for two decades. Complaint ¶ 2. According to Plaintiffs, the Glass Fire forced them to evacuate their home at approximately 4:20 a.m. on September 27, 2020, as the wildfire burned on the Property and their home filled with fire residue and contaminants. Id. The fire actively burned for 23 days, displacing approximately 70,000 people from their homes, including Plaintiffs. Id. According to Plaintiffs, the fire burned to the ground their guest house and guest house contents and directly burned against the walls of the nearby garage and wine cellar through which Plaintiffs gain access to the guest house. Id. ¶ 3. They allege the fire also burned infrastructure, landscaping, and land, both upslope and downslope from Plaintiffs’ home, causing extensive damage to the entire 46.5 acres of the Property. Id. Damage from the fire took the form of thermal damage (including partial melting of the roof felt on the main house, thermal damage to waterproofing membranes on all the structures on the Property and cracking of cement and rebar walls and the slab floor of the wine cellar and garage) and non-thermal and contamination damage. Id. ¶¶ 3-4. As to the contamination damage, Plaintiffs allege that all of the structures, infrastructure, and contents are coated inside and out with combustion by-products, including soot, char, ash, and other particulate matter, as well as toxic chemicals such as formaldehyde, vinyl chloride, hydrogen cyanide, and hydrochloric acid. Id. ¶ 4. Further, according to Plaintiffs, the extensive thermal and non-thermal damage to the Property has compromised the structural integrity and expected lifespan of all structures, infrastructure, and equipment and has caused other effects such as etching and discoloration of natural materials. Id. ¶ 5. Plaintiffs allege that they have conducted extensive testing of the Property since the fire, including evaluations of the buildings and other structures, contents, surrounding land, and landscaping and that the testing confirms lasting damage to all areas of the Property. Id. ¶ 26. Plaintiffs allege that Defendant insured them against all risks of physical loss caused by the policy covering the Property: Policy Number 11776821-01, issued for the period July 19, 2020 to July 19 2021 (“the Policy”). Id. ¶ 7 & Ex. 1 (Policy). Plaintiffs allege that they provided timely notice to Defendant of the covered loss under the Policy and requested that Defendant provide benefits due and owing. Id. ¶ 8. They further allege that they satisfied all conditions precedent to performance by Defendant set forth in the Policy. Id. According to Plaintiffs, although Defendant made advance payments on a portion of their claim, it materially breached the Policy by refusing to pay the full value of their losses, including not only their property damage losses, but also their standard of living losses and additional living expenses. Id. ¶ 9. Instead, they allege, Defendant has attempted to avoid addressing the merits of the claim and has repeatedly conducted duplicative or manipulative testing on the Property in order to delay or forestall payment. Id. Plaintiffs allege Defendant’s failure to pay their covered losses has violated the covenant of good faith and fair dealing by malicious and unreasonable conduct. Id. ¶ 10. Plaintiffs allege that throughout the process of adjusting the claim, because Defendant’s investigation was neither diligent nor thorough, they engaged their own experts, at substantial cost, to obtain a thorough and accurate assessment of the scope of damage to the Property and its contents. Id. ¶ 30. According to Plaintiffs, they diligently provided the results of their investigation to Defendant but instead of acknowledging the extensive testing by Plaintiffs’ experts, Defendant obfuscated and delayed unreasonably in order to delay and deny payment of benefits due. Id. In particular, they contend, rather than contesting the detailed information provided by Plaintiffs’ experts, Defendant has refused to engage meaningfully, simply repeating its vague reservations of rights and claiming that its own experts are still in the process of reviewing the information long after that information was provided to Defendant. Id. ¶ 31. For example, according to Plaintiffs, throughout the adjustment process, Defendant has maintained that its smoke damage assessment shows no need for repairs to the main residence, despite the numerous subsequent reports prepared by Plaintiffs and submitted to Defendant. Id. ¶ 30. Plaintiffs allege that despite its claim that the investigation is ongoing, Defendant has Defendant’s investigation has determined that Plaintiffs will be able to return to their home before that date. Id. ¶ 32. Plaintiffs also allege that Defendant has sent dozens of experts to visit the Property and collect samples but has only selectively released portions of its sampling results. Id. ¶ 33. For example, they allege that Defendant has not released the results of its sampling on December 11-12, 2020 and March 23, 2021 despite multiple requests by Plaintiffs for all claim- related documents, and Defendant only released a portion of the results from its testing on February 24, 2021 seven months later, on September 23, 2021. Id. According to Plaintiffs, even the test results Defendant has released to them show pervasive damage to the Property. Id. Plaintiffs allege further that Defendant has caused delays to the remediation of the Property by failing to approve and promptly pay amounts necessary to begin repairing the damage. Id. ¶ 34. For example, according to Plaintiffs, although Defendant approved repairs to certain structures on the Property, such as the front gate, a water tank, and a water boiler, on October 21, 2020, November 23, 2020, and December 10, 2020, respectively, Defendant did not issue a check for the amounts due for those repairs until a year later, on November 15, 2021, which Plaintiffs received by mail on November 23, 2021. Id. Similarly, Plaintiffs allege, on January 12, 2021, Defendant approved a proposal for the removal of debris from the burned down guest house, but that amount was not paid until November 5, 2021. Id. Plaintiffs also allege that Defendant delayed the process for repairing the guest house by refusing to accept their experts’ assessment that the stem walls for the structure, which had been fire damaged, needed replacement. Id. According to Plaintiffs, Defendant instead retained its own expert to inspect the stem walls on January 19, 2021 and, despite promising immediate confirmation of the damage, delayed its decision that the stem walls did indeed require replacemen

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