Ramirez v. Scottsdale Insurance Company

CourtDistrict Court, S.D. Florida
DecidedOctober 29, 2021
Docket1:20-cv-22324
StatusUnknown

This text of Ramirez v. Scottsdale Insurance Company (Ramirez v. Scottsdale Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ramirez v. Scottsdale Insurance Company, (S.D. Fla. 2021).

Opinion

UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF FLORIDA MIAMI DIVISION

CASE NO.: 20-cv-22324-MARTINEZ

JULIO RAMIREZ,

Plaintiff,

v.

SCOTTSDALE INSURANCE COMPANY,

Defendant. _____________________________________/

ORDER ON DEFENDANT’S MOTION FOR FINAL SUMMARY JUDGMENT

THIS CAUSE came before the Court upon Defendant Scottsdale Insurance Company’s Motion for Final Summary Judgment or Motion for Partial Summary Judgment in the Alternative as to Roof Damages (“Defendant’s Motion for Summary Judgment”), (ECF No. 28). The Court has reviewed Defendant’s Motion for Summary Judgment and pertinent portions of the record and is otherwise fully advised of the premises. For the reasons set forth herein, Defendant’s Motion for Summary Judgment is GRANTED. I. BACKGROUND The following facts are undisputed unless otherwise noted. Where the facts are in dispute, they are taken in the light most favorable to Plaintiff, the non-movant. This case arises out of an insurance coverage dispute between Plaintiff Julio Ramirez and his insurer, Defendant Scottsdale Insurance Company. Defendant issued Plaintiff policy number DFS1264683, which had an effective term coverage for the property located at 5869 Southwest 16th Street, Miami, Florida 33155 (the “Property”) from June 29, 2017, to June 29, 2018 (the “Policy”).1 The Policy contained, at the time of the loss and in pertinent part, the following relevant condition in the event of loss or damage: DEFINITIONS

. . . .

B. In addition, certain words or phrases are defined as follows:

8. “Occurrence” means an accident, including continuous or repeated exposure to substantially the same general harmful conditions, which results, during the policy period, in:

a. “Bodily injury”; or b. “Property damage”.

9. “Property damage” means physical injury to, destruction of, or loss of use of tangible property.”

CONDITIONS

C. Duties After “Occurrence”

In case of an “occurrence,” you or another “insured” will perform the following duties that apply. We have no duty to provide coverage under this policy if your failure to comply with the following duties is prejudicial to us. You will help us by seeing that these duties are performed:

1. Give written notice to us or our agent as soon as is practical, which sets forth: a. The identity of the policy and the “named insured” shown om the Declarations;

1 Plaintiff’s “Statement of Undisputed Facts” contains a scrivener’s error regarding the date of the alleged loss and the coverage period; the alleged loss occurred on September 10, 2017. (Compare Pl.’s Resp. to Def.’s Mot. Summ. J. 1 ¶ 1–2, ECF No. 32, with Compl. ¶¶ 4, 6, ECF No. 1-2, at 5–6 (acknowledging loss indeed occurred on September 10, 2017, rather than September 10, 2018)). b. Reasonably available information on the time, place and circumstances of the “occurrence”; and c. Names and addresses of any claimants and witnesses . . . .

(Notice of Removal, Ex. A., at 50, ECF No. 1-2.) Plaintiff sues for residential property insurance benefits for damages caused by Hurricane Irma on September 10, 2017. Plaintiff alleges he suffered a property loss “as a result of wind and water damage” from Hurricane Irma, which caused damage to the roof and exterior and water damage to the interior of the Property. (Compl. ¶ 6, ECF No. 1-2, at 6.) Approximately twenty months later, on or about May 20, 2019, Plaintiff first notified Defendant of his claim for damages as a result of the loss. (Sarver Decl. ¶ 6, ECF No. 29-1.) On June 19, 2019, Mark Stanley, an independent adjuster for Professional Adjusting Services, inspected the Property on behalf of the Defendant. (Id. ¶ 8.) On September 3, 2019, Defendant issued a coverage determination letter, indicating that Mr. Stanley had observed wind, wear and tear, and deterioration damage to the roof tile, as well as interior water damage to portions of the interior as a result thereof. (Id. ¶ 9.) Based on these observations and because Plaintiff’s insurance policy contained wind, wear and tear, and deterioration exclusions, Defendant denied coverage. (Id. ¶ 11.) On April 27, 2020, Plaintiff’s counsel provided Defendant with a demand letter, requesting a remittance in the amount of $189,521.27 and attaching an estimate provided by iClaims Consulting Inc. (See Notice of Removal Ex. B, ECF No. 1-3.) Of the $189,521.27, $108,542.17 is associated with replacement of the tile and flat roof of the Property. (Id.; see also Sarver Decl. ¶ 12, ECF No. 29-1.) On May 6, 2020, Plaintiff filed suit against Defendant in the Circuit Court of the Eleventh Judicial Circuit in and for Miami-Dade County, Florida. (See generally Notice of Removal, Ex. A, ECF No. 1-2.) On June 4, 2020, Defendant timely removed this action to federal court. (Notice of Removal, ECF No. 1.) According to Defendant, throughout the course of discovery, Plaintiff failed to serve his initial disclosures, respond to Defendant’s requests for production and interrogatories, serve any expert disclosures or reports, and respond to Defendant’s expert discovery requests. (See

Statement of Undisputed Material Facts (the “SOMF”) Ex. 3–4, ECF Nos. 29-3, 29-4.) Plaintiff does not deny these assertions. (See Pl.’s Resp. to Def.’s Mot. Summ. J., ECF No. 32.) On May 24, 2021, Defendant moved for final summary judgment against Plaintiff or, in the alternative, partial summary judgment as to Plaintiff’s alleged roof damage as excluded under the policy. (See Def.’s Mot. Summ. J., ECF No. 28.) II. LEGAL STANDARD Under Federal Rule of Civil Procedure 56, a court shall grant summary judgment if “the depositions, documents, electronically stored information, affidavits or declarations, stipulations . . . , or other materials . . . show . . . that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a), (c). Rule 56

requires entry of summary judgment “after adequate time for discovery and upon motion, against a party who fails to make a showing sufficient to establish the existence of an element essential to that party’s case, and on which that party will bear the burden of proof at trial.” Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986). “The moving party bears the initial burden to show, by reference to materials on file, that there are no genuine issues of material fact that should be decided at trial.” Clark v. Coats & Clark, Inc., 929 F.2d 604, 608 (11th Cir. 1991); accord Kol B’Seder, Inc. v. Certain Underwriters at Lloyd’s of London Subscribing to Certificate No. 154766 Under Cont. No. B0621MASRSWV15BND, 766 F. App’x 795, 798 (11th Cir. 2019). “Only when that burden has been met does the burden shift to the non-moving party to demonstrate that there is indeed a material issue of fact that precludes summary judgment.” Clark, 929 F.2d at 608. When the moving party has carried its burden, the party opposing summary judgment must do more than show that there is “metaphysical doubt” as to any material fact. Matsushita Elec. Indus. Co. v. Zenith Radio

Corp., 475 U.S. 574, 586 (1986).

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Ramirez v. Scottsdale Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ramirez-v-scottsdale-insurance-company-flsd-2021.