Republic Insurance Company v. Mex-Tex, Inc.

CourtCourt of Appeals of Texas
DecidedMarch 19, 2003
Docket07-01-00396-CV
StatusPublished

This text of Republic Insurance Company v. Mex-Tex, Inc. (Republic Insurance Company v. Mex-Tex, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Republic Insurance Company v. Mex-Tex, Inc., (Tex. Ct. App. 2003).

Opinion

NO. 07-01-0396-CV

IN THE COURT OF APPEALS

FOR THE SEVENTH DISTRICT OF TEXAS

AT AMARILLO

PANEL C

MARCH 19, 2003 ______________________________

REPUBLIC UNDERWRITERS INSURANCE COMPANY,

Appellant

v.

MEX-TEX, INC.,

Appellee _________________________________

FROM THE 108TH DISTRICT COURT OF POTTER COUNTY;

NO. 86,842-E; HON. ABE LOPEZ, PRESIDING _______________________________

OPINION

_______________________________

Before JOHNSON, C.J., and QUINN and REAVIS, JJ.

“Oh, but if we could just say what we mean and mean what we say.” The dispute

before the court involves the interpretation of an insurance policy and the insurer’s liability

for purportedly failing to abide by it. The players consist of the insured, Mex-Tex, Inc.

(Mex-Tex), and the insurer, Republic Underwriters Insurance Company (Republic). The

former sued the latter for breach of contract, breach of the duty of good faith and fair

dealing, committing unfair claim settlement practices, and failing to settle the claim within statutorily prescribed limits. The damages sought included the sum it believed it was

entitled to under the insurance policy, a sum necessary to recompense the corporation’s

mental anguish, and a statutory penalty of 18% of the amount payable under the policy.

The dispute was tried to the court, which body entered judgment for Mex-Tex. As made

manifest by its ensuing findings of fact and conclusions of law, the trial court determined

that Republic had indeed breached its contract, violated its duty to act in good faith and

deal fairly, attempted to fully settle a claim through a partial payment, and failed to comply

with statutory time limits in settling the claim.1

Republic attempts to overturn or modify the judgment entered against it via eight

issues. Through them, it contends that the evidence was insufficient to support the

findings of breached contract, of breached duty of good faith, of an improper attempt to

enforce a full and final release by making only a partial payment, and of violating art.21.55

of the Texas Insurance Code. Also attacked are the methods by which the trial court

calculated 1) the 18% statutory penalty per art. 21.55 of the Insurance Code and 2)

prejudgment interest. We review the issues in their logical order and, upon doing so, affirm

the judgment.

Background

The circumstances that gave rise to the suit began with a leaking roof atop a mall

housing various businesses and retail establishments. It had previously leaked but had

undergone repair. Furthermore, Mex-Tex was contemplating its replacement when a hail

1 Though damages were awarded, it does not appear that the sum included an amount to recompense the corp oration for its purp orted m enta l angu ish. Ho we ver, M ex-T ex does not co m plain about tha t on appeal.

2 storm passed through the area on May 25, 1999. This storm further damaged the roof.

Oral notice of the claim was forwarded to Republic within a day or so of the occurrence.

Thereafter, a question arose as to whether the storm itself caused the damage or whether

it pre-existed the squall. Nonetheless, both parties eventually agreed that the roof would

be replaced and that the insurance company would pay for it. Yet, that did not end the

controversy.

By the time the two parties agreed that the roof should be replaced, Mex-Tex had

already replaced it. It believed it needed to be expedient to avoid delay and further injury

to its tenants which could arise from other rains; evidence indicated that the Summer of

1999 was quite wet for West Texas. Furthermore, the cost exceeded $200,000. Yet, upon

deducting the cost of insulation included in the total expense, Mex-Tex only submitted a

claim for $179,000 to Republic. The latter refused to pay that sum because it concluded

that it could replace the roof with one of identical make (but new of course) for

approximately $145,000.2 And, therein fomented the dispute presented to the trial court

and to us. The trial court concluded that the $179,000 claim fell within the terms of the

policy. We are asked to determine if it was right.

Pertinent to the resolution of the dispute are the following provisions of the

insurance contract. The first states:

E. LOSS CONDITIONS

The following conditions apply in addition to the Common Policy Conditions and the Commercial Property Conditions.

2 Evidence indicates that the difference in cost was attributable to the speed with which the roof was installed (the contractor apparen tly m ade it a priority item and cha rged for doing so) and the cost of an insulation sepa rator.

3 * * *

3. Duties in the Event of Loss or Damage

a. You must see that the following are done in the event of loss or damage to Covered Property:

* * *

4. Take all reasonable steps to protect the Covered Property from further damage by a Covered Cause of Loss. If feasible, set the damaged property aside and in the best possible order for examination. Also keep a record of your expenses for emergency and temporary repairs, for consideration in the settlement of the claim. This will not increase the Limit of Insurance.

4. Loss Payment

a. In the event of loss or damage covered by this Coverage Form, at our option, we will either:

1. Pay the value of lost or damaged property; 2. Pay the cost of repairing or replacing the lost or damaged property; 3. Take all or any part of the property at an agreed or appraised value; or 4. Repair, rebuild or replace the property with other property of like kind and quality.

b. We will give notice of our intentions within 30 days after we receive the sworn proof of loss.

c. We will not pay you more than your financial interest in the Covered Property.

f. We will pay for covered loss or damage within 30 days after we receive the sworn proof of loss if:

1. You have complied with all of the terms of this Coverage Part; and,

4 2. (a) We have reached agreement with you on the amount of loss; or

(b) An appraisal award has been made.

The second states:

G. OPTIONAL COVERAGES

If shown in the Declarations, the following Optional Coverages apply separately to each item.

3. Replacement Cost

a. Replacement Cost (without deduction for depreciation) replaces Actual Cash Value in the Loss Condition, Valuation of this Coverage Form.

c. You may make a claim for loss or damage covered by this insurance on an actual cash value basis instead of on a replacement cost basis. In the event you elect to have loss or damage settled on an actual cash value basis, you may still make a claim for the additional coverage this Optional Coverage provides if you notify us of your intent to do so within 180 days after the loss or damages.

d. We will not pay on a replacement cost basis for any loss or damage:

1. Until the lost or damaged property is actually repaired or replaced; and,

2. Unless the repairs or replacement are made as soon as reasonably possible after the loss or damage.

e. We will not pay more for loss or damage on a replacement cost basis than the least of:

1. The Limit of Insurance applicable to the lost or damaged property;

5 2. The cost to replace, on the same premises, the lost or damaged property with other property:

a. Of comparable material and quality; and

b. Used for the same purpose; or

3.

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