Rosa Ena Cantu v. Southern Insurance Company

Court of Appeals of Texas·Decided August 28, 2015·No. 03-14-00533-CV·Published

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN

NO. 03-14-00533-CV

Rosa Enu Cantu, Appellant

v.

Southern Insurance Company, Appellee

FROM THE DISTRICT COURT OF BASTROP COUNTY, 335TH JUDICIAL DISTRICT NO. 29,079, HONORABLE REVA TOWSLEE CORBETT, JUDGE PRESIDING

MEMORANDUM OPINION

Rosa Enu Cantu appeals from the trial court’s summary judgment in favor of

Southern Insurance Company in this declaratory judgment action arising out of damage to Cantu’s

home in the 2011 Bastrop County wildfires. Southern, Cantu’s homeowners’ insurer, sought

declaratory judgment that the damage award issued pursuant to the policy’s appraisal clause was

valid and binding, that by paying the appraisal award, Southern had fulfilled its obligations under

the policy, and that payment had been prompt. In three issues, Cantu asserts that the trial court erred

in granting summary judgment because the appraisal did not substantially comply with the terms of

the policy and because Cantu’s extra-contractual claims were not extinguished by the appraisal. For

the reasons that follow, we affirm the trial court’s summary judgment. BACKGROUND

Cantu’s house was damaged by the 2011 Bastrop County wildfires, and she

subsequently filed a claim with her insurance provider, Southern, on or about September 4, 2011.

Southern hired an independent adjuster to inspect the loss and issue payment to Cantu. Cantu was

dissatisfied with the proposed amount of payment and obtained counsel and her own adjuster.

Southern’s and Cantu’s adjusters could not reach an agreement, and in January 2012, Cantu filed suit

in the 21st District Court of Bastrop County, asserting claims for breach of contract, breach of the

duty of good faith and fair dealing, and violations of the Texas Insurance Code and the Texas

Deceptive Trade Practices Act (Original Bastrop Suit). After Cantu filed suit, Southern invoked the

appraisal clause in the homeowners insurance policy. The appraisal provision of the policy states:

SECTION 1 - CONDITIONS

7. Appraisal. If you and we do not agree on the actual cash value, amount of loss or cost of repair or replacement, either can make a written demand for appraisal. Each will then select a competent, independent appraiser and notify the other of the appraiser’s identity within 20 days of receipt of the written demand. The two appraisers will chose an umpire. If they cannot agree upon an umpire within 15 days, you or we may request that the choice be made by a judge of a district court of a judicial district where the loss occurred. The two appraisers will then set the amount of loss, stating separately the actual cash value and loss to each item. If you or we request that they do so, the appraisers will also set:

a. the full replacement cost of the dwelling.

b. the full replacement cost of any other building upon which loss is claimed.

c. the full cost of repair or replacement of loss to such building, without deduction for depreciation.

2 If the appraisers fail to agree, they will submit their differences to the umpire. An itemized decision agreed to by any two of these three and filed with us will set the amount of the loss. Such award shall be binding on you and us.

Each party will pay its own appraiser and bear the other expenses of the appraisal and umpire equally.

Under this provision, either party can call for an appraisal, each side appoints an appraiser, and the

appraisers choose an umpire. If the appraisers do not agree on an umpire, either party may ask a

district judge to select one. If the appraisers do not agree on the amount of loss, they submit their

differences to the umpire, and only two of the three actors need to agree on the amount for the

appraisal award to become final. The final agreed-to amount is binding and enforceable on both

parties. See Gardner v. State Farm Lloyds, 76 S.W.3d 140, 142 (Tex. App.—Houston [1st Dist.]

2002, no pet.).

Cantu and Southern each named an appraiser; however, the appraisers did not reach

an agreement on an umpire, leading Southern to request that a district judge appoint one pursuant

to the appraisal clause. On September 5, 2012, Judge Flenniken of the 21st District Court of Bastrop

County appointed an umpire. On January 16, 2013, Judge Campbell, sitting in the same court,

removed the first-appointed umpire and appointed a replacement umpire. Cantu did not object to

the appointment of the new umpire, ask for reconsideration, or file a petition for a writ of mandamus

seeking to overturn the appointment. In April 2013, the replacement umpire and Southern’s

appraiser reached an agreement on the amount of the loss. Southern promptly tendered a check for

the full replacement cost value of the appraisal award less Cantu’s deductible and Southern’s prior

3 payments. On July 8, 2013, Cantu, who disputed the appraisal award and refused to accept or

negotiate the check, nonsuited her claims.1

On July 10, 2013, Southern filed a declaratory judgment action in the 335th District

Court of Bastrop County seeking declarations that:

• the appraisal award signed by Southern’s appraiser and the umpire is valid and binding on the parties with regard to the amount of Cantu’s loss;

• Southern’s payment of the appraisal award fulfills its obligations under the insurance policy with regard to Cantu’s claim; and

• Southern’s liability to pay Cantu’s claim was not reasonably clear until the appraisal award was issued and Southern’s payment was therefore prompt for purposes of Texas Insurance Code sections 541.061 and 542.060 and tie-in provisions of the DTPA.

Southern subsequently filed a combined traditional and no-evidence motion for summary judgment.2

Cantu filed a competing motion for summary judgment and a response to Southern’s motion. The

trial court granted Southern’s motion.3 This appeal followed.

1 Cantu then filed suit in Dallas County District Court on July 16, 2013, raising the same claims that were nonsuited in the Original Bastrop Suit. Dallas County abated Cantu’s claims against Southern and ultimately transferred them back to the 21st District Court of Bastrop County. After Southern filed a plea in abatement, motion to dismiss, and other motions, the 21st District Court of Bastrop County dismissed Cantu’s claims. Cantu’s appeal of the dismissal is pending before this Court in cause number 03-15-00303-CV. 2 Southern asserted traditional summary judgment arguments in support of the declarations it sought and no-evidence summary judgment arguments as to Cantu’s affirmative defenses. Because Cantu does not assert any issues on appeal related to her affirmative defenses, we will apply the standard of review for traditional motions for summary judgment. 3 The order granting Southern’s motion for summary judgment does not expressly address Cantu’s competing motion for summary judgment.

4 STANDARD OF REVIEW

We review declaratory judgments under the same standard as other judgments or

decrees. Tex. Civ. Prac. & Rem. Code § 37.010; Hawkins v. El Paso First Health Plans, Inc.,

214 S.W.3d 709, 719 (Tex. App.—Austin 2007, pet. denied). Here, because the trial court rendered

the declaratory judgment through summary judgment proceedings, “we review the propriety of the

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