Rubin v. American Insurance Co.

193 So. 3d 408, 16 La.App. 5 Cir. 53, 2016 WL 2941924, 2016 La. App. LEXIS 995
CourtLouisiana Court of Appeal
DecidedMay 19, 2016
DocketNo. 16-CA-53
StatusPublished
Cited by1 cases

This text of 193 So. 3d 408 (Rubin v. American Insurance Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rubin v. American Insurance Co., 193 So. 3d 408, 16 La.App. 5 Cir. 53, 2016 WL 2941924, 2016 La. App. LEXIS 995 (La. Ct. App. 2016).

Opinion

[ ¡jPlaintiffs-appellants, Richard L. Rubin and Mary Rubin (“the Rubins”), appeal the trial court’s May 29, 2015 judgment granting two motions for directed verdict filed by their property insurer, defendant-appel-lee, The American Insurance Company (“AIC”). For the reasons that follow, we affirm the judgment of the trial court.

In their appeal, the Rubins contend that the trial court erred in granting AIC’s motions for directed verdict as to the Rubins’ following claims:1 (1) that AIC is liable for the Rubins’ medical expenses and general damages arising out of Paramount Remodeling and Roofing Corp.’s (“Paramount”) defective roof repairs to. their home under the theory of vicarious liability; and (2) that AIC, ptc-NET, Inc. (“ptc-NET”) and Paramount are engaged in a joint venture, and thus, AIC is liable for the Rubins’ medical expenses and general damages arising out of Paramount’s defective roof repairs under, the theory of joint venture liability.

UBased up.on the designated appellate record before this Court, the procedural and factual , posture of this casé is as follows:

On February 25, 2002, the Rubins filed a petition against AIC, Paramount and its insurer, and C & G Construction of Louisiana,2 alleging that the Rubins sustained property damage to their home and its contents arising out of defective roof repairs performed by Paramount and other contractors, in their lawsuit, the Rubins alleged that, during the summer of 2000, they filed a claim with AIC under their homeowners’ policy to repair roof damage caused by a hail storm that occurred in January of 2000. The Rubins further alleged that AIC’s claims adjustor, Jim Planchard, gave them the option of choosing their own roofer to perform the roof repairs, or of allowing AIC to provide them with a roofer and that AIC would, “be responsible” for the roofer it provided. After agreeing to allow AIC to provide a roofer for the necessary repairs, the [411]*411Rubins alleged that AIC selected Paramount to repair the hail damage.

On October 6, 2000, Paramount completely removed the Rubins’ damaged roof, placed felt paper over the Rubins’ home, and stated that Paramount would return the next day to complete the roof repairs. However, the Rubins alleged that Paramount did not return to their property after removing their damaged roof, and that on October 8, 2000, it began raining for several days, causing extensive water damage to the interior of their home. The Rubins alleged that subsequent attempts by Paramount and other contractors to repair the roof were unsuccessful, and led to | ¿further water damage, including mold contamination. The Rubins, later alleged that they suffered personal injuries caused by mold contamination in their home.3

The Rubins’ claims against AIC ultimately proceeded to a seven-day jury trial from May 11, 2015 to May 20,2015, wherein the Rubins only sought to recover medical expenses and general damages sustained as a result of their alleged mold-related illnesses.4

At trial, the Rubins called Tim McWatt, a technical director at Fireman’s Fund .Insurance Company (“FFIC”), which is the parent company of AIC., McWatt testified regarding a three-month pilot program that FFIC entered into in September of 1999 with a company called Project Time & Cost, Inc, (“PTC”), McWatt explained that the program was part of the Direct Contractor Repair Program, wherein PTC would pre-screen the contractors within its network and assign them to claims submitted to PTC by FFIC. In September, of 1999, FFIC and PTC executed ■ a letter agreement (“the 1999 Agreement”) regarding the program, which provided that “[i]n order to determine if it is mutually benéfi-cial for us to enter into a long-term business relationship, we will need to. work together on ah initial engagement of 1,000 claims (or three months, whichever comes first).”

Under the 1999 Agreement, PTC would provide a desk review of the contractors’ estimates and documentation, forward the claims to FFIC for final approval and adjustment, and then issue a work order to the assigned contractor. The 1999 Agreement provided as follows:

No agency, partnership, joint venture or other similar relationship is intended by this engagement. This is the full and complete agreement ^between us and any modifications or additions must be documented in a written and sighed memorandum.

McWatt testified that the 1999 Agreement expired in December of 1999, but explained that the Rubins’ claim, although filed in the year 2000, was handled under the 1999 Agreement. He further explained that during the year of 2000, FFIC never executed a contract with PTC or ptc-NET5. Ultimately, however, in March [412]*412of 2001 FFIC entered into a contract with PTC titled the ptc-NET Service Agreement.

On January 10, 2000, Paramount and ptc-NET executed a contract titled the ptc-NET Master Contract (“the ptc-NET/Paramount contract”), wherein Paramount became part of the ptc-NET network of contractors upon payment of a network fee of $6,000. Under the ptc-NET/Paramount contract, Paramount was required to furnish “all labor, materials, tools, equipment, and other requirements to perform the work as specified in such WORK ORDERS as may be issued by “Insurer” through ptc-NET on an as-needed basis.” Additionally, Paramount agreed to be bound by a set of “Contract Documents,” which included “General Terms and Conditions.”

Jim Planchard testified that when he met with the Rubins in the summer of 2000 regarding their hail damage claim, he told them about a new program that FFIC/AIC was rolling out called the direct contractors repair program. He told the Rubins that they could choose their own roofing contractor, or that AIC would refer one to them through this program and that FFIC/AIC “would stand behind the work product.” The Rubins agreed to allow AIC to refer a roofer, and Paramount was subsequently assigned to the Rubins’ claim. The Rubins and Paramount signed a “Property Owner’s Authorization,” authorizing Paramount to perform the 17work described in the attached “Work Order.” However, the “Work Order” signed by Dr. Rubin did not provide any details regarding the work to be performed by Paramount.

Dr. Rubin testified that on October 6, 2000, Paramount removed their hail-damaged roof, but left the roof unfinished. It subsequently rained, causing extensive water damage to their home. Paramount returned to the Rubins’ home and replaced their roof in November of 2000. However, Dr. Rubin testified that that roof failed during a rainstorm later that same month, causing further water damage to the interior of their home, and ultimately, mold contamination.

At the close of the Rubins’ case in chief, AIC moved for directed verdicts as to the Rubins’ claims against AIC based upon vicarious liability and joint venture liability.6 Specifically, AIC .argued that the Rubins failed to present any evidence showing that AIC controlled the work of the contractors it referred to the Rubins, such that AIC could be found to have been the employer of those contractors for purposes of vicarious liability. As to the Rubins’ joint venture liability claim, AIC argued that the Rubins failed to present any evidence of a business venture carried out for a joint profit among FFIC/AIC, PTC, ptc-NET, and Paramount.

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193 So. 3d 408, 16 La.App. 5 Cir. 53, 2016 WL 2941924, 2016 La. App. LEXIS 995, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rubin-v-american-insurance-co-lactapp-2016.