State Farm Lloyd's Insurance Company v. Ashby AAA Automotive Supply, Inc.

CourtCourt of Appeals of Texas
DecidedAugust 28, 1995
Docket05-92-01354-CV
StatusPublished

This text of State Farm Lloyd's Insurance Company v. Ashby AAA Automotive Supply, Inc. (State Farm Lloyd's Insurance Company v. Ashby AAA Automotive Supply, 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
State Farm Lloyd's Insurance Company v. Ashby AAA Automotive Supply, Inc., (Tex. Ct. App. 1995).

Opinion

96-01 >n

AFFIRMED in part, REVERSED in part, RENDERED in part, AND REMANDED. Opinion issued August 28, 1995.

FILED IN SUPREME COURT OF TEXAS

JUL - 5 1996 JOHN T. ADAMS. Clerk Ry Deputy jn ^g Qltfurt of Appeals iHfty Itstrtrt of Qkxas at Salias No. 05-92-01354-CV

STATE FARM LLOYD'S INSURANCE COMPANY, Appellant

V.

ASHBY AAA AUTOMOTIVE SUPPLY CO., INC. AND JOE BEN ASHBY, JR., INDIVIDUALLY, Appellees

On Appeal from the 298th Judicial District Court Dallas County, Texas Trial Court Cause No. 89-13647-M

OPINION

Before Chief Justice Thomas1 and Justices Ovard and Barber Opinion By Justice Barber

Ashby AAA Auto Supply, Inc. (Ashby, Inc.) sued State Farm Lloyd's Insurance

Company (State Farm) alleging damages from fire loss under a policy issued by State Farm

1The Honorable LindaThomas was on the original panel at the time this cause was submitted for decision. Justice Thomas was sworn in as Chief Justice on January 1, 1995. We affirm in part and reverse and render in part. We overrule Ashby, Inc.'s cross-

points of error. We remand this cause to the trial court for entry of judgment consistent

with this opinion.

BACKGROUND

Ashby was president, and the sole shareholder, of Ashby, Inc. State Farm insured

Ashby, Inc. The policy covered Ashby, Inc.'s really, the building's contents, and losses from

business interruption.

In the early morning hours of June 27, 1989, a fire occurred at Ashby, Inc. The

building and some of its contents were damaged in the fire. There was also an interruption

in Ashby, Inc.'s business activities.

State Farm began its investigation the morning of the fire. Phil Maxey, the State

Farm agent from whom Ashby, Inc. purchased theinsurance policy, inspected the scene that

morning. Todd Rutledge, a State Farm adjuster, and a fire damage expert inspected the

building that afternoon. Rutledge instructed Ashby to make an inventory ofthe damage and not to move anything. Based on his observations at the scene, Rutledge formed the opinion

that the fire had four points of origin.

Rutledge requested a fire report from the Addison Fire Department. Based on the Addison Fire Department's report, Rutledge called Fire and Loss Analysis, Inc. on June 28 and requested an analysis of the cause and origin of the fire. He also returned Ashby's call regarding business interruption loss. Rutledge informed Ashby that State Farm would need

-4- Ashby, Inc.'s income tax returns for the last two or three years in order to begin adjusting

the business interruption loss. Rutledge also ordered Ashby, Inc.'s credit report in order

to determine if there were any liens against the property or the contents because the

lienholders would also be insured by the policy.

On June 30, Fire and Loss Analysis, Inc. called Rutledge and told him that it had

determined that the fire was intentionally set, that it would submit a report, and that

samples had been sent to a lab.

Rutledge met with Ashby on July 5. He gave Ashby nonwaiver and blanket

authorization forms to sign. Ashby brought six pages of inventory and gave them to

Rutledge. Ashby advised Rutledge that he would check with his lawyer aboutthe nonwaiver

form and that he would set a time for State Farm to take his recorded statement the

following week. During this meeting, Rutledge informed Ashby that the initial report

indicated the fire had been intentionally set. Rutledge also told Ashby that State Farm

could not proceed with the claim until the nonwaiver form was signed.

State Farm received Fire and Loss Analysis, Inc.'s report on July 7. The report

concluded that the fire was intentionally set with gasoline at five different points of origin.

Rutledge met with Ashby that day. Ashby signed the blanket authorization but said that he would have totalk with his attorney again about signing the nonwaiver form. Later that day,

Ashby advised Rutledge that he had given Ashby, Inc.'s lawyer Rutledge's number. Rutledge called Ashby, Inc.'s lawyer. Ashby, Inc.'s lawyer would not allow Ashby to sign

-5- the nonwaiver form.2 Rutledge met with Ashby on July 10. He again told Ashby that

because the nonwaiver form was not signed, a reservation of rights letter would have to be

sent and this would result in delay. Rutledge gave the file to his supervisor to send a

reservation of rights letter. Ashby, Inc.'s attorney called Rutledge and stated that he would

advise Ashby not to sign the nonwaiver form. The attorney also threatened to file a bad-

faith claim because of the delay.

Ashby went to State Farm's office on July 13 to give his statement. Ashby told

Rutledge that he had not received the reservation of rights letter. Rutledge informed Ashby

that State Farm could not proceed until Rutledge received the green card back (showing

The nonwaiver form provided as follows:

Reason(s) for executing this request:

1) There is a question as to whether the cause and origin of the loss was accidental in nature.

2) It is questionable whether there has been a loss sustained by a peril insured against.

For the reasons stated above, STATE FARM LLOYDS COMPANY may have no obligation to defend orindemnify the undersigned for claims arising outof anaccident or occurrence on or about 6/27/89 at or near 15201 Addison Rd. The undersigned request(s) and authorize(s) the Company to investigate, negotiate, settle, deny, or defend any claim arising out of such accident or occurrence as it deems expedient. Such action shall notwaive any right theCompany may have to deny any obligation under the policy contract, and shall not waive any rights ofthe undersigned. Ashby did not execute the nonwaiver form. However, he did return it to State Farm with the following notation on the back: Todd,

I am not signing this because, on advice of attorney, because (sic) it isnot provided for in the policy. I will, of course, cooperate in every other way pursuant to the policy. /s/ Joe Ben Ashby, Jr. President AAA Auto Supply, Inc.

-6- delivery of the letter) from the reservation of rights letter. Ashby, Inc.'s lawyer again called

complaining of the delay and recommending that State Farm pay the business interruption

claim "or else."

Rutledge and his supervisor discussed paying Ashby, Inc. an advance. State Farm

paid Ashby, Inc. a $2000 advance on July 14. Ashby advised State Farm that he had

received the reservation of rights letter and made an appointment for his recorded statement

to be taken on July 17.

On July 17, Ashby gave his recorded statement at State Farm's office. The next day,

Ashby picked up proof of loss claim forms from State Farm. On July 20, Rutledge

contacted an analyst to find out what documents he needed to determine the business

interruption loss. The analyst told Rutledge that he needed tax returns, eighteen months

of sales records, and the last physical inventory before the fire occurred.

Rutledge and Ashby talked on July 24. Ashby asked for another advance due to

business interruption. Rutledge asked Ashby for more information and told him that State

Farm had a list of questions that needed answers. Rutledge provided the list of questions to Ashby the next day. Rutledge also interviewed Ashby's neighbors and on July 25, searched the courthouse records for suits involving Ashby.

Ashby returned the questions, with answers, on August 1.

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