The S.O. Beach Corp. v. Great American Insurance Company of New York

Court of Appeals for the Eleventh Circuit·Decided October 31, 2019·No. 18-11967·Unpublished

Opinion

[DO NOT PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT

No. 18-11967

Non-Argument Calendar

D.C. Docket No. 1:17-cv-22254-FAM

THE S.O. BEACH CORP., LARIOS ON THE BEACH, INC.,

Plaintiffs-Appellants,

versus GREAT AMERICAN INSURANCE COMPANY OF NEW YORK, Defendant-Appellee.

Appeal from the United States District Court for the Southern District of Florida

(October 31, 2019)

Before ED CARNES, Chief Judge, WILSON, and HULL, Circuit Judges. PER CURIAM:

Plaintiffs S.O. Beach Corp. and Larios on the Beach, Inc. (we will collectively refer to them as “Larios” for ease of reference) appeal the district court’s grant of summary judgment to defendant Great American Insurance Company of New York, the court’s denial of Larios’ motion to reconsider the summary judgment order, and the court’s refusal to grant Larios leave to amend its complaint.

I.

Larios owns and operates a building on Ocean Drive in Miami Beach, Florida. Sometime between March 4, 2013 and April 19, 2013, Larios discovered that parts of the first three floors of its building had caved in to varying degrees. The primary cause of this purported collapse, 1 Larios determined, was that a wooden support beam called a sill plate had severely rotted. When Larios examined the sill plate, it also found a broken pipe that was gushing water onto the sill plate; that gushing water was a cause of the sill plate’s deterioration. Larios was forced to evacuate the building until it finished repairing the damage.

Before it finished the repairs, Larios submitted a coverage claim in May 2013 to its insurer, Great American. Larios had purchased a series of all-risk insurance policies from Great American to cover damages to the building. Each

1 We use the term “purported collapse” because the parties disagree about the meaning of the term “collapse” as it is used in the insurance policy at issue.

policy covered a one-year time period, and the policy at issue in this case covered March 1, 2013 through March 1, 2014.

An all-risk insurance policy “provides coverage for all fortuitous loss or damage other than that resulting from willful misconduct or fraudulent acts” — “[u]nless the policy expressly excludes the loss from coverage.” Fayad v. Clarendon Nat’l Ins. Co., 899 So. 2d 1082, 1085 (Fla. 2005); see also id. at 1086 (“Although the term ‘all-risk’ is afforded a broad, comprehensive meaning, an ‘all- risk’ policy is not an ‘all loss’ policy, and thus does not extend coverage for every conceivable loss.”) (citation omitted). Although the “Exclusions” section of the March 2013 policy generally excludes coverage for “Collapse,” the “Additional Coverages” section provides coverage for damage “caused by collapse of a building or any part of a building that is insured” under the policy, so long as the “collapse” is caused by (as relevant here) a “specified cause of loss” or “decay that is hidden from view, unless the presence of such decay is known to an insured prior to collapse.” The “Additional Coverages” section defines “collapse” as “an abrupt falling down or caving in of a building or any part of a building with the result that the building or part of the building cannot be occupied for its intended purpose.” (Emphasis added). We will refer to these provisions as the collapse coverage provisions.

Similarly, the “Exclusions” section generally excludes coverage for “‘fungus,’ wet or dry rot or bacteria,” but the “Additional Coverages” section of the policy includes limited coverage for “loss or damage by ‘fungus,’ wet or dry rot or bacteria” caused by a “specified cause of loss” or by “flood.” The policy defines “Specified Cause of Loss” to include (as relevant here) “water damage.” And for the purposes of that definition, the policy defines “water damage” as “accidental discharge or leakage of water or steam as the direct result of the breaking apart or cracking of any part of a system or appliance (other than a sump system including its related equipment and parts) containing water or steam.” We will refer to these provisions as the rot coverage provisions.

Great American had not made a coverage decision on Larios’ claim as of May 2017, so Larios filed a breach of contract action in Florida state court against Great American claiming coverage for the damage under the March 2013 policy. Great American removed the action to the Southern District of Florida based on diversity jurisdiction. It then moved for summary judgment and Larios moved for partial summary judgment. After holding a hearing on the motions, the district court granted Great American’s motion and denied Larios’ motion. In doing so, the court also denied what it construed as a motion for leave to amend the complaint from Larios. Larios filed a motion to reconsider the summary judgment order, which the court summarily denied. This is Larios’ appeal.

II.

We review de novo a district court’s grant of summary judgment. Hulsey v.

Pride Rests., LLC, 367 F.3d 1238, 1243 (11th Cir. 2004). A district court “shall grant summary judgment if the movant shows 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). “A ‘material’ fact is one that ‘might affect the outcome of the suit under the governing law.’” Furcron v. Mail Ctrs. Plus, LLC, 843 F.3d 1295, 1303 (11th Cir. 2016) (quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S. Ct. 2505, 2510 (1986)). And a “dispute about a material fact is ‘genuine’ . . . if the evidence is such that a reasonable jury could return a verdict for the nonmoving party.” Anderson, 477 U.S. at 248, 106 S. Ct. at 2510.

We review both a denial of a motion to reconsider summary judgment and a denial of leave to amend a complaint for abuse of discretion. See Woldeab v. Dekalb Cty. Bd. of Educ., 885 F.3d 1289, 1291 (11th Cir. 2018); Chapman v. AI Transp., 229 F.3d 1012, 1023 (11th Cir. 2000).

III.

Larios offers three contentions on appeal, one substantive and two procedural. Its substantive contention is that Great American is not entitled to summary judgment on the issue of whether the damage caused by the purported collapse is covered under the collapse coverage provisions of the policy. Larios’

first procedural contention is that the issue of rot coverage under the policy was not properly before the district court on summary judgment and, as a result, the court erred both by granting Great American total summary judgment and by denying Larios’ motion to reconsider that part of its summary judgment order. Larios’ second procedural contention is that the district court abused its discretion by denying Larios leave to amend its complaint after Great American filed its motion for summary judgment. We address each contention in turn.

A.

Under Florida law, “an insured claiming under an all-risks policy has the burden of proving that the insured property suffered a loss while the policy was in effect. The burden then shifts to the insurer to prove that the cause of the loss was excluded from coverage under the policy’s terms.” Jones v. Federated Nat’l Ins. Co., 235 So. 3d 936, 941 (Fla. 4th DCA 2018) (quotation marks omitted). If the insurer carries that burden, then the insured must prove that an exception to that exclusion applies. See Fla. Windstorm Underwriting v. Gajwani, 934 So. 2d 501, 506 (Fla. 3d DCA 2005).

There is no dispute that Larios carried its initial burden of showing that a loss — the purported collapse — happened while the March 2013 policy was in effect. So the burden shifted to Great American to prove that the cause of the purported collapse was excluded under the terms of the policy.

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