Travelers Casualty Insurance Company of America v. Mudd's Furniture Showrooms, Inc.

CourtDistrict Court, W.D. Kentucky
DecidedMarch 29, 2022
Docket4:19-cv-00186
StatusUnknown

This text of Travelers Casualty Insurance Company of America v. Mudd's Furniture Showrooms, Inc. (Travelers Casualty Insurance Company of America v. Mudd's Furniture Showrooms, Inc.) is published on Counsel Stack Legal Research, covering District Court, W.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Travelers Casualty Insurance Company of America v. Mudd's Furniture Showrooms, Inc., (W.D. Ky. 2022).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF KENTUCKY OWENSBORO DIVISION CIVIL ACTION NO. 4:19-CV-186-JHM TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA, PLAINTIFF/COUNTER-DEFENDANT V. MUDD’S FURNITURE SHOWROOMS, INC., CMS ROOFING, INC., and JARON JAGGERS DEFENDANTS/COUNTER-PLAINTIFFS MEMORANDUM OPINION AND ORDER This matter is before the Court on cross-motions for summary judgment. Plaintiff/Counter- Defendant Travelers Casualty Insurance Company (“Travelers”) filed a Motion for Summary Judgment [DN 43] concurrently with Defendant/Counter-Plaintiffs’ motion [DN 40-1]. Fully briefed, this matter is ripe for decision. For the following reasons, Defendants’ Motion for Summary Judgment [DN 40-1] is DENIED and Travelers’ Motion for Summary Judgment [DN 43] is GRANTED IN PART and DENIED IN PART. I. BACKGROUND This is a protracted insurance dispute resulting from roof damage to a Mudd’s Furniture Showrooms (“Mudd’s”) building caused by a severe wind and rainstorm (the “Loss”). The Loss occurred on or around April 12, 2017 at Mudd’s former showroom-turned-storage building in Owensboro, Kentucky. Travelers is Mudd’s commercial property insurer. The parties were unable to resolve the claim, and Mudd’s invoked the appraisal process under the policy. The resulting appraisal award, which Travelers deems invalid, prompted Travelers to file this declaratory judgment action. A. The Initial Loss and Investigation A storm damaged the roof of Mudd’s secondary showroom/storage facility in April of 2017, causing rainwater to penetrate the exposed roof surfaces. Mudd’s notified Travelers of the Loss—though not until June 8, 2017. [DN 40-1 at 2]. After receiving notice, Travelers inspected the site of the Loss around June 15, 2017. [Id.]. Travelers’ representative, Chris Holhubner,

initially determined that the damage was limited to a single upper section of the roof. [DN 40-2 at 40–41]. Mr. Holhubner stated that despite examining further areas of water infiltration beneath other sections of the roof, he believed that this damage pre-existed the storm and thus did not allocate insurance funds to remediate the interior damage in these areas. [Id. at 77–78]. Nevertheless, Travelers adjusted the loss claim at that time, making a payment reflecting only the replacement of the metal roof covering, some exterior roof patching, and limited interior water damage in the rooms located beneath the single section of roof. [DN 40-1 at 3]. The value of Travelers’ initial claim assessment, made on June 29, 2017, was $80,966.38, with the actual cash value assessment [ACV] at $57,025.46. [Id.]. After making further adjustments and reductions to

the assessment and applying the Policy deductible of $10,000, Travelers paid Mudd’s an ACV payment of $40,755.80. [Id.]. In August of that year, Mudd’s entered into an agreement with CMS Roofing, Inc., a roofing contractor, which authorized CMS to assist Mudd’s in the insurance claim. The agreement entrusted CMS with the task of performing the repair work on the roofing, the scope of which would be determined by Travelers’ ultimate loss adjustment. [Id.]. Shortly thereafter, CMS inspected the roof and discovered additional damage. CMS contacted Travelers on September 11, 2017 to report that it found another section of the roof to be damaged, which was unaccounted for in Travelers’ initial adjustment. Mudd’s and CMS state that this additional damage explains the water leakage that continued inside the building even after the initial claim adjustment, despite tarps being placed on the upper tier roofing. [Id. at 4]. CMS applied new tarps to both the upper tier section and the lower section of roofing (where it had discovered the additional damage, unobserved by Mr. Holhubner). [Id.]. Responding to CMS’s discovery, Travelers deployed engineers and inspectors to the

property to check it out themselves. A subsequent engineering report confirmed CMS’s findings and acknowledged further areas of damage beyond Travelers’ initial assessment. Travelers thus re-evaluated the claim in December 2017 and permitted more money to be paid to cover the exterior roofing damage. However, Travelers did not re-evaluate its findings with respect to interior damages and provided no funds for the interior portions of the claim. [Id. at 4]. Travelers’ re-adjustment increased the claim allowance to $154,887.84, with a $114,910.64 ACV. [Id.]. Travelers accordingly paid Mudd’s $64,154.85 (the difference between the initial ACV paid in June and the newly calculated ACV in December). [Id.]. Mudd’s authorized CMS to proceed with the roof replacement. [Id.]. CMS completed the

roof replacement for the areas covered by the re-adjustment in June 2018. [Id. at 5; DN 43 at 21]. B. The appraisal Despite Travelers’ adjustments, Mudd’s and CMS’s Jaron Jaggers [“Jaggers”] retained doubts about whether the claim assessments were accurate and sufficient to cover the full extent of the damage. Mudd’s assigned its rights in the insurance claim to Jaggers. [DN 40-1 at 4–5]. Thereafter, Jaggers had discussions with Mr. Denis Rowe, Vice President and Partner in The Howarth Group, which is a firm that provides insurance claim consulting services to policyholders. Jaggers, Rowe, and Chuck Howarth, President and Founder of the Howarth Group, had a dinner meeting where they discussed the claim. [DN 43-9 at 35–36, 77]. Mudd’s and Jaggers subsequently signed an Appraisal Employment Agreement naming the Howarth Group as their appraiser. [Id. at 32; DN 43 at 7]. On June 12, 2018, Howarth sent a letter to Travelers, along with a copy of the Appraisal Employment Agreement, invoking the appraisal provision of the policy on behalf of Mudd’s and Jaggers. [DN 43-9 at 83–84]. The terms of Howarth’s compensation were redacted from the agreement. On April 23, 2019, Travelers responded and

requested that these portions be unredacted. [DN 40-1 at 5]. Howarth complied and returned an unredacted version to Travelers. The fee arrangement in the original Appraisal Employment Agreement between Howarth and Mudd’s was for an hourly rate of $375, with the total fee to be capped at no more than 30% of any additional amounts recovered by Mudd’s through the appraisal process (a “contingency fee cap” arrangement). Furthermore, the agreement stated: “should the process produce no additional settlement then no fee will be due.” [Appraisal Employment Agreement, DN 34-6 at 1]. Also, later during discovery it was learned that Jaggers and Howarth had discussed a general “bird-dogging” relationship whereby Jaggers would be paid a referral for all business he would bring to the Howarth Group. [DN 43-9 at 37–38]. Specifically, in this case,

Howarth agreed to pay Jaggers a 15% referral fee for the appraisal work, to be paid from Howarth’s fee as the appraiser. [DN 40-1 at 5]. In addition, Howarth promised not to “fee on any line-items agreed to between them and the Traveler’s adjuster (or appraiser).” [Howarth’s Memorandum of Understanding, DN 34-5]. After the appraisal process was invoked, Travelers chose David Dunn as its appraiser. Pursuant to the Policy, Howarth and Dunn then agreed to select Mike Ward to be the umpire on the appraisal “panel” (the panel comprising Howarth, Dunn, and Ward). [DN 40-1 at 5]. Travelers had previously notified Mudd’s that it was reserving its rights to deny any further payment on the claim, alleging that interior water damage was not the result of a covered loss but instead resulted from wear and tear or rust, corrosion, decay, or other property defects. [Id. at 6]. This August 3 letter did not allege any failure on the part of Mudd’s in complying with conditions precedent on the Policy. [Id.]. Travelers raised no issue with respect to Mudd’s delayed notice of the initial Loss or any failure to protect the property from further loss. After receiving Howarth’s estimate for the interior damages to the building, Travelers

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Travelers Casualty Insurance Company of America v. Mudd's Furniture Showrooms, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/travelers-casualty-insurance-company-of-america-v-mudds-furniture-kywd-2022.