Wood v. GeoVera Specialty Insurance Company

CourtDistrict Court, M.D. Florida
DecidedAugust 26, 2024
Docket2:23-cv-00294
StatusUnknown

This text of Wood v. GeoVera Specialty Insurance Company (Wood v. GeoVera Specialty Insurance Company) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wood v. GeoVera Specialty Insurance Company, (M.D. Fla. 2024).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION

NANCY WOOD and JOHN WOOD,

Plaintiff,

v. Case No. 2:23-cv-294-JLB-NPM

GEOVERA SPECIALTY INSURANCE COMPANY,

Defendant. _________________________________________/

ORDER Plaintiffs Nancy and John Wood (“Plaintiffs” or “the Woods”) sue Defendant GeoVera Specialty Insurance Company (“Defendant” or “GeoVera”) for breach of an insurance policy. (Doc. 5). Invoking the Court’s diversity jurisdiction, the parties have filed cross-motions for summary judgment. (Docs. 25, 27). GeoVera maintains that it has satisfied its contractual obligations because it fully paid the Woods what was due to them under the insurance policy. Plaintiffs maintain, however, that GeoVera did not pay the entire amount of an appraisal award they believe was due under the insurance policy. After a careful review of the parties’ briefing and the summary judgment record, the Court concludes that Defendant GeoVera’s Motion for Summary Judgment (Doc. 25) is due to be GRANTED in part and the Woods’s cross-motion for summary judgment (Doc. 27) is due to be DENIED. In addressing the parties’ cross-motions for summary judgment, the Court also addresses Defendant’s outstanding motion to strike. (Doc. 38). For the reasons stated herein, the Court GRANTS Defendant’s motion to strike. BACKGROUND

On or about September 28, 2022, Hurricane Ian damaged Plaintiffs’ property causing wind and water-related damages. (Doc. 5 at ¶ 7). The parties agree that, at the time of Plaintiffs’ loss, GeoVera insured Plaintiffs against certain losses to Plaintiffs’ property located in Rotunda West, Florida. (Id. at ¶ 5, Doc. 26 at ¶ 1, Doc. 25 at 1, Doc. 27-1 at ¶ 1). The insurance policy set forth specific coverage for swimming pool enclosures

(Doc. 26 at 50), roofs (id. at 70–73), and water damage (id. at 82), and also contained instructions for appraisals (id. at 58). As to the swimming pool enclosures, the policy limited coverage resulting from any peril(s) insured against that are filed within the policy period to a total of $5,000 as follows: 13. Swimming Pool Enclosure(s) And/Or Patio Enclosure(s) a. We will pay for direct physical loss to a. “swimming pool enclosure(s) and/or patio enclosure(s)” resulting from any Peril Insured Against. However, such Coverage is subject to a combined total limit of $5000. Ordinance or Law Coverage does not apply to coverage provided under this Additional Coverage E.13.

b. The combined total limit stated above is the most that we will pay in any one policy period without regard to the number of losses, “occurrences”’ or claims made and without regard to the number of “swimming pool enclosure(s) and/or patio enclosure(s)” that may be covered under this policy. Loss in excess of the total combined limit specified above cannot be used toward the fulfillment or reduction of any deductible that may apply as set forth in the Declarations. c. This coverage is included in the limit of liability that applies to the covered property, and therefore does not increase the limit of liability under this policy.

(Doc. 26 at 50, Doc. 25 at 4–5) (emphasis added). As for roof coverage, the policy set forth a payment schedule delineating that GeoVera would cover a percentage of replacement costs based on the age and type of roof for a total not exceeding $10,000.1 (Doc. 26 at 70–72). Specifically, the coverage provided that a 24-year-old roof or older would receive coverage of 20 percent (for asphalt shingles), 30 percent (for concrete/clay tile or shingles), or 40 percent (for steel, hail-resistant materials). (Doc. 26 at 72). Next, as to water damage, the policy provided a maximum of $10,000 coverage per policy period: WATER DAMAGE LIMITATION ENDORSEMENT . . . SECTION I - CONDITIONS D. Loss Settlement The following is added to D. Loss Settlement:

3. Subject to the conditions in Paragraphs 1. and 2. above, payment for covered loss caused by or resulting from "water damage" will be limited to a maximum of $10,000 per policy period. This sublimit is the most we will pay regardless of the number or type of coverages or property that may apply, including Loss of Use, or the number of "occurrences" or claims made. This sublimit is included in and does not increase the limit of liability or any special limit or

1 The policy stipulated that the coverage shall apply whether or not the loss was caused by wind. (Doc. 26 at 70). sub limit of liability that applies to the property coverages or damaged covered property. (Doc. 26 at 82, Doc. 25 at 7) (formatting altered and emphasis added). Lastly, regarding appraisals, the insurance policy provided that “if [Plaintiffs] and [GeoVera] fail to agree on the amount of loss, either may demand an appraisal of the loss.” (Doc. 26 at 58). The policy further provided that, if there is an appraisal, GeoVera “retain[s] the right to apply the policy coverages, terms, and conditions under this policy to any appraisal award.” (/d.). The policy stated that the appraisal award must describe “[t]he types or kinds of damage to each item of property” and “[t]he extent of the damage to each item of property.” (Ud. at 58). Following damage caused by Hurricane Ian, Plaintiffs filed a claim with GeoVera, which then inspected the property. (Doc. 26 at | 3, Doc. 27-1 at 3). GeoVera’s adjuster found that Plaintiffs incurred a $11,212.52 loss for “pool enclosures.” (Doc. 37-5 at 5). GeoVera then tendered $5,000 to Plaintiffs, citing the policy limit to cover losses associated with the pool enclosures. (/d.). Next, GeoVera’s adjuster determined that Plaintiffs had damage to their asphalt shingled roof that would cost $15,338.87 to replace. Ud., Doc. 27-1 at 25-26). The adjuster determined that Plaintiffs’ shingled roof was 24 years old based on property records. (Doc. 37-5 at 4-5). The adjuster then applied the 20 percent coverage policy for asphalt shingled roofs, as noted above, and GeoVera tendered $3,067.77—20% of $15,338.87—for the replacement of the roof. Cd. at 5). Lastly, the adjuster assessed the damage to the interior of Plaintiffs’ home, determining that Plaintiffs had $25,863.33 in water damage. (/d.). GeoVera

tendered the $10,000 to the Plaintiffs, citing the policy limit for water damage. (Id.). Plaintiffs disagreed with the amount paid by GeoVera and requested an

appraisal. (Id. at ¶ 4, Doc. 27-1 at ¶ 4). Following appraisal, an appraisal award was issued as follows: Dwelling: $17610.93 (RCV) $16518.47 (ACV) Coverage B: $14156.96 (RCV) $14025.49 (ACV) Coverage C NOT APPRAISED Coverage D NOT APPRAISED Pool Enclosure $12695.18 (RCV) $11896.69 (ACV) L and O Roof $4444.98 (RCV) $4444.98 (ACV) Dwelling Interior $52282.23 (RCV) $49263.87 (ACV) Dwelling Roof $21082.52 (RCV) $19533.71 (ACV) Mold $12217.85 (RCV) $12217.85 (ACV)

(Doc. 25 at 3-4, Doc. 26 at ¶ 5, Doc. 27-1 at ¶ 5, Doc. 27-1 at 149) (emphasis altered). The appraisal award contained a statement stating that the above award “remain[s] subject to the applicable policy language and exclusions, as well as deductible obligations of the insured.” (Doc. 37-7). In its summary judgment motion, GeoVera contends that it has paid the maximum coverage allowable under the policy for (1) the pool enclosures, (2) the roof, and (3) the interior damage to Plaintiffs’ dwelling. (Doc. 25 at 5–7). Plaintiffs responded and filed a cross-motion for summary judgment, arguing that (1) the appraisal award is binding under Florida law and GeoVera must therefore pay the entire award, and (2) the cause of damage to the dwelling interior is wind, rather than water, and GeoVera must pay $52,282.23 to cover damages. (Doc. 27). SUMMARY JUDGMENT STANDARD Summary judgment is appropriate when the movant can show that there is no genuine issue of material fact and the movant is entitled to judgment as a matter

of law. Fed. R. Civ. P.

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Wood v. GeoVera Specialty Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wood-v-geovera-specialty-insurance-company-flmd-2024.