Woodworth v. Erie Insurance

743 F. Supp. 2d 201, 2010 U.S. Dist. LEXIS 98761, 2010 WL 3749227
CourtDistrict Court, W.D. New York
DecidedSeptember 21, 2010
Docket05-CV-6344 CJS
StatusPublished
Cited by7 cases

This text of 743 F. Supp. 2d 201 (Woodworth v. Erie Insurance) is published on Counsel Stack Legal Research, covering District Court, W.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Woodworth v. Erie Insurance, 743 F. Supp. 2d 201, 2010 U.S. Dist. LEXIS 98761, 2010 WL 3749227 (W.D.N.Y. 2010).

Opinion

DECISION AND ORDER

CHARLES J. SIRAGUSA, District Judge.

INTRODUCTION

Plaintiffs are suing to recover amounts which they maintain they are owed under *203 a homeowner’s insurance policy issued by Defendant. Now before the Court is Defendant’s motion for partial summary judgment on Plaintiffs claim seeking additional living expenses. For the reasons that follow, the application is granted in part and denied in part.

BACKGROUND

On or about December 18, 2002, Defendant issued Plaintiffs an insurance policy, covering plaintiffs’ home located in Canandaigua, New York. The policy purports to insure the home in the amount of $221,000.00., and Plaintiffs paid premiums on that amount. The policy, however, requires Defendant to pay up to, inter alia, “the replacement cost at the time of the loss.” This has led to an intense disagreement between the parties, inasmuch as Plaintiffs contend that the replacement cost is essentially double the amount for which they insured the home. Defendant maintains that Plaintiffs misrepresented the value of the home at the time they purchased the policy, or that they are now misrepresenting the replacement value. Plaintiffs respond that they never indicated that the house was worth only $221,000.00, and that this amount was selected by the insurance agent who sold them the policy. Plaintiffs further contend that they built the home for approximately $280,000.00, which is well below the home’s actual value and replacement cost, because they acted as their own general contractor, which resulted in considerable savings. Additionally, Plaintiffs maintain that Defendant has treated them unfairly during the claims adjustment process, and is ignoring its obligations under the policy. Against this backdrop of mutual distrust, this dispute, which seemingly should have been settled long ago, has dragged on for more than seven years.

The policy states that, in the event of a loss, Defendant will pay Plaintiffs either the actual cash value of the property, or, if Plaintiffs replace or rebuild the property, the cost of replacing or rebuilding. In that regard, in pertinent part, the policy states:

Loss to Dwelling Coverage, Other Structures Coverage and Personal Property Coverage will be settled on a replacement cost basis, without deduction for depreciation.
a. Under Dwelling Coverage and Other Structures Coverage:
1) Payment will not exceed the smallest of the following amounts:
—any amount of insurance applying to the building;
—the replacement cost of that part of the building damaged for equivalent construction and use on the same premises; —the amount actually and necessarily spent to repair or replace the damaged building;
2) We will pay no more than the actual cash value of the damage until the actual repair or replacement is completed.

Erie Insurance Company Policy # Q606800396. The policy also states, in pertinent part, that Defendant will pay certain living expenses:

LOSS OF USE COVERAGE — OUR PROMISE
If an insured property loss makes your residence premises uninhabitable, we will pay all reasonable additional living expenses while you and members of your household reside elsewhere.
Payment shall be for the shortest time required to repair or replace the premises or, if you choose, for you to permanently relocate. These payments will not exceed a 12 month period.

Id. The policy further provides for an appraisal process, in the event the parties disagree as to an amount of loss:

2. APPRAISAL
*204 If you and we fail to agree on the amount of loss, either party may make written demand for an appraisal. Each party will select an appraiser and notify the other of the appraiser’s identity within 20 days after the demand is received. The appraisers will select a competent and impartial umpire. If the appraisers are unable to agree upon an umpire within 15 days after both appraisers have been identified, you or we can ask a judge of a court of record in the state where your residence premises is located to select an umpire.
The appraisers shall then set the amount of loss. If the appraisers submit a written report of an agreement to us, the amount agreed upon shall be the amount of loss. If they cannot agree, they will submit their difference to the umpire. A written award by two [sic] will determine the amount of loss.

Id. Such appraisal clause is statutorily required in fire insurance policies sold in New York, and is binding on both the insurer and insured, pursuant to New York Insurance Law (“Insurance Law”) § 3404(e) & (g).

On August 16, 2003, Plaintiffs’ home was completely destroyed by an explosion and fire, apparently caused by a defective tankless water heater. On October 14, 2003, Plaintiffs submitted a statement of loss, indicating that the replacement cost of the home was $498,745.50. On November 13, 2003, Defendant informed Plaintiffs that it rejected their proof of loss forms, “based on the amount of your demand.” Affidavit of Nancy Mowins (“Mowins”), Docket No. [# 82-13], Ex. C. Instead, Defendant paid Plaintiffs the sum of $308,183.00, which Defendant maintains was the actual cash value of the home. In that regard, Defendant estimated that the total replacement cost would be $399,565.50, and then calculated actual cash value by applying a depreciation factor. Defendant withheld the difference between the alleged actual cash value and the replacement cost, to be paid when and if Plaintiffs rebuilt the house at a cost exceeding that amount. 1 Defendant calculated the estimated replacement cost, based on the opinion of a professional builder, Len Scofero (“Scofero”), who indicated that the house could be rebuilt for $381,935.50. Defendant took that figure, and added certain expenses, such as landscaping, to arrive at the replacement cost set forth above.

Plaintiffs argue that Defendant’s estimates were too low. With respect to replacement cost, Plaintiffs maintain that Scofero’s estimate was incomplete, because it omitted or undervalued many elements of the destroyed house. Scott Woodworth Affidavit, [# 85-13], Ex. B. For example, on January 7, 2004, Plaintiffs told Defendant that Scofero’s estimate had “thirty-one (31) incorrect or omitted items.” Defendant’s claims adjuster, Mowins, states that, after she received Plaintiffs’ list of items that were allegedly omitted from, or undervalued in, Scofero’s estimate, she discussed it with Scofero, “to be sure that we did include everything that was in the house, that the insureds claim [was] in the house.” Mowins Dep. 103-104. According to Mowins, Scofero responded that his estimate was sufficient to rebuild the house as before, even with Plaintiffs’ list of allegedly omitted items. Mowins Dep. 104. 2 *205 Scofero, however, disagrees.

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Cite This Page — Counsel Stack

Bluebook (online)
743 F. Supp. 2d 201, 2010 U.S. Dist. LEXIS 98761, 2010 WL 3749227, Counsel Stack Legal Research, https://law.counselstack.com/opinion/woodworth-v-erie-insurance-nywd-2010.