Zinser v. Auto-Owners Ins. Co.

2017 Ohio 5668
Ohio Court of Appeals·Decided July 3, 2017·No. CA2016-08-144·Published·Cited by 5 cases

Opinion

IN THE COURT OF APPEALS

TWELFTH APPELLATE DISTRICT OF OHIO BUTLER COUNTY

JOSEPH ZINSER, :

Plaintiff-Appellant, : CASE NO. CA2016-08-144

: OPINION

- vs - 7/3/2017 :

AUTO-OWNERS INSURANCE COMPANY, :

Defendant-Appellee. :

CIVIL APPEAL FROM BUTLER COUNTY COURT OF COMMON PLEAS Case No. CV2014-10-2651

Dennis L. Adams, 10 Journal Square, Suite 400, Hamilton, Ohio 45011, for plaintiff-appellant

Green & Green Lawyers, Erin B. Moore, 800 Performance Place, Suite 109, Dayton, Ohio 45402, for defendant-appellee

RINGLAND, J.

{¶ 1} Plaintiff-appellant, Joseph Zinser, appeals a decision of the Butler County Court of Common Pleas, granting summary judgment in favor of defendant-appellee, Auto-Owners Insurance Co.

{¶ 2} This declaratory judgment action stems from two insurance claims by appellant for incidents that allegedly occurred at 4925 Dixie Highway, Fairfield, Ohio, on or around October 12, 2013 and February 14, 2015. The first floor of the building at the Fairfield

address is a commercial space, where appellant engaged in various business ventures, including sales of outdoor sheds and a U-Haul rental store. Appellant entered two separate insurance agreements with appellee, with effective dates of January 2013 to January 2014 and January 2015 to January 2016, respectively.

Air Conditioning Units

{¶ 3} During the first policy term, appellant filed a claim with appellee for the alleged theft of three used central air conditioning ("AC") units stored behind the Fairfield building where they remained until the alleged theft. Appellant obtained the units from a neighbor through barter in May or June 2013. Appellant testified at his deposition that he had yet to fully install the AC units so that the units were operable, but he grounded the units to the building by connecting ground wire to each individual unit. Appellant claims someone stole the AC units between the night of October 12, 2013 and the morning of October 13, 2013. The next day, appellant called the Fairfield Police Department and reported the units stolen, noting the alleged thief cut the ground wire and the presence of tire tracks behind the building. Appellant submitted photographs depicting cut ground wire coming from the rear of the building. The police report states the AC units "were not attached to the business." At his deposition, appellant disputed the officer's phrasing in the police report.

{¶ 4} Appellant also reported the units stolen to his insurance agent, who then, reported the loss to appellee. Appellant submitted a proof of loss to appellee, accompanied by two estimates to replace the AC units with new units. Appellee denied coverage for appellant's claim, citing a policy limitation precluding coverage of building materials unattached to the property. In its denial of coverage letter, appellee reserved all rights of the company under the relevant policy, stating: "[a]ll rights, terms, conditions, and exclusions in [appellant's] policy are in full force and effect and are completely reserved. No action by any employee, agent [or] attorney * * * shall waive or be construed as having waived any right,

term, condition, exclusion or any other provision of the policy."

{¶ 5} With respect to appellant's claim for the three AC units, the relevant policy provides, in pertinent part:

A. COVERAGE

We will pay for direct physical loss of or damage to Covered Property at the premises described in the Declarations caused by or resulting from any Covered Cause of Loss.

1. Covered Property

Covered Property, as used in this Coverage Part, means the following types of property for which a Limit of Insurance is shown in the Declarations:

a. Building, meaning the building or structure described in the Declarations, including:

***

(2) Permanently installed:

(a) Fixtures;

(b) Machinery; and

(c) Equipment

***

(5) if not covered by other insurance:

***

(b) Materials, equipment, supplies and temporary structures, on or within 100 feet of the described premises, used for making additions, alterations or repairs to the building or structure.

The policy further provides the following limitations:

A. COVERED CAUSES OF LOSS

When Special is shown in the Declarations, Covered Causes of Loss means RISK OF DIRECT PHYSICAL LOSS unless

the loss is:

1. Excluded in Section B., Exclusions; or
2. Limited in Section C., Limitations;

that follow.

***

C. LIMITATIONS

1. We will not pay for loss of or damage to:

***

(d) Building materials and supplies not attached as part of the building or structure, unless held for sale by you, caused by or resulting from theft, except as provided in C.5.a. below.

(e) Property that is missing, where the only evidence of the loss or damage is a shortage disclosed on taking inventory, or other instances where there is no physical evidence to show what happened to the property.

***

5. Builders' Risk Coverage Form Limitations

The following provisions apply only to the Builders' Risk Coverage Form.

a. Limitation 1.d. is replaced by the following:

d. Building materials and supplies not attached as part of the building or structure caused by or resulting from theft.

Wind loss

{¶ 6} During the second policy term, appellant filed a claim with appellee claiming wind damage to the siding of the building occurred on February 14, 2015. Specifically, high winds during a storm caused portions of the building's siding and roofing shingles to blow off the building. Appellee sent a claim representative to the premises to inspect the alleged

damage. Based on this inspection, appellee generated a property damage estimate that included replacing the siding on the west end of the building. Appellee obtained a second opinion to perform an independent inspection of the damage, and based on the results of both inspections, generated a property damage estimate that included replacing the same portion of siding as well as a damaged section of the roof.

{¶ 7} Appellant obtained estimates for re-siding the entire building due to concerns replacing one side of the building would result in two different colors from weathering and fading. Appellee provided payment for repairs, as determined by its estimate, in the sum of $6,579.94. Appellee further informed appellant if he made the repairs and provided proper invoices within a specified time, an additional $2,970.70 payment was available in recoverable depreciation. Appellant cashed the check, but never made any of the aforementioned repairs to the building. Additionally, despite appellant's discontent with the amount tendered by appellee, he never requested to undergo the appraisal process related to the repairs detailed in the policy.

{¶ 8} With respect to appellant's claim for the wind damage, the relevant policy provides, in pertinent part:

A. COVERAGE

We will pay for direct physical loss of or damage to Covered Property at the premises described in the Declarations caused by or resulting from any Covered Cause of Loss.

***

E. LOSS CONDITIONS

The following conditions apply in addition to the Common Policy Conditions and the Commercial Property Conditions.

***

2. Appraisal

If we and you disagree on the value of the property or the amount of the loss, either may make written demand for an appraisal of the loss. In this event, each party will select a

competent and impartial appraiser. The two appraisers will select an umpire. If they cannot agree, either may make request that selection be made by a judge of a court having jurisdiction. The appraisers will state separately the value of the property and the amount of the loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding.

***

4. Loss Payment a. In the event of loss or damage covered by this Coverage Form, at our option, we will either:

(1) Pay the value of lost or damaged property;

(2) Pay the cost of repairing or replacing the lost or damaged property, subject to b. below;

(3) Take all or any part of the property at an agreed or appraised value; or

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Zinser v. Auto-Owners Ins. Co., 2017 Ohio 5668 (Ohio Ct. App. 2017).

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