Reitz et al v. Progressive Direct Insurance Company et al
Filing
49
ORDER signed by Judge Garland E. Burrell, Jr. on 10/20/15 ORDERING that Progrssive's 33 Motion for Summary Judgment is GRANTED IN PART and DENIED IN PART. (Benson, A)
1
2
3
4
UNITED STATES DISTRICT COURT
5
EASTERN DISTRICT OF CALIFORNIA
6
7
8
MISTY DAWN REITZ; AND
NICHOLAS IVEY,
No. 2:14-cv-1614-GEB-EFB
Plaintiffs,
9
ORDER DENYING IN PART AND
GRANTING IN PART DEFENDANT’S
SUMMARY JUDGMENT MOTION, AND
GRANTING IN PART AND DENYING IN
PART DEFENDANT’S REQUEST FOR AN
ORDER TREATING SPECIFICIED FACTS
AS ESTABLISHED
v.
10
PROGRESSIVE DIRECT
INSURANCE COMPANY, an Ohio
Corporation registered to
do business in the State of
California; and DOES I
through CC, inclusive,
11
12
13
14
Defendants.
15
16
Defendant
17
Progressive
(“Progressive”)
19
(“Rule”)
20
between Progressive and Plaintiffs Misty Dawn Reitz (“Reitz”) and
21
Nicholas Ivey (“Ivey”) on their breach of contract claim and
22
breach of the implied covenant of good faith and fair dealing
23
claim. (Def.’s Mot. for Summ. J. (“Mot.”) 11:12–16, 12:12–13, ECF
24
No.
25
specifying
26
entitled to damages over the liability limit specified in the
27
28
33.)
for
summary
Progressive
for
under
the
Federal
judgment
seeks
purpose
in
of
in
the
trial
1
Rule
Company1
Insurance
18
56
moves
Choice
this
of
Civil
insurance
alternative
that
Procedure
dispute
“an
Plaintiffs
order
are
Since Defendant states in the motion that it is erroneously sued as
“Progressive Direct Insurance Company,” it is referred to herein as
“Progressive Choice Insurance Company.” (Mot. 2.)
1
not
1
insurance
2
concerns
3
concerning the alleged theft of their insured 2006 Ford Mustang
4
(the “Mustang”).
agreement.”
whether
5
I.
6
(Mot.
Plaintiffs
3:27–28.)
made
The
material
insurance
dispute
misrepresentations
LEGAL STANDARD: SUMMARY JUDGMENT
9
A party is entitled to 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.” . . . The moving party has the burden
of establishing the absence of a genuine
dispute of material fact.
10
City of Pomona v. SQM North Am. Corp., 750 F.3d 1036, 1049 (9th
11
Cir. 2014) (quoting Fed. R. Civ. P. 56(a)) (citing Celotex Corp.
12
v. Catrett, 477 U.S. 317, 323 (1986)). “A fact is ‘material’
13
when . . . it could affect the outcome of the case.” Thrifty Oil
14
Co. v. Bank of Am. Nat’l Trust & Sav. Ass’n, 322 F.3d 1039, 1046
15
(9th Cir. 2003) (quoting Anderson v. Liberty Lobby, Inc., 477
16
U.S.
17
‘genuine[]’ . . . if the evidence is such that a reasonable jury
18
could return a verdict for the nonmoving party.” Anderson, 477
19
U.S. at 248.
7
8
20
242,
248
(1986)).
A
“dispute
about
a
material
24
A party asserting that a fact cannot be or is
genuinely disputed must support the assertion
by . . . citing to particular parts of
materials
in
the
record . . .
or . . .
showing that the materials cited do not
establish the absence or presence of a
genuine dispute, or that an adverse party
cannot produce admissible evidence to support
the fact.
25
Fed. R. Civ. P. 56(c)(1)(A)–(B).
26
Further, Local Rule 260(b) prescribes:
27
Any party opposing a motion for summary
judgment . . . shall reproduce the itemized
facts in the [moving party’s] Statement of
2
21
22
23
28
fact
is
1
Undisputed Facts and admit those facts that
are undisputed and deny those that are
disputed, including with each denial a
citation to the particular portions of any
pleading,
affidavit,
deposition,
interrogatory answer, admission, or other
document relied upon in support of that
denial.
2
3
4
5
6
7
8
9
If
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
nonmovant
does
not
“specifically . . .
[controvert duly supported] facts identified in the [movant’s]
statement of undisputed facts,” the nonmovant “is deemed to have
admitted the validity of the facts contained in the [movant’s]
statement.” Beard v. Banks, 548 U.S. 521, 527 (2006).
10
11
the
“Because a district court has no independent duty ‘to
scour the record in search of a genuine issue of triable fact,’
and may ‘rely on the nonmoving party to identify with reasonable
particularity
judgment,’ . . .
the
the
evidence
district
that
precludes
court . . .
[is]
summary
under
no
obligation to undertake a cumbersome review of the record on the
[nonmoving party’s] behalf.” Simmons v. Navajo Cnty., Ariz., 609
F.3d 1011, 1017 (9th Cir. 2010) (quoting Keenan v. Allan, 91 F.3d
1275, 1279 (9th Cir. 1996)). However, the district court “may
consider
other
materials
in
the
record.”
Fed.
R.
Civ.
P.
56(c)(3).
Further, “at this stage of the litigation, the judge
does not . . . . make credibility determinations with respect to
statements
made
in
affidavits,
answers
to
interrogatories,
admissions, or depositions. These determinations are within the
province of the factfinder at trial.” T.W. Elec. Serv., Inc. v.
Pac. Elec. Contractors Ass’n, 809 F.2d 626, 630 (9th Cir. 1987).
27
28
3
1
II.
UNCONTROVERTED FACTS
2
The following facts concern the motion and are either
3
undisputed or are “deemed” uncontroverted since they have not
4
been controverted with specific facts as required by Local Rule
5
260(b).
6
“In June 2009, Plaintiffs purchased a California Motor
7
Vehicle Insurance Policy [(the ‘Policy’)] from Progressive [for
8
the Mustang], the terms of which included . . . fire and theft
9
protection . . . .”
(Pls.’
Resp.
to
Def.’s
Statement
of
10
Undisputed Material Facts (“UMF”) No. 2, ECF No. 46-1.) “The
11
Policy also provided that Progressive ‘may deny coverage for an
12
accident or loss if [the insured] has concealed or misrepresented
13
any
14
conduct, in connection with the presentation or settlement of a
15
claim.’” (UMF No. 7 (emphasis removed).)
material
fact
or
circumstance,
or
engaged
in
fraudulent
16
“Plaintiffs reported the alleged theft of the Mustang
17
to Progressive on the morning of December 3, 2009.” (UMF No. 8.)
18
Claims specialist Tara Flaherty handled their claim. (Flaherty
19
Decl. ¶ 1.)
20
The night before, on December 2, 2009, at 11:45–50 PM,
21
(Ex. 9 at 1098), “the King County Fire Department recovered [the
22
Mustang] . . . after responding to a report of vehicle fire.”
23
(UMF No. 11.)
24
Progressive conducted an investigation of the claim,
25
part of which includes an interview of Ivey on December 3, 2009
26
(the “December 3 interview”), (see UMF No. 23), and an interview
27
of Reitz on December 4, 2009 (the “December 4 interview”). (See
28
UMF
No.
24.)
Progressive
again
4
interviewed
each
Plaintiff
on
1
December 22, 2009 (the “December 22 interview”). (See UMF No.
2
25.) And on March 22, 2010, Progressive conducted an examination
3
of each Plaintiff under oath (“EUO”). (Flaherty Decl. ¶ 37.)
4
“On May 18, 2010,
of
the
. . . Flaherty[] completed a final
5
summary
6
coverage
7
presentation[,] . . . ‘together with the timing of the events on
8
the
9
transpondered key,[2] the complete burn [of the Mustang] with no
10
stripping of the car, the cell phone activity, domestic tensions
11
that
12
brother]’s refusal to cooperate in Progressive’s investigation.’”
13
(UMF No. 22; Flaherty Decl. ¶ 1.)
based
night
of
became
claim . . .
and
on
inconsistencies
factual
the
alleged
apparent
14
made
theft,
during . . .
III.
a
determination
in
[evidence
[the]
the
to
[claim’s]
involving]
EUO’s,
deny
and
the
[Ivey’s
BREACH OF CONTRACT
15
Progressive argues its motion on Plaintiffs’ breach of
16
contract claim should be granted because it “properly determined
17
that material misrepresentations by Plaintiffs voided coverage”
18
under the Policy’s fraud and concealment provision.3 (Mot. 13:20–
19
22.)
20
because of “numerous inconsistencies in [Plaintiffs’] accounts of
21
the
22
loss . . .
Specifically,
evening
Progressive
before
[that
contends
[Plaintiffs]
have]
led
it
reported
Progressive
denied
the
to
coverage
[Mustang’s]
conclude
that
23
24
25
26
27
28
2
There was only one key. (UMF No. 9.)
Progressive also cites California Insurance Code section 2071, which
provides in pertinent part: “This entire policy shall be void if, whether
before or after a loss, the insured has willfully concealed or misrepresented
any material fact . . . .” Cal. Ins. Code § 2071. “By statute . . ., insurance
policies providing fire insurance on California property must include the
standard form provisions contained in [section] 2071 or provisions that are
their substantial equivalent.” H. Walter Croskey, et al. California Practice
Guide: Insurance Litigation § 6:254 (Rutter Grp. 2015).
3
5
1
[Plaintiffs] had made material misrepresentations in connection
2
with their claim.” (Mot. 9:5–7.)
3
4
The following statements are undisputed or are “deemed”
uncontroverted.4
5
Progressive asserts Reitz and Ivey gave inconsistent
6
statements about when they came home on December 2, 2009, the
7
night
8
Progressive
9
following communication is recorded: Flaherty asked Ivey, “when
10
you . . . came home, you said it was around 8:30 [PM]. . . .
11
[W]as [Reitz] home at the time?” Ivey responded that Reitz was
12
not home. (Ex. 3 at 1663; see UMF No. 23.) In his December 22
13
interview, Ivey stated he was in school “somewhere between 8:30
14
[PM] and 9:30 [PM],” and he believed he went straight home from
15
school. (Ex. 20 at 1737; see UMF No. 26.) “At his EUO, Ivey
16
stated that he arrived home sometime after 8:00 [PM] and that
17
Reitz was home when he arrived.” (UMF No. 27.)
of
the
Mustang’s
cites
Ivey’s
loss.
(Mot.
December
3
9:10–22.)
interview,
Specifically,
in
which
the
18
In the December 4 interview, Reitz “stated that she got
19
home at approximately 8:30 [PM], and Ivey arrived sometime after
20
10:00 [PM], when she was already in bed.” (UMF No. 24.) In her
21
December 22 interview, Reitz stated: “Ivey arrived home after she
22
did, at 9:00 or 9:15 [PM], that she did not go to sleep until
23
24
25
26
27
28
4
Plaintiffs make numerous objections to Progressive’s evidence. However,
a ruling on all objections is unnecessary since some of the objections concern
matters immaterial to the motion. See Burrell v. Cnty. of Santa Clara, No. 11CV-04569-LHK, 2013 WL 2156374, at *2 (N.D. Cal. May 17, 2013) (declining to
reach evidentiary objections to evidence not relied upon in deciding summary
judgment motion). Further, Progressive has requested judicial notice of three
state court documents. This request is denied since Progressive has not shown
that the referenced documents are relevant to decision on its motion. See
Monica Food Not Bombs v. City of Santa Monica, 450 F.3d 1022, 1025 n.2 (9th
Cir. 2006) (“We decline to take judicial notice of the . . . [documents], as
they are not relevant to the resolution of this appeal.”).
6
1
10:00 [PM].” (UMF No. 25.) She also stated: “I remember [Ivey]
2
was home at . . . 9:00-ish or 9:45-ish.” (Ex. 19 at 1695.) “In
3
her EUO, Reitz stated that she was up and awake when . . . Ivey
4
arrived home between 8:00 [PM] and 9:00 [PM].” (UMF No. 28.)
5
Progressive
also
cites
inconsistent
statements
from
6
Ivey about when he last saw the Mustang. (Mot. 9:24–28, 10:1–2.)
7
“On
8
theft, Ivey told Progressive he last saw the Mustang between 9:30
9
and 9:45 [PM], when he went to retrieve cigarettes from the
10
vehicle.” (UMF No. 29.) “Ivey told police that he last saw the
11
Mustang
12
Affidavit of [Vehicle] Theft, Ivey said he last saw the Mustang
13
at 10:30 [PM].” (UMF No. 31.)
December 3,
at
14
2009,
10:00
the
[PM].”
day
(UMF
Ivey
No.
allegedly
30.)
“In
discovered
his
the
[California]
“In his December 22, 2009 statement, Ivey claimed he
15
last saw the Mustang . . .
when he parked it upon arriving home
16
sometime after 8:00 [PM]. In his EUO, Ivey stated that he did not
17
remember going out to retrieve cigarettes from the Mustang on the
18
evening of the alleged theft, and did not think that he did.”
19
(UMF No. 32.)5
20
Progressive further cites inconsistent statements Reitz
21
made about whether, on December 2, 2009, she heard the Mustang on
22
the
23
interview, “Reitz stated that she heard Ivey return home on the
24
night
25
exhaust.” (UMF No. 33.) In her EUO, the examiner asked Reitz:
26
“[D]o you remember hearing the engine that night?” (Ex. 34 at
night
of
of
its
loss.
December 2,
(Mot.
2009,
10:3–12.)
because
the
In
her
Mustang
December
has
a
22
loud
27
5
28
Plaintiffs object to the cited evidence in number 32 as “compound.” (UMF
11:20–28.) This objection is overruled.
7
1
1835.)
2
that. . . . But then, I don’t want it to lead to where [Ivey]
3
didn’t drive the car home . . . .” (Id. at 1835.) “In his EUO,
4
Ivey said that, although the Mustang had an aftermarket exhaust,
5
it was not especially loud.” (UMF No. 34.)
She
6
responded:
Progressive
“I
don’t
also
even
argues
know.
Plaintiffs
I
can’t
made
even
say
inconsistent
7
statements about who discovered the loss on December 3, 2009.
8
(Mot. 10:13–20.) In the December 3 interview, “Ivey said that he
9
discovered the loss when he went outside that morning to smoke.
10
At the time, Reitz was inside getting ready for work, and Ivey
11
went back inside to advise her of the loss.” (UMF No. 36.)
12
In the December 4 interview, “Reitz said she did not
13
remember who discovered the loss, but thought she noticed the
14
Mustang was missing when she looked outside and saw it was not
15
parked in its usual place.” (UMF No. 37.) In her December 22
16
interview, Reitz said, “[Ivey] went out to his car to get the
17
cigarettes and the car was gone.” (Ex. 19 at 1699.)
18
19
Progressive
also
cites
inconsistencies
involving
Plaintiffs’ text messages on the night of the Mustang’s loss.
20
Plaintiffs object to Progressive’s use of Plaintiffs’
21
text
messages,
22
13:18–23;
23
“[b]etween 8:54 [PM] and 12:26 [AM], there were 17 text messages
24
between
25
Progressive argues this evidence should be considered because
26
“Flaherty . . . has demonstrated her competency to testify about
27
the contents of the claim file.” (Def.’s Reply to Opp’n (“Reply”)
28
6:2–4.) Although Flaherty has shown she has personal knowledge of
UMF
Rietz
arguing
No.
and
this
39.)
Ivey’s
evidence
Specifically,
cell
phone.”
8
lacks
foundation.
Flaherty
(Flaherty
declares
Decl.
(UMF
that
¶ 36.)
1
Plaintiffs’ claim file, (see Flaherty Decl. ¶¶ 1–4), Progressive
2
has not shown that she has personal knowledge of the cell tower
3
records
4
declaration, and which include the text messaging evidence. See
5
Orr v. Bank of Am., NT & SA, 285 F.3d 764, 778 (9th Cir. 2002)
6
(“The
7
authenticated because Orr introduced the letter by attaching it
8
to [the affiant]’s affidavit [but the affiant] lacks personal
9
knowledge
10
from
Plaintiffs’
district
of
court
the
carriers
properly
letter.”).
that
found
are
that
Therefore,
attached
Exhibit
Q
Plaintiffs’
to
was
her
not
foundation
objection to this text messaging evidence is sustained.
11
Progressive also relies on the following uncontroverted
12
facts in number 41: “Although Reitz initially said that she was
13
half asleep in bed when Ivey got home, she later testified that
14
she called Progressive two times to make sure her payment went
15
through and made a telephone payment on the car after he came
16
home.” (UMF No. 41.) Plaintiffs make a hearsay objection to this
17
evidence which is overruled because Plaintiffs have not shown
18
this
19
(opposing party’s statements are admissible as non-hearsay when
20
“offered against an opposing party”).
evidence
21
is
hearsay.
Plaintiffs
argue
See
that
Fed.
R.
Evid.
notwithstanding
has
not
the
shown
referenced
22
inconsistencies,
23
‘inconsistencies’ amount to justification for refusing to . . .
24
indemnif[y Plaintiffs] under the [P]olicy.” (Pls.’ Opp’n to Mot.
25
(“Opp’n”) 3:16–18, ECF No. 46.)
26
“Progressive
801(d)(2)(A)
that
these
An insurer may deny coverage under a policy’s fraud and
27
concealment
28
concerns
a
provision,
material
if
an
insured’s
matter
and
9
(2)
misrepresentation
was
“knowingly
(1)
and
1
intentionally made with knowledge of its falsity and with intent
2
of defrauding the insurer.” Cummings v. Fire Ins. Exch., 202 Cal.
3
App.
4
omitted).
3d
1407,
5
1416–17
(1988)
(emphasis
removed)
(citations
An insured’s misrepresentation relates to a material
6
matter
if
it
“concerns
a
subject
7
insure[r]’s
and
8
attach
9
“[M]ateriality is a mixed question of law and fact that can be
10
decided as a matter of law if reasonable minds could not disagree
11
on the materiality of the misrepresentations.” Id.
investigation,
importance
to
the
reasonably
a
if
fact
relevant
reasonable
to
the
insurer
Id.
misrepresented.”
would
1417.
at
12
“[W]hether a false statement was made knowingly and
13
with the intent to deceive the insurer is usually a question of
14
fact but may be decided as a matter of law where the insured
15
admits that he made knowingly false statements with the intent
16
that the insurer rely upon them.” Ram v. Infinity Select Ins.,
17
807 F. Supp. 2d 843, 853 (N.D. Cal. 2011) (citations omitted).
18
Further,
19
implied when the misrepresentation is material and the insured
20
willfully makes it with knowledge of its falsity.” Cummings, 202
21
Cal. App. 3d at 1418.
22
Progressive
“the
intent
defraud
argues
that
is
necessarily
Plaintiffs’
affected the timing of the alleged theft, which had to have
25
occurred
26
14:20–22.)
28
implausibly
since
inconsistent
24
an
matters
insurer
statements
within
material
the
23
27
involve
to
small
“[their
window
of
statements]
time.”
(Mot.
However, Progressive has not shown the absence of a
genuine
issue
of
material
fact
10
on
the
issue
of
whether
any
1
statement
2
falsity and with intent of defrauding [Progressive].” Cummings,
3
202 Cal. App. 3d at 1417. Therefore, Progressive’s motion on
4
Plaintiffs’ breach of contract claim is denied.
a
Plaintiff
5
made
IV.
was
made
“with
knowledge
of
its
BAD FAITH CLAIM
6
Progressive argues it is entitled to summary judgment
7
on Plaintiffs’ breach of the implied covenant of good faith and
8
fair
9
existed
dealing
as
(“bad
to
faith”)
coverage.”
claim,
(Mot.
because
genuine
dispute
Progressive
16:3–6.)
“a
further
10
argues, inter alia, “the factual inconsistencies in Plaintiffs’
11
narrative of the events on the night of the loss . . . [and] the
12
[North
13
report,” which it obtained on the coverage issue, establish a
14
genuine
15
Progressive’s
16
reasonable
17
(Mot. 16:4–6, 17:14–15.)
18
19
20
American
Technical
dispute
and
as
to
and
its
investigative
thorough
Forensic
liability
record
Services
under
the
shows
investigation
of
it
(“]NATS[”)]
Policy,
“conducted
Plaintiffs’
and
a
claim.”
Plaintiffs counter that Progressive did not “fully and
fairly investigate[] [Plaintiffs’] claim[].” (Opp’n 6:7–23.)
Further,
Plaintiffs
make
numerous
objections
to
21
evidence involved with Progressive’s investigation. Specifically,
22
Plaintiffs
23
Flaherty’s Declaration, where she discusses the steps taken to
24
investigate
25
(citing Flaherty Decl. ¶ 5).) This objection is overruled since
26
Progressive has shown Flaherty handled Plaintiffs’ claim and that
27
she has personal knowledge of the referenced investigative steps.
28
(Flaherty Decl. ¶¶ 1–4.)
object
on
foundation
Plaintiffs’
claim.
grounds
(UMF
11
to
paragraph
7:17–24;
see
UMF
five
No.
of
18
1
Plaintiffs further object to the admissibility of the
2
NATS
3
foundation, unqualified opinion testimony, and hearsay. (UMF 8:7–
4
8;
5
demonstrated her competency to testify about the contents of the
6
claim file.” (Def.’s Reply to Opp’n (“Reply”) 6:2–4.) It further
7
responds that “the underlying statements [in the claim file] are
8
not hearsay because they are offered to show their effect upon
9
Progressive’s investigation and evaluation of Plaintiffs’ claim.”
10
report,
UMF
No.
on
the
19.)
following
Progressive
grounds:
responds
compound,
lacks
“Flaherty . . .
has
(Reply 5:28, 6:1–2.)
11
Plaintiffs’
compound
objection
is
overruled.
12
Plaintiffs’ foundation objection is also overruled since Flaherty
13
declares “Progressive obtained a report from [NATS],” and the
14
NATS report is addressed to Flaherty and Progressive. (Flaherty
15
Decl. ¶ 30; Ex. 27 at 1331.)
16
Further,
the
offers
since
19
opinions expressed therein. See Fed. R. Evid. 801(c) (stating the
20
rule concerns evidence offered “to prove the truth of the matter
21
asserted in the statement”). Nor have Plaintiffs shown that what
22
they
23
constitutes a meritorious objection in light of how Progressive
24
asserts
25
hearsay and unqualified opinion testimony objections to the NATS
26
report are overruled.
considered
that
opinions
evidence.
27
28
12
upon
hearsay
evaluating Plaintiffs’ claim, rather than for the truth of the
unqualified
effect
not
18
it
its
is
Progressive
are
for
report
17
contend
it
NATS
in
Progressive
the
Therefore,
NATS
in
report
Plaintiffs’
1
The
NATS
report
“noted
that
the
Mustang
was
2
electronically protected by an OEM[6] transponder-based antitheft
3
system and concludes there was no evidence of engine tampering,
4
that
5
assembly had not been compromised or otherwise defeated, and that
6
nothing other than a properly cut mechanical key had been used to
7
rotate the ignition lock core.” (UMF No. 19.)
the
Mustang’s
ignition
lock/column
Jock/starter
switch
8
“[T]o establish a breach of the implied covenant of
9
good faith and fair dealing under California law, a plaintiff
10
must show: (1) benefits due under the policy were withheld; and
11
(2)
12
without proper cause.” Guebara v. Allstate Ins. Co., 237 F.3d
13
987, 992 (9th Cir. 2001).
the
reason
for
withholding
benefits
was
unreasonable
or
14
Moreover, “a court can conclude as a matter of law that
15
an insurer’s denial of a claim is not unreasonable, so long as
16
there existed a genuine issue as to the insurer’s liability.”
17
Lunsford v. Am. Guarantee & Liab. Ins. Co., 18 F.3d 653, 656 (9th
18
Cir. 1994) (citation omitted). Further, “an insurer denying or
19
delaying the payment of policy benefits due to the existence of a
20
genuine dispute with its insured as to the existence of coverage
21
liability or the amount of the insured’s coverage claim is not
22
liable in bad faith even though it might be liable for breach of
23
contract.” Wilson v. 21st Century Ins. Co., 42 Cal. 4th 713, 723
24
(2007) (citation omitted)). “A genuine dispute exists only where
25
the
26
reasonable grounds.” Id. In addition, “[t]he genuine dispute rule
insurer’s
position
is
maintained
in
good
faith
and
27
6
28
“OEM” likely means “Original Equipment Manufacturer,” but Progressive
has not defined this term.
13
on
1
does not relieve an insurer from its obligation to thoroughly and
2
fairly investigate, process and evaluate the insured’s claim.”
3
Id.
4
Plaintiffs also argue that Progressive’s investigation
5
was deficient because Progressive did not “attempt to determine
6
if the Mustang had been towed or hauled away on a flatbed truck,
7
which
8
‘inconsistencies’ Progressive relied upon to deny the claim.”
9
(Opp’n 5:17–23.) However, Flaherty declares: “[I]t did not make
10
sense that a thief would steal the Mustang (presumably by having
11
it towed . . . away), only to set fire to it within a very short
12
time and without stripping it of valuable parts.” (Flaherty Decl.
13
¶ 42.)
would
have
offered
a
harmless
explanation
for
the
14
Progressive has shown that its denial of Plaintiffs’
15
claim was not unreasonable since “there existed a genuine issue
16
as to [its] liability,” Lunsford, 18 F.3d at 656, and therefore,
17
Progressive’s summary judgment motion on Plaintiffs’ bad faith
18
claim is granted.
19
20
V.
Progressive
DAMAGES ISSUES
requests
“an
order
specifying
for
the
21
purpose of trial that Plaintiffs are not entitled to damages over
22
the liability limit specified in the [Policy].” (Mot. 3:27–28.)
23
Rule 56(g) authorizes, but does not require, the order requested
24
by Progressive as follows: “If the court does not grant all the
25
relief requested by the motion, it may enter an order stating any
26
material fact—including an item of damages or other relief—that
27
is not genuinely in dispute and treating the fact as established
28
in the case.” Fed. R. Civ. P. 56(g).
14
1
Progressive
argues:
“There
is
no
evidence
that
2
[portions of] the damages [Plaintiffs seek in their Complaint]
3
were contemplated by the parties at the time of contracting,” and
4
hence
5
Concerning this, Plaintiffs allege as follows in their Complaint:
6
Reitz and Ivey suffered damages, contemplated
by the Policy, in that they were unable to
replace the Mustang, they were accused of and
prosecuted for criminal activity, they were
subjected to arrest and detention, they lost
past
and
future
income,
and
lost
the
bargained for peace and security of knowledge
that their financial losses covered by the
Policy would be indemnified by Progressive,
all to their damages in the sum of nine
million, nine hundred fifty thousand dollars
($9,950,000.00) or according to proof.
such
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
damages
are
not
recoverable.
(Mot.
21:23–24.)
(Compl. ¶ 19, ECF No. 1 (emphasis added).)
Progressive
Plaintiffs
and
asserts
that
Progressive,
under
“[t]he
the
Policy
relevant
between
limit
of
liability . . . for loss to a covered auto was ‘the actual cash
value of the stolen or damaged property at the time of loss
reduced by the applicable deductible.’” (UMF No. 5; see also UMF
No. 3 (discussing the Policy’s terms).)
Plaintiffs
counter
that
Progressive
“has
not
offered . . . evidence to support its contention that the parties
contemplated nothing more than casualty damages.” (Opp’n 7:6–9.)
“Contract damages are generally limited to those within
the contemplation of the parties when the contract was entered
into or at least reasonably foreseeable by them at the time;
consequential damages beyond the expectations of the parties are
not recoverable.” Erlich v. Menezes, 21 Cal. 4th 543, 558 (1999)
(citations omitted).
15
1
Plaintiffs have not shown the existence of a genuine
2
disputed
issue
3
damages beyond the Policy’s liability limit set forth in the
4
Policy,
5
Therefore, Progressive’s request for an order specifying that
6
Plaintiffs are not entitled to damages over the liability limit
7
specified in the Policy is granted. See Fed. R. Civ. P. 56(g)
8
(stating: “If the court does not grant all the relief requested
9
by the motion, it may . . . treat[] the fact as established in
10
the case”). Progressive also seeks an order specifying for the
11
purpose of trial that “Plaintiffs are not entitled to damages for
12
emotional distress or mental suffering because such damages were
13
not proximately caused by [P]rogressive’s alleged breach of its
14
contractual duties.” (Mot. 3:22–24.) Plaintiffs do not oppose
15
this portion of the motion, and the undisputed facts establish
16
that the Policy’s liability limit only provides for contractual
17
compensatory damages for the Mustang’s actual cash value (minus
18
the applicable deductible).
and
in
of
fact
light
on
of
whether
the
the
pled
parties
contemplated
contract-based
claim.7
19
7
20
21
22
23
24
25
26
27
28
In their Opposition Brief to Progressive’s previous motion to dismiss,
Plaintiffs admitted their Complaint “pleads a cause of action for breach of a
contractual promise to . . . investigate claims in good faith,” meaning
Plaintiffs based their bad faith claim in contract. (Pls.’ Opp’n to Def.’s
Mot. to Dismiss Pls.’ Compl. 5:4–14, ECF No. 4 (emphasis added).) However,
Plaintiffs also indicated in that Opposition Brief that they may also have
alleged a tort claim as follows: “There is no indicia in the complaint as to
the time the tort cause of action accrued because it is not clear when the
tort damages accrued.” (Id. at 6:21–23.) The Court subsequently dismissed
Plaintiffs’ tort-based bad faith claim on statute of limitations grounds, and
granted Plaintiffs leave to amend that claim,(Order Granting in Part and Den.
in Part Mot. to Dismiss, ECF No. 7), but Plaintiffs did not timely file a
successful amendment. Although Plaintiffs subsequently filed a First Amended
Complaint, that amended complaint was stricken since it only amended the
existing contract claim without having leave. (Order Granting Def.’s Mot. to
Strike Pls.’ First Am. Compl., ECF No. 23.) Plaintiffs admitted this by
stating: their “First Amended Complaint does not sound in tort in any manner
whatsoever. It is clearly and explicitly an action for breach of contract.”
(Pls.’ Opp’n to Def.’s Mot. to Strike First Am. Compl. 2:18–19, ECF No. 11.)
16
1
VI.
2
CONCLUSION
For the stated reasons, Progressive’s motion is DENIED
3
in part and GRANTED in part.
4
Dated:
October 20, 2015
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