Clark v. Rockhill Insurance Company
Filing
120
ORDER denying 104 Motion for Summary Judgment. Signed by Judge Roy B. Dalton, Jr. on 10/25/2019. (ctp) (JLC)
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
ORLANDO DIVISION
DONALD E. CLARK; and STACY L.
CLARK,
Plaintiffs,
v.
Case No. 6:18-cv-780-Orl-37LRH
ROCKHILL INSURANCE COMPANY,
Defendant.
_____________________________________
ORDER
In this insurance coverage dispute, Defendant Rockhill Insurance Company
moves for summary judgment. (Doc. 104 (“Motion”).) Plaintiffs Donald E. Clark and
Stacy L. Clark responded. (Doc. 117.) On review, the Motion is denied.
I.
BACKGROUND 1
Plaintiffs operate and reside at the Sandman Motel (“Motel”) in Mims, Florida.
(Doc. 96-1, p. 120; Doc. 108-1, ¶¶ 2, 3.) Defendant insured the Motel from June 30, 2016 to
June 30, 2017. (Doc. 96-1, p. 120.) Around June 29, 2017, there was a water backup and
overflow at the Motel, resulting in water damage to Plaintiffs’ personal bedroom and two
guest rooms. (Doc. 108-1, ¶¶ 4, 5.) That same day, Plaintiffs reported a claim for this water
The facts recited here may not be the “actual” facts of the case. See Davis v.
Williams, 451 F.3d 759, 763 (11th Cir. 2006). Rather, they reflect Plaintiffs’ “best case”—the
Court must consider the facts in the light most favorable to Plaintiffs as the nonmoving
party. See Robinson v. Arrugueta, 415 F.3d 1252, 1257 (11th Cir. 2005); see also Walker v. City
of Riviera Beach, 212 F. App’x 835, 837 (11th Cir. 2006).
1
-1-
damage to Defendant, and Ashley Manning, Defendant’s employee, 2 called Plaintiffs to
discuss the claim. 3 (Id. ¶ 6; Doc. 100-1, ¶¶ 1, 6.) Ms. Manning and Plaintiffs disagree on
the content of this call. Ms. Manning says Plaintiffs told her “they had experienced a
number of issues from collapsed iron pipes causing water backups, which had been
ongoing for seven (7) to eight (8) months or probably closer to ten (10) months.” (Doc.
100-1, ¶ 6; see also Doc. 98-1, p. 21:10–16.) Plaintiff Donald Clark denies saying this to
either Ms. Manning or any representative of Defendant. (Doc. 108-1, ¶ 14.) Rather, during
the call, Mr. Clark acknowledged he had been experiencing plumbing issues at the Motel
in the previous seven or ten months, such as “slow drains, smells, and an occasional toilet
clog.” (Id. ¶ 15.) He alleges that these issues were not what caused the June 2017 water
damage. (Id.)
After this call, Ms. Manning hired an independent adjuster to address Plaintiffs’
claim. (Doc. 98-1, p. 12:2–4.) Worley Claim Services sent John Prescod to inspect the claim
on July 7, 2017. (Id. at 31:7–10; Doc. 108-1, ¶ 10.) Mr. Clark showed Mr. Prescod the areas
where water came up, the damage, the drain system, and the corroded pipes. (Doc. 97-1,
pp. 20:13–21:11.) He told Mr. Prescod that he had “tried to clear the blocks, and repeatedly
over a period of time he’d tried to clear it and it persisted.” (Id. at 20:11–13.) Mr. Prescod
couldn’t determine the exact duration of Plaintiffs’ water backup issues but based on
what Mr. Clark said, he thought backups were an ongoing situation, maybe a year or two,
Ms. Manning works for State Auto Insurance Company, but State Auto Insurance
Company owns Defendant Rockhill Insurance Company. (Doc. 100-1, ¶¶ 1, 4.)
3 Although Manning identifies June 29, 2019 as the day she called Plaintiffs, the
timeline reveals the date was June 29, 2017. (See Doc. 100-1, ¶ 6.)
2
-2-
at least longer than three weeks. (Id. at 39:4–40:5.) Following the inspection, Mr. Prescod
prepared a report with photographs for Defendant. (Id. at 8:1–4.)
Defendant denied Plaintiffs’ claim on October 3, 2017. (Doc. 96-4, p. 198.)
According to the letter denying the claim, Plaintiffs’ policy “covers damage due to direct,
physical loss unless specifically excluded or limited” and Plaintiffs’ loss was “a
combination of collapsed cast iron pipes, corroded pipes, and blocked pipes that caused
water to back-up into the building over the course of numerous months.” (Id.) Defendant
stated this damage was “due to a combination of wear, tear, age, and deterioration and
lack of proper maintenance,” which is not covered by the policy. (Id.) The letter also
included a portion of Plaintiffs’ insurance policy which requires that the insured give
“prompt notice of the loss or damage.” (Id. at 199.)
After their claim was denied, Plaintiffs sued Defendant in state court for breach of
contract, alleging that Defendant failed to pay for damages to the Motel under the
insurance policy. (Doc. 12.) Defendant removed the case here (Doc. 1) and moved for
summary judgment (Doc. 104). With Plaintiff’s response (Doc. 117), the Motion is ripe.
II.
LEGAL STANDARDS
Summary judgment is appropriate only “if the movant shows that there is no
genuine dispute as to any material fact and that [it] is entitled to judgment as a matter of
law.” Fed. R. Civ. P. 56(a); Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). As to issues for
which the movant would bear the burden of proof at trial, it must affirmatively show the
absence of a genuine issue of material fact and support its motion with credible evidence
demonstrating that no reasonable jury could find for the nonmoving party on all of the
-3-
essential elements of its case. Fitzpatrick v. City of Atlanta, 2 F.3d 1112, 1115 (11th Cir. 1993)
(citing United States v. Four Parcels of Real Prop. in Greene & Tuscaloosa Ctys. in State of Ala.,
941 F.2d 1428, 1438 (11th Cir. 1991)).
As to issues for which the nonmovant would bear the burden of proof at trial, the
movant has two options: (1) it may simply point out an absence of evidence to support
the nonmoving party’s case; or (2) it may provide “affirmative evidence demonstrating
that the nonmoving party will be unable to prove its case at trial.” Four Parcels, 941 F.2d
at 1438 (citing Celotex Corp., 477 U.S. at 331). “The burden then shifts to the non-moving
party, who must go beyond the pleadings, and present affirmative evidence to show that
a genuine issue of material fact exists.” Porter v. Ray, 461 F.3d 1315, 1320 (11th Cir. 2006)
(citing Fitzpatrick, 2 F.3d at 1115–17).
“A factual dispute is genuine ‘if the evidence is such that a reasonable jury could
return a verdict for the nonmoving party.’” Four Parcels, 941 F.2d at 1437 (quoting
Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 251–52 (1986)). A court must view the
evidence and all reasonable inferences drawn from the evidence in the light most
favorable to the nonmovant, Battle v. Board of Regents for Georgia, 468 F.3d 755, 759 (11th
Cir. 2006), such that “when conflicts arise between the facts evidenced by the parties, [the
court] credit[s] the nonmoving party’s version,” Evans v. Stephens, 407 F.3d 1272, 1278
(11th Cir. 2005). However, the “court need not permit a case to go to a jury . . . when the
inferences that are drawn from the evidence, and upon which the non-movant relies, are
implausible.” Mize v. Jefferson City Bd. of Educ., 93 F.3d 739, 743 (11th Cir. 1996) (citations
and internal quotations omitted). “[M]ere conclusions and unsupported factual
-4-
allegations are legally insufficient to defeat a summary judgment motion.” Ellis v.
England, 432 F.3d 1321, 1326 (11th Cir. 2005) (citation omitted). “When opposing parties
tell two different stories, one of which is blatantly contradicted by the record, so that no
reasonable jury could believe it, a court should not adopt that version of the facts for
purposes of ruling on a motion for summary judgment.” Scott v. Harris, 550 U.S. 372, 380
(2007).
III.
ANALYSIS
Defendant argues it is entitled to summary judgment because: (1) Plaintiffs did not
provide prompt notice of their claim as the policy requires; and (2) Plaintiffs cannot rebut
the presumption of prejudice that arises from untimely notice. (Doc. 104.) Plaintiffs
respond: (1) these are factual issues that preclude summary judgment; (2) they did
provide prompt notice; and (3) even if they did not provide prompt notice, Defendant
was not prejudiced. (Doc. 117.) On review, the Court agrees with Plaintiffs that there are
factual issues precluding summary judgment.
Under Florida law, “[t]he failure of an insured to give a timely notice of loss in
contravention of a policy provision is a legal basis for the denial of recovery under the
policy.” Ideal Mut. Ins. Co. v. Waldrep, 400 So. 2d 782, 785 (Fla. 3d DCA 1981). In some
instances, when the record is undisputed, notice can be deemed untimely as a matter of
law. See, e.g., Ideal Mut. Ins. Co. v. Waldrep, 400 So. 2d 782, 785–86 (Fla. 3d DCA 1981); 1500
Coral Towers Condo. Ass’n, Inc. v. Citizens Prop. Ins. Corp., 112 So. 3d 541, 543 (Fla. 3d DCA
2013). But prompt notice is typically a question of fact for the jury as it requires
determining reasonableness given the facts and circumstances. See Yacht Club on the
-5-
Intracoastal Condo. Ass’n, Inc. v. Lexington Ins. Co., 599 F. App’x 875, 879 (11th Cir. 2015)4;
Hendry v. Grange Mut. Cas. Co., 372 F.2d 222, 226 (5th Cir. 1967). 5
Defendant argues notice was untimely as a matter of law because there is no
dispute that Plaintiffs knew about the water backups at the Motel for at least seven to ten
months before informing Defendant. (Doc. 104, pp. 8–10.) Not so. Defendant bases its
untimely notice allegation on Mr. Clark’s phone call with Ms. Manning and Mr. Clark’s
conversation with Mr. Prescod during the inspection. (Id. at 2–4.) Ms. Manning said
Plaintiffs told her they had experienced issues causing water backups for seven to ten
months. (Doc. 100-1, ¶ 6.) And Mr. Prescod said Mr. Clark told him Plaintiffs had been
trying to clear “blocks” over time, but the “blocks” persisted. (Doc. 97-1, 20:11–13.) Yet
Mr. Clark explained these conversations were about other plumbing issues unrelated to
the June 2017 loss. (Doc. 108-1, ¶¶ 14, 15.) Further, Mr. Clark reported the June 2017 loss
as soon as it happened. (Id. ¶¶ 4, 6.) Defendant also points to Mr. Prescod’s inability to
determine when the loss occurred (Doc. 104, p. 3), but this uncertainty only further
emphasizes that untimely notice cannot be determined as a matter of law. (See Doc. 97-1,
39:4–40:5.) As there is a genuine dispute of fact regarding when Plaintiffs gave notice of
the damage at issue, Defendant is not entitled to summary judgment based on Plaintiff’s
failure to provide prompt notice. See Yacht Club, 599 F. App’x at 879 (explaining that
While unpublished opinions are not binding precedent, they may be considered
as persuasive authority. See 11th Cir. R. 36-2; see also United States v. Almedina, 686 F.3d
1312, 1316 n.1 (11th Cir. 2012).
5 The decisions of the former Fifth Circuit rendered before October 1, 1981 are
binding on this circuit. Bonner v. City of Prichard, 661 F.2d 1206, 1207 (11th Cir.1981)
(en banc).
4
-6-
notice is a question for the court only when the facts are undisputed and different
inferences cannot reasonably be drawn from them).
Even if Plaintiffs had waited seven to ten months before notifying Defendant about
the damage at issue, that would not, by itself, prove notice wasn’t prompt. Rather, “there
is no bright-line rule under Florida law setting forth a particular period of time beyond
which notice cannot be considered prompt.” Yacht Club, 599 F. App’x at 879 (internal
quotation marks and citation omitted). Although Defendant points to cases finding
delays shorter than ten months untimely (see Doc. 104, p. 10), the U.S. Court of Appeals
for the Eleventh Circuit explained notice can be considered “prompt” even after years
have passed. See Yacht Club, 599 F. App’x at 879. Thus, even if the Court assumes Plaintiffs
did not provide notice for seven to ten months, Defendant has not shown that delay is
unreasonable under the circumstances. (See Doc. 104, p. 9–10); see also Yacht Club, 599 F.
App’x at 879. Defendant’s conclusion that “[u]nder the facts and circumstances of this
case, the 7-10 month delay . . . is unreasonable” (see Doc. 104, p. 10), without more, is
insufficient to warrant summary judgment. See Vision I Homeowners Ass’n, Inc. v. Aspen
Specialty Ins. Co, 674 F. Supp. 2d 1333, 1338–39 (denying summary judgment on untimely
notice where there was no dispute when the insured gave notice but there were questions
of fact regarding the surrounding circumstances).
Defendant also argues it should receive a presumption of prejudice from untimely
notice and Plaintiffs would be unable to overcome it. (Doc. 104, pp. 10–14.) A plaintiff’s
failure to provide prompt notice creates a presumption of prejudice to the insurer. Mount
Vernon Fire Ins. Co. v. Editorial Am., S.A., 374 So. 2d 1072, 1074 (Fla. 3d DCA 1979). But,
-7-
the Court only reaches this presumption after it determines that notice was untimely. See
LoBello v. State Farm Fla. Ins. Co., 152 So. 3d 595, 599 (Fla. 2d DCA 2014). As there is a
genuine dispute of fact on whether Plaintiffs’ notice was prompt, the Court need not
address this argument. See id. So the Motion is denied. See Vision I Homeowners Ass’n, Inc.,
674 F. Supp. 2d at 1338–39; Bray & Gillespie IX, LLC v. Hartford Fire Ins. Co., No. 6:07-cv326-Orl-DAB, 2009 WL 1513400, at *7 (M.D. Fla. May 27, 2009).
IV.
CONCLUSION
Accordingly, it is ORDERED AND ADJUDGED that Defendant Rockhill
Insurance Company’s Motion for Summary Judgment (Doc. 104) is DENIED.
DONE AND ORDERED in Chambers in Orlando, Florida, on October 25, 2019.
Copies to:
Counsel of Record
-8-
Disclaimer: Justia Dockets & Filings provides public litigation records from the federal appellate and district courts. These filings and docket sheets should not be considered findings of fact or liability, nor do they necessarily reflect the view of Justia.
Why Is My Information Online?