Lawsuit Filed For Sinkhole Damage

My client's home was built in 1979.  He recently began seeing cracks in the walls, around windows, and in the ceiling.  He reported the cracking to his homeowners insurer - Universal Property and Casualty Insurance Company.  Universal had an engineer inspect the home.  The insurance company's engineer wrote a report stating that the cracks in the home were caused by settling, and not by sinkhole. 

I have had the home inspected by engineers who determined that the damage is being caused by ongoing sinkhole activity. 

Today, I filed suit against Universal for breach of the insurance policy.  I also filed a Civil Remedy Notice concerning what I believe to be the insurer's bad faith in denying the claim. 

This lawsuit was filed in Nassau County, Florida  I handle insurance cases such as this for policy holders throughout the State of Florida.  As with most of my insurance cases, if I am successful, the insurance company will have to pay all my hourly fees and costs.  If I lose, I'll work for free. 

Nationwide Required to Pay for the Cost of Tearing Out and Replacing Leaky Plumbing

In Liebel v. Nationwide Insurance Company of Florida, ____ So.3d ____ (Fla. 4th DCA October 7, 2009), the homeowner had a leaky plumbing system which led to subsidence under the home, which in turn led to damage to the home itself.  Nationwide refused to pay for the damage to the home under an exclusion for losses caused by natural and unnatural earth movement.  Nationwide also refused to pay to tear out and replace the leaky plumbing system.

The 4th DCA agreed that the damage to the home was excluded under the earth movement exclusion.  The court reasoned that the earth movement in this case was due to an unnatural cause - the leaky plumbing - and was therefore excluded. 

The Court next dealt with whether Nationwide was required to pay to tear out and replace the plumbing system.  The exclusion dealing with this aspect of the case provided that the Nationwide Policy covers water losses which are due to wear and tear, or deterioration unless "otherwise excluded."  In a subsequent sentence, the exclusion goes on to state that: "We also cover the cost of tearing out and replacing any part of a building necessary to repair the system or appliance." 

Initially, the Court noted that that water loss in this case was "otherwise excluded" under the earth movement exclusion.  But, the held that:

In the instant case, the trial court erred by not holding that the Policy covered the cost of repairing the plumbing system.  This is because the Policy, by providing that it does not cover damage caused by water from a plumbing system that is otherwise excluded, but then stating that it covers the cost of repairing a system that caused water damage, has created an ambiguity, as two or more reasonable interpretations of these two intersecting provision are feasible.  Specifically, one may interpret the 'otherwise excluded' language to preclude coverage for all damages caused by a matter otherwise excluded, including the cost of tearing out and replacing any part of Liebel's home necessary to repair the ruptured water line.  In contrast, a reasonable person could interpret the Policy to exclude from coverage the damage caused by earth movement, but include the cost of repairing the water line that caused the loss, as it is a plumbing system that caused water damage due to its deterioration from wear and tear.  As such there is an ambiguity....  [W]e hold that the cost of repairing the water line was covered by the Policy and reverse the trial court's order to the extent that it held to the contrary. 

 

Good Pleading Gets Around "Earth Movement Exclusion," and State Farm's Internal Operating Guides are Admitted into Evidence

Castillo v. State Farm Fire & Casualty Company, 32 FLW D2474a (Fla. 3rd DCA October 17, 2007)

In this case, the insured homeowner alleged that "nearby blasting created shockwaves and vibrations which damaged the insured dwelling without displacement or permanent displacement of the earth" and that the amount for the repair "of the blasting damages" was $74,761.83.  State Farm sought to exclude the damages based upon the following exclusion:

"We do no insure under any coverage for an y loss which would not have occurred in the absence of one or more of the following excluded events.  We do not insure for such loss regardless of: (a) the cause of the excluded event; or (b) other causes of loss; or (c) whether other causes acted concurrently or in any sequence with the excluded event to produce the loss; or (d) whether the event occurs suddenly or gradually, involves isolated or widespread damage, arises from natural or exteneral forces, or occurs as a result of any combination of...

b.    Earth Movment, meaning the sinking, rising, shifting, expanding or contracting of earth, all whether combined with water or not.  Earth movement includes but is not limited to earthquake, landslide, mudflow, sinkhole, subsidence and erision...."

The Third DCA distinguished this case from two prior cases State Farm Fire & Casualty Co. v. Castillo, 829 So.2d 242 (Fla. 3rd DCA 2002) ("Castillo I (no relation to the current case), and Fayadv. Clarendon National Insurance Company, 899 So.2d 1082 (Fla. 2005).  In the current case, the Court recognized that the allegations in the complaint were that vibrations and shockwaves caused by blasting "without displacement of the earth resulted in damage to an insured dwelling."  The court then noted that "[t]he policy does not specifically address whether or not damages caused by blasting, shockwaves, or vibrations categorically fall under "earth movement" and would, therefore, be excluded from coverage." 

Importantly, court then went on to state that "'when the terms of the contract are ambiguous [and] susceptible to different interpretations, parol evidence is admissible to 'explain, clarify or elucidate' the ambiguous term.'  Strama v. Union Fidelity Life Insurance Company, 793 So.2d 1129, 1132 (Fla. 1st DCA 2001)( citing Friedman v. Va. Metals Prods. Corp., 56 So.2d 515, 517 (Fla. 1952))."  The court then held looked at State Farm's internal operating guidelines to determine whether the exclusion was applicable in this case.  Indeed, the court held that "State Farm's internal operating guideline OG 75-105 is both instructive and admissible as parol evidence.  The allegatiosn by the Castillos that vibrations and shockwaves actually occurred and damaged the insurad dwelling without accompanying displacement of the earth appear to be contemplated as a potentially covered loss by State Farm."  For example, the operating guideline states at OG 75-105 V. A. "Damage from blasting, headache balls, etc. cannot occur unless the earth moves.  Therefore, the 'in the absence of' language found in the earth movement exclusion would apply to eliminate coverage.  By interpretation, coverage will be provided for damage as a result of shockwaves being transmitted through the earth so long as there is no permanent displacement of the earth itself.... B. 2. Blasting that causes shockwaves/vibration to be transmitted through the earth to the insured dwelling and which shockwaves damage the dwelling without displacement of the earth would be considered a covered loss.

Based on this language and the language of the policy, the court determined that the insured could proceed to a jury.  The court noted that whether or not the shockwaves and vibrtations alleged by the Castillos damaged their dwelling without displacement of the earth is an issue of material fact.  The court also noted the longstanding Florida law that "[w]hen an insurer relies on an exclusion to deny coverage, it has the burden of demonstrating that the allegations of the complat are cast solely and entirely within the policy exclusion and are subject to no other reasonable interpretation."  Northland Casualty Company v. HBE Corp., 160 F. Supp. 2d 1348, 1359 (M.D. Fla. 2001).  Moreover, "[o]nce the insured establishes a loss apparently within th terms of an all-risk policy, th eburden shifts to the insurer to prove that the loss arose from a cause which is excepted."  B&S Assocs., Inc. v. Indemnity Casualty & Property, Ltd., 641 So.2d 436, 437 (Fla. 4th DCA 1994)(citing Hudson v. Prudential Property & Casualty Insurance Company, 450 So.2d 565 (Fla. 2nd DCA 1984).