Lawsuit Filed Against Homeowners Insurance Company for Deficient Sinkhole Remediation Plan

After back-to-back trials which ended last week, I've been quite busy meeting with new clients.  In this case, my client's homeowners insurance company confirmed that his house was suffering from damage from sinkhole activity.  The insurance company hired an engineering firm to prepare a sinkhole remediation plan.  On its face, the remediation plan appeared deficient. 

I sent the insurance company's remediation plan to a geotechnical engineer for review.  The review confirmed that the insurance company's remediation plan was indeed deficient.  It failed to include sufficient grouting and failed to utilize underpinning. 

Today, I filed a lawsuit against my client's homeowners insurance company in order to force the insurance company to pay for an appropriate remediation plan. 

As with most of my insurance cases, if I win, the insurance company will be required to pay for my hourly fees and costs, and if I lose, I'll work for free. 

Lawsuit filed Against Homeowners Insurer for Improper Sinkhole Repair Technique

My client’s homeowners insurance company has confirmed that a sinkhole is damaging his home. Additionally, several of his surrounding neighbors have sustained significant sinkhole damage. The insurance company retained an engineering firm to come up with a sinkhole remediation plan. The plan suggested by the insurer’s engineering firm is inadequate in two very significant respects. 

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Attended Another Sinkhole Neutral Evaluation Today

My client's homeowner's insurer retained the services of a geotechnical engineering firm and geologist to perform a sinkhole investigation at my client's home.  The insurance company's engineers and geologist wrote a report concluding that there was no sinkhole activity at the insured's home.  However, while the engineering/geologist's report concludes that there is no sinkhole activity, the data in the report proves that there is a sinkhole.  Plus, the report seems to omit some very important information that one would expect to be in a statutorily compliant sinkhole investigative report. 

Unfortunately, insureds are not capable of reading and understanding the finer points of a sinkhole investigation report.  Once I received the report, we filed a lawsuit against the homeowners insurer for improperly denying the existence of a sinkhole.  Immediately upon receiving the lawsuit, the insurance company demanded "neutral evaluation." 

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Insured Homeowner Sues Sinkhole Engineers

In Alderman v. BCI Engineers & Scientists, Inc., ____ So.3d ____ (Fla. 2nd DCA Sept. 2, 2011), the insured homeowner hired BCI Engineers & Scientists, Inc. (BCI) to 1) perform a subsurface sinkhole investigation; and 2) supervise the remediation of the sinkhole activity. The insured also filed a claim with State Farm, his homeowner’s insurance company, for losses due to sinkhole. State Farm agreed to pay the sinkhole claim, and the remediation commenced. Some time during the process, the insured entered into a settlement agreement with State Farm releasing State Farm and any of its “contractors” and “privies” from any claims “in relation to the filing of insurance claims.”   

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Sinkhole Lawsuit Filed Against USAA

Florida Statutes currently require homeowners insurers to provide their insureds with sinkhole coverage.  The statutes define "sinkhole loss" as sinkhole activity that causes "structural damage" to a home.  Structural damage is not defined in the statute.  However, homeowners insurance company, USAA, applies a very narrow definition of "structural damage" against its policy holders.   

My client has USAA, and reported what he thought was sinkhole damage to USAA.  USAA sent engineers to my client's home to perform sinkhole testing.  The engineers confirmed the existence of sinkhole activity causing damage to the home, but USAA stated that the level of damage to not rise to the level of its very narrowly drawn definition of structural damage. 

USAA's definition of "structural damage" is too narrow.  Because the sinkhole statute doesn't define structural damage, the court will utilize a dictionary definition.  The dictionary definition of structure damage is damage "of or pertaining to a structure."  Under this definition of structural damage, the sinkhole damage to my client's home would be covered. 

Today, I filed a lawsuit against USAA seeking to have a court throw out its definition of "structural damage" and apply the common everyday definition. 

If I am successful, the court will require USAA to pay my fees and costs, and if I lose, I'll work for free. 

Deposition of a Geotechnical Engineer in a Sinkhole Case

Yesterday, I took the deposition of an engineer and field geologist who had been retained by an insurance company to evaluate the presence of sinkhole activity at my client's house.  The engineering firm performed testing and gave the opinion that there was no sinkhole.  However, contrary to the conclusion stated in their report, the actual test results in the report indicated that there was indeed sinkhole activity causing damage to the home.  I filed suit against the insurance company for breach of contract.

Interestingly, in its final report, the engineering firm hired by the insurance company wrote that  “testing of soil samples was judged to be unnecessary to conduct this study.” However, in his deposition yesterday, the writer of that report, admitted that, contrary to what he wrote in the report, he did indeed test various soil samples with hydrochloric acid. That testing and his test results are documented in handwriting on the boring logs contained in the engineering company's internal files. HCL testing is the quintessential laboratory test in a sinkhole investigation. The HCL testing was reactive for the presence of the building blocks of limestone, and indicative of dissolved limestone under my client's residence.

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Lawsuit Filed Against Allstate / Castle Key Over Sinkhole Remediation Plan

Allstate Floridian, which is now Castle Key Insurance Company, insures my client's luxury home.  After noticing cracks in the walls and flooring, my client asked her insurance company to perform sinkhole testing.  The insurer confirmed the existence, and proposed a remediation plan.  The remediation plan did not include underpinning.  Given the significant sinkhole activity present at this sight, an appropriate sinkhole remediation plan should include underpinning.  Additionally, the amount estimated by the insurance company for damage to the house is not sufficient. 

In order to prove the appropriate remediation plan, and the amount of structure damages, I have retained a geologist, a technical engineer, and forensic general contractor.  

Today, I filed a lawsuit against Castle Key in order to force them to pay for the underpinning, as well as the appropriate amount for the damage to the home.  In many of these cases, if I win, I can force the insurance company to pay my fees and costs. 

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DO NOT Ask for a "Neutral" Evaluation in Sinkhole Claims

On Monday, I took the deposition of a "neutral" evaluator in one of my sinkhole cases.  In this particular case, my client submitted a possible sinkhole claim to her homeowner's insurance company.  The homeowner's insurer hired engineers who did testing and stated that there was no sinkhole activity.  (A review of the engineer's testing actually confirms the existence of a sinkhole, even though their conclusions state that there is not, but that is another blog). 

When she received the insurer's engineering report, my client naively requested a "neutral evaluation."  The "neutral" evaluator reviewed the insurance company's engineering report and gave the opinion that there was no sinkhole.

I have never seen a "neutral" evaluator disagree with an insurance company's report.  Never.  At his deposition on Monday, this "neutral" evaluator testified that he has done many such evaluations and he has NEVER disagreed with the insurance company's conclusions. 

To further compound this problem, the Florida Statues say that the neutral evaluator's conclusions are "presumed correct." 

This particular engineer also confirmed that 1) he solicits sinkhole business from insurance companies; and 2) doing these evaluations was a good way to get his name in front of insurance companies to let them know he's available to do sinkhole investigations for them.  This is typical, as most of the neutral evaluators I've seen also do substantial work on behalf of the insurance industry. 

Bottom line: Homeowners, DO NOT ASK FOR A NEUTRAL EVALUATION.  Not only do the evaluators typically do substantial work for the insurance companies, but they also routinely find in favor of those insurers, and our Florida Statutes say that their conclusions are presumed correct. 

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Lawsuit Filed to Determine Proper Sinkhole Remediation Plan

My client's homeowners insurer, Nationwide, confirmed the presence of sinkhole damage at his home.  However, the remediation plan proposed by the insurance company's engineers only calls for underground grouting.  The insurance company also estimated the damage to their insured's home (which appeared at first blush to be quite light). 

I retained a geologist, engineer, and forensic general contractor to determine the proper remediation plan and the proper amount to repair the damage to the home.  These experts determined that the remediation plan, and damage estimate are both inadequate.  According to the geologist and geotechnical engineer, the home needs underpinning in order to properly remediate the sinkhole.  The forensic general contractor believes the damages to the home are much more than what was estimated by the insurance company. 

Yesterday, I filed suit against Nationwide in order to have a jury determine the proper remediation plan, and the amount of damage to the home. 

A lot of the times, in this type of case, if I win, the insurance company is required to pay my fees and costs, and if I lose, I'll work for free. 

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Deposition of Geologist in Sinkhole Case

My client's home has been sinking.  She submitted a claim to her homeowner's insurance company which sent out a geotechnical engineer and geologist to investigate the claim.  The engineer and geologist concluded that the home was sinking because of the "high organic content" in the soil, and was not due to any sinkhole activity. 

Contrary to the engineer's and geologist's conclusion, their actual tests results indicated that the sinking home was indeed due to sinkhole activity.  I filed a lawsuit against the insurer for breach of contract. 

I spent the day today taking the deposition of the insurance company's geologist.  The case is currently set for trial in April. 

As with many of my insurance cases, if we win, the insurance company has to pay all of my fees and costs, and if we lose, I'll work for free.  There are no out of pocket fees or costs for my client. 

 

3-D Drawings in a Sinkhole Case

Proving a sinkhole case on behalf of a policy holder depends a lot on teaching the jurors about geology, construction, and engineering.  One of the ways I do that is through 3-D drawings which I prepare in each sinkhole case. 

Some examples from a recent case are set forth below.  While these images won't move in the blog, I am able to rotate and spin these images for the jury.  (These may be slightly grainy in the blog, but are crystal clear in my 3-D software). 

         

 

                                            

Deposition of Geotechnical Engineer in a Sinkhole Case

Spent the day yesterday in beautiful Bartow taking the deposition of the Geotechnical Engineer who performed sinkhole testing on my client's home on behalf of her homeowners insurance company. 

 

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Lawsuit Filed on Behalf of Homeowner for Sinkhole Damage

My client's home was built about 20 years ago in Central Florida.  Less than a year ago, cracks began to show up in various places throughout the home.  My client reported the damage to her homeowners insurer.  The homeowners insurer hired an engineering firm to inspect the home and to determine the cause of the cracking.  The engineering firm (a firm I have have seen helping insurers on many other claims) says that the damage was due to settlement, and thermal expansion, and was not due to sinkhole activity .  Settlement and thermal expansion are not covered under the homeowners policy, but sinkhole damage is a covered cause of loss.

Based on the engineering report, the insurer denied the claim.  My client requested a "neutral evaluator" to review the engineering firm's findings.  Unfortunately, the neutral evaluator agreed with the original engineers findings.  This is not uncommon.  I frequently see the neutral evaluators simply rubber stamp the original engineering report. 

Upon reviewing the engineering firm's testing and boring records, it appears that the damage is indeed due to sinkhole activity.  As a result, I've filed a breach of contract lawsuit against the homeowners insurer.

Additionally, I've filed a Civil Remedy Notice of Insurer Bad Faith.  If the insurance company doesn't "cure" its violation within 60 days of the CRN, then the insurer may ultimately be held responsible for full damages - even if those damages are in excess of its policy limits.   

As with most of my insurance cases, if I win, the insurance company must pay all of my hourly fees and costs, and if I lose, I'll work for free. 

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. 

2nd DCA Rules No Presumption in Favor of Insurer Engineers in Sinkhole Cases

In Warfel v. Universal Insurance Company of North America, ____ So.3d ____ (Fla. 2nd DCA May 12, 2010), the insured homeowner submitted a sinkhole claim to his homeowners insurer, Universal Insurance.  Universal had its own engineers examine the home and the soil under the home.  Based on a report from its engineers, Universal Insurance denied the claim.  

Florida Statue Section 627.7073(1)(c), states that

The respective findings, opinions, and recommendations of the professional engineer or professional geologist as to the cause of distress to the property and the findings, opinions, and recommendations of the professional engineer as to land and building stabilization and foundation repair shall be presumed correct.

At trial, Universal convinced the trial court to give a jury instruction that Universal's experts reports were presumed correct, and shifted the burden of proof to the insured to prove that their damage was due to sinkhole.  In a typical sinkhole case (as with any case where an insurer is attemption to limit or exclude coverage on an all-risk policy) the burden of proof is on the insurance company to prove a limitation or exclusion from coverage. 

The insured argued that the 627.7073 presumption was a "vanishing" or "bursting bubble" presumption merely requiring that he produce evidence contrary to the presumption, not shifting the burden of proof. 

The 2nd DCA held:

Absent a clear legislative directive, we must conclude that section 627.7073(1)(c) is a 'vanishing' or 'bursting bubble' presumption that affected only Mr. Warfel's burden of producing evidence.... 

[W]hen credible evidence comes into the case contradicting the basic fact or facts giving rise to the presumption, the presumption vanishes and the issue is determined on the evidence just as though no presumption has ever existed.  Conversely, if the basic facts are sufficiently proven so as to give rise to the presumption and not thereafter contradicted by credible evidence, the party in whose favor the presumption exists becomes entitled to a directed verdict.  Thus, in either event, the presumption is productive of these procedural consequences but is not a matter of the jury to consider.

The jury is not told of this presumption.  

The court then noted that because the insured presented credible evidence refuting the presumption that the trial court should have allowed the case to go to the jury with the burden on the insurer to prove no sinkhole damage.  The court reversed in favor of the insured. 

A copy of the 2nd DCA's Warfel decision can be downloaded by clicking here.

The Court did cerfity the question to the Florida Supreme Court as one of great public importance.

State Farm Must Pay for Subsurface Sinkhole Repairs Before Homeowners Enter into Contract for Repairs

In State Farm Florida Insurance Company v. Nichols, ____ So.3d ____ (Fla. 5th DCA November 6, 2009), the insured homeowners submitted a claim to State Farm for sinkhole damage.  The amount of the loss was settled by appraisal.  Although the appraisal awarded an amount for subsurface sinkhole repairs, State Farm refused to pay for the subsurface repairs until after its insureds' entered into contracts for the performance of the repairs. 

State Farm based its position on Florida Statute Section 627.707(5)(b) which states:

The insurer may limit its payment to the actual cash value of the sinkhole loss, not including underpinning or grouting or any other repair technique performed below the existing foundation of the building, until the policyholder enters into a contract for the performance of building stabilization or foundation repairs. After the policyholder enters into the contract, the insurer shall pay the amounts necessary to begin and perform such repairs as the work is performed and the expenses are incurred. The insurer may not require the policyholder to advance payment for such repairs.

The homeowners argued that, notwithstanding the 627.707(5)(b), State Farm's policy itself required State Farm to pay the full amount of the appraisal award within 60 days after the amount of the loss was settled by the appraisal. 

State Farm's policy stated:

 SECTION I - CONDITIONS. . . .

10. Loss Payment. We will adjust all losses with you. We will pay you unless some other person is named in the policy or is legally entitled to receive payment. Loss will be payable:

a. 20 days after we receive your proof of loss and reach agreement with you; or

b. 60 days after we receive your proof of loss and:

(1) there is an entry of a final judgment; or

(2) there is a filing of an appraisal award with us.

The 5th DCA agreed with the homeowners.  According to the Court, the language of the statute is

permissive, not mandatory.  Because it is permissive, the policy language that requires payment of subsurface repairs within sixty days after the appraisal award is not in conflict with the statute and is binding on the parties to the insurance contract.