STEPHEN M. McNAMEE, District Judge.
Pending before the Court is Defendant's motion for summary judgment. (Doc. 77.) The motion is fully briefed. (
Plaintiff Henry Nguyen ("Nguyen or Mr. Nguyen"), who lives in California, owns commercial property located at 775 N. Arizona Blvd. in Coolidge, Arizona. Mr. Nguyen's commercial property was insured under an insurance policy issued by Defendant American Family Mutual Insurance Co. ("American Family"). The property consists of eight business suites, which Mr. Nguyen purchased in 2006. (Doc. 78-1 at 80.) Mr. Nguyen hired Norris Management as his property manager for the commercial property. (
It is undisputed by the parties that on October 5, 2010, the metropolitan Phoenix area suffered a significant wind and hail storm. (Doc. 77 at 2.) Norris Management maintenance records show that they oversaw roof repairs at the property both before and after the October 5, 2010 storm. (Doc. 78-1 at 117-96.) Norris Management continued to receive complaints from tenants regarding roof leaks and made multiple roof repairs between April 2011 and March 2013. (
In October 2011, Mr. Nguyen emailed his insurance agent about reported storm damage to his commercial property. (Doc. 100-1 at 6 ("Because of the rain last couple weeks now the roof is leaking and damage hard. . .").) The agent's email response recommended that Mr. Nguyen call the office and file a claim. (
On April 2, 2012, Mr. Nguyen filed a damage claim with his commercial property for hail and storm damage. (Doc. 78-1 at 198-99.) The date of loss was stated as March 28, 2012. (
Mr. Reyes further found that other roof damage was not caused by the storm of March 28, 2012. (
Subsequently, Mr. Nguyen contacted his contractor, Ray Brothers Construction, who recommended that he retain a public adjusting company. (
Mr. Nguyen filed his complaint in this matter on October 4, 2012. (Doc. 1.) Mr. Nguyen's complaint specifically alleged that the date of the loss for the claim was March 28, 2012. (
A court must grant summary judgment if the pleadings and supporting documents, viewed in the light most favorable to the nonmoving party, show "that there is no genuine issue as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a);
A principal purpose of summary judgment is "to isolate and dispose of factually unsupported claims."
In an action for breach of contract, the plaintiff has the burden of proving "the existence of a contract, breach of the contract, and resulting damages."
Provisions of insurance contracts should be construed according to their plain and ordinary meaning.
"Where the contract language is unclear and can be reasonably construed in more than one sense, an ambiguity is said to exist and such ambiguity will be construed against the insurer."
On the basis of non-disclosure, American Family moves to strike factual and legal allegations surrounding a report regarding damage to his property that Mr. Nguyen emailed to his insurance agent in 2011 and Mr. Nguyen's allegations of diminished property value. (Doc. 97.) Mr. Nguyen objects and American Family has replied in support. (Docs. 97, 100.)
The District's Local Rules permit a motion, a response, and a reply. LRCiv 7.2(b)-(d). They further provide that motions objecting to, arguing about, or seeking to strike evidentiary matters be raised "in the objecting party's responsive or reply memorandum and not in a separate . . . filing."
The Court finds that American Family violated the District's Local Rule by dividing their briefs and multiplying their page limits by styling part of their argument as a separate motion to strike. Although the Court will exercise its discretion and consider the merits of American Family's motion, the Court will also sanction American Family by not allowing it to recover its costs for preparation of the motion or its reply.
Federal Rule of Civil Procedure 37(c)(1), provides that "[i]f a party fails to provide information or identify a witness as required by Rule 26(a) or (e), the party is not allowed to use that information or witness to supply evidence on a motion, at a hearing, or at trial, unless the failure is substantially justified or harmless." The Ninth Circuit Court of Appeals has observed that "we give particularly wide latitude to the district court's discretion to issue sanctions under Rule 37(c)(1)."
"For purposes of Rule 37(c)(1), a party's failure to disclose is substantially justified where the non-moving party has a reasonable basis in law and fact, and where there exists a genuine dispute concerning compliance.
In October 2011, Mr. Nguyen emailed his insurance agent about reported storm damage to his commercial property. (Doc. 100-1 at 6 ("Because of the rain last couple weeks now the roof is leaking and damage hard. . .").) The agent recommended that Mr. Nguyen call the office and file a claim. (
Mr. Nguyen included his October 2011 contact with the insurance agent in his response to Amercian Family's motion for summary judgment. (Doc. 95 at 3.) Nguyen alleged that American Family never sent anyone to inspect the property at that time. (
American Family contends that the factual basis of Mr. Nguyen's bad faith allegations arising out of the 2011 contact were not properly disclosed and should be stricken. (Doc. 91.) Mr. Nguyen responds that there can be no prejudice due to any non-disclosure because it was American Family who disclosed the information to him. (Doc. 97, (citing Doc. 97-2 at 4).) American Family argues that any 2011 bad faith allegations were not disclosed in responses to interrogatories and in Nguyen's disclosure statements; rather Nguyen only alleged bad faith conduct arising from the adjustment of his 2012 claim. Continuing, American Family argues that Nguyen was required to disclose the substance of his allegations, including identifying the 2011 emails, the insurance agent as a person with knowledge, the property management company as a relevant witness to damage and repairs in 2011, but Nguyen's disclosures lacked any of this information.
The Court agrees with American Family that Nguyen failed to comply with his disclosure obligations under Fed. R. Civ. P. 26 and never supplemented his Rule 33 responses. The Court will exercise its discretion and strike the 2011 bad faith allegations; Mr. Nguyen had a continuing obligation to update his legal theories, especially given the filing of his FAC which changed the date of loss from 2012 to 2010. As to the 2011 email report that American Family disclosed to Mr. Nguyen in requests for production, even though it was not disclosed, American Family was certainly aware of it. It is harmless and will not be stricken. Finally, Mr. Nguyen's allegations of diminished value were not disclosed and will be stricken.
A federal court sitting in diversity applies state substantive law and federal procedural law.
In his FAC, Mr. Nguyen alleges American Family breached the insurance contract because he filed a claim for benefits due to storm damage under his insurance policy and American Family failed to pay benefits due and owing under the terms of the policy causing him to sustain damages. (Doc. 38 at 4.) Mr. Nguyen claims that his commercial property suffered storm damage arising from the October 5, 2010 storm, yet American Family refused to pay. (
On several grounds American Family moves for summary judgment regarding Mr. Nguyen's breach of contract claim. It contends that: 1) Mr. Nguyen did not timely bring legal action within 2 years of the date of loss as required by the policy; 2) Mr. Nguyen failed to comply with the terms of the policy requiring prompt notice of loss to the insurer and is thus barred from bringing legal action; and 3) it did not breach any policy provisions regarding payment obligations for any benefit owed under the policy. (Doc. 77 at 4-9.)
American Family states that Mr. Nguyen initially filed his complaint on October 4, 2012. (Doc. 1.) The complaint specifically alleged that the date of the loss for his claim was March 28, 2012. (
Mr. Nguyen argues that American Family's contention should be rejected because he filed his lawsuit within 2 years of the October 5, 2010 storm and his FAC should relate back to the date of his original complaint. (Doc. 95 at 5.) Mr. Nguyen further objects that American Family is not relying on a legal statute of limitations but merely the provisions of the controlling insurance policy. (
It is undisputed that the policy provisions require that an insured bring legal action within 2 years after the date of loss or damage occurred. (Doc. 78-1 at 28.) It is further undisputed that the August 26, 2013 FAC changed the date of loss alleged in the complaint from March 28, 2012 to October 5, 2010, which is outside the 2 year limit set by the policy. (
Rule 15(c) provides that an amended pleading "relates back" to the date of a timely filed original pleading when "the amendment asserts a claim or defense that arose out of the conduct, transaction, or occurrence set out—or attempted to be set out—in the original pleading[.]" Fed. R. Civ. P. 15(c)(1)(B). Under Rule 15(c)(1)(B), at issue is whether "the original and amended pleadings share a common core of operative facts so that the adverse party has fair notice of the transaction, occurrence, or conduct called into question."
The Court finds that the October 5, 2010 storm did not arise out of the same "conduct, transaction, or occurrence" as the March 28, 2012 storm. The time of the occurrences are different and the storms do not share a common core of operative facts. The Court agrees with Defendant's further contention that "changing the date of the alleged damage from 2012 to 2010 completely changes causation and insurance coverage issues, i.e. neglect, wear and tear, negligent repair, and timely reporting of the claim." (
Mr. Nguyen argues that the filing of his FAC should relate back because his initial complaint put American Family on notice that their conduct was being challenged, citing
The cited cases are not to the contrary. For instance, in
Next, given that his FAC does not relate back in time to the filing of his original complaint, Mr. Nguyen asserts that his FAC was allegedly untimely not because of any statute of limitations but because of a unilaterally imposed requirement established by his insurance policy. (Doc. 95 at 8.) Continuing, he argues that while insurance companies are permitted to shorten applicable statutes of limitation, the Arizona Supreme Court has held that insurers "may be estopped from raising the defense based upon such an adhesive clause where the enforcement of that clause would work an unjust forfeiture." (
American Family contends that they were prejudiced by Mr. Nguyen's delay in reporting that the cause of the loss was the 2010 storm until his deposition in May 2013 because the delay deprived American Family of the ability to timely investigate Mr. Nguyen's alleged storm damages. (Doc. 89 at 3.) In support, American Family argues that Mr. Nguyen's alleged damages involve water damage to a roof that evolved over time. (
The Court agrees that the FAC is allegedly untimely not because of the six year statute of limitations for breach of contract,
As to Mr. Nguyen's claim that the change in the date of loss did not effect American Family's adjuster's evaluation of October 5, 2010 storm damage, the adjuster, Edwin Reyes, disagreed and testified that when he evaluated the commercial property he was assessing March 28, 2012 storm damage, not 2010 damage. (Doc. 78-1 at 201-04;
Regarding Mr. Nguyen's argument that American Family was not prejudiced because their roofing expert should have evaluated whether the roof of the commercial property suffered hail damage from the October 5th storm, the July 25, 2013, expert report prepared by Stephen Klinger evaluated March 28, 2012 storm damage and concluded that there was no clear evidence of hail damage to the integrity of the roof. (
Ultimately, in its assessment of prejudice, the Court finds that American Family has established prejudice both because the insured's delay unreasonably deprived American Family of the ability to timely investigate and assess whether there was storm damage to the commercial property after the October 10 storm. The Court has already noted that Norris Management was Mr. Nguyen's property manager for the commercial property. (Doc. 78-1 at 80-81.) Evidence of record establishes that Norris Management was aware of the October 5, 2010 storm the day after it occurred, was aware of ongoing tenant complaints of a leaking roof, and had repairs performed upon the roof on multiple occasions after the storm and prior to Mr. Nguyen initiating a claim with American Family on April 2, 2012. (
Therefore, the Court finds that American Family has established that it was prejudiced by Mr. Nguyen's delay in not bringing this action in accordance with the policy provisions. Based on the date that Mr. Nguyen filed his FAC and pursuant to the terms of his insurance policy, the Court further finds that Mr. Nguyen was required to and failed to bring his action for property damage in accordance with policy provisions. Consequently, the Court finds that American Family did not breach the insurance contract it entered into with Mr. Nguyen and, absent breach, American Family is entitled to summary judgment.
Based on the Court's conclusion that Mr. Nguyen did not timely bring legal action within 2 years of the date of loss as required by the policy and consequently that American Family did not breach the terms of the insurance policy, the Court need not consider American Family's further arguments in favor of summary judgment, including that Mr. Nguyen failed to comply with the terms of the policy requiring prompt notice of loss to the insurer and that the insurer did not breach any policy provisions regarding payment obligations for any benefit owed to Mr. Nguyen under the policy.
Mr. Nguyen further claims that American Family breached the duty of good faith and fair dealing arising out of its investigation and assessment of his property damage claim. Arizona's two year statute of limitation period for bad faith claims "begins to run upon accrual."
American Family claims that it is entitled to summary judgment as its adjuster, Mr. Reyes, inspected the property based on the report that the property was damaged as a result of a March 28, 2012 hailstorm. Mr. Reyes inspected the commercial property for recent hail and storm damage with Mr. Nguyen's roofing contractor, Clifford Ray. (Doc. 95-4 at 3.) Mr. Ray pointed out to Mr. Reyes damage he believed to have been caused by hail. (Doc. 95-4 at 3.) Mr. Reyes evaluated the roof for hail damage using test squares. (Doc. 78-1 at 207.) Upon inspecting the property Mr. Reyes found hail damage to the property's roof top air conditioning units but concluded that they could be repaired by combing each unit's fins rather than replacing the entire units. (
Additionally, at the time of American Family's investigation and evaluation of the claim, American Family asserts that Mr. Nguyen did not inform it that his property damage claim arose from the October 5, 2010 hailstorm. (See Doc. 1 (citing March 28, 2012 as the date of loss).) It was not until Mr. Nguyen's May 2013 deposition that Mr. Nguyen clarified that he was asserting a property damage claim from the October 5, 2010 storm (id. at 82, 97) and subsequently filed his FAC (Doc. 38), citing October 5, 2010 as the date of loss. American Family contends that until the FAC, Mr. Nguyen never asserted a claim regarding alleged damage from the October 10, 2010 hailstorm. (Doc. 89 at 6-7.) As a result, American Family contends that it could not have unreasonably investigated, evaluated, or processed Mr. Nguyen's claim based on the October 2010 hailstorm or knowingly acted unreasonably based on an October 2010 date of loss, since all it was investigating was hail storm damage from the March 28, 2012 storm (
Mr. Nguyen contends that his contractor, Mr. Ray, pointed out to American Family's adjuster during his investigation significant damage to the air conditioning units and even secured agreement from Mr. Reyes that the air conditioning units must be replaced. (Doc. 95 at 14.) Mr. Nguyen further contends that his roof had not been leaking for months prior to the October 5, 2010 storm and then leaked right after the storm. (
"An insurance contract is not an ordinary commercial bargain; implicit in the contract and the relationship is the insurer's obligation to play fairly with its insured."
"An insurer acts in bad faith when it unreasonably investigates, evaluates, or processes a claim (an `objective' test), and either knows it is acting unreasonably or acts with such reckless disregard that such knowledge may be imputed to it (a `subjective' test)."
The insurer may challenge claims regarding coverage which are fairly debatable.
If the insurer acted objectively unreasonably, then the Court moves to the subjective inquiry and determines if the insurer knew or was conscious that its conduct was unreasonable or acted with such reckless disregard that such knowledge may be imputed to it.
According to Mr. Nguyen, bad faith must go to the jury because American Family unreasonably investigated, evaluated, or processed his claim and knew it was acting unreasonably, even though American Family did not have an accurate date of loss regarding his storm damage claim. The Court finds that no reasonable juror could conclude that American Family acted unreasonably when it did not have the accurate date of loss or any notice from Mr. Nguyen that he disagreed with American Family's evaluation of recent hail storm damage.
Specifically, the Court finds that Mr. Ray's deposition testimony only reflects that Mr. Reyes agreed that the air conditioning units would be "covered" not that they would be replaced. (Doc. 96-4 at 5.) This is an important distinction, as it is undisputed that American Family covered damages to the air conditioner units but that the amount of damages did not exceed Mr. Nguyen's deductible. (Doc. 78-1 at 214-20.) Additionally, Mr. Ray acknowledged his belief that the air conditioning units would be replaced was just his personal opinion, not an actual statement by Mr. Reyes. (Doc. 96-4 at 5.)
Regarding the roof condition in 2010 and how it was not leaking for months prior to the October 5, 2010 storm; this is irrelevant. The issue is whether American Family unreasonably adjusted Mr. Nguyen's claim and knew it was acting unreasonably when it investigated, assessed and paid out the hail damages for the air conditioning units. The Court does not find evidence in the record establishing that American Family's adjuster unreasonably failed to find hail damage in his assessment of recent storm damage arising out of Mr. Nguyen's March 28, 2012 claim. There is no evidence that the adjuster knew or should have known that he was investigating and evaluating whether there was 2-year old hail damage. Thus, there is no evidence from which a jury could reasonably conclude that American Family's investigation and handling of Mr. Nguyen's claim was unreasonable. Therefore, American Family is entitled to summary judgment.
Regarding punitive damages, the Court has already determined that the American Family's conduct was reasonable. In bad faith cases, punitive damages are not available unless the evidence establishes that, in addition to bad faith, the insurer acted with an evil mind.
On the basis of the foregoing, accordingly,