TIMOTHY J. CORRIGAN, District Judge.
This insurance coverage case is before the Court on Defendant GeoVera Specialty Insurance Company's Motion for Summary Final Judgment (Doc. 22), to which Plaintiff David Floyd responded. (Doc. 23). For the reasons below, the Court denies the Motion.
On September 10, 2017, GeoVera issued an all-risks property insurance policy (the "Policy") to Floyd for his Jacksonville home. (Doc. 22-1 at 1).
At the end of January 2018, the toilet in Floyd's master bathroom overflowed, resulting in water damage throughout the home. (Doc. 23 at 1). Floyd, who was present at the time of the overflow, removed the toilet from the floor and "snaked" the plumbing drain line to stop the flooding. (Doc. 23 at 2). When Floyd pulled the snake out of the drain line, he brought with it portions of plant roots, indicating that a breach in the drain line existed at some point below his home. (Doc. 23 at 2). On February 27, 2018, Floyd notified GeoVera of the January toilet overflow and resulting water damage. (Doc. 22 at 5). Floyd did not indicate the date of the overflow in his notice, so GeoVera assigned January 24, 2018, as the date of loss. (Doc. 22 at 5).
After receiving notice of the overflow, GeoVera opened a claim and sent an adjuster to investigate the damage to Floyd's home. (Doc. 22 at 5). Floyd told the adjuster that he had to remove his toilet to snake the line immediately following the overflow, but GeoVera did not investigate the plumbing system. (Doc. 23-1 ¶ 8; Doc 23-10 at 60-61). The adjuster estimated that the overflow caused $17,139.78 in water damage to Floyd's home. (Doc. 22 at 5). GeoVera did not dispute coverage for the water damage, paid Floyd $14,523.51,
Before filing this action, Floyd hired expert plumber William Fetzner and H2O Plumbing Solutions to inspect his plumbing system with a videoscope. (Doc. 22 at 7; Doc. 23 at 6). After reviewing the images from a videoscope performed on May 25, 2018, Fetzner stated that the cast-iron pipes comprising the drain lines of Floyd's plumbing system were "in need of replacement" and "appear[ed] deteriorated . . . with likely open areas in the bottom of the drain and rough jagged edges on [the] interior." (Doc. 22-15 at 2; Doc. 23-4 ¶ 9). After personally inspecting the plumbing system again on June 19, 2019, Fetzner further concluded that deterioration in the plumbing system caused the toilet overflow at issue. (Doc. 23-4 ¶ 13). Finally, Fetzner opined that the entire plumbing system needs to be torn out and replaced to prevent future overflows and water damage. (Doc. 23-4 ¶ 14).
GeoVera's experts, Jeff Steger and Howard Cummins, inspected the property on February 6, 2019, and May 23, 2019, respectively. (Doc. 22-16 at 94; Doc. 23-7 at 25). They identified two drain lines in the property's plumbing system. (Doc. 22 at 8). According to Steger and Cummins, plant roots had penetrated the kitchen and master bathroom drain line somewhere near the master bathroom. (Doc. 23-7 at 39; Doc. 23-8 at 22-23). Although performed nearly one year apart, the videoscopes from both parties' experts captured images of plant roots that Floyd claims are nearly identical to the ones he pulled out while snaking the line in January 2018. (Doc. 23-1 ¶ 7). Steger echoed Fetzner's observation when he concluded that the plumbing system had been subject to "deterioration . . . over several decades." (Doc. 22-16 at 25). GeoVera's experts agree that portions of Floyd's plumbing system need to be replaced; however, they dispute Fetzner's claim that the entire system needs replacing. (Doc. 22-16 at 25; Doc. 23 at 7; Doc. 23-7 at 41-42).
Three months after GeoVera paid and closed the claim, Floyd filed this breach of contract action to recover from GeoVera (1) what he claims is the full amount owed for the water damage caused by the toilet overflow, and (2) the cost to tear out and repair the portions of his home necessary to access and repair the plumbing system. (Doc. 23 at 5-6).
GeoVera seeks summary judgment on the grounds that (1) the Policy does not cover a loss to the plumbing system itself, (2) repair of the plumbing system was not necessary here, and (3) Floyd cannot prove that there was a direct physical loss to the plumbing system "caused by a covered cause of loss" at the time of the toilet overflow. (Doc. 22 at 2-4).
In response, Floyd argues that the Policy requires GeoVera to pay for the cost to tear out and replace portions of his home necessary to expose the plumbing system for repair because the system is deteriorated, this deterioration caused the January 2018 toilet overflow and resulting water damage, and the plumbing system needs to be repaired or replaced to prevent further damage. (Doc. 23 at 19-20).
This case comes down to (1) whether the Policy covers the cost to tear out and replace portions of an insured's home necessary to access and repair a deteriorated plumbing system that caused covered water damage to the property and, if so, (2) whether Floyd's toilet overflow resulted from a clogged toilet or a deteriorated plumbing system. The first is a question of law while the second is a question of fact. As detailed below, since the Court answers the first question in the affirmative, the second question must be resolved by the jury, precluding summary judgment.
Before addressing the parties' arguments, the Court will determine the Policy's scope of coverage.
Property insurance policies come in two forms: all-risks policies and named-peril policies.
The distinction between all-risks and named-peril policies is important because the burden of proof differs between the two.
GeoVera issued Floyd an all-risks, occurrence-based homeowner's property insurance policy. (Doc. 22-1 at 1). Therefore, to trigger coverage, Floyd merely needed to inform GeoVera of the water damage, which he did on February 27, 2018. (Doc. 22 at 5). At that point, the burden shifted to GeoVera to either assert an exclusion or accept coverage.
"Where the language in an insurance contract is plain and unambiguous, a court must interpret the policy in accordance with the plain meaning so as to give effect to the policy as written." Wash.
Here, the Policy merely requires an analysis of interrelated provisions. Therefore, the Policy is not ambiguous and the Court will interpret it based on its plain meaning.
The Policy's pertinent coverage and exclusion provisions state:
(Doc. 22-1 at 16-17, 49-50).
Distilled to plain English: As an all-risks policy, the Policy covers all damage to Floyd's home unless specifically excluded. Normally, the Policy does not cover damage caused by deterioration. However, under the "Exception To c.(6)," the Policy covers water damage that results from an overflow caused by a home's deteriorated plumbing system unless that damage is excluded elsewhere in the Policy. Once coverage is triggered for water damage under the "Exception To c.(6)," the Policy offers additional coverage for costs related to the deteriorated plumbing system. While the Policy does not cover the cost to repair or replace the deteriorated plumbing system itself, it does cover the cost to tear out and repair portions of the home necessary to access the deteriorated parts of the plumbing system that caused the loss.
Thus, if a deteriorated plumbing system caused the covered water damage to Floyd's home, then the Policy covers the "tear out" costs that Floyd seeks, but only those "tear out" costs necessary to access the portions of the plumbing system that caused the loss.
Now that the Court has determined as a matter of law that coverage exists for "tear out" costs associated with covered water damage caused by a deteriorated plumbing system, the Court turns to the parties' arguments. GeoVera offers several arguments as to why Floyd is not entitled to "tear out" costs.
GeoVera contends that it did not materially breach the Policy because the Policy does not cover repairing or replacing the plumbing system itself. (Doc. 22 at 12). While this is a correct interpretation of the Policy, it is irrelevant to the issues here. Floyd does not seek to have GeoVera pay to repair or replace the deteriorated plumbing system. (Doc. 23 at 15). Rather, he seeks to recover the "tear out" costs necessary to expose the plumbing system for a potential repair, a coverage which is enumerated in the Policy under the "Exception To c.(6)." (
GeoVera also argues that the Policy covers "tear out" costs only when repair to the plumbing system is necessary or, alternatively, that the Policy does not cover "tear out" costs when replacement, rather than repair, is required. (
The Policy states that GeoVera will cover "tear out" costs "whether the [plumbing] system or appliance, or any part or portion of the system or appliance,
If GeoVera is trying to argue that the Policy covers "tear out" costs only when repair to the plumbing system is necessary, a material issue of fact exists on whether the system needs, or can be, repaired. GeoVera argues that a repair is unnecessary because Floyd snaked the line following the January 2018 overflow, obviating the need for further repairs. (Doc. 22 at 15). However, Floyd argues that (1) more overflows occurred after January 2018, (2) GeoVera's expert Cummins agrees that merely snaking a plumbing system does not constitute a repair of the system, and (3) GeoVera's experts Cummins and Steger agree that at least a portion of the plumbing system needs to be replaced. (Doc. 23 at 17; Doc. 23-7 at 41-42; Doc. 23-8 at 65-66).
Further, in asserting the "repair vs. replacement" dichotomy, GeoVera attempts to have it both ways. On one hand, GeoVera argues that a replacement is required here, and that the Policy does not provide "tear out" coverage if a replacement, rather than a repair, is necessary. At the same time, presumably in an effort to keep costs down, GeoVera argues, and its experts state, that only portions of the plumbing system need to be replaced. (
Finally, GeoVera contends that Floyd is not entitled to "tear out" costs because he "cannot establish that there was a direct physical loss to the plumbing [system] caused by a covered cause of loss at the time of the toilet overflow in January 2018 . . . ." (Doc. 22 at 16). Thus, GeoVera interprets its Policy to require a physical loss to the plumbing system before "tear out" coverage is triggered. However, the issue is not whether there was a direct physical loss to the deteriorated plumbing system, but whether there was a direct physical loss to covered property
To support its argument, GeoVera cites several cases in which the "Exception To c.(6)" and "tear out" cost provisions are at issue. (
Here, GeoVera covered a direct physical loss to Floyd's property—the water damage caused by the overflow. Thus, Floyd's entitlement to additional "tear out" costs associated with the water damage hinges on whether the overflow was caused by a deteriorated plumbing system or a simple toilet clog. GeoVera acknowledges that "[t]he undisputed conclusion by the experts is that the Plaintiff's cast-iron pipes on the drain line to the master bathroom are deteriorated," but goes on to argue that the overflow was caused by a clogged toilet. (Doc. 22 at 17). Since Floyd asserts that the deteriorated plumbing system caused the water damage and GeoVera disagrees, (Doc. 23-4 ¶13; Doc. 22 at 17), a genuine dispute of material fact exists, precluding summary judgment.
In sum, the Policy covers the cost to tear out and repair portions of Floyd's home necessary to access and repair the deteriorated plumbing system if that plumbing system caused covered water damage to the home. At this time, summary judgment is inappropriate because the parties dispute (1) whether the toilet overflow was caused by a clog or by deteriorated pipes, (2) the extent to which the plumbing system needs to be repaired, and (3) whether GeoVera paid the original water damage claim in full.
Accordingly, it is hereby
1. Defendant's Motion for Summary Final Judgment (Doc. 22) is
2. No later than
Further, even if these two clauses create an ambiguity, when a policy is considered ambiguous, Florida courts default to
GeoVera also cites a California case which has no precedential value here; however, even if it did, it does not support GeoVera's argument.
The final case that GeoVera cites is not on point because it involved the applicability of a water damage exclusion to damage resulting from a partially empty in-ground swimming pool that had been lifted out of the ground during a tropical storm.