MARY L. COOPER, District Judge.
This is an insurance dispute arising out of property damage caused by a vehicle crashing into the home of plaintiff Sharon Scipio and her family. Ms. Scipio was the holder of a homeowner's property and casualty insurance policy with defendants Philadelphia Contributorship Insurance Company and Germantown Insurance Company. Ms. Scipio brought this case seeking damages under that insurance policy, as well as other relief, from her insurers and two adjusters she had hired to assist her with her insurance claim. (Dkt. 29.)
Plaintiff Sharon Scipio is the holder of an insurance policy (the "Policy") with Germantown Insurance Company, a subsidiary of Philadelphia Contributorship Insurance Company ("PCIC") (collectively "Insurance Defendants.") (Dkt. 41 at 1; dkt. 41-2.) The Policy covers a house located at 339 West Hanover Street in Trenton, New Jersey (the "Property"), and was in effect on November 30, 2011. (Dkt. 41-2; 41-3.) The Policy provided coverage for damage to the dwelling of up to $339,000 and additional coverage for Additional Living Expenses ("ALE") of up to $101,700. (
The Policy covered various types of damage to the home, including certain types of mold damage:
(Dkt. 41-3 at 25.)
The Policy also imposes a number of duties on the insured, providing that:
(
The Policy also contains a mechanism for resolving disputes over the amount of loss:
(
This case arises out of property damage caused by a stolen vehicle crashing into the Property on November 30, 2011. The Property suffered substantial damage from the crash. (Dkt. 51-1 at 2.) Within days of the crash, the City of Trenton's Department of Inspections declared the Property unsafe, turned off the gas and electricity, and ordered the Property to remain vacant until necessary repairs were made. (Dkt. 41-6.) Ms. Scipio filed an insurance claim for damages shortly thereafter. (Dkt. 51-1 at 2.) Ms. Scipio retained Action Adjustment Service, Inc. ("Action Adjustment") to advise and assist her in the adjustment process. (Dkt. 41-4.) Action would later estimate the necessary repair costs at $52,347.22. (Dkt. 51-7 at 8.)
In December 2011, the Insurance Defendants retained Puro-Tech, Ltd. ("Puro-Tech") to provide an estimate of the cost to repair the Property. (Dkt. 41 at 2; dkt. 41-5.) Puro-Tech subsequently issued a report (the "Puro-Tech Report") identifying various necessary repairs for an estimated cost of around $20,000. (Dkt. 41-5.) Specifically, the Puro-Tech Report identified $23,390.35 as the replacement cost value; $20,575.23 as the actual cash value; $19,575.23 as the net claim value; and $22,390.395 as the net claim including recoverable depreciation. (Dkt. 41-5 at 12.) The Insurance Defendants issued a check for $19,575.23 (the "net claim" amount in the Puro-Tech Report) to Ms. Scipio on December 29, 2011. (Dkt. 41 at 3.)
Also in December 2011, the Insurance Defendants retained David Daniels, a structural engineer with Paul Zamrowski and Associates, Inc. Mr. Daniels issued a report (the "Daniels Report") identifying damage to the Property and recommending repairs. (Dkt. 41-7.) The Daniels Report concluded that the damage caused by the car crash was limited to the front masonry landing and steps and a portion of a foundation wall, along with additional cosmetic damage. (
In March 2012, Ms. Scipio sought and received an estimate from Trevor Carpentry for the cost of additional repairs beyond those identified in the Puro-Tech Report. Trevor Carpentry estimated the cost of additional repairs to be $9,516.29 bringing the total estimated cost of repairs (combined with the replacement value of $23,390.35 from the Puro-Tech Report) to $32,906.64. (Dkt. 41-11 at 2-3.)
In April 2012, another entity, Flex Builders ("Flex") submitted an estimate of the costs needed to repair the Property (the "Flex Report"). (Dkt. 41-10.) The Insurance Defendants contend that all parties agreed to have Flex provide a new estimate of repair costs after discussing the issue with Citizen, who had been hired by Ms. Scipio to assist her with her claim. (Dkt. 41 at 4.) Ms. Scipio disputes the assertion that she agreed to hire Flex and claims that, in any event, Flex was not hired pursuant to the Policy provisions governing appraisal disputes. (Dkt. 49 at 22.) The Flex Report's estimate of damages was somewhat higher than the estimate in the Puro-Tech Report. Specifically, the Flex Report identified $38,391.22 as the replacement cost value; $34,191.77 as the actual cash value; $33,191.77 as the net claim; and $37,391.22 as the net claim including recoverable depreciation. (Dkt. 41-10 at 11.) The Insurance Defendants contend that they have paid Ms. Scipio a total of $33,191.77 for repairs, in line with the net claim value set out in the Flex report. (Dkt. 41 at 5.)
Ms. Scipio, again unsatisfied with the repair estimates, hired her own evaluators to assess repair costs. Luis Perez of LRP Engineering, Inc. submitted an evaluation (the "LRP Report") on August 14, 2012. (Dkt. 51-12 at 2-6.) The LRP Report stated that certain repairs were undertaken but that additional repairs were needed. (
Ms. Scipio also hired Enterprise Home Remodeling ("Enterprise") and Trevor Carpentry to evaluate the necessary repairs. (
On January 13, 2015, Walter Green of Fleischer Forensics, having been engaged by Ms. Scipio, evaluated the damage to the Property. (Dkt. 51-6.) Mr. Green's report (the "Green Report") contained comments on the earlier-issued Daniels Report and LRP Report. (Dkt. 51-6 at 4-5.) Specifically, the Green Report stated—in contrast to the Daniels Report— that additional evaluation was needed to determine whether the Property had suffered structural damage. (
Ms. Scipio also hired Lubomir Cizmar, a contractor, to assess the damage to the Property. Mr. Cizmar submitted an affidavit with additional estimates of repair costs totaling more than $40,000. (Dkt. 51-13 at 12-15.)
Ms. Scipio also collected Additional Living Expenses ("ALE") reimbursement from the Insurance Defendants. An email between PCIC and Citizen (hired by Ms. Scipio to assist her with her claim) explains that PCIC did not provide ALE damages from February to May 2012 based on Ms. Scipio's alleged failure to cooperate and begin needed repairs. (Dkt. 41-12.)
The Insurance Defendants claim they have disbursed a total of $38,990.25 in ALE to Ms. Scipio. (Dkt. 41 at 6.) They also claim they have disbursed a total of $67,382.02 in ALE and structural repair costs. (
The Insurance Defendants contend that summary judgment should be granted in their favor for three reasons. First, they argue that they have already paid Ms. Scipio for the damages sustained to the property and that any further payment would be a prohibited "double recovery" under the Policy. (Dkt. 41 at 19-21.) They stress that the $33,191.77 they have already disbursed to Ms. Scipio for repair costs covers all of the repairs that needed to be done, including those identified by Ms. Scipio's experts. (
Ms. Scipio responds with a number of counter-arguments. First, she alleges that there are significant factual disputes over the extent of damage and associated repair costs. (Dkt. 49-1 at 8-12.) In particular, she highlights various estimates (i.e., the Green Report, the LRP Report, and Trevor Carpentry estimate) that she claims are at odds with the estimates provided by the Insurance Defendants' contractors. (
Rule 56 provides that summary judgment is proper "if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed.R.Civ.P. 56(a). The non-movant must then present evidence that raises a genuine dispute of material fact.
We conclude that there are genuine disputes of material fact that preclude us from granting summary judgment in favor of the Insurance Defendants. Regarding the Insurance Defendants' argument that they have already reimbursed Ms. Scipio for her losses under the Policy, we find that there are outstanding questions of material fact as to whether Ms. Scipio is entitled to additional funds. The accuracy and reliability of the various repair estimates is a question of fact rather than a question of law to be decided at summary judgment. Ms. Scipio has submitted estimates from several contractors—including Trevor Carpentry, Gigantic, the LRP Report, and the Green Report—that at least raise the question of whether Ms. Scipio is entitled to collect additional funds under the Policy.
In the same vein, we find that there are open disputes of material fact as to whether Ms. Scipio is entitled to additional ALE funds. The Insurance Defendants maintain that Ms. Scipio may not collect additional ALE funds because "there are no expert reports . . . that would support a position that Defendants acted unreasonably in ceasing ALE payments to Plaintiff because repair work . . . to this day, have still not yet been completed. . . ." (Dkt. 53 at 2.) It is not obvious, however, why a claim for additional ALE funds would require expert reports or why alleged delays in performing repairs would necessarily have terminated ALE payments on a particular date.
The Insurance Defendants' second argument is that Ms. Scipio did not meet her obligations under the "cooperation clause" of the Policy and therefore should be denied additional funds. As noted above, Ms. Scipio had contractual obligations under the Policy to cooperate with the Insurance Defendants in the adjustment and evaluation of her claim. Although we acknowledge that there is some evidence that Ms. Scipio may have taken some actions that delayed assessing and/or undertaking the necessary repairs to the Property, her sworn affidavit maintains that the delays were caused by the Insurance Defendants and the third party claims adjusters that have also been named as defendants in this suit. Consequently, there are also factual disputes here that cannot be resolved at summary judgment, particularly where, as here, "[t]he evidence of the non-movant is to be believed, and all justifiable inferences are to be drawn in [her] favor."
For similar reasons, we decline to grant summary judgment on the grounds that Ms. Scipio acted with "unclean hands," as that defense turns on factual questions of whether Ms. Scipio unduly delayed assessing or repairing damage to the Property. Although the Insurance Defendants note that some of Ms. Scipio's statements regarding delays on conducting the repairs may be "admissions" from which they can attempt to build an unclean hands defense (dkt. 53 at 3), the question of whether Ms. Scipio acted unreasonably under the circumstances remains a question for the finder of fact.
For the reasons discussed above, we deny the Insurance Defendant's Motion for Summary Judgment (dkt. 41) with prejudice. The Court will issue an appropriate order.