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Admiralty Condominium Associat v. Director Federal Emergency Man, 14-1157 (2014)

Court: Court of Appeals for the Third Circuit Number: 14-1157 Visitors: 12
Filed: Nov. 20, 2014
Latest Update: Mar. 02, 2020
Summary: NOT PRECEDENTIAL UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT _ No. 14-1157 _ ADMIRALTY CONDOMINIUM ASSOCIATION, INC., Appellant v. DIRECTOR, FEDERAL EMERGENCY MANAGEMENT AGENCY, NATIONAL FLOOD INSURANCE PROGRAM _ On Appeal from the United States District Court for the District of New Jersey (D.C. No. 3-12-cv-06881) District Judge: Honorable Joel A. Pisano _ Submitted Under Third Circuit LAR 34.1(a) November 19, 2014 Before: SMITH, HARDIMAN, and BARRY, Circuit Judges. (Filed: November 20
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                                                                   NOT PRECEDENTIAL

                       UNITED STATES COURT OF APPEALS
                            FOR THE THIRD CIRCUIT
                                 ____________

                                       No. 14-1157
                                      ____________

                ADMIRALTY CONDOMINIUM ASSOCIATION, INC.,
                                                    Appellant

                                             v.

           DIRECTOR, FEDERAL EMERGENCY MANAGEMENT AGENCY,
                  NATIONAL FLOOD INSURANCE PROGRAM
                               ____________

                     On Appeal from the United States District Court
                              for the District of New Jersey
                                (D.C. No. 3-12-cv-06881)
                        District Judge: Honorable Joel A. Pisano
                                      ____________

                       Submitted Under Third Circuit LAR 34.1(a)
                                  November 19, 2014

              Before: SMITH, HARDIMAN, and BARRY, Circuit Judges.

                               (Filed: November 20, 2014)
                                      ____________

                                        OPINION*
                                      ____________

HARDIMAN, Circuit Judge.

       Admiralty Condominium Association, Inc. (the Condominium) appeals an order of

the District Court dismissing its complaint for lack of jurisdiction under Federal Rule of

       *
        This disposition is not an opinion of the full court and pursuant to I.O.P. 5.7 does
not constitute binding precedent.
Civil Procedure 12(b)(1). We will affirm.

                                             I

      The Condominium suffered damages when Hurricane Irene struck its property in

Monmouth Beach, New Jersey, on August 28, 2011. Because the property was covered

under a standard flood insurance policy issued by the federal government, the Federal

Emergency Management Agency (FEMA) sent an insurance adjuster to assess the

damages. The adjuster determined that the property sustained $61,221 in losses, but the

Condominium disputed that amount. In response, FEMA sent an engineer to inspect the

property, who concluded that the additional damages claimed by the Condominium were

neither covered by the standard policy nor caused by Hurricane Irene.

      In an attempt to protect its rights but still unaware of the exact scope of its claim,

the Condominium filed a proof of loss form with FEMA on November 22, 2011,

claiming the policy limit of $40.2 million.1 The Condominium also submitted to FEMA

on January 5, 2012, a report estimating damages of $2.2 million and a second, untimely

proof of loss on February 29, 2012, that claimed the undisputed sum of $61,221 and

advised that additional amounts would be claimed later. By letter dated March 22, 2012,

FEMA rejected the Condominium’s November proof of loss for failure to provide “any

documentation to support paying the requested amount of $40,200,000,” App. 87, but


      1
      Because the havoc wreaked by Irene impeded access to the affected areas,
FEMA extended the deadline for submitting a proof of loss from October 27, 2011, to
November 26. On November 22, it extended the deadline further to January 25, 2012.

                                             2
accepted the February proof of loss and paid the Condominium $62,148. Unsatisfied

with FEMA’s decision, the Condominium filed an administrative appeal, arguing that the

uncompensated damages it suffered were covered by its federal insurance policy. FEMA

disagreed and denied the claim without mentioning the validity of the November 2011

proof of loss. After exhausting its administrative remedies, the Condominium sued the

Director of FEMA in the District Court. FEMA filed a motion to dismiss under Rule

12(b)(1), arguing that the Condominium’s failure to comply with the proof of loss

requirement in claiming additional damages deprived the Court of subject matter

jurisdiction. The District Court agreed, holding that the federal government’s waiver of

sovereign immunity in suits to collect insurance proceeds from the federal flood

insurance program is conditioned upon strict compliance with FEMA regulations. The

Condominium filed this appeal.

                                            II2

       The Condominium tacitly admits that it never filed a proof of loss form that

complied with federal regulations. Its November 2011 proof of loss was a placeholder

submitted to preserve its claim, and its January 2012 submission neither was sworn nor

included all the information required by federal regulations. Nevertheless, the

Condominium argues that its substantial compliance with the regulations suffices in the

       2
         We have jurisdiction to review the District Court’s dismissal of the action for
want of subject matter jurisdiction under 28 U.S.C. § 1291. CNA v. United States, 
535 F.3d 132
, 139 (3d Cir. 2008). We review findings of fact related to jurisdiction for clear
error, 
id., but our
review is otherwise plenary, Batchelor v. Rose Tree Media Sch. Dist.,
759 F.3d 266
, 271 (3d Cir. 2014).
                                              3
absence of a valid proof of loss. We disagree and hold that strict compliance with the

regulations is a necessary condition for waiver of sovereign immunity in this context. See

Rock Island, Ark. & La. R.R. Co. v. United States, 
254 U.S. 141
, 143 (1920) (Holmes, J.)

(“Men must turn square corners when they deal with the Government. If it attaches even

purely formal conditions to its consent to be sued those conditions must be complied

with.”).

                                              A

       If the federal government has not waived its sovereign immunity with respect to a

given claim, the court in which the claim is filed lacks jurisdiction and must dismiss the

suit. United States v. Sherwood, 
312 U.S. 584
, 586 (1941). Even when the government

has seen fit to waive immunity, the waiver is “strictly construed” in the government’s

favor. Lane v. Pena, 
518 U.S. 187
, 192 (1996). And while it is true that the flood

insurance program includes a waiver of sovereign immunity, see 42 U.S.C. § 4072, the

Condominium’s policy came with the proviso that the policyholder “may not sue

[FEMA] to recover money under this policy unless [the policyholder] has complied with

all the requirements of the policy,” 44 C.F.R. pt. 61, app. A(3), art. VIII(R).

       In the District Court, the Condominium made no effort to prove that it complied

with the requirement that it submit a signed, sworn, complete, and timely proof of loss for

any claims exceeding the $62,148 already paid by FEMA. See 
id. art. VIII(J).
This failure

is unsurprising because the record shows that the Condominium’s November submission

was “incomplete,” and its January submission merely “supplement[ed]” the earlier filing,
                                              4
was not sworn, and did not provide all the information required by FEMA regulations.

Condominium Br. 29.

       The Condominium argues that its “substantial compliance” with federal

regulations entitles it to a remand. But this argument runs headlong into two obstacles:

the canon that waivers of sovereign immunity are strictly construed and the rule that

exacting compliance with the terms of a federal insurance program is a prerequisite to

recovery of insurance proceeds from public coffers. See Fed. Crop Ins. Corp. v. Merrill,

332 U.S. 380
, 385 (1947). As two of our sister courts have held in cases like this one,

substantial compliance is no cure for a failure to strictly follow the rules. See Mancini v.

Redland Ins. Co., 
248 F.3d 729
, 733 (8th Cir. 2001) (strict compliance with the proof of

loss requirement is necessary to effect the flood program’s waiver of sovereign

immunity); Wagner v. Dir., FEMA, 
847 F.2d 515
, 518 (9th Cir. 1988) (same); see also

Suopys v. Omaha Prop. & Cas., 
404 F.3d 805
, 810 (3d Cir. 2005) (joining seven other

circuits in holding that “strict adherence to [FEMA] proof of loss provisions . . . is a

prerequisite to recovery”). In sum, the Condominium’s undisputed failure to strictly obey

the proof of loss regulations dooms its claim, substantial compliance notwithstanding.

                                              B

       The Condominium’s other arguments fare no better. It claims, for example, that

the District Court’s dismissal of its equitable estoppel argument was improper because

FEMA had repeatedly tolerated incomplete filings in the past and had given the

Condominium no reason to expect that it would suddenly require strict compliance. There
                                              5
are two problems with this claim. First, equitable estoppel claims against the government

are disfavored. See, e.g., Sanz v. U.S. Sec. Ins. Co., 
328 F.3d 1314
, 1320 (11th Cir. 2003).

More fundamentally, such claims require “some ‘affirmative misconduct on the part of

the government officials,’” Fredericks v. Comm’r, 
126 F.3d 433
, 438 (3d Cir. 1997)

(quoting United States v. Asmar, 
827 F.2d 907
, 911 n.4 (3d Cir. 1987)). The instances of

affirmative misconduct posited by the Condominium—FEMA’s past acceptance of

incomplete filings similar to the November 2011 proof of loss, its failure to process or

respond to the January submission, and its assertion of the proof of loss requirement as a

technical defense—are at best allegations of “mere negligence,” not the affirmative

misconduct required to equitably estop the government. Morgan v. Heckler, 
779 F.2d 544
, 545 (9th Cir. 1985) (Kennedy, J.).

       The Condominium’s reliance on the implied duty of good faith and fair dealing is

similarly misplaced. First, for the same reasons it does not claim affirmative misconduct,

the Condominium does not allege the requisite “facts constituting a specific intent to

injure [it] on the part of a government official.” Pratt v. United States, 
50 Fed. Cl. 469
,

479 (2001) (citing Tex. Instruments, Inc. v. United States, 
991 F.2d 760
, 768 (Fed. Cir.

1993)). Second, because the implied duty of good faith and fair dealing does not prevent

the government from exercising its rights under the express terms of a contract, it could

not be liable for enforcing the Condominium’s obligations under the policy. See Century

Exploration New Orleans, LLC v. United States, 
745 F.3d 1168
, 1179 (Fed. Cir. 2014).

       Finally, we reject the Condominium’s argument that the District Court erred by
                                              6
considering factual evidence outside the pleadings and failing to apply the summary

judgment standard. Subject matter jurisdiction may be raised in a motion to dismiss even

when the existence of jurisdiction implicates a factual question like whether the

Condominium strictly complied with federal regulations. See CNA v. United States, 
535 F.3d 132
, 140 (3d Cir. 2008). And when a defendant makes a factual attack on

jurisdiction, the district court is “permitted to make factual findings, beyond the

pleadings, that [are] decisive to determining jurisdiction.” 
Id. at 145.
Here, FEMA

questioned the District Court’s jurisdiction, arguing that the Condominium failed to

submit a valid proof of loss. The Condominium had a full and fair opportunity to litigate

this issue, and the District Court correctly found that the Condominium did not comply

with the proof of loss requirement. This fact deprived the District Court of subject matter

jurisdiction, so it did not err when it dismissed the complaint pursuant to Rule 12(b)(1).

                                             III

       Even if we assume that FEMA’s resort to rigid enforcement of its regulations was

disingenuous, this case is controlled by the rule that participants in federal insurance

programs can expect no indulgence when it comes to procedure. See 
Merrill, 332 U.S. at 386
(“The circumstances of this case tempt one to read the regulation, since it is for us to

read it, with charitable laxity. But not even the temptations of a hard case can elude the

clear meaning of the regulation.”). Accordingly, we will affirm the judgment of the

District Court.


                                              7

Source:  CourtListener

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