BEATTY, Magistrate Judge:
Pending before the Court are the following motions: Plaintiff Abbey Ridge LLC's ("Plaintiff") motion for summary judgment (Doc. 26), Defendant Addison Insurance Company's ("Defendant") motion for summary judgment (Doc. 27), Defendant's motion to strike (Doc. 31), and Plaintiff's motion in limine (Doc. 39). Both parties filed a response in opposition to the motions for summary judgment (Docs. 30 and 33). Defendant filed a reply brief to Plaintiff's response in opposition (Doc. 51). Plaintiff filed a response to the motion to strike (Doc. 36). After the pending motions were fully briefed by the parties, the Court heard oral arguments on the motions on April 4, 2019, and each of the motions were taken under advisement.
For the reasons set forth below, Plaintiff's motion for summary judgment is
Plaintiff is a brewery and restaurant located in the Shawnee National Forest. Defendant insured Plaintiff's establishment through a commercial property policy of insurance (Policy number: 6041008) ("the Policy") that insured against direct physical loss to both real and personal property (Doc. 27-1). Sometime prior to May 2016, Plaintiff, acting through its managers, decided to expand its commercial footprint (Doc. 28). Terri Addison, Plaintiff's principal, elected to expand by constructing a new reception hall/event center that would serve as overflow for its bar and restaurant (Doc. 26-3, p. 5-6). On May 13, 2016, Jon Jackman of Consolidated Insurance Agency, Inc. emailed Michael Meisheid, Defendant's representative, by stating, in part, "[Plaintiff] is building on to their existing structure. I will get limits needed to you." (Doc. 28. p. 2). Mr. Jackman then emailed his colleague, Betty Wilson, on June 27 informing her, in part, that "[w]e need to initiate the builder's risk for [Plaintiff's] addition." (Id.). The new building/addition abutted Plaintiff's existing building with roof purlins physically attached to the existing building for aesthetics (Doc. 26-4, p. 16). The new building/addition had separate and stand-alone load bearing walls, truss system, electric, plumbing, and HVAC systems, along with its own restrooms, bar, kitchen, and exterior doorways (Doc. 26-5, p. 2-3). It also was constructed with the same height, shape, and materials as the original building (Doc. 26-5). The surface area of the new building/addition was 2,570.48 sq. ft; the surface area of the existing building was 3,221.10 sq. ft. (Id.).
Prior to October 2016, contractors began site preparation and concrete work necessary to erect the new building/addition
On December 9, 2016, Defendant commenced insuring Plaintiff under a second policy of insurance, being an inland marine policy, that provided in part, Builder's Risk coverage for the new building/addition during construction (Doc. 26-2). As of February 1, 2017, construction of Plaintiff's new building/addition was not done, as the interior finish work had not been completed (Doc 26-3, p. 8). That night, the fire loss occurred which resulted in a total loss of the existing building, the new building/addition, and the contents within both areas.
Plaintiff submitted a fire claim to Defendant, which it accepted, in part, but rejected coverage under the NACP provisions of the Policy. Specifically, Plaintiff presented a claim for damages sustained to the new building/addition in the amount of $360,948.07. Defendant paid Plaintiff $150,000 under the Builder's Risk coverage part of the inland marine policy, which left $210,948.07 in unpaid damages to the new building/addition. Plaintiff also submitted a claim for what it believed to be its newly-acquired personal property lost in the fire, which totaled $307,064.79. In a June 14, 2017 letter, Defendant denied coverage for the newly acquired business personal property in its entirety because "the renovation being added to the existing building would not apply to that coverage. The `Newly Acquired or Constructed Property' only applies to the construction not previously in existence." (Doc. 26-6, p. 1). The Ultra Property Plus endorsement, CP 7088, and more specifically the newly acquired or constructed property coverage extension increases the building coverage and business personal property limits to $500,000 and $250,000 respectively (Id.).
In a June 16 letter, Southern Illinois Public Adjusters ("SIPA"), on behalf of Plaintiff, challenged Defendant's coverage position by stating, in part, "the structure being built at the time of a fire was an entirely new building which was to be adjoined an existing building. The insured was not `renovating' any structure. The building being constructed was at all times new construction...." (Doc. 26-7, p. 1-3). Additionally, the letter stated that "your company has already concluded that the insured was constructing a new building as it paid the coverage limit under the insured's Builders' Risk policy. As you are certainly aware, the Builders' Risk and Installation Coverage For, CM 70 50 02 16, only provides coverage for new construction and does not provide coverage for renovations outside of a (sic) pre-existing buildings." (Id. at p. 3). SIPA further contends in the letter that "in order for your" company to have determined that the work being performed was new construction and not a `renovation being added to the existing building', as it now contends." (Id.). Defendant argues Plaintiff's new building/addition is not covered under the building and personal property coverage form because coverage exists under the builders' risk policy (Id. at p. 4). The relevant policy provision provides, in part, "Covered Property does not include: k. [p]roperty that is covered under another coverage form of this or any other policy in which it is more specifically described, except for the excess of the amount due (whether you can collect on it or not) from that other insurance." (Id.).
(Id.).
Because both parties dispute what the Policy at issue provides, Plaintiff filed this lawsuit seeking declaratory relief (Count I), money damages (Count II), and statutory damages under Section 155 of the Illinois Insurance Code (Count III).
At the motion hearing regarding Defendant's motion to strike Plaintiff's experts and Plaintiff and Defendant's cross motions for summary judgment, both parties presented oral arguments, and then the Court took all pending motions under advisement.
In short, Plaintiff argues the new building/addition at issue qualifies as a new building as it relates to the Policy, therefore, the NACP provisions provide up to $500,000 in coverage for newly constructed property. Plaintiff further argues the NACP provisions also provide up to $250,000 in coverage for newly-acquired business personal property that was located within the new building/addition at the time of the loss. Conversely, Defendant argues it is entitled to summary judgment because the new building/addition was not a "new building" but rather an addition to Plaintiff's existing building at the described premises, therefore, the NACP does not provide coverage. Defendant further argues that even if the new building/addition qualified as a "new building," the specific policy provisions providing up to $500,000 in coverage for newly constructed property and up to $250,000 for newly acquired business personal property were not in force and effect at the time of the loss, having expired 90 days after commencement of construction of the new building/addition which was prior to the date of the loss. Plaintiff contends the policy provisions were in force and effect at the time of the loss as it relates to parts of the new building/addition constructed within 90 days prior to the loss because the provision at issue provides that coverage terminates "90 days after you acquire the property or begin construction of that part of the building that would qualify as covered property." (Doc. 33) (emphasis in original).
Before addressing the cross motions for summary judgment and the merits of Plaintiff's underlying claims, the Court must first address Defendant's motion to strike Plaintiff's experts (Doc. 31).
On December 21, 2018, Defendant filed a motion to strike "Opinions of Plaintiff's Purported `Experts', Kirk Freels and Dustin Freels" (Id.). Plaintiff then filed a response in opposition to the motion (Doc. 36). In its response, Plaintiff argues Defendant waived this argument regarding the 90-day exclusion because it failed to timely notify Plaintiff of its reliance on the exclusion (Doc. 26, p. 12-13). However, Plaintiff's waiver argument fails pursuant to the doctrine of unclean hands.
Under Illinois law, "the doctrine of unclean hands applies if a party seeking equitable relief is guilty of misconduct, fraud, or bad faith toward the party against whom relief is sought and if that misconduct is connected with the transaction at issue in the litigation." Zahl v. Krupa, 365 Ill.App.3d 653, 658, 302 Ill.Dec. 867, 850 N.E.2d 304, 309 (2006). The unclean hands doctrine bars "only equitable remedies and does not affect legal rights." Id.
Specifically, Plaintiff contends Defendant should be estopped from asserting the 90-day exclusion defense for failing to timely notify Plaintiff of its reliance on it. At first glance, Plaintiff's waiver argument appears tenable. However, a review of the record indicates Plaintiff has unclean hands connected to when Defendant believed it necessary to assert the 90-day exclusion defense. Specifically, Plaintiff alleged in its complaint that "[a]fter Thanksgiving in late November 2016, the plaintiff commenced construction of the new building." (Doc. 1, p. 3). Additionally, Philip Royster, a manager for Plaintiff, testified that work on the new/building addition started "some time after Thanksgiving." (Doc. 26-4). In contrast, Defendant contends photographs depicting a crane erecting the new building/addition initially provided by Plaintiff did not contain a date stamp. It was only
Because Defendant has not waived its motion to strike, the Court must now address the merits of it. Defendant argues the Court should strike Plaintiff's experts for two reasons: (1) the experts' valuations are not ripe for determination; and, (2) the valuations are not admissible under Federal Rule of Evidence 702 and Daubert.
Defendant contends Plaintiff's experts' valuations are not ripe for two reasons: (1) Defendant did not have time to evaluate the experts' valuation calculation and (2) Plaintiff did not object to Defendant's contention that the experts' deposition be limited in scope to only include the issue of valuation if overall coverage was found to exist.
On November 1, two weeks before Plaintiff's valuation experts, Dustin and Kirk Freels ("the Freels") scheduled deposition and pursuant to the parties' stipulation, Plaintiff filed its expert disclosures, either on the subject of damages or liability. The Freels' disclosure indicated they would render an opinion that the value of that part of the addition was constructed after November 3, 2016, i.e. within 90 days of the date of loss, was $189,598 which should be adjusted for inflation to $191,000. Defendant first argues the valuation is not ripe because it did not have time to evaluate the calculation. However,
First, Defendant received Plaintiff's expert disclosures two weeks prior to the Freels' scheduled deposition. If Defendant took issue with the Freels' proposed opinion because it contends "this new theory of the case was disclosed on the same day the ADDISON'S disclosure of expert witnesses was due, thereby providing no opportunity to ADDISON to evaluate the new damage calculation or to adequately prepare prior to the depositions of the experts or the deadline to file dispositive motions" then Defendant could have requested the deposition be reset. (Doc. 32, p. 2) (emphasis added). Defendant's contention it had no opportunity to address the Freels' proposed opinions is not accurate because the record indicates Defendant had two weeks to request rescheduling of the Freels' deposition. If moving the deposition conflicted with the dispositive motion deadline then Defendant could have filed a motion to continue the deadlines for discovery and dispositives. However, Defendant chose to do neither. Accordingly, Defendant's contention that the valuation is not ripe is unavailing.
Defendant's argument as to scope fares no better. Defendant contends it conferred with Plaintiff to request the scope of the Freel's deposition be:
Id. at 2-3.
In contrast, Plaintiff contends the parties did not put "any limitations" on the scope of the Freels' depositions. Clearly there was confusion among the parties regarding the scope. While there is nothing in the record to corroborate either party's specific contention, the Court finds Plaintiff's contention more plausible because it coincides with the Freels' opinion concerning the value of loss contained within their expert disclosures. It is perplexing to think Plaintiff hired an expert to render an opinion, the Freels' submitted a disclosure that included a valuation opinion, yet Plaintiff agreed to limit the Freels' deposition to address the issue of valuation only if the requested coverage is found to exist. We are here today because the main issue in this case is whether coverage existed at the time of loss. Why would Plaintiff hire experts to render a valuation opinion but then agree those opinions are beyond the scope of their experts' depositions unless coverage is found to exist? Therefore, the second argument is not convincing. The Court must now turn to Defendant's second argument related to its motion to strike.
The Court finds the Freels' valuation opinions admissible under Federal Rule of Evidence 702 and Daubert. Defendant argues the Freels' valuation opinions, and the methodology employed to arrive at those values, is without basis and, therefore, the opinions should be stricken pursuant to Rule 702.
The admissibility of expert testimony is governed by Rule 702 and the Supreme Court's opinion in Daubert v. Merrell Dow Pharms., Inc., 509 U.S. 579, 113 S.Ct. 2786, 125 L.Ed.2d 469 (1993). See
Lees v. Carthage Coll., 714 F.3d 516, 521-22 (7th Cir. 2013) (citing FED. R. EVID. 702 and Smith v. Ford Motor Co., 215 F.3d 713, 717-19 (7th Cir. 2000)). The party offering the expert testimony bears the burden of establishing that it meets these admissibility requirements. Brown v. Burlington N. Santa Fe Ry. Co., 765 F.3d 765, 772 (7th Cir. 2014); Lewis v. CITGO Petroleum Corp., 561 F.3d 698, 705 (7th Cir. 2009).
Defendant does not challenge the Freels' qualifications or the relevance of their opinions. Instead, Defendant focuses on the
Here, Defendant takes issue will the Freels' reliability because they "bas[e] their estimate of the value of the completed addition as of November 3, 2018 solely upon four photographs which are made part of the Freels' report." (See Doc. 36-3). Plaintiff argues the Freels' value calculations are competent evidence making Daubert inapplicable. Neither party provides the Court with any guiding precedent regarding adjusters using photographs to determine the value of insured property subject
There are five issues to consider when addressing the party's cross motions for summary judgment: (1) whether the new building/addition qualifies as a new building for purposes of coverage; (2) whether the Policy provides excess coverage for amounts not covered by other insurance; (3) whether coverage under the NACP provisions terminated 90 days after commencement of construction of the new building/addition; (4) whether parts of the new building/addition constructed within 90 days of the loss are covered under the NACP provisions; and, (5) if the NACP provisions were in force and effect, whether that policy provides coverage for Plaintiff's business personal property contained within parts of the new building/addition.
The standard applied to summary judgment motions under Federal Rule of Civil Procedure 56 is well-settled and has been succinctly stated as follows:
Albiero v. City of Kankakee, 246 F.3d 927, 931-32 (7th Cir. 2001) (citations and quotations omitted). No issue remains for trial "unless there is sufficient evidence favoring the non-moving party for a jury to return a verdict for that party. If the evidence is merely colorable, or is not sufficiently probative, summary judgment may be granted." Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 249-50, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986) (citations omitted).
As this is a diversity action, Illinois substantive law applies. Erie R. Co. v. Tompkins, 304 U.S. 64, 58 S.Ct. 817, 82 S.Ct. 1188
Terms employed in the policy which are not specifically defined will be given their plain, ordinary, and popular meanings. Valley Forge Ins. Co. v. Swiderski Elecs., Inc., 223 Ill.2d 352, 307 Ill.Dec. 653, 860 N.E.2d 307 (2006). An insured is deemed to have read, and from that reading to understand the terms of the insurance policy which they purchased. Am. Family Mut. Ins. Co. v. Krop, 2018 IL 122556, ¶ 22, 427 Ill.Dec. 915, 120 N.E.3d 982, reh'g denied (Nov. 26, 2018). Additionally, a policy must "be construed in conjunction with endorsements in order to determine the meaning and effect of the insurance contract." Pekin Ins. Co. v. Recurrent Training Ctr., Inc., 409 Ill.App.3d 114, 350 Ill.Dec. 388, 948 N.E.2d 668, 673 (2011) (citing Vole v. Atlanta International Insurance Co., 172 Ill.App.3d 480, 122 Dec. 394, 526 N.E.2d 653 (1988)). However, if the "provisions of a policy and an attached endorsement conflict, the terms and conditions of the endorsement control and supersede the conflicting policy provisions." Id. (citing Tribune Co. v. Allstate Insurance Co., 306 Ill.App.3d 779, 239 Ill.Dec. 818, 715 N.E.2d 263 (1999)).
An insured must show a claim is within the coverage provided by a policy to recover under the policy. Waste Mgmt., Inc. v. Int'l Surplus Lines Ins. Co., 144 Ill.2d 178, 161 Ill.Dec. 774, 579 N.E.2d 322, 333 (1991). "Once the insured has demonstrated coverage, the burden then shifts to the insurer to prove that a limitation or exclusion applies." Addison Ins. Co. v. Fay, 232 Ill.2d 446, 328 Ill.Dec. 858, 905 N.E.2d 747, 752 (2009). With all the above in mind, the Court first considers whether the new building/addition qualified as a new building for purposes of coverage under the Policy.
The Court finds the new building/addition qualifies as a "newly constructed or acquired building" for purposes of coverage under the Policy. As previously outlined, under Illinois law, if the words "used in the insurance policy are reasonably susceptible to more than one meaning, they are considered ambiguous and will be construed strictly against the insurer who drafted the policy. This is especially true with respect to provisions that limit or exclude coverage." Rich, 314 Ill.Dec. 795, 875 N.E.2d at 1090 (citations omitted). "A court will consider only reasonable interpretations
Here, the Court finds both parties present reasonable interpretations of the Policy language. The relevant provision at issue provides, in part:
(Doc. 26-8, p. 2) (emphasis added). Plaintiff argues the new building qualifies as such because it had separate and stand-alone load bearing walls, truss system, electric, plumbing, and HVAC systems, along with its own restrooms, bar, kitchen, and exterior doorways. It also was constructed with the same height, shape, and materials as the original building. Meanwhile, Defendant contends the new building was actually an addition to Plaintiff's existing structure, therefore, the Policy does not provide coverage. Defendant argues the new building is an addition because "[t]he addition to the main building, despite containing `all the components of a stand-alone structure,' was in fact not a stand-alone structure. It was connected to, and depended on, the exterior wall of the existing main building; it was an addition to the main structure." (Doc. 26-8, p. 1).
The Court agrees with Plaintiff's contentions and analysis as to why this is a new building rather than an addition. Defendant focused on, among other things, the fact that the new building abutted the existing structure with roof purlins physically attached to the existing building. However, Plaintiff correctly contends (and Defendant fails to dispute) that the roof purlins were for aesthetics only and did not provide any structural support for the new building. Because the provision at issue is written to limit Defendant's coverage commitments and because both parties present reasonable interpretations making the provisional language ambiguous, the Court must construe it against Defendant and in favor of Plaintiff. As such, the new building qualifies as a "newly constructed or acquired building" for purposes of coverage under the Policy. The Court will next address the issue of whether the Policy provides excess coverage for amounts not covered by other insurance.
The $210,948.07, as excess, is covered under the NACP provisions under the Ultra Property Plus endorsement. The issue is whether the $210,948.07 in excess not covered by the builders' risk policy is covered under the NACP provisions under the Ultra Property Plus endorsement. Illinois courts will apply the policy as written if the language is unambiguous. Hobbs, 291 Ill.Dec. 269, 823 N.E.2d at 564. Here, the relevant policy provision provides:
Covered Property does not include:
(Doc. 26-7, p. 4) (emphasis added).
Defendant contends Plaintiff's new building is not covered under the NACP provisions because coverage exists under the builders' risk policy. Defendant reasons that because it paid Plaintiff the new
Because both parties present reasonable interpretations of the "90-day" window language and that language is written to limit Defendant's coverage commitments, the language must be construed against Defendant. Defendant argues the NACP provisions were not in effect at the time of loss because the loss occurred more than 90 days after commencement of the new building. Defendant reasons the 90-day limitation is reasonable because the NACP provisions act as stop-gap insurance for the new building until the insured purchases permanent insurance for the covered property. Plaintiff argues the NACP provisions were in effect at the time of loss to cover parts of the new building constructed within 90 days of the loss. The relevant policy provides that coverage for the new building terminates "90 days after you acquire the property or begin construction of that part of the building that would qualify as covered property." (Emphasis added). Neither party provided the Court with guiding precedent regarding cases involving NACP provisions.
Here, the Policy at issue is easily distinguishable from the policy in S. Kornreich & Sons, Inc. because the plain language of
The issue now becomes whether the business personal property extension provides an additional $250,000 of coverage for Plaintiff's business personal property contained within the new building at the time of loss. Similar to the previous analysis, Plaintiff presents a reasonable interpretation of business personal property coverage extension, however, Defendant failed to rebut that interpretation. Because the coverage extension language is written to limit Defendant's coverage commitments and Plaintiff presented a reasonable interpretation of how the extension applies to Plaintiff's newly acquired business personal property, the language must be construed against Defendant.
The relevant newly acquired business personal property coverage extension provides:
5. Coverage Extensions
(Doc. 26-6, p. 1)
Plaintiff argues that "[b]y virtue of the property plus endorsement, this newly acquired personal property coverage extension provides an additional $250,000.00 of business personal property coverage." (Id.). Defendant argues Plaintiff's newly acquired business personal property does not fall within the scope of coverage because Plaintiff was not constructing a "new building" under the terms of the Policy. As previously determined, Plaintiff's property subject to loss qualifies as a new building under the terms of the Policy. Additionally, Defendant does not directly dispute Plaintiff's claimed business personal property does not fall within the scope of the coverage extension. Rather, Defendant argues again that the NACP provisions were not in force and effect at the time of loss. However, as previously determined, said provisions were in effect at the time of loss. Further, Defendant does not dispute Plaintiff's lost property damage calculation
The final issue the Court must address is whether Plaintiff is entitled to damages under Section 155 of the Illinois Insurance Code. The narrow question is whether an insurer's conduct is "vexatious and unreasonable." 215 ILCS 5/155. Here, Defendant's conduct does not warrant damages under Section 155.
Illinois courts have established a totality of the circumstances test to determine whether an insurer's conduct was "vexatious and unreasonable" by setting out a number of factors. Golden Rule Ins. Co. v. Schwartz, 203 Ill.2d 456, 272 Ill.Dec. 176, 786 N.E.2d 1010 (2003). These factors include: (1) Knowingly misrepresenting relevant facts or policy provisions; (2) Settling a claim for less than it is worth; (3) Forcing an insured to litigate to obtain his or her benefits; (4) Failing to properly investigate a claim or basing a denial on improper investigative grounds; (5) The attitude of the insurer; and, (6) Whether the insured was deprived of use of its property for any length of time. Whether an insurer's conduct is vexatious and unreasonable is a matter committed to the trial court's discretion. McGee v. State Farm Fire & Cas. Co., 315 Ill.App.3d 673, 681, 248 Ill.Dec. 436, 734 N.E.2d 144 (2000).
Here, a review of the totality of the circumstances shows Defendant's conduct does not warrant damages under Section 155. First, Defendant provided reasonable interpretations of the Policy provisions. Second, a delay in settling a claim does not violate Section 155 if the delay results from a bona fide dispute regarding coverage. Id. at 681, 248 Ill.Dec. 436, 734 N.E.2d 144. There was a clear bona fide dispute as evidenced by both parties' reasonable interpretations of the relevant Policy provisions. Defendant's conduct regarding Plaintiff's claim does not rise to the level "vexatious and unreasonable" when there is a clear bona fide dispute. Therefore, Plaintiff is not entitled to damages under Section 155.
Defendant's motion to strike is denied for the reasons previously stated. Regarding the cross-motions for summary judgment, Plaintiff's property subject to loss qualifies as a
Accordingly, Defendant's motion to strike (Doc. 31) is
Plaintiff's damages are
