ALEXANDER WILLIAMS, JR., District Judge.
Plaintiff Raymond Mendez ("Mendez") filed this case against Nationwide Property and Casualty Insurance Company ("Nationwide") on June 2, 2010, based on Nationwide's refusal to pay Mendez under a homeowner's insurance policy for losses sustained in a fire. Pending before the Court is Nationwide's Motion for Summary Judgment on Mendez's breach of contract claim. Doc. No. 40. The Court has reviewed the parties' briefs and exhibits and concludes that no hearing is necessary. See Loc. R. 105.6 (D.Md.2011). For the reasons articulated below, Defendant's Motion will be DENIED.
The following facts are drawn from the parties' briefs and attached exhibits and are undisputed, unless otherwise noted. On June 3, 2008, Defendant Nationwide issued homeowner's insurance policy No. 5219 HO 888334 (the "Policy") to Plaintiff Raymond Mendez for his property located at 105 Stan Fey Drive in Upper Marlboro, Maryland. Doc. No. 40-4, B00002. The Policy was in effect when a fire engulfed Mendez's home on June 15, 2009. Id.; Doc. No. 2, ¶¶ 5, 9. The Policy included the following disclaimer under the heading "CONCEALMENT OF FRAUD":
Doc. No. 40-4, B00036.
Soon after the fire, Mendez employed his son, Amilcar Mendez ("Amilcar"), to assist him with drafting inventories and placing values on lost or destroyed items, as Amilcar had personal knowledge of the home's contents and the value of the personal property. Mendez and his son were told by Nationwide's agents to list items of identical or similar quality and value as those lost in the fire, and that "time was of the essence" in submitting the claims. Doc. No. 53-3, ¶ 11; Doc. No. 53-5, ¶¶ 2, 6-7. Mendez avers that he was suffering kidney failure and was physically unable to do the inventory by himself given his weakened condition. See Doc. No. 53-3, ¶¶ 18-19. Nationwide disputes this claim, citing Mendez's own affidavit, deposition testimony and responses to interrogatories suggesting that he was in satisfactory physical condition and was preparing part of the inventory himself. See Doc. No. 57, at 6-7. Mendez also avers that at the time the inventories were being prepared, he believed his son's personal property was covered by the Policy. Doc. No. 53-3, ¶ 17.
Within weeks of the fire, Mendez submitted three binders to Nationwide containing images of the personal property he was claiming was lost or destroyed. See Doc. Nos. 40-7 and 40-8; Doc. No. 42, C00039, 150:9-21. Mendez also submitted typed lists to Nationwide containing items of personal property destroyed in the home, the location of the items in the home, the costs of replacing the items, and the retailers from which replacement items could be purchased. Doc. No. 44, E00032-50. Although he received help from his son in preparing these inventories, Mendez acknowledges that he personally reviewed them prior to submitting them to Nationwide. Doc. No. 42, C00039, 150:6-151:13; Doc No. 53-3, ¶ 19. On November 3, 2009, Mendez formally filed a claim under the Policy for $1,299,000.00 based on losses sustained in the fire. Doc. No. 44, E00001. At some point after he submitted the inventories, Mendez sought return of the binders so he could verify their accuracy, but Nationwide refused access, telling him an investigation was being conducted. Doc. No. 53-3, ¶ 10. Mendez claims that Nationwide cut off all communication with him and his family within two or three weeks of the fire, and effectively ignored him until his November 30, 2009 Examination Under Oath ("EUO"). Id. ¶¶ 14, 16.
Mendez filed suit against Nationwide in the Circuit Court of Prince George's County on June 2, 2010, alleging that Nationwide breached the Policy and acted in bad faith by failing to compensate Mendez for his losses. See Doc. No. 2. Nationwide formally denied Mendez's claims in a letter dated June 11, 2010, informing him that the Policy was void due to the cause of the fire and false statements made by Mendez during the claims process. Doc. No. 40-9, at 5. The case was removed to this Court on August 19, 2010. The Court dismissed Mendez's bad faith claim on December 21, 2010, Doc. No. 11, and granted judgment in favor of Nationwide on Mendez's claims for physical, mental, and credit injuries on September 13, 2011, Doc. No. 23. Only Mendez's breach of contract claim remains.
Nationwide sent Mendez a supplemental denial letter on April 2, 2012, citing Mendez's false claims regarding lost or destroyed artwork, uncut diamonds, and furs as specific grounds for the denial of coverage. Doc. No. 40-10. Nationwide bases its June 28, 2012 Motion for Summary Judgment, Doc. No. 40, on Mendez's false
Summary judgment is only appropriate "if the pleadings, the discovery and disclosure materials on file, and any affidavits show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law." Fed.R.Civ.P. 56(c); see also Celotex Corp. v. Catrett, 477 U.S. 317, 323-25, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). The Court must "draw all justifiable inferences in favor of the nonmoving party, including questions of credibility and of the weight to be accorded to particular evidence." Masson v. New Yorker Magazine, Inc., 501 U.S. 496, 520, 111 S.Ct. 2419, 115 L.Ed.2d 447 (1991) (citing Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 255, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986)). In ruling on a motion for summary judgment, "[c]redibility determinations, the weighing of the evidence, and the drawing of legitimate inferences from the facts are jury functions, not those of a judge...." Okoli v. City of Baltimore, 648 F.3d 216, 231 (4th Cir.2011) (quoting Anderson, 477 U.S. at 255, 106 S.Ct. 2505).
To defeat a motion for summary judgment, the nonmoving party must come forward with affidavits or other similar evidence to show that a genuine issue of material fact exists. See Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986). A disputed fact presents a genuine issue "if, after reviewing the record as a whole ... a reasonable jury could return a verdict for [the non-moving party]." Evans v. Techs. Applications & Serv. Co., 80 F.3d 954, 959 (4th Cir.1996) (citing Anderson, 477 U.S. at 248, 106 S.Ct. 2505). Although the Court should believe the evidence of the nonmoving party and draw all justifiable inferences in his favor, a nonmoving party cannot create a genuine dispute of material fact "through mere speculation or the building of one inference upon another." Beale v. Hardy, 769 F.2d 213, 214 (4th Cir.1985).
The Court will begin by addressing Nationwide's argument that Mendez's and Amilcar's affidavits should be stricken and not considered in the Court's summary judgment ruling because they contain statements that contradict the affiants' prior deposition testimony.
However, application of the sham affidavit rule at the summary judgment stage "must be carefully limited to situations involving flat contradictions of material fact." Mandengue v. ADT Sec. Sys., Inc., No. ELH-09-3103, 2012 WL 892621, at *18 (D.Md. Mar. 14, 2012). The court in Mandengue elaborated on this important limitation of the rule:
Id. (quoting Van Asdale v. Int'l Game Tech., 577 F.3d 989, 998-99 (9th Cir.2009) (alterations omitted) (internal quotation marks omitted)). Although there appear to be some discrepancies between the affidavits and Mendez's and Amilcar's prior testimony, the Court concludes that these inconsistencies are not so clear and unambiguous as to require the striking of the affidavits or portions thereof.
At his deposition, Mendez stated that he owned about 15 pieces of art with an estimated value of $10,000.00, and that by "pieces of art," he was referring to paintings and prints. Doc. No. 42, C00041, 161:11-17. He also stated during his deposition that these numbers would have constituted his best estimates at the time of the fire. Id., C00040, 156:18-157:11. Nationwide seeks to strike Mendez's statement in his affidavit that he and Amilcar, who helped draft the statement and inventory, had different understandings of what was encompassed within the term "artwork." See Doc. No. 53-3, ¶¶ 1-3. Specifically, Mendez avers that Amilcar's letter to Nationwide identified 60 to 65 pieces of artwork because Amilcar did not differentiate between photographs, posters, prints, and paintings. Id. ¶¶ 1-2. The Court discerns no clear and unambiguous contradiction between this averment and Mendez's prior deposition testimony. If anything, Mendez is attempting to explain the discrepancy between the initial claims and his own deposition testimony, but there is no flat contradiction between his prior testimony and affidavit statements. To be sure, Nationwide may find it fruitful to ask Mendez on cross-examination why he submitted a claim for 60 to 65 pieces of "artwork" when he only owned around 15 pieces under his own definition of the term.
During his deposition, Mendez admitted that his claim for $30,000.00 in uncut diamonds was a "mistake" and was "incorrect." Doc. No. 42, C00025, 94:10-21. Mendez also stated during his deposition that he didn't know if the uncut diamonds were "worth anything" and that they could have been worth "close to zero." Id., C00025, 95:1-17. Nationwide seeks to strike Mendez's averment in his affidavit that the claim for $30,000.00 was his and Amilcar's best estimate based on what they thought was fair and honest and what they found on the Internet. See Doc. No. 53-3, ¶¶ 8-9. Again, the Court discerns no flat contradiction between this averment and Mendez's prior deposition testimony. Rather, Mendez appears to be elaborating as to how and why he submitted the claim, but he is not denying in his affidavit that the claim was incorrect or that the diamonds could have had minimal value. Furthermore, as will be discussed in greater detail below, Mendez's affidavit is largely consistent with other portions of his deposition testimony in which he attempted to explain the $30,000.00 figure. See infra Part III.C.2. Again, Nationwide may find it fruitful to explore Mendez's methodology and state of mind in submitting this claim on cross-examination, but the Court will not invoke the sham affidavit rule to strike this portion of Mendez's affidavit.
Nationwide also seeks to strike the following averments from Amilcar's affidavit:
Doc. No. 53-5, ¶¶ 8-9. In his deposition testimony, Amilcar stated that he did not know what the coat in question was made of. Doc. No. 57-17, 31:18-19. This testimony does not flatly contradict Amilcar's acknowledgement in the affidavit that he mistakenly and inadvertently listed the raccoon coat in the inventories. Nationwide also points out that Amilcar testified at his deposition that did not know how many furs his father owned, that he never asked his father, but that he thought he owned three. Doc. No. 57-17, 86:10-20. Again, the Court discerns no clear and unambiguous contradiction between this testimony and Amilcar's averments that the inaccurate submission was mistakenly and inadvertently made.
The Policy in this case provided, in relevant part, that Nationwide would not provide coverage if Mendez "(1) Intentionally concealed or misrepresented any material fact or circumstance; or (2) committed any fraud or made false statements relating to [a] loss." Doc. No. 40-4, B00036. To void the Policy, it must be established that Mendez engaged in "false swearing" when he submitted his claims to Nationwide:
U.S. Fire Ins. Co. v. Merrick, 171 Md. 476, 190 A. 335, 342 (1937); see also Great Sw. Fire Ins. Co. v. S.M.A., Inc., 59 Md.App. 136, 474 A.2d 950, 954-55 (1984). "[T]he intent to defraud is not to be presumed and ... all reasonable allowance [shall be made] for lack of knowledge, or sound judgment, or for honest mistake on the part of the insured." Great Sw., 474 A.2d at 955 (quoting Tru-Fit Clothes, Inc. v. Underwriters at Lloyd's London, 151 F.Supp. 136, 139 (D.Md.1957)).
Nationwide argues, in the alternative, that under the plain terms of the Policy, it is entitled to summary judgment if it shows that Mendez (1) made false statements related to his loss and (2) the statements were material.
Applying Maryland law, the Simms court noted that in isolation, the term "false statements" does not inherently indicate intent to deceive. Id. However, both "false statements" and "false swearing" specify "an untrue utterance," and the only difference between the phrases — that "false swearing" occurs under oath, while there is no such requirement for "false statements" — is of no consequence in the context of an insurance contract. See id. at 601 n. 5. The court explained:
Simms, 137 Fed.Appx. at 601 (footnotes omitted). The court concluded that the important similarity between "fraud," "intentional misrepresentation," and "false statements" is "the scienter requirement, and scienter must be proven by clear and convincing evidence." Id. at 601.
Accordingly, Nationwide is required to establish that there is no genuine issue of material fact that Mendez submitted false statements in support of his claim for coverage knowing that the statements were false or having no reasonable grounds for believing them to be true and that he did so with the purpose of defrauding Nationwide.
Although it is undisputed that Mendez made false statements regarding his losses, there remain genuine issues of material fact that preclude granting summary judgment in favor of Nationwide. Nationwide has failed to establish beyond reasonable dispute that Mendez's false statements were made with knowledge of their untruthfulness or with reckless disregard for their truthfulness. Nationwide has also failed to establish beyond reasonable dispute that Mendez's false statements were made with the purpose of defrauding Nationwide. Whether Mendez committed false swearing in submitting his claims on the artwork, uncut diamonds, and furs requires ascertaining his state of mind, determining the credibility of witnesses, weighing of the evidence, and drawing inferences from the facts presented.
Amilcar drafted and Mendez submitted the following statement to Nationwide as part of his claim:
Doc. No. 44, E00051 (emphasis added). Mendez's inventory for the value of lost artwork also provided that the replacement cost would be $120,000.00. Id., E00037. Mendez's contentions with respect to the artwork changed during the course of litigation, however. In response to Nationwide's interrogatory requesting the identification of Plaintiff's assets as of the date of the fire, Mendez listed "ART" as an asset with a value of $10,000.00. Doc. No. 45, F00015-16. During his deposition, Mendez testified as follows regarding his claims for the lost artwork:
Doc. No. 42, C00040-42, 156:18-163:15.
Mendez does not dispute that the statement he initially provided — that he owned 60 to 65 pieces of art worth $120,000.00 — was false. The Court concludes, however, that a reasonable jury could find that Mendez did not knowingly or intentionally submit false statements regarding the artwork, that he had reasonable grounds for believing the statements to be true, or that he lacked the requisite intent to defraud Nationwide. The statement Amilcar drafted and Mendez submitted to Nationwide volunteered that the claim was only a best estimate and that Mendez's memory regarding the claimed artwork was uncertain. The statement also implicitly requested assistance and guidance from Nationwide in coming up with a reasonable estimate. See Doc. No. 53-3 ¶ 5. Furthermore, Mendez's deposition testimony indicates that at the time of the fire, he was uncertain as to how to evaluate the value of the artwork and that he was seeking assistance from Nationwide in doing so. See Doc. No. 42, C00040, 157:6-11. Mendez's uncertainty, which was apparently disclosed to Nationwide during the claims process, creates a genuine dispute as to whether the false statements were made knowingly, without reasonable grounds for believing them to be true, or with the purpose of defrauding Nationwide.
Furthermore, a reasonable jury could rely on other facts in the record to support a conclusion that the false statements were not submitted with the requisite state of mind. For example, Mendez indicated during his EUO that he thought, at the time he submitted his claims, that his son's artwork would be covered by the Policy. See Doc. No. 43, D00069, 276:9-18 (stating that he included Amilcar's artwork in his initial estimates). Furthermore, Amilcar's estimate regarding "artwork" included consideration of assorted pictures and knick-knacks, not just paintings and prints. Id. ¶ 2. Amilcar even asked during his October 18, 2011 deposition whether "artwork" included pictures on the wall, knick-knacks, or other items, before counsel for Nationwide clarified that it meant paintings and prints. See Doc. No. 53-4, 26:10-19. Nationwide argues that Mendez submitted the artwork claim knowing it was false given that Mendez acknowledged at his own deposition that, at the time of the fire, he would have defined artwork to include prints and paintings and that he
Mendez stated in his claim that uncut diamonds valued at $30,000 were lost in the fire. Doc. No. 44, E00049. Mendez also submitted a document titled, "Loose Diamond Crystals — Natural Diamond Crystals 2.00-4.99 Carats," containing images of uncut diamonds. Doc. No. 40-6, H00003. At his EUO, Mendez testified that he lost two large, uncut diamonds in the fire, that the diamonds were from Africa, that Mendez received them as gifts from his brother, and that they were worth only about $4,500.00 or $5,000.00. Doc. No. 43, D00062-64, 248:21-253:5. When asked why he listed $30,000, Mendez answered, "Well, if you go to replace those ones he brings from Africa." Id., D00064, 253:2-5. As with the artwork, Mendez's position with respect to the diamonds changed during the course of litigation. In response to Nationwide's interrogatory regarding his assets at the time of the fire, Mendez listed "Uncut Diamonds Gems," but left blank the value of the diamonds. See Doc. No. 45, F00015-16. During his deposition, Mendez testified as follows:
Doc. No. 42, C00025-26, 94:10-101:6.
As with the artwork, Mendez does not dispute that the information he initially provided — that he lost uncut diamonds worth $30,000.00-was false. However, it is a question for the jury as to whether Mendez submitted the false statement with knowledge that it was false, with reckless disregard for the truth, or with the intent to defraud Nationwide. Throughout his deposition, Mendez admitted that he was unsure of the value of the diamonds, but that the initial $30,000 claim was his and Amilcar's best estimate as to the value of the stones, and that he thought the estimate may have been correct. Amilcar testified that the estimate he helped his father submit to Nationwide was based on past conversations with Mendez in addition to online research. See Doc. No. 53-4, 68:12-75:12. Mendez acknowledges that their approach "may have not been the best method" and that "one could even argue that this method of valuation lacked good judgment," but that this does not make the claim fraudulent. Doc. No. 53, at 15-16. The Court agrees with Mendez.
In the inventory submitted to Nationwide, Mendez claimed that two furs were lost in the fire: the first was listed as a black mink coat valued at $5,495.00, and the second was listed as a red fox fur jacket valued at $2,495.00. Doc. No. 44, E00036. Mendez also submitted a photograph of a woman wearing two furs and a retailer's listing of a red fox fur jacket. Id., E00030; Doc. No. 40-8, J00001. As with the other items, Mendez's position regarding the furs changed in the course of litigation. At his EUO, for example, Mendez testified that the second coat, initially listed as a red fox fur, was in fact a raccoon coat. Doc. No. 43, D00076, 301:20-304:18. Later, at his deposition, Mendez acknowledged that the raccoon coat actually belonged to his son and was not destroyed in the fire:
Doc. No. 42, C00028-32, 108:15-124:11.
As with the artwork and uncut diamonds, Mendez does not dispute that he provided false information to Nationwide regarding the furs. Again, however, there is a genuine issue as to whether Mendez made the statements knowing that they were false or with reckless disregard of the truth and whether he acted with the purpose of defrauding Nationwide. Mendez continues to claim, as he did in his deposition testimony, that he and Amilcar were honestly mistaken in identifying the raccoon coat as a red fox fur coat and that they honestly forgot that the raccoon coat was in storage at the time of the fire. See Doc. No. 53-3, ¶¶ 6-9. Mendez also argues, consistent with his deposition testimony, that although the raccoon coat belonged to his son, he thought he could claim it under the Policy at the time he submitted the inventories to Nationwide. It will be the jury's function, not the Court's, to determine Mendez's state of mind at the time he submitted the false statements.
For the foregoing reasons, Defendant's Motion for Summary Judgment will be DENIED. A separate Order will follow.
Nationwide further argues that the affidavits are insufficient as a matter of law. Both affidavits contained affirmations that the contents were true and correct to the best of affiants' "knowledge, information, and belief." Doc. Nos. 53-3 and 53-5. Nationwide contends that these affidavits fail to comply with Rule 56 of the Federal Rules of Civil Procedure, which provides in relevant part that "[a]n affidavit or declaration used to support or oppose a motion must be made on personal knowledge, set out facts that would be admissible in evidence, and show that the affiant or declarant is competent to testify on the matters stated." Fed. R. Civ. Pro. 56(c)(4). The Court notes that Mendez's hand-signed affidavit contains a revised affirmation that the contents of the affidavits are based on his "personal knowledge, information, and belief." Doc. No. 63 (emphasis added). Regardless of the language of the original affirmations, however, the Court has reviewed the substance of Mendez's and Amilcar's affidavits and concludes that they may be considered in ruling on Nationwide's summary judgment motion. The affidavits appear to have been made on personal knowledge, set forth facts that would be admissible in evidence, and show that the affiants are competent to testify.
Furthermore, several cases relied upon by Nationwide in its briefs are inapposite. For example, Nationwide repeatedly cites Phillips v. Allstate Indemnity Company, 156 Md.App. 729, 848 A.2d 681 (Md.Ct.Spec.App.2004), but Phillips dealt with an insured's refusal to answer relevant, material questions during an EUO, which the court concluded was, in effect, a failure to cooperate that voided the policy. Nationwide's reliance on Powell v. United States Fidelity and Guaranty Company, 88 F.3d 271 (4th Cir.1996), which affirmed summary judgment in favor of the insurer where the insured refused to answer questions and provide documents during the claims process, is similarly misplaced.
Nationwide also accuses Mendez of improperly injecting his medical condition into the record as an excuse for providing false information to Nationwide. Again, Mendez's medical condition is undoubtedly relevant to his state of mind at the time the false statements were submitted to Nationwide. The fact that Mendez was suffering from kidney failure may have, for example, contributed to mistakes or lack of judgment in submitting the false claims. Furthermore, the Court's consideration of Mendez's medical condition in assessing his state of mind in no way alters the Court's previous determination that Mendez is not entitled to recover contractual damages from Nationwide on his physical injuries. See Doc. No. 23.