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December 11, 2015 by admin

Insurance — Condominiums — Coverage — Hurricane loss — Additional living expenses

40 Fla. L. Weekly D2725aTop of Form

Insurance
— Condominiums — Coverage — Hurricane loss — Additional living expenses —
Actions alleging insurer breached policy by providing additional living
expenses coverage under hurricane coverage endorsement rather than under
general policy provisions because insureds’ loss of use was caused by tornado
that developed during hurricane, not by hurricane itself — Trial courts erred
in granting summary judgment in favor of insureds and in finding policy’s
definition of hurricane did not include tornadoes spawned during a named
hurricane storm system where plain, unambiguous language of policy defined
hurricane as a “storm system that has been declared to be a hurricane by the
National Hurricane Center of the National Weather Service”

STATE FARM FLORIDA INSURANCE COMPANY, Appellant, v. RICHARD
MOODY, ROBERTA MOODY and ROBERT DENNEY, Appellees. 4th District. Case Nos.
4D13-3377, 4D14-273 and 4D14-274. December 9, 2015. Consolidated appeals from
the Circuit Court for the Fifteenth Judicial Circuit, Palm Beach County; Janis
Brustares Keyser, Judge; L.T. Case Nos. 502006CA014072XX and 502007CC002907XX.
Counsel: Elizabeth K. Russo of Russo Appellate Firm, P.A., Miami, and
Bernstein, Chackman, Liss & Rose, Hollywood, for appellant. Bard D.
Rockenbach of Burlington & Rockenbach, P.A., West Palm Beach, and Louis M.
Silber and Allison J. Davis of Silber & Davis, P.A., West Palm Beach, for
appellees.

(MAY, J.) Aristotle once said: “The whole is greater than
the sum of all its parts.” This appeal gives us an opportunity to reflect on
this statement as an insurer appeals a final judgment for “Additional Living
Expenses” that were incurred as a result of Hurricane Jeanne. The insurer
argues that two separate trial courts erred in entering summary judgment for
the insureds in these consolidated cases.1 We agree with the insurer and
reverse.

In 2004, the National Hurricane Center issued a Tropical
Cyclone Report naming an upcoming storm Hurricane Jeanne. On September 24, 25,
and 26, the National Hurricane Center issued hurricane warnings for Hurricane
Jeanne for South Florida. On the night of September 25 and the morning of
September 26, Hurricane Jeanne hit South Florida. During Hurricane Jeanne, the
insureds’ condominiums were severely damaged and became uninhabitable.

The insureds held separate condominium policies with the
same insurer, including building property, personal property, and additional
living expense coverages. Before section one in both policies, a notice read
“Hurricane Notice — You may have no coverage or you may have limited coverage
for damage caused by hurricane.” Section one listed the protection for the
dwelling (Coverage A), personal property (Coverage B), loss of use (Coverage
C), and loss assessment (Coverage D). “Section 1 . . . Losses Insured,” listed
familiar perils the policy protected against, but had a section stating,
“Windstorm, hail — See special hurricane coverage that follows.”

The policies also contained a Hurricane Coverage
Endorsement, which stated:

There
is no coverage for loss caused by a hurricane under Section I of the policy to
which this endorsement is attached. No coverage is provided for accidental
direct physical loss to the property described in the policy caused by a
hurricane other than that which is provided in this endorsement. The provisions
of this endorsement apply only in respect to loss caused by hurricane.

The Hurricane Coverage Endorsement contained “Section I —
Coverages,” which replaced Coverages A, B, C, and D. “Coverage C — Loss of
Use,” read, in part:

1.
Additional Living Expense. When a hurricane causes the covered dwelling to
become uninhabitable, we will cover the necessary increase in cost you incur to
maintain your standard of living for up to 12 months. Our payment is limited to
incurred costs for the shortest of: (a) the time required to repair or replace
the covered dwelling; (b) the time required for your household to settle
elsewhere; or (c) 12 months.

. .
. .

Our
payment will not exceed an amount equal to 10% of the Coverage B limit
applicable at the time of loss.

The Hurricane Coverage Endorsement also contained the
definition of “hurricane.”

When used in this endorsement:

“hurricane”
means a storm system that has been declared to be a hurricane by the National
Hurricane Center of the National Weather Service. The duration of the hurricane
includes the time period, in Florida:

a.
beginning at the time a hurricane watch or hurricane warning is issued for any
part of Florida by the National Hurricane Center of the National Weather
Service;

b.
continuing for the time period during which the hurricane conditions exist
anywhere in Florida; and

c.
ending 72 hours following the termination of the last hurricane watch or
hurricane warning for any part of Florida by the National Hurricane Center of
the National Weather Service.

The insurer paid the insureds their full coverage amounts on
the building property and personal property coverages. Based on the Hurricane
Coverage Endorsement, the insurer paid the insureds their additional living
expenses, which were limited to 10% of the Coverage B (personal property
coverage) limit.

In June 2006, the insureds, Richard and Roberta Moody, filed
a two-count complaint against the insurer; and in March 2007, another insured,
Robert Denney, filed suit. The insureds alleged in count one that the insurer
breached its contract with them by providing additional living expenses
coverage under the Hurricane Coverage Endorsement rather than under the general
policy provisions because “the loss of use was caused by a peril other than a
hurricane.”

They alleged their loss was caused by a tornado or
microburst, not a hurricane. They alleged their policies’ Hurricane Coverage
Endorsement was ambiguous and coverage should not be limited to 10% of the Coverage
B (personal property coverage) limit. The Moodys requested $11,245.00 and
Denney requested $10,059.10 in additional living expenses.

The insurer answered both complaints and asserted
affirmative defenses. In its first affirmative defense, the insurer asserted
that “[t]he [insureds’] actions [were] barred or limited by the Hurricane
Coverage Endorsement of the policy.” In its third affirmative defense, the
insurer asserted that “[t]he [insureds] [were] barred from recovery because the
tornado which allegedly caused [the] loss occurred during and was therefore
part of Hurricane Jeanne which affected [the] property on or about September
26, 2004.”

The insureds and insurer all moved for summary judgment.
Denney argued a tornado, not a hurricane, caused damage to his condominium so
the ten percent additional living expenses limitation under Coverage C of the
Hurricane Coverage Endorsement should not apply. He also argued the definition
of hurricane in the Hurricane Coverage Endorsement “is limited to a hurricane,
and does not include other meteorological events, such as a tornado.” If the
insurer “wanted to exclude tornado as part of its hurricane exclusion, it could
and should have said so,” and that “a hurricane can occur without a tornado,
and a tornado can occur without a hurricane.” He asserted that hurricanes and
tornados are not synonymous as understood by an everyday person.

The Moodys made similar arguments. They also argued the
insurer used only the definition of hurricane found in section 627.4025(2)(c),
Florida Statutes, and not the definitions of hurricane coverage and windstorm
in sections (2)(a) and (2)(b). They asserted that if the insurer used all three
statutory sections in the policy, the Hurricane Coverage Endorsement would have
included tornados. The Moodys attached a Citizens windstorm policy, which
included all three statutory sections. They argued the insurer’s choice to
include only one section should be construed against it. They filed an
affidavit from their daughter attesting that the attached Citizens policy was
hers.

The insurer argued that its policy was unambiguous and
should be given its plain and ordinary meaning. It argued the definition of
hurricane was clear and damage resulting from the storm system was covered
under the Hurricane Coverage Endorsement. To the insurer, the real issue was
whether the tornado occurred during the storm system. No one disputed that the
National Hurricane Center declared the storm system Hurricane Jeanne; the
hurricane hit the insureds’ condominiums on September 26, which was a day the
hurricane warning occurred; and the insureds incurred losses on that day.

Separate trial judges granted summary judgment for the
insureds, and denied the insurer’s motion for summary judgment. Both courts
found:

If
[the insurer] had included in its policy the definition of “hurricane” sections
2(a) and 2(b) in addition to Section 2(c) of section 627.4025, Florida
Statutes, there would be no question that the policy’s hurricane definition
included tornados. If [the insurer] had intended to include tornados in its
Hurricane Coverage Endorsement, it should have used language clearly stating
this purpose.

. .
. .

The
Court finds that the fact that [the insurer] had available language such as
that contained in Section 627.4025, Florida Statutes and chose not to insert
that language in their policy should be construed against [the insurer] and in
favor of a finding of coverage. Based on [the insurer]’s failure to include the
language set [forth] in Sections 2(a) and 2(b) of Section 627.4025 in its
definition of “hurricane,” the Court finds that the Hurricane Endorsement does
not apply to losses caused by tornados.2

The consolidated cases proceeded to a jury trial on whether
a hurricane or a tornado caused the losses. Prior to trial, the insureds moved
to determine the burden of proof. The parties disagreed on which party bore the
initial burden of proof. The trial judge found that “[the insureds] ha[ve] the
initial burden to prove that the loss is covered under the applicable policy of
insurance. The burden shall then shift to [the insurer] to prove that the loss
falls within the Hurricane Endorsement of the policy.”

The trial focused on facts largely irrelevant to the legal
issue in this appeal. The insurer’s expert testified that tornados and
hurricanes were “separate meteorological phenomena.” The insureds’ expert
testified to reasons tornados and hurricanes were different. But, he also
testified that “a tornado is an element of a hurricane.” He noted that there
have been hurricanes, including Hurricane Jeanne, where tornados developed in
the hurricane eye wall. He also distinguished between tornados in the Midwest
and tornados that may occur within a hurricane.

The evidence showed that the insureds’ building sustained
heavy damage, while the surrounding buildings sustained minor damage. The
insureds’ expert opined that the damage to the insureds’ building was caused by
a tornado. The insurer’s expert opined that the damage was caused by
hurricane-force winds that hit the insureds’ building, which was unprotected
because it was across from a golf course.

The jury found the insurer did not prove by the greater
weight of the evidence that the damage was caused by a hurricane and not by a
tornado that developed during the hurricane. The trial court entered final
judgment in favor of the insureds. The insureds moved for attorney’s fees
pursuant to section 627.428, Florida Statutes, and the trial court later
entered final judgment for attorney’s fees in their favor for $755,465.00 in
fees and $3,600.00 in expert witness fees.

The insurer moved for entry of judgment in accordance with
its motion for directed verdict and renewed motion for summary judgment. It
also moved for a new trial, arguing the trial court erred in its burden of
proof ruling, and in giving incorrect jury instructions and an incorrect
verdict form. The trial court denied the insurer’s motions. The insurer now
appeals.

The insurer continues to argue that the policy is
unambiguous and property damage caused by a storm system declared a hurricane
by the National Hurricane Center is covered under the Hurricane Coverage
Endorsement. It argues that the court erred in considering extrinsic evidence
in the form of the Citizens policy to interpret the policy. It asserts the ten
percent coverage limitation on additional living expenses applied because the
insureds’ condominium losses were caused by Hurricane Jeanne.

The insureds respond that their policies provide general
coverage for residential losses and a specific exclusion/limitation for
hurricanes. They argue the trial court did not err in deciding the general loss
provisions applied to their claims for additional living expenses. They argue
the Hurricane Coverage Endorsement defines “hurricane,” in part, as a “storm
system,” but there is nothing in the policy that defines the components of the
system. They argue their loss must be caused “by” a hurricane and not just
caused “during” a hurricane. If the insurer intended for the Hurricane Coverage
Endorsement to apply to tornados, it could have included section
627.4025(2)(b), which defined “windstorm” as part of a hurricane including
tornados.

We have de novo review. Rodrigo v. State Farm Fla. Ins.
Co.
, 144 So. 3d 690, 692 (Fla. 4th DCA 2014) (citation omitted). We also
have de novo review of a trial court’s ruling on a motion for directed verdict.
Gyongyosi v. Miller, 80 So. 3d 1070, 1074 (Fla. 4th DCA 2012) (citation
omitted).

“An insurance contract must be construed in accordance with
the plain language of the policy.” Landmark Am. Ins. Co. v. Pin-Pon Corp.,
155 So. 3d 432, 437 (Fla. 4th DCA 2015) (citation omitted).

If
the terms of a contract are clear and unambiguous, the court is bound by the
plain meaning of those terms. Thus, where a contract is unambiguous, the
parties’ intent must be gleaned from “the four corners of the document.” “In
the absence of ambiguity, the language itself is the best evidence of the
parties’ intent and the plain meaning controls.”

Id. (internal citations omitted).

With these clear rules of construction in place, we begin
our review.

The Hurricane Coverage Endorsement defines hurricane as, “a storm
system
that has been declared to be a hurricane by the National Hurricane
Center of the National Weather Service.” (Emphasis added). There is only one
reasonable interpretation of this definition. If the National Hurricane Center
names a storm system a hurricane, the entire named storm system,
including the elements of the storm, constitutes the hurricane.

Under the loss of use provision in the Hurricane Coverage
Endorsement, “[w]hen a hurricane causes the covered dwelling to become
uninhabitable, [the insurer] will cover the necessary increase in cost [the
insureds] incur to maintain [their] standard of living for up to 12 months,”
subject to the ten percent limitation. Here, the National Hurricane Center
named the storm system “Hurricane Jeanne” and issued the policy-required
hurricane warnings and watches. On September 26, Hurricane Jeanne passed over
the insureds’ condominiums and the storm system caused their
condominiums to become uninhabitable. Therefore, the Hurricane Coverage
Endorsement unambiguously applied.

The insureds argue the definition of hurricane is ambiguous
by reference to the Citizens insurance policy, coupled with the insurer’s
failure to include subsections (2)(a) and (2)(b) of section 627.4025, Florida
Statutes, in its policy. But, when a policy is unambiguous, there is no need
to, and courts should not, consider extrinsic evidence. Bombardier Capital
Inc. v. Progressive Mktg. Grp., Inc.
, 801 So. 2d 131, 134 (Fla. 4th DCA
2001); see Auto-Owners Ins. Co. v. Anderson, 756 So. 2d 29, 34 (Fla.
2000). Here, the court’s interpretation of the policy effectively rendered the
entire Hurricane Coverage Endorsement meaningless. See Ergas v. Universal
Prop. & Cas. Ins. Co.
, 114 So. 3d 286, 289 n.1 (Fla. 4th DCA 2013) (“A
term of an insurance policy should not be construed to reach an absurd
result.”).

Both trial courts erred in granting summary judgment in
favor of the insureds and finding the policy’s definition of hurricane did not
include tornados spawned during a named hurricane storm system. The
policy was not ambiguous. The trial courts should have applied the policy’s
plain, unambiguous language. The Hurricane Coverage Endorsement applied to the
insureds’ losses.

We therefore reverse and remand for entry of judgment for
the insurer. The insurer has also appealed the attorney’s fees and costs
judgments. The insureds agree that if the judgment is reversed, the attorney’s
fees and costs judgments should also be reversed. We therefore reverse the
attorney’s fees and costs judgments.

Reversed. (GROSS and CONNER, JJ., concur.)

__________________

1Judge Keyser and Judge Damico ruled
on separate motions for summary judgment, but the cases were consolidated
before Judge Keyser for the trial.

2

(2)
As used in policies providing residential coverage:

(a)
“Hurricane coverage” is coverage for loss or damage caused by the peril
of windstorm during a hurricane. The term includes ensuing damage to the
interior of a building, or to property inside a building, caused by rain, snow,
sleet, hail, sand, or dust if the direct force of the windstorm first damages
the building, causing an opening through which rain, snow, sleet, hail, sand,
or dust enters and causes damage.

(b)
“Windstorm” for purposes of paragraph (a) means wind, wind gusts, hail,
rain, tornados, or cyclones caused by or resulting from a hurricane which
results in direct physical loss or damage to property.

(c)
“Hurricane” for purposes of paragraphs (a) and (b) means a storm system
that has been declared to be a hurricane by the National Hurricane Center of
the National Weather Service. The duration of the hurricane includes the time
period, in Florida:

1.
Beginning at the time a hurricane watch or hurricane warning is issued for any
part of Florida by the National Hurricane Center of the National Weather
Service;

2.
Continuing for the time period during which the hurricane conditions exist
anywhere in Florida; and

3.
Ending 72 hours following the termination of the last hurricane watch or
hurricane warning issued for any part of Florida by the National Hurricane
Center of the National Weather Service.

§ 627.4025(2), Fla. Stat. (emphasis added).

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