1231
Euclid Homeowners Assn. v. State Farm Fire & Casualty Co. (2006) 135 Cal.App.4th 1008, 37 Cal.Rptr.3d
795
[No.
B175242. Second Dist., Div. Three. Jan. 20, 2006.]
1231
EUCLID HOMEOWNERS ASSOCIATION, Plaintiff and Appellant, v. STATE FARM FIRE AND CASUALTY COMPANY, Defendant and
Respondent.
(Superior
Court of Los Angeles County, No. BC264768, Victoria G. Chaney, Judge.)
(Opinion
by Croskey, Acting P. J., with Kitching, J., and Aldrich, J., concurring.)
COUNSEL
Law
Offices of Steven L. Zelig and Steven L. Zelig for Plaintiff and Appellant.
Crandell,
Wade & Lowe, James L. Crandall, Edwin B. Brown, Michael J. McGuire and Matthew F. Batezel; Robie &
Matthai and James R. Robie; LHB Pacific Law Partners and Clarke B. Holland for Defendant and Respondent. [135
Cal.App.4th 1010]
OPINION
CROSKEY,
Acting P. J.-
In
this case, the appellant, 1231 Euclid Homeowners Association (HOA), a homeowners association of a 10-unit
residential condominium, made a claim to its insurer for damages resulting from the January 17, 1994 Northridge
earthquake. HOA's building was insured by the respondent, State Farm Fire and Casualty Company (State [135
Cal.App.4th 1011] Farm), under a policy with coverage of $1,191,600 for earthquake damage, subject to a 10
percent deductible ($119,160). The appellate record reflects that, after a preliminary inspection by
representatives of both State Farm and HOA, it was determined that the damage sustained was largely
cosmetic and totaled an amount that was well below the deductible under the State Farm policy. Thereafter, HOA
withdrew its claim and State Farm closed its file. Nearly eight years later, after the passage of Code of Civil
Procedure, section 340.9 fn.
1 , HOA filed this action against State Farm alleging claims for breach of contract and breach
of the implied covenant of good faith and fair dealing.
On
State Farm's motion for summary judgment, the trial court concluded that there was no dispute of material fact
with respect to HOA's 1994 withdrawal of its claim. The court held that such withdrawal excused State Farm from
further performance of any coverage obligation under the policy and precluded any claim for breach of contract
or bad faith. State Farm's motion was granted and judgment was thereafter entered. After a review of the record
on appeal, we conclude that the trial court's analysis and ruling were correct and we will therefore affirm the
judgment.
FACTUAL
AND PROCEDURAL BACKGROUND fn.
2
On
January 17, 1994, HOA was the homeowner's association managing a 10-unit two story condominium building at 1231
Euclid Street, Santa Monica, [135 Cal.App.4th 1012] California. State Farm had issued a policy (covering
the period April 1, 1993 to April 1, 1994) that provided earthquake coverage of $1,191,000, subject to a 10
percent deductible.
As
of the date of the earthquake, HOA's building had a number of deferred maintenance problems. For example, prior
to any damage that might have been caused by the earthquake, the building needed new plumbing and had
experienced leaks and water pressure problems; also, the exterior of the building needed to be painted. In
addition, there were problems involving balcony leaks, concrete cracks and uneven flooring.
fn. 3
About
12 hours after the earthquake, building inspectors from the City of Santa Monica inspected HOA's building and
determined that it was structurally safe. They placed a "green tag" on the property. Within a few days after the
earthquake, a structural engineer retained by HOA's management company found no structural damage to the
building, but did discover a number of stucco and plaster cracks in the walls and ceilings.
fn. 4 Shortly thereafter, a retired building inspector (who was the father of one of the
residents living in HOA's building) also inspected the building and found no significant structural damage.
He also found, however, that there was a substantial amount of cosmetic damage.
In
late January 1994, HOA solicited at least five bids to make repairs to the building. None of those bids exceeded
$13,000. On January 27, 1994, HOA submitted a claim of loss to State Farm. State Farm was advised by two
officers of HOA that its president, Elaine Baker, was the "contact person" for the claim. On February 7, 1994,
State Farm confirmed this in a letter addressed to Elaine Baker but mailed to HOA's management company.
fn. 5 In [135 Cal.App.4th 1013] order to facilitate repairs to the building, HOA obtained
a Small Business Administration (SBA) loan which, after an SBA estimator had apparently visited the property, was
set in the sum of $30,200. fn.
6
Because
she had been informed by the engineer who had inspected the property that the damage to the building did not
include structural damage and was apparently largely cosmetic (e.g., multiple ceiling and wall cracks) and had
received the same information from the retired building inspector, Elaine Baker formed the belief that the total
damage to the building would not exceed the 10 percent deductible. After discussing it with the other tenants,
fn.
7 she advised State Farm, on or about February 18, 1994, that the previously submitted claim
was withdrawn. State Farm confirmed such withdrawal by a letter dated March 2, 1994.
fn. 8 The fact and
import of such withdrawal was not disputed or even questioned until this action was filed nearly eight years later,
in late December 2001.
The
HOA building had also received a preliminary damage inspection by Don Robison, an independent adjuster hired by
State Farm. This inspection [135 Cal.App.4th 1014] was conducted by Robison on or about January 29, 1994.
fn.
9 When he arrived at 1231 Euclid, he asked an HOA board member to show him all of the
earthquake damage to HOA's building. She did so. They went around the building exterior, hallways and stairs
looking for earthquake damage. Robison inspected only three condominium units because he was advised that those
were the only units with any earthquake damage. If he had been told there was a claim of
earthquake damage in the other units, he would have inspected those units as well.
Robison's
opinion of the extent of the damage to HOA's building was consistent with the opinions which HOA had obtained.
The earthquake damage was primarily cosmetic and involved stucco cracks and drywall cracks around windows and
doors. Robison did not see sufficient cosmetic damage to the wall finishes at 1231 Euclid to suggest there was
any structural damage beneath the walls. He knew that if there had been serious hidden structural damage there
would also have been more serious cosmetic damage to the building's finishes. In other words, if there had been
broken wood framing behind the drywall, there would also have been extensive damage to the drywall itself.
Based
upon Robison's observations of cosmetic damage and his extensive experience in assessing damaged residential
buildings, he formed the opinion that the earthquake did not cause structural damage to the HOA building and the
cosmetic damage could be repaired by patching and painting. He admitted, however, that he had only "perused" the
building, meaning that he "walked around the property, looking at both the exterior and some interior corridors
and hallways and stairs." He wrote down in his claim log that he thought the repairs could be made for "+/-
$10,000." He did not write a complete estimate because he felt that the total damage was far less than
the $119,160.00 deductible. Board member Joan McCrea told Robison she was not sure HOA was going to proceed with
the claim. However, Ms. McCrea asked him to communicate directly with HOA's president, Elaine Baker.
HOA
went ahead and used its SBA loan to make the various repairs needed by the building. As already noted (see fn.
6, ante), such repairs did not exceed $56,640.25, which was less than half of the deductible under
the policy. Neither HOA, nor its management company, nor any of its board [135 Cal.App.4th 1015] members
or residents ever contacted State Farm again until for nearly eight (8) years, after the passage of section
340.9. An examination of the record reflects that HOA's apparent first contact with State Farm (after
withdrawing its claim in 1994) was on or about January 8, 2002, when it caused the insurer to be served with
this lawsuit (which had been filed on December 28, 2001, just three days before the expiration of the one-year
revivor period created by section 340.9). fn.
10 On February 11, 2002, State Farm advised HOA by letter that the matter was being referred
to its litigation counsel. fn.
11 [135 Cal.App.4th 1016]
After
filing an answer asserting a number of affirmative defenses, including the allegation that HOA's damages did not
exceed the policy's deductible clause and that HOA had failed to comply with the "Duties in the Event of Loss"
provisions of the policy, fn.
12 State Farm responded to HOA's complaint by filing a motion for summary judgment. As
suggested by the record that we have just summarized, State Farm's primary contentions were that (1) HOA had in
fact withdrawn its claim in early 1994 within a few weeks after originally submitting it and thus State Farm, as
a matter of law, could not be liable for breach of either an express or an implied term of the policy; and, (2)
in any event, the damages actually sustained by HOA as a result of the Northridge earthquake were well below the
10 percent deductible set out in the policy.
HOA
responded to State Farm's detailed evidentiary showing by presenting a number of declarations, to which the
trial court sustained State Farm's multiple evidentiary objections, and a "Separate State of Undisputed Facts"
that was conclusionary and unsupported by any admissible or relevant evidence. Indeed, as the trial court put
it, "[HOA's] separate statement of additional facts consists of eight legal conclusions asserting that State
Farm breached the insurance contract and the implied covenant of good faith and fair dealing, and acted with
malice, oppression and fraud [ ]. No competent evidence is set forth in [HOA's] separate statements."
fn. 13 [135 Cal.App.4th 1017]
On
January 12, 2004, the trial court granted State Farm's motion for summary judgment. HOA has prosecuted this
timely appeal. The parties assert the same contentions and arguments that were presented to the trial court, as
summarized above. fn.
14
DISCUSSION
1.
Standard of Review
In
addressing this appeal, we apply the settled principles of summary judgment review.
Summary
judgment is granted when no triable issue exists as to any material fact and the moving party is entitled to
judgment as a matter of law. (Code Civ. Proc., § 437c, subd. (c); Villa v. McFerren (1995)
35 Cal.App.4th 733,
741.) After examining documents supporting a summary judgment motion in the trial court, this court independently
determines their effect as a matter of law. (Hulett v. Farmers Ins. Exchange (1992)
10 Cal.App.4th 1051,
1057-1058.) The moving party bears the burden of establishing, by declarations and evidence, a complete defense to
plaintiff's action or the absence of an essential element of plaintiff's case. (Westlye v. Look Sports, Inc.
(1993)
17 Cal.App.4th 1715,
1726-1727; Code Civ. Proc., § 437c, subd. (f)(1).) The moving party must demonstrate that under no hypothesis is
there a material factual issue requiring a trial. (Flowmaster, Inc. v. Superior Court (1993)
16 Cal.App.4th 1019,
1026.) When the moving party makes that showing, the burden of proof shifts to the opposing party to show, by
responsive separate statement and admissible evidence, that one or more triable issues of fact exist.
(Lorenzen-Hughes v. MacElhenny, Levy & Co. (1994)
24 Cal.App.4th 1684,
1688; Code Civ. Proc., § 437c, subd. (n)(1).) An issue of fact becomes one of law and loses its [135 Cal.App.4th
1018] "triable" character if the undisputed facts leave no room for a reasonable difference of opinion.
(Preach v. Monter Rainbow (1993)
12 Cal.App.4th 1441,
1450.)
2.
State Farm Did Not Breach Its Contractual Obligations Under The Policy
a.
HOA Effectively Never Submitted A Claim On Which State Farm Was Required To Act
[1]
In its policy, State Farm undertook to provide coverage for any loss sustained by HOA by reason of earthquake,
subject to a deductible of 10 percent. State Farm's obligation was also subject to a number of conditions. One
of those conditions was that the insured provide prompt notice of the claimed loss, including a description of
the lost or damaged property. In addition, the insured was required to provide a timely submission of a sworn
statement of loss. Given the unrebutted evidence that State Farm was advised, on or about February 18, 1994, by
HOA's president that the claim for which a notice had previously been given was withdrawn, neither of these
conditions was ever met. Indeed, the voluntary withdrawal of a damage claim by an insured arguably has the same
legal consequence as the failure to file any claim at all or, after filing a claim, the failure or refusal to
provide to the insurer the information necessary to adjust the claim. (See e.g., Othman v. Globe Indemnity
Co. (9th Cir. 1985) 759 F.2d 1458, 1465.)
[2]
While the submission of a proper and timely notice and proof of loss may be subject to a "substantial
compliance" standard (McCormick v. Sentinel Life Ins. Co. (1984)
153 Cal.App.3d 1030,
1046) and even a predicate requirement of insurer prejudice (Scottsdale Ins. Co. v. Essex Ins. Co.
(2002)
98 Cal.App.4th 86,
97), the total failure to comply with the notice and proof of loss conditions will excuse insurer liability due to
the failure of a condition precedent. (See Hickman v. London Assurance Corp. (1920) 184 Cal. 524, 529;
Hall v. Travelers Ins. Companies (1971)
15 Cal.App.3d 304,
308.) A fortiori, where an insured submits no claim at all or, as in this case, voluntarily withdraws the claim
less than 45 days after first giving notice of the claim to the insurer, the insurer cannot be faulted for closing
its file. The burden is on the insured to initiate and support a claim. [135 Cal.App.4th 1019]
b.
HOA's Voluntary Withdrawal Effectively Resolved Its Original Claim
This
record clearly demonstrates that State Farm had every justification to conclude that HOA had
independently determined that whatever damage its building may have sustained, it did not exceed the
policy deductible. Certainly, this was entirely consistent with State Farm's own initial inspection of the
property following the earthquake. For nearly eight years HOA apparently believed this to be true as it did
nothing further after the February 1994 claim withdrawal until it filed this action in late December 2001.
Although HOA alleges that State Farm had breached the contract of insurance, there is no factual basis for such
a conclusion that is either alleged in HOA's complaint or supported by any admissible evidence submitted in
opposition to State Farm's motion for summary judgment. This record reflects only that State Farm accepted HOA's
claim withdrawal and took no further action. It did not at any time fail or refuse to provide demanded policy
benefits. It simply closed its claim file at HOA's request.
[3]
In its complaint, HOA alleged only that State Farm failed to "adequately investigate" HOA's claim of damage.
This alleged investigative failure led State Farm to deny the claim "as below the deductible." This is the sole
factual basis alleged by HOA in support of its breach of contract claim. There is however, no record
support for such allegations. Indeed, the record directly contradicts such a claim. It is undisputed that in
less than 45 days after the Northridge earthquake, HOA had satisfied itself that its damages were well
below the deductible and voluntarily withdrew the claim. fn.
15 That act, which is clearly demonstrated by the record excused State Farm from any
obligation to conduct further investigation of possible damage to the HOA property. These circumstances
demonstrate that a claim was submitted and effectively resolved, to the apparent satisfaction of the parties and
in accordance with the relevant terms (i.e., the deductible provisions) of State Farm's policy. As we have
previously held, a claim resolved by the parties to an insurance contract ends the matter and it will not be
given new life by the [135 Cal.App.4th 1020] provisions of section 340.9. (See, e.g., Rosenblum v.
Safeco Ins. Co. (2005)
126 Cal.App.4th 847,
858-859.)
Thus,
as of the date that HOA filed its complaint, State Farm was not in breach of the policy. Although HOA seems to
argue otherwise, the passage of section 340.9 did not give or create any rights for HOA beyond a one-year window
to file any claim it might otherwise have. As we explained in Rosenblum v. Safeco Ins. Co., supra,
126 Cal.App.4th at p. 858, "[s]ection 340.9 did nothing more than reopen the filing window, for a one year
period, to those otherwise viable cases that had become time barred. It did not impact or affect any
other defenses that an insurer might have to an insured's claim [e.g., a voluntary abandonment in light of
policy limitations]. Indeed, to hold otherwise, as the foregoing authorities make clear, would risk subjecting
section 340.9 to the constitutional infirmity of contractual impairment." (Italics added.)
[4]
Moreover, this record demonstrates that State Farm would sustain substantial prejudice as a result of HOA's
voluntary withdrawal of its claim in February 1994 if now, after nearly eight years of silence, its resurrection
in this lawsuit is allowed. While the "notice prejudice" rule is applicable in California and requires that an
insurer must demonstrate substantial prejudice arising from an insured's failure to provide a timely notice and
proof of loss (Downey Savings & Loan Assn. v. Ohio Casualty Ins. Co. (1987)
189 Cal.App.3d 1072,
1089), the undisputed record in this case establishes such prejudice to State Farm. After HOA withdrew its claim,
it spent up to $53,640 in making repairs to its building. The nearly eight year delay and the making of such
repairs effectively denied to State Farm any opportunity to fully investigate the loss which HOA now argues is over
15 times greater than the amount it actually spent on repairs in 1994. As noted, HOA'S voluntary claim withdrawal
terminated both State Farm's obligation and reason to conduct an appropriate investigation. Obviously, critical
observations of the property, as it existed immediately after the earthquake, would be impossible nearly eight
years after the fact. A number of the unit owners, who were living in the building in 1994, have sold their units
and moved away and were replaced by persons who have no first hand knowledge of the damage allegedly sustained.
Indeed, the individual declared to be the "person most knowledgeable" during discovery in this matter was one
Robert Wakefield, who did not even live at 1231 Euclid at the time of the earthquake. As a result of these
circumstances, it is clear that HOA's failure to provide a timely notice of claim and proof of loss
fn. 16 violated the terms of the policy's [135 Cal.App.4th 1021] notice, cooperation and
proof of loss provisions and State Farm was prejudiced thereby. The failure of those conditions precedent is
a complete defense to HOA's breach of contract claim.
Section
340.9 did not create a new claim to which State Farm had some obligation to respond. It did not even purport to
address any defense to a claim other than expiration of the applicable limitations period. In other words, it
did nothing more than permit an insured, whose existing claim was time barred as of December 31, 2000, but
otherwise viable, a new one-year period to file suit on that claim. But here, there was no viable claim to
revive. It had been resolved by HOA's voluntary withdrawal which excused any further obligation on the part of
State Farm. Thus, the insurer, as a matter of law, did not breach the policy and HOA cannot successfully allege
or prove that it did.
3.
State Farm Is Not Liable For Bad Faith
[5]
Since State Farm was not in breach of contract and owed no policy benefits to HOA, its failure to pay such
benefits cannot serve as a basis for a claim for bad faith. As the Supreme Court has clearly held, "as the [ ]
court [in Love v. Fire Ins. Exchange (1990) 221 Cal.App.3d 1136] noted, when benefits are due an insured,
'delayed payment based on inadequate or tardy investigations, oppressive conduct by claims adjusters seeking to
reduce the amounts legitimately payable and numerous other tactics may breach the implied covenant because' they
frustrate the insured's right to receive the benefits of the contract in 'prompt compensation for losses.'
[Citation.] Absent that contractual right, however, the implied covenant has nothing upon which to act as a
supplement, and 'should not be endowed with an existence independent of its contractual underpinnings.'
[Citation.]" (Waller v. Truck Ins. Exchange, Inc. (1995)
11 Cal.4th 1,
36; italics added.)
As
HOA could state no cause of action for breach of contract, it could not assert a claim for bad faith. The trial
court properly granted summary judgment. [135 Cal.App.4th 1022]
DISPOSITION
The
judgment is affirmed. State Farm shall recover its costs on appeal.
Kitching,
J., and Aldrich, J., concurred.
FN 1. Section
340.9 provides:
"(a)
Notwithstanding any other provision of law or contract, any insurance claim for damages arising out of the
Northridge earthquake of 1994 which is barred as of the effective date of this section solely because the
applicable statute of limitations has or had expired is hereby revived and a cause of action thereon may be
commenced provided that the action is commenced within one year of the effective date of this section. This
subdivision shall only apply to cases in which an insured contacted an insurer or an insurer's representative
prior to January 1, 2000, regarding potential Northridge earthquake damage.
"(b)
Any action pursuant to this section commenced prior to, or within one year from, the effective date of this
section shall not be barred based upon this limitations period.
"(c)
Nothing in this section shall be construed to alter the applicable limitations period of an action that is not
time barred as of the effective date of this section.
"(d)
This section shall not apply to either of the following:
"(1)
Any claim that has been litigated to finality in any court of competent jurisdiction prior to the effective date
of this section.
"(2)
Any written compromised settlement agreement which has been made between an insurer and its insured where the
insured was represented by counsel admitted to the practice of law in California at the time of the settlement,
and who signed the agreement" (hereafter, referred to as "section 340.9"; italics added.)
FN 2. The
facts we recite are taken from the trial court's order and the evidentiary showing submitted by State Farm in
support of its motion. HOA failed to present any admissible evidence contradicting the relevant facts and we treat
them as established by this record.
FN 3. In
July of 1993, the HOA had obtained a bid to perform some of these repairs in the amount of $13,496. This work was
not completed prior to January 17, 1994.
FN 4. The
engineer, one, Rodney B. Spears, apparently expressed his findings orally to the management company and later
included them in a written report, dated April 1, 1994. He recommended a number of repairs.
FN 5. This
letter provided:
"Dear
Ms. Baker: ¶ This letter is to confirm your conversation with Don Robison [State Farm's assigned adjuster] on
January 28, 1994 wherein it was agreed that you are the contact person for your Homeowners Association
for the purpose of handling this claim. We will be unable to respond to each individual unit owner, but we will
be happy to address any questions you may have. This will avoid confusion and duplication of effort and
allow us to most effectively service the associations claim. ¶ I am the team leader responsible for
correspondence and communication for this claim. If you have any questions, please call me at (818) 597-4700
extension 401. ¶ Please advise your association members to direct their inquiries through you. Thank you for
your cooperation. I look forward to working with you. . . . " ¶
No
person, either resident or board member at HOA, or at HOA's management company, ever advised State Farm to the
contrary.
FN 6. Subsequently,
after this action was filed, HOA stated, in responses to interrogatories, that the total amount actually expended
in repairs was $53,640.25. As State Farm emphasizes, this was less than one-half of the deductible under the
policy.
FN 7. In
her deposition taken in this matter on March 23, 2003, Elaine Baker testified: ¶ "Q. Now, you made the decision to
withdraw the claim; is that correct? ¶ A. The board made all the decisions. I made no decisions. ¶ Q. Was there a
board vote on the withdrawal? ¶ A. A board vote? You make it sound so much more formal than it was. I did nothing,
absolutely nothing, without consulting all the other owners, not just the board. ¶ Q. Was there a board vote, to
your recollection, on the issue of withdrawing the earthquake? ¶ A. I have no idea. If you mean did I phone the
other owners and have them say, 'Yes, that's okay to do'? Yes, I certainly did."
FN 8. The
State Farm letter to Ms. Baker reads as follows:
"1231
Euclid Homeowners Association
c/o
Ms. Elaine Baker President
1231
Euclid Ave. ¶ Santa Monica, Ca 90404
RE:
Claim Number: 75-R040-412
Date
of Loss: 01-17-94
Location:
1231 Euclid Ave.
"Dear
Ms. Baker: ¶ This letter is to confirm your conversation with our adjuster Don Robison on February 18, 1994 in
which you advised State Farm that the association wished to withdraw their claim for earthquake damage. ¶ We
must advise you that your Condominium policy contains the following condition: ¶ 6. Legal Action Against Us. No
one may bring legal action against us under this insurance unless: ¶ a. there has been full compliance with all
of this insurance; and ¶ b. the action is brought within two years after the date on which the accidental direct
physical loss occurred. But if the law of the state in which this policy is issued allows more than two years to
bring legal action against us, that longer period of time will apply. ¶ If you have any questions, please feel
free to contact me at the number below."
FN 9. HOA
makes much of the fact that this was the first earthquake on which Mr. Robison worked. The record, however,
demonstrates that Mr. Robison had extensive experience in assessing damage to residential buildings. During the 10
years prior to the Northridge earthquake, Mr. Robison had inspected, assessed damage to, and wrote damage estimates
for many flood, hail, tornado and hurricane damaged properties. Prior to sending Mr. Robison out to adjust
Northridge earthquake claims, he was given additional training in the adjustment of such claims.
FN 10. The
record reflects that after the passage of section 340.9, but approximately 10 days prior to the end of the one-year
revivor period, State Farm sent the following form letter to policyholders who had previously submitted
Northridge earthquake claims (the record does not disclose that this letter was in response to any contact
initiated by HOA):
"December
20, 2001
Jeanie
Bedrosian
1231
Euclid HOA
C/O
V. Paragon Companies
P.
O. Box 2153
Santa
Monica, CA 90407-2153
RE:
Policy Number: 92-65-7972-4
Claim
Number: 75-R040-412
Date
of Loss: January 17, 1994
Dear
Ms. Bedrosian:
Because
you have an open claim, we want you to know State Farm's position regarding the California Statute of
Limitations. ¶ Last year the California Legislature enacted Code of Civil Procedure Section 340.9, which
extended the Statute of Limitations for filing suit against an insurance company for damages arising out of the
Northridge Earthquake. Under the terms of Code for Civil Procedures Section 340.9 the Statute of Limitations for
suits involving earthquake damage will expire December 31, 2001. The provision also sets forth other conditions
and limitations that may impact those cases subject to the new law. ¶ We are working to resolve your claim.
While that process will continue, State Farm is not willing to further extend the Statute of Limitations for
filing litigation against State Farm. ¶ This letter does not waive nor should you consider that it waives any of
State Farm's legal rights. If you have questions about your legal options you should consult an attorney. ¶
Sincerely, State Farm Fire and Casualty Company."
FN 11. Following
service of HOA's complaint in this matter, HOA sent the following letter to HOA counsel:
"February
11, 2002
Law
Offices of Joshua H. Haffner
4222
Glencoe Ave Ste 102
Marina
Del Rey CA 90292
RE:
Your Client: 1231 Euclid Homeowners Association
Our
Insured: 1231 Euclid Homeowners Association
Claim
No.: 75-R040-412
Policy
No.: 92-65-7972-4
Loss
Location: 1231 Euclid Street
Santa
Monica, CA 90404
Date
of Loss: January 17, 1994
"Dear
Mr. Haffner:
"This
letter is in response to your lawsuit served January 8, 2002. State Farm has reviewed this matter and determined
that the insured requested that their claim be withdrawn in February 1994. This request was honored by State
Farm and confirmed in our letter to the insured on March 2, 1994. To date we have received no additional
information that is sufficient to evaluate the scope and amount of earthquake damages. ¶ We are also aware that
litigation on this claim was recently served. State Farm is assuming that you have elected to pursue this matter
through litigation. Therefore, the file will be closed effective the date of this letter. If you have any
additional questions, please contact Jim Robie at Robie & Matthai, (213) 624-3062 or Clarke Holland at LHB
Pacific Law Partners, (510) 841-7777. ¶ We are required by California Insurance Regulations, Section
2695.7(b)(3), to advise you that if you believe this claim, or any part of this claim, has been wrongfully
denied or rejected, you may have the matter reviewed by the California Department of Insurance, Claims Service
Bureau, 300 South Spring Street, Los Angeles, California 90013, telephone (800) 927-4357. ¶ Sincerely, ¶ STATE
FARM FIRE AND CASUALTY COMPANY."
FN 12. Such
provisions include a requirement of (1) timely notice of loss, (2) cooperation with respect to loss investigation
and protection of property from further loss and (3) submission of a sworn "proof of loss" statement within
60 days after request by State Farm.
FN 13. The
record reflects that State Farm's multiple objections to the declaration of John Hall, were overruled. In his
declaration, Hall had purported to offer his opinion that the damage sustained by HOA building in the Northridge
earthquake was not less than $750,000. The court's specific ruling that HOA presented no competent evidence
in opposition to the summary judgment motion was correct. While it is true that in Hall's declaration he stated
that in 1994 he was a general contractor and had been involved as a consultant "in excess of 300 Northridge
earthquake claims" and considered himself very knowledgeable, he nowhere demonstrated any basis for his claimed
expertise in identifying structural building damage or estimating the cost of its repair. He was not an engineer,
but simply a general contractor who inspected an already repaired building nearly 10 years after the 1994
earthquake. Moreover, he provided nothing but unsupported conclusions amounting to gross speculation as to why he
believed that the repairs he described (and for which he himself would not bid less than $750,000 to perform) were
required to repair damage caused by the earthquake 10 years earlier. For example, he relied on a "mold report" for
his conclusion that mold eradication work was required without explaining how mold was caused by the earthquake;
and he made no effort to distinguish between damage caused by the earthquake and repairs required to remedy the
admittedly numerous pre-earthquake conditions.
FN 14. We
recognize that HOA has raised in its briefs a number of issues. However, in light of our conclusion, with respect
to the dispositive issues of the effect of its claim withdrawal and failure to demonstrate a proof of loss in
excess of the policy deductible, there is no need for us to reach or discuss these other matters.
FN 15. There
are no allegations in HOA's complaint nor any supported argument on appeal, that HOA reached its decision about the
extent of its damage in reliance upon any acts or misrepresentations of State Farm or its adjuster. Thus, we are
not presented with circumstances such as those discussed in Vu v. Prudential Property & Casualty Ins.
Co. (2001)
26 Cal.4th 1142,
1152-1153 or Ward v. Allstate Ins. Co. (C.D. Cal. 1977) 964 F.Supp. 307, 312, where the insured's delay in
prosecuting a claim was held to be justified by the insured's demonstrated reasonable reliance on the
insurer's misrepresentations as to the nature, extent or amount of the loss.
FN 16. The
record reflects that HOA did not provide even a preliminary cost estimate supporting its "revived" damage claim
until December 2003 (nearly 10 years after the earthquake) and this was included in its opposition to State Farm's
summary judgment motion.
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