Citizens Property Insurance Corporation v. Olga Tio
CourtDistrict Court of Appeal of Florida
Date FiledMarch 18, 2020
Docket3D18-2440
StatusPublished
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Full Opinion
Third District Court of Appeal
State of Florida
Opinion filed March 18, 2020.
Not final until disposition of timely filed motion for rehearing.
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No. 3D18-2440
Lower Tribunal No. 16-5206
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Citizens Property Insurance Corporation,
Appellant,
vs.
Olga Tio,
Appellee.
An Appeal from the Circuit Court for Miami-Dade County, Rodney Smith,
Judge.
Butler Weihmuller Katz Craig LLP, and J. Pablo Cáceres (Tampa), for
appellant.
Best & Menendez, and Virginia M. Best; Law Offices of Anthony Accetta,
P.A., and Anthony Accetta; Law Office of Lazaro Vazquez, P.A., and Lazaro
Vazquez; Eduardo Gomez, P.A., and Eduardo Gomez, for appellee.
Before SALTER, FERNANDEZ and SCALES, JJ.
SCALES, J.
Citizens Property Insurance Corporation (“Citizens”), the defendant below,
appeals a final judgment entered after a jury verdict in favor of its insured, the
plaintiff, Olga Tio. Finding no error by the trial court, we affirm.
Background
In 2015, a residential property owned by Tio and insured by Citizens under a
replacement cost policy suffered water damage, caused by a collapsed drain line.
After Citizens received timely notice of the claim and conducted its investigation,
Citizens denied coverage for the loss. Citizens initially maintained that the damage
to Tio’s property was not caused by the collapsed drain line, but rather, was caused
by constant water leakage over time, a cause not covered by Tio’s policy of
insurance. Tio then sued Citizens for breach of the insurance contract.
During the discovery phase of the litigation, Citizens changed course and
advised Tio that it was stipulating that the loss was covered. Two months later, Tio
filed a motion for partial summary judgment, seeking to establish that her property
sustained a covered loss. Citizens responded to Tio’s motion by advising the trial
court that it had conceded coverage. Citizens also filed a cross-motion for summary
judgment asserting that it was entitled to final judgment because the actual cash
value of Tio’s loss was less than the $2500 deductible in Tio’s insurance policy.
The trial court denied Tio’s partial summary judgment motion as moot and
also denied Citizens’s summary judgment motion, allowing the case to proceed to
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trial on damages only. On the same day, the trial court granted Citizens’s motion in
limine to limit the evidence of damages to actual cash value. Citizens asserted that
Tio was not entitled to any consideration of replacement cost value damages because
Tio had not undertaken any repairs to the subject property. Tio sought rehearing and
reconsideration of this latter order granting Citizen’s motion in limine. The trial
court granted Tio’s rehearing motion, thereby allowing the jury to hear the parties’
competing valuations of Tio’s loss.
Citizens presented evidence that it characterized as the actual cash value of
Tio’s loss (valuing the loss at $2,304.85), while Tio presented what she characterized
as the replacement cost value damages (valuing the loss at $92,381). Notably,
Citizens did not object to the jury instructions that described to the jury how it could
value the damages sustained by Tio for her loss.
Ultimately, the jury rendered a verdict in favor of Tio, concluding that she had
suffered covered losses of $70,000. After calculating pre-judgment interest, the trial
court entered a final judgment for Tio and against Citizens for a total amount of
$78,979.70. Citizens timely appealed the final judgment and the trial court’s denial
of Citizen’s motion for a new trial and, in the alternative, motion for remittitur.
Analysis
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Citizens issued Tio a replacement cost property insurance policy. Pursuant to
section 627.7011(3) of the Florida Statutes1 – a statute governing adjustment of
losses under a replacement cost policy – when an insurer issues a replacement cost
policy, the insurer is required initially to pay to its insured at least the actual cash
value of the covered loss, less the deductible. After it meets this statutory obligation,
the insurer is required to pay its insured for repairs as the insured incurs repair costs,
also known as the replacement cost value.
On appeal and without citation to authority, Citizens makes the rather
creative, though unavailing, argument that, when an insurer wrongfully denies
coverage of a claim – causing its insured to file suit against the insurer for breaching
the insurance contract – section 627.7011(3) limits the breach of contract damages
a jury may award, as if the insurer had not breached the insurance contract. Citizens
suggests that, after breaching the policy, it may enforce the terms of the policy at its
convenience.
1
Section 627.7011 is incorporated into Tio’s policy and provides, in pertinent part,
as follows:
(3) In the event of a loss for which a dwelling or personal property is
insured on the basis of replacement costs:
(a) For a dwelling, the insurer must initially pay at least the actual cash
value of the insured loss, less any applicable deductible. The insurer
shall pay any remaining amounts necessary to perform such repairs as
work is performed and expenses are incurred.
§627.7011(3), Fla. Stat. (2015).
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Section 627.7011(3), however, governs an insurer’s post-loss obligations in
adjusting and settling claims covered by a replacement cost policy, and does not
operate as a limitation on a policyholder’s remedies for an insurer’s breach of an
insurance contract. Citizens contracted with Tio to provide coverage for a direct loss
to property covered by the policy. After Citizens breached that contractual
obligation, the trial court properly instructed the jury on how to value the insured’s
relevant damages, and the jury rendered a verdict for Tio that was supported by
competent substantial evidence. See Indep. Fire Ins. Co. v. Lugassy, 593 So. 2d 570,
571 (Fla. 3d DCA 1992) (concluding that substantial competent evidence supported
a jury verdict in a breach of insurance contract trial).2
The trial court neither erred when it entered the final judgment for Tio nor
when it denied Citizens’ post-trial motions for a new trial and remittitur.
Affirmed.
2
This case presents a different situation from that of Vazquez v. Citizens Property
Insurance Corp., Case Nos. 3D18-779, 3D18-769 (Fla. 3d DCA March 18, 2020). In
Vazquez, Citizens did not deny coverage for a covered loss, as it did initially in the
instant case; rather, in Vazquez, Citizens conceded coverage and paid the insured
the amount Citizens deemed to be the actual cash value of the loss. Id. The parties’
dispute in Vazquez concerned whether the costs associated with replacing
undamaged floor tiles so that they would match the replaced damaged tiles
constituted actual cash value under the policy. Id. This issue does not arise in this
case. Tio initiated her lawsuit after Citizens erroneously determined Tio’s losses
were not covered by the policy; and therefore, section 627.7011(3) and the
corresponding policy provision are not implicated in the instant case.
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