Pride Clean Restoration Inc., A/A/O Luz Alonso v. Certain Underwriters at Lloyd's of London
CourtDistrict Court of Appeal of Florida
Date FiledDecember 1, 2021
Docket3D21-0504
StatusPublished
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Full Opinion
Third District Court of Appeal
State of Florida
Opinion filed December 1, 2021.
Not final until disposition of timely filed motion for rehearing.
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No. 3D21-0504
Lower Tribunal No. 18-39241
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Pride Clean Restoration Inc., a/a/o Luz Alonso,
Appellant,
vs.
Certain Underwriters at Lloyd’s of London,
Appellee.
An appeal from the Circuit Court for Miami-Dade County, Antonio
Arzola, Judge.
Alexander Appellate Law P.A., and Samuel Alexander (DeLand), for
appellant.
Law Offices of Clinton D. Flagg, P.A., and Clinton D. Flagg, and Carol
A. Fenello, for appellee.
Before LOGUE, LINDSEY, and MILLER, JJ.
MILLER, J.
Appellant, Pride Clean Restoration Inc., challenges a final summary
judgment rendered in favor of appellee, Certain Underwriters at Lloyd’s of
London, on its complaint for breach of contract. On appeal, Pride contends
the trial court erred in determining its claim for benefits under a homeowners’
insurance policy issued by Lloyd’s was barred by a mold-related coverage
exclusion. Discerning no error, we affirm.
BACKGROUND
After she obtained an all-risk homeowner’s policy from Lloyd’s, Luz
Alonzo sustained hurricane-related structural damage to her residence. She
then assigned her benefits to Pride in exchange for mold remediation
services. Pride submitted an invoice for the work performed, along with the
assignment of benefits, to Lloyd’s. Lloyd’s denied coverage, relying on the
following endorsement:
TOTAL MOLD, MILDEW OR OTHER FUNGI EXCLUSION
Notwithstanding any provision to the contrary within the policy of
which this endorsement forms a part, or within any other
endorsement which forms a party of this policy, we do not insure
for:
a. loss caused by mold, mildew, fungus, spores or other
microorganism of any type, nature, or description including
but not limited to any substance whose presence poses an
actual or potential threat to human health; or
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b. the cost or expense of monitoring, testing, removal,
encapsulation, abatement, treatment or handling of mold,
mildew, fungus, spores or other microorganism as referred to
in a) above.
Pride filed a breach of contract lawsuit in the circuit court. After
conducting discovery, the parties filed competing summary judgment
motions. Lloyd’s contended the mold exclusion precluded coverage, while
Pride asserted the mold was precipitated by a storm-created opening in the
home. Thus, the claim was subject to coverage. The trial court granted final
summary judgment in favor of Lloyd’s, and the instant appeal ensued.
STANDARD OF REVIEW
We review an order granting summary judgment de novo. See
Arguelles v. Citizens Prop. Ins. Corp., 278 So. 3d 108, 111 (Fla. 3d DCA
2019). Similarly, the interpretation of an insurance contract presents a pure
legal issue subject to de novo review. Id.
ANALYSIS
Several guiding principles inform our analysis. It is axiomatic that
“[w]here the language in an insurance contract is plain and unambiguous, a
court must interpret the policy in accordance with the plain meaning so as to
give effect to the policy as written.” Wash. Nat. Ins. Corp. v. Ruderman, 117
So. 3d 943, 948 (Fla. 2013). “Further, in order for an exclusion or limitation
in a policy to be enforceable, the insurer must clearly and unambiguously
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draft a policy provision to achieve that result.” Geico Gen. Ins. Co. v. Virtual
Imaging Servs., Inc., 141 So. 3d 147, 157 (Fla. 2013). Finally, “when
analyzing an insurance contract, it is necessary to examine the contract in
its context and as a whole, and to avoid simply concentrating on certain
limited provisions to the exclusion of the totality of others.” Swire Pac.
Holdings, Inc. v. Zurich Ins. Co., 845 So. 2d 161, 165 (Fla. 2003).
In the instant case, the policy insures against the risk of direct loss, but
“only if that loss is a physical loss to property.” The endorsement contains,
however, two separate and distinct exclusions. First, the policy does not
cover those losses “[c]aused by . . . mold, wet or dry rot.” Second, the policy
does not insure against “the cost or expense of monitoring, testing, removal,
encapsulation, abatement, treatment or handling of mold, mildew, fungus,
spores or other microorganism[s].”
Pride does not dispute that the services it rendered involved the
treatment or handling of mold. Instead, it relies upon the seminal Florida
Supreme Court case of Sebo v. American Home Assurance Co., Inc., 208
So. 3d 694 (Fla. 2016), for the proposition the policy militates in favor of
coverage because the initial water intrusion was storm-related. In Sebo, the
court considered “the appropriate theory of recovery to apply when two or
more perils converge to cause a loss and at least one of the perils is excluded
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from an insurance policy.” 208 So. 3d at 697. The court examined two
separate approaches, the efficient proximate cause doctrine and the
concurrent cause doctrine. Under the efficient proximate cause doctrine, the
peril that sets the other in motion “is the cause to which the loss is
attributable.” Id. Conversely, the concurrent cause doctrine “provides that
coverage may exist where an insured risk constitutes a concurrent cause of
the loss even when it is not the prime or efficient cause.” Id. at 698. The
court ultimately adopted the concurrent cause doctrine, concluding “that
when independent perils converge and no single cause can be considered
the sole or proximate cause, it is appropriate to apply the concurring cause
doctrine.” Id. at 697.
Although the instant policy insures against direct physical loss to
property, it excludes those losses caused by mold. If the policy went no
further, under Sebo, these competing provisions would arguably present a
factual issue regarding whether the two perils converged so as to constitute
a concurrent cause. The policy, however, provides a further blanket
exclusion for “the cost or expense of monitoring, testing, removal,
encapsulation, abatement, treatment or handling of mold.” This particular
provision is not contingent on causation. Instead, it serves to bar all costs or
expenses associated with mold remediation.
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“While we are keenly aware of the long standing and well known rule
that where interpretation is required by ambiguity in insurance contracts the
insured will be favored,” in this case, the policy is clear. Griffin v. Speidel,
179 So. 2d 569, 571 (Fla. 1965). Thus, “we find no room for the operation
of that rule here.” Id. Accordingly, we conclude the claim is excluded from
the ambit of coverage, and we affirm the well-reasoned order under review.
Affirmed.
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