Citizens Property Insurance Corporation v. Kings Creek South Condo, Inc.
CourtDistrict Court of Appeal of Florida
Date FiledMarch 18, 2020
Docket3D18-0661
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. 3D18-661
Lower Tribunal No. 11-11478
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Citizens Property Insurance Corporation,
Appellant,
vs.
Kings Creek South Condo, Inc.,
Appellee.
An Appeal from the Circuit Court for Miami-Dade County, David C. Miller,
Judge.
Quintairos, Prieto, Wood & Boyer, P.A., and Asika K. Patel; Link &
Rockenbach, P.A., Kara Rockenbach Link, David A. Noel and Daniel M. Schwarz
(West Palm Beach), for appellant.
Alvarez, Feltman & Da Silva, PL, and Paul B. Feltman, for appellee.
Before FERNANDEZ, LOGUE1, and LINDSEY, JJ.
1
Did not participate in oral argument.
FERNANDEZ, J.
Citizens Property Insurance Corporation (“Citizens”) appeals the trial court’s
order granting a directed verdict in favor of the insureds, Kings Creek South Condo,
Inc. (“Kings Creek”). Upon review of the record, we reverse the directed verdict and
order a new trial to allow Citizens an opportunity to challenge Kings Creek on the
issue of causation. Kings Creek bore the burden to prove causation by a named peril,
and Citizens was entitled to defend by presenting non-wind related causes of
damage. We affirm as to all other issues.
I. BACKGROUND
Citizens issued Kings Creek an insurance policy for the named perils of wind
and hail for Kings Creek’s condominium property. The policy was in effect from
September 27, 2005 through September 27, 2006. On October 24, 2005, Hurricane
Wilma hit South Florida. Kings Creek’s property consists of fifteen buildings, with
nine of those buildings having separate roofs. These roofs consist of three roof
systems overlaid atop of one another consisting of the original roof, a second roof
installed after Hurricane Andrew, and a third roof installed just before Hurricane
Wilma. Kings Creek did not initially report any wind-related roof damage after
Hurricane Wilma, as Kings Creek asserts that damage to the roofs was not
immediately evident. In November 2008, thirty-seven months after Hurricane
Wilma, Kings Creek notified Citizens of the alleged covered loss. At that time, Kings
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Creek claimed that only one building had been damaged by Hurricane Wilma.
However, by the time it filed suit in April 2011, Kings Creek expanded its claim to
require replacement of all nine roofs, at a replacement cost of $3,913,318.90.
Citizens hired engineer John Carroll to inspect the roofs. Carroll found no
evidence of wind-related damage from Hurricane Wilma and attributed the damages
to installation of the three-layered roof system, ongoing water intrusion, wear and
tear, and improper system maintenance. On July 17, 2009, Citizens submitted a letter
expressly denying the claim for the combined reasons that: Kings Creek had not
sustained a covered loss, based on Mr. Carroll’s report; Kings Creek had failed to
properly complete a Sworn Proof of Loss or submit estimates regarding all buildings;
and Citizens was prejudiced by the extensive delay between Hurricane Wilma and
receiving notice of loss. As a result, Kings Creek filed suit.
In its Amended Answer, Citizens stated its intent to defend by challenging
Kings Creek’s claims and introducing evidence of non-wind related causes.
Citizens’s only affirmative defense was that Kings Creek failed to comply with post-
loss obligations by failing to provide prompt notice of loss, to keep a record of repair
expenses, and to preserve the damaged property for examination.
As to Citizens’s causation defense, the trial court initially ruled that Citizens
could contest causation on at least the basis of improper installation and maintenance
of the roof systems as a challenge to Kings Creek’s evidence of wind-related
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damage. However, during Citizens’s direct examination of engineer John Carroll,
Kings Creek objected to testimony regarding the installation of the roof systems as
a non-wind related cause, arguing that the installation occurred prior to the policy,
and therefore, the Existing Damage Exclusion in the policy governed. Without
providing any support for its argument, Kings Creek reasoned that this pre-existing
cause could not be admitted because Citizens failed to plead the Exclusion as an
affirmative defense. After much back and forth, the trial judge was convinced by
Kings Creek’s argument and found that Citizens’s non-wind related cause of
installation of the roofing system was subsumed by the Existing Damage Exclusion.
The trial court granted a directed verdict on liability in favor of Kings Creek on the
basis that Citizens had not pleaded its Exclusion as an affirmative defense.
The jury returned a damages-only award in favor of Kings Creek for $3.6
million, and the trial court entered final judgment for $4,889,843.80 ($2,691,972.00
in insurance proceeds and $2,197,871.80 in prejudgment interest). Citizens motion
for a new trial was denied by the trial court, and this appeal followed.
II. ANALYSIS
We review the directed verdict de novo. We must view the evidence and
inferences in the light most favorable to Citizens, the non-moving party. Banco
Espirito Santo Int’l, Ltd. v. BDO Int’l, B.V., 979 So. 2d 1030, 1032 (Fla. 3d DCA
2008).
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Under a named perils insurance policy, Kings Creek bore the burden to prove
that wind, as a covered cause of loss under the policy, caused the damage to the
buildings. Rodrigo v. State Farm Fla. Ins. Co., 144 So. 3d 690, 693 (Fla. 4th DCA
2014). Citizens attempted to defend its denial of coverage by arguing that the
damages were caused by a non-wind related peril, specifically the improper
installation and maintenance of the three roofs placed on top of one other. Upon
finding that the roof system was installed prior to the policy period and the Existing
Damage Exclusion was not pleaded as an affirmative defense, the trial court granted
a directed verdict in favor of Kings Creek. We disagree and reverse for a new trial.
Due to the nature of a named perils policy, Citizens was entitled to defend by
presenting evidence of non-wind related causes.
In Citizens’s Amended Answer, Citizens states its intention to defend
causation at trial and to provide evidence of other non-wind related causes, not
covered under the policy:
Defendant pleads only limited affirmative defenses and will also
defend by challenging the Plaintiff’s ability to prove the essential
elements of the Plaintiff’s claim. In other words, [Defendant] is saying
it did not do anything wrong and the Plaintiff here cannot meet its
burden of proving each of the allegations of the Complaint. Defendant
will cross examine the Plaintiff’s witnesses and call its own witnesses
to both challenge the Plaintiff’s allegations and to introduce or
elicit testimony and evidence of causes other than the named peril.
(Emphasis added). Due to this clear statement of intention provided before trial, we
do not think it prudent for Kings Creek to claim surprise. Moreover, this is a named
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perils policy, with wind being the covered cause of loss. After the insured presents
evidence of wind related damage, the insurer has the right to challenge that evidence
with evidence of non-wind related causes. See Citizens Prop. Ins. Corp. v. Munoz,
158 So. 3d 671, 673 n.1 (Fla. 2d DCA 2014) (“An ‘all risks’ policy protects against
all direct losses except those explicitly excluded from the policy; conversely, a
‘named perils’ policy only protects against perils explicitly named as included in the
policy.”); see also Nicole Fluet, Cracks in the Structure: Recent Changes in the
Sinkhole Litigation Realm, Trial Advoc. Q., Fall 2015, at 28, 32 (“Under a named-
peril burden, the insured has the burden to prove that [wind damage] occurred within
the applicable policy period. Under an all-risk burden, the insured is required to
prove that damage occurred within the policy period, but it is then the insurer's
burden to prove that that the damage is excluded from coverage under the policy.”).
Kings Creek should have been aware of its burden to prove a wind-related cause and
of Citizens right to challenge the evidence.
Nevertheless, Kings Creek argues for the general proposition that a policy
exclusion must be pleaded as an affirmative defense, relying on St. Paul Mercury
Insurance Company v. Coucher, 837 So. 2d 483, 487 (Fla. 5th DCA 2002); Florida
Farm Bureau General Insurance Company v. Insurance Company of North America,
763 So. 2d 429, 432 (Fla. 5th DCA 2000); and Peninsular Life Insurance Company
v. Hanratty, 281 So. 2d 609, 611 (Fla. 3d DCA 1973). Technically, Kings Creek is
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correct in its recitation of the case law. 2 However, these cases stand for the
proposition that a party is required to plead a policy exclusion as an affirmative
defense only when the policy exclusion is the basis for the defense. Because this
is a named perils policy, if Kings Creek fails to prove that the damage resulted from
a named peril, the damage is simply not covered. Thus, Citizens is not required to
prove a policy exclusion as the basis for its defense. “An affirmative defense does
not concern itself with the elements of the [claim] at all; it concedes them but
asserts a good excuse or reason.” Wright v. State, 920 So. 2d 21, 24 (Fla. 4th DCA
2005) (citation omitted) (emphasis added); see also State v. Cohen, 568 So. 2d 49,
51 (Fla. 1990) (“An ‘affirmative defense’ is any defense that assumes the complaint
or charges to be correct but raises other facts that, if true, would establish a valid
excuse or justification or a right to engage in the conduct in question.”). As is
evidenced by the record, Citizens is not presenting evidence of the faulty roof
installation as an avoidance or as an excuse not to pay when otherwise it would be
required to pay under the policy. Citizens is simply presenting evidence of a non-
wind related cause to challenge King Creek’s evidence of wind-related damage. In
other words, Citizens at no point concedes the correctness of the allegation;
therefore, an affirmative defense as to this issue is not required.
2
These cases do not involve named perils home insurance policies.
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Additionally, the trial court incorrectly found that evidence of the faulty roof
installation, occurring prior to the policy, was subsumed by the Existing Damage
Exclusion. Whether the faulty installations occurred prior to or during the policy
period is irrelevant for purposes of challenging causation in a wind-only policy.
Technically, the Exclusion would bar coverage of any prior damage from causes pre-
dating the policy like the roof installation, but this is secondary to the fact that a
faulty roof installation is a non-wind related cause that does not fall under the named
peril of wind. In its Answer, Citizens stated that it does not claim any wrong and, at
trial, will challenge the evidence and provide other possible causes. Citizen did not
base its defense on the Exclusion, and therefore, an affirmative defense as to this
point need not be pleaded. Though, to be clear, if at any time Citizens was to concede
that Kings Creek is entitled to payment under the policy, but for the Exclusion, then
Citizens would have waived this defense by failing to plead the Exclusion as an
affirmative defense. See Wright, 920 So. 2d at 24.
Accordingly, we reverse the directed verdict in favor of Kings Creek and order
a new trial.
Reversed and remanded for a new trial.
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