Bain Complete Wellness, LLC, A/ A/ O Kerri McDougald v. Garrison Property & Casualty Insurance Company
CourtDistrict Court of Appeal of Florida
Date FiledDecember 14, 2022
Docket2D21-0259
StatusPublished
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Full Opinion
DISTRICT COURT OF APPEAL OF FLORIDA
SECOND DISTRICT
BAIN COMPLETE WELLNESS, LLC, as assignee of KERRI McDOUGALD,
Appellant,
v.
GARRISON PROPERTY & CASUALTY INSURANCE COMPANY, a foreign
corporation,
Appellee.
No. 2D21-259
December 14, 2022
Appeal from the County Court for Hillsborough County; Joelle Ann Ober,
Judge.
Xavier J. Jackman of Westchase Legal Center, Tampa, for Appellant.
Rebecca Delaney, Stephen B. Farkas, and Scott W. Dutton of Dutton Law
Group, PA, Tampa, for Appellee.
ATKINSON, Judge.
Bain Complete Wellness, LLC (Bain), appeals the final judgment for
attorney's fees in favor of Garrison Property & Casualty Insurance
Company (Garrison). In the judgment, the trial court awarded Garrison
attorney's fees as sanctions pursuant to section 57.105(1), Florida
Statutes (2018), and costs pursuant to section 57.041(1) and Florida
Rule of Civil Procedure 1.420(d). The trial court ordered Bain's trial
counsel, Xavier J. Jackman, to pay the entire award. Because Bain does
not challenge the portion of the final judgment awarding court reporter
costs pursuant to rule 1.420(d), we affirm that portion of the trial court's
judgment. However, we reverse the portion of the judgment in which the
trial court imposed sanctions against Mr. Jackman because the trial
court erred by concluding that Mr. Jackman knew or should have known
that the demand letter was statutorily deficient. We also reverse the
portion of the judgment awarding expert witness costs because
Garrison's motions for costs were untimely.
Background
In 2015, Kerri McDougald (the insured) was injured in a car
accident and received medical care from Bain. The insured had an
automobile insurance policy with USAA; however, Garrison was the
insurance company that reimbursed claims under her policy. The
insured assigned her claim for Personal Injury Protection (PIP) benefits
under her insurance policy to Bain. Bain submitted bills for medical
services related to the accident to Garrison. Garrison did not pay all of
Bain's claims, advising Bain in multiple explanations of reimbursement
that the insured's PIP benefits had been exhausted.
On May 6, 2016, Mr. Jackman sent a presuit demand letter on
behalf of Bain to USAA—not to Garrison—indicating that the amount of
PIP and Medical Payment Coverage (MPC) medical benefits owed by the
insurance company was $36,215.09. Mr. Jackman attached a billing
ledger indicating total charges on the insured's account of $36,582.91,
insurance payments in the amount of $367.82, total adjustments of
$71,123.55, and a current account balance of $29,091.54. On June 27,
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2016, Garrison responded to the demand letter, informing Bain that the
presuit demand was addressed to the wrong insurance company (USAA)
and again advising Bain that the insured's PIP benefits of $10,000 had
been exhausted.
On August 30, 2016, Bain filed a lawsuit against Garrison as the
insured's assignee, alleging that Garrison had breached the insurance
contract by failing to pay overdue claims for PIP benefits and interest in
an amount less than $99. On December 1, 2016, Garrison filed a motion
for summary judgment in which it argued that Bain's demand letter
failed to "state with specificity . . . each exact amount . . . claimed to be
due," as required by section 627.736(10)(b)3, Florida Statutes (2016),
because the amount requested was greater than the maximum amount
of PIP benefits provided under the policy. Garrison also argued that the
amount requested to satisfy Bain's claim was ambiguous because the
amount requested in the demand letter and the attached billing ledger
were inconsistent.
On March 14, 2017, Garrison sent a safe harbor letter to Bain and
Mr. Jackman, requesting that Bain dismiss its lawsuit or Garrison would
file a motion for sanctions pursuant to section 57.105(1). See §
57.105(4) ("A motion by a party seeking sanctions under this section
must be served but may not be filed with or presented to the court
unless, within 21 days after service of the motion, the challenged . . .
claim . . . is not withdrawn or appropriately corrected."). In the safe
harbor letter and attached motion for sanctions, Garrison asserted that
Bain's demand letter was addressed to the wrong insurer (USAA) and
requested an amount greater than the maximum PIP benefits available
under the insured's policy. This, the motion argued, established that
Bain and Mr. Jackman knew or should have known that Bain's lawsuit
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was not supported by material facts necessary to establish Bain's claim
because the presuit demand letter was statutorily deficient and,
therefore, a condition precedent to bringing suit had not been met. Bain
did not dismiss its lawsuit within twenty-one days of receiving the safe
harbor letter. On April 11, 2017, Garrison filed its motion for sanctions.
Bain requested a continuance at the hearing on Garrison's motion
for summary judgment on June 21, 2018. When the trial court denied
Bain's request, Mr. Jackman made an ore tenus notice of voluntary
dismissal. On September 20, 2018, the trial court entered a written
order in which it found that Bain's notice of voluntary dismissal was
effective pursuant to rule 1.420(a)(1)(A), on the date that the ore tenus
motion was made, where it was made before the hearing on the motion
for summary judgment. In the order, the trial court found that Garrison
was entitled to an award of sanctions pursuant to section 57.105(1)
because Bain's "counsel knew or should have known that the pre-suit
demand letter . . . did not comply with the statutory requirements" since
Bain demanded an amount greater than the maximum PIP benefits
provided in the insured's policy, attached a billing ledger that was
inconsistent with the aggregate amount demanded, and was addressed
to the wrong insurer. The trial court also noted that the demand letter
was misleading because the amount requested to satisfy Bain's claim—
$36,215.09—exceeded the amount in controversy in Bain's complaint—
$99. The trial court specifically found that Mr. Jackman knew or should
have known that Bain's claim would not be supported by the application
of then-existing law to the material facts. See § 57.105(1)(b).
Immediately after the trial court entered its order granting
entitlement to sanctions, Garrison filed a motion to tax fees and costs.
See Fla. R. Civ. P. 1.525. In the motion, Garrison sought an award of
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costs based on rule 1.420(d) and sections 768.79 and 57.041, Florida
Statutes (2018). In the motion, Garrison reiterated its request for an
award of attorney's fees as sanctions pursuant to section 57.105.
Garrison also requested an award of attorney's fees pursuant to section
768.79. See § 768.79 (providing that a trial court may award attorney's
fees and costs to a party who has made an offer of judgment under
certain circumstances). On October 7, 2019, the trial court entered an
order granting Garrison's motion. In its order, the trial court reiterated
that it found Garrison was entitled to an award of attorney's fees as
sanctions and also found that Garrison was entitled to an award of court
reporter costs pursuant to rule 1.420(d). The trial court's order did not
specifically address Garrison's requests for costs pursuant to section
57.041 or for costs and attorney's fees pursuant to section 768.79. The
trial court ordered the parties to mediate as to the amount of reasonable
attorney's fees.
The parties were unable to agree, and the trial court held a hearing
on the reasonable amount of attorney's fees and costs. Before the
hearing, on June 29, 2020, Garrison filed a motion for entitlement to
expert witness costs pursuant to section 57.041. Bain opposed
Garrison's request for expert witness costs, arguing that the request was
untimely pursuant to Florida Rule of Civil Procedure 1.525.
After the hearing, the trial court entered its final judgment for
attorney's fees and costs. In the judgment, the trial court awarded
Garrison $17,438 in attorney's fees, $3,602.50 in costs for Garrison's
expert witness fees pursuant to section 57.041, and $262.50 in court
reporter costs pursuant to rule 1.420(d), plus interest. The trial court
explained that Garrison had requested costs pursuant to section 57.041
in its initial motion for costs, which the trial court had granted;
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therefore, Garrison's motion for entitlement to expert witness costs was a
necessary supplemental motion for costs in light of the parties' failure to
reach an agreement as to the reasonable amount of attorney's fees in
court-ordered mediation. The trial court ordered Mr. Jackman to pay the
entire sanction award. See § 57.105(3)(c).
Attorney's Fees
"A lower court's decision to impose sanctions is reviewed under an
abuse of discretion standard." Deutsche Bank Nat'l Tr. Co. v. Bennett,
291 So. 3d 605, 606 (Fla. 2d DCA 2020) (quoting Boca Burger, Inc. v.
Forum, 912 So. 2d 561, 573 (Fla. 2005)). "However, to the extent a trial
court's order on fees is based on an issue of law, this court applies de
novo review." Rivera Chiropractic, Inc. v. Rosello, 336 So. 3d 409, 413
(Fla. 2d DCA 2022) (quoting Lago v. Kame By Design, LLC, 120 So. 3d 73,
74 (Fla. 4th DCA 2013)).
In relevant part, section 57.105(1) provides
Upon . . . motion of any party, the court shall award a
reasonable attorney's fee . . . on any claim or defense at any
time during a civil proceeding or action in which the court
finds that the losing party or the losing party's attorney knew
or should have known that a claim or defense when initially
presented to the court or at any time before trial:
....
(b) Would not be supported by the application of then-existing
law to those material facts.
In its motion for sanctions, Garrison argued that Mr. Jackman
knew or should have known that Bain's lawsuit was not supported by
the application of the then-existing law to the material facts because the
presuit demand letter did not strictly comply with the statutory
requirement to "state with specificity . . . the exact amounts . . . claimed
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to be due." See § 627.736(10)(b)3. Garrison argued that the presuit
demand letter was statutorily deficient in two respects—identifying the
incorrect insurer and demanding an amount in excess of the policy limit
such that Garrison was unable to determine the exact amount it would
be required to pay to avoid litigation.
In its order granting Garrison's motion for sanctions, the trial court
found that Garrison was entitled to an award of sanctions because Mr.
Jackman knew or should have known that the demand letter did not
strictly comply with the statutory requirements and, therefore, knew or
should have known that Bain's lawsuit for PIP benefits would not be
supported by the application of the then-existing law to the material
facts. The trial court found that the demand letter was deficient because
the amount demanded exceeded the maximum PIP benefits allowed
under the insured's policy, the billing ledger attached to the demand
letter conflicted with the amount demanded in the letter, and the amount
demanded in the demand letter was different from the jurisdictional
amount pled in Bain's complaint.
The PIP statute, section 627.736, requires insurance companies to
provide certain "[r]equired benefits" in automobile insurance policies,
including medical benefits. § 627.736(1)(a) ("Required benefits.—An
insurance policy complying with the security requirements of s. 627.733
must provide personal injury protection to the named insured . . . to a
limit of $10,000 in medical and disability benefits . . . resulting from
bodily injury, sickness, disease, or death arising out of the ownership,
maintenance, or use of a motor vehicle . . . ."). In relevant part, section
627.736(10) provides
(a) As a condition precedent to filing any action for benefits
under this section, written notice of an intent to initiate
litigation must be provided to the insurer. . . .
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(b) The notice must state that it is a "demand letter under s.
627.736" and state with specificity:
1. The name of the insured upon which such benefits are
being sought, including a copy of the assignment giving rights
to the claimant if the claimant is not the insured.
2. The claim number or policy number upon which such
claim was originally submitted to the insurer.
3. To the extent applicable, the name of any medical provider
who rendered to an insured the treatment, services,
accommodations, or supplies that form the basis of such
claim; and an itemized statement specifying each exact
amount, the date of treatment, service, or accommodation,
and the type of benefit claimed to be due. . . .
§ 627.736(10)(a)–(b) (emphasis added).
The PIP statute provides that the presuit demand letter must "state
with specificity . . . an itemized statement specifying each exact amount,
the date of treatment, service, or accommodation, and the type of benefit
claimed to be due." § 627.736(10)(b)3 (emphasis added). On appeal,
Garrison argues that the demand letter must specify the exact amount
claimed to be due under the insurance policy. Contrary to this
characterization of the statutory language, the phrase "claimed to be
due" does not modify the phrase "each exact amount," but rather the
phrase it immediately follows—"type of benefit." A fair reading of the
statutory language in context indicates that the itemized statement
included with the demand letter must include three pieces of
information: (1) "each exact amount"; (2) "the date of treatment, service,
or accommodation"; and (3) "the type of benefit claimed to be due."
§ 627.736(10)(b)3. Thus, the specificity requirement in the statute does
not pertain to an aggregated dollar amount demanded by the insured;
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rather, it pertains to "each exact amount" for each instance in which
"treatment, services, accommodations, or supplies" were "rendered" by
"any medical provider . . . to an insured." See id. The phrase "type of
benefit claimed to be due" pertains merely to the category of benefit that
corresponds to the "exact amount" paid on the "date of treatment,
service, or accommodation," id.—e.g., medical benefits, disability
benefits, or death benefits required by the PIP statute, see §
627.736(1)(a)–(c).
Nowhere in the statute is there a requirement for a precise,
aggregated amount in a demand letter. See § 627.736(10)(b). Thus,
Bain's demand letter was not statutorily deficient for demanding an
aggregate amount greater than the maximum PIP benefits payable under
the policy or by demanding an aggregate amount that was inconsistent
with the aggregate amount identified in the billing ledger attached to the
demand letter. While the lack of a provision requiring the insured or
assignee to specify the aggregate amount due may seem a curious
omission in a subsection entitled "Demand Letter" with the express
purpose of putting a defendant on "notice," see § 627.736(10)(a), (b), our
role is to apply the text as written, according its words their ordinary
meaning in context. See Lab'y Corp. of Am. v. Davis, 339 So. 3d 318, 323
(Fla. 2022) ("In interpreting a statute, our task is to give effect to the
words that the legislature has employed in the statutory text" and "what
they convey, in their context, is what the text means." (quoting Ham v.
Portfolio Recovery Assocs., 308 So. 3d 942, 946 (Fla. 2020))); CCM
Pathfinder Palm Harbor Mgmt., LLC v. Unknown Heirs of Gendron, 198 So.
3d 3, 9 (Fla. 2d DCA 2015) ("[I]t is this court's role to apply the law as
written . . . .").
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Bain complied with the statute by including an itemized statement
specifying each amount to which Bain believed it was entitled based on
its belief that the insured may be entitled to both PIP coverage and MPC.
The amount specified in the demand letter and the attached billing ledger
may well have been completely unfounded, but it put Garrison on notice
of the amounts Bain was seeking. Section 627.736(10)(b)3 does not
require that the demand letter only include amounts that are justifiable
under the policy or applicable law; only that the insured or assignee
"state with specificity . . . each exact amount" in its itemized statement
along with other information as required by section 627.736(10)(b).
Further, the fact that Bain filed its lawsuit for less than the amount
requested in the demand letter does not retroactively render Bain's
demand letter statutorily deficient. The statute only requires the insured
or assignee to specify "each exact amount," see § 627.736(10)(b)3; it does
not require the insured or assignee to demand only that amount that it
will—after a period of time during which additional evidence might be
obtained or litigation strategy might be rethought—later seek in a lawsuit
if the insurance company does not pay the claim as demanded in the
letter. Nothing in section 627.736 indicates that a disparity (no matter
how drastic) between the sum of the amounts listed in an itemized
statement and the amount ultimately sought in the complaint—or
between that sum and the policy limits—would render a demand letter
statutorily deficient such that it fails as a condition precedent. In its
motion and on appeal, Garrison urges that allowing such a purported
deficiency defeats the purpose of the statutory presuit demand letter. Be
that as it may, entitlement to attorney's fees pursuant to section
57.105(1) cannot be based on the alleged failure of a presuit requirement
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that the legislature did not include in the language of the governing
statute.
The record also does not support Garrison's argument that Bain's
demand letter failed to strictly comply with the requirements of section
627.736 because Bain addressed the demand letter to the wrong insurer,
USAA, instead of Garrison. The insured was insured through USAA.
Although Garrison held the insured's policy and paid claims due under
the policy, all of Garrison's communications to Bain were made on USAA
letterhead. Garrison also admitted that the USAA contact person to
whom Bain addressed the demand letter was "the current PIP contact
for" Garrison. The demand letter specified the name of the insured; the
claim number; and an itemized statement specifying each exact amount,
date of treatment, and type of benefit claimed to be due. See §
627.736(10)(b)1–3. It was not misleading for Bain to address its demand
to USAA; USAA was the insured's "insurer," and Bain provided it with
written notice. See § 627.736(10)(a) (requiring "written notice of an
intent to initiate litigation [to] be provided to the insurer" (emphasis
added)). Therefore, the fact that Bain addressed the demand letter to
USAA does not mean that Bain's demand letter was statutorily deficient.
Garrison relies on Rivera v. State Farm Mutual Automobile Insurance
Co., 317 So. 3d 197 (Fla. 3d DCA 2021), to support its argument that
Bain's demand letter failed to strictly comply with the statutory
requirements of section 627.736(10)(b). Insofar as is necessary to resolve
this case, we agree with the Third District's general holding in Rivera
"that in order for an insured's pre-suit demand letter to comply with
section 627.736(10), it must provide the exact information listed in the
statute." Rivera, 317 So. 3d at 207. However, to the extent that the
Rivera opinion could be read to include among such "information listed
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in the statute," id., the aggregate dollar amount demanded, a demand for
an amount only within the policy limits, or that the amount demanded
be equal to the amount sought in a later lawsuit, we disagree that such
information is required by section 627.736(10)(b), the text of which does
not support such requirements. Importantly, in Rivera the appellate
court did not conclude that any demand for an amount in excess of the
policy limits in the insurance contract renders the demand letter
statutorily deficient for lack of specificity regarding the amount. See
generally Rivera, 317 So. 3d at 198–207. Further, in Rivera it was clear
that the insured's demand letter failed to strictly comply with the
requirements of section 627.736(10)(b)3 by failing to include the name of
the medical provider, the exact amounts the insured was seeking for
each trip to the medical provider, and the dates of the relevant services.
See id. at 205–06 (concluding Rivera's demand "letter failed to include an
itemized statement specifying the exact amount of requested
reimbursement for each trip, the dates of treatment, service or
accommodation as required by the statute, whether he was seeking
reimbursement for twelve or sixteen trips, and the demand letter did not
state with specificity the amount due and owed or the addresses to which
Rivera allegedly traveled for each trip to incur his mileage costs"
(emphasis added)). Here, Garrison has not alleged such insufficiencies,
focusing instead on infirmities related to the aggregated amount sought
by Bain in the demand letter.
If at some point during legal proceedings, an insurance company
establishes and the trial court finds that the plaintiff, its attorney, or
both knew or should have known that the amount claimed to be due in
its demand letter "[w]as not supported by the material facts necessary to
establish the [plaintiff's] claim," see § 57.105(1)(a), this could very well
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form a basis for a motion for sanctions. However, even if the plaintiff and
its attorney knew or should have known that the amount claimed in the
demand letter far exceeded the amount provided in the insurance policy,
this does not retroactively render the plaintiff's demand letter itself
statutorily deficient. And that is what the trial court found—that the
claim was not supported by the application of the then-existing law to
the material facts because the demand letter was statutorily deficient, not
that the amount requested could not be supported under the terms of
the insurance policy. See § 57.105(1) (providing entitlement to attorney's
fees when "the court finds that the losing party or the losing party's
attorney knew or should have known" the claim was "not supported by
the material facts necessary to establish" it or "would not be supported
by the application of then-existing law to those material facts" (emphasis
added)).
A presuit demand letter is not rendered nunc pro tunc statutorily
deficient if the amount demanded is later found to be unsupported by
the material facts; rather section 627.736(10) requires only that the
claimant state the exact amounts to which the claimant believes he or
she is entitled. The trial court did not find that the claim lacked factual
support because the amount demanded exceeded the $10,000 policy
limit; instead, it found that Bain's claim lacked legal support because a
statutory condition precedent had not been met. See § 627.736(10)(a)
(establishing the demand letter as a "condition precedent to filing any
action for benefits under this section" satisfied by "written notice of an
intent to initiate litigation" that contains enumerated information). In
other words, the trial court did not find that Bain knew or should have
known that its claim was factually unsupported because the amount
demanded in its presuit letter could never be justified under the terms of
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the insurance policy that capped PIP benefits at $10,000; rather, the trial
court credited Garrison's argument that Bain had sent a "statutorily
deficient pre-suit demand letter," concluding that Bain's "counsel knew
or should have known that the pre-suit demand letter . . . did not comply
with the statutory requirements, and as such, [Bain] had not complied
with a condition precedent to the filing of th[e] action." Because the
demand letter was not insufficient under the statute, Garrison could not
establish entitlement to fees as a sanction on that basis, and the trial
court's order was erroneous.
Costs
The trial court awarded Garrison a total of $3,765.00 in costs. Of
this total amount, $262.50 were court reporter costs awarded pursuant
to rule 1.420(d) ("Costs in any action dismissed under this rule shall be
assessed and judgment for costs entered in that action, once the action
is concluded as to the party seeking taxation of costs."). Bain does not
challenge this award on appeal. Therefore, to the extent that Bain could
have argued that the trial court erred by awarding court reporter costs,
Bain abandoned these arguments on appeal. See Polyglycoat Corp. v.
Hirsch Distribs., Inc., 442 So. 2d 958, 960 (Fla. 4th DCA 1983) ("When
points, positions, facts and supporting authorities are omitted from the
brief, a court is entitled to believe that such are waived, abandoned, or
deemed by counsel to be unworthy.").
However, Bain challenges the imposition of the remaining
$3,602.50 for expert witness fees. "An appellate court reviews whether a
trial court's award of costs is excessive for an abuse of discretion;
however, whether a cost requested may be awarded, at all, is a question
of law to be reviewed de novo." Sherman v. Sherman, 279 So. 3d 188,
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190 (Fla. 4th DCA 2019) (quoting City of Boca Raton v. Basso, 242 So. 3d
1141, 1144 (Fla. 4th DCA 2018)).
Bain first argues that the trial court erred by imposing costs as a
sanction pursuant to section 57.105(1), relying on this court's decision in
In re Estate of Assimakopoulos, 228 So. 3d 709, 713 (Fla. 2d DCA 2017),
in which this court held that "an award of sanctions under section
57.105(1) may not include costs." However, unlike the trial court in In re
Estate of Assimakopoulos, which awarded costs as a sanction pursuant
to section 57.105(1), the trial court in this case awarded costs pursuant
to section 57.041, which provides in relevant part that "[t]he party
recovering judgment shall recover all his or her legal costs and charges
which shall be included in the judgment." See In re Estate of
Assimakopoulos, 228 So. 3d at 714 (distinguishing Wells v. Halmac Dev.,
Inc., 184 So. 3d 620, 622 (Fla. 3d DCA 2016), and Indem. Ins. Co. of N.
Am. v. Chambers, 732 So. 2d 1141, 1142 (Fla. 4th DCA 1999), because
"the part[ies] recovering the fees and costs w[ere] also the prevailing
part[ies] . . . and so would have been entitled to an award of costs under
section 57.041(1)"). Therefore, In re Estate of Assimakopoulos does not
require reversal of the expert witness costs award in this case.
Second, Bain argues that the trial court erred by awarding the
expert witness costs because Garrison's motion for entitlement to expert
witness costs was untimely. See Fla. R. Civ. P. 1.525 ("Any party seeking
a judgment taxing costs, attorneys' fees, or both shall serve a motion no
later than 30 days after filing of the judgment, including a judgment of
dismissal, or the service of a notice of voluntary dismissal, which
judgment or notice concludes the action as to that party."). Both of
Garrison's motions for costs—the initial motion seeking an award of
costs based on several grounds, including section 57.041, filed on
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September 20, 2018, and the supplemental motion for entitlement to
expert witness costs filed on June 29, 2020—were filed more than thirty
days after June 21, 2018, the date on which Bain made its ore tenus
notice of voluntary dismissal. Therefore, we reverse the award of expert
witness costs.
Conclusion
We affirm the portions of the trial court's final judgment awarding
Garrison $262.50 in court reporter costs pursuant to rule 1.420(d).
However, we reverse the portion of the judgment awarding Garrison
attorney's fees as sanctions pursuant to section 57.105(1)(b) and expert
witness costs.
Affirmed in part, reversed in part, and remanded.
SILBERMAN and SMITH, JJ., Concur.
Opinion subject to revision prior to official publication.
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