PEOPLE'S TRUST INSURANCE COMPANY
v.
SHEILA BANKS
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The deterioration of cast iron plumbing pipes qualifies as an "act of nature" under the Water Damage Exclusion endorsement, and tear-out costs are part of the water damage loss subject to the Limited Water Damage Coverage endorsement's $10,000 limit, not a separate coverage provision.
[1] Deterioration of plumbing pipes due to corrosion constitutes an "act of nature" under an insurance policy exclusion, even if not an extraordinary event.
[2] Insurance policy provisions must be read as a whole, giving every provision its full meaning and operative effect, rather than in isolation.
Previewing 2 of 6 headnotes on this case. FLexlaw’s editorially structured points of law — every proposition, pinpointed — are reserved for members.
Join FLexlaw to unlock all legal intelligence“Corrosion, the chemical reaction between iron and moist air, is an act of nature or a naturally occurring force. Thus, the rust or corrosion occurred because of a natural act.”
This quote from Dodge v. People's Trust Insurance Co. establishes that ordinary chemical and corrosion processes qualify as acts of nature for purposes of water damage exclusions.
Previewing 1 of 3 key quotes on this case — the court’s exact language, pinpointed for members.
Join FLexlaw to unlock all legal intelligenceThe Insureds owned a home insured by PTIC under a policy with a Water Damage Exclusion endorsement and a Limited Water Damage Coverage endorsement pro…
The full statement of facts, procedural history, and disposition for this case are member content.
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Third District Court of Appeal
State of Florida
Opinion filed September 13, 2023. Not final until disposition of timely filed motion for rehearing.
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No. 3D22-1436 Lower Tribunal No. 20-1425
________________
People's Trust Insurance Company,
Appellant,
vs.
Sheila Banks, et al.,
Appellees.
An Appeal from the Circuit Court for Miami-Dade County, David C. Miller, Judge. Brett Frankel and Jonathan Sabghir (Deerfield Beach); and Cole, Scott & Kissane, P.A., and Mark D. Tinker (Tampa) and Scott A. Cole, for appellant. The Nation Law Firm, LLP, and Mark A. Nation (Longwood), for appellees. Before LOGUE, C.J., and HENDON and GORDO, JJ. On Motion for Clarification HENDON, J.
We grant Appellant’s motion for clarification, withdraw our previous opinion filed August 16, 2023, and replace it with the following opinion. People’s Trust Insurance Company (“PTIC”) appeals from an adverse final summary judgment. We reverse.
Facts
The appellees, Sheila and Randy Banks (“Insureds” or “Appellees”), own a home covered by an insurance policy issued by PTIC. That policy insures against “direct physical loss to property.” The policy excludes losses caused by “wear and tear” and “deterioration.” Unless the loss is “otherwise excluded,” the policy covers the insured property damaged by an accidental discharge of water from within a plumbing system, including the cost to tear out and replace any part of the building necessary to access and repair that system, but does not cover the system itself. All of the enumerated causes of loss are subject to an indirect and concurrent cause provision, which reads, SECTION I – EXCLUSIONS A. We do not insure for loss caused directly or indirectly by any of the following. Such loss is excluded regardless of any other cause or event contributing concurrently or in any sequence to the loss. These exclusions apply whether or not the loss event results in widespread damage or affects a substantial area. . . . One of the exclusions is for certain categories of water loss, including flood, sump overflows, etc. In order to take advantage of a reduced premium, the Insureds opted for a Water Damage Exclusion (“WDX”) endorsement to their policy. That endorsement replaced the policy’s basic water exclusion, and defined water to include, among other things, “[d]ischarge or overflow of water or steam from within a plumbing, heating, air conditioning or automatic fire protective sprinkler system or from within a household appliance,” and “[c]aused by or resulting from human or animal forces or any act of nature.” In addition to the WDX endorsement, the Insureds also purchased a less expensive but more restrictive Limited Water Damage Coverage (“LWD”) endorsement.1 The relevant provision provides coverage for “sudden and accidental direct physical loss to covered property by discharge or overflow of water or steam from within a plumbing . . . system.”
Discussion
Insurance policy construction is a question of law subject to de novo review. People's Tr. Ins. Co. v. Progressive Express Ins. Co., 336 So. 3d 1207, 1209 (Fla. 3d DCA 2021); Arguelles v. Citizens Prop. Ins. Corp., 278 So. 3d 108, 111 (Fla. 3d DCA 2019); Fayad v. Clarendon Nat’l. Ins. Co., 899 So. 2d 1082, 1085 (Fla. 2005) (citing Dimmitt Chevrolet, Inc. v. Se. Fid. Ins. Corp., 636 So. 2d 700, 701 (Fla. 1993)). Additionally, the appellate court must construe insurance policies in a reasonable, practical, and just manner. First Pros. Ins. Co. v. McKinney, 973 So. 2d 510 (Fla. 1st DCA 2007). Where 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’l. Ins. Corp. v. Ruderman, 117 So. 3d 943, 948 (Fla. 2013); U.S. Fire Ins. Co. v. J.S.U.B., Inc., 979 So. 2d 871, 877 (Fla. 2007) (holding that, in construing insurance contracts, courts should read each policy as a whole, endeavoring to give every provision its full meaning and operative effect).
This Court declines to interpret the insurance policy language at issue in such a way as to separate the ordinary meaning of “act of nature” from “natural process.” To conclude that the deterioration of the Insureds’ old cast iron plumbing pipes is not an “act of nature” would lead to an absurd result, i.e., coverage costs in excess of what was expressly excluded from the bargained-for coverage. “[A] single policy provision should not be read in isolation and out of context, for the contract is to be construed according to its entire terms, as set forth in the policy and amplified by the policy application, endorsements, or riders.” State Farm Mut. Auto. Ins. Co. v. Mashburn, 15 So. 3d 701, 704 (Fla. 1st DCA 2009). Recent appellate cases involving the identical policy language, and as applied to similar facts, have interpreted the phrase “act of nature” to mean ordinary natural processes rather than extraordinary, unforeseen events, or events usually classified as an “act of God.” See Dodge v. People's Tr. Ins. Co., 321 So. 3d 831, 835 (Fla. 4th DCA 2021) (“Corrosion, the chemical reaction between iron and moist air, is an act of nature or a naturally occurring force. Thus, the rust or corrosion occurred because of a natural act.”); Rosa v. Safepoint Ins. Co., 350 So. 3d 468, 471 (Fla. 5th DCA 2022) (“[T]he rust or other corrosion that occurred in the pipes in [the insured's] dwelling, regardless of whether it was perhaps preventable or controllable, was a naturally occurring force and thus an act of nature. As an act of nature, the loss came within the policy exclusion for ‘any act of nature.’”). Notably, in Santana v. People's Trust Insurance Co., 48 Fla. L. Weekly D646 (Fla. 3d DCA Mar. 29, 2023) (citation opinion), this Court has chosen to follow the precedent set by Dodge and Rosa.
It follows that there is no additional coverage provision for tear out costs separate from water damage loss. See Certain Interested Underwriters at Lloyd's London v. Pitu, Inc., 95 So. 3d 290, 293 (Fla. 3d DCA 2012) (finding the water loss exclusion endorsement was clear and unambiguous in its limitation of coverage for those losses covered by the policy to $25,000); Herrington v. Certain Underwriters at Lloyd's London, 342 So. 3d 767, 770 (Fla. 4th DCA 2022) (“The policy language covers ‘loss caused by the water including the cost of tearing out’ parts of the structure to repair the system which leaked. ‘Tear out’ costs are thus part of the water damage loss. Therefore, the endorsement limiting all water damage loss includes tear out expenses.”); Panettieri v. People's Tr. Ins. Co., 344 So. 3d 35, 40 (Fla. 4th DCA 2022) (holding no separate and distinct coverage exists for tear out costs apart from water damage); Yanes v. Nat'l Specialty Ins. Co., 548 F. Supp. 3d 1307, 1315 (S.D. Fla. 2021) (“Reading the provisions of the Subject Policy together as a whole, the Court finds that [the insurer’s] liability under the Subject Policy—including liability for Tear Out Coverage—is limited by the [Limited Water Damage Coverage Endorsement] to $10,000.00.”). As explained in Panettieri, A plain reading of the exception to c.(5) indicates that tear out coverage is included as part of the loss to property unless the loss is excluded. Therefore, no separate and distinct coverage exists for tear out costs apart from water damage, as Insured argues. The Perils Insured Against provision simply defines tear out coverage as included as part of covered loss to property, but excluded when the loss is excluded. As noted above, based on our analysis in Dodge, we find that the loss caused by water damage is excluded by the WDE Endorsement. Hence, the loss, including tear out costs, is otherwise excluded in the policy, and thus, the exception to c. (5) does not provide coverage for tear out costs here. As a result, no ambiguity or conflict exists within these provisions of the policy. The loss is left expressly excluded under the WDE Endorsement. Panettieri, 344 So. 3d at 39–40 (citation and footnote omitted). The Insureds argue that this Court should follow the holding and reasoning from Security First Insurance Co. v. Vazquez, 336 So. 3d 350, 351 (Fla. 5th DCA 2022), reh'g denied (Mar. 25, 2022), review dismissed, SC22- 583, 2022 WL 1764701 (Fla. May 31, 2022), and Security First Insurance Co. v. Nichols, 48 Fla. L. Weekly D837 (Fla. 6th DCA Apr. 21, 2023) (per curiam affirmance citing to Vasquez), rather than follow the reasoning of Dodge, Panettieri, and Rosa. We decline.
Vazquez is distinguishable from the present case. Unlike the parties in Vazquez, the parties in this case did not stipulate that the relevant endorsement covered tear out. As explained in Panettieri, However, in Vazquez, the parties stipulated that the operative policy’s limited water damage coverage endorsement provided coverage for tear out costs, and the question presented to the Fifth District was whether the $10,000 sub-limit applied to tear out costs. Here, no such stipulation occurred, and even more, as mentioned above, Insured’s argument on appeal is based on his contention that the LWD Endorsement in the instant case ‘does not provide coverage for Tear Out. Panettieri, 344 So. 3d at 41 (emphasis in original, internal citation omitted). Here, as in Panettieri, the LWD endorsement in PTIC’s policy does not provide coverage for tear out, but only provides coverage for sudden and accidental direct physical loss by water. Vazquez is thus distinguishable and we decline to follow it. We continue to follow the precedent set by the Courts in Dodge, Panettieri, Rosa, and Santana.
Accordingly, we reverse and remand for entry of summary judgment in favor of PTIC.
Reversed and remanded.
Cases With Similar Vibessemantic neighbors from the corpus
Citator
Authorities Cited
- United States Fire Ins. Co. v. J.S.U.B., Inc., 979 So. 2d 871 (Fla. 2007)
- Dimmitt Chevrolet, Inc. v. Se. Fid. Ins. Corp., 636 So. 2d 700 (Fla. 1993)
- State Farm Mut. Auto. Ins. Co. v. Mashburn, 15 So. 3d 701 (Fla. 1st DCA 2009)
- Santana v. People's Tr. Ins. Co., 321 So. 3d 831 (Fla. 3d DCA 2023)
- First Prof'ls Ins. Co., Inc. v. Barbara McKINNEY, M.D., 973 So. 2d 510 (Fla. 1st DCA 2007)
- Panettieri v. People's Tr. Ins. Co., 344 So. 3d 35 (Fla. 4th DCA 2022)
- Sec. First Ins. Co. v. Vazquez, 336 So. 3d 350 (Fla. 5th DCA 2022)
- Boucher v. State, 48 Fla. L. Weekly D646 (Fla. 3d DCA 2023)