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  • Jesus Villeda , et al Plaintiff vs. Citizens Property Insurance Corporation Defendant Contract and Indebtedness document preview
  • Jesus Villeda , et al Plaintiff vs. Citizens Property Insurance Corporation Defendant Contract and Indebtedness document preview
  • Jesus Villeda , et al Plaintiff vs. Citizens Property Insurance Corporation Defendant Contract and Indebtedness document preview
  • Jesus Villeda , et al Plaintiff vs. Citizens Property Insurance Corporation Defendant Contract and Indebtedness document preview
  • Jesus Villeda , et al Plaintiff vs. Citizens Property Insurance Corporation Defendant Contract and Indebtedness document preview
  • Jesus Villeda , et al Plaintiff vs. Citizens Property Insurance Corporation Defendant Contract and Indebtedness document preview
  • Jesus Villeda , et al Plaintiff vs. Citizens Property Insurance Corporation Defendant Contract and Indebtedness document preview
  • Jesus Villeda , et al Plaintiff vs. Citizens Property Insurance Corporation Defendant Contract and Indebtedness document preview
						
                                

Preview

Filing# 137418755 E-Filed 10/27/2021 06:28:45 PM I JUDICIAL C1RCU1'1 1N AND FOR BROWARD COUNTY, FLORIDA JESUS VILLEDA and JHANETH VILLEDA, CASE NO.. CACE-19-021344 Plaintiffs, V CITIZENS PROPERTY INSURANCE CORPORATION, Defendant. I PLAINTIFFS' RESPONSE IN OPPOSITION TO DEFENDANT'S MOTION FOR SUMMARY JUDGMENT Plaintiffs,JESUS VILLEDA and JHANETH VILLEDA (hereinafter, collectivelythe "Insured" or the "Plaintiff'), by and through their undersigned counsel, hereby file this Memorandum in Opposition to Defendant, CITIZENS PROPERTY INSURANCE CORPORATION (hereafter"Citizens" or the "Insurance Company" or the "Defendant") Motion for Summary Judgment, and state as follows: I. INTRODUCTION This lawsuit arises out of a sudden and accidental failure of the plumbing system that occurred on or about May 27, 2019 at the SubjectProperty,12708 NW 15th Street,Sunrise, FL 33323 (hereafter,the "Property").Following its investigation,the Insurance Company acknowledged the loss was covered and provided payment in the amount of $10,000.00. However, this payment was also inclusive of services provided by Xpress Restoration. A true and correct copy of the coverage determination letter is attached hereto as Exhibit "A". The coverage determination letter clearlystates that the $10,000.00 amount being paid is for the .. "Reasonable Emergency Services and the Building Repairs". However, Xpress Restoration did not perform any repairsto the covered property that was damaged by water as a result of the claimed loss. Further,the Policyprovidesunder Section I Additional Coverages that it will pay for reasonable costs incurred by the Insured for necessary measures taken solelyto protect *** FILED: BROWARD COUNTY, FL BRENDA D. FORMAN, CLERK 10/27/2021 06:28:45 PM.**** covered property from further damage in addition to a $10,000.00 mold provision. The Policyprovidesin no uncertain terms, that it providescoverage for "the cost to tear out and repair...when necessary to access the system or appliance."See the Policy attached hereto and incorporatedby reference as Exhibit "B". The Insurance Company essentially only paid $3,364.80 of what was damaged by water to the Insured, and did not pay any funds to access the plumbing system and/or perform the repair,therebybreachingthe policy.As a result, on or about October 15, 2019, the Insured was forced to file suit. At .. all times material hereto,there was in full force and effect,a Dwelling insurance policy issued by the Insurance Company, with a policy number of 02178693-3 (the "Policy").See Exhibit "B". This Policy contains a Managed Repair Contractor Program Endorsement, which mandates that The Insurance Company will provide payment for any direct physicalloss to covered property that is damaged by the dischargeor overflow of water. The sublimit "caps" the Insurance Company's payout at $10,000.00 for the damages caused by water if the Insured does not participate in the Managed Repair Program. Thus, the basis of Citizens' Motion for Final Summary Judgment. In moving for Summary Judgment, Citizens asserts that all of its obligationsunder the Policy have been exhausted and is askingthis Court to relieve it from further coverage obligations. Defendant's Motion must be denied because Plaintiff has presented substantial,competent, evidence creatingan issue of material fact precludingthe entry of summary judgment. LPA, the publicadjustershired by the Insured,prepareda repairestimate in the amount of $27,438.15 actual cash value. This estimate reflects the total amount of money necessary to restore the Property to its pre-losscondition. More importantlyhowever, the estimate calculates the cost to restore the property to its pre-losscondition as a result of the tear out needed to access the plumbing system. A true and correct copy of this estimate has been attached hereto as Exhibit "C". The Insurance Company now argues that it is entitled to summary judgment as a matter of law because the amount payable is limited to $10,000.00 per the terms and conditions of the sublimit insurance policy.The Insured does not contest that the damages caused by water are limited to $10,000.00; however, the Insured has not even been paidthe Policylimit of $10,000.00 nor the cost to tear out and access the pipe,nor the $10,000.00 mold limit are clearlycovered under the Policyand the Insurance Company has failed to indemnify the Insured for same. Further, in a very similar case in the 17th Circuit in and for Broward County, Florida, Enrique Berrios v. National SpecialAN?FN'.?mA?, ,/??1?.?I,IY?? WHAT DOES CITIZENS PROPERTY INSURANCE CORPORATION DO FACTS WITH YOUR PERSONAL INFORMATION? Why? Financial companies choose how they share your personal information. Federal law gives consumers the rightto limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do. What? The types of personal information we collect and share depend on the product or service you have with us. This information can include: Social Security number Information you provide on your application for insurance coverage, such as your name, address, telephone number, date of birth, and occupation Information gathered from you as our insured, your payment history,type of coverage you have, underwriting information and claims information Credit card or bank account information Mortgage information Information from your visits to www.citizensfla.com How? All financial companies need to share customers' personal information to run their everyday business. Citizens uses your personal information only as authorized or required by law and as necessary to provide our products and services to you. In the section below, we list the reasons financial companies can share their customers' personal information; the reasons Citizens chooses to share; and whether you can limit this sharing. Reasons we can share your personal information Does Citizens share? Can you limit this sharing? For - our everyday business purposes We share with Yes No nonaffiliates to assist us to process your transactions, underwrite and/or rate your policy,service your policy, administer claims, respond to court orders and legal investigations, and, as permitted by federal and state law. For - our marketing purposes to offer our products and No We don't share services to you For joint marketing with other financial companies No We don't share For our - affiliates' everyday business purposes No We don't share information about your transactions and experiences - For our affiliates' everyday business purposes No We don't share information about your creditworthiness For nonaffiliates to market to you No We don't share Questions? Call 866.411.2742; Deaf/Hard of Hearing: 800.955.8771 (TTY) or 800.955.8770 (Voice); or go to www.citizensfla.com 1 PNMPR-7 08 18 Page 2 What we do How does Citizens protect my To protect your personal information from unauthorized access and use, we personal information? use security measures that comply with federal law. These measures include computer safeguards and secured files and buildings. Our employees and vendors are authorized to access information only for valid business reasons. They must agree in writingto maintain the confidentiality of nonpublic personal information. We do not share medical information unless authorized by you or as required by law. How does Citizens collect my We collect your personal information, for example, when: personal information? you apply for insurance we process your application you pay insurance premiums you give us your contact information you give information to your agent or property inspector you file an insurance claim (or if a claim is made against you) you show us your government-issued ID or driver's license you visit Citizens' website if you voluntarily provide the information We also collect information from other companies, such as your loss history. Why can't I limit all sharing? Federal law gives you the rightto limit only: sharing for affiliates' everyday business about your creditworthiness affiliates from using your information to market to you sharing for nonaffiliates to market to you State law and individual companies may give you additional rightsto limit sharing. See below for more on your rights under state law. Definitions Affiliates Companies related by common ownership or control. They can be financial and nonfinancial companies. Citizens has no affiliates Nonaffiliates Companies not related by common ownership or control. They can be financial or nonfinancial company. Nonaffiliates we share with can include: ndependent insurance agents and agencies ndependent adjusters or claims representatives nspection companies Auditors Insurance support organizations Attorneys, courts, and government agencies Joint marketing A formal agreement between nonaffiliated financial companies that together market financial products or services to you. Citizens does not jointlymarket Other important information - State law The Florida public records law requires that all information received by a state entitybe made available to anyone upon request, including e-mail addresses, unless the information is subject to a specific statutory exemption. 2 PNMPR-7 08 18 CITIZENS PROPERTY INSIJRANCG CORPORATION Acknowledgement of Potential Surcharge and Assessment Liability We are required by law to send you this notice to inform you about the potentialfor surcharges and assessments to be applied to your policy. 1. AS A POLICYHOLDER OF CITIZENS PROPERTY INSURANCE CORPORATION, I UNDERSTAND THAT IF THE CORPORATION SUSTAINS A DEFICIT AS A RESULT OF HURRICANE LOSSES OR FOR ANY OTHER REASON, MY POLICY COULD BE SUBJECT TO SURCHARGES, WHICH WILL BE DUE AND PAYABLE UPON RENEWAL, CANCELLATION, OR TERMINATION OF THE POLICY, AND THAT THE SURCHARGES COULD BE AS HIGH AS 45 PERCENT OF MY PREMIUM, OR A DIFFERENT AMOUNT AS IMPOSED BY THE FLORIDA LEGISLATURE. 2. I UNDERSTAND THAT I CAN AVOID THE CITIZENS POLICYHOLDER SURCHARGE, WHICH COULD BE AS HIGH AS 45 PERCENT OF MY PREMIUM, BY OBTAINING COVERAGE FROM A PRIVATE MARKET INSURER AND THAT TO BE ELIGIBLE FOR COVERAGE BY CITIZENS, I MUST FIRST TRY TO OBTAIN PRIVATE MARKET COVERAGE BEFORE APPLYING FOR OR RENEWING COVERAGE WITH CITIZENS. I UNDERSTAND THAT PRIVATE MARKET INSURANCE RATES ARE REGULATED AND APPROVED BY THE STATE. 3. I UNDERSTAND THAT I MAY BE SUBJECT TO EMERGENCY ASSESSMENTS TO THE SAME EXTENT AS POLICYHOLDERS OF OTHER INSURANCE COMPANIES, OR A DIFFERENT AMOUNT AS IMPOSED BY THE FLORIDA LEGISLATURE. 4. I ALSO UNDERSTAND THAT CITIZENS PROPERTY INSURANCE CORPORATION IS NOT SUPPORTED BY THE FULL FAITH AND CREDIT OF THE STATE OF FLORIDA. More information regarding assessments and surcharges is available under the Po#cyho/der section of our website, www. citizens#a. com. Citizens Property Insurance Corporation POLICYHOLDER ASSESSMENT EXAMPLE To illustrate the potential assessment obligation of a Citizens policyholder compared to a policyholder insured by a private insurer, we have prepared an example based on an annual premium of $2,000. Your actual assessment amount will vary based on your annual premium. The assessment will be in addition to the premium you pay for insurance coverage. ABC Insurance Citizens Policy Policy If your annual premium is: $2,000 $2,000 Tier 1: Potential Citizens Policyholder Surcharge (one- time assessment $900 NLA up to 45% of premium) Tier 2: Potential Regular Assessment (one -time assessment up to 2% of 1 N/A $40 premium) Tier 3: Potential Emergency Assessment (up to 30% of premium 2 $600 $600 annually, may apply for multiple years) Potential Annual Assessment: $1,500 $640 Tiers are used to demonstrate the multiple levels of assessment defined by Florida Law. Assessment tiers are triggered based on the severity of the deficit. Assessments are based on the greater of the projected deficit or the aggregate statewide written premium for the subject lines of business. The above example is based on the use of premium. Notes: - 1 Tier 2 additional assessments may be incurred for other property/casualty policies that are subject to assessment. 2 - Tier 3 assessment may be collected each year over multiple years, depending on the extent of the deficit. In the event that subsequent years also generate a deficit, additional assessments could occur. ACK-1 11 13 -.' CITI -iS PROPERTY INSURANCE CORPORATION POLICYHOLDER NOTICE IMPORTANT INFORMATION Dear Policyholder, This offer of renewal contains a separate deductible for hurricane losses and a separate deductible for all other peril(AOP) losses. The hurricane deductible and AOP deductible you previously selected are shown in the enclosed Declaration page(s) of this renewal offer. Citizens offers you the choice of several hurricane deductible options. If your policydwelling limit is $100,000 or more (or personal property limit,if applicable), you may choose a hurricane deductible of 2, 5 or 10 percent of your lim-t. In addition to these deductibles, you may also choose a hurricane deductib e of $500 if your policy dwelling limit is less than $100,000 (or personal property imit, if applicable). The all other perils(AOP) deductible options you may choose are $500, $1,000 or $2,500, but may not exceed the hurricane deductible you select. All of these deductible options may not be available due to the policy dwelling limit (or personal property limit,if applicable). You may select different deductibles now or at any future renewal. If you have suffered hurricane losses in the current calendar year, a request to reduce your hurricane deductible will not be effective until January 1 of the following year. A mandatory sinkhole deductible may apply in some policiesand will be shown in your Declarations, if applicable. If you have questions about these deductibles or want to change your deductibles, contact your Citizens agent for assistance. The request to change your deductibles must be received by Citizens prior to the renewal date of your policy. This notice does not provide coverage nor does this notice replace any provisions of your policy. You should read your policy and review your declarations page for complete information on the coverages you are provided with. If there is any conflict between the policy and this notice, the provisions of the policyshall prevail. PNMPR-8 06 12 Checklist of Coverage Policy Type: Dwelling (Indicate: Homeowner's, Condominium Unit Owner's, Tenant's, Dwelling, or Mobile Home Owner's) The following checklist is for informational purposes only. Florida law prohibits this checklist from changing any of the provisions of the insurance contract which is the subject of this checklist. Any endorsement regarding changes in types of coverage, exclusions, limitations,reductions, deductibles, coinsurance, renewal provisions, cancellation provisions, surcharges, or credits will be sent separately. Reviewing this checklist together with your policy can help you gain a better understanding of your policy's actual coverages and limitations, and may even generate questions. By addressing any questions now, you will be more prepared later in the event of a claim. Experience has shown that many questions tend to arise regarding the coverage of attached or detached screened pool enclosures, screened porches, and other types of enclosures. Likewise, if your policy insures a condominium unit, questions may arise regarding the coverage of certain items, such as individual heating and air conditioning units; individual water heaters; floor, wall, and ceiling coverings; built-in cabinets and counter tops; appliances; window treatments and hardware; and electrical fixtures. A clear understanding of your policy'scoverages and limitations will reduce confusion that may arise during claims settlement. Please refer to the policy for details and any exceptions to the coverages listed in this checklist. All coverages are subject to the provisions and conditions of the policy and any endorsements. If you have questions regarding your policy, please contact your agent or company. Consumer assistance is available from the Department of Financial Services, Division of Consumer Services' Helpline at (800) 342-2762 or www.fldfs.com. This form was adopted by the Florida Financial Services Commission. Dwelling Structure Coverage (Place of Residence) Limit of Insurance: $228,000 Loss Settlement Basis: Replacement Cost (i.e.:Replacement Cost, Actual Cash Value, Stated Value, etc ) Other Structures Coverage (Detached from Dwelling) Limit of Insurance: $4,560 Loss Settlement Basis: Replacement Cost (i.e.:Replacement Cost, Actual Cash Value, Stated Value, etc ) Personal Property Coverage Limit of Insurance: $0 Loss Settlement Basis: (i.e.:Replacement Cost, Actual Cash Value, Stated Value, etc ) Deductibles $4,560 (2%) $2,500 Annual Hurricane: All Perils (Othgr Than Hyrricane) Sinkhole: $22,800 (10%) OIR-Bl-1670 (1-1-06) 1 of 3 Checklist of Coverage (continued) The above Limit of Insurance, Deductibles, and Loss Settlement Basis apply to the following perils insured against: