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Filing # 139244936 E-Filed 11/29/2021 12:22:08 PM
IN THE CIRCUIT COURT OF THE 11TH
JUDICIAL CIRCUIT IN AND FOR
MIAMI DADE COUNTY, FLORIDA
CIRCUIT CIVIL DIVISION
CASE NO: 2021-023723-CA-01
LUIS MADRAZO,
Plaintiff(s),
v.
CITIZENS PROPERTY INSURANCE CORPORATION,
Defendant.
_________________________________/
DEFENDANT’S ANSWER AND AFFIRMATIVE DEFENSES
COMES NOW, the Defendant, Citizens Property Insurance Corporation, by and through
its undersigned counsel, and pursuant to Fla. R. Civ. P. 1.100 and 1.140, answers the Complaint
as follows:
1. The allegations in paragraph 1 are unknown and therefore denied.
2. Citizens admits, pursuant to paragraph 2 of the Complaint, that it is a State of
Florida governmental entity created by the Florida Legislature to provide property insurance
within the state of Florida. Citizens is a governmental entity, an integral part of the state, and not
an insurance company requiring licensure or other qualification to transact business in Florida.
§627.351(6)(a)1, Fla. Stat. (2012). Citizens further denies that it does business in Miami-Dade
County, Florida. Citizens avers and asserts that it as a governmental entity, has home venue
privilege and an absolute right to be sued in Leon County, Florida, where it maintains its principal
headquarters. Fla. Public Serv. Comm’n v. Triple “A” Enter., 387 So. 2d 940 (Fla. 1980); Carlisle
v. Game and Freshwater Fish Comm’n, 354 So. 2d 362 (Fla. 1977); Poe & Assocs, LLC v. Citizens
Prop. Ins. Corp. Case No. 08-6352, Hillsborough County Circuit Court (Dec. 2008) (ordering
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LAW OFFICE OF HOFFMAN & HOFFMAN, P.A.
66 W Flagler Street, Miami, Florida 33130 ~ Telephone: 305.372.2877 Fax: 305.372.2875
transfer to Leon County). Notwithstanding Citizens’ home venue privilege, it waives that privilege
in this case and agrees to the maintenance of this suit in Miami-Dade County. Florida.
3. The allegations in paragraph 1 are admitted for jurisdictional purposes only.
4. The allegations in paragraph 4 are admitted.
5. Citizens is without sufficient knowledge or information to admit or deny the
allegations contained within paragraph 5 of the Complaint, and therefore denies same. Citizens is
without knowledge as to what conditions precedent are referred to by the Plaintiff, however,
Citizens expressly denies that it has waived any rights or waived the performance of any conditions
precedent or post loss .
6. Citizens hereby re-avers its responses to the preceding paragraphs.
7. The allegations in paragraph 7 are denied as phrased. The Plaintiff’s pleading
speaks for itself.
8. With regard to the allegations contained in paragraph 8 of the Complaint, Citizens
states that it issued to Plaintiff, an insurance policy bearing number 01149800-6, for the policy
period of September 20, 2020 to September 20, 2021, for the property located at 3400 NW 102nd
Street, Miami, FL 33147, and that the policy was in full force and effect during the policy period,
subject to the terms and conditions and exclusions set forth therein. Citizens avers and asserts that
the Policy speaks for itself, and that regardless of the premiums paid, coverage under the policy is
subject to the terms, conditions, and exclusions set forth therein. Citizens further states that it has
fully indemnified the Plaintiff’s for the reported loss associated with claim number 001-00-256768
, in accordance with the terms, conditions, and exclusions of the Policy Citizens denies all other
allegations, inferences, and legal conclusions set forth in paragraph 8 of the Complaint.
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LAW OFFICE OF HOFFMAN & HOFFMAN, P.A.
66 W Flagler Street, Miami, Florida 33130 ~ Telephone: 305.372.2877 Fax: 305.372.2875
9. With regard to the allegations in paragraph 9, Citizens denies as phrased. The Policy
bearing number 01149800-6 speaks for itself, and further states that coverage under the policy is
subject to the terms, conditions, limitations, endorsements, and exclusions set forth therein.
10. With regard to the allegations in paragraph 10, Citizens denies as phrased. The
Policy bearing number 01149800-6 speaks for itself, and further states that coverage under the
policy is subject to the terms, conditions, limitations, endorsements, and exclusions set forth
therein.
11. With regard to the allegations in paragraph 11, Citizens denies as phrased. The
Policy bearing number 01149800-6 speaks for itself, and further states that coverage under the
policy is subject to the terms, conditions, limitations, endorsements, and exclusions set forth
therein.
12. Citizens denies that an alleged loss occurred at the property. Citizens denies that
the damage was the result of a covered loss. Citizens admits that the policy remains subject to the
terms, conditions, limitations, endorsements, and exclusions set forth therein.
13. Citizens admits to receipt of an estimate dated April 15, 2021, attached as Exhibit
A to the Plaintiff’s Complaint, allegedly prepared in connection with the alleged damage and or
loss referenced within the Plaintiff’s Complaint. Citizens denies the rest of the allegation in
paragraph 13 as phrased.
14. Citizens admits that it assigned claim number 001-00-256768 to this claim for the
Policy bearing number 01149800-6. Citizens denies that the alleged damage was the result of a
covered loss. Citizens maintains that assignment of a claim number does not guarantee coverage
and the policy remains subject to the terms, conditions, limitations, endorsements, and exclusions
set forth therein.
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LAW OFFICE OF HOFFMAN & HOFFMAN, P.A.
66 W Flagler Street, Miami, Florida 33130 ~ Telephone: 305.372.2877 Fax: 305.372.2875
15. With regard to the allegations contained in paragraph 15, Citizens admits only that
Plaintiff submitted an estimate dated April 15, 2021, attached as Exhibit A to the Plaintiff’s
Complaint, allegedly prepared in connection with the alleged damage and or loss referenced within
the Plaintiff’s Complaint. Citizens denies the rest of the allegation in paragraph 13 as phrased.
16. With regard to the allegations contained within paragraph 16 of the Complaint, Citizens
is without knowledge as to what duties Plaintiff refers to and therefore, denies same and demands
strict proof thereof. Citizens expressly denies excusing or waiving any and all duties or
performances by the acts, representations, and/or conduct on the part of the Insured under the
subject policy or Florida law.
17. The allegations contained in paragraph 17 are denied.
18. The allegations in paragraph 18 of the Complaint are denied.
19. With regard to the allegations contained in paragraph 19 of the Complaint, Citizens
denies all allegations, inferences and legal conclusions and further avers and asserts that Fla. Stat.
§ 627.428 or §626.9373. speaks for itself.
AFFIRMATIVE DEFENSES
Citizens pleads limited affirmative defenses to Plaintiff's Complaint. Under Florida law, a
defendant is entitled to defend its case in two ways: (1) by challenging a plaintiff’s ability to prove
the essential elements of his or her claims, and (2) by asserting affirmative defenses that seek to
justify allegedly improper conduct, rather than to disprove it. In State v. Cohen, 568 So. 2d 49 (Fla.
1990), the Florida Supreme Court explained the difference between affirmative defenses and
defenses to liability as follows:
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
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LAW OFFICE OF HOFFMAN & HOFFMAN, P.A.
66 W Flagler Street, Miami, Florida 33130 ~ Telephone: 305.372.2877 Fax: 305.372.2875
the conduct in question. An affirmative defense does not concern itself with elements of the offense
at all; it concedes them. Id. at 51-52. The Court explained that defenses that argue, “Yes, I did it,
but I had a good reason” are affirmative defenses, while those that simply argue, “I did not do it”
are not affirmative defenses. Id. See also Martin County v. Edenfield, 609 So. 2d 27, 29 (Fla. 1992)
(explaining that, under Florida law, “a ‘defense’ is any allegation raised by the defendant that , if
true, would defeat or avoid the plaintiff’s cause of action”).
1. As its first affirmative defense, Defendant asserts that the Policy excludes coverage
for water damage to the inside of the building or the contents unless the direct force of wind first
damages the building, causing an opening and the rain enters through that opening. See Policy at
PERIL INSURED AGAINST, provisions A.2.b.8, and A.2.b.9(a) starting on page 13 of 39.
Defendant states that March 13, 2021, Field Adjuster, Gary W. Morgan, inspected the subject
property on behalf of Defendant in connection with the subject claim, and found no peril-created
openings to the building that would have allowed the rain to enter and damage the inside of the
Property. Therefore, there is no coverage for any of the alleged interior or content damage claimed
to be caused by rainwater.
2. As its second affirmative defense, Defendant asserts that the Policy excludes
coverage for damage caused by wear and tear, along with faulty maintenance. See Policy at PERIL
INSURED AGAINST, provisions A, 2, b, 9, starting on page 13 of 39, and EXCLUSIONS,
provisions A.5 Neglect and A.11, Existing damage (a) and (b), starting on page 19 of 39. Defendant
states that on February 13, 2021 and March 17, 2021, Field Adjuster, Gary W. Morgan inspected
the subject property on behalf of Defendant in connection with the subject claim, and found wear
and tear damage to the roofing system of the property.
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LAW OFFICE OF HOFFMAN & HOFFMAN, P.A.
66 W Flagler Street, Miami, Florida 33130 ~ Telephone: 305.372.2877 Fax: 305.372.2875
3. Plaintiff’s claim is governed by the terms, conditions, limitations, exclusions and
endorsements regarding coverage. Policy Number 01149800-6 controls the rights and obligations
of the parties, the applicable deductibles, and limits of coverage for the reported date of loss.
Defendant has not waived its right to rely upon other policy defenses based on its pre-suit conduct
or correspondence. See Mario Gamero v. Foremost Ins. Comp., 42 Fla. L. Weekly D158b (Fla.
Jan. 11, 2017).
4. Citizens reserves the right to amend its affirmative defenses as discovery progresses.
TRIAL BY JURY
Citizens demands a trial by jury.
CERTIFICATE OF SERVICE
WE HEREBY CERTIFY that a true and correct copy of the foregoing was served via the
Florida Courts E-Filing Portal, pursuant to Fla. R. Jud. Admin. 2.516(b)(1), on November 29, 2021
to:
Ramon J. Diego, Esq. eservice@rjdiegolaw.com
Law Office of Ramon J. Diego, P.A.
The Presto Building
5001 SW 74th Court, Suite 103
Miami, Florida 33155
LAW OFFICES OF HOFFMAN & HOFFMAN, P.A.
66 W. Flagler Street, Suite 200, Miami, Florida 33130
Telephone: 305.372.2877 / Facsimile: 305.372.2875
EService E-mail: eservice@hoffmanpa.com
By: /s/ Christina L. Pasquali, Esq.
John D. Hoffman, Esq.
Board Certified Civil Trial Lawyer
Florida Bar No. 825859 / E-mail: john@hoffmanpa.com
Claudia Feldman, Esq.
Florida Bar No. 99646 / E-mail: claudia@hoffmanpa.com
Christina L. Pasquali, Esq.
Florida Bar No. 1011937 / E-mail: cpasquali@hoffmanpa.com
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LAW OFFICE OF HOFFMAN & HOFFMAN, P.A.
66 W Flagler Street, Miami, Florida 33130 ~ Telephone: 305.372.2877 Fax: 305.372.2875