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  • Welsh, Joseph et al Plaintiff vs Tower Hill Prime Insurance Company Defendant CA Contracts and Indebtedness document preview
  • Welsh, Joseph et al Plaintiff vs Tower Hill Prime Insurance Company Defendant CA Contracts and Indebtedness document preview
  • Welsh, Joseph et al Plaintiff vs Tower Hill Prime Insurance Company Defendant CA Contracts and Indebtedness document preview
  • Welsh, Joseph et al Plaintiff vs Tower Hill Prime Insurance Company Defendant CA Contracts and Indebtedness document preview
  • Welsh, Joseph et al Plaintiff vs Tower Hill Prime Insurance Company Defendant CA Contracts and Indebtedness document preview
  • Welsh, Joseph et al Plaintiff vs Tower Hill Prime Insurance Company Defendant CA Contracts and Indebtedness document preview
  • Welsh, Joseph et al Plaintiff vs Tower Hill Prime Insurance Company Defendant CA Contracts and Indebtedness document preview
  • Welsh, Joseph et al Plaintiff vs Tower Hill Prime Insurance Company Defendant CA Contracts and Indebtedness document preview
						
                                

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Filing # 130759906 E-Filed 07/15/2021 04:54:43 PM 99551-14 IN THE CIRCUIT COURT OF THE 20TH JUDICIAL CIRCUIT IN AND FOR LEE COUNTY, FLORIDA JOSEPH AND PATRICIA WELSH, CIRCUIT CIVIL DIVISION Plaintiffs, CASE NO. 21-CA-376 vs. TOWER HILL PRIME INSURANCE COMPANY, Defendant. ____________________________/ DEFENDANT’S RESPONSES TO PLAINTIFFS’ FIRST REQUEST FOR PRODUCTION Defendant, Tower Hill Prime Insurance Company, by and through the undersigned attorneys, and pursuant to the applicable Fla. R. Civ. P., responds to Plaintiffs’ First Request for Production as follows: GENERAL OBJECTIONS 1. Defendant objects to each Request to the extent the request requires production of privileged documents including documents protected by the claims-file privilege, work- product privilege, attorney-client privilege, information protected by the attorney work- product doctrine, and/or other documents and information that is otherwise not subject to discovery under the Florida Rules of Civil Procedure or the Florida Rules of Evidence. Defendant has produced all of the discoverable documents for this claim; however, Defendant has also described the privileged documents in its Privilege Logs. 2. Defendant objects to each Request to the extent the request requires production of confidential and proprietary documents and information. 3. Further, Defendant objects to each Request/requesting production of personal information, including information as to which disclosure is prohibited by law and information as to which employees or other individuals have a reasonable expectation of privacy. 4. Defendant objects to each Request seeking production of documents and information not in Defendant's possession, custody or control, or documents and information that was previously requested to be produced. eFiled Lee County Clerk of Courts Page 1 5. Defendant objects to those requests which seek information neither relevant to the issues in this lawsuit nor reasonably calculated to lead to the discovery of admissible evidence. 6. Defendant has not completed discovery and has not completed preparation for trial so that additional evidence may be discovered that could impact Defendant's responses. Defendant has provided Plaintiff with documents exemplifying the best information available at the time; however, Defendant does not intend for the initial discovery responses to be its final production of documents and information. 7. Defendant expressly reserves its right to amend or supplement its responses to these Requests as discovery progresses or further information and documents become known or available to Defendant. 8. Defendant responds to each Request with the accompanying objections, without waiving and expressly preserving any and all objections including, but not limited to: (a) the right to object to the relevancy, competency, and admissibility in this action or any other related action; (b) the right to object to the use of any information or documents produced in any subsequent proceeding or trial of this or any other action on any grounds; (c) the right to object on any ground at any time to a demand for further response to each Request; (d) the right to further supplement and/or amend these responses based upon discovery of additional information or documents; and (e) the attorney-client and work-product privileges. Any inadvertent production of any privileged information or documents is not a waiver of these privileges. 9. Defendant produced all discoverable documents in this Response to Plaintiffs’ Requests for Production. Defendant conducted a thorough investigation of the claim to the extent Plaintiff cooperated; therefore, in its document production, Defendant produced all of the discoverable, requested documents. Defendant objects to Plaintiffs’ Requests to Production because itis unduly burdensome to request Defendant to duplicate and re-organize the requested documents. SPECIFIC RESPONSES AND OBJECTIONS 1. A true and correct copy of all DEC pages and the full and complete insurance policy(s) referenced in Plaintiffs’ Complaint and a sworn statement of a corporate officer of Defendant attesting to the coverage and authenticity of the policy. Response: See attached policy. 2. A copy of any and all other DEC pages and insurance policy(s) which may provide coverage to either Plaintiffs for the damages claimed in Plaintiffs’ Complaint. Response: None known to Defendant’s knowledge. 3. A copy of each and every document (defined above) which you reasonably anticipate may be introduced into evidence at the trial of this matter. -2- eFiled Lee County Clerk of Courts Page 2 Response: Unknown at this time. Any exhibits that are expected to be introduced at trial will be disclosed pursuant to the requirements of an applicable Trial Order. 4. A copy of any and all documents which you allege may support any affirmative defense which you have raised in this matter. Response: Objection; this request is overbroad, vague, and seeks counsel for Defendant to disclose their mental impressions protected by the work product privilege. See Northup v. Acken, 865 So.2d 1267, 1272 (Fla. 5th DCA 2004) (“The overriding touchstone in this area of civil discovery is that an attorney may not be compelled to disclose the mental impressions resulting from his or her investigations, labor, or legal analysis unless the product of such investigation itself is reasonably expected or intended to be presented to the court or before a jury at trial.”). This request also seeks work-product privileged information in the claim file. See State Farm Mut. Auto. Ins. Co. v. O’Hearn, 975 So. 2d 633 (Fla. 2d DCA 2008); State Farm Fire and Cas. Co. v. Valido, 662 So. 2d 1012 (Fla. 3d DCA 1995). Seminole Cas. Ins. Co. v. Mastrominas, 6 So. 3d 1256, 1258 (Fla. 2d DCA 2009) (concluding an order “requiring the disclosure of claim file materials during the litigation of coverage issues would result in irreparable harm that cannot be adequately addressed on appeal”); Nationwide Ins. Co. of Fla. v. Demmo, 57 So. 3d 982, 983 (Fla. 2d DCA 2011) (in first-party breach of contract action, an order compelling production of insurer’s claim’s notes, activity logs, property loss notice information, and property loss forms, even when the documents were created before the insurer denied the claim, would result in irreparable harm and was a departure from the essential requirements of the law). Notwithstanding said objections, see attached policy, 05/15/2019 acknowledgment letter, 06/05/2019 U.S. Forensic Building Damage Evaluation Report, 06/07/2019 coverage determination letter, 09/02/2020 correspondence from Tower Hill requesting a Sworn Proof of Loss, and 09/11/2020 correspondence from Tower Hill requesting a Sworn Proof of Loss. Defendant expressly reserves the right to amend this response. 5. A copy of any and all documents which you allege may support any Motion to Dismiss which you have filed in this matter. Response: Not applicable. 6. Copies of any and all statements, and any transcripts from any person who has knowledge of the facts in this matter including any expert witness or the Defendant (defined above) herein. Response: Objection; this request is overbroad, vague, ambiguous, and seeks documents protect by the work-product privilege insofar as it requests information concerning the processing, acceptance, or denial of any portion of Plaintiff’s claim of coverage and concerns the insurer’s claims handling process in a first-party dispute such as this is privileged. See Old Rep. Nat. Title Ins. Co. v. HomeAmerican Credit, Inc., 844 So. 2d 818 -3- eFiled Lee County Clerk of Courts Page 3 (Fla. 5th DCA 2003). Indeed, “claim files, investigative reports, adjuster notes, underwriting files, company policies and manuals, training materials, [and] certain personnel files . . .” are either irrelevant in first-party disputes such as this or are privileged work product. State Farm Fla. Ins. Co. v. Gallmon, 835 So. 2d 389, 390 (Fla. 2d DCA 2003); see also State Farm Fire & Cas. Co. v. Valido, 662 So. 2d 1012, 1013 (Fla. 3d DCA 1995). Further, such claims-related discovery absent a coverage determination is premature at this time. See Quadomain Condominium Ass’n, Inc. v. QBE Ins. Corp., 2007 WL 1424596 (S.D. Fla. May 14, 2007); Portofini South Condominium Ass’n of West Palm Beach, Inc. v. QBE Ins. Corp., 664 F. Supp. 2d 1265 (S.D. Fla. 2009); Nirvana Condo. Ass’n, Inc. v. QBE Ins. Corp., 589 F. Supp. 2d 1336 (S.D. Fla. 2008); Isola Condo. Ass’n, Inc. v. QBE Ins. Corp., 2008 WL 5169458 (S.D. Fla. Dec. 8, 2008); Buckley Towers Condo., Inc. v. QBE Ins. Corp., 2008 WL 2490450 (S.D. Fla. June 18, 2008). Notwithstanding said objections, see attached 06/05/2019 U.S. Forensic Building Damage Evaluation Report and 10/13/2020 Orbis Consulting Cause and Origin Report. See also Defendant’s privilege log below. Date Description Privilege 05/14/2019 Property First Notice of Loss Report (3 Work product, prepared in pages) anticipation of litigation 05/14/2019 Tower Hill Claim Notes (5 pages) Work product; prepared in – anticipation of litigation. 01/16/2021 7. Copies of any and all recorded statement(s) and telephone conversations, as well as any transcripts for the same which have been reduced to writing and/or transcribed, including but not limited to Examinations Under Oath, which were taken of or provided by any insured or their representatives (defined above) which are in your possession or control. Response: See Response to Request for Production #6. 8. Copies of any and all recorded statement(s) and telephone conversations, as well as any transcripts for the same which have been reduced to writing and/or transcribed, which were taken of or provided by any witness which are in your possession or control. Response: See Response to Request for Production #6. 9. Each and every document, report, chart, graph, object, summary, compilation of data or other thing relied upon by any of your experts, in whole or in part, in the formulation of any opinions and conclusion in this case. Response: Experts are unknown at this time and will be disclosed pursuant to the requirements of an applicable Trial Order. 10. Copies of any photographs of Plaintiffs’ Property located at 16703 Crownsbury Way, Fort Myers, Florida 33908 which are in your possession or control. -4- eFiled Lee County Clerk of Courts Page 4 Response: See attached 06/05/2019 U.S. Forensic Building Damage Evaluation Report and 10/13/2020 Orbis Consulting Cause and Origin Report. See also Defendant’s privilege log below. See also Defendant’s privilege log below. Date Description Privilege Complete Underwriting File Work product, prepared in anticipation of litigation and underwriting privilege, not reasonably calculated to lead to discovery of admissible information 11. Copies of any photographs which reflect any damage at Plaintiffs’ Property located 16703 Crownsbury Way, Fort Myers, Florida 33908 which are in your possession or control. Response: See attached 06/05/2019 U.S. Forensic Building Damage Evaluation Report and 10/13/2020 Orbis Consulting Cause and Origin Report. 12. Copies of any photographs of any work performed at Plaintiffs’ Property located at 16703 Crownsbury Way, Fort Myers, Florida 33908 which are in your possession or control. Response: None to Defendant’s knowledge. Defendant expressly reserves the right to amend its response to this Request as discovery is ongoing. 13. Copies of any and all estimates and damage appraisals and other documents (defined above) referencing damage appraisals regarding Plaintiffs’ Property located at 16703 Crownsbury Way, Fort Myers, Florida 33908 which are in your possession or control. Response: Objection; this request is overbroad, vague, ambiguous, and seeks documents protect by the work-product privilege insofar as it requests information concerning the processing, acceptance, or denial of any portion of Plaintiff’s claim of coverage and concerns the insurer’s claims handling process in a first-party dispute such as this is privileged. See Old Rep. Nat. Title Ins. Co. v. HomeAmerican Credit, Inc., 844 So. 2d 818 (Fla. 5th DCA 2003). Indeed, “claim files, investigative reports, adjuster notes, underwriting files, company policies and manuals, training materials, [and] certain personnel files . . .” are either irrelevant in first-party disputes such as this or are privileged work product. State Farm Fla. Ins. Co. v. Gallmon, 835 So. 2d 389, 390 (Fla. 2d DCA 2003); see also State Farm Fire & Cas. Co. v. Valido, 662 So. 2d 1012, 1013 (Fla. 3d DCA 1995). Further, such claims-related discovery absent a coverage determination is premature at this time. See Quadomain Condominium Ass’n, Inc. v. QBE Ins. Corp., 2007 WL 1424596 (S.D. Fla. May 14, 2007); Portofini South Condominium Ass’n of West Palm Beach, Inc. v. QBE Ins. Corp., 664 F. Supp. 2d 1265 (S.D. Fla. 2009); Nirvana Condo. Ass’n, Inc. v. QBE Ins. Corp., 589 F. Supp. 2d 1336 (S.D. Fla. 2008); Isola Condo. Ass’n, Inc. v. QBE Ins. Corp., 2008 WL 5169458 (S.D. Fla. Dec. 8, 2008); Buckley Towers Condo., Inc. v. QBE Ins. Corp., 2008 WL 2490450 (S.D. Fla. June 18, 2008). -5- eFiled Lee County Clerk of Courts Page 5 Notwithstanding said objections, see attached 10/10/2020 Orbis Consulting estimate, 10/11/2020 3G Enclosures estimate, and 10/11/2020 3G Home Exteriors estimate. 14. Copies of any and all documents (defined above) upon which you based any denials of coverage for the loss described in Plaintiffs’ Complaint. Response: See attached policy, 05/15/2019 acknowledgment letter, 06/05/2019 U.S. Forensic Building Damage Evaluation Report, and 06/07/2019 coverage determination letter. Defendant reserves the right to amend this response. 15. Copies of any and all documents (defined above) upon which you based any denials of all or part of the amount of loss claimed by Plaintiffs. Response: See Response to Request for Production #14. 16. If there are any denials of insurance coverage being made by Defendant, then copies are requested of any and all applications for insurance, insurance forms, data sheets, correspondence, notices, facsimile, e-mails and other documents (defined above) which reference in any way any the insurance policy at issue in this matter. Response: Objection; this request is overbroad, vague, ambiguous, and seeks documents protect by the work-product privilege insofar as it requests information concerning the processing, acceptance, or denial of any portion of Plaintiff’s claim of coverage and concerns the insurer’s claims handling process in a first-party dispute such as this is privileged. See Old Rep. Nat. Title Ins. Co. v. HomeAmerican Credit, Inc., 844 So. 2d 818 (Fla. 5th DCA 2003). Indeed, “claim files, investigative reports, adjuster notes, underwriting files, company policies and manuals, training materials, [and] certain personnel files . . .” are either irrelevant in first-party disputes such as this or are privileged work product. State Farm Fla. Ins. Co. v. Gallmon, 835 So. 2d 389, 390 (Fla. 2d DCA 2003); see also State Farm Fire & Cas. Co. v. Valido, 662 So. 2d 1012, 1013 (Fla. 3d DCA 1995). Further, such claims-related discovery absent a coverage determination is premature at this time. See Quadomain Condominium Ass’n, Inc. v. QBE Ins. Corp., 2007 WL 1424596 (S.D. Fla. May 14, 2007); Portofini South Condominium Ass’n of West Palm Beach, Inc. v. QBE Ins. Corp., 664 F. Supp. 2d 1265 (S.D. Fla. 2009); Nirvana Condo. Ass’n, Inc. v. QBE Ins. Corp., 589 F. Supp. 2d 1336 (S.D. Fla. 2008); Isola Condo. Ass’n, Inc. v. QBE Ins. Corp., 2008 WL 5169458 (S.D. Fla. Dec. 8, 2008); Buckley Towers Condo., Inc. v. QBE Ins. Corp., 2008 WL 2490450 (S.D. Fla. June 18, 2008). Notwithstanding said objections, see attached 05/15/2019 acknowledgment letter, 06/07/2019 coverage determination letter, 09/02/2020 correspondence from Tower Hill requesting a Sworn Proof of Loss, and 09/11/2020 correspondence from Tower Hill requesting a Sworn Proof of Loss. See also Defendant’s privilege log below. -6- eFiled Lee County Clerk of Courts Page 6 Date Description Privilege Complete Underwriting File Work product, prepared in anticipation of litigation and underwriting privilege, not reasonably calculated to lead to discovery of admissible information 17. Copies of any and all correspondence, facsimile, notices, e-mails and other documents (defined above) which reference in any way any notices which you provided to Plaintiffs regarding cancellation of the insurance policy at issue in this matter. Response: See attached 03/18/2019 Cancellation Request/Policy Release. 18. Copies of all PORS, Proof of Mailing and other documents (defined above) which reflect in any way mailings made by you to Plaintiffs regarding cancellation of the policy of insurance at issue in this matter. Response: See Response to Request for Production #18. 19. All reports and current curriculum vitae from any expert(s) retained by you for any reason regarding Plaintiffs’ claim. Response: Experts are unknown at this time and will be disclosed pursuant to the requirements of an applicable Trial Order. 20. Any and all e-mails, letters, facsimile, and other correspondence regarding any claims made by Plaintiffs for homeowners’ insurance benefits as a result of the wind and water event of September 8, 2020, including but not limited to, correspondence with experts, independent adjusters, appraisers, inspectors, and any other third party. Response: See attached 05/07/2019 e-mail from McGriff Insurance to Tower Hill, 05/15/2019 acknowledgment letter, 06/07/2019 coverage determination letter, 08/28/2020 e-mail from Patricia and Joseph Welsh to McGriff Insurance, 08/28/2020 e-mails from McGriff Insurance to Patricia and Joseph Welsh, 09/01/2020 e-mail from Patricia and Joseph Welsh to McGriff Insurance, 09/01/2020 e-mail from McGriff Insurance to Patricia and Joseph Welsh, 09/01/2020 e-mail from McGriff Insurance to Tower Hill, 09/01/2020 e-mails from Tower Hill to McGriff Insurance, 09/02/2020 e-mail from Tower Hill to McGriff Insurance, 09/02/2020 e-mail from Tower Hill to Patricia Welsh, 09/02/2020 correspondence from Tower Hill requesting a Sworn Proof of Loss, 09/09/2020 e-mail from Cohen Law to Tower Hill, 09/09/2020 Cohen Law Letter of Representation, 09/11/2020 e-mail from Tower Hill to Cohen Law, 09/11/2020 correspondence from Tower Hill requesting a Sworn Proof of Loss, 09/17/2020 e-mail from Tower Hill to Cohen Law, 10/21/2020 e-mail from Tower Hill to Cohen Law, and 01/11/2021 e-mail from Cohen Law to Tower Hill. See also Defendant’s privilege log below. -7- eFiled Lee County Clerk of Courts Page 7 Date Description Privilege 05/15/2019 E-mail from Tower Hill to U.S. Forensic Work product, prepared in re: assignment request (1 page) anticipation of litigation 05/15/2019 E-mail from U.S. Forensic to Tower Hill Work product, prepared in re: assignment confirmation (1 page) anticipation of litigation 05/16/2019 E-mail from U.S. Forensic to Tower Hill Work product, prepared in re: engineer assignment (1 page) anticipation of litigation 06/06/2019 E-mail from U.S. Forensic to Tower Hill Work product, prepared in re: report (1 page) anticipation of litigation 21. All documents reflecting any payment made to any person (defined above) or entity for any reason as a result of the wind and water event described in Plaintiffs’ Complaint. Response: See Defendant’s privilege log below. Date Description Privilege 06/05/2019 U.S. Forensic invoice (1 page) Work product, prepared in anticipation of litigation 22. All books, treaties or authority used by Defendant’s adjuster in determining what amount to pay or deny regarding the claim at issue. Response: None to Defendant’s knowledge. 23. All writings, memoranda, notes or other materials reflecting examination of Plaintiffs’ Property by Defendant or its agents. Response: See attached 06/05/2019 U.S. Forensic Building Damage Evaluation Report. See also Defendant’s privilege log below. Date Description Privilege Complete Underwriting File Work product, prepared in anticipation of litigation and underwriting privilege, not reasonably calculated to lead to discovery of admissible information 24. All proofs of loss received by Defendant from Plaintiffs. Response: None to Defendant’s knowledge. Defendant expressly reserves the right to amend its response to this Request as discovery is ongoing. 25. All estimates received by Defendant from any source for repairs to Plaintiffs’ Property. Response: See Response to Request for Production #13. -8- eFiled Lee County Clerk of Courts Page 8 26. Defendant’s latest claims manual or statement of policies and procedures on the processing or handling of homeowner’s claims. Response: Objection; these documents are irrelevant and not reasonably calculated to lead to the discovery of admissible evidence. 27. Any training manuals, guides and documents which Defendant has provided to its adjusters regarding adjusting hurricane damage claims from the past three years to the present. Response: Objection; these documents are irrelevant and not reasonably calculated to lead to the discovery of admissible evidence. 28. Copies of any peer reviews, estimates, or comparative estimates generated by anyone on Defendant’s behalf regarding the amount of loss at issue. Response: None. Defendant expressly reserves the right to amend its response to this Request as discovery is ongoing. 29. All documents showing the total amount paid during the past three years to any third parties providing services, analyses, or opinions regarding Plaintiffs’ claim. Response: See Response to Request for Production #21. 30. A copy of the contract/agreement/document (if any) that Defendant has with anyone, including but not limited to contractors, engineers, adjusters, or experts, who may provide testimony at the trial of this matter. Response: Fact and expert witnesses are unknown at this time and will be disclosed pursuant to the requirements of an applicable Trial Order. 31. All documents that relate to the drafting, meaning, and interpretation of any language, terms, or provisions, used in the policy at issue. Response: None to Defendant’s knowledge. Defendant expressly reserves the right to amend its response to this Request as discovery is ongoing. 32. Pursuant to Fla. R. Civ. P. 1.310(b)(6), please produce three (3) alternative dates for the deposition of the corporate representative(s) with the most knowledge of the claim asserted by the Plaintiffs’ Complaint as well as the individual who was primarily responsible for the decision to deny indemnifying Plaintiffs’ amount of loss. A designation of the information upon which such examination will proceed will be provided under separate cover. Response: Dates for Defendant’s corporate representative’s deposition will be provided under separate cover. -9- eFiled Lee County Clerk of Courts Page 9 33. Copies of any and all notices sent by you or your representatives (defined above) to any insured to participate in a mediation program under Fla. Stat.§ 627.7015 and copies of any and all PORS, Proof of Mailing and other documents (defined above) which reflect in any way mailings made by you to any insured regarding the same. Response: See attached 05/15/2019 acknowledgment letter. CERTIFICATE OF SERVICE WE HEREBY CERTIFY that a copy hereof has been electronically served via Florida ePortal to: Philip Rhodes, Esq., prhodes@itsaboutjustice.law; cara@itsaboutjustice.law; on this 15th day of July, 2021. /s/ Cary W. Capper Cary W. Capper, Esquire – FB#: 0932371 Teresita M. Baron, Esquire – FB#: 57256 WICKER SMITH O'HARA MCCOY & FORD, P.A. Attorneys for Tower Hill Prime Insurance Company 2800 Ponce de Leon Boulevard Suite 800 Coral Gables, FL 33134 Phone: (305) 448-3939 Fax: (305) 441-1745 miacrtpleadings@wickersmith.com - 10 - eFiled Lee County Clerk of Courts Page 10