Gilbert v. Gilbert v. Hanover Ins. Co.
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MAINE SUPREME JUDICIAL COURT Reporter of Decisions
Decision: 2002 ME 67
Docket: Fra-01-446
Argued: March 5, 2002
Decided: April 18, 2002
Panel:SAUFLEY, C.J., and CLIFFORD, RUDMAN, DANA, ALEXANDER, and CALKINS, JJ.
BEVERLY GILBERT
v.
L. KEVIN GILBERT
v.
HANOVER INSURANCE COMPANY
CLIFFORD, J.
[¶1] L. Kevin Gilbert appeals from two summary judgments entered in
the Superior Court (Franklin County, Marden, J.). One judgment is in favor of
Beverly Gilbert, Kevin's former wife, in her action to recover insurance proceeds
paid to the Gilberts after their home and its contents were damaged by a fire.
Kevin contends that he is entitled to a portion of the proceeds attributable to
those items of personal property that he owned. The second summary
judgment was entered in favor of third-party defendant Hanover Insurance
Company in Kevin's third-party action to recover additional proceeds that
Kevin claimed were due under the policy. Finding no error, we affirm both
judgments.
[¶2] Beverly and Kevin were divorced on March 31, 1998. The divorce
judgment awarded the house, valued at $36,809, to Kevin, but allowed Beverly
to remain in the house until July 27, 1998. The judgment ordered Kevin to pay
Beverly $17,454 when she vacated the premises, to compensate her for her
marital interest in the house. Beverly had the option of vacating the house
prior to July 27, 1998, in which case Kevin would have thirty days to pay her
the sum awarded to her.
[¶3] On May 31, 1998, while Beverly was still residing there, the house
was struck by lightning, causing a fire that severely damaged the house and
destroyed the personal property therein. Beverly immediately exercised her
right to accelerate the payment due to her under the divorce judgment by
informing Kevin of her intent to "vacate" the premises. Kevin fulfilled his
obligation to Beverly for her equity on June 11, 1998.
[¶4] The Gilberts had a fire insurance policy on the house issued by
Hanover.{1} One provision guaranteed that the owners would receive payments
to provide them with a temporary residence if fire damage caused the house to
be unlivable. That provision provided, in pertinent part:
If a loss covered under this Section makes that part of the
"residence premises" where you reside not fit to live in, we cover, at
your choice, either of the following. However, if the "residence
premises" is not your principal place of residence, we will not
provide the option under paragraph b. below.
a.Additional Living Expense, meaning any necessary
increase in living expenses incurred by you so that your
household can maintain its normal standard of living; or
b.Fair Rental Value, meaning the fair rental value of that
part of the "residence premises" where you reside less any
expenses that do not continue while the premises is not fit
to live in.
Payment under a. or b. will be for the shortest time required
to repair or replace the damage or if you permanently
relocate, the shortest time required for your household to
settle elsewhere.
[¶5] The policy also insured against damage to personal property caused
by fire up to $52,000 for the actual value of the property.{2} Sometime after the
fire, Kevin renegotiated the policy to provide coverage of $62,400, with the
damaged property to be valued at its replacement value. Hanover submitted an
"Amended Declaration" to Kevin that indicated these changes in terms. The
declaration stated that it was effective on June 29, 1998.
[¶6] Beverly filed a claim with Hanover for the damaged or destroyed
personal property,{3} and Hanover immediately issued her a $5000 advance check
payable to Beverly and Kevin. Kevin endorsed the check on the condition that
$2000 of the $5000 be placed in an escrow account while he and Beverly tried
to resolve who was entitled to the proceeds. They were unable to agree,
however.
[¶7] Hanover issued two checks to the Gilberts totaling $52,338{4} on
December 4, 1998. Like the advance check, these checks required the
endorsements of both Gilberts. Kevin also refused to endorse these checks
because he believed that he and Beverly were entitled to a larger payment from
Hanover, and that endorsing the checks would be construed as a waiver or
settlement of their claim. At some point during that summer, Hanover agreed
to pay $2800 to the couple for the loss of use of the property for June, July,
August, and September of 1998.
[¶8] Beverly filed a complaint against Kevin on May 13, 1999. Count I
sought an injunction to require Kevin to sign the check so the court could
place the money in trust pending a determination of who was entitled to it.
Count II sought a declaratory judgment that Beverly was entitled to the full
amount of the insurance proceeds.{5}
[¶9] On July 9, 1999, the court acted on Count I of Beverly's complaint
and ordered that the insurance proceeds be placed in a trust account pending
final outcome of the case.
[¶10] Pursuant to an order of the court, Kevin filed a third-party
complaint against Hanover on January 4, 2000, seeking additional proceeds
from Hanover for personal property damage. This claim was based on Kevin's
allegation that Hanover had agreed that the amendments to the policy
increasing coverage, negotiated after the fire, would apply retroactively to the
effective date of the policy. Kevin also claimed that he was entitled to
payments for living expenses from September of 1998 through January of 1999,
which was when he asserts he was able to move into the house.
[¶11] Hanover moved for a summary judgment on the third­p;party
complaint. Hanover contended that Kevin's assertion that the amendments
were intended to be retroactive was unfounded, and that he was not entitled to
any payments for "loss of use" because he did not reside in the house at the
time of the fire. Beverly also filed a motion for a summary judgment on her
complaint, contending that Kevin had failed to provide any evidence that items
belonging to him were in the house at the time of the fire.
[¶12] The court ultimately concluded that the statement of material
facts submitted by Kevin in response to Beverly's summary judgment motion
failed to properly controvert Beverly's Rule 56(h) statement supporting her
motion, which contended that she owned all the property destroyed by the fire,
and accordingly, that Kevin did not generate an issue of material fact sufficient
to defeat Beverly's motion for summary judgment. The court also concluded
that the language of the insurance policy supported Hanover's contention that
the amendment increasing the amount of coverage was not retroactive.
[¶13] The court further concluded that Hanover was obligated to make
loss of use payments to the Gilberts, and because Beverly had immediately
exercised her option to vacate the premises, Kevin was not precluded by the
policy language from receiving payments for loss of use.{6} The court refused to
award Kevin loss of use payments in excess of the $2800 already paid by
Hanover, however, concluding that the negotiated payment represented an
agreement between the parties as to the time that would be required to repair
the house within the meaning of the policy.
I. SUMMARY JUDGMENT FOR BEVERLY GILBERT
[¶14] Rule 56(h)(2) provides:
A party opposing a motion for summary judgment shall submit
with its opposition a separate, short, and concise statement of
material facts. The opposing statement shall admit, deny or
qualify the facts by reference to each numbered paragraph of the
moving party's statement of material facts and unless a fact is
admitted, shall support each denial or qualification by a record
citation as required by this rule. The opposing statement may
contain in a separate section additional facts, set forth in separate
numbered paragraphs and supported by a record citation as
required by paragraph (4) of this rule.
[¶15] "A statement of material facts must be numbered, concise, and
contain specific record references to each proffered fact." Levine, 2001 ME 77, ¶
6, 770 A.2d 653, 656 (interpreting predecessor to Rule 56(h), but noting that
requirements will remain the same under new rule). If a proffered fact is not
accompanied by a specific record reference, then the court will not take
cognizance of it. Id. ¶ 9.
[¶16] The assertions as to the loss of personal property in the fire
contained in Beverly's statement properly reference the record and support her
motion for a summary judgment. The statement of material facts that Kevin
filed in opposition to Beverly's motion contains six paragraphs of assertions
and cross-references, but no record references. Because Beverly's statement of
material facts is uncontroverted by Kevin, the court correctly entered summary
judgment in favor of Beverly.{7}
II. SUMMARY JUDGMENT FOR HANOVER INSURANCE COMPANY
A. Retroactivity of the Amendment
[¶17] Kevin contends that the amendment to the policy increasing
coverage for loss of personal property from $52,000 to $62,400 is retroactive to
the date of the original policy, prior to the fire, and that he generated an issue
of material fact as to whether the amendment was retroactive. His statement
of material facts in opposition to Hanover's motion asserts that the terms of
the amendment "indicate[] that the limit was $62,400 at the time of the fire."
[¶18] Insurance policies are contracts, and are construed in accordance
with the intent of the parties. Apgar v. Commercial Union Ins. Co., 683 A.2d
497, 498 (Me. 1996). If policy language is unambiguous, then the court must
adhere to that language. Id. The "Amended Declaration" unambiguously
states that it became effective on June 29, 1998, which was after the fire.
Because the policy language is unambiguous, Kevin's mistaken understanding
of the terms of the policy does not generate a genuine issue of material fact.{8}
B. Kevin's entitlement to Loss of Use
[¶19] Hanover contends that Kevin was entitled to no payments for loss
of use of the property following the fire,{9} and Kevin contends that the loss of
use payments awarded to him were insufficient. The policy guaranteed that
Hanover would pay the insured for loss of use "[i]f a loss covered under this
Section makes that part of the residence premises where you reside not fit to
live in." (Emphasis added.) On May 31, 1998, Beverly was living in the house.
After the fire she exercised her right to demand that Kevin immediately
purchase the house. Once Kevin did this in mid-June of 1998, he legally
assumed full title to and possession of the house. Kevin asserts that he would
have moved into the house immediately had it not been rendered unlivable by
the fire, so that he was entitled to payment from Hanover for "loss of use."{10}
Hanover argued that the language of the policy clearly indicates that the
person entitled to "loss of use" payments is the person who was actually
residing in the house at the time of the accident.
[¶20] While the trial court agreed with Kevin that he became entitled to
loss of use payments as soon as he acquired an interest in the house, it
concluded that Kevin took an unreasonable amount of time to renovate the
house. Policy provisions for loss of use payments were "for the shortest time
required to repair or replace the damage." (Emphasis added.)
[¶21] Although the court found Kevin entitled to loss of use proceeds
once Beverly vacated the house, he failed to present evidence in his opposition
to Hanover's summary judgment motion sufficient to establish that the four
months (the time for which Hanover paid the Gilberts proceeds for the loss of
use) was not a reasonably sufficient time in which to complete the repairs.
Thus, the court did not err in entering a summary judgment in favor of Hanover.
The entry is:
Judgment affirmed.
Attorney for plaintiff:
Janet T. Mills, Esq. (orally)
Wright & Mills. P.A.
P O Box 9
Skowhegan, ME 04976-0009
Attorneys for defendants:
Leonard I. Sharon, Esq.
Justin W. Leary, Esq. (orally)
Sharon, Leary & DeTroy
P O Box 3130
Auburn, ME 04212-3130
(for L. Kevin Gilbert)
Gerard O. Fournier, Esq. (orally)
P O Box 7109
Portland, ME 04112-7109
(for Hanover Ins. Co.)
FOOTNOTES******************************** {1} . Hanover Insurance Company
is the successor-in-interest to Massachusetts Bay Insurance Company, which
issued the policy and made the payments. For consistency, we refer to the
insurance companies as "Hanover" throughout this decision. {2}
. Insurance policies can value property either at its actual value or its
replacement value. The former takes into account depreciation of the property,
and usually results in a lower appraisal than replacement value. {3} . Beverly
claimed that $94,000 worth of personal property was destroyed, which exceeded
the policy limits. {4} . This total constituted the maximum amount allowed
under the policy, plus an inflation adjustment, minus the $5000 advance.
{5} . Beverly's complaint contained several counts seeking damages from
Kevin, but the claims in those counts have been resolved and are not before
us in this appeal. {6} . Hanover's position is that the policy language
requires that payments be made only to Beverly because she was the only
party living in the residence at the time of the fire. {7} . Kevin also
includes in the first paragraph of his statement of material facts a cross­p;reference
to the statement of material facts that he submitted in response to Hanover's
motion for summary judgment. That statement did contain adequate record
references for each proffered fact, but the proffered facts in that statement
would not defeat Beverly's motion for a summary judgment. In order to be
entitled to any of the proceeds, Kevin had to own some of the property in
the house. None of the facts asserted in the statement of material facts
Kevin submitted in opposition to Hanover's motion contradicted Beverly's
assertion that she owned all the property in the house at the time of the
fire. {8} . Kevin also argues that the terms of the amendment are ambiguous
about whether its effective date was retroactive, but this argument is unpersuasive.
The amendment plainly states that it would become effective on June 29,
1998. {9} . Hanover did not file a cross-appeal from the judgment below,
and does not argue that it should recover the $2800 it paid to the Gilberts
that ultimately was awarded to Kevin. Its contention is that Kevin was entitled
to no payments for loss of use, and thus he cannot recover more
than what was already paid. {10} . In this particular case, "loss of
use" refers to money to pay for temporary housing while the fire damaged
house is being repaired or replaced.