Max Saewitz v. Lexington Insurance Co.

[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FILED
FOR THE ELEVENTH CIRCUIT U.S. COURT OF APPEALS
________________________ ELEVENTH CIRCUIT
JUNE 6, 2005
No. 04-10361 THOMAS K. KAHN
________________________ CLERK
D. C. Docket No. 02-23248-CV-UUB
MAX SAEWITZ,
LYNN SAEWITZ,
Plaintiffs-Appellees,
versus
LEXINGTON INSURANCE COMPANY,
a foreign corporation,
Defendant-Appellant.
________________________
Appeal from the United States District Court
for the Southern District of Florida
_________________________
(June 6, 2005)
Before DUBINA, PRYOR, and RONEY, Circuit Judges.
PER CURIAM:
Lexington Insurance Company (Lexington) appeals several rulings of the
district court in favor of Max and Lynn Saewitz, homeowners who submitted to
Lexington a claim for extensive damage caused by a leak from the commercial-
grade refrigerator on the second floor of the Saewitzes’ home. This appeal
presents four issues (1) whether the partial payment of the Saewitzes’ claim by
Lexington constituted an admission of coverage for that amount; (2) whether the
district court correctly refused to allow Lexington to amend its pleadings and assert
an affirmative defense of fraud and concealment more than a month after the close
of discovery and six months after the deadline for amending pleadings; (3) whether
the district court correctly limited the testimony of an expert witness Lexington
called because plenary testimony by the expert would have been unduly
prejudicial; and (4) whether the district court abused its discretion when it denied a
motion for remittitur because the motion was contrary to the jury instructions and
verdict form to which Lexington did not object. We affirm.
I. BACKGROUND
This appeal arises from a complaint for breach of contract filed by the
Saewitzes against Lexington. We begin by recounting the facts that led to the
filing of the Saewitzes’ complaint and then address the procedural history of this
litigation.
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A. Factual Background
On October 15, 1999, the home of Max and Lynn Saewitz in Coconut
Grove, Florida, was extensively damaged by Hurricane Irene. The Saewitzes
engaged a public insurance adjuster to evaluate their losses, which they reported to
their insurance carriers. In March 2000, Gerald DeMarco was assigned by the
Saewitzes’ flood and windstorm insurance carrier to evaluate the damage to their
home. DeMarco reported two evaluations of the damage incurred by the Saewitz
home, complete with photographs, in April 2000. By October 2000, the Saewitzes
received their final insurance payment to compensate them for the approximately
$1.1 million in damage to their home caused by the hurricane. None of the damage
caused by Hurricane Irene was covered by the Saewitzes’ policy with Lexington,
which they purchased in May 2000.
On July 5, 2000, the Saewitzes discovered a water leak from the large
refrigerator in their second-floor kitchen. The refrigerator is fed by condensers on
the roof of the house, and a drain pan underneath the refrigerator holds
accumulated condensation from the unit until the condensation evaporates. The
refrigerator repairman who first inspected the leak said that the lines that connected
the refrigerator and the roof condensers were producing condensation, which was
damaging the wall behind the refrigerator, and the drain line from the refrigerator
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was clogged, which caused an overflow in the drain pan because the device in the
freezer that helped evaporate run-off condensation was not working correctly.
The Saewitzes promptly hired a public insurance adjuster who reported this
problem to Lexington, and Lexington assigned an insurance adjuster to evaluate
the claim. The insurance adjuster hired by Lexington engaged an engineer and a
general contractor, and in July 2000 they inspected the area of the house damaged
by the refrigerator leak. After the inspections were complete, the engineer reported
that the wood rot in the joists and sub-floor of the kitchen was so pronounced that
the back legs of the refrigerator sunk into the rotted floor; there was wood rot in
the wall behind the refrigerator; and there was wood rot and damage to the cedar
closet that shared the wall abutting the rear of the refrigerator. The Saewitzes also
claimed damage to the cedar closet on the first floor, which was located below the
damaged closet that shared the wall adjoining the rear of the refrigerator.
Lexington and the Saewitzes exchanged estimates for repair work,
replacement of the damaged wood, and the cost of re-tiling the floor of the
Saewitzes’ kitchen after the work on the sub-floor was completed. Eventually,
Lexington offered to pay the Saewitzes $240,055.81 to cover their losses, which
they accepted, on May 1, 2001, as a partial payment for their claim. Lexington and
the Saewitzes continued to dispute the remaining amount owed to the Saewitzes
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under their policy.
B. Procedural History
The Saewitzes sued Lexington in the Southern District of Florida on
November 5, 2002. They sought payment under their insurance policy to repair the
damage from the refrigerator leak to the second floor kitchen, including the closet
that adjoined the wall at the rear of the refrigerator, and the damage to the first
floor of their home where the water that leaked from the refrigerator had seeped
down. Lexington answered and asserted seven affirmative defenses. Lexington
asserted as one affirmative defense that the damage to the Saewitzes’ home was
caused by Hurricane Irene, rather than the refrigerator leak, but Lexington did not
seek repayment of the $240,055.81 it had already paid to the Saewitzes for the
refrigerator leak.
The Saewitzes designated DeMarco, formerly employed by their flood and
windstorm insurance carriers, as an expert who would testify regarding the damage
to the first floor and structure of their home. The Saewitzes disclosed DeMarco’s
expert report to Lexington, and DeMarco was deposed during discovery. As the
litigation progressed, the Saewitzes abandoned the claim for damages related to the
first floor of their home. The Saewitzes withdrew DeMarco as an expert witness,
and they moved to exclude DeMarco’s testimony and expert report at trial if
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Lexington sought to introduce that as evidence. The district court ruled that,
although DeMarco’s testimony and report were relevant to both abandoned and
live claims, allowing Lexington to call DeMarco or rely on his expert report would
result in unfair prejudice to the Saewitzes.
The Saewitzes also moved for partial summary judgment against Lexington
based on the May 1, 2001, payment of $240,055.81 by Lexington to settle a
portion of the Saewitzes’ claim. The district court concluded that, under Florida
law, the partial settlement by Lexington constituted an admission of coverage in
favor of the Saewitzes for $240,055.81. The district court explained that the
“payment constitutes a confession that” the losses for which Lexington “paid
$240,055.81 were covered under the policy and were caused by the refrigerator
leak.”
On August 20, 2003, Lexington moved to amend its answer, under Federal
Rules of Civil Procedure 15 and 16, to assert an affirmative defense of fraud and
concealment. Lexington argued that, because of information it learned during its
recent deposition of the Saewitzes’ experts, Lexington could assert fraud and
concealment on theory that some of the claimed damages were, in fact, caused by
Hurricane Irene. The district court ruled that Lexington would not be allowed
leave to amend its answer for two reasons: first, the motion for leave to amend,
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filed more than six months after the deadline for amendment of pleadings, was
untimely; and second, the district court was unwilling to reopen discovery, which
the court had already extended for one month past the initial deadline.
The Saewitzes’ suit against Lexington went to trial in November 2003.
After a four-day jury trial, the jury returned a verdict in favor of the Saewitzes and
awarded them $260,000 in damages. After the jury returned its verdict, Lexington
renewed its motion for judgment as a matter of law or, in the alternative, a motion
for a new trial or, as a third alternative, a motion to remit the damages to $4944.19.
The district court denied that motion. Lexington then filed this appeal.
II. ANALYSIS
Lexington appeals matters that occurred before and after trial. Lexington
challenges the rulings of the district court on the three pretrial motions, and
Lexington argues that the district court erred when it denied the motion for
remittitur. We address each argument in turn.
A. Partial Summary Judgment Was Appropriate Under Florida Law, Because the
Pretrial Payment of $240,055.81 Was an Admission of Liability.
The first pretrial ruling that Lexington appeals is the grant of summary
judgment to the Saewitzes regarding the $240,055.81 Lexington paid as partial
settlement of their claim. Lexington argues that the district court erroneously
removed from the jury the decision whether the Saewitzes’ claims occurred within
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the policy coverage dates and, therefore, eliminated the opportunity for the jury to
decide if the damages for which Lexington paid were caused by Hurricane Irene.
Lexington also argues that the facts known when summary judgment was granted
did not show the extent to which the Saewitzes were compensated by other
insurance companies for their losses in Hurricane Irene.
“We review a grant of summary judgment de novo,” and we “view the
record and draw all reasonable inferences in the light most favorable to”
Lexington. Higdon v. Jackson, 393 F.3d 1211, 1218 (11th Cir. 2004). “Summary
judgment is appropriate when there is no genuine issue as to any material fact and
the moving party is entitled to a judgment as a matter of law. A genuine factual
dispute exists if the jury could return a verdict for the non-moving party.” Id.(internal citations and quotation marks omitted)
The record is undisputed that Lexington made a $240,055.81 partial
payment of the Saewitzes’ claim in May 2001. “In Florida, the payment of a
settlement claim is the functional equivalent of a confession of judgment or a
verdict in favor of the insured.” Pepper’s Steel & Alloys, Inc. v. United States, 850
So. 2d 462, 465 (Fla. 2003) (citing Wollard v. Lloyd’s & Cos. of Lloyd’s, 439 So.
2d 217, 218-19 (Fla. 1983)). The district court correctly ruled that the payment of
$240,055.81, a portion of the damages the Saewitzes sought, was an admission of
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coverage under the policy.
Lexington did not preserve its right to contest coverage. Lexington could
have made its partial payment with a reservation of rights, alleged an affirmative
defense of fraud or mistake regarding its partial payment, or filed a counterclaim
against the Saewitzes to recover the $240,055.81. Lexington did not choose any of
those three courses of action. Instead, Lexington asserted that the amount it paid
should have been regarded as disputed by the parties. Because of the failure of
Lexington to preserve any argument to the contrary, the payment by Lexington
of$240,055.81 in May 2001 as a partial settlement of the Saewitzes’ claims was an
admission of liability for that amount.
B. The District Court Did Not Abuse Its Discretion When It Refused to Allow
Lexington to Amend Its Pleadings After the Close of Discovery.
Lexington argues that the district court erred when it denied Lexington the
opportunity to amend its pleadings and assert a new affirmative defense of fraud
and concealment against the Saewitzes. Lexington contended that only after the
deposition of the Saewitzes’ experts did it learn of the operative facts to support
the defense. We disagree.
To constitute reversible error, the district court must have committed a “clear
abuse of discretion” when it denied Lexington the opportunity to amend.
Carruthers v. BSA Advertising, Inc., 357 F.3d 1213, 1218 (11th Cir. 2004).
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Although the decision to allow a party leave to amend is discretionary, under Rule
15(a) “leave shall be freely given when justice so requires.” Fed. R. Civ. P. 15(a).
“In making this determination, a court should consider whether there has been
undue delay in filing, bad faith or dilatory motives, prejudice to the opposing
parties, and the futility of the amendment.” Local 472 of United Ass’n of
Journeymen & Apprentices of Plumbing & Pipefitting v. Ga. Power Co., 684 F.2d
721, 724 (11th Cir. 1982) (citing Foman v. Davis, 371 U.S. 178, 182, 83 S. Ct.
227, 230 (1962)).
Because Lexington moved to amend after the deadline in the scheduling
order, Federal Rule of Civil Procedure 16, which requires a showing of good cause
to modify a scheduling order, is also relevant:
District courts are required to “enter a scheduling order that
limits the time to ... join other parties and to amend the pleadings ....”
Fed. R. Civ. P. 16(b). Such orders “control the subsequent course of
the action unless modified by a subsequent order,” Fed. R. Civ. P.
16(e), and may be modified only “upon a showing of good cause.”
Fed. R. Civ. P. 16(b). This good cause standard precludes
modification unless the schedule cannot “be met despite the diligence
of the party seeking the extension.” Fed. R. Civ. P. 16 advisory
committee’s note; see also Johnson v. Mammoth Recreations, Inc.,
975 F.2d 604, 609 (9th Cir.1992) (“If [a] party was not diligent, the
[good cause] inquiry should end.”).
Sosa v. Airprint Systems, Inc., 133 F.3d 1417, 1418 (11th Cir. 1998).
A total lack of diligence by Lexington doomed its request for leave to
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amend. Lexington not only knew of the potential overlap in the claims for damage
caused by Hurricane Irene before the deadline for amendment of pleadings expired,
Lexington knew of and had documentation to support the facts underlying its
newly-proposed affirmative defense before litigation even began. Because
Lexington failed, in every respect, to show diligence in presenting its affirmative
defense of fraud and concealment to the district court, Lexington did not establish
good cause to modify the scheduling order. Sosa, 133 F.3d at 1418. The district
court did not commit a “clear abuse of discretion,” Carruthers, 357 F.3d at 1218,
when it denied Lexington leave to amend more than six months after the deadline
so Lexington could assert a new affirmative defense and reopen discovery more
than a month after the already-extended time for discovery had closed. This case is
the classic example of an “undue delay in filing.” Foman, 371 U.S. at 182, 83 S.
Ct. at 230.
C. The District Court Correctly Granted the Motion in Limine
Regarding DeMarco’s Testimony and the Use of His Report.
The third argument of Lexington is that the district court erroneously
granted the motion in limine that prevented DeMarco, who was formerly listed as a
testifying expert by the Saewitzes, from testifying regarding his work on behalf of
the Saewitzes or disclosing his report to the jury. “The district court has broad
discretion in determining whether to admit or exclude expert testimony, and its
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decision will be disturbed on appeal only if it is manifestly erroneous.” Evans v.
Mathis Funeral Home, Inc., 996 F.2d 266, 268 (11th Cir. 1993). This argument
fails.
Lexington argues that the district court erred because DeMarco could have
testified that some of the damages that the Saewitzes claimed were caused by the
refrigerator leak were, in fact, caused by Hurricane Irene, but the district court
correctly relied on our precedents regarding Federal Rule of Evidence 403. We
have explained that “the unfair prejudice resulting from disclosing” the fact that an
expert was previously retained by a plaintiff, but was called to testify only by the
defendant “usually outweighs any probative value.” Peterson v. Willie, 81 F.3d
1033, 1038 (11th Cir. 1996). The district court allowed two other witnesses for
Lexington to present testimony substantially similar to the testimony DeMarco was
prevented from giving. The district court also allowed DeMarco to testify as a fact
witness regarding his observations and impressions formed during the inspection
of the Saewitz home after Hurricane Irene. Any further testimony Lexington could
have elicited from DeMarco likely would have supported the fraud and
concealment theory Lexington was specifically prohibited from presenting because
of its failure timely to amend its answer to assert that theory. See Part II.B. It was
not “manifestly erroneous” for the district court to prevent DeMarco from
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testifying regarding the work he did for the Saewitzes as an expert. Evans, 996
F.2d 268.
D. The District Court Did Not Abuse Its Discretion when It Denied
the Motion for Remittitur of Lexington.
The final argument of Lexington is that the district court erred when it
denied the motion for remittitur. Lexington argues that remittitur was necessary
because the jury awarded the Saewitzes an amount of total damages, from which a
deduction of the $240,055.81 Lexington paid as a partial settlement was necessary.
This argument also fails.
We review the denial of a motion for remittitur for abuse of discretion.
Mason v. Ford Motor Co., Inc., 307 F.3d 1271, 1276 (11th Cir. 2002). As
Lexington conceded in its initial brief, the jury instructions and verdict form were
“plain and unambiguous.” The instructions to the jury explained that, if the
$240,055.81 Lexington paid as a partial settlement was the only amount that the
Saewitzes were owed, then the jury would have to return a defense verdict:
It is undisputed that on May 1, 2001, the defendant paid to the
plaintiffs $240,055.81 as partial payment for damages caused by a
refrigerator leak. This Court has determined that under Florida law
defendant’s payment consitutes a confession that the damages for
which it paid $240,055.81 were covered under the policy and were
caused by the refrigerator leak.
Plaintiffs contend that additional damage was caused to their
home as a result of the leak for which the defendant has refused to
pay. ...
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If you find from a preponderance of the evidence that the
defendant paid for all damages resulting from the refrigerator leak
when it made payment in May 2001, and no other damages were
caused to the home by the refrigerator leak, then your verdict must be
in favor of the defendants and against the plaintiffs.
Lexington did not object to the jury instructions.
The verdict form was similarly worded and presented the jury with two
questions: first, whether Lexington failed to pay the Saewitzes any damages caused
by the refrigerator leak and, second, if Lexington owed the Saewitzes any
damages, how much was owed:
1. Do you find from a preponderance of the evidence that
Defendant failed to pay for any of the damages caused by the
refrigerator leak.
YES ____ NO ____
If your answer to the first question is No, then you should proceed no
further as your verdict is for the Defendant, and you should proceed to
sign and date this Verdict Form and return it to the Court. If your
answer to the first question is Yes, then please answer the following
questions.
2. What sum of money do you find from a preponderance of the
evidence to be the amount of the Plaintiffs’ damages resulting
from the refrigerator leak?
The jury marked the first question “yes” and then answered that the Saewitzes were
entitled to $260,000 in damages. Lexington did not object to the verdict form.
Lexington argues that the instructions and verdict form, when read together,
required the district court to deduct the amount of the partial settlement from the
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damages in the verdict, but that argument is directly contrary both to our reading of
the verdict form and the understanding of the verdict form that the attorney for
Lexington explained during his closing argument. The attorney for Lexington
argued repeatedly that the jury should prevent the Saewitzes from taking anything
above the partial settlement Lexington paid in May 2001 by answering “no” on the
verdict form:
The question that you’re going to be called upon to answer on
the verdict form, it says: Do you find from a preponderance of the
evidence that [Lexington] failed to pay for any of the damages caused
by the refrigerator leak.
And that’s a question that you should answer no. Lexington
did not fail to pay for any of the damages caused by the refrigerator
leak in this case. It didn’t pay for all the damages to the house.
Didn’t pay [the Saewitzes] for everything that they want to be paid
for. Didn’t pay them for Hurricane Irene damage once they found out
what was really going on in this case. But [Lexington] did pay for all
of the damages caused by the refrigerator leak.
Now, the other instructions, or some of the other instructions
that the Court is going to give you, the Judge is going to instruct you
that Lexington’s payment constituted a confession that the damages
for which it paid $240,000, namely, that discrete group of things they
paid for, were covered under the policy and were caused by the
refrigerator leak. So we can’t dispute that. Whether we made a
mistake or not, it’s a quirk of the law and we’re stuck with that, and
that’s fine. We’re not looking to get our money back for what we did.
The attorney for Lexington later reminded the jury that, because the
Saewitzes were entitled to nothing above the partial settlement, the jury should
answer “no” on the verdict form:
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So, have they been paid enough money as a result of this
refrigerator leak? Yes, they have, ladies and gentlemen.
On that verdict form–you’re going to be sent back to the jury
room. I won’t have a chance to talk to you again. I won’t have a
chance to respond to anything that [the Saewitzes’ attorney] says to
you. But on that verdict form it’s going to ask you do you find from a
preponderance of the evidence that [Lexington] failed to pay for any
of the damages caused by the refrigerator leak. And you’re going to
be instructed it’s got to be damage that occurred during this policy
term.
And the answer to that is, no, Lexington did not fail to pay for
legitimate damages resulting from this refrigerator leak. The plaintiff
has been paid enough money for the damages to his house. It’s time
for the gravy train to end as far as this claim and the damage that they
have to this house.
In his final rhetorical flourish, the attorney for Lexington reiterated that the
Saewitzes were not entitled to damages beyond their partial settlement:
What they claim is not from a refrigerator leak. So, I would ask
that you do the right thing. Do justice. Say no to the plaintiffs for any
more money here. Nothing more for you, Mr. and Mrs. Saewitz.
Enough is enough. With all due respect, you’ve been fairly and
adequately compensated for this damage to your house. It didn’t
happen during the policy term. Didn’t happen as a result of this. It’s
something that was there before, and you’re not entitled to get it under
this policy.
The attorney for Lexington maintained throughout his closing argument that the
only way to keep the Saewitzes from taking anything above the $240,055.81
Lexington already paid was for the jury to mark “no” on the verdict form. After
the jury answered “yes,” the jury determined the amount of damages still owed to
the Saewitzes.
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The argument Lexington makes now is invited error. “It is a cardinal rule of
appellate review that a party may not challenge as error a ruling or other trial
proceeding invited by that party.” Birmingham Steel Corp. v. Tenn. Valley Auth.,
353 F.3d 1331, 1341 n.5 (11th Cir. 2003) (quoting Ford ex rel. Estate of Ford v.
Garcia, 289 F.3d 1283, 1293-94 (11th Cir. 2002)). Lexington did not object to
either the jury instructions or the verdict form. The first complaint of Lexington
came when it filed its motion for remittitur, which directly contradicted the closing
argument of its attorney. The district court did not abuse its discretion when it
denied that motion.
III. CONCLUSION
The district court correctly granted partial summary judgment against
Lexington because, under Florida law, the May 2001 payment as a partial
settlement was an admission of liability for that amount. The district court also did
not abuse its discretion when it denied the belated motion of Lexington to amend
its answer and granted the Saewitzes’ motion in limine. Finally, the district court
did not abuse its discretion when it denied the motion for remittitur, because
counsel for Lexington advocated the reading of the verdict form about which
Lexington now complains. The rulings of the district court are, therefore,
AFFIRMED.
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