Fay Avenue Properties, LLC. et al v. Travelers Property Casualty Company of America et al, No. 3:2011cv02389 - Document 155 (S.D. Cal. 2014)

Court Description: ORDER Denying 143 Defendant's Motion for Reconsideration. The hearing date on Defendant's motion for reconsideration set for December 12, 2014 is vacated. The pretrial conference set for December 12, 2014 at 1:30 PM shall remain on calendar. Signed by Judge Gonzalo P. Curiel on 12/9/2014. (srm)

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Fay Avenue Properties, LLC. et al v. Travelers Property Casualty Company of America et al Doc. 155 1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 SOUTHERN DISTRICT OF CALIFORNIA 10 11 12 13 14 15 16 FAY AVENUE PROPERTIES, LLC., LA JOLLA SPA MD, INC., vs. Plaintiffs, TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA; AND DOES 1 through 100, inclusive, CASE NO. 11cv2389-GPC(WVG) ORDER DENYING DEFENDANT’S MOTION FOR RECONSIDERATION [Dkt. No. 143.] Defendant. 17 18 19 20 21 22 23 24 25 26 27 28 Before the Court is Defendant’s motion for reconsideration of the Court’s order denying Defendant’s motion for summary judgment filed on September 23, 2014. (Dkt. No. 143.) Plaintiff filed an opposition and Defendant filed a reply. (Dkt. Nos. 152, 154.) After a review of the briefs, supporting documentation, and the applicable law, the Court DENIES Defendant’s motion for reconsideration. Background Plaintiffs Fay Avenue Properties, LLC (“Fay”) and La Jolla Spa MD, Inc. (“LJS”) filed a complaint against Defendant Travelers Property Casualty Company of America (“Travelers”) on August 26, 2011. (Dkt. No. 1.) The Complaint alleges causes of action for breach of contract; breach of the implied covenant of good faith and fair dealing; fraudulent concealment; and negligence for Defendant’s failure to pay -1- [11cv2389-GPC(WVG)] Dockets.Justia.com 1 under the insurance policy. (Id.) Plaintiff also seeks to recover punitive damages. 2 (Id.) 3 On February 28, 2012, District Judge Sabraw granted Defendant’s motion to 4 dismiss the fraudulent concealment and negligence causes of action. (Dkt. No. 31.) 5 The case was transferred to the undersigned judge on October 12, 2012. (Dkt. No. 48.) 6 On September 23, 2014, the Court denied Defendant’s motion for summary 7 judgment on the two remaining causes of action for breach of contract and breach of 8 the implied covenant of good faith and fair dealing. (Dkt. No. 139.) The Court 9 concluded that there are genuine issues of material fact whether the insurance policy 10 was voided based on Plaintiff’s failure to comply with the Examination Under Oath 11 (“EUO”) condition and a violation of the concealment, misrepresentation and fraud 12 provision in the insurance policy. (Id.) On October 20, 2014, the Court granted 13 Plaintiff Fay and Defendant Travelers’ joint motion to dismiss with prejudice. (Dkt. 14 No. 145.) 15 16 Discussion Defendant LJS moves for reconsideration pursuant to Federal Rule of Civil 17 Procedure (“Rule”) 54(b) arguing that the Court committed clear error. Plaintiff 18 opposes. 19 A motion for reconsideration may be brought under Rule 54(b) which provides 20 that any order which does not terminate the case is subject to revision at any time 21 before the entry of judgment. See Fed. R. Civ. P. 54(b). “Reconsideration is 22 appropriate if the district court (1) is presented with newly discovered evidence; (2) 23 clear error or the initial decision was manifestly unjust, or (3) if there is an intervening 24 change in controlling law.” Sch. Dist. No. 1J, Multnomah County, Or. v. AcandS, Inc., 25 5 F.3d 1255, 1263 (9th Cir. 1993); see also Ybarra v. McDaniel, 656 F.3d 984, 998 (9th 26 Cir. 2011). 27 In addition, Local Civil Rule 7.1(i)(1) provides that a motion for reconsideration 28 must include an affidavit or certified statement of a party or attorney “setting forth the -2- [11cv2389-GPC(WVG)] 1 material facts and circumstances surrounding each prior application, including inter 2 alia: (1) when and to what judge the application was made, (2) what ruling or decision 3 or order was made thereon, and (3) what new and different facts and circumstances are 4 claimed to exist which did not exist, or were not shown upon such prior application.” 5 Local Civ. R. 7.1(i)(1). 6 Clear error occurs when “the reviewing court on the entire record is left with the 7 definite and firm conviction that a mistake has been committed.” Smith v. Clark 8 County School Dist., 727 F.3d 950, 955 (9th Cir. 2013) (quoting United States v. U.S. 9 Gypsum Co., 333 U.S. 364, 395 (1948)). 10 The Court has discretion in granting or denying a motion for reconsideration. 11 Navajo Nation v. Confederated Tribes and Bands of the Yakama Indian Nation, 331 12 F.3d 1041, 1046 (9th Cir. 2003). A motion for reconsideration should not be granted 13 absent highly unusual circumstances. 389 Orange St. Partners v. Arnold, 179 F.3d 656, 14 665 (9th Cir. 1999). A motion for reconsideration “may not be used to raise arguments 15 or present evidence for the first time when they could reasonably have been raised 16 earlier in the litigation.” Marlyn Nutraceuticals, Inc. v. Mucos Pharma GmbH & Co., 17 571 F.3d 873, 880 (9th Cir. 2009) (quoting Kona Enters., Inc. v. Estate of Bishop, 229 18 F.3d 877, 890 (9th Cir. 2000)). Moreover, a motion for reconsideration “cannot be 19 used to ask the Court to rethink what the Court has already thought through merely 20 because a party disagrees with the Court’s decision. Collins v. D.R. Horton, Inc., 252 21 F. Supp. 2d 936, 938 (D. Az. 2003) (citing United States v. Rezzonico, 32 F. Supp. 2d 22 1112, 1116 (D. Az.1998)). 23 A. Misrepresentations by Diane York 24 Defendant argues that York, on behalf of LJS, stated on at least three occasions, 25 in an email dated May 4, 2011, in a letter dated June 14, 2011, and at the fourth EUO 26 session on July 12, 2011, that the second set of inventory provided around June 2, 27 2011, constituted inventory stolen by Dr. Goldman which contradicts her belief in 28 April 2011 that the second set of inventories would provide an inventory of the entire -3- [11cv2389-GPC(WVG)] 1 building. Defendant already raised these arguments and facts in its motion for 2 summary judgment. The Court looked at those representations and concluded that 3 while York admitted that conflicting statements were made, at the time, she was 4 “mistaken or confused” due to her inexperience with the claims process. (Dkt. No. 139 5 at 19.) The Court expressed concern as to the numerous false statements made by York 6 to Travelers but on summary judgment, the Court is to view the facts in light most 7 favorable to the non-moving party. (Id. at 21-22.) Thus, the Court concluded that 8 there was a genuine issue of material fact whether York knew her statements were false 9 at the time she made them. Defendant cannot reargue the same arguments presented 10 in its motion for summary judgment. 11 Moreover, Defendant cannot now “raise arguments or present evidence for the 12 first time when they could reasonably have been raised earlier in the litigation.” 13 Marlyn Nutraceuticals, Inc, 571 F.3d at 880. In its reply, Defendant, for the first time 14 cites to a district court case from Massachusetts, Espedito Realty, LLC v. Nat’l Fire 15 Ins. Co. of Hartford, 935 F. Supp. 2d 319, 326 (D. Mass. 2013) for the proposition that 16 “accidental mistakes” are not sufficient to overcome allegations of intentional 17 misrepresentation of material fact under the policy. Defendant has not demonstrated 18 why this case was not raised at the time of the briefing on summary judgment. Even 19 if the Court were to consider the case, that case involved misrepresented facts that were 20 “both capable of actual knowledge and actually known to Plaintiff, and misrepresented 21 to Defendant.” Id. at 326. In this case, there is a genuine issue of material fact as to 22 whether York knew she was making false statements at the time she made them. 23 Therefore, Espedito Realty, LLC does not provide support for Defendant’s position on 24 reconsideration. 25 Defendant further argues, even if the Court accepts York’s statement that she did 26 not know the March 29, 2010 inventory was a false inventory, Karin Wise, the CFO of 27 LJS, who prepared and submitted the inventory, made a material misrepresentation. 28 However, Defendant fails to demonstrate facts that Wise, even if LJS can be liable for -4- [11cv2389-GPC(WVG)] 1 the acts by Wise, knew she was presenting a false inventory at the time it was made. 2 Thus, the Court DENIES Defendant’s motion for reconsideration on whether 3 there are genuine issues of material fact as to whether the insurance contract was 4 voided by Plaintiff’s alleged violation of the concealment, misrepresentation and fraud 5 provision in the insurance policy. 6 B. Dr. Mann’s Lease 7 In the Court’s order, it noted that the “alleged denial of a written lease agreement 8 with Dr. Mann during the fourth EUO would be a material false misrepresentation that 9 Plaintiff knew was false at the time it was made.” (Dkt. No. 139 at 21.) However, the 10 transcript of the fourth EUO provided by Defendant did not support Defendant’s 11 assertion that York denied the existence of a written lease agreement. (Id.) The Court 12 also questioned whether it was provided with a full record on this issue. (Id.) 13 In its motion for reconsideration, Defendant asserts that the Court had all 14 relevant portions of the fourth EUO and that the omitted portions were not relevant to 15 the issue.1 According to Defendant, the excerpts from the fourth EUO “reveal that Ms. 16 York misrepresented the existence of any formalized written agreement with Dr. 17 Mann.” (Dkt. No. 143-1 at 15.) However, the Court concluded that the testimony in 18 the fourth EUO “does not provide a clear indication that York denied the existence of 19 a written lease agreement.” (Dkt. No. 139 at 21.) Since the Court had the complete, 20 relevant portion of the fourth EUO transcript, the Court’s ruling does not change. The 21 transcript to support Defendant’s argument does not support the fact that York denied 22 the existence of a written lease agreement sufficient to show a material false 23 misrepresentation. Accordingly, the Court DENIES Defendant’s motion for 24 reconsideration on this issue. 25 C. Examinations Under Oath 26 Defendant argues that the Court’s conclusion that there are genuine issues of 27 28 1 EUO. Defendant provides the full excerpt regarding the Mann lease from the fourth -5- [11cv2389-GPC(WVG)] 1 material fact whether it was reasonable for Plaintiff to refuse to attend the fifth EUO 2 should be reconsidered. Plaintiff disagrees. 3 As an initial matter, the Court notes that Defendant raises the same arguments 4 or new arguments it should have raised on its motion for summary judgment which 5 cannot be a basis for a motion for reconsideration. See Marlyn Nutraceuticals, Inc., 6 571 F.3d at 880; Collins, 252 F. Supp. 2d at 938. However, the Court will consider 7 Defendant’s arguments. 8 First, Defendant argues that the Court’s ruling on the $10,000 claim data 9 expense was error. In its order, the Court concluded that as to the $10,000 claim data 10 expense, “a question of fact arises as to whether the claim data processing could have 11 been expedited if Plaintiff had been informed of the $10,000 claim data expense which 12 could have eliminated the need for multiple EUOs.” (Dkt. No. 139 at 16.) Erin Farley, 13 the adjuster, revealed at her deposition that the claim data coverage, along with other 14 coverage, was not in the February 22, 2010 letter to York. The February 22, 2010 letter 15 explained the coverage for business personal property, and Farley testified that the 16 claim data coverage should have been in the letter. (Dkt. No. 128-14, P’s Exs., Ex. 17, 17 Farley Depo. at 81:18-83:20.) Contrary to Defendant’s argument, Farley’s deposition 18 responses suggested that York was not informed about the claim data benefit and 19 Defendant has not shown that she was aware of the benefit. 20 Defendant further argues that the advance of $250,000 it made in January 2011 21 was more than enough to cover the $10,000 claim data expense. However, the 22 $250,000 advance payment was against her claimed loss and not to provide any claim 23 data expense coverage. In Defendant’s letter explaining the reason for the advance 24 payment, it was noted that Plaintiff had a $260,000 note that was coming due on 25 January 31 and that is why she requested the advance. (Dkt. No. 123-11, Daza-Luu 26 Decl, Ex. 13 at 187.) The $250,000 payment does not provide Plaintiff any notice that 27 she is able to use the $10,000 claim data expense to hire a professional to assist in 28 preparing her claim data. -6- [11cv2389-GPC(WVG)] 1 Providing an inventory of items that Dr. Goldman took and which items were 2 owned by LJS and what items were owned by Fay Avenue was not an easy task. (Dkt. 3 No. 123-14, Daza-Luu Decl., Ex. 19, EUO Vol. 4 at 538:20-539:19.) Therefore, the 4 Court’s conclusion that there is a genuine issue of material fact “whether the claim data 5 processing could have been expedited if Plaintiff had been informed of the $10,000 6 claim data expense which could have eliminated the need for multiple EUOs” was not 7 clear error. (Dkt. No. 139 at 16.) 8 Second, Defendant argues that the Court’s conclusion that a “question of fact 9 arises as to whether Travelers had enough information early on to render unnecessary 10 the last EUO” is legally unsound. (Dkt. No. 139 at 16.) It argues that according to the 11 Court’s reasoning, “it is okay to make a misrepresentation so long as the legitimate 12 portion of the claim exceeds the applicable policy limits.” (Dkt. No. 143-1 at 19.) 13 However, there has been no finding of a misrepresentation; there is a genuine issue of 14 material fact as to the misrepresentations. 15 Morever, questions of fact exist as to whether Defendant was unnecessarily 16 extending the EUOs. After Plaintiff allegedly presented a final inventory on June 2, 17 2011, a fourth EUO was held on July 12, 2011. A full day, 9:40 a.m. to 5:40 p.m., was 18 spent to discuss this “final” inventory. (Dkt. No. 123-14, Daza-Luu Decl., Ex. 19, EUO 19 Vol 4 at 368, 604.) At the end of the session, Plaintiff’s attorney expressed his 20 dissatisfaction of not being finished especially since there were a lot of repeated 21 questions and non-relevant questions being asked. (Id. at 602:13-25.) Moreover, 22 based on the evidence before the Court, Defendant should have known that the $13.1 23 million inventory could not have been all items allegedly stolen by Dr. Goldman; 24 therefore, it could have expedited the process instead of discussing each line item of 25 the June 2, 2011 inventory. For example, Defendant received the divorce judgment as 26 of March 2, 2010 which stated that the Obagi product line belonged to Dr. Goldman. 27 However, York included the Obagi product line in the June 2, 2011 inventory. 28 Therefore, Defendant should have known that the June 2, 2011 inventory probably did -7- [11cv2389-GPC(WVG)] 1 not contain all alleged items taken by Dr. Goldman. 2 Defendant also presents another case, in its reply, it could have raised in its 3 motion for summary judgment for the proposition that until the insurer completed its 4 investigation, it was reasonable to delay payment. See Rivera v. Allstate Ins. Co., 100 5 Fed. Appx. 641, at *4 (9th Cir. 2004). Rivera involved a bad faith standard as opposed 6 to whether it was reasonable for Plaintiff to refuse to attend an EUO. See Abdelhamid 7 v. Fire Ins. Exchange, 182 Cal. App. 4th 990, 1001 (2010) (whether the insured had a 8 reasonable excuse to refuse an EUO). Moreover, consideration of this case, submitted 9 for the first time in its reply to its motion for reconsideration, is not proper on a motion 10 for reconsideration. 11 Defendant further argues that the Court’s conclusion that there is “question of 12 fact whether Travelers was predisposed to viewing York’s claim as a fraudulent one”, 13 (Dkt. No. 139 at 17), has no bearing on the “objective reasonableness of the request for 14 an EUO in light of the admitted material misrepresentations by LJS.” (Dkt. No. 154 15 at 10.) The Court’s conclusion was based on a March 23, 2010 email from Travelers 16 Prosecution Coordinator to Farley regarding suspected fraud. Defendant argues this 17 was required under California law and therefore cannot be used as a basis for LJS’ bad 18 faith claim. As Plaintiff correctly points out, the statement is “evidence a jury can 19 consider in determining whether Defendant was predisposed towards a fraud denial that 20 it acted unreasonably in continuing to ask for further EUOs.” (Dkt. No. 152 at 10) 21 (emphasis in original). The fact that there is a possibility of bias of viewing York’s 22 claim as a fraudulent one raises a genuine issue of material fact whether it was 23 reasonable for Plaintiff to refuse to attend the fifth EUO. 24 Lastly, Defendant argues that the Court improperly denied summary judgment 25 on the bad faith cause of action and the request for punitive damages based on the same 26 arguments presented on the breach of contract cause of action. For the same reasons 27 the Court denies Defendant’s motion for reconsideration on the breach of contract 28 claims, the Court DENIES Defendant’s motion for reconsideration on the bad faith -8- [11cv2389-GPC(WVG)] 1 cause of action and request for punitive damages. 2 3 Conclusion Based on the above, the Court DENIES Defendant’s motion for reconsideration. 4 The hearing date on Defendant’s motion for reconsideration set for December 12, 2014 5 shall be vacated. The pretrial conference set for December 12, 2014 shall remain. 6 IT IS SO ORDERED. 7 8 DATED: December 9, 2014 9 10 HON. GONZALO P. CURIEL United States District Judge 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 -9- [11cv2389-GPC(WVG)]

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