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989 F.3d 411
5th Cir.
2021
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Background

  • Playa Vista Conroe (a Texas condominium association) insured a dock with 22 boat slips under a Policy composed of a Difference in Conditions Form (DICF), a Flood Endorsement (FE), and a Boat-Slip Exclusion (BSE).
  • Hurricane Harvey and the San Jacinto River Authority’s large release from Lake Conroe destroyed the 22 boat slips.
  • Playa Vista submitted a claim; ICW denied coverage citing flood-related exclusions.
  • On cross-motions for summary judgment the district court found for Playa Vista; damages and fees were later stipulated ($190,827.50 damages; $50,000 fees) and entered as final judgment.
  • ICW sought reconsideration, arguing (1) policy exclusions (flood and a governmental-acts exclusion) barred recovery and (2) the post-judgment stipulation admitted facts triggering the governmental-acts exclusion. The district court denied relief; ICW appealed.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether boat slips are covered property despite Section C’s exclusion for docks Boat slips are covered because the Declarations show a $220,000 sublimit for boat slips Section C excludes docks and similar property, so no coverage Covered: the Declarations’ sublimit for boat slips establishes coverage absent an applicable exclusion
Whether Policy flood exclusions (DICF/FE/BSE) bar recovery for the loss caused by the dam release Loss was not a “flood” as defined by the FE (inundation of normally dry land); Copes affidavit says damage resulted from a suction/drainage effect, not inundation Damage resulted from Hurricane Harvey/tropical-storm-related flooding and thus falls within the FE/BSE flood exclusions Exclusions do not apply: FE and BSE define “flood” as inundation of normally dry land (inapplicable to boat slips on water), and Playa Vista submitted unrebutted evidence that loss was caused by suction/drainage rather than inundation; ICW failed to carry its burden to prove an exclusion
Whether ICW’s contract language shifts burden to insured to disprove exclusions Standard Texas law applies: insured proves coverage, insurer must prove exclusions Contract wording attempted to allocate burdens differently Rejected as a substantive defense; in any event ICW conceded coverage in district court, so it cannot reverse position on appeal
Whether the parties’ stipulation that the River Authority’s release caused the damage triggers a governmental-acts exclusion and defeats coverage Stipulation concerned causation and agreed damages/fees, not an admission of an applicable exclusion Stipulation admits loss was caused by a governmental decision, triggering the exclusion Rejected: ICW waived the defense by failing to raise the governmental-acts exclusion at summary judgment and cannot resurrect it post-judgment

Key Cases Cited

  • Am. Int’l Specialty Lines Ins. Co. v. Rentech Steel, LLC, 620 F.3d 558 (5th Cir. 2010) (cross-motions for summary judgment treated separately; standard of review)
  • Am. Nat’l Gen. Ins. Co. v. Ryan, 274 F.3d 319 (5th Cir. 2001) (ambiguities in insurance policies construed against the insurer)
  • Gilbert Tex. Constr., L.P. v. Underwriters at Lloyd’s London, 327 S.W.3d 118 (Tex. 2010) (burden-shifting: insured must show coverage; insurer must prove exclusions)
  • Progressive Cnty. Mut. Ins. Co. v. Sink, 107 S.W.3d 547 (Tex. 2003) (contract must be read as a whole to give effect to parties’ intent)
  • CKB & Assocs., Inc. v. Moore McCormack Petroleum, Inc., 734 S.W.2d 653 (Tex. 1987) (application of expressio unius in contract interpretation)
  • Celotex Corp. v. Catrett, 477 U.S. 317 (U.S. 1986) (summary judgment burden-shifting principles)
  • Martinez v. Pompeo, 977 F.3d 457 (5th Cir. 2020) (party bound by concessions made in district court)
  • Mid-Continent Cas. Co. v. Bay Rock Operating Co., 614 F.3d 105 (5th Cir. 2010) (defenses must be raised at summary judgment or may be waived)
  • Goswick v. Emps.’ Cas. Co., 440 S.W.2d 287 (Tex. 1969) (interpretation of insurance policies should favor coverage)
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Case Details

Case Name: Playa Vista Conroe v. Ins of the W
Court Name: Court of Appeals for the Fifth Circuit
Date Published: Mar 5, 2021
Citations: 989 F.3d 411; 20-20307
Docket Number: 20-20307
Court Abbreviation: 5th Cir.
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    Playa Vista Conroe v. Ins of the W, 989 F.3d 411