In re: Appointment of Umpire for HAYES FAMILY TRUST, on Behalf of Itself and All Others Similarly Situated, Clayton A. Hayes, co-trustee v. STATE FARM FIRE & CASUALTY COMPANY
No. 15-6164
United States Court of Appeals, Tenth Circuit
January 4, 2017
insured against in the policy” (emphasis omitted)); State Farm Fire & Cas. Co. v. Super. Ct., 210 Cal.App.3d 604, 258 Cal. Rptr. 413, 418 (1989) (explaining the purposes behind statutes of limitations); Insua v. Scottsdale Ins. Co., 104 Cal.App.4th 737, 129 Cal.Rptr.2d 138, 141 (2002) (explaining that the notice-prejudice rule does not apply to consent provisions as their purpose is to provide the insurer the opportunity to control expenses).
With respect to the consent provision, Pitzer argues that its remediation fell under the emergency exception because it operated on a tight schedule and had a time-limited opportunity to utilize the only available TTU machine. Pitzer also argues that the consent provision should be interpreted as a notice provision because the Policy covers first-party claims. See Howard v. Am. Nat‘l Fire Ins. Co., 187 Cal. App.4th 498, 115 Cal.Rptr.3d 42, 70 (2010) (explaining that first-party policies “obligate the insurer to pay damages claimed by the insured itself,” while third-party policies “obligate the insurer to defend, settle, and pay damages claimed by a third party against the insured“).
According to Indian Harbor, Pitzer‘s actions did not fall under the emergency exception to the consent provision, and even if they did, Pitzer failed to “immediately” notify the insurer of any emergency. In Jamestown Builders, Inc. v. General Star Indemnity Co., the California Court of Appeal held that the notice-prejudice rule does not apply to consent provisions. 77 Cal.App.4th 341, 91 Cal.Rptr.2d 514, 519 (1999). The Jamestown court, however, did not consider whether a consent provision in a first-party policy is analogous to a notice provision in a third-party policy, and therefore subject to the notice-prejudice rule.
Finally, Indian Harbor argues that the consent provision should not be interpreted as a notice provision because such an interpretation would render the provision redundant in violation of contract interpretation principles.
V. Accompanying Materials
The clerk of this court is hereby directed to file in the California Supreme Court, under official seal of the United States Court of Appeals for the Ninth Circuit, copies of all relevant briefs and excerpts of record, and an original and ten copies of this order and request for certification, along with a certification of service on the parties, pursuant to
This case is withdrawn from submission. Further proceedings before us are stayed pending final action by the California Supreme Court. The panel will resume control and jurisdiction of this case upon receiving a decision from the California Supreme Court or upon that court‘s decision to decline to answer the certified question.
IT IS SO ORDERED.
Jason Waddell, Jason Waddell, PLLC, Oklahoma City, Oklahoma, for Appellants.
Benjamin G. Kemble (David V. Jones with him on the brief), Jones, Andrews & Ortiz, Oklahoma City, Oklahoma, for Appellee.
Before TYMKOVICH, Chief Judge, HARTZ and MORITZ, Circuit Judges.
This appeal arises from a property damage claim filed by the Hayes Family Trust with its insurer, State Farm Fire & Casualty. When the parties could not agree on the amount of loss, Hayes invoked an appraisal process provided by the policy to calculate the loss incurred. The policy establishes a procedure whereby each party selects an impartial appraiser; the appraisers then select an impartial umpire. But if the appraisers are unable to agree on an umpire, the policy grants either party the right to seek appointment of the umpire by the court. After Hayes sought the district court‘s assistance with the appointment of an umpire, the parties participated in the appraisal process, which resulted in a unanimous award.
State Farm paid the balance of that award, and Hayes accepted payment. But despite State Farm‘s payment, at Hayes‘s request, the district court confirmed the award and entered judgment in favor of Hayes. Hayes promptly moved for an award of prejudgment interest, attorney‘s fees, and costs under a prevailing party statute. In response, State Farm moved to vacate or amend the judgment. Finding that the parties settled any dispute over the amount of loss, the court agreed with State Farm and vacated its order confirming the appraisal award and the judgment. Hayes now appeals the order vacating judgment in an attempt to recover prejudgment interest, fees, and costs.
We affirm. Under Oklahoma
I. Background
Hayes filed an insurance claim with State Farm in 2013 after its Oklahoma City commercial property was damaged in a storm. State Farm submitted an estimate to repair or replace the damaged property in the amount of $151,486. Displeased with the estimate, Hayes sent a certified letter to State Farm invoking a statutorily-mandated appraisal provision in the insurance policy. The provision requires each party to select an impartial appraiser; the appraisers then select an impartial umpire.
State Farm did not immediately respond to Hayes‘s letter, so in early 2014 Hayes filed two actions against State Farm in Oklahoma state court—the one at issue here, a petition for the appointment of an umpire, and a second case for breach of contract, bad faith, and negligence.1
State
State Farm eventually named its appraiser, but the parties’ appraisers were unable to agree on an umpire, so the district court appointed one at Hayes‘s request. The district court then administratively closed the case, but reserved the parties’ right to reopen the case at a later date if needed.2
Both parties participated in the appraisal process, which resulted in a unanimous award in the amount of $347,254. Hayes again reopened the case and moved to confirm the appraisal award. Before the district court acted on Hayes‘s motion, however, State Farm paid the balance of the award. And, in a letter accompanying payment, State Farm stated, “We are making this payment in accordance with the Businessowners Coverage Form, loss settlement provisions.... Please be advised State Farm is not waiving any of the policy coverages, limitations, exclusions or provisions, all of which are specifically reserved.” App. Vol. 1 at 160. Hayes accepted the payment without reservation.
Separately, State Farm objected to confirmation, contending its payment settled any dispute over the amount of loss. In addition, State Farm asserted confirmation would be improper in any event because under Oklahoma law, an appraisal award is not binding on the party who did not initiate the appraisal process. Over State Farm‘s objection, the district court initially confirmed the award and entered judgment in favor of Hayes. The court reasoned that although the award was not binding on State Farm (because it did not initiate the process), State Farm‘s payment conclusively fixed the amount of loss. And “[b]ecause that amount is entitled to the same effect as a judgment, some judicial endorsement is warranted.” App. Vol. 1 at 211.
Armed with a judgment in its favor, Hayes filed: (1) a motion to amend judgment to include prejudgment interest at the statutory rate of 15%; (2) a motion for $16,620 in attorney‘s fees under the Oklahoma Insurance Code‘s prevailing party provision; and (3) a bill of costs in the amount of $225. For its part, State Farm moved to vacate or amend the judgment under
Construing State Farm‘s motion under
II. Analysis
Hayes challenges the district court‘s order vacating judgment on both procedural and substantive grounds. In addition, Hayes seeks a determination that it is the prevailing party under the Oklahoma Insurance Code, entitling it to prejudgment interest, attorney‘s fees, and costs. Before reaching the merits of Hayes‘s appeal, however, we must address State Farm‘s contention that we lack appellate jurisdiction because the district court eliminated the only final appealable order when it vacated its earlier judgment.
A. Appellate Jurisdiction
State Farm argues that after the district court vacated the judgment, the case returned to its administratively closed status, and an administrative closing order is not an appealable order. We disagree with State Farm‘s assessment of the finality of the district court‘s order vacating judgment.
We have jurisdiction over “final decisions of the district courts of the United States.”
It is true that orders granting relief under
But when a ruling resolves and ends the litigation at the district court level, that decision is sufficiently final to maintain an immediate appeal. As we said in McClendon, “To be a final decision in the relevant sense for § 1291, then, it is generally not enough that a decision might seem at one point to ‘irretrievably decide’ the scope and duration of litigation in the district court; usually it must end that litigation.” 630 F.3d at 1295. And this familiar principle applies with equal force to an order vacating judgment that effectively ends the litigation. See Stubblefield v. Windsor Capital Grp., 74 F.3d 990, 995 (10th Cir. 1996) (quoting 7 J. Moore, Federal Practice ¶ 60.30[3], p. 345) (construing Rule 60(b) and observing “as in every other case, such jurisdiction is lacking unless the order granting the Rule 60(b) motion was a ‘final decision[] of the district court[]’ within the meaning of 28 U.S.C. § 1291....” (emphasis added)).4
Here, the district court‘s order vacating judgment (and striking Hayes‘s pending motions) ended the litigation and effectively disassociated the district court from the case. The district court appointed an umpire as requested, the parties completed the appraisal process, and the court concluded that State Farm‘s payment of the appraisal award settled any dispute over the amount of loss. Other than possibly finalizing the administrative closing order, the district court‘s role in the matter was complete.
In short, the court‘s order vacating judgment qualifies as a final decision triggering our appellate jurisdiction under
B. Order Vacating Judgment
Hayes raises a number of arguments attacking the district court‘s order vacating judgment. These arguments can be categorized into both procedural challenges and substantive challenges. Procedurally, Hayes urges that the district court improperly allowed State Farm to reargue previously rejected positions in its
As we discuss below, we reject each of Hayes‘s arguments.
1. Legal Standard/Standard of Review
No matter how styled, a motion will be deemed a
We generally review the district court‘s ruling on a
2. Procedural Challenges
Hayes first asserts the district court erred by allowing State Farm to reargue positions in its
First, State Farm‘s arguments in its
Second, the district court clearly articulated its reason for vacating the earlier judgment. The court found that Hayes‘s acceptance of State Farm‘s voluntary payment equated to a consummated settlement, obviating the need for its earlier judgment. The court cited case law and succinctly explained its change in position. Despite Hayes‘s argument to the contrary, this is not an instance where the court failed to sufficiently explain its reasoning so to make appellate review impossible. See ARW Expl. Corp. v. Aguirre, 45 F.3d 1455, 1459 (10th Cir. 1995). We therefore reject Hayes‘s arguments that the district court‘s order vacating judgment is procedurally deficient.
3. Substantive Challenges
Hayes next argues the district court erred by finding there was no final determination of the parties’ rights as a result of State Farm paying the balance of the appraisal award.
a. Insurance Appraisal Provisions
A federal court sitting in diversity applies the substantive law of the forum state. Hanna v. Plumer, 380 U.S. 460, 465, 85 S.Ct. 1136, 14 L.Ed.2d 8 (1965). In Oklahoma, by statute, all fire insurance policies issued in the state must include certain standard provisions.
- Either party makes a written demand on the other for an appraisal;
- Within 20 days of receipt of the demand, each party selects its own impartial appraiser and notifies the other party;
- Within 15 days of selection, the appraisers select an impartial umpire—but if they fail to agree, either party may petition the court to appoint an umpire;
- The appraisers submit their individual appraisals calculating the amount of loss; and
- If the appraisers agree, the amount of loss is determined—but if they fail to agree, the umpire selects one of the two appraisals.
The Oklahoma insurance appraisal process is limited in two material respects. First, the process is only conclusive as to the amount of loss. Massey, 837 P.2d at 883 (citing Aetna Ins. Co. v. Jester, 37 Okla. 413, 132 P. 130 (1913)). It has no bearing on coverage, causation, or other elements of liability. Id. Second, an appraisal is binding only on the party who invoked the appraisal process. Id. at 884. The Oklahoma Supreme Court has expressly held “that § 4803(G) makes appraisal awards binding upon the party invoking the appraisal process, yet makes those same awards non-binding upon the party compelled to participate due to the other party‘s demand.” Id. This last feature makes Oklahoma procedure unique in the field of insurance appraisal law. See Timothy P. Law & Jillian L. Starinovich, What is It Worth? A Critical Analysis of Insurance Appraisal, 13 Conn. Ins. L.J. 291, 314 (2007) (observing Oklahoma is an exception to the general rule).
This means that under Oklahoma law it is apparent an appraisal award may not be confirmed over the non-invoking party‘s objection. But Hayes contends State Farm‘s voluntary payment of the award changes the calculus here. A question therefore remains whether State Farm‘s payment somehow converted the
b. Effect of State Farm‘s Payment
During the proceedings before the district court, the parties offered two competing theories regarding the effect of State Farm‘s payment. Hayes argued the payment was akin to a confession of judgment. That is, the appraisal fixed the amount of loss and State Farm‘s payment finally determined the rights at issue. The only step that remained was for the district court to endorse the payment by confirming the award and entering judgment. State Farm on the other hand argued its voluntary payment was merely an offer of settlement. And Hayes‘s acceptance of the payment consummated the settlement terms. Therefore, nothing remained for the court to decide. The district court initially confirmed the award and entered judgment in Hayes‘s favor, but then vacated the judgment, concluding Hayes‘s acceptance of the payment was a settlement.
But Hayes claims the parties never contemplated settlement. Put simply, there was no negotiation, no settlement document, no signature, and no release. Instead, the appraisal process resulted in an award and State Farm paid it. In Oklahoma, agreements to settle are governed by traditional contract principles. In re De-Annexation of Certain Real Prop. from City of Seminole, 204 P.3d 87, 89 (Okla. 2009). Consent to contract must be free, mutual, and communicated by each party to the other. Id. (quoting
In the proceedings below, after Hayes filed its motion to confirm the appraisal award, State Farm remitted the balance of the award to Hayes‘s counsel in the form of a check. With the check was a one-page letter from State Farm to Hayes‘s counsel. The letter instructed that State Farm was “making this payment in accordance with the Businessowners Coverage Form, CMP-4100 loss settlement provisions” and that it “[wa]s not waiving any of the policy coverages, limitations, exclusions or provisions.” App. Vol. 1 at 160. Hayes accepted State Farm‘s payment without reservation.
Importantly, State Farm‘s payment of the appraisal award, which calculates the amount of loss and not the amount actually owed, was completely voluntary. Hayes presses the fact that State Farm‘s own appraiser signed off on the award. But that does not alter the legal effect of an appraisal award as announced by the Oklahoma Supreme Court in Massey—namely, that an award only binds the party who invokes the appraisal process. 837 P.2d at 884. The other party is free to otherwise ignore the award, although, an insurer operating in Oklahoma might be wise to defer to a unanimous appraisal award to avoid future bad-faith litigation. At bottom, State Farm‘s voluntary payment and Hayes‘s open acceptance of that payment demonstrate the parties settled their dispute over the amount of loss.
To support its confession-of-judgment argument, Hayes primarily relies on two cases, Association of County Commissioners of Oklahoma v. National American Insurance Co., 116 P.3d 206 (Okla. Civ. App. 2005), and Clifton v. United Casualty Insurance Co. of America, 31 So.3d 826 (Fla. Dist. Ct. App. 2010). The first case, National American Insurance, does not support Hayes‘s position. There, the court simply took note of the state district court‘s reliance on a Florida decision that held a negotiated settlement does not bar the statutory obligation to pay prevailing party attorney‘s fees. 116 P.3d at 208 n.5. Closer on point is Clifton, where a Florida appellate court, interpreting Florida law, held an insurer‘s payment of an appraisal award may be deemed a confession of judgment where the insurer is aware of a dispute with its insured, the insurer ignores the dispute, and the insured is forced to demand an appraisal to vindicate its rights. 31 So.3d at 831.
But Clifton is not persuasive here. First, a Florida court‘s interpretation of Florida law is not probative of insurance appraisal law in Oklahoma. Second, the circumstances in Clifton were decidedly different than the facts of this case. In Clifton, after the insured filed suit for breach of insurance contract, the insurer moved to invoke the policy‘s appraisal provision. Id. at 827. The court compelled compliance with the appraisal provision, which resulted in an award higher than the insurer‘s initial estimate. Id. The insured then moved to confirm the award, for entry of judgment, and to collect attorney‘s fees. Id. at 828. The insurer responded by paying the award and moving to dismiss (a motion it later retracted and substituted with a motion for summary judgment). Id. Applying a confession-of-judgment rule specific to Florida, id. at 831 (“[W]hen an insurer pays additional policy proceeds after suit is filed, ‘it has, in effect, declined to defend its position in the pending suit. Thus, the payment of the claim is ... the functional equivalent of a confession of judgment....‘” (citation omitted)), the court determined the insured‘s payment equated to a confession of judgment supporting judgment in the insured‘s favor, id. at 832.
In contrast to Clifton, it is undisputed that Hayes (as opposed to the insurer, State Farm) initiated the appraisal process and that the resulting award was not binding on State Farm. Thus, State Farm‘s post-award payment was voluntary and was not compelled by any legal duty or obligation under Oklahoma insurance appraisal law. This alone is enough to reconcile Clifton. But if that were not enough, we have rejected a rule similar to Florida‘s confession-of-judgment rule. For instance, in Bryant v. Sagamore Insurance Co., we held that payment of a claim by an insurer while contesting liability does not consti-
tute
In the end, State Farm resolved any dispute as to the amount of loss by paying the balance of the non-binding appraisal award. And, it specifically reserved any confession of liability in its letter accompanying payment.
***
Hayes has identified no reversible error in the district court‘s evaluation and granting of State Farm‘s
C. Prevailing Party Status
Hayes lastly argues it is the prevailing party under the Oklahoma Insurance Code‘s prevailing party statute,
Even if the district court had addressed the issue, Hayes is not a prevailing party. In relevant part,
Upon a judgment rendered to either party, costs and attorney fees shall be allowable to the prevailing party. For purposes of this section, the prevailing party is the insurer in those cases where judgment does not exceed written offer of settlement. In all other judgments the insured shall be the prevailing party. If the insured is the prevailing party, the court in rendering judgment shall add interest on the verdict at the rate of fifteen percent (15%) per year from the date the loss was payable....
Under this provision, a necessary prerequisite for interest, fees, and costs as a prevailing party is a judgment.
We have recognized that the “judgment” requirement of
still must be a judgment. And absent a judgment, Hayes cannot be the prevailing party. See Tabernacle v. Church Mut. Ins. Co., No. CIV-11-515, 2013 WL 4046350, at *2 (W.D. Okla. Aug. 8, 2013) (“In the case at bar, there is no judgment as the parties have represented to the Court that they reached a settlement and compromise. Accordingly, the Court finds that plaintiff is not a prevailing party entitled to costs and attorney fees pursuant to
We therefore reject Hayes‘s request for a determination that it is the prevailing party under the Oklahoma Insurance Code.
III. Conclusion
In sum, Hayes has failed to identify any reversible error in the district court‘s order vacating judgment. In addition, because the court vacated the earlier judgment, Hayes is not a prevailing party under the Oklahoma Insurance Code. We therefore AFFIRM.
Notes
If we and you disagree on the value of the property or the amount of loss, either may make written demand for an appraisal of the loss. In this event, only the party which demanded the appraisal will be bound to the results of that appraisal.
Each party will select a competent and impartial appraiser and notify the other of the selected appraiser‘s identity within 20 days after receipt of the written demand for an appraisal. The two appraisers will select an umpire. If the appraisers cannot agree upon an umpire within 15 days, then, at the request of either you or us, and after notice of hearing to the non-requesting party by certified mail, selection of the umpire will be made by a judge of a district court in the county where the loss occurred.
The appraisers will state separately the value of the property and amount of loss. If the appraisers submit a written report of agreement to us, the amounts agreed upon will be the value of the property and the amount of loss will be binding on the party which demanded the appraisal. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding on the party which demanded the appraisal.
Each party will:
- Pay its chosen appraiser; and
- Bear other expenses of the appraisal and umpire equally.
If there is an appraisal, we will still retain our right to deny the claim. App. Vol. 2 at 163.
