STATE FARM FIRE AND CASUALTY COMPANY, Petitioner,
v.
Elicer LICEA, et al., Respondent.
Supreme Court of Florida.
*1286 Linwood Anderson of the Law Offices of Charlton Lee Hunter, Miami; and Elizabeth K. Russo of Russo & Talisman, P.A., Coconut Grove, for Petitioner.
Hal Vogel of Hal S. Vogel, P.A., Hollywood; and Barry I. Finkel of Frankel & Finkel, P.A., Fort Lauderdale, for Respondent.
Raymond Ehrlich and Scott D. Makar of Holland & Knight, Jacksonville, for American Insurance Association, Amicus Curiae.
Gary Gerrard and Denis V. Powers of Gerrard & Powers, Coral Gables, for Academy of Florida Trial Lawyers, Amicus Curiae.
HARDING, Justice.
We have for review the decision in State Farm Fire and Casualty Co. v. Licea,
The trial court held that the appraisal clause contained in the Licea's homeowner's policy was void for lack of mutuality. The Third District Court of Appeal affirmed on the basis of stare decisis, citing their decision in American Reliance Insurance Co. v. Village Homes at Country Walk,
The Liceas' home was damaged by hurricane Andrew, and there was a dispute as to the amount of damage. The terms of the Liceas' insurance policy with State Farm provided that if such a dispute arose, the parties were each required to select an appraiser, and the two appraisers would then select an impartial umpire. If the appraisers were unable to agree on an umpire, the parties would petition the court to appoint one. An agreement in writing by any two of the three (two appraisers and one umpire) would set the amount of the loss. The appraisers were unable to agree, and State Farm filed with the trial court for appointment of an umpire.
Although the policy provided that both parties were bound by the valuation agreed upon by the appraisers and the umpire, another section of the policy stated: "Our request for an appraisal or examination shall not waive any of our rights." The Liceas argued that because State Farm reserved its rights, the parties were not equally bound by the amount of the appraisal, and the appraisal clause was therefore void for lack of mutuality under the Third District Court of Appeal's reasoning in Country Walk. Based on that decision, the trial court denied State Farm's motion for appointment of an umpire.
The Third District Court of Appeal affirmed. The court began its analysis by stating:
This panel is of the opinion that Judge Cope's dissent in Country Walk sets forth the correct rule of law, to wit: That by participating in an arbitration proceeding to determine the amount of loss suffered by an insured the insurer is in no way deprived of the right to later contest the existence of insurance coverage for that loss.
Licea,
Each of the four conflict cases holds that coverage questions are outside the scope of arbitration or appraisal proceedings. The Fifth District Court of Appeal held in Montalvo that the courts could change the arbitration award pursuant to a properly raised coverage defense. Montalvo,
The Third District Court in Country Walk reached a different result from these other courts. In Country Walk, the court dealt with a factual situation substantially equivalent to the instant case. After the housing development at Country Walk was damaged by hurricane Andrew, the community sued American Reliance Insurance Company, its insurer. Country Walk,
The district court of appeal held that because of this retained rights clause, there was no mutuality of obligation, and the contract was void; it affirmed the trial court's decision. Id. at 107-08. "[T]he insurer's reservation of its right to deny the claim destroys mutuality of obligation, is incompatible with the goals of arbitration, and renders illusory any purported agreement to submit to binding arbitration." Id.
In dissent, Judge Cope argued that the law of contracts clearly states that any interpretation of a contract or term which "gives a reasonable, lawful, and effective meaning to all the terms is preferred to an interpretation which leaves a part unreasonable, unlawful, or of no effect." Id. at 108 (quoting Restatement (Second) of Contracts § 203 (1981)). Because the policy provided that an agreement by the two appraisers (or one appraiser and the umpire) would be binding as to the amount, Judge Cope suggested that there was mutuality of obligation. Id. "The purpose of the `right to deny' sentence is to state, quite simply, that if the insured requests an appraisal and the insurer proceeds with the appraisal process, the insurer has not thereby abandoned any coverage defenses which may be available to it." Id. Judge Cope cited language from this Court's opinion in Hanover Fire Insurance Co. v. Lewis, where we interpreted a similar clause: "`[I]f, after such ascertainment of the amount of the loss, it should be found that the insurers were legally liable for such loss, they at once became bound for the "amount" ascertained and awarded by such arbitrators.'" Country Walk,
Thus, where there is a demand for an appraisal under the policy, the only "defenses" which remain for the insurer to assert are that there is no coverage under the policy for the loss as a whole or that there has been a violation of the usual policy conditions such as fraud, lack of notice, and failure to cooperate. We interpret the appraisal clause to require an assessment of the amount of a loss. This necessarily includes determinations as to the cost of repair or replacement and whether or not the requirement for a repair or replacement was caused by a covered peril or a cause not covered, such as normal wear and tear, dry rot, or various other designated, excluded causes.
For the reasons discussed, we hold that the appraisal clause at issue is not void for lack of mutuality of obligation simply because of a retained rights clause, where we interpret the clause as retaining only the right to dispute the issues of coverage as to the whole loss, or whether the policy conditions have been violated as specified above. We quash the decision of the Third District Court of Appeal in Licea, disapprove the opinion of the Third District Court in Country Walk, and remand for proceedings consistent with this opinion.
It is so ordered.
OVERTON, SHAW, GRIMES, WELLS and ANSTEAD, JJ., concur.
