MURRAY WEISS, APPELLANT,
v.
THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA AND AMERICAN INTERNATIONAL ADJUSTMENT COMPANY, INC., APPELLEES

Fla. 3d DCA | 1986-10-14
No. 86-225
Before SCHWARTZ, C.J., and HUB-BART and JORGENSON, JJ.
497 So. 2d 285 Florida District Court of Appeal, Third District (1986) Caution
Cited by 5 cases

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Holding

The insurer waived the appraisal clause by exercising its right to repair the vehicle, rendering compliance impossible.


Headnotes

[1] An insurer's exercise of its right to repair a damaged vehicle renders an appraisal clause in the policy inoperative and waives the insurer's right to demand appraisal.

[2] A trial court's dismissal of an action for failure to comply with a policy appraisal provision is improper when the insurer's actions have made compliance impossible.

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Facts & Procedural History

Plaintiff's insurer refused to pay for vehicle repairs, citing wear and tear exclusion. Plaintiff sued for coverage, fraud, and statutory violations. …

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Opinion of the Court
SCHWARTZ, Chief Judge.

SCHWARTZ, Chief Judge.

After authorizing the repair of Weiss’s vehicle, his automobile carrier, the Insurance Company of the State of Pennsylvania (ICP), refused to pay for a large portion of the bill on the ground that it represented damages caused by “wear and tear” which was excluded from collision coverage. Weiss then sued ICP and its adjuster, American International Adjustment Company, to recover under the policy, for fraud and deceit, and for alleged violations of the Deceptive and Unfair Trade Practices Act, § 501.204(1), et seq., Fla.Stat. This appeal is from an order dismissing the action1 without prejudice because the plaintiff had not complied with the policy provision for the appraisal of damages2 as previously ordered upon the defendants’ motion. See U.S. Fire Ins. Co. v. Franko, 443 So. 2d 170 (Fla. 1st DCA 1983).

We reverse on the ground that, by exercising its right to repair the vehicle as authorized by the policy,3 the insurer rendered it impossible to comply with the appraisal clause. Hence, that provision became inoperative and was waived as a matter of law.4 Gage v. Connecticut Fire Ins. Co., 34 Okla. 744, 127 P. 407 (1912); Providence Washington Ins. Co. v. Wolf, 168 Ind. 690, 80 N.E. 26 (1907); 14 Couch on Insurance 2d § 50:119 (rev. ed. 1982); see Home Indemnity Co. v. Bush, 20 Ariz.App. 355, 513 P. 2d 145, 148-49 (1973); Prudential Ins. Co. v. Bidwell, 103 Ind.App. 386, 8 N.E. 2d 123 (1937); Wynkoop v. Niagara Fire Ins. Co., 91 N.Y. 478 (1883).

For this reason, the order under review is reversed5 and the cause remanded for trial.

. See infra note 5.

. Appraisal.

If we and you do not agree on the amount of loss, either may demand an appraisal of the loss. In this event, each party will select a competent appraiser. The two appraisers will select an umpire. The appraisers will state separately the actual cash value and the amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding. Each party will:

1. Pay its chosen appraiser; and

2. Bear the expenses of the appraisal and umpire equally.

. The policy provides: “We may pay for loss in money or repair or replace the damaged or stolen property."

. Our consideration of this appeal has been severely handicapped by the fact that the parties, none of whom are now represented by trial counsel, have unaccountably devoted almost all their appellate energies to arguing the propriety of a ruling which was never made on an issue which was, for good reason, never raised below. Weiss claims that the trial court ordered compliance with an arbitration clause in the policy and then asserts that the insurer waived its reliance on that provision by failing to timely raise it, see King v. Thompson & McKinnon, Auchincloss Kohlmeyer, Inc., 352 So. 2d 1235 (Fla. 4th DCA 1977); the appellees vigorously contend that their supposed insistence on arbitration did not come too late. See Graham Contracting, Inc. v. Flagler County, 444 So. 2d 971 (Fla. 5th DCA 1983), pet. for review denied, 451 So. 2d 848 (Fla.1984). In fact, however, there is no arbitration clause in the collision portion of the policy; the only such provision, which is quoted and relied upon in the appellees’ brief, applies to uninsured motorist coverage and thus has nothing to do with this case. Accordingly, an examination of the record shows clearly that the parties at no time asserted below and the trial judge at no time determined that there was any right to arbitration. See 31 Fla.Jur.2d Insurance § 891 (1981) (“Although the term ‘appraisal,’ or 'appraisement,' and the term ‘arbitration’ are generally used interchangeably or in a loose sense in insurance policies and cases, there is a distinction between a limited agreement for appraisal of the amount of the loss and a general agreement to submit to arbitration.’’)

.It should be noted that, as the trial court itself recognized in providing for an abatement of the action pending appraisal only as to the “claim ... for damage to plaintiffs vehicle" and that "all other aspects" of the case were to remain pending, the appraisal clause could have no effect on the separate fraud and FDUTPA claims. Those counts should therefore not have been dismissed in any event. (The plain inconsistency between the prior order and the dismissal of the entire action was apparently not called to the attention of the trial court.)


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  • State Farm Fire & Cas. Co. & Richard Nerndt v. Middleton, 648 So. 2d 1200 (Fla. 3d DCA 1995)
    …o. v. Martinez, 643 So. 2d 1101 (Fla. 3d DCA 1994); Coral 97 Assocs. v. Chino Elec., Inc., 501 So. 2d 69 (Fla. 3d DCA 1987); U.S. Fire Ins. Co. v. Franko, 443 So. 2d 170 (Fla. 1st DCA 1983). The plaintiffs' reliance on Weiss v. Insurance Co. of Pa., 497 So. 2d 285 (Fla. 3d DCA 1986), is misplaced. In Weiss, the insurance company in essence made an election of inconsistent remedies when it agreed to repair the insured’s vehicle but then refused to pay for the repairs and demanded an appraisal to determine the…
  • Express Damage Restoration LLC v. First Cmty. Ins. Co., 45 Fla. L. Weekly D879 (Fla. 3d DCA 2020)
    …demanded a declaration that its invoices for work performed were not subject to appraisal, since they should not be interpreted as part of the “amount of loss,” as provided by the policy, relying in part on Weiss v. Insurance Co. of Pennsylvania, 497 So. 2d 285 (Fla. 3d DCA 1986), and Delisfort v. Progressive Express Insurance Co., 785 So. 2d 734 (Fla. 4th DCA 2001), overruled on other grounds by Allstate Insurance Co. v. Suarez, 833 So. 2d 762 (Fla. 2002). Additionally, the assignee sought a declarati…
  • …raisal-seeking party acted inconsistently with its right to appraisal. Id. (quoting Fla. Ins. Guar. Ass'n v. Branco, 148 So. 3d 488, 494 (Fla. 5th DCA 2014)). Collision Concepts relies on Weiss v. The Insurance Company of the State of Pennsylvania, 497 So. 2d 285 (Fla. 3d DCA 1986), to argue that Progressive rendered it impossible to comply with the appraisal clause by exercising its right to repair the vehicle as authorized by the policy. In a two-paragraph opinion, the Weiss court considered a case where a…

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