HICKS
v.
AM. INTEGRITY INS. CO. OF FLA.
AI-generated. These summaries, headnotes, and key points are machine-generated and may contain errors or omissions. Always verify against the full opinion text below. Not legal advice.
An insurance policy exclusion for losses caused by constant or repeated leakage over 14 or more days does not unambiguously exclude losses caused by leakage over 13 days or less, and such ambiguous exclusionary language must be construed against the insurer and in favor of coverage.
[1] An insurance policy excluding losses caused by constant or repeated leakage or seepage over a period of fourteen days or more does not unambiguously exclude losses caused…
[2] Ambiguous insurance provisions must be construed against the insurer and in favor of coverage.
Previewing 2 of 4 headnotes on this case. FLexlaw’s editorially structured points of law — every proposition, pinpointed — are reserved for members.
Join FLexlaw to unlock all legal intelligence“In light of the general principle that insurance policy provisions susceptible to more than one interpretation should be construed liberally in favor of the insured and strictly against an insurer, and that exclusionary clauses should be read even more narrowly, we hold that an insurance policy excluding losses caused by constant or repeated leakage or seepage over a period of fourteen days or more does not unambiguously exclude losses caused by leakage or seepage over a period of thirteen days or less.”
This establishes the controlling rule of construction for interpreting the disputed exclusion clause in favor of the insured.
Previewing 1 of 3 key quotes on this case — the court’s exact language, pinpointed for members.
Join FLexlaw to unlock all legal intelligenceHicks purchased an all-risks homeowners insurance policy from American Integrity Insurance Company. In September 2012, his refrigerator water supply l…
The full statement of facts, procedural history, and disposition for this case are member content.
Join FLexlaw to unlock all legal intelligence© FLexlaw, Inc. — AI-generated enrichments are proprietary. All rights reserved.
Explore caselaw by topic → Browse Construction Of Insurance Policy Exclusions cases and more on FLexlaw
IN THE DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA
FIFTH DISTRICT NOT FINAL UNTIL TIME EXPIRES TO FILE MOTION FOR REHEARING AND DISPOSITION THEREOF IF FILED HUGH HICKS, Appellant,
v. Case No. 5D17-1282 AMERICAN INTEGRITY INSURANCE COMPANY OF FLORIDA, Appellee. ________________________________/ Opinion filed February 23, 2018 Appeal from the Circuit Court for Orange County, Bob Leblanc, Judge.
Mark A. Nation and Paul W. Pritchard, of The Nation Law Firm, Longwood, for Appellant.
Andrew P. Rock and Julia G. Young, of The Rock Law Group, P.A., Maitland, for Appellee.
PER CURIAM.
Hugh Hicks appeals the summary final judgment granted in favor of American
Integrity Insurance Company of Florida (“AIIC”) in his suit for breach of contract. Hicks contends that the trial court misapplied his insurance policy’s provision excluding damages caused by “[c]onstant or repeated seepage or leakage of water . . . over a period of 14 or more days.” For the following reasons, we agree and reverse.
Hicks purchased an “all risks” policy from AIIC, which covered his home from May
31, 2012, until May 31, 2013.1 In September 2012, while Hicks was out of town, the water supply line to his refrigerator began leaking, slowly at first, then steadily increasing,
until, by the time Hicks returned on October 25, the supply line was discharging almost one thousand gallons each day. Hicks filed a claim with AIIC, but after AIIC’s expert determined that the pipe had been leaking for five weeks or more, AIIC denied the claim,
quoting the following provision of the policy: “We do not insure . . . for loss . . . [c]aused by . . . [c]onstant or repeated seepage or leakage of water . . . over a period of 14 or more days.”
Hicks sued for breach of contract, and AIIC pleaded in an affirmative defense that this provision excluded Hicks’s loss. AIIC then filed a motion for summary judgment,
arguing that because the leak occurred over a period of more than fourteen days, the provision unambiguously excluded coverage for all of Hicks’s losses. Hicks filed his own motion for summary judgment, on three issues: that Hicks sustained a physical loss during the policy period, that all losses occurring within the first thirteen days were covered, and that Hicks was entitled to $40,926.77 for losses occurring within the first thirteen days of the leak. Hicks attached to his motion an extensive report from a forensic general contractor, which attempted to calculate the amount of damage to Hicks’s home
within the first thirteen days of the leak. At a hearing on the motions, the trial court told
Hicks, “Basically, you’re asking [this court] to say whether the policy covered the loss in the first 13 days . . . . It might, but I’m not so sure that the time frame of these particular facts would allow for that determination.” The trial court then granted summary judgment in AIIC’s favor.
On appeal, Hicks contends that the exclusion applies only to losses “caused by water on day 14 and onward.” Hicks relies on Wheeler v. Allstate Insurance, 687 F. App’x
757, 759 (10th Cir. 2017), in which Allstate denied Wheeler’s claim under a substantially similar exclusion clause. A leak in Wheeler’s seasonal cabin went undiscovered for several months, by which point the basement had been flooded with five inches of water.
Id. At trial, Wheeler argued that he was entitled to coverage for the first week of damage caused by the leak. Id. at 762. The court in Wheeler reversed the trial court’s grant of summary judgment in Allstate’s favor, finding that the “claimed damage was not caused by leakage over a period of 14 days or longer; it was caused by leakage over a period of less than 14 days.” Id. at 767. Hicks also relies on Coutts v. Florida Peninsula Insurance,
23 Fla. L. Weekly Supp. 1012b (Fla. 11th Cir. Ct. Mar. 4, 2016), in which the plaintiff sued her insurance company after it denied her claim based on a substantially similar exclusion clause. The circuit court held, “[I]f the ‘loss’ was realized between days1 and 13 it is not excluded, even though the ‘condition’ may have remained on the property for 14 days or longer. Thus, the stipulation that the home was exposed to water for 14 or more days proved just that—and nothing more.” Id.
In light of the general principle that insurance policy provisions susceptible to more than one interpretation should be construed liberally in favor of the insured and strictly against an insurer, and that exclusionary clauses should be read even more narrowly, we hold that an insurance policy excluding losses caused by constant or repeated leakage or seepage over a period of fourteen days or more does not unambiguously exclude losses caused by leakage or seepage over a period of thirteen days or less. See
Container Corp. of Am. v. Md. Cas. Co., 707 So. 2d 733, 736 (Fla. 1998); State Farm
Mut. Auto. Ins. v. Pridgen, 498 So. 2d 1245, 1248 (Fla. 1986); FCCI Ins. v. Horne, 890
So. 2d 1141, 1143 (Fla. 5th DCA 2004); Hrynkiw v. Allstate Floridian Ins., 844 So. 2d 739,
741 (Fla. 5th DCA 2003). It is not unambiguously clear that a provision excluding losses caused by constant leakage of water over a period of fourteen or more days likewise excludes losses caused by constant leakage of water over a period of less than fourteen days. And ambiguous insurance provisions—those susceptible to more than one meaning, one providing coverage and the other denying it—must be construed against the insurer and in favor of coverage. Wash. Nat’l. Ins. v. Ruderman, 117 So. 3d 943, 950 (Fla. 2013) (“[W]here, as here, one reasonable interpretation of the policy provisions would provide coverage, that is the construction which must be adopted.”); Pridgen, 498
So. 2d at 1248.
Moreover, the trial court’s express reasoning for granting summary judgment in
AIIC’s favor—that the policy “might” cover “the loss in the first 13 days,” but that the trial court was nevertheless “not so sure that the time frame of these particular facts would allow for that determination”—was flawed. In an all-risks policy, once the insured establishes a loss within the terms of a policy, the burden shifts to the insurer to prove that a particular loss arose from an excluded cause. Mejia v. Citizens Prop. Ins., 161 So. 3d 576, 578 (Fla. 2d DCA 2014). Whether such a determination is possible is a genuine issue of material fact precluding summary judgment.
We therefore reverse the summary judgment entered in favor of AIIC and remand this case to the trial court to enter partial summary judgment in Hicks’s favor on the sole issue of coverage within the first thirteen days of the leak, the extent of the losses to be determined at trial. As for losses occurring after the first thirteen days, the burden will be on AIIC to prove that a particular loss was sustained after the thirteenth day and is therefore not covered under the language of the exclusion provision.
REVERSED and REMANDED. SAWAYA, EVANDER and LAMBERT, JJ., concur.
Cases With Similar Vibessemantic neighbors from the corpus
Citator
Cited By
-
Vasta v. Universal Prop. & Cas. Ins. Co., 407 So. 3d 1256 (Fla. 2d DCA 2025)
-
Whitely v. Am. Integrity (Fla. 5th DCA 2018)
-
Projekt Prop. Restoration, Inc. v. Citizens Prop. Ins. Corp. (Fla. 4th DCA 2022)
Previewing 3 of 7 citing cases — full citator treatment, depth of discussion, and citing context are member features.
Join FLexlaw to unlock all legal intelligenceAuthorities Cited (21 total)
- State Farm Mut. Auto. Ins. Co. v. Pridgen, 498 So. 2d 1245 (Fla. 1986)
- Wash. Nat'l Ins. Corp. v. Sydelle Ruderman, 117 So. 3d 943 (Fla. 2013)
- Dep't OF Legal Affairs v. Dist. Court OF Appeal, 434 So. 2d 310 (Fla. 1983)
- Hudson v. Prudential Prop. & Cas. Ins. Co., 450 So. 2d 565 (Fla. 2d DCA 1984)
- Cleveland v. State, 887 So. 2d 362 (Fla. 5th DCA 2004)
- Robinson v. State, 473 So. 2d 228 (Fla. 5th DCA 1985)
- Container Corp. OF Am. v. Md. Cas. Co., 707 So. 2d 733 (Fla. 1998)
- Hrynkiw v. Allstate Floridian Ins. Co., 844 So. 2d 739 (Fla. 5th DCA 2003)
- Mejia v. Citizens Prop. Ins. Corp., 161 So. 3d 576 (Fla. 2d DCA 2014)
- Lawyers Title Ins. Corp. v. Reitzes, 631 So. 2d 1100 (Fla. 4th DCA 1993)