In the
Court of Appeals
Second Appellate District of Texas
at Fort Worth
___________________________
No. 02-23-00116-CV
___________________________
LANDMARK PARTNERS, INC., Appellant
V.
WESTERN WORLD INSURANCE, Appellee
On Appeal from the 67th District Court
Tarrant County, Texas
Trial Court No. 067-324104-21
Before Bassel, Wallach, and Walker, JJ.
Memorandum Opinion by Justice Wallach
MEMORANDUM OPINION
Landmark Partners, Inc. (Landmark) sued Western World Insurance
(Insurance) after Insurance denied Landmark’s claim under an insurance policy.
Landmark asserted claims for breach of contract, statutory violations, breach of
common-law duties, and attorney’s fees and statutory interest. Relying in part on the
testimony of Landmark’s own expert, Insurance moved for traditional summary
judgment on the ground that the concurrent causation doctrine defeated Landmark’s
contractual claim, which in turn defeated Landmark’s other claims. The trial court
granted summary judgment for Insurance, and Landmark now appeals. In five
overlapping issues, it argues that the concurrent causation doctrine does not bar
recovery and that it produced sufficient evidence to defeat summary judgment. We
will affirm.
Background
Landmark’s policy with Insurance covered damage to Landmark’s commercial
property, but only for damage that commenced during the policy period, which began
on February 4, 2020. The policy included coverage for hail and wind damage1 but no
coverage for rain damage to the property’s interior unless the rain entered the building
through damage caused by a covered event. After a storm on May 7, 2020, Landmark
1
The policy did not cover “aesthetic impairment” to roof surfacing from wind
or hail.
2
filed a claim with Insurance, requesting that Insurance provide coverage for damage
to Landmark’s building, which Landmark alleged had been caused by the storm.
Approximately six weeks after the storm, Insurance sent a contract field
adjuster to inspect the property, and that adjuster reported no signs of hail damage on
the property’s roofing materials. Sonny “Cal” Spoon, a public adjuster with
InsuranceBusters.net, which had been hired by Landmark, inspected the property at
the same time. Spoon concluded that the property had suffered hail damage, and he
estimated the cost of repairs to Landmark’s property at $1,300,633.58. Insurance then
retained an engineer, Jarrod Burns, who did find some hail damage, particularly to
some mechanical units on the roof, but he determined that the damage had been
caused before the policy took effect. Insurance denied the claim.
Landmark then sued Insurance for failing to provide coverage. Landmark
retained several experts in connection with its suit. One of those experts was Jeffrey
Leach, an engineer, who inspected the property on June 5, 2022, and unlike
Insurance’s engineer, Leach found hail damage on the property’s roof. Landmark also
retained Gary Johnson, a public adjuster, to opine on Insurance’s handling of the
claim, and Michael Ogden, a construction expert, to provide an estimate for repairing
the property.
Insurance filed a traditional motion for summary judgment based on the
concurrent causation doctrine, which applies “when covered and excluded events
combine to cause an insured’s loss.” Dillon Gage Inc. of Dall. v. Certain Underwriters at
3
Lloyds Subscribing to Policy No. EE1701590, 636 S.W.3d 640, 645 (Tex. 2021). “[W]hen a
covered event and an excluded event ‘each independently cause’ the loss, ‘separate
and independent causation’ exists, ‘and the insurer must provide coverage.’” Id.
(quoting JAW The Pointe v. Lexington Ins., 460 S.W.3d 597, 608 (Tex. 2019)). But if
both covered and uncovered events combine to cause a loss, and “[the] covered and
uncovered events are inseparable, then causation is concurrent, the insurance policy’s
exclusion applies, and the insurer owes no coverage for the loss.” Id.
Insurance’s summary judgment motion observed that for Landmark to prove
its contract claim at trial, it would have to prove that Insurance had failed to provide
coverage that the policy obligated Insurance to provide. Insurance’s motion addressed
this part of Landmark’s contract claim. Specifically, Insurance argued that its evidence
showed that the May 2020 storm was not the sole cause of property damage and that
there was no way to show what part of the damage had been caused by that storm or
other covered events. It contended that because the evidence showed that the
property damage had multiple, inseparable causes, some of which were not covered
by the policy—and thus the evidence showed that the policy did not require Insurance
to provide coverage—the evidence demonstrated as a matter of law that Insurance
had not breached the contract by failing to provide coverage. See id. Insurance further
argued that because Landmark’s contract claim failed, its extracontractual claims also
failed.
4
To support its motion, Insurance attached Burns’s report concluding that hail
damage at the property had been caused before the policy became effective. It also
attached evidence from Landmark’s experts, discussed in more detail below, that
supported Insurance’s argument that covered damage to the property could not be
segregated from non-covered damage. Landmark filed a response attaching the expert
reports of Leach, Ogden, and Johnson, as well as excerpts from Leach’s, Ogden’s, and
Johnson’s depositions. However, as we explain below, none of Landmark’s evidence
was sufficient to raise a fact issue on causation or Insurance’s obligation to provide
coverage.
The trial court signed a final judgment granting summary judgment for
Insurance. Landmark now appeals.
Standard of Review
We review a summary judgment de novo. Travelers Ins. v. Joachim, 315 S.W.3d
860, 862 (Tex. 2010). We consider the evidence presented in the light most favorable
to the nonmovant, crediting evidence favorable to the nonmovant if reasonable jurors
could, and disregarding evidence contrary to the nonmovant unless reasonable jurors
could not. Mann Frankfort Stein & Lipp Advisors, Inc. v. Fielding, 289 S.W.3d 844,
848 (Tex. 2009).
5
Discussion
I. Breach of Contract
In Landmark’s first issue, it asserts that it proffered sufficient summary
judgment evidence to support a prima facie breach-of-contract claim, and thus the
trial court erred by granting summary judgment. In its second issue, it argues that its
breach of contract claim “was not vitiated by the doctrine of concurrent causes.”
Because these issues are interrelated, we consider them together.
Like other contracts, an insurance policy “establishes the respective rights and
obligations” to which the parties have agreed. USAA Tex. Lloyds Co. v. Menchaca,
545 S.W.3d 479, 488 (Tex. 2018) (quoting RSUI Indem. Co. v. The Lynd Co., 466 S.W.3d
113, 118 (Tex. 2015)). As noted by Insurance in its summary judgment motion, for
Landmark to prove its contract claim at trial, it would have to show that the policy
obligated Insurance to pay for the damage to Landmark’s property. See Esty v. Beal
Bank S.S.B., 298 S.W.3d 280, 299 (Tex. App.—Dallas 2009, no pet.) (noting that “[a]
breach of contract occurs when a party fails to perform an act that it has expressly or
impliedly promised to perform”); see also Prime Time Fam. Entm’t Ctr., Inc. v. AXIS Ins.
Co., 630 S.W.3d 226, 230 (Tex. App.—Eastland 2020, no pet.) (noting the “basic
principle” that “insureds are not entitled to recover under their insurance policies
unless they prove their damage is covered by the policy”). As the Texas Supreme
Court has summarized, “no breach can occur unless coverage exists.” Menchaca,
545 S.W.3d at 494.
6
The doctrine of concurrent causation relates to this principle. Because an
insurer has no obligation to pay for damage caused by an event not covered under the
policy, if covered and non-covered events combine to cause the damage, the insured
must segregate between the damage attributable to the covered event and the damage
attributable to other causes. Prime Time, 630 S.W.3d at 230; Farmers Grp. Ins., Inc. v.
Poteet, 434 S.W.3d 316, 326 (Tex. App.—Fort Worth 2014, pet. denied). When
concurrent causation applies, an insured’s “[f]ailure to segregate covered and non-
covered perils is fatal to recovery.” Tex. Windstorm Ins. Ass’n. v. Dickinson I.S.D.,
561 S.W.3d 263, 273 (Tex. App.—Houston [14th Dist.] 2018, pets. denied). Thus,
Landmark would have to show at trial one of three circumstances: (1) that the damage
had only one cause, which was covered by the policy; (2) that the damage had multiple
independent causes, one of which was covered; or (3) although covered and non-
covered events combined to cause the damage, Landmark had segregated between the
covered damage and non-covered damage. See Farmers Grp., 434 S.W.3d at 326; see also
Dillon Gage, 636 S.W.3d at 645.
The concurrent-causation concept is illustrated by Travelers Indemnity Co. v.
McKillip, 469 S.W.2d 160 (Tex. 1971). In that case, the insureds’ barn collapsed after a
snowstorm. Id. at 161. However, six days before the snowstorm, a “tremendous wind”
had struck the same barn. Id. The insurance policy covered wind damage but did not
cover snowstorm damage. Id. 161–62. The insureds claimed that the barn had been
damaged by the wind. Id.; Travelers Indem. Co. v. McKillip, 458 S.W.2d 532, 533 (Tex.
7
App.—Eastland 1970), rev’d, 469 S.W.2d 160 (Tex. 1971). At trial, however, the
insureds produced no evidence “relating to the direct effect of the wind on the
damaged building,” and no one “attempt[ed] to estimate the damage caused by wind
action independent of other causes.” McKillip, 469 S.W.2d at 163. The insurer had
pled that the snowstorm damage was not covered and had requested a special issue in
the jury charge “inquiring whether damage to [the insured’s] building was caused by a
combination of the wind and the weight of the snow, and if so, the percentage or the
proportionate part of the damage caused by the snow.” Id. at 162.
The Texas Supreme Court held that the insureds had failed to meet their
burden to “introduce evidence to prove and secure jury findings that the damage was
caused solely by the windstorm, an insured peril; or segregating the damage caused by
the insured peril from that caused by the snowstorm, an excluded peril.” Id. Because
the insureds had failed to meet their burden to “produce evidence [that] w[ould]
afford a reasonable basis for estimating the amount of damage or the proportionate
part of damage caused by a risk covered by the insurance policy,” the Texas Supreme
Court reversed the jury’s verdict for the insureds and remanded for a new trial. Id. at
163.
In this case, Insurance likewise raised the issue of concurrent causation, and
Landmark had the burden to show that the damage for which it sought coverage
resulted from the May 2020 storm or another covered event. Accordingly, if
Insurance’s summary judgment evidence established as a matter of law that
8
segregation was impossible, Insurance was entitled to judgment unless Landmark
responded with evidence raising a fact issue. See id.; see also Tex. R. Civ. P. 166a(b), (c);
Frost Nat’l Bank v. Fernandez, 315 S.W.3d 494, 508 (Tex. 2010) (noting that a defendant
who conclusively negates at least one essential element of a plaintiff’s cause of action
is entitled to summary judgment on that claim). Insurance’s summary judgment
motion attached as evidence the policy; Burns’s July 2020 report; Insurance’s July
2020 claim determination letter; an October 2020 letter to Insurance from Spoon;
Leach’s July 2022 expert report; excerpts from Leach’s deposition; Ogden’s July
2022 report; and excerpts from Ogden’s deposition.
The policy stated that, regarding commercial property conditions, Insurance
“cover[s] loss or damage commencing [d]uring the policy period.” [Numbering
omitted.] The coverage period began on February 4, 2020. Thus, to show coverage,
Landmark would have to show that the damage to the building commenced after
February 4, 2020.
Burns’s report discussed the damage that he had seen in his inspection and his
conclusion that the damage had occurred before the May 2020 storm:
• Burns stated that he had inspected the property on June 29, 2020 and
collected drone images of the property the next day.
9
• The property showed evidence of hail damage, but the only areas
specifically identified by Burns as hail damaged were “various rooftop
mechanical units.”
• Burns saw no damage on one Toshiba rooftop unit, however. An aerial
image on Google Earth taken in February 2017 did not show the unit,
but the unit was visible in an image taken in November 2018.
• Burns concluded from these images and the lack of damage to the unit
that the hail damage seen on the property resulted from a hail event that
occurred before November 2018.
• Burns researched past hail events and learned that the area had
experienced hail in April 2011, October 2011, March 2016, and April
2016.
• The hail spatter marks that Burns saw “were somewhat faded, indicating
exposure to weather following the event,” but he did not provide any
guidance that would afford a reasonable basis for determining the date
of damage based on how faded a mark had become.
• Burns found no hail or wind damage to the property’s roofing materials,
concluded that “[t]here were no storm-created openings that could have
contributed to moisture intrusion [i.e., leaks],” and opined that various
other conditions on the property had not been caused by hail or wind.
10
Insurance’s July 2020 claim determination letter stated that based on Burns’s
conclusions, Insurance was declining coverage for Landmark’s claim. The letter stated
that Insurance would keep its file open for thirty days in case Landmark wanted to
provide “more or different information that may be relevant.”
The October 2020 letter to Insurance from Spoon disputed Insurance’s claim
denial. Spoon had inspected the property at the same time as Insurance’s field
adjuster, and the letter focused mainly on Insurance’s adjusting process.
• The letter pointed out problems with the inspection that had been done
by the field adjuster.
• The letter also disputed Burns’s conclusion that “[t]here were no storm-
created openings that could have contributed to moisture intrusion”; the
letter stated that “[o]bviously, there was a bre[a]ch as the interior was not
damaged prior to the given date of loss per the Insured.”
• The letter also attached estimates for property repairs and demanded
that Insurance provide coverage.
The letter is some evidence that the field adjuster may have performed an inadequate
inspection, and it indicates that Spoon had been told by someone that the building
had not had leaks before the May 2020 storm. However, it provides no evidence that
11
all the damage claimed by Landmark had commenced during the policy period and
gives no guidance on how to separate covered damage2 from non-covered damage.
Ogden’s July 2022 report discussed damage to various places on the roof that
he had seen in his May 2022 inspection of the property and in the photographs that
had been taken during Spoon’s inspection.
• Ogden stated that based on his experience, education, training, and
background in property loss and construction, “[h]ail [had] caused
damages to the property,” and Insurance had “failed to account for all
damages to the property that were reasonably clear to [Ogden] during
[his] inspection of the property.”
• Ogden opined that the damages had been caused by the May
2020 storm. However, he did not explain how he determined when the
property damage had occurred.
In Ogden’s deposition, he was asked about his opinion that damages had been
caused by the May 2020 storm, and his answers revealed that he had not determined
that the May 2020 storm caused the damage.
2
In this opinion, we use the phrase “covered damage” to refer to property
damage that was caused by an event for which the policy provides coverage,
regardless of whether the policy at issue requires the insurer to pay for all damage
caused by the covered event.
12
• Ogden testified that in making the statement in his report that the May
2020 storm was the cause of damage, he had relied on the “the engineer
report”—presumably Leach’s.
• Ogden asserted that the damage he observed had also been present in
the pictures taken by Spoon, so that damage had occurred before
Spoon’s June 2020 inspection.
• However, he further stated that he had not been retained as a causation
expert and would not be testifying at trial regarding his opinion about
when the damage occurred. When asked, “[I]f there were a storm that
occurred a year before May 2020, would you be able to separate the
damage from that storm from the damage that occurred a year later
when you’re reviewing it in May of 2022,” he responded, “No.”
In other words, Ogden could determine based on photographs that the property had
damage as of June 2020, but he could not offer an opinion on whether it had been
caused by the May 2020 storm or if the damage—or at least some of it—had been
caused before that.
In Leach’s July 2022 report, he stated that his inspection had found hail damage
in multiple places on the property’s roof system, and he opined that the damage had
multiple causes, including the May 2020 storm.
13
• He opined that the damage was a result of hail and high winds associated
with the May 2020 storm “in combination with those found to have
occurred during previous storms.”
• He further stated that the poor rain runoff had caused water to collect
over time and deteriorate the roof membrane, making it susceptible to
hail damage, which “has allowed water to enter the building.”
• He then stated, “It is my opinion that the cumulative effect of
[previously-]reported storms in combination with the storm on May 7,
2020, has damaged the roof and allowed water to enter the building.”
In other words, Leach’s report did not separate out what damage had been caused by
the May 2020 storm and what damage had been caused by a previous storm, and the
report’s reference to cumulative effects suggested that no single event had been an
independent cause of damage.
In his deposition, Leach was repeatedly asked about how to separate damage
caused by the May 2020 storm from damage that occurred before or after that storm.
• Leach acknowledged that “a good number” of storms had passed
through the area after the May 2020 storm.
• Leach was asked how he could separate “whatever happened between
May 7, 2020 and June 5, 2022,” the date of his inspection, and he
responded that “[t]here’s no exact science to do that. You can look at
14
the shade of the marks—spatter marks, and try to deduce if it’s recent or
if it’s been there for a significant amount of time. That’s about the best
you can do.”
• He stated that “the same issue” would affect any attempt at separating
damage from storms that occurred before May 2020.
• Asked if, in his inspection, he was able to determine whether the roof
had any damage that pre-dated the May 2020 storm, he responded,
“[W]e deduce based on the appearance, first of all that it’s damaged, and
then we try it, as best we can to, based on the various aspects of the
damage if it’s recent or old, that’s the best we can do, and based on the
time period.”
• Asked again if based on what he saw on the roof, he could “separate
whatever occurred [before the May 2020 storm] from what occurred on
May 7, 2020,” he responded, “Not with any guarantee.”
• Regarding marks that he had said were consistent with the hail and high
winds in the May 2020 storm, he was asked how he knew that the
damage did not occur “at another time,” and he responded, “You can’t
rule that out.”
15
• Leach also stated that problems with the original construction and
subsequent repairs had rendered the roof more susceptible to hail and
wind damage.
• Similarly, regarding damage causing leaks, he could not determine when
the damage occurred:
Q. Okay. Then your last sentence there says, “The evidence of
hail spattered throughout the roof is a contributing factor in the
damaged roof allowing water intrusion,” correct?·That’s what you
say?
A. Yes.
Q. But we can’t—or, I shouldn’t say we, but you cannot
tell us, based upon your engineering expertise, when that
hail spatter occurred, correct?
A. Correct, but I can’t rule it out—that it—
Q. I understand that.
A. I can’t rule out that this storm had an [e]ffect in all
those similar questions.
Q. Is there any way where you can determine how
much of an affect any particular event had on that roof?
A. No.
Q. All right.
....
Do you agree that the problems that you saw, when you
did your inspection of the roof, were a combination of
weathering, poor design, poor construction, settlement at the
edges, ponding, UV rays, and hail and wind?
16
A. Yes.
Q. Okay. And that you can’t, as an engineer, separate all of
those factors from each other to determine why you believe there
was roof damage out there, correct?
A. Correct.
Q. All right.
A. But I can’t rule out that the storm had an effect.
Q. I understand that. And you can’t rule out the fact that
there could have been other storms also that had an effect?
A. Exactly. [Emphasis added.]
In summary, Leach could not say when the storm damage he saw had occurred. He
could not rule out the May 2020 storm as a cause of damage, but he also could not
rule out any previous storm or any storm that had occurred in the two years between
the May 2020 storm and his inspection in 2022. He provided no guidance that could
be used by a factfinder in estimating when the hail or wind damage had occurred. To
the contrary, his testimony indicated that there was no way to make that kind of
determination.
Because Insurance’s summary judgment evidence established that any damage
caused by the May 2020 storm could not be segregated from the damage caused by
previous storms that were not covered, Insurance demonstrated that it had no
obligation to pay under the policy, thereby negating Landmark’s breach-of-contract
claim. See Dickinson I.S.D., 561 S.W.3d at 273. Accordingly, Insurance was entitled to
17
summary judgment unless Landmark filed a response to Insurance’s motion and
attached evidence sufficient to raise a fact issue. See Van v. Peña, 990 S.W.2d 751,
753 (Tex. 1999) (noting that once the movant produces sufficient evidence to
establish the right to summary judgment, the burden shifts to the nonmovant to come
forward with competent controverting evidence that raises a fact issue).
Landmark’s response argued that the claim had not been properly adjusted,
pointing out Insurance’s field adjuster’s finding that there was no hail damage on the
property, despite obvious signs of hail damage. It argued, “[Insurance] has estimated
[Landmark]’s storm-caused damage to be zero,” even though Ogden and Landmark’s
public adjuster each had found “a substantial valuation of loss,” and Landmark
asserted that “[t]he jury can sort out which are to be believed and which not.” It
further contended that the doctrine of concurrent causation did not “vitiate[ ] the
vitality” of Landmark’s prima facie breach of contract claim because “the only
application such doctrine might have is based solely upon [Insurance]’s manifestly self-
serving, predetermined, incomplete[,] and incompetent investigation.” It argued that
its property’s roof had not leaked before the May 2020 storm and that “[e]xpert
allocation of damages between covered and excluded risks is not . . . necessarily
required; circumstantial evidence can suffice.” To its response, Landmark attached the
18
expert report and deposition of Johnson; Ogden’s expert report and deposition
excerpts; and Leach’s report and deposition excerpts.3
Johnson’s July 2022 report focused primarily on Insurance’s adjusting process:
• The report began by summarizing Insurance’s inspection report, quoting
Insurance’s claim denial letter, and summarizing Leach’s report.
• Johnson then stated that in his opinion, Insurance did not properly
adjust the claim and had failed to perform a reasonable investigation and
had failed to investigate “the actual conflicts within the reports” of its
field adjuster and Burns.
• Johnson opined that Insurance should have known at the time of the
inspections that Landmark’s claim was covered and that Insurance had
failed to make a prompt, fair, and equitable settlement of damages.
• However, Johnson did not provide any information that would help a
factfinder allocate between damage caused by the hail in the May
2020 storm and damage caused by non-covered events.
In summary, Johnson’s report did not provide any information relevant to separating
covered and non-covered damage.
3
The response also attached opinions from two federal cases—Agredano v. State
Farm Lloyds, 975 F.3d 504, 506–07 (5th Cir. 2020), and Lee v. Liberty Ins. Corp.,
No. 3:19-CV-321-L, 2021 WL 4502323, at *9 (N.D. Tex. Sept. 30, 2021) (mem. op.
and order)—which Landmark included to support its arguments regarding the
viability of its claim for attorney’s fees and statutory interest.
19
In Johnson’s deposition, he discussed his work, the inspections performed by
Insurance, and his opinion about Insurance’s adjusting of Landmark’s claim.
• His opinion about Insurance’s adjusting process was based in part on
Burns’s report that there was no hail damage to the roof from any event,
which was contradicted by himself, Leach, and Ogden, as well as
photographs in Insurance’s own file.
• Toward the end of the deposition excerpt, Johnson was asked if he
could determine whether any damage to the property’s roof occurred
during the May 2020 storm or during a different storm. He responded,
“No, there’s nothing that I can determine the age. . . . I can’t determine
the age.”
Thus, Johnson’s testimony in his deposition did not raise a fact issue on causation.
Landmark’s response also attached the same expert report from Ogden, the
construction expert, that Insurance had submitted with its motion. Landmark also
included Ogden’s CV and testimony history. As for the excerpts from Ogden’s
deposition testimony, Landmark included Ogden’s statement that he would not be
offering any testimony about when the damage that he observed took place. In the
excerpts, Ogden did not provide any information that would help a factfinder allocate
between damage caused by the May 2020 storm and damage caused by non-covered
events.
20
Landmark further attached to its response the same expert report by Leach,
that Insurance had attached to its motion, and Landmark also attached Leach’s CV
and testimony history. It also included the photographs, Weather Guidance Weather
Report, and Hail Strike report attached to Leach’s report, which Insurance had not
included with its motion. The photographs included images of the roof that had been
labeled with locations on the roof on which Leach had found hail damage and
pictures of parts of the roof that showed damage. The Weather Guidance report
discussed radar and other data about the May 2020 storm, and the Hail Strike report
listed historical data for hail activity at the property. The Hail Strike report stated that
hail up to 1.5 inches had fallen in the area during the May 2020 storm. It also showed
hail in the area during previous storms in January 2020 and in each year from 2011 to
2019.
The excerpts of Leach’s deposition relied on by Landmark differed somewhat
from the excerpts relied on by Insurance, but they included the same part of the
deposition in which Leach replied to a question about whether he could determine if
the roof had been damaged before the May 2020 storm. As noted, his response was
that “we deduce based on the appearance” whether damage occurred and then, as
best one can, “based on the various aspects of the damage [deduce] if it’s recent or
old.” The excerpted testimony did not include any additional information from which
a factfinder could allocate between damage caused by the May 2020 storm and
damage caused by non-covered events.
21
None of Landmark’s evidence contained information about segregating
between covered and non-covered damage or even raised the possibility that
segregation could be done. To the contrary, even under Landmark’s evidence, the
covered and non-covered causes of property damage could not be separated. Further,
Landmark’s summary judgment evidence did not establish that covered and non-
covered events each independently caused the damage to its building. See Dillon Gage,
636 S.W.3d at 645 (stating that concurrent causes doctrine does not apply when a loss
is independently caused by both a covered and a non-covered event); see also Guar.
Nat. Ins. Co. v. N. River Ins. Co., 909 F.2d 133, 137 (5th Cir. 1990) (applying Texas law
to hold that hospital’s failure to maintain security of its windows and its failure to
properly observe its patient were independent causes of the patient’s death by suicide).
Accordingly, the concurrent causation doctrine applied and, under the evidence, was
fatal to Landmark’s claim. See Dickinson I.S.D., 561 S.W.3d at 273.
On appeal, Landmark argues that it produced evidence that its building was
damaged by the May 2020 storm, that the building’s roof “had never been damaged
by a storm causing leaks before,” that the estimated cost of repairs “vastly exceeds”
the policy’s deductible “and the absurdly low estimate of zero damage [Insurance]
gave to [Landmark] and based its denial of claim upon,” that “the date of loss, the
nature of loss and the quantum of damages fall squarely within the terms of the
[p]olicy’s coverage,” and that Insurance “unreasonably and unjustifiably refused to pay
[Landmark] what it is clearly owed under the [p]olicy.” Regarding concurrent
22
causation, as it had in its summary judgment response, Landmark asserts that “the
only application such doctrine might have is based solely upon [Insurance]’s manifestly
self-serving, predetermined, incomplete and incompetent investigation.” It further
asserts that “[w]hile [Insurance] produced some evidence from its retained experts of
alleged prior roof or other structural damage, even if the roof has sustained wear and
tear damage, such damage was not visible[,] and it wasn’t leaking until the storm at
issue struck.” Landmark argues that it did “far more than” what the Texas Supreme
Court required in McKillip, which was to produce evidence that would “afford a
reasonable basis for estimating the amount of damage or the proportionate part of
damage caused by a risk covered by the insurance policy.” McKillip, 469 S.W.2d at 163.
We disagree with Landmark’s assessment of the summary judgment evidence.
Nothing in the evidence contradicted Leach’s conclusions that damage to the property
had been from a combination of events, including improper roof runoff and storms
preceding the May 2020 storm, and Landmark’s summary judgment evidence included
nothing on which a factfinder could rely to allocate between covered and non-covered
events. We have found no summary judgment evidence, expert or otherwise, from
either party, from which a jury could determine what proportion of the building’s
damage was caused by the May 2020 storm or other covered events or even any
evidence suggesting that such a determination would be possible.
Landmark cites several cases that do not support its arguments. In Travelers
Personal Security Ins. Co. v. McClelland, 189 S.W.3d 846, 851 (Tex. App.—Houston [1st
23
Dist.] 2006, no pet.), the First Court of Appeals reviewed concurrent causation case
law, including McKillip. From that case law, the Houston court concluded that an
insured need not explicitly state what damage was “‘solely attributable’ to the covered
cause”; instead, the insured satisfies its burden by producing “some evidence that
provides a reasonable basis” from which a jury can make a finding of the damage
caused by a covered event. Id. In that case, the insureds’ house foundation had
moved, and their insurance policy covered the damage if it had been caused by a
plumbing leak, but it provided no coverage for movement from natural conditions. Id.
at 848. At trial, the insureds’ expert testified that a foundation’s movement from
natural conditions occurs in the first fifteen years; that after that, “unless something
happens out of the ordinary, that foundation is just going to stay there”; that when the
insureds bought their 30-year-old house, the foundation was performing as expected;
and that although the foundation had experienced some movement from natural
conditions, plumbing leaks were the trigger that caused “dramatic movement” of the
foundation. Id. at 849–51.
The Houston court held that the expert’s testimony was some evidence from
which the jury could have made its finding that eighty percent of the damage due to
the house was caused by the plumbing leaks. Id. at 851–52. In other words, the
insureds produced some evidence from which the jury could apportion the damage
between covered and non-covered events. Here, on the other hand, the summary
judgment evidence showed that Landmark’s engineering expert had concluded that
24
the building’s damage was caused by both covered and non-covered events—thus, in
theory, some of the damage would have been covered under the policy—but the expert
also stated that there was no way to determine how much of the damage was caused by
covered events. That is, according to Landmark’s own expert, it would be impossible
for the jury to make a finding about what part of the damage was covered under the
policy.
In Southland Lloyds Ins. Co. v. Cantu, the insureds and the insurer produced vastly
different estimates of the amount of damage to the insureds’ property after a
hailstorm, which was a covered event under the insurance policy. 399 S.W.3d 558,
575–76 (Tex. App.—San Antonio 2011, pet. denied). The jury was presented with
conflicting evidence about how much of the damage was caused by the covered
peril—the insureds presented testimony that all the damage found by their expert was
due to hail, and the insurer presented evidence that some was from wear and tear,
which was not covered—and thus, the jury was “was faced with a credibility
question.” Id. at 576. In this case, on the other hand, the parties did not present
conflicting evidence about the percentage of damage caused by a covered event.
Instead, the only evidence was that even if the May 2020 storm caused some damage,
that damage could not be segregated from damage caused by other storms.
As for Landmark’s assertion that its roof never leaked before the May
2020 storm, we infer from that assertion an argument that the absence of previous
leaking is some evidence that the May 2020 storm caused all of the roof damage or at
25
least presents some evidence from which a jury could apportion the damage from the
May 2020 storm. Landmark does not direct us to where in the record either party
produced summary judgment evidence that the roof had never leaked before the
storm, and the only relevant evidence we have found was the statement in Spoon’s
letter to Insurance that “[o]bviously, there was a bre[a]ch as the interior was not
damaged prior to the given date of loss per the Insured.” In any case, Leach’s report
stated that in his opinion, the leaks were the result of a combination of causes, not
just the May 2020 storm. He opined that because of poor rainfall runoff, “the roof
membrane has receded and deflected over time,” which “has allowed water to collect
over time and has deteriorated the membrane such that it is susceptible to damage
from hail impacts. This has allowed water to enter the building.” He then concluded
that “the cumulative effect” of the May 2020 storm and previous storms “damaged the
roof and allowed water to enter the building.” [Emphasis added.] Further, he testified
that he could not determine what damage had been caused from just the May
2020 storm. In other words, regardless of when the leaks became apparent, there is no
evidence from which the jury could determine what proportionate part of the
cumulate damage had commenced during the policy period.
Because Landmark’s evidence did not raise a fact issue sufficient to defeat
summary judgment on Landmark’s contract claim, we overrule Landmark’s first and
second issues.
26
II. Extracontractual Claims
In addition to its contract claim, Landmark alleged violations of Texas
Insurance Code Chapters 541 and 542 and a breach of the common law duty of good
and fair dealing. See Tex. Ins. Code Ann. §§ 541.060(a)(1), (2)(A), (3), (4), (7) (listing
unfair insurance settlement practices), 542.055, .056, .058 (requiring prompt payment
of insurance claims); Vandeventer v. All Am. Life & Cas. Co., 101 S.W.3d 703, 722 (Tex.
App.—Fort Worth 2003, no pet.) (noting that Texas law has long recognized a
common law duty of good faith and fair dealing in the context of processing and
payment of insurance claims). Landmark argues in its third issue that it proffered
sufficient summary judgment evidence to support its extracontractual claims.
In its summary judgment motion, Insurance argued that “an entitlement to
benefits under the policy is a necessary element” of Landmark’s statutory and
common-law claims, and consequently, because “Landmark cannot establish that it is
entitled to policy benefits, and because Landmark has not suffered any injury
independent of its claim for policy benefits,” Landmark’s extracontractual claims also
fail as a matter of law.
In its response, Landmark argued that the conclusions of the initial field
adjuster and Burns were “just plain wrong” and that Insurance’s refusal to pay any
benefits was therefore “unreasonable and unjustified” and “the very definition of
unfair and bad faith claim settlement, for which [Insurance] can and should be held
accountable.” Landmark further asserted that it had presented solid evidence to
27
establish the elements of its extracontractual claims. Landmark makes the same
arguments on appeal. We agree with Insurance that the trial court correctly granted
summary judgment on Landmark’s extracontractual claims.
With respect to Landmark’s statutory claims, as the Texas Supreme Court has
explained, “[a]n insured cannot recover any damages based on an insurer’s statutory
violation unless the insured establishes a right to receive benefits under the policy or
an injury independent of a right to benefits.” Menchaca, 545 S.W.3d at 500. The
summary judgment evidence negated Landmark’s right to policy benefits. No
summary judgment evidence supports a finding that Insurance committed a statutory
violation and that, but for that statutory violation, Landmark would have been entitled
to policy benefits. See id. at 494 (stating that insured may recover policy benefits for
statutory violation if the policy entitles the insured to receive benefits and the insurer’s
statutory violation resulted in the insured not receiving those benefits). Accordingly,
the evidence defeated Landmark’s statutory claims unless Landmark produced
evidence sufficient to raise a fact issue that it had suffered an injury that was
independent of its right to policy benefits. Id. at 500.
“[A]n injury is not ‘independent’ from the insured’s right to receive policy
benefits if the injury ‘flows’ or ‘stems’ from the denial of that right.” Id. Landmark did
not allege any conduct or injury unrelated to the denial of coverage, and its evidence
did not raise a fact issue on independent injury. As a result, Insurance was entitled to
summary judgment on Landmark’s statutory claims.
28
As for Landmark’s common-law bad-faith claim, that, too, was negated by the
summary judgment evidence. “[A]n insurer breaches its duty of good faith and fair
dealing by denying a claim when the insurer’s liability has become reasonably clear.”
State Farm Fire & Cas. Co. v. Simmons, 963 S.W.2d 42, 44 (Tex. 1998); see also State Farm
Mut. Auto. Ass’n v. Cook, 591 S.W.3d 677, 680 (Tex. App.—San Antonio 2019, no
pet.) (noting that the common-law standard is the same as the statutory bad-faith
standard). The elements of a claim for bad faith insurance practices are “(1) the
absence of a reasonable basis for denying or delaying payment of the benefits of the
policy, and (2) that the insurer knew or should have known that there was not a
reasonable basis for denying the claim or delaying payment of the claim.” Berdin v.
Allstate Ins. Co., No. 02-22-00426-CV, 2023 WL 7037619, at *7 (Tex. App.—Fort
Worth Oct. 26, 2023, no pet.) (mem. op.).
Landmark argued in its summary judgment response and on appeal that its
evidence made a prima facie case that Insurance’s investigation was performed in a
way to provide a pretextual basis for denial. Landmark argues that while Insurance
“did purport to rely on [Burns’s] report, [Landmark] has, again, shown that Burn[s]’s
report was manifestly wrong in several critical particulars” and “clearly incorrect.”
However, based on the summary judgment evidence, even if Burns and Insurance’s
initial field adjuster had come to the same conclusions that Leach did about the source
of property damage, Insurance would have had a reasonable basis on which to deny
the claim. See Republic Ins. Co. v. Stoker, 903 S.W.2d 338, 340 (Tex. 1995) (holding no
29
bad faith denial of insured’s claim by insurer when the facts compelling denial existed
at the time of denial, even if insurer relied on a different, perhaps erroneous reason).
Consequently, the same evidence that negated Landmark’s contract claim also negated
Landmark’s common-law bad-faith claim. See Progressive Cnty. Mut. Ins. Co. v. Boyd,
177 S.W.3d 919, 922 (Tex. 2005) (holding that appellee’s common-law bad-faith
claims were negated by a determination that there was no coverage). Although the
Texas Supreme Court has “left open the possibility that an insurer’s denial of a claim
it was not obliged to pay might nevertheless be in bad faith if its conduct was extreme
and produced damages unrelated to and independent of the policy claim,” id., there is
no evidence in this case to support that exception to the general rule that
extracontractual claims do not survive a determination of no coverage. We overrule
Landmark’s third issue.
We further overrule Landmark’s fifth issue in which it argues that the trial court
erred by granting summary judgment because Landmark presented more than enough
evidence to support its breach of contract and extracontractual claims. We also
overrule Landmark’s fourth issue challenging the summary judgment as to its claims
for attorney’s fees and statutory interest because those claims depend on the viability
of Landmark’s other claims. See, e.g., Tex. Ins. Code Ann. § 542.060.
Conclusion
Having overruled Landmark’s five issues, we affirm the trial court’s judgment.
30
/s/ Mike Wallach
Mike Wallach
Justice
Delivered: December 28, 2023
31