finding no genuine factual dispute that a condominium association failed to give timely notice of hurricane damage to its insurer until nearly five years later
How later courts described this case
- finding no genuine factual dispute that a condominium association failed to give timely notice of hurricane damage to its insurer until nearly five years later
- “Whatever concerns the Board had about the extent of damage and its deductible are not relevant under Florida law.”
- “It should be borne in mind that the insured could not wait until the full extent of the damage to the aircraft was apparent, because the policy covered any ‘occurrence’ resulting in injury to the aircraft.”
- “When an insurance contract contains a provision which applies to notice of the damage claim, an insured must give notice of the loss that implicates a potential claim without waiting for the full extent of the damages to become apparent.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
TAMPA DIVISION
CLEARWATER KEY ASSOCIATION –
SOUTH BEACH II, INC.,
Plaintiff,
v. Case No. 8:25-cv-295-VMC-AAS
LEXINGTON INSURANCE COMPANY,
Defendant.
/
ORDER
This matter is before the Court on consideration of
Defendant Lexington Insurance Company’s Motion for Summary
Judgment (Doc. # 31), filed on November 14, 2025. Plaintiff
Clearwater Key Association - South Beach II, Inc., responded
on December 22, 2025. (Doc. # 38). Lexington replied on
January 9, 2026. (Doc. # 44). For the reasons that follow,
the Motion is denied.
I. Background
A. The Parties
Lexington issued an insurance policy for Clearwater
Key’s property located at 1430 Gulf Boulevard in Clearwater,
Florida (the “Property”), which was in effect from April 27,
2020, until April 27, 2021. (Doc. # 22-1 at 7-8; Doc. # 31-2
at ¶ 4). The Property is a nine-story, 95-unit condominium
building built in 1974. (Doc. # 31-3 at 51:11-16). The
Property still has its original cast-iron plumbing system.
(Id. at 59:19-22). The plumbing system has caused many leaks
at the Property since at least 2017. (Id. at 50:5-51:9; Doc.
# 31-9 at 45:20-47:9).
B. The Policy Terms
The policy generally does not cover loss or damage caused
by wear and tear. (Doc. # 22-1 at 29 – Causes of Loss –
Special Form § (B)(2)(d)(1)). However, if wear and tear
results in a “specified cause of loss,” the policy covers
“loss or damage caused by that ‘specified cause of loss.’”
(Id. at 29 § (B)(2)(d)). Water damage, which includes
“[a]ccidental discharge or leakage of water or steam as the
direct result of the breaking apart or cracking of a plumbing
. . . system or appliance” is a “specified cause of loss.”
(Id. at 36 § (G)(2)(c)(1)). “If loss or damage caused by or
resulting from covered water or other liquid, powder or
molten material damage loss occurs, [Lexington] will also
pay the cost to tear out and replace any part of the building
or structure to repair damage to the system or appliance
from which the water or other substance escapes.” (Id. at
35 § (F)(2)). The policy requires Clearwater Key to give
“prompt notice” of any “loss or damage to Covered Property.”
(Id. at 46 – Condominium Association Coverage Form §
(E)(3)(a)(2)).
C. The Subject Loss and Subsequent Plumbing Issues
On or around June 3, 2020, Clearwater Key’s maintenance
supervisor Gjergii Pjetri observed the subject loss – wet
carpet and drywall on the east side of the fifth-floor hallway
near Unit 504 – and reported it to the property manager,
Kathleen Day. (Doc. # 31-3 at 162:18-163:12, 168:2-22,
169:20-170:16, 172:6-11; Doc. # 31-9 at 11:14-19, 75:18-21,
82:19-23, 84:3-24). Mr. Pjetri repaired the portion of the
cast-iron plumbing system that was leaking onto the carpet
and drywall by removing the broken or cracked pipe and
replacing it with a new section of cast-iron pipe. (Doc. #
31-9 at 212:2-213:6). Clearwater also hired two companies to
perform water mitigation services and dry wall repair. (Id.
at Exhibits 2 and 3). The repairs were completed by August 5,
2020. (Doc. # 31-3 at 160:19-161:2).
Clearwater Key replaced various other sections of cast-
iron pipe at the Property from May 2021 through September
2022. (Doc. # 31-12 at 63:21-64:19, 71:5-72:22, 73:9-22,
73:25-74:22).
D. Reporting and Investigation of the Loss
Public adjuster Michael Michio contacted Ms. Day in
August 2022 as he believed the Property was having plumbing
issues. (Doc. # 39-4 at 16:14-17, 39:7-14, 48:21-25). Ms. Day
confirmed that the Property was having plumbing issues and
agreed to meet with Mr. Michio to discuss whether Clearwater
Key had grounds to file an insurance claim. (Id. at 42:20-
25, 43:20-44:19). In October or November 2022, Mr. Michio
inspected the Property. (Id. at 44:23-45:17, 47:20-48:18).
Mr. Michio then reviewed Clearwater Key’s insurance policy
and found a section which he “believe[d] provided them with
coverage.” (Id. at 54:24-55:4). Clearwater Key retained Mr.
Michio in January 2023. (Id. at 47:24-48:10, 53:12-16).
“On May 25, 2023, Clearwater Key, through its public
adjuster, notified Lexington for the first time it was making
a claim for a loss dated August 5, 2020, due to a pipe that
broke in a wall at the east end of the 5th floor hallway.”
(Doc. # 31-2 at ¶ 5). Clearwater Key later amended its
complaint to assert that the loss actually occurred on June
3, 2020, after it discovered an invoice from its water
mitigation contractor that listed June 3, 2020, as the date
of loss. (Doc. # 20 at ¶ 6).
Initially, Clearwater Key claimed “that they experienced
a water loss” in Units 209, 312, 505, 704, and 712 “due to
cast iron pipe failure.” (Doc. # 31-16 at App’x B at 1).
On May 30, 2023, Lexington’s claims adjuster, Jeremy Minter,
inspected the fifth-floor hallway of the Property with Mr.
Michio. (Doc. # 31-14 at 5:19-21, 7:20-8:4, 15:15-20, 16:3-
9). No damage was visible as the repairs had already been
completed. (Id. at 16:10-18:8). On June 16, 2023, Lexington
determined that the portion of the claim which was for the
cost of the replaced pipe was not covered by the policy and
that the portion of the claim which was for the water damage
on the fifth floor was below the deductible. (Id. at 23:21-
25, 25:18-27:20). By November 2023, Clearwater Key amended
its claim to assert that the entire cast-iron plumbing system
had failed. (Doc. # 31-16 at App’x B at 1; Doc. # 39-5 at
12:21-13:9, 14:5-17).
Lexington’s engineering expert, Justin Cox, P.E.,
inspected the Property in October and November 2023. (Doc. #
31-16 at Ex. 7 at 1). Mr. Cox’s report states as follows. Mr.
Michio told Mr. Cox that “there were ‘multiple ensuing loss
dates’ . . . following an initial leak in Unit 505.” (Id. at
2). However, Mr. Michio did not explain “how leaks occurring
at various times at the subject structure were related to
events on the reported date of loss.” (Id.). Although
Clearwater Plumbing had “performed multiple repairs to the
drain lines at the subject structure,” no documentation “for
prior leaks and history of repairs” was provided to Mr. Cox
(Id.). A “camera assessment of the drain line” by Lexington’s
plumbing expert, Tom Shell, revealed cracks in two of the
Property’s 40 cast-iron pipe stacks. (Id. at 4-5).
Photographs reportedly taken by Mr. Michio in September 2023
also showed another crack in the pipe stack serving the “-12
stack at Unit 712.” (Id.). Although “many of the reported
drain line leaks and resulting damaged finishes had been
repaired” prior to Mr. Cox’s site visit, Mr. Cox opined “that
multiple leaks in the vertical drain stacks had occurred at
the subject structure.” (Id. at 5). Mr. Cox opined that the
“presence of prior repairs to the drain stacks and interior
finishes and the lack of documentation provided to [his
company, EFI Global,] indicating the history of leaks and
plumbing repairs impeded EFI’s ability to determine the time,
extent, and location of leaks at the drain stacks at the
subject structure.” (Id.). Nevertheless, Mr. Cox opined that
the “leaks on the vertical cast-iron drain stacks occurred on
separate dates and were not related to a single event, but
occurred independently of one another.” (Id.). Mr. Cox
concluded that the “occurrence of leaks in the drain lines is
expected behavior as the structure continues to age” and that
“[m]aintenance of the drain lines is required to prevent
future leaks from occurring.” (Id.).
Lexington’s plumbing expert, Mr. Shell, visited the
Property twice in November 2023. (Doc. # 31-16 at App’x B at
1). Mr. Shell ran “a drain line camera through the 40 plumbing
vents on the roof of the condominium to inspect the entirety
of the cast iron vent and soil pipes.” (Id. at 1-2). After
watching each drain line video, Mr. Shell “was able to
determine that out of 40 cast iron pipe stacks, there are 2
cast iron pipes with cracks in them. The back-to-back bathroom
soil stack that serves the -04 units has” two longitudinal
cracks,” and “the back-to-back bathroom soil stack serving
the -03 units” also has a crack.” (Id. at 2). Mr. Shell opined
that, “[o]therwise, the cast iron pipe in the building is in
great condition.” (Id.). Mr. Shell further testified as
follows. He was able to adequately view inside the pipes at
the Property to form his opinions. (Doc. # 39-5 at 18:5-9).
Although “the best time” for Mr. Shell to have inspected the
pipes was “prerepair,” he could not say that the pipes were
in a substantially different condition at the time of his
inspection than at the time of the loss. (Id. at 20:5-16).
According to Clearwater Key’s plumbing expert, Ryan
Penna, who inspected the plumbing system in February 2024,
the loss was caused by “[a] failure in the cast iron pipe
caused by wear, tear and deterioration.” (Doc. # 31-4 at
32:20-24, 33:18-25). Mr. Penna stated that he was able to
determine the cause of the loss based on his video inspection
of the pipes and his review of a recording made by Mr. Michio;
it was not necessary for him to review historical and
maintenance documents or know when the problems with the
plumbing system began. (Id. at 33:8-17, 36:4-23, 45:11-46:4).
Mr. Penna further opined that the “cast iron sanitary drainage
system . . . serving the property has failed” due to “[w]ear,
tear and deterioration over time” and “must be replaced in
its entirety to prevent further damage.” (Id. at 46:12-15,
46:24-47:1).
Clearwater Key’s engineering expert, Sonny Gulati, P.E.,
who inspected the Property in August 2025, also opined that
as of June 3, 2020, the plumbing system had failed and needed
to be replaced. (Doc.# 39-6 at 44:9-11, 93:11-94:3). Mr.
Gulati explained that his forensic investigation was not
impeded by the five-year gap between the date of loss and his
inspection because he was able to review the photographs and
videos taken in 2023 as well as the plumbing and repair
invoices from 2020. (Id. at 68:6-70:22).
E. Procedural History
In the amended complaint, Clearwater Key alleges that
Lexington has breached its contractual obligation to “pay the
full amount caused by the loss.” (Doc. # 22 at ¶¶ 21, 27).
Clearwater Key asserts that the claims investigation revealed
that “the cast iron plumbing system throughout the property
had failed and needed to be entirely replaced.” (Id. at ¶
17). Clearwater Key claims that the cost covered by the policy
“for repair of ensuing losses and tear out and replacement of
the building to access the failed plumbing is approximately
$3,831,690.70.” (Id. at ¶ 23). Lexington filed an answer
denying the allegations and asserting affirmative defenses,
including that Clearwater Key failed to promptly notify
Lexington of the alleged loss. (Doc. # 26).
Lexington moves for summary judgment. (Doc. # 31).
Clearwater Key has responded (Doc. # 38), and Lexington has
replied. (Doc. # 44). The Motion is ripe for review.
II. Legal Standard
Summary judgment is appropriate “if the movant shows
that there is no genuine dispute as to any material fact and
the movant is entitled to judgment as a matter of law.” Fed.
R. Civ. P. 56(a). A factual dispute alone is not enough to
defeat a properly pled motion for summary judgment; only the
existence of a genuine issue of material fact will preclude
a grant of summary judgment. Anderson v. Liberty Lobby, Inc.,
477 U.S. 242, 247-48 (1986).
An issue is genuine if the evidence is such that a
reasonable jury could return a verdict for the non-moving
party. Mize v. Jefferson City Bd. of Educ., 93 F.3d 739, 742
(11th Cir. 1996) (citing Hairston v. Gainesville Sun Publ’g
Co., 9 F.3d 913, 918 (11th Cir. 1993)). A fact is material if
it may affect the outcome of the suit under the governing
law. Allen v. Tyson Foods, Inc., 121 F.3d 642, 646 (11th Cir.
1997). The moving party bears the initial burden of showing
the court, by reference to materials on file, that there are
no genuine issues of material fact that should be decided at
trial. Hickson Corp. v. N. Crossarm Co., 357 F.3d 1256, 1260
(11th Cir. 2004) (citing Celotex Corp. v. Catrett, 477 U.S.
317, 323 (1986)). “When a moving party has discharged its
burden, the non-moving party must then ‘go beyond the
pleadings,’ and by its own affidavits, or by ‘depositions,
answers to interrogatories, and admissions on file,’
designate specific facts showing that there is a genuine issue
for trial.” Jeffery v. Sarasota White Sox, Inc., 64 F.3d 590,
593-94 (11th Cir. 1995) (quoting Celotex Corp., 477 U.S. at
324).
If there is a conflict between the parties’ allegations
or evidence, the non-moving party’s evidence is presumed to
be true, and all reasonable inferences must be drawn in the
non-moving party’s favor. Shotz v. City of Plantation, 344
F.3d 1161, 1164 (11th Cir. 2003). If a reasonable fact finder
evaluating the evidence could draw more than one inference
from the facts, and if that inference introduces a genuine
issue of material fact, the court should not grant summary
judgment. Samples ex rel. Samples v. City of Atlanta, 846
F.2d 1328, 1330 (11th Cir. 1988). But, if the non-movant’s
response consists of nothing “more than a repetition of his
conclusional allegations,” summary judgment is not only
proper, but required. Morris v. Ross, 663 F.2d 1032, 1034
(11th Cir. 1981).
III. Analysis
A. There Is a Genuine Issue of Fact as to Whether
Lexington Was Prejudiced by Clearwater Key’s
Untimely Notice
Lexington argues that it is entitled to summary judgment
because Clearwater Key cannot rebut the presumption that
Lexington has been prejudiced by the untimely reporting of
the subject loss. (Doc. # 31 at 13-21). In response,
Clearwater Key argues that it timely notified Lexington of
the loss. (Doc. # 38 at 13-16). Alternatively, Clearwater Key
contends that Lexington was not prejudiced by the delay in
reporting the loss as an investigation immediately following
the loss would not have disclosed anything materially
different from what was disclosed in the delayed
investigation. (Id. at 16-21). The Court finds that factual
disputes as to whether Lexington was prejudiced by Clearwater
Key’s untimely notice preclude summary judgment.
“The failure of an insured to give a timely notice of
loss in contravention of a policy provision is a legal basis
for the denial of recovery under the policy.” LoBello v. State
Farm Fla. Ins. Co., 152 So. 3d 595, 598 (Fla. 2d DCA 2014)
(citation and internal quotation marks omitted). Under
Florida law, “the question of whether an insured’s untimely
reporting of loss is sufficient to result in the denial of
recovery under the policy implicates a two-step analysis.”
Id. at 599; see also Yacht Club on the Intracoastal Condo.
Ass’n, Inc. v. Lexington Ins. Co., 599 F. App’x 875, 879 (11th
Cir. 2015). “The first step in the analysis is to determine
whether or not the notice was timely given.” LoBello, 152 So.
3d at 599. “If the notice was untimely, then prejudice to the
insurer is presumed.” Id. “However, the presumption of
prejudice to the insurer may be rebutted by a showing that
the insurer has not been prejudiced by the lack of
notice.” Id. (internal quotation marks omitted).
“A determination that the notice was, in fact, timely
concludes the analysis with the first step.” Id. “However, if
the notice was untimely, then the analysis proceeds to the
second step.” Id. “In the second step, the insured must
overcome the presumption by proving that the insurer was not
prejudiced by noncompliance with the condition of timely
notice.” Id. “If the insured is unable to overcome the
presumption of prejudice, then the insurer will prevail on a
defense of untimely notice.” Id.
1. Notice
“The purpose of a provision for notice and proofs of
loss is to enable the insurer to evaluate its rights and
liabilities, to afford it an opportunity to make a timely
investigation, and to prevent fraud and imposition upon it.”
Id. at 598 (internal quotation marks omitted). However, “the
duty to notify is not per se triggered when the loss initially
occurs, or when the insured first discovers damage to their
property.” Sec. First Ins. Co. v. Visca, 387 So. 3d 313, 318
(Fla. 4th DCA 2024). “An event must be of sufficient
consequence to trigger an insured’s duty to provide notice.”
LoBello, 152 So. 3d at 599; see also Cordero v. Fla. Ins.
Guar. Ass’n, Inc., 354 So. 3d 1150, 1153 (Fla. 2d DCA 2023).
“[T]he duty to provide notice arises when a reasonable
person, viewing all available facts and information, would
conclude that an award implicating the policy is likely.”
Cordero, 354 So. 3d at 1153 (citation and internal quotation
marks omitted). “Stated another way, notice is necessary when
there has been an occurrence that should lead a reasonable
and prudent [person] to believe that a claim for damages would
arise.” Visca, 387 So. 3d at 318 (citation and internal
quotation marks omitted). “Prompt notice is not excused
because an insured might not be aware of the full extent of
damage or that damage would exceed the deductible.” Yacht
Club, 599 F. App’x at 880 (“Whatever concerns the Board had
about the extent of damage and its deductible are not relevant
under Florida law.”); see also 1500 Coral Towers Condo. Ass’n,
Inc. v. Citizens Prop. Ins. Corp., 112 So. 3d 541, 543 (Fla.
3d DCA 2013) (“When an insurance contract contains a provision
which applies to notice of the damage claim, an insured must
give notice of the loss that implicates a potential claim
without waiting for the full extent of the damages to become
apparent.”).
Here, the policy does not define what is “prompt” notice
of loss or damage. “It is well settled, however, that ‘prompt’
and other comparable phrases, like ‘immediate’ and ‘as soon
as practicable,’ do not require instantaneous notice.” Laquer
v. Citizens Prop. Ins. Corp., 167 So. 3d 470, 474 (Fla. 2d
DCA 2015) (quoting Cont’l Cas. Co. v. Shoffstall, 198 So. 2d
654, 656 (Fla. 2d DCA 1967)). “Rather, [n]otice is said to be
prompt when it is provided with reasonable dispatch and within
a reasonable time in view of all of the facts and
circumstances of the particular case.” Guzman v. S. Fid. Ins.
Co., 332 So. 3d 67, 70–71 (Fla. 2d DCA 2021) (citation and
internal quotation marks omitted). “[W]hether an insured has
given ‘prompt’ notice is generally a question of fact for the
jury.” Id. at 71. But “if the undisputed evidence will not
support a finding that the insured gave notice to the insurer
as soon as practicable, then a finding that notice was timely
given is unsupportable.” LoBello, 152 So. 3d at 600.
Clearwater Key argues that “a reasonable person would
not have concluded, in June of 2020, that the water damage to
the East end of the fifth-floor hallway would implicate an
insurance payment.” (Doc. # 38 at 14-15). Clearwater Key cites
Ms. Day’s testimony explaining that Clearwater Key did not
report the loss after it was discovered in June 2020 because
it “would not have met any deductibles or anything” so “there
was no reason to go through the song and dance of opening a
claim.” (Doc. # 31-9 at 99:7-100:11). Clearwater Key asserts
that its duty to notify Lexington was not triggered until on
or about February 23, 2024, when it received Mr. Penna’s
report and learned that its cast-iron plumbing system was
damaged beyond repair. (Doc. # 31-9 at 203:11-204:24).
Clearwater Key argues that “[b]efore that date, it cannot be
credibly argued that any reasonable person would have
understood that an insurance payout was likely under the
circumstances.” (Doc. # 38 at 15).
The Court is not persuaded. Although Clearwater Key may
not have been told that its entire plumbing system needed to
be replaced prior to February 2024, it is undisputed that
Clearwater Key was aware of the subject loss by June 3, 2020.
(Doc. # 31-3 at 162:18-163:12, 168:2-22, 169:20-170:16,
172:6-11; Doc. #31-9 at 11:14-19, 75:18-21, 82:19-23, 84:3-
24). Ms. Day’s concerns about the extent of the loss or the
deductible are not relevant in determining whether Clearwater
Key gave timely notice to Lexington. Yacht Club, 599 F. App’x
at 880; 1500 Coral Towers, 112 So. 3d at 543. Viewing the
record in the light most favorable to Clearwater Key, there
is “no reasonable interpretation of the evidence which will
support a finding that the notice of loss was given as soon
as practicable.” Ideal Mut. Ins. Co. v. Waldrep, 400 So. 2d
782, 785 (Fla. 3d DCA 1981) (“It should be borne in mind that
the insured could not wait until the full extent of the damage
to the aircraft was apparent, because the policy covered any
‘occurrence’ resulting in injury to the aircraft.”); see also
Yacht Club, 599 F. App’x at 877-78, 880-81 (finding no genuine
factual dispute that a condominium association failed to give
timely notice of hurricane damage to its insurer until nearly
five years later); 1500 Coral Towers, 112 So. 3d at 542-44
(same).
2. Prejudice
“In delayed notice cases, while prejudice to the insurer
is presumed, if the insured can demonstrate that the insurer
has not been prejudiced thereby, then the insurer will not be
relieved of liability merely by a showing that notice was not
given as soon as practicable.” Slominski v. Citizens Prop.
Ins. Corp., 99 So. 3d 973, 976 (Fla. 4th DCA 2012) (internal
citation and quotation marks omitted). “This burden shifting
is consistent with the burden shifting which occurs on a
motion for summary judgment when the movant has met the
initial burden of demonstrating the nonexistence of any
genuine issue of material fact.” Soronson v. State Farm Fla.
Ins. Co., 96 So. 3d 949, 953 (Fla. 4th DCA 2012). “The insured
has the burden to show the lack of prejudice if its insurer
lost the opportunity to investigate the facts of the claim.”
De La Rosa v. Fla. Peninsula Ins. Co., 246 So. 3d 438, 441
(Fla. 4th DCA 2018). “Whether the presumption of prejudice to
the insurer has been overcome is ordinarily . . . a separate
issue of fact.” Stark v. State Farm Fla. Ins. Co., 95 So. 3d
285, 288 (Fla. 4th DCA 2012) (internal quotation marks
omitted). “Before the trial court should grant summary
judgment, the record on such a motion should conclusively
foreclose[] the insured’s ability to overcome the presumption
[of prejudice].” Id. (internal quotation marks omitted).
Here, the testimony of Mr. Penna and Mr. Gulati create
genuine issues of material fact as to whether Clearwater Key
could overcome the presumption of prejudice caused by the
late notice to Lexington. Mr. Penna and Mr. Gulati both opined
that they were able to determine the cause of the June 2020
loss even though they did not conduct their own investigations
until well after the loss was reported to Lexington. (Doc. #
31-4 at 33:8-17, 36:4-23, 45:11-46:4; Doc. # 39-6 at 44:9-
11, 68:6-70:22, 93:11-94:3). Indeed, Lexington’s own plumber,
Mr. Shell, acknowledged that he was able to adequately view
inside the pipes during his investigation and that he could
not say whether the pipes were in a substantially different
condition in June 2020. (Doc. # 39-5 at 20:5-16). Although
Lexington’s engineer, Mr. Cox, opined that the “presence of
prior repairs to the drain stacks and interior finishes and
the lack of documentation . . . indicating the history of
leaks and plumbing repairs impeded [his] ability to determine
the time, extent, and location of leaks,” Mr. Cox nevertheless
was able to render an opinion as to the cause of the leaks.
(Doc. # 31-16 at Ex. 7 at 5).
Based on this evidence, a reasonable jury could conclude
“that an investigation conducted immediately following the
occurrence would not have disclosed anything materially
different from that disclosed by the delayed investigation.”
Ad Khan Props., LLC v. Clear Blue Specialty Ins. Co., No.
6:22-cv-1347-RBD-LHP, 2024 WL 3103609, at *5 (M.D. Fla. Apr.
5, 2024) (internal quotation marks omitted) (finding that
expert engineer’s testimony that he could determine the cause
of the damage almost two years after the loss created a
triable issue of fact on prejudice); see also Stark, 95 So.
3d at 288 (“Nicholson’s opinion that the insurer could still
have observed the ‘classic pattern of windstorm damage’ left
by Hurricane Wilma as late as 2010 suggested that the insureds
could convince a finder of fact that their noncompliance with
the notice provision did not prejudice the insurer by
depriving it ‘of the opportunity to investigate the facts’”).
The record does not “conclusively foreclose” Clearwater
Key’s ability to overcome the presumption of prejudice.
Stark, 95 So. 3d at 288 (internal quotation marks omitted).
Accordingly, Lexington is not entitled to summary judgment on
this basis.
B. Lexington Has Not Demonstrated that Clearwater Key
Seeks to Recover Damages Not Covered by the Policy
Alternatively, Lexington argues that Clearwater Key’s
multimillion-dollar claim for “‘tear out and access’ coverage
to access its entire plumbing system as a result of the June
2020 loss fails” because “the only damage that was alleged to
have occurred on the date of loss due to water or other
substance that escaped as a direct result from the breaking
apart or cracking of a pipe . . . was on the east end of the
5th floor hallway just outside Unit 504.” (Doc. # 31 at 24).
In response, Clearwater Key argues that the policy expressly
provides coverage for its claimed damages. (Doc. # 38 at 21-
22). The Court is not persuaded by Lexington’s contention.
“The question of whether a particular risk is covered by
an insurance policy is a question of law when the facts are
undisputed.” State Farm Fire & Cas. Co. v. Castillo, 829 So.
2d 242, 244 (Fla. 3d DCA 2002). “As such, to determine as a
matter of law whether [a plaintiff’s] loss is covered by its
insurance policy with [a defendant], the Court must first
assess whether genuine disputed issues of fact remain as to
the cause of the loss.” Marc E. Bosem MD PA v. Sentinel Ins.
Co., Ltd., No. 20-62205-CIV, 2022 WL 3154789, at *4 (S.D.
Fla. Jan. 3, 2022).
Here, Clearwater Key’s experts opine that the entire
plumbing system had failed and required replacement as of the
June 3, 2020, loss. (Doc. # 31-4 at 32:20-24, 33:18-25, 46:12-
15, 46:24-47:1; Doc. # 39-6 at 44:9-11, 93:11-94:3). In
contrast, Lexington’s engineering expert, Mr. Cox, opined
that the leaks after the June 3, 2020, loss were not related
and did not indicate a systemic failure. (Doc. # 31-16 at Ex.
7 at 5). Mr. Cox further opined that preventing future leaks
required maintenance of the pipes, rather than a complete
replacement of the system. (Id.).
“Because the parties have competing experts as to the
cause of the subject loss, summary judgment on the issue of
coverage is inappropriate.” Marc E. Bosem MD PA, 2022 WL
3154789, at *5. Genuine issues of material fact exist
regarding whether the damage for which Clearwater Key seeks
coverage was caused by a failure of the entire plumbing system
or was an isolated leak.
Accordingly, it is now
ORDERED, ADJUDGED, and DECREED:
Defendant Lexington Insurance Company’s Motion for
Summary Judgment (Doc. # 31) is DENIED.
DONE and ORDERED in Chambers in Tampa, Florida, this
18th day of February, 2026.
VIRGINIA M. HERNANDEZ’COVINGTON
UNITED STATES DISTRICT JUDGE
22