IN THE SUPERIOR COURT OF THE VIRGIN ISLANDS
District of St. Thomas/St. John
Blue Shore Grill, LLC d/b/a Havana Blue & Case Number: ST-2020-CV-00382
Sandbar, Action: Breach Of Contract & Damages
Plaintiff
v.
Guardian Insurance Company, Inc. et al,
Defendant.
NOTICE of ENTRY
of
Memorandum Opinion
To: Richard H. Dollison, Esquire Maria T. Hodge, Esquire
W. Mark Wilczynski, Esquire Justin Tyler Crocker, Esquire
Arya A. Li, Esquire
Michal Meiler, Esquire
Please take notice that on August 05, 2022
a(n) Memorandum Opinion
dated August 5, 2022 was entered
by the Clerk in the above-titled matter.
Dated: August 05, 2022 Tamara Charles
Clerk of the Court
By:
Audrey Brin
Court Clerk II
IN THE SUPERIOR COURT OF THE VIRGIN ISLANDS
DIVISION OF ST THOMAS/ ST JOHN
BLUE SHORE GRILL LLC d/b/a )
HAVANA BLUE & SANDBAR )
) CASE NO ST 20 CV 382
Plaintiff )
) ACTION FOR BREACH OF
v ) CONTRACT UNFAIR
) AND DECEPTIVE TRADE
) PRACTICES DECEPTIVE
GUARDIAN INSURANCE ) BUSINESS PRACTICES
COMPANY INC and ) NEGLIGENCE NEGLIGENT
WORLDCLAIM GLOBAL CLAIMS ) MISREPRESENTATION UNJUST
MANAGEMENT LLC ) ENRICHMENT PROFESSIONAL
) MALPRACTICE BREACH OF
Defendants ) THE IMPLIED COVENANT OF
) GOOD FAITH AND FAIR
) DEALING BREACH OF
) FIDUCIARY DUTY AND
) PROMISSORY ESTOPPEL
)
) Cite as 2022 VI Super 7IU
RICHARD H DOLLISON, Esq MARIA TANKENSON HODGE Esq
Law Offices of Richard H Dollison P C Hodge & Hodge
5143 Palm Passage Ste B28/29 I340 Taameberg
P O Box 6135 St Thomas V100802
St Thomas, V1 00804 Attorneysfor Defendant
A ttorneysfor Plamnflr Guardzan Insurance Company Inc
ARYA A LI Esq W MARK WILCZYNSKI, Esq
MICHAL MEILER, Esq JUSTIN T CROCKER Esq
VER PLOEG & MARINO P A Law Office of W Mark Wilczynski
100 S E Second Street Suite 3300 Palm Passage Ste C20 22
Miami FL 33131 PO BoxllSO
Attorneysfor Plamtzfl St Thomas VI 00804 1150
Attorneysfor Defendant WorldCIatm Global
Claims Management LLC
CARTY RENEE GUMBS, Judge
Blue Shore Grill LLC v Guardzan Insurance Co et a1 Cite as 2022 VI Super 71U
ST 2020 CV 382
Memorandum Opinion
MEMORANDUM OPINION
1H BEFORE THE COURT are Defendants Guardian Insurance Company, Inc (“Guardian”)
and WorldClaim Global Claims Management, LLC (‘ WorldClaim ’) motions to dismiss Guardian
filed its motion on October 26, 2020, and WorldClaim filed its motion on November 23, 2020
Plaintiff, Blue Shore Grill, LLC (“Blue Shore”) filed an opposition to Guardian’s motion on
November 16, 2020, and t0 WorldClaim on December 14, 2020 Guardian and WorldClaim filed
replies on December 9, 2020, and January 7, 2021, respectively For the following reasons, the Court
will deny Guardian’s motion to dismiss and partially grant and partially deny WorldClaim’s motion
FACTUAL AND PROCEDURAL BACKGROUND
1[2 Blue Shore, commonly known as Havana Blue and Sandbar, was a beachfront restaurant and
lounge located in Estate Bakkeroe on Morning Star beach on St Thomas In September 2017,
Hurricanes Irma and Maria made landfall in the Virgin Islands two weeks apart from each other ' The
restaurant sustained Windstorm damages At the time of both storms, Blue Shore was insured by
Guardian Insurance with a policy limit of $350 000 Following Hurricane Irma, on September 14,
2017, Blue Shore filed a property loss notice and on September 22, 2017, after both storms, Blue
Shore provided photographs of the damage to Guardian In November 2017, Blue Shore retained
WorldClaim, a public adjuster, to settle both the Hun‘icane Irma and Hurricane Maria claims
T3 On April 24, 2018, WorldClaim sent an email to Blue Shore advising them there was an offer
of $621 000 ($621 000 less the deductible and less a $100 000 advance already paid to Blue Shore
W0 Category 5 storms Hurricanes Inna and Maria on September 6, and September
20 2017, respectively See National Oceanic and Atmosphefic Administration and National Weather Service, National
Hurricane Center Tropical Cyclone Report Hurricane Irma published on September 24 2021, at 5, and ‘ National
Hurricane Center Tropical Cyclone Report Hurricane Maria published February 14, 2019, at 30
2
Blue Shale Grill LL( v Guardian Insurance Co e! a! Cite as 2022 VI Super 7lU
ST 2020 CV 382
Memorandum Opinion
net $503,000) to resolve both claims ° WorldClaim advised Blue Shore that given the policy limits
this is a “fair” offer and Blue Shore accepted 3
14 On May 17 2018, Guardian paid Blue Shore $232,500 on the Hurricane Irma claim Blue
Shore alleges this payment was a partial payment going towards the $621,000 total Guardian
Insurance alleges this was the final payment and covered both storms, as indicated on the release
which Blue Shore signed Guardian argues that there was never an agreement for $621,000 and no
claim was filed for Hurricane Maria, thus, Blue Shore can only receive up to the $3 50,000 maximum
amount allowed on the policy Blue Shore maintains that WorldClaim represented to them that there
was an offer from Guardian for $621,000, covering both claims, and Blue Shore promptly accepted
that offer, making the agreement an enforceable contract
TS Despite signing the releases, between May 17, 2018, and December 12, 2019, Blue Shore and
WorldClaim were in continued conversations about the remaining amount to be paid to Blue Shore
for both claims During these communications, WorldClaim’s adjuster repeatedly represented to Blue
Shore that he was working with Guardian to obtain the settlement 4 However, on December 12, 2019,
Guardian informed Blue Shore that there would not be another payment because a claim was never
made for Hurricane Marla damages Guardian also informed Blue Shore that they were underinsured
at the time of both hurricanes, and therefore had already received the full amount they can recover
under the policy limits
2 Plaintiff's Exhibit B Email from Russell Heath WorldClaim s representative to Blue Shore’s representatives on
April 24 2018
‘ Id
‘ Plaintiff’s Exhibit C Text messages between Russell Heath and Blue Shore 8 representatives from November 2017 to
August 2018 wherein WorldClaim advises Blue Shore they are actively working with and communicatmg with
Guardian regarding the settlement for both hurricanes
3
Blue Shore Grill LLC v Guardian Insurance Co e! a! Cite as 2022 VI Super 7lU
ST 2020 CV 382
Memorandum Opinion
116 On September 22, 2020, Blue Shore filed suit against both Guardian and WorldClaim
Plaintiff alleges Guardian breached their contract by not paying the $621,000 offered as a settlement
agreement, thereby engaging in bad faith, and unfair trade and business practices Blue Shore also
filed against WorldClaim, alleging WorldClaim was negligent in failing to file a claim for Hurricane
Maria damages and by misrepresenting the settlement agreement to Blue Shore Additionally, Blue
Shore brought claims for unfair trade and business practices and under the theory of promissory
estoppel against WorldClaim
117 Guardian Insurance argues Blue Shore is estopped from bringing claims against them because
the applicable statutes of limitations have expired and further, that there was no settlement agreement,
therefore, Guardian cannot be in breach of contract WorldClaim argues Blue Shore did not properly
allege negligence; they did not establish a duty of care and the cause of action was filed outside of
the two year statute of limitations period for tort actions WorldClaim further argues Blue Shore
cannot bring promissory estoppel claims against them since there was a valid contract between the
parties
STANDARD OF REVIEW
1l8 To survive a motion to dismiss, a complaint “needs only [to] present a short, plain statement
of the causes of action and the basis for the claims for relief A complaint does not have to plead
specific items of proof in its allegations but must aver more than labels and conclusions ” Brathwazte
v HDVI Holdmg Co Inc 2017 WL 2295123 *1 (V I Super Ct 2017) Moreover V I R Cw P
8(a)(2) provides that the Virgin Islands is a notice pleading Jurisdiction, which allows the Court to
“take an even more liberal approach when considering if a complaint adequate[ly] alleges facts
that put an accused party on notice of claims brought against it ” See Id at *2 Further, V I R Civ P
8(a) and the Reporter 5 Note “eliminates any doubt that this language is calculated ‘to apply[] an
4
Blue Shore Gull LLC v Guardian Insurance Co et a! Cite as 2022 V1 Super 71U
ST 2020 CV 382
Memorandum Opinion
approach that declines to enter dismissals of cases based on [a] failure to allege specific facts which,
if established, plausibly entitle the pleader to relief See M1118 Wzllzams v Mapp, 67 V I 574 585
(V I 2017) The inquiry is ‘ not whether a plaintiff will ultimately prevail but whether the claimant
IS entitled to offer evidence to support the claims Scheuer v Roberts, 416 U S 232, 236 (1974)
Dismissal under a 12(b)(6) motion is thus ‘ limited to those instances where it is certain that no relief
could be granted under any set of facts proved ” Ransom v Marazzo, 848 F 2d 398, 401 (3d Cir
1988)
ANALYSIS
119 Guardian 3 first claim is that Blue Shore has untimely filed this lawsuit Specifically noted in
Blue Shore’s insurance policy is a one year suit provision which states
“[N]o suit or action on this policy for the recovery of any claim shall be sustainable in
any court of law or equity unless all the requirements of this policy shall have been
complied with, and unless commenced within twelve months next afier the inception
of loss ”5
Guardian has relied on this provision to argue that Blue Shore’s claims are time barred because the
lawsuit was not filed until September 2020, three years after the hurricanes made landfall in the Virgin
Islands Blue Shore argues that the one year suit provision does not apply to the claims because they
are not considered “actions on the policy ’ and therefore are not covered by the one year suit
provision 5 Additionally, Guardian argues there is not a settlement agreement, besides the release,
between the two parties because Guardian did not assent to the offer
5 Guardian Insurance Policy No INC24690 17, “Suit Against Us” Provision, heremafter “suit provision ’
6 Virgin Islands courts have not issued a rule discussing whether the claims Blue Shore is bringing are considered
“actions on the policy,” and therefore governed by the one year suit provision in the insurance policy However,
because Blue Shore’s claims are tolled by the discovery rule and based on the alleged settlement agreement, and not the
insurance policy, this Court does not need to address that issue at this time
5
Blue Shore Grill LLC v Guardian Insurance Co er a1 Cite as 2022 VI Super 7 1U
ST 2020 CV 382
Memorandum Opinion
mo WorldClaim has also asserted that the applicable statutes of limitations have run, and that Blue
Shore did not adequately plead a claim for negligence Blue Shore argues the discovery rule has tolled
the statute of limitations and has adequately established WorldClaim owed them a duty of care and
breached that duty The Court finds that the applicable statute of limitations for Blue Shore’s claims
is the six year limitations period for contracts and the two year limitations period for torts See Title
5 V I C § 31 For the following reasons, the Court will deny Guardian Insurance’s motion to dismiss;
and deny in part and grant in part WorldClaim’s motion to dismiss
I Blue Shore’s claims against Guardian Insurance are not barred by the one year
suit provision
A The discovery rule tolls the statute of limitations until December 2019
fI 1 Blue Shore filed suit on September 22, 2020 Under Guardian’s interpretation of the one year
policy, the suit should have been brought on or before September 21, 2018, because Hurricane Maria
made landfall in the Virgin Islands on September 20, 2017 Guardian argues Blue Shore is facially
non compliant with the provision agreed to in the insurance policy as this action was brought three
(3) years afier the date of loss and the relevant facts necessary to test the timeliness were readily
apparent Guardian relies on chhzerrz v Crowley, 59 VI 973 (V I 2013) and Hypolzte v Marzott
Ownersth Resorts (St Thomas) Inc 52 V I 175 (V I Super Ct 2009) to support this proposition;
however, both cases can be distinguished from this matter subjudzce
112 In chhzem, the plaintiff had given his four week notice of ending his employment and in
response his employer terminated him the next day See chhzerrz at *1 The plaintiff sued his
employer for bad faith for terminating his employment early Id The plaintiff was terminated on April
6
Blue Shore Grill LLC v Guardian Insurance Co e! a] Cite as 2022 VI Super 71U
ST 2020 CV 382
Memorandum Opinion
5, 2006, and the lawsuit was filed on July 14, 2008 7 In the Virgin Islands, actions brought in tort have
a two year statute of limitations 5 Title V I C § 31(5) The Supreme Court of the Virgin Islands
reasoned in chhzerrz the plaintiff knew the extent of his injuries at the time he was handed the
termination letter and therefore was facially non compliant with the statute of limitations by filing
over two years from the date he was terminated
1113 Guardian also relies on Hypolzte, which is also distinguishable from the facts here In Hypollte,
the plaintiff was injured in an accident on the defendant’s property on September 18, 2006 See Id at
177 However, the plaintiffdid not file his lawsuit until December 1, 2008 Id at 180 Like Plchzerrz,
the Supreme Court reasoned that the plaintiff was aware of the extent of his injuries on the date of the
accident and therefore was facially non compliant with the applicable two year statute of limitations
period
1114 Guardian’s reliance on these cases is misplaced as the facts are completely distinguishable
from Blue Shore’s claims In both Pichzem and Hypolzte the plaintiffs were aware of the extent of
their injuries on the date that the injuries occurred and both plaintiffs did not file suit within the
applicable statutes of limitations, rendering both suits facially non compliant Here, Blue Shore has
properly alleged that they did not know the extent of their injuries until receiving the letter from
Guardian in December 2019 informing Blue Shore that there was never a claim filed for Hurricane
Maria, therefore Guardian Insurance would not be paying any additional monies on the claim It is
only at this point Blue Shore fully knew the extent of their damages Thus, the statutory clock did not
begin to run at the time of the hurricane losses, but at the time Plaintiff was notified they will not
recover any additional insurance proceeds to cover their losses
7 See Pwhzerrz, at *1 (noting that the plaintiff in Pichiem sued the parent company before suing Crowley The plaintiff
used the previous lawsuit to invoke the doctrine of equitable tolling, which this Court rejected and was affirmed by the
Supreme Court of the Virgin Islands)
7
Blue Shore Grill LLC v Guardzan Insurance Co e! a] Cite as 2022 VI Super 7IU
ST 2020 CV 382
Memorandum Opinion
1115 This proposition has been widely accepted under Virgin Islands law Where there is a delay
in determining the extent of their injuries, at no fault to the plaintiffs, then the statute of limitations is
not an applicable defense See Spmk v General Acc Ins Co ofPuerto cho Ltd , 40 V I 396, 399
(D V I 1999) (rejected on other grounds); Charleswell v Chase Manhattan Bank N A 2009 WL
1850650 *11 (V I Super Ct 2009) (citing In re Tutu Wells Contamination ng
909 F Supp 980
984 (D V I 1995))
1116 Guardian Insurance cites Spmk to argue that suit provisions are generally enforceable so long
as they are not for less than one year See Spmk, at 399 Spmk holds that the limitations period
commences when the insured suffers a loss, rather than when the insurer denies the claim,8 however,
Spmk also states that Plaintiffs cannot be estopped from bringing a claim against the insurer when the
insurer delayed the suit 1d at 402 In Spmk, the insurer paid out the mortgagors 0f the plaintiffs’
building rather than the plaintiffs Id Contractually, the plaintiffs should have been paid and the
insurer spent over two years from the date of loss ignoring the plaintiffs’ concems Id Since the
insurer delayed the plaintiffs from bringing a lawsuit, the insurer cannot claim that the statute of
limitations has run as a defense 9 This kind of delay “clearly contravened the duties of good faith and
fair dealing that [the insurer] owed to the [plaintiffs] ”‘0
1|l7 Here, Guardian paid Blue Shore an advance of $100,000 on February 26, 2018, and an
additional payment for $232 500 on May 18 2018 for a total of $332 500 thus Guardian did not per
se delay the Plaintiffs from a payout or filing suit under those payments However, Guardian did not
8 See Spmk at 402
9 See Id at 403 (citing Bowler v Fidelity & Cm Co 53 N J 313 250 A 2d 580 (I969) (estopping defendant from
pleading a limitations clause as a defense where insurer failed to pay benefits that were clearly due) Closse; 457 A 2d
at 1086 (recognizing that limitations provision may not be enforced if insurer led insured to delay suit)’ General State
.4th v Planellns Co 464 Pa 162 346 A 2d 265 268 (1975) (same))
‘° See 22 V I C § 2 ( The business of insurance is one affected by the public interest requiring that all persons be
actuated by good faith, abstain from deception, and practice honesty and equity in all insurance matters ’)
8
Blue Shore Grill LLC v Guardian Insurance Co e1 01 Cite as 2022 VI Super 7lU
ST 2020 CV 382
Memorandum Opinion
communicate with Blue Shore that there would not be additional payments for the Hurricane Maria
claim until December 2019 Between these events, WorldClaim continuously represented to Blue
Shore that they were communicating with Guardian trying to reach the settlement ” On September
10, 2018, several months after Blue Shore signed the May IS, 2018 release, WorldClaim advised
Blue Shore that there would be a payment and that “at this point [we are] still negotiating and would
rather keep it there verses a flat out denial ”'2 Guardian s failure to communicate with Blue Shore
that there would not be another payment, until over a year and a halfhad passed since the last payment,
despite Blue Shore’s efforts to obtain payment, delayed Blue Shore in filing the lawsuit, therefore,
Blue Shore will not be barred by the one year suit provision
1118 This proposition is further supported by the discovery rule The discovery rule delays the
statute of limitations when the injury or its cause is not readily apparent to the plaintiffs at the time
the injury occurs ” See Charleswell at *11 To invoke the discovery rule, a plaintiff must show (1 )
when the plaintiff knew or should have known that he had suffered a ham, and (2 ) when the plaintiff
knew or should have known the cause of his injury The discovery rule uses an objective reasonable
person standard and does not “obviate plaintiffs’ duty to exercise reasonable diligence with regard to
the timely investigation of their possible claims ’ See Id
'll 9 In Charleswell, the plaintiffs did not have access to their insurance policies when the insurance
company was going through the claims adjustment process See Charleswell, *1 *5 Much later, the
plaintiffs received their policies and knew the extent to which their claims were improperly adjusted
Id The plaintiffs filed suits against the insurers for the missing sums Id The defendants argued that
the plaintiffs knew of their actual injuries when they did not receive payments for the missing sums
" Plaintiff’s Exhibit C text messages between Russell Heath and Blue Shore 3 representatives from November 2017 to
$$g121iitftgtlexhibit B email from Russell Heath to Blue Shore 5 representatives on September l0 2018
9
Blue Shore Grill LLC v Guardian Insurance Co et a1 Cite as 2022 V] Super 71U
ST 2020 CV 382
Memorandum Opinion
Id at *7 The Court, agreeing with plaintiffs who invoked the discovery rule, stated that the plaintiffs
would not have known the extent of their injuries until they received the policies which then notified
them of the value of the missing sums Id at *1 l
1120 Although Blue Shore can be distinguished from the plaintiffs in Charleswell because Blue
Shore had access to its policy during the adjustment process, Blue Shore was not aware that
WorldClaim apparently did not file a claim for Hurricane Maria until December 2019 After
reviewing the communications between Blue Shore and WorldClaim, it is apparent Blue Shore did
not know the extent oftheir injury until December 2019 when Guardian issued a letter informing Blue
Shore there would not be any payments for the Hurricane Maria claim It is only upon this discovery
that Blue Shore became aware of the extent of their injury, hence commencement of the statute of
limitations clock
B The six year statute of limitations period for contracts applies
1'21 Furthermore, even if the discovery rule did not apply, Blue Shore’s claims are being
brought against the settlement agreement which carries a six year statute of limitations Title 5 V I C
§ 31(3)(a) While Guardian maintains that there was not a settlement agreement, Blue Shore has
adequately shown there was an offer made to Blue Shore to resolve their losses and can therefore
bring a claim for breach of contract In the Virgin Islands a settlement agreement is considered a
separate contract, distinguishable from the insurance policy, and therefore the one year suit provision
does not apply to Blue Shore 3 claims and the six year statute of limitations for contracts applies
Castolema v Crafa 2014 WL 239427 *2 (VI Super Ct 2014) Gama v Burnett
45 VI 235 241
(V I Super Ct 2003)
022 For a settlement agreement to be a valid contract there must be mutual assent between patties
See Castolema v Crafa at *3 Additionally a settlement agreement may be voided if there are
10
Blue Shore G) III LLC v Guardian Insurance Co et a1 Cite as 2022 VI Super 7 l U
ST 2020 CV 382
Memorandum Opinion
material or fraudulent misrepresentations Id at *6 A misrepresentation is material if ‘ [the
misrepresentation] likely would have induced a reasonable person to enter into contract ’ Id A
misrepresentation is fraudulent if ‘ the person making [the misrepresentation] knew or believed his
assertion was false at the time he made it ” Id To void the settlement agreement, the plaintiff must
show
(1 ) There was a misrepresentation,
(2 ) That the misrepresentation was fraudulent or material,
(3 ) That the misrepresentation induced the recipient to enter the contract, and
(4 ) That the recipient’s reliance on the misrepresentation was reasonable
See Castolema v Crafa, at *6 Mutual assent means that there was a meeting of the minds, thus the
parties agreed to the terms of the contract However mutual assent does not “address or consider
whether the parties understand the legal consequences of their actions ” See Gowa v Burnett, at 242
‘123 In the instant case, Guardian argues the non existence of a settlement agreement is evidenced
by Blue Shore’s failure to attach one to their complaint Yet, this argument overlooks the
conversations between York Risk Services Group (“York”), the private adjuster firm hired by
Guardian, and WorldClaim, Blue Shore’s public adjuster retained to assist with insurance recovery
On April 24, 2018, York sent an email to WorldClaim with the statement of loss attached, showing
the $503,000 recommended payment to Blue Shore to cover their damages '3 The same email thread
shows that WorldClaim represented the statement of loss to Blue Shore as the
“official in writing offer It is not as high as [WorldClaim] wanted but we
have had to move numbers behind the scene to make it two events and get around the
co insurance The total gross as you see is $621,000 minus your deductible but again
we need to keep in mind that this was for a $350,000 total limit The adjuster developed
the following that he does not feel can be controverted by the Insurance Company
This would obviously be minus the $ 100,000 advance already offered Let me know
and I will ask him to submit and provide a Proof of Loss and fastrack a check ”‘4
'3 Guardian’s Exhibit 4 Blue Shore’s Statement of Loss
"‘ Plaintiff's Exhibit B Email from Russell Heath, WorldClaim s representative to Blue Shore dated April 24, 2018
11
Blue Shore Gm]! LLC v Guardian Insurance Co et a1 Cite as 2022 VI Super 71U
ST 2020 CV 382
Memorandum Opinion
It is apparent from these communications that other conversations were had regarding the
settlement and that this communication is the offer memorialized in writing as the final offer
Further, as Guardian’s representative, York’s communications to WorldClaim constitute an
offer from Guardian “Under traditional principles of agency law, the party moving to enforce
a settlement agreement carries the burden of showing that it was reasonable for the moving
party to rely on the apparent authority of [the representative] to accept the agreement on his
client 8 behalf Wzllzams v Powell
2018 WL 4904937 *2 (V I Super Ct 2018) The crucial
question in ascertaining whether apparent authority has been created is whether the principal
has made representations concerning the agent’s authority to the third party ” Id at *4 Here,
the relationship between York and Guardian would establish apparent authority, as York was
hired by Guardian to assist in resolving Blue Shore’s claims Similarly, WorldClaim, acting
on behalf of Blue Shore, would have the authority to communicate the acceptance to York
Guardian knows that the communications by York, on Guardian’s behalf, could be binding on
Guardian Thus, Guardian cannot claim they did not assent to the agreement communicated
to WorldClaim by York
1124 Guardian also argues that Blue Shore’s signing of the receipt which states “full and final
payment of all damages” releases Guardian from any further payments For a contract to be a valid,
mutual assent is required See Castolema, at *3 In Gama, the Court held that there was mutual assent
for a mediated settlement agreement reached between the parties In that case, both parties were at
mediation, both parties were repeatedly told about the implications of signing the agreement, and
neither party objected to the agreement See Id at 243 244 Thus, the Court found mutual assent
between parties See Id
12
Blue Shore Grill LLC \ Guardian Insurance (a et a1 Cite as 2022 VI Super 71U
ST 2020 CV 38"
Memorandum Opinion
125 Here, the settlement agreement did not afise from a mediation The communications between
WorldClaim and Blue Shore show it was represented to Blue Shore that there would be a net pay of
$503,000 dispersed to them by Guardian '5 Unlike the plaintiff in Gama, there was not a mediation
where the parties were advised of the legal consequences of signing the release Blue Shore may not
have understood the legal consequences of signing the release which said, “full and final payment of
all damages ” Notably, the “interim payment” of the $100,000 advance to Blue Shore also contained
the “full and final payment ’ language but was distinguished with “interim payment ”'6 Further
discovery would be required to determine whether Blue Shore knew that the $232,500 payment would
be the final payment from Guardian at the time they signed the release
1126 Viewing all evidence in the light most favorable to Blue Shore, the Court finds that Blue Shore
has alleged enough facts to put Guardian on notice of the claims being brought against them and
enough facts to allege that relief may be granted Additionally Blue Shore’s complaint was timely
filed within the statutory period for contracts For the foregoing reasons, Guardian’s motion to dismiss
is denied
II Blue Shore has adequately pled a claim for negligence against WorldClaim and
is not barred by the statute of limitations, however, Blue Shore cannot bring a
claim for promissory estoppel when a valid contract exists
A Blue Shore has adequately pled a claim for negligence under the notice
pleading standard
‘|27 WorldClaim alleges that Blue Shore has not adequately pled a claim for negligence They
argue that the statements, “[a]s a result of WorldClaim s negligent failure to fulfill its duties to Blue
Shore, Blue Shore suffered and continues to suffer damages ’ and that Plaintiff reasonably relied on
WorldClaim to negotiate a reasonable settlement on behalf of Blue Shore, and once it did, to ensure
‘5 See Guardian’s Exhibit 3
‘° Guardian’s Exhibit 2
l3
Blue Shore Grill LLC v Guardian Insurance Co 9! a1 Cite as 2022 V1 Super 71U
ST 2020 (V 382
Memorandum Opinion
that Blue Shore received the agreed upon settlement payment ” are too conclusive to adequately plead
a claim for negligence Additionally, WorldClaim argues they did not owe a duty to Blue Shore and
therefore Blue Shore cannot bring a claim for negligence The Court disagrees
‘28 As previously noted, the Virgin Islands is a notice pleading Jurisdiction, which carries a liberal
pleading standard See Olea v Vzrgm Islands Telephone Corporation, 2018 WL 4904935 *2 (V I
Super Ct 2018) '7 The plaintiff only needs to allege enough facts that ‘ put an accused party on notice
of the claims brought against it ” Id at 3 (citing Mllls Wzllzams, at 585) Therefore, even a ‘ bare
allegation of negligence satisfies a notice pleading standard ’ szford v Vzrgm Islands Telephone
Corporatzon
2018 WL 2386906 *3 (VI Super Ct 2018) However the allegations in the complaint
need to be more than merely conclusory See Gardiner v St Crow: Dzstrzct Governing Board of
Directors
2019 WL 3814427 *2 (V1 Super Ct 2019)
1l29 In Gardiner, the defendant argued that plaintiff‘s claims were too conclusory and therefore
must be dismissed See Gardmer, at *1 The plaintiff alleged that the defendant had violated the
Fourteenth Amendment and engaged in racketeering Id at *1, *7 This Court determined that the
plaintiff’s statements that the defendant violated the Fourteenth Amendment by ‘ terminating his
hospital privileges without having an opportunity to address the allegations against him first” was
enough to have adequately placed the defendants on notice of the claims against them “in a manner
that makes them more than just conclusory ” Id at *2 However, this Court also decided that
plaintiffs statements that the defendants had “engaged in a pattern of racketeering activity that affects
interstate and foreign commerce” failed to state a proper claim and was dismissed for being
'7 See also Olen, at *5 (holding that over a Rule 12(e) challenge, a plaintiff‘s complaint which only included statements
such as, {the defendants] carelessly negligently and/or unlawfially constructed operated, inspected and/or
maintained and [defendants] breached their legal duty of care to plaintiff, were enough to surviveamotion to dismiss
because these statements were sufficient to give each of the parties notice of plaintiff’s negligence claim )
14
Blue Shore Grill LLC v Guardian Insurance Co a a1 Cite as 2022 VI Super 7lU
ST 2020 CV 382
Memorandum Opinion
conclusory Id at *7 The difference between the two being that the Fourteenth Amendment claim
had some particularity, whereas the racketeering claim was merely Just that the defendant committed
racketeering activities
1130 Like Gardiner, Blue Shore has put WorldClaim on proper notice of the claims brought against
it Blue Shore, with even more specificity than the Gardiner plaintiff‘s Fourteenth Amendment claim,
alleges that WorldClaim
(1 ) Held itself out as a public adjuster;
(2 ) Failed to properly and effectively represent Blue Shore,
(3 ) Demonstrated a wanton, reckless indifference to Blue Shore’s risk of injury by
failing to properly make a claim for damages sustained by Blue Shore from
Hurricane Maria,
(4 ) Demonstrated a wanton, reckless indifference to Blue Shore by failing to secure a
Settlement Agreement; and
(5 ) Continues to inflict damages on Blue Shore
These claims are sufficient for WorldClaim to be placed on notice of the negligence claim brought
against them Blue Shore has provided email communications and text messages sufficient to show
Blue Shore was under the belief that a claim for Maria was filed and WorldClaim had obtained an
offer for $621,000 These communications show with particularity that there is a claim for negligence
and provide sufficient details to put WorldClaim on notice of the claims brought against them
Therefore, Blue Shore has properly alleged a claim for negligence against WorldClaim
1]31 Additionally, WorldClaim argues that they did not owe a duty to Blue Shore and therefore
Blue Shore does not have a proper claim for negligence WorldClaim Global Claims Management,
LLC, is a public adjuster under Virgin Islands law A public adjuster “is an adjuster employed by
and representing solely the financial interests of the insured named in the policy ” See Benjamm v
Thomas Howell Group 2002 WL 31573004 *2 (D V I 2002) (citing 22 V I C §751(a)(2)) Thus by
definition, WorldClaim had a duty to Blue Shore to represent their interests in settling both hurricane
15
Blue Shore Grill LL( v Guardian 1mm ance Co et a1 Cite as 2022 VI Super 7lU
ST 2020 CV 382
Memorandum Opinion
claims because ‘ the beneficiary of the duty owed by an adjuster depends upon the type of adjuster ”
In Benjamm v Thomas Howell Group, the court reasoned that whereas a private adjuster owes a duty
to the insurance carrier and not the insured a public adjuster’s duty is to the insured See Id at *2
1132 For the same reasons, Blue Shore has adequately pled claims for breach of contract and unfair
trade practices and unfair business practices It is undisputed that WorldClaim and Blue Shore had
entered a contract for WorldClaim to represent Blue Shore in settling both claims globally, therefore
WorldClaim owed a duty to Blue Shore Blue Shore has adequately pled that WorldClaim failed to
negotiate a settlement agreement and made false representations to Blue Shore throughout their
contractual relationship, therefore Blue Shore can bring claims for both unfair trade and business
practices
B Blue Shore’s complaint against WorldClaim is timely under the applicable
statute of limitations
1B3 WorldClaim asseits that the claims against it are also barred under the statute of limitations
for torts WorldClaim argues that the two year statute of limitations for torts has elapsed and that the
latest day the limitations period could have begun to run is May 18, 2018, when Blue Shore signed
the release from Guardian WorldClaim argues that it was at this point that Blue Shore should have
been on notice of the extent of their injury As for the same reasons stated for Guardian, the discovery
rule applies to Blue Shore’s claims because it was not until December 19, 2019, that Blue Shore
learned there was not a claim filed for Hurricane Maria Only at that point did Blue Shore understand
the extent of their injury, thus Blue Shore’s claim is timely filed
1134 Further, even if the discovery rule did not apply, Blue Shore’s claims against WorldClaim
would not be barred because the doctrine of equitable estoppel applies An equitable estoppel defense
applies when “a party justifiably relies to its detriment on another’s ‘promise implied by words,
16
Blue Shore Gm]! LLC v Guardian Insurance C0 et a1 Cite as 2022 VI Super 71U
ST 2020 CV 382
Memorandum Opinion
deeds or representations ”’ See Browne v Stanley,
66 VI 328, 333 (VI 2017); Pecko v Allstate
Insurance Company
2016 WL 6614191 *2 (E D Pa 2016) (quoting Kreutzer v Moterey Cty Herald
Co 747 A 2d 358 361 (Pa 2000)
1135 In the Virgin Islands, the doctrine of equitable est0ppel protects an innocent party who
reasonably relies upon the material misrepresentations of another from harm Browne, at 333
Equitable estoppel requires a plaintiff to demonstrate
(1 ) The party to be estopped made a material misrepresentation,
(2 ) The misrepresentation induced reasonable reliance by the plaintiff, and
(3 ) The reasonable reliance resulted in the plaintifPs detriment
1d at 335
1136 In Browne, the plaintiff and defendant were neighbors and had an oral agreement that the
plaintiff could construct a fence on the defendant’s property line [d at 330 Some years later, the
defendant sued the plaintiff to remove the fence Id The plaintiff asserted the defense of equitable
estoppel and stated there was an agreement between the parties, however, at trial the plaintiff did not
present any evidence to show that he took steps to make this a permanent agreement Id at 337
Accordingly, the Supreme Court of the Virgin Islands found that the doctrine of equitable estoppel
did not apply because the plaintiff did not offer any evidence demonstrating due diligence in making
the agreement permanent, and therefore his reliance on the agreement was not reasonable under the
circumstances Id
$37 Furthermore, the Third Circuit has held that when an insurer has “suggested a possibility of
settlement to the insured or asked the insured not to file suit then equitable estoppel applies tolling
the statute of limitations See Pecko at *2 For a plaintiff to prevail on an equitable estoppel defense,
the plaintiff “must establish a factual basis to assert the defense of waiver or estoppel ” Id In Pecko,
the plaintiff asserted that the one year statute of limitations provision did not apply because the
17
Blue Shore G) III LLC v Guardian Insurance Co e! a] Cite as 2022 VI Super 71U
ST 2020 CV 382
Memorandum Opinion
insurance company continued to negotiate and settle her claim after the one year period had passed
Id at *3 The court did not apply equitable estoppel and said the suit provision was valid because the
plaintiff did not present any evidence which suggested a possibility of negotiation or settlement See
Id The plaintiff did not present any evidence of communication between the insurance company and
the plaintiff for the four months prior to the expiration of the one year period or for the three months
after the expiration of the three month period Id
1138 Browne and Pecko can be distinguished from the facts here In this matter, Blue Shore has
offered evidence showing that they were in constant communication with WorldClaim, their agent,
who continuously represented to them that they were in communication with Guardian Insurance '8
There are text messages and emails which show that Blue Shore was diligent in their efforts to settle
this claim These conversations show that there was a possibility of settlement and thus the doctrine
of equitable estoppel applies, tolling the statute of limitations until Blue Shore had discovered the
extent of their injury
C Blue Shore cannot bring a claim of promissory estoppel against WorldClaim
because there is an existing contract between the parties
1139 Blue Shore argues that it can bring breach of contract and promissory estoppel claims
simultaneously because the claims are based on different agreements and representations Blue Shore
posits its negligence and promissory estoppel claims are based on the April 24, 2018, representations
that WorldClaim had negotiated a settlement agreement and the breach of contract claim is based on
the January 2018 contract between Blue Shore and WorldClaim to act as an adjuster for the hurricane
'3 Plaintiff’s Exhibit C Text messages between Russell Heath and Blue Shore’s representatives from November 2017 to
August 2018 wherein WorldClaim advises Blue Shore they are actively working with and communicating with
Guardian regarding the settlement for both hurricanes
18
Blue Shore Grill LLC v Guardian Insurance Co et a1 Cite as 2022 VI Super 7lU
ST 2020 CV 382
Memorandum Opinion
claims WorldClaim argues that Blue Shore cannot bring a claim for promissory estoppel when a
valid contract exists The Court agrees with WorldClaim
1[40 Blue Shore and WorldClaim both cite to Ray v Banco Popular de Puerto R100, 2018 WL
4178704 *10 (V I Super 2018) to support their arguments Blue Shore alleges that they can plead
contract claims and promissory estoppel claims in the alternative WorldClaim argues that under
Banco Popular Blue Shore is precluded from bringing both claims This Court in Banco Popular
stated
“[A]lthough contract and promissory estoppel claims may be pled in the
alternative, a plaintiff cannot recover under both theories- for the same promise If a
valid, enforceable contract exists between the parties as to a certain issue, their rights
and obligations are governed solely by the contract terms Promissory estoppel is not
available when an unambiguous contract exists that covers the issue for which
damages are sought ”
Banco Popular, at *10 Blue Shore argues that they can recover under breach of contract for
WorldClaim’s failure to file a claim for Hurricane Maria and under promissory estoppel for the
representations made about the settlement agreement The representations Blue Shore relies on under
its promissory estoppel claim were made in furtherance of the existing contract between Blue Shore
and WorldClaim There was not a separate agreement that WorldClaim would negotiate a settlement
agreement, this was implied in the original contract which Blue Shore hired WorldClaim to assist
with insurance recovery Accordingly, Blue Shore cannot bring claims under both promissory
estoppel and breach of contract for the same agreement
CONCLUSION
T41 In a notice pleading jurisdiction, the plaintiff only needs to allege enough facts to properly put
the defendant on notice of the claims being brought against them Here, Blue Shore has timely filed
a complaint which alleges enough facts to put both Guardian Insurance and WorldClaim on notice of
19
Blue Shale Gull LLC v Guardmn Insurance Co et a1 Cite as 2022 VI Super 71U
ST 2020 CV 382
Memorandum Opinion
the claims being brought against them; however, Blue Shore has improperly brought a clann for
promissory estoppel against WorldClaim For the foregoing reasons, the Court will deny Guardian s
motion to dismiss Additionally, the Court will grant WorldClaim’s motion to dismiss the promissory
estoppel claim only and deny WorldClaim’s motion to dismiss the negligence cause of action An
appropriate Order follows '
Dated August 5 2022
1r ’
\ ’ l A ‘1“ £141,
enée W ty
ATTEST Judge of th curt
Tamara Charles of the Virgin Islands
Cle he Con
B M MM“...
Do a D Donovan
Court Clerk Supervisor S/ / 5‘ / 9039—
20
IN THE SUPERIOR COURT OF THE VIRGIN ISLANDS
DIVISION OF ST THOMAS AND ST JOHN
******‘k
BLUE SHORE GRILL LLC d/b a )
HAVANA BLUE & SANDBAR ) CASE NO ST 20 CV 382
)
Plaintiff )
) ACTION FOR BREACH OF CONTRACT
v ) UNFAIR AND DECEPTIVE TRADE
) PRACTICES DECEPTIVE BUSINESS
GUARDIAN INSURANCE COMPANY ) PRACTICES NEGLIGENCE NEGLIGENT
INC and WORLDCLAIM GLOBAL ) MISREPRESENTATION UNJUST
CLAIMS MANAGEMENT LLC ) ENRICHMENT PROFESSIONAL
) MALPRACTICE BREACH OF THE
) IMPLIED COVENANT OF GOOD FAITH
Defendants ) AND FAIR DEALING BREACH OF
) FIDUCIARY DUTY AND PROMISSORY
) ESTOPPEL
Cite as 2022 VI Super 71 U
ORDER
The Court having issued a Memorandum Opinion on this date, it is hereby
ORDERED that Guardian Insurance s Motion to Dismiss is DENIED; and it is further
ORDERED that WorldClaim Global Claims Management LLC’s Motion to Dismiss is
GRANTED with respect to Count 1V Promissory Estoppel, and it is further
ORDERED that WorldClaim Global Claims Management LLC’s Motion to Dismiss is
DENIED with respect to Count 111 Professional Negligence, and it is further
ORDERED that a copy of this Order and the accompanying Opinion shall be directed to
Richard H Dollison, Esquire, Arya A Li, Esquire, Michal Meiler, Esquire, Maria Tankenson Hodge,
Esquire, Mark Wilczynski, Esquire, and Justin Croc , uire
/
Dated August 5 2022 x I
ReneeQu s Carty
ATTEST Judge of the erior Court
Tamara Charles of the Virgin Islands
Cle the C
By W
Do a D Don van
C urt Clerk Supervis 3 /b / 9&3?