Filing Number: 820956
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| Filing Accepted: 5/13/2025 |
| Last/Business Name
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GARRISON & GLENN A PARTNERSHIP
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First Name |
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| Street Address
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1215 BAKER STREET |
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PLANT CITY,
FL
33563
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| Email Address
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DRWILLIAMJGARRISON@YAHOO.COM |
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Insured |
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| Last/Business Name* |
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GARRISON & GLENN A PARTNERSHIP |
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First Name |
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| Policy # * |
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BPG62171 |
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Claim #* |
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01-008-207424 |
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Attorney is Applicable
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| Last Name* |
MARVIN
First Name *
JOHN
Initial
A
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| Street Address* |
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360 CENTRAL AVENUE #1570 |
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SAINT PETERSBURG
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FL
33701
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| Email Address * |
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JOHN@PIPASLAW.COM |
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| Insurer Type
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Authorized Insurer
Unauthorized Insurer
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| Insurer Name |
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| Insurer Name* |
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MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
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| Insurer Name* |
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,
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NAIC Company Code 13026 |
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| Name of individual responsible for violation (if any):*
LYNN URZENDOWSKI, ALL ADJUSTERS, SUPERVISORS, MANAGEMENT AND IN-DIVIDUALS ASSOCIATED WITH OR RETAINED BY MAIN STREET AMERICA PROTECTION INSURANCE COMPANY IN THIS CLAIM.
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| Type of Insurance
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Commercial Property & Casualty
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| Reason for Notice
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Claim Delay
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Claim Denial
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Unsatisfactory Settlement Offer
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Unfair Trade Practice
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Other
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Failure to Properly Investigate Claim and with Due Regard to Insured's Interest
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Other
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Failure to Pay the Claim in Full
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Statutory provision(s) which the insurer allegedly violated.
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| 624.155(1)(b)(1) |
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Not attempting in good faith to settle claims when, under all the circumstances, it could and should have done so, had it acted fairly and honestly toward its insured and with due regard for her or his interests.
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| 626.9541(1)(i)(3)(a) |
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Failing to adopt and implement standards for the proper investigation of claims.
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| 626.9541(1)(i)(3)(f) |
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Failing to promptly provide a reasonable explanation in writing to the insured of the basis in the insurance policy, in relation to the facts or applicable law, for denial of a claim or for the offer of a compromise settlement.
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Specific policy language that is relevant to the violation.
Enter all words or phrases (one at a time) that should be used to filter.
RELEVANT POLICY LANGUAGE The specific policy language that is believed to be relevant to the violations includes, but is not limited to, the following: See Subject Policy: Main Street America Protection Insurance Company No.: BPG62171 loss payment provision, policy definitions, and policy exclusions section.
A. COVERAGE
We will pay for direct physical loss of or damage to Covered Property at the premises described in the Declarations caused by or resulting from any Covered Cause of Loss.
1. Covered Property
Covered Property includes Buildings as described in Paragraph a. below . . . .
a. Buildings, meaning the buildings and structures at the premises described in the Declarations . . . .
3. Covered Causes Of Loss
(5) the interior of any building of structure caused by or resulting from rain, snow, sleet, ice, sand or dust, whether driven by wind or not, unless:
(a) the building or structure first sustains damage by a Covered Cause of Loss to its roof or walls through which the rain, snow, sleet, ice or dust enters.
5. Loss Payment
In the event of loss or damage covered by this policy:
a. At our option we will either:
(1) pay the value of lost or damaged property;
(2) pay the cost of repairing or replacing the lost or damaged property
(3) take all or any part of the property at an agreed appraised value
(4) repair, rebuild, or replace the property with other property of like kind and quality subject to Paragraph d.(1)(d) below.
FLORIDA ADMINISTRATIVE CODE SECTIONS VIOLATED
69B-220.201(3) – Code of Ethics. The work of adjusting insurance claims engages the public trust. An adjuster shall put the duty for fair and honest treatment of the claimant above the adjuster’s own interests in every instance. The following are standards of conduct that define ethical behavior, and shall constitute a code of ethics that shall be binding on all adjusters:
69B-220.201(3)(b) – An adjuster shall treat all claimants equally.
69B-220.201(3)(b)1. – An adjuster shall not provide favored treatment to any claimant.
69B-220.201(3)(b)2. – An adjuster shall adjust all claims strictly in accordance with the insurance contract.
69B-220.201(3)(c) – An adjuster shall not approach investigations, adjustments, and settlements in a manner prejudicial to the insured.
69B-220.201(3)(d) – An adjuster shall make truthful and unbiased reports of the facts after making a complete investigation.
69B-220.201(3)(e) – An adjuster shall handle every adjustment and settlement with honesty, integrity, and allow a fair adjustment or settlement to all parties without any remuneration to himself except that to which he is legally entitled.
69B-220.201(3)(f) – An adjuster, upon undertaking the handling of a claim, shall act with dispatch and due diligence in achieving a proper disposition of the claim.
69B-220.201(3)(m) – An adjuster shall not knowingly fail to advise a claimant of the claimant’s claim rights in accordance with the terms and conditions of the contract and of the applicable laws of this state. An adjuster shall exercise care not to engage in the unlicensed practice of law as prescribed by the Florida Bar.
69B-220.201(3)(o) – An adjuster shall not undertake the adjustment of any claim concerning which the adjuster is not currently competent and knowledgeable as to the terms and conditions of the insurance coverage, or which otherwise exceeds the adjuster’s current expertise.
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Facts and circumstances giving rise to the violation.
Enter all words or phrases (one at a time) that should be used to filter.
Insured's Address: 1215 Baker Street, Plant City, FL 33563
Insurer’s Address: 4601 Touchton Road East, Suite 3400, Jacksonville, FL 32246
This complaint is made on behalf of Garrison & Glenn A Partnership (“Insured”) and against Main Street America Protection Insurance Company (“Main Street”). In consideration of the premium paid to it by the Insured, Main Street issued to the Insured an insurance policy, Policy No.: BPG62171 (the “Policy”). On or about October 9, 2024, while the Policy was in full force and effect, the Insured suffered a hurricane loss to the property located at 1215 Baker Street, Plant City, FL 33563.
On or about October 14, 2024, the Insured timely submitted a claim to Main Street for hurricane damage sustained to the above-referenced property. The Insured provided all documentation in their possession and allowed inspections of the property for Main Street to investigate and provide a claim determination. The Insured fully complied and cooperated with Main Street following the loss and therefore satisfied its duties under the policy. However, Main Street and its adjusters have failed to act in good faith in making the claim determination. Main Street and its adjuster Lynn Urzendowski, denied the claim by claiming the damage to the property was the result of flood.
As a result, the Insured was forced to hire Kelly Coyle with Fairwinds Construction Services, LLC, to provide photos of the damage and estimate for repairs in the amount of $313,699.42. Despite being provided a copy of this estimate, which clearly contradicts Main Street’s unilateral assessment of the loss, Main Street refuses to remit all proceeds due and owing to the Insured. Since the loss occurred, Main Street’s strategy has been to prolong and delay the fair adjustment of the Insured’s claim, which Main Street has collected a premium on a policy that was designed to protect the Insured. The one sided actions by Main Street can only be viewed as an attempt to pressure the Insured into either dropping the claim or settling it for less than its fair value.
As a result of Main Street’s denial, the Insured was forced to retain James Funderburk, P.E., with Applied Engineering & Geosciences, LLC to investigate the loss and prepare a neutral engi-neering report.
On May 2, 2025, Mr. Funderburk furnished his opinions regarding the loss and expressly stated the damage to the property was caused by wind damage to the roof and wind damage to the front door which allowed water to intrude into the property. Mr. Funderburk further opined that the damage was not caused in any way by flood.
On or about May 2, 2025, counsel for the insured provided a copy of the engineering report to Main Street and Lynn Urzendowski with a good faith request to reconsider its denial of the In-sured’s claim. On May 6, 2025, Main Street and Lynn Urzendowski provided a letter “standing on” its denial of the claim by reason of flood. This denial is evidence of several violations of Florida law, including Fla. Stat. 626.9541(1)(i)(3)(a), failing to adopt and implement standards for the proper investigation of claims. Had Main Street and Lynn Urzendowski investigated the claim in good faith, by reviewing the engineering report, they would have been able to ascertain that the damages to the property were caused by wind.
Main Street and Lynn Urzendowski further violated Fla. Stat. 626.9541(1)(i)(3)(f), by failing to promptly provide a reasonable explanation in writing to the insured of the basis in the insurance policy, in relation to the facts or applicable law, for denial of a claim or for the offer of a compromise settlement. In their May 6, 2025 letter, Main Street and Lynn Urzendowski fail to provide any reasonable explanation in writing to the insured as to the basis for their denial besides baldly asserting that the damage was caused by flood.
Finally, Main Street and Lynn Urzendowski’s continued denial of the claim despite being furnished estimates, photo reports, and expert engineering reports demonstrates violation of Fla. Stat. 624.155(1)(b)(1), by not attempting in good faith to settle claims when, under all the circumstances, it could and should have done so, had it acted fairly and honestly toward its insured and with due regard for her or his interests.
Main Street was afforded a complete opportunity to investigate the loss, but conducted a limited and inadequate investigation. As a result of this limited and inadequate investigation, driven by the desire of Main Street to avoid developing evidence that significant insurance proceeds are owed by it to its Insured, Main Street did not pay its Insured what the Insured is rightfully entitled to under the insurance policy. In addition to Main Street improperly investigating the claim, Main Street improperly interpreted its policy so that it could avoid paying insurance proceeds it owes under the policy. The combination of these acts combined to cause damage to the Insured by way of the Insured having to expend additional resources to collect insurance proceeds that are rightfully owed, loss of use of funds, and the corresponding damage caused by that loss of use of funds, and interest.
Therefore, to cure the defects outlined in this Civil Remedy Notice, Main Street America Protection Insurance Company must pay the Insured's claim in the amount of $313, ,699.42.
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The submitter hereby states that this notice is given in order to perfect the rights of the
person(s) damaged to pursue civil remedies authorized by Section 624.155, Florida Statutes.
Before submitting a Notice using this system, please verify that all text has been entered
correctly and completely. Once the Notice has been submitted, the text cannot be changed
or deleted.
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DFS-10-363
Rev. 10/14/2008
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