34-06 73 v. Seneca Insurance Company

CourtNew York Court of Appeals
DecidedOctober 27, 2022
Docket81
StatusPublished

This text of 34-06 73 v. Seneca Insurance Company (34-06 73 v. Seneca Insurance Company) is published on Counsel Stack Legal Research, covering New York Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
34-06 73 v. Seneca Insurance Company, (N.Y. 2022).

Opinion

State of New York OPINION Court of Appeals This opinion is uncorrected and subject to revision before publication in the New York Reports.

No. 81 34-06 73, LLC, et al., Respondents, v. Seneca Insurance Company, Appellant.

Christopher R. Carroll, for appellant. Dennis T. D'Antonio, for respondents.

RIVERA, J.:

The question on this appeal is whether plaintiffs’ original complaint provides

defendant with “notice of the transactions, occurrences, or series of transactions or

occurrences, to be proved” in support of plaintiffs’ reformation claim, as required under

CPLR 203 (f). At trial on this breach of contract action, plaintiffs sought to amend their

complaint to include this otherwise untimely reformation claim based on mutual mistake

-1- -2- No. 81

and a preexisting oral agreement. We conclude that plaintiffs’ initial pleading alleging that

defendant breached the parties’ written insurance policy and that plaintiffs complied fully

with all requirements contained therein fails to give defendant the requisite notice.

I.

Defendant Seneca Insurance Company issued plaintiffs 34-06 73, LLC, Bud Media,

LLC, and Coors Media, LLC a multi-million dollar, written insurance policy covering

several of plaintiffs’ vacant commercial properties. The parties do not dispute the contents

of the policy, only whether plaintiffs’ complaint asserting breach of contract and seeking

damages put defendant on notice of the transactions or occurrences underlying plaintiffs’

belated reformation claim.

As relevant to this appeal, the policy includes a Protective Safeguards Endorsement

(“PSE”) that required plaintiffs, among other things, to maintain an automatic sprinkler

device on the subject property. At the top of the page, the PSE states: “THIS

ENDORSEMENT CHANGES THE POLICY” and advises to “READ IT CAREFULLY.”

It further states that the PSE modifies the commercial property coverage of the policy so

that defendant would “not pay for loss or damage caused by or resulting from fire if, prior

to the fire, the policyholder . . . [k]new of any suspension or impairment in any protective

safeguard . . . and failed to notify” defendant or otherwise “[f]ailed to maintain any

protective safeguard . . . in complete working order.”

Approximately one month after the policy went into effect, defendant’s agent

conducted an inspection of the premises and issued a report to plaintiffs’ principal and sole

-2- -3- No. 81

owner, Mohammad Malik, advising him that there was no compliant sprinkler system on

the premises and recommending that plaintiffs notify defendant of the system’s

non-operability. A little more than four months later, there was a fire on the premises and

plaintiffs requested payment under the policy for damages incurred. Defendant notified

plaintiffs that it was denying the claim under the PSE because plaintiffs did not maintain a

working sprinkler system.

Plaintiffs thereafter commenced this action against defendant for breach of contract,

seeking over $2.4 million in damages based on defendant’s failure to cover the fire loss.

The complaint made the following factual assertions: (1) defendant issued an insurance

policy “bearing number FTZ 1000661” that provides property damage insurance on the

covered property; (2) the fire on the premises “was a peril insured against under the Policy”

which occurred “while the Policy was in full force and effect”; (3) plaintiffs complied “with

all of the conditions precedent and subsequent pursuant to the terms of the subject policy”;

and (4) defendant failed to indemnify plaintiffs for the property damage. In its answer,

defendant admitted that it issued the referenced policy and had not made payment

thereunder. Defendant raised several affirmative defenses, including one based on the PSE,

asserting that, because plaintiffs failed to maintain the sprinkler system as required by the

policy, they were not covered for the fire damage.

Following discovery, plaintiffs moved to dismiss the affirmative defense pursuant

to CPLR 3211, arguing that defendant was aware that there was no functioning sprinkler

system—as specifically noted in the inspection report to Malik—and thus waived its right

-3- -4- No. 81

to disclaim coverage based on the PSE because it neither followed up to confirm whether

an operational system was installed nor cancelled the policy. Defendant cross-moved for

summary judgment on its PSE-based affirmative defense. Supreme Court denied the

motions, concluding there were triable issues of fact as to waiver and there was conflicting

evidence as to whether the sprinkler system was operational at the time of the fire.

At trial, for the first time, plaintiffs argued that the written policy did not reflect the

parties’ agreement. Malik testified that he told his insurance broker that he did not want

the policy to include a protective safeguard endorsement because the properties were

vacant buildings or lots, and most did not have sprinklers. However, he admitted that he

did not read the insurance policy. Defendant’s Vice President of Underwriting, Carol

Muller, testified that an underwriting file disclosed during discovery did not contain

documents referencing the PSE or the sprinkler system, that the premiums quoted for the

Policy were for a non-sprinklered building, and that the inclusion of the PSE may have

been a mistake.1

After plaintiffs rested, they orally moved to amend the complaint to conform the

pleadings to the proof by adding a claim for reformation. The court reserved decision on

the motion. At the charge conference, defendant opposed the proposed amendment,

1 The next day, the court denied defendant’s attempt to admit the routing sheet that Muller testified she did not see in the file, which, according to defendant, would have conclusively established defendant’s intent to include the PSE in the policy. Defendant further argued that whether the PSE was part of the policy did not arise until trial, prejudicing defendant. The court rejected this argument on the ground that the issue of the PSE’s inclusion bore on the issues of waiver and estoppel.

-4- -5- No. 81

arguing that the reformation claim was time-barred and futile. The court granted plaintiffs’

motion, concluding that the claim related back to the complaint because it was “part of the

whole thrust of the complaint originally” and the jury should decide whether the PSE’s

inclusion resulted from a mutual mistake. Hence, in addition to charging the jury on the

question of whether plaintiffs maintained a sprinkler system as required by the policy, the

court also charged the jury on reformation, waiver, and estoppel.

Although the jury rejected plaintiffs’ waiver and estoppel arguments and found that

plaintiffs did not prove due diligence in maintaining an automatic sprinkler system on the

premises at the time of the fire, the jury returned a verdict in favor of plaintiffs on the

reformation claim, finding that plaintiffs established by clear and convincing evidence that

the parties’ true agreement was a policy without a PSE and it was a mutual mistake to

include the PSE in the policy.

Defendant moved to set aside the reformation portion of the verdict pursuant to

CPLR 4404 (a) and for judgment in defendant’s favor on the grounds that the reformation

claim was untimely and, although plaintiffs did not formally move to amend pursuant to

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