Almager v. Doe

CourtDistrict Court, D. New Mexico
DecidedDecember 4, 2020
Docket1:20-cv-00368
StatusUnknown

This text of Almager v. Doe (Almager v. Doe) is published on Counsel Stack Legal Research, covering District Court, D. New Mexico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Almager v. Doe, (D.N.M. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF NEW MEXICO ______________________

ARTURO ALMAGER,

Plaintiff,

vs. No. 1:20-cv-00368-WJ-LF

JOHN DOE, UNINSURED DRIVER, and PHILADELPHIA INDEMNITY INSURANCE COMPANY,

Defendants.

MEMORANDUM OPINION AND ORDER DENYING PHILADELPHIA INDEMNITY INSURANCE COMPANY’S MOTION FOR SUMMARY JUDGMENT AND ORDER FOR SURREPLY ON PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT

THIS MATTER is before the Court upon opposing motions by Arturo Almager (the “Plaintiff”) and Philadelphia Indemnity Insurance Company (the “Defendant”) for summary judgment on the merits, both filed on July 31, 2020. Plaintiff claims in his motion (“Plaintiff’s Motion”) entitlement to uninsured motorist coverage under an insurance policy issued by the Defendant to the Albuquerque Housing Authority (the “Policy”), on the grounds that the gunshot wounds inflicted upon Plaintiff by the John Doe assailant arose from the operation, maintenance or use of an uninsured motor vehicle. Defendant contends in its motion (“Defendant’s Motion”) that Plaintiff is neither covered by the Policy nor that his gunshot wounds arose as a result of the operation, maintenance or use of an uninsured vehicle, and that, accordingly, summary judgment should be granted in its favor. For the reasons set forth in this Memorandum Opinion and Order, the Court DENIES Defendant’s Motion, and declines to rule on Plaintiff’s Motion until after Defendant files its surreply in accordance with the instructions of the Court. BACKGROUND On November 28, 2018, Plaintiff, an employee of the Albuquerque Housing Authority, was working at a location operated by his employer. Joint Set of Stipulated Facts (the “Joint Statement of Facts”), Doc. 18 at 1. While inside, Plaintiff observed John Doe attempting to steal Plaintiff’s company vehicle (a Dodge Ram) (the “insured vehicle” or “covered vehicle”) from the

parking lot. Plaintiff left the building and confronted John Doe to halt the attempted theft, ultimately tackling him to the ground. Id. At the time of the attempted theft, another vehicle (a white Kia Optima or Hyundai Elantra) (the “get-away car” or “uninsured vehicle”) was parked behind the Dodge Ram. Id. at 2. A woman, referenced in the caption of this case as the uninsured driver, exited the get-away car and instructed the would-be car thief, John Doe, to “take care of him,” referring, of course, to the Plaintiff. Id. John Doe then shot the Plaintiff two times, returned to the get-away car with the woman, and fled. Neither John Doe nor the woman have been identified or arrested. Id. As a result of the gunshot wounds, Plaintiff sustained significant injuries1 and requested

$1,000,000 from Defendant insurance company. Id. Defendant denied Plaintiff’s claim, alleging that Plaintiff was not insured under the Policy at the time of the incident, that Plaintiff was not

1 Plaintiff Almager sustained extensive physical damage to his lower abdomen and spine, including spermatic cord hematoma. Doc. 1-1 at 4. He underwent surgery and experienced pain, with multiple hospital visits, over the course of several months, and underwent physical therapy for nearly a year. Id. at 4-5. Following the medical procedures, Plaintiff sustained long-term injury, including degenerative changes and disc misalignment in his back, as well as metallic fragments near or in the spine, severe pain and muscle spasms, permanent disfigurement, physical damage, pain and dysfunction. Id. at 4-7. Plaintiff now seeks damages for current and future impairment, medical expenditures, pain and suffering, loss of enjoyment of life, lost wages, compensatory damages and punitive damages. Id. at 7. “occupying” a covered “auto” at the time of the incident, and that Plaintiff’s injuries did not result from the ownership, maintenance or use of the uninsured motor vehicle or the get-away car.2 Id. The Policy contains a form (CA 31 29 10 13) titled “New Mexico Uninsured Motorists Coverage – Nonstacked,” which includes the following relevant provisions: A. Coverage

1. We will pay all sums the "insured" is legally entitled to recover as damages from the owner or driver of an "uninsured motor vehicle" because of:

a. "Bodily injury" sustained by an "insured" and caused by an "accident"; or b. “Property damages” caused by an “accident.”

The owner’s or driver’s liability for these damages must result from the ownership, maintenance or use of the “uninsured motor vehicle.”

B. Who Is An Insured

If the Named Insured is designated in the Declarations as:

2. A partnership, limited liability company, corporation or any other form of organization, then the following are "insureds":

a. Anyone "occupying" a covered "auto" or a temporary substitute for a covered "auto". b. Anyone for damages he or she is entitled to recover because of "bodily injury" sustained by another "insured". c. The Named Insured for "property damage" only.

F. Additional Definitions

4. "Uninsured motor vehicle" means a land motor vehicle or "trailer":

d. That is a hit-and-run vehicle and neither the driver nor owner can be identified. The vehicle must either:

(1) Hit an "insured", a covered "auto" or a vehicle an "insured" is "occupying"; or

2 Hit-and-run drivers, including drive-by shooters who did not physically “hit” an insured with an unknown vehicle, are considered “a specie of uninsured motorist” so long as, inter alia, the use of the unknown vehicle (in this case, the get-away car) causes bodily injury to an insured. See State Farm Mut. Auto. Ins. Co. v. Luebbers, 138 N.M. 289, 293 (N.M. Ct. App. 2005). (2) Cause "bodily injury" or "property damage" with no physical contact with an "insured", a covered "auto" or a vehicle the "insured" is "occupying" at the time of an "accident".

13. The parties stipulate and agree that the law of New Mexico governs this case.

Id. at 2-3. LAW Because summary judgment is a procedural consideration and governed under Rule 56 of the Federal Rules of Civil Procedure, and because Rule 56 is directly applicable and sufficient in coverage, the federal summary judgment standard applies notwithstanding the parties’ stipulation that the law of New Mexico governs.3 However, the substantive claims set forth by the parties shall be analyzed under state law. See Joint Statement of the Facts at 2-3 (citing of the Policy, Section F, Subsection 13). While Defendant cites only to the New Mexico summary judgment standards, such a reference incorrectly places his claims within the procedural territory of state law. This Court shall instead apply the federal standards of summary judgment consistent with Rule 56, Hanna v. Plumer, 380 U.S. 460 (1965), and the Erie Doctrine. Accordingly, the Court shall view the facts set forth in the Plaintiff’s and Defendant’s Motions in the light most favorable to the applicable non-movant, resolve all factual disputes and reasonable inferences in the non-movant’s favor, and

3 Under New Mexico's choice of law rules, procedural issues are governed by the law of the forum, even if other substantive law is to be applied. Nez v. Forney, 109 N.M. 161, 162 (1989); Resolution Trust Corp. v. Ocotillo West Joint Venture, 840 F.Supp 1463, 1478 (1993) (citing Erie R.R. v. Tompkins, 304 U.S. 64 (1938)).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Erie Railroad v. Tompkins
304 U.S. 64 (Supreme Court, 1938)
Hanna v. Plumer
380 U.S. 460 (Supreme Court, 1965)
State Farm Mutual Automobile Insurance v. Blystra
86 F.3d 1007 (Tenth Circuit, 1996)
Beaird v. Seagate Technology, Inc.
145 F.3d 1159 (Tenth Circuit, 1998)
Doebele v. Sprint/United Management Co.
342 F.3d 1117 (Tenth Circuit, 2003)
Romero v. Dairyland Insurance
803 P.2d 243 (New Mexico Supreme Court, 1990)
Britt v. Phoenix Indemnity Insurance
907 P.2d 994 (New Mexico Supreme Court, 1995)
State Farm Automobile Insurance v. Ovitz
873 P.2d 979 (New Mexico Supreme Court, 1994)
Allstate Insurance v. Graham Ex Rel. Graham
750 P.2d 1105 (New Mexico Supreme Court, 1988)
Chavez v. State Farm Mutual Automobile Insurance
533 P.2d 100 (New Mexico Supreme Court, 1975)
Konnick v. Farmers Ins. Co. of Arizona
703 P.2d 889 (New Mexico Supreme Court, 1985)
Padilla Ex Rel. Padilla v. Dairyland Insurance
787 P.2d 835 (New Mexico Supreme Court, 1990)
Continental Western Insurance Co. v. Klug
415 N.W.2d 876 (Supreme Court of Minnesota, 1987)
Utica Mutual Insurance v. Contrisciane
473 A.2d 1005 (Supreme Court of Pennsylvania, 1984)
Hartford Insurance v. Estate of Tollardo
409 F. Supp. 2d 1301 (D. New Mexico, 2005)
Taylor v. United Management, Inc.
51 F. Supp. 2d 1212 (D. New Mexico, 1999)
Cuevas v. State Farm Mutual Automobile Insurance
2001 NMCA 038 (New Mexico Court of Appeals, 2001)
Farmers Ins. Co. of Arizona v. Sedillo
11 P.3d 1236 (New Mexico Court of Appeals, 2000)

Cite This Page — Counsel Stack

Bluebook (online)
Almager v. Doe, Counsel Stack Legal Research, https://law.counselstack.com/opinion/almager-v-doe-nmd-2020.