Almager v. Doe

CourtDistrict Court, D. New Mexico
DecidedJuly 14, 2021
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. 2021).

Opinion

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 GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT

THIS MATTER is before the Court following the May 26, 2021 hearing on Plaintiff Almager’s Motion for Summary Judgment (Doc. 20). Plaintiff claims entitlement to uninsured motorist coverage under an insurance policy issued by Defendant Philadelphia Indemnity Insurance Company to the Albuquerque Housing Authority (the “Policy”), on the grounds that Plaintiff is covered under the Policy and the gunshot wounds inflicted upon Plaintiff by the John Doe assailant arose from the operation, maintenance or use of an uninsured motor vehicle. Defendant maintains in its Surreply in Opposition to the Motion (the “Surreply”) that Plaintiff is not “insured” under the Policy and reiterates its arguments that Plaintiff is not legally entitled to damages under the law. For the reasons set forth in this Memorandum Opinion and Order, as well as the Court’s Memorandum Opinion and Order Denying Defendant’s Motion for Summary Judgment and Order for Surreply on Plaintiff’s Motion for Summary Judgment, filed December 4, 2020 (Doc. 26) (the “December Order” or “Order”), the Court hereby GRANTS Plaintiff’s Motion. 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 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 near the Dodge Ram. Id. at 2. A woman then exited the get-away car and said to John Doe: “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 “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 as set forth in the Joint Stipulated Facts:

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.

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). The Policy’s “cause bodily injury with no physical contact” language is consistent with the above law. See Doc. 18 at 3. 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".3 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) 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.

Doc. 18 at 2-3.

3 The Court notes additional language in Section B(2)(a) of the policy, but both parties submitted during the Hearing that this language is not relevant to the Court’s determination. For this reason, the Court does not infer any limitation on the applicability of Section B(2) from this redacted language, and does not analyze it here. 20. The Court analyzed both motions in its December Order, ultimately denying Defendant’s motion and delaying the disposition of Plaintiff’s motion until such time as Defendant filed a surreply pursuant Beaird v. Seagate Tech., Inc. and consistent with the parties’ shared desire to resolve this case at the summary judgment stage of the proceedings. 145 F.3d 1159 (10th Cir. 1998) (permitting a court to consider new arguments or material when the applicable counterparty is allowed surreply); see also Doc. 20 at 8 (“The parties agree that this issue is properly resolved by way of summary judgment.”); Doc. 26 at 18. Defendant filed the Surreply on January 8, 2021. See Doc. 30. Therein, Defendant argues that Plaintiff did not occupy the covered vehicle under the Policy, but also questions the Court’s

findings that Defendant’s injuries arose from the “use” of an uninsured vehicle. The Surreply therefore exceeds the bounds described by the Court in its December Order, but the arguments contained therein will be discussed briefly below. LAW A. Summary Judgment 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 to the case at hand, the federal summary judgment standard applies notwithstanding the parties’ stipulation that the law of New Mexico governs.4 However, the substantive claims set

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Almager v. Doe, Counsel Stack Legal Research, https://law.counselstack.com/opinion/almager-v-doe-nmd-2021.