American Cent. Ins. Co. v. Terry

298 S.W. 658, 1927 Tex. App. LEXIS 762
CourtCourt of Appeals of Texas
DecidedOctober 13, 1927
DocketNo. 3434.
StatusPublished
Cited by7 cases

This text of 298 S.W. 658 (American Cent. Ins. Co. v. Terry) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Cent. Ins. Co. v. Terry, 298 S.W. 658, 1927 Tex. App. LEXIS 762 (Tex. Ct. App. 1927).

Opinion

LEVY, X

(after stating the facts as above). The principal and controlling question duly presented by appellant for review is that of whether or not the plea in bar of the action should have been sustained. It is conceded as a settled rule of law, set out in numerous cases, that where a policy of insurance provides, as in the present case, for the arbitration as to the amount of loss in the event of disagreement between the parties, and that no suit shall be brought upon such policy until such arbitration is had, such *660 disagreement is prerequisite to the right to demand such arbitration, and arbitration becomes a prerequisite to the maintenance of a suit on the policy. Scottish Union & National Insurance Co. v. Clancy, 71 Tex. 5, 8 S. W. 630. There was a timely mutual agreement in writing to arbitrate the loss under the terms of the policy. And it must be taken as a fact, as found by the jury under ample evidence, that the actual loss by the insured was not a total, but a partial, loss, and less than the insurance. In view of the pleadings, the first question, therefore, before the agreement was signed, was there a disagreement in fact between the parties of the amount of loss by the insured? As appears, the fire occurred on December 13, 1925. The insurance company on December 23 sent its adjuster to ascertain the loss and “to adjust the loss” with the insured. The adjuster testified, and it was not disputed, that, upon arrival at the place of the fire:

He “made a thorough examination of every, room, the attic, and roof of the house upon which Mr. Terry was claiming a loss; made a detailed examination of the entire premises to determine the amount of damage done. I estimated the amount of damage by making a liberal allowance for every item of damages, as not exceeding $950.”

Thereupon the adjuster and the assured had a meeting together concerning the amount of the loss. At that meeting the insured submitted to the adjuster an itemized estimate of loss that he had a contractor to make out for him. The amount of the estimate was $2,334.27. According to the insured’s evidence, the adjuster “refused to accept my estimate as the basis for settlement, saying, ‘It is too high; it is padded.’ ” Thereupon the insured, as he says,

—“made another proposition to Mr. Roberts (adjuster). I told him that if he would pay me in 10 days, so that I could go back in the house, and eliminate costs, I would take $2,250. He said that he would not accept that. I did not make him any other offer, and he did not make me any other offer. He said, ‘We can’t agree, and I have got to go.’ I followed him to his car and asked him what I should do if he would not settle with me. He said it didn’t make any difference with him; that he didn’t have time to fool with me.”

It then appears that the adjuster made another trip, about January 10, 1926, to adjust the loss with the insured. In the meantime the insured had employed an attorney to represent him. As testified by the insured:

“He [adjuster] came back and saw me again. I just had a short conversation with him. He did not make me any offer to settle the amount of loss, and I did not make him any offer. He just came in, and I said, T turned it over to Mr. Bailey,’ and he said, ‘That’s the man I want to see.’ I carried him to see Mr. Bailey. I do not know what occurred then. After I found out from Mr. Roberts (adjuster) that he and I could not agree on the amount of loss, I then employed Mr. Bailey to represent me. Then he and Mr. Roberts took the matter up between them.”

The record does not disclose what occurred between the attorney and the adjuster.

On the second trip the adjuster made a demand upon the insured for an appraisal of the loss in accordance with the policy. Thereupon the parties, on February 16, 1926, mutually entered into the stipulation for appraisal in accordance with the terms of the policy, the insured naming J. F. Kunkel, and the insurance company naming A. L. Hart-shorn, respectively, as appraisers. The insured entered into the appraisal agreement, “claiming that the loss was a total one, and insisting that the appraisers determine whether or not the loss is a total one, first.”

It is believed the evidence shows actual disagreement between the adjuster and the insured as to the amount of loss, sufficient to make operative the provision in the policy for arbitration of the differences. The adjuster actually made an estimate of the loss and was in a position, before the meeting, to know and have an opinion of the amount of the loss. He refused to take the estimate of the insured after scrutinizing it, because, in his judgment, it was “too high.” He refused the second offer, because, in his judgment, it exceeded the actual amount of loss. The objections of the adjuster were general in a sense, but nevertheless directly bearing “upon the amount of loss.” The property destroyed by the fire was a building, and not a mass of personal property, every item of which would have to be considered in arriving at amount of loss. And in this respect the present case differs from Hickerson v. Ins. Co., 96 Tenn. 193, 33 S. W. 1041, 1 cited in Joyce on Insurance, § 3237. There was a wide difference of opinion of the amount of loss between the adjuster’s estimate and the insured’s estimate. The adjuster’s estimate was $950, and the insured’s estimate was $2,-334.27. The respective estimates were made in good faith and evidence an effort on the part of each party to arrive at the actual loss, and there was no mere arbitrary refusal or neglect on the part of the adjuster to arrive at the actual loss or to accept or agree upon the insured’s estimate. There was no room for the adjuster, from his standpoint of the loss, to offer a higher amount than $950, and there was no room for the insured to accept that sum without doing so merely as a matter of compromise. And it is obvious' that both parties saw and understood that there was a real difference of opinion and disagreement as to the amount of actual loss, entirely separating them from an agreement. In that view and because thereof, the partiesv mutually agreed to arbitrate. A jury could not fairly have inferred otherwise than that there was a real difference in good faith between *661 the parties. The facts are different from the' cases of Ins. Co. v. Simmons, 12 Tex. Civ. App. 607, 35 S. W. 723, and Ins. Co. v. Barnett (Tex. Civ. App.) 213 S. W. 365.

The next question, then, is, Did the arbitration fail and come to an end through the perverse or inexcusable conduct of the appellant’s appraiser? If so, the appellee was entitled to sue on the policy without compliance with a further demand for new arbitration, or without resuming the pending arbitration; otherwise, the arbitration clause would stand in the way of this suit. It appears that the appraiser selected by the insured was, and the appraiser selected by the insurance company was not, a resident of the vicinity of the fire. The two appraisers, after their appointment, had a'timely meeting. At the beginning of the meeting the two appraisers attempted to select an umpire. As shown, the appraiser of the company requested the appraiser of the insured “to select a man.” The appraiser of the insured then submitted successively the names of six persons who lived in the locality of the fire.

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Cite This Page — Counsel Stack

Bluebook (online)
298 S.W. 658, 1927 Tex. App. LEXIS 762, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-cent-ins-co-v-terry-texapp-1927.