American Empire Surplus Lines Insurance Company v. MTB AMG INC.

CourtDistrict Court, E.D. New York
DecidedFebruary 8, 2023
Docket1:20-cv-03929
StatusUnknown

This text of American Empire Surplus Lines Insurance Company v. MTB AMG INC. (American Empire Surplus Lines Insurance Company v. MTB AMG INC.) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Empire Surplus Lines Insurance Company v. MTB AMG INC., (E.D.N.Y. 2023).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK ANS NANCE COMP, SURPLUS LINES MEMORANDUM & ORDER , 20-CV-3929 (NGG) (RER) Plaintiff, -against- DMTB AMG INC., PAL AMG INC., MTB CONTRACTING INC., MTB METAL FABRICATORS ING, AND PAL CONTRACTING INC., Defendants,

NICHOLAS G. GARAUFIS, United States District Judge. Pending before this court is Plaintiffs motion for summary judg- ment, filed on August 25, 2022. (Mot. for Sum. J. CMot.”) (Dkt. 56).) Plaintiff seeks declaratory judgment on a breach of contract claim for unpaid insurance premiums. Defendants counterclaim for breach of contract by Plaintiff. I. BACKGROUND A, Factual History The following facts are drawn from Plaintiffs Statement of Ma- terial Facts pursuant to Rule 56.1 of the Local Civil Rules. (PL’s

1 Defendants did not submit a Local Rule 56.1 Statement of Material Facts in opposition to Plaintiff's Statement of Material Facts. Where a defendant fails to do so, the district court may accept the moving party’s assertions as true. See Millus v. D'Angelo, 224 F.3d 137, 138 (2d Cir. 2000); see also Gu- bitosi v. Kapica, 154 F.3d 30, 31 n.1 (2d Cir. 1998) (accepting as true defendant's uncontested assertions in reversing denial of summary judg- ment). That said, a District Court has “broad discretion to determine whether to overlook a party’s failure to comply with local court rules” and though the court “is not required to consider what the parties fail to point

56.1 St. (Dkt. 59.).) Plaintiff American Empire Surplus Lines In- surance Company (“American Empire”) issued two Commercial General Liability insurance policies to Defendants MTB AMG Inc., PAL AMG Inc., MTB Contracting Inc., MTB Metal Fabrica- tors Inc., and PAL Contracting Inc. (collectively, the ‘Defendants”): one for the period of April 1, 2018 to April 1, 2019 (the “2018 Policy”), and the other for the period of April 1, 2019 to April 1, 2020 (the “2019 Policy” and collectively, the “Policies”).2 (See Pl.’s 56.1 St. 7 1.; see also Ex. 1 to Myers Decl. (the 2018 Policy) (Dkt. 58-1); Ex. 2 to Myers Aff. (the 2019 Pol- icy) (Dkt. 58-2).) The premiums charged under these Policies were to be computed as a percentage of the Defendants’ gross receipts during the respective policy periods. (Pl.’s 56.1 St. 4 2.) Plaintiff assigned advance premiums to the Policies based upon an initial estimate of Defendants’ gross receipts for those periods. (id. § 3.) These estimates were subject to adjustment if audits by Plaintiff revealed that the gross receipts exceeded those esti- mates, as provided by the Policies’ terms. Ud. { 3-7.) At the time of application for the 2018 Policy, Plaintiff assigned an advance premium of $268,000, based on a premium rate of $178.667 per $1,000 of gross receipts and on Defendants’ own projected estimate of $1.5 million for their gross receipts in the upcoming 2018 policy year. (id. ¢ 8.) Prior to the audit for the 2018 Policy, Plaintiff acceded to a “split rate” requested by De- fendants, who felt their premium should reflect that their business involves beth window fabrication and window installa- tion, each having different risk levels. Gd. 9.) Plaintiff agreed to this with the “explicit understanding” that Defendants would

out in their Local Rule 56.1 statements, it may in its discretion opt to con- duct an assiduous review of the record even where one of its parties has failed to file such a statement.” Holtz v. Rockefeller & Co., 258 F.3d 62, 73 (2d Cir. 2001}. 2 The court assumes the 2018 Policy ended March 31, 2019 and the 2019 Policy began April 1, 2019.

keep records of the gross receipts and deposits separate for fab- rication and installation in order to determine the premium. (Id.) On Plaintiffs behalf, Matson Driscoll & Damico LLP performed an audit of Defendants’ financial records after the 2018 Policy period. Gd. { 10.) The audit found that Defendants had total gross receipts in the sum of $11,172,231.22 for the 2018 Policy period: $8,311,511.48 was attributed to fabrication work, charged at the rate of $11.00 per $1,000 of gross receipts; and $2,860,719.74 was attributed to installation work, charged at the rate of $178.667 per $1,000 of gross receipts. (id. { 11.) Based on these findings, Plaintiff determined that Defendants owed an additional $334,543 for the 2018 Policy premium. (d.) For the 2019 Policy application, Plaintiff assigned an advance premium of $295,428, based on Defendants’ estimated gross re- ceipts and the premium rate of $196.952 per $1,000. (id. 7 12.) Plaintiff then made an adjustment to the advance premium ~ charged for the 2019 Policy, as it was known that Defendants’ actual gross receipts would be “well in excess” of their initial $1.5 million policy period estimate. (id. { 13.) Based on discussions with Defendants’ insurance broker, an endorsement was issued that provided for an additional premium of $149,464 to be added to the 2019 Policy’s advance premium. Cd.) Plaintiff made a demand for Defendants’ payment of the additional premium owed under the 2018 Policy, which to date has not been paid. Cid. | 14.) Defendants, in their response to interrogatories, stated that they do not dispute the $334,543 amount of additional premium owed for the 2018 Policy. Ud. 4 17; see also id. { 11; Ex. D. to O’Connor Decl. (“Interrogatories Response”) (Dkt. 57-4).) Nor have Defendants challenged the interim agreement for the addi- tional advance premium of $149,464 under the 2019 Policy, which Defendants agreed to through their insurance broker. (Pl’s 56.1 St. 9 18; see also id. 4] 13-14.)

When it came time for Plaintiff to collect whatever additional premium was owed under the 2019 Policy, an audit was ordered to establish the amount owed. (See generally Ex. E to O’Connor Decl. (the “Zimmerer Depo.”) (Dkt. 57-5).) Plaintiffs auditor was at first unable to conduct the needed analyses due to a lack of supporting documentation provided. (Id.) Eventually, a 2019 Policy Revised Audit was conducted. (Pl’s 56.1 St. 4 19.)After a series of emails exchanged between Plaintiffs auditor and De- fendants’ representative regarding the details of the 2019 Policy Revised Audit calculation and results,? Defendants’ counsel ad- vised that Defendants agreed to the 2019 Policy Revised Audit on February 10, 2022, showing an additional $460,296 owed. (id. { 19.)* Plaintiff alleges Defendants currently owe a total sum of $944,303 due to Plaintiff for additional premium under the Pol- icies, no portion of which has yet been paid. (Id. at { 20.) Plaintiff also asserts a total amount of $77,163 of incurred attorney’s fees

3 Defendants asserted that prior to the 2019 Policy Revised Audit, Plaintiff was seeking to have 100% of Defendants’ insured gross receipts during the 2019 Policy period treated as “installation” work for the purposes of pre- mium calculation. (See Interrogatories Response | 5.) Throughout the course of litigation, including after a lengthy deposition throughout which Plaintiffs auditor explained to Defendants’ counsel what information she would need to figure out an estimated division between receipts stemming from “installation” work vs. “fabrication” work, the 2019 Policy Revised Audit referred to in Plaintiffs 56.1 Statement was conducted, and Plaintiff arrived at the outstanding premium amounts currently sought. (See gener- ally Zimmerer Depo; Ex. 7 to Myers Decl. (the “2019 Policy Revised Audit”) (Dkt. 58-7).} 4 Plaintiffs consider this email from counsel the final word from Defend- ants on whether the audit was right. The Defendants, in their Answer and Opposition to Fees, continue to dispute the audit’s conclusions despite this concession.

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American Empire Surplus Lines Insurance Company v. MTB AMG INC., Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-empire-surplus-lines-insurance-company-v-mtb-amg-inc-nyed-2023.