Brocato v. Sun Underwriters Ins. Co. of New York

53 So. 2d 246, 219 La. 495, 29 A.L.R. 2d 629, 1951 La. LEXIS 894
CourtSupreme Court of Louisiana
DecidedMay 28, 1951
Docket40047
StatusPublished
Cited by22 cases

This text of 53 So. 2d 246 (Brocato v. Sun Underwriters Ins. Co. of New York) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brocato v. Sun Underwriters Ins. Co. of New York, 53 So. 2d 246, 219 La. 495, 29 A.L.R. 2d 629, 1951 La. LEXIS 894 (La. 1951).

Opinions

LE BLANC, Justice.

This is a suit on a policy of windstorm insurance covering the premises bearing Municipal Number 703, Esplanade Avenue in the City or New Orleans. The policy contract is dated March S, 1947 and was in full force and effect on September Í9, 1947 when a severe hurricane struck the city of New Orleans and, as a result, the insured premises were damaged by the force of the wind and -by the water which fell through the damaged roof. The amount of the coverage was $10,000.00 and plaintiff claims that his property was damaged to the extent of $6413.00. In addition he claims that the condition of the premises has been such, due to the effects of the storm, that they have not been habitable since January 1948 and as a consequence he has lost a monthly revenue of $185.00 because of the enforced vacancy of five apartments in the building. His demand against the defendant insurance company is for $10,853.00

Plaintiff alleges that the defendant corporation, immediately after the storm, paid him his claims for damages on other of his properties insured by them but refused to pay the amount indicated by the estimate of an appraiser with reference to the premises located at 703 Esplanade Avenue; that since that time he has contacted defendant’s agent in an attempt to settle the amount due under the policy but has been unsuccessful in arriving at an agreeable figure and that said con[499]*499tacts have been continual until the present time (meaning the date on which' suit was filed, January 16, 1950) when all negotiations have been broken off.

In its answer defendant admits its contract with the plaintiff and generally admits all the allegations of his petition but specially pleads in defense to his action the limitation ' clause contained in the policy to the effect that suit must be brought under its terms within twelve months from the date of the loss. Suit in this case having been instituted long after twelve months from the date of the loss sustained by plaintiff, if the limitation .clause is to be held effective, it follows that his action is barred thereunder. It is the plaintiff’s contention that by its admissions of liability, its negotiations for, and offers of settlement, that defendant has waived the limitation clause and is now estopped from invoking its provisions. After trial in the lower court the district judge held that there was no waiver, that plaintiff was bound by the limitation clause and accordingly he dismissed his suit. From a judgment so decreeing plaintiff took this appeal.

Plaintiff bought the policy sued on through an insurance solicitor or salesman by the name of Henry S. Hirsch to whom he had been giving all his insurance and Hirsch, following his usual custom, turned over the application to the insurance agency of Calhoun & Barnes, Inc., agents for the defendant corpora-. tion, Sun Underwriters Insurance Company-of New York. The record does not show that plaintiff filed a proof of loss at anytime, but immediately following the hurricane, in fact on the same day according-to Hirsch’s testimony, he reported the damage that had occurred to Hirsch, over-telephone, and Hirsch reported it to the-agency who then turned the matter over to-an adjuster.

The record reveals that the hurricane of September, 1947, caused damage to so-many properties in New Orleans and the-claims presented became so numerous that it was impossible for local -adjusters to-handle them all and it was necessary to-call in outside adjusters on the job.

It is not certain under whose authority a contractor by the name of Earl E. Kennedy m'ade an appraisement of the damage to the property at 703 Esplanade Avenue, but it appears from his testimony that the-Central Adjustment Bureau did ask him to check some of plaintiff’s property outside of the city and that he did so. This claim was duly paid, according to plaintiff’s testimony. Plaintiff accompanied Kennedy on his trip on that inspection and informed him of the damage to his Esplanade Street property. Kennedy states, that plaintiff told him he would contact his agent about it and he (Kennedy) thinks that it was Hirsch who called him and' asked him to make an estimate. The testimony regarding the time when the-estimate was made is very indefinite but-[501]*501from it all we would judge that it was some time in the Spring of 1948. He says that he made another appraisement later on. There is filed in the record a letter addressed by him to the plaintiff, dated August 2, 1948, submitting an estimate of $6387.50.

In the meantime Calhoun & Barnes Inc. had referred the claim to three of those adjusters who had been called to New Orleans to assist in making estimates of the numerous claims that were pending. The first of these was a party by the name of W. W. Cason, residing in the State of Oklahoma, whose testimony was taken by deposition. ■ He inspected the property in October; 1947 and reported no damage from the effects of the hurricane. We .get the impression from his testimony that he was a bit irritated at plaintiff’s failure to have kept an appointment with him and he appears to have been unfavorably influenced by that fact in making his report.

The second adjuster called in was A. Lee Abbey of Dallas, Texas, who made his inspection between January and February of 1948. His recollection was that, giving the assured all possible benefit of doubt, the damages would not have amounted to over five hundred or six hundred dollars but in an effort to settle the claim he offered him one thousand dollars which was rejected.

The third of these adjusters was Roland Vann of San Antonio, Texas, who says he inspected the premises some time between January and March 12, 1948 and whilst he kept no detailed figures of specific items and spoke of none to the assured, he remembered that after he had all his figures in his mind he told him that he would recommend that a settlement be made in the amount of $1800.00.

In July, 1948, the claim was re-assigned to Miller Adjustment Agency in New Orleans and a man by the name of William Foss was instructed to adjust the claim. According to his testimony, he was assigned the claim on June 8, 1948 and the first thing he did was to contact Kennedy who, he had been advised by his agency, was plaintiff’s contractor. He and Kennedy met on the premises on July 12, 1948 with the plaintiff. He states that Kennedy had made a prior inspection but advised him that he would prepare an estimate and send it to him. He had to call him a couple of times and he finally sent in a report of over $6000.00 which he considered excessive. He then called in another contractor by the name of George Lupo and together they made an estimate showing a damage of some $2900.-00. At the meeting with Kennedy and plaintiff, the latter made no claim for any amount and he did not see him any more until August 22, 1948 when he met him in the Roosevelt Hotel. They discussed the claim and he told plaintiff that he was willing to offer him $2200.00 as a settlement but plaintiff refused; saying it was too low. He says that plaintiff did not say [503]*503how much he wanted but neither does it appear from his testimony, that he indicated that $2200.00 was his final offer.

The matter seems to have remained in this status until about April 15, 1949 when plaintiff consulted the attorney who represents him in this suit. The attorney first contacted Hirsch, apparently without any result and he then contacted Foss, the adjuster, who told him that his agency had no longer any interest in the matter because prescription had accrued. He then contacted Mr. A. M. Barnes, Jr.

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Bluebook (online)
53 So. 2d 246, 219 La. 495, 29 A.L.R. 2d 629, 1951 La. LEXIS 894, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brocato-v-sun-underwriters-ins-co-of-new-york-la-1951.