Central Nat. Ins. Co. of Omaha v. Devonshire Cov. Corp.

426 F. Supp. 7, 1976 U.S. Dist. LEXIS 14074
CourtDistrict Court, D. Nebraska
DecidedJuly 16, 1976
DocketCiv. 74-0-300
StatusPublished
Cited by13 cases

This text of 426 F. Supp. 7 (Central Nat. Ins. Co. of Omaha v. Devonshire Cov. Corp.) is published on Counsel Stack Legal Research, covering District Court, D. Nebraska primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Central Nat. Ins. Co. of Omaha v. Devonshire Cov. Corp., 426 F. Supp. 7, 1976 U.S. Dist. LEXIS 14074 (D. Neb. 1976).

Opinion

RICHARD E. ROBINSON, Senior District Judge.

This matter is before the Court after trial to the Court without a jury: Jurisdiction is established under 28 U.S.C.A. § 1332 (1966). In this action the plaintiff, Central National Insurance Company of Omaha, Nebraska, has filed suit against the defendant, Devon-shire Coverage Corporation of Los Angeles, California, for breach of contract.

I.

On February 1, 1970, the plaintiff, insurance company, and the defendant, insurance agency, entered into an “Agency Agreement” 1 which authorized the defend *10 ant to write certain types of property insurance contracts on behalf of the plaintiff. 2 From the inception of the Agency Agreement' until December 1, 1972, the parties conducted business on the basis of their written agreement, as modified or supplemented by an oral agreement that the defendant would not obligate the plaintiff to any single risk which was valued in excess of $1 million unless the defendant provided reinsurance to cover the risk in excess of $1 million. 3 This oral agreement was amended in a written addendum to the Agency Agreement, on December 1, 1972, which provided in pertinent part:

“A. LIMITATIONS
2. With respect to risks incepting on or after December 1, 1972, the General Agent (Devonshire) will not write risks in excess of $500,000 total sum insured for any risk (irrespective of the PML) unless reinsured as follows. Should the amount of the total sum insured on any one risk exceed $500,000 then the excess over the above-mentioned $500,000 limitation must be reinsured on a pro rata basis, not on an excess of loss basis, with financial (sic) sound and reputable reinsurers.
4. In the event that the General Agent exceeds or violates any one of the above limitations or if the General Agent does not provide valid and collectable reinsurance in accordance with these limitations then in such event the General Agent shall indemnify and hold harmless the . (plaintiff) from and against all claims, judgments, judgments (sic) or liabilities, including interest and reasonable costs of defense. . . .”

On December 19, 1972, the defendant agency wrote policy number SMP 59 83 77 bearing an effective date of December 31, 1972. In general, this policy provided blanket insurance coverage 4 on five (5) separate locations in Pennsylvania and Texas. Location number “1” under the policy is identified as Drexelbrook, which is an apartment complex with Clubhouse and Shopping Center in Upper Darby, Pennsylvania. The policy indicates that the Drexelbrook Complex was insured on a blanket basis in the amount of $9,190,000 for buildings, $160,000 for contents, $1,280,000 for rents, and $150,000 for gross earnings, totalling $10,780,000. However, since the Drexelbrook Complex is composed of 463 separate units, only the Drexelbrook Clubhouse was assigned a value for underwrit *11 ing purposes which exceeded the $500,000 limitation on Devonshire’s authority. The Clubhouse was valued at $700,000 for building, $150,000 for contents, $150,000 for gross earnings, and $100,000 for rents, totalling $1.1 million.

It is undisputed that the defendant did not procure pro rata 5 reinsurance on the risk in excess of $500,000 covered under the above-mentioned policy.

On October 27, 1973, the Drexelbrook Clubhouse was heavily damaged by fire. Initial estimates made by a representative of Devonshire placed the loss of buildings, contents, rents, and earnings at approximately $1,000,000. On November 16, 1973, the plaintiff notified the defendant of the absence of the required reinsurance and submitted its claim under the indemnity clause of the addendum to the parties’ Agency Agreement.

When policy SMP 59 83 77 was originally issued it included a special endorsement known as an average clause (stipulated amount). 6 The endorsement of the average clause (stipulated amount) had the effect of waiving the policy’s coinsurance clause. 7 However, the policy also contained a replacement cost endorsement which entitled the insured to recover its replacement cost, rather than the actual cash value of the insured property in the event of any loss, and this replacement cost endorsement contained its own coinsurance clause. In the initial phase of adjusting the loss involved in this case the plaintiff proceeded under the assumption that a coinsurance clause would apply to any claim filed under the policy’s replacement cost endorsement. Consequently, a local appraiser was hired to determine the replacement value of the Drexelbrook Complex. The appraiser found that the Complex had a total replacement value of $19,267,735 and that the Clubhouse had a replacement value of $1,188,867. Of course, since the Clubhouse was covered under a blanket policy, Central National was exposed for the entire $1,188,-867 in addition to its exposures for contents, rents and lost earnings, unless a coinsurance penalty was applicable. When it was subsequently learned that the average clause (stipulated amount) endorsement had also waived the coinsurance clause of the replacement cost endorsement, the parties realized for the first time that Central National was not only exposed to a single risk of approximately $1.6 million which was not reinsured, but also that it was exposed for the entire $1.6 million, without coinsurance penalty, even though the risk had been undervalued at the time the policy was underwritten by about one-third (V3).

The loss was finally adjusted by the parties, and a settlement was reached with the insured and paid by Central National in the amount of $778,782 for repair to the building, $160,000 for the repair and replacement of contents, and $160,000 for lost earnings and rents. An additional $144,385.00 is due pursuant to the settlement under the poli *12 cy’s replacement cost endorsement for a total settlement figure of $1,243,167. In addition, Central National incurred $31,-759.56 in expenses associated with the adjustment of the loss as well as a disputed sum of $1,242.83 billed to the plaintiff by the defendant, for a total loss to Central National of $1,276,169.39.

II.

The evidence in this case has left no doubt as to the following facts:

(i) Under the December 1, 1972 addendum to the parties’ Agency Agreement, Devonshire was obligated to procure pro rata reinsurance on any risk in excess of $500,000, total sum insured; 8

(ii) Policy number SMP 59 83 77, in dispute in this case, insured a single risk in excess of $500,000;

(iii) Devonshire did not procure pro rata reinsurance to cover all or any portion of the risk covered under the above-mentioned policy.

Nevertheless, Devonshire denies that it is liable to the plaintiff under the circumstances of this case.

A.

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Bluebook (online)
426 F. Supp. 7, 1976 U.S. Dist. LEXIS 14074, Counsel Stack Legal Research, https://law.counselstack.com/opinion/central-nat-ins-co-of-omaha-v-devonshire-cov-corp-ned-1976.