Cuebas Fernández v. Porto Rican & American Insurance

85 P.R. 601
CourtSupreme Court of Puerto Rico
DecidedJune 12, 1962
DocketNo. 150
StatusPublished

This text of 85 P.R. 601 (Cuebas Fernández v. Porto Rican & American Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cuebas Fernández v. Porto Rican & American Insurance, 85 P.R. 601 (prsupreme 1962).

Opinion

Mr. Justice Pérez Pimentel

delivered the opinion of the Court.

Minor Rafael Cuebas Fernández and his parents, Rafael Cuebas Polanco and Nora Fernández, brought an action against the Porto Rican and American Insurance Company claiming damages sustained by the said minor as a result of the impact of a .22 caliber pellet shotgun on June 26, 1957 and of the acts of Francisco Rovira Fernández, also a minor. The complaint was predicated on the defendant company’s liability under a policy issued in favor of Francisco Rovira Graña. According to the conditions of that policy, the term “insured” included, in addition to the insured, the latter’s relatives who lived in his home, among whom was his son Francisco Rovira Fernández. The contract of insurance imposed on the insured, among others, the following'obligations: [604]*604(a) to give forthwith written notice of the accident to the insurer or to any of its agents, which notice shall contain all the information which the insured could reasonably obtain in connection with the place, the hour, and circumstances of the accident, and the name and address of the person injured and of the eyewitnesses; (b) to co-operate with the company; (c) to appear at the hearings and trials which may be necessary to give testimony in connection with the case; (d) to assist the company in effecting any compromise in connection with the claim.

After a trial on the merits the superior court rendered judgment exonerating the defendant company from liability on the ground that the insured had breached the condition of the policy imposing on him the obligation to co-operate with the insurer. That is precisely the main issue involved in this appeal.

We have said that the accident occurred on June 26,1957. Three days later insured Francisco Rovira Graña gave written notice of the accident to the insurance company, through ;its Mayagüez agent, describing it as follows: “the child Ra-;£ael Cuebas was playing in the yard with a pellet which he found and the youngster Francisco Rovira Fernández took it from him and started to strike it on the primer with an instrument, and when it exploded the pellet injured the little boy.” The report of the accident, which is a printed form furnished by the company, set forth the place and hour of the accident, the nature of the wound received by the injured child, the name of the clinic where he was hospitalized and of' the attending physician. It was further informed that no claim had yet been made in connection with the accident, but that they would. In a footnote of the printed form it was also stated, that it had not been reported to the police.

The version of the accident was furnished to Mr. Rovira, .since he did not witness it.

[605]*605On September 1, 1957, Rafael Cuebas Polanco, the father of the injured child, wrote a letter to José Luis Colón, adjuster of the defendant company, informing him of the accident and inquiring as to the result of the investigation conducted by the company and its attitude in the case before making claim through judicial channels. The insurer did not answer that letter. On October 25, 1957 attorney Blanco Lugo wrote to the defendant company informing it that he had assumed the representation of the plaintiffs in the claim for an accident which occurred on June 26, 1957 and which was covered by the public-liability policy issued by that company in favor of Rovira Grana. In that letter the said attorney urged the insurer to accept its liability, and informed it that he was in the best disposition to meet with the company for the purpose of discussing and settling the matter satisfactorily. The letter was not answered either. In the same month of October 1957, according to the uncontroverted evidence in the record, the attorney for the plaintiffs urged personally Mr. Colón, adjuster and chief of the Claims Department of the company, to give him an answer on the matter, to which the latter replied that the company had ho liability because they could prove that the father of minor Rovira had acted as a good father of family. On two or three subsequent occasions the attorney met adjuster Colón and gave him the account of the accident which the plaintiff child had given him, and which was to the effect that the child had been the victim of a shot which had come out of a shotgun manipulated by young Rovira.1

[606]*606On October 11, 1957 the company wrote a letter to Ma-yagiiez police headquarters requesting copy of the entry in the police blotter of the accident which occurred on June 26. There was no such entry at that time because the accident had not been reported to the police. As a result of the company’s request, the police conducted an investigation in December 1957. In that investigation the only ones questioned were minor Francisco Rovira Fernández, who gave the same version which his father had already given to the company, and the mother of the injured child who stated that there was no criminal intention on the part of Rovira Fernández in that accident.

The complaint was filed in July 1958, after more than one year had elapsed from the date of the accident. Three months later, in October of that year, the defendant filed its answer denying almost all the facts of the complaint and alleging as special defense that the complaint did not allege facts constituting a cause of action because it did not contain any averment of negligence. An interrogatory was enclosed with the answer, which the plaintiffs answered in October. The answer to question number 4 of the interrogatory is as follows:

“4. The plaintiff minor suffered the impact of a pellet in the region of the liver. The impact was produced by a .22 caliber shotgun belonging to Noé Fernández Pabón of Cabo Rojo, Puerto Rico. When the accident occurred the shotgun was being manipulated by Francisco Rovira Fernández.”

Thereupon the company agents talked with Francisco Ro-vira Graña and for the first time with his son Francisco Rovira Fernández. On December 12, 1958 both subscribed [607]*607a statement for the company setting forth what follows on the occurrence of the accident:

“On the day of the occurrence I was in the yard of my house firing with a .22 caliber shotgun. When the child Rafaelito Cuebas tried to take the shotgun away from me, he grabbed it by the barrel and it went off injuring the child.”

After obtaining this statement the defendant company filed an amended answer on December 29, 1958 raising for the first time the defense of lack of co-operation of the insured and alleging that it had been seriously prejudiced, for the following reasons:

“(a) That in the Notice of Accident sent to the defendant he gave another version which was irreconcilable with the version given several days ago to the undersigned attorney, and because of the existing relationship between the parties he knew that one version does not reflect the reality of this occurrence, (b) That the truthfulness of either version has been defeated and the defendant prejudiced in the defense of its interests because of the adverse effect which the account of the two versions, coming from the same source and which are irreconcilable between themselves, will produce in the Hon. Court.”

The trial was held on March 6, 1959, that is, after more than two months had elapsed since the company filed its amended answer raising the defense of lack of co-operation of the insured. Two versions of the accident were offered at the trial.

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Cite This Page — Counsel Stack

Bluebook (online)
85 P.R. 601, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cuebas-fernandez-v-porto-rican-american-insurance-prsupreme-1962.