First Roumanian American Congregation v. Guideone Mutual Insurance

862 F. Supp. 2d 293, 2012 U.S. Dist. LEXIS 33447, 2012 WL 811513
CourtDistrict Court, S.D. New York
DecidedMarch 9, 2012
DocketNo. 11 Civ. 1467 (NRB)
StatusPublished
Cited by10 cases

This text of 862 F. Supp. 2d 293 (First Roumanian American Congregation v. Guideone Mutual Insurance) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
First Roumanian American Congregation v. Guideone Mutual Insurance, 862 F. Supp. 2d 293, 2012 U.S. Dist. LEXIS 33447, 2012 WL 811513 (S.D.N.Y. 2012).

Opinion

MEMORANDUM AND ORDER

NAOMI REICE BUCHWALD, District Judge.

I. Introduction

First Roumanian American Congregation (the “plaintiff”) brings suit against GuideOne Mutual Insurance Company (the “defendant”) seeking a declaratory judgment and damages in connection with the alleged breach of the terms of an insurance policy. Before the Court is defendant’s motion to dismiss plaintiffs amended complaint pursuant to Federal Rules of Civil Procedure 12(b)(1) and 12(b)(6). For the reasons stated below, defendant’s motion is granted in part and denied in part.

II. Background1

Plaintiff is a religious organization with longstanding ties to a synagogue that was [296]*296located at 89 Rivington Street, New York, New York 10002. Am. Compl. 1; Am. Compl. Ex. A 2. Defendant is a corporation with its principle place of business in West Des Moines, Iowa that specializes in providing insurance to religious organizations. Am. Compl. ¶¶2-3. Prior to the events giving rise to this suit, plaintiff had “[f]or a period of years” purchased building and personal property insurance from defendant to cover losses at its synagogue. Am. Compl. 1. In an annual renewal certificate, dated July 18, 2005, defendant extended the insurance policy (the “policy”) for plaintiffs synagogue to cover the period from September 1, 2005 to September 1, 2006. Am. Compl. Ex. A 3.

A. The Insured Loss

On January 22, 2006, the roof of plaintiffs synagogue collapsed. Am. Compl. ¶ 11. Following the collapse, the City of New York ordered the demolition of the remaining unstable structure, which was razed in March 2006. Id. at ¶¶ 12-13. Given the synagogue’s condition, plaintiff was only permitted to remove two items of particular religious significance from the ruins prior to the demolition. Id. at ¶ 14. “[Vjirtually all other objects that were in the synagogue at the time of collapse” “were either destroyed or rendered irrecoverable by the collapse.” Id. at ¶ 15.

B. The Insurance Policy

Pursuant to the Commercial Property Coverage Part of the policy, plaintiff held insurance coverage for up to $1,211,000 on the synagogue and for up to $218,100 on personal property located in the synagogue, subject in each case to a deductible of $500. See Am. Compl. Ex. A 18. The Building and Personal Property Coverage Form (the “coverage form”) detailed the property covered by this insurance coverage as well as the obligations of plaintiff and defendant in the event of covered loss or damage. See id. at 33-55.

In § E(4)(a)(l) and (2), the coverage form addresses defendant’s salient obligation to pay plaintiff in the event of covered loss or damage, providing in relevant part, “at [defendant’s] option, [defendant] will either: (1) [p]ay the value of lost or damaged property [or] (2) [p]ay the cost of repairing or replacing the lost or damaged property.” Id. at 48. A number of provisions in the coverage form dictate when defendant’s obligation to pay is triggered as well as how covered loss or damage is valued and also how much defendant must ultimately pay plaintiff. As a baseline, § E(7)(a) of the coverage form states that “the value of [c]overed [property” will be determined at replacement cost. Id. at 50. However, pursuant to § E(7)(d)(l) and (2), “[defendant] will not pay on a replacement cost basis for any loss or damage: (1) [u]ntil the lost or damaged property is actually repaired or replaced; and (2) [unless the repairs or replacement are made as soon as reasonably possible after the loss or damage.” Id. Further, in § E(7)(e), the coverage form specifies, “[defendant] will not pay more for loss or damage on a replacement cost basis than the least” of (i) the applicable insurance limit, (ii) “[t]he cost to replace, on the same premises, the lost or damaged property with other property ... [o]f comparable material and quality[ ] and ... [u]sed for the same purpose,” or (iii) the amount plaintiff actually spends on replacement. Id.

Like defendant, plaintiff too has certain responsibilities in the event of covered loss [297]*297or damage. For instance, pursuant to § E(3)(a)(2) of the coverage form, the plaintiff must “[g]ive [defendant] prompt notice of the loss or damage” and “[i]nclude a description of the property involved.” Id. at 43. In addition, pursuant to § E(3)(a)(7), the plaintiff must “[s]end [defendant] a signed, sworn proof of loss containing the information [defendant] requests] to investigate the claim.” Id. Plaintiff must provide this information within sixty (60) days of defendant’s request, and defendant must supply plaintiff with the necessary forms. Id.

While actual repair or replacement is a condition precedent to defendant’s payment on a replacement cost basis, the coverage form also provides in § E(7)(c) that “[plaintiff] may make a claim for loss or damage covered by this insurance on an actual cash value basis instead of on a replacement cost basis,” in which case “[plaintiff] may still make a claim for the additional coverage that replacement cost coverage provides if [plaintiff] notifies] [defendant] of [its] intent to do so within 180 days after the loss or damage.” Id. at 50. The term actual cash value is separately defined in § G(3) of the coverage form:

Actual Cash Value is calculated as the amount it would cost to repair or replace covered property, at the time of loss or damage, with material of like kind and quality, subject to a deduction for deterioration or depreciation however caused---- The Actual Cash Value of the lost or damaged property may be significantly less than its replacement cost.

Id. at 53.

Regardless of whether replacement cost or actual cash value is used as the basis for valuing the covered property, the coverage form provides in § E(2) for an appraisal process should “[defendant] and [plaintiff] disagree on the value of the property or the amount of loss.” Id. at 48. Pursuant to 'this appraisal process, “either [defendant or plaintiff] may make written demand for an appraisal,” in which event the parties will each select an appraiser, the two appraisers will either select an umpire or failing an agreement between them defer to a court’s selection, and a decision endorsed, by any two members of the resulting panel will be binding. Id. Pursuant to the coverage form, the parties would each be responsible for paying their chosen appraiser and would split the remaining appraisal costs. See id.

C. The Insurance Claims

On January 23, 2006, the day following the collapse of the synagogue’s roof, plaintiff reported its loss to defendant, initiating the set of insurance claims that underlie this suit. Am. Compl. ¶ 16. The parties do not appear to have ever disputed that the roofs collapse is a covered cause of loss. See Am. Compl. Ex. A 56-65 (Causes of Loss Form). While there appears to have developed some disagreement over whether all of the personal property loss is covered loss,2 the parties similarly do not appear to have ever dis[298]*298puted that the synagogue’s demolition following the roofs collapse is a covered loss.

1.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
862 F. Supp. 2d 293, 2012 U.S. Dist. LEXIS 33447, 2012 WL 811513, Counsel Stack Legal Research, https://law.counselstack.com/opinion/first-roumanian-american-congregation-v-guideone-mutual-insurance-nysd-2012.