First State Insurance v. Utica Mutual Insurance

870 F. Supp. 1168, 1994 U.S. Dist. LEXIS 19805, 1994 WL 707123
CourtDistrict Court, D. Massachusetts
DecidedDecember 2, 1994
DocketCiv. A. 89-02494-RGS
StatusPublished
Cited by8 cases

This text of 870 F. Supp. 1168 (First State Insurance v. Utica Mutual Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
First State Insurance v. Utica Mutual Insurance, 870 F. Supp. 1168, 1994 U.S. Dist. LEXIS 19805, 1994 WL 707123 (D. Mass. 1994).

Opinion

MEMORANDUM OF DECISION AND ORDER

STEARNS, District Judge.

This trial came before the court sitting without a jury. The plaintiff, First State Insurance Co. (First State), an excess insurance carrier, seeks to recover an insurance payment that it made on behalf of an insured of the defendant Utica Mutual Insurance Co. (Utica). The Complaint alleges that Utica refusal to respond reasonably to an offer to settle the underlying claim caused First State to be liable for the excess above Utica policy limits. The Complaint is in four counts, alleging breach of contract, negligence, violations of Massachusetts General Laws Chapters 93A and 176D, and breach of *1169 the duty of good faith. Jurisdiction claimed under 28 U.S.C. § 1332. is

FINDINGS OF FACT

From the credible testimony and exhibits, I find the following material facts.

1. The plaintiff, First State Insurance Company, is an excess insurance carrier organized under the laws of Delaware with a principal place of business in Boston, Massachusetts.

2. The defendant, Utica Mutual Insurance Company, is a primary insurer organized under the laws of New York with a principal place of business in Utica, New York.

3. In 1983, Utica’s insured, the Fantoni Company (Fantoni), was the general contractor on a project to enlarge a roadway and construct a bridge across the Sudbury River in Framingham, Massachusetts. The construction site was surrounded by a residential neighborhood, a playground, and an elementary school. Although the contract included some money for security fencing, Fan-toni, after consulting with a state engineer, decided to fence only its equipment yard. The construction site was left unguarded at night and on weekends.

4. On Sunday, March 27, 1983, Christopher Joyce, a five year old child, wandered from his nearby home into an unfenced area of the construction site. Christopher attempted to traverse a 16' staging plank to a partially constructed support pylon in the middle of the Sudbury River. The plank had apparently been emplaced by teenage vandals. Christopher slipped into the river and drowned. His body was recovered on April 17, 1983, after an intensive search.

5. On November 15, 1983, Christopher’s parents, Thomas and Ellen Joyce, brought a wrongful death action against Fantoni in Middlesex Superior Court. The Joyces were represented by David Barber, a partner in the law firm of Mardirosian & Barber. The case proceeded slowly, and by 1988, Barber had delegated the day-to-day handling of the Joyces’ claims to an associate, Dean Carna-han. Carnahan in turn had assigned a contract associate, Robert Eberle, to begin pre-Eberle had worked as a paralegal in the Mardirosian firm while seeking admission to the Massachusetts bar. Eberle had practiced law for seven years in Colorado before moving to Massachusetts. He had no prior experience with wrongful death actions. At the time Eberle was assigned to the Joyce case, formal discovery was still in its preliminary stages. Eberle met several times with the Joyces on case-related matters. Despite his personal involvement with the Joyces, Eberle knew that Barber was ultimately responsible for the litigation. paring the case for trial.

6. At the time of Christopher’s death, Fantoni was insured to a limit of $500,000 under a primary general liability policy issued by Utica. Fantoni had excess liability coverage under a policy issued by First State in the amount of $15,000,000. Fantoni had obtained the policies through separate and independent brokers.

7. As the primary carrier, Utica undertook to provide Fantoni with a defense. For this purpose, Utica retained Leo F. Roche, Jr., of the law firm of Roche & Heifitz. Leo Roche delegated responsibility for pretrial matters to his daughter, Therese Roche, an associate in the firm.

8. Immediately after the accident, Utica hired Norfield Associates, an insurance adjuster, to investigate the circumstances of Christopher’s death. Norfield submitted a detailed report to Utica on April 7, 1983, and supplementary reports on April 28,1983, and October 24, 1983. Norfield’s initial report included interviews with the resident Massachusetts state engineer and three Fantoni employees. All of the witnesses acknowledged ongoing problems with vandalism at the site, including prior instances in which teenagers had used loose planking to gain access to the support pylon. The state engineer, Charles Mistretta, described the vandalism “as the worst he ha[d] ever seen in 15 years of performing this type of work.” One of the employees, Gilbert Berkley, a vice-president of Fantoni, acknowledged that the company had rejected fencing of the site as impractical.

*1170 9. On December 5, 1983, Fantoni’s surplus lines broker, Martin Ginden Insurance Agency, notified First State of the Joyce lawsuit. 1 First State recognized that the claim involved a potentially serious loss. On January 20, 1984, and again on March 13, 1984, a First State claims examiner wrote to Utica requesting background information.

10. On April 11, 1984, Gilbert Pickett, a Utica regional claims representative, wrote to First State offering to make the “very voluminous” Joyce file available for First State’s review. Pickett’s letter briefly recounted the facts of the accident and the posture of the litigation. Pickett totaled the plaintiffs’ demand at $2,500,000. He concluded with the observation that the case, as a type, was “very difficult to value,” but that Utica had set aside a reserve of $50,000 “at this time.”

11. Internally, Utica’s thoughts about the case were more troubled than Pickett’s letter might have suggested. On December 14, 1983, Roche & Heifitz, after a review of the file, warned Utica that the case presented serious issues of liability. Mistakenly believing that Christopher was ten years old at the time of his death, Richard Heifitz estimated the value of the case at around $100,000. 2 On February 1, 1984, Therese Roche informed Utica that she had been told by Dean Carnahan that the plaintiffs were seeking “well over” $100,000 in damages. In a February 6, 1984 memorandum, William Krause, a Utica home office senior claims manager, reflected that the lack of fencing and the failure to post warnings or erect barricades would make it difficult to mount an effective defense on Fantoni’s behalf.

12. Despite Utica’s invitation, First State did not undertake a review of the Joyce file. On May 16, 1985, First State closed its claims file on the Joyce case.

13. Utica and First State had no further communication concerning the Joyce case until September of 1988.

14. On October 29, 1984, Harold Lover-ing, a Utica regional claims manager, recommended to Krause that the reserve on the Joyce case be increased to $100,000. In response to a request from Krause for “something more concrete,” Lovering replied that he was “not comfortable” with the $50,000 that had been incurred in light of the successful track record of the Joyces’ attorneys. On October 18,1985, Utica raised the reserve to $150,000 (where it remained until the trial began on February 6, 1989).

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Cite This Page — Counsel Stack

Bluebook (online)
870 F. Supp. 1168, 1994 U.S. Dist. LEXIS 19805, 1994 WL 707123, Counsel Stack Legal Research, https://law.counselstack.com/opinion/first-state-insurance-v-utica-mutual-insurance-mad-1994.