Great American Insurance Company v. Gemstone Property Management, LLC

District Court, S.D. New York·Decided August 1, 2025·No. 1:23-cv-09100·Unknown

Opinion

USDC SDNY DOCUMENT UNITED STATES DISTRICT COURT ELECTRONICALLY FILED SOUTHERN DISTRICT OF NEW YORK DOC #: ccna sccm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□ XK DATE FILED:_ 8/1/2025 GREAT AMERICAN INSURANCE COMPANY, : Plaintiff, : -v- : GEMSTONE PROPERTY MANAGEMENT LLC, : DHNY APT IV LLC, and LUIS MANUEL GARCIA : SALCEDO, : Defendants. :

wn ee X GEMSTONE PROPERTY MANAGEMENT LLC, : DHNY APT IV LLC, and LUIS MANUEL GARCIA : SALCEDO, : Third Party Plaintiffs. : -V- : ASPEN SPECIALTY INSURANCE COMPANY, : TRONSHORE INDEMNITY INC., DISTINGUISHED : 23-cv-9100 (LJL) PROGRAMS INSURANCE BROKERAGE LLC, : DISTINGUISHED PROPERTIES UMBRELLA : OPINION AND ORDER MANAGERS INC. and THE O&S INSURANCE : BROKERAGE GROUP, INC. c/o its successor HUB : INTERNATIONAL LIMITED, : Third Party Defendants. :

wn ee X LEWIS J. LIMAN, United States District Judge: Third-party Defendants Distinguished Programs Insurance Brokerage LLC (‘Distinguished Brokerage”)! and Distinguished Properties Umbrella Managers Inc.

' Distinguished Programs Insurance Brokerage LLC is referred to in the Third-Party Complaint and throughout TPPs’ papers as “Distinguished Programs.” The parent company of Distinguished Programs Insurance Brokerage LLC is Distinguished Programs Group, LLC,

(“Distinguished Properties” and, with Distinguished Brokerage, the “Distinguished Parties”) move, pursuant to Federal Rule of Civil Procedure 12(b)(6), to dismiss the third-party claims against them by Third-Party Plaintiffs Gemstone Property Management LLC (“Gemstone”), DHNY APT IV LLC (“DHNY”), and Luis Manuel Garcia Salcedo (“Salcedo” and, together with

Gemstone and DHNY, the “TPPs”). Dkt. No. 123. By order of April 18, 2025, the Court gave notice that it might treat the motion as one for summary judgment and provided an opportunity for TPPs to present additional material. Dkt. No. 157. TPPs did not provide additional material. The Court converts the motion to one for summary judgment and, for the reasons that follow, grants summary judgment in favor of the Distinguished Parties and dismisses the third-party claims of TPPs. BACKGROUND The following facts are undisputed except as otherwise noted. They are drawn from the Third-Party Complaint, Dkt. No. 60 (“Third-Party Complaint” or “Compl.”); the declaration of Michael Roopnarine, Dkt No. 123 at 3–9; and the exhibits attached to both.

I. The TPPs DHNY is the owner of premises at 25-29 Nicholas Terrace, New York, New York (the “Premises”). Compl. ¶ 3. Gemstone operates or manages the Premises. Id. ¶ 4. Salcedo is a laborer who, on September 12, 2013, was performing construction services at the Premises. Id. ¶ 1. On that date, he sustained serious personal injuries when a heavy object was dropped by another worker and fell on Salcedo while he was in the process of dismantling a boiler. Id. ¶¶ 1– 2.

which is not a named third-party defendant in this action. Dkt. No. 123 ¶ 10. To avoid confusion, the Court refers to Distinguished Programs Insurance Brokerage LLC as “Distinguished Brokerage” and to Distinguished Programs Group, LLC as “Distinguished Programs.” DHNY holds a commercial general liability insurance policy (the “Aspen Policy”) issued to it as named insured by Aspen Specialty Insurance Company (“Aspen”). Id. ¶ 57. Gemstone also qualifies as a named insured to the Aspen Policy. Id. ¶ 58. The Aspen Policy had limits of $1 million per occurrence and $2 million in the aggregate, and was effective for the policy period

September 11, 2013, to September 11, 2014. Id. ¶¶ 57; Dkt. No. 60-12. It included an endorsement establishing a “Designated Ongoing Operations” exclusion, which expressly excluded from coverage any “bodily injury” or “property damage” arising from “[a]ny construction or renovation-related activity except for janitorial or maintenance-related work performed by your own employees.” Dkt. No. 60-12 at 51. The Aspen Policy was procured for DHNY and Gemstone by Third-Party Defendant O&S Insurance Brokerage Group Inc. (“O&S”) who, with its successor Hub International Limited, acted as insurance agent and broker for DHNY and Gemstone. Id. ¶ 6–7. II. The Distinguished Parties Distinguished Properties is a risk purchasing group, created and operated pursuant to the Product Liability Risk Retention Act of 1981, as amended by the Liability Risk Retention Act of

1986, 15 U.S.C. §§ 3901–3906, that offers excess insurance coverage through numerous insurers who have agreed to provide coverage through a Master Policy to members of the Distinguished Properties risk purchasing group. Dkt. No. 123 ¶ 4. Distinguished Brokerage is the wholesale insurance broker for Distinguished Properties. Id. ¶ 5. Distinguished Brokerage works with retail brokers that seek excess insurance for their clients—prospective insureds—for classic real estate risks. Id. The Distinguished Parties enter contracts with insurers such as Great American Insurance Company (“Great American”) that are interested in providing excess coverage to members of the Distinguished Properties risk purchasing group. Id. ¶ 6. Distinguished Parties also enter into contracts with retail brokers, such as O&S, who represent prospective insureds seeking excess insurance coverage. Id. A retail broker seeking coverage for its client will complete and submit an application to Distinguished Brokerage. Id. ¶ 7. Distinguished Brokerage will then provide the retail broker

with a quote (the terms and price for placing a risk with Distinguished Properties) based on guidelines set forth by the insurance companies with whom the Distinguished Parties have contracts. Id. Once the retail broker reviews and approves of the quote, a policy letter and certificate of coverage are issued by the participating insurers, which the retail broker again must review and approve on behalf of the potential insured before the insurance is bound. Id. In the process, the Distinguished Parties communicate only with the retail brokers; they do not contract with or communicate with the prospective insureds. Id. ¶ 8. The Distinguished Parties do not themselves underwrite the risk or issue insurance policies; rather, it is the insurance companies that contract with the insureds. Id. ¶ 5. Significantly for this case, Distinguished Properties offers policies only for real estate risk and has never offered or advertised for construction

policies. Id. ¶ 4. In 2003, Distinguished Programs, the parent company of Distinguished Brokerage, entered into a brokerage agreement (the “2003 Brokerage Agreement”) with Great American Custom Insurance Services, Inc. as part of the Distinguished Parties’ risk-purchasing program. Dkt. No. 123 ¶ 10; Dkt. No. 123-1. That agreement provided for Distinguished Programs to submit applications for insurance to Great American and for Great American to review such applications. Id. ¶ 11 From 2013 to 2015, Great American was the lead excess insurer to members of the Distinguished Parties’ risk purchasing group pursuant to a Commercial Umbrella Liability Master Insurance Policy (the “Master Insurance Policy”), with a combined liability limit of $100,000,000. Compl. ¶ 59; Dkt. No. 123 ¶¶ 4, 11, 13, 19; Dkt. Nos. 60-13–60-14, Dkt. No. 123-5. As part of that Master Insurance Policy, Great American issued the first layer of excess coverage through a “Protector Commercial Umbrella” policy effective from September 1, 2013, to September 1, 2015, with liability limits of $10,000,0002 for each occurrence and in the

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