Great Canal Realty Corp. v. Seneca Insurance Company, Inc.

13 A.D.3d 227, 787 N.Y.S.2d 22, 2004 N.Y. App. Div. LEXIS 15469
CourtAppellate Division of the Supreme Court of the State of New York
DecidedDecember 21, 2004
StatusPublished
Cited by3 cases

This text of 13 A.D.3d 227 (Great Canal Realty Corp. v. Seneca Insurance Company, Inc.) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Great Canal Realty Corp. v. Seneca Insurance Company, Inc., 13 A.D.3d 227, 787 N.Y.S.2d 22, 2004 N.Y. App. Div. LEXIS 15469 (N.Y. Ct. App. 2004).

Opinion

Order, Supreme Court, New York County (Debra A. James, J), entered January 7, 2004, which denied defendant’s motion for summary judgment dismissing the complaint, affirmed, without costs.

Ellerin and Catterson, JJ., concur in a memorandum by Catterson, J., as follows: In this declaratory judgment action, the Court is confronted with the validity of the no-prejudice exception in New York whereby an insurer can disclaim coverage without demonstrating prejudice when its disclaimer is based on late notice of an occurrence.

The underlying action in this case involves an accident that occurred on May 7, 2002. Song Thor Chong sustained injuries when he fell from a ladder during the course of renovation work on property owned by plaintiff, Great Canal Realty Corp. (hereinafter referred to as Great Canal). Great Canal’s president, Ms. Dunnie Lai, was informed about the accident a few weeks later by Norman Law, foreman of the general contractor, Welldone Enterprises, which was hired by Great Canal to perform the renovations. Law told Ms. Lai that Chong, an employee of an air conditioning subcontractor, had fallen from a ladder in the course of his work. Law additionally told her that *228 the problem would be taken care of under Welldone’s insurance which covered Great Canal as an additional insured.

On or about August 14, 2002, Chong commenced an action against Great Canal alleging violations of Labor Law §§ 200, 240 and 241, seeking $5 million in damages for his injuries. Great Canal was served with the summons and complaint in that action approximately four months after the accident, in September 2002. Ms. Lai notified Great Canal’s insurance carrier, Seneca Insurance Company (hereinafter referred to as Seneca) of the lawsuit on September 10, 2002. Seneca disclaimed coverage on the basis of late notice. The primary commercial liability insurance policy which covered Great Canal for the period from January 20, 2002 to January 30, 2003 provided, in part: “you must see to it that we are notified as soon as practicable of an occurrence or an offense which may result in a claim.” 1

On or about January 6, 2003, Great Canal commenced this declaratory judgment action seeking a declaration that Seneca is required to defend and indemnify Great Canal. Great Canal also sought recovery of defense and indemnity costs arising out of Seneca’s disclaimer of coverage. Subsequently, Seneca moved for summary judgment on the grounds that Great Canal, through Ms. Lai, was aware of the occurrence for four months before it notified the insurer. Seneca contended that Great Canal therefore failed to give timely notice, a condition precedent to coverage under the policy. Great Canal, in opposition, argued that it had notified Seneca promptly on receipt of the summons and complaint, but had not notified Seneca earlier because of its belief that workers’ compensation was the sole and exclusive remedy available to the injured party, and such compensation was available through the general contractor’s insurance policy. In addition, Great Canal argued that its belief of nonliability was reasonable since Ms. Lai did not know much more than the basic fact of the accident, and had no knowledge of how the accident happened, or the nature of the injury. The trial court denied Seneca’s motion, holding that triable issues of fact exist as to whether Great Canal had a valid excuse for the delay in notice, given the information provided to Ms. Lai.

We would affirm the denial of summary judgment but for the reasons set forth below.

*229 In 1921, Judge Cardozo authored the landmark contract law decision of Jacob & Youngs, Inc. v Kent (230 NY 239 [1921]). In that case, Cardozo discussed the measure of damages for a trivial breach of a contract term. The overriding import of his prose guides our decision today: “There will be no assumption of a purpose to visit venial faults with oppressive retribution.” (230 NY at 242). Cardozo went on to hold that: “Those who think more of symmetry and logic in the development of legal rules than of practical adaptation to the attainment of a just result will be troubled by a classification where the lines of division are so wavering and blurred. Something, doubtless, may be said on the score of consistency and certainty in favor of a stricter standard. The courts have balanced such considerations against those of equity and fairness, and found the latter to be the weightier. The decisions in this state commit us to the liberal view, which is making its way, nowadays, in jurisdictions slow to welcome it. {Dakin & Co. v. Lee, 1916, 1 K. B. 566, 579).” 2 {Id. at 242-243.)

This Court recognizes that contrary to the Court of Appeals’ philosophy in Jacob & Youngs, it is now the well-settled law in New York that where an insurance policy requires an insured to provide notice “as soon as practicable” after an occurrence, such notice must be provided within a reasonable time under all the facts and circumstances of each case. {Heydt Contr. Corp. v American Home Assur. Co., 146 AD2d 497, 498 [1st Dept 1989], lv dismissed 74 NY2d 651 [1989], citing Security Mut. Ins. Co. v Acker-Fitzsimons Corp., 31 NY2d 436, 441 [1972].) The insured’s delay or failure to give timely notice may be excused where the insured had a reasonable belief that it would not be liable for the accident. {Paramount Ins. Co. v Rosedale Gardens, Inc., 293 AD2d 235, 239 [1st Dept 2002], citing 875 Forest Ave. Corp. v Aetna Cas. & Sur. Co., 37 AD2d 11, 12 [1st Dept 1971], affd 30 NY2d 726 [1972].) At issue is not whether an insured believes that he will ultimately be found liable for the injury but whether he has a reasonable basis for a belief that no claim will be asserted against him. {SSBSS Realty v Public Serv. Mut. Ins. Co., 253 AD2d 583, 584 [1st Dept 1998], citing White v City of New York, 81 NY2d 955, 957 [1993].) It is generally held that questions as to whether there exists a good-faith belief that an injured party will not seek to hold the insured liable and *230 whether the belief is reasonable under the circumstances are questions of fact reserved for the factfinder. (Argentina v Otsego Mut. Fire Ins. Co., 86 NY2d 748, 750 [1995].) Absent a valid excuse, however, such a failure to notify the insurer vitiates the policy and the insurer need not show prejudice before it can assert the defense of noncompliance. (Security Mut. Ins. Co. v Acker-Fitzsimons Corp., 31 NY2d 436, 440 [1972].)

On appeal, Seneca argues that, as a matter of law, Great Canal’s belief was unreasonable because the very reasons given for the belief have been rejected by this Court, and so are not a legally cognizable excuse. (See Heydt v American Home Assur., 146 AD2d at 499 [plaintiffs assumption that others will bear ultimate responsibility for its loss is insufficient as a matter of law]; see also Paramount v Rosedale Gardens, Inc.,

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13 A.D.3d 227, 787 N.Y.S.2d 22, 2004 N.Y. App. Div. LEXIS 15469, Counsel Stack Legal Research, https://law.counselstack.com/opinion/great-canal-realty-corp-v-seneca-insurance-company-inc-nyappdiv-2004.