Insurance Corp. of New York v. United States Fire Insurance

63 A.D.3d 455, 882 N.Y.S.2d 18

This text of 63 A.D.3d 455 (Insurance Corp. of New York v. United States Fire Insurance) 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
Insurance Corp. of New York v. United States Fire Insurance, 63 A.D.3d 455, 882 N.Y.S.2d 18 (N.Y. Ct. App. 2009).

Opinion

[456]*456Order, Supreme Court, New York County (Carol R. Edmead, J.), entered February 7, 2008, which, insofar as appealed from, denied the cross motion of defendant United States Fire Insurance Company (US Fire) for summary judgment dismissing the complaint as against it, reversed, on the law, without costs, and the cross motion granted. The Clerk is directed to enter judgment dismissing the complaint as against US Fire. Appeal from order, same court and Justice, entered June 24, 2008, which, inter alia, denied US Fire’s request to rescind an insurance policy, unanimously dismissed, without costs, as abandoned.

While the motion court found that the insured, defendant BFC Construction Corp., gave late notice of two claims to US Fire, its excess insurer, the court also deemed US Fire’s disclaimer untimely. US Fire issued its disclaimers on April 28, 2006, and the court determined that US Fire had notice on March 16, 2006.

However, the record establishes that US Fire actually received proper notice on April 20 rather than March 16. Pursuant to. the terms of its excess policy with US Fire, BFC was required to provide US Fire “prompt written notice of an occurrence, which might result in a claim.” Notice was to include how, when and where the occurrence took place; the names and addresses of injured parties and witnesses; and the nature and location of any injury or damage. “An insurer’s obligation to cover its insured’s loss is not triggered unless the insured gives timely notice of loss in accordance with the terms of the insurance contract” (Power Auth. of State of N.Y. v Westinghouse Elec. Corp., 117 AD2d 336, 339 [1986], citing Security Mut. Ins. Co. of N.Y. v Acker-Fitzsimons Corp., 31 NY2d 436 [1972]; see also Travelers Ins. Co. v Volmar Constr. Co., 300 AD2d 40 [2002]). Accordingly, US Fire’s disclaimers, issued eight days after receiving notice, were timely as a matter of law (see e.g. Public Serv. Mut. Ins. Co. v Harlen Hous. Assoc., 7 AD3d 421, 423 [2004]). Concur—Gonzalez, P.J., Moskowitz and Renwick, JJ.

Nardelli and Catterson, JJ., concur in a separate memorandum by Catterson, J., as follows: I concur with the result reached by the majority but write separately because I believe that the issue of notice obligations under the primary policy of insurance and under an excess policy of insurance requires greater explication.

This is a dispute between a primary insurer (plaintiff) and an excess insurer (hereinafter referred to as U.S. Fire). The plaintiff issued a commercial general liability policy to the defendant [457]*457BFC Construction Corp. (hereinafter referred to as BFC) for the period January 1, 2001 to January 1, 2002. U.S. Fire, through Crum & Forster, issued an excess insurance policy to BFC for the same period. BFC has primary coverage from other insurers in addition to plaintiff.

The primary policy issued by plaintiff has a $2 million general aggregate limit (except for products-completed operations, which are not at issue). The excess insurance policy issued by U.S. Fire states:

“1. YOU must see to it that WE receive prompt written notice of an occurrence, which may result in a claim. Notice should include:
“a. How, when and where the occurrence took place;
“b. The names and addresses of any injured persons and witnesses.
“c. The nature and location of any injury or damage arising out of the occurrence.
“2. If a claim is made or suit is brought against YOU, YOU must see to it that WE receive prompt written notice of the claim or suit.
“3. YOU and any other involved insured must:
“a. Immediately send US copies of any demands, notices, summons, or legal papers received in connection with the claim or suit.”

The policy also says, “A notice given by, or on behalf of, the insured, or written notice by, or on behalf of, the injured person or any other claimant, to any licensed agent of ours in New York State with particulars sufficient to identify you, shall be deemed notice to us.”

On March 9, 2006, Tom Ward of Ward North America, LP— plaintiffs third-party claims administrator, sent an e-mail to Jill Pompeii of Crum & Forster. He wrote:

“As we discussed, this matter [Dagati v BFC Constr.] is scheduled for trial on March 16, 2006. As I advised you, the Inscorp [i.e., plaintiffs] policy issued to BFC Construction had $1 million per occurrence and $2 million aggregate coverage. To date, $1.2 million has been paid as indemnity, leaving $800,000 as the remainder of the aggregate.
“I am issuing the attached letter today to our insured. You should receive a hard copy shortly.
“Inscorp currently has two other claims open on this policy: Daniel Torres . . . and Regolodo.”

The attached letter stated, “the General Aggregate Limit is [458]*458likely to be used up in the payment of judgments or settlements.”

Pompeii replied, “it is my tentative plan to attend this trial . . . [Pjlease provide details regarding where and when pretrial settlement negotiations will occur.”

Ward forwarded the e-mails to another person within his company, adding, “I don’t know if she [Pompeii] is monitoring the other two claims [Torres and Regolodo].”

On March 16, 2006, Ward North America faxed to Crum & Forster a letter that it had sent to BFC on March 15. The letter said:

“Our office previously received a copy of the Summons and Complaint filed on behalf of Daniel Torres. It is alleged that Mr. Torres sustained injury on July 30, 2001 on a sidewalk located adjacent to your construction project at 223/225 East 7th Street, New York . . .
“Please allow this correspondence to serve as The Insurance Corporation of New York’s notification that based upon occurrences, offenses, claims or suits which have been reported to INSCORP and to which this insurance may apply, the General Aggregate Limit is likely to be used up in the payment of judgments or settlements.”

Ward North America also faxed Crum & Forster a copy of the summons and complaint in the Regolodo action.

On April 20, 2006, Ward North America sent Crum & Forster a tender letter stating that the primary policy was likely to be exhausted and that the excess policy would now be implicated.

U.S. Fire disclaimed any obligation to defend or indemnify BFC in light of the late notice in both cases. It also rejected Ward’s tender in the Torres case.

In February 2007, the plaintiff brought the instant action. It sought a declaration that its policy had been exhausted and that U.S. Fire was required to defend and indemnify BFC in Regolodo. It also sought $375,000 (the amount it had allegedly overpaid in the Torres settlement). Finally, it sought the “amount of defense costs which have been and will be incurred in the Regolodo action since January 31, 2007.”

U.S. Fire answered. One of its affirmative defenses was that “[the] [p]laintiff and BFC failed to provide timely notice of the Torres and Regolodo claims to U.S. Fire.”

Ultimately, the plaintiff moved for summary judgment and U.S.

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

Related

American Home Assurance Co. v. International Insurance
684 N.E.2d 14 (New York Court of Appeals, 1997)
Hartford Accident & Indemnity Co. v. Michigan Mutual Insurance
463 N.E.2d 608 (New York Court of Appeals, 1984)
Security Mutual Insurance v. Acker-Fitzsimons Corp.
293 N.E.2d 76 (New York Court of Appeals, 1972)
Sorbara Construction Corp. v. AIU Insurance
897 N.E.2d 1054 (New York Court of Appeals, 2008)
Public Service Mutual Insurance v. Harlen Housing Associates
7 A.D.3d 421 (Appellate Division of the Supreme Court of New York, 2004)
Long Island Lighting Co. v. Allianz Underwriters Insurance
24 A.D.3d 172 (Appellate Division of the Supreme Court of New York, 2005)
Hartford Accident & Indemnity Co. v. Michigan Mutual Insurance
93 A.D.2d 337 (Appellate Division of the Supreme Court of New York, 1983)
Power Authority v. Westinghouse Electric Corp.
117 A.D.2d 336 (Appellate Division of the Supreme Court of New York, 1986)
Travelers Insurance v. Volmar Construction Co.
300 A.D.2d 40 (Appellate Division of the Supreme Court of New York, 2002)

Cite This Page — Counsel Stack

Bluebook (online)
63 A.D.3d 455, 882 N.Y.S.2d 18, Counsel Stack Legal Research, https://law.counselstack.com/opinion/insurance-corp-of-new-york-v-united-states-fire-insurance-nyappdiv-2009.