INTEGON NATIONAL INSURANCE COMPANY v. RODRIGUEZ

CourtDistrict Court, D. New Jersey
DecidedAugust 2, 2024
Docket3:22-cv-03280
StatusUnknown

This text of INTEGON NATIONAL INSURANCE COMPANY v. RODRIGUEZ (INTEGON NATIONAL INSURANCE COMPANY v. RODRIGUEZ) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
INTEGON NATIONAL INSURANCE COMPANY v. RODRIGUEZ, (D.N.J. 2024).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

INTEGON NATIONAL INSURANCE COMPANY, Plaintiff, Civil Action No. 22-3280 (RK) (JBD) v. OPINION FRANCISCO RODRIGUEZ, Defendant.

KIRSCH, District Judge THIS MATTER comes before the Court upon the Motion for Summary Judgment filed by Plaintiff Integon National Insurance Company (“Plaintiff”), (ECF No. 22.) Defendant Francisco Rodriguez (“Defendant”) filed an opposition to the Motion, (ECF Nos. 26, 28), and Plaintiff filed a reply, (ECF No. 31). The Court has considered the parties’ submissions and resolves the matter without oral argument pursuant to Federal Rule of Civil Procedure 78 and Local Civil Rule 78.1. For the reasons set forth below, Plaintiff's Motion for Summary Judgment is DENIED. 1. BACKGROUND This matter arises from an insurance coverage dispute following a fire, which occurred on Defendant’s property. Plaintiff issued a homeowner’s insurance policy to Defendant (the “Policy”), covering the Defendant’s “residence premises” at 183 Seaman St, New Brunswick, NJ 08901 (the “Premises”). (Defendant’s Insurance Policy (the “Policy”), Ex. A to Decl. of Anthony Horan (“Horan Decl.”), ECF No. 22-4 at 1-3.) The Policy was effective for a one-year period commencing on April 29, 2021. (id. at 3.) The Policy contained a “residence premises” provision which required Defendant to reside at the Premises at the time of a covered incident in order to

obtain coverage. U/d. at 25.) On May 9, 2021, a fire occurred on the Premises, and Defendant submitted a claim for coverage to Plaintiff. (Horan Decl., ECF No. 22-3, 49 5, 7; ECF No. 22-12 at 2.)! Plaintiff investigated the claim and concluded that Defendant did not reside at the Premises at the time of the fire, and disclaimed coverage. (Horan Decl. § 19; Disclaimer Letter, Ex. G to Horan Decl., ECF No. 22-10 at 2.) Plaintiff filed this action against Defendant on May 31, 2022, seeking a declaratory judgment that the Defendant did not reside at the Premises at the time of the fire, and thus, not obligated to provide Defendant coverage under the Policy for the insurance claim submitted by Defendant. (ECF No. 1 at 6.) On July 19, 2022, Defendant filed an answer. (ECF No. 9.)The case proceeded through discovery, and thereafter Plaintiff filed its pending Motion for Summary Judgment, (the “Motion”, ECF No. 22), supported by a brief, (“Pl.’s Br.”, ECF No. 22-12), a Statement of Facts, (“Pl.’s SOF”, ECF No. 22-11), and the declaration of Anthony Horan, a general adjuster for Plaintiff, with accompanying exhibits, (Horan Decl., ECF No. 22-3). Defendant opposed the Motion, filing a brief, (“Def.’s Br.”, ECF No. 26), and an affidavit in opposition to the Motion, (“Def.’s Affd.”, ECF No. 28).? Defendant did not submit any additional exhibits or a counter-statement of facts with his opposition. Plaintiff filed a reply brief. (“PI.’s Reply Br.”, ECF No. 31.)

' Tn Horan’s Declaration, he states that Defendant reached out to him on May 10, 2018 and that the fire occurred at the Premises “on the prior day,” but all other references to the date of the fire, in the record and Defendant’s briefing, cite to May 9, 2021 as the date of the fire, so the Court assumes this reference to May 10, 2018 is a typographical error. (Horan Decl. 5, 7; Pl.’s SOF 4 5, 7; Def.’s Br. at 2.) * Instead of filing a responsive statement of facts pursuant to Local Civil Rule 56.1, Defendant filed a “certification” that accompanied his response brief. (See generally Def.’s Affid.) This “certification” is functionally an affidavit filed by Defendant, as it contains new factual claims by Defendant with no citations to the record. But see Local Civ. R. 56.1(a) (requiring responsive statement of facts to contain citations “to the affidavits and other documents submitted in connection with the motion”), Accordingly, this Court refers to the “certification,” not as a responsive statement of facts, but as an affidavit.

The thrust of Plaintiff's summary judgment argument is that no factual dispute exists because Defendant presents no evidence, beyond contradictory self-serving statements, to support his claim that he resided at the Premises at the time of the fire. (P1.’s Br. at 6-7; Pl.’s Reply Br. at 2-4.) Because Defendant did not reside at the Premises on May 9, 2021, Plaintiff argues it appropriately disclaimed coverage under the Policy and is entitled to summary judgment on the matter. Ud.) Defendant disagrees and argues there is evidence in the record that creates a material factual dispute as to whether he lived at the Premises when the fire occurred, thus precluding summary judgment. (Def.’s Br. at 5.) A. THE POLIcy The following provisions from the Policy are relevant to the current motion. The Policy covers damage caused by “fire or lightning” to “the dwelling on the “residence premises” shown in the Declarations; including structures attached to the dwelling... .” (Policy at 26, 29.) In the Policy, the “residence premises” lists “183 Seaman St, New Brunswick, NJ 08901.” Ud. at 3.) Several subsections define what constitutes an “insured location.” At its broadest, the Policy defines “insured location” as: a. the “residence premises”; b. the part of other premises, other structures and grounds used by you as a residence; and (1) Which is shown in the Declarations; or (2) Which is acquired by you during the policy period for your use as a residence; c, Any premises used by you in connection with a premises described in a. or b. above; d. Any part of a premises: (1) Not owned by an “insured”; and (2) Where an “insured” is temporarily residing; e. Vacant land, other than farm land, owned by or rented to an “insured”; f. Land owned by or rented to an “insured” on which a one, two, three or four family dwelling is being built as a residence for an “insured”;

nM

g. Individual or family cemetery plots or burial vaults of an “insured”; or h. Any part of a premises occasionally rented to an “insured” for other than “business” use. (Ud. at 25.) The policy further defines “residence premises” as: a. The one family dwelling where you reside; b. The two, three or four family dwelling where you reside in at least one of the family units; or c. That part of any other building where you reside; and which is shown as the “residence premises” in the Declarations, (Id. at 26.) B. DEFENDANT’S OWNERSHIP OF AND PRESENCE AT THE PROPERTY As noted above, following the May 9, 2021 fire at the Premises, Defendant notified Plaintiff and requested coverage under the policy. (Pl.’s SOF §] 1-5 (citing Horan Decl. { 5).) Thereafter, Plaintiff conducted its own investigation of the claim. U/d. §] 6.) As part of Plaintiff's investigation, Anthony Horan, Plaintiff's general adjuster, spoke to Defendant on May 11, 2021. (Horan Decl. { 7.) During this conversation, Defendant informed Horan that he did not reside at the Premises and that the Premises was a “rental property, which was 100% tenant occupied.” “After learning that he would not be entitled to coverage if he did not reside at the Premises,” Defendant recanted his statement and said he lived on the Premises “on the second floor.” Ud. □ 8; Pl.’s SOF ¥ 9.)

3 The record references on several occasions that Defendant struggled to speak and understand English and required his son or a Spanish speaking interpreter to translate. (Def Dep. at 2:9-11, 18:16-17, 31:3-4; Meisberger Rep. at 3; Def.’s Affid. { 6; Pl. Reply Br. at 4.) It is unclear from the record whether Defendant’s son translated the conversation between Horan and Defendant as there is no reference in Horan’s report of who translated; however, Plaintiff's reply brief states that Defendant’s “conversations with the adjuster/investigator [i.e. Horan], [ | were translated by his son.” (See generally Horan Decl.; Pl. Reply Br. at 4.)

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INTEGON NATIONAL INSURANCE COMPANY v. RODRIGUEZ, Counsel Stack Legal Research, https://law.counselstack.com/opinion/integon-national-insurance-company-v-rodriguez-njd-2024.