Jacoby v. Westchester Fire Insurance

10 Pa. Super. 171, 1899 Pa. Super. LEXIS 256
CourtSuperior Court of Pennsylvania
DecidedApril 17, 1899
StatusPublished
Cited by6 cases

This text of 10 Pa. Super. 171 (Jacoby v. Westchester Fire Insurance) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jacoby v. Westchester Fire Insurance, 10 Pa. Super. 171, 1899 Pa. Super. LEXIS 256 (Pa. Ct. App. 1899).

Opinion

Opinion by

Beeber, J.,

The court in which this case was tried has the following rule: “ If the plaintiff shall file with his declaration or statement, separate and apart from his declaration or statement, a specific averment of facts sufficient to support his claims, verified by affidavit, and serve a copy thereof on the defendant or his counsel of record, such items of claim and material averments of facts as are [179]*179not denied by the defendant, by affidavit filed with or before plea pleaded, shall be taken as admitted.” "When the plaintiffs filed their statement they also filed with it, and served a copy on counsel of record for defendant, a specific averment of facts as allowed by the above rule of court. In this specific averment they alleged that the property insured was destroyed by fire on a certain date, that immediate notice of the loss in writing was given to the defendant, that they, within sixty days after the fire, made a statement to the defendant giving all the information' which the policy required, that on the 23d day of June, 1897, the agent of the defendant duly authorized to act met with the plaintiffs and adjusted, ascertained and agreed that a certain sum was due and payable by the defendant, that on this date the notice required had been given to the defendant, the ascertainment and estimate had been made by defendant’s agent, duly authorized to ascertain, estimate and adjust said loss, satisfactory proof of loss had been received by defendant and all things required by the policy had been done by the plaintiffs.

The defendant in its affidavit of defense, which it filed also as its denial required by the above rule, alleged that the fire which had consumed the insured property “ was caused by the acts of the plaintiffs who wilfully and fraudulently set fire to the insured property ” for the purpose of defrauding the defendant, that the plaintiffs “by false and fraudulent returns and statements of the value of the property ” insured, and by wilfully, falsely and fraudulently concealing from the defendant the fact that the property insured was set on fire by them, fraudulently induced the defendant to adjust the loss and agree on a certain sum as due and payable to plaintiffs by defendant, and that defendant did not know of the said fraudulent and false returns and statements of the value of the insured property, nor that the property was set on fire by the fraudulent act of the plaintiffs for the purpose of defrauding the defendant until after the adjustment of the loss by the defendant.

From this statement of the pleadings it is clear that there were only two issues of fact to be tried, first, whether or not plaintiffs had fraudulently set fire to their own property for the purpose of defrauding the defendant, and second, whether or not the defendant had been induced to agree upon the adjustment of the loss and upon the payment of a certain amount by [180]*180the false and fraudulent returns and statements by the plaintiffs of the value of the insured properly. All the other facts necessary to a recovery had been fully and explicitly set forth by the plaintiffs in their specific averment of facts, and as they had not been denied by the defendant they must be taken, under the above rule of court, as admitted. The plaintiffs were no longer bound to prove any of the facts alleged in their averment which had not been denied. The court and jury were compelled to assume that all these material and undenied facts in the averment were admitted to be true by the defendant, and to confine the contest to these two issues of fact: Neely v. Bair, 144 Pa. 250; Whitehead v. School District, 145 Pa. 418.

The first four assignments of error are to the action of the court in reference to the proofs of loss which were executed two days after the adjustment of the loss and the ascertainment of the amount due by the defendant. Bearing in mind what were the two issues of fact which the pleadings raised we do not think it can be successfully urged that the court below erred in this respect. Having been executed two days after the adjustment and ascertainment of the amount due, they can hardly be said in themselves to have induced the defendant to adjust and ascertain the amount due. It is earnestly urged that because they contained false statements as to the origin of the fire and as to the incumbrances on the property it was error for the court to say that nothing in the proofs of loss prevented recovering. But it must be remembered that the court in its charge to the jury had said plainly and emphatically that if they were satisfied by the preponderance of the evidence that plaintiffs had fired their own property there could be no recovery. Having heard this part of the charge the jury could not have supposed that the court meant, when it said that nothing in the proofs of loss prevented recovery, that the fact, if they found it to be a fact, that plaintiffs fired their property did not prevent a recovery. What was plainly meant and what the language clearly shows was that a false statement as to the origin of the fire made two days after the company had adjusted the loss should not prevent recovery. As to the mistaken or false statement in the proofs of loss in reference to the incumbrances, much could be said in favor of a view different from that entertained by the court below if it had appeared that the proofs of [181]*181loss had in any way induced the adjustment. The policy required the proofs of loss to state all incumbrances on the insured property. This clause does not seem to have been called to the trial judge’s attention when about to make the ruling complained of. What he evidently had before him was that part of the language of the policy in reference to the property becoming incumbered by chattel mortgage, and his construction of that language is unexceptionable. But the case does not require us to decide what the word “ incumbrance ” included. The defendant had an undoubted power to waive the proofs of loss. This can be done by acts as well as by agreement. Sometimes it is done by notifying the insured, in case of total loss, that the insurance would be paid in full: Stauffer v. Manheim Mut. Fire Ins. Co., 150 Pa. 531; sometimes by acts indicating a recognition of liability, or repudiating liability for other reasons: Lebanon Mut. Fire Ins. Co. v. Erb, 112 Pa. 149; sometimes by some authorized person going to the scene of the fire, appointing appraisers as required by the terms of the policy, and promising payment on the finding of the appraisers: McGonigle v. Susquehanna Mut. Fire Ins. Co., 168 Pa. 1.

Where the pleadings in a case raise only two questions, neither one of which is as to the sufficiency or verity of the allegations in the proofs of loss, it is important to enforce the rule that no evidence shall be heard to defeat the recovery which the issues of fact do not require: Latimore v. Dwelling House Ins. Co., 153 Pa. 324. In the case now before us there was no question raised in the pleadings as to the form or truth of the proofs of loss. Had there been, the plaintiffs would have had an opportunity to show that the false statement as to incumbrances was mistakenly, inadvertently or accidentally made, or that it was not fraudulently, wilfully and knowingly made with a view to defraud the defendant, in which case the proofs of loss would not have prevented recovery: Franklin Fire Ins. Co. v. Updegraff, 43 Pa. 350; Cumberland Valley Mut. Protection Co. v. Mitchell, 48 Pa. 374.

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Cite This Page — Counsel Stack

Bluebook (online)
10 Pa. Super. 171, 1899 Pa. Super. LEXIS 256, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jacoby-v-westchester-fire-insurance-pasuperct-1899.