Jaeckel v. American Credit Indemnity Co.

54 N.Y.S. 505
Appellate Division of the Supreme Court of the State of New York·Decided November 25, 1898·Published·Cited by 1 cases

Opinions

O’BRIEN, J.

This appeal is brought upon disputed construction and interpretation of the conditions of the policy, and not upon disputed facts. The first construction called for is as to condition 4 of the policy, which states:

“Proof of loss must be made * * * within twenty days after knowledge of the insolvency of any debtor shall have been received by the indemnified; * * * otherwise such claim shall be barred.”

The appellant holds that, as such notice was not given of the failure of Lally & Collins, the loss thereby incurred should be excluded from consideration in the settlement of liability. The respondent, although admitting the force of this contention, insists that this particular loss should not be included under this condition because of another condition in the policy. The other condition referred to is that the first losses, up to a certain sum, should be borne by the indemnified, before any claim could be made against the company. The respondent’s position, allowed by the referee, is, therefore, that the loss by failure of Lally & Collins, being a first loss, and. less in amount than the initial loss agreed to be borne by the indemnified, was not a “claim” against the company, nor a “loss” for which the company was liable, and therefore is not included under condition 4, requiring notice of loss to be sent within 20 days. We are unable to agree with this holding of the referee, for the reason that, as this loss had to be taken into consideration in the final settlement, the company was entitled by its agreement to learn of it, as well as of all other losses, within the time stipulated. Such seems to be the fair and reasonable construction, and the one in accord with the spirit of the agreement; otherwise, the company could not insist upon knowledge of the failures making up the initial loss to be borne by the indemni[508]*508fled, excepting as they -were subsequently proved as facts on the final: settlement. This construction would shut off the company from proper and timely inquiry into the failures and losses presented, and' would open the door to fraud on the part of the indemnified. There is nothing, moreover, in the language quoted from condition 4, or in any other part of the policy, excluding from the time limitation losses- or claims going to make up the initial loss. We think, therefore, that the company was entitled to receive the stipulated notice of the' loss by the failure of Lally & Collins, as of all other losses, and it follows that, if such notice was not given, this claim should be excluded in the settlement of the defendant’s liability.

A second question of construction is presented by the contention of the appellant that the payment of Abel & Sons of $373.03, made September 12th, should be deducted from its liability, because of condition 12c of the policy, which states:

“Final proof of loss shall be forwarded to the central office of this company. <= e * and the amount due by this company under final proof of loss shall be adjusted and paid within sixty days after receipt by the company of such final proof of loss.”

The defendant contends that, the final proof of loss being sent July 31st, and 60 days thereafter being allowed to adjust the same, a-payment made September 12th, before such adjustment, should be-deducted. This contention cannot, be sustained, for, as stated by the referee, the claim against the company had accrued, and we must hold that the 60 days for adjustment was given, as indicated by the company’s letter of August 2d, to give time “to investigate claims” filed, and not to give time for further payments to be made, and thus better the condition of the company. If, as the defendant claims, this payment should be deducted from the liability, the company could have-demanded 60 days after final proof of its payment was accepted, and. in this way delay final settlement. It was, moreover, provided by condition 8 in the policy that “no loss can be proven after expiration of this bond,” and the defendant may not, on the one hand, receive-benefit from subsequent payments, and, on the other, suffer no increase of liability for losses during the period granted for adjustment. We must hold, therefore, that the referee was right in not deducting this payment.

The most serious question of construction arises on this appeal as to the agreement made regarding the exact amount of initial loss to be borne by the indemnified; the appellant contending that it should be greater than the $3,750 admitted by the referee. Subsidiary to this determination, and depending upon it, is the question of what understanding existed regarding salvage in the insolvent claims. It is stated in the policy that $3,750 is the initial loss to be borne by "the indemnified, and, by a further condition, that claims going to make up such loss shall belong to the indemnified. This latter condition is 12b, which states:

“When claims shall be allowed by this company beyond the amount agreed to be borne by the indemnified, such claims shall at once be transferred to this company, and this company shall become the owner thereof to the extent of the amount paid on such claims: provided, however, that where the in[509]*509■demnified has a part interest in any one of such claims the amounts realized therefrom, less cost of collection, shall he divided pro rata, as the interest ■ of each may appear.”

The defendant, however, alleged that there was an agreement —namely, condition 12a of the policy—by which the company relinquished its right to salvage in claims on condition that the initial loss to be borne by the indemnified should be $5,000, instead of $3,-750. This condition was discarded by the referee as obscure and unintelligible, and the case of Indemnity Co. v. Wood, 19 C. C. A. 264, 73 Fed. 81, was cited in support of his ruling. The condition discarded by the referee and brought before us on this appeal states:

“To simplify adjustment, and to avoid disputes, it is agreed that such .sum of gross loss shall be the limit to be borne by the indemnified, as less 25' per cent, will equal the agreed amount of annual net loss; all claims making up such said sum of gross loss to remain the property of the indemnified, the ■ company relinquishing its claims, except as hereinbefore provided.”

If this condition (12a) be disregarded, then the referee is right in giving the plaintiff salvage in claims making up the initial loss in accordance with condition 12b. It is admitted that condition 12a is framed in obscure language, but it is claimed to be an agreement that the claims shall be retained by the indemnified, the company relinquishing the title thereto on condition that a certain limit of loss, different from that previously stated in the policy, shall be borne by the indemnified. The manner by which this limit is to be calculated is scarcely to be understood from the words, “such sum of gross loss shall be the limit to be borne by the indemnified as, less 25 per cent., will equal the agreed amount of annual net loss,” ■and, prima facie, the language is not intelligible.

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Jaeckel v. American Credit Indemnity Co., 54 N.Y.S. 505 (N.Y. Ct. App. 1898).

54 N.Y.S. 505 (Jaeckel v. American Credit Indemnity Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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