Jerry Van Pendley Et Ux. v. The Fidelity and Casualty Company of New York

459 F.2d 251
CourtCourt of Appeals for the Fifth Circuit
DecidedJune 1, 1972
Docket71-1016
StatusPublished
Cited by2 cases

This text of 459 F.2d 251 (Jerry Van Pendley Et Ux. v. The Fidelity and Casualty Company of New York) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jerry Van Pendley Et Ux. v. The Fidelity and Casualty Company of New York, 459 F.2d 251 (5th Cir. 1972).

Opinion

INGRAHAM, Circuit Judge:

This appeal arises from the grant of a judgment non obstante veredicto in a suit by appellant Jerry Van Pendley against appellee, The Fidelity and Casualty Company of New York. Appellant had previously filed suit against appellee’s insured, Homer Thomas, and had received a judgment of $15,000 for personal injuries and other damages sustained by him when Thomas’ car rolled back into him. Appellant filed this action against the insurer in a state court as a third party beneficiary to the insurance contract between appellee and Thomas. Appellee removed the action to the federal court on diversity grounds. The substantive law to be applied in this Erie case is that of Texas.

In the underlying state court action against Thomas, appellant proved that while he and a passenger in his automobile were driving on a road near his home, they came upon a neighbor, Homer Thomas, whose car was stalled in the ice and snow on a hill. At such time the snow was still falling. Appellant stopped his car behind Thomas’ on the hill and offered to provide some assistance. Thomas accepted and with appellant walking back toward his car, Thomas allowed his car to roll back down the hill toward appellant. Appellant was caught by the rear bumper of the Thomas vehicle and pinned between it and the front bumper of his own automobile. Thomas’ car found the needed traction and with its engine roaring shot forward up and over the crest of the hill. Appellant sustained two broken legs in the accident.

The record on this appeal indicates that in the underlying state court action against Thomas, Thomas defended on the theory that appellant had been injured when his own car, driven by his passenger, came up behind the Thomas vehicle to give it a push. While the jury in the state court did not agree with Thomas’ views of the accident, the question of whether Thomas reasonably believed that he had been involved in an accident was presented to the federal jury on the issue of whether Thomas had complied with the notice requirements of his insurance policy. It was undisputed that his insurance company, the appellee herein, was not actually notified of the accident until Thomas forwarded the complaint in the original action and tendered the defense..

*253 The insurance contract notice provisions at issue provide:

“In the event of an accident, occurrence or loss, written notice containing particulars sufficient to identify the insured and also reasonably obtainable information with respect to the time, place and circumstances thereof, and the names and addresses of the injured and of available witnesses, shall be given by or for the insured to the company or any of its authorized agents as soon as practicable. . . .
“No action shall lie against the company unless, as a condition precedent thereto, the insured shall have fully complied with all the terms of this policy . . . ”

The policy provisions here, as in State Farm Mutual Automobile Ins. Co. v. Coleman, 441 F.2d 329 (5th Cir., 1971), required that the insured (Mr. and Mrs. Thomas) give notice within a reasonable time after they knew, or through the exercise of reasonable diligence should have known, of the occurrence of an accident. In State Farm, supra, at page 331, it is stated that as a general rule:

“What is a ‘reasonable time’ depends upon the facts and circumstances of the ease, measured by an objective standard from the viewpoint of the ordinary policyholder. Phoenix Indemnity Co. v. Anderson’s Groves, 176 F.2d 246 (5th Cir. 1941); Young v. Travelers Ins. Co., 119 F.2d 877, 880 (5th Cir. 1941); Maryland Cas. Co. v. Sammons, 99 F.2d 323 (5th Cir. 1938); 8 Blashfield, Automobile Law & Practice, § 342.3.
“If the insured does not know that an accident has occurred, he has no duty to report it. Standard Accident, supra, 103 F.2d at 501. If he knows that there has been an occurrence, an impact, but it is so trivial in nature that the ordinary prudent person acting reasonably would consider it as so inconsequential as not to afford the basis for a claim or give rise to a claim, there is no duty to report. Phoenix Indemnity, supra, 176 F.2d at 247.”

As we recently noted in Abilene Savings Ass’n v. Westchester Fire Ins. Co., 461 F.2d 557 (5th Cir., 1972):

“The general rule in Texas is that furnishing timely proof of loss, where such is an express requirement of an insurance contract, is a condition precedent to recovery in the absence of waiver or estoppel.” Members Mutual Ins. Co. v. Cutaia, 476 S.W.2d 278 (Tex., 1972).

While it is a harsh rule to which the Texas Supreme Court has committed us, it is a rule which recognizes that mitigating circumstances may exist which call for the invocation of the doctrinal policy against forfeitures. Abilene Savings Ass’n v. Westchester Fire Ins. Co., supra, at-. For the insured to prevail (Van Pendley here cannot assert any better claim than the insured), he must present evidence of a reasonable and legally sufficient excuse for failing to provide the notice of loss within the time allowed by the insurance contract, 1 Abilene Savings Ass’n v. Westchester Fire Ins. Co., supra, at note 4; Love v. Northwestern National Life Ins. Co., 119 F.2d 251 (5th Cir., 1941), or he must be able to show by a preponderance of the evidence that the Thomases gave notice within a reasonable time after they knew of the accident and that they did not know of the accident until they received the summons issued in the state action.

At the close of appellant’s case the district court was of the mind that appellant had failed to sustain his burden of proof. Wisely, however, he utilized the procedure approved in Malone & Hogan Hospital Foundation v. Boston Ins. Co., 378 F.2d 362 (5th Cir., 1967), and submitted all possible fact questions to the *254 jury. The jury in this case was charged to answer a single unobjected to interrogatory :

“Do you find from a preponderance of the evidence that notice of particulars sufficient to identify the insured Homer Lee Thomas, and reasonably obtainable information with respect to time, place and circumstance of the accident in question which occurred on February 22, 1968, and the names and addresses of the injured party and of all available witnesses, was given by the insured, Homer Lee Thomas, as soon as practicable after the happening of the accident?”

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Bluebook (online)
459 F.2d 251, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jerry-van-pendley-et-ux-v-the-fidelity-and-casualty-company-of-new-york-ca5-1972.