Matsunaga Fishing Co. v. New Hampshire Insurance

1 N. Mar. I. Commw. 864
District Court, Northern Mariana Islands·Decided December 20, 1983·No. CIVIL ACTION NO. 82-0009·Published

Opinion

DECISION

DECISION

This Motion for Summary Judgment is Defendant New Hampshire Insurance Company's second attempt to obtain a judgment in its favor based on the fact that there is no genuine issue regarding Plaintiff's false swearing cn his sworn Proof of Loss submitted to the Insurance Company. The first Motion for Summary Judgment was filed on June 17, 1982, vherein the Court found that there were material issues of fact in controversy on this matter and denied the motion.

The present motion is based partly on additional evidence acquired during the past year which Defendant alleges provides uncontradicted facts showing that false declarations and statements were made in order to obtain compensation from the [867] Insurance Company for items not destroyed in the fire. The record here consists of the pleading material, interrogatories and answers thereto, depositions of parties and witnesses, and several sworn affidavits of various persons. The Court has considered all the material contained in the record.

Summary judgment is appropriate only if no material factual issues exist and the movant is entitled to judgment as a matter of law. United States v. First National Bank of Circle, 652 F.2d 882, 887 (9th Cir. 1981). The Court must construe the pleadings, other record evidence and its attendant inferences most favorably to plaintiff. Harlow v. Fitzgerald, _, U.S. _, _, n.26, 102 S.Ct. 2727, 2737, n.26, 73 L.Ed.2d 396, 409, n.26 (1982). A genuine factual issue may exist only if a viable legal theory would entitle plaintiff to judgment if it proves its asserted version of the facts. Ron Tonkin Gran Turismo v. Fiat Distributors, 637 F.2d 1376, 1381 (9th Cir. 1981), cert.denied 454 U.S. 831, 102 S.Ct. 128, 70 L.Ed.2d 109 (1981).

There is no question here that Plaintiff has made numerous contradictory statements regarding the losses incurred in the fire on November 1, 1981. In his sworn Proof of Loss Plaintiff claimed that three fishing boats were destroyed by fire, and demanded payment therefor. However, in his deposition, and sworn affidavit submitted in support of his Opposition to the present motion, he says that only one boat was destroyed by fire; he even admits that he knew at the time of filing the sworn Proof of Loss that only one boat was destroyed.

[868] In his sworn Proof of Loss Plaintiff claimed the loss of a Furuno Echo Sounder, however no evidence or remnants of a Furuno Echo Sounder were ever found after the fire. In fact, this same echo sounder was sold by Matsunaga to Guy Gabaldon on November 30, 1981 and was used for some time thereafter on a fishing boat.

In his sworn Proof of Loss Plaintiff demanded payment for the loss of five outboard engines. However, shortly before the fire, Guy Gabaldon was in the warehouse and saw only three outboard engines, and a fourth was outside on a 2.5 ton skiff. This outboard motor was then purchased by Mr. Gabaldon on November 30, 1981. The remains of only three outboard motors were found after the fire.

These clear and undisputed facts thus establish that (1) on November 1, 1981, a fire occurred in the warehouse in which Matsunaga .Jcept fishing equipment; (2) on November 30, 1981 Matsunaga sold some fishing equipment to Guy Gabaldon; (3) on December 2, 1981 Matsunaga, in a sworn Proof of Loss, claimed that this very same equipment had been destroyed by the fire on November 1, 1981; and (4) much of this same equipment is still in existence today. There is thus no question that the sworn Proof of Loss submitted by Matsunaga to the Insurance Company contained material false statements.

ThS ^nsurance P°licy provision under which Defendant seeks to prevail on his motion for summary judgment specifically provides, at Paragraph 13:

If the claim be in any respect fraudulent, or if any false declaration be made or used in support [869] thereof, ... all benefit under this policy shall be forfeited.

Moreover, it is a general rule of law that where an insured knowingly and wilfully overestimates in his proof of loss the value of the property destroyed such overvaluation will avoid the policy and defeat any right of the insured to recover thereon. See Zemelman v. Boston Insurance Co., 4 Cal.App. 3d 15, 84 Cal.Rptr. 206.

However, the mere making of false statements or erroneous valuations alone will not defeat a claim for payment under an insurance policy. The rule is well established that an untrue statement, in order to avoid the policy, must have been knowingly and intentionally made with the intention of defrauding the insurer. Pedrotti v. American National Fire Insurance Co., 90 Cal.App. 668, 266 P. 376. Avoidance of a fire insurance policy for an attempt to defraud by overvaluing property in a proof of loss requires proof of the factual elements essential to establish fraud; the making-, knowingly and wilfully, of a material exaggeration of the worth of the property, with an intent and purpose to wrongfully obtain money or gain an unfair advantage over the insurer. See generally, 16 A.L.R. 3d 774, 793, and the cases cited therein.

The question thus becomes whether the false statements were made intentionally with the purpose to deceive or were innocent mistakes. Matsunaga, in his affidavit, states, "[t]hat the mistake in including three (3) boats was not intentional nor [870] made to cheat or defraud anyone," and "[t]hat the mistake was an honest one." However, in his deposition of April 2, 1982, Matsunaga stated that only one boat actually burned in the fire, and when he was redeposed on March 10, 1983 Matsunaga admitted that he knew that three boats were not destroyed in the fire. This implies at least a knowing and wilfull misstatement.

Further evidence in support of a fraudulent intent is found.in Matsunaga's claim that one hundred thirty-five anchors were destroyed in the fire. This is the same number of anchors that Mr. Shiiko brought from Hokkaido to Saipan, and had listed in his equipment inventory. While Matsunaga claimed one hundred thirty-five anchors in his Proof of Loss, he stated in his two depositions that he never counted the number of anchors that were destroyed in the fire. However, in his affidavit of December 15, 1983 he states, ”[t]hat on or about November 2, 1983 [sic], immediately after the fire, I personally counted 135 anchors that were damaged by the fire." (Emphasis added). Mr. Shiiko, while in Saipan in January 1983, found and identified 42 of those same anchors in another warehouse not involved in the fire.

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Matsunaga Fishing Co. v. New Hampshire Insurance, 1 N. Mar. I. Commw. 864 (nmid 1983).

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