Nagel-Taylor Automotive Supplies, Inc. v. Aetna Casualty & Surety Co.

402 N.E.2d 302, 81 Ill. App. 3d 607, 37 Ill. Dec. 412, 1980 Ill. App. LEXIS 2415
CourtAppellate Court of Illinois
DecidedMarch 12, 1980
Docket15741
StatusPublished
Cited by7 cases

This text of 402 N.E.2d 302 (Nagel-Taylor Automotive Supplies, Inc. v. Aetna Casualty & Surety Co.) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nagel-Taylor Automotive Supplies, Inc. v. Aetna Casualty & Surety Co., 402 N.E.2d 302, 81 Ill. App. 3d 607, 37 Ill. Dec. 412, 1980 Ill. App. LEXIS 2415 (Ill. Ct. App. 1980).

Opinion

Mr. JUSTICE GREEN

delivered the opinion of the court:

The principal issue in this case is whether under the evidence a jury could properly find that coverage under a fire insurance policy had not been voided by fraud and false swearing when the insured submitted a verified proof of loss containing an unreasonably high estimate of its business interruption loss.

The suit was brought in the circuit court of Sangamon County by plaintiffs Marvin C. Taylor (Taylor) and Nagel-Taylor Automotive Supplies, Inc., a corporation of which Taylor was the sole owner and principal officer. It was brought against defendant Aetna Casualty & Surety Company of Illinois to recover for a fire loss occurring on May 13, 1976, when a building near Litchfield, owned and operated by plaintiffs as a nightclub, burned. After a trial by jury a verdict was returned for plaintiff allowing $125,000 for damage to the building, $50,000 for damages to its contents and nothing for business interruption loss.

The trial court granted defendant’s motion for judgment n.o.v., ruling that defendant had proved as a matter of law that plaintiffs had committed fraud and false swearing in the proof-of-loss statement. Consistently the trial court also allowed defendant’s alternative motion for a new trial concluding that, in any event, the jury’s rejection of the affirmative defense was contrary to the manifest weight of the evidence. The trial court rejected that portion of defendant’s post-trial motion which asked for a new trial on the grounds that the jury’s determination that Taylor was not guilty of arson was contrary to the manifest weight of the evidence.

Plaintiffs appeal and defendant has filed notice of cross appeal.

Defendant’s affirmative defense of fraud and false swearing was based on a policy provision which stated:

“Concealment, fraud. This entire policy shall be void if, whether before or after a loss, the insured has willfully concealed or misrepresented any material fact or circumstance concerning this insurance or the subject thereof, or the interest of the insured therein, or in case of any fraud or false swearing by the insured relating thereto.”

Under the terms of the policy plaintiffs were insured for actual business interruption losses such that they would be reimbursed for the amount by which their profits decreased (or losses increased) during the interruption, “but not exceeding the reduction in gross earning less charges and expenses which do not necessarily continue during the interruption of business * * The policy limited payment for this type of loss to the sum of $50,000. A written proof of loss verified by Taylor and timely mailed to defendant stated, “Gross earnings — estimated loss in excess of $100,000 for twelve month period.”

The insured property was located on U.S. Route 66 south of Litchfield, a municipality of some 7,000 population. Prior to its purchase and remodeling by plaintiffs, the building had been used as a fast food franchise restaurant. The evidence indicated that the location became undesirable for that purpose when Interstate Route 55, passing Litchfield farther to the west, was opened to traffic. The strongest evidence in support of the affirmative defense of fraud and false swearing were the financial records of the operation. They indicated a deficit exceeding $17,000 to have accumulated in the eight months of the club’s operation on total receipts of about $95,000. The cost of goods sold was about $14,000.

Charles T. Baker, a certified public accountant specializing in business interruption claims, testified on behalf of defendant concerning his examination of the club’s records. He described the business as being “in very poor financial condition” and stated that liabilities exceeded current assets by 16 to 1, but he did not state the seemingly more important ratio of current liabilities to current assets. He described the records as somewhat unreliable but concluded from his examination of them that no business interruption loss was sustained.

Taylor testified, attempting to justify his optimistic expectations by explaining how entertainment expenses had been drastically cut prior to the fire. He described how previously he had hired expensive entertainers such as those used in expensive Las Vegas nightclubs, but due to small week-night crowds he had recently begun to hire cheaper performers who would appeal to younger crowds.

Taylor presented a profit and loss statement for nine months, the figures for the last month having been lost. When this statement was compared with the records for the eight months as contained in the books it was shown that a profit of $4,500 would have had to have been made in the last month in order for the statement to reconcile with the books. Taylor apparently obtained the results shown on the statement by crediting expense accounts which previously listed as expense, rent theoretically owed but not paid by the corporation to Taylor or vice versa. The business was run and the records kept in such a way that one could not readily tell the respective functions of Taylor and the corporation.

We consider Taylor’s estimate to be unreasonably high, but in determining whether the jury could have properly determined that fraud and false swearing did not exist we deem it important that the estimate contained no assertion of an existing fact nor even an opinion concerning the quality or value of an existing object. It was merely a projection of future earnings.

The only case brought to our attention where fraud was alleged because of an overstatement of business interruption loss is Lykos v. American Home Assurance Co. (N.D. Ill. 1978), 452 F. Supp. 533, aff'd (7th Cir. 1979), 609 F.2d 314. There, as an affirmative defense to a suit on a fire insurance policy, the insurer pleaded fraud and false swearing by the insured in making proof of loss as to both the claim for equipment and inventory loss and the claim for business interruption loss. Even though the jury verdict for business interruption loss nearly equaled the amount claimed for that item in the proof of loss, the district court held that the defense had proved, as a matter of law, that fraud and false swearing had occurred in making both proofs of loss. The determination as to the business interruption loss was based largely on evidence showing the operation to have been losing an average of $3,000 per month for some time and that relevant documents had been withheld from the insurer. In affirming, the Circuit Court of Appeals relied entirely upon the false swearing as to the proof of inventory and equipment loss and made no reference to the business interruption loss claimed in the proof-of-loss statement. The latter opinion emphasized that an insured is not excused from making an exaggerated estimate of loss merely because he intends to use it to bargain with the insurer.

Other than Lykos, the most analogous fraud and false swearing cases are those involving proof-of-loss claims which greatly overestimate the value of physical objects. In Tenore v. American & Foreign Insurance Co. of N. Y. (7th Cir. 1958), 256 F.2d 791, cert. denied (1958), 358 U.S. 880, 3 L. Ed. 2d 110, 79 S. Ct.

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Bluebook (online)
402 N.E.2d 302, 81 Ill. App. 3d 607, 37 Ill. Dec. 412, 1980 Ill. App. LEXIS 2415, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nagel-taylor-automotive-supplies-inc-v-aetna-casualty-surety-co-illappct-1980.