Ocaso, S.A. Compañia De Seguros Y Reaseguros v. Puerto Rico Maritime Shipping Authority

915 F. Supp. 1244, 1996 U.S. Dist. LEXIS 2068, 1996 WL 75824
CourtDistrict Court, D. Puerto Rico
DecidedJanuary 11, 1996
DocketCivil 86-0576(RLA)
StatusPublished
Cited by16 cases

This text of 915 F. Supp. 1244 (Ocaso, S.A. Compañia De Seguros Y Reaseguros v. Puerto Rico Maritime Shipping Authority) is published on Counsel Stack Legal Research, covering District Court, D. Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ocaso, S.A. Compañia De Seguros Y Reaseguros v. Puerto Rico Maritime Shipping Authority, 915 F. Supp. 1244, 1996 U.S. Dist. LEXIS 2068, 1996 WL 75824 (prd 1996).

Opinion

OPINION AND ORDER

ACOSTA, District Judge.

OCASO, S.A., COMPAÑIA DE SEGU-ROS Y REASEGUROS (“OCASO”) instituted these proceedings against its insureds and various intermediaries 1 alleging that it was induced into providing insurance coverage through fraudulent misrepresentations and omissions.

THE FACTS

1. Plaintiff, OCASO, S.A. (“OCASO”) is an insurance company organized and operating under the laws of Spain with its principal place of business in Spain.

2. Codefendant PUERTO RICO MARITIME SHIPPING AUTHORITY (“PRMSA”) is an instrumentality of the Commonwealth of Puerto Rico duly organized and existing pursuant to Laws of P.RAnn., tit. 23 §§ 3051 et seq. (1987).

3. Codefendant PUERTO RICO MARINE MANAGEMENT, INC. (“PRMMI”) conducts PRMSA’s day-to-day operations and manages PRMSA’s vessels.

*1249 4. PRMSA and PRMMI, also referred to collectively as “NAVIERAS”, are engaged in the business of common carriers by sea and transport cargo on a regular basis to and from various ports of the United States and Puerto Rico.

5. NAVIERAS decided to take over its own stevedoring operations in the port of Elizabeth, New Jersey, commencing in June 1981. These operations had been previously carried out by UNITED TERMINALS, INC., an independent stevedoring contractor.

6. NAVIERAS notified its insurance broker, FINANCIAL GUARDIAN, INC, through CHARLES HALL, of its decision to undertake its own stevedoring operations in Elizabeth.

7. CHARLES HALL was the account executive in charge of the NAVIERAS’ account with FINANCIAL GUARDIAN.

8. From January 1981 through late 1983 JAMES CRIST worked as an insurance consultant for FINANCIAL GUARDIAN under the direct supervision of CHARLES HALL.

9. MR. CRIST serviced the accounts for which MR. HALL was the account executive and prepared, on behalf of FINANCIAL GUARDIAN, all pertinent underwriting submissions in this case.

10. FINANCIAL GUARDIAN had previously placed insurance on behalf of NAVI-ERAS with TRAVELERS INSURANCE CO, to cover NAVIERAS’ liability for work-mens’ compensation, including U.S. Longshoremen and Harbor Workers Compensation Act (“USLHWCA”), general liability and auto liability under a retrospective rating plan effecting from October 1, 1978 through October 1,1981.

11. Upon being advised by NAVIERAS of its decision to undertake its own stevedor-ing operations in Elizabeth, FINANCIAL GUARDIAN advised TRAVELERS of the resulting change of exposure and the need to negotiate an amendment to the existing insurance program.

12. TRAVELERS agreed to insure the additional exposure but conditioned upon limiting occurrences under the USLHWCA to $500,000.00 and that the retro plan be extended to October 1,1992 until an operating experience at the port of Elizabeth could be determined.

13. Because in their opinion the Elizabeth stevedoring operations could bring about a change in exposure and increase in the premium that NAVIERAS would have to pay under the retro plan with TRAVELERS, MR. HALL and MR. CRIST recommended that NAVIERAS obtain cost control insurance for the additional exposure.

14. NAVIERAS accepted FINANCIAL GUARDIAN’S recommendation and FINANCIAL GUARDIAN proceeded to prepare the necessary submissions in order to locate an insurance company to underwrite the aforementioned risk.

15. All information contained in the submissions in question was compiled by MR. CRIST who had direct access to the TRAVELERS’ files involving coverage of NAVI-ERAS, as well as the estimated payrolls for the new operations to be undertaken.

16. At all relevant times, codefendants WORLDSURANCE, INC. and WORLD AMERICAN UNDERWRITERS, INC. were wholly owned subsidiary corporations of FINANCIAL GUARDIAN. All three (3) entities were organized and operated under the laws of the State of Missouri.

17. Codefendant JAMES WINING was the president of WORLD AMERICAN UNDERWRITERS, INC. at the time of the placing of the insurance policy in question.

18. At all relevant times, codefendant ROBERT HICK, a citizen of Great Britain domiciled in Texas, was the owner of OVERSEAS REINSURANCE MARKETS, a company he established under the laws of Texas for developing mainly reinsurance business and some direct insurance business.

19. MICHAEL GRIFFITHS was OCA-SO’s Regional Director in San Juan, Puerto Rico at the time the policy in controversy was issued.

20. Prior to approving the policy at issue, MR. GRIFFITHS had had other business dealings with MR. HICK who was also his personal friend.

*1250 21. The submissions and communications prepared by MR. CRIST were sent by him to MR. WINING, who in turn forwarded the documents to MR. HICK who, in turn, transmitted said information to MR. GRIFFITHS.

22. By way of a letter dated August 21, 1981, FINANCIAL GUARDIAN advised RALPH GUEVARA, then Colórate Director of PRMMI, that a quotation had been submitted by OCASO which would indemnify PRMSA for losses entering the plan premium computation [with TRAVELERS] in excess of $1.4 million to an aggregate indemnity to PRMSA of $1 million [which would be paid by OCASO].

23. The premium quoted by OCASO for the $1 million coverage on possible additional premiums that could be due by NAVIER-AS for the 1978-1982 retro plan term with TRAVELERS was $215,000.00.

24. MR. GUEVARA of PRMMI advised MR. HALL that the coverage offered by OCASO and the premium quoted were acceptable and FINANCIAL GUARDIAN was instructed by MR. GUEVARA to secure the coverage offered by OCASO.

25. MR. CRIST prepared a draft copy of the contract in question, forwarded the same to OCASO. Thereafter, effective October 1, 1981 retroactive to October 1, 1978 and through and until October 1, 1982 OCASO insured NAVIERAS pursuant to a “Retrospective Rating Plan Loss Indemnity Certificate” Number WAU 00197 (which also carries number S-07052001).

26. PRMMI paid OCASO the premium owed under the policy in question.

27. On or about July 11, 1983 WINING informed OCASO of a “tremendous loss deterioration to $1,879,365.00 in the PRMSA account and a loss to Ocaso’s cover under covernote WAU 00197 in the amount of $479,365.00.”

28. Prior to making any payments under the policy in question, MR. GRIFFITHS requested copies of the retrospective rating plan and loss runs for TRAVELERS for the term of October 1, 1978 through October 1, 1982. MR. GRIFFITHS also requested a meeting with representatives of the assured, as well as FINANCIAL GUARDIAN.

29. The aforementioned meeting was held on September 30, 1983 at GRIFFITHS’ offices which at the time were located in Miami. At the conclusion of the meeting MR. GRIFFITHS requested that FINANCIAL GUARDIAN prepare for OCASO, certified retrospective adjustments and loss runs from TRAVELERS as the losses under the plan developed from October 1, 1978 through October 1, 1982 so these could be audited by OCASO.

30.

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Bluebook (online)
915 F. Supp. 1244, 1996 U.S. Dist. LEXIS 2068, 1996 WL 75824, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ocaso-sa-compania-de-seguros-y-reaseguros-v-puerto-rico-maritime-prd-1996.