Owen v. American Home Assurance Company of NY

153 F. Supp. 928, 1957 U.S. Dist. LEXIS 3325
CourtDistrict Court, N.D. California
DecidedJuly 12, 1957
DocketCiv. 7395
StatusPublished
Cited by3 cases

This text of 153 F. Supp. 928 (Owen v. American Home Assurance Company of NY) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Owen v. American Home Assurance Company of NY, 153 F. Supp. 928, 1957 U.S. Dist. LEXIS 3325 (N.D. Cal. 1957).

Opinion

HALBERT, District Judge.

This is an action for a declaration of the rights and liabilities of the parties to an insurance contract. The action was properly removed to this Court from the state court in which it was commenced, and federal jurisdiction is grounded upon the provisions of Title 28 U.S.C.A. §§ 1332(a) (1) and 2201. The trial of the action having been completed on May 2, 1957, before the Court sitting without a jury, and all post-trial memoranda having been submitted, the Court is prepared to render its decision at this time.

It is plaintiffs’ contention that at the time they purchased the insurance policy in issue (a comprehensive public liability policy), they were lead to believe by the representations of the agent that they would be insured against liability arising out of the use and operation of a watercraft, so long as such watercraft was equipped with an outboard motor and did not exceed 26 feet in length. At that time, plaintiffs did not own a watercraft, but shortly after the effective date of the policy, they did purchase a watercraft (a boat), 14% feet in length, equipped with a forty horsepower outboard motor. While plaintiffs’ son was operating the boat on July 17, 1955, an accident occurred wherein the boat collided with one Willis, who was swimming in the water at the time. An action was commenced thereafter by Willis to recover damages against plaintiffs and their son. Defendant denied liability as an insurer on the ground that, under the express provisions of the insurance policy, coverage for a watercraft equipped with a motor in excess of ten horsepower was excluded. It is plaintiffs’ contention that this exclusion provision did not express the intentions of the parties, and, therefore, the insurance policy should be reformed. In the alternative, plaintiffs assert this defendant is estopped to rely on *930 this provision of the policy as a defense to recovery on the policy, because defendant’s agent, in explaining the coverage of the policy, specifically mentioned the limitation on the length of the boat, and referred to the fact that the boat could be powered only by an outboard motor, but was, at the same time, silent about any limitation on the horsepower of the motor.

As defenses to this action, defendant asserts:

1. That the person who sold plaintiffs the policy was not, in reality, defendant’s agent, but was the son of its duly appointed agent, and thus, if any misrepresentations were made, they may not be imputed to defendant ;

2. That plaintiffs failed to read the policy after it was delivered to them, and this bars 'any action by them based either on reformation or estoppel; and

3. That no oral representations concerning the boat coverage were ever, in fact, made by anyone to plaintiffs.

From the evidence adduced at the trial, the Court is convinced that Fred Nelson (the son of C. M. Nelson, who was the actual appointed agent of defendant), by what he said and what he did, lead the plaintiffs to believe that they would be covered for liability arising out of the use and operation of a boat under 26 feet in length, so long as it was equipped with an outboard motor, and this without any limitation on horsepower. The evidence also established that through the course of numerous past dealings, plaintiffs had reposed trust and confidence in C. M. Nelson and his son, Fred Nelson, in handling their insurance business for them, and were, thus, entitled to rely on oral assurances made by the Nelsons. Furthermore, it is reasonable to infer from the evidence that the Nelsons were aware of plaintiffs’ frame of mind in this regard.

On such a set of facts, the acceptance and retention of the written policy by plaintiffs, without reading it prior to the accident, does not bar an action on the policy based on either a reformation or estoppel theory (Raulet v. Northwestern Nat. Insurance Co., 157 Cal. 213, 230, 107 P. 292; Golden Gate Motor Transp. Co. v. Great American Indem. Co., 6 Cal. 2d 439, 443, 448, 58 P.2d 374; Ames v. Employers Casualty Co., 16 Cal.App.2d 255, 266-267, 60 P.2d 347; American Surety Co. of New York v. Heise, 136 Cal.App.2d 689, 696, 289 P.2d 103; cf.: Valdez v. Taylor Automobile Co., 129 Cal.App.2d 810, 816, 278 P.2d 91; and Kazanteno v. California-Western Life Ins. Co., 137 Cal.App.2d 361, 374, 290 P.2d 332).

The law in California is clear that where an insurance agent gives a misleading, incorrect or incomplete answer, without qualification (even though, perhaps, carelessly made) to a specific question by the prospective insured concerning coverage, the insurer is not, after reliance has been placed thereon by the insured, allowed to deny liability on the basis of a provision which is contrary to, and does not truly reflect, the representations of the agent (Morrison v. Mutual Life Ins. of New York, 15 Cal.2d 579, 588-589, 103 P.2d 963; Golden Gate Motor Transp. Co. v. Great American Indem. Co., supra, 6 Cal.2d at page 447, 58 P.2d at page 378; MacGruer v. Fidelity & Casualty Co., 89 Cal.App. 227, 235, 264 P. 501; Ames v. Employers Casualty Co., supra, 16 Cal.App.2d at page 267, 60 P.2d at page 352; American Employers’ Ins. Co. of Boston, Mass. v. Lindquist, D.C., 43 F.Supp. 610, 614, ff.; cf.: Raulet v. Northwestern Nat. Ins. Co., supra, 157 Cal. at pages 233-234, 107 P. at page 300; Byrd v. Mutual Benefit Health & Accident Ass’n, 73 Cal.App.2d 457, 464, 166 P.2d 901; and American Surety Co. of New York v. Heise, supra, 136 Cal.App.2d at page 695, 289 P.2d at page 107).

From the evidence, the Court is of the opinion that plaintiffs were entitled to believe that the insurance coverage to be provided to them by the defendant was to be without any horsepower limitation on the motor, so long as it was an outboard motor. Futhermore, plaintiffs were entitled to believe that *931 any boat with an outboard motor and less than 26 feet in length, which they might thereafter purchase, would be covered by the defendant’s policy. There being sufficient evidence from which to draw the conclusion that defendant is estopped to rely on the horsepower limitation, it is unnecessary to consider whether this is a proper case for reformation (See, e. g.: Ames v. Employers Casualty Co., supra, 16 Cal.App.2d at page 267, 60 P.2d at page 352).

The next question to be resolved is whether defendant can avoid being es-topped to insert the horsepower limitation in the policy on the ground that Fred Nelson, on whose words and conduct the estoppel is based, was not a duly appointed agent of defendant. The evidence shows that, at all times relevant to the action, C. M. Nelson, Fred’s father, was a duly authorized agent of defendant, but Fred was not. The agency agreement between C. M.

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Bluebook (online)
153 F. Supp. 928, 1957 U.S. Dist. LEXIS 3325, Counsel Stack Legal Research, https://law.counselstack.com/opinion/owen-v-american-home-assurance-company-of-ny-cand-1957.