Paramount Insurance v. Rosedale Gardens, Inc.

293 A.D.2d 235, 743 N.Y.S.2d 59
CourtAppellate Division of the Supreme Court of the State of New York
DecidedApril 30, 2002
StatusPublished
Cited by48 cases

This text of 293 A.D.2d 235 (Paramount Insurance v. Rosedale Gardens, Inc.) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Paramount Insurance v. Rosedale Gardens, Inc., 293 A.D.2d 235, 743 N.Y.S.2d 59 (N.Y. Ct. App. 2002).

Opinion

OPINION OF THE COURT

Sullivan, J.

In this action testing the validity of a disclaimer of coverage based on late notice of claim, Paramount Insurance Company, which insured defendant Rosedale Gardens, Inc. under a general liability policy and an umbrella policy for negligence claims arising out of Rosedale’s ownership, operation and control of a residential building at 1810 Bruckner Boulevard in the Bronx, appeals from the denial of its motion for summary judgment for a declaration in its favor.

It is undisputed that no notice was given to Paramount until the commencement of a lawsuit against Rosedale for personal injuries sustained in the accident giving rise to the claim, [237]*237which had occurred more than seven months earlier. The notice provisions in the primary and umbrella policies are essentially identical. The primary policy provides, “You must see to it that we are notified as soon as practicable of an ‘occurrence’ or an offense which may result in a claim.” Although not defined in the primary policy, “occurrence” was defined in the umbrella policy as, “With respect to bodily injury * * *, an accident, including continuous or repeated exposure to substantially the same general harmful conditions.”

Rosedale is a residential cooperative corporation, and Arco Gold Management Co., Inc., impleaded by Rosedale as a third-party defendant, was, at all relevant times, its managing agent. Jose and Miriam Escobar, husband and wife and residents of Rosedale Gardens, are also named defendants. They are also the plaintiffs in the underlying personal injury action, which arises out of Mr. Escobar’s slip and fall down a third-floor stairway at the premises on the afternoon of May 16, 1999.

After the fall, Mrs. Escobar summoned an ambulance, which transported Mr. Escobar to the hospital, where he was diagnosed with an ankle fracture, admitted and kept for six days. Mr. Escobar was released from the hospital with a cast on his leg and with a walking device. Later, on the same day as the accident, Mrs. Escobar called Rosedale’s emergency number and reported the accident. Thereafter, she spoke with Rosedale’s superintendent, Kungel Persaud, and advised him that Mr. Escobar “had tripped and fell down the stairs” and had been taken by ambulance to the hospital. Mrs. Escobar showed Persaud the stairway where Mr. Escobar had tripped and fallen. Although Mrs. Escobar had observed sunflower seeds when she first saw the stairway after Mr. Escobar’s fall, the seeds were not there when she showed Persaud the site of the fall; nor did she tell Persaud about the seeds. At various times after his discharge from the hospital, Mr. Escobar, in a cast and using his walking device, would meet Persaud on his way to a doctor’s appointment.

On May 17, 1999, Persaud, as he was required to do, notified Arnold Cohen, Arco’s site manager at Rosedale Gardens, of the accident. According to Persaud, he advised Cohen that Mr. Escobar had been taken by ambulance from the scene. Cohen has confirmed that on May 17, 1999 Persaud notified him of the accident and, in two signed statements taken prior to his deposition, admitted that he had been advised that an ambulance had been called. In his deposition taken on January 23, 2001, however, Cohen denied ever being informed that an ambulance had been called.

[238]*238Cohen testified that it was company policy that if an accident occurred within the building he would investigate and determine whether the insurance broker should be notified. In the instant case, notice was not given because after Cohen spoke with the superintendent and examined the staircase, he “didn’t see or hear any further substantiation of anything having occurred.” Moreover, Cohen testified that in 1998, the Escobars had made unsubstantiated complaints that their child had been the victim of lead poisoning. Thus, he explained, he had reason to doubt the validity of the Escobars’ claims, particularly since, after the accident, the possibility of a lawsuit was never raised.

Almost seven months later, by a summons and complaint dated December 1, 1999, the Escobars commenced an action to recover damages for Mr. Escobar’s personal injuries and Mrs. Escobar’s loss of services. Rosedale forwarded the summons and complaint to its insurance broker, which, in turn, forwarded them to Paramount with a request for a defense and indemnification under the policies. Paramount’s receipt of process on January 3, 2000 constituted its first notice of the claim. It thereafter conducted an independent investigation by an outside agency, which included obtaining a signed, written statement from Cohen acknowledging that he knew of the slip and fall on May 17, 1999 and that he forgot to report the incident to the insurance broker. As a result, by letter of February 1, 2000, Paramount disclaimed coverage on the basis of lack of timely notice, advising Rosedale that it would commence a declaratory judgment action, which it did on February 4, 2000, naming Rosedale and the Escobars as defendants, to determine the rights and obligations of the parties under the policies. As noted, Rosedale commenced a third-party action against Arco, alleging that if Paramount were successful in its assertion of late notice as a bar to a defense and indemnification under the policies, the cause of such breach of policy conditions would have been Arco’s failure to give timely notice of the accident to Paramount.

After discovery, Paramount moved for summary judgment, arguing that the 7V2 month delay in notifying it of the accident constituted untimely notice as a matter of law. In opposition, Rosedale argued that a factual issue existed, citing Cohen’s deposition testimony that he did not believe that the Escobars would commence a lawsuit or that the accident, if indeed it occurred, presented a liability situation, given that, on his post-accident inspection, he apparently found no defect or danger[239]*239ous condition. The motion court denied Paramount’s motion, finding “very pronounced issues of fact” with respect to whether the belief, undoubtedly that of Arco, acting for Rosedale, that the Escobars would not sue, was reasonable.

Following the denial of summary judgment, Rosedale moved pursuant to CPLR 510 (3) to change the venue of this action from New York to Bronx County, where the Escobar action is pending, arguing that “the ends of justice would be best promoted by both matters being resolved in the same court.” Paramount opposed the motion, arguing that the adjudication of the coverage question would have no bearing on the resolution of the Escobars’ negligence action. The motion court granted the change of venue and directed that the declaratory judgment action and the Escobar personal injury action be tried jointly, holding that “the facts in the underlying action will affect the determination as to whether or not there is coverage * * * or whether [Paramount] should be entitled to disclaim coverage.” The court justified its order directing a joint trial with the observation “that’s the whole reason it is being sent there, otherwise it would be a ridiculous thing to send it there and not have it consolidated with the other case.” Paramount has taken an appeal from the denial of summary judgment in its favor and the change of venue. We reverse both orders.

It is well settled that compliance with an insurance policy notice provision operates as a condition precedent to coverage. (White v City of New York, 81 NY2d 955, 957; Security Mut. Ins. Co. v Acker-Fitzsimons Corp.,

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Cite This Page — Counsel Stack

Bluebook (online)
293 A.D.2d 235, 743 N.Y.S.2d 59, Counsel Stack Legal Research, https://law.counselstack.com/opinion/paramount-insurance-v-rosedale-gardens-inc-nyappdiv-2002.