Pavone, Inc. v. Secretary of Housing & Urban Development

547 F. Supp. 230, 1982 U.S. Dist. LEXIS 14276
CourtDistrict Court, D. Connecticut
DecidedJanuary 7, 1982
DocketCiv. B-80-29
StatusPublished
Cited by9 cases

This text of 547 F. Supp. 230 (Pavone, Inc. v. Secretary of Housing & Urban Development) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pavone, Inc. v. Secretary of Housing & Urban Development, 547 F. Supp. 230, 1982 U.S. Dist. LEXIS 14276 (D. Conn. 1982).

Opinion

RULING ON DEFENDANT’S OBJECTION TO DECISION OF UNITED STATES MAGISTRATE

ELLEN B. BURNS, District Judge.

On September 3, 1981, the United States Magistrate denied defendant’s motion for summary judgment made pursuant to Rule 56(b) of the Federal Rules of Civil Procedure. Defendant, Director of the Federal Emergency Management Agency (FEMA), administers the National Flood Insurance Program 1 under which plaintiff Pavone, Inc., lessee of the individual plaintiffs, was issued a Standard Flood Insurance Policy (SFIP) on December 6, 1978. The SFIP provided $80,000 coverage on plaintiffs’ building, located at 2428 Main Street, Stratford, Connecticut, and $20,000 coverage on the contents of the building. Plaintiffs allege that the insured property sustained compensable flood damage on January 21, 1979. Defendant, on the other hand, argues that plaintiffs are barred from recovering for failing to comply with a condition precedent in the SFIP. After reviewing the undisputed facts, the relevant law, and the decision of the magistrate, the Court concludes that summary judgment must be granted for defendant. See Heyman v. Commerce & Industry Insurance Co., 524 F.2d 1317, 1320 (2d Cir. 1975) (standard for granting summary judgment).

The SFIP issued to plaintiff corporation plainly requires the insured to submit a “proof of loss” to the insurer within 60 days of the date of the alleged loss. Paragraph O of the General Conditions and Provisions to the SFIP provides:

The insured shall give written notice, as soon as practicable, to the insurer of any loss, protect the property from further damage, forthwith separate the damaged and undamaged property and put it in the best possible order. Within 60 days after the loss, unless such time is extended in writing by the Insurer, the Insured shall render to the Insurer a proof of loss, signed and sworn to by the insured. . . .

Noncompliance with these requirements bars an insured from recovering, for Paragraph T of the General Conditions and Provisions to the SFIP declares “[n]o suit or action on this policy for the recovery of any claim shall be sustainable in any court of law or equity unless all the requirements of this policy have been complied with.. . . ” Interpretation of these contract provisions is a matter of federal law, see United States v. Kimbell Foods, Inc., 440 U.S. 715, 726, 99 S.Ct. 1448, 1457, 59 L.Ed.2d 711 (1979); Federal Crop Insurance Corp. v. Merrill, 332 U.S. 380, 383, 68 S.Ct. 1, 2, 92 L.Ed. 10 (1947); United States v. Allegheny County, 322 U.S. 174, 183, 64 S.Ct. 908, 913, 88 L.Ed. 1209 (1944); Gement v. Allstate Insurance Co., 516 F.Supp. 11, 12 (E.D.La.1981), and “courts have almost invariably denied recovery where the claimant failed to comply with proof of loss requirements for insurance policies issued under federal programs.” Cross Queen, Inc. v. Director, *232 516 F.Supp. 806 (D.V.I.1980); accord, Harper v. National Flood Insurers Association, 516 F.Supp. 725 (M.D.Pa.1981); Continental Imports, Inc. v. Macy, 510 F.Supp. 64 (E.D.Pa.1981).

In the instant case there exists no genuine dispute as to whether plaintiffs submitted a “proof of loss” within the required 60-day period. Although plaintiffs submitted a “notice of loss” on January 22, 1979, mere notice does not satisfy the requirements of the contract. Plaintiffs implicitly admit as much by arguing that the purpose of the proof of loss was served by the notice of loss. Moreover, Attachment 1 to plaintiff’s Memorandum 'in Opposition to Defendant’s Motion for Summary “Judgment is a proof of loss dated April 5, 1979, beyond the permissible 60-day limit. In sum, there is no genuine issue of fact as to plaintiffs’ failure properly to submit a proof of loss to defendant.

Conceding the weakness of its argument that notice of loss is the functional and therefore contractual equivalent of proof of loss, plaintiffs, as a fall back position, argue that defendant waived performance of the condition precedent of timely submission of the proof of loss. Despite the fact that defendant’s agent inspected the insured property, accepted documentation from plaintiffs, 2 and even made an offer to settle the claim for damage to the building, 3 as a matter of law plaintiffs’ claim of constructive waiver must fail because the unambiguous terms of the contract and controlling federal law explicitly preclude oral waiver or waiver by conduct. Paragraph D of the General Conditions and Provisions to the SFIP states

The extent of the application of insurance under this policy and of the contribution to be made by the Insurer in ease of loss, and any other provision or agreement not inconsistent with the provisions of this policy, may be provided for in writing added hereto, but no provision may be waived except such as by the terms of this policy is subject to change.
No permission affecting the insurance shall exist, or waiver of any provision be valid, unless granted herein or expressed in writing added hereto. No provision, stipulation or forfeiture shall be held to be waived by any requirement or proceeding on the part of the Insurer relating to appraisal or to any examination provided for herein.

This restrictive contract language comports with NFIP administrative regulations which provide

The [SFIP] and required endorsements must be used in the Flood Insurance Program and no provision of the said documents'shall be altered, varied, or waived other than through the issuance of an appropriate amendatory endorsement, approved by the Administrator as to form and substance for uniform use.

44 C.F.R. § 61.1(13(d)). Thus, there can be no doubt that waiver of the proof of loss requirement can be executed only by a proper written document, not shown to exist in this case. While inability to recover for their flood damage will likely present a hardship to plaintiffs, see Federal Crop Insurance Corp. v. Merrill, supra 332 U.S. at 383, 68 S.Ct. at 2, the Court is of the opinion that plaintiffs’ failure to submit a proof of loss, coupled with the absence of an effective waiver by defendant of this condition precedent, constitutes a legal bar to this action. Accordingly, the objection to the decision of the magistrate is sustained and defendant’s motion for summary judgment is granted.

SO ORDERED.

APPENDIX

MOTION FOR SUMMARY JUDGMENT

THOMAS P. SMITH, United States Magistrate.

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Bluebook (online)
547 F. Supp. 230, 1982 U.S. Dist. LEXIS 14276, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pavone-inc-v-secretary-of-housing-urban-development-ctd-1982.