Pilgrim Cathedral of Harlem Inc. v. Harleysville Worcester Insurance Company

CourtDistrict Court, S.D. New York
DecidedApril 29, 2025
Docket1:24-cv-08804
StatusUnknown

This text of Pilgrim Cathedral of Harlem Inc. v. Harleysville Worcester Insurance Company (Pilgrim Cathedral of Harlem Inc. v. Harleysville Worcester Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pilgrim Cathedral of Harlem Inc. v. Harleysville Worcester Insurance Company, (S.D.N.Y. 2025).

Opinion

USDC SDNY DOCUMENT UNITED STATES DISTRICT COURT ELECTRONICALLY FILED SOUTHERN DISTRICT OF NEW YORK DOC #: Sonnac cc anna cscs □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ XK DATE FILED: _ 04/29/2025 PILGRIM CATHEDRAL OF HARLEM INC., : Plaintiff, : -v- : 24-cv-8804 (LJL) HARLEYSVILLE WORCESTER INSURANCE : MEMORANDUM AND COMPANY, : ORDER Defendant. : eee K LEWIS J. LIMAN, United States District Judge: This case concerns an attempt by Pilgrim Cathedral of Harlem, Inc. (‘Plaintiff’) to obtain monies from Harleysville Worcester Insurance Company (“Defendant”), its insurer, to cover damages caused by a burst pipe. The parties previously turned to two appraisers to resolve a dispute as to the value of the loss caused by the burst pipe and now turn to the Court to resolve a dispute as to how to read the award issued by the appraisers. Defendant seeks to return the matter to the appraisers and moves for an order compelling an appraisal and staying this litigation. Dkt. No. 20. Plaintiff opposes the motion. Dkt. No. 24. For the reasons that follow, Defendant’s motion is denied. BACKGROUND Plaintiff is a domestic religious corporation organized and existing under the laws of the State of New York. Dkt. No. 1-1 § 1. During all relevant times, Plaintiff owned a property located at 15 West 126 Street, New York, New York 10027 (the “Subject Property”). /d. § 6. Defendant is a licensed insurance carrier within the State of New York. /d. 3. Defendant issued to Plaintiff insurance policy MPA00000063095U (the “Policy”), which provided insurance coverage for direct physical loss of, or damage to, the Subject Property against

all risks of loss, with the exception of those specifically excluded or otherwise limited. Id. ¶ 12; Dkt. No. 22-1. Plaintiff is the Named Insured within the Subject Policy. Dkt. No. 1-1 ¶ 9; Dkt. No. 22-1 at 181. The Policy provides coverage for the Policy Period from December 1, 2022, to December 1, 2023. Dkt. No. 1-1 ¶ 11; Dkt. No. 22-1 at 18. The deductible is listed as $1,000.

Dkt. No. 22-1 at 28. The Policy’s Loss Condition provision provides for an appraisal if the parties disagree on the value of a loss. Dkt. No. 1-1 ¶ 19; Dkt. No. 22-1 at 93. The provision states, in pertinent part: If we and you disagree on the value of the property, the extent of the loss or damage or the amount of the loss or damage, either may make written demand for an appraisal of the loss. In this event, each party will select a competent and impartial appraiser and notify the other of the appraiser selected within 20 days of such demand. . . . The two appraisers will select an umpire. If they cannot agree within 15 days upon such umpire, either may request that selection be made by a judge of a court having jurisdiction. The appraisers will state separately the value of the property, the extent of the loss or damage and the amount of the loss or damage. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding. Dkt. No. 22-1 at 104. On or around February 6, 2023, while the Policy was in full force and effect, the Subject Property was extensively damaged by a plumbing pipe that froze, burst, and caused water damage (the “Loss”). Dkt. No. 1-1 ¶ 14. Plaintiff timely submitted an insurance claim to Defendant seeking to be indemnified for the full amount of covered damages afforded by the Policy. Id. ¶ 15. In response, Defendant opened claim number 254709-GO (the “Claim”). Id. ¶ 16. During the course of Defendant’s adjustment of the Claim, a dispute as to the value of the Loss arose between Plaintiff and Defendant. Id. ¶ 17. Accordingly, Plaintiff submitted a formal

1 ECF pagination. written demand for an appraisal of the Loss. Id. ¶ 18. On or about October 31, 2023, Defendant partially denied Plaintiff’s Claim but agreed to proceed with an Appraisal for the covered portion of the Loss. Id. ¶ 20. Andrew Utschig (“Utschig”) was appointed as the appraiser for Plaintiff and Jeff Canfield (“Canfield”) was appointed as the appraiser for Defendant. Id. ¶ 21.

On or about February 13, 2024, an Appraisal of Insurance Claim Award Form (“Appraisal Award”) was issued jointly by Utschig and Canfield. Id. ¶ 22. The relevant portion of the Appraisal of Insurance Claim Award Form reads as follows: To the above named parties of interest: We the undersigned appraisals have investigated and considered all of the material facts and available information pertaining to the claim. We have decided on an Appraisal Award as described below: Dwelling Loss: Replacement Cost Loss Depreciation Actual Cash 1. Dwelling $572,136.38 $51,492.27 $520,644.11 2. Mitigation/Drying $173,378.62 … The award of the appraisal panel is confidential and exempt from deposition or suit in case the award is challenged or a bad faith claim is filed. The appraisal award is subject to all of the terms, conditions, provisions or exclusions of the above policy of insurance, and the laws of the State of New York. And we do hereby award the foregoing sums as our appraisal award. The above award reflects the agreed damages and costs associated with all damages claimed for the dwelling claim. The amounts are subject to deduction for any previous payments and deductibles. This appraisal award shall be valid and binding upon all parties concerned if at least two of the three panel members concur in a decision, as evidenced by their signatures below. Dkt. No. 23-1. Beneath the words “We agree to the above,” the form has signature lines for Canfield, Utschig, and “Umpire.” Id. It contains a signature for Canfield dated February 13, 2024, and a signature for Utschig dated February 9, 2024. Id. The signature line for “Umpire” is blank. Id. On March 1, 2024, Defendant remitted a check to Plaintiff in the amount of $173,378.62,

and on March 14, 2024, it remitted a second check to Plaintiff in the amount of $346,265.49, totaling the $520,644.11 Actual Cash Value (“ACV”) award on the line for “Dwelling” less the policy deductible of $1,000. Dkt. No. 1-1 ¶¶ 27–29. Defendant did not remit any separate sums for the mitigation/drying damages of $173,378.62. On March 19, 2024, Plaintiff’s Public Adjuster advised Defendant of what Plaintiff claimed was a shortfall between Defendant’s payments and the ACV stated in the Appraisal Award and demanded that the balance of the ACV be paid. Id. ¶ 30. Defendant rejected Plaintiff’s demand on or about May 16, 2024. Id. ¶ 32. Plaintiff’s Public Adjuster requested that Defendant reconsider its position on or about May 21, 2024, but Defendant refused to do so. Id. ¶¶ 33–34. Defendant reads the Appraisal Award to award a total of $520,644.11, construing the

$173,378.62 for “Mitigation/Drying” as a line item included within the $520,644.11 total. Dkt. No. 13 ¶ 29. Plaintiff reads the Appraisal Award to award a total of $694,022.73, construing the $173,378.62 for “Mitigation/Drying” to be an additional component of the award on top of the portion of the award that represents the cost to replace the other damage to the dwelling. Dkt. No. 1-1 ¶ 25. Defendant’s reading is based in large part upon the declaration submitted by its appraiser, Canfield, dated March 13, 2025. Dkt. No. 22-2 (“Canfield Declaration”). In it, Canfield states that he originally estimated the total replacement cost value of the claim to be $571,447.42, including $234,186.49 in mitigation, drying, and demolition expenses. Id. ¶ 3. He met and conferred with Utschig and he understood Utschig to largely agree with Canfield’s estimate. Id. ¶ 5. Together they drafted an award based on a total replacement cost value of $572,136.38 and, once depreciation was accounted for, an actual cash value total of $520,644.11 in total. Id. ¶¶ 4– 6. According to Canfield, after he and Utschig reached an apparent agreement, Utschig indicated

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Pilgrim Cathedral of Harlem Inc. v. Harleysville Worcester Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pilgrim-cathedral-of-harlem-inc-v-harleysville-worcester-insurance-nysd-2025.