Polizzi v. Commercial Fire Insurance

99 A. 907, 255 Pa. 297, 1917 Pa. LEXIS 450

• Court: Supreme Court of Pennsylvania
• Decided: January 8, 1917
• Docket: Appeal, No. 171
• Status: Published

Opinion

Opinion by

Me. Justice Moschzisker,

November 13, 1913, the plaintiff, a country storekeeper, procured from the defendant company a policy of fire insurance on his stock of merchandise. On the night of December 2,1913, the building occupied by the plaintiff, and its contents, were destroyed by fire; he was upon the premises at the time, but professed entire ignorance as to the origin of the fire. On December 19, 1913, a Mr. Zieg, an insurance adjuster employed by the plaintiff, met with a Mr. Hepler, an agent of the defendant company, and discussed the subject of the loss. Jam uary 23, 1914, plaintiff submitted Ms written claim or proof of loss, upon a form furnished by the insurance company, to which he attached another paper entitled, “Statement of Loss,” containing certain gross items, with accompanying figures, showing a total loss of $3,-324.32; near the head of this latter paper these words appear: “As agreed in detail between assured and adjuster.” February 14, 1914, a letter signed, “A. L. Hepler, Agent,” was sent to the plaintiff, notifying Mm to produce Ms books, etc., for inspection. In pursuance of this notice, on February 24, 1914,. a meeting was held at the office of the defendant company’s attorney in Pittsburgh, at which time the.plaintiff produced certain books and papers. During, the course of this meeting Mr. Zieg, representing the plaintiff, stated, “Mr. Hepler and I agreed upon the measure of damages on the 19th of December, 1913, at $3,324.32, made up as follows,” after which, on the stenographer’s notes of the minutes of this meeting, appear several gross items, totaling the amount already stated. April 14, 1914, the secretary of the insurance company sent a letter to the plaintiff notifying Mm that, on investigation, it declined to pay his alleged loss, upon the grounds, inter alia, (1) that the cash values of the various items involved therein were incorrectly stated, (2) that he had not conformed to “the requirements of the policy as to keeping a'set of books which would clearly and plainly present a complete record of the business transacted.” August 18, 1914, the plaintiff sued and recovered a verdict for, approximately, the full amount of his claim; judgment was entered accordingly, and the defendant has appealed.

The numerous assignments of error raise three principal questions, which appellant correctly summarizes thus: (1) “Did the court err in admittance of evidence?” (2) “Was there evidence sufficient to submit to the jury, either as to an adjustment of loss, or as to amount of loss?” (3) “Was the requirement [of the policy] as to keeping books of purchases and sales a condition of recovery?”

The plaintiff, who was the only witness to the value of the property destroyed, produced what he testified were copies of bills which had been rendered to him by various persons from whom he had purchased goods prior to the fire, and claimed that all the articles mentioned therein were in his store at the time of its destruction, except a comparatively small quantity of merchandise previously removed or sold by him. He stated the original bills had been lost, but that Mr. Zieg, the insurance adjuster, had secured duplicates for him. While admitting he could neither read nor write English, the plaintiff said he recognized the various bills by their size and color; whereupon he was permitted to refresh his recollection therefrom, as to the dates, amounts and values of certain of his purchases; moreover, the duplicate bills themselves were admitted in evidence: all this was harmful error. The testimony shows that, in most part, the plaintiff was incapable of stating the amounts of his purchases or the values of the goods in thé store on the night of the fire; without the aid of this incompetent documentary evidence. Under these circumstances, wherever he was unable to enumerate the articles on hand, with their respective values, if other competent proof was not available, he should have taken the testimony of those from whom he purchased the goods; in this way he could have proved his loss with reasonable precision, which is all that is required in such cases.

As to the alleged adjustment by Mr. Hepler, there is nothing in the testimony to prove that this man had authority to agree upon á figure the defendant would pay; nor, in fact, is there evidence sufficient to show that he undertook so to do. True, Mr. Zieg, although frequently warned that he should not, insisted upon giving his conclusion that Mr. Hepler had acquiesced in the figures as written down by the former; but nowhere in his testimony does this witness relate any facts concerning the utterances of Mr. Hepler which would justify, an inference or conclusion that the latter had contracted on behalf of the defendant company for an actual adjustment of the loss. Again, neither the statement of Mr. Zieg (at the conference in relation to the loss, held February 24, 1914), to the effect that “Mr. Hepler and I agreed upon the measure of damages,” etc., nor the memorandum attached to the formal proofs of loss, in these words, “as agreed in detail between assured and adjuster,” was sufficiently clear, comprehensive or specific to put the insurance company on notice that the plaintiff claimed, as a matter of fact, that the amount of loss had been definitely adjusted or agreed to by Mr. Hepler, purporting to act on its behalf, so as to estop the defendant from denying (as it did at trial) such to be the fact; nor are those items of evidence sufficient in themselves to justify or sustain a finding that the so-called adjustment had in fact taken place.

Firstly, assuming that Mr. Hepler did just what Mr. Zieg stated, i. e., “agreed upon the measure of damages,” since the “measure” is merely the rule by which damages are to be estimated, Mr. Zieg’s statement might well be taken to mean simply that Mr. Hepler and he had agreed between them that, in estimating the plaintiff’s damages, all the items set forth in his written claim, or proofs of loss, were to be taken into account, and that they were the only ones to be considered. Next, the words on the statement attached to'the proofs of loss (quoted in the previous paragraph) cannot, with any degree of certainty, be said to have conveyed any definite information to the defendant on the subject of the al'leged adjustment, for they failed to state the name of the adjuster therein referred to, or that he was acting, or purporting to act, on behalf of the insurance company. As a matter of fact, considering the nature and office of proofs of loss (Sutton v. American Fire Ins. Co., 188 Pa. 380, 383; Rosenberg v. Fireman’s Fund Ins. Co., 209 Pa. 336), and the manner in which those in the. present case were prepared, one might just as well assume 'that the memorandum in question referred to an adjuster employed by the plaintiff himself, as to one representing the insurance company.

It appears that Mr. Zieg sought out and arranged the meeting with Mr. Hepler, because the latter was the agent of the defendant company who “had been instrumental in placing the insurance and had countersigned the policy”; and it is more than likely that all which really occurred at their meeting, on December 19, 1913, was that Mr. Hepler assisted Mr. Zieg in preparing the information necessary to enable the plaintiff to submit his formal proofs of loss; but/ however this may be, as already stated, it is clear the evidence was insufficient to sustain a finding that a binding adjustment had taken place, or to estop the defendant company from asserting the contrary. In this connection, the trial judge very correctly charged that the delay of the insurance company in sending to the plaintiff its declination to pay was a waiver of any insufficiency in the proofs of loss; but he could not properly have ruled that the amount of loss claimed therein was conclusive on the defendant, and, as before said, we see no warrant in the evidence for permitting the jury so to find.

Under the circumstances of this case, in view of the unexplained origin of the fire, which occurred soon after the insurance was effected, and the evidence in the hands of the defendant indicating the removal of considerable quantities of goods just prior to the alleged loss, it can be seen that the insurance company had some apparent justification for delaying its decision, while making investigations; particularly is this so when we look at the letter sent, December 20,1913, by Mr. Hepler to Mr. Kramer (alleged by the defendant to be its adjuster), wherein he enclosed a copy of the summary of the plaintiff’s claim, as made up by Mr. Zieg on December 19th, showing the alleged loss of $3,324.32, and wherein he refers to this summary as “an estimate,” and states, in effect, that he believes the figures to be exorbitant. If this statement of December 19, 1913, was a final adjustment of the loss, (as said by the trial judge in his charge to the jury) “Why the meeting in Pittsburgh more than a month later?” Of course, had the plaintiff presented sufficient evidence upon the subject in hand, all these questions would have been for the jury; but, as we have endeavored to show, he failed so to do. Finally, before leaving this branch of the case, it may not be amiss to state that there was no evidence offered to prove the plaintiff had been deceived or unduly prejudiced by the company’s delay in notifying him that it. declined to pay his claim.

On the question of the construction of the policy, we agree with the view of the court below. In reference thereto, President Judge King states: “The insurance policy, which is the foundation of this action, contained what is known as the ‘Iron Safe Clause,’ which is as follows :......‘1st. The assured will take a complete itemized inventory of stock on hand at least once in each calendar year, and, unless such inventory had been taken within twelve calendar months prior to the date of this policy, one shall be taken in detail within 30 days of issuance of this policy......2d. The assured will keep a set of books, which shall clearly and plainly present a complete record of business transacted......from the date of inventory, as provided for in first section of this clause, and during the continuance of this policy, ,3d. The assured will keep such books and inventory...... securely locked in a fire-proof safe at night......In the event of failure to produce such set of books and inventories for the inspection of this company, this policy shall become null and void and such failure shall constitute a perpetual bar to any recovery thereon.’ Because the plaintiff did not make and have such an inventory and set of books at the time of the fire, the defendant ......insisted that there could be no recovery......Under the peculiar facts of the case we, in substance, instructed the jury that this clause and condition in the policy would not, in itself, prevent the plaintiff from recovering a verdict, if the facts otherwise warranted. ......The fire occurred upon the twentieth day after the policy became effective. No inventory had been made previous to the date of the policy, and the foregoing first paragraph of said clause in the policy provided that, in case no inventory had been taken within twelve calendar months prior to the date of this policy, one shall be taken in detail within thirty days of its issuance; at the time Of the fire no such inventory had been taken, and, if the fire had not occurred, a compliance therewith would have required the taking of such inventory within the remaining ten days. The second paragraph of said clause provides that the assured will keep a set of. books, etc., etc., ......from date of inventory as provided in first section of this clause. When was the assured to start to keep a set of books? As we read the language used, clearly from the date of the inventory. If we transpose the setting of the lánguage of the paragraph so that it will- read as follows: 'From date of inventory, as provided in first section of this clause, assured will keep a set of books, etc.,’ the meaning seems certain and clear. We cannot understand this paragraph any other way, and it follows ,that the contemplated duty of the plaintiff to make the inventory and keep a set of books, pursuant to said clause, had not ripened into an obligation as yet when the fire occurred. The policy was only to be null and void in the event that no inventory was taken within thirty days from date of the policy, and, in case an inventory was made at any time within the said thirty days, there came a further requirement that, from the date of said inventory, the assured should keep a set of books, etc. There was no requirement — no obligation— imposed upon the assured to keep a set of books until he had made an inventory, and by the terms of the contract he was given thirty days in which to make one. How can it then be held that he failed in the performance of an obligation imposed by this clause that would preclude him from recovering upon the policy for a loss that occurred within said thirty-day period? If from the date of the policy he had kept a set of books without having taken an inventory, or had taken an inventory and had not kept books, and a fire had occurred, as it did, within the thirty-day period, under the strict letter of the agreement he could not have recovered. If he had complied as to both requirements, this condition in the policy could not have been held to bar his right of recovery. „He was not bound, however, to make an inventory before the last of the thirty days and from that time keep a set of books, and the provisions aforesaid cannot be asserted to bar his right of recovery for a loss by fire which occurred at a time when he was under no obligation to do so.”

We have endeavored to state our views on the principies governing the present case, but do not deem it necessary specifically to pass upon each of the twenty-four assignments of error; it is sufficient to say that all those which show rulings in conflict with the views here expressed are sustained.

The judgment is reversed with a venire facias do novo.