Salleh v. Travelers Casualty Ins. Co.

• Court: Superior Court of Maine
• Decided: November 22, 2016
• Docket: CUMcv-15-104
• Status: Unpublished

Opinion

STATE OF MAINE SUPERIOR COURT CUMBERLAND, ss. CIVIL ACTION Docket No. CV-15-104

KHERALLAH SALLEH,

Plaintiff

V. STATE OF MAU~ Cumberland. as. Clerk's Office TRAVELERS CASUAL TY INSURANCE CO., et al., NOV 23 2016 Defendants RECEIVED This case concerns an insurance claim made by plaintiff Kherallah Salleh with respect to

fire damage at the location where Salleh maintained an auto repair business.

Before the court are four motions: (1) a motion for summary judgment by defendant

Travelers Casualty Insurance Co.; (2) a motion for summary judgment by defendant Michals

Insurance Agency Inc.; (3) a motion by Salleh to strike an expert witness designated by

Travelers; and (4) a motion in limine by the Michals Agency to exclude a recorded out of court

statement by Nick Lotfey, an employee of the Michals Agency.

Summary Judgment

Summary judgment should be granted if there is no genuine dispute as to any material

fact and the movant is entitled to judgment as a matter of law. In considering a motion for

summary judgment, the court is required to consider only the portions of the record referred to

and the material facts set forth in the parties' Rule 56(h) statements. E.g., Johnson v. McNeil,

2002 ME 99 1.8, 800 A.2d 702. The facts must be considered in the light most favorable to the non-moving party. Id. Thus, for purposes of summary judgment, any factual disputes must be

resolved against the movant. Nevertheless, when the facts offered by a party in opposition to

summary judgment would not, if offered at trial, be sufficient to withstand a motion for judgment

as a matter of law, summary judgment should be granted. Rodrigue v. Rodrigue, 1997 ME 99 ~

8, 694 A.2d 924.

Travelers Summary Judgment Motion Based on Alleged Misrepresentations

In its motion Travelers has assembled a lengthy list of alleged misrepresentations that it

contends void Salleh's insurance policy. Salleh argues that misrepresentations, under the policy,

have to be "intentional" or "willful." He acknowledges one misrepresentation but contends that it

was innocent because he was advised to make the misrepresentation by Nick Lotfey, the

insurance agent from the Michals Agency who sold him the policy. Salleh contends that under

24-A M.R.S. §§ 2422(1) and (2) Lotfey was an agent of Travelers and that any information

known to Lotfey (including the information that Omar Martinez was the actual owner of the two

car lifts that Salleh originally claimed were owned by Salleh) is regarded as having been known

by Travelers.

Salleh has also submitted an affidavit disputing all of the other allegedly willful

misrepresentations relied upon by Travelers. On all of the alleged misrepresentation issues the

court concludes that Salleh has submitted sufficient evidence to raise disputed issues for trial.

Travelers Summary Judgment Motion relating to Coverage for Damage to Building

In addition to seeking reimbursement for alleged losses to his tools, office furniture and

equipment, an allegedly expensive painting, and car parts (batteries, tires, radios and car

2 computers), Salleh contends that he is entitled to reimbursement for damage to the portion of the

building which he leased for his auto repair business. However, the Declarations to the policy for

"property damage" do not cover damage to the building but only "business personal property,"

business interruption, accounts receivable, and valuable papers. 1 The policy also provides that

property only qualifies as "covered property" if a limit on coverage is shown in the Declarations.

No such limit is shown for any buildings.

Salleh argues that he is entitled to coverage under a provision applicable to "newly

acquired" property including "buildings you acquire by purchase or lease at any premises

including those premises shown on the Declarations." This provision, however, applies to the

future purchase or lease of additional premises. It is undisputed that Salleh had already leased the

property where the fire occurred and had done so six weeks before the policy was issued.

Travelers SMF ~ 54. 2

It makes no sense to construe coverage for "buildings you acquire" to mean coverage for

"buildings you have already leased at the time the policy was issued." Moreover, the language

that the "buildings you acquire" can be at the premises shown on the Declarations as well as at

other premises demonstrates that this provision is intended to apply to new premises and not to

the insured' s existing premises.

The court concludes that even under the principle that ambiguities are to be construed in

favor of the insured, there is no ambiguity here and coverage is not available for Salleh's claim

of damage to the building. Travelers is entitled to summary judgment on Salleh's claim for

damage to the building.

I It appears that "fine arts" is also covered, and Salleh has a claim for a painting that he contends is worth $6000. 2 Although Salleh responded to ~ 54 by stating "qualified," a review of his qualification demonstrates that the factual assertions in ~ 54 are admitted.

3 Michals Summary Judgment Motion

Salleh's claims against the Michals Agency are based on the advice allegedly provided

by Nick Lotfey that Salleh should represent that Salleh owned two car lifts that were actually

owned by Omar Martinez. In Count V of the complaint Salleh alleges that Lotfey, in addition to

having a statutory agency relationship with Travelers pursuant to 24-A M.R.S. § 2422(1), was

Salleh's insurance agent and violated a fiduciary relationship by giving him bad advice. In Count

VI of the complaint Salleh alleges that Lotfey is liable for negligent misrepresentation for giving

him the bad advice which he contends resulted in Travelers' denial of his claim.

Sall eh is suing the Michals Agency rather than Lotfey, and his claims against the Michals

Agency therefore depend on whether Lotfey's actions were within the course and scope of his

duties as an insurance agent employed by Michals. Although Michals argues that Salleh has not

demonstrated that there is a disputed issue for trial as to whether Michals can be vicariously

liable for Lotfey's actions, the court concludes that there is a disputed issue for trial on this issue.

This is especially true because the Law Court has most recently looked to section 7.07 of the

Restatement (Third) of Agency. See Picher v. Roman Catholic Bishop ofPortland, 2009 ME 67

1 32, 974 A.2d 286. Section 7.07(2) indicates that an employee is within the scope of employment when he is engaging in conduct subject to the employer's control and is not within

the scope of employment when he is engaging in an independent course of conduct not intended

to serve any purpose of the employer.

In this case Michals argues that Lotfey was not authorized to provide advice to customers

with respect to insurance claims. However, Michals does not dispute Lotfey was authorized to

discuss insurance with Salleh because Lotfey sold Salleh the policy. Michals also acknowledges

4 that Lotfey would have been authorized to convey information to the insurance company if

requested by Salleh. Michals Aff. ~ 6. The argument that Lotfey was in the scope of his

employment in discussing insurance with Salleh but was outside the scope of employment if he

gave advice with respect to insurance claims is too fine a distinction to be resolved on summary

judgment. Lotfey, as an insurance agent for Michals, also may have been cloaked with apparent

authority. See Gniadek v. Camp Sunshine, 2011 ME 11 ~~ 33-34, 11 A.3d 308. On this record,

whether Michals should be held responsible for Lotfey's conduct is an issue for trial.

Michals separately argues that summary judgment should be granted with respect to

Salleh's breach of fiduciary duty claim. The court would agree if Salleh's only argument that his

relationship with Lotfey constituted a fiduciary relationship involving a great disparity of

position and influence between the parties. See Stewart v. Machias Savings Bank, 2000 ME 207

~ 10, 762 A.2d 44. To establish a great disparity of position and influence, a party must

demonstrate diminished emotional or physical capacity or show that he was in such a vulnerable

position that he let down all guards and defenses. Oceanic Inn Inc. v. Sloan's Cove LLC, 2016

ME 34 ~ 18, 133 A.3d 1021; Stewart, 2000 ME 207 ~~ 11-12.

Salleh has not demonstrated that there is a disputed issue for trial on that issue. See

Szelenyi v. Morse Payson & Noyes Insurance, 594 A.2d 1092 (Me. 1991). In Szelenyi the Law

Court ruled that absent a special relationship between the parties, an insurance agent assumes

only the duties found in an ordinary agency relationship - the duty to use reasonable care,

diligence, and judgment. 594 A.2d at 1094. It did not hold that an insurance agent had an

enhanced duty even though there was evidence that the plaintiff in Szelenyi was elderly, lacked

sophistication in insurance matters, and had difficulty with the English language. See id. at 1095

n.4 .

5 However, to the extent that Salleh is simply alleging that Lotfey violated his duty as

Salleh's insurance agent to use reasonable care, diligence, and judgment - the duties that

Szelenyi found were applicable to insurance agents - the court finds that there is a disputed issue

for trial. If providing information with respect to the filing of claims fell within the scope of

Lotfey's services to Salleh as his insurance agent - which is itself a disputed issue for trial

Michals is not entitled to summary judgment on Count V.

The court has also considered the arguments made by Michals in support of its argument

that it is entitled to summary judgment on Salleh's negligent misrepresentation claim. For

essentially the same reasons discussed above with respect to Salleh's breach of duty claim,

Salleh's negligent misrepresentation claim also presents disputed issues for trial. 3 The court does

not conclude that expert testimony is necessary to support the negligent misrepresentation claim.

It also finds that while it may appear likely that Travelers would have turned down Salleh's

claim even if there has been no misrepresentation with respect to the car lifts, the court cannot

find that to be undisputed for purposes of summary judgment.

Salleh's Motion to Exclude E xpert Testimony /' .

Salleh's motion to strike any expert testimony from Victor Collazo is based on the theory

that Collazo's expert designation was insufficient. However, the designation was timely made

and was made after all of the proposed testimony had already been disclosed to counsel for

Salleh in Collazo's deposition. It was therefore permissible for Travelers to simply state that

Collazo's expert testimony would be consistent with his deposition.

3 Michals argues that because it is not alleged that Lotfey misrepresented any facts, count VI is really a negligence claim. The court reserves decision on that issue. Restatement (Second) of Torts § 552 refers to false "information" that is negligently supplied, and it can perhaps be argued that "information" would include bad advice.

6 It can be argued that the challenged testimony offered by Collazo is not expert testimony

but rather factual testimony by a witness who happened to be knowledgeable with respect to auto

parts. Travelers therefore may have designated Collazo to avoid any argument at trial as to

whether or not Collazo was testifying as an expert, However, assuming that Collazo qualifies as

an expert, the theory of expert designations is to give notice of the expert testimony to be

offered. In this case Salleh was given notice of the testimony, and the court will not grant

Salleh's motion to exclude.

Michals Motion in Limine

If Lotfey was acting in the scope of his employment, his recorded out of court statement

would qualify as an admission not subject to a hearsay objection under M.R.Evid. 801(d)(2)(D).

Because there is a disputed issue of fact with respect to scope of employment, the court will not

grant the Michals Agency's motion to exclude Lotfey's out of court statement at this time.

However, this does not mean that Salleh can simply introduce the statement. Under Rule

801(d)(2)(D) the statement itself cannot establish that Lotfey was within the scope of his

employment. At trial Salleh would have to provide sufficient independent evidence that Lotfey

was acting within the scope of his employment before the court could rule on the admissibility of

the statement pursuant to M.R.Evid. 104(a) and 80l(d)(2)(D) and before the out of court

statement could be admitted.

The entry s~all be:·

1. The motion for summary judgment by defendant Travelers Casualty Insurance Co. if granted as to plaintiffs claims for damage to the building and is otherwise denied.

7 2. The motion for summary judgment by defendant Michals Insurance Agency Inc. is denied.

3. Plaintiffs motion to exclude expert testimony by Victor Collazo is denied.

4. The motion in Ii.mine by defendant Michals Insurance Agency to exclude out of court statements by Nick Lotfey is denied without prejudice.

5. The clerk is directed to incorporate this order in the docket by reference pursuant to Rule 79(a).

Dated: November ~2016

"-Thomas D. Warren Justice, Superior Court

8 'STATE OF MAINE SUPERIOR COURT CUMBERLAND, SS. CIVIL ACTION Docket No. CV-15-104

V. ~~~ 1UN 2310\S TRAVELERS CASUAL TY INSURANCE CO., et al., RECEIVED Defendants

Before the court is a motion by defendant Michals Insurance Agency Inc. to set aside the

default entered against it on March 27, 2015.

The papers filed by the parties indicate that between October 2014 and January 2015,

there were communications between plaintiff's counsel and both defendants and their insurers to

explore settlement. On March 1, 2015 plaintiff's counsel, who had not heard back since late

January, sent the complaint to the sheriff's office for service on the defendants. Although not

obliged to so, plaintiff's counsel did not inform defendants or their insurers that he was

commencing a lawsuit.

On March 5, 2015 service was made on Registered Agency Solutions Inc. in Portland.

Registered Agency Solutions Inc. is the registered agent for service of process on the Michals

Agency, which is based in Watertown, Massachusetts.

On March 16, 2015 plaintiff filed the complaint and the return of service on the Michals

Agency. On March 27, 2015, two days after the expiration of the 20 day time limit for the filing of

a responsive pleading, plaintiff sought an entry of default and a default judgment against the

Michals Agency. A default was entered, but the court declined to enter a default judgment,

concluding that a hearing was required.

On April 6, 2015, 12 days after the expiration of the 20 day time limit for the filing of a

responsive pleading and 10 days (six business days) after the entry of default, counsel filed an

appearance for the Michals Agency along with the instant motion to set aside the default, a

motion for leave to file a late answer, and the late answer that the Michals Agency proposed to

file.

On a motion pursuant to Rule 55(c) the moving party must show a good excuse for the

untimeliness in pleading and the existence of a meritorious defense.~ Thomas v. Thompson,

653 A.2d 417, 419-20 (Me. 1995). Motions to set aside defaults have been granted in cases

where no "gross neglect" was involved in the late filing, where the nondefaulting party will not

be substantially prejudiced, and where a meritorious defense exists. Id., 653 A.2d at 420, citing

10 C. Wright, A. Miller & M. Kane, Federal Practice and Procedure: Civil§ 2696 (1983).

In this case the court can discern no prejudice to plaintiff Kherallah Salleh from the one

week delay in the filing of the Michals Agency's answer. Moreover, the Michals Agency has

raised potentially meritorious defenses for purposes of M.R.Civ.P. 55(c). See Hamby v. Thomas

Realty Associates, 617 A.2d 562, 564 (Me. 1992) (moving party's assertion of facts supporting

potentially meritorious defense are assumed to be true on motion to set aside default). Indeed,

Salleh's opposition to the Michals Agency's Rule 55(c) motion is based entirely on the

contention that the Michals Agency has not shown a sufficiently good excuse for the default.

2 The record before the court establishes that after the complaint was served on March 5, it

was sent by Federal Express to the Michals Agency in Watertown, where it arrived on March 10.

Both of the owners and managers of the Michals Agency were on vacation on March 10, and the

Federal Express package was placed on the desk of the Agency's part time bookkeeper, where it

was found unopened after the co-owner and co-manager of the Michals Agency was informed

that a default had been entered.

The "good cause" standard under Rule 55(c) is a less stringent standard than the

"excusable neglect" standard that would have to be met under M.R.Civ.P. 60(b)(l) if a judgment

had been entered. Erskine v. Commissioner, 682 A.2d 681, 684 (Me. 1996). Given that no gross

neglect is apparent from this record, given the absence of any prejudice to Salleh, given that the

Michals Agency acted promptly to set aside the default as soon as it learned that a default had

been entered, and given that the answer was filed less than two weeks after it was originally due,

the court finds that the Michals Agency has demonstrated the necessary good cause to set aside

the default.

This is consistent with the strong preference for deciding cases on their merits. See

Thomas v. Thompson, 653 A.2d at 419 (Me. 1995); Millet v. Dumais, 365 A.2d 1038, 1040 (Me.

1976), quoting Field McKusick & Wroth, Maine Civil Practice § 55.4 at 21-22 ("substantial

rights should not be determined by default if that procedure can reasonably be avoided and no

substantial prejudice has resulted"); 3 C. Harvey, Maine Civil Practice § 55:7 (2011).

The entry shall be:

The motion by defendant Michals Insurance Agency Inc. to set aside the default entered on March 27, 2015 and to file a late answer is granted. The clerk is directed to incorporate this order in the docket by reference pursuant to Rule 79(a).

3 Dated: June h 2015

Thomas D. Warren Justic~, Superior Court

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