Sergent v. Liverpool & London & Globe Insurance

66 A.D. 46, 73 N.Y.S. 120

• Court: Appellate Division of the Supreme Court of the State of New York
• Decided: November 15, 1901
• Status: Published

Opinion

Parker, P. J.:

This action is to recover upon a policy of insurance issued by the defendant. It is in the form of the usual standard policy, and insures the plaintiff’s cheese factory building, and an engine, boiler and connections, etc., therein. It was issued on May 11, 1892, for the term of one year. The building was totally destroyed by fire on August 23, 1892.

The insurance company defends upon several grounds. Firsts that the building stood upon leased grounds when the insurance was-taken, which fact by the terms of the policy renders it void. Also that the building stood vacant from about June 1, 1892, until the-time of the fire, which, for the same rea'son, rendered the policy void. Also, that the proofs of loss, which were by the policy-required to be delivered to the company within sixty days after, the fire, were not in fact delivered until ninety days or more thereafter.

The action has been three times tried. On the .first trial, at theOtsego Circuit,, the plaintiff recovered a verdict for the. amount-which the plaintiff claimed was adjusted by himself and one Shelves,. who claimed to act as an adjuster for the defendant company. No-proof of the value of the property destroyed was given, but the recovery was placed upon the amount as so adjusted. A new trial was granted by the General Term upon the sole ground that there-was not sufficient evidence to warrant the finding that Shelves had authority to act as adjuster for the defendant. Other objections-then taken by the defendant were not there considered. (77 Hun,. 612.) On the second trial the plaintiff was nonsuited substantially on the ground that he had failed to serve the required proofs of loss within sixty days, as required by the policy. On appeal to the General Term it was held that a failure to serve such proofs within the specified time was a bar to the plaintiff’s recovery; and that, upon an examination of the case, that court could find no evidence from which a jury might find a waiver by the defendant of that requirement. The nonsuit, therefore, was sustained. (85 Hun, 31.) On appeal to the Court of Appeals evidence was discovered in the record from which, in its opinion, the jury might have found such a waiver; and the judgment below was, therefore, reversed and a . new trial granted. (155 N. Y. 349.) On the third trial the plaintiff recovered a verdict for the amount so adjusted and interest; and from the judgment entered thereon, and an order denying a new trial on the minutes^ and an order granting an extra allowance of costs this appeal is taken.

Shelves, with whom the plaintiff claims he adjusted his loss on August 30, 1892, differs from the plaintiff as to what occurred between them on that occasion; but as to what was done and said then, the plaintiff’s version must be accepted. According to that version, Shelves then and there claimed to act as adjuster for the company. It does not appear, however, from the plaintiff’s own statement that he claimed to be anything more than an adjuster. De Camp, who was shown upon the trial to be the adjusting agent for that territory, testified that he sent Shelves there to estimate the value'of the buildings for him and not to represent the company; and Shelves’ letter of August 30, 1892, to De. Camp would seem to corroborate such statement. But assuming that Shelves did then claim to be there to adjust for the company and that the company had sent him there for that purpose, it is very clear that he was given no power or authority in any other matter, and was' not in any way held out to possess any power to bind the company in respect to any other matter.

Upon the trial the question as to .whether the company had ' waived the service of proofs of loss within sixty days was left to the jury. In that connection the defendant asked the court to charge that “upon the undisputed evidence in this case Shelves was at most a special agent with limited power and had not the power to waive proofs of loss by either his acts or words.” This request was declined, and such refusal was an error which evidently must have greatly prejudiced the defendant. Concede that Shelves was there to adjust the loss, the plaintiff does not claim that he assumed to have any further or other authority. The policy expressly provides that “ this company shall not be held to have waived any provision or condition of this policy or any forfeiture théreof by. any requirement, act or proceeding on its part relating to the appraisal or to any examination herein provided for.”

Here it seems the company reserved to itself the right to go on and ascertain and adjust the loss within the sixty days without thereby waiving the. requirement that proofs of loss be served upon it. Even though the amount of the loss be agreed upon, it does not necessarily follow that a liability to pay anything is conceded. Erom the statements required to be given in the proofs of loss it is apparent that the company relies upon them for information which is very necessary for it to have in passing upon the validity and good faith of the claim. Therefore the company waives nothing by agreeing upon the amount of the loss during the sixty days ; nor could a mere agent sent by it to make such an ad justment, by anything that he could say or do, waive the requirement in the policy as to the service of the proofs of loss. And particularly could he not in the face of the provision in the policy that no agent whatever shall have power to so waive any requirement or condition contained therein.

The plaintiff had testified that Shelves had told him that it would not be necessary to write to the company any more about it, and that if he heard nothing within ten days the company would pay, and that it had sixty days to pay in ; that relying on such statements he waited sixty days and then wrote to Thomas, the local agent, a letter which brought from him the letter of October thirty-first. Now, clearly, the refusal of the trial judge to tell the jury that such a statement by Shelves could not properly be considered as a waiver by the company, must have been very prejudicial to the defendant. The jury undoubtedly believed the plaintiff, and in view of the fact that it is extremely difficult to discover any fact whatever indicating that any agent of the company, having any pretense of authority to do so, has waived the service of the proofs of loss, they undoubtedly excused the plaintiff from serving them, on the ground that Shelves told him he need not.

We do not now consider the question whether, in this record, there is any evidence to sustain a finding that the company had waived the service of such proofs; but we do hold that such a waiver should not be predicated upon any act or statement of Shelves, and that it was error not to so instruct the jury. And this conclusion is not in conflict with anything that has been held by the Court of Appeals in this case. We have carefully examined their opinion, and do not find it anywhere intimated therein that Shelves’ acts should be considered as binding upon the company. A prominent fact pointed to in that opinion is, that within the sixty days the plaintiff and his attorney went to the general office of the defendant in New York city, and were there referred to De Camp and Thomas as the agents having the matter in charge. But, in the record now before us, it appears that the visit to New York was not until February, 1893, some months after the plaintiff’s sixty days had expired, and after Thomas’ letter of October thirty-first which is given much prominence in that opinion. So that we cannot now ascribe any delay in sending in his proofs to anything the plaintiff then learned; nor can anything that was then said be taken as authority to Thomas to write that letter. On the whole record it would seem that the facts now bearing on that question of the defendant’s waiver are not such as were before the Court of Appeals. But however that may be, it is clear that the question of Shelves’ authority was not pased upon by that court.

There is a further feature of this case which seems to require a new trial.'

It is conceded that this building stood upon leased ground, and that, therefore, by the terms of the contract of insurance, the policy was void. The answer by the plaintiff is, that in the fall of 1890 he told Thomas, the local agent, with ‘whom he negotiated and from whom he received the policy in suit, that the building was on leased ground, and that it was .occupied' only a portion of the year when milk could be procured from the adjacent farmers. Hence he claims the company had knowledge of the facts when it issued the policy, and, therefore, must be deemed to have waived those-conditions. But it appears that Thomas was not, in the fall of 1890,, an agent of the defendant. He was appointed by written instrument dated on May 8, 1891, and which specifically defines his-'' powers. Knowledge given to him before that date is not knowledge to the company, unless it was present in the mind of Thomas when he issued the policy;'and the burden was with the plaintiff to make it clearly appear that it was so. (Constant v. University of Rochester, 111 N. Y. 604, 613.) Thomas testified that at the time he insured this building he had no knowledge or information that it was on leased land. He denies that the plaintiff told him about it in the fall of 1890; but in that respect the jury have adopted the ' plaintiff’s statement. But what right have they to conclude that he recollected it when the policy was issued. The plaintiff’s evidence, does not go to that extent; nothing indicates that Thomas did then remember it; nothing that I can discover contradicts his statement that he did not. His denial of the plaintiff’s statement that he was told in 1890 is not inconsistent with his honesty, because it may be that he at once forgot it and that it has not since been recalled to his memory.

It seems to me that a jury may not find knowledge in the mind of Thomas without some evidence to contradict his statement that ' he did hot have it. They may not charge the defendant with knowledge of this fact, and so impose a liability to pay this claim upon it, because they cannot see how Thomas could have forgotten the statement the plaintiff claims to have made." It is claimed to have been made at a casual conversation had on the ball ground, while the plaintiff was engaged in the game, and was not at a time when negotiations were being had concerning the insurance of this or any other building. It was not a fact which would then be liable to impress itself on Thomas’ memory. We are of the opinion that the evidence does not warrant the conclusion that the defendant had knowledge that the building stood upon leased ground, and that, therefore, the verdict which is based upon such conclusion should be set aside.

For these reasons the judgment must be reversed.

All concurred; Smith, Edwards and Chase, JJ., concurred on last ground stated in opinion.

Judgment and order reversed and new trial granted, with costs to appellant to abide event.