Sherman & Hemstreet, Inc. v. Cincinnati Insurance

594 S.E.2d 648, 277 Ga. 734, 2004 Fulton County D. Rep. 1128, 2004 Ga. LEXIS 269
Supreme Court of Georgia·Decided March 29, 2004·No. S03G1190·Published·Cited by 9 cases

Opinions

Sears, Presiding Justice.

Certiorari was granted to consider whether the Court of Appeals correctly construed an insurance policy’s provisions governing the limit of insurance applicable to coverage for employee dishonesty. Having reviewed the record in light of certain stipulations concerning the policy made by the parties before the trial court, we determine that the Court of Appeals’ decision was correct. Therefore, we affirm.

[735] Sherman & Hemstreet, Inc. (“Sherman”), purchased a commercial insurance policy issued by the Cincinnati Insurance Company (“Cincinnati”) that provided coverage for, among other things, loss due to employee dishonesty. In their cross motions for summary judgment, the parties stipulated that the insurance policy had a three year term from September 1, 1997, to September 1, 2000, and that the policy was renewed for an additional three year term from September 1, 2000, to September 1, 2003. Otherwise, the parties stipulated, the provisions of the two policies were identical.

The policies provided that in cases of employee dishonesty, the “most [Cincinnati] will pay for loss in any one ‘occurrence’ is the applicable Limit of Insurance shown in the Declarations.” The Declarations, in turn, limited recovery for loss due to employee dishonesty to $50,000. Both policies defined an “occurrence” as “all loss caused by, or involving, one or more employees whether the result of a single act or a series of acts.” Thus, for all losses due to the dishonest acts of employees (either a single employee or a group acting in concert), the policies limited Sherman’s recovery to $50,000. The policies also included the following non-cumulation clause: “Regardless of the number of years this insurance remains in force or the number of premiums paid, no Limit of Insurance cumulates from year to year or period to period.” t

Four years after the original policy took effect, Sherman discovered that due to ongoing embezzlement by a single employee, it had sustained losses in each of the three years covered by the original policy and during the first year of the renewed policy. It submitted a claim to Cincinnati seeking to recover $160,670 — $50,000 for each year of the original three-year policy and $10,670 for the first year of the renewed policy. Cincinnati paid Sherman $50,000, explaining that was the extent of Sherman’s coverage for employee dishonesty. Sherman demanded the additional $110,670, and sued. The trial court granted Sherman’s motion for summary judgment. On appeal, the Court of Appeals affirmed in part and reversed in part,1 concluding the policies’ terms were ambiguous as to whether the renewed policy set a new $50,000 limit independent of the original policy. That ambiguity was construed in favor of the insured, and hence the Court of Appeals affirmed the ruling that Sherman could recover $10,670 under the renewed policy. The Court of Appeals concluded, however, that under the unambiguous terms of the original policy, Sherman’s coverage for employee dishonesty was limited to $50,000 for the entire three year period. Therefore, it reversed the trial court’s ruling [736] that Sherman was entitled to recover an additional $100,000 under the original policy. This Court granted Sherman’s petition for certiorari.

1. Cincinnati argues that the Court of Appeals erred in requiring it to pay $10,670 to Sherman under the renewed policy, because the non-cumulation clause limited Sherman’s recovery to $50,000 “regardless of the number of years [the] insurance remains in force or the number of premiums paid.”2 As noted above, though, Cincinnati stipulated that there were two insurance policies, one of them an original and the other a renewal. We agree with the Court of Appeals that in light of that stipulation, the non-cumulation clause is ambiguous because it could be construed to mean either: (1) that Cincinnati’s maximum aggregate liability, regardless of the number of policies that it issued, was limited to $50,000, or (2) that the liability limit for the original policy could not be “carried over” to increase the liability limit for the renewed policy, although both policies indemnified Sherman for up to $50,000. We must construe this ambiguity in favor of the insured,3 and thus we agree with the Court of Appeals’ judgment permitting Sherman to recover $10,670 under the renewed policy.

2. Sherman argues that the original policy was not for a term of three years, but rather was a series of separate, independent contracts, each for a term of one year. Thus, argues Sherman, it is entitled to recover up to the policy’s $50,000 limit of liability for each of the three years in which a loss occurred. As noted above, however, Sherman stipulated before the trial court that the original policy was for a term of three years:

The initial policy had a three (3) year term from September 1, 1997, to September 1, 2000, and the policy was renewed for an additional three (3) year term from September 1, 2000, to September 1, 2003. Otherwise . . . the provisions of the two policies were the same.

The parties are, of course, bound on appeal by the stipulations upon which their case was decided in the trial court.4 Accordingly, Sherman is estopped from arguing on appeal that the policy was for any[737] thing other than a single term of three years.5

3. The Court of Appeals properly held that Sherman’s recovery under the original policy was limited to $50,000. As with any contract, the terms of an insurance policy bear their usual and common meanings.6 In construing an insurance policy, we strive for the construction that will uphold the policy both as a whole and in every part.7 In construing any part of a contract for insurance, the contract as a whole must be taken into consideration.8

As discussed above, the original policy was for a term of three years. The policy unambiguously stated that for that three year period, the most Cincinnati would pay for losses due to employee dishonesty was $50,000 per “occurrence.” The policy defined an “occurrence” as “all loss caused by, or involving, one or more employees, whether the result of a single act or a series of acts.” The employee dishonesty at issue in this case was a series of embezzlements committed by a single employee over the course of several years. Thus, the loss for which Sherman sought indemnification under the original policy fell within the policy’s definition of a single “occurrence.” By its plain terms, the three year policy capped Sherman’s coverage at $50,000 for this single occurrence.

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Sherman & Hemstreet, Inc. v. Cincinnati Insurance, 594 S.E.2d 648, 277 Ga. 734, 2004 Fulton County D. Rep. 1128, 2004 Ga. LEXIS 269 (Ga. 2004).

594 S.E.2d 648 (Sherman & Hemstreet, Inc. v. Cincinnati Insurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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Sherman & Hemstreet, Inc. v. Cincinnati Insurance
594 S.E.2d 648 (Supreme Court of Georgia, 2004)