State Security Insurance v. Burgos

564 N.E.2d 160, 205 Ill. App. 3d 739, 151 Ill. Dec. 183, 1990 Ill. App. LEXIS 1051
CourtAppellate Court of Illinois
DecidedJuly 18, 1990
DocketNo. 1-89-2101
StatusPublished

This text of 564 N.E.2d 160 (State Security Insurance v. Burgos) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Security Insurance v. Burgos, 564 N.E.2d 160, 205 Ill. App. 3d 739, 151 Ill. Dec. 183, 1990 Ill. App. LEXIS 1051 (Ill. Ct. App. 1990).

Opinion

JUSTICE FREEMAN

delivered the opinion of the court:

Plaintiff, State Security Insurance Company, filed a declaratory judgment action against Ramon and Felicita Sotos Burgos, individually and d/b/a Casablanca Liquor and Grocery Store, their son, Rolando Soto, and Milagros C. Segarra, administrator of the estate of Manuel A. Segarra. Plaintiff sought a declaration that it did not owe the Burgoses or Soto a duty to defend or indemnify them under a liability insurance policy, issued to the Burgoses, in a lawsuit brought by Milagros Segarra as administrator of the estate of Manuel Segarra. After plaintiff and Segarra filed cross-motions for summary judgment, the trial court denied plaintiff’s motion and granted Segarra’s motion. Plaintiff appeals the denial of its motion for summary judgment and the grant of Segarra’s motion. Only Segarra (hereinafter defendant) has filed an appellee’s brief.

The action underlying plaintiff’s declaratory action grew out of the death of Manual Segarra, after being shot by Rolando Soto on November 5, 1981. In its declaratory judgment complaint, plaintiff alleged that the Burgoses had failed to comply with the “notice of occurrence” provision of the policy issued by plaintiff.1 That provision stated that “[i]n the event of an occurrence, written notice containing particulars sufficient to identify the insured and also reasonably obtainable information with respect to the time, place and circumstances thereof and the names and addresses of the injured and of available witnesses shall be given by or for the insured to the company or any of its authorized agents as soon as practicable.” Plaintiff alleged that it had not received notice of Segarra’s shooting and death until November 28, 1983, when it received a copy of the summons and complaint in defendant Segarra’s law action against the Burgoses. After receiving notice of the suit, plaintiff undertook to represent the Burgoses and Soto under a reservation of rights.

After answering the complaint, defendant moved for summary judgment on the grounds that: (1) notice to plaintiff of Segarra’s shooting was excused because the Burgoses reasonably believed that they were not liable therefor as it had occurred outside of the store; (2) the Burgoses had acted reasonably in giving notice of the shooting to their insurance broker, Robert Patis, who procured plaintiff’s insurance coverage for the Burgoses, and whom plaintiff had clothed with apparent authority to receive notice as required under the policy; and (3) given the definitions in plaintiff’s policy of the terms “occurrence” and “bodily injury,” as used therein, no notice of the shooting death of Segarra was required thereunder. The trial court entered summary judgment for defendant, agreeing with her second ground therefor.

Preliminarily, we must address plaintiff’s motions to strike as irrelevant and/or incompetent those portions of the statement of fact in defendant’s brief dealing with: (1) the prior claims history between Patis and the Burgoses; (2) what Patis told Burgos after the shooting of Segarra; (3) the occurrence underlying defendant’s claim; (4) the underlying procedural aspects of this case; and (5) the customs and practices in the insurance industry.

We will grant plaintiff’s motion to strike defendant’s references to the prior claims history between Patis and the Burgoses in view of the lack of any evidence that plaintiff had issued any policies other than the one at issue to the Burgoses. However, we deny the motion to strike her references as to what Patis told Burgos, after the shooting of Segarra, regarding whether the Burgoses’ insurance would cover the incident. We also deny the motion to strike to the extent that plaintiff may be seeking to exclude: (a) Burgos’ testimony that he believed that if he reported the incident to Patis, he did not have to report it to anyone else; and (b) the testimony of Burgos and Patis that Patis told Burgos not to worry after Burgos reported the shooting to him. Contrary to plaintiff’s assertions, we believe that what Patis told Burgos after Segarra’s shooting and Burgos’ belief as to his duties with respect to giving plaintiff notice of the shooting, as affected thereby, are absolutely relevant to the issue before us. We also grant the motion to strike defendant’s references to the specific facts of the occurrence underlying defendant’s claim and the underlying procedural aspects of this case. However, we deny the latter motion to the extent that plaintiff may be seeking to strike defendant’s reference to plaintiff’s reservation of rights and to plaintiff’s argument below that the matter of prejudice to it in this case is irrelevant. The fact that plaintiff reserved its rights against the Burgoses cannot be ignored since it was the predicate for plaintiff’s request for declaratory relief. Moreover, it is illogical for plaintiff to attempt to bar defendant from relying on plaintiff’s position below regarding the matter of prejudice to it in view of the fact that plaintiff takes the same position on appeal as well.

The most problematical matter we must address is whether defendant should be barred from relying upon the testimony of Patis and plaintiff’s claims manager, Michael Fitzgerald, regarding the customs and practice of plaintiff specifically and the insurance industry generally. To the extent that plaintiff relies on defendant’s alleged mischaracterization and/or misstatement of that testimony, we will grant the motion to strike. However, we must note that we may nonetheless read that testimony for ourselves and come to our own conclusions as to its meaning. To the extent that plaintiff relies upon the alleged incompetence of Patis and Fitzgerald to testify to plaintiff’s and industry-wide customs and practices, we will deny the motion. All that need be shown to testify to a party’s or industry’s customs and practices is a sufficient familiarity therewith. (See Capital Development Board ex rel. P.J. Gallas Electrical Contractors, Inc. v. G.A. Rafel & Co. (1986), 143 Ill. App. 3d 553, 493 N.E.2d 348.) The record conclusively reveals that Patis and Fitzgerald satisfied that requirement.

Finally, Fitzgerald’s testimony is not objectionable for the additional reasons advanced by plaintiff that his testimony was based on speculation and on his employment at a “completely different” insurance agency or because his testimony regarding plaintiff’s receipt of notices from brokers concerned only notices of «claims, not notices of occurrences. In the one instance in which Fitzgerald characterized his testimony as speculative, we find that he had a sufficient familiarity with the practices of plaintiff and brokers with whom it dealt to construe that testimony as opinion based on that familiarity rather than pure speculation. As to Fitzgerald’s employment with a “completely different” insurance agency, plaintiff ignores his testimony that that agency had an agency relationship with plaintiff and that he worked there for three years prior to working for plaintiff. In view of those facts, the fact that Fitzgerald based his testimony, in part, on his employment with that agency provides no basis on which to object thereto. Finally, the record clearly controverts plaintiff’s assertion that Fitzgerald did not testify that plaintiff received notices of occurrences from brokers, among others.

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Bluebook (online)
564 N.E.2d 160, 205 Ill. App. 3d 739, 151 Ill. Dec. 183, 1990 Ill. App. LEXIS 1051, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-security-insurance-v-burgos-illappct-1990.