Unger v. Liberty Mutual Insurance

849 F. Supp. 839, 1994 U.S. Dist. LEXIS 3829, 1994 WL 108444
CourtDistrict Court, E.D. New York
DecidedMarch 21, 1994
DocketCV 92-4970 (ADS)
StatusPublished
Cited by4 cases

This text of 849 F. Supp. 839 (Unger v. Liberty Mutual Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Unger v. Liberty Mutual Insurance, 849 F. Supp. 839, 1994 U.S. Dist. LEXIS 3829, 1994 WL 108444 (E.D.N.Y. 1994).

Opinion

MEMORANDUM AND ORDER

SPATT, District Judge.

This is an action to recover property damages for losses under a “standard flood insurance policy” (“the policy”) resulting from two floods occurring on October 30, 1991 and December 11, 1992. The plaintiff owns a single family residence located at 78 Arizona Avenue in Long Beach in Nassau County.

The following facts were agreed upon by both parties by stipulation:

First, that an insurance policy was issued to the plaintiff Larry Unger and that he paid the premiums for it.

Second, that the policy is a standard flood insurance policy (Plfs Exh. 1).

Third, that a flood occurred at the insured premises on October 30, 1991.

Fourth, a second flood occurred on December 11, 1992. And Mr. Unger likewise suffered a loss to the premises and contents on that day.

Fifth, both of those floods are covered occurrences under the policy.

Sixth, that representatives of the defendant, Liberty Mutual, appeared at the prem *841 ises and inspected the premises at each occurrence.

THE ISSUES

There are two liability issues in this case. The first issue is whether the lower level in the plaintiffs house, where the losses in both floods occurred, is a basement as defined in the flood insurance policy. If the area in question is a basement, the policy only covers for rough carpentry and not for the finished areas or the contents. The second issue concerns the proof of loss provision in the policy and whether the plaintiff complied with this provision with regard to the second flood damage of December 11, 1992.

The plaintiff contends that, within the definition of the policy, his house does not have a basement. The defendant contends the area in question is a basement within the terms of the policy.

Under Article II of the policy entitled “Definitions,” a basement is defined as follows:

“Basement means any area of the building having its floor subgrade (below ground level) on all sides.”

In Article V of the policy entitled “Property Not Covered,” there is the following language:

“We do not cover and will not pay for damages to or loss of any of the following:
F.... finished basement walls, floors, ceilings and other improvements to a basement having its floor subgrade on all sides, and contents, machinery, building equipment and fixtures in such basement areas; except that, as to this subparagraph (F), coverage is provided in basement areas ... [for certain equipment]” (emphasis supplied).

In the policy renewal declarations attached to the policy, which, under the definition of “Policy,” were part of the policies and specified the details of the insurance provided and the property covered, the “Building” being insured is described as having “two” floors including a “finished basement.” The “contents location” to be insured was described as the “basement and above.”

The plaintiff contends that there is a driveway that gradually slopes down from the street to a garage and a door to the-lower level of his home (see Plf s Exh. 2B), and that the lower door leading to the lower level is above ground level. The plaintiff further contends that the sloping driveway, although below the sidewalk and street, creates a new ground level adjacent to the lower door.

The guidelines promulgated by the Federal Emergency Management Agency (“FEMA”) define ground level and excavations below the ground level as follows:

“(1) ground level means the naturally existing grade at the time of original construction.
(2) excavation of the natural grade for some distance away from the structure does not present a basement.”

It is undisputed that the plaintiffs driveway was excavated during construction to create access to the garage and entry door to the lower level thereby altering the natural grade. It is also undisputed that the bottom of the lower level doorway is approximately two feet lower than the sidewalk, roadway, and surrounding property.

With regard to the first issue to be determined, the question presented is, when the policy defines a basement as an “area of the building having its floor subgrade (below ground level) on all sides,” is “ground level” the sidewalk and street area, as defendant contends or is it the ground level directly and immediately adjacent to the lower level door?

As stated above, the second issue involves the plaintiffs failure to file a proof of loss covering the claim for the contents of the lower level, with regard to the second flood of December 11, 1992.

THE TRIAL — FINDINGS OF FACT

This opinion and order includes the Court’s findings of fact and conclusions of law as required by Fed.R.Civ.P. 52(a) (see also Colonial Exchange Ltd. Partnership v. Continental Casualty, 923 F.2d 257 [2d Cir.1991]).

*842 The house at 78 Arizona Avenue in Long Beach is a two story structure with a garage driveway descending from the street and sidewalk. The lower level is entered by a door near the garage entrance. The photographs in evidence, particularly, Plfs Exhs. 2B and 2C, clearly show that in order for one to enter the lower level, a person must step up one step from the ground area immediately adjacent to the door. These photographs will be annexed to this memorandum and decision. In this regard, the Court notes that although Liberty Mutual investigator Laurie Potts took photographs following the second flood, none were produced at the trial, either on the issue of liability or damages.

The policy renewal of February 20, 1991, (Dft’s Exh. C) contains a building description code of 121 and a contents description code of 2. On the reverse side of the form, with difficulty, one can decipher the definitions of these two sets of numbers so as to indicate a basement at the premises. The Court finds that there is no evidence that a reasonably prudent policy holder would turn over the renewal sheet to discover that these numbers refer to a “basement.” Moreover, this self-serving portion of an insurance contract, which is adhesive by nature, is not determinative of the crucial issue in this case.

On a document marked “Flood Policy Declarations” and “Renewal,” under the designation “Basement Description,” is inserted the words “Finished basement and above.” This renewal is dated February 19, 1992, subsequent to the first flood. Moreover, the plaintiff testified that he received this document after he had made a claim for the October 30, 1991 flood, which claim was denied, and after he had paid the premium for that policy. In any event, the self-serving declaration in the renewal sheet is also not dispositive.

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Bluebook (online)
849 F. Supp. 839, 1994 U.S. Dist. LEXIS 3829, 1994 WL 108444, Counsel Stack Legal Research, https://law.counselstack.com/opinion/unger-v-liberty-mutual-insurance-nyed-1994.