Union Mutual Fire Insurance Company v. Tejada

CourtDistrict Court, S.D. New York
DecidedJanuary 9, 2023
Docket1:20-cv-09166
StatusUnknown

This text of Union Mutual Fire Insurance Company v. Tejada (Union Mutual Fire Insurance Company v. Tejada) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Union Mutual Fire Insurance Company v. Tejada, (S.D.N.Y. 2023).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK

UNION MUTUAL FIRE INSURANCE COMPANY,

Plaintiff and Counter-Defendant, 20 Civ. 9166 (PAE) -v- OPINION & ORDER MARIO TEJADA,

Defendant and Counter-Claimant,

and PABLO BRITO,

Defendant.

PAUL A. ENGELMAYER, District Judge: Plaintiff Union Mutual Fire Insurance Company (“Union Mutual”) issued to defendant Mario Tejada (“Tejada”) a commercial liability insurance policy, which covers, inter alia, bodily injuries occurring on Tejada’s property in the Bronx, New York. The policy contains exclusions to Union Mutual’s obligation to defend and indemnify Tejada, including for injuries involving renovation or repairs, and involving independent contractors and subcontractors. In this action, Union Mutual seeks a declaratory judgment that it is not obligated to defend or indemnify its insured, Tejada, with respect to an accident at Tejada’s property in which defendant Pablo Brito (“Brito”) was allegedly injured.1 On July 23, 2021, the Court denied Tejada’s motion to dismiss for lack of subject matter jurisdiction under Federal Rule of Civil Procedure 12(b)(1) and for failure to state a claim under Rule 12(b)(6), and granted Union Mutual’s motion to amend the

1 To date, Brito has not appeared in this action, despite being served on December 4, 2020. See Dkt. 14; Dkt. 53 (non-attendance at case management conference). complaint. Dkt. 29. Union Mutual now moves for summary judgment. Dkt. 57. For the following reasons, the Court denies the motion. I. Background2 A. Factual Background to This Action 1. The Policy Issued by Union Mutual Union Mutual issued a commercial package insurance policy (the “policy”) to Tejada for

the property at 409 Howe Avenue, Bronx, New York 10473 (the “Bronx property”), covering the period of December 3, 2018 to December 3, 2019. Dkt. 55-2 (“Policy”) at 2, 10; see also Pl. Statement of Facts ¶¶ 1–2; Def. Counterstatement ¶¶ 1–2. The policy provides liability coverage of up to $500,000 per occurrence for bodily injuries occurring on the property. Policy at 2, 13; see also Pl. Statement of Facts ¶ 3; Def. Counterstatement ¶ 3. Under the Commercial General Liability Coverage Form, the policy obligates Union Mutual to defend Tejada against any suit “seeking [] damages even if the allegations of the ‘suit’ are groundless, false or fraudulent.” Policy at 84; see also Pl. Statement of Facts ¶ 4 (quoting policy); Def. Counterstatement ¶ 4 (directing Court to policy). However, Union Mutual has no duty under the policy to defend Tejada against any suit “seeking damages for ‘bodily injury’ or

2 The parties took virtually no discovery, and, with the Court’s consent, did not submit a joint statement of stipulated facts. See Dkt. 53 at 28. The Court thus draws its account of the underlying facts of this case from the parties’ submissions in support of and in opposition to Union Mutual’s motion for summary judgment. These include, (1) in support of Union Mutual’s motion for summary judgment, its memorandum of law, Dkt. 59 (“Pl. Mem.”), its statement of facts, Dkt. 55-14 (“Pl. Statement of Facts”), the affidavits of Jesse Siegel, Dkt. 55-1 (“Siegel Affidavit”), James Lambert, Dkt. 55-15 (“Lambert Affidavit”), and Patrick Hobbins, Dkt. 55-16 (“Hobbins Affidavit”), its counterstatement to Tejada’s facts, Dkt. 67 (“Pl. Counterstatement”), and attached exhibits; and (2) in opposition to Union Mutual’s motion for summary judgment, Tejada’s memorandum of law, Dkt. 65 (“Def. Mem.”), Tejada’s counterstatement of facts, Dkt. 62 (“Def. Counterstatement”), the declaration of Tejada, Dkt. 63 (“Tejada Decl.”), the affidavit of Beverly Joaquin, Dkt. 64 (“Joaquin Affidavit”), and attached exhibits. ‘property damage’ to which th[e] insurance [policy] does not apply.” Policy at 84; see also Pl. Statement of Facts ¶ 4 (quoting policy); Def. Counterstatement ¶ 4 (directing Court to policy). Two exclusions from coverage under the policy are relevant here: for (1) bodily injuries of independent contractors and subcontractors occurring under defined circumstances (the

“Independent Contractor/Subcontractor Exclusion”) and (2) bodily injuries occurring as a result of “construction, renovation or repair work” occurring under defined circumstances (the “Designated Operations Exclusion”). Policy at 82, 92; see Pl. Statement of Facts ¶¶ 5–6 (quoting policy); Def. Counterstatement ¶¶ 5–6 (directing Court to policy). The Independent Contractor/Subcontractor Exclusion provides: This policy shall only afford independent or sub-contractor’s coverage when all of the following conditions have been met:

CONDITIONS – INDEPENDENT CONTRACTORS AND SUBCONTRACTORS COVERAGE

1. With respect to work performed on your behalf by independent contractors or subcontractors, if (1) each such independent contractor or subcontractor carries insurance providing coverage for the “bodily injury” or “property damage” that would be subject to the exclusions in paragraphs 2, 3 and 4 below and; (2) such insurance provides coverage and limits at least equal to that provided by this policy but for the exclusions in paragraphs 2, 3 and 4 below and; (3) you have been named as an additional insured on such insurance coverage, then the exclusions in paragraphs 2, 3 and 4 below shall not apply and this policy shall be excess over such insurance.

Otherwise;

2. This insurance does not apply to “bodily injury” or “property damage” arising out of any and all work performed by independent contractors or subcontractors, regardless of whether such work is performed on your behalf or whether such work is performed for you or for others. This exclusion applies regardless of where such work is performed.

3. This insurance does not apply to “bodily injury” or “property damage” included in the “products-completed operations hazard” and arising out of any and all work performed by independent contractors or subcontractors, regardless of whether such work is performed on your behalf or whether such work is performed for you or for others. This exclusion applies regardless of where such work is performed.

4. This insurance does not apply to “bodily injury” or “property damage” sustained by any owner, partner or employee of any independent contractor or subcontractor working for you or on your behalf, regardless of whether such work is performed on your behalf or whether such work is performed for you or for others. This exclusion applies regardless of where such work is performed.

Policy at 82; see Pl. Statement of Facts ¶ 5; Def. Counterstatement ¶ 5 (directing Court to policy). The Designated Operations Exclusion defines “designated ongoing operations” as: Any construction, renovation or repair work being performed at any insured location, except when performed by independent contractors and/or subcontractors who have met the conditions of the Independent or SubContractors Endorsement GL UM 0684 04 13 attached to the policy.

Policy at 92; see Pl. Statement of Facts ¶ 6; Def. Counterstatement ¶ 6 (directing Court to policy). The exclusion provides: This insurance does not apply to “bodily injury” or “property damage” arising out of the ongoing operations described in the Schedule of this endorsement, regardless of whether such operations are conducted by you or on your behalf or whether the operations are conducted for yourself or for others.

Unless a “location” is specified in the Schedule, this exclusion applies regardless of where such operations are conducted by you or on your behalf. If a specific “location” is designated in the Schedule of this endorsement, this exclusion applies only to the described ongoing operations conducted at that “location”.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
New Hampshire v. Maine
532 U.S. 742 (Supreme Court, 2001)
Fincher v. Depository Trust and Clearing Corp.
604 F.3d 712 (Second Circuit, 2010)
Rojas v. Roman Catholic Diocese of Rochester
660 F.3d 98 (Second Circuit, 2011)
Johnson v. Killian
680 F.3d 234 (Second Circuit, 2012)
Olin Corp. v. American Home Assurance Co.
704 F.3d 89 (Second Circuit, 2012)
Secrest v. Merck, Sharp & Dohme Corp.
707 F.3d 189 (Second Circuit, 2013)
Wright v. Goord
554 F.3d 255 (Second Circuit, 2009)
Holcomb v. Iona College
521 F.3d 130 (Second Circuit, 2008)
Jaramillo v. Weyerhaeuser Co.
536 F.3d 140 (Second Circuit, 2008)
Hicks v. Baines
593 F.3d 159 (Second Circuit, 2010)
Polin v. Kellwood Co.
132 F. Supp. 2d 126 (S.D. New York, 2000)
Rogoz v. City of Hartford
796 F.3d 236 (Second Circuit, 2015)
Robert DeRosa v. National Envelope Corporation
595 F.3d 99 (Second Circuit, 2010)
Bentley v. AutoZoners, LLC
935 F.3d 76 (Second Circuit, 2019)
Beazley Insurance Co. v. ACE American Insurance Co.
880 F.3d 64 (Second Circuit, 2018)

Cite This Page — Counsel Stack

Bluebook (online)
Union Mutual Fire Insurance Company v. Tejada, Counsel Stack Legal Research, https://law.counselstack.com/opinion/union-mutual-fire-insurance-company-v-tejada-nysd-2023.