U.S. Underwriters Insurance v. City Club Hotel, LLC

369 F.3d 102, 2004 WL 870479
CourtCourt of Appeals for the Second Circuit
DecidedApril 23, 2004
DocketDocket Nos. 03-7533(L), 03-7543(XAP)
StatusPublished
Cited by3 cases

This text of 369 F.3d 102 (U.S. Underwriters Insurance v. City Club Hotel, LLC) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
U.S. Underwriters Insurance v. City Club Hotel, LLC, 369 F.3d 102, 2004 WL 870479 (2d Cir. 2004).

Opinion

CALABRESI, Circuit Judge.

On April 27, 2000, Marek Szpakowski, a construction worker employed by City Club Hotel, LLC, fell and sustained serious injuries when the scaffolding he was standing on snapped. City Club was a tenant on the subject premises, and performing renovation work pursuant to a lease with the property owner, Shelby Realty, LLC (“Shelby”). U.S. Underwriters Insurance Company (“Underwriters”) had issued a general commercial liability insurance policy (“the policy”) to Shelby and City Club, as “Named Insureds,” in connection with renovation work that City Club was undertaking. The policy specified that the members of any insured limited liability company were insured under the policy, “but only with respect to the conduct of [that insured limited liability company’s] business.” Defendants-Appel-lees-Cross-Appellants Metropolitan Hotels, LLC (“Metropolitan”), and Forthright Development, LLC (“Forthright”) are both members of City Club.

Mr. Szpakowski retained counsel, who informed Shelby, by letter dated July 10, 2000, that the firm had “been retained to pursue [Szpakowski’s claim] for personal injuries sustained as a result of [Shelby’s] negligence on April 27, 2000.” The letter also requested that Shelby refer the letter immediately to its insurer. Shelby forwarded this letter, through a series of intermediaries, to Underwriters. What Underwriters ultimately received was a “General Liability Notice of Occurrence / Claim” form identifying the policy number and listing City Club as the “Insured.” Attached to that form was a copy of the letter that Szpakowski’s counsel had sent to Shelby informing Shelby that it might be sued.

Underwriters confirmed receipt of the claim on July 18, 2000. In doing so it identified City Club and Shelby as “Our Insured.” In addition, on or about July 20, 2000, City Club’s manager sent a letter to Underwriters’ parent company, U.S. Liability Insurance Group, referring to the “claim by Marek Szpako[w]ski against City Club Hotel, LLC, and/or our landlord Shelby Realty, LLC.” The letter reiterated that Szpakowski had filed a claim against Shelby, informed the insurer that Szpa-kowski was collecting workers’ compensation payments, and indicated that City Club would, subject to Underwriters’ approval, soon discontinue certain supplemental payments made to Szpakowski.

Around the same time, Underwriters retained J & N Investigation and Claim Service (“J & N”) to look into the accident. Underwriters informed J & N that it provided insurance to City Club and Shelby, and instructed J & N, inter alia, to contact the Named Insured, to obtain copies of any lease agreements involved in the claim, and to incorporate the claimant’s employment status in a signed statement. In a report dated August 9, 2000, J & N confirmed that the insured premises was owned by Shelby and leased by City Club, that City Club and Shelby were both Named Insureds under the policy, that Szpakowski was an employee of City Club, and that City Club was a limited liability company.

In November 2000, Szpakowski and his wife filed an action for damages in the [106]*106New York Supreme Court, asserting claims against Shelby, Metropolitan, and Forthright under various state labor and industrial laws.1 Szpakowski v. Shelby Realty, LLC, No. 123412-00 (N.Y.Sup.Ct., filed Nov. 16, 2000) (“the personal injury action”). A copy of the verified complaint was sent to Underwriters on or about December 13, 2000. By letter dated December 20, 2000, Underwriters disclaimed coverage of City Club and Shelby, quoting the Employee Exclusion clause of the insurance policy,2 and copying the letter to Metropolitan and Forthright.

In September 2002, Underwriters brought this action in the United States District Court for the Southern District of New York (Buchwald, J.), asserting diversity jurisdiction, and seeking a declaratory judgment that it has no duty to defend or indemnify Shelby, City Club, Forthright, and Metropolitan, or Stephen R. Brighen-ti and Jonathan P. Zambetti (corporate officers of Metropolitan and Forthright, respectively, and guarantors of the lease between Shelby and City Club) in the personal injury action.3 Underwriters subsequently moved for summary judgment, as did the defendants, who principally asked (i) that the plaintiffs complaint be dismissed with prejudice as to Shelby, Forthright, and Metropolitan, on the grounds that Underwriters’ disclaimer of coverage was untimely; (ii) that, as regards Shelby, the complaint, alternatively, be dismissed with prejudice on the merits, because the exclusionary clause in the insurance policy did not apply to Shelby; (iii) that the complaint against City Club, Brighenti, and Zambetti be dismissed “because they are not asserting a claim for coverage against Plaintiff’; (iv) that the court declare Underwriters obligated to defend and indemnify Shelby with respect to the personal injury action; and (v) that Defendants be awarded their attorneys’ fees, costs, and expenses in defending against the declaratory action.

The district court granted summary judgment to the defendants on the issue of disclaimer of coverage, but denied the defendants any attorneys’ fees. Underwriters now appeals the issue of its liability under the policy, and the defendants cross-appeal, seeking to reverse the judgment denying them attorneys’ fees. We deal first with Underwriters’ responsibilities to the defendants under the policy, and subsequently with the question of attorneys’ fees.

I. DISCLAIMER OF COVERAGE

Under New York law, an insurer must notify an insured as “soon as is reasonably possible” of its intention to disclaim coverage for bodily injury under a [107]*107policy. N.Y. Ins. Law § 3420(d). “A failure by the insurer to give such notice as soon as is reasonably possible after it first learns of the accident or of grounds for disclaimer of liability or denial of coverage, precludes effective disclaimer or denial.” Hartford Ins. Co. v. County of Nassau, 46 N.Y.2d 1028, 1029, 416 N.Y.S.2d 539, 389 N.E.2d 1061 (1979). We measure the reasonableness of the delay “from the point in time when the insurer first learns of the grounds for disclaimer of liability or denial of coverage.” Allcity Ins. Co., 78 N.Y.2d 1054, 1056, 576 N.Y.S.2d 87, 581 N.E.2d 1342 (1991); see also Allstate Ins. Co. v. Gross, 27 N.Y.2d 263, 268, 317 N.Y.S.2d 309, 265 N.E.2d 736 (1970) (“time for notice should be measured from the moment the insurer first learns of the accident or of grounds for its disclaimer and not from the time when it chooses to disclaim”).4 “[W]here the grounds for disclaimer are not readily apparent, an insurer must be given reasonable time to adequately investigate a claim in order to determine whether it wishes to disclaim coverage,” U.S. Underwriters Ins. Co. v. Roka, LLC, No. 99-CIV-10136, 2000 WL 1473607, at * 5 (S.D.N.Y.2000), but the insurer also has an obligation to engage in a “reasonably prompt, thorough, and diligent investigation of the claim,” Prudential Prop. & Cas. Ins. Co., 213 A.D.2d 408, 408, 623 N.Y.S.2d 336 (N.Y.App. Div.2d Dep’t 1995).

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Bluebook (online)
369 F.3d 102, 2004 WL 870479, Counsel Stack Legal Research, https://law.counselstack.com/opinion/us-underwriters-insurance-v-city-club-hotel-llc-ca2-2004.