Walsh v. Holyoke Mutual Insurance

1982 Mass. App. Div. 246, 3 Mass. Supp. 863
CourtMassachusetts District Court, Appellate Division
DecidedOctober 27, 1982
StatusPublished
Cited by1 cases

This text of 1982 Mass. App. Div. 246 (Walsh v. Holyoke Mutual Insurance) is published on Counsel Stack Legal Research, covering Massachusetts District Court, Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Walsh v. Holyoke Mutual Insurance, 1982 Mass. App. Div. 246, 3 Mass. Supp. 863 (Mass. Ct. App. 1982).

Opinion

Banks, J.

This is an action in contract brought by the plaintiffs against the defendant insurance company for compensation for damages to their property suffered in a storm of February, 1978. It is not at issue that the plaintiffs’ property in Winthrop, Massachusetts was, at the time of the storm, insured against wind damage by the defendant; nor that some damage caused by that storm was properly compensable by the defendant.

The plaintiffs filed a claim under the policy soon after the storm. A considerable controversy thereafter arose between the parties as to the amount of damage and the costs of repair for which the defendant was liable under the policy. The differences between the parties are indicated by the fact that the plaintiffs’ expert appraiser testified at trial to damages amounting to $6,632.01, while the defendant’s appraiser placed the amount of loss at $ 1,076.00. Negotiations between the parties prior to the commencement of suit on Februaiy 6, 1980 included a request by the plaintiffs in August, 1979 for arbitration pursuant to G.L. c. 175, §99, to which request the defendant did not accede. The negotiations also involved a letter from the plaintiffs, which was received by the [247]*247defendant on January 21,1980, setting forth both an itemized statement of loss prepared by the plaintiffs’ expert, and a receipted bill on a letterhead of Design Systems Development in the amount of $8,478.00. This receipted bill was not only appended to plaintiffs’ complaint, but also specifically alleged in Paragraph 18 of the complaint as follows:

18. That the plaintiffs have paid out-of-pocket expenses for the repair of their dwelling at 284 River Road in the sum of $8,478 in accordance with the bill, dated May 22, 1979, said bill is hereto annexed...
WHEREFORE, plaintiffs demand judgment against the defendant in the sum of $8,478 with interest and cost.

The alleged paid bill in question was handwritten on a letterhead bearing the title “Design Systems Development,” and stated:

May 22, 1978
Bill for work done at 284 River Rd. to make premises livable and weathertight inch rebuild porch patch foundation, rebuild chimney, roofing and othermisc. work as per agreement.
Total Due $8,478.00
Paid in full
5/24/78
Frank R. DiMattio Thank you

At trial, there was evidence tending to show that: The plaintiffs paid various amounts of money to various tradesmen for repairs to their Droperty subsequent to February, 1978, including the sum of $4,500.00 to Mr. DiMattio. There was no evidence that Design Systems Development or Mr. DiMattio actually received the sum of $8,478.00 from the plaintiffs. Plaintiff Robert Walsh testified that he did not intend to convey the impression, when he submitted the receipted bill to the defendant, that Design Systems Development had in fact been paid $8,478.00. Rather, he intended to represent that the money paid to all persons for work on the plaintiffs’ home totaled $8,478.00. There was evidence, however, that plaintiff Robert Walsh stated, in a sworn deposition of September 18, 1980, that he had paid Design Systems Development the sum of $8,478.00.

The trial court entered judgment for the defendant upon the following subsidiary findings of fact:

The plaintiffs paid substantial sums for work performed on their home, some of which would have been covered by the Defendant’s policy. However, the Plaintiff, Robert Walsh, submitted to the Defendant a purported receipted bill for $8,400 signed by a Mr. DiMattio on the letterhead of Design Systems Development in support of the plaintiffs’ claim for work allegedly performed on the Plaintiffs’ home. The submission to the Defendant of the aforesaid $8,400 receipted bill was an intentional and. material misrepresentation by the Plaintiff Robert Walsh since the Plaintiffs never paid Design Systems Development or a Mr. Frank Di Mattio $8,400. This constituted a material breach of the cooperation clause of the aforesaid policy.

The plaintiffs thereafter sought postjudgment relief in the form of a Dist./Mun. Cts. R. Civ. P., Rule 52(b) Motion for Amendment of or Additional Findings; a Dist./Mun. Cts. R. Civ. P., Rule 59 Motion for a New Trial; and a Dist./Mun. Cts. R. Civ. P., Rule 60(b) Motion for Relief from Judgment. The trial court denied said motions, but entered amended findings which included the following:

That there was a very substantial good faith difference of opinion between the plaintiffs and defendant as to the amount of damage to the plaintiffs’ home that was covered by the plaintiffs’ policy with the defendant;
That the plaintiffs offered to submit the matter to arbitration, but the defendant [248]*248refused in August, 1979; That a purported receipted bill for $8,400.00 for work allegedly performed on the plaintiffs’ home signed by a Mr. DiMattio on the letterhead of Design Systems Development was subsequently submitted to the defendant in support of the plaintiffs’ claim on Janaury 21, 1980;
That although the plaintiffs paid substantial sums to repair the damage to the plaintiffs’ home, some of which was covered by the plaintiffs’ policy with the defendant, the submission to the defendant of the aforesaid receipted bill constituted an intentional and material misrepresentation by the plaintiffs since the plaintiffs never paid Design Systems Development or a Mr. DiMattio $8400.00; ■
That this constituted a material breach of the cooperation clause of the aforesaid policy.

The plaintiffs are presently before this Division on a charge of error in the trial court’s disposition of thirteen requests for rulings of law and two requests for findings of fact submitted by the plaintiffs; and in the court’s denial of the plaintiffs’ motions for postjudgment relief.

1. The plaintiffs’ initial argument for reversal of the trial court’s judgment for the defendant is that the court's consideration of the question of plaintiffs’ violation of the cooperation clause was improper in view of the defendant’s failure to specifically and affirmatively plead fraud and misrepresentation in its answer. Dist./Mun. Cts. R. Civ. P., Rules 8 and 9(b); Aerostatic Eng. Corp. v. Szczawinski, 1 Mass. App. Ct. 141, 143 (1973); Barrett Assoc., Inc. v. Aronson, 346 Mass. 150, 152 (1963); Kerrigan v. Fortunato, 304 Mass. 617, 620 (1939). We find that the trial court acted properly in considering the question of the plaintiffs’ fraud and misrepresentation even though the relevant clause of the policy of insurance was not specifically pleaded by the defendant as a separate affirmative defense.

The defendant’s answer alleged as a second affiimative defense that the plaintiff’s claim of loss was “excluded from coverage by the teims and conditions of the policy and, therefore, the plaintiffs may not recover in this action.” One of the salient “terms and conditions” of the policy was the following provision:

Concealment, fraud.

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Cite This Page — Counsel Stack

Bluebook (online)
1982 Mass. App. Div. 246, 3 Mass. Supp. 863, Counsel Stack Legal Research, https://law.counselstack.com/opinion/walsh-v-holyoke-mutual-insurance-massdistctapp-1982.