Coverage Pointers - Volume V, No. 5
09/04/03 ABC, INC. v COUNTRYWIDE INS. CO.
New York State Supreme Court, Appellate Division, First Department
Motor Vehicle Liability Insurance Includes Coverage for Bodily Injury Suffered during Loading and Unloading of Vehicle, But Only if Caused by Act or Omission related to Vehicle’s Use
Walton was under contract with ABC for the carriage and delivery of scenery and props, pursuant to which Walton was to provide a truck and driver, as well as carrier liability insurance which would cover ABC as an additional insured. Walton procured a policy from defendant. Walton’s driver was injured while unloading the vehicle at ABC’s loading dock when one of the shipping crates came apart. The driver then brought suit against ABC. Four months later, by certified mail, ABC requested defendant to defend the additional insured under the contract. The insurer declined representation for lack of timely notice of the suit and the underlying accident. ABC filed a third-party action against Walton for indemnity and breach of contract, prompting Walton to write to the insurer asking for defense and indemnification of the primary insured under the policy. The insurer again declined for the same reasons it had declined to represent ABC. A year later, Walton brought its own action against the insurer, seeking a declaratory judgment as to defendant’s obligation to defend and indemnify Walton and ABC because the accident had taken place on a truck insured by defendant. The insurer’s counsel wrote to Walton and ABC, reiterating their tardiness in notifying the insurer of both the lawsuit and the underlying accident, and raising for the first time a disclaimer of coverage because neither the complaint nor the bill of particulars alleged negligence in the operation or use of the insured vehicle. The only negligence alleged was with regard to the design, creation, maintenance and removal of the crate. The court held that liability insurance on the use of a motor vehicle includes coverage for bodily injury suffered during the loading or unloading of the vehicle, provided the injury resulted from some act or omission related to the use of the vehicle. Simply sustaining an injury during the unloading process, without any showing of negligent use of the truck, does not invoke liability coverage under the vehicle insurance policy. In this case, there were no allegations of negligence with regard to the covered vehicle. The complaint was rife with allegations of negligence in the design, construction and maintenance of the crate, and in permitting a dangerous condition to exist in the loading area. But there were no allegations of negligence in the actual “shipping” of the crate. Absent allegations of negligent use of the vehicle, the insurer had no obligation to defend or indemnify the insured. Since the claim did not come within coverage under the policy in the first instance, the court did not address the timeliness of notice.
Visit the HOT CASES section of the Federation of Defense and Corporate Counsel website for cases covering a broad range of legal issues from other jurisdictions.
Following a traffic accident, the plaintiff sued the insured, alleging that the other driver was driving a vehicle owned by the insured. The insured had a garage policy with Universal Underwriters at the time of the accident. The garage policy contained a “step down” provision which provided lower limits for permissive drivers. The insured claimed that Universal waived the step down provision by filing a certificate of insurance with the Illinois Secretary of State that it was providing the insured with coverage limits of $300,000 per person for bodily injury, $300,000 per occurrence for bodily injury, and $300,000 per occurrence for property damage; those limits are higher than the limits Universal claimed should apply to this accident. The court agreed with the insured, finding that when Universal certified to the Secretary of State that the same coverage applied to all occurrences, without exception, it waived any step-down provision in the policy. Universal never indicated that coverage limits might be different for different types of drivers. Filing the certificate without reference to any differential limits was an act inconsistent with an intention to rely on those provisions that changed the company’s liability limits depending on the status of the driver.
In a bankruptcy appeal stemming from a personal injury suit originally filed and tried in state court, plaintiff may pursue his judgment against third parties, such as defendants, who are debtor’s insurers.
Coverage dispute in which insurer contended injured plaintiff was employee of insured and liability for injuries was therefore excluded. Plaintiff argued he was either an independent contractor or a “temporary worker” and thus not subject to the exclusion. Court held plaintiff clearly was not an independent contractor under Arkansas law because insured controlled details of plaintiff's job, only basic skills were required for job, most tools were supplied by insured, tasks were part of insured's regular business and insured owned that business. But, court could not rule out that plaintiff might have qualified as “temporary worker” within standard ISO definition of that term since evidence indicated plaintiff might have been seasonal worker. Held: summary judgment reversed.
General contractor was additional insured on policies of first and second tier subcontractors. Following jobsite-related injury claim, both general contractor and first tier subcontractor tendered to second tier subcontractor, whose insurer assumed both defenses. General contractor also tendered to first tier subcontractor, which refused to involve its insurer. After second tier subcontractor’s insurer settled claim, it commenced subrogation/contribution action against first tier subcontractor’s insurer. Where, as in this case, no notice of the claim was provided prior to settlement, court ruled non-participating insurer could not be held liable for contribution.
In a consolidated coverage and liability action arising out of a traffic accident, after the trial court determined that Great American had a duty to defend its insured in the liability action, Great American filed a motion for leave to intervene, which the court denied. The Court of Appeals reversed, finding that Great American met all of the requirements for intervention as of right. Because Great American had a duty to defend its insured, in order to protect its interest, it must be given the opportunity to intervene and file an amended answer. The original answer filed by the insured sought simply to deny liability primarily by denying any involvement in or knowledge of the accident. The insured’s answer in no way protected Great American’s interest to minimize any potential coverage based on the insured’s actions. Rather, the insured’s interest was in maximizing coverage under the policy. The court found that the most reasonable opportunity to determine the extent of coverage issue (separate and apart from the duty to defend issue), which was left undetermined by the trial court, is during the liability trial through the simple submission of jury interrogatories. The court noted prior Ohio Supreme Court precedent which held that, absent intervention, an insurer is barred from relitigating an insured’s mental state. The court thus held that an insurer may enter an action and participate as a third-party defendant so as to defeat any liability on its part (i.e., by demonstrating that the acts of the insured/tortfeasor were intentional).
Gulf Insurance issued a CGL policy to Phoenix Corporation, who was sued by Burr, the purchaser of a crane manufactured by Phoenix. The case was resolved by settlement, and judgment was entered against Phoenix pursuant to a covenant not to execute. Gulf did not participate in the settlement negotiations and was not a party to the agreement, despite requesting information pertaining to any settlement negotiations. Burr then brought an action to enforce the settlement against Gulf, contending that Gulf was required to satisfy the judgment because Gulf failed to defend Phoenix in the underlying action. The court rejected this argument, finding that it was clear that there was no duty to defend under the terms of the Gulf policy. Gulf was required to do no more than attempt to keep itself informed as to the case status, which it did. Burr was therefore precluded from recovering against Gulf as Phoenix’s legal subrogee where Gulf did not sign the settlement and was not given an opportunity to sign.
Three insureds sued for snowmobile accident resulting in death. The policy language unambiguously limits the amount payable to the Coldens under this policy to $100,000 regardless of the number insured under the policy. This language does not conflict with the promise to pay damages for bodily injury or property damage for which any insured becomes legally responsible. It merely clarifies the maximum amount. The statement “this is the most we will pay regardless of the number of ... ‘insureds’” is contained in a separate paragraph and, by its position in the contract and its language, unambiguously applies to both bodily injury and property damage.
Insurance Coverage Team
Dan D. Kohane, Team Leader
Michael F. Perley
Kevin T. Merriman
Phyllis A. Hafner
Audrey A. Barr
Fire, First Party & Subrogation Team
James D. Gauthier, Team Leader
Donna L. Burden
Jody E. Briandi
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Text of Reported Decisions
ABC, INC. v COUNTRYWIDE INS. CO.
Order, Supreme Court, New York County (Barbara Kapnick, J.), entered December 10, 2002, to the extent that it denied defendant's motion for summary judgment in the consolidated actions, unanimously reversed, on the law, without costs, and the motion granted. The Clerk is directed to enter judgment in favor of defendant in both actions, dismissing the complaint in each.
Walton was under contract with ABC for the carriage and delivery of scenery and props. The contract required Walton to provide a truck and driver, as well as carrier liability insurance which would cover ABC as an additional insured. Walton procured such a policy from defendant. Walton's driver, Goll, was injured on May 23, 1995, while unloading the vehicle at ABC's loading dock when one of the shipping crates came apart.
Goll brought a lawsuit against ABC on May 22, 1998, just before expiration of the statute of limitations. Four months later, by certified mail, ABC requested defendant to step in and defend the additional insured, under the contract. After a second letter was sent, defendant responded, explaining it had never received the first letter, and declining representation for lack of timely notice of the lawsuit or the underlying accident. In March 1999, ABC filed a third-party action against Walton for indemnity and breach of contract, prompting Walton to write to defendant, asking for representation and indemnification of the primary insured under the policy. Defendant declined for the same reasons it had declined to represent ABC, namely, untimeliness in notifying it of the lawsuit or the underlying accident. A year later, in April 2000, Walton brought its own action against defendant, seeking a declaratory judgment as to defendant's obligation to defend and indemnify Walton and ABC because the accident had taken place on a truck insured by defendant. In January 2001, defendant's counsel wrote to Walton and ABC, reiterating their tardiness in notifying the insurer of both the lawsuit and the underlying accident, and raising for the first time a disclaimer of coverage because neither the complaint nor the bill of particulars alleged negligence in the operation or use of the insured vehicle. The only negligence alleged was with regard to the design, creation, maintenance and removal of the crate. Defendant then moved for consolidation of Walton's declaratory judgment action and ABC's third-party indemnity suit, and for summary dismissal of both actions, both for insufficient notice and for lack of coverage under the policy. The IAS court granted consolidation, but denied summary judgment, noting that loading a truck is a "use" of the vehicle, and that a question of fact existed whether the driver's injury during the unloading process resulted from improper loading or securing of the cargo. The court found further factual issues as to whether ABC's delay in notifying the insurer of the accident was due to a reasonable belief that the former had no liability here, and also whether defendant's delay in disclaiming coverage was reasonable under Insurance Law § 3420(d).
While an insurer's obligation to defend may be broader (in instances where underlying issues of coverage remain unresolved) than its obligation to pay out under a policy, the insurer should not be handicapped in providing such a defense by receiving untimely notice of the underlying claim. But that issue need not even be reached if the question of whether the claim comes within the scope of the policy can be resolved at the threshold.
Generally speaking, liability insurance on the use of a motor vehicle includes coverage for bodily injury suffered during the loading or unloading of the vehicle. However, there still must be a demonstration that the injury resulted from "some act or omission related to the use of the vehicle" (Eagle Ins. Co. v Butts, 269 AD2d 558, 559, lv denied 95 NY2d 768; see also Elite Ambulette Corp. v All City Ins. Co., 293 AD2d 643, 644-645).
Simply sustaining an injury during the unloading process, without any showing of negligent use of the truck, does not invoke liability coverage under the vehicle insurance policy (Coughlan v Turner Constr. Co., 296 AD2d 342).
An insurer may look to the pleadings in an underlying action to determine whether a claim falls within the parameters of the policy (2619 Realty v Fidelity & Guar. Ins. Co., __ AD2d __, 756 NYS2d 564). Scrutiny of the underlying complaint herein reveals no cognizable allegation of negligence with regard to the covered vehicle.
Goll's bill of particulars fixes the location of the accident not in the vehicle, but "in [ABC's] loading area." No argument is made that the crate ultimately came apart during the unloading by reason of improper loading or securing of the crate in the truck's cargo area. The complete operation of transporting goods may include loading and unloading, but does not encompass acts in preparing goods for loading (Frontuto v Burgun Trucking Co., 78 NY2d 938, affg 168 AD2d 914, 915 [where the Fourth Department recognized such preliminary acts as "dismantling" or even "crating" prior to shipment]).
The complaint is rife with allegations of negligence in the design, construction and maintenance of the crate, and in permitting a dangerous condition to exist in the loading area. But there is no allegation of negligence in the actual "shipping" of the crate (cf. Axton Cross Co. v Lumbermens Mut. Cas. Co., 176 AD2d 482, lv dismissed 79 NY2d 822), or even its "loading," for that matter (cf. Argentina v Emery World Wide Delivery Corp., 93 NY2d 554). Absent such allegations as to negligent use of the vehicle, the insurer has no obligation to defend — let alone indemnify — the insured (Progressive Cas. Ins. Co. v Yodice, 276 AD2d 540, 542).
Under the circumstances, we need not address the remaining issues raised on this appeal.