Thomas P. Kawalec Successful in
Having a
Judgment Affirmed on Behalf of Cincinnati Insurance
Company
May 2008 - In a recent decision in Cincinnati
Insurance Companies v. Sirius America Insurance
Company, 2008 WL 1914952 (4th Dept., May 2,
2008), the Fourth Department modified the lower
court's judgment in favor of Cincinnati Insurance
Companies. However, despite the modification,
Sirius America Insurance Company has now the
obligation, as a primary insured, to defend and
indemnify the Cincinnati insureds. Sirius America
Insurance Company is also obligated to reimburse
Cincinnati Insurance Companies for all of its
expenses in defending its insureds in the underlying
personal injury action.
If you would like a copy of the Appellate Division's
decision or Judge Devlin's written decision, please
contact Tom Kawalec at TKawalec@c
heluslaw.com or at 716-852-3600, extension 205.
Quick Links...
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Contract Must Expressly Require Third Party Beneficiary to be Named an Additional Insured
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In Kassis v. Ohio Casualty Insurance
Company, 2008 WL 1914956 (4th Dept., 2008),
Kassis commenced an action seeking a declaration
that Ohio Casualty had a duty to defend and indemnify
Kassis under a commercial general liability policy
issued by Ohio Casualty. Kassis relied on a property
lease between Kassis, the leasor, and Superior Sign,
the leasee which required Superior Sign to procure
commercial general liability for the "mutual benefit" of
Kassis and Superior Sign. Superior Sign acquired
said insurance from Ohio Casualty. The lease did not
expressly state that Superior Sign was to name
Kassis as an additional insured on the policy. The
Appellate Division held that the Ohio Casualty policy
provides that the written agreement between the
insured and third party must expressly state the third
party be named as an additional insured to afford
coverage to the third party. Therefore, Kassis was not
entitled to defense and indemnification from Ohio
Casualty.
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Failure to Timely Disclaim Does Not Preclude Denying Coverage
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In Perkins v. Allstate Insurance Company,
2008 WL 1987275 (2nd Dept., 2008), plaintiff
commenced an action pursuant to Insurance Law
§3420(a)(2) to recover an unsatisfied judgment
against defendant's purported insureds in an
underlying action. Plaintiff contended that the defense
of lack of coverage was invalid because the defendant
failed to issue a timely disclaimer. The Appellate
Division held that where an insurer is entitled to deny
a claim based on absence of coverage, its failure to
timely disclaim coverage does not preclude it from
denying liability on that ground.
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Defendant's Failure to Respond to Discovery Demands Resulted in Answer Stricken
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In Wilson v. Galicia Contracting & Restoration
Corp., 2008 WL 1860073 (2008), the plaintiff
commenced an action asserting various theories of
liability, after he was allegedly hit in the eye with a
piece of material while walking under scaffolding
assembled by Safeway Steel Products. Safeway and
other defendants failed to comply with the plaintiff's
discovery requests and as a result, their answers
were stricken. This left unrebutted the plaintiff's
assertion that the cause of the plaintiff's injuries
was "a dangerous, defective and unsafe condition"
existing on Safeway's premises. Upon review of the
item that was removed from the plaintiff's eye, the
object appeared, to an expert retained by a co-
defendant, to be an air gun pellet that was "fired into
an eye by the power of an air gun." Plaintiff
discontinued further action with all defendants except
Safeway. Despite Safeway's efforts to show
a "justifiable excuse" for its conduct, the Court of
Appeals held that Safeway failed to offer any
acceptable reason for its pattern of failure to respond
to discovery demands. As a result, Safeway was
deemed to admit "all traversable allegations in the
complaint, including the basic allegation of liability."
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Two Insurers Found to Provide Primary Coverage
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In B.F. Yenny Construction Company, Inc. v. One
Beacon Insurance Group, 2008 WL 1838086 (4th
Dept., 2008), plaintiff, commenced an action seeking a
judgment declaring One Beacon Insurance Group,
obligated to defend and indemnify the plaintiff in a
personal injury action. Pursuant to the terms of a
contract B.F. Yenny entered into with Syracuse Mosaic
Terrazo, Inc., Syracuse Mosaic Terrazo, Inc. agreed to
name B.F. Yenny as an additional insured on its
commercial general liability policy, which was issued
by One Beacon. One Beacon, commenced a third-
party action alleging that Selective Insurance
Company, was obligated to defend and indemnify B.F.
Yenny in the personal injury action pursuant to the
commercial general liability policy issued by Selective
to B.F. Yenny. The Appellate Division held that
pursuant to the "other insurance" and "method of
sharing" provisions of the policies, both One Beacon
and Selective have an obligation to provide primary
coverage and to share equally in the cost of the
plaintiff's defense and indemnification under the
underlying action.
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IME Must Specifically Address 90/180 Day Claim
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In Marshall v. Institute for Community Living,
Inc., 2008 WL 1823275 (2nd Dept., 2008), the
Appellate Division affirmed the order of the Supreme
Court, denying the defendant's motion for summary
judgment on the argument that the plaintiff did not
sustain a serious injury pursuant to Insurance Law
5102(d). The plaintiff's verified bill of particulars stated
that the plaintiff sustained a non-permanent injury
which prevented him from performing substantially all
of the material acts which constitute his usual and
customary activities for not less than 90 days during
the 180 days immediately following the accident. In
affirming the denial of summary judgment, the
Appellate Division noted that the defendant's
independent examining neurologist and orthopedist
conducted their examinations of the plaintiff over two
years after the subject accident and neither related
their findings to the 90/180 claim of the plaintiff.
Prepared by Katie M. Hedges
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