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S.D.N.Y.Substantive rulingFiled June 22, 2022

Southwest Marine and General Insurance Company v. United Specialty Insurance…

Full caption

Southwest Marine and General Insurance Company v. United Specialty Insurance Company

Judge
Edgardo Ramos
Docket
1:19-cv-08857
Court
U.S. District Court · Southern District of New York
Pages
10
InsuranceSummary JudgmentContract
In one sentence

Southwest Marine v. United Specialty: Judge Ramos denied both summary-judgment motions and entered judgment for United Specialty because the policy did not cover Hanjo.

Who this affects

Southwest Marine and General Insurance Company and Hanjo Contractors did not obtain the requested coverage declarations or reimbursement from United Specialty. United Specialty received judgment in its favor, and the ruling concerned coverage for Hanjo’s defense in the Perez injury action.

What happened

Southwest Marine and General Insurance Company and Hanjo Contractors sued United Specialty Insurance Company over coverage for Hanjo’s defense in Oscar Perez’s injury lawsuit. Hanjo was listed as an additional insured under United Specialty’s policy, but coverage applied only when the injury was caused in whole or in part by Manhattan Steel’s acts or omissions.

The court found that Perez’s complaint alleged no negligence or other responsibility by Manhattan Steel. It mentioned Manhattan Steel only as Perez’s employer, so the policy’s additional-insured coverage was not triggered. The court therefore found that coverage was unavailable, regardless of whether United Specialty’s disclaimer was timely.

Judge Ramos denied the plaintiffs’ motion for summary judgment, denied United Specialty’s motion for summary judgment, and entered judgment in favor of United Specialty. The court said it did not need to resolve the parties’ dispute about whether United Specialty timely disclaimed coverage under the policy exclusions.

The detailed version

For law students, journalists, and other readers who want the full reasoning

Case
Southwest Marine and General Insurance Company v. United Specialty Insurance… · No. 1:19-cv-08857
Judge
Edgardo Ramos
Date
June 22, 2022

Background

Southwest Marine issued a commercial general liability policy to Hanjo Contractors. Hanjo had subcontracted work at a New York City construction project to Manhattan Steel Design. The subcontract required Manhattan Steel to obtain liability insurance for Hanjo and name Hanjo as an additional insured.

United Specialty issued Manhattan Steel a primary commercial general liability policy that listed Hanjo as an additional insured. That coverage applied only to liability for bodily injury caused, in whole or in part, by Manhattan Steel’s acts or omissions, or by acts or omissions of people acting for Manhattan Steel during ongoing operations. The policy also contained an employee-injury exclusion and an independent-contractor exclusion.

Oscar Perez, who was working for Manhattan Steel, was seriously injured at the project when a falling object struck him. Perez sued Hanjo and others. His complaint alleged negligence, carelessness, and violations of New York labor laws, but it did not name Manhattan Steel as a defendant or allege that Manhattan Steel acted negligently. Southwest Marine defended Hanjo in that lawsuit.

Hanjo sought coverage from United Specialty. United Specialty denied coverage, relying on the additional-insured provision and the policy exclusions. Southwest Marine and Hanjo then sought declarations that United Specialty had to defend and indemnify Hanjo and reimburse Southwest Marine’s defense expenses. The parties filed cross-motions for summary judgment, meaning each asked the court to decide the case without a trial because no material fact required a jury’s decision.

Court’s analysis

Under New York law, the additional-insured provision required a connection between Manhattan Steel’s conduct and Perez’s injury. The court explained that comparable policy language requires the named insured to be the injury’s proximate cause. The duty to defend is generally broader than the duty to indemnify, but it still depends on the underlying complaint presenting a reasonable possibility of coverage.

The court rejected the plaintiffs’ argument that Perez’s employment by Manhattan Steel was enough to trigger coverage. Unlike a case in which the pleadings connected the named insured’s conduct to the accident, Perez’s complaint did not allege that Manhattan Steel created the dangerous conditions or otherwise caused the injury. The complaint mentioned Manhattan Steel only to identify Perez’s employer. The court therefore held that the additional-insured provision was not triggered and that coverage for Hanjo was unavailable in the Perez action.

Because coverage was unavailable on that basis, the court stated that it did not need to resolve the parties’ dispute over whether United Specialty timely disclaimed coverage under the employee-injury and independent-contractor exclusions. The opinion’s discussion also states that a 30-day delay would be presumptively unreasonable on the facts presented, but the court’s stated basis for judgment was that the additional-insured provision never applied.

Disposition

The court denied the plaintiffs’ motion for summary judgment, denied United Specialty’s motion for summary judgment, and entered judgment in favor of United Specialty. The Clerk of Court was directed to terminate the two motions.

The authoritative version

Read the full 10-page opinion on CourtListener, the free public archive maintained by the Free Law Project.

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