KATHERINE B. FORREST, District Judge.
Plaintiff Same Day Delivery Service, Inc. ("Same Day") brought this action seeking a declaration that its insurer Penn-Star Insurance Company ("Penn-Star") must—pursuant to Same Day's general liability insurance policy—insure, defend and indemnify Same Day in a personal injury lawsuit filed in the United States District Court for the District of New Jersey. Pending before the Court is Penn-Star's motion for summary judgment on the grounds that Same Day failed to give timely notice of its insurance claim and because the underlying suit arose out of an event excluded from the policy's coverage. For the reasons set forth below, the Court concludes that Penn-Star is entitled to summary judgment on the basis of late notice. Accordingly, Penn Star's motion is GRANTED and the action is DISMISSED WITH PREJUDICE.
Penn-Star issued Same Day a commercial lines general liability policy (the "Policy"), bearing policy number PAC6692401, for the period of May 12, 2007 to May 12, 2008. (Penn-Star's 56.1 ¶ 1;
This insurance does not apply to:
(Penn-Star Policy at Penn-Star00028.) The Policy defines "loading or unloading" as the "handling of property: (a) After it is moved from the place where it is accepted for movement into or onto an aircraft, watercraft or `auto'; (b) While it is in or on an aircraft, watercraft or `auto'; or "While it is being moved from an aircraft, watercraft or `auto' to the place where it is finally delivered." (Penn-Star Policy at Penn-Star00037.)
The Policy also contains a provision imposing certain conditions on coverage, including a duty on the insured to provide timely notice to Penn-Star. This provision reads as follows:
(Penn-Star Policy at Penn-Star00034.) The Policy defines "occurrence" as "an accident, including continuous or repeated exposure to substantially the same general harmful conditions." (Penn-Star Policy at Penn-Star00038.)
On December 23, 2007, Andrew Lee arrived at a ShopRite supermarket in Morris Plains, New Jersey, which is owned and operated by Village Supermarkets, Inc. ("Village"), in order to pick up groceries and other goods from ShopRite, load the items into his vehicle, and deliver the items to ShopRite's customers as part of the services that Same Day provided to ShopRite. (Penn-Star's 56.1 ¶ 2.) The parties dispute whether Lee was an employee of Same Day or its independent contractor. (Penn-Star's 56.1 ¶ 2; Same Day's 56.1 Counterstatement ¶¶ 2-3.) While Lee was moving a metal cart loaded with containers of groceries with the intent to load the containers into his vehicle, the metal cart came into contact with the leg of Debra Sansone, a ShopRite employee. (Decl. of Andrew Lee ("Lee Decl.") ¶¶ 3-5, ECF No. 21.) (Resolution of the issue of whether Lee was "loading" the containers into his vehicle at the time of the accident is not necessary to resolve Penn-Star's motion on the basis set forth herein.) After this incident, Lee finished loading the items and made his scheduled deliveries. (Lee Decl. ¶ 6.)
The parties disagree as to when Same Day first received notice of Ms. Sansone's incident. Penn-Star asserts that later that day, Lee received a telephone call from Scott Weinstein, Same Day's vice president, requesting details about the accident (Penn-Star's 56.1 ¶ 5); Penn-Star also contends that Lee discussed the accident with Ron Lowe, his immediate supervisor at Same Day, within one month of the accident and that Lowe participated in drafting an accident report prepared by Village on December 24, 2007 (Penn-Star's 56.1 ¶ 6). Same Day disputes these facts, contending that Weinstein has no recollection of speaking with Lee concerning the incident and dismissing as speculative Penn-Star's assertion that Lowe participated in drafting the accident report. (Same Day's 56.1 Response ¶¶ 3-4; Decl. of Scott Weinstein ¶¶ 9-10, 13, ECF No. 28.) (Resolution of this issue is not necessary for determination of Penn-Star's motion on the basis set forth herein.)
The parties do not, however, dispute the relevant events that followed. Village's workers' compensation insurer, Liberty Mutual Insurance Company ("Liberty Mutual"), paid for Ms. Sansone's medical treatment. (Penn-Star's 56.1 ¶ 7.) On or about April 18, 2008, Liberty Mutual called Same Day regarding the accident and later that day sent a letter (the "April 18 Letter") to Scott Weinstein in which Liberty Mutual informed Same Day of the potential claim against Same Day for the money that Liberty Mutual had paid in workers' compensation benefits. (Penn-Star's 56.1 ¶ 8;
By letter dated February 2, 2009, Same Day notified its excess insurer, Scottsdale Insurance Company, of Ms. Sansone's accident, enclosing the December 23 Letter from Liberty Mutual. (Penn-Star's 56.1 ¶ 11;
On or about December 17, 2009, Ms. Sansone and her husband, Robert Sansone, filed an action in the United States District Court for the District of New Jersey against Same Day and Lee, alleging that Lee was "making a delivery to [the ShopRite], when as a result of his carelessness and negligence, he struck [Ms. Sansone] with a metal cart causing her severe personal injuries to her ankle, foot and leg." (Penn-Star's 56.1 ¶ 10.) By letter dated February 16, 2010, Ms. Sansone provided Same Day with a copy of the summons and complaint, and Same Day notified Oswald of the filing of the underlying action on March 8, 2010. (Penn-Star's 56.1 ¶ 15.)
By separate letters dated March 10, 2010 to Same Day and Lee, Penn-Star denied coverage for the Sansones' action based on the same grounds previously asserted—the Policy's auto exclusion and failure to provide timely notice. (Penn-Star's 56.1 ¶ 16.) After Same Day requested that Penn-Star re-evaluate its decision, Penn-Star again denied coverage on April 15, 2011. (Penn-Star's 56.1 ¶ 16.)
On February 27, 2015, Same Day filed this declaratory judgment action against Penn-Star in the New York Supreme Court, New York County, alleging that Penn-Star is obligated to provide coverage to Same Day for the Sansones' personal injury lawsuit. (
Summary judgment may not be granted unless a movant shows, based on admissible evidence in the record, "that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). The moving party bears the burden of demonstrating "the absence of a genuine issue of material fact."
Once the moving party has asserted facts showing that the nonmoving party's claims cannot be sustained, the opposing party must set out specific facts showing a genuine issue of material fact for trial.
Only disputes relating to material facts—
Under New York law, which governs this diversity action, timely notice is a condition precedent to coverage.
"Where a policy of liability insurance requires that notice of an occurrence be given `as soon as practicable,' such notice must be accorded the carrier within a reasonable period of time."
An untimely delay may be found inexcusable as a matter of law "when either no excuse is advanced or a proffered excuse is meritless."
The test for determining whether a notice provision has been triggered in the first instance is "whether the circumstances known to the insured at that time would have suggested to a reasonable person the possibility of a claim."
Each insurance policy imposes a separate contractual duty on the insured to provide notice.
An insurer can waive—or be found to have waived—the notice provisions of its policy under certain circumstances. For instance, waiver of the notice provision can occur if an insurer unequivocally and across the board denies any coverage obligation.
Penn-Star moves for summary judgment on two alternative grounds: (1) the Policy's auto exclusion is applicable, and (2) Same Day failed to comply with the Policy's timely notice requirement. For the reasons set forth below, the Court grants Penn-Star's motion because Same Day's provision of notice of Ms. Sansone's injury was untimely and its delay was inexcusable as a matter of law.
Penn-Star's Policy contained a condition that obligated Same Day to give notice "as soon as practicable" following an "`occurrence' or an offense which may result in a claim." (Penn-Star Policy at Penn-Star00034.) The Policy defined "occurrence" as "an accident, including continuous or repeated exposure to substantially the same general harmful conditions." (Penn-Star Policy at Penn-Star00038.) Under New York law, this meant that Same Day was required to give Penn-Star notice of the occurrence "within a reasonable period of time."
As discussed above, the parties dispute when Same Day first became aware of the December 23, 2007 incident such that its duty of notice was triggered. Penn-Star argues that Same Day had adequate awareness of a potential claim as early as December 23, 2007 (the day of the incident), but in no event later than Same Day's receipt of Liberty Mutual's April 18, 2008 letter regarding the incident. (Penn-Star's Opening Br. at 13-15, ECF No. 19; Penn-Star's Reply Br. at 3-5, ECF No. 32.) Same Day counters that its duty to provide notice was not triggered until it received Liberty Mutual's December 23, 2008 letter because it was only then that Same Day became aware of the extent of Ms. Sansone's injuries and the fact that it could have a legal liability as a result. (Same Day's Opp. Br. at 6-8.) Same Day does not, however, dispute its receipt of the April 18 Letter. (Penn-Star's 56.1 ¶ 8.)
The Court need not resolve the absolute earliest date upon which Same Day's duty of notice was triggered. Even when viewing the facts in the light most favorable to Same Day, Same Day has failed to raise a genuine issue of material fact that its duty was triggered any later than its receipt of Liberty Mutual's April 18 Letter. That letter stated that Liberty Mutual's investigation of Ms. Sansone's accident revealed that her "injury may have been caused by [Same Day's] negligence" and that, as a result, Liberty Mutual was placing Same Day "on notice of a potential claim to recover the money [it had paid to Ms. Sansone] in Workers' Compensation Benefits." (Decl. of Lance J. Kalik, Ex. F.) The letter then added, "Please notify your insurance carrier of this potential claim." (Decl. of Lance J. Kalik, Ex. F.) Same Day contends that the April 18 Letter was insufficient to trigger its notice obligation because Liberty Mutual did not explain how Same Day was negligent and did not indicate what injuries Ms. Sansone had sustained. But, even if this letter did not make Same Day aware of every relevant detail relating to Ms. Sansone's injury, such awareness is not necessary to trigger a notice obligation under New York law. The insured need only possess sufficient information to suggest to a reasonable person the possibility of a claim.
Having concluded that there is no genuine issue of fact that Same Day's duty to provide notice was triggered on approximately April 18, 2008 and that Same Day first notified Penn-Star of the potential claim on February 26, 2009, there is no genuine dispute that Same Day failed to notify Penn-Star for approximately ten months after its duty was triggered. As set forth above, numerous courts interpreting the same "as soon as practicable" language used in the notice provision of Penn-Star's Policy have found significantly shorter delays to be untimely as a matter of law.
Same Day contends that its late notice should be excused because it had a good faith belief in non-liability until it received Liberty Mutual's December 23 Letter, at which time it first became aware of the size of Liberty Mutual's worker's compensation lien. (Same Day Opp. Br. at 6-7.) The only new relevant information contained in the December 23 Letter was that Liberty Mutual's investigation had found Same Day "to be legally liable" for Ms. Sansone's injuries and that Liberty Mutual expected "full reimbursement of [its] lien in the amount of $178,749.80." (Decl. of Lance J. Kalik, Ex. H.) The December 23 Letter also noted that Liberty Mutual had "previously notified [Same Day] of our lien interest." (Decl. of Lance J. Kalik, Ex. H.)
While a reasonable, good faith belief in non-liability may excuse some delay when the issue relates to the insured's notice of an occurrence,
Further, the Court notes that even if Same Day's duty was not triggered until it received Liberty Mutual's December 23 Letter, Penn-Star would still be entitled to judgment as a matter law. Even accepting Same Day's position, it failed to provide Penn-Star with notice of the potential claim until more than two months after Liberty Mutual sent the December 23 Letter. Under New York law, that delay is sufficiently lengthy for this Court to conclude that Same Day's provision of notice was untimely as a matter of law.
Same Day's only excuse for this two month delay is Scott Weinstein's statement that Liberty Mutual's December 23 Letter was received sometime during the winter holidays, and that Weinstein takes two weeks off every year during the first two weeks of January. (Decl. of Scott Weinstein ¶ 17.) Under the circumstances, that excuse is inadequate. In particular, the delay is inexcusable because Same Day does not dispute that it notified its excess insurer of Ms. Sansone's injuries on February 2, 2009, more than three weeks before it gave notice to Penn-Star. (Penn-Star's 56.1 ¶ 11.) Given that more than a year had already passed since Ms. Sansone's accident, Same Day's decision not to provide more expedited notice was made at its own risk.
Because Same Day failed to comply with the Policy's timely notice provision, Penn-Star is entitled to judgment as a matter of law. Same Day is not entitled to a declaration that Penn-Star must afford it coverage in the action filed by Debra and Robert Sansone in the United States District Court for the District of New Jersey.
For the reasons set forth above, defendant's motion for summary judgment is GRANTED.
The Clerk of Court is directed to close the motion at ECF No. 18, and to terminate this action.
SO ORDERED.
The notation "Same Day's 56.1 Counterstatement" refers to Same Day's counterstatement of material facts, submitted under Local Rule 56.1. (ECF No. 26.) Penn-Star did not submit a 56.1 response. This decision therefore relies on those facts supported by admissible evidence.