KEARSE, Circuit Judge:
Defendant Pacific Indemnity Co. ("Pacific"), which issued a $14,388,000 fire insurance policy to plaintiff Quaker Hills, LLC ("Quaker Hills"), on a custom-built home that was destroyed by fire during the policy period, appeals from so much of a final judgment of the United States District Court for the Southern District of New York, Deborah A. Batts, Judge, as granted summary judgment to Quaker Hills on its claim for a declaratory judgment that an
At all pertinent times, Quaker Hills, a limited liability company incorporated in New York, owned real property in Pawling, New York, on which its principal, Trevor Davis, a Manhattan-based real estate developer, built a home in or about 2005. In March 2009, the home was destroyed by fire, a loss covered by a homeowner's insurance policy (the "Applicable Policy" or "Policy") issued to Quaker Hills by Pacific. The following description of the Policy, together with its several antecedent policies and its history, is taken largely from the Memorandum and Order of the district court, reported at 2011 WL 4343368 (Aug. 15, 2011). The court's description, which unless otherwise noted below is not substantially in dispute, was based on statements by the parties filed pursuant to Rule 56.1 of the Local Rules for the Southern District in connection with each side's motion for summary judgment.
Quaker Hills first obtained homeowner's insurance from Pacific on the home and its contents for a one-year period beginning in December 2005. The coverage limits were $10,000,000 for the dwelling and $4,000,000 for the contents. See 2011 WL 4343368, at *1. The premium charge for this first policy was $50,273. See id.
In August 2006, Pacific obtained an insurance replacement cost appraisal that indicated that the home's replacement value was $13,302,000. See id. Intermediaries in the various dealings between Quaker Hills and Pacific prior to 2008 with regard to the subsequent policies covering the home included insurance broker Haskell Brokerage Corp. ("Haskell") and a company called C & S Planning, to which Davis's father-in-law Irwin Cohen was a consultant. In early October 2006, Haskell informed Cohen that the existing policy would be canceled on October 14. (Pacific contends that the reason was nonpayment of premium then due; Quaker Hills does not dispute that Haskell so informed Cohen, but does dispute the reason.) The record does not indicate that the first policy was in fact canceled. Indeed, Quaker Hills shortly received valuation questions with respect to a renewed policy:
2011 WL 4343368, at *1 (emphases added).
In November 2006, Pacific issued a renewal policy ("Second Policy") for the period December 15, 2006 to December 15, 2007, which provided coverage for the dwelling in the amount of $13,302,000-reflecting the recent appraisal — and no coverage for the home's contents. See id. at *2. The stated premium for the Second Policy was $50,273. However, Pacific "also added a 38% apportionment of loss clause," to this policy, id., which stated as follows:
(Second Policy, Coverage Update, at 2-3 (emphasis added).) This "mean[t] that [Pacific's] alleged maximum liability for a covered loss would be $5,054,720 (38% of the stated coverage amount of $13,302,000)," 2011 WL 4343368, at *2; and Quaker Hills's premium was reduced from $50,273 to $20,777, see id. The district court noted that Pacific "claim[ed] it added the apportionment of loss clause to provide approximately the requested $5,000,000 in coverage," and that Quaker Hills "denie[d] ever requesting less than full coverage under the policy." Id.
On January 14, 2007, that Second Policy was canceled for nonpayment of premium. Coverage was not restored until June 20, 2007. At Plaintiff's request, a new policy ("Third Policy") was issued, effective June 20, 2007, through June 20, 2008. The Third Policy "also contained a 38% apportionment of loss clause and the total premium was $22,633." Id.
Before the end of the period covered by the Third Policy, a fourth policy was issued, "effective January 17, 2008 through January 17, 2009,.... contain[ing] the same 38% apportionment of loss clause as the [third p]olicy." Id. The fourth policy "had a policy limit of $14,388,000." Id. It also contained an "Extended Replacement Cost" coverage provision (versions of which had also been included in the Second and Third policies) pursuant to which, under certain conditions, Pacific would pay all reconstruction costs, "even if this amount is greater than the amount of coverage for your house shown in your Coverage Summary," id. at *6 (internal quotation marks omitted). However, Pacific's obligation under that provision was limited, in part, as follows:
Id. (internal quotation marks omitted). This fourth policy "was renewed for another year running from January 18, 2009
After the fire, Quaker Hills submitted a timely claim to Pacific, seeking more than $26.5 million in losses and extended replacement costs. Pacific refused to pay extended replacement costs and refused to pay more than 38 percent of the $14,388,000 stated loss coverage. The home was never rebuilt.
In September 2009, Bank of America (the "Bank"), which held the mortgage to the property, commenced a foreclosure action with respect to the home. Thereafter, Quaker Hills and the Bank entered into a Standstill and Forbearance Agreement, in which Quaker Hills acknowledged that it was in default and the Bank agreed to delay demanding full payment of the outstanding mortgage. Pacific agreed to pay directly to the Bank the amount that Pacific conceded was owed under the policy, i.e., approximately $5.5 million, or 38 percent of the stated coverage amount. See 2011 WL 4343368, at *2-*3.
Quaker Hills commenced the present action in the district court, with jurisdiction premised on diversity of citizenship, alleging that Pacific breached the insurance contract by refusing to pay the full stated amount of loss coverage in the Policy, i.e., $14,388,000, and to pay replacement costs. Quaker Hills sought a declaratory judgment to that effect, along with damages totaling approximately $26.5 million including the replacement costs. In support of its claim for payment of the full amount of loss coverage, Quaker Hills asserted, inter alia, that the Policy's apportionment-ofloss clause is unenforceable in New York State (the "State") because it does not conform to the minimum requirements imposed by New York law as reflected in the State's Standard Fire Insurance Policy.
Pacific opposed Quaker Hills's challenge to the apportionment-of-loss clause, contending, inter alia, that such clauses are analogous to enforceable co-insurance clauses, and that, in any event, Davis had specifically insisted on the apportionment-of-loss clause in order to reduce the premiums payable on the policies. Pacific opposed Quaker Hills's claim for replacement costs on the ground that Quaker Hills had not been able to rebuild the house because its mortgage on the property had been recalled. Following discovery, each side moved for summary judgment.
In its Memorandum and Order dated August 15, 2011, the district court, after describing the events as set forth in Part I.A. above, granted the motion of Quaker Hills in so far as it sought a declaration that the Policy's apportionment-of-loss clause was void under New York law and that Quaker Hills was entitled to $14,388,000. See 2011 WL 4343368, at *6. The court denied the motion of Pacific to dismiss the complaint or limit Quaker Hills's recovery to 38 percent of that amount. The court also rejected Quaker Hills's claim for replacement costs. See id.
As to the apportionment-of-loss clause, the district court stated that "[a]lthough the parties dispute whether Davis consented to the apportionment of loss clause," and although "the factual record is clear that he at worst initiated, and at best was aware of and assented to its inclusion in the policy," his "initiation or consent to the clause [wa]s irrelevant" "because the clause is void as a matter of law under New York law." 2011 WL 4343368, at *2 n. 1. The district court noted that New
2011 WL 4343368, at *4. The district court noted the statutory minima set out in § 3404(e), which provides that the insurer must insure the insured
N.Y. Ins. Law § 3404(e). The district court thus stated that under "New York's Standard Fire Insurance Policy, ... the policy must at least provide the lesser of either [1] the actual cash value of the property at the time of loss; [2] the replacement cost; or [3] the value of the property as predetermined in the policy." 2011 WL 4343368, at *4 (emphases added). The court noted that
2011 WL 4343368, at *4 n. 5 (emphasis added).
2011 WL 4343368, at *4. In the present case,
Id. (emphases added).
The district court stated that it was "unable to find specific case law in New York that addressed anything like the apportionment of loss clause here"; but the court found it "clear" that the apportionment-of-loss clause in the Policy was "a less favorable term than New York's Standard Fire Policy." Id. at *5. Thus, the court concluded that the Policy's apportionment-of-loss clause was void as a matter of New York law, and that the Policy must be enforced as if its terms complied with the statute. See id. at *6.
2011 WL 4343368, at *5; see id. at *6 ("As the apportionment of loss clause is inconsistent with the minimum coverage required by New York law, the apportionment of loss clause is deemed void, and the [Applicable] Policy will be enforceable as if it conformed to the statutory standards.").
Although Pacific contended that the apportionment-of-loss clause was not void because it was analogous to co-insurance clauses, which New York courts have upheld as valid, see Aldrich v. Great American Insurance Co., 195 A.D. 174, 186 N.Y.S. 569 (1st Dep't 1921), the district court rejected the analogy. The district court read the New York cases as finding co-insurance clauses viable only where the insured suffered a partial, rather than a total, loss:
2011 WL 4343368, at *5 (emphasis added). The court stated that
Id. at *6 (emphasis added).
The district court rejected Quaker Hills's claim for replacement costs, ruling that the Bank's commencement of the foreclosure constituted a "recall" of the mortgage within the meaning of the Policy, which, under the limitations stated in the "Extended Replacement Cost" provision, relieved Pacific of the obligation to pay such costs. The court noted that although Quaker Hills disputed that the mortgage had been "recalled," the Policy itself stated that it "use[s] words in their plain English meaning." Id. at *6 n. 7 (internal quotation marks omitted).
2011 WL 4343368, at *6 n. 7.
A final judgment was entered, with no specification of the dollar amount that Quaker Hills is entitled to recover and without mention of replacement costs. The judgment stated as follows:
Judgment dated August 18, 2011 ("Judgment").
Quaker Hills wrote to the district court on September 1 and 12, 2011, indicating a need for a corrected judgment to state the precise amount Quaker Hills is entitled to
Quaker Hills has cross-appealed from so much of the judgment as implicitly denies its claim for replacement costs. We affirm the district court's denial of the claim for replacement costs substantially for the reasons stated in the district court's Memorandum and Order, see Part I.B.2. above.
Pacific has appealed from so much of the judgment as declares that the Policy's apportionment-of-loss clause is void and that Pacific is not entitled to a reduction of its liability to 38 percent of the stated loss coverage amount in the Policy. It also challenges a ruling by the district court that rejected materials proffered by Pacific after the court's deadline for discovery had passed. As Pacific has not shown that the court's discovery ruling was an abuse of discretion, we decline to disturb it, and we decline to consider the materials belatedly submitted. We write to address the issue of the Policy's apportionment-of-loss clause, and to certify questions concerning that issue to the Court of Appeals for the State of New York.
Certain aspects of New York's insurance laws are relatively clear. New York law specifies alternative minimum levels of coverage that must be provided in fire insurance policies for insured parties in the State. As indicated above, § 3404 of the New York Insurance Law provides, in subsection (e), a form "known and designated as the `standard fire insurance policy of the state of New York.'" N.Y. Ins. Law § 3404(a). The form ("Standard Form" or "New York Standard Form") states that the insurer "does insure" the insured
Id. § 3404(e). Option "3)" allows the owner and the insurer to disregard the property's actual value and agree to have the policy specify instead the amount the insurer will pay the insured in the event that the property is totally destroyed. "Where the parties have agreed upon the value of the insured property in the event of future loss, the policy is said to be a valued policy," Nichols v. Hartford Fire Insurance Co., 61 A.D.2d 555, 557, 403 N.Y.S.2d 335, 336 (3d Dep't 1978) ("Nichols"); and "if it be decided that the loss was total, then under the valued policy the plaintiff would be entitled to receive the amount of the policy," Lee v. Hamilton Fire Insurance
With exceptions that are not pertinent here, the statute provides that
N.Y. Ins. Law § 3404(b)(1) (emphases added). Thus, while an insurer is free to deviate from the New York Standard Form by providing terms that are more favorable, see, e.g., 1303 Webster Ave. Realty Corp. v. Great American Surplus Lines Insurance Co., 63 N.Y.2d 227, 231, 481 N.Y.S.2d 322, 323, 471 N.E.2d 135 (1984) ("Webster")(although the Standard Form allows the insurer to require that an action on the policy be brought within a two-year period, the insurer may permissibly omit reference to any limitations period and thereby allow such an action to be brought within the general statutory six-year limitations period for an action on a contract), a fire insurance policy must include "terms and provisions no less favorable to the insured than those contained in the standard fire policy," N.Y. Ins. Law § 3404(f)(1)(A) (emphasis added). Accordingly, "[t]he standard policy is the minimum level of coverage permissible for an insurance company to issue." Lane v. Security Mutual Insurance Co., 96 N.Y.2d 1, 5, 724 N.Y.S.2d 670, 671, 747 N.E.2d 1270 (2001) ("Lane"); see also Woodhams v. Allstate Fire & Casualty Co., 748 F.Supp.2d 211, 217 (S.D.N.Y.2010) ("The standard policy ... clearly sets a minimum floor of the lesser of the [Standard Form's] three options.").
Where a policy contains one or more terms that are less favorable than those in the Standard Form, New York courts have held that the policy "is enforceable as if it conformed to the statutory standard," i.e., it is enforced as if the violative provision were not included. Webster, 63 N.Y.2d at 231, 481 N.Y.S.2d at 323, 471 N.E.2d 135; see, e.g., TAG 380, LLC v. ComMet 380, Inc., 10 N.Y.3d 507, 514, 860 N.Y.S.2d 433, 437, 890 N.E.2d 195 (2008) ("Tag"). In Webster, the issue was the timeliness of an action brought to recover on a policy that provided a one-year limitations period despite the Standard Form's provision of a two-year period. Although the court concluded that the action was untimely, it ruled that the action was properly dismissed on the basis of the statute, not on the basis of the policy as written. See id. at 231, 481 N.Y.S.2d at 323, 471 N.E.2d 135. In Lane, the controversy involved the scope of a policy provision for an exclusion from coverage; the New York Court of Appeals ruled that the exclusion was unenforceable as written because the policy's exclusionary term — "an insured" — was broader than the term "the insured" in the Standard Form:
96 N.Y.2d at 5, 724 N.Y.S.2d at 672, 747 N.E.2d 1270 (other internal quotation
In Aldrich v. Great American Insurance Co., 195 A.D. 174, 186 N.Y.S. 569 (1st Dep't 1921) ("Aldrich"), the Appellate Division confronted a challenge to an "eighty per cent average or coinsurance clause," id. at 174, 186 N.Y.S. at 569-70, providing for the division of risk between the insurer and the insured where the insured had procured coverage for less than the full value of the property.
Id. at 176, 186 N.Y.S. at 570-71. The Aldrich court found such clauses to be consistent with New York's laws and public policy, noting that "they merely require the [insured], as a condition of receiving a lower premium rate, to stand part of the loss himself, where he does not take out full insurance or insurance to the percentage of the value specified." Id. at 183, 186 N.Y.S. at 576. Such clauses allow "insurance companies to charge depend[ing] upon the premiums received and losses sustained by them." Id., 186 N.Y.S. at 575. In finding that the clause was consistent with the New York standard fire policy that was in force at that time, the Aldrich court noted that "if the Legislature intended to ... prohibit such agreements for average or coinsurance, there would have been embodied in the statute or in the standard policy some provision clearly expressing or manifesting such intent." Id. at 185, 186 N.Y.S. at 577.
Subsequently in New York Life Ins. Co. v. Glens Falls Ins. Co., 184 Misc. 846, 848-50, 55 N.Y.S.2d 176, 178-79 (Sup.Ct. N.Y.Co.1945) ("Glens Falls"), aff'd, 274 A.D. 1045, 86 N.Y.S.2d 191 (1st Dep't 1949), aff'd, 301 N.Y. 506, 93 N.E.2d 73 (1950), the New York courts reaffirmed the enforceability of an 80-percent co-insurance clause, at least when there has been a partial, rather than a total, loss. The clause at issue there provided:
184 Misc. at 847-48, 55 N.Y.S.2d at 177. Noting that co-insurance clauses such as these are frequently added as riders to the standard policy because fires usually result in a partial loss rather than a total loss, the trial court explained:
184 Misc. at 849, 55 N.Y.S.2d at 178 (emphasis added). The Glens Falls court noted that
184 Misc. at 848, 55 N.Y.S.2d at 178, and that "[t]he validity of the co-insurance clause has been sustained; its purpose has been held to be sound," id. at 849, 55 N.Y.S.2d at 179:
Id. at 849-50, 55 N.Y.S.2d at 179 (quoting Aldrich, 195 App.Div. at 183-84, 186 N.Y.S. at 575-76 (other internal quotation marks omitted)); see, e.g., Merritt v. Jefferson Insurance Co., 112 Misc.2d 51, 52, 445 N.Y.S.2d 972, 973 (Sup.Ct. Erie Co.1982) ("The intent of coinsurance clauses is clearly to reward those who insure at close to full value and to penalize those who insure at less than full value").
In Magie v. Preferred Mutual Insurance Co., 91 A.D.3d 1232, 1233, 937 N.Y.S.2d 452, 453-54 (3d Dep't 2012), the insurer sought to invoke a co-insurance clause in order to be held liable for only part of the stated coverage amount for a home that was totally destroyed by fire. The Appellate Division found the co-insurance clause inoperative on the ground that "in New York, a coinsurance clause `results in reducing the recovery in case of a
The Policy at issue in the present case stated that the loss coverage amount on the home was $14,388,000. (See March 24, 2009 Policy Coverage Update stating "$14,388,000 DWELLING COVERAGE AMOUNT".) The home was totally destroyed by fire in 2009, and the cost of replacing the home would have exceeded that amount. The apportionment-of-loss clause in the Policy was a reiteration of clauses that appeared in predecessor policies; it had been introduced in 2006 in the Second Policy, after Davis, Quaker Hills's principal, next to a "question, reading `desired amount of replacement coverage you want for the dwelling? (appraised @ $13,000,000 at August [2006] appraisal),'" had written "`5,000,000,'" 2011 WL 4343368, at *1. Despite what Davis wrote, the Second Policy stated the value of the home as $13,002,000; and the Applicable Policy stated the value of the home as $14,388,000. Thus, the apportionment-of-loss clause invoked by Pacific in order to pay Quaker Hills no more than 38 percent of the home's value as stated in the Policy may, as the district court concluded, violate the provisions in § 3404 of the New York Insurance Law setting out alternative minima of (1) actual cash value, (2) replacement cost, or (3) specified value.
On the other hand, New York public policy appears to favor co-insurance clauses because they are designed to prevent property owners from recovering full value for losses on property that they have chosen to undervalue for insurance purposes in order to be charged lower premiums. After Davis's "5,000,000" notation on the coverage inquiry, and the introduction of the apportionment-of-loss clause, Quaker Hills was charged a lower premium on the Policy, roughly commensurate with an apportionment of only 38 percent of the risk to the insurer. Pacific argues that the apportionment-of-loss clause should be upheld on the basis that it is thus analogous to a co-insurance clause. The analogy appears to fall short in light of the judicial rulings that co-insurance clauses in New York are not applicable when, as here, the property was totally, rather than partially, destroyed. We note, however, that there appears to be no New York Court of Appeals opinion addressing that issue. The trial court's decision in Glens Falls — which stated obiter that a co-insurance clause would have no applicability in the event of a total loss — was affirmed by the Appellate Division, whose decision was in turn affirmed by the Court of Appeals; but each affirmance was rendered without a majority opinion.
We have found no New York cases, nor any federal court cases construing New York law, dealing with apportionment-of-loss clauses such as the one at issue here.
This Court's Local Rule 27.2 allows for certification of a question of state law where "the New York Court of Appeals has not squarely addressed [the] issue and other decisions by New York courts are insufficient to predict how the Court of Appeals would resolve it." Joseph v. Athanasopoulos, 648 F.3d 58, 67 (2d Cir. 2011) (internal quotation marks and citations omitted). Certification is appropriate in circumstances where "the question... [is] of importance to the state, and its resolution ... require[s] value judgments and important public policy choices that the New York Court of Appeals is better situated than we to make." Id. The Local
In light of (a) the lack of controlling precedent in the New York Court of Appeals or clear guidance from lower New York courts, (b) the fact that the viability of apportionment-of-loss clauses such as that at issue here will be determinative of the merits of Pacific's appeal, and (c) the important State interests and policy considerations that must be balanced in determining the permissible allocation of risk in State fire insurance contracts, we conclude that the New York Court of Appeals is better situated than is this Court to determine whether the apportionment-of-loss clause at issue here is consistent with the State's Standard Fire Policy. Accordingly, we certify the following questions of New York law:
In formulating the certified questions, we do not intend to limit the scope of the analysis by the Court of Appeals. We invite the Court of Appeals to alter or elaborate on these questions as it deems appropriate.
We have considered all of Quaker Hills's contentions in support of its cross-appeal and have found them to be without merit; the judgment of the district court is affirmed to the extent that it dismissed Quaker Hills's claim for extended replacement costs. As to Pacific's appeal from so much of the judgment as ruled that Pacific is liable to Quaker Hills for the full amount of loss coverage shown in the Applicable Policy, we hereby instruct the Clerk of Court for the Second Circuit to transmit to the Clerk of the New York Court of Appeals this opinion as our certificate, together with a complete set of all filings in this Court by the parties. This panel will retain jurisdiction of Pacific's appeal for resolution after disposition of the certified questions by the New York Court of Appeals.