WILLIAM J. MARTINI, District Judge.
Plaintiff Frazier Industrial Company ("Frazier") brings this action to recover alleged losses due to employee theft under a commercial crime insurance policy issued by the Defendant Navigators Insurance Company ("Navigators"). This matter comes before the Court on the parties' cross-motions for summary judgment pursuant to Rule 56 of the Federal Rules of Civil Procedure ("FRCP"). The Court decides these motions without oral argument. Fed. R. Civ. P. 78(b). For the reasons set forth below, the parties' motions are
Navigators issued two successive commercial crime policies to Frazier. (Defendant's Statement of Undisputed Material Facts ("Def.'s SOF") at ¶ 1). The first policy was issued on September 14, 2009, for a period of one-year (the "2009 Policy"). (Id. ¶ 2). The second policy was issued from September 14, 2010 to June 30, 2011 (the "2010 Policy" or the "Crime Policy"). (Id. ¶ 3).
The two commercial crime policies contain identical language. The policies cover losses resulting from "Employee Theft," stating that:
(Declaration of Mary E. Borja ("Borja Dec'l") Exs. A & B, ECF Nos. 39-1, 39-2). Theft is defined in the policies as "the unlawful taking of property to the deprivation of the Insured." (Id.) The policies exclude any loss resulting from a dishonest act other than theft:
(Id.) Lastly, each policy is limited to a recovery of $1 million per occurrence
Frazier is a privately-owned manufacturer of structural steel storage systems. (Plaintiff's Statement of Undisputed Material Facts ("Pl.'s SOF") at ¶ 1). Frazier's sales to its customers include the installation of these systems, which are sometimes handled by an independent contractor. (Id. ¶ 2-3). The independent contractor's price is included in Frazier's quote to the customer, and the customer pays Frazier for both sales and installation. (Id. ¶¶ 6, 11).
In March 2011, Frazier was contacted by an attorney representing a judgment creditor for one of Frazier's independent contractors, Coast to Coast Installations, Inc. ("CTC"). (Certification of Sherilyn Pastor ("Pastor Cert.") Ex. K, ECF No. 36-3). Through an investigation, it was revealed that one of Frazier's employees — identified by Frazier as JMG, and a Vice President of Operations — had engaged in a scheme whereby he would help CTC pad its bids. (Pl.'s SOF ¶ 14). As part of its business practice, before submitting a customer bid, Frazier would develop an internal budget for installation costs. (Id. ¶ 9). According to Frazier, JMG was responsible for setting this budget. (Id. ¶ 8). If Frazier won the customer's bid, it would then solicit bids from independent contractors without revealing its internal budget. Frazier alleges that JMG, first, identified projects with considerable profit margins. Then, if CTC's bid for the project was substantially below the internal budget, JMG would inform CTC that it could increase its bid and by how much, while still winning the contract. JMG approved these inflated bids and CTC would split the padded amounts with JMG, after it was paid by Frazier. (Id. ¶¶ 14-17). In all, Frazier alleges that the padded sums amounted to at least $1,938,000 and of this JMG received over $960,000 — calculations disputed by Navigators. (Id. ¶ 19).
Upon discovering this scheme, Frazier confronted and fired JMG. The employer and employee entered into a settlement agreement, as part of which JMG agreed to pay Frazier $2 million and cooperate in Frazier's investigation of the scheme. (Id. ¶¶ 18-20). The settlement agreement provides that the amount JMG owes Frazier will be reduced by any recovery Frazier obtains under its crime policies. (Def. SOF ¶ 52). In June 2011, Frazier notified Navigators regarding the scheme. (Pl. SOF ¶ 43). Navigators subsequently denied coverage in a letter dated November 7, 2011. (Id. ¶ 44). Navigators justified the denial by stating that the "loss" put forth by Frazier was not as a result of "theft" and, consequently, was not covered by the policies. (Pastor Cert. Ex. O). Frazier initiated an action in New Jersey state court to recover its losses under the Crime Policy, which was then removed to this Court on March 18, 2013. In response, Navigators brought counterclaims seeking declaratory judgments that Frazier's losses were not covered under either policy.
Summary judgment is appropriate "if the pleadings, the discovery and disclosure
Since an insurance policy is a form of contract, its interpretation is a question of law. Selective Ins. Co. of Am. v. Hudson E. Pain Mgmt. Osteopathic Med., 210 N.J. 597, 605, 46 A.3d 1272 (2012). When considering the meaning of an insurance policy, the court should "interpret the language `according to its plain and ordinary meaning.'" Voorhees v. Preferred Mut. Ins. Co., 128 N.J. 165, 175, 607 A.2d 1255 (1992) (citing Longobardi v. Chubb Ins. Co., 121 N.J. 530, 537, 582 A.2d 1257 (1990)). Nonetheless, the New Jersey Supreme Court has stated that coverage under an insurance policy is "to be read broadly, exclusions are to be read narrowly, potential ambiguities must be resolved in favor of the insured, and the policy is to be read in a manner that fulfills the insured's reasonable expectations." Selective, 210 N.J. at 605, 46 A.3d 1272. However, "a court should not engage in a strained construction to support the imposition of liability." Longobardi, 121 N.J. at 537, 582 A.2d 1257.
The Court faces two threshold issues in these cross-motions for summary judgment: (1) whether the employee and independent contractor's scheme, and the resultant losses claimed by Frazier, constitute "employee theft" and (2) whether the claimed losses are subject to any exclusions in the Crime Policy.
Black's Law defines a "taking" as "[t]he act of seizing an article ... with an implicit transfer of possession or control." Black's Law Dictionary (10th ed. 2014). In interpreting the criminal corollary to the "unlawful taking" language at the heart of the Crime Policy, N.J.S.A. 2C:20-3, New Jersey courts look to whether there was consent from the owner. E.g., Matter of Hoerst, 135 N.J. 98, 103, 638 A.2d 801 (1994) reinstatement granted 138 N.J. 85, 648 A.2d 722 (1994) (stating that "[t]he essential nature of all `theft' offenses is ... the actor appropriates property of the victim without his consent.") As a preface, the Court is mindful of the paucity of case law on this issue. This appears to stem from a change in the language of commercial crime policies — moving away from employee dishonesty and manifest intent towards unlawful taking and employee theft. See Employee Theft Verses Manifest Intent: The Changing Landscape of Commercial Crime Coverage, 36 Tort & Ins. L.J. 43, 54 (2000). The unique circumstances of employee theft in each case also make any analogous decisions of limited assistance. Nonetheless, the Court notes that the relevant cases tend to turn on whether the insured authorized the transaction, see Hartford Fire Ins. Co. v. Mitchell Co., Civ. No. 08-00623-KD-N, 2010 WL 5239246, at *6 (S.D.Ala. Dec. 15, 2010) aff'd, 440 Fed. Appx. 759 (11th Cir.2011); Guyan Int'l, Inc. v. Prof'l Benefits Adm'rs, Inc., No. 5:10 CV 823, 2013 WL 1338194, at *19 (N.D.Ohio Mar. 29, 2013), and whether the underlying fraudulent nature of the transaction negated such consent, see Hartford Fire Insurance Co. v. Clark, 562 F.3d 943, 945 (8th Cir.2009); Pine Belt Auto., Inc. v. Royal Indem. Co., Civ. No. 06-5995 (JAP), 2008 WL 4682582, at *6 (D.N.J. Oct. 21, 2008) aff'd, 400 Fed.Appx. 621 (3d Cir. 2010).
Courts have generally found that payments to third-parties do not qualify as a "loss" under commercial crime policies. See Pine Belt Auto., 2008 WL 4682582, at *3; Tesoro Ref. & Mktg. Co. LLC v. Nat'l Union Fire Ins. Co. of Pittsburgh, Pennsylvania, 96 F.Supp.3d 638, 651-52 (W.D.Tex.2015); Williams Electronics Games, Inc., v. Barry, Civ. No. 97 C 3743, 2000 WL 106672, at *1 (N.D.Ill. Jan. 13, 2000). This is the case even where the employer's loss was as a result of the employee colluding with the third-party. See Mitchell, 440 Fed.App'x. at 760. In finding so, courts rely on the understanding that such payments are not an "unlawful taking" by the employee and are, therefore, outside the scope of the policies. See id. In cases where courts have found a loss under the policy, the entire transaction was a fraudulent setup by the employee and the insured never received the good or service from the third-party, thus negating the employer's authorization. See Mitchell, 440 Fed.Appx. at 760 n. 1; Taylor Chrysler Dodge, Inc. v. Universal Underwriters Ins. Co., No. 08 C 4522, 2009 WL 3187234, at *4 (N.D.Ill. Sept. 30, 2009).
Under a "plain and ordinary meaning" reading of the policy language, the padded amounts Frazier paid its independent contractor were not an "unlawful taking" by Frazier's employee. See Longobardi, 121 N.J. at 537, 582 A.2d 1257. Frazier seeks to recover the share of the padded amounts CTC received from the inflated bids, albeit with the help of the employee. Frazier contends that JMG's control over the bidding process necessitates a determination that these amounts were subject to an "unlawful taking." Cf. Mitchell, 2010 WL 5239246, at *6 (finding no "unlawful taking" where, although the employee recommended the land, the ultimate decision whether to purchase was made by the
Frazier bought insurance from Navigators to protect it from employee theft, not against a less favorable deal from a deceitful contractor. Unlike the plaintiff in Clark, Frazier does not assert that the underlying transaction was fraudulent and that the independent contractor did not perform its work. Cf. Clark, 562 F.3d at 945 (stating that insurance company voluntarily paid out for employee theft where the employer was charged for services that were not provided and the employee approved unreasonable rates). In addition, Frazier has not argued nor demonstrated that CTC's bids were either unreasonably priced or not the lowest for a particular job — the latter likely to be the case otherwise JMG's choice of CTC would have raised suspicions. Cf. id. Rather, Frazier set an internal budget and expected that any independent contractor it chose would make a profit on their service. As such, Frazier was not "unknowingly deprived of money." See Mitchell, 440 Fed.Appx. at 760. Consequently, the "loss" that Frazier claims here is — at its core — an inability to obtain the lowest price, and that is not a basis to raise a claim under the Crime Policy. See Mitchell, 2010 WL 5239246, at *5.
Therefore, the Court finds that Frazier's claim for the alleged losses from the inflated amounts paid to and received by CTC is not covered by the Crime Policy as a matter of law.
In contrast, the share of the padded amounts received by JMG were not strictly payments to a third-party, and Frazier had not consented to such payments. In each case, Frazier authorized a payment intended only for CTC, as compensation for the respective installation. JMG's scheme resulted in him receiving a portion of these payments, fraudulently profiting from compensation that Frazier did not intend for him. Thus, the employee's actions are no different than if he inflated the bids himself and skimmed a portion off-the-top, before forwarding the payments on to the unsuspecting contractor. See Pine Belt Auto., 2008 WL 4682582, at *6 (noting an "occurrence" of employee theft where the employee requested checks from his employer's accounting department for legitimate reasons and then fraudulently converted those checks to money orders for his own use.) Put another way, the payment to CTC was merely a pre-text for JMG to receive his share. Consequently, the fact that JMG had the money pass through an intermediary prior to reaching his pocket does not change the fundamental nature of the employee's actions — an "unlawful taking" — nor its effect — to the "deprivation of the insured."
Navigators argues that Mitchell is instructive for denying losses even where the employee profits.
Therefore, JMG's actions and the portion of the payment ultimately taken by him constituted an "unlawful taking" of Frazier's money, even though he received his share through a third party, and is a "loss" under the Crime Policy.
Having determined that Frazier's loss is covered by the Crime Policy, Navigators raises a two-fold argument that the claimed loss is subject to exclusion.
The second argument raised by Navigators is that Frazier's claim is an "indirect loss," and it is unpersuasive as well. The loss Frazier claims is for sums paid out by the company as a direct result of its employee's
Thus, the Court finds that the share of the padded payments taken by Frazier's employee constitute "employee theft" and are covered by the Crime Policy as a matter of law.
Should its claim for coverage of its alleged losses succeed, Frazier also moves for summary judgment that its losses exceeds the Crime Policy's limits. In response, Navigators argues that JMG's statements are inadmissible hearsay and that, since the forensic accountant's analysis and Frazier's allegations rest solely on these statements, Frazier does not present a viable argument for damages.
"Hearsay statements that would be inadmissible at trial may not be considered for purposes of summary judgment." Smith v. City of Allentown, 589 F.3d 684, 693 (3d Cir.2009). In this case, JMG's admissions may be admissible at trial as statements against interest under Rule 804(b)(3), Fed. R. Evid., and the Court is not precluded from considering them and the analysis that rests upon them for purposes of this motion for summary judgment. See, e.g., Morro v. DGMB Casino LLC, 112 F.Supp.3d 260, 285-86 n. 2, No. 13-CV-5530, 2015 WL 3991144, at *21 n. 2 (D.N.J. June 30, 2015). However, even without JMG's statements, the work undertaken by Frazier's forensic accountant appears to be corroborated by additional evidence sufficient to raise a viable claim for damages. Nonetheless, Navigators presents genuine issues of material fact regarding discrepancies underlying Frazier's accountant's analysis and the conclusions reached as to damages. Accordingly, the Court denies Frazier's motion for summary judgment that its losses exceed Navigators' policy limits.
For the above reasons, the parties' cross-motions for summary judgment are