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Smart Summary

Factual and Procedural Background

Security Mutual issued an Owners', Landlords' and Tenants' Liability Policy to Fernley Realty Corp. on November 29, 1964, also covering Norman Levy and Acker-Fitzsimons Corp. A fire occurred on May 23, 1965; structural violations were lodged three days later. A second fire occurred October 4, 1965, during which three firemen (Adams, Harrington and Manning) were allegedly injured; the buildings were later demolished.

Levy learned of the October 4 fire the afternoon it occurred but not of personal injuries. On November 9, 1965, after hearing rumors that firemen had been injured, Levy telephoned and wrote his insurance broker, James Kannar, instructing him to notify the insurer. Kannar did not notify Security Mutual, opining no obligation until a concrete claim and that firemen “go at their own risk.” Kannar notified Security Mutual on November 15, 1965 of contemplated demolition and spoke by telephone November 16 about the fire but did not mention personal injuries. The policy was canceled January 6, 1966.

On December 19, 1965, a newspaper reported that two firemen had filed claims against the City and mentioned possible liability of the owners; Levy forwarded the article to Kannar on December 27, who still took no action. The firemen commenced suit against the City in October 1966; service on Fernley and Acker-Fitzsimons was effected April 28, 1967 (Secretary of State) and Levy was personally served June 23, 1967. Acker-Fitzsimons notified Security Mutual upon receiving the summons, approximately 19 months after the October 4 occurrence.

The Appellate Division held the insureds lacked direct knowledge of injuries and that their belief of nonliability was reasonable, concluding notice given upon receipt of the summons was "as soon as practicable." The Court of Appeals reversed, reinstating the Supreme Court, Bronx County judgment.

Legal Issues Presented

  1. Whether the insureds complied with the policy provision requiring notice to the insurer "as soon as practicable" after the "occurrence".
  2. Whether claimed justifications for delayed notice—lack of knowledge of injuries or a belief of nonliability—excuse a 19-month delay under the circumstances presented.

Arguments of the Parties

The opinion does not contain a detailed account of the parties' legal arguments.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
Utica Sanitary Milk Co. v. Casualty Co. of Amer., 210 N.Y. 399 Notice provisions afford insurer opportunity to protect itself. Cited to support that notice provisions serve the insurer's opportunity to protect itself and are important conditions of liability.
Rushing v. Commercial Cas. Ins. Co., 251 N.Y. 302 Giving required notice is a condition to insurer's liability; lack of knowledge can excuse delay; insured bears burden of proof. Used to state that notice is a condition precedent and that exceptions (e.g., lack of knowledge) may excuse delay but are the insured's burden to prove.
Deso v. London Lancashire Ind. Co., 3 N.Y.2d 127 Failure to satisfy notice requirement vitiates the policy absent valid excuse; "as soon as practicable" means reasonable time under circumstances. Cited to show that without a valid excuse the insurer may assert noncompliance and that "as soon as practicable" equates to reasonable time.
Woolverton v. Fidelity Cas. Co. of N.Y., 190 N.Y. 41 Lack of knowledge may excuse delay; insured must exercise reasonable care to keep informed of accidents. Relied upon to explain that delay may be excused for lack of knowledge but that insureds have a duty to inquire and remain informed.
American Sur. Co. of N Y v. Mariani, 130 N.Y.S.2d 755 (Sup. Ct., New York County), affd. 286 App. Div. 1083 Insured must exercise reasonable care and diligence to keep informed of accidents from which claims may arise. Cited as authority reinforcing the insured's duty to investigate and the insured's burden to show excuse for delayed notice.
Haas Tobacco Co. v. American Fid. Co., 226 N.Y. 343 Whether a belief of nonliability excuses delay depends on reasonableness and extent of inquiry into facts. Applied to reject bare reliance on belief of nonliability where no reasonable investigation was undertaken.
875 Forest Ave. Corp. v. Aetna Cas. Sur. Co., 37 A.D.2d 11, affd. 30 N.Y.2d 726 A good-faith belief of nonliability may excuse delayed notice when reasonable under the circumstances. Distinguished by the Court: held inapplicable because facts there did not reasonably suggest potential liability of the insured, unlike the present case.
Vanderbilt v. Indemnity Ins. Co. of North Amer., 265 App. Div. 495 "As soon as practicable" requires notice within a reasonable time under the circumstances. Used to support interpretation of the policy phrase as requiring reasonable promptness.
McGee v. Adams Paper Twine Co., 26 A.D.2d 186, affd. 20 N.Y.2d 921 General principle that firemen go at their own risk in some contexts. Cited as an example of the legal principle relied upon by the broker, but the Court found reliance on that principle unreasonable here without investigation.
Curreri v. Allstate Ins. Co., 37 Misc.2d 557 Notice to an ordinary insurance broker is not notice to the liability carrier. Applied to hold Levy's instruction to his broker did not constitute notice to the insurer.
Gabriel v. Attigliato, 60 Misc.2d 536 Broker is normally agent of the insured; notice to broker generally not notice to carrier. Reinforced the point that communication to the broker did not satisfy the policy's notice requirement.
Marallo v. Aetna Cas. Sur. Co., 148 N.Y.S.2d 378 Extent of insured's inquiry into circumstances is relevant to reasonableness of belief of nonliability. Cited with other authorities to support the Court's emphasis on the insured's duty to investigate.

Court's Reasoning and Analysis

The Court framed the central issue as compliance with the policy notice requirement to report an "occurrence" "as soon as practicable." It reviewed governing principles: notice provisions protect the insurer; timely notice is a condition of liability; delays may be excused for lack of knowledge or a reasonable belief of nonliability, but the insured bears the burden to prove excuse and must exercise reasonable diligence to ascertain facts.

The Court found the December 19 newspaper article apprised the insureds of personal injuries arising from the October 4 fire and of possible owner liability. While the article alone might not have required immediate notice, it should have prompted a reasonable and prudent person to investigate the circumstances, ascertain facts, and evaluate potential liability—particularly because structural violations from the earlier fire were already posted against the premises. The Court rejected the insureds' reliance on the broker's view and the general belief that firemen assume risk as an adequate substitute for inquiry, noting notice to an ordinary broker is not notice to the carrier. It distinguished 875 Forest Ave. as involving facts where a reasonable person would not foresee liability. Because the insureds failed to make reasonable inquiry and diligence, the 19-month delay was not excused by lack of knowledge or by a reasonable belief of nonliability.

Holding and Implications

Order reversed and the judgment of the Supreme Court, Bronx County, reinstated.

Direct effect: the Appellate Division's order was reversed with costs and the lower court judgment reinstated, finding the insureds failed to comply with the policy's notice provision so their delay in notifying the insurer was not excused. The opinion does not announce a new rule of law beyond applying existing principles to the facts; its practical implication is that an insured who receives information suggesting possible liability must reasonably investigate rather than rely on unverified belief or broker inaction.

SECURITY MUTUAL INSURANCE COMPANY OF NEW YORK, Appellant, v. ACKER-FITZSIMONS CORP. et al., Respondents, and EDWARD YOGERT and ano., Defendants.

JASEN, J.

The issue on this appeal is whether the insured complied with a liability insurance policy provision requiring notice to the insurer "as soon as practicable" after the "occurrence".

An occurrence is defined in the policy as "an event, or continuous or repeated exposure to conditions, which unexpectedly causes injury during the policy period."

On November 29, 1964, Security Mutual Insurance Company of New York (Security Mutual) issued its Owners', Landlords' and Tenants' Liability Policy to Fernley Realty Corp. (Fernley) insuring it against liability for personal injuries arising from the operation of certain premises located at 2-10 East 196 Street, Bronx, New York. In addition to the named insured, the policy covered Norman Levy, president of Fernley, and Acker-Fitzsimons Corp. (Acker-Fitzsimons), managing agents of the property.

On May 23, 1965, a major fire occurred on the insured premises and three days later the New York City Department of Buildings lodged certain structural violations against them. The buildings were again swept by fire on October 4, 1965, during the course of which three firemen, defendants Adams, Harrington and Manning, were allegedly injured. The buildings were subsequently demolished.

Levy evidently learned of the second fire (but not the personal injuries) on the afternoon of its occurrence. On November 9, 1965, he heard "rumors" that certain unnamed firemen had been injured in the October 4 fire. He then telephoned this information to James Kannar, Fernley's insurance broker, and followed up with a letter, also dated November 9, instructing him to notify the insurer of the claimed injuries. Kannar was of the view that until a more concrete claim was made, there was no obligation to report the incident to the insurer. He also opined that since firemen go at their own risk, there was no liability anyway.

The "rumors" consisted of a phone call to Levy from an unnamed person.

In ordinary course, the plaintiff issued a renewal policy for the premises. But on November 15, 1965, before the effective date of the renewal policy, Kannar wrote to Security Mutual advising it of the contemplated demolition of the premises. Telephone conversations followed on November 16 between Kannar and Theodore Moschitta, an employee of Security Mutual, during which Moschitta was advised of the fire of October 4, but no mention was made of any personal injuries. The policy was subsequently canceled on January 6, 1966.

On December 19, 1965, the Sunday News reported that two firemen (Adams and Manning) had filed a claim for $1,500,000 against the City of New York for injuries allegedly sustained in the fire of October 4. Mention was also made of alleged liability of the owners and operators of the premises. The article was brought to Levy's attention, who, on December 27, 1965, forwarded a copy to Kannar, together with a letter stating that he believed it should be forwarded to the liability carrier. Kannar took no action, apparently believing that, absent some more substantial basis, there was nothing to report to the carrier.

In October, 1966, the firemen, Adams and Manning, now joined by Harrington, commenced the prime action by serving a summons and complaint on the City of New York only. Service upon Fernley and Acker-Fitzsimons was effected by service upon the Secretary of State on April 28, 1967. Levy was personally served on June 23, 1967. Upon receiving the summons, the defendant Acker-Fitzsimons promptly notified Security Mutual of the pendency of the action — some 19 months after the actual occurrence.

Notice provisions in insurance policies afford the insurer an opportunity to protect itself ( Utica Sanitary Milk Co. v. Casualty Co. of Amer., 210 N.Y. 399; 31 N.Y. Jur., Insurance, § 1261), and the giving of the required notice is a condition to the insurer's liability. ( Rushing v. Commercial Cas. Ins. Co., 251 N.Y. 302.) Absent a valid excuse, a failure to satisfy the notice requirement vitiates the policy ( Deso v. London Lancashire Ind. Co., 3 N.Y.2d 127; Insurance Law, § 167, subd. 1, par. [d]), and the insurer need not show prejudice before it can assert the defense of noncompliance. (31 N.Y. Jur., Insurance, § 1262.)

There may be circumstances, such as lack of knowledge that an accident has occurred, that will explain or excuse delay in giving notice and show it to be reasonable. ( Rushing v. Commercial Cas. Co., 251 N.Y. 302, supra; Woolverton v. Fidelity Cas. Co. of N.Y., 190 N.Y. 41.) But the insured has the burden of proof thereon. ( Rushing v. Commercial Cas. Co., 251 N.Y. 302, supra.) Moreover, he must exercise reasonable care and diligence to keep himself informed of accidents out of which claims for damages may arise. ( Woolverton v. Fidelity Cas. Co. of N.Y., 190 N.Y. 41, supra; American Sur. Co. of N Y v. Mariani, 130 N.Y.S.2d 755 [Sup. Ct., New York County], affd. 286 App. Div. 1083; 13 Couch, Insurance [2d ed., Anderson], § 49:334.)

Then, too, a good-faith belief of nonliability may excuse or explain a seeming failure to give timely notice. ( 875 Forest Ave. Corp. v. Aetna Cas. Sur. Co., 37 A.D.2d 11, affd. 30 N.Y.2d 726; Woolverton v. Fidelity Cas. Co. of N.Y., 190 N.Y. 41, supra; 31 N.Y. Jur., Insurance, § 1281.) But the insured's belief must be reasonable under all the circumstances, and it may be relevant on the issue of reasonableness, whether and to what extent, the insured has inquired into the circumstances of the accident or occurrence. ( Haas Tobacco Co. v. American Fid. Co., 226 N.Y. 343; Woolverton v. Fidelity Cas. Co. of N Y, 190 N.Y. 41, supra; Marallo v. Aetna Cas. Sur. Co., 148 N.Y.S.2d 378 [Sup. Ct., Westchester County]; American Sur. Co. of N.Y. v. Mariani, 130 N.Y.S.2d 755, affd. 286 App. Div. 108 3, supra; 31 N.Y. Jur., Insurance, § 1281; 8 Appleman, Insurance Law and Practice, § 4744.)

Finally, a provision that notice be given "as soon as practicable" after an accident or occurrence, merely requires that notice be given within a reasonable time under all the circumstances. ( Deso v. London Lancashire Ind. Co., 3 N.Y.2d 127, supra; Vanderbilt v. Indemnity Ins. Co. of North Amer., 265 App. Div. 495; Insurance Law, § 167, subd. 1, par. [d].)

The Appellate Division was of the view that the insureds had no direct knowledge that injuries had resulted from the fire of October 4, 1965, and that the insureds' belief of nonliability was reasonable. The majority concluded that the notice given upon receiving the summons in the prime action (some 19 months after the occurrence) was, therefore, given as soon as practicable. We disagree.

On December 19, the Sunday News reported that two firemen had filed claims against the City of New York for injuries allegedly sustained in the October 4 fire. Mention was also made in the article of the possible liability of the owners and operators of the premises. This article was brought to the attention of the insureds, Levy and Acker-Fitzsimons, in late December. While this information was, in our view, sufficient to apprise the insureds of the occurrence, of itself, it probably was not a sufficient predicate for giving immediate notice. However, it seems to us that such information would cause a reasonable and prudent person to investigate the circumstances, ascertain the facts, and evaluate his potential liability (see Haas Tobacco Co. v. American Fid. Co., 226 N.Y., at p. 345), particularly where there were, at the time of the alleged injuries, existent violations against the premises involving structural deficiencies caused by the first fire (May 23, 1965). Similarly, although the belief that firemen go at their own risk generally accords with the law, (see, e.g., McGee v. Adams Paper Twine Co., 26 A.D.2d 186, affd. 20 N.Y.2d 921), under these circumstances, and absent an investigation of the facts, the insured's bare reliance on that belief would appear to be unreasonable.

As we have previously noted, Levy was sufficiently concerned about the alleged injuries that he instructed his insurance broker to inform the carrier. But this did not constitute the notice contemplated by the policy since a broker is normally the agent of the insured and notice to the ordinary insurance broker is not notice to the liability carrier. ( Curreri v. Allstate Ins. Co., 37 Misc.2d 557; Gabriel v. Attigliato, 60 Misc.2d 536; 31 N.Y. Jur., Insurance, § 1266.)

The recent case of 875 Forest Ave. Corp. v. Aetna Cas. Corp. ( 37 A.D.2d 11, affd. 30 N.Y.2d 726, supra), relied upon by the majority at the Appellate Division, is distinguishable. In that case a three-year-old child fell from a fourth floor apartment window and was killed. It was held that delayed notice of the accident did not breach the notice provision where the insured, acting as a reasonable and prudent person, believed he was not liable. That accident, however, simply was not one which would lead a reasonable person to envision any possible liability on the part of the insured corporate owner of the building. In fact, the circumstances (of which the insured apprised itself) indicated negligence on the part of the child's mother. Here, the insureds had information (the newspaper article) about personal injuries arising from a fire at their building against which certain structural violations had been posted — yet they failed to pursue the facts or reasonably evaluate their potential liability.

In sum, we conclude that the insureds failed to exercise reasonable care and diligence in ascertaining the facts about the alleged accident and in evaluating their potential liability. Thus, the otherwise unreasonable delay of 19 months in giving notice may not be excused or explained on the basis of "lack of knowledge" or a "belief of nonliability".

For the reasons stated, the order of the Appellate Division should be reversed and the judgment of the Supreme Court, Bronx County, reinstated.

Chief Judge FULD and Judges BURKE, SCILEPPI, BERGAN, BREITEL and GIBSON concur.

Order reversed, with costs, and the judgment of Supreme Court, Bronx County, reinstated.

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SECURITY MUT. INS. v. ACKER-FITZSIMONS
(Dec 29, 1972)