ESSEX INSURANCE COMPANY v. LARUCCIA CONSTRUCTION, INC.

2009-05854

71 A.D.3d 818 (2010)

898 N.Y.S.2d 558

ESSEX INSURANCE COMPANY, Appellant, v. LARUCCIA CONSTRUCTION, INC., et al., Respondents.

Appellate Division of the Supreme Court of New York, Second Department.

Decided March 16, 2010.


Ordered that the order is affirmed insofar as appealed from, with costs.

"As with any contract, unambiguous provisions of an insurance contract must be given their plain and ordinary meaning... and the interpretation of such provisions is a question of law for the court" (White v Continental Cas. Co., 9 N.Y.3d 264, 267 [2007] [citation omitted]; see Sanabria v American Home Assur. Co., 68 N.Y.2d 866, 868 [1986]; Atlantic Balloon & Novelty Corp. v American Motorists Ins. Co., 62 A.D.3d 920, 922 [2009]; NIACC, LLC v Greenwich Ins. Co., 51 A.D.3d 883, 884 [2008]). If the language of the insurance contract is ambiguous, however, the parties may submit extrinsic evidence as an aid in construction (see State of New York v Home Indem. Co., 66 N.Y.2d 669, 671 [1985]), and any ambiguity must be construed against the insurer as drafter of the policy (see White v Continental Cas. Co., 9 NY3d at 267; Guardian Life Ins. Co. of Am. v Schaefer, 70 N.Y.2d 888, 890 [1987]; Empire Fire & Mar. Ins. Co. v Eveready Ins. Co., 48 A.D.3d 406, 407 [2008]).

Here, the plaintiff insurer moved for summary judgment on its claim for unpaid premiums under a commercial general liability policy issued by it to the defendants (hereinafter the insureds), contending that the manner of calculating the premium is clear and unambiguous from the terms of the policy. Contrary to this contention, although the policy unambiguously provides for a "rate" of $28 and a "premium basis" of the insureds' gross sales to be determined by audit at the end of the coverage period, the policy does not provide that the rate is to be applied to every $1,000 of gross sales, and it does not give any other explanation as to the manner in which the premium is to be calculated. The explanation is not implicitly supplied by the amount calculated for the minimum deposit paid by the insureds, based upon an estimate of gross sales, since the application of the rate in the manner suggested by the insurer renders a different figure.

Thus, the insurer failed to establish, as a matter of law, that it properly calculated the premium due (see St. Paul Fire & Mar. Ins. Co. v Capri Constr. Corp., 78 N.Y.2d 1016 [1991]; Safeguard Ins. Co. v Tetz & Sons, 271 A.D.2d 516 [2000]; cf. Family Coatings v Michigan Mut. Ins. Co., 170 A.D.2d 816 [1991]). The insurer's failure to make a prima facie showing demonstrating the absence of a triable issue of fact required denial of its motion for summary judgment, regardless of the sufficiency of the opposing papers (see Alvarez v Prospect Hosp., 68 N.Y.2d 320, 324 [1986]).


Comment

1000 Characters Remaining

Leagle.com reserves the right to edit or remove comments but is under no obligation to do so, or to explain individual moderation decisions.

User Comments

Listed below are the cases that are cited in this Featured Case. Click the citation to see the full text of the cited case. Citations are also linked in the body of the Featured Case.

Cited Cases

  • No Cases Found

Listed below are those cases in which this Featured Case is cited. Click on the case name to see the full text of the citing case.

Citing Cases