Acquest Holdings, Inc. v. Travelers Casualty & Surety Co. of AmericaAcquest Holdings, Inc. v. Travelers Casualty & Surety Co. of America
INTRODUCTION
Plaintiff Acquest Holdings, Inc. (“Plaintiff’) commenced this action on February 5, 2016, by filing a Summons and Complaint in New York State Court. (Dkt. 1-1). Defendant Travelers Casualty and Surety Company of America (“Defendant”) brought the case to this Court by a Notice of Removal, filed March 10, 2016. (Dkt. 1). Plaintiff asserts a claim for breach of contract based on Defendant’s failure to provide Plaintiff certain insurance coverage to which Plaintiff was allegedly entitled under a crime policy of insurance (the “Policy”) issued by Defendant to Plaintiff. (Dkt. 1-1 at ¶¶ 34-40).
Presently before the Court is Defendant’s motion to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6). (Dkt. 2). Defendant seeks dismissal of Plaintiffs breach of contract claim on the ground that Plaintiff failed to comply with a condition precedent to coverage under the Policy by not providing Defendant timely notice of loss after it discovered the loss. (Id,). For the following reasons, Defendant’s motion is denied.
BACKGROUND
I. Complaint
Plaintiffs breach of contract claim is based on the following factual allegations, which are drawn from the Complaint. Plaintiff is a corporation engaged in real estate development. (Dkt. 1-1 at ¶¶ 1-2). In May 2007, Defendant, an insurance company, issued to Plaintiff the Policy, which covered “generally, crime and fraud, including ... employee theft and fraud.” (Id. at ¶ 4). Under the Policy, Defendant insured Plaintiff against a single event of employee theft or fraud, up to one million dollars. (Id. at ¶ 6). Plaintiff renewed the Policy annually, with coverage continuing through November 9, 2016. (Id. at ¶ 15).
Plaintiff, through its subsidiary, Acquest Vegas LLC (also a named insured), contracted to build and lease to the U.S. Department of Veteran’s Affairs an outpatient facility in Las Vegas (the “Project”). (Id. at ¶¶ 7-8). The Project began in April 2009 and finished in August 2011. (Id.). Plaintiff employed Brian Vanderburgh as the Project Manager. (Id. at ¶ 9). In this role, Vanderburgh was responsible for billings from contractors. (Id. at ¶ 13). Ac-quest Vegas LLC selected Recreation Development Company of Las Vegas (“RDC”), owned by Jeffrey Whittle, as the Project’s general contractor. (Id. at ¶¶ 11-12). During the Project, Vanderburgh colluded with Whittle to “defraud[ ] and embezzle[ ] money from [Pjlaintiff through a complex scheme using a variety of subterfuges.” (Id. at ¶ 14). Plaintiff was not aware of this scheme and made its final payment to contractors on December 19, 2011. (Id. at ¶¶ 14-15).
On March 1, 2014, Plaintiffs vice president, Michael Huntress, received a telephone call from a former RDC employee, who said that “a company owned by ... Vanderburgh was paid kickbacks by RDC on the Project.” (Id. at ¶ 16). The same day, Plaintiff contacted two other former RDC employees, who each stated that they believed RDC and Vanderburgh had engaged in embezzlement. (Id. at ¶ 17). On March 10, 2014, Plaintiff reported the potential fraud and embezzlement to the Las Vegas Metropolitan Police Department (“LVMPD”). (Id. at ¶ 18).
Plaintiffs Complaint quotes a section of the Policy entitled “[Insured’s] Duties in the Event of a Loss”:
After [the insured] discover[s] a loss or a situation that may result in loss of or loss from damage to Money, Securities, or Other Property that exceeds twenty-five percent (25%) of the Single Loss Retention, [the insured] must:
(a) notify [defendant] as soon as possible;
(b) notify law enforcement authorities if [the insured] has a reason to believe that any loss ... involves a violation of law;
(c) submit to an examination under oath at [defendant’s] request and give [defendant] a signed statement of [the insured’s] answers;
(d) give [defendant] a detailed, sworn proof of loss within 120 days; and
(e) cooperate with [defendant] in the investigation and settlement of any claim.
(Id. at ¶ 19 (alterations in original)). Plaintiff alleges that based on the “limited information” it had in March 2014, it “was not able to report a ‘loss’ to [Defendant with any meaningful detail or particularity in accordance with the ... Policy and specifically could not submit a sworn detailed proof of loss with any meaningful detail.” (Id. at ¶ 20).
On April 25, 2014, Plaintiff sent business records to the LVMPD, per its request, for use in its investigation. (Id. at ¶ 21). While investigating Vanderburgh and RDC, the LVMPD contacted the Nevada State Contractors Board (“NSCB”), which had obtained copies of checks that RDC issued to a company owned by Vanderburgh. (Id. at ¶¶ 22-23). On December 16, 2014, the NSCB served a “Notice of Hearing’ on Plaintiff and RDC in connection with the fraud and embezzlement scheme, along with documents that “for the first time ... gave [P]laintiff sufficient information to report a loss” under the Policy. (Id. at ¶ 24). Plaintiff alleges that until it received the NSCB’s Notice of Hearing and attached documents, Plaintiff had only suspected fraud and embezzlement but did not have enough knowledge to discover or report a loss to Defendant in accordance with the Policy. (Id. at ¶ 25).
On February 1, 2015, Plaintiff notified Defendant about the suspected loss and its claim under the Policy, and on February 10, 2015, Plaintiff served on Defendant a “Proof of Loss,” supported by the NSCB documents. (Id. at ¶¶ 26-28). On June 4, 2015, Plaintiff submitted to Defendant a revised proof of loss. (Id. at ¶ 29). On June 29, 2015, Defendant denied Plaintiffs claim on the basis that, inter alia, Plaintiff breached the Policy by delaying reporting the loss to Defendant and by not providing a sworn proof of loss within 120 days of discovery. (Id. at ¶ 30).
II. Defendant’s Motion to Dismiss
Defendant seeks dismissal of the Complaint, arguing that it had no obligation to cover Plaintiffs losses because Plaintiff failed to provide Defendant a timely notice of claim and Proof of Loss, as required by the Policy—which, according to Defendant, is incorporated by reference in Plaintiffs Complaint. (Dkt. 2-1 at 16-20). Defendant argues that Plaintiff discovered a loss on March 1, 2014 (when Huntress had telephone conversations with three former RDC employees regarding the fraud), or, at the latest, on March 10, 2014 (when Plaintiff filed a police report). (Id. at 18-19). Despite this discovery, Plaintiff waited 11 months to provide Defendant a notice of loss, which, according to Defendant, was an unreasonable delay as a matter of law. (Id. at 11, 18-19). Defendant also contends that Plaintiffs good-faith belief in Vander-burgh’s honesty or its failure to understand the full details of the scheme do not excuse the 11-month delay. (Id. at 19).
• Policy (Dkt. 2-3);
• Proof of Loss, dated February 10, 2015 (Dkt. 2-4);
• Revised Proof of Loss, dated June 4, 2015 (Dkt. 2-5);
• Police Report, dated March 10, 2014 (Dkt. 2-6);
• Notice of Hearing by the NSCB (Dkt. 7-7; Dkt. 7-8); and
• Denial Letter, dated June 29, 2015 (Dkt. 2-9).
(Dkt. 2-1 at 6 nn.1-3, 7 nn.4 & 6, 9 n.10). Defendant’s Statement of Facts was drawn from these documents, not just the Complaint. (Id. at 5-10). For example, Defendant quoted: (1) the Police Report; (2) a “Voluntary Statement,” dated March 13, 2014, given by Huntress to the LVMPD, which was among the exhibits from the NCSB’s Notice of Hearing; and (3) the Policy’s definition of the term “Discover.” (Id. at 7-8, 16-17). Defendant also noted that its Denial Letter had stated, inter alia, that Plaintiff had information indicating that Vanderburgh and RDC had been engaged in another fraudulent scheme before the Project began. (Id. at 8-9).
III. Plaintiffs Response
In opposition to Defendant’s motion, Plaintiff argues, as an initial matter, that the extra-pleading documents may not be considered on a Rule 12(b)(6) motion. (Dkt. 8 at 8-12). According to Plaintiff, only the Policy was incorporated by reference. (Id. at 11). By contrast, the remaining documents supplied by Defendant were not relied upon in drafting the Complaint, were not quoted or mentioned in the Complaint, and were not so central to the claim that they may be deemed incorporated. (Id. at 11-12). Plaintiff acknowledges that the Court may convert the motion to dismiss to a motion for summary judgment when a party has presented materials beyond those incorporated in the Complaint, but insists that the Court should not convert in this case because discovery has not taken place. (Id. at 12-13).
Plaintiff argues that the question of when it discovered the loss is factual. (Id. at 15). According to Plaintiff, discovery of loss occurs when one has knowledge—not mere suspicion—of facts that would “justify a careful and prudent man in charging another with fraud or dishonesty.” (Id. at 13-14 (quoting Am. Sur. Co. v. Pauly,
IV. Defendant’s Reply
Defendant replies that the Court may properly consider the exhibits attached to its motion to dismiss because they are “documents of which Plaintiff had undisputed notice, were referenced in, and relied on by Plaintiff in framing its [C]om-plaint, and that specifically contradict the allegations therein.” (Dkt. 15 at 6). Defendant characterizes the Police Report as a
V. Plaintiffs Sur-Reply
On May 6, 2016, the Court granted Plaintiffs request to file a sur-reply. (Dkt. 16). In it, Plaintiff submits that the Second Circuit has recently clarified what materials may be considered on a motion to dismiss in its decision, Goel v. Bunge, Ltd.,
Oral argument on Defendant’s motion to dismiss was held before the undersigned on October 26, 2016, and the Court-reserved decision. (Dkt. 25).
DISCUSSION
I. Scope of Review on a Motion to Dismiss
“A motion brought under Rule 12(b)(6) challenges only the ‘legal feasibility’ of a complaint.” Goel,
In addition to the four types of materials catalogued above, there is another exception that allows a court to consider “a document not expressly incorporated by reference in the complaint” but that “is nevertheless ‘integral’ to the complaint.” Id. “A document is integral to the complaint ‘whére the complaint relies heavily upon its terms and effect.’ ” Goel,
The preliminary issue in this case is whether the Court may consider the following exhibits that are extrinsic to Plaintiffs Complaint:
• Policy (Dkt. 2-3);
• Proof of Loss, dated February 10, 2015 (Dkt. 2-4);
• Revised Proof of Loss, dated June 4, 2015 (Dkt. 2-5);
• Police Report, dated March 10, 2014 (Dkt. 2-6);
• Notice of Hearing by the NSCB (Dkt. 7-7; Dkt. 7-8); and
• Denial Letter, dated June 29, 2015 (Dkt. 2-9).
Because none of these documents were attached to the Complaint as exhibits or are matters of which the Court may take judicial notice,
Aside from the Policy, none of the remaining extrinsic documents are quoted in the Complaint, although the Complaint does mention most of them. An exception is the Police Report, which is never explicitly mentioned; rather, the Complaint only generally alleges that “on or about March 10, 2014, [P]laintiff reported the potential fraud and embezzlement to the [LVMPD].” (Dkt. 1-1 at ¶ 18). As to the other documents, the Complaint alleges receipt on December 16, 2014, of NSCB’s “Notice of Hearing” and attached documents, which, according to Plaintiff, gave it sufficient information to report a loss. (Id. at ¶ 24). And, it alleges that it filed the Proof of Loss and Revised Proof of Loss in February and June 2015, respectively, and alleges the bases for Defendant’s denial of coverage. (Id. at ¶¶ 26-29). But as discussed above, mere discussion of a document does not amount to incorporation by reference. See Cosmas,
Additionally, as is clear from the parties’ arguments regarding when Plaintiffs discovery of loss occurred, there is a dispute as to the significance of these documents and how they bear on Plaintiffs discovery of loss and the timeliness of Plaintiffs notice to Defendant. For example, in its response, Plaintiff argues that a review of the extra-pleading materials would lead to the conclusion that there was no discovery of loss in March 2014. (Dkt. 8 at 24-25). Thus, it is clear that the parties have competing interpretations of the facts regarding when Plaintiffs discovery occurred. That factual dispute weighs against deeming these documents incorporated by reference or integral to the Complaint. See DiFoloo,
For these reasons, the Court finds that the Proof of Loss, Revised Proof of Loss, Police Report, Notice of Hearing by the NSCB, and Denial Letter are neither incorporated by reference nor integral to the Complaint, and are therefore outside the Court’s review for purposes of the motion to dismiss. See Goel,
II. Legal Standard for Motion to Dismiss
“To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’ ” Ashcroft v. Iqbal,
The plausibility standard “asks for more than a sheer possibility” that a defendant has acted unlawfully. Iqbal,
III. Breach of Contract
Under New York law, a breach of contract claim has four elements: “(1) a contract; (2) performance of the contract by one party; (3) breach by the other party; and (4) damages.” First Inv’rs Corp. v. Liberty Mut. Ins. Co.,
Here, the parties’ dispute is factual and therefore inappropriate for resolution at the motion to dismiss stage. They dispute when Plaintiff had enough facts to cause a reasonable person to assume a loss had been or would be incurred. Whether a reasonable person would have been aware of sufficient facts in March 2014—when Huntress had telephone conversations with former RDC employees and reported a fraud to LVMPD (id. at ¶¶ 16-18)—or in December 2014—when Plaintiff received the NSCB “Notice of Hearing” (id. at ¶¶ 24-25)—is a factual issue. As the Second Circuit has explained:
Under New York law, applicable here, [the court] uphold[s] notice-of-occurrence provisions in insurance contracts to aid insurers in early investigations, detection of fraudulent claims, and proper capital allocation... Though the reasonableness of an insured’s notice to the insurer is often a fact-bound question best left for trial, where there is no excuse for the delay and mitigating considerations are absent, the issue may be disposed of as a matter of law in advance of trial.
Pfeffer v. Harleysville Grp., Inc.,
Defendant cited two cases for the first time at the motion hearing to support its argument that at this stage, the Court
Second, Defendant pointed to Schupak Group, Inc. v. Travelers Casualty & Surety Co. of America,
In neither Gassiott nor Schupak was the court called upon to resolve a fact-based question the likes of which Defendant asks this Court to resolve in this case on a Rule 12(b)(6) motion. Here, Defendant asks the Court at this pre-answer stage to resolve fact-intensive questions as to when Plaintiff discovered the loss and when it should have reported the loss'. Whether Plaintiff discovered the loss within the meaning of the Policy in March 2014 is a fact-based inquiry. Further, once Plaintiff discovered the loss in December 2014, whether Plaintiffs notice provided in February 2015 complied with the terms of the Policy is a factual question.
CONCLUSION
For the foregoing reasons, Defendant’s motion to dismiss (Dkt. 2) is denied.
SO ORDERED.
Notes
. Notwithstanding Defendant’s argument, the Court declines at this stage to take judicial notice of the Police Report. Under Federal Rule of Evidence 201, "[t]he court may judicially notice a fact that is not subject to reasonable dispute because it ... can be accurately and readily determined from sources whose accuracy cannot reasonably be questioned.” Fed. R. Evid. 201(b)(2). "Put another way, facts appropriate for judicial notice must 'meet either [one of the] test[s] of indisputability contained in Rule 201(b): they [should be] common knowledge, [or] ... derived from an unimpeachable source.’ ” Alvarez v. Cty. of Orange, N.Y.,
. If, on a motion to dismiss, materials extrinsic to the complaint are presented to and not excluded by the court, the court may consider those materials if it treats the motion to dismiss "as one for summary judgment under Rule 56” and gives "[a]ll parties ... a reasonable opportunity to present all the material that is pertinent to the motion.” Fed. R. Civ. P. 12(d). Whether the Court should convert or decide the motion to dismiss on the pleadings alone is a discretionary decision. See Friedl v. City of New York,
. Defendant improperly raised this argument—that Plaintiff’s notice to Defendant was unreasonable even as alleged in the Complaint—for the first time in its reply papers. The Court notes that it is procedurally inap- • propriate to raise an argument for the first time in reply papers, and although the Court declines to address the fact-based argument tor the reasons set forth above, it could also disregard the argument on the basis that it was belatedly raised. See Am. Hotel Int’l Grp., Inc. v. OneBeacon Ins. Co.,