Lead Opinion
The opinion of the court was delivered by
Jaime Skierski sustained injuries when she was assaulted by other students while a passenger on a school bus owned and operated by Irving Raphael, Inc. (Raphael). Through her guardian, she brought suit against Raphael, claiming that the driver was negligent in failing to stop the bus and quell the altercation. Raphael notified Home State Insurance Company (Home State), its automobile insurer, and Continental Insurance Company (Continental), its general liability insurer, of the underlying suit. Home State filed an answer on behalf of Raphael, but subsequently requested that Continental take over the defense, asserting that the incident was covered under Raphael’s general liability insurance. Continental refused Home State’s demand. Home State instituted a declaratory judgment action against Continental to compel the carrier to defend Raphael. While the declaratory judgment action was pending, SMerski’s suit against Raphael was settled. The Law Division granted Continental’s motion for summary judgment, finding that Skierski’s claim arose out of Raphael’s use and operation of the bus and thus fell within the purview of Home State’s insuring agreement. The court also concluded that Continental’s policy did not afford coverage. Home State appeals. We affirm.
We note at this point that, while Home State’s policy includes coverage for accidents that arise out of the “ownership, maintenance or use” of the school bus, Continental’s policy contains the same language excluding such coverage. In the proceedings below, both Home State and Continental took the position that their policies were mutually exclusive. In their appellate briefs, neither Home State nor Continental argues or suggests that their policies provide overlapping coverage. See Salem Group v. Oliver, 248 N.J.Super. 265, 274-75,
We must determine whether Skierski’s bodily injury claim related to an accident ‘‘arising out of the ownership, maintenance or use” of Raphael’s school bus. We are aided by several well-settled principles. While insurance policies are contractual in nature, they are not ordinary agreements but “contracts of adhesion between parties who are not equally situated.” Meier v. New Jersey Life Ins. Co., 101 N.J. 597, 611,
It is against this backdrop that we consider whether Skierski’s claim for bodily injury stemmed from an accident “arising out of the ownership, maintenance or use” of the school bus. We do not write on a blank slate. In Westchester Fire Insurance Co. v. Continental Insurance Cos., 126 N.J.Super. 29,
We rejected Westchester’s argument “that the words ‘arising out of the ... use’ requir[ed] or justified] the interpretation that before coverage exists it must appear that the injury is a direct and proximate result, in a strict legal sense, of the use of the automobile.” Id. at 37,
These principles were more recently applied by our Supreme Court in Smaul v. Irvington General Hospital, 108 N.J. 474,
In Smaul, the claimant was pulled from his automobile, assaulted and then robbed after he had stopped his vehicle to ask for directions. 108 N.J. at 475-76,
We most recently applied these principles in Stevenson v. State Farm Indemnity Co., 311 N.J.Super. 363,
We also applied these principles in Diehl v. Cumberland Mutual Fire Insurance Co., 296 N.J.Super. 231,
We do not suggest that our decisions on the subject are unanimous in affording coverage. The issue has received uneven treatment. See, e.g., Morgan v. Prudential Ins. Co. of Am., 242 N.J.Super. 638,
We are satisfied that there was a substantial nexus between Skierski’s injuries and the use of the covered automobile. In our view, the bus provided more than a “mere setting” for the assault. See Lindstrom v. Hanover Ins. Co., 138 N.J. at 252,
The fight between the student passengers while being transported to school was a foreseeable consequence of the “use” and “operation” of the school bus. The simple and overriding fact is that dogs bite, as in Diehl, and children fight, as in this case. However antisocial such conduct may be, everyday experience tells us that children fuss and fight while enroute to school. Moreover, we take particular note of the fact that Skierski’s negligence claim against Raphael was rooted in the driver’s failure properly to operate the bus. Specifically, Skierski alleged in her complaint that the bus driver was negligent in driving on and failing to stop the vehicle and quell the altercation. We have no doubt that part of the essential duties of a school bus driver is to supervise the children and provide safe passage to and from school. Such altercations, then, and the need to prevent them, are natural incidents of the “use” and “operation” of a school bus. See Jackson v. Hankinson, 51 N.J. 230, 233-34,
II.
Ours is a collegial court, but no member is obliged to sacrifice his or her conscientiously held view. It is, nevertheless, unfortu
But insurance problems have spawned a mountain of litigation in recent times. The point to be stressed is that the uncertainty generated by contractual language in different types of policies, and the corresponding need to litigate, are exactly what the insured sought to guard against when it purchased insurance.
Here, the rights of the insured are fully protected. The light is between insurers. But the need to provide the insured with certainty requires that insurers know in advance exactly what risks are embraced within the insurance contracts they issue. Against this backdrop, it is reasonable to suggest that the Commissioner of Banking and Insurance may wish to work with the insurance industry to address and resolve the type of problem with which this fractured court is now confronted.
Concurrence Opinion
(concurring).
Judge Baime’s opinion has convinced me that if the facts of this case were presented in the context of a claim by Home State’s insured or by its insured’s injured victim against the motor vehicle insurer, the expansive interpretation which New Jersey law gives to the statutory phrase, “resulting from ownership, maintenance or use” of a motor vehicle, would require us to hold that Home State is obligated to defend and to indemnify. Judge Wefing’s opinion has convinced me that if the same facts were presented in an action by Continental’s insured or by its insured’s injured victim against the general liability insurer, the logic of the sitúa
Because the policy language defining the scope of Home State’s coverage is the same as the policy language defining the motor vehicle exclusion from Continental’s coverage, this conclusion seems anomalous. However, because public policy considerations have led us to construe coverage provisions broadly, particularly in motor vehicle policies, and to construe exceptions from coverage narrowly, see Salem Group v. Oliver, 248 N.J.Super. 265, 271,
However, the parties to this ease have not given us the option to hold both of them liable to provide coverage. They have both asked us to choose which one of them, whether the automobile liability insurer or the general liability insurer, is responsible to indemnify the insured. In view of that limitation, I join in the result reached by Judge Baime and vote to hold Home State Insurance Company liable to provide coverage.
Dissenting Opinion
(dissenting).
My colleagues conclude, in this inter-company coverage dispute between two insurance carriers, that the insured’s automobile insurer, Home State Insurance Company (Home State) is responsible to provide coverage to Irving Raphael, Inc. (Raphael), rather than Raphael’s commercial general liability insurer, Continental Insurance Company (Continental). I am unable to agree and I therefore dissent.
The record presented to us in this declaratory judgment action contains only a limited description of the underlying incident. The following is taken from interrogatory answers supplied by Jaime Skierski during the course of her first party suit for damages.
According to Ms. Skierski, in August 1992, she was attending a summer program at the Perth Amboy Vocational School. On
Raphael held two policies of insurance, one a business auto policy issued by Home State and the other a commercial general liability policy issued by Continental. Under the Home State policy, Home State agreed it would:
pay all sums an ‘insured’ legally must pay as damages because of ‘bodily injury’ ... caused by an ‘accident’ and resulting from the ownership, maintenance or use of a covered ‘auto.’
Under the Continental policy, Continental agreed it would:
pay those sums that the insured becomes legally obligated to pay as damages because of ‘bodily injury’ or ‘property damage’____caused by an ‘occurrence’ —
Continental, however, excluded from its coverage claims “arising out of the ownership, maintenance, use or entrustment to others of any ... ‘auto’ ...”
I approach this issue in a different manner than my colleagues in recognition that the parties to this dispute are Home State and Continental. Their mutual insured, Raphael, is not a party and is not affected by its disposition. Neither, from all that appears, is the injured victim, Ms. Skierski. The parties to this dispute agree
I do not disagree with my colleagues that the out-of-state cases they cite provide little guidance to the resolution of this issue for they are often the result of differing statutory language. Niglio v. Omaha Property & Cas. Ins. Co.,
Nor do I disagree with my colleagues that the proper test to determine whether Home State is obligated to afford coverage is whether there is a “substantial nexus between the injury and the use of the vehicle.” Westchester Fire Ins. Co. v. Continental Ins. Cos., 126 N.J.Super. 29, 38,
We recognized in Westchester that “[wjhether the requisite connection or degree of relationship exists depends upon the circumstances of the particular ease.” Ibid. The judgment whether there is a “requisite connection or degree of relationship” can only be made in terms of the description of the underlying incident that has been provided to us. I am satisfied that the connection which exists in this matter is too tenuous to justify imposing responsibility upon Home State.
My colleagues conclude that, as in Lindstrom v. Hanover Ins. Co., supra, the school bus “did more than provide a setting or an enhanced opportunity for the assault.” 138 N.J. at 252, 649 A.2d
I cannot subscribe to my colleagues’ view that the assault upon Ms. Skierski was “a foreseeable consequence of the ‘use’ and ‘operation’ of the school bus.” (op. at 594,
1 am, finally, troubled by my colleagues’ conclusion that one of the essential duties of a school bus driver is to supervise the conduct of the children who are on the bus. I agree that in certain instances a school bus company or school district may have a duty to provide supervision of the children who are riding on a school bus. Thus, if either Raphael or the school district were aware of the tensions which apparently existed between the students of South Amboy and Perth Amboy, a duty may well have existed either to place an aide on the bus to prevent disruptions or to construct a route which would avoid placing the students upon the same bus. A violation of any such duty by Raphael, however, would, in my opinion, clearly fall within the commercial general liability policy issued by Continental, not the business auto policy issued by Home State. The overarching duty of the driver,
Because I view the assault upon Ms. Skierski as fundamentally unrelated to the “ownership, maintenance or use” of the school bus, I would impose responsibility for coverage upon Raphael’s commercial general liability carrier, Continental.
