39 W. Va. 672 | W. Va. | 1894
Leon Rheims obtained a policy of insurance from the Standard Fire Insurance Company of Wheeling for one thousand dollars on certain mierchandise contained in brick building and on sidewalks adjoining, situate Xos. 5, 7 arid 9 Union Square, FTew York, through- to -and- fronting-on Fifteenth street, from the 11th day of January, 1892, at 12 o’clock, noon, to the 11th day of January, 1893, at 12 o’clock noon, subject to the conditions and stipulations of said policy. On or about the 21st day of January, 1892, said merchandise was lost by fire in the city of Flew York, and on the -10th day of June, 1892, the said León Rheims brought an action of trespass on the case in assumpsit
“In the Circuit Court of Ohio County, W. Va.
“Leon Rheims v. Standard Ins. Co. of Wheeling, W. Va.
“The defence in the above case being with other things, that the action can not be maintained because of the failure to perform and comply with and the violation of certain clauses, conditions and warranties in the policy sued on, the defendant here specifies, as the particular clauses, conditions and warranties, in respect to which such failure or' violation is claimed to have occurred, .the following •' ‘ Third. This entire policy shall become void in .each of the following instances, viz: * * * If, any. usage of trade or manufacture • to -.the contrary notwithstanding, there be kept, used,, or allowed on the above-described premises *■ .* -* rubber cement.’ -Defendant states that rubber cement, was kept, used and allowed on the premises in'-the policy described.’ ‘Eighth. Proceedings in case of loss : *. * .*..-Aud within thirty days after thefiretheassuredsha.il render a. particular and detailed statement of the. loss and claim in whiting, signed and sworn ‘to by the assured, setting forth : (1) A copy of the written portions of this policy, with the indorsements thereon; (2) copies of the written portions of all other policies, whether valid or.uot, attaching in whole or in part to the property insured hereunder, and of all indorse-ments thereou; (8) the cash value at the time of the fire of each item of the property, and the amount of loss*676 claimed thereon ; (4) a full and specific account of the nature of assured’s interest in and title to the property, and that of all others interested therein; (5) all incumbrances or liens upon the property, or any part thereof; (6) the time, origin, and circumstances of the fire; (7) any change in the title, use, occupancy, location, possession, or exposure of said property since the policy was issued ; (8) by whom and for what purpose any parts thereof were occupied at the time of the fire; (9) the amount claimed of this company. And shall also furnish a certificate of the magistrate or notary public (not interested in the claim as a creditor or otherwise, nor related to the assured, nor a sufferer by the fire) living nearest the place of the fire, stating that he has examined the circumstances, and believes the assured has honestly sustained loss to amount claimed. * * * Ninth. No suit or action against the company for the recovery of any claim, by virtue of this policy, shall be sustainable in any court of law or equity until after full compliance by the assured with all the foregoing requirements.’
“W. P. Hubbard, Attorney for Defendants.”
“State of West Virginia, Ohio Go., to wit:
“Personally appeared before me, John W. Mitchell, clerk of the Circuit Court of said county, in my office, E. B. Bowie, who, being duly sworn says on his oath, that he is secretary of the defendant, the Standard Eire Ins. Co. of Wheeling, and that he believes that the matter of defence above stated by the said company will be supported by evidence at the trial of the above-entitled action.
“E. B. Bowie.
“Taken, sworn to,and subscribed by the said E. B. Bowie before me in my said office this 13th day of Sept., 1892. •
“John W. Mitchell, Clerk of the Circuit Court.”
On the 8th day of October, 1892, on motion of the plaintiff', the defendant was required to file an additional statement, which was done, as follows:
“Leon Rheims vs. Standard Fire Insurance Company. In Assumpsit. The defendant, to comply- with the order of the court made herein on the 8th day of October, 1892, says that it expects to prove at the trial of this action that*677 tbe assured did not within thirty days after the fire render any statement in writing of its loss and claim, signed and sworn to by the assured. The assured never furnished a certificate of the magistrate or notary public (not interested in the claim as a creditor or otherwise, nor related to the assured, nor a sufferer by the fire) living nearest the place of the fire, stating that he had examined the circumstances, and believed that the assured had honestly sustained loss to the amount claimed.”
This additional statement' was sworn to by E. B. Bowie, secretary of said company ; and on the 21st day of November, 1892, the plaintiff' tendered a demurrer to the plea of defendant with the original statement of defence, and said additional statement filed in aid of said plea and also a demurrer to said' statements and each of them, on the ground that they did not nor did either of them set forth any defence sufficient in law to said action ; and on the 28th day of January, 1893, the defendant having joined in said demurrer, the same were overruled as to the defendant’s plea with so much of the statement filed by defendant in aid of it, as relates to the proof of loss not being furnished within thirty days after the fire; and also overruled the demurrer of the plaintiff to the defendant’s plea, with so much of the statements filed by the defendant in aid of it as relates to a certificate of a magistrate or notary public not being filed; and also overruled the demurrer of the plaintiffs to the defendant’s plea, with so much of the statements filed by the defendant in aid of it, as relates to the rubber cement being kept, used and allowed.
The plaintiff thereupon filed the following statement:
“Leon Rheims v. The Standard Fire Ins. Co. of Wheeling. In Assumpsit.
“The plaintiff, Leon Rheims, files the following statement in writing of matters upon which he intends to rely in waiver, estoppel, and in confession and avoidance of the matters as to furnishing proofs of loss, and the certificate of a magistrate or notary public, stated by the defendant in its statements heretofore filed; that is to say: (1) That the policy sued upon does not expressly make the failure to furnish the defendant the proofs of loss within thirty days after the*678 fire a cause of forfeiture of the policy and of the claim of the plaintiff. (2) That the policy sued upon does not expressly make the failure to furnish the defendant the certificate of the.magistrate or notary public a cause of forfeiture of the policy and of the claim of the plaintiff. (3) That it was provided in the policy sued upou as follows : ‘It is hereby understood and agreed that, in case of loss or damage by fire to the property covered 'by this policy, this company agrees to abide by the adjustment made and accepted by the-companies interested belonging to the Row York Board of Tire Underwritersthat the companies interested belonging to the Hew York Board of Fire Underwriters began such adjustment at once after the fire took place, on the 21st day of January, 1892, and such adjustment was proceeded with with all reasonable diligence until completed, but was not completed within thirty days after the fire; that as soon as it was completed it was accepted by companies interested belonging to the Hew York Board of Tire Underwriters; proofs of loss were prepared in accordance with said adjustment, and mailed from Jersey City, H. J., to the. defendant, to wit, on the 9th day of March, A. I). 1892, and received within three days by the defendant by mail in due course, at Wheeling, West Va., to wit, on the 12th day of March, A. D. 1892. (a) That it was impossible to furnish the defendant with proofs of loss, as per that adjustment, until it was completed as aforesaid, and that such proofs of loss were furnished to the defendant as aforesaid as soon as the said adjustment was made, completed, and accepted as above set forth, (b) That the agreement in the policy to abide by the adjustment so made and accepted was a waiver of the furnishing of proofs or loss by the plaintiff to the defendant, (c) That no objections to the proofs of loss have ever been made by the defendant to the plaintiff, and defendant has retained said proofs of loss ever since they were received by it as aforesaid. (d) That the said adjustment could not be and was not completed with reasonable diligence, and accepted by the companies interested belonging to the Hew York Board of Tire Underwriters, within thirty days after the fire, and that the agreement in the policy sued on, that the*679 defendant would abide by the adjustment so made and accepted, was a waiver, under the circumstances, of the provision that the proofs of loss should be furnished to the defendant within thirty days after the fire. (4) That the plaintiff" did not unreasonably delay furnishing snch proofs of loss, but furnished them to the defendant as aforesaid, and that the defendant has in no way been prejudiced by the delay of furnishing the same after the said thirty days as aforesaid. (5) That the agreement of the defendant in the policy sued on, to abide by the adjustment made and accepted by the companies interested, belonging to the New York Board of Fire Underwriters, was a waiver by the defendant of the furnishing of the said certificate of a magistrate ora notary public. (6) That the plaintiff, by his agent, on or about March 9, 1892, notified the defendant as follows : ‘The settlement papers are on file with the Home Insurance Company of New York, and if you desire any further information will you kindly address them, or if you will advise us we will obtain it for you.’ (e) No such request was afterwards made, nor has any such request *t>r notice or information at any time since said fire been given by the defendant to the plaintiff that such certificate was required, or that the proofs of loss were imperfect, defective, or deficient because snch a certificate was not furnished or included in them; and, as to all other allegations contained in the statements heretofore filed by the defendant, the plaintiff denies them to be true.
“Leon Rheims.”
This statement was also verified by affidavit.
To this statement the defendant demurred, which demurrer was sustained as to portions of said statement, and overruled as to the residue ; the court holding that the policy did not expressly make the failure to furnish the proofs of loss within thirty days or to furnish the certificate of the magistrate a cause of forfeiture of 'the policy, and that by the policy the defendant agreed to abide by the adjustment of companies interested belonging to the New York Board of Fire Underwriters; that such companies began an adjustment at once after the fire, and proceeded with diligence, but did not complete it within thirty days; that
The plaintiff tendered an amended statement, which was objected to by the defendant, and the objection sustained by the court, and by consent said amended statement was made a part of the record, to be considered as if incorporated in a bill of exceptions, which amended statement detailed additional circumstances connected with the transaction accounting for the delay in furnishing proofs of loss, and assigned additional facts in support of his original statement, which on account of its length is not here inserted.
On the 19th day of December, 1893, the case was submitted to a jury, who found a verdict for the defendant, the plaintiff’s evidence having been excluded from the jury. The plaiutiff' moved to set aside the verdict, and award him a new trial, and on the 24th' day of March, 1894, this motion was sustained, and the defendant excepted, and applied for and obtained this writ of error.
The first question t.o which our attention is directed by the petition of the plaintiff in error is : Are the statements provided for by sections 62, 63, and 65 of chapter 125, pleadings or mere notices? blow, the nature and object of these statements are clearly indicated by the statute itself. Section 62 provides that, “ if good cause therefor be shown or appear, the court or judge in vacation may order the plaintiff to file a more particular statement in any respect of the nature of his claim, or the facts expected to be proved at the trial and may stay the action until a reasonable time after such order is complied with,” etc.; and the sixty-third section provides that “in like manner if good cause therefor appear, and there be no unreasonable delay on the part of the plaintiff in applying' for such order, the court or judge in vacation may order the defendant to file a more particular statement in any respect of the nature of his defence or the facts expected to be proved at the
Section 64 gives the form of the plea, and further provides that “if in any action on a policy of insurance the defence be that the action can not be maintained because of the failure to perform or comply with or violation of any clause, condition or warranty in, upon or annexed to the policy or contained in or upon any paper which is made by referente a part of the policy the defendant must file a statement in writing’, specifying by reference thereto or otherwise the particular clause, condition or warranty in respect to which-such failure or violation is claimed to have occurred, which statement is required to be verified,” etc.
Section 65 provides that upon the plea mentioned in section 64 the plaintiff may join issue without other pleading. But, if the plaintiff" intends to rely upon any matter in waiver, estoppel, or in confession and avoidance of any matter which may have been stated by the defendant as aforesaid, the plaintiff must file a statement in writing, specifying in general terms the matter on which he intends to rely, and such statement must be verified, etc.; and the affidavit must state that he believes that the matter of reply therein stated will be supported by evidence at the trial.
Section 66 provides that “if either party to such action fail to file any statement required of him by the four preceding sections of said chapter or by the other party pursuant to any of the provisions of the said sections or if the statements be adjudged insufficient in whole or in part, the court as justice may require may grant further time for filing the same, or permit the statémont filed to bo amended, or may at the trial exclude the evidence offered by the party in default as to any lhatter which he has so failed to state or has insufficiently stated. But no statement which in the particulars required by or under the said sections to be stated or referred to therein is sufficient to notify the adverse party in effect of the nature of the claim or defence intended to be set up against him shall be adjudged insufficient.”
It is appai’ent, from the language of the statute, that
These statements must, then, be considered as in aid of the pleadings, and the fact, that section 65 provides that, if the plaintiff intends to rely upon any matter in waiver, estoppel, or in confession and avoidance of any matter which may have been stated by the defendant as aforesaid, he must file a statement in writing, specifying in general terms the matter on which he intends to rely, clearly indicates that these statements must be regarded as informal pleadings; and that the object is to avoid technicality is clearly apparent from the language of the last clause of section 66, which provides that “no statement which in the particulars required by or under the said sections to be stated or referred to therein, is sufficient to notify the adverse party in effect of the nature of the claim or defence intended to be set up against him, shall be adjudged insufficient.”
The next question for consideration is whether under the provisions of -the policy sued on it is essential to-the plaintiff’s right of recovery, that he render proofs of loss with
Was the fact, that the proofs of loss were not furnished by the plaintiff within thirty days after the fire occurred a bar to the recovery in this case, and was the want of the certificate of the nearest magistrate waived or cured by the action of the defendant in receiving aud retaining the proofs of loss without calling the attention of the plaintiff to the defect; and was it a waiver of its right to object to said proof of loss on that ground ? These were questions before the supreme court of Wisconsin in the case of Vangindertaelen v. Insurance Co., 82 Wis. 112 (51 N. W. Rep. 1122). In that case the policy provided that notice of the loss should be given within six days, and that proofs of loss should be furnished within thirty days thereafter, and that the loss should be paid sixty days after the proofs were received at the company’s office. It -was held, that in the absence of a provision to that effect a failure to furnish the proofs of loss within the time prescribed did not operate as a forfeiture of the policy but merely postponed the maturity of the claim ; and that the reception and retention of the proofs of loss by the company without objection was a waiver of defects therein. The court in its opinion in that case, among other things, says :
*684 “The policy required the plaintiff to render particular verified proofs of loss within thirty days after such notice of loss — that is to say, within thirty six days after the fire— but the policy nowhere makes the failure to render such proofs within the time named operate as a forfeiture of the policy. To prevent such forfeitures, courts are bound to construe such contracts as strongly against the insurer, and as favorably for the insured, as their terms will reasonably permit”; citing Kircher v. Insurance Co., 74 Wis. 473, (43 N. W. 487): “The most that the policy did do in the regard mentioned was to provide that the loss should not be payable until sixty days after such proofs had been received at the Chicago office of the defendant. The delay in furnishing the proofs at that office until December 11,1890, therefore, merely operated to postpone the maturity of the claim until sixty days thereafter.”
A clause in a policy of insurance identical with the one under consideration was coustrued by the supreme court of Michigan in the case of Steele v. Insurance Co., 93 Mich. 81 (53 N. W. Rep. 514) in which case it was held that time is not of the essence of the provision of the Michigan standard fire insurance policy, requiring proofs of loss to be rendered within sixty days after the fire ; and the further provision, that no suit can be brought on the policy “until after full compliance by the insured of all the foregoingrequirements, nor unless commenced within twelve months after the fire,” refers to the requirements as to notice, proofs and adjustment of the loss, and its intent is to provide that no suit can be maintained,- unless commenced within one year after the fire, and in no event until after compliance with such requirements (under the policy, we are considering, within six months).
Again, in the case of Tubbs v. Insurance Co., 84 Mich. 647 (48 N. W. Rep. 296) it was held that “failure to make proofs of loss within thirty days, as provided for in an insurance policy, will only operate to postpone the right of action of the assured until the proofs are supplied, where there is no limitation in the policy as to the time within which suit must be brought, nor provision for forfeiture in case proofs are not made within the thirty days.”
. In the ease of McMaster v. Insurance Co., 55 R. Y. 222, the court held, as we think rightly, that “proofs of loss are no part of a contract of fire insurance, nor do they create the liability to pay a loss; they serve to fix the time when it becomes payable, and when an action may be commenced to enforce a liability”; that, “for the purpose of upholding a contract of insurance, its provisions will be construed strictly against an underwriter.” .
The Supreme Court of Illinois, in the ease of Insurance Co. v. Scammon, 100 Ill. 645, held that a clause in a policy of insurance, that “in case of loss the insured shall give immediate notice thereof in' writing, and shall render to the company a particular account of said loss in writing, under oath, etc., where it is further provided that until such proofs and certificates are produced, and examination and appraisal permitted,“the loss shall not be deemed proved or payable, does not require that the proof of the loss shall be furnished immediately, as in the ease of notice of loss. But the loss not being payable until' sixty days after furnishing proof thereof, and the insured being limited by the terms of the policy to one year after loss in which to sue, the insured is required'to furnish the proofs within ten months from the loss.”
So, also, in the case of Insurance Co. v. Mattingly, 77 Tex. 162 (13 S. W. Rep. 1016) it was held that proof of loss by the insured is only serviceable as a basis for an amicable adjustment ; such proof is useless when the insurer denies all liability under the policy. Proof of loss was furnished the insurer. An officer of the insurance company replied that it was unsatisfactory, and denied liability upon the policy.
In the case of Insurance Co. v. Sheets, 26 Gratt. 854, it was held that, if the evidence shows that the preliminary proofs required by a policy of insurance have been waived by the company, the insured is entitled to recover, though no such proofs were in fact taken. This we regard as a correct statement of the law.
The court of appeals of Kentucky held, in the case of Insurance Co. v. Downs, 90 Ky. 236 (13 S. W. Rep. 882) that “where a policy of tire insurance prescribes the various acts or causes which shall work a forfeiture of the policy, and omits to provide that the failure to furnish proofs of loss within the time required by the policy shall operate as a forfeiture, and provides that no suit can be maintained on the policy unless brought within six months after the fire, with a proviso that no action shall be commenced until the conditions of the contract have been complied with, the failure to furnish proofs of loss within thirty days, the time fixed by the policy, does not prevent a recovery. It is suf-ficent if proofs of loss are furnished before suit is brought.” See, also, Insurance Co. v. Meyer, 39 N. J. Law 482, where it is held that “delay in objecting to formal defects in the preliminary proofs, under the conditions of a policy of insurance, which might be obviated in time to preserve the right of action if made promptly, is evidence of a waiver of such defects.”
Upon the question of waiver, Wood on Fire Insurance, at page 832, § 496, says : “When the insurer, knowing .the facts, does that which is inconsistent with its intention to-insist upon a_strict compliance with the conditions precedent of the contract, it is treated as having waived their performance, and the assured may recover without proving performance. * * * So, too, the production of proofs of loss, or defects therein may be waived, and such waiver may be implied from what is said or done by the insurer,” —citing Insurance Co. v. Dunmore, 75 Ill. 14, in - which the court held that where formal proofs of loss are made and
The foregoing. authorities and the weight of others we have had an opportunity of examining have a stong tendency to show that the condition in a policy requiring proofs of loss to be furnished in a specified time is to be construed liberally, and the insurer can not defeat the policy on that ground, where strict compliance has been excused or waived by the acts or conduct of the agents of the insurance company. The courts should not, on slight technical grounds,- allow an insurance company to avoid its policy ; for while it is true that such companies, so long as they comply in good faith with their engagements, give confidence to those having capital to invest, and are of great assistance in promoting the advancement of commerce, yet all must agree that a loss of confidence in these institutions should be regarded as a public calamity.
blow, when we apply the principles asserted in the foregoing authorities to the circumstances disclosed in this case, we find that the policy on'its face contained the following stipulation : “It is hereby understood and agreed that, in case of loss or damage by fire to the property covered by this policy, this company agrees to abide b y the adjustment made and accepted by the companies interested belonging to the Hew York Board of Tire Underwriters’;! ; that an adjustment was made, requiring considerable delay, which was satisfactory to said companies, and of them all, in pursuance of said adjustment, as appears-by the testimony of W. K. Underhill, the defendant alone refused to ,pay. The-defendant had prompt notice of the loss, and in the same letter the defendant was informed that the loss was being adjusted with the Hew York companies interested, and as soon as the adjustment was m'ade
These facts were set up by the plaintiff in his additional statements, but the defendant demurred to them, and the demurrer was sustained. Ry sustaining the demurrer to these statements, the Circuit Court precluded the plaintiff from introducing his testimony tending to show a waiver on the part of the defendant of a strict compliance on the
In view of these authorities, my conclusion is that the court committed no error in setting aside said order, and for these reasons the judgment of the Circuit Court must be affirmed, with costs and damages, and the case is remanded for further proceedings to be had therein.
