AMERICAN FIRE & CASUALTY
INSURANCE COMPANY and THE
OHIO CASUALTY INSURANCE
GROUP,
Plaintiffs-Appellants,
v.
JOSEPH MANZO, PHYLLIS MANZO,
and MANCO, INC.,
Defendants/Third-Party
Plaintiffs-Respondents,
and
CHARLES RICHARD APPLEGATE,
Defendant,
v.
PRIMA CORPORATION and
CAPTAINS AGENCY,
Third-Party Defendant,
and
FARMERS MUTUAL FIRE
ASSURANCE ASSOCIATION OF
NEW JERSEY,
Third-Party Defendant,
Fourth-Party Plaintiff-
Respondent/Cross-Appellant,
v.
YORK-JERSEY UNDERWRITERS
AGENCY, INC.,
Fourth-Party Defendant-
Respondent.
Argued: October 16, 2001 Decided: January 29,
2002
Before Judges Wefing, Lesemann and Parrillo.
On appeal from the Superior Court of New
Jersey, Law Division, Ocean County, Docket No.
L-1240-96.
Landry Belizaire argued the cause for
appellants/cross-respondents American Fire &
Casualty Insurance Company and the Ohio
Casualty Insurance Group (Morgan, Melhuish,
Monaghan, Arvidson, Abrutyn & Lisowski,
attorneys; Alan H. Bernstein, of counsel; Mr.
Bernstein and Stuart J. Polkowitz, on the
brief).
Beth D. Pollack argued the cause for
defendants/third-party plaintiffs-respondents
Joseph and Phyllis Manzo (McLaughlin, Bennett,
Gelson & Cramer, attorneys; John F. Gelson, of
counsel; Ms. Pollack, on the brief).
Mauro C. Casci argued the cause for third-
party defendant, fourth-party plaintiff-
respondent/cross-appellant The Farmers' Mutual
Fire Insurance Association of New Jersey.
Timothy E. Haggerty argued the cause for
fourth-party defendant-respondent York-Jersey
Underwriters Agency, Inc. (Stephen E. Gertler,
attorney; Mr. Haggerty, on the brief).
The opinion of the court was delivered by
WEFING, J.A.D.
This matter is before the court on an appeal and cross-appeal
from orders entered by the trial court adjudicating a coverage
dispute between carriers and awarding counsel fees to the insured.
After carefully reviewing the record in light of the contentions
advanced on appeal, we affirm in part and reverse in part.
The dispute involves determining the proper method to allocate
responsibility among the carriers to contribute to a $1.1 million
settlement negotiated with Charles Applegate for injuries he
received on November 11, 1992 while clearing land owned by Joseph
and Phyllis Manzo in Colts Neck, New Jersey.
The Manzos had purchased the property in 1968, a twenty-two
acre parcel, taking title as tenants by the entirety. They later
subdivided into building lots, naming the entire tract Woodbury
Estates. In 1992, they executed a contract to sell one lot within
the parcel to Prima Corporation. Prima intended to build a single-
family home on the lot for resale. The contract included a
representation by the Manzos that all necessary improvements to the
site had been completed, with Prima only required to obtain a
building permit. The contract anticipated a closing to occur in
December 1992. Applegate was an employee of Prima; Prima sent him
to the site in November, apparently for inspection and preliminary
site preparation.
Applegate, as part of that preparation, undertook to remove a
tree. The tree began to topple toward him and Applegate tried to
run away. He was unsuccessful, however, as he fell into a
sinkhole. The tree collapsed upon him, injuring him severely and
leaving him a paraplegic. He filed suit for his injuries, naming
as defendants the Manzos; one of their corporate entities, Manco,
Inc.; and a number of John Doe defendants. He alleged that the
Manzos had, over the course of time, improperly deposited tree
stumps and other items on the property, which led to formation of
the sinkhole into which he fell.
Joseph and Phyllis Manzo own and operate an active road
construction and real estate site preparation business, which they
conduct through two corporations, Manco, Inc., and G. Manzo, Inc.
They each own fifty percent of the stock of both corporations, and
Joseph is president and Phyllis secretary/treasurer of both.
Joseph testified in depositions that at the time of Applegate's
accident, Manco was primarily engaged in road work, G. Manzo in
site work.
The Manzos insured their business activities through four
policies of insurance, the first of which, American Fire & Casualty
Insurance Co. (American Fire) policy BLA (93)00389233, was a
commercial liability policy. The named insureds were Manco, Inc.,
J. Manco, Inc., and G. Joseph Manzo, and the policy limits were $1
million per occurrence. The second, issued by Ohio Casualty
Insurance Co., (Ohio), policy BXO (93)389233, was a commercial
umbrella excess policy; the named insureds were Manco, Inc., J.
Manzo, Inc. and G. Joseph Manzo, and the policy limit was again $1
million. At one point before the trial court, the parties disputed
the extent of the coverage afforded by the Ohio excess policy,
i.e., whether it provided $1 million or $5 million in coverage.
The trial court initially concluded $1 million but later revised
that figure to $5 million. In light of our disposition of the
issues, it is unnecessary for us to address the question. We have,
simply for ease of reference, adopted the $1 million figure. We
note, for the sake of completeness, that American Fire is a member
of the Ohio Casualty group of insurance companies.
The Manzos also held a special multi-peril policy issued by
Farmers Mutual Fire Assurance Association of New Jersey (Farmers),
policy SMP-912093, and another commercial excess policy issued by
Farmers, policy CEU 2162. The named insureds on both Farmers'
policies were Joseph and Phyllis Manzo, and each afforded $1
million in coverage. All four policies were in effect on the date
of Applegate's accident.
Applegate commenced suit in 1994 for his injuries, and the
Manzos forwarded a copy of the summons and complaint to American
Fire, requesting coverage under its commercial liability policy.
American Fire responded that it would assign counsel and defend the
matter, but was doing so under a reservation of rights in light of
the fact that, although the complaint referred to the accident
having occurred in 1992, it had not been notified until 1994.
The Applegate litigation proceeded forward apparently
uneventfully until March 1996, when American Fire, through a claims
manager, wrote to the Manzos, informing them that its investigation
had disclosed that they owned the property in question as partners,
and thus had no coverage because they had failed to disclose that
partnership to American Fire. It cited the following language in
its policy:
No person or organization is an insured with
respect to the conduct of any current or past
partnership or joint venture that is not shown
as a Named Insured in the Declaration.
American Fire and Ohio, which had a similar clause in its excess
policy, then commenced a declaratory judgment action, seeking a
determination that the Manzos were not covered under their
policies. That declaratory judgment action was consolidated with
the Applegate litigation, with the directive that the coverage
issues be determined in advance of the liability claim.
The Manzos retained counsel to defend them in the Applegate
litigation and the declaratory judgment action. As the declaratory
judgment progressed, the Manzos added additional parties, seeking
coverage from Farmers, as well as asserting claims of professional
negligence against the insurance broker and underwriter agencies
involved in obtaining the policies.
The parties in the declaratory judgment action moved before
the trial court for summary judgment to determine the respective
liabilities of the insurance companies to contribute to
Applegate's claim. The trial court concluded that American Fire's
policy was primary, that the excess policies issued by Ohio and
Farmers each afforded coverage, and that they were obligated
equally on any excess. Applegate then settled his liability claim
for $1.1 million, and the Manzos dismissed their claims against the
insurance broker and underwriter. Finally, the trial court then
determined that Farmers had to contribute to the Manzos' counsel
fees.
American Fire has appealed from the ruling that its policy is
primary. As part of that appeal, Ohio argues that its excess
policy is "super-excess", i.e., that its excess coverage is
secondary to the excess coverage provided by Farmers. Farmers has
cross-appealed, contending its excess policy is inapplicable to
this claim. It also maintains American Fire should be estopped
from denying coverage. We have concluded, after reviewing the
record and considering the arguments, that the trial court
correctly concluded that American Fire's policy covered this risk,
and, therefore, we affirm that determination. We have also
determined that the trial court erred when it concluded that
Farmers' excess policy afforded coverage and we thus reverse that
determination. Because we are satisfied that American and Ohio
afforded coverage, we have no occasion to address the issues of
estoppel and primacy of coverage between the excess policies of
Ohio and Farmers.
I
We turn first to American Fire's claim that the Manzos were
excluded from coverage under its policy. The premise of its
argument is that the Manzos owned this property as a partnership
and that the policy specifically excluded coverage for undisclosed
partnerships or joint ventures. We are satisfied the trial court
correctly rejected this premise.
Under the Uniform Partnership Law, N.J.S.A. 42:1-1 to -49,
which was in effect when these policies were issued, a partnership
is defined as "an association of two or more persons to carry on as
co-owners a business for profit." N.J.S.A. 42:1-6. Because of the
individual responsibility of one partner for the acts of another,
N.J.S.A. 43:1-9; N.J.S.A. 42:1A-13, American Fire's exclusion of
unscheduled partnerships could, in appropriate circumstances, be
considered a reasonable attempt to define the scope of its risk.
Elements of a partnership "include agreement, sharing profits
and losses, ownership and control of the partnership's property and
business, community of power, rights upon dissolution and the
conduct of the parties towards third persons, among others."
Kozlowski v. Kozlowski,
164 N.J. Super. 162, 171 (Ch. Div. 1978),
aff'd,
80 N.J. 378 (1979). A joint venture is similar in nature,
but has a more limited business objective. Presten v. Sailer,
225 N.J. Super. 178, 191 (App. Div. 1988).
The only evidence of partnership between Joseph and Phyllis
Manzo is that they owned this parcel as joint tenants by the
entirety and, on their joint income tax return, declared the income
received from the sale of the property.
American Fire points to two out-of-state cases in support of
its position that the Manzos constituted a partnership, Ins.
Agents, Inc. v. Zimmerman,
381 N.W.2d 218 (S.D. 1986) and Gangl v.
Gangl,
281 N.W.2d 574 (N.D. 1979). Neither, however, involved a
question of coverage for purposes of insurance. In Zimmerman, the
court concluded that one spouse would be held responsible for
payment of insurance premiums due on policies for a business
enterprise which both spouses operated as a partnership. In Gangl,
the court ruled that a family farm did not constitute a
partnership. They provide no substantive support to American
Fire's position.
Insurance contracts are contracts of adhesion and any
ambiguities must be construed in favor of the insured. Gibson v.
Callaghan,
158 N.J. 662, 669-70 (1999). Further, they must be
construed to comport with the objectively reasonable expectations
of the insured. "When there is ambiguity in an insurance contract,
courts interpret the contract to comport with the reasonable
expectations of the insured, even if a close reading of the written
text reveals a contrary meaning." Zacarias v. Allstate Ins. Co.,
168 N.J. 590, 595 (2001). We are satisfied that a married couple
would not reasonably expect to be classified as a partnership
simply because they sold jointly owned property and declared the
proceeds on their joint income tax return.
The trial court's conclusion that the Manzos were covered
under the American Fire policy for this risk was entirely correct.
II
We turn now to Farmers' cross-appeal, in which it argues that
its excess policy provided no coverage for the Applegate incident.
American Fire argues that the nature of the Farmers' policy and the
policy language both support a finding of coverage. American Fire
maintains that Farmers' policy provides "drop down" coverage, i.e.,
is intended to fill in any gaps that may develop in any other
existing policies. At oral argument, American Fire conceded this
argument would be moot if we determined, as we have, that American
Fire's policy provided coverage for the Applegate claim. Because
the extent of American Fire's concession is unclear, we shall
analyze the policy language.
Farmers provided two policies to the Manzos, as noted earlier.
There is no contention that the first policy, SMP-912093, provided
any coverage for the Applegate claim. That policy, by its terms,
only afforded liability coverage for ten certain defined locations,
identified by street address; the site of Applegate's accident was
not among them. The policy originally covered eleven addresses;
one, in Neptune, was deleted in July 1992. Farmers argues that its
excess policy, CEU 2162, is similarly limited to those ten defined
locations and thus protected from the Applegate suit. According to
the record, those ten sites were rental properties owned by the
Manzos individually and occupied by third-parties.
Farmers points to the declarations page of its policy, which
contains the typed addition, "Locations: (See attached MSO-100)."
It is the attached endorsement MSO-100 which lists the ten
addresses covered under the policy. Farmers asserts that
endorsement limits the scope of its undertaking when it issued this
excess policy.
American Fire, on the other hand, points to the policy's
insuring clause, under which Farmers agreed to pay on behalf of
the Manzos damages for which they were found liable:
because of
(i) personal injury caused by, or
(ii) property damage caused by, or
(iii) advertising liability arising out of an occurrence
which takes place during the policy period anywhere in
the world.
American Fire points to the phrase "anywhere in the world" and
argues that it supersedes the policy's earlier specific geographic
limitations. It contends that under that phrase, Farmers' excess
policy provided coverage for the site of Applegate's accident in
Colts Neck. We are unable to agree.
The Supreme Court has once again recently restated the
importance of the declarations page of a policy, noting that
"boilerplate text contained elsewhere in the policy" should not
override the declarations sheet. Zacarias, supra, 168 N.J. at 602.
The Court there quoted approvingly from our decision in Lehroff v.
Aetna Casualty & Surety Co.,
271 N.J. Super. 340, 347 (App. Div.
1994), where we wrote "[W]e are also convinced that reasonable
expectations of coverage raised by the declaration page cannot be
contradicted by the policy's boilerplate unless the declaration
page so warns the insured."
Here, the declarations sheet is clear as to the limited nature
of the coverage afforded. The specificity of the declarations
sheet should, in our judgment, take precedence over the open-ended
ungrammatical phrasing to which American Fire points.
It is clear that the Manzos were sophisticated in business
transactions. They carried on a substantial construction business
and received the advice of counsel and brokers in meeting their
anticipated insurance needs.
It is, moreover, not without significance that the question is
presented in the context of a dispute between two carriers as to
which of them should shoulder this loss. In such a context, cases
which speak of the necessity of meeting the reasonable expectations
of the insured have limited utility. The insured is covered; the
only question is by whom. It might, indeed, strike some as ironic
that American Fire, which acted in a manner so clearly contrary to
the reasonable expectations of its insureds by asserting that
Joseph and Phyllis Manzo constituted a partnership, relies on that
principle to transmit its coverage obligations to another carrier.
We are satisfied that the trial court erred when it ruled that
Farmers was obligated to provide coverage to the Manzos for the
Applegate claim asserted against them.
III
The final issue to be addressed is the trial court's order
directing Farmers to reimburse the Manzos $19,914 for counsel fees
they incurred in litigating the liability action and the
declaratory judgment action. Farmers Mutual asserts it has no
responsibility to contribute to those fees.
Farmers Mutual did not participate in the negotiation of the
Applegate settlement, adhering to its position that its insurance
policies were not implicated in any manner. The entire amount of
the settlement was paid by American Fire and Ohio. As part of the
settlement, the Manzos waived any claim they might have to seek
counsel fees from American Fire but reserved their right to seek
counsel fees from Farmers. At the time the settlement was placed
on the record, the parties acknowledged that an appeal would be
taken by American Fire and Farmers from the orders holding their
policies applicable. The parties further acknowledged that if this
court were to determine that neither American Fire nor Farmers had
any obligation for this loss, the Manzos would not have to
reimburse Ohio the settlement amount.
The Manzos then filed a motion with the trial court, seeking
nearly $90,000 in counsel fees from Farmers. After argument and
review of the affidavit of services, the trial court concluded that
Farmers, having been found responsible for coverage, had a
"concomitant obligation" to contribute to counsel fees. The trial
court further concluded, however, that Farmers' obligation to
contribute to the Manzos' defense costs had to be allocated
proportionately. After further argument, the trial court ruled
that Farmers was responsible for 25% of the Manzos' fees and costs,
and awarded them $19,914.
We are satisfied that in the absence of any responsibility to
provide coverage, Farmers cannot be held responsible to contribute
to the Manzos' counsel fees. R. 4:42-9(a)(6), for instance,
provides for an award of counsel fees in the context of such a
declaratory coverage dispute "in favor of a successful claimant."
The Manzos are not a successful claimant against Farmers.
Nor can we consider this result unfair to the Manzos. At the
time the settlement was placed on the record, they clearly waived
any right to seek counsel fees from American Fire. The parties
anticipated the possibility that this court could decide the appeal
in a manner which could expose the Manzos to personal liability and
they accordingly structured the settlement to avert that
possibility. Similarly, they had the capacity to condition their
waiver of counsel fees from American Fire upon the results of this
appeal but they failed to do so. We cannot provide them with a
better deal than the one they negotiated on their own behalf.
IV
In sum, the ruling that American Fire provides coverage to the
Manzos for the Applegate claim is affirmed. The rulings that
Farmers' excess policy provides coverage is reversed, as is the
determination that Farmers must contribute to the Manzos' counsel
fees.