SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-1369-97T2
COBRA PRODUCTS, INC.,
Plaintiff-Appellant,
v.
FEDERAL INSURANCE COMPANY
d/b/a CHUBB GROUP OF INSURANCE
COMPANIES,
Defendants-Respondents,
and
DEIDRE BURKER, an individual,
Defendant.
____________________________________
Argued: December 9, 1998 - Decided: December
31, 1998
Before Judges King and Wallace.
On appeal from the Superior Court of New
Jersey, Law Division, Camden County.
Alexander W. Ross, Jr., argued the cause for
appellant (Rakoski & Ross, attorneys; Mr.
Ross, on the brief).
Michael J. Mernin argued the cause for
respondents (Gennett, Kallmann, Antin &
Robinson, attorneys; Richard S. Nichols, on
the brief).
The opinion of the court was delivered by
KING, P.J.A.D.
I. The motion judge erred in granting
summary judgment in favor of defendant because
the disputed honesty exclusion is vague,
ambiguous, and does not apply to non-employees
or employees acting outside the scope of their
employment.
II. The motion judge erred in denying
plaintiff's motion to compel depositions and
granting defendant's summary judgment motion
before the plaintiff completed discovery.
III. The motion judge erred by denying
plaintiff's request to orally argue its
opposition to the motion for summary judgment.
We agree with the motion judge's ruling and affirm.
all your business personal property and
business personal property in which you have
an insurable interest, but not your building,
on the premises stated in the Declarations or
within 1,000 feet.
The policy contained exclusions for "dishonesty" and
"disappearance." The "dishonesty" exclusion applied to losses from
fraudulent, dishonest or criminal acts or
omission committed by you or your employees or
by anyone authorized to act for you.
The "disappearance" exclusion referred to losses from "mysterious
disappearance or inventory shortage."
Between October 1993 and March 1994 Cobra had an unexplained
loss of inventory at its facility in Willingboro, particularly
motorized sewer-cleaning equipment. On March 9, 1994 one of its
employees observed another employee, Michael Bell, leave the plant
with two sewer-cleaning machines. Cobra notified the police on
March 21, 1994 about Bell and these thefts. Officer Conrad went to
Cobra on that same day to investigate and spoke with John Simmons,
plant manager. Simmons stated that Cobra had fired Bell on March
15, 1994 after he had argued with and cursed out a supervisor.
When Bell returned to Cobra on March 17, 1994 to get his final
paycheck, he confessed to company president Nick Moss that he had
taken two machines, valued at about $222 each, and said other
individuals were involved. Bell named Raphael Batista, Vivian
Torres, Wayne "Al" Greenwood and Claribel Arocho as involved in the
thefts. Cobra rehired Bell after he agreed to help in the theft
investigation.
On March 26, 1994 Bell gave a voluntary statement to Detective
Felice after advised of his constitutional rights. Bell told the
detective he had been employed by Cobra for about six months. Bell
said he worked the night shift from 3:30 p.m. until midnight, and
"was head of the department of blue wire, heavy wire and also ran
a forklift." In his statement, Bell implicated his brother George
Veldas in the thefts. Bell again mentioned Greenwood, Batista,
Arocho, and Torres. He identified Batista as a Cobra employee, and
Veldas and Greenwood as former employees. Cobra never brought
charges against Bell and did not make him pay restitution. The
record includes arrest reports for Batista, dated March 31, 1994,
and Arocho, dated March 23, 1994. In his deposition, Moss stated
police also arrested Torres. The record is silent on whether the
police arrested Greenwood and Veldas.
Cobra retained the accounting firm of Abo, Uris and
Altenberger (Abo) to determine the total loss. In a report of
October 28, 1994 Abo asserted Cobra sustained a loss of $73,434 as
a result of the thefts. Specifically, the accountants determined
the thefts involved 215 Qwikie Electric machines, 189 Mighty Rooter
machines, and 75 Mighty Qwik machines.
Cobra then filed a claim with FIC claiming the stolen drain-cleaning machines constituted "finished stock personal property"
under the terms of the commercial property insurance policy.
Cobra supplied FIC with details of the loss on November 22, 1994.
On January 3, 1995 adjuster Patricia Healy sent an e-mail
message to FIC's primary adjuster Deidre Burker informing her that
there were "a lot of questions" regarding the Cobra claim. Healy
advised Burker that "[i]f employee employeed [sic] at the time of
the theft may preclude coverage."
As part of its investigation, FIC examined Moss under oath.
Moss said an employee Susan Stanhope first reported Bell had stolen
the machines. Moss then confronted Bell, whom he described as a
materials handler, responsible for "moving goods within the
building and getting parts necessary for all departments." Bell
usually used "a tow motor, fork truck."
Bell confessed to stealing the inventory with the complicity
of other Cobra employees. He explained that he took the finished
goods, put them into large cardboard boxes or "gaylord" containers,
threw trash on top of them, took them outside and left them in the
company's parking lot behind a dumpster. At the end of the second
work shift,
when employees would be either in their own
cars or they had transportation picking them
up, friends or family members picking them up,
they would then go and get the units from the
trash area and load them in the truck and now
take them off the premises.
Moss stated that no one ever saw any signs of forced entry into the
warehouse. He also reported from memory his recollection of
statements by Torres and Arocho that they gave money to Bell during
work hours and told him how many machines they wanted him to steal.
Moss said:
Basically the comment was they put their order
in during the day or during the shift with
Mike Bell, Mike Bell got the units outside and
at the end of the shift Mike Bell put these -
and they were caught with two units in the
back of their car and they drove them off and
that's when the police caught them off the
property on the public street with two of the
Mighty Rooter units. Just that, one night, it
was a thousand dollars worth of goods out the
door, $500 or so worth of goods out the door
one night one group of people.
Moss confirmed that Cobra hired Greenwood as a spring-coiling
machine operator, and both Batista and Arocho as assemblers or
packagers. Greenwood left Cobra on February 24, 1994; Veldas was
terminated on January 27, 1994. Cobra fired Batista, Arocho, and
Torres on or near the date of their arrests in March 1994.
On April 18, 1996 FIC informed Cobra of its decision to deny
the claim. FIC relied on the policy's "dishonesty" provision,
which excluded insurance coverage for any fraudulent, dishonest or
criminal acts committed by an employee of the insured.
On May 20, 1996 Cobra filed a complaint in the Superior Court,
Law Division, Camden County. As noted, after discovery, defendant
FIC prevailed on summary judgment granted by Judge Mariano. He
stated in his opinion:
The opposition to this motion seems to be
basically that the exclusion clause it
referred to is ambiguous. And, that the theft
didn't take place and that co-employee .... I'm
sorry, non-employees were involved in the
theft because on occasions these non-employees
would come and remove the materials from the
dumpster placed there by Mr. Bell. The
argument is facetious. The clause the Court
finds to be clear and unambiguous. Clearly it
is the plaintiff's employee, Michael Bell, who
is acting during the course of his employment
to deprive the plaintiff of the possession,
use and control of the stolen items.
He's the one that removed them from the
building and put them into the dumpster and
did it surreptitiously. The fact that a non-employee is involved in this theft or
dishonest act or criminal act, at a later
stage, is no defense to this motion.
a determination whether there exists a
"genuine issue" of material fact that
precludes summary judgment requires the motion
judge to consider whether the competent
evidential materials presented, when viewed in
the light most favorable to the non-moving
party, are sufficient to permit a rational
factfinder to resolve the alleged disputed
issue in favor of the non-moving party.
[142 N.J. at 540.]
The first issue is whether the dishonesty exclusion clause in
FIC's commercial property insurance policy was sufficiently clear
and unambiguous to relieve FIC of liability for Cobra's loss.
Cobra argues its loss is compensable because the exclusion is
"vague and subject to different interpretations."
Under well-settled principles, the interpretation of insurance
contracts requires generous readings of coverage provisions, narrow
readings of exclusionary provisions, resolution of ambiguities in
favor of the insured, and construction consistent with the
insured's reasonable expectations. Search EDP, Inc. v. American
Home Assurance Co.,
267 N.J. Super. 537, 542 (App. Div. 1993),
certif. denied,
135 N.J. 466 (1994). But a clear and unambiguous
insurance policy must be enforced as written. Universal
Underwriters Ins. Co. v. New Jersey Mfrs. Ins. Co.,
299 N.J. Super. 307, 312 (App. Div. 1997). However, any ambiguity found in the
policy must be construed against the insurer and an exclusion
clause must be "strictly construed against the insurer." Stafford
v. T.H.E. Ins. Co.,
309 N.J. Super. 97, 103 (App. Div. 1998).
While a court should not ignore an exclusion's clear meaning, if
there is another fair interpretation, the court must construe the
insurance policy in favor of coverage and against the insurer,
adopting the interpretation supporting coverage. Id. at 105.
However, "[t]his does not mean . . . that any far-fetched
interpretation of a policy will be sufficient to create an
ambiguity requiring coverage." Id.
Generally, an insured bears the burden of establishing that a
claim is within the basic policy terms. Diamond Shamrock Chemicals
v. Aetna,
258 N.J. Super. 167, 216 (App. Div. 1992), certif.
denied,
134 N.J. 481 (1993). The insurer has the burden of
establishing application of an exclusion. Hartford Acc. & Indem.
Co. v. Aetna Life & Cas. Ins. Co.,
98 N.J. 18, 26 (1984).
Here, FIC's disclaimer is based on the language of the
dishonesty exclusion. The exclusion provides that the policy does
not provide coverage to any claim arising out of
fraudulent, dishonest or criminal acts or
omission committed by you or your employees or
by anyone authorized to act for you.
Cobra contends the exclusion clause is "overbroad and vague"
because it refers to any type of "dishonesty." Cobra also argues
the exclusion does not expressly prohibit a claim for "employee
theft" or "theft by employees." Cobra claims "[a] plain reading of
the exclusion's wording [lends] itself to an interpretation which
bars `fraudulent, dishonest or criminal acts . . . committed by
you' [the employer] or by `anyone authorized to act' for the
company." Thus, its purpose "is to [prevent] fraudulent acts by
the company, acting in concert with its employees, meant to falsely
or fraudulently obtain insurance monies from the appellee."
For example, Cobra asserts in its brief:
this would include a scheme by the company to
sell a container labeled as 100 units, when in
fact, in a conspiracy with its employees, the
container holds only 90 units, and then place
a false insurance claim for the "missing" ten
units. Such an interpretation is reasonable
as it can be extracted from the way the
provision is worded: ". . . by you [i.e., the
company] or your employees or anyone
authorized to act for you" (emphasis added).
Literally, the exclusion addresses and
encompasses the employer/appellant itself
(there are two references to the appellant;
"you," or "anyone authorized to act for you"),
which leads to a reasonable interpretation
that the primary thrust is to exclude theft by
the appellant or by employees on behalf of the
appellant. An analogous example in the life
insurance industry would be the exclusion of a
beneficiary who murders the insured. The
reason for this is obvious: the defendant
justifiably wishes to prevent fraudulent
claims.
Because the exclusion clause is subject to these allegedly
disparate interpretations, Cobra contends we must resolve the
question in its favor under accepted principles of insurance law.
Cobra's argument fails on several grounds. First, Cobra does
not accurately describe the language of the exclusion.
Specifically, the exclusion does not only refer to fraudulent,
dishonest or criminal acts by the insured or its authorized
representatives as Cobra urges in its brief. Rather, the exclusion
also explicitly includes such acts committed by the insured's
"employees."
Second, the purpose of the dishonesty exclusion was not solely
to protect the insurer against attempts by Cobra and its employees
to obtain insurance proceeds improperly. Rather, the purpose of
the exclusion was to avoid the liability of the insurer for any
"dishonest" acts by the insured or its employees or authorized
representatives. To protect against such dishonesty losses, the
insured could have elected to buy a fidelity or suretyship bond.
Fidelity bonds insure the employer for dishonest or fraudulent acts
of employees. Nat'l Newark & Essex Bank v. American Ins. Co.,
76 N.J. 64, 75-76 (1978); see generally, 9A Appleman, Insurance Law
and Practice, § 5661-78 at 294-374 (1981). To qualify the loss for
this type of coverage, the employee must commit the act with the
intent to cause loss to the insured and benefit the employee or
another person. North Jersey Savings & Loan Assoc. v. Fidelity &
Deposit Co. of Maryland,
283 N.J. Super. 56, 66 (Law Div. 1993).
Where an employee knowingly assists another to commit or conceal an
act of fraud or dishonesty, this also may qualify the loss for
coverage under the fidelity bond. See 9A Appleman, Insurance Law
and Practice, § 5668 at 331-32 (1981). Our Supreme Court has
broadly interpreted the terms "fraudulent" and "dishonest" in the
context of fidelity bonds to "evidence the clear intent to protect
the employer against employees' wrongful acts which, though not
criminal, nevertheless display a significant lack of probity,
integrity or trustworthiness." Nat'l Newark & Essex Bank, 76 N.J.
at 75-76 (quoting Mortgage Corp. of New Jersey v. Aetna Cas. & Sur.
Co.,
19 N.J. 30, 36 (1955)).
In Hayman v. Acme Carriers,
303 N.J. Super. 355 (App. Div.
1997), this court addressed a similar issue involving an exclusion
in an insurance policy for employee theft. In Hayman an employee
of Acme stole 200 cases of shrimp while transporting the load to
the plaintiff's warehouse. Id. at 356-57. Chubb & Sons had issued
a motor truck cargo liability policy covering the shipment. Id. at
357. The policy excluded coverage
for loss or damage caused by or resulting from
(a) any fraudulent, dishonest or criminal
act(s) committed alone or in collusion with
others by: (1) the insured or any employee
. . . or any other authorized representative
of the insured, whether or not such act(s) be
committed during regular business hours.
[Id.]
We concluded it inconsistent with the reasonable expectations of
the parties to provide coverage because there was no ambiguity in
this commercial policy and the employee had pled guilty to the
theft charge. We did recognize there might be cases when a carrier
must pay when the exclusion may give rise to an ambiguity such as
"who must commit the crime, or where the alleged facts may or may
not be criminal." Id. at 361.
In the present case, the dishonesty exclusion is clear and
unambiguous. Cobra's commercial loss policy expressly excluded
losses from "fraudulent, dishonest or criminal acts . . . committed
by you or your employee or by anyone authorized to act for you."
As the employee in Hayman, Bell admitted the thefts he committed
while employed. He and his co-conspirators stole and resold for
$225 each about 479 sewer-cleaning machines valued at $73,434 from
Cobra over a period of about six months.
Because employee Bell committed these thefts in conjunction
with others, with the intent to create a financial gain for himself
and a loss to Cobra, the loss would have been covered under a
fidelity bond. However, absent such a bond, the dishonesty
exclusion in this property loss policy operates to limit the
liability of the insurer FIC and creates a gap in the coverage.
[a]t the close of the end of the shift when
employees would be either in their own cars or
they had transportation picking them up,
friends or family members picking them up,
they would then go and get the units from the
trash area and load them in the truck and now
take them off the premises.
Del Vecchio, is not controlling on us and to the extent it is
inconsistent with this opinion, we reject it. Also, Del Vecchio is
quite distinguishable on its facts. Batista, Greenwood, Torres,
Arocho and Veldas were employees during the times when they left
the job site at the end of their shifts and took the stolen
machines with them. There is no indication in the record that
anyone returned to the factory, after hours or on weekends, to
steal the machines. After Greenwood and Veldas left Cobra, the
record does not reveal if they continued to participate in the
theft operation. Whether or not Bell's co-conspirators were actual
Cobra employees at the time of the thefts is not legally
significant, however. Bell clearly was an employee at all times.
He initiated the thefts and his dishonesty defeats the coverage.
As Judge Mariano properly observed:
Clearly, it is the plaintiff's employee,
Michael Bell, who is acting during the course
of his employment to deprive the plaintiff of
the possession, use and control of the stolen
items.
He's the one that removed them from the
building and put them into the dumpster and
did it surreptitiously. The fact that a non-employee is involved in this theft or
dishonest act or criminal act, at a later
state, is no defense to this motion.
The remaining contentions are without merit. R. 2:11-3(e)(1)(E). Plaintiff has had oral argument on this appeal. All
material facts are available to us and further discovery was not
needed.
Affirmed.