Admiral Ins. Co. v. Joy Contractors, Inc., 19 N.Y.3d 448 (2012)
An insurer’s claim for rescission of an insurance policy based on the named insured’s material misrepresentations in the underwriting process can affect the coverage of additional insureds under the same policy.
Summary
This case concerns an insurance coverage dispute arising from a crane collapse during the construction of a high-rise condominium. Admiral Insurance sought a declaration of no coverage based on alleged misrepresentations by the named insured, Joy Contractors, in its underwriting submission and a residential construction exclusion. The New York Court of Appeals held that if the policy is rescinded due to the named insured’s misrepresentations, additional insureds also lose coverage. The court also found that a factual dispute existed as to whether the building was “mixed-use” or purely residential, requiring further investigation.
Facts
Joy Contractors, Inc., was the structural concrete contractor for a high-rise condominium. A tower crane collapsed during construction, causing multiple deaths, injuries, and property damage. Joy carried a CGL policy with Lincoln General and an excess policy with Admiral. Admiral received notice of the accident and sent reservation-of-rights letters, raising concerns about coverage based on a residential construction activities exclusion and alleged inaccuracies in Joy’s underwriting submission. Joy had represented it specialized in drywall and did not perform exterior work or work above two stories, which Admiral claimed was false.
Procedural History
Admiral filed suit seeking a declaration of no coverage. The Supreme Court denied Admiral’s motion for summary judgment on the residential construction exclusion and dismissed causes of action against Reliance and the owners/developers related to Joy’s alleged misrepresentations. The Appellate Division modified, declaring the residential construction activities exclusion inapplicable, and otherwise affirmed. The Court of Appeals granted leave to appeal.
Issue(s)
1. Whether the residential construction activities exclusion in the excess policy applies to preclude coverage.
2. Whether Admiral’s causes of action seeking relief based on Joy’s alleged false statements in its underwriting submission are precluded against additional insureds.
3. Whether the LLC exclusion in the CGL policy precludes coverage of those owners/developers that are limited liability companies.
Holding
1. No, because there is a material issue of fact as to whether the building was residential or “mixed-use.”
2. No, because if the excess policy is rescinded due to Joy’s misrepresentations, the additional insureds cannot enforce a policy that is deemed never to have existed.
3. No, because the language of the LLC exclusion is ambiguous and should be construed in favor of the owners/developers.
Court’s Reasoning
Regarding the residential construction activities exclusion, the Court of Appeals found that the Appellate Division erred in disregarding the affidavit of Admiral’s engineering expert based on a lack of personal knowledge. The court also noted that conflicting evidence regarding the nature of the building’s construction required factual findings, making summary judgment inappropriate. The court emphasized that the key question was what the defendants were actually building, as evidenced by contracts and other documentation. (See e.g. Bovis Lend Lease LMB, Inc. v Royal Surplus Lines Ins. Co., 27 AD3d 84, 94 [2005]).
Concerning Joy’s alleged misrepresentations, the Court distinguished prior cases such as Morgan v Greater N.Y. Taxpayers Mut. Ins. Assn., 305 NY 243 (1953), and Greaves v Public Serv. Mut. Ins. Co., 5 NY2d 120 (1959), where the insurers did not seek rescission. The court emphasized that if Admiral’s allegations are true, it evaluated and priced the risk based on interior drywall installation, not the risk of exterior construction with a tower crane. The court reasoned that additional insureds must exist in addition to something – namely, named insureds in a valid existing policy. The court stated, “[A]dditional’ insureds, by definition, must exist in addition, to something’, namely, the named insureds in a valid existing policy.” Thus, the causes of action for rescission, reformation, and declarations based on fraud/misrepresentation are properly interposed against Reliance and the owners/developers.
Finally, the Court agreed with the Supreme Court that the LLC exclusion was ambiguous and should be construed against the insurer. The court reviewed and dismissed other arguments raised by the defendants.