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Juan Ruiz et al., Plaintiffs, v. State Wide Insulation and Construction Corp., Defendant and Third-Party Plaintiff-Respondent-Appellant. Panicos Demetriades, Third-Party Defendant-Respondent-Appellant; Hermitage Insurance Company, Third-Party Defendant-Appellant-Respondent. (And Another Action.)

New York Supreme Court, Appellate Division2000-02-22
269 A.D.2d 518703 N.Y.S.2d 257

Summary

Holding. The appellate court modified the lower court's order by granting Hermitage Insurance Company's cross motions for summary judgment, thereby affirming that Hermitage had no obligation to defend or indemnify Demetriades in the underlying action because the roof repair work fell outside the policy's coverage limitation to painting operations.

The case involved a dispute over insurance coverage for a third-party defendant, Demetriades, who held a commercial general liability policy issued by Hermitage Insurance Company. The policy's declarations page limited coverage to "painting" operations through an incorporated endorsement titled "Classification Limitation." When Demetriades was injured in a fire while performing roof repair work at the plaintiffs' premises, he sought coverage, but Hermitage denied the claim as being outside the policy's scope.

Demetriades argued that the coverage limitation endorsement was ineffective because it was unsigned and he never actually received it. The court rejected this argument, holding that policy declarations and incorporated endorsements become part of the insurance contract regardless of whether the insured received physical delivery. Since the policy language was clear and unambiguous, the court determined that coverage did not extend to roof repair work, making Hermitage's denial of coverage proper.

Summary generated by law.co from the public-domain opinion. The opinion text itself is public domain.

Key issues

  • Whether an insurance policy endorsement limiting coverage is effective without the insured's actual receipt of the document
  • Whether policy declarations and endorsements incorporated by reference become binding on the insured
  • Whether roof repair work falls within an insurance policy limited to painting operations
  • Insurer's proper denial of coverage based on excluded activity classification

Procedural posture

Hermitage Insurance Company appealed the denial of its cross motions for summary judgment seeking dismissal of the third-party complaint and a declaration of no coverage obligation, while the other parties also cross-appealed aspects of the same order.

Authorities cited

No cited authorities resolved to law.co cases yet.

Opinion

majority opinion

—In an action to recover damages for personal injuries and property damage, etc., and a related subrogation action, (1) the third-party defendant Hermitage Insurance Company appeals, as limited by its brief, from so much of an order of the Supreme Court, Nassau County (O’Connell, J.), dated June 3, 1998, as denied its cross motions for summary judgment dismissing thec third-party complaint insofar as asserted against it, and for a judgment declaring that it is not obligated to defend and indemnify the third-party defendant Pánicos Demetriades in the main action, (2) the third-party plaintiff State Wide Insulation and Construction Corp. cross-appeals, as limited by its brief, from so much of the same order as denied its cross motions for summary judgment on its third-party complaint against the third-party defendants Hermitage Insurance Company and Pánicos Demetriades, and (3) the third-party defendant Pánicos Demetriades cross-appeals, as limited by his brief, from so much of the same order as denied his motion for summary judgment declaring that Hermitage Insurance Company was obligated to defend and indemnify him in the main action.

Ordered that the order is modified, on the law, by deleting the provision thereof denying the cross motions of Hermitage Insurance Company, and substituting therefor a provision granting those cross motions; as so modified, the order is affirmed, with one bill of costs to Hermitage Insurance Company payable by State Wide Insulation and Construction Corp. and Pánicos Demetriades.

The third-party defendant Hermitage Insurance Company (hereinafter Hermitage) issued a general commercial liability policy to the third-party defendant Pánicos Demetriades. The declarations page of the policy described Demetriades’ business as “painting” and incorporated by reference an endorsement entitled “Classification Limitation” which limited the operations from which a claim could arise to those described in the schedule of insurance.

The plaintiffs allege that they sustained personal injuries and property damage when a fire broke out at their premises while the third-party defendant Pánicos Demetriades was engaged in repairing their roof. Hermitage properly denied Demetriades’ claim that it was obligated to defend and indemnify him on the ground that the claim was beyond the scope of the activity covered by his policy, which was limited to “painting”. Demetriades asserts that the provision limiting coverage to “painting” operations was not in effect since it was unsigned and he never received it.

The declarations page and the accompanying endorsements were made part of the insurance policy and were incorporated by reference into the policy regardless of whether the insured received actual delivery thereof (see, Hirshfeld v Maryland Cas. Co., 249 AD2d 274). The terms of the policy are clear and unambiguous and their construction may be determined as a matter of law (see, Gelb v Elroy Enters., 170 AD2d 481).

The parties’ remaining contentions are without merit (see, Benatovich v Propis Agency, 224 AD2d 998; Galaska v State Farm Mut. Auto. Ins. Co., 177 AD2d 947). O’Brien, J. P., Friedmann, Florio and Schmidt, JJ., concur.