Upright Material Handling Inc. v. Ohio Casualty Group
Opinion of the Court
INTRODUCTION
This matter is before the court by way of plaintiff’s and defendant’s, Ohio Casualty Group’s, cross motions for summary judgment pursuant to Pa.R.C.P. 1035. Following a jury trial held before this court, wherein a verdict has essentially been rendered, the parties filed their timely motions, responses and briefs, all addressing insurance coverage questions. The parties have presented their respective arguments to this court. Accordingly, this matter awaits disposition.
STATEMENT OF THE CASE
On March 15, 1995, Suzanne Bombar, an employee of Lord Label Inc., located in Dunmore, Pennsylvania, was struck and severely injured by a forklift while at work. Suzanne Bombar sustained extensive injuries to her right leg which eventually led to amputation. At the time of the accident, the forklift, which struck the plaintiff, was operated by another employee of Lord Label
The forklift was manufactured by Linde Inc., a German company, and shipped to Baker Inc, a subsidiary of Linde Inc. Baker in turn sold the forklift to Upright Material Handling Co., in Avoca, Pennsylvania. Upright is in the business of selling such industrial equipment and servicing the same. Lord Label purchased the forklift used the day of the accident from Upright without a back-up alarm or strobe light which engage when the forklift is driven in reverse. The forklift was shipped from the manufacturer to Upright without a manufacturer’s backup alarm installed.
The forklift was later equipped with an after-market back-up alarm installed by an employee of Upright upon Lord Label’s request. Due to the annoyance of the alarm’s sound, the evidence indicated that the alarm was intentionally disconnected by Lord Label employees on several occasions including the date on which the accident occurred. There was also evidence that the wiring got caught on structures at Lord Label causing it to disconnect as well. The alarm and strobe light were both battery powered. The manner in which the alarm was installed allowed the wires to be exposed on the outside of the forklift pipe frame near the roll bar. Upright’s agent simply mounted the alarm by wrapping the wires around the outside of the roll bar rather than passing the wires through the center of the roll bar as intended by the manufacturer. Upright had been called several times to reinstall the alarm before the accident occurred. There was a factual dispute as to whether the alarm wires were intentionally disconnected or whether they caught and were
In March of 1994, Upright purchased an insurance policy from First Insurance Center, an agency who used Ohio Casualty Insurance Company, as an underwriter. The Insuring Agreement states it will pay damages that the insured may be legally obligated to pay because of “bodily injury” or property damage in which the policy applies. (See Commercial general liability coverage form, p. 1.) Furthermore, the insurer will hold the right to defend the insured against any “suit” seeking such damages under the application of the insurance policy. (See Commercial general liability coverage form, p. 1.) Yet, the insurer will not pay sums that the insured may be obligated to pay or defend suits that encompass a matter to which the insurance policy does not apply. (See Commercial general liability coverage form, p. 1.) Additionally, under the business owner’s section of the policy lays a specific endorsement no. CG ******** labeled “Exclusion — products-completed operations hazard” exception, whereby the insurer will not cover the insured for “bodily injury” or “property damage” which occurs away from the premises the insured owns or rents and arises out of “your product” or “your work.” (See Commercial general liability coverage form, p. 5.)
After the incident involving the forklift truck, the principals of Upright, Patrick Conflitti and Arthur Watkins met with Matt Alferio, the owner of First Insurance Center and notified him of the accident. During that meeting, Mr. Alferio told Mr. Conflitti and Mr. Watkins that no insurance coverage was available. At that time, First Insurance Center did not notify its underwriter, Ohio Casualty Inc., of the accident Upright had reported in
On May 24,1996, Suzanne Bombar filed a complaint against both Baker Inc. and Upright Inc. including claims in strict liability and negligence. Upon service of process, Upright took the complaint to its attorney, Ralph P. Carey, Esq., who entered a defense. In April 1999, during discovery proceedings, a request was made upon Upright to produce a copy of its insurance policy and, in turn, Upright referred the request to First Insurance Company. First Insurance Company denied coverage due to the “products and completed operations exclusion” by a letter sent to Upright Inc.
In June 1999, plaintiff Bombar sent a copy of the complaint to Ohio Casualty who later notified the plaintiff, by letter dated June 30,1999, that there was no coverage due to the exclusion. This letter was never sent to the insured.
Deposition testimony indicates that Ohio Casualty Insurance Co. was fully aware of the accusations made against the insured upon receipt of Bombar’s complaint, but throughout the entire proceedings the insurance agents’ attempts to investigate the claim were only cursory, at best. The local claims manager conceded that he made the decision to inform plaintiff’s counsel that there would be no coverage provided to Upright due to the exclusion. (See plaintiff’s exhibit D, D.T. Culotta.) Mr. Klatt, the local adjuster, was given instructions by the local manager to obtain statements from the owners of Upright Inc. by contacting its counsel, Ralph Carey, Esq. Apparently, Klatt only scheduled a meeting and retained statements from one of the insured. Klatt remained the adjuster for four months, and then resigned. The matter
On January 19,2001, a jury returned a verdict against Upright in negligence for $1,800,000. Upright appealed the action to the Superior Court of Pennsylvania which was later abandoned upon plaintiff’s motion to mold the verdict to include delay damages. The verdict was ultimately molded to $2,393,458.65.
On March 21,2001, Upright filed the present declaratory judgment action claiming that Ohio Casualty should have defended it during the course of the initial action and that Ohio should indemnify it for the verdict, and pay damages for alleged bad faith in handling the claim. Original plaintiff, Suzanne Bombar, filed a petition to intervene as the real party in interest, which was granted by order of this court on April 29, 2002. The intervenor complaint was filed May 24,2002. On October 18,2002, Suzanne Bombar was assigned all rights that Upright may have under its policy of liability insurance issued by Ohio Casualty. Plaintiff and defendant, Ohio Casualty Insurance Company, ask that this court grant their respective motions for summary judgment.
Declaratory Judgment/Summary Judgment Action
“[T]he purpose of the Declaratory Judgment Act is to afford relief from uncertainty and insecurity with respect to legal rights, status and other relations.” Keystone Aerial Surveys Inc. v. Pennsylvania Property & Casualty Insurance Association, 777 A.2d 84, 88 (Pa. Super. 2001), citing Juban v. Schermer, 751 A.2d 1190, 1193 (Pa. Super. 2000). The Declaratory Judgment Act, 42 Pa.C.S. §§7531, 7541, grants the trial court the power to pronounce the status and rights of the parties involved in an action, regardless of whether further relief can be sought. Keystone Aerial Surveys Inc. v. Pennsylvania Property & Casualty Insurance Association, 777A.2d 84, 88 (Pa. Super. 2001) citing Juban v. Schermer, 751 A.2d 1190, 1193 (Pa. Super. 2000). The Superior Court further established that “[ojrdinary summary judgment procedures are applicable to declaratory judgment actions.” Keystone Aerial Surveys Inc., supra at 88; see Lititz Mutual Insurance Company v. Steely, 746 A.2d 607, 609 (Pa. Super. 1999). Therefore, “[i]n examining this matter, as with all summary judgment cases, we must view the record in the light most favorable to the non-moving party, and all doubts as to the existence of a genuine issue of material fact must be resolved against the moving party.” Keystone Aerial Surveys Inc., supra at 89. The Superior Court stated:
*313 “In order to withstand a motion for summary judgment, the non-moving party must adduce sufficient evidence on an issue essential to his case and on which he bears the burden of proof such that a jury could return a verdict in his favor. Failure to adduce this evidence establishes that there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law.” Id. (citations omitted)
After a review of current case law, it is evident that summary judgment can properly be granted in the clearest of cases where a review of the record shows that the moving party is entitled to judgment as a matter of law. Pestalozzi v. Philadelphia Flyers Ltd., 394 Pa. Super. 420, 576 A.2d 72 (1990). With that being said, it is upon this court to determine if either party is entitled to judgment as a matter of law.
The most recent decision analogous to the case before the court was decided in Allstate Insurance Co. v. Fodor, 49 D.&C.4th 541 (Monroe Cty. 2000).
One decision directly on point was rendered by the Pennsylvania Superior Court in Gamble Farm Inn Inc. v. Selective Insurance Co., 440 Pa. Super. 501, 656 A.2d 142 (1995). There the trial court granted summary judgment in favor of an insured where it found that a policy exclusion was inapplicable. The court relied on the Standard Venetian Blind Co. v. American Empire Insurance Co., 503 Pa. 300, 469 A.2d 563 (1983) decision wherein it stated that the interpretation of insurance contracts is a question of law, not a question of fact that can be decided by the court rather than the jury. Gamble Farm Inn Inc., 440 Pa. Super, at 505, citing Venetian Blind Co. v. American Empire Insurance Co., 503 Pa. 300, 469 A.2d 563 (1983). (citations omitted)
With this standard in mind we will address the issues presented by both parties’ motions. The materiality of
Discussion
(1) Whether a Negligence Claim Is Excluded From Coverage Under the Ohio Casualty Insurance Policy Pursuant to the Products-Completed Operations Hazard Exclusion?
We will begin our analysis by first addressing Upright’s position advanced by its motion for summary judgment. The main issue involved in the instant action concerns an Ohio Casualty Insurance commercial liability policy labeled BKW* *******, which was purchased by Upright Materials Handling Inc. The effective dates of this policy were June 4,1994 through June 4, 1995. This policy carried a special endorsement no. CG ** ** ** ** entitled the “products-completed operations hazard” exclusion. The said policy was in full effect at the time of Suzanne Bombar’s accident at Lord Label on March 17, 1995. The defendant, Ohio Casualty, asserts that coverage is not available under the instant policy due to the “products-completed operations hazard” exclusion. Yet, the exclusion which Ohio relied upon does not exclude coverage of claims for negligence, including negligent failure to warn. Instead, the policy states, injuries that result from a product itself are excluded from coverage. In the underlying case, a negligence claim has been made and proven. A verdict, including delay damages, has been returned in negligence in favor of plaintiff for $2,393,458.65. As a result, Ohio, under the terms of its policy, must provide
The issue presented involves the applicability of a contract for an insurance policy. It must be made clear how the interpretation of those policy provisions operate in light of the insured. It has been settled that where a policy provision is ambiguous, the policy is to be construed in favor of the insured, who lacks bargaining power regarding the terms of the contract, and against the insurer, the drafter of the contract. Gamble Farm Inn Inc., supra at 505. See also, Venetian Blind Co., supra; Rusiski v. Pribonic, 511 Pa. 383,515 A.2d 507 (1986). Yet, when the language of a contract is found to be clear, a court is required to give effect to that language. Gamble Farm Inn Inc., supra. It ultimately is the determination of the court to decide whether a writing is clear and unambiguous. Id. citing Hutchison v. Sunbeam Coal Corp., 513 Pa. 192, 519 A.2d 385 (1986). Furthermore, the court in Gamble Farm Inn, in dictum, explains the purpose of insurance coverage when it states “[a]n insurer contracts with an insured to provide coverage for certain risks, in return for payment of premiums which are calculated based upon those risks. It is reasonable and understandable that, when issuing an ordinary commercial CGL policy, an insurer undertakes to cover the risks which may [possibly] occur.” Id. at 510-11. (emphasis added) In interpreting the language of contract provisions, the reasonable expectations of the insured must not be defeated. Harford Mutual Insurance Co. v. Moorhead, 396 Pa. Super. 234, 240, 578 A.2d 492, 495 (1990), citing Huffman v. Aetna Life and Casualty Co., 337 Pa. Super. 274, 486 A.2d 1330 (1984). Ambiguities in insurance contracts must be resolved in favor of the insured and
To fully examine the crux of both parties’ arguments several tiers of analysis are required. Specifically, the subject matter that must first be addressed is the coverage issue under the “products-completed operations hazard” exclusion. Additionally, we must establish whether the theories in which a complaint is pled are outcome determinative on whether the Ohio exclusion will apply to exclude coverage to Upright, the insured, or not. These questions will be addressed and answered as follows.
The Superior Court of Pennsylvania in Harford Mutual Insurance Co. v. Moorhead, 396 Pa. Super. 234, 251, 578 A.2d 492, 501 (1990), found that where “a claim is brought under the auspices of ‘negligent failure to warn,’ it is appropriate to view the claim as one charging improper conduct, and not one of making a defective product. ” (emphasis in original) In that case, the defendants, the Moorheads, operated a business which sold wine-making supplies. The Moorheads sold sulphur strips, needed in the wine-making process, to co-defendant, Mr. Stevens, who used them for killing bacteria in the wine-making process by igniting the strips and placing them in a wine vessel/whislcey barrel. When placed in the barrel, the strips ignited with the preexisting whiskey vapors and exploded, injuring the plaintiff. Defendants had been insured under a comprehensive liability policy issued by Harford Mutual covering business operations. Harford denied coverage maintaining that the products-
Likewise, the Friestad court noted that, under a comprehensive business owner’s insurance policy, it is preferable to define products hazard in terms of products liability law and apply the exclusion only when a product rather than a service is the cause in fact of the complained of damages or injury. Friestad, supra at 188, citing Henderson, Insurance Protection for Products Liability and Completed Operations — What Every Lawyer Should Know, 50 Neb.L.R. 415, 430-31 (1971). In Friestad, the appellant, Andreas Friestad, trading as Superior Heating Co., carelessly installed a Sears’ brand furnace in a consumer’s home which resulted in a fire destroying the home and contents. Judgment was en
The court in Keystone Spray Equipment Inc. v. Regis Insurance Co., 767 A.2d 572 (Pa. Super. 2001), takes this analysis a step further when it considered the necessary criteria for a “completed” service. There the court held that the insured’s negligent misrepresentation was not regarded as complete, for the purpose of a “completed operations” exception until the negligence was relied upon and caused an injury. This rule applies even where the service provider has left the premises and surrendered control to the customer. This is true because one cannot be injured by negligence until the misrepresentation is relied upon. Keystone Spray Equipment Inc., supra at 575, citing Eastcoast Equipment Co. v. Maryland Casualty Co., 207 Pa. Super. 383, 218 A.2d 91 (1996). See also, Reed Roller Bit Co. v. Pacific Employers Insurance Co., 198 F.2d 1 (5th Cir. 1952), cert denied, 344 U.S. 920, 73 S.Ct 386, 97 L.Ed. 709 (1953). The Eastcoast court noted that “this rule applies equally to negligent misrepresentation and negligent failure to
Additionally, the Superior Court in Pennsylvania National Mutual Casualty Insurance Co. v. Kaminski Lumber Co. Inc., 397 Pa. Super. 484, 580 A.2d 401 (1990), similarly ruled that an exclusion for products hazard does not apply to claims regarding negligent failure to warn.
Accordingly, Ohio Casualty’s exclusion is identical to those referenced in the above mentioned cases. Ohio’s exclusion, as defined in the policy, was a “products-completed operations hazard” exclusion which included products and maintenance, service, repair of products occurring away from the insured’s premises. (See plaintiff’s exhibit A, Commercial general liability coverage form.) Yet, under this same exclusion the insurer denied coverage for installation negligently completed by the insured, including a count for negligent failure to warn. The thrust of Suzanne Bombar’s complaint and verdict rests upon negligence including negligent failure to warn of defects in the alarm and negligent installation, service and maintenance of the alarm, among other counts, and not products liability.
The Superior Court in Harford pointed out that in the harshest of states to establish a ground of recovery against an insurer, the plaintiff must prove negligence in a failure to warn claim properly. Harford, supra at 248, 578 A.2d at 499. Here this burden has been met. Should the Ohio insurance policy exclusion be applied to deny coverage over the claim in the foregoing suit, then the underlying purpose of carrying liability insurance would surely be circumvented. The defendant, Ohio Casualty, must provide coverage for its insured based upon the foregoing precedent and analysis.
“It is well established that an insurer need only defend an insured in a claim if the insurance contract provides coverage for a suit of that nature.” Keystone Spray Equipment Inc., supra at 574, citing Gene’s Restaurant v. Nationwide Insurance Co., 519 Pa. 306, 548 A.2d 246 (1988). To decide if the duty to defend exists, the court must evaluate the allegations in the complaint against the provisions of the insurance contract and establish whether the insurer must indemnify the insured if the claims in the complaint are proven. Keystone Spray Equipment Inc., supra.
To determine if Ohio Casualty did have a duty to defend Upright against Bombar’s claim, we must compare the negligence allegation with the provisions of the Ohio Casualty insurance contract including the “products-completed operations hazard” exclusion. The allegations asserted in Bombar’s complaint included counts of negligence for failure to warn, inspection, installation, improper issuance of warnings among other charges against Upright, the insured. Additionally, Bombar declared counts of strict liability, implied warranty, express warranty and a claim for punitive damages against Upright. The insurance contract that was in place at the time of the accident defined “products-completed operations hazard” as follows:
“ ‘Bodily injury’ and ‘property damage’ occurring away from premises you own or rent and arising out of ‘your product’ or ‘your work’ except:
*323 “(1) Products that are still in your physical possession; or
“(2) Work that has not yet been completed or abandoned. However, ‘your work’ will be deemed completed at the earliest of the following times:
“(a) When all of the work called for in your contract has been completed.
“(b) When all of the work to be done at the job site has been completed if your contract calls for work at more than one job site.
“(c) When that part of the work done at a job site has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project.
“(3) Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed.
“ ‘Your work’ means:
“(a) Work or operations performed by you or on your behalf; and
“(b) Materials, parts or equipment furnished in connection with such work or operations.
“ ‘Your work’ includes:
“(a) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of ‘your work,’ and
“(b) The providing of or failure to provide warnings or instructions.”
In reading both the policy and the complaint, at first glance it may appear that coverage may not exist. Yet, as noted above in the discussion, the installation of the back
Based upon precedent, the defendant, Ohio Casualty, carried the duty to defend until it met its burden of proving the applicability of its exclusion. The facts do not indicate that Ohio Casualty met its burden of proof in establishing the applicability of the exclusion, nor did it make any attempt to defend the insured in the initial claim. Deposition testimony indicates that Ohio’s agent was first notified of the claim in May 1999 by a phone conversation with plaintiff’s counsel. (See plaintiff’s exhibit D, D.T. Culotta pp. 35-39.) Ohio Casualty’s Scranton Claims Manager, Gary Culotta, was sent a memorandum by Cathy Anthony of First Insurance Cen
According to insurance industry standards, as provided by Mr. Chett’s expert report, on the face of an insurance policy it may appear that coverage may not be available for a particular loss. (See plaintiff’s exhibit P, expert report of Mr. Chett, p. 7.) Yet, there are factors that may void policy exclusions and interpretations of the insuring agreements which include: ambiguity of policy provisions, statutoiy or case law, and facts of the accident or loss. Ohio Casualty has provided no indication that any of the above listed factors had even been considered let alone investigated. Id. Furthermore, in an opinion written specifically for the initial proceeding, it is stated that “an insurer will be guilty of having breached its duty
(3) Whether Coverage Has Been Voided on Account of the Actions Or Inactions of the Insured?
The defendant asserts that the actions and inactions of Upright voided any possible responsibility Ohio might have in providing insurance coverage. An insured’s breach of a duty to cooperate may relieve the insurer from liability under the insurance policy if the breach is
The evidence establishes that Upright, through two of its stockholders, notified their insurance agent, Matt Alferio, of the accident within one month of the occurrence. (See plaintiff’s exhibit T, D.T. Alferio p. 36.) The deposition testimony of both Patrick Conflitti and Arthur Watkins, the stockholders of Upright, indicates that throughout the proceedings Upright acted reasonably in attempting to provide notice to Ohio Casualty for the claim and to keep Ohio informed. (See plaintiff’s exhibits U and V.)
Conversely, the deposition testimony of Ohio Casualty agents reveals that the insurance company had not received notice of the claim and lawsuit until May of 1999, approximately four years after the complaint was filed. (See plaintiff’s exhibitD, D.T. Cullottapp. 35-39.) Furthermore, under the insurance policy, section IV Commercial General Liability Conditions paragraph (2) Du
“(a) You must see to it that we are notified as soon as practicable of an ‘occurrence’ or an offense which may result in a claim. To the extent possible, notice should include:
“(1) How, when and where the ‘occurrence’ or offense took place;
“(2) The names and addresses of any injured persons and witnesses; and
“(3) The nature and location of any injury or damage arising out of the ‘occurrence’ or offense.
“(b) If a claim is made or ‘suit’ is brought against any insured, you must
“(1) Immediately record the specifics of the claim or ‘suit’ and the date received; and
“(2) Notify us as soon as practicable. You must see to it that we receive written notice of the claim or ‘suit’ as soon as practicable.” (See plaintiff’s exhibit A.)
Upright asserts that it did notify the insurer as soon as practicable after the occurrence involving the forklift truck. Testimony has been provided by the insured in which they state that two of its stockholders met with Matt Alferio, the owner of First Insurance Company, to notify him of the events which took place. (See plaintiff’s exhibits U and V.) Upon that meeting the owners of Upright were notified that coverage would be denied. Id. Whether or not the insured fulfilled their duty under the insurance contract is not absolute upon their testimony alone. There still remains a question as to whether the act of the stockholders informing Matt Alferio, owner of First Insurance Company, and agent of Ohio Casualty
Based on the above analysis, Upright’s reporting by its two stockholders to Matt Alferio and First Insurance would be the equivalent of a direct report to Ohio Casu
(4) Do the Actions of Ohio Casualty Insurance Constitute Bad Faith Toward the Insured?
Several Pennsylvania courts have recognized that there is no common-law remedy in this state for bad faith on the part of insurers. Terletsky v. Prudential Property & Casualty Insurance Co., 437 Pa. Super. 108, 125, 649 A.2d 680, 688 (1994); D ’Ambrosio v. Pennsylvania National Mutual Casualty Insurance Co., 494 Pa. 501, 507, 431 A.2d 1228, 1232 (1994). The Pennsylvania Legislature has instead created a statutory remedy in 42 Pa.C.S. §8371 which provides that:
“In an action arising under an insurance policy, if the court finds that the insurer has acted in bad faith toward the insured, the court may take all the following actions:
“(1) Award interest on the amount of the claim from the date the claim was made by the insured in an amount equal to the prime rate of interest plus 3 percent.
“(2) Award punitive damages against the insurer.
“(3) Assess court costs and attorney fees against the insurer.”
Numerous Pennsylvania courts have also revealed that “bad faith” denotes a particular connotation in the insurance arena as defined in Black’s Law Dictionary 139 (9th ed. 1999):
“Insurance. ‘Bad faith’ on part of insurer is any frivolous or unfounded refusal to pay proceeds of a policy; it is not necessary that such refusal be fraudulent. For pur*331 poses of an action against an insurer for failure to pay a claim, such conduct imports a dishonest purpose and means a breach of a known duty (i.e., good faith and fair dealing), through some motive of self-interest or ill will; mere negligence or bad judgment is not bad faith.” See Adamski v. Allstate Insurance Co., 738 A.2d 1033, 1036 (Pa. Super. 1999); Terletsky, supra at 125, 649 A.2d at 688.
Additionally, the Pennsylvania Superior Court established a two-prong test that plaintiff must prove by clear and convincing evidence in order to establish a claim of bad faith against the defendant: (1) the insurer did not have a reasonable basis to deny benefits under the policy; and (2) the insurer knew or recklessly disregarded its lack of a reasonable basis. Terletsky, supra. In addition, when an insurer acts with disregard or indifference to the rights of the insured, such actions may constitute bad faith. Polselli v. Nationwide Mutual Fire Insurance Co., 23 F.3d 747, 751 (3d Cir. 1994).
The plaintiff asserts that the defendant insurance company acted under a guise of bad faith in both investigating the claim and refusing to defend the insured. To apply the Superior Court’s two-part test it first must be established whether the insurer had a reasonable basis to deny benefits to the insured in the first place. The testimony of the Ohio Casualty agents suggests that there were no guidelines in place within the company as to the time frame of investigations and determination of claims. (Plaintiff’s exhibit D, D.T. Cullotta.) Furthermore, Mr. Culotta, the insurance agent who found that the “products-completed operations hazard” applied, provided in his deposition that he alone made the decision to dishonor the insured’s claim without a review of Pennsyl
According to insurance industry standards, an insurer shall complete the investigation of a claim within 30 days of notification, unless the investigation cannot be completed within such time. See 31 Pa. Code §146.6. If additional time is necessary, within every 45 days, the insurer shall present the insured a written explanation for delay and state when a decision may be expected. 31 Pa. Code §146.6. The evidence that any investigation was performed by the Ohio insurance agents is lacking, let alone enough information to make a determination as to whether the policy exclusion applied. The evidence produced by the plaintiff shows the insurer did not have a reasonable basis to deny benefits to its insured. Furthermore, after the initial determination that coverage would not apply under the “products-completed operations” exclusion, no further contact was made with the insured. As Mr. Chett noted in his expert report, “Ohio Casualty had no reasonable basis for their outrageous conduct.” (See plaintilf’s exhibit P, expert report of Mr. Chett, p. 18.)
The definition of bad faith, within the insurance context as provided by Black’s Law Dictionary, applies when
(5) Indemnification and Punitive Damages Due to Bad Faith.
Indemnification
Plaintiff contends that because the defendant acted with bad faith, it is now liable for the excess verdict awarded to Suzanne Bombar by the jury. The plaintiff relies on The Birth Center v. The St. Paul Companies Inc., 567 Pa. 386, 406, 787 A.2d 376, 389 (2001). There the Supreme Court of Pennsylvania stated that “Requiring insurers, who act in bad faith, to pay excess verdicts protects insured[s] from liability that, absent the insurer’s bad faith conduct, the insured would not have incurred.” The Birth Center, supra at 406, 787 A.2d at 388. (foot
Under the Insuring Agreement, the policy states that it will pay those sums that: “the insured becomes legally obligated to pay as damages because of ‘personal injury’ ... to which this insurance applies. We will have the right and duty to defend the insured against any ‘suit’ seeking those damages. However, we will have no duty to defend the insured against any ‘suit’ seeking damages for ‘personal injury’... to which this insurance does not apply.” (See plaintiff’s exhibit A, commercial general liability coverage form, coverage B personal and advertising injury liability.)
According to the language of the insurance contract, it is clear that indemnification is dependant upon overall coverage of the policy. (See plaintiff’s exhibit A, section I.) The contract states that the insurer will pay those amounts that the insured becomes legally obligated to pay as damages to which the insurance applies. Id. As discussed above, the Ohio insurance contract does apply to the instant claim. Moreover, in reading the contract it is apparent that the third-party loss suffered is covered by the terms of the policy where it is stated that the insurer will pay damages because of “personal injury.”
Punitive damages
Plaintiff requests that punitive damages be awarded from the defendant due to the allegations of bad faith. The Superior Court in Hollock v. Eric Insurance Exchange, 842 A.2d 409 (Pa. Super. 2004), relies upon language found within 42 Pa.C.S. §8371 which empowers the trial court to award punitive damages to the insured if the insurer has acted with bad faith toward the insured. The statute also states that the only prerequisite to an award of punitive damages is a finding of bad faith. 42 Pa.C.S. §8371. It has been revealed by the plaintiff that the nature of Ohio’s investigation was cursory at best. The agents investigating the claim had only a mere familiarity with the claim. No reservation of rights letter was ever sent or even discussed. The insurer to date has not denied the claim in writing to the insureds, nor presented any explanation for the denial aside from a brief verbal denial. For the forgoing reasons and those discussed earlier within this memorandum, the plaintiff may be entitled to recover punitive damages from the insured.
After close scrutiny of both Pennsylvania Rules of Civil Procedure, statutory law and case law, it is only proper that this court grant the plaintiff’s motion for summary judgment and deny the defendant’s motion. Clearly, the basis of our inquiry centered squarely on the inter
An appropriate order follows.
ORDER
And now, to wit, January 19, 2005, upon consideration of the plaintiff’s and defendant’s, Ohio Casualty Insurance Co., the verbal and written arguments of counsel and in accordance with the preceding memorandum it is hereby ordered and decreed that the plaintiff’s motion for summary judgment will be granted as follows:
(1) The court hereby declares that the insurance policy at issue covers the underlying accident involving Suzanne Bombar.
(2) The court finds that the defendant, Ohio Casualty Insurance Company, is liable for the entire amount of the verdict rendered by the jury in the underlying action including interest in the rate of 3 percent above the prime rate of interest from the date the claim was made.
(3) The court awards punitive damages against the defendant, Ohio Casualty Insurance, with attorney’s fees and costs in an amount to be determined after a hearing.
*337 (4) The court awards compensatory damages to the insured, Upright Materials Handling.
Based on the aforementioned, the defendant’s motion for summary judgment will be denied.
. In Allstate Insurance Co. v. Fodor, 49 D.&C.4th 541 (Monroe Cty. 2000), the Fodors, Allstate insurance policyholders, commenced an action against Butler Park Self Storage and Stanley Works for injuries sustained by their minor daughter from an automatic security gate on the Butler Park premises. The Fodors were eventually joined as additional defendants. At that point the Fodors requested Allstate Insurance to provide them with a defense and indemnification. Allstate responded by filing a declaratory judgment action alleging that it was not required to provide a defense or indemnity to the policyholders pursuant to exclusionary language within the policy. The insured next filed a motion for summary judgment which was granted.
. In Pennsylvania National Mutual Casualty Insurance Co. v. Kaminski Limber Co. Inc., 397 Pa. Super. 484, 580 A.2d 401 (1990), the injured party was struck by a board rejected from a saw while completing the duties of his employment. The injured employee sued the saw manufacturer and wholesaler, Kaminski, who sold the saw to his employer, for negligent failure to warn. Kaminski was issued a comprehensive general liability policy from the insurance company which refused coverage for the claim based upon the products hazard exception in the policy.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.