Dragoni y Dragoni v. United States Fire Insurance
Dragoni y Dragoni v. United States Fire Insurance
Opinion of the Court
delivered the opinion of the court.
Maria Dragoni filed four suits against insurance com
The suits were brought in the District Court of Ponce and by stipulation of the parties all four actions were tried together, in a single hearing. The court rendered judgment for the complainant on the house and contents and dismissed the complaints with respect to the'claim for the coffee which the complainant alleged was destroyed by the fire. Both parties have appealed and have filed a stipulation to present the evidence all in a single record.
The complainant presented testimony tending to show that on the night before the fire five or six hundred bags of coffee were stored in the said house. On the other hand, defendants presented very strong evidence tending to show that no coffee at all had been burned in the said fire. A number of witnesses, and some of them offered as experts, testified that not a trace of coffee was found on the burnt premises and that the remnants were nothing but wood ashes; that where coffee was burned there would invariably be some traces of the same. We have little question that if the court had a right to consider all the evidence submitted by the defendants, its findings with respect to the absence of any coffee stored were completely justified. The complainant, however, objected to a great part of this evidence and has duly assigned exceptions which we shall consider. For convenience of treatment we shall refer to the parties as they were designated in the lower court.
Photographs are not self-serviug evidence, uor are they hearsay. The absence of the complainant can make no difference any more than the statements of an eye-witness would require the presence of the complainant; each is primary testimony. In point of fact, the photographs were taken with several agents and representatives of the complainant on the scene, who made no protest at their being- taken. Naturally, the opposing party can not cross-examine photographs showing the physical condition of any building, just as he can not where the jury take a view or where witnesses speak of the condition of a building, but the opposing party may always cross-examine the witness as to his ability or dexterity in taking the photographs, and of course may show that the facts are otherwise and may argue to the court that the photographs under the conditions are not a true representation of the physical facts.
The second assignment was that the court erred in allowing the defendants to ask the witness J. Otilio Yega about other fires in which coffee was destroyed. It turned out that the defendants were attempting to show by the witness from his experience of other fires that when coffee was burned it would be practically impossible for all traces to disappear within the time when this particular fire took place. The objections that the complainant made were two. First, that the witness was not properly qualified as an expert and did not have sufficient chemical knowledge to be able to state the results of a fire, nor the amount of heat that it would take to consume coffee; and second, that there was no demonstration that the circumstances of other fires were the same or similar to the one before the court.
Similar objections were made by the complainant under
Under the fourth assignment of error the complainant objects to a certain hypothetical question asked of the witness Pedro Schuck. It was a long one and attempted to sum up certain previous facts relating to the burning of the coffee and whether it would be possible for all of the coffee to have burned under the conditions set forth. It was presupposed that the fire had lasted only two hours. The specific objection of the complainant was that the evidence did not show that the fire had lasted only two hours. The general tendency of the evidence of the complainant was that the fire had lasted a very short time, but in the further examination of the witness he made the statement that even if the fire had lasted ten hours, or perhaps even longer, traces of coffee would be
Objection was made under the fifth assignment of error to the admission of certain photographs taken some eight days after the fire had occurred. Evidence of the complainant was apparently to the effect that the fire was still smoldering at that date, and therefore the objection that this period was too late could not really avail the complainant. The situation of the things burned had not been changed in the eight days and similarly as to the admission of the other photographs, the matter before the court was the weight of the testimony.
There was also an assignment of error, No. 7, in admitting the testimony of Angel M. Pesquera as an expert. The specific objection was that he had no knowledge of the degree of heat necessary entirely to consume coffee. The answer to this contention is that the witness was duly qualified as a chemist and it was not necessary for any of the witnesses to have an exact knowledge of the degree of heat required.
We agree with the defendants, as ‘indicated in our introductory statement, that the evidence was strong and convincing that no trace of the coffee was found, this being strong circumstantial evidence to justify the judgment of the court that no coffee was burned, and this disposes of the eighth, ninth and tenth assignments of error.
We come now to consider the appeal of the defendants and we shall first consider assignment of error numbered four, which set up that the fire was not casual.
In the first place there is the salient fact, as found by the court below and affirmed by us, that the complainant or her agents attempted to recover the value of coffee which was never in fact burned. This attempt is one of the strongest imaginable badges of fraud and points by itself to an incendiary origin of the fire. The principal doubts we have had in favor of the complainant are that the court below,
Before discussing the other assignments of error of the defendants it is well further to state the facts. In this¡ branch of the case it appears that the complainant sued different companies to recover $4,000 for the house and $500
The first assignment, in effect, assails the action of the court in not holding that the complainant had no right to recover because she did not present her proof of loss within fifteen days after the fire occurred. The condition of the policy was as follows:
“Article 10.- — On the happening of any loss or damage to the property hereby insured the Insured shall forthwith give written notice thereof to the Company, and shall within 15 days after the loss or damage, or such further time as the Company may in writing allow in that behalf, deliver to the Company—
“(a) A claim in writing for the loss and damage containing as particular an account as may be reasonably practicable of all the several articles or items of property damaged or destroyed, with the amount of the loss, having regard to their value at the time of the loss or damage, not including profit of any kind.
“(b) Particulars of all other Insurances on the said articles, if any.
“The Insured shall also at all times at his own expense produce, procure and give to the Company all such further particulars, plans, specifications, books, vouchers, invoices, duplicates or copies thereof, documents, proofs and information with respect to the claim and the origin and cause of the fire and the circumstances under which the loss or damage occurred, and any matter touching the liability or the amount of the liability of the Company as may be reasonably required by or on behalf of the Company together with a declaration on oath or in other legal form of the truth of the claim and of any matters connected therewith.
“Nio claim under this Policy shall be payable unless the terms of this condition have been complied with by the Insured.”
As a general rule we have no question that such a condi
Section 175 of the Insurance Law of 1921 (Laws of 1921, p. 648) is as follows:
"Section 175. — Any clause in an insurance contract depriving the insured of his right to claim in the courts of justice, at any time after the occurrence of the accident against which the insurance was made, the amount of any loss suffered and which has been the object of such insurance, shall be illegal. The court shall determine not only the liability of the company but also the amount of the loss.”
A provision like this, as has been held, does not prevent an insurance company from insisting that a proof of loss shall be presented. Hicks v. British American Assurance Co., 162 N. Y. 284, 48 L.R.A. 424; McNully v. Phoenix Insurance Co., 137 N. Y. 389; North British & M. Insurance Co. v. Lucky Strike Oil Co., 173 Pac. 845, 22 L.R.A. 398; Miguel Ríos Rivera v. The Niagara Insurance Co., 33 P.R.R. 773. Article 10 is not a limitation on the remedy but on the right of action.
The foregoing propositions, we take it, are not seriously denied by the complainant. The idea is that the defendant companies by their actions waived any necessity for furnishing them with proofs of loss. The complainant did not present her proofs of loss in time, but sent them to the adjuster several months later than the fifteen days required by the policy.
There was nothing difficult about the supposed losses in this case. They were all total. It is true that two of the agents of the companies went almost immediately to the burned premises, made all sorts of investigations, asked all sorts of questions and even took away a book or books of
In the brief counsel for the complainant draws attention to what he characterizes as the curious personality of the so-called adjuster. Counsel draws a picture of this officer as being a hypocritical, two-faced person; that he appears on the scene of loss and investigates various things without the intervention of the assured, requires all sorts of documentation and books of the said assured, and then when the supposed moment of settlement or compromise arrives says he can not proceed further until he has consulted with his company. Counsel would have the court believe, apparently, that the idea of the adjuster, is to trick the insured in order to escape the payment of loss.
The adjuster of a fire insurance company has been a well recognized person for over a half century of experience in fire insurance matters. The adjuster frequently has a complete legal authority to settle a claim, but not always. Like other agents, even when he has a complete authority to settle, his instructions or his experience may counsel a submission to his principal before he makes the settlement. In this he is no different from an attorney who makes a settlement in court, or a sales agent, or numerous other agents who
So far ag the adjuster in this case is concerned, we find no act of waiver. When he caused the assured or her agent to sign a waiver of rights, such a document is not at all an unusual one, and in the case at bar was actually signed quite a long- period after the time for presenting proofs of loss had expired. Whether he performed any acts previous to the signing of the said document, which alone or in connection with the acts of other agents would constitute a waiver, is a different matter. The question for us is not one of fraud on the part of the companies, as the complainant suggests, but a question of fact, namely, whether the total acts of the companies in this case, or their agents, amounted to a waiver of the necessity fixed by the policy of submitting a proof of loss within fifteen days from the time when the fire occurred.
The defendant companies set up that where the assured relies on the waiver by the companies of the necessity for presenting proofs of loss, the assured must allege such waiver in filing suit on their policies. Perhaps, if the court below had decided the case in favor of the defendant companies on this ground and the complainant had not offered to amend, we probably should have sustained the judgment of the court below. Where, as here, the battle in the lower court apparently raged over the question of waiver by the acts of the various agents of the companies, we should be disposed to consider the complaint amended to cover the alleged waiver on the part of the defendants of the complainant’s presenting a proof of loss, or as being an inessential variance. People v. Valdés, 31 P.R.R. 213.
The burden of proof is on the complainant to show that the companies had waived any condition of the policy, and this we find they failed to do, either -with respect to the general agents, or with respect to the acts of the adjuster
The companies alleg'ed other errors, as, for example, that the house and its contents were never worth the amount for which they were insured. But, however, as we have come to the conclusion that the fire was of incendiary origin, and that the companies did not waive the condition of the policy requiring that the proof of loss should be presented within fifteen days, and it was not so presented, the judgment of the District Court of Ponce should be reversed.
Therefore, judgments will be drawn affirming the judgment of the District Court of Ponce in so far as it refused to recognize the claims for coffee burned, and reversed in so far as it recognized the claim of the complainant for the house and its contents.
Concurring Opinion
CONCURRING OPINION OF
I agree with the judgments rendered because the incendiary origin of the fire was traced to the insured. Therefore, I do not think it necessary to enter into a consideration of the acts of the adjuster and I prefer to refrain from showing my conformity with the majority opinion in this particular, for I have doubts as to the principles established thereby in the light of the circumstances surrounding the case.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.