Kobico, Inc. v. Pipe

• Decision Date: 30 December 1997
• Docket Number: No. 96-P-842,96-P-842
• Citation: 688 N.E.2d 1004,44 Mass.App.Ct. 103
• Parties: KOBICO, INC. v. Grahame F. PIPE & others. 1
• Court: Appeals Court of Massachusetts

Page 1004

688 N.E.2d 1004

44 Mass.App.Ct. 103

KOBICO, INC. v. Grahame F. PIPE & others. ¹

No. 96-P-842.

Appeals Court of Massachusetts Suffolk.

Argued Nov. 25, 1997.

Decided Dec. 30, 1997.

Lawrence A. Dugan, Boston, for defendants.

David J. Burgess, Boston, for plaintiff.

Before BROWN, SMITH and LAURENCE, JJ.

BROWN, Justice.

The defendants, certain underwriters at Lloyd's, London, subscribing to policy number ZJB9204547 504, appeal from two rulings made by a Superior Court judge during the jury trial in this action to recover under an insurance policy. The first ruling concerned whether the accuracy of representations in the plaintiff's proposal for insurance constituted conditions precedent to recovery under the policy; the second involved admission of testimony for the plaintiff concerning the security of the building where the plaintiff's business was located.

The plaintiff, Kobico, Inc., is a wholesale jeweler with its place of business at the Jewelers' Exchange Building on Washington Street in downtown Boston. In August, 1992, the plaintiff purchased what is referred to as a "jewellers' block" insurance policy from the defendants to provide coverage for the plaintiff's inventory, including coverage for jewels and other stock located both on and off the plaintiff's business premises. In the plaintiff's proposal for insurance, its president, Jacob Kuperberg, made certain representations concerning, among other things, the plaintiff's record-keeping methods and inventory. Five months after the policy was issued, Kuperberg was robbed at gunpoint of over $150,000 in jewels off the business premises in Chicopee. The defendant insurers denied coverage and rescinded the policy, based on alleged misrepresentations in the proposal concerning how often the plaintiff conducted inventories, how much inventory it maintained on consignment with other jewelers, and the value of the inventory kept on its premises.

The plaintiff brought this action against the Lloyd's, London, underwriters for breach of the insurance contract and violation of G.L. c. 93A and G.L. c. 176D. It was ordered that the claims would be tried separately, and the breach of contract claim proceeded to trial. Responding to special questions, the jury found that the plaintiff's misrepresentations in the proposal were material but that there was no actual intent to deceive nor an increased risk of loss to the insurers. Final judgment was entered for the plaintiff on count one pursuant to Mass.R.Civ.P. 54(b), 365 Mass. 821 (1974), and, after denial of the defendants' motion for judgment notwithstanding the verdict and for a new trial, the defendants filed this appeal. ²

1. Condition precedent or warranty. Central to the plaintiff's recovery under the insurance policy was whether the language of the policy rendered the accuracy of the plaintiff's answers on the proposal a condition precedent, or whether those answers were merely warranties, barring recovery only if the defendants proved actual intent to deceive or increased risk of loss under G.L. c. 175, § 186. ³ The defendants argue on appeal that the trial judge erred in ruling that the plaintiff's answers on the proposal operated as warranties rather than as a condition precedent.

General Laws c. 175, § 186, does not apply to provisions in an insurance policy which, by agreement of the parties, are made conditions precedent to recovery under the policy. Krause v. Equitable Life Ins. Co., 333 Mass. 200, 203, 129 N.E.2d 617 (1955). Therefore, if the accuracy of the plaintiff's statements in the proposal for insurance were treated as a condition precedent, then a material misrepresentation on the application, in and of itself, would suffice to void the policy, without necessitating additional proof under § 186. Charles, Henry & Crowley Co. v. Home Ins. Co., 349 Mass. 723, 725, 212 N.E.2d 240 (1965) (policy language made the accuracy of the answers in an application for a jeweler's block a condition precedent to recovery). ⁴ See also Shaw v. Commercial Ins. Co., 359 Mass. 601, 606, 270 N.E.2d 817 (1971). The standard for determining whether an insurance policy states a condition precedent has been set forth by the Supreme Judicial Court in Charles, Henry & Crowley Co.:

"[A] statement made in an application for a policy of insurance may become a condition of the policy rather than remain a warranty or representation if: (1) the statement made by the insured relates essentially to the insurer's intelligent decision to issue the policy; and (2) the statement is made a condition precedent to recovery under the policy, either by using the precise words 'condition precedent' or their equivalent."

349 Mass. at 726, 212 N.E.2d 240.

The question whether the policy language operated as a condition precedent or as a warranty was a question of law for the trial judge to resolve. Shaw v. Commercial Ins. Co., 359 Mass. at 605, 270 N.E.2d 817. Focusing on the second prong of the Charles, Henry & Crowley test, the judge ruled that the insurance policy lacked the kind of emphatic language the cases require to create a condition precedent. Moreover, the judge observed that the proposal itself identified each answer as a warranty upon issuance of the policy. Finally, to the extent there was an ambiguity between the policy and the use of the term "warranty" in the proposal, the judge resolved it in the insured's favor.

Were we to view the language of the insurance policy in isolation, the question might be a close one. Paragraph 21 of the policy's "insuring conditions" states in no uncertain terms that misrepresentations would result in a voiding of the policy. ⁵ Though lacking explicit use of the term "condition precedent," language of this sort has been construed as its equivalent. See, e.g., Kravit v. United States Cas. Co., 278 Mass. 178, 179-180, 179 N.E. 399 (1932) (language that the policy shall be void if there was fraud, misrepresentation, or concealment concerning the insurance or claims created conditions precedent where the insured made false statements regarding prior thefts in applying for the policy); Lopardi v. John Hancock Mut. Life Ins. Co., 289 Mass. 492, 495, 194 N.E. 706 (1935) (clause providing that policy "shall be void" if certain conditions existed prior to its effective date created conditions precedent); Massachusetts Mut. Life Ins. Co. v. Sullivan, 5 Mass.App.Ct. 816, 361 N.E.2d 1321 (1977). See also Edmonds v. United States, 642 F.2d 877, 883 (1st Cir.1981).

Nevertheless, even assuming par. 21 of the policy could be read to state a condition precedent, we agree with the trial judge that the express language of the proposal, which was attached to and incorporated by reference into the policy, precludes the construction urged by the defendants. The proposal form states unequivocally that the representations made therein by the prospective insured would be treated as warranties upon issuance of the policy. ⁶ As such, we will not attribute intent on the part of the insured to be bound to a condition precedent when the very document in which the misrepresentation occurred provided that those answers would be treated merely as warranties if a policy were issued. See generally Massachusetts Mun. Wholesale Elec. Co. v. Danvers, 411 Mass. 39, 45-46, 577 N.E.2d 283 (1991) (to determine whether the parties intended to create a condition precedent, "a court considers the words used by the parties, the agreement taken as a whole, and surrounding facts and circumstances"). This is particularly true given the more general language of par. 21 of the policy's "insuring conditions," which made no specific reference to the answers on the proposal form. Compare Massachusetts Mut. Life Ins. Co. v. Sullivan, 5 Mass.App.Ct. at 816, 361 N.E.2d 1321 (undisputed that a condition precedent was created where insurance policy stated that "the Company shall incur no liability under [the] application unless ... all answers ... are then full, complete and true ..."). See generally Restatement (Second) of Contracts § 203(c) (1981) ("specific terms and exact terms are given greater weight than general language"); Lembo v. Waters, 1 Mass.App.Ct. 227, 233, 294 N.E.2d 566 (1973). ⁷

In light of the foregoing, the trial judge correctly construed the information in the plaintiff's proposal for insurance as a warranty rather than a condition precedent to recovery. Accordingly, questions of the plaintiff's actual intent to deceive and increase the risk of loss were properly put to the jury. See Krause v. Equitable Life Ins. Co., 333 Mass. at 203, 129 N.E.2d 617 (plaintiff was entitled to have the jury determine whether the representation or warranty was made with actual intent to deceive or increased the risk of loss).

2. Admission of evidence about building security. The burden was on the defendants to establish an increased risk of loss, under G.L. c. 175, § 186, by reason of the plaintiff's misrepresentations regarding its record-keeping practices and on-premise inventory. See Pahigian v. Manufacturers' Life Ins. Co., 349 Mass. 78, 85, 206 N.E.2d 660 (1965). To refute the defendants' claim that Kuperberg's misrepresentation of the value of on-premise inventory increased the risk of loss, the plaintiff offered the testimony of Kuperberg and of Robert Egan, the building manager at the Jewelers' Exchange Building, regarding the extensive protection afforded on those premises. The defendants claim the judge erred in admitting this evidence, which they contend was not relevant to the issue of increased risk of loss and served to mislead the jury.

During counsels' argument at sidebar, the trial judge, though initially reluctant, decided to allow the testimony, opining that it was relevant because, assuming the plaintiff's business premises were highly secured, the jury could find that the risk of loss would not be increased merely by the insured's understating the value of the inventory kept on the...