Professional Documents
Culture Documents
____________________
BOUDIN,
about
Circuit Judge.
_____________
insurance
accident
in
This
coverage arising
Puerto
Rico.
case involves
out
The
of
a dispute
a motor
appellant
United
vehicle
States
along with
portion
contends
and,
of
other
the judgment
carriers, was
in favor
alternatively,
liability among
apportionment--we
On
conclude that
liable for
the victims.
disagrees
insurers.
of
held
USF&G
accident at all
with
the
apportionment
both
issues--liability
the district
of
and
court reached
August
1987, George
went on
vacation to
including
his
rented a
car
Fieldman,
Puerto Rico
stepdaughter,
from
resident of
with his
Theresa Blacketor.
Puerto Rican
Cars,
Inc.,
New
family,
Fieldman
and
allowed
was
she
collided
("Cordova").
with
car
driven
Cordova
and
two
seriously injured.
In
August
by
of
Luis
his
lawsuits
Cars,
and
Munoz
passengers
were
1988, Cordova,
the
injured
Cordova
against
passengers and
("the plaintiffs")
Blacketor, Fieldman,
three insurance
companies.
Puerto
The insurers
Rican
were
-2-2-
Casualty of
Puerto Rico
("CNA"), which
insured Puerto
Fieldman when he
rented
the
car; and
Weiner, Ostrager,
USF&G, which
Fieldman, and
had
issued a
policy to
Jersey law
the cases
were
consolidated,
Fieldman filed
firm's
automobile
insurance
named insured
was
USF&G
and did
vacationing in Puerto
policy.
not cover
Fieldman when
denied
as
he was
9, 1990,
against USF&G.
she
too
He
was covered
by the
policy
USF&G
for family
she was
Fieldman
members
of
individual partners
to partnership business.
portion of
argued that
policy because
accidents unrelated
contest this
summary judgment
-3-3-
in
judgment
on
the ground
that the
insurance policy
did not
magistrate
judge to
whom
the
case was
referred
He concluded that
the USF&G policy was ambiguous and, applying Puerto Rico law,
he construed the policy in favor of Fieldman.
the
magistrate
judge said
payment
of claims
estopped
from
that
because
for partners'
arguing
partnership-related
that
of USF&G's
family members,
coverage
activities.
Alternatively,
The
was
prior
USF&G was
limited
to
USF&G
and
reconsideration under
argued
that the
Blacketor asked
covered
policy
for a
USF&G filed a
Civ. P.
did not
ruling that
on February
motion to
60(b)(6),
USF&G's past
filed
motions
59(e).
cover the
for
USF&G again
accident, while
Both requests
was
were denied on
favor of Fieldman
P.
Fed. R.
February 4,
Civ.
Blacketor
On May 31,
relying
practice.
20, 1991.
upon new
under Fed.
evidence
1991,
to
R.
explain
recommended a
denial
-4-4-
of $750,000 to be
April
18,
settlement.
$300,000
The
each,
1991,
the
how
judge
approved
the
district
to apportion shares.
the $750,000
to
contribute
$150,000.
These
liability should
be shared
among the
insurers.
Finally, on June 17, 1993, the district judge ruled that
each insurer should bear a share of the settlement
in
This
proportion to
its
own policy's
allocated
upper liability
limit.
policies,
bore a
its
limit.
of $500,000; based
on the upper
or $267,857.14.
The
was as follows:
Carrier
_______
Policy Limit
____________
Insured
_______
Liability Share
_______________
USF&G
$500,000
Fieldman
$267,857.14
-5-5-
CNA
$300,000
Fieldman
$160,714.29
CNA
$300,000
PR Cars
$160,714.29
Blacketor
$160,714.29
Farmers
$300,000
__________
$1,400,000
$749,999.91
__________
expenses.
In addition, the
also covered
to
day.
reimburse Farmers
defending
Blacketor.
for
expenses incurred
A final judgment
Blacketor was
by Farmers
in
question.
In
it
contends
the accident
that the
policy
that no
such a
case, we
posture that
USF&G.
has left
In
the
be
____________________
1Following the appeal, it appears that CNA advised the
district court that its Puerto Rican Cars policy limit was
$500,000, rather than the $300,000 assumed by the district
court.
A motion to adopt amended figures has been filed
without opposition but has not yet been granted.
The
substitution of the asserted new figures--CNA ($375,000),
USF&G ($234,375) and Farmers ($140,625)--would not affect the
issues presented on this appeal.
-6-6-
start, as
policy language.
is
proper in
contract
cases, with
the
as the "named
being
given
stated
as the
the
defined
that
to
named
that "`you'
as
business address
insured's address.
The policy
named
insured . . .
in detail
."
elsewhere in
For liability
the policy,
coverage,
USF&G promised
policy
limit--on
accidents
involving
covered
automobiles.
Which automobiles were "covered" was the subject of item
2 of the
Autos."
of
insurance
coverage.
policy
For
liability coverage,
terms insured
"covered
of liability coverage,
the
law firm
of Weiner,
-7-7-
If the language of
we would agree
liability
reason
is that
liability due
the
with USF&G
incurred
transportation
by
The
insures the
to automobile accidents.
be
liable
category
or
partnership against
In the
for automobile
that
the
cover
in
would not
of
the policy
partner
in isolation,
course
partnership would
growing
normal case
accidents
that
the
partnership
bears
any
Cas. Ins. Co., 549 So. 2d 793 (Fla. App. 5th Dist. 1989).
____________
But Fieldman and Blacketor have a second string to their
bow.
They argue
that whatever
the
bare language
of the
regardless
conducted
of
at
partnership
the time
underpins two
is that the
whether
of
business
the accident.
being
This allegation
was
One argument
light of actual
the other is
that
-8-8-
given to understand
the
of
and
of
partnership
were
that it covered
used by
business;
his wife
and himself
that insurance
but never
on
coverage certificates
unrelated
paid claims
to partnership
without question
business, where
on accidents,
his wife
was the
driver.
Remarkably,
when
USF&G filed
its
opposition,
it did
not
trouble to
address these
asserted
that
the
contentions directly.
policy
did
not
Rather, it
cover
non-business
considering Fieldman
so
clearly
evidence is
comes
admissible to
in different
both in kind
ambiguity
courts
excluded
types and
and extrinsic
that
construe it.
and degree.
often do
coverage
evidence is
not agree
with one
extrinsic
Extrinsic evidence
weight, and
In truth, the
no
ambiguities vary
law on questions of
clouded in
confusion:
another and
what they
-9-9-
3 A. Corbin, Contracts
542A (1960).
_________
The
us
precedents in the
doubtful
Puerto
whether in
the
New
Jersey or
clear policy
"practical
by the
is often
past practice,
policies should
to deserve
"great
courts in
The
language, as evidenced
said
A. Farnsworth, Contracts
_________
insurance
another matter).
construction" of contract
parties' actions,
weight,"
while
(estoppel is
But
said that
according to
their
all events,
extrinsic-evidence
we
issue
need not
definitively resolve
because in
this
case
we face
the
a
____________________
2We say "jurisdictions" because this appeal has been
briefed on the premise that Puerto Rico law governs the
interpretation of the USF&G agreement. This assumption is at
least doubtful: the policy was made in New Jersey to provide
automobile insurance for a New Jersey law firm. There is no
indication that Puerto Rico has any connection with either
the insurer or the law firm that would lead its courts to
apply Puerto Rico law to the policy.
3Compare Flint Frozen Foods, Inc. v. Firemen's Ins. Co.,
_______ ________________________
__________________
86 A.2d 673, 674 (N.J. 1952) (terms of policy govern) and
Velez-Gomez v. SMA Life Assur. Co., 8 F.3d 873 (1st Cir.
___________
_____________________
1993) (same under Puerto Rico law) with Kearny PBA Local No.
____________________
21 v. Town of Kearny, 405 A.2d 393, 400 (N.J. 1979)
__
________________
("polestar" is intent of parties descended by any means
including "the parties' conduct"), and Merle v. West Bend
_____
Co., 97 P.R.R. 392, 399 (P.R. 1969) (same).
___
_________
-10-10-
singular circumstance:
does
not mean
record
its
language
had
been
denied
at USF&G
did not
what
reconsideration
someone
USF&G
seems
by
apparently woke up
reflect an
to
the
the policy
say.
After
district
and realized
adequate explanation
court,
that the
of USF&G's
On May
31, 1991, USF&G filed a motion for relief from judgment under
Fed. R. Civ.
spelled
P. 60(b)(6).
out a
This motion
possible explanation
by USF&G
time
to Fieldman's
by Fieldman
business, were
paid because
in
USF&G paid
these
circumstances
related to the
the
policy
did
business."
and some
claims
documents
(sic)
relating
not
pages from
to family
to USF&G pertaining to
member
specific
cars.4
____________________
4The pages from the policy show that certain cars were
listed as owned by "the insured" but the policy does not
explain that these are actually owned not by the insured (the
-11-11-
(owned or
owned
driven
first,
it covered
partnership
premium,
business;
the policy
by individual
and
second, based
"any" automobile
in connection with
on
an additional
covered listed
automobiles (apparently
partners)
all accidents,
for
whether
use
had
any
connection
with
of coverage
the
liability
out
policy
that
the
insurer
on the underlying
this coverage
covered
but did
not
business.
guess
not spell
the partnership's
some
"pancaked"
non-business
the
business policy
in precise
clearly define
not be
language.
automobile
limits of
that
coverage.
However one might construe the policy language judged in
a vacuum, we
unusual
case to
liability to
conclude
policy language
that the
in
consideration
some
of
here, the
circumstances.
actual
limits
practice
If
to
the
we
limit
statements
our
of
____________________
law firm) but by individual partners. Nor does the policy
provide explicitly that these cars are covered for nonbusiness use.
-12-12-
Fieldman
in
his
summary
judgment
the matter
whether
the
Rule
motion--statements
not
interpretation--then past
in his
favor.5
60(b) motion
The question
should
have
been
and therefore to
a trial to
resolve the
factual conflict.
The Rule 60(b)
claiming that it was
any
additional
referred
premiums
had been
to the magistrate
recommended that
Fieldman
paid.
judge who on
it be denied:
The motion
his
summary
judgment
he said that
motion;
was
that
that
USF&G
it
had
On review, the
____________________
5We ignore the possibility that what Fieldman might have
been entitled to is a jury trial and not a summary judgment
in his favor.
When and whether the district court should
take a contract issue to be a matter for the judge rather
than the jury where the contract is ambiguous but the
illuminating extrinsic evidence is undisputed and presents
issues of some difficulty. USF&G has not sought reversal on
the ground that the issue of policy interpretation on
undisputed facts was for the jury rather than the judge, and
we will not pursue this possibility further.
-13-13-
in
district
motion.
court
to
deny
Fieldman's
summary
judgment
an affidavit should
have been
supplied to
show
that an extra premium was paid and that the only non-business
claims ever paid were
On
the other
it, came
explanation by
too late.
The time
limited support
for USF&G
to submit its
opposition was in April 1990, not in May 1991, long after the
summary judgment
record
even begins
to show
granted.
due diligence
Nothing
by USF&G,
the
Teamsters
_________
proper time.
in this
or to
documents at
F.2d
17 (1st
Cir. 1992).6
years of litigation
The
notion that
after several
over to
Thus, we need
____________________
6The motion, although filed under Rule 60(b)(6), appears
more properly based on "excusable
neglect" under Rule
60(b)(1), although the neglect here has not been excused. In
any event the motion certainly does not demonstrate the
"extraordinary circumstances" required for a motion under
Rule 60(b)(6). See Gonzalez v. Walgreens Co., 918 F.2d 303,
___ ________
____________
305 (1st Cir. 1990).
-14-14-
by Fieldman, a
claim
be a considerable
of insurance
In light
of the
coverage to
own, hire
or
borrow".
USF&G
has
a covered
not
denied
auto
that
Blacketor was
driving the
Whether
some
division of
________
the
Farmers
expenses
permission.
between USF&G
and
appeal.
This outcome may appear at first blush to be a harsh one
for USF&G, for it could well have
literal
issues posed
to a
use.
it might at
remand for a
the factual
trial on
-15-15-
F.2d 950,
953 (1st
Cir.
1987).
worlds.
Few
tears
assertions
should be
shed
USF&G.
the policy
was not
description of the
original
so limited.
Its
other
circumstances to
quite different
reason
Its
for
is poorly supported.
parties
face the
should
be
There
is no
in
these
forced
expense of further
litigation to
contends that
the
even
insurance coverage
to
the
upper
it argues inter
_____
up to
the policy
if it
is
should
coverage limits
alia that each
____
limits of that
liable under
not
of
be apportioned
each
policy.
its
On this
law as
determinative.7
____________________
7This issue, unlike the question of USF&G's policy
coverage, involves a rule to apportion liability where
several different contracts (including two made in Puerto
Rico) conflict as applied to an accident occurring in Puerto
Rico. Since all parties agree that Puerto Rico law controls,
we forego an independent choice of law analysis. See, e.g.,
___ ____
Each of the
policies, we are
insurance" clause
insurer's liability
told, contains an
be in
Cir. 1987).
amounts due
v.
1077
impressed the
clauses
they conflict.
when
excess in
"other
See
___
Insurance Law
_____________
3.11(a)(3),
court properly
R.
"other insurance"
Keeton &
at 258-59 (1988).
A. Widiss,
The
district
apportion liability
among carriers
where liability
is less
followed in
____________________
n.1 (1st Cir. 1993).
8The "other insurance" clause of the USF&G policy, the
only policy furnished to us on appeal, states:
1.
2.
majority
of
jurisdictions,
that
liability
should
be
See,
___
London, 365 F.2d 659 (10th Cir. 1966); R. Keeton & A. Widiss,
______
supra,
_____
3.11(a)(3).
USF&G
rule.
Interestingly,
the USF&G
policy (quoted
above) itself
two
policies at
be applied where
the accident on
If (as represented to
us) each of
its coverage
as excess,
Cf. Aviles
___ ______
v.
(where the
Burgos,
______
policies
783 F.2d
adopt
the
270, 282
same
(1st
Cir. 1986)
apportionment
rule
it
governs
automatically).
The parties have not cited to us any caselaw from Puerto
Rico courts
that directly
governs the
apportionment issue.
(adopting
the so-called
equal
shares
(4th Cir.
rule); and
-18-18-
3(11)(e).
In
truth,
we
have
little
basis
for
saying
rule in
alternatives
proposed
shortcomings.
The
purports
most jurisdictions,
appears
to
and none
be
without
of the
some
disclaim
Puerto Rico
reexamining that
primary
courts or
rule, we think
the conflicting
coverage.
a more
Absent
persuasive
that Puerto
It is still
Rico
-19-19-