Davis v. Atlas Assurance Co.

The opinion of the court was delivered by

Gordon, J.

This was an action upon a policy of insurance issued by appellant insuring respondent against loss or damage by fire upon certain laundry machinery and fixtures. The complaint alleges the issuance of the policy, the destruction by fire of the property insured, the furnishing of proofs of loss and non-payment on the part of the company. The answer admits the making of the policy and the fire, denies the amount of damage claimed, and sets up affirmatively that there was a submission to arbitration and an award made, under the terms of which the sum of $1,900 was found to be the loss sustained by plaintiff, and that this amount the appellant stood ready at all times to pay. The reply admits the submission to appraisers, substantially as alleged in the answer, but urges that the award was invalid on account of the fraudulent conduct of the companies in selecting an appraiser and fraudulent conduct of the appraiser selected by the companies in making the appraisement, and that the agreement of submission was not within the agreement and the terms of the policy. The trial which followed resulted in a verdict and judgment for the plaintiff, and the defendant has appealed.

1. The first contention is that the court erred in overruling a demurrer to the complaint. The ground upon which this objection proceeds is that the complaint does not anywhere show that the insured and the company had reached an adjustment regarding the amount of the loss, or that there had been an appraisement thereof as provided by the terms of the policy. And it is argued in support of the demurrer that the contract of insurance arising upon a policy containing the terms and conditions included in the policy in question is not an agreement on the part of the insurance company to pay any fixed sum, but merely to pay such sum as may be found to be due the insured by an adjustment between the company and the insured, or determined by appraisement in the method pointed out by the policy. In other words, that the contract of insurance requires the company “to pay only such sum as the insured and insurer may agree to be the loss, or if they cannot agree, then that the loss be fixed by the appraisement.” We think that the provisions of the policy in reference to arbitration and appraisement do not require an award of appraisers as a condition precedent to a right of action on the policy, but when a demand has been made by the company for arbitration pursuant to those provisions, the insured’s refusal to arbitrate may be pleaded as a bar to a recovery. It is not essential that the complaint should affirmatively show that no such demand had been made. While a diversity of opinion exists upon this question, we think that the weight of authority in code states sustains this view. Randall v. Phœnix Ins. Co., 10 Mont. 362 (25 Pac. 960); Liverpool, etc., Ins. Co. v. Hall, 1 Kan. App. 18 (41 Pac. 65); Nurney v. Fireman’s Fund Ins. Co., 63 Mich. 633 (30 N. W. 350, 6 Am. St. Rep. 338); Phœnix Ins. Co. v. Badger, 53 Wis. 283 (10 N. W. 504); Wright v. Susquehanna Ins. Co., 110 Pa. St. 29 (20 Atl. 716); Wallace v. German-American Ins. Co., 4 McCrary, 123 (41 Fed. 742); Kahnweiler v. Phenix Ins. Co., 67 Fed. 483.

2. It is next contended that the court erred in overruling the objection of the defendant to the introduction of any evidence and denying defendant’s motion for a judgment upon the pleadings. This contention is that, inasmuch as the pleadings disclose that an award had been made, such award was binding and conclusive on the parties until it was set aside by a competent court. We cannot agree with the claim of appellant that the pleadings show that an award was reached, notwithstanding it appears that arbitration was attempted and failed. However, we think that it was competent for the plaintiff in his reply to assail the award, to show wherein it was of no effect or validity, and thus settle in one action all the differences existing between the parties growing out of the contract of insurance. In Sanford v. Royal Ins. Co., 11 Wash. 653 (40 Pac. 609), this court had occasion to fully examine that question, and, upon the authority of that case, we think that defendant’s motion for judgment upon the pleadings was properly denied.

3. The sufficiency of the evidence to entitle the plaintiff to recover upon the issue submitted to the jury is also made a ground of contention. In substance the record shows that the insurance companies having the insurance upon the property in question attempted, through their adjusters, to agree with respondent upon the amount of loss sustained by him, and, being unable to agree, an appraisement was demanded by them. Respondent acquiesced in this demand and appointed one Confare as his appraiser, and the companies selected one George Gosten as their appraiser. Thereupon the plaintiff furnished these appraisers with a list of the property upon which he claimed to have sustained loss. Thereafter, being unable to agree upon some of the items, the appraisers agreed upon one Jager as umpire. The agreement for arbitration was contained in a printed blank furnished by the adjuster of the appellant. This blank contained provisions which were at variance, and not in accordance, with the terms of the policies. Each appraiser kept a separate list of the items and the amount of the loss. In the main they were able to agree upon the items without appealing to the umpire. The items of losses so kept by the appraisers were upon loose pieces of paper. They concluded their appraisement late in the evening and thereupon the appraiser for the insured signed an award in blank, agreeing that the company’s appraiser should foot up the items and insert the amount thereof in the blank left for that purpose in “the award.” There was some dispute as to whether, at the time Oonfare actually signed the so-called award, the blank had been filled, but we deem it immaterial in view of the other facts herein referred to. Afterwards the companies’ appraiser, Costen, discovered that a mistake had been made in his footings, and that, instead of the items of loss aggregating $1,900, they somewhat exceeded $2,300. Thereupon he sought out Oonfare and proposed to correct the award by signing a statement to the effect that the sum of $1,900 inserted therein was a mistake, but Oonfare refused to have anything more to do with the matter. The so-called award was given to the companies’ adjuster, who thereafter delivered the same to the respondent upon request, and upon respondent’s promise to return it. It further appears that respondent disregarded his promise and retained the same. Appellant claims that it appears from certain correspondence between counsel for the respective parties that the appellant had offered to submit to a new appraisement, if for any reason it should be found that the award of $1,900 was invalid, and that the court erred in submitting to the jury the question of whose fault it was that a new appraisement was not had. But the correspondence referred to must be interpreted in the light of the fact that the company was bound to know what its appraiser knew, namely, that the sum of $1,900 specified in the so-called award was erroneous and had not in fact been agreed upon as the amount of the loss, and that no award had in fact been made. It also should have been known that the agreement for submission was not in accordance with the terms of the policies, inasmuch as the blank form for submission was furnished by its appraiser. Besides, it was conceded by counsel for the appellant, upon the trial below, that the terms of submission to appraisement were not in accordance with the terms of the policy, and that “ by mutual mistake of the appraisers, the amount of the award was not as it had been agreed upon between them.” Under these circumstances we think the court did not err in giving the the following instruction, which is complained of:

“Touching this defense you are instructed, that the arbitration award for nineteen hundred dollars was ineffectual to bind the parties because of the admitted fact that the wrong amount was stated therein; and the arbitrators failing thereafter to make any award, and the parties never having proceeded to a new arbitration, the question here for your determination is as to whose fault was it that no new arbitration was entered upon. If it was by fault of the plaintiff, then he is without right to maintain this action here; but if it was by fault of the defendant company, then the plaintiff may rightfully maintain his action.

“ When the plaintiff and defendant company ascertained and knew that the award made by the arbitrators selected was ineffectual, and that no agreement could be reached by them, it was the duty of the defendant as well as the plaintiff to disclaim right thereunder and proffer readiness to proceed with a new arbitration. If you find from the evidence that the defendant company insisted on holding plaintiff to the terms of the award, after knowing the said fact of a wrong amount therein, and did not disclaim right to hold plaintiff thereto, then the plaintiff had a right to commence and maintain this his action in the court here for the recovery of whatever damage he had sustained by loss or injury to the property described in the policy; but if you find that the defendant company is clear of fault in this respect, then the plaintiff is without right to maintain this action, and your verdict will be for the defendant company.”

From the verdict arrived at we are bound to presume that the jury found that it was the fault of the company that no new arbitration was entered upon, and we are unable to say that such finding is not without sufficient evidence to support it.

4. Instructions Nos. 4, 5, 6, 7, 8 and 11 requested by appellant were properly refused, because the condition of the record did not justify their submission. Nor did the court err in refusing to give instructions Nos. 13 and 14 requested by the defendant. This leads to an affirmance of the judgment.” But there is another reason why the judgment should be affirmed. The agreement for submission, being in terms materially different from that provided by the policy, constituted a waiver of the right to demand a new appraisement pursuant to the terms of the policy.

“ When defendant elected to take an appraisement which was not such as its policy gave it a right to demand and insist upon, it waived whatever right it might otherwise have had to insist upon the appraisement provided for in the policies.” Harrison v. German-American Fire Ins. Co., 67 Fed. 577; Mutual Fire Ins. Co. v. Alvord, 61 Fed. 752; Adams v. N. Y. Bowery Ins Co., 85 Iowa, 6 (51 N. W. 1149).

In the case last cited, the supreme court of Iowa say:

“ By entering into an agreement of submission not in accord with the provisions of the policy, and standing on the validity of an award made under such submission, the defendant must be held to have waived the right (if it had any) to insist that an award must be made in accordance with the terms of the policy before suit could be commenced thereon.”

Affirmed.

Dunbar and Scott, JJ., concur.