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Unambiguous Limitation of Liability to $10,000 Should Have Been Enforced

The Second Department determined summary judgment should have been granted to defendant insurer. A fire damaged school dormitories. The insurer paid for the repair but paid only $10,000 toward the more than $200,000 the school paid to relocate the students. The court determined that the policy was unambiguous and the $10,000 limit was properly applied to the relocation costs. The court explained the relevant analytical principles:

In construing policy provisions defining the scope of coverage pursuant to a policy of insurance, courts ” first look to the language of the policy'” …, reading it ” in light of common speech and the reasonable expectations of a businessperson'” …, and in a manner that ” leaves no provision without force and effect'” … . The unambiguous terms of an insurance contract must be given their plain and ordinary meaning, and the interpretation of such terms is a question of law for the court … . Where an ” agreement on its face is reasonably susceptible of only one meaning, a court is not free to alter the contract to reflect its personal notions of fairness and equity'” … . However, if the terms of the policy are ambiguous, any ambiguity must be construed in favor of the insured and against the insurer … .

Here, the defendant established its prima facie entitlement to judgment as a matter of law. The $10,000 limitation was at the end of the pertinent “Additional Coverage” section 5 titled “Institutional Income and Extra Expense.” The limitation stated that the most the defendant “will pay under this Additional Coverage for Institutional Income and Extra Expense is $10,000, unless a higher limit is shown on the Declarations Page.” There was no such higher limit shown on that page. Contrary to the plaintiff’s contention, there was no ambiguity in this additional coverage. Viznitz v Church Mut. Ins. Co., 2015 NY Slip Op 07648, 2nd Dept 10-21-15

 

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