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  • Masuda Begum, Motashem Billah v. Associated Mutual Insurance Cooperative, Erhardt Adjustment Co., Inc., All Dry Usa Commercial - Contract document preview
  • Masuda Begum, Motashem Billah v. Associated Mutual Insurance Cooperative, Erhardt Adjustment Co., Inc., All Dry Usa Commercial - Contract document preview
  • Masuda Begum, Motashem Billah v. Associated Mutual Insurance Cooperative, Erhardt Adjustment Co., Inc., All Dry Usa Commercial - Contract document preview
  • Masuda Begum, Motashem Billah v. Associated Mutual Insurance Cooperative, Erhardt Adjustment Co., Inc., All Dry Usa Commercial - Contract document preview
  • Masuda Begum, Motashem Billah v. Associated Mutual Insurance Cooperative, Erhardt Adjustment Co., Inc., All Dry Usa Commercial - Contract document preview
  • Masuda Begum, Motashem Billah v. Associated Mutual Insurance Cooperative, Erhardt Adjustment Co., Inc., All Dry Usa Commercial - Contract document preview
  • Masuda Begum, Motashem Billah v. Associated Mutual Insurance Cooperative, Erhardt Adjustment Co., Inc., All Dry Usa Commercial - Contract document preview
  • Masuda Begum, Motashem Billah v. Associated Mutual Insurance Cooperative, Erhardt Adjustment Co., Inc., All Dry Usa Commercial - Contract document preview
						
                                

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FILED: NASSAU COUNTY CLERK 12/01/2022 07:43 PM INDEX NO. 610946/2022 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 12/01/2022 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NASSAU _______________________________________________ MASUDA BEGUM and MOTASHEM BILLAH, Plaintiffs, vs. ASSOCIATED MUTUAL INSURANCE COOPERATIVE, ERHARDT ADJUSTMENT CO., INC. and ALL DRY USA, Defendants. _______________________________________________ Index No. 610946/2022 _______________________________________________ MEMORANDUM OF LAW IN SUPPORT OF DEFENDANT ERHARDT ADJUSTMENT COMPANY’S MOTION COMPELLING PLAINTIFFS’ ACCEPTANCE OF ERHARDT’S ANSWER AND DISMSSING PLAINTIFFS’ COMPLAINT Respectfully Submitted, Roy A. Mura, Esq. Scott D. Mancuso, Esq. MURA LAW GROUP, PLLC Attorneys for Defendant Erhardt Adjustment Co., Inc. 930 Rand Building 14 Lafayette Square Buffalo, New York 14203 (716) 855-2800 1 of 12 FILED: NASSAU COUNTY CLERK 12/01/2022 07:43 PM INDEX NO. 610946/2022 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 12/01/2022 TABLE OF CONTENTS Table of Authorities ........................................................................................................................ ii Preliminary Statement ......................................................................................................................1 Statement of Facts ............................................................................................................................1 Argument .........................................................................................................................................2 POINT I ALL ELEMENTS EXIST FOR THE COURT TO COMPEL PLAINTIFFS’ ACCEPTANCE OF ERHARDT’S ANSWER UNDER CPLR 3012(D)............................2 POINT II PLAINTIFFS’ COMPLAINT FAILS TO STATE A CAUSE OF ACTION AGAINST ERHARDT BECAUSE, AS A MATTER OF LAW, AN INDEPENDENT ADJUSTER RETAINED BY AN INSURANCE COMPANY DOES NOT OWE A DUTY TO THE INSURANCE COMPANY’S POLICYHOLDER ..............................................................5 Conclusion .......................................................................................................................................8 -i- MURA LAW GROUP, PLLC • 930 RAND BUILDING • 14 LAFAYETTE SQUARE • BUFFALO, NEW YORK 14203 (716) 855-2800 • FAX (716) 855-2816 2 of 12 FILED: NASSAU COUNTY CLERK 12/01/2022 07:43 PM INDEX NO. 610946/2022 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 12/01/2022 TABLE OF AUTHORITIES Statutes CPLR 3012(d) ..................................................................................................................................2 CPLR 3211(a)(7) .............................................................................................................................5 Cases Automatic Findings, Inc. v Miller, 232 AD2d 245 (1st Dept 1996) ................................................6 Bardi v Farmer's Fire Ins. Co., 260 AD2d 783 (3d Dept 1999), lv denied, 96 NY2d 815 .............6 Connaughton v Chipotle Mexican Grill, Inc., 29 NY3d 137 (2017) ...............................................5 Connolly v Long Island Power Authority, 30 NY3d 719 (2018) .....................................................5 Goldner v Kemper Ins. Co., 125 AD2d 954 (4th Dept 1986) ..........................................................6 Louzoun v Moss, 139 AD3d 680 (2d Dept 2016) ............................................................................5 Old Republic Nat. Title Ins. Co. v Salamon, 2021 NY Slip Op 31631(U), 2021 WL 1925640 (Sup Ct, Kings County 2021) ...........................................................................2 Palmieri v New York Property Ins. Underwriting Assn, 2011 NY Slip Op 30724(U), 2011 WL 1212733 (Sup Ct, Suffolk County 2011) .........................................................................5 Yongjie Xu v JJW Enterprises, Inc., 149 AD3d 1146 (2d Dept 2017). ...........................................2 - ii - MURA LAW GROUP, PLLC • 930 RAND BUILDING • 14 LAFAYETTE SQUARE • BUFFALO, NEW YORK 14203 (716) 855-2800 • FAX (716) 855-2816 3 of 12 FILED: NASSAU COUNTY CLERK 12/01/2022 07:43 PM INDEX NO. 610946/2022 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 12/01/2022 PRELIMINARY STATEMENT Defendant, ERHARDT ADJUSTMENT CO., INC. (“Erhardt”), submits this memorandum of law in support of its motion for an order of this Court: (a) pursuant to CPLR 3012(d) compelling plaintiffs to accept Erhardt’s verified answer, dated and filed on November 30, 2022; and (b) pursuant to CPLR 3211(a)(7) dismissing plaintiffs’ complaint as against Erhardt only, in its entirety and with prejduice. As to the first part of this motion, Erhardt request that this Court compel plaintiffs to accept its untimely answer as the record demonstrates that there was only a short delay in answering the complaint under the circumstances, there was no willfulness on Erhardt’s part in not timely answering, there would be no prejudice to the plaintiffs in compelling acceptance of the untimely answer, and a meritorious defense to the plaintiffs’ complaint exists. As to the second part of this motion, there is not only a meritorious defense to the plaintiffs’ complaint, but there is black-letter New York law holding that plaintiffs, categorically, cannot maintain causes of action in negligence or breach of contract against independent insurance adjusters acting as agents for insurance companies. This is precisely the cause of action plaintiffs assert against Erhardt in this action. As such, Erhardt further requests that this Court dismiss plaintiffs’ complaint as against Erhardt only, in its entirety and with prejudice. STATEMENT OF FACTS For a recitation of the procedural and background facts relevant to this motion, see the accompanying affirmation of Roy A. Mura, Esq., the accompanying affirmation of Tamara A. Bland, Esq. and the affidavit of Erhardt’s president and owner, Thomas E. Erhardt. -1- MURA LAW GROUP, PLLC • 930 RAND BUILDING • 14 LAFAYETTE SQUARE • BUFFALO, NEW YORK 14203 (716) 855-2800 • FAX (716) 855-2816 4 of 12 FILED: NASSAU COUNTY CLERK 12/01/2022 07:43 PM INDEX NO. 610946/2022 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 12/01/2022 ARGUMENT POINT I ALL ELEMENTS EXIST FOR THE COURT TO COMPEL PLAINTIFFS’ ACCEPTANCE OF ERHARDT’S ANSWER UNDER CPLR 3012(D) CPLR 3012 (d) provides that: Extension of time to appear or plead. Upon the application of a party, the court may extend the time to appear or plead, or compel the acceptance of a pleading untimely served, upon such terms as may be just and upon a showing of reasonable excuse for delay or default. “In light of the public policy favoring the resolution of cases on their merits, the Supreme Court may compel a plaintiff to accept an untimely answer… where the record demonstrates that there was only a short delay in appearing or answering the complaint, that there was no willfulness on the part of the defendant, that there would be no prejudice to the plaintiff, and that a potentially meritorious defense exists.” Old Republic Nat. Title Ins. Co. v Salamon, 2021 NY Slip Op 31631(U), 2021 WL 1925640 (Sup Ct, Kings County 2021), quoting Yongjie Xu v JJW Enterprises, Inc., 149 AD3d 1146, 1147 (2d Dept 2017). 1. Short Delay Even assuming that the purported personal service of plaintiffs’ summons and complaint on Erhardt on August 29, 2022 was proper, Erhardt’s delay in answering the complaint was only 71 days (September 19, 2022 to November 30, 2022). Under the circumstances, this delay was as short as possible given that Erhardt was operating under the good faith belief that Associated would be providing a defense to it. As soon as Erhardt received indication that Associated would not be providing that defense, it immediately contacted its liability insurer and steps were immediately taken to attempt to secure -2- MURA LAW GROUP, PLLC • 930 RAND BUILDING • 14 LAFAYETTE SQUARE • BUFFALO, NEW YORK 14203 (716) 855-2800 • FAX (716) 855-2816 5 of 12 FILED: NASSAU COUNTY CLERK 12/01/2022 07:43 PM INDEX NO. 610946/2022 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 12/01/2022 an extension to answer the complaint, to retain counsel, to answer the complaint, and now to make the present motion. 2. No Willfulness As set forth in the accompanying affidavit of Thomas E. Erhardt, upon receiving copies of plaintiffs’ summons and complaint, Erhardt forwarded those pleadings to Associated on August 31, 2022 under the good-faith assumption that Associated would be providing a defense to Erhardt in this action. It was not until November 15, 2022 that Erhardt learned that Associated would not be providing a defense to it. Erhardt then immediately forwarded the papers to CPLIC. As set forth in the accompanying affirmation of Tamara A. Bland, Esq., CPLIC then acted immediately to confirm in writing that Associated was not providing Erhardt with a defense. Upon CPLIC learning the same on November 28, 2022, CPLIC then immediately requested an extension of time to answer from plaintiffs’ counsel. (It should be noted that this is a courtesy that is routinely granted in such circumstances.) Regardless, CPLIC also immediately assigned defense counsel to Erhardt and, within hours, retained defense counsel office filed a verified answer. All told, from the moment that CPLIC received confirmation that Erhardt was not being defended in this action, it took less than two days for Erhardt’s answer to be filed. Under these circumstances, it cannot be said that there was any willfulness on the part of Erhardt or CPLIC in not timely answering the plaintiffs’ complaint. Clearly, both parties fully intended to appear and respond to plaintiffs’ complaint, and it was merely a matter of attempting to confirm who might be providing a defense to Erhardt. 3. No Prejudice -3- MURA LAW GROUP, PLLC • 930 RAND BUILDING • 14 LAFAYETTE SQUARE • BUFFALO, NEW YORK 14203 (716) 855-2800 • FAX (716) 855-2816 6 of 12 FILED: NASSAU COUNTY CLERK 12/01/2022 07:43 PM INDEX NO. 610946/2022 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 12/01/2022 Plaintiffs would not be prejudiced by this Court granting Erhardt’s motion to compel their acceptance of its answer. Indeed, plaintiffs purportedly served Associated only approximately a month and a half ago, on October 17, 2022 (NYSCEF Doc. No. 6). Defendant All Dry answered and counterclaimed against plaintiffs on October 6, 2022 (NYSCEF Doc. No. 4). With Associated yet to appear in this action, discovery presumably has not yet taken place. 4. Meritorious Defense As set forth more fully below, New York case law makes clear that an independent insurance adjuster or adjustment company acting as the disclosed agent of a policyholder’s insurer in adjusting the policyholder’s reported loss owes no contractual or common law duty to the policyholder and cannot not be held liable to the policyholder on either a breach of contract or negligence basis. Plaintiffs’ complaint acknowledges that Erhardt was retained by Associated to adjust plaintiffs’ reported loss (Complaint ¶ 15) and was acting as Associated’s agent in doing so (Complaint ¶ 29). Plaintiffs’ complaint asserts only a single cause of action against Erhardt based on Erhardt’s alleged negligence in “inspecting the [plaintiffs’] premises” (Complaint ¶ 30). Under the well-established and longstanding New York caselaw cited and outlined below, Erhardt possesses a meritorious defense to plaintiffs’ complaint. Based on these demonstrations, this Court may and, in line with New York’s public policy favoring the resolution of cases on their merits, respectfully should compel plaintiffs to accept Erhardt’s verified answer that was filed on November 30, 2022. POINT II PLAINTIFFS’ COMPLAINT FAILS TO STATE A CAUSE OF ACTION AGAINST ERHARDT BECAUSE, AS A MATTER OF LAW, AN INDEPENDENT ADJUSTER RETAINED BY AN INSURANCE COMPANY DOES NOT OWE A DUTY TO THE INSURANCE COMPANY’S POLICYHOLDER -4- MURA LAW GROUP, PLLC • 930 RAND BUILDING • 14 LAFAYETTE SQUARE • BUFFALO, NEW YORK 14203 (716) 855-2800 • FAX (716) 855-2816 7 of 12 FILED: NASSAU COUNTY CLERK 12/01/2022 07:43 PM INDEX NO. 610946/2022 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 12/01/2022 CPLR 3211(a)(7) states that a “party may move for judgment dismissing one or more causes of action asserted against him on the ground that” “the pleading fails to state a cause of action.” On a CPLR 3211(a)(7) motion to dismiss, “defendants bear the burden of establishing that the complaint fails to state a viable cause of action.” Connolly v Long Island Power Authority, 30 NY3d 719 (2018). While courts must accept the facts alleged in the complaint as true, “allegations consisting of bare legal conclusions… are not entitled to any such consideration”. Connaughton v Chipotle Mexican Grill, Inc., 29 NY3d 137 (2017); accord Louzoun v Moss, 139 AD3d 680 (2d Dept. 2016) (“dismissal is warranted where the allegations in the complaint are merely conclusory and speculative”). Plaintiffs’ complaint as against Erhardt fails to state a cause of action because, as a matter of law, the disclosed agent of an insurer—such as an independent insurance adjuster or adjustment company—cannot be held liable for the insurer’s alleged breach of the policy and owes no duty to the insurer’s policyholders. In Palmieri v New York Property Ins. Underwriting Assn. (2011 NY Slip Op 30724[U], 2011 WL 1212733 [Sup. Ct., Suffolk Co. 2011]), the plaintiff commenced an action against James H. Mason’s Sons, Inc. (“Mason”), an independent adjusting firm hired by the defendant insurer to investigate and adjust the plaintiff's claim. Mason sought to dismiss plaintiff’s complaint in its entirety as against it, alleging that as “an independent insurance adjuster, it has no common law or contractual duty to the insured.” Id. Supreme Court agreed, stating that it was “undisputed that Mason was retained by [the insurer] as an independent adjuster to investigate and handle the first-party property claim made by plaintiff.” The plaintiff “submitted his claim under the subject policy issued by [the -5- MURA LAW GROUP, PLLC • 930 RAND BUILDING • 14 LAFAYETTE SQUARE • BUFFALO, NEW YORK 14203 (716) 855-2800 • FAX (716) 855-2816 8 of 12 FILED: NASSAU COUNTY CLERK 12/01/2022 07:43 PM INDEX NO. 610946/2022 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 12/01/2022 insurer], which policy forms the basis of the plaintiff's breach of contract action against his insurer.” It was also undisputed that the insurance policy was “solely between [plaintiff] and [the insurer], and that Mason was not a party to the contract and had no privity with the plaintiff.” The Palmieri court also noted that there “are no allegations that the plaintiff retained the independent adjuster Mason. Absent any privity between plaintiff and Mason, and absent any duty on the part of the independent adjuster to plaintiff, there is no basis for the stated causes of action to stand against Mason.” Id. See Bardi v Farmer's Fire Ins. Co., 260 AD2d 783 (3d Dept 1999), Iv denied, 96 NY2d 815; Automatic Findings, Inc. v Miller, 232 AD2d 245, 246 (1st Dept 1996) (“Defendants were clearly agents of the insurance company and were acting in the scope of their authority when they investigated the claim and may not be held liable for damages arising from the insurance company's decision to deny the claim.” “The relationship between defendants, who investigated the claim, and plaintiffs, who were seeking coverage under a policy of insurance, is not one that is so close as to approach that of privity.”) The Palmieri went on further to state that “[i]n addition, independent adjusters have no duty towards an insured whose claim is not paid by the insurer, inasmuch as the duty of the adjuster runs exclusively to the insurer and does not extend in the performance of their investigation toward the insured.” Id., citing Goldner v Kemper Ins. Co., 125 AD2d 954, 954–55 (4th Dept 1986) (“Liability for negligent conduct may be imposed only if it can be established that the defendants owe a duty to the plaintiffs. [The independent adjusters] had a duty under their contract with [the insurance company] to investigate and report on the fire loss in a nonnegligent manner. That duty did not extend to plaintiffs.”) Based on this case law, the court in Palmieri dismissed the plaintiff’s complaint as against the independent adjuster. -6- MURA LAW GROUP, PLLC • 930 RAND BUILDING • 14 LAFAYETTE SQUARE • BUFFALO, NEW YORK 14203 (716) 855-2800 • FAX (716) 855-2816 9 of 12 FILED: NASSAU COUNTY CLERK 12/01/2022 07:43 PM INDEX NO. 610946/2022 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 12/01/2022 The New York case law is clear. Independent adjusters retained and disclosed as agents of the policyholders’ insurance company to investigate a claimed loss have no duty to those policyholders, as a matter of law. Additionally, and similarly, independent adjusters, retained as disclosed agents of an insurance company to investigate a claimed loss have no privity of contract with the policyholders who made the claim to the insurance company, as a matter of law. The Second Cause of Action of plaintiffs’ complaint is directed at Erhardt and sounds in “Negligence” (NYSCEF Doc. No. 1, ¶28-33). The plaintiffs’ complaint sets forth no other cause of action against Erhardt. Plaintiffs’ complaint accurately alleges that Erhardt was an “agent of Associated” (NYSCEF Doc. No. 1, ¶29). However, that same paragraph goes on to allege, incorrectly, that this means Erhardt “owed a duty of care to Plaintiffs.” Id. If Erhardt owed a duty of care to anyone, it could only be to Associated. New York case law is clear: Erhardt, as an independent adjuster retained by Associated, owed no duty to the plaintiffs. Without any duty owed by Erhardt to plaintiffs, plaintiffs’ sole, “Second” cause of action sounding in negligence against Erhardt fails to state a cognizable claim. For the same reasons, even if plaintiffs were to argue and this Court were to agree that the complaint asserts a breach of contract theory of liability against Erhardt, it would still fail to state a cognizable cause of action as against Erhardt; New York case law is legion that the disclosed agent of an insurer, such as Erhardt, cannot be held liable for the insurer’s alleged breach of the policy. Moreover, because the plaintiffs’ complaint alleges no contractual relationship between the plaintiffs and Erhardt sufficient to constitute privity, Erhardt cannot be liable directly to plaintiffs on a breach of contract basis. -7- MURA LAW GROUP, PLLC • 930 RAND BUILDING • 14 LAFAYETTE SQUARE • BUFFALO, NEW YORK 14203 (716) 855-2800 • FAX (716) 855-2816 10 of 12 FILED: NASSAU COUNTY CLERK 12/01/2022 07:43 PM INDEX NO. 610946/2022 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 12/01/2022 CONCLUSION For the foregoing reasons, Erhardt respectfully request that this Court grant an order pursuant to CPLR 3012(d) compelling plaintiffs to accept Erhardt’s untimely answer and then, pursuant to CPLR 3211(a)(7), dismissing plaintiffs’ complaint as against Erhardt in its entirety and with prejudice. DATED: Buffalo, New York December 1, 2022 __________________________________________ Roy A. Mura, Esq. -8- MURA LAW GROUP, PLLC • 930 RAND BUILDING • 14 LAFAYETTE SQUARE • BUFFALO, NEW YORK 14203 (716) 855-2800 • FAX (716) 855-2816 11 of 12 FILED: NASSAU COUNTY CLERK 12/01/2022 07:43 PM INDEX NO. 610946/2022 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 12/01/2022 22 NYCRR § 202.8-b Word Count Certification The total number of words in the foregoing Memorandum of Law, exclusive of the caption, table of contents, table of authorities, and signature block, as calculated by the word- processing system used to prepare the document, is 2,098 words. I certify that that the document complies with the 7,000-word-count limit of 22 NYCRR § 202.8-b(a). DATED: Buffalo, New York December 1, 2022 __________________________________________ Roy A. Mura, Esq. -9- MURA LAW GROUP, PLLC • 930 RAND BUILDING • 14 LAFAYETTE SQUARE • BUFFALO, NEW YORK 14203 (716) 855-2800 • FAX (716) 855-2816 12 of 12