Miller v. Fireman's Fund Insurance

This is an action on a fire insurance policy. The cause was tried before a jury. A large number of special issues was found in favor of plaintiffs’ contention and the general verdict was for said plaintiffs in the sum of $2,-586.35, the amount covered by the policy being $3,265. Judgment was entered accordingly, from which and from the order denying a motion for a new trial the appeal has been taken.

The main reliance of appellant is upon the defense set out in the answer, to the effect that the insured, H. T. Miller, at the time he made his application for the policy, “willfully and fraudulently and with a false and fraudulent purpose and with the intention of thereby securing more insurance on said property than he should have had and for the purpose of deceiving defendant,” represented the property to be of much greater value than it was, and also that the proof of loss was willfully false in that it contained a statement of property that was not destroyed, particularly nine thousand two hundred feet of two-inch flooring and twenty thousand shingles, and it also contained the statement that at the time of said fire there was no mortgage on the said above-described property, while in fact, at the time of said fire, there was a mortgage on said property held by plaintiff J. Johansen.

In regard to the first contention it is sufficient to say that there was evidence that the property was as valuable as appellant claims it was represented by the insured sufficient to support the finding of the jury, and again it appears in the testimony that the agent of the insurance company was familiar with the property and made out, the application for respondent Miller, fixing the insurable value of said property, and the company afterward requested said respondent to have the amount of the insurance increased. Hence it might be plausibly contended that appellant is in no position to question the said value. Granting that there was evidence to the contrary, it does not present a question of law. The

As to the proof of loss, it is admitted by respondents that the statement was erroneous as to the mortgage and also as to the two-inch flooring. If willfully false it would avoid the policy. It is so provided in the following clause of the policy: “This entire policy shall be void if the insured has concealed or misrepresented in writing or otherwise any material fact or circumstance concerning this insurance or the subject thereof or if the interest of the insured in the property be not fully stated therein or in case of any fraud or false swearing by the insured touching any matter relating to the insurance or the subject thereof whether before or after a loss. ’ ’

Citation of authorities is hardly needed upon such a proposition. Reference may be had, however, if desired, to the following eases cited by appellant for further discussion of the question: Claflin v. Commonwealth Ins. Co., 110 U. S. 81 , [ 3 Sup. Ct. Rep. 507 ]; Rovinsky v. Northern Assur. Co., 100 Me. 112 , [ 60 Atl. 1025 ]; Lewis v. Council Bluffs Ins. Co., 63 Iowa, 193 , [ 18 N. W. 888 ].

But it is well established that the untrue statement, in order to avoid the policy, must have been knowingly and intentionally made by the insured with knowledge of its falsity and with the intention of defrauding the company. (Clark v. Phenix Ins. Co., 36 Cal. 168 ; Helbing v. Svea Ins. Co., 54 Cal. 156 , [ 35 Am. Rep. 72 ]; Greiss v. State etc. Co., 98 Cal. 241 , [ 33 Pac. 195 ] ; West Coast Lumber Co. v. State Ins. Co., 98 Cal. 502 , [ 33 Pac. 258 ].)

Again, whether a false statement was so made is a question of fact for the jury. (Home Ins. Co. of New York v. Mendenhall, 164 Ill. 458 , [ 45 N. E. 1078 ].)

If such a state of facts is presented as leaves a reasonable presumption of mistake or misapprehension on the part of the person swearing to the proofs of loss, such presumption should be indulged in preference to that of willful false swearing. (West Coast Lumber Co. v. State Ins. Co., 98 Cal. 502 , [ 33 Pac. 258 ].) A mere discrepancy does not create a presumption as a matter of law that the insured contemplated fraud when his statements were made. (Helbing v. Svea Ins. Co., 54 Cal. 156 , [ 35 Am. Rep. 72 ].)

Again, complaint is made of the following instruction given by the court of its own motion: “If you find from the evidence that the proofs of loss signed and sworn to on the third day of October, 1904, and introduced in evidence, were made out and prepared by E. P. Farnsworth in the capacity of adjuster, duly appointed and authorized by defendant Insurance Company to ascertain and adjust the loss occasioned by the fire alleged in the complaint; and you further find that at the time plaintiff Miller signed and swore to said proofs of loss and delivered them to said Insurance Company, he had not read or heard read the contents of said proofs of loss and did not know the contents thereof, then I instruct you that any misstatements therein contained, of which Miller was ignorant, do not work a forfeiture of said policy of insurance or deprive the plaintiffs of the right of recovery thereunder.”

The only objection and exception made to this instruction appear as follows: “Counsel for defendant: If your Honor please, before giving the instructions I desire to object to

The exception is hardly specific enough under the authority of Cavallaro v. Texas etc. Ry. Co., 110 Cal. 348 , [ 52 Am. St. Rep. 94 , 42 Pac. 918 ], and Williams v. Casebeer, 126 Cal. 86 , [ 58 Pac. 380 ], In the former case it is said: “The theory of the ruling is, that exceptions to the charge of a court to the jury ought to point out specifically the portions excepted to, and be made at the time of the trial, in order that the judge may have an opportunity, before the jury retires, to correct any error he may have inadvertently fallen into in drawing up the charge in the hurry and perplexities of the trial.” In that case the exception was as follows: “We desire, if your Honor please, to save an exception to each, every and all of the instructions given by the Court of its own motion."

A general exception is sufficient as to the instructions given at the request of the parties, but, as seen, a different rule prevails as to those given by the court of its own motion. But it is manifest that the instruction is not erroneous. It was based upon evidence introduced by plaintiffs, and it was in harmony with the cases already cited requiring the misstatements to be willful in order to work a forfeiture. The question of negligence is not involved. The law favors the insured to the extent of excusing a careless statement if it does not proceed from a fraudulent and willful intent. Besides, the insurance company could not claim exemption from liability on account of the negligence of plaintiff Miller in making his proof of loss, because no damage was done thereby to defendant, as the mistakes were rectified at the trial.

The criticism of instruction 10 given at the request of plaintiffs is inapt. The clause “Your verdict should be for the plaintiffs” does not require the jury to find for the full amount claimed. Besides, it is made clear by the succeeding portion of the instruction.

Instruction 11 requested by plaintiffs may be a little obscure, but we agree with respondent that the reasonable construction is that if the defendant denied its liability solely by reason “of misrepresentation, fraud or false swearing on the part of the insured” it waived its right to have the loss de

The particular clause in instruction No. 21 made the subject of criticism by appellant seems clear and sound. It directs the jury that “a discrepancy between his statements in his proof of loss and the actual loss proven at the trial, if you find there is any discrepancy which can reasonably be accounted for on the score of opinion, or judgment honestly given, will not make the policy void.” It applies, of course, to every such discrepancy and could not be understood as excusing any other discrepancy not the result of an honest mistake.

Complaint is made also that the court did not submit certain special issues to the jury in the language proposed by defendant. The contention is that the court has no discretion in the matter under section 625 of the Code of Civil Procedure. This position involves an absurdity. If the issue proposed should be irrelevant, ambiguous or unintelligible or a repetition of another issue, it could hardly be maintained that the court could not exclude it. (Plyler v. Pacific Portland Cement Co. (Cal. App.), [ 87 Pac. 395 ].) We think the modifications made by the court were proper. Thirty-four questions of fact were submitted to the jury and they seem to have covered all the issues that were raised by the pleadings. The most important change made by the court was as follows: The defendant requested this: “Did the said plaintiff Miller make and deliver to the defendant company satisfactory proofs of loss ? ’ ’ The court submitted it with the words ‘1 such proofs of loss as were required by said policy of insurance” substituted for “satisfactory proofs of loss.” What was required by the policy is all that the company had a right to demand, and the law compels the defendant to be satisfied with this.

Some eighty-two exceptions were taken to the rulings of the court on the admissibility of evidence during the progress of the trial. To notice them specifically would prolong this opinion to an unreasonable extent and would be of no particular value to the profession. We have examined these rulings. As to be expected of any trial judge under the same circumstances, some errors, were committed, but we are of the opinion that defendant suffered no prejudice thereby.

The judgment and order denying the motion for a new trial are affirmed.

Hart, J., and Chipman, P. J., concurred.

A petition to have the cause heard in the supreme court, after judgment in the district court of appeal, was denied by the supreme court on November 4, 1907.