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Maternity Wearhouse Inc. v. Starr Indem. & Liab. Co.

Citation: 2022 NY Slip Op 05925Docket: Index No. 653782/19 Appeal No. 16495 Case No. 2021-04685

Court: Appellate Division of the Supreme Court of the State of New York; October 20, 2022; New York; State Appellate Court

Original Court Document: View Document

Narrative Opinion Summary

In the case of Maternity Wearhouse Inc. versus Starr Indemnity and Liability Company, the plaintiff appealed a decision granting summary judgment in favor of the defendant, which dismissed the plaintiff's complaint for insurance coverage related to a June 2018 water leak. The appellate court affirmed the lower court's decision, agreeing that the insurance policy's exclusion for flood damage caused by sewer line backup applied. The defendant supported its denial of coverage with an affidavit from a plumbing company's service manager, who confirmed the leak was due to a sewer line backup. The plaintiff's attempt to counter the exclusion with an affidavit from another plumber, engaged months after the incident, was found insufficient and speculative. The appellate court upheld the lower court's ruling, concluding that the plaintiff failed to provide admissible evidence to challenge the exclusion, reinforcing the summary judgment in favor of the defendant.

Legal Issues Addressed

Admissibility of Evidence in Summary Judgment

Application: The court evaluated the admissibility of evidence presented in affidavits and found the defendant's evidence sufficient despite some unsworn reports, while the plaintiff's evidence was deemed speculative and inadmissible.

Reasoning: Despite the underlying reports being unsworn and inadmissible, the affidavits indicated that the insurance company concluded the leak was due to sewer line backup.

Burden of Proof in Insurance Claims

Application: The burden was on the plaintiff to provide sufficient admissible evidence to counter the defendant's claim of an exclusion, which the plaintiff failed to do, leading to the dismissal of their complaint.

Reasoning: The court found this evidence insufficient, as there was no admissible proof that any leak persisted from June 2018 to the time the second plumber was engaged.

Insurance Coverage Exclusion

Application: The court applied the insurance policy's exclusion clause to deny coverage for the water leak, as it was determined to be caused by a sewer line backup, which the policy expressly excluded.

Reasoning: The case centered on a claimed loss from a June 2018 water leak, which the defendant asserted was not covered by the insurance policy due to a specific exclusion for flood damage caused by sewer line backup, with a $2,000 limit.