Hamilton v. Home Ins. Co., 137 U.S. 370 (1890)
Hamilton v. Home Ins. Co., 137 U.S. 370 (1890)
370
11 S.Ct. 133
34 L.Ed. 708
HAMILTON
v.
HOME INS. CO.
December 15, 1890.
This was an action, brought June 26, 1886, upon a policyof insurance, numbered
3,190, by which the Home Insurance Company of New York insured Robert
Hamilton for one year from February 23, 1886, on a stock of tobacco in his
warehouse at 413 and 415 Madison street in Covington in the state of Kentucky,
against loss or damage by fire to the amount of $5,000, 'to be paid sixty days after
due notice and proofs of the same shall have been made by the assured and received
at the office of the company in New York.' The policy, after providing that it case of
loss the assured should forth with give notice, and as soon afterwards as possible
furnish proofs of loss, with a magistrate's certificate, submit to examination on oath,
and produce books and vouchers, and copies of lost books and invoices, further
provided, among other things, as follows: 'When personal property is damaged, the
assured shall forth with cause it to be put in order, assorting and arranging the
various articles, according to their kinds, separating the damaged from the
undamaged, and shall cause an inventory to be made and furnished to the company
of the whole, naming the quantity, quality, and cost of each article. The amount of
sound value and of damage shall then be ascertained by appraisal of each article by
competent persons (not interested in the loss as creditors or otherwise, nor related
to the assured or sufferers) to be mutually appointed by the assured and the
company, their report in writing to be made under oath before any magistrate, or
other properly commissioned person, one-half of the appraisers' fees to be paid by
the assured. The company reserves the right to take the whole or any part of the
articles at their appraised value; and, until such proofs, declarations, and
certificates are produced, and examinations and appraisals permitted by the
claimant, the loss shall not be payable.' 'But provided, in case differences shall arise
touching any loss or damage, after proof thereof has been received in due form, the
matter shall, at the written request of either party, by submitted to impartial
arbitrators, whose award in writing shall be binding on the parties as to the amount
of such loss or damage, but shall not decide the liability of the company under this
policy.' 'And it is hereby understood and agreed by and between this company and
the assured that this policy is made and accepted in reference to the foregoing terms
and conditions, and to the classes of hazards and memoranda printed on the back of
this policy, which are hereby declared to be a part of this contract, and are to be
used and resorted to in order to determine the rights and obligations of the parties
hereto in all cases not herein otherwise specially provided for in writing.' The
answer admitted the execution of the policy, and notice of loss; put in issue the
amount of loss; denied that the plaintiff ever delivered due proofs of loss, or had
performed the conditions of the policy on his part; and, after reciting the substance
of the provisions above quoted, alleged as follows: 'And the defendant says that
differences having arisen touching the loss and damage sustained by said plaintiff
under said policy and the amount thereof, the plaintiff claiming a loss of $40,000,
and the defendant claiming and believing that it was slight and but a very small part
of said sum, and being unable to agree upon the amount of said loss, this defendant
requested and demanded in writing that the amount of such loss and damage should
be submitted to and ascertained and determined by impartial arbitrators, whose
award in writing should be binding upon the parties as to the amount of loss or
damage, but should not decide the liability of the company under said policy. And
the said defendant further says that the plaintiff wholly disregarded the terms and
conditions of said policy in that respect, and neglected and refused to have such
arbitration, and refused to choose or submit to arbitrators chosen in accordance
with the terms and provisions of said policy the amount of the loss or damage by fire
o the property covered by said policy, and refused to be governed in the
ascertainment of said loss by any of the terms and conditions of said policy, and,
against the protest of the defendant, proceeded to and did sell all of said property at
auction. An arbitration and the ascertainment of the said loss thereby, as provided
in said policy, became impossible, and this defendant was deprived of its rights and
privileges under said policy with respect to said property and the appraisement
thereof. This defendant further says that the damage done to the property insured
was of such a nature as to require a careful and scrutinizing examination to
ascertain the injury thereto and loss thereon, and that an appraisement by
arbitrators, as required by the terms and conditions of said policy, was of the
greatest importance to the defendant, and the only means under said policy whereby
the exact amount of damage and injury sustained by said plaintiff upon said
property could be determined; and the said plaintiff, by the sale of said property,
and in disregarding the terms and conditions of said policy in that respect, wholly
deprived this defendant of the right to an arbitration, as provided in said policy, and
all other rights in respect to the property so injured or damaged by said fire. The
defendant further says that by reason of the failure and refusal of said plaintiff to
agree upon arbitrators to determine the amount of the loss and damage so sustained
as aforesaid, and his refusal to submit the amount of such loss to arbitration in
accordance with the plain terms and provisions of said policy, and the sale of said
property so injured as aforesaid against the written protest of the defendant, the said
plaintiff is not entitled to recover in this action, nor to have or maintain this action
against the said defendant.' The plaintiff filed a replication, denying these
allegations of the answer. At the trial, the plaintiff introduced evidence tending to
prove a loss or damage by fire on April 16, 1886, to the amount of the insurance,
and the delivery of proofs of loss in accordance with the policy, and put in evidence
a policy of the Liverpool, London & Globe Insurance Company on the same
property; the defendant introduced evidence tending to prove that the amount of loss
or damage was less; and there was put in evidence a correspondence in writing
between the parties or their authorized agents at Cincinnati, the material parts of
which were as follows:
April 26, 1886. Plaintiff to defendant: 'I inclose proof of loss under policy
of your company, with invoice attached, in compliance with the
requirements of the policy. If there is anything defective in the substance
or form of the above proof, please advise me thereof at once that I may
perfect the same to your satisfaction, and return the proof to me in such
case for that purpose. The property described and damaged has been
invoiced and arranged, and is ready for examination by your company.
Such examination must be made at once, for the reason that I am obliged
to occupy the premises in the prosecution of my business, and each day of
delay involves considerable loss and expense to me. As before advised, I
propose to sent the entire stock to be sold at public auction in a few days,
whereof I will give you notice. It can be readily inspected in a short time
where it now lies.'
April 27, 1886. Defendant to plaintiff: 'Received of Robert Hamilton
papers purporting to be proofs of loss under Home Insurance policy No.
3,190.'
April 28, 1886. Defendant and other insurance companies to plaintiff: 'The
undersigned, representing the several insurance companies against which
you have made claim for loss under their respective policies of insurance
upon stock in your tobacco factory, Nos. 413 and 415 Madison street,
Covington, Ky., claimed to have been damaged by fire on April 16, 1886,
beg leave jointly to take exception to the amount of claim made, and to
demand that the question of the value of and the los upon the stock be
submitted to competent and disinterested persons, chosen as provided for
in the several policies of insurance under which claim is made; and we
hereby announce our readiness to proceed at once with this appraisement,
so soon as your agreement to the demand is declared. We further desire
jointly to protest against the removal, sale, or other disposition of the
property until such an appraisement has been had, and to notify you that
the insuring companies will in no way be bound by such ex parte action.'
April 29, 1886. Plaintiff's counsel to defendant and other insurance
companies: 'Mr. Hamilton is not endeavoring to obtain any unfair
This case resembles in some aspects that of Hamilton v. Insurance Co., 136 U.
S. 242, 10 Sup. Ct. Rep. 945, (decided at the last term,) but it is essentially
different in important and controlling elements.
In that case, the effect of the provisions of the policy by reason of which it was
held that the assured, having refused to submit to the appraisal and award
provided for, could not maintain his action, was thus stated by the court: 'The
conditions of the policy in suit clearly and unequivocally manifest the intention
and agreement of the parties to the contract of insurance that any difference
arising between them as to the amount of loss or damage of the property
insured shall be submitted, at the request in writing of either party, to the
appraisal of competent and impartial persons, to be chosen as therein provided,
whose award shall be conclusive as to the amount of such loss or damage only,
and shall not determine the question of the liability of the company; that the
company shall have the right to take the whole or any part of the property at its
appraised value so ascertained; and that until such an appraisal shall have been
permitted, and such an award obtained, the loss shall not be payable, and no
action shall lie against the company. The appraisal, when requested in writing
by either party, is distinctly made a condition precedent to the payment of any
loss, and to the maintenance of any action.' 136 U. S. 254, 255, 10 Sup. Ct.
Rep. 949. That policy looked to a single appraisal and award, to be made as one
thing, and by one board of appraisers or arbitrators, whenever any difference
should arise between the parties, and to be binding and conclusive as to the
amount of the loss, although not to determine the question of the liability of the
company; and the policy contained, not only a provision that until such an
appraisal the loss should not be payable, but an express condition that no action
upon the policy should be sustainable in any court until after such an award.
In the case now before us, on the other hand, the appraisal and the award are
distinct things, and to take place at separate times, and the effect assigned to
each is quite different from that given to the appraisal and award in the other
policy. The 'appraisal,' without which the loss is not payable, is required to be
made not merely when differences arise as to its amount, but in all cases, and
results in a mere 'report in writing,' which is not declared to be binding upon the
parties in any respect, and is in truth but a part of the proofs of loss. It is only by
a separate and independent provision, and when differences arise touching any
loss 'after proof thereof has been received in due form,' that the matter is
required, at the request of either party, to be submitted to 'arbitrators, whose
award in writing shall be binding on the parties as to the amount of such loss,
but shall not decide the liability of this company under the policy;' and there is
no provision whatever postponing the right to sue until after an award. The
special defenses set up, with some tautology and surplusage, in the answer,
reduce themselves, when scrutinized, to a singel one, the plaintiff's refusal to
submit to an award of arbitrators, as provided in the policy. This appears by the
general frame of the answer, and by its speaking of the award as 'an arbitration
and the ascertainment of the said loss thereby,' and as 'an appraisement by
arbitrators,' as well as by the distinct averments that the defendant requested
and the plaintiff declined a submission to arbitration, and by the omission of
any specific allegation that the plaintiff neglected to procure a report of
appraisers. The evidence introduced at the trial was to the same effect. Proofs
of loss ent by the plaintiff to the defendant, with a request that any defects in
substance or form might be pointed out so that he might perfect the proofs to
the defendant's satisfaction, were received by the defendant, without then or
after wards objecting to their form or sufficiency. The subsequent
correspondence between the parties was evidently influenced in form by
embracing insurances in different companies under policies with various
provisions; but, as applied to the policy in suit, it manifestly related, and was
understood by both parties to relate, not to a mere report of appraisers, but to an
award of arbitrators which should bind both parties as to the amount of the loss.
The instruction to the jury, therefore, that on the issues joined on the special
defenses in the answer, and upon the evidence in the case, the plaintiff could
not recover, was, in effect, a ruling that the plaintiff could not maintain his
action because he had refused to submit the amount of his loss to arbitration.
4
A provision in a contract for the payment of money upon a contingency that the
amount to be paid shall be submitted to arbitrators, whose award shall be final
as to that amount, but shall not determine the general question of liability, is
undoubtedly valid. If the contract further provides that no action upon it shall
be maintained until after such an award, then, as was adjudged in Hamilton v.
Insurance Co., above cited, and in many cases therein referred to, the award is a
condition precedent to the right of action. But when no such condition is
expressed in the contract, or necessarily to be implied from its terms, it is
equally well settled that the agreement for submitting the amount to arbitration
is collateral and independent; and that a breach of this agreement, while it will
support a separate action, cannot be pleaded in bar to an action on the principal
contract. Roper v. Lendon, 1 El. & El. 825; Collins v. Locke, L. R. 4 App. Cas.
674; Dawson v. Fitzgerald, 1 Exch. Div. 257; Reed v. Insurance Co., 138 Mass.
572; Seward v. City of Rochester, 109 N. Y. 164, 16 N. E. Rep. 348; Insurance
Co. v. Pulver, 126 Ill. 329, 338, 18 N. E. Rep. 804; Crossley v. Insurance Co.,
27 Fed. Rep. 30. The rule of law upon the subject was well stated in Dawson v.
Fitzgerald, by Sir GEORGE JESSEL, M. R., who said: 'There are two cases
where such a plea as the present is successful: First, where the action can only
be brought for the sum named by the arbitrator; secondly, where it is agreed
that no action shall be brought till there has been an arbitration, or that
arbitration shall be a condition precedent to the right of action. In all other cases
where there is, first, a covenant to pay, and, secondly, a covenant to refer, the
covenants are distinct and collateral, and the plaintiff may sue on the first,
leaving the defendant' 'to bring an action for not referring,' or (under a modern
English statute) 'to stay the action till there has been an arbitration.' 1 Exch.
Div. 260. Applying this test, it quite clear that the separate and independent
provision, in the policy now before us, for submitting to arbitration the amount
of the loss, is a distinct and collateral agreement, and was wrongly held by the
circuit court to bar this action. Judgment reversed, and case remanded, with
directions to set aside the verdict, and to take such further proceedings as may
be consistent with this opinion.