General Star National Insurance v. Universal Fabricators, Inc.
Full Opinion (html_with_citations)
Defendant-Cross-Defendant-Cross-Claimant-Appellant General Star National Insurance Co. (âGeneral Starâ) appeals from a memorandum opinion and order dated September 14, 2007, by the United States District Court for the Southern District of New York (Shira A. Scheindlin, Judge) granting summary judgment for Defendants-Cross-Defendants-Cross-Claimants-Appellees, the New York Marine and General Insurance Company and Mutual Marine Office, Inc. (together, âMutual Marineâ). The question presented on appeal is whether General Star, an excess insurer, is required to reimburse Mutual Marine for the amount Mutual Marine paid above its policy limit to cover a portion of a state-court personal injury judgment.
In answering this question in the affirmative, the district court concluded that a state-court judgment against the owner of and stevedore at the ship terminal where the personal injury occurred â the City of New York (the âCityâ) and the International Terminal Operating Company (âITOâ), respectively â constituted an adjudication of liability against General Starâs insured, Universal Fabricators, Inc. (âUFIâ), a contractor doing work at the time and place of the injury. UFI was insured by both Mutual Marine for the first million dollars of loss, and General *665 Star for four million dollars above that amount, under General Star National Insurance Company umbrella policy No. NUG-332963C (âGenStar Policyâ). Because under the terms of the GenStar Policy, an âadjudicationâ that established an amount that the insured was legally obligated to pay constituted an âultimate net loss,â which required General Star to reimburse its insured, the district court decided that General Star was obligated to pay Mutual Marine for the amount it had paid above its primary insurance policy limit.
We conclude that the district court erred in deciding that General Starâs insured was liable for the amount at issue as a result of the state court personal injury judgment. Because neither the district court nor the parties addressed in substance the issue of whether General Starâs insured was legally liable for some other reason, we vacate the judgment of the district court and remand with instructions for the court to resolve this issue and decide whether a trial with respect thereto is warranted.
BACKGROUND
The New York City Passenger Ship Terminal (the âTerminalâ) is owned by the City and operated in part by ITO. In 1999, ITO retained UFI to perform repair work at the Terminal. The contract between ITO and UFI contained a rider which provided, among other things, that UFI would (a) procure general liability insurance coverage in the amount of five million dollars per occurrence, with the insurance policy naming ITO and the City as additional insureds, and (b) âindemnify, defend and hold harmlessâ ITO and the City from and against all claims arising from any negligent act or omission by UFI that was related to the repair work. As required by the rider, UFI purchased a primary general liability insurance policy in the amount of one million dollars from Mutual Marine and a secondary excess policy in the amount of four million dollars from General Star.
The GenStar Policy provided that General Star would pay for âultimate net loss in excess of the retained limit because of bodily injury or property damage to which the policy applies.â It also stated that: âUltimate net loss means the total amount of damages for which the Insured is legally liable. Ultimate net loss may be established by adjudication, arbitration or a compromise settlement to which [General Star] ha[s] previously agreed in writing.â
On February 26, 1999, Ronald Ernish, a UFI employee performing repair work at the Terminal, was seriously injured when he fell from a makeshift scaffold or ladder that collapsed under his weight. Ernish and his wife brought suit in Supreme Court, New York County, not against UFI, Mr. Ernishâs employer â -perhaps because they would have been confined to a workersâ compensation claim had they sought to recover from UFI 1 â but against ITO and the City (the âErnish lawsuitâ). ITO and the City then filed a third-party complaint against UFI seeking indemnification (the âthird-party actionâ).
*666 General Star was informed of the Ernish lawsuit and the third-party action against UFI. After concluding that it was unlikely UFI would be exposed beyond Mutual Marineâs million-dollar policy limit, General Star decided to allow Mutual Marine, UFIâs primary insurer, to defend UFI in the third-party action, and so informed Mutual Marine in two notes dated May 25 and June 1, 2000, respectively. With regard to its conclusion that UFI was unlikely to be exposed beyond Mutual Marineâs million-dollar policy limit, General Star instructed Mutual Marine in the first note that â[s]hould future developments lead you to believe otherwise, please notify us immediately.â
Before trial began in the Ernish lawsuit against ITO and the City, Mutual Marineâs attorneys executed a settlement agreement (the âFirst Agreementâ) with both ITO and the City, purportedly on behalf of UFI, settling the third-party claim ITO and the City had asserted against UFI. The First Agreement provided that ITO and the City would discontinue their third-party claim against UFI, and that ITO and the City would pay twenty-five percent and UFI would pay seventy-five percent of whatever amount was ultimately awarded to Ernish against ITO and the City in the Ernish lawsuit.
It is not disputed that Mutual Marine knew of and participated in the First Agreement. General Star, however, neither knew of nor participated in it. And according to UFI and General Star, Mutual Marineâs counsel entered into the First Agreement on UFIâs behalf without UFIâs consent.
The state trial court directed a verdict in the Ernish lawsuit in favor of the plaintiffs against ITO and the City on liability pursuant to N.Y. Labor Law § 240, which provides that â[a]ll contractors and owners and their agents ... shall cause to be furnished or erected ... scaffolding ... which shall be so constructed, placed and operated as to give proper protection to a person so employedâ in repairing a building or structure, among other things. N.Y. Labor Law § 240; see also Ernish v. City of N.Y., 2 A.D.3d 256, 257, 768 N.Y.S.2d 325 (1st Depât 2003). A jury, left to decide the amount of damages, returned an award of three million dollars against ITO and the City. The amount apparently came as something of a surprise to the parties and their insurers. On appeal to the Appellate Division, the directed verdict was affirmed but the judgment was reduced to $2,175,000 plus interest â still an amount substantially exceeding the partiesâ and insurersâ initial expectations. Id.
ITO and the City were insured by the National Union Fire Insurance Company of Louisiana, A1 Marine Adjusters, Inc., the Marine Office of America Corporation, and Navigators Insurance Services of Texas, Inc. (collectively âNational Unionâ). National Union initially paid Ernish twenty-five percent of the judgment to satisfy the obligation of ITO and the City â the defendants in the Ernish lawsuit â under the First Agreement. Mutual Marine, in turn, satisfied â up to its policy limit of one million dollars plus interest â part of UFIâs three-quarters share of the judgment against ITO and the City under the First Agreement. $650,584.19 of UFIâs three-quarters share under the First Agreement remained unpaid. The parties looked to General Star to pay that amount under its excess policy, but General Star declined, arguing that neither it nor UFI was bound by the First Agreement, and that it therefore had no liability for payment of any of UFIâs 75% share of the judgment, which share had been decided upon in the First Agreement. See, e.g., Letter from General Star to Mutual Marine, at 1 (June 19, 2002) (âWhat remains clear and indisputa *667 ble â in fact Mutual Marine does not even argue to the contrary â is that neither General Star nor Universal Fabricators ever authorized Mutual Marine to execute the so-called [First Agreement] on their behalf.â).
Because the judgment was entered against ITO and the City, their insurer, National Union, then paid the remainder of the judgment. National Union thereupon commenced an action for a declaratory judgment against UFI, Mutual Marine, and General Star to the effect that National Union was due reimbursement for the money it paid in excess of the twenty-five percent share of the Ernish judgment that was apportioned to ITO and the City under the First Agreement. General Star removed the action, which was originally filed in New York County Supreme Court, to the United States District Court for the Southern District of New York on the basis of diversity of citizenship.
After the case was removed, Mutual Marine, UFI, and National Union, entered into two additional settlement agreements. Mutual Marine and UFI entered into a âSettlement and Cooperation Agreementâ (the âSecond Agreementâ), under which Mutual Marine agreed to indemnify and defend UFI in National Unionâs declaratory judgment action. In exchange, UFI agreed that âto the extent [Mutual Marine] pays any judgment or verdict against UFI in the [National Union] Litigation, or pays any settlement of any claim against UFI in the Litigation or for any further liability under the [First Agreement], [Mutual Marine] shall be subrogated to any and all rights of UFI, and/or be assigned such rights by UFI, including any right to pursue claims against GenStar for amounts paid and for attorneys fees and costs.... â Second Agreement, ¶ 4.
Then Mutual Marine and National Union entered into a âSettlement and Cooperation Agreementâ (the âThird Agreementâ), under which Mutual Marine paid National Union $700,000 for the amount National Union had paid to satisfy UFIâs obligation to ITO and the City under the First Agreement, and National Union dismissed its suit against UFI and Mutual Marine, assigning the rights it had asserted against General Star in that lawsuit to Mutual Marine.
Following the Second and Third Agreements, then, UFI has been indemnified and National Union has been paid in full. Neither of those parties has an interest in the present appeal. Mutual Marine maintains its suit against General Star for the excess over its one-million-dollar policy limit that it paid to National Union following the Third Agreement to cover UFIâs alleged obligation under the First Agreement.
Mutual Marine, as directed by the district court, filed a motion for summary judgment against General Star on the limited issue of whether General Star was directly obligated under the First Agreement to pay the remainder of UFIâs seventy-five percent share. In an opinion and order entered July 18, 2007, the district court denied summary judgment, finding that General Star was not obligated to contribute to UFIâs three-fourths share directly pursuant to the First Agreement. Natâl Union Fire Ins. Co. of La. v. Universal Fabricators, Inc., No. 05 Civ. 3418, 2007 WL 2059840, at *5, 2007 U.S. Dist. LEXIS 51925, at *22-23 (S.D.N.Y. July 18, 2007) (âNatâl Union Iâ). The court concluded that because General Star was not aware of, did not take part in, and was not a party to the First Agreement, it was not directly bound by its terms. Id. The opinion explicitly refrained from addressing whether General Star was obligated under the terms of the GenStar Policy itself to pay the amount in dispute, and invited *668 General Star to move for summary judgment on that issue. Natâl Union I, 2007 WL 2059840 at *6, 2007 U.S. Dist. LEXIS 51925 at *26-27 (âThe present motion for summary judgment was made on the limited issue of whether GenStar was bound under the terms of the First Agreement. ... As a result, this Opinion does not address the remaining issue of whether GenStar is bound to pay under the terms of its excess insurance policy. GenStar may move for summary judgment on this issue.â).
General Star did just that. But in a memorandum opinion and order entered September 14, 2007, the district court denied General Starâs motion and, instead, entered summary judgment for Mutual Marine. The court found that although General Star was not directly bound by the First Agreement, it was nonetheless obligated to reimburse Mutual Marine under the terms of the GenStar Policy. Natâl Union Fire Ins. Co. of La. v. Universal Fabricators, Inc., No. 05 Civ. 3418, 2007 WL 2701990, at *2-3, 2007 U.S. Dist. LEXIS 68100, at *5-11 (S.D.N.Y. Sept. 14, 2007) (âNatl Union IIâ).
The district court noted that the GenS-tar Policy provided that General Star would pay in the event of a judgment in excess of Mutual Marineâs policy limit for âultimate net loss,â which, the policy stated, â âmay be established by adjudication, arbitration or a compromise settlement to which [General Star] ha[s] previously agreed in writing.â â Natâl Union II, 2007 WL 2701990 at *1, 2007 U.S. Dist. LEXIS 68100 at *2 (quoting GenStar Policy at ¶ 23). The court found that UFI had agreed to âindemnify, defend and hold harmless ITO and the City,â 2007 WL 2701990 at *2, 2007 U.S. Dist. LEXIS 68100 at *5, and concluded that the directed verdict by the New York Supreme Court against ITO and the City was â[u]nder any definition of the term, ... an âadjudicationâ of liability as to ITO and the City (and ultimately, of UFI if and when called upon to indemnify ITO and the City),â 2007 WL 2701990 at *2, 2007 U.S. Dist. LEXIS 68100 at *6.
The district court decided that because the Ernish judgment was an adjudication with respect to ITO and the City, who were named in the GenStar Policy as additional insureds, and because in the district courtâs view the Ernish judgment was also an adjudication with respect to UFI, General Star was liable to pay the excess over Mutual Marineâs policy limit under the terms of the GenStar Policy, which provided that an âadjudicationâ establishing âultimate net lossâ was a covered loss. 2007 WL 2701990 at *2, 2007 U.S. Dist. LEXIS 68100 at *6.
Summary judgment was entered for Mutual Marine. General Star appeals.
DISCUSSION
The judgment in favor of Ernish has been satisfied. The question on appeal is whether Mutual Marine must bear the full cost â including a significant amount that exceeds its million-dollar policy limit â that it paid to National Union to cover the share of the Ernish judgment UFI allegedly owed under the terms of the First Agreement, or whether General Star is obligated to reimburse Mutual Marine for that excess. The district court found the latter, that General Star was obligated to reimburse Mutual Marine based on the judgment against ITO and the City, both because ITO and the City were additional insureds under the GenStar Policy and because the district court considered the judgment effectively also to be an adjudication against UFI, General Starâs primary insured. We conclude that the district court erred in holding General Star obligated to reimburse Mutual Marine on *669 either of these grounds. Because there remains a question, substantially unaddressed in the district court, as to whether General Star may be obligated to reimburse Mutual Marine on other grounds, 1. e., whether liability was established against UFI by means other than the judgment against ITO and the City that would obligate General Star to pay â we vacate the summary judgment and remand the cause for further proceedings.
I. Standard of Review and Applicable Substantive Law
âWe review a district courtâs grant of summary judgment de novo, construing the evidence in the light most favorable to the non-moving party and drawing all reasonable inferences in its favor.â Allianz Ins. Co. v. Lerner, 416 F.3d 109, 113 (2d Cir.2005). Summary judgment âshould be rendered if the pleadings, the discovery and disclosure materials on file, and any affidavits show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law.â Fed.R.Civ.P. 56(c); see also Roe v. City of Waterbury, 542 F.3d 31, 35 (2d Cir.2008) (quoting Rule 56(c)). An issue of fact is genuine if âthe evidence is such that a reasonable jury could return a verdict for the nonmoving party.â Roe, 542 F.3d at 35 (citation and internal quotation marks omitted). A fact is âmaterialâ if it âmight affect the outcome of the suit under the governing law.â Id. (citation and internal quotation marks omitted).
Federal jurisdiction over this case is based on diversity of citizenship. In the absence of any contractual obligation of the parties to the contrary, we therefore apply the substantive law of the forum state, New York. See, e.g., Omega Engâg, Inc. v. Omega, S.A., 432 F.3d 437, 443 (2d Cir.2005).
II. Liability under the First Agreement Alone
The district court correctly decided that General Star was not directly obligated to reimburse Mutual Marine under the First Agreement, which settled the third-party action brought by ITO and the City against UFI. 2 See Natâl Union I, 2007 WL 2059840 at *6, 2007 U.S. Dist. LEXIS 51925 at *26. As the district court pointed out, under New York law, a settlement agreement â âis not binding upon a party unless it is in a writing subscribed by him or his attorney....ââ 2007 WL 2059840 at *5, 2007 U.S. Dist. LEXIS 51925 at *18-19 (quoting New York Civil Practice Laws and Rules § 2104). Because the First Agreement was not subscribed to by General Star or its attorney or other agent, General Star is not directly bound by its terms. See, e.g., Bonnette v. Long Island College Hosp., 3 N.Y.3d 281, 286, 819 N.E.2d 206, 208-09, 785 N.Y.S.2d 738, 740-41 (2004).
III. Liability under the GenStar Policy
The harder question is whether General Star is bound by the terms of its own policy with UFI to reimburse Mutual Marine. Under the terms of the GenStar policy, General Star was obligated to pay its insured for âultimate net lossâ in excess of the primary insurerâs limit. According to the policy:
Ultimate net loss means the total amount of damages for which the Insured is legally liable. Ultimate net loss may be established by adjudication, ar *670 bitration or a compromise settlement to which we have previously agreed in writing.
GenStar Policy at ¶ 23.
While General Star appears to have assumed that under Paragraph 23, the legal liability binding an insured could only be established by an adjudication, arbitration, or compromise settlement to which General Star agreed, 3 that is not what the provision says. It defines âultimate net lossâ as âthe total amount of damages for which the Insured is legally liable.â It then provides that âultimate net loss,â thus defined as an âamount,â may be established by âadjudication, arbitration or a compromise settlement to which [General Star] ha[s] previously agreed in writing.â In other words, as Mutual Marine appears to acknowledge, 4 it is the amount of damages for which the insured is legally liable that âmay be established by adjudication, arbitration or a compromise settlement to which [General Star] ha[s] previously agreed in writing,â not the legal liability itself. The establishment of liability is the predicate to the applicability of the provision rather than being governed by it. 5
The preliminary issue that must be addressed on this appeal, then, is whether General Starâs insured was legally liable for any amount, which liability would trigger the provision concerning the establishment of the amount of such liability. In other words, only if General Starâs insured was legally liable does the question arise as to whether the amount of that liability was established in a manner consonant with the terms of the GenStar Policy.
A. Establishment of Liability by the Ernish Lawsuit Alone.
The district court decided that the Ernish lawsuit, which resulted in the $2,175,000 judgment of liability against ITO and the City, was an adjudication of liability as to both ITO and the City and, âultimately,â as to UFI âif and when called upon to indemnify ITO and the City.â Natâl Union II, 2007 WL 2701990 at *2, 2007 U.S. Dist. LEXIS 68100 at *6. The district court concluded that General Star was obligated to reimburse Mutual Marine based on each of these alleged adjudications of liability.
1. Adjudication as to ITO and the City.
The district court was obviously correct in finding that the Ernish lawsuit *671 was an adjudication of liability as to ITO and the City, against whom the judgment was entered. It does not follow, however, that General Star is obligated to reimburse Mutual Marine on the basis of that adjudication.
Mutual Marine brought this lawsuit against General Star based on UFIâs rights, to which it had succeeded, not those of ITO and the City. Only the seventy-five percent share ostensibly apportioned to UFI in the First Agreement has ever been at issue in the litigation against General Star, and not the twenty-five percent share apportioned to ITO and the City. Indeed, three of the five cross-claims filed by Mutual Marine against General Star are based explicitly on rights belonging to UFI. See Am. Ans. to Sec. Am. Compl. ¶¶ 32-64.
The fourth cross-claim includes mention of rights allegedly belonging to ITO and the City and their insurer, National Union, against General Star. See Am. Ans. to Sec. Am. Compl. ¶¶ 143-57. But in its motion papers before the district court, Mutual Marine explicitly disavowed the notion that it was basing a claim against General Star on claims belonging to ITO and the City. 6 To the extent that the fourth cross-claim mentions any rights of ITO and the City or their insurer against General Star, it does so as background for its assertion that the First Agreement â which the district court has already correctly found not to bind General Star directly â was beneficial to General Star. See generally Am. Ans. to Sec. Am. Compl. ¶¶ 143-157; see, e.g., Am. Ans. to Sec. Am. Compl. ¶ 146 (âBy virtue of the added Insured status of New York City and ITO ... the [First Agreement] ... reduced by 25% the possibility that any judgment would pierce [General Starâs] excess umbrella layer of coverage.â). Indeed, Mutual Marineâs motion papers refer throughout to UFI, not ITO and the City, as the âinsured.â
Finally, the fifth cross-claim asserts a nebulous âindependent rightâ against General Star allegedly belonging to Mutual Marine. Am. Ans. to Sec. Am. Compl. ¶ 159. It is not alleged to have ever belonged to ITO or the City.
Thus Mutual Marineâs position throughout this litigation has been that General Star is liable to it based on âits insuring agreement with its insured UFI [which] obligated it to pay the sums UFI became obligated to pay as a result of an unquestionably covered loss.â Mem. of Law in Oppân to Mot. for Summ. J. at 11. That continues to be Mutual Marineâs position on appeal. See Appelleeâs Br. 35 (describing Mutual Marine as seeking reimbursement for âsatisfy[ing][the] judgment ... entered against UFI Fabricators, Inc.â); id. at 39 (âMutual Marine properly showed the District Court that there was no question of fact but that General Star breached its duties to UFI and that Mutual Marine acquired UFIâs right to recover for that breach by [General Star].â).
Mutual Marine is not pursuing any rights that may or may not have belonged to ITO and the City (or their insurers) based on their status as additional insureds. It is therefore immaterial for pur *672 poses of this lawsuit whether General Star has ever owed ITO and the City anything as additional named insureds under the GenStar Policy. That is not the claim that was made. The material question is whether there was an adjudication of liability against UFI, for which General Star would be obligated under the GenStar Policy to reimburse UFI.
Since Mutual Marine does not assert rights in the place of ITO and the City against General Star, General Star is not liable to Mutual Marine on the basis of any direct obligation General Star may have had to ITO and the City arising out of the adjudication in the Ernish lawsuit against them.
2. Adjudication as to UFI.
The district court also concluded that the judgment against ITO and the City in the Ernish lawsuit âwas an âadjudicationâ of liability ... ultimately[ ] of UFI if and when called upon to indemnify ITO and the City.â Natâl Union II, 2007 WL 2701990 at *2, 2007 U.S. Dist. LEXIS 68100 at *6 (parentheses omitted). We disagree.
Following Ernishâs filing of the suit against ITO and the City â as noted, he did not bring suit against UFI, his employer-â ITO and the City filed a third-party action impleading UFI. They claimed that they were entitled to, inter alia, contractual indemnity, common law indemnity, and âadded insuredâ status. But before this third-party action was litigated to a conclusion, ITO and the City reached a settlement with UFI, purportedly executed on its behalf by Mutual Marine â the First Agreement â disposing of the third-party action and dismissing all claims against UFI with prejudice. 7
By the time the Ernish suit was decided, then, UFI was no longer party to it. When the state trial court directed a verdict of liability against the defendants, ITO and the City, and the jury thereafter awarded damages of $3 million (reduced on appeal to $2,175,000), judgment was not entered against non-party UFI.
The district court thought it âpuzzlingâ that General Star would complain about the First Agreement because, in the courtâs view, absent the First Agreement, General Star would have been obligated to pay one-hundred percent of the Ernish judgment in excess of Mutual Marineâs policy. Natâl Union II, 2007 WL 2701990 at *2, 2007 U.S. Dist. LEXIS 68100 at *1. In the Ernish litigation, ITO and the City were held strictly liable for Ernishâs injuries under New Yorkâs scaffolding law. See N.Y. Labor Law § 240(1); 8 Ernish, 2 A.D.3d at 256-58, 768 N.Y.S.2d at 325-26. Liability pursuant to this statute is ânot predicated on fault: it is imputed to the owner or contractor by statute and attaches irrespective of whether due care was exercised and without reference to principles of negligence.â Brown v. Two *673 Exch. Plaza Partners, 76 N.Y.2d 172, 179, 556 N.E.2d 430, 433, 556 N.Y.S.2d 991, 994 (1990) (internal citation omitted). While strict liability attaches under section 240(1), â[i]t is well settled that an owner or general contractor who is held strictly liable under Labor Law § 240(1) is entitled to full indemnification from the party actually responsible for the incident.â Frank v. Meadowlakes Dev. Corp., 6 N.Y.3d 687, 691, 849 N.E.2d 938, 940, 816 N.Y.S.2d 715 (2006) (internal quotation marks and citation omitted). Thus, if UFI was âactually responsibleâ for Ernishâs injuries, it could have become liable to indemnify ITO and the City for the judgment against them.
But that outcome was uncertain. A party seeking either contractual or common law indemnity must âestablish that it was free from any negligence and was held liable solely by virtue of the statutory liability.â Correia v. Prof'l Data Mgmt., Inc., 259 A.D.2d 60, 65, 693 N.Y.S.2d 596, 600 (1st Depât 1999); see also Brown, 76 N.Y.2d at 180-81, 556 N.E.2d 430, 556 N.Y.S.2d at 995 (explaining that New York law âprohibit[s] indemnity agreements in which owners or contractors [seek] to pass along the risks for their own negligent actions to other contractors or subcontractors, even if the accident was caused only in part by the ownerâs or contractorâs negligence.â (emphasis in original)). Therefore if UFI could prove that ITO or the City were negligent in connection with the incident that caused Ernishâs injuries, UFI would not have been obligated to indemnify ITO and the City for their losses. 9
The district court found, nonetheless, and Mutual Marine urges on appeal, that there was no evidence in the record of negligence on the part of ITO or the City and that UFI therefore would not have had to indemnify them. Natâl Union II, 2007 WL 2701990 at *2, 2007 U.S. Dist. LEXIS 78100 at *7. But the district court was in no position to make that finding at the summary judgment stage, as a matter of law. The question of any such negligence was not before the district court and there was therefore no basis for a belief that the record before the district court contained all possible evidence of such negligence. Put another way, the district court was making a finding in a lawsuit that was not before it â a hypothetical third-party action by ITO and the City against UFI that was litigated to the finish.
Thus the Ernish adjudication was not tantamount to an adjudication of âlegal liabilityâ on the part of the relevant âinsuredâ in this case, UFI. And without an establishment of legal liability, âultimate net lossâ could not be established either.
B. Establishment of Liability Pursuant to the First Agreement.
Although the Ernish adjudication did not establish the legal liability of UFI for Ernishâs judgment, the First Agreement itself may have. If it was properly executed by Mutual Marine on behalf of UFI and rendered UFI liable for three-quarters of the judgment against ITO and the City, then the Ernish adjudication would have determined not liability, but the amount *674 for which UFI was legally liable, thereby constituting an âultimate net lossâ for which General Star was liable under its policy. 10 In other words, it is possible that the First Agreement, which preceded the Ernish adjudication, provided that UFI was 75% liable for the underlying accident at issue in the adjudication, and the adjudication itself then determined the amount for which UFI was legally liable.
At first blush, using the First Agreement to establish the legal liability of UFI would appear to violate the condition in the GenStar Policy that â[n]o insureds will, except at their own cost, voluntarily make a payment, assume any obligation, or incur any expense without our consent,â GenStar Policy, Section V, ¶ 5(d). But as Mutual Marine argues and General Star appears to concede, General Star never issued a disclaimer to that effect, as it was required to do under N.Y. Ins. Law § 3420(d)(2). 11 See Reyes v. Diamond State Ins. Co., 35 A.D.3d 830, 831, 827 N.Y.S.2d 263 (2d Depât 2006) (âAn insurer must give written notice of a disclaimer of coverage as soon as is reasonably possible [pursuant to N.Y. Ins. Law § 3420] after it first learns of the accident or of grounds for disclaimer of liability or denial of coverage. This rule applies not only to an insurerâs disclaimer of primary insurance coverage, but to a disclaimer of excess coverage as well.â) (internal quotation marks and citations omitted); see also Mann v. Gulf Ins. Co., 3 A.D.3d 554, 556, 771 N.Y.S.2d 176 (2d Depât 2004).
General Star argues that it was not required to disclaim coverage because â[disclaimer pursuant to Insurance Law section 3420(d) is unnecessary when a claim falls outside the scope of the policyâs coverage portion.â See Appellantâs Reply Br. 3 (quoting Worcester Ins. Co. v. Bettenhauser, 95 N.Y.2d 185, 188, 712 N.Y.S.2d 433, 435, 734 N.E.2d 745 (2000) (internal quotation marks and alterations omitted)). But it bases this argument on the notion that Section VI, Paragraph 23 of the GenStar Policy limited the ways UFIâs legal liability, rather than simply the amount of such liability, could be established, see Appellantâs Reply Br. 3-4, a notion that is incorrect. As we have explained, it did not. General Star does not argue that Paragraph 5(d) alone would take the First Agreement âoutside the scope of the policyâs coverage portionâ such that disclaimer would be unnecessary, and such an argument would fail because Paragraph 5(d) is a self-proclaimed âpolicy conditionâ that is plainly in the nature of an exclusion, for which disclaimer is required, and is not part of the âcoverage portionâ of the GenStar Policy. See Columbia Cas. Co. v. Nat'l Emergency Servs., Inc., 282 A.D.2d 346, 347, 723 *675 N.Y.S.2d 473 (1st Depât 2001) (âIt is settled that failure by the insurer to give written notice of disclaimer based on an exclusion or failure to comply with a policy condition as soon as is reasonably possible renders the disclaimer ineffective.â) (emphasis added, internal citation omitted); cf . Zappone v. Home Ins. Co., 55 N.Y.2d 131, 134-35, 447 N.Y.S.2d 911, 432 N.E.2d 783 (1982) (concluding that insurer did not have to disclaim coverage for accident involving automobile that was not the subject of the insurance policies in question).
Therefore Section V, Paragraph 5(d) of the GenStar Policy does not foreclose the possibility that the First Agreement established UFIâs liability and thereby, in conjunction with the Ernish litigation, obligated General Star to reimburse Mutual Marine for the excess Mutual Marine paid over its policy limit to cover UFIâs share of the judgment.
General Star also argues, however, that it was not required to issue a disclaimer because âUFI[ ] disavowed any obligation under the first settlement agreement. As such [sic], this agreement could not create any obligation to disclaim coverage to UFI or Mutual Marine.â Appellantâs Reply Br. 6 (emphasis in original, internal citations omitted). In letters sent to Mutual Marine prior to litigation in this matter, UFI represented that it had never authorized Mutual Marine to execute the First Agreement on its behalf. The letters, also sent on behalf of General Star, state that it âremains clear and indisputable â in fact Mutual Marine does not even argue to the contrary â [ ] that neither General Star nor [UFI] ever authorized Mutual Marine to execute the so-called [First Agreement] on their behalf,â Jun. 19, 2002 Letter at 1, and âneither General Star nor principals of [UFI] ever gave permission or express authorization for Mutual Marine to execute th[e] [First Agreement] on their behalf.â Letter from General Star and UFI to Mutual Marine, at 1 (May 10, 2002). Handwritten notes allegedly written by Mutual Marineâs Loss Secretary prior to the execution of the Second Agreement regarding National Unionâs action against Mutual Marine, General Star, and UFI, indicate, moreover, that Mutual Marine was concerned about the availability to General Star of an argument that UFI never consented to the First Agreement. According to the notes, â[there is] [n]o way [UFI] will be left without insurance so it[â]s MMO [Mutual Marine] v. Gen[eral] Star. If Gen[eral] Star get[s][UFI] on its side, [its] position will be that [Mutual Marine] took upon itself to incur exposure past its limit â without properly advising [UFI].â Paul Smith Handwritten Notes, May 2, 2005, Declaration of Natasha Van Der Griendt in Opp. to Mot. for Summ. J., Ex. M, Natâl Union Fire Ins. Co. of La. v. Universal Fabricators, Inc., No. 05 Civ. 3418(SAS) (S.D.N.Y. Apr. 27, 2007) (Doc. No. 42).
Plainly, if UFI was never bound by the First Agreement, that agreement could establish no legal liability on the part of UFI for which General Star would be liable under the GenStar Policy. In that case, there would also be no need for General Star to have disclaimed. See Zappone, 55 N.Y.2d at 138-39, 447 N.Y.S.2d at 911, 432 N.E.2d 783 (â[T]he Legislature in using the words âdenial of coverageâ did not intend to require notice when there never was any insurance in effect, and intended by that phrase to cover only situations in which a policy of insurance that would otherwise cover the particular accident is claimed not to cover it because of an exclusion in the policy.â); cf. Matter of Arbitration Between State Farm Mut. Auto. Ins. Co. (Merrill), 192 A.D.2d 824, 825, 596 N.Y.S.2d 554, 555 (3d Depât 1993) (âIt is true that an insurance company is not subject to the timely disclaimer provisions *676 contained in [N.Y.] Insurance Law § 3420(d) where no coverage existed under the policy.â).
Because it granted summary judgment on the grounds of the Ernish adjudication alone, the district court appears not to have decided whether the First Agreement established the legal liability of UFI and thereby obligated General Star to reimburse Mutual Marine in this action in an amount determined by the outcome of the Ernish adjudication. Inasmuch as the answer to this question depends on the factual question of whether UFI was ever bound by the First Agreement, we think it is a question best left to the district court to answer in the first instance. 12
C. Remaining Arguments
We have considered General Starâs other arguments on this issue and find them to be without merit.
IV. Mutual Marine as a âVolunteerâ
General Star argues, as it did before the district court, that it was entitled to summary judgment because Mutual Marine was acting as a âvolunteerâ when it agreed to indemnify and defend UFI, pursuant to the Second Agreement, and when it paid National Union the $700,000 at issue, pursuant to the Third Agreement. If the payment was indeed voluntary, then General Star has no obligation to reimburse Mutual Marine for it. See Merch. Mut. Ins. Group v. Travelers Ins. Co., 24 A.D.3d 1179, 1180, 806 N.Y.S.2d 813 (4th Depât 2005) (â[W]hen an insurer who is not acting under a mistake of material fact or law assumes the defense and indemnification of an insured when there is no obligation to do so, that insurer becomes âa volunteer with no right to recover the monies it paid on behalf of the insured.â â) (quoting Natâl Union Fire Ins. Co. v. Ranger Ins. Co., 190 A.D.2d 395, 397, 599 N.Y.S.2d 347 (4th Depât 1993)) (internal alterations omitted). However, when Mutual Marine agreed to indemnify UFI, it did not do so without compensation. It received in return whatever rights UFI had against General Star.
General Star relies on the familiar proposition that âan assignor âcould only assign a right that it legally possessedâ and an assigneeâs rights are no greater than those of the assignor.â Appellantâs Br. 40 (quoting Case v. Filmtrucks, 118 A.D.2d 749, 752, 500 N.Y.S.2d 141 (2d Depât 1986); citing Int'l Ribbon Mills, Ltd. v. Arjan Ribbons, Inc., 36 N.Y.2d 121, 126, 365 N.Y.S.2d 808, 325 N.E.2d 137 (1975)). The district court found that UFI did have a claim against General Star to assign to Mutual Marine, and therefore Mutual Marine was not acting as a volunteer when it paid in excess of its policy limit. However, the district court had already determined that the Ernish adjudication was ultimate *677 ly an adjudication against UFI for which General Star was obligated to pay, a determination with which we disagree.
Although the Ernish adjudication in itself did not establish an âultimate net lossâ with respect to UFI such that UFI had a claim against General Star that it could assign to Mutual Marine, it may have done so if the legal liability of UFI was established under the First Agreement or otherwise. Because we leave it for the district court on remand to determine in the first instance whether the legal liability of UFI was established in any way other than by the Ernish judgment alone, the district court may also resolve on remand the related factual question of whether Mutual Marine was acting as a volunteer when it paid an amount in excess of its policy limit.
V. Mutual Marineâs Pleading of a Claim Based on UFIâs Rights
General Star also appears to argue that Mutual Marine failed adequately to plead a cross-claim based on rights of UFI that it had obtained by subrogation or assignment. But as discussed above, Mutual Marineâs motion papers before the district court made explicit that it was asserting UFIâs rights in this lawsuit. In any event, Mutual Marine sought leave to re-plead its cross-claims, see Mem. of Law in Oppân to Summ. J. at 21, Natâl Union Fire Ins. Co. of La. v. UFI Fabricators, Inc., No. 05 Civ. 3418(SAS) (S.D.N.Y. Aug. 29, 2007) (Doc. No. 61), a request the district court did not reach because it granted summary judgment in favor of Mutual Marine. On remand, the district court may consider that request in the first instance if the court deems it necessary or advisable to do so.
CONCLUSION
For the foregoing reasons, we vacate the district courtâs grant of summary judgment, and remand the cause with instructions for the court to decide, inter alia, whether UFI was legally liable to Ernish such as to give rise to a liability on the part of General Star.
. See N.Y. Workers' Compensation Law §§ 11, 29; see also, e.g., Fung v. Japan Airlines Co., Ltd., 9 N.Y.3d 351, 357, 850 N.Y.S.2d 359, 880 N.E.2d 845 (2007) ("Workers' Compensation Law §§11 and 29(6) restrict an employee from suing his or her employer ... for an accidental injury sustained in the course of employment.â); Pereira v. St. Josephâs Cemetery, 54 A.D.3d 835, 837, 864 N.Y.S.2d 491 (2d Depât 2008) ("[Allegations that the employer exposed the employee to a substantial risk of injury have been held insufficient to circumvent the exclusivity of the remedy provided by the Workersâ Compensation Law.â) (internal quotation marks omitted).
. As explained below, this finding is distinct from the question of whether General Star may be indirectly obligated by the First Agreement to reimburse Mutual Marine. Such would be the case if the First Agreement established UFIâs liability. That question was not addressed in substance by the district court.
. See, e.g., Appellant's Reply Br. 4 ("[F]or coverage to exist in the first instance, there must be damages for which UFI became legally liable because of âan adjudication, arbitration or compromise settlement to which General Star previously agreed in writing.â (internal quotation marks and alterations omitted, emphasis added)).
. See Appellee's Br. 28 (â[Njothing in the GenStar policy requires a final adjudication to be entered as a judgment against the insured; only that adjudication (or arbitration or approved settlement) establish the amount.") (emphasis added).
. Indeed, General Starâs interpretation of Paragraph 23 to mean that the legal liability binding an insured, in addition to the amount of damages for which the insured is liable, can only be established by an adjudication, arbitration, or General Star-approved settlement, would render extraneous several other provisions in the GenStar Policy. For example, Section V, Paragraph 5(d) of the policy provides that "[n]o insureds will, except at their own cost, ... assume any obligation ... without our consent.â That injunction would be redundant if the very definition of Ultimate Net Loss, set forth in Paragraph 23, limited the universe of ways to establish UFIâs liability to adjudication, arbitration, and General Star-approved settlements. See also GenStar Policy Section I, Coverage B, ¶ 2(a)(4) (providing limited exclusion from coverage for liability assumed by the insured in a contract or agreement).
. See Mem. of Law in Opp'n to Mot. for Summ. J. at 20, Natâl Union Fire Ins. Co. of La. v. Universal Fabricators, Inc., et al., No. 05 Civ. 3418(SAS) (S.D.N.Y. Aug. 29, 2007) (Doc. No. 61) (â[General Star argues] that Mutual Marine acquired no rights against [General Star] from ITOâs subrogated carriers. [That argument] can be put aside because it is concededly correct, since those carriers, as subrogees of the City and ITO, never had any rights against [General Star], only against UFI.â); see also id. at 8 ("Essentially ... Mutual Marine's rights vis-a-vis [General Star] are those obtained through common law subrogation from their insured, UFI.â).
. The First Agreement provided:
[A]ll claims between UFI and ITO/City in connection with the [Ernish ] Lawsuit, including third-party claims, indemnity claims, contribution claims, counter-claims and cross-claims, shall be released and voluntarily discontinued with prejudice ....
First Agreement at p. 2.
. All contractors and owners and their agents, ... who contract for but do not direct or control the work, in the erection, demolition, repairing, altering, painting, cleaning or pointing of a building or structure shall furnish or erect, or cause to be furnished or erected for the performance of such labor, scaffolding, hoists, stays, ladders, slings, hangers, blocks, pulleys, braces, irons, ropes, and other devices which shall be so constructed, placed and operated as to give proper protection to a person so employed.
N.Y. Labor Law § 240(1).
. Indeed, the district court acknowledged General Starâs argument that this uncertainty regarding ITO and the Cityâs ability to establish UFIâs liability motivated the decision to settle the third-party action. Nat'l Union II, 2007 WL 2701990 at *2, 2007 U.S. Dist. LEXIS 68100 at *7.
. The possibility that the First Agreement established the legal liability of UFI and thereby indirectly bound General Star to pay an ultimate net loss determined by the Ernish adjudication is not to be confused with the argument originally proposed by Mutual Marine and rejected by the district court in its July 18, 2007, opinion and order that General Star, a non-signatory to the First Agreement, was directly bound by the First Agreement to contribute to the three-fourths share of the Ernish judgment ostensibly apportioned to UFI by the First Agreement. The district court's rejection of that argument was correct for the reasons set forth above.
. N.Y. Ins. Law § 3420(d)(2) provides:
If under a liability policy issued or delivered in this state, an insurer shall disclaim liability or deny coverage for death or bodily injury arising out of a motor vehicle accident or any other type of accident occurring within this state, it shall give written notice as soon as is reasonably possible of such disclaimer of liability or denial of coverage to the insured and the injured person or any other claimant.
Id.
. In finding that General Star was not entitled to summary judgment on the ground that Mutual Marine was acting as a volunteer when it paid an amount in excess of its million-dollar policy limit, the district court referred in passing to UFIâs status as "the party to the First Agreement who owed the remainder of the seventy-five percent apportionment of the judgment....â Nat'l Union II, 2007 WL 2701990 at *3, 2007 U.S. Dist. LEXIS 68100 at *10. Because the district court had already found that UFI owed the remainder of the seventy-five percent because in the view of the district court the Ernish adjudication was "ultimatelyâ an adjudication of UFIâs liability, and because the district court did not analyze the contested issue of whether UFI was bound by the First Agreement, we do not understand the district courtâs passing reference to UFI as a "partyâ to the First Agreement, in a context outside the issue of determining UFIâs liability, to constitute a finding of fact that UFI was bound by the First Agreement. We express no opinion as to whether UFI was bound by the First Agreement and, as indicated in the text, we leave that finding to the district court on remand.