Certiorari granted, No. 26,116, February 18, 2000
Opinion Number: 2000-NMCA-003
Filing Date: November 2, 1999
Docket No. 19,551
G & G SERVICES, INC.,
Plaintiff-Appellee,
v.
AGORA SYNDICATE, INC.,
Defendant-Appellant.
APPEAL FROM THE DISTRICT COURT OF BERNALILLO COUNTY
Theresa Baca, District Judge
Steven Vogel
Albuquerque, NM
David A. Archuleta
Albuquerque, NM
Steven L. Tucker
Tucker Law Firm, P.C.
Santa Fe, NM
for Appellee
Thomas L. Kalm
Kalm Law Office, P.C.
Albuquerque, NM
Emily A. Franke
Butt, Thornton & Baehr, P.C.
Albuquerque, NM
for Appellant
DONNELLY, Judge.
{1} In this case we examine the parameters of an insurer's duty to investigate and defend a third-party claim filed against its insured, together with several related issues. Agora Syndicate, Inc. (Agora) appeals from a jury verdict in favor of its insured, G & G Services (G & G), a partnership. The jury returned a verdict for G & G on its claims alleging breach of the insurance contract, insurance bad faith,
violation of the New Mexico Insurance Code, NMSA 1978, § 59A-16-20 (1984), and violation of the New Mexico Unfair Practices
Act, NMSA 1978, § 57-12-2(D) (1989).
{2}
Agora argues that (1) there was reversible error in the
jury instructions, (2) the jury verdict was not supported by
substantial evidence, (3) the trial court erred in awarding
statutory treble damages, (4) the trial court improperly
excluded evidence, and (5) the award of attorney fees was
excessive. For the reasons discussed herein, we affirm.
FACTUAL AND PROCEDURAL POSTURE
{3}
Gary Humphrey and Geoffrey Breidenbach were partners in
G & G, a contracting and construction firm. In March 1992, G
& G purchased a commercial general liability insurance policy
from Agora through an independent agent, Fred Carbajal. Agora
is an excess surplus lines insurance carrier specializing in
difficult-to-insure risks. Agora agreed in the policy to
pay those sums that the insured becomes legally
obligated to pay as damages because of "bodily
injury" or "property damage" to which this insurance
applies. We will have the right and duty to defend
any "suit" seeking those damages. We may at our
discretion investigate any "occurrence" and settle
any claim or "suit" that may result.
The policy did not cover property damage caused by G & G's own
work product but did cover damages arising out of work
performed on G & G's behalf by a subcontractor. G & G did not
make the subsequent premium payment, and Agora cancelled the
policy for non-payment, effective September 6, 1992.
{4}
On August 18, 1992, prior to cancellation of the policy,
G & G contracted with Howard Herbert to re-roof his Albuquerque
residence. G & G hired A-Bran, a subcontractor, to perform the
re-roofing work. A-Bran worked on the roof August 27 and 28,
1992, but failed to show up August 29, 1992. When Herbert
called G & G on August 29, 1992, to complain that his roof was
leaking, G & G placed tarps and plastic on the roof in an
effort to temporarily secure it until it could be finished.
G & G then made arrangements with another roofer to finish the
work, which was completed on September 4.
{5} Herbert again complained of leaks on September 13 and October 28, 1992. Each time it received a complaint, G & G made arrangements for someone to identify and attempt to fix the problem. In January 1993, it paid for interior damages Herbert said were caused by the roof leaks by deducting the sums from money Herbert owed G & G for different work. G & G tried unsuccessfully to contact Herbert to arrange a time to perform further dry wall repair, but heard nothing further until it received a letter from him in August 1993 demanding his money back and stating that his roof had continued to leak. Herbert filed suit in Metropolitan Court against G & G on February 23, 1994. The complaint alleged that he signed a
contract with G & G for roofing work on his home on August 18,
1992, that the work was completed on September 4, 1992, and
that the roof began to leak on November 1, 1992.
{6}
G & G contacted Carbajal shortly after Herbert initially
complained to G & G that his roof was leaking on August 29,
1992, to alert him to a possible claim. After G & G received
Herbert's demand in August 1993 it again contacted Carbajal to
relay this information. On October 26, 1993, Carbajal filled
out a general liability loss notice on behalf of G & G. This
notice listed the date of loss as August 18, 1992.
{7}
When Agora received the loss notice form filled out by
Carbajal in early January of 1994, it assigned an independent
Albuquerque insurance adjuster, Paulette Stevenson, to
investigate the claim and to determine if the insurer for
A-Bran would accept responsibility. This effort proved
unsuccessful because A-Bran's insurance policy did not cover
this type of claim.
{8}
Stevenson requested documentation from G & G several times
beginning in January 1994, but did not talk with Herbert or
with any of the roofing subcontractors. Nor did anyone else
contact them on behalf of Agora. Even though there was some
indication that A-Bran's work may have been the source of the
problem, Stevenson did not interview Humphrey or Breidenbach.
She did talk with Breidenbach later, however, when he called
her on March 28, 1994, to discuss matters regarding Herbert's
claim. G & G sent Stevenson documentation on March 11, 1994,
including the contracts between G & G and Herbert and between
G & G and A-Bran.
{9}
Herbert's complaint was served on G & G on March 19, 1994.
Agora received a copy on March 24. On March 29, 1994, Agora
sent G & G a letter denying coverage and denying a defense on
the grounds that the loss date of November 1, 1992, as alleged
in Herbert's complaint, was outside of the coverage provided
by the policy. Breidenbach wrote Agora requesting it to
reconsider on March 30, 1994. At that time Agora had nothing
in its file indicating the date of the alleged loss may have
been August 18, 1994. Thereafter, Agora sent a second letter
reiterating its position, that the loss was outside the terms
of the policy's coverage.
{10}
Following a trial in June 1995 in metropolitan court,
judgment was entered in favor of Herbert and against G & G.
G & G paid off the judgment over time with interest, and paid
an attorney to represent it against Herbert.
{11} G & G's attorney sent another letter to Agora in November 1995, advising it that the loss date was alleged to have been August 29, 1992. Shortly afterwards Agora received affidavits signed by Breidenbach and Herbert stating the roof first leaked on August 29, 1992. Agora reviewed the entire court file on the Herbert lawsuit and found no mention of an August 29 loss date. It also checked with the National Weather Bureau in an
attempt to ascertain whether it had rained in Albuquerque on
August 29, 1992, and it again denied G & G's claim.
{12}
After Agora denied responsibility for the claim, G & G
filed suit against Agora on March 13, 1996. G & G's claim
against Agora was tried to a jury which rendered a special
verdict against Agora separately on each of the four counts of
G & G's complaint.
DISCUSSION
A. Jury Instructions
{13}
Agora asserts that the trial court erred in giving jury
instructions that were inapplicable to the case and injected
false issues into the case. Specifically, it contends that
language concerning its alleged failure to settle the claim and
language taken from jury instructions for which the title and
use notes indicate are for first party claims, UJI 13-1702 and
13-1712 NMRA 1999, constitute reversible error.
{14}
In preparing the record for appeal, neither Agora nor the
trial court was able to locate copies of the instructions in
question and no record was made of the wording of the
instructions when the trial court read the instructions to the
jury. The only instruction contained in the record proper is
the statement-of-plaintiff's-claims instruction, which is
attached to a post-trial motion. G & G asserts that Agora
failed to provide an adequate record sufficient to permit this
Court to review the issues raised concerning the propriety of
the instructions on appeal. Agora, citing Bachicha v. Lewis,
105 N.M. 726, 728, 737 P.2d 85, 87 (Ct. App. 1987), and
Trujillo v. Baldonado, 95 N.M. 321, 322, 621 P.2d 1133, 1134
(Ct. App. 1980), contends that the transcript of the
instruction conference in conjunction with Volume 3 of the New
Mexico Rules Annotated are sufficient to review this issue.
{15}
Under the particular facts of this case, we agree with
G & G. Bachicha and Trujillo involved a simple instruction and
a transcript that clearly indicated what the trial court gave.
This case, on the other hand, involves complicated and lengthy
instructions that involve multiple paragraphs; a jury
instruction conference that is confusing and lengthy; and
modifications that were made to the uniform instructions that
may or may not have been given.
{16} Although we do not adopt or apply it in the present case, we note the existence of case law from other jurisdictions that could permit the giving of instructions similar to the instructions complained of here. See Austero v. National Cas. Co., 148 Cal. Rptr. 653, 671 (Ct. App. 1978) (indicating that a denial of coverage necessarily projects a refusal to accept reasonable settlement offers), overruled on other grounds by Egan v. Mutual of Omaha Ins. Co., 620 P.2d 141, 149 n.7 (Cal. 1979) (in banc); McCormick v. Sentinel Life Ins. Co., 200 Cal. Rptr. 732, 738 (Ct. App. 1984) (indicating that the duty of
insurers in first party claims can be merely different aspects
of the same duty as is present in third party claims). Because
we are unable to ascertain with certainty in this case the
language of the instructions in question and how they were
presented to the jury, we are hampered in our review of this
issue.
{17}
It is the general rule that we consider the instructions
as a whole and review the challenged instructions to determine
whether they correctly state the law and are based on the
evidence. See Pittard v. Four Seasons Motor Inn, Inc., 101
N.M. 723, 727, 688 P.2d 333, 337 (Ct. App. 1984). It is also
the general rule that an appellate court will decline to review
claims of error regarding jury instructions if the instructions
are not contained in the record on appeal. See Jones v.
Beavers, 116 N.M. 634, 640, 866 P.2d 362, 368 (Ct. App. 1993)
(stating that where record is incomplete or doubtful, reviewing
court indulges in every presumption in favor of correctness of
decision below). The record does not reflect that Agora sought
to supplement or recreate the record or transcript pursuant to
the avenues available to it under our rules. See Rule 12-209(C) NMRA 1999 (correction or modification of record
proper); Rule 12-211(I) NMRA 1999 (stipulated transcript of
proceedings); Rule 12-211(H) (procedure when transcript is
unavailable). Under these circumstances, we decline to reach
Agora's issues regarding the propriety of the trial court's
instructions.
B. Substantial Evidence
1. Duty to Defend
{18} Next, Agora maintains that the jury's verdicts finding that it breached the insurance contract, acted in bad faith, violated the Insurance Code, and violated the Unfair Practices Act should be reversed because such findings were not supported by substantial evidence. Agora asserts it acted properly in determining whether it had a duty to defend, based on the allegations in the complaint and facts known to it at the time. It points to evidence in the record indicating that the first time it learned of a different date of loss other than that stated in Herbert's complaint was approximately five months after judgment had been entered against G & G in the metropolitan court case. Thus, it argues it cannot reasonably be deemed to have breached any duty to defend G & G in that case. In support of this argument, Agora relies, in part, on Bernalillo County Deputy Sheriffs Ass'n v. County of Bernalillo, 114 N.M. 695, 697, 845 P.2d 789, 791 (1992) (the duty to defend is determined by comparing the allegations of the complaint with the provisions of the policy; where policy limited coverage to occurrences within policy period, insurer had no duty to defend or indemnify suit based on occurrences not within policy period), and American General Fire & Casualty Co. v. Progressive Casualty Co., 110 N.M. 741, 744, 799 P.2d 1113, 1116 (1990) ("The duty of an insurer to defend arises from the allegations on the face of the complaint or from the
known but unpleaded factual basis of the claim that brings it
arguably within the scope of coverage.") (emphasis added)).
Agora argues in effect that an insurer has no duty to
independently investigate the underlying factual basis of a
lawsuit against its insured before determining whether it has
a duty to defend its insured in that lawsuit. We find this
argument unpersuasive.
{19}
Agora correctly notes that opinions of our Supreme Court
and of this Court enunciate the rule that "[w]hether an insurer
has a duty to defend is determined by comparing the factual
allegations in the complaint with the insurance policy." Lopez
v. New Mexico Pub. Sch. Ins. Auth., 117 N.M. 207, 209, 870 P.2d
745, 747 (1994) (citing American Employers' Ins. Co. v.
Continental Cas. Co., 85 N.M. 346, 348, 512 P.2d 674, 676
(1973) (duty to defend ascertained by comparing allegations in
complaint to policy coverage)); see, e.g., Bernalillo County
Deputy Sheriffs Ass'n, 114 N.M. at 697, 845 P.2d at 791 (citing
Insurance Co. v. Wylie Corp., 105 N.M. 406, 409, 733 P.2d 854,
857 (1987)); Marshall v. Providence Wash. Ins. Co., 1997-NMCA-121, ¶ 12, 124 N.M. 381, 951 P.2d 76 (duty to defend is
determined by comparing the allegations in the complaint to the
coverage of the policy).
{20}
None of the cases relied upon by Agora, however, involved
the situation presented here, where the insured provided the
insurer with other facts and information indicating that the
third-party claim may come within the terms of the policy
provisions. "[C]ases are not authority for propositions not
considered." Fernandez v. Farmers Ins. Co., 115 N.M. 622, 627,
857 P.2d 22, 27 (1993) (internal quotation marks and citations
omitted).
{21}
Our Supreme Court has declined to narrowly limit the duty
of an insurer to defend its insured against suits brought by
a third party to those situations which are only set forth in
the allegations of a complaint. Instead, facts other than
those set forth in the complaint may also implicate an
insurer's duty to defend. For example, in American General
Fire & Casualty Co., 110 N.M. at 744, 799 P.2d at 1116, our
Supreme Court held that "[t]he duty of an insurer to defend
arises from the allegations on the face of the complaint or
from the known but unpleaded factual basis of the claim that
brings it arguably within the scope of coverage." (Emphasis
added.) See also Hardware Mutual Cas. Co. v. Hilderbrandt, 119
F.2d 291, 299 (10th Cir. 1941) (holding that insurer was
informed of facts that would have brought the claim within
policy coverage, even though there appeared to be no coverage
based on the allegations of the complaint).
{22} Courts in other jurisdictions which have considered similar issues have differed as to the amount of investigation an insurer is required to undertake when presented with a demand by an insured to provide a defense. In Trinity Universal Insurance Co. v. Cowan, 945 S.W.2d 819 (Tex. 1997), the court observed that "an insurer is entitled to rely solely
on the factual allegations contained in the petition in
conjunction with the terms of the policy to determine whether
it has a duty to defend. 'The duty to defend is not affected
by facts ascertained before suit, developed in the process of
litigation, or by the ultimate outcome of the suit.'" Id. at
829 (quoting American Alliance Ins. Co. v. Frito-Lay, Inc., 788
S.W.2d 152, 154 (Tex. Ct. App. 1990)). A second view, however,
as stated in Colonial Oil Industries v. Underwriters
Subscribing to Policy Nos. TO31504670 & TO31504671, 491 S.E.2d
337 (Ga. 1997), holds that "[w]hen the complaint on its face
shows no coverage, but the insured notifies the insurer of
factual contentions that would place the claim within the
policy coverage[,] . . . [t]he requirement that an insurer base
its decision on true facts will necessitate that the insurer
conduct a reasonable investigation into its insured's
contentions." Id. at 338-39 (citations and footnote omitted).
A third view, followed by some courts, holds that an insurer
must actively seek information before determining whether it
has a duty to defend. See, e.g., Mapes Indus., Inc. v. United
States Fidelity & Guar. Co., 560 N.W.2d 814, 817 (Neb. 1997)
("[I]n determining its duty to defend, an insurer not only must
look to the petition, but must investigate and ascertain the
relevant facts from all available sources."); see also 7C John
Alan Appleman, Insurance Law and Practice § 4684.01, at 95-96
(Rev. Vol. by Walter F. Berdal 1979 & Cum. Supp. 1999).
{23}
We decline to adopt what appears to be a sweeping duty to
investigate, regardless of the circumstances, as suggested by
the court in Mapes. Instead, considering the relevant case
law, together with our Supreme Court's jury instructions, we
conclude that an insurance company is required to conduct such
an investigation into the facts and circumstances underlying
the complaint against its insured as is reasonable given the
factual information provided by the insured or provided by the
circumstances surrounding the claim in order to determine
whether it has a duty to defend. For example, in Section 59A-16-20(C), our New Mexico Legislature included "failing to adopt
and implement reasonable standards for the prompt investigation
and processing of insureds' claims under policies" in a list
of prohibited unfair insurance claims practices. Although a
federal court has interpreted this statute to require
investigation only of "first-party claims, and not demands for
defense against third-party claims," Valley Improvement Ass'n
v. United States Fidelity & Guar. Corp., 129 F.3d 1108, 1123
(10th Cir. 1997), no New Mexico court has yet had occasion to
rule whether an insurer has a duty to conduct its own
investigation in response to a demand for a defense from its
insured. We see nothing in the statute that limits the duty
to investigate only to first-party claims. See Sims v. Sims,
1996-NMSC-078, ¶ 17, 122 N.M. 618, 930 P.2d 153 (holding that
the plain meaning rule requires a court to give effect to the
statute's language and refrain from further interpretation when
the language is clear and unambiguous).
{24} Moreover, we believe the jury instructions promulgated by our Supreme Court discuss the duty of an insurer to investigate
demands by an insured to provide a defense. See UJI 13-1703
NMRA 1999 ("A liability insurance company must act reasonably
under the circumstances to conduct a timely investigation and
fair evaluation of its duty to defend."). Thus, we hold that
UJI 13-1703 requires the insurer to conduct such inquiry as is
reasonable under the circumstances. Nothing in UJI 13-1703
indicates that such inquiry is limited solely to the
allegations set forth in a third-party complaint.
{25}
The court in Milliken v. Fidelity & Casualty Co., 338 F.2d
35 (10th Cir. 1964), explained the rationale for requiring a
reasonable duty to investigate, noting:
The Supreme Court has said that the Federal Rules of
Civil Procedure permit "notice pleading" and the
Rules ". . . do not require a claimant to set out in
detail the facts upon which he bases his claim. To
the contrary, all the Rules require is 'a short and
plain statement of the claim'" . . . .
This Court has consistently held that as a
general rule the duty of an insurer to defend its
insured in federal court litigation is determined in
the beginning of the litigation by the coverage
afforded by the policy, as compared with the
allegations of the complaint filed in the action.
But, the allegations of the complaint are not
conclusive on the issue. The duty to defend may
attach at some later stage of the litigation if the
issues of the case are so changed or enlarged as to
come within the policy coverage. The reason for
this rule is that ". . . [u]nder the Federal Rules
of Civil Procedure the dimensions of a lawsuit are
not determined by the pleadings because the
pleadings are not a rigid and unchangeable blueprint
of the rights of the parties. . . ." Thus, the
insurer's duty to defend an action brought in
federal court against its insured may arise or
attach at any stage in the litigation. And the duty
does attach where there are facts, extraneous to the
allegations of the pleadings, which, if proved, make
out a case against the insurer that is covered by
the policy and which either are actually brought to
the insurer's attention or could have been
discovered by it through a reasonable investigation.
338 F.2d at 40 (quoting Conley v. Gibson, 355 U.S. 41, 47, 48
(1957) and Harbin v. Assurance Co., 308 F.2d 748, 750 (10th
Cir. 1962) (footnotes omitted)).
{26} We find the reasoning of Milliken persuasive. "The New Mexico Rules of Civil Procedure are modeled after the federal rules . . . ." First Nat'l Bank in Albuquerque v. Sanchez, 112 N.M. 317, 319-20, 815 P.2d 613, 615-16 (1991). "New Mexico adheres to the broad purposes of the Rules of Civil Procedure and construes the rules liberally, particularly as they apply
to pleading." Las Luminarias of N.M. Council of the Blind v.
Isengard, 92 N.M. 297, 300, 587 P.2d 444, 447 (Ct. App. 1978).
"Cases decided under the federal rule are often persuasive to
this Court if they are not in conflict with controlling New
Mexico authority and are based on sound logic and policies
consistent with the law of this state." Gallegos v. Southwest
Community Health Servs., 117 N.M. 481, 489, 872 P.2d 899, 907
(Ct. App. 1994).
{27}
An insurance company "cannot construct a formal fortress
of the third party's pleadings and retreat behind its walls.
The pleadings are malleable, changeable and amendable. . . .
In light of the . . . plasticity of modern pleading, we should
hardly designate the third party as the arbiter of the policy's
coverage." Gray v. Zurich Ins. Co., 419 P.2d 168, 176 (Cal.
1966) (en banc). In American Employers' Insurance Co. v.
Crawford, 87 N.M. 375, 380, 533 P.2d 1203, 1208 (1975), our
Supreme Court cited Gray with approval in discussing the duty
of an insurer to defend.
{28}
Moreover, we think the rationale applied by the court in
Gray is consistent with the reasonable expectations of the
insured. See Sanchez v. Herrera, 109 N.M. 155, 159, 783 P.2d
465, 469 (1989) ("The reasonable expectations of the insured
. . . provide the criteria for examining an insurance contract
on the basis both of the actual words used and of unresolved
issues that the insurance company has an obligation to
address."). One of the basic reasons for purchasing liability
insurance is to relieve the insured of the cost of litigation.
See Gray, 419 P.2d at 178. In purchasing insurance an insured
may
reasonably expect that he would stand a better
chance of vindication if supported by the resources
and expertise of his insurer than if compelled to
handle and finance the presentation of his case. He
would, moreover, expect to be able to avoid the
time, uncertainty and capital outlay in finding and
retaining an attorney of his own.
Id.
{29} Thus, we conclude that the better reasoned cases indicate that an insurance company presented with a demand for a defense from its insured "must act reasonably under the circumstances to conduct a timely investigation and fair evaluation of its duty to defend." UJI 13-1703. If a reasonable investigation would include seeking information from other sources apart from the complaint, the insurer should seek such information. Accord Blackburn v. Fidelity & Deposit Co., 667 So. 2d 661, 668 (Ala. 1995) ("[A]s to whether the complaint alleges facts that would invoke the duty to defend, the insurer must investigate the facts surrounding the incident that gave rise to the complaint in order to determine whether it has a duty to defend the insured."); National Indem. Co. v. Flesher, 469 P.2d 360, 366 (Alaska 1970) (holding that insurer has a duty to "defend
when the suit alleges facts within an exception to the policy
but the true facts are within, or potentially within, the
policy coverage and are known or reasonably ascertainable to
the insurer"); Spruill Motors, Inc. v. Universal Underwriters
Ins. Co., 512 P.2d 403, 407 (Kan. 1973) (adopting the rule in
Milliken that "an insurer must look beyond the effect of the
pleadings and must consider any facts brought to its attention
or any facts which it could reasonably discover in determining
whether it has a duty to defend"); see also Monroe Guar. Ins.
Co. v. Monroe, 677 N.E.2d 620, 624 (Ind. Ct. App. 1997); Koski
v. Allstate Ins. Co., 572 N.W.2d 636, 639 n.5 (Mich. 1998);
City of Willoughby Hills v. Cincinnati Ins. Co., 459 N.E.2d
555, 557-58 (Ohio 1984); First Bank of Turley v. Fidelity &
Deposit Ins. Co., 928 P.2d 298, 303-04 (Okla.1996).
2. Verdict on Liability
{30}
In addition to its prior arguments, Agora asserts that it
had no duty to defend because the evidence was uncontroverted
that it did not know there were allegations that the roof began
to leak on August 29, 1992, during the period of the policy
coverage, until November of 1995, months after judgment had
been entered against G & G in metropolitan court. It
emphasizes that the claim form submitted by G & G listed the
loss date of August 18, 1992, which was later found to be the
date G & G signed the contract to do the work, not the date the
roof began to leak. It also points out that Herbert's
complaint alleged that the loss occurred on or about November
1, 1992, well after the policy was cancelled for non-payment
of premium on September 6, 1992. However, it ignores evidence
that Herbert complained to G & G about a leaking roof on August
29, and G & G in turn notified Carbajal of the potential
liability on the policy shortly thereafter.
{31}
When a jury verdict is challenged on appeal, we review all
disputed facts and indulge in all reasonable inferences in
favor of the prevailing party. See Page & Wirtz Constr. Co.
v. Solomon, 110 N.M. 206, 209, 794 P.2d 349, 352 (1990). We
will only reverse a jury verdict if it is unsupported by
substantial evidence. See id. "[S]ubstantial evidence is such
relevant evidence as a reasonable mind might accept as adequate
to support a conclusion." Sunwest Bank v. Colucci, 117 N.M.
373, 375, 872 P.2d 346, 348 (1994). In reviewing a substantial
evidence claim, "[t]he question is not whether substantial
evidence exists to support the opposite result, but rather
whether such evidence supports the result reached." Las Cruces
Prof'l Fire Fighters v. City of Las Cruces, 1997-NMCA-044, ¶
12, 123 N.M. 329, 940 P.2d 177.
{32} As discussed above, an insurer's duty to defend in New Mexico is based on the facts which it knew or would have known if it had conducted a reasonable investigation at the time the demand for a defense was made. There was evidence that no one on behalf of Agora spoke to Herbert or to the roofing subcontractors employed by G & G prior to the time Agora denied a defense, and that Agora continued to deny any responsibility
to defend even after it was presented with evidence that the
loss purportedly occurred within the policy period. Indeed,
the only actions Agora took in connection with this claim were
to attempt to get the subcontractor's insurance to pay and then
to look for a specific date of August 29, 1992, in its file and
to ascertain that it was not raining in one part of Albuquerque
on August 29. Under these circumstances, we conclude that it
was the jury's responsibility to decide if Agora acted
reasonably. The jury could reasonably determine from these
facts that Agora had breached its contract to provide a defense
for G & G, violated the Insurance Code by failing to adopt
reasonable standards for the prompt investigation and
processing of G & G's claims arising under the policies and by
failing to promptly provide G & G with a reasonable explanation
of the basis relied on in the policy in relation to the facts
or applicable law for denial of a claim, and that Agora
violated the Unfair Practices Act by failing to deliver the
quality or quantity of goods contracted for.
{33}
Nor do we believe the fact that evidence in the trial in
the metropolitan court between Herbert and G & G did not
conclusively establish when the leak began, or that Herbert
testified that some of the work on his roof was done not by
G & G's subcontractors, but instead was done by G & G itself,
absolved Agora from liability herein. The relevant factor is
whether there were facts which arguably brought Herbert's
complaint within the policy coverage and gave rise to an
obligation on Agora's part to defend. See Price, 101 N.M. at
442, 684 P.2d at 528 ("The test is not the ultimate liability
of the insurance company . . . . [A]ny doubt about whether the
allegations are within policy coverage is resolved in the
insured's favor." (citations omitted)).
{34}
We hold there was sufficient evidence to sustain the
jury's verdict that Agora breached its contract and violated
the Insurance Code and the Unfair Practices Act.
3. Damage Award
{35}
Agora also challenges the jury's award of damages in the
amount of $63,700 arguing that the verdict is not supported by
substantial evidence. Agora does not dispute that G & G paid
approximately $13,700 to Herbert to satisfy the judgment and
to its attorneys for its defense in the Herbert lawsuit. It
argues, however, that there is no evidence in the record to
support the remaining $50,000 of the damages award.
{36}
The controversy involving this issue centers around G &
G's claims of lost profits. There was testimony that G & G had
income of $71,609 in 1993, $136,510 in 1994, a similar amount
in 1995, and $54,334 in 1996. Humphrey and Breidenbach, the
G & G partners, testified that they believed the 1996 decline
in income was due to G & G's inability to obtain a bond and to
bid on governmental construction projects during the period
that the metropolitan court judgment in favor of Herbert
remained unsatisfied.
{37}
Agora contends that G & G could not have bid on government
jobs without a GB-98 license, that it only had a GB-2 license,
and thus it could not possibly have lost income due to an
inability to bid on contracts which could not legally have been
awarded to it. Agora, however has not provided us with a
citation to the record indicating where this argument was
preserved below. Thus, we do not consider it. See Wilburn v.
Stewart, 110 N.M. 268, 272, 794 P.2d 1197, 1201 (1990)
("Issues raised in appellate briefs that are unsupported by
cited authority will not be reviewed . . . on appeal."); In re
Estate of Heeter, 113 N.M. 691, 694, 831 P.2d 990, 993 (Ct.
App. 1992) ("This court will not search the record to find
evidence to support an appellant's claims.").
{38}
The testimony of Humphrey and Breidenbach constituted
evidence upon which the jury could properly determine that an
adequate basis existed to find that at least $50,000 of the
decline in income of $82,175 from 1995 to 1996 was due to G &
G's inability to qualify for bonds to bid on government
projects resulting from the outstanding judgment obtained by
Herbert.
C. Treble Damages
{39}
Next, Agora maintains that the trial court incorrectly
awarded treble damages to G & G for Agora's violation of the
Unfair Practices Act. The trial court's award of treble
damages under NMSA 1978, § 57-12-10(B) (1987), is a question
of law which we review de novo. See Gallegos v. New Mexico
Board of Educ., 1997-NMCA-040, ¶ 11, 123 N.M. 362, 940 P.2d
468.
{40}
Agora argues that the jury verdict was inconsistent
because it found that Agora willfully violated the Unfair
Practices Act, but did not willfully breach the insurance
contract or act in bad faith. Treble damages may be awarded
by the court against a party if the trier of fact finds the
party acted "willfully." Section 57-12-10(B). Agora insists
that such a finding must be explicit, and that the jury's
verdict is inconsistent. The same conduct giving rise to G &
G's claim for punitive damages also supports its claim for
violation of the Unfair Practices Act. Cf. Hale v. Basin Motor
Co., 110 N.M. 314, 320, 795 P.2d 1006, 1012 (1990) (if same
conduct could provide basis for award of punitive damages under
Unfair Practices Act or under common-law fraud, plaintiff would
then be required to elect remedies). Agora questions how the
same conduct could be found to be willful for one claim but not
for another.
{41} In considering this issue, we note that Agora admitted at oral argument that it did not bring this issue to the attention of the trial court before the jury was dismissed. A litigant who fails to object to an alleged inconsistency in a jury's verdict before the jury is dismissed may be held to have waived any further challenge to the alleged inconsistency. Thus, we conclude that Agora thus waived any challenge it might
otherwise have made to the inconsistency of the verdict. See
Nelson v. Progressive Corp., 976 P.2d 859, 863 (Alaska 1999)
("[A] litigant waives his right to challenge the consistency
of a jury's verdict if he fails to raise the issue and move for
resubmission prior to the jury's discharge."); Gonzalez v.
Gonzalez, 887 P.2d 562, 565 (Ariz. Ct. App. 1994) (party who
failed to timely challenge inconsistency in jury verdict waived
right to challenge verdict); C.G. Chase Constr. Co. v. Colon,
725 So. 2d 1144, 1145 (Fla. Dist. Ct. App. 1998) ("[A]n
inconsistent verdict must be objected to at trial or the claim
has been waived for appellate review."); see also Powers v.
United Servs. Auto. Ass'n, 962 P.2d 596, 603 (Nev. 1998); Boers
v. Payline Sys., Inc., 918 P.2d 432, 438 (Or. Ct. App. 1996).
{42}
We hold that Agora waived any right to challenge the
alleged inconsistency of the verdict by failing to bring the
matter to the trial court's attention before the jury was
discharged.
D. Evidence
{43}
Next, Agora argues that the trial court erred in excluding
evidence in the form of the complaint filed by Herbert against
G & G in metropolitan court and in limiting the testimony
of experts Edward Casados and Kenneth Moore. We review the
admission or exclusion of evidence for abuse of discretion.
See Coates v. Wal-Mart Stores, Inc., 1999-NMSC-013, ¶ 36, 127
N.M. 47, 976 P.2d 999.
{44}
Agora maintains that the trial court erred in denying its
request to admit Herbert's complaint as an exhibit and that it
wished to demonstrate to the jury that the occurrence date
alleged in the Herbert complaint was November 1, 1992, when the
policy was no longer in effect. It relies on Lopez, 117 N.M.
at 209, 870 P.2d at 747, for the proposition that an insurer's
duty to defend is determined by comparing the allegations in
the complaint with the provisions of the policy.
{45}
As discussed above, we believe that Lopez is
distinguishable from the facts existing here. We agree with
Agora that the occurrence date in the complaint is relevant for
the jury to consider; however, relevant evidence may be
excluded if its probative value is outweighed by its
prejudicial effect, the likelihood that it might confuse the
jury, or the evidence is merely cumulative. Rule 11-403 NMRA
1999. The Herbert complaint also contained allegations of
wrongdoing by G & G which were not relevant to G & G's lawsuit
against Agora. Moreover, the jury heard numerous times that
the date of the leak identified in the Herbert complaint was
November 1, 1992. Thus, evidence of the date identified in the
complaint was cumulative at best. Therefore, we find no error
in the trial court's ruling denying admission of the complaint.
{46} Agora also complains that the trial court improperly limited the testimony of its expert witness Edward Casados. The trial court ruled that Casados, an attorney, could testify
about insurance industry standards and practices but that he
would not be allowed to testify generally concerning insurance
law. The trial court did not abuse its discretion in so
ruling. "[O]pinion testimony that seeks to state a legal
conclusion is inadmissible." State v. Clifford, 117 N.M. 508,
513, 873 P.2d 254, 259 (1994).
{47}
Agora relies on Herrera v. Fluor Utah, Inc., 89 N.M. 245,
248-49, 550 P.2d 144, 147-48 (Ct. App. 1976), for the
proposition that opinion testimony within a witness's expertise
is not inadmissible because it contains a legal opinion. The
witness in Herrera was a physician who gave an opinion as to
whether the plaintiff had an occupational disease and what the
proximate cause of that disease was, as those terms were used
in the relevant statutes. See id. The witness was required
to use his non-legal expertise in answering the question. See
id. Herrera does not stand for the proposition that a witness
may be permitted to usurp the province of the court by
expounding on New Mexico statutes, case law, and relevant jury
instructions.
{48}
Agora also relies on Russell v. Russell, 111 N.M. 23, 25,
801 P.2d 93, 95 (Ct. App. 1990), for the proposition that "New
Mexico law does not prohibit presentation of expert testimony
on insurance law." We think Agora's reliance in this regard
is misplaced. At trial, in Russell "the parties, the attorney
for Procter & Gamble, a personal injury expert, and a
subrogation expert testified." Id. The propriety of such
testimony was not an issue on appeal and was not addressed by
the Court.
{49}
Agora also objects to what it characterizes as the trial
court's refusal to allow Kenneth Moore, an insurance adjuster,
to state his opinion concerning whether he believed Agora had
acted in bad faith. At the close of testimony on April 1,
1998, Agora's counsel asked Moore whether he thought Agora had
acted in bad faith by failing to defend G & G and in refusing
to pay for the new roof. G & G objected on the grounds that
Agora had not identified Moore as an expert in the area of bad
faith litigation. The trial court did not rule on the
objection. The following morning when trial resumed, Agora did
not seek a ruling from the court on the admissibility of
Moore's testimony, nor did defense counsel seek to again elicit
an opinion from the witness on the question of whether Agora
had acted in bad faith. Under these circumstances, we hold
that Agora failed to preserve the issue of the propriety of
Moore's offering an opinion on bad faith. "No ruling of the
trial court having been invoked on this issue, it is not before
us for review." Somerstein v. Gutierrez, 85 N.M. 130, 132, 509
P.2d 897, 899 (Ct. App. 1973).
{50} Agora further asserts that G & G's insurance expert Garth Allen, an attorney, was allowed to "testify to the same legal conclusions the Court prohibited Edward Casados and Kenneth Moore from testifying to." Allen's testimony was presented as "the definition and understanding of insurance bad faith in the
insurance industry" and was allowed by the trial court
specifically in that limited area. Our review of the record
indicates that Moore was in fact permitted by the trial court
to state his opinion concerning whether there was "any standard
or rule of law in New Mexico violated by Agora with . . .
respect to the position [it] took in the handling of this claim
presented by G & G?" The witness indicated there had been no
violation. For that reason, even if we assume the question
asked was improper because it may have led to an inadmissible
response, it was harmless error because Agora was not harmed
by the response. Thus, we disagree that Allen was allowed to
testify on matters forbidden to Casados and Moore, and hold
that the trial court did not abuse its discretion in making its
evidentiary rulings.
E. Attorney Fees
{51}
Lastly, Agora challenges the award of attorney fees to G
& G made by the trial court in the amount of $101,027.22 for
prosecuting the action against it. Agora asserts the award was
unreasonable and excessive. We review the grant or denial of
attorney fees for an abuse of discretion. See Buckingham v.
Ryan, 1998-NMCA-012, ¶ 23, 124 N.M. 498, 953 P.2d 33 (stating
standard of review). Agora concedes that G & G is entitled to
an award of attorney fees under the Unfair Trade Practices Act.
See § 57-12-10(C) (providing for the award of attorney fees and
costs "to the party complaining of an unfair or deceptive trade
practice or unconscionable trade practice if he prevails.").
Agora has not directed us to any evidence in the record to
challenge the reasonableness of the fees requested. Agora's
counsel did argue that the hourly fee of $175 should be reduced
to $125; however, arguments of counsel are not evidence. See
In re Application of Metropolitan Inves., Inc., 110 N.M. 436,
441, 796 P.2d 1132, 1137 (Ct. App. 1990). On this record we
cannot say that the trial court abused its discretion in its
award of attorney fees.
CONCLUSION
{52}
We affirm, and we remand to the trial court for an award
of reasonable attorney fees for G & G incident to this appeal.
{53}
IT IS SO ORDERED.
______________________________
THOMAS A. DONNELLY, Judge
WE CONCUR:
________________________________
LYNN PICKARD, Chief Judge
________________________________
RUDY S. APODACA, Judge
Converted by Andrew Scriven