Heider v. Commercial Insurance Company

436 P.2d 268 (1968)

Otto W. HEIDER, Appellant,
v.
COMMERCIAL INSURANCE COMPANY of Newark, New Jersey, a Corporation, Respondent.

Supreme Court of Oregon, Department 2.

Argued and Submitted November 3, 1967. Decided January 17, 1968.

Norman K. Winslow, Salem, argued the cause for appellant. With him on the briefs was Daniel A. Ritter, Salem.

*269 Howard M. Feuerstein, Portland, argued the cause for respondent. With him on the brief were Davies, Biggs, Strayer, Stoel & Boley and Don H. Marmaduke, Portland.

Before PERRY, C.J., and SLOAN, GOODWIN, HOLMAN and WOODRICH, JJ.

SLOAN, Justice.

In this action plaintiff Heider attempts to obtain indemnity from defendant for the amount he paid to satisfy the judgment affirmed in Gowin v. Heider, 1964, 237 Or. 266, 386 P.2d 1, 391 P.2d 630. At the times material to the case of Gowin v. Heider, supra, defendant, in the instant case, was bound to Heider on a comprehensive liability policy. In the instant action, Heider claims that policy requires defendant to indemnify him for the judgment he was obliged to pay to Gowin. The case was tried to the court without a jury. The court found for defendant and entered judgment accordingly. Plaintiff appeals.

Plaintiff's theory in the instant case is that the conduct of Heider, which caused the judgment against him in Gowin v. Heider were unintentional in respect to Heider because they were committed by Heider's agent and that Heider was, therefore, the victim of an "accident" within the protection of defendant's policy of insurance. He claims that an assault committed by an agent is an "accident" in respect to his employer. He further claims that our opinion in Gowin v. Heider confirms his conclusion that Heider was not intentionally or directly involved in the conduct which gave rise to his liability in that case. Heider overlooks the fact that the instant case is an independent action against his insurer and requires its own determination of the facts.

Plaintiff acknowledges that we have adopted the rule that the insurer's liability to defend, and usually to pay a judgment, must be determined by the complaint filed in the initial action against the insured. The rule was most recently affirmed in Williams v. Farmers Mut. of Enumclaw, 1967, 245 Or. 557, 423 P.2d 518, and in Crist v. Potomac Insurance Co., 1966, 243 Or. 254, 413 P.2d 407. However, in the latter case and in MacDonald v. United Pacific Ins. Co., 1957, 210 Or. 395, 311 P.2d 425, it was recognized that cases may arise in which the complaint would not allege facts creating a duty to defend but that the ultimate proof in the case would show a duty to pay a judgment entered on the complaint. This exception to the insurer's duty has to be the basis of plaintiff's instant action.

The complaint filed by Gowin in the initial case was so much beyond the policy coverage that Heider, in that action, did not tender the defense of the Gowin case to the instant defendant until after the trial of the Gowin case. As stated, plaintiff's claim is that the opinion of this court in Gowin v. Heider, supra, makes it clear that defendant is obligated to indemnify him for the Gowin judgment.

In Jarvis et ux. v. Indemnity Ins. Co., of North America, 1961, 227 Or. 508, 363 P.2d 740, more specific statements were made in respect to the exceptions above noted. In Jarvis we held that the burden is on the insured "* * * to demonstrate that the former judgment was based upon evidence which identified it as one within the coverage of the insurer's obligation." 227 Or. at p. 512, 363 P.2d at 742.

To sustain that burden in the instant case, plaintiff introduced into evidence substantially all of the trial and appellate record in Gowin v. Heider. The trial court, as we mentioned, found generally for defendant upon all material issues of fact. This, of necessity, includes a finding that plaintiff was an active participant in the conduct which created liability in Gowin v. Heider, supra, and that those events were not an "accident" within the meaning of defendant's policy of insurance. Despite plaintiff's assertion to the contrary, these were issues of fact. The record supports the trial court's finding. The judgment is affirmed.