)

Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 4 of 16

~,@
'~:J UNITED STATES DISTRICT COUR~~FOR THE

EASTERN DISTRICT OF PENNSYLVANIA

APPALACHIAN INSURANCE COMPANY,

10 ~. 7614
Plaintiff, CIVIL ACTION NO.
~~;

v.

COMPLAINT
INSURANCE COMPANY OF
NORTH AMERICA,

Defendant.

Plaintiff, Appalachian Insurance Company ("Appalachian"), and for its Complaint

against Defendant, Insurance Company of North America ("INA"), alleges as follows:

PARTIES

1. Appalachian is incorporated under the laws of the State of Rhode Island with its

principal place ofbusiness located at 1301 Atwood Ave., Johnston, Rhode Island 02919.

2. INA is incorporated under the laws of the State of Pennsylvania; with its principal

place of business located at 436 Walnut St., Philadelphia, Pennsylvania 19106.

JURISDICTION AND VENUE

3. This Court has subject matter jurisdiction pursuant to 28 V.S.c. § 1332(a)(1)

because the amount in controversy exceeds $75,000 exclusive of interest and costs and because

there is complete diversity of citizenship in that Appalachian is a Rhode Island,corporation with

its principal place of business in Rhode Island and INA is a Pennsylvania corporation with its

principal place of business in Pennsylvania.

 Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 5 of 16

4. This Court has personal jurisdiction over INA because it is a Pel1l1lsylvania

corporation with its principal place of business in Philadelphia, Pennsylvania.

5. Venue is proper in this Court because INA's principal place of business is located

in this district and a substantial part of the events giving rise to this action occurred in this

district. 28 U.S.C. § 1391(a).

NATURE OF THE ACTION

6. This action arises out of and seeks damages and other relief in c9nnection with

INA's breach of a reinsurance contract.

7. In a reinsurance contract, a reinsurer agrees to indemnify the reinsured against all

or part of the loss that the reinsured may sustain under an insurance policy or policies that the

reinsured company has issued, in exchange for a portion of the premium paid to the reinsured for

the insurance policies.

8. A "facultative" reinsurance contract reinsures a specific insurance policy or risk,

as opposed to "treaty" reinsurance, which reinsures mUltiple insurance policies or an entire book

of business written by the reinsured.

THE CERTIFICATE OF FACULTATIVE REINSURANCE

9. For the period April 1, 1972 to April 1, 1975, Appalachian enter~d into a

facultative reinsurance contract with INA, Certificate Number FRC 00585 ("Fa~ultative

Certificate"), pursuant to which INA agreed to reinsure an excess umbrella liability policy,

Number 71074, that Appalachian issued to Union Carbide Corporation ("Uniof\ Carbide

Policy"). A true and correct copy of the Facultative Certificate is attached hereto as Exhibit A.

1O. Under the Facultative Certificate, INA agreed to reimburse Appalachian for

certain amounts that Appalachian incurred in connection with the Union Carbidle Policy.

 Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 6 of 16

11. The Facultative Certificate provided that INA's liability "shall follow that of

[Appalachian] and ... shall be subject in all respects to all the tenus and conditions of

[Appalachian's] policy...." Id., p. 2 at ~ A.

12. The Facultative Certificate also contains "follow the settlements" language which

provides that "[a]ll claims involving this reinsurance, when settled by [Appalachian], shall be

binding on [INA]." Id., p. 2 at ~ C.

THE UNDERLYING ASBESTOS CLAIMS AND

APPALACHIAN'S LOSS PAYMENTS

13. After the Facultative Certificate was executed, Union Carbide was named as a

defendant in many asbestos products personal injury claims and lawsuits. Union Carbide

tendered these claims and lawsuits to its insurers, including Appalachian, for defense and

indemnity.

14. Appalachian was named as a party in a lawsuit captioned Union Carbide Corp. v.

Affiliated FM Insurance Co., et al., Index No. 600804-04, Supreme Court ofthe State of New

York, County of New York. In that lawsuit, Union Carbide alleged that its insurers, including

Appalachian, were obligated to defend and indemnify it in connection with the underlying

asbestos claims and lawsuits.

15. On or around September 10,2008, Appalachian and Union Carbide entered into a

confidential settlement agreement resolving Union Carbide's claims asserted in the above-

referenced insurance coverage lawsuit. Pursuant to this settlement agreement, Appalachian

agreed to make certain payments to Union Carbide, including payments under the Union Carbide

Policy. Appalachian's decision to settle Union Carbide's insurance coverage claims was

undertaken after a good faith, reasonable, and business-like assessment of Appalachian's duties

under the Union Carbide Policy and possible coverage defenses.

 Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 7 of 16

APPALACHIAN'S REINSURANCE BILLING TO INA

16. Subsequent to earlier reporting, Appalachian issued a billing, including certain

proofs ofloss, to INA pursuant to the Facultative Certificate on or around July 29, 2010. These

proofs of loss exceed $2 million.

17. The Facultative Certificate provides that "[p ]ayment of its proportion of loss and

expense paid by the [Appalachian] will be made by [INA] promptly following receipt of proof of

loss." Exhibit A, p. 2 at ~ D.

18. INA has not paid Appalachian's billings.

COUNT ONE
Breach of Contract

19. Appalachian repeats and incorporates herein by reference the allegations

contained in the foregoing paragraphs 1-18 as if fully set forth herein.

20. Appalachian has fully performed its obligations under the Facultative Certificate

and has properly billed INA for amounts due thereunder.

21. In breach of the Facultative Certificate and in violation of its duty of utmost good

faith to Appalachian, INA has refused to pay Appalachian's billings.

22. INA's failure to pay Appalachian's billings have damaged Appalachian.

WHEREFORE, Appalachian demands that judgment be entered in its favor and against

INA as follows:

(a) Awarding Appalachian money damages plus interest with respect

to outstanding billings;

(b) For attorneys' fees, interest and costs of suit; and

(c) Such other relief the Court deems appropriate.

4
 Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 8 of 16

COUNT TWO
Declaratory Relief

23. Appalachian repeats and incorporates herein by reference the allegations

contained in the foregoing paragraphs 1-18 as if fully set forth herein.

24. Under the settlement agreement, Appalachian will make additional future

payments to Union Carbide under the Union Carbide Policy. Appalachian anticipates billing

appropriate portions of these future payments to INA under the Facultative Ce1]1:ificate.

25. An actual controversy exists with respect to the parties' rights under the

Facultative Certificate, including but not limited to, the obligations of INA to pay past, current

and future billings in a timely manner.

26. Appalachian is entitled to a declaration of its rights under the Facultative

Certificate.

 Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 9 of 16

WHEREFORE. Appalachian demands that judgment be entered in its f:,tvor and against

INA as follows:

(a) Declaring that INA is obligated to pay past, current and future

billings from Appalachian regarding the Union Carbide Policy in a

timely manner;

(b) Awarding Appalachian attorneys' fees, interest and costs of suit;

and

(c) Awarding Appalachian such other relief the Court deem~

appropriate.

Respectfully submitted,

CHRISTIE, PABARUE, MORTENSEN i

and
YOUNG, r Vessional Corporation

wfincdevitt@cpmy.com

1880 JFK Boulevard, 10th Floor

Philadelphia, P A 19103
(215) 587-1600

Attorneys for Plaintiff,

DATED: December 30,2010 Appalachian Insurance Compapy

Of Counsel

Robert J. Bates, Jr.

Bates Carey Nicolaides LLP

191 N. Wacker Drive, Suite 2400

Chicago, Illinois 60606

(312) 762-3100

Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 10 of 16

 Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 11 of 16

EXHIBIT A

Documentl3
 Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 12 of 16

Documentl3
 Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 13 of 16

'"f

In ."",;".. ,~H()" of t"~ pAym""t of the pNml~"" ~.<:l ,ub;ec! \0 th6 rer.ns, c(lfldm"". "'n~ limit. "f li.biiity u.t for\h, '''''.In, 4,,0:1 in th5 DiIo"f.,IiHa.. ",~d" "
j,,,rl Iwoof, thl) l!.~in.;rlir~~1itf\.ll!sIJ ~inM" ti\~ c~di.g c"mp.. ~~ ""me;:! in H,t; O""f.f41;Vn, {Imein "oiled tk co.l,~~~f~r:\if1~!.:r'U'W!!f'F~n~1
policy b$ follc;::wt:
'{llSJllI'!e.O $;;I~~";mMI ml:d3alsqi\IA
OOU~);Q,q1:'GO S!)nsIJJllffl':!'I ~l)tl,l {} \0
AGitIlI!MIUia'"TS AND ~incs~U e;.i".ruT OO,i,t
.f.I}\!SO iml'.i1.aJ. !JbQ,i.~ ,!al5tJ5l,bl:VQ'Xi!
. b.nMe'lo'-! 1 t~,f '.~ .. ~~in~1'Tt;
"O.£t .W .J
A. Tho CDmp.tty wur"nt. to ,,,hi. for it! <>loin ~"cc"r.! 0' moOt of it. D.
tr~.ty r ..il\~"r..r Illlno a....ount cf U.h/lity 'p.eili~tl in lI"m ~ of thD Oadara.
of flt~ R~-

pr~·tnll/1'r.. <lscle<l
it!aG~r.3
sl.J:~,!"(j$U
1{jH.h1~.!;,t
tt;", 10."'& of chi. c..rli,
ton): ~TtI te At tito UnHed
Ul:ln5U,al\!.$ .,5 is c:fford:d

...;lmlTted ~ ...t or d*du"tlon

to fllCn "'m~~d",,,at, ~"o It.­
«ny .u~~ vi-cMe "I'pl!"~bl ••.

d611loc."~fql"'., C;""'Ii>iH'" "~,,n «I".tit"",.. auio",..tic

eanJm~~~:~r~~~~~.~dV
,.
I

I
I

\\ 'to
. :i(-ll
~~!'rOH ..l/d:Ji"l€~\'.m'.:!<:J,l.)ti
~Jo; ..(f.U i1( ~y~ SI.•S::t
 Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 14 of 16

::ERTtFI £ OF FJt;C.U\...TATtVE REl .... SURANCE lS$UEC) BY

F Re 00585
INSURANCE COMPANY OF NORTH AMERICA
1600 Arch Street
Philadelphia, Pennsylvania 19101

DEClARA TlONS

CEDING cOMPANY ANO ADDRESS INTERMEDIARY

r Appalachian Insurance Company

c/o New Providence Corporation , R£CEtV£O
1500 Turks Head Building
Providence~ Rhode' Island 0.2904 OCT 27 '972
ATTEKTION Mr. Mal Poignand
L N. P. c.

CI1,RTlFI<:"TE: NO.
Union Carbide

Excess $2,000.,0.00. CSL each Nil this layer .1$ 2 • 000. ,0.0.0. CSL Contrib­
Umbrella occ.-agg. part of each occ.-agg. uting
Liability $20.,0.0.0.,00.0 cst each part of Excess
ccc.-agg. excess of 20.,0.0.0.,0.0.0. CSL
$20.,00.0.,0.0.0. Cst each occ.-agg.
umbrella Liability
excluding marine,
$15,0.0.0.,0.0.0 CSL
including marine
liability, which in
turn is excess of
underlying insurance I
0.0.0. SIR. I,
01" TH'" CERTIFICA T£
TEAMIN" TEO BY C:ANCIiU.. I.A TION.
I
I
ae FROM THE
____.:l.;::s.;::t___ OAY of·_...::A::.&:p;.::r..:i:.:l~_. 8 72 TO THE _ _ _ _,_h_t
_ _ DAY OF _ _ _A..;p_r_i_l_ _ , 19 75 II
I

, THE NI!.T PREMIUM FOR THIS CERTIFICATe; SHALl. BE: $ 5,812.50. o FIX'ED CHARGE 0 DEPOSIT PREMIUM

CANAI
IrAN:
$ 387.50./

I
U.S.A
.:
5,425.0.0. V

$ 5,812.50 V

AUDIT pIIR10a ""NI"'VM PREMIUM FOM REINSV"AN';" 1"1>1'1100 MIN,MUM ?"EMIUI!! FOR CERTIFICATe I

I . $5,812.50. $1,000 1

COU HTERSIGN ED AT _ _ _ --'P~h:!;i:.:l::.:a::d::.;e::.;l:',Jp_.:h::;:i::.;a::...i..,.;P::..e;:.;n:;;.:n;;.;s;.,y(,.,;l::..v::..a::..n...i...8 ;;..,.-_THE _ _ _ _6_t_h_ _ DA v Se,ptember 72

I
0F
"-­
INSUR .. NCE COMPANY OF NORT .. A"'e:RICA
I
1.1.1'.... &:12
Ely _ _ .L. :./j:. . !. f . L.:'.C~ 7i-.i..d!; f.=0.ot:::-;,'~>{=-=:::- _ _ __ I
I

I
.; 1012 PTI) IN AUTHORIZEO S'GN" TVRE
PLEASE GIVE SPECIAl. HOTICE OF THIS FACUl TATIVE REINSURANCE TO YOUR CLAU", ,DEPARTMENT
 Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 15 of 16

UNITED STATES DISTRICT COURt FOR THE

EASTERN DISTRICT OF PENNS~ VANIA l,

APPALACHIAN INSURANCE COMPANY,

Plaintiff, ,\
C~VIL ACTION NO.
w

INSURANCE COMPANY OF
NORTH AMERICA,

Defendant.

PLAINTIFF'S RULE 7.1 DISCLOSURE STATEMENT

Pursuant to Federal Rule of Civil Procedure 7.1, Plaintiff Appalachian Insurance

Company ("Appalachian") submits the following statement:

1. Appalachian Insurance Company is a wholly owned subsidiary of FMIC

Holdings, Inc.

2. FMIC Holdings, Inc. is a wholly owned subsidiary of Factory Mutual Insurance

Company.

CHRISTIE, P ABARUE,
YOUNG,

By:~~~~~~~~____________
Jruvn2iL>

jw ristie@cpmy.com
DATED: December 30, 2010 WILLIAM F. McDEVITT
wfincdevitt@cpmy.com
1880 JFK Boulevard, 10th Floor
Philadelphia, PA 19103
(215) 587-1600

Plaintiff_s Rule 7 1 Disclosure Statement

 Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 16 of 16

Of Counsel

Robert 1. Bates, lr.

Bates Carey Nicolaides LLP

191 N. Wacker Drive, Suite 2400

Chicago, Illinois 60606

(312) 762-3100

372135

2
Plaintiff_s Rule 7 1 Disclosure Statement
 '!>JS 44 (Rev. 12/07)
R
Case 2:10-cv-07614-RB Document 1
CIVIL COVER SHEET
Filed 12/30/10 Page 1 of 16
1
The JS 44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings orotherlpapers as required by law, eKcept as provided
by local rules ofcourt. This fonn, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk ofCourt for the purpose of Initiating
the civil docket sheet. (SEE INSTRUCTIONS ON THE REVERSE OF THE FOR,VI.) i •

I. (a) PLAINTIFFS
DEFENDANTS

APPALACHIAN INSURANCE COMR

INSURANCE COMPANY OFi NORTH

(b) County of Residence of First Listed Plaintiff

(EXCEPT IN U.S. PLAINTIFF

NOTE: IN LAND CONDEMNATIO :

LAND INVOLVED.

(c) Attorney's (Firm Name, Address, and Telephone, mber) Attorneys (If Known)

Christie. Pabarue, Mortensen and Young, A Professional

Cor oration. 1880 JFK Boulevard. 10th Floor, Phila. PA 1910321
II. BASIS OF JURISDICTION (Place an "X"in Oue Box Only) Ill. CITIZ.ENSHIP OF PRINCIPAL PARTlES(plaeean "X" in One Box for Plaintiff
(For Diversity Cases Only) I and One Box for Defendant)
01 U.S. Govennnent Federal Qnestion PTF DEF: PTF EF
Plaintiff (U.S. Government Not a Party) Citizen of This Stale o 1 0 1 IncorPorated or Principal Place 0 4 Il!I 4
ofBl/siness In This State
I

o2 U.S. Government Diversity Citizen of Another State o 2 o 2 Incorporated and Principal Place
Defendant oflBusiness In Another State
(indicate Citizenship ofPafries in Item III)
Citizen or Subject of a o 3 o 3 Foreip Nation o 6 0 6
Forei I COlmtrv :
NATURE OF SUIT Place an "X"inOneBoxOlll
eON!I':R)\'G1J:~": ' t,'%.% fi), IfSll1\3 i!il:irES 1~

lnsurallce PERSONAL INJURY PERSONAL INJURY

oMarine o
310 Airplane
o 30 Miller Act o
315 Airplane Prodnct
t40 Negotiable luslrument Liability
o ISO Recovery of Overpayment o
320 Assault, Libel &
&Euforcementof Judgmen Slander
o 1St Medicare Act o
330 Federal Employers' .
o 152 Recovery of Defaulted Liability
Student Loans o
340Marine PERSONAL PROPERTY
(Excl. Veterans) o
345 Marine Product
[j: 153 :Recovery of Overpayment Liability
\ ... ,;. ofVeterall's Ben~fil'i o
350 Motor Vehicle
. 0·160 Stockholders' SUIts o
355 Motor Vehicle
GJ\ 190 OUler Contract Product Liability
o 195 Contract Product Liability o
360 Other Persollal
o 196 Franchise In'u
;::::i",d;;;;RW_.BROBERTV :'§!l1j, .li.lill~Mru~lfWS···';' scJ"R1SGNERf,·EmJIDrONS.iII! (j 740 Railway Labor Act
o 210 Land Condemnation (j 441 Voting (j 510 Motions to Vacate
o 220 Foreclosure (j 442 Employment
o 230 Rent Lease & Ejeclment (] 443 Housing!
o 240 Torts to Laud AccollunodatiOllS
o 245 Tort Product Liability o
444 Welfare
o 290 All Other Real Property o
445 Amer. wlDisabilities CJ 540 Mandamus & Other
Employment (] 550 Civil Rights
o
446 Amer. wlDisabilities • (] 555 Prison Condition
Other
o
440 OUler Civil Rights
(] 610 Agriculture o
422 Appeal 28 USC 158 0 400 State Reapportiorunent
o
362 Personallnjnry • o
620 Olher Food & Drug 423 WiUldrawal io 0 410 Antitrust
Med. Malpractice o
625 Drug Related Seizure 28 USC 157 0 430 Banks and Banking
o
365 Personal Injury of Property 21 USC 881 0 450 Commerce
Product Liability o
630 Liquor Laws 0 460 Deportation
o
368 Asbestos Personal o
640 R.R. & Truck 820 Copyrights o 0 470 Racketeer Influenced and
Injury Product o
650 Airline Regs. S30P"tent o Comlpt Organizations
Liability o
660 Occupational 840 Trademark o (j 480 Conslmler Credit
Safety/Healf11 0 490 Cable/Sat TV
o
370 OUler Fraud 6900lher o 0 810 Selective Service
o
371 TruuI in Lending ""tgeR~Lj~~ 0 850 Securities!Commodities!
o
380 tiler Personal o 0710 Fair Labor Standards 861 HIA (J395tl)o Exchange
Property Damage Act o
862 Black Lung (923) (] 875 Customer Challenge
o
385 Property Damage o
720 Labor/Mgmt. Relations (] 863 DIWC/DIWW (405(g)) 12 USC 3410
Product Liability o
730 LaborlMgmt.Reporting (j 864 SSID Title XVI 0 890 Other Statutory Actions
& Disclosure Act (j 865 (] 891 Agricultural Acl'i
0 892 Economic Stabilization Act
(j 790 Other Labor Litigation o
870 Taxes (U.S. laintiff (j 893 Enviroumental Matters
Scntence (] 791 Empl. Ret Inc. or Defendal~t) (j 894 Energy Allocation Act
Habeas Corpus: Security Act o
871 IRS-TIlird Party 0 895 Freedom of Information
o
530 General 26 USC 760~ Act
:
o
535 Death Penalty 0 900Appeal of Fee Determination
o
462 Naturalization Application Under Equal Access
o
463 Habeas Corpus ­ to Justice
Alien Detainee 0 950 Constitutionality of
o
465 Other lnunigratiou State Statutes
Actions

(Place au "X" in One Box Only) Appeal to District

I
Original o 2 Removed from 0 3 Remanded from
Appellate Court
0 4 Reinstated or
Reopened
0 5 Transferred ~rom
anoth;r dIstrict
o 6: Multidistrict o 7 Judge from
Magistrate
Proceeding State Court Litigation
s eClf' Jud ent
C~r,t'a.'S~(;~i§~~fJ~~ IJflj~:!(~)tr'fu are filing (Do not cite jurisdictional statutes unless ~ivcrsity):
I. CAUSE OF ACTION 1-:::-:-::-:---:--.----:::-_ _....:....:...:.....:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _---=0
Brief description of cause:
Breach ot Contract, DeClaratory JUdgment
'\tll. REQUESTED IN o CHECK IF THIS IS A CLASS ACTION DEMAND $ CHECK! YES only if demanded .
COMPLAINT: UNDER F.R.C.P. 23 75,000.00 JURY ~EMAl"lD: 0

VIIl. RELATED CASE(S)

(See instructions):
IF ANY JUDGE DOCKET NUMBER

DEC 3 0 2010
RECEIPT #
-------- AMOUNT
-------------
JUDGE
---------
MAG. JUDGE
-----------
 Case 2:10-cv-07614-RB Document
lJNITEU Sl'ATES 1 Filed 12/30/10
I)JSTRJCr RT Page 2 of 16
FORTH!; !i:A.S'rKRN [ I)ESIG:"t.ll.TIOi'J FOI~M til he 1I>('(llly cmlll,'" 1<1.. indir;ltt' tll~l'at"g{H'yoftli'" ~II!H: for fll" JlUqlfl",''''(

1() 7614
Addr~ ufDeiendl&l1t: 436 Walnut St.• Philadelphia. Pennsylvania 19106 J •

Place of Accident, Inch:lellt or Trllfl:>&etion: Refusal to honor terms of reinsurance coriract between diverse oarties.
(ew /«tw.!)¥! Side f'OJ'Addiiimrat SP(Jt:Jtj

{Attlll:h twO NoD

Do 'e.!, this CllW Iirwotve multkH.mict Htlgatiotl possihlltti..".1

RELAtED CASE, IF ANY:
CllSr NlUll ber: _ _ _ _ _ _ _ _ _ __ 'r!lrminat~d:
---------------------- Date ---------~-----------------

L Is tlli, cali':: related to pmpetty included in lin cilrtiernutnbered;uit jM:lldinJ!,( nr within one yenr pl'evf{msty terminated ru:/bon it! this emu'!:?
'lie,O No~
1. Doe" this Cllse invowe the i;~me issue of fllct Of grow out "ftbe SJl:lbl'e tr~11sllcti{)ll II
~ctton in thiscoort7 Ye;;D NoN]

a.@Jil",1Iy ,lur£~di',lij)n C'ases:

CIViL: (Nru:e V
D. ONE CATEGORY ONLY)
AI '~ed<l1'al Qu>t1!iJimr Cases:
1. 0 Itldi:.mnity Contract, Mru'llle COl1trJlct,llud A!l Other C{;ntmet~ l. IX! ItSlH'&nCe ~llld Otll>ef Contract>
1.0 FELli. 1. A i:rphmr Pc l'Sonl1 I I I1JIlf),

:1. D JOI~e.s Act·Personal Injury 3. 0 A 8::;'IIUI1, IJc~iannitio [,

4. 0 Amtt!ll;'l 4. 0 Madne !'ersonll~ Injury

5, D"lllfut 5. 0 [I.;1otor Vehicle InJury

(/. 0 OI\~r l'et$;)1.1lln~ljW'y {I'le1''''e
7. OPmuu<:t•. ulIbmb'
3. 8. D Pf<;loocts Liabili~ Al>bel;tO$

9. 0 Securh:&es 9. 0 AU {,ther Diver.~y Ca.;e,

iU, D Soci" I ReView Ca.se;; (Pt'll"""e ~'fdf)!) i

1 i. 0 A It ,)thfrFederal Question Ca;;e,<;

ARBITRATION CElrrIFIC\TlON
('CJi(t,~ am1Jl'),t'l"i.l til r~.,,"_,....",'
---'-'--"===-=...;..;;:;.;.;:;.;:.=..:=-:...::..;;.;'-­ _ _ _ _ _ _ _ _ _" C{Hm.;et of record do
1>I.!t'SlllUlt to ["''Clil Cbi'H Rule 53.2., S<'1Ctk11l J(c)(2), thllt t()the best
e sum of.$1 :::;O,O{JO.OO llxduSlVC of nlte.t'<",t and ;;osts;

DEC 3 0 2010
80206
/..ttomey I.D.#

ortly iflbe.re bu.!> b0Cfl c()tmpli.aflce with F.R.C,P ..38.

80206
Apt}mey I.D.II'
I
 Case 2:10-cv-07614-RB Document 1 Filed 12/30/10 Page 3 of 16

',' f
B IN THE UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF PENNSYLVANIA

CASE MANAGElVIENT TRACK DES1GNATION FORM

~ .
APPALACHIAN INSURANCE COMPANY, :" CIVIL ACTION

v.
:to ~F.I~.A
'I 'U.l.~
INSURANCE COMPANY OF

NORTH AMERICA,

In accordance with the Civil Justice Expense and Delay Reduction Plan of ithis court, counsel for
plaintiff shall complete a Case Management Track Designation Form in all dvil cases at the time of
filing the complaint and serve a copy on all defendants. (See § 1:03 of the plan set forth on the reverse
side of this form.) In the event that a defendant does not agree with the plaintiff regarding said
designation, that defendant shall, with its first appearance, submit to the clerk Qfcourt and serve on the
, ,, " plaintiff and all other parties, a Case Management Track Designation Form spec~fying the track to which
that defendant believes the case should be assigned.

SELECT ONE OF THE FOLLOWING CASE MANAGEMENT TRACKS:

(a) Habeas Corpus Cases brought under 28 U.S.C. § 2241 through § 2255. ( )
(b) Social Security Cases requesting review of a decision of the Secretary of Health
and Human Services denying plaintiff Social Security Benefits. ( )
(c) Arbitration Cases required to be designated for arbitration under Local Civil Rule 53.2. ( )
(d) Asbestos - Cases involving claims for personal injury or property damage ifrom
exposure to asbestos. I ( )
i

(e) Special Management - Cases that do not fall into tracks (a) through (d) th* are
commonly referred to as complex and that need special or intense managerPent by
the court. (See reverse side ofthis form for a detailed explanation of specijal
management cases.) ( )
(f) Standard Management Cases that do not fall into anyone ofthe other tracks.
{}
December 30, 2010 APPALACHIAN tNS. CO.
Date Attorney for Plaintiff

215.587.1600 215.587.1699 wfmcdevitt@cpmy.com

Telephone FAX Number E-Mail
. Address
,

(Civ. 660) 10/02

DEC 3 0 2019