Citation : 2012 Latest Caselaw 400 Bom
Judgement Date : 27 November, 2012
pmw/spb 1
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IN THE HIGH COURT OF JUDICATURE AT BOMBAY
ORDINARY ORIGINAL CIVIL JURISDICTION
ARBITRATION PETITION NO. 804 OF 2009
M/s. Boghara Polyfab Pvt. Ltd.
111, Jeevan Deep Complex, Ring Road,
New Subjali, Surat, Gujarat .... Petitioner
Vs.
National Insurance Company Ltd.
(thru: Divisional Manager),
Divisional Office No.5, ig
Kamani Chambers, 32, R. Kamani Marg,
Ballard Estate, Mumbai - 400 038. .... Respondent
---
Mr. Ragesh S. Mehta a/w. M.S. Rachana Dalal, Ms. Yashoda Jondhale,
Ms. Purnima Bhatia I.b. Ms. Purnima G. Bhatia, for the petitioner.
Mr. Zal Andhyarujina a/w. Ms. Ankita Singhania, Mr. A.S. Vidyarthi,
Mr. Ranjan B. Tripathi i/b. Mr. A.S. Vidyarthi, for Respondents.
---
CORAM : ANOOP V. MOHTA, J.
RESERVED ON : 06 November, 2012
PRONOUNCED ON : 27 November, 2012
JUDGMENT :
The Petitioner, original-Claimant, being aggrieved by
award dated 25th June 2009 passed by the learned Sole Arbitrator has
invoked Section 34 of the Arbitration and Conciliation Act, 1996 (for
short, "the Arbitration Act").
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2 The basic events as per the Petitioner are as under :-
On 4.8.2003, the Petitioner obtained from the
Respondent's, a Standard Fire and Special Perils Policy bearing
No.250501/11/03/3100145 (the Policy) covering stocks of all kinds
of yarn stored in the godown located at plot No.9 at Saroli, Gujarat.
The period of Policy as stated across the face of the Policy document
was 4.8.2003 to midnight of 3.8.2004. The sum insured was Rs.3
Crores.
3 On 22.9.2003, first endorsement as and by way of
Duplicate Schedule bearing No.67308 was carried out to the Policy
whereby an additional godown as specified was added to the Policy
and the sum insured was also increased by Rs.3 Crores. The sum
insured under the Policy stood increased to Rs.6 Crores. With this
endorsement the said Policy was converted into a Floater Policy. The
additional premium of Rs.40,409/- was charged to the Petitioner on
pro-rata basis for the period of 317 days i.e. between 22.9.2003 (date
of the endorsement) and 3.8.2004 (date of the expiry of the Policy).
The first endorsement schedule bore the following remarks
at the end of the page :
"Hence forth the above captioned policy is now
converted into floater policy on pro-rata basis".
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"All other terms and conditions remain unaltered
except above".
4 On 9.10.2003, second endorsement as and by way of
Duplicate Schedule bearing No.67310 was carried out to the Policy
whereby another godown as specified was added to the policy. As
specifically mentioned in the endorsement document itself "all other
terms and conditions of the said Policy remain unaltered".
5 On 27.5.2004, the Petitioner wrote to the Respondent
requesting the addition and inclusion of four new godowns as
specified in the letter to the Policy. The letter specifically requested to
"include the new godowns with our existing insurance Policy of old
godowns". It was also requested to increase the sum insured by
another Rs.6 Crores. A cheque of Rs.23,328/- was enclosed as
premium amount. The additional premium of Rs.23,328/- under the
Policy was paid by the Petitioner in accordance with the calculation
thereof made and advised by the Respondent.
6 The third endorsement as and by way of Endorsement
Schedule bearing No.62600 to the Policy was carried out so as to
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include four new godowns viz. godowns located at Plot Nos. 1, 2, 3
and 12 at Saroli. While the endorsement document correctly recorded
that the date of the issue of the Policy was 4.8.2003 and its date of
expiry was 3.8.2004; it incorrectly recorded elsewhere across the face
of the endorsement that the sum insured under the Policy stood
increased by Rs.6 Crores for a period of two months only i.e. from
27.5.2004 to 26.7.2004. The endorsement also stated that the
premium of Rs.23,328/- was hereby charged to the insured and that
"all other terms and conditions of the Policy remain unaltered".
Receipt for Rs.23,328/- was issued by the Respondent clearly showing
that the sum was appropriated as premium to the said Policy.
7 On 28.5.2004, immediately on receipt of the third
endorsement, that is, the very next day, the Petitioner wrote to the
Respondent stating that while it has paid a premium of Rs.23,328/-
for 69 days in relation to the said policy, the endorsement wrongly
mentioned that the sum insured under the Policy stood increased by
Rs.6 Crores for a period of two months i.e. from 27.5.2004 to
3.8.2004. A request was made to make the respective changes in the
records of the Respondent and for a correct Policy to be sent. The
Petitioner clarified that the Policy of Rs.12 Crores would expire on the
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midnight of 3.8.2004;
8 Third endorsement bearing No.62600 was corrected in
hand by the Respondent to reflect that the further increased cover of
Rs.6 Crores stood effective for a period of 69 days from 27.5.2004 i.e.
till 3.8.2004. Alongside the corrections made in hand, the seal of the
Respondent was also put. It was handed over to the Petitioner after
the corrections.
9 On 3.8.2004 and 4.8.2004, Torrential rains and
consequent flood inundated the godowns of the Petitioner where yarn
was stored caused large scale damage to the goods lying in all the four
godowns, covered by the third endorsement dated 27.5.2004 (as
corrected on 28.5.2004);
10 On 3.8.2004, the Petitioner having misplaced the copy of
the corrected third endorsement dated 27.5.2004 (corrected on
28.5.2004) sought a fresh copy of the endorsement from the
Respondent as a consequence of which Duplicate Schedule bearing Sr.
No.67311 was taken out by the Respondent from the system and
manually corrected under the seal of the Respondent to reflect the
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coverage of a further sum of Rs.6 Crores upto the midnight of 3 rd
August, 2004. This corrected Duplicate Schedule corresponded to the
earlier Duplicate Schedule bearing No.62600.
11 On 5.8.2004, a Claim was filed by the Petitioner before
the Respondent under the Policy. The Surveyors were appointed by
the Respondent to assess the loss. On 6.12.2004, the Surveyors
appointed by the Respondent issued final Survey Report assessing the
loss net of salvage at Rs.3,35,01,078.80 and after deducting the
compulsory excess of 5% amounting to Rs.16,75,053.94/-
recommended that the net payable amount to the Petitioner was
Rs.3,18,26,025.00. The assessment was carried out by the Surveyors
on the basis that the Policy was a floater Policy and the goods stored
in all the four godowns covered by the third endorsement dated
27.5.2004 were also such as were insured on the date of the flood.
12 On 17.3.2004, the Respondent wrote to the Surveyors
requesting them to reassess the loss by ignoring the third endorsement
to the said Policy which; the letter stated, was valid only upto
26.7.2004 resulting in the sum insured being restricted to Rs.6 Croes
on the date of loss. The Respondents, however, did not disagree with
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either the quantum or the value of loss that the Surveyors had
assessed in terms of their Final Survey Report.
13 On 15.3.2005, the Director of the Petitioner was
summoned to the office of the Respondent and made to discharge an
undertaking that it would accept the amount offered in complete
satisfaction of its claim and that it would not prefer any further
claims. The Petitioner was also promised that the payment under the
claim would be released within 15 days.
14 On 22.3.2005, as per the direction of the Respondent, the
Surveyor issued Addendum to Final Survey Report reassessing the
loss net of under insurance at Rs.2,46,33,410.24 and after deducting
the compulsory excess of 5% recommending that a sum of
Rs.2,34,01,739.73 be paid to the Petitioner. The Addendum
calculated that there was an under insurance on the Policy to the
extent of 26.4698% on the basis that while the value of stocks located
in the various godowns of the Petitioner were of a value of
Rs.8,15,99,149.00 as originally assessed under the Final Survey
Report issued earlier; the insurance covered under the Policy stood at
only Rs.6 Crores on the date of the loss.
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15 The Surveyors allowed the claim of the Petitioner; albeit
on a reduced basis, on the goods lying in all the four godowns on
3.8.2004 and as covered by the third endorsement dated 27.5.2004
(as corrected on 28.5.2004); while on the other hand, the Surveyor
proceeded on the basis that the third endorsement (on account of and
as a result of which goods lying in the four godowns were covered
under insurance in the first place) ought to be ignored as a result of
which the endorsement increasing the sum insured by another Rs.6
Crores (total Rs.12 Crores) had expired on 26.7.2004 itself and the
Policy accordingly covered a sum of Rs.6 Crores only.
16 In November, 2005, not having released any payment
against the Claim filed by the Petitioner as far back as in August 2004,
the Respondent again asked the Petitioner to make a commitment that
it would accept whatever was offered and that it would not raise a
dispute later. Despite the commitment, no payment was released by
the Respondent.
17 On 13.3.2006, the Director of the Petitioner received a
telephonic call from Mr. Satish Shinde, the Divisional Manager of the
Respondent to make an immediate payment of Rs.2,443/- as a
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condition precedent for making any payment under the claim. The
purpose of the said demand and the details of its working were not
indicated. The Petitioner wrote a letter referring to the telephonic
conversation and enclosing a cheque for an amount of Rs.2,443/-.
The letter clearly recorded that the cheque was being sent with a
request to provide the Petitioner with details regarding the purpose of
the demand of Rs.2,443/- and the working of the same immediately.
18 On 21.3.2006, the Petitioner, under duress and coercion of
the Respondent, signed the full and final discharge voucher in the
format provided by the Respondent for Rs.2,33,94,964/- after which a
cheque for the said amount was handed over to the Petitioner. The
said format/ receipt clearly recorded that the claim was being settled
under the Policy.
19 On 24.3.2006, the Petitioner wrote to the Chairman, IRDA
(Insurance Regulatory and Development Authority), protesting about
the conduct of the Respondent and providing details of how the
Respondents dilatory and coercive tactics forced the Petitioner to
execute the discharge voucher. The Petitioner prayed for intervention
of IRDA.
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20 In response to the Petitioner's letter dated 13.3.2006,
wrote a letter dated 21.4.2006 under the cover of which a calculation
sheet setting out how the sum of Rs.2443/- purporting to be the
additional premium was worked out. The letter further narrated that
in view of the discharge voucher having been executed by the
Petitioner the Claim was closed.
On 2.8.2006, in response to the letters dated 27.5.2006
and 27.7.2006 written by the Petitioner requesting the Respondent to
pay to the Petitioner the differential amount of Rs.84,31,006/-
alongwith interest failing which to agree for arbitration in terms of the
conditions attached to the Policy. The Respondent wrote to the
Petitioner stating that since the claim of the Petitioner stood finally
settled the question of invocation of the Arbitration Clause did not
arise.
22 On 19.4.2007, in Arbitration Petition No.182 of 2006 filed
by the Petitioner under section 11 of the Arbitration and Conciliation
Act, 1996 ("Arbitration Act" for short), the Hon'ble Chief Justice of the
Bombay High Court appointed Mr. Justice S.N. Variava (Retd.) as the
Sole Arbitrator to adjudicate upon the disputes and differences
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between the parties. The order of the Hon'ble Chief Justice of the
Bombay High Court passed under Section 11 of the Arbitration Act,
was challenged by the Respondent before the Hon'ble Supreme Court
by way of a Special Leave Petition. The said Special Leave Petition
filed by the Respondent was dismissed by the Hon'ble Supreme Court.
23 Between October, 2006 and March, 2008 Disciplinary
proceedings were initiated and completed by the Respondent against
its officers - Mr. B.G. Godbole and Mr. K.P. Shah. The Petitioner was
not a party to these proceedings.
Under Rule 26 of the General Insurance (Conduct,
Discipline and Appeal) Rules, 1975 a reduction in the basic pension by
50% per month was imposed upon Mr. D.G. Godbole and Mr. K.P. Shah
was penalized with a reduction in basic pay to the minimum of the
scale.
24 On 10.11.2008, the learned Sole Arbitrator issued
directions in the matter, interalia, directing the parties to file
Statement of Claim and Written Statement alongwith relied upon
documents. The learned Arbitrator also made the following
directions:-
"5. The parties, shall, on or before 16th February
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2009 made Statements of Admission and/or denials in
respect of documents disclosed by the other side,
indicating therein whether the admissions are limited
to the execution of the documents or apply also to the
correctness of the contents of the documents".
25 On 12.12.2008, the Petitioner filed a Statement of Claim
alongwith relied upon documents. The Petitioner claimed as under :
a) Rs.84,31,061/-as the principal amount being
difference between the amount originally assessed by the
Surveyor and that was actually paid by the Respondent.
b) Interest of Rs.1,20,05,710/- by way of interest at
18% on Rs.3,18,26,025/- (comprising Rs.2,33,94,964/- already
received on 21.3.2006 plus Rs.84,31,061/- now being claimed in
Arbitration proceedings) from 3.11.2004 till 21.3.2006 and
further interest on Rs.84,31,061/- from 22.3.2006 to 1.12.2008
(date of filing the Claim).
c) Rs.6,24,575/- towards legal expenses incurred in the
High Court and Supreme Court.
d) Cost of Arbitration.
e) Interest @ 18% on the amount awarded from
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1.12.2008 till the date of award and further interest from the
date of the award till the date of actual payment.
26 On 12.1.2009, the Respondent filed its Written Statement
alongwith relied upon documents. The documents relied upon
by the Respondent included the endorsements to the Policy bearing
duplicate schedule numbers 62600 and 67311.
27 On 16.2.2009, in pursuance of the direction of the learned
Arbitrator made on 10.11.2008, the Petitioner filed its response to the
documents exhibited by the Respondent alongwith its Written
Statement.
The Petitioner, interalia wrote as under :-
"2. I further say that I admit the execution and correctness
of documents "R-1 to R-4".
The two documents (R-4 Colly.) were also filed by the Respondent alongwith its Affidavit in Reply to the Arbitration Petition
No.182 of 2006 filed by the Petitioner under Section 11 of the Arbitration and Conciliation Act, 1996.
28 On 23.2.2009, eight issues were framed by the learned
Sole Arbitrator after discussion with the Parties. Between February
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2009 and June 2009, Arbitration proceedings took place and were
concluded. On 6.6.2009, at the conclusion of the arguments, the
Advocate of the Petitioner filed Note of Written Arguments alongwith
Statement of Expenses incurred by the Petitioner in Arbitration
proceedings as well as litigation in the High Court and in the Supreme
Court. The same were taken on record. On 25.6.2009, the
learned Arbitrator made the Award whereby issue Nos. (i) and (iii)
were decided in favour of the Petitioner and Issue Nos. (ii) (iv) (v)
(vi) (vii) and (viii) were decided against the Petitioner. Those two
issues are as under :
i) Whether the Claimants executed the discharge
voucher for Rs. 2,33,94,964/- under duress and/or implicit coercion of the Respondents as claimed, and
if not, whether the Claim is not maintainable ?.
iii) Whether the endorsement passed under
Insurance Policy bearing No. 250501/11/03/3100145, increasing the sum insured to Rs. 12 crores, is unauthorized and illegal ?
29 On 26.9.2009, the Petitioner filed the present Petition
under Section 34 of the Arbitration.
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30 The Respondent has not challenged the Award passed by
the learned Arbitrator. Hence, Issue Nos. (i) and (iii) that have been
decided in favour of the Petitioner have attained finality and
conclusiveness.
31 The basic concepts referring to and related to fire
insurance as circulated are as under:-
"Floater Policies :
2.Sometimes, an insured is not able to keep a day to day account of his stocks in his various godowns. For various reasons he may have different godowns
in different places in the same town, village, city, state or in other states too. His stocks may be
stored at any of these godowns depending on the space available. He is able to give the insurance company only total value of all his stocks in these various locations/godowns. Against each godown
he is not able to declare a separate value. To cater to such clients a floating policy is issued.
3.This policy covers in one Sum Insured stocks stored in different godowns. Since the exposure to hazard
is higher such a policy is subject to an extra premium.
4.Certain general features of floater policies are :
(a) The policy can be granted only on the stocks. The policy cannot be issued in respect of immovable property.
(b) The address of each godown has to be declared by the insured.
(c) The insured should have a good internal audit and accounting procedure under which the total
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amount at risk and locations can be established at any particular time, if required.
(d) Unspecified locations cannot be covered."
32 It is relevant to note the concept Mid-Term Revision in
Sum Insured :
44. In all cases where the insurers cancel the policy, the refund
will be on pro-rata basis.
11. Mid-term revision in sum insured shall be allowed subject to the following :
Increase in sum insured : On pro-rata basis Decrease in sum insured : On short- period scale
45. The tariff has given simple rules for revision in the sum
insured. The additional premium to be charged for the increased
amount of sum insured will be on pro-rata basis for the balance period of policy.
46. Wherever there is a decrease in the sum insured, the premium that has to be retained on the decreased value of sum insured will be on short period scale."
33 The Insurance Regulatory and Development Authority
(Protection of Policyholders' Interests) Regulations, 2002 issued under
Clause (zc) of Sub-Clause 2 of Section 114A of the Insurance Act,
1938 (4 of 1938) of Sub-Section 14 and 26 of the Insurance
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Regulatory and Development Authority Act, 1999 (41 of 1999).
34 The relevant clause 9 is as under:-
"9. Claim procedure in respect of a general insurance policy. - (1) An insured or the claimant
shall give notice to the insurer of any loss arising under contract of insurance at the earliest or within such extended time as may be allowed by the insurer. On receipt of such a communication, a general
insurer shall respond immediately and give clear indication to the insured on the procedures that he
should follow. In cases where a surveyor has to be appointed for assessing a loss/claim, it shall be so done within 72 hours of the receipt of intimation
from the insured.
(2)Where the insured is unable to furnish all the
particulars required by the surveyor or where the surveyor does not receive the full co-operation of the
insured, the insurer or the surveyor as the case may be, shall inform in writing the insured about the delay that may result in the assessment of the claim. The surveyor shall be subjected to the code of
conduct laid down by the Authority while assessing the loss, and shall communicate his findings to the insurer within 30 days of his appointment with a copy of the report being furnished to the insured, if
he so desires. Where, in special circumstances of the case, either due to its special and complicated nature, the surveyor shall under intimation to the insured, seek an extension from the insurer for submission of his report. In no case shall a surveyor take more than six months from the date of his appointment to furnish his report.
(3)If an insurer, on the receipt of a survey report, finds that it is incomplete in any respect, he shall
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require the surveyor under intimation to the insured, to furnish an additional report on certain specific
issues as may be required by the insurer. Such a request may be made by the insurer within 15 days of
the receipt of the original survey report:
Provided that the facility of calling for an additional report by the insurer shall not be resorted to more than once in the case of a claim.
(4)The surveyor on receipt of this communication shall furnish an additional report within three weeks of the date of receipt of communication from the
insurer.
(5)On receipt of the survey report or the additional survey report, as the case may be, an insurer shall within a period of 30 days offer a settlement of the
claim to the insured. If the insurer, for any reasons to be recorded in writing and communicated to the insured, decides to reject a claim under the policy, it shall do so within a period of 30 days from the
receipt of the survey report or the additional survey report, as the case may be.
(6)Upon acceptance of an offer of settlement as stated in sub-regulation (5) by the insured, the payment of the amount due shall be made within 7
days from the date of acceptance of the offer by the insured. In the cases of delay in the payment, the insurer shall be liable to pay interest at a rate which is 2% above the bank rate prevalent at the beginning
of the financial year in which the claim is reviewed by it."
35 The policy bearing No.250501/11/03/3100145 for the
period 4.8.2003 to 3.8.2004 issued by the respondent in favour of the
petitioner for a Standard Fire and Special Perils Policy. The claim was
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raised by the petitioner as their godown got flooded with water and
damaged their goods because of unprecedented heavy rains from 2 nd
August, 2004. On 5.8.2004, the petitioner lodged the claim. There
is no dispute that on or from 22.9.2003 the policy in question became
a floater policy as endorsed. The floater policy was up to 3.8.2004.
The Arbitrator in fact recorded "thus endorsement
No.250501/11/04/31/3004145 cannot be said to be unauthorised
and illegal". The endorsement itself means increased cover of Rs.12
Crores as claimed. The issue only in the matter is the covered period
is of 60 days or 69 days. The learned Arbitrator therefore framed issue
No.II and answered against the petitioner.
36 It is always necessary to consider the nature of
transactions including the terms and conditions. The concept of
floater policy in the present facts and circumstances, as defined and
explained read with the practice of covering the respective
godowns/premises/goods in one floater policy just cannot be
overlooked and so also the undisputed position and the endorsements
on the record whereby it was specifically endorsed from time to time
that "other terms and conditions remain unaltered." That was at the
time of increase of the sum assured amount under the caption "the
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Policy". It is the case that the respondent officer, manually corrected
the endorsement and recorded that it would remain in effect for 69
days i.e. 3.8.2004 which was the date of expiry of the said policy. The
hand written endorsement was initialed by the concerned officer
whose evidence was also recorded accordingly. It was further
followed by the seal of the respondent.
It is not the case of the respondent that there was no such
endorsement and/or the sum assured was not increased from Rs.6
Crores to Rs.12 Crores. It is also not the case that there is no such
captioned policy which was valid upto 3.8.2004. The endorsement
was made/effected from 27.5.2004. It is also not the case of the
respondent that there was any misrepresentation, fraud or any
extraneous consideration which compelled the officers to make that
endorsement. Admittedly, the goods were damaged because of the
unpredicted and unprecedented rains from 2.8.2004. There was no
occasion for the petitioner to plan any thing.
38 The submission is that there was no practice of the
respondent to issue and/or make any hand written correction on such
policies. It is always subject to computerized generated correction
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and or printed endorsement on the policies/ receipts. The Respondent
is not in a position to deny the fact of the endorsement given by their
officers. The fact remained that though officer in question was
retired, yet, permitted to work for further period and specifically
during this period also. The petitioner or such other person, one who
wants their policy and/or endorsement to be corrected/ made just
cannot ask authorisation or demand and/or enquire whether the
concerned official who had authorized to work is entitled to sign or
make such corrections. The internal dispute and/or action, if any
taken by the respondent in no way dis-entitles and/or takes away the
rights of the person like petitioner to rely upon the said endorsement.
The fact remains that the endorsement, in view of the written
representation made on 28.5.2004 by the petitioner, was got
corrected, realizing the mistake in view of admitted position that the
policy was expiring on 3.8.2004 and not on 26.7.2004. There was no
reason or purpose and/or any malafide intention in restricting the
sum assured amount to Rs.12 Crores only for 60 days (for a period of
two months from 27.5.2004 to 26.7.2004) though the policy was
expiring on 69 days i.e. 3.8.2004.
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39 It is also necessary to note that while endorsing the
increased sum insured, other basic terms and conditions remained
unaltered. Admittedly, from time to time, the parties agreed and
covered other premises under the policy. The requisite premiums
were paid accordingly. The parties acted throughout, keeping in
mind the expiry date of the policy expiring on 3.8.2004. The expiry
period of policy was remained intact despite time to time additions of
premises or increase of assured amount.
40 The correct endorsement as recorded above got proved.
The challenge was only to the hand written endorsement. The
challenge with regard to the authorization of Mr. Godbole, the Officer
in question can not be treated as the ground and/or a foundation to
deny the rights the petitioner in view of the official and the proved
endorsement in question. There are materials on record to
substantiate the case of the petitioner that the endorsement was made
by the officer who was performing his official duty, that itself is
sufficient to accept the case of the petitioner.
41 I am inclined to observe that it is necessary to consider
the relevant and respective clauses of the commercial contract from
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the point of view of the nature of the business and/or transactions in
question. Contracts cannot be read in isolation without considering
the purpose, object and the nature of it between the parties, apart
from its purpose and object in law based upon which the contract was
entered into by and between the parties. The governing law is the
Insurance Act, 1938 and the Insurance Regulatory and Development
Authority Act, 1999 and the Rules and Regulations framed thereunder.
The booklets and/ or instructions paper books and/or advertisement
revolving around the same; apart from guiding manual for the agent
based upon which, anybody can act and proceed just cannot be
overlooked. The practice and procedure so adopted by and between
the parties starting from proposal and the proposal form including
"cover" for the premium so paid and claimed and the points to be
covered in such policies apart from the terms and conditions and
reciprocal obligations of both the parties always play an important
role in such types of transactions. Basic requirement is how such
insurance policy should cover, state and provide details, is again a
matter of practice and understanding between the parties including
the public at large. The mechanism to settle the dispute/grievance is
also provided and that there is a different provision/ procedure for
different policies.
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42 For the purpose of the present matter, we are concerned
with the claim procedure in respect of the general insurance policy as
contemplated under Regulation-9. Though such a type of policy/
cover is a commercial document but fact remains that in the most of
such matters the agents and/or advertisements play important role,
in so far as representations of the policy, its benefits, losses, terms
and conditions apart from requisite premium payable or to be paid
by the person concerned. It is not only the sole purpose and object
of having such general insurance policy but to cover and protect the
movable and immovables property of the insurer. The basic details
are provided in such insurance policies, including the name, address
of the insurer, description of the movable and immovable property
and the interest therein, location of the property insured under the
policy, the period of insurance, sums assured, perils covered and /or
not covered, premium payable, policy terms and conditions and
warranties, respective obligations, apart from the special conditions
attaching to the policy and provisions for cancellation of the policy
with details of the riders, if any attaching to the main policy.
43 It is further necessary to note the object and purpose of
floater policy including the practice/ concept of Mid-Term Revisions
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for the increase in sum insured. The subsequent charge of amount/
premium that is after expiry of the policy period, in no way sufficient
to overlook the admitted position on record with regard to the expiry
period that is 3.8.2004, the endorsement that the same terms and
conditions are applied and the sum assured was increased by Rs.6
Crores. The dispute, therefore, with regard to days 60 and/or 69 by
challenging and denying hand written endorsement made by the
respondent officials; in my view, in no way sufficient to decide the
nature of contract, policy and the practice of respondent dealing with
the policyholders in such circumstances. I am inclined to observe that
the subsequent payment and the endorsement and or vouchers-cum-
receipt even if any just cannot be the facts to overlook the admitted
position about the nature of policy and its expiry date. There is
nothing pointed out from the record that the endorsement so made
was independent clause and/or the earlier endorsements and/or the
two months increase in the sum assured was independent contract
and nothing to do with the other terms of the floater policy. In my
view, all these things are interlinked and interconnected. It is difficult
to dissect. Therefore, the endorsement just cannot be read in isolation
as sought to be contended by the learned counsel appearing for the
respondent. Therefore, taking overall view of the matter, the terms
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and conditions of the policy and the practice read with the
endorsement in question, I am inclined to observe that reasoning
given by the learned Arbitrator on these issues require reconsideration
on merit of the claim itself.
44 If it is 69 days, it covers the period of basic agreed expiry
date i.e. midnight of 3.8.2004, but, if not, the policy as observed by
the Arbitrator expired on 28.5.2004 thereby denied the claim of the
petitioner as prayed. The period if covered upto midnight of
3.8.2004, the goods were damaged because of unprecedented flood
on 2.8.2004, the petitioner would be entitled to get the damages and
or compensation in view of the terms and conditions of the basic
policy which was modified/ sum assured amount was increased by the
hand written endorsement would change whole reasons and the
award so passed by the learned Arbitrator.
45 In case of such default, therefore, it is necessary that at
the time of adjudicating such claims under the policy, the authority
and /or the court has to consider the over all scheme of the policy.
I am inclined to observe that the isolated clause and/ or clauses thus
cannot be taken and/or read, interpreted and/or granted and/or
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rejected with regard to the claim arisen out of such insurance policies.
In the present case, we are concerned about hand written
endorsement on the policy in question and, as recored above, its
effect over the main contract between the parties. It is not a question
of only plain reading of the policy in question. I am not inclined to
accept the statement of the learned counsel appearing for the
respondent that having once finding recorded by the learned
Arbitrator, based upon the material available on record, including the
terms and conditions of the policy and as there is nothing illegal, the
view so taken by the learned Arbitrator, cannot be stated to be
perverse. Therefore, the court under section 34 should not interfere
with the same.
46 The premium amount was paid as asked and it was never
the issue. The basic issue was only an hand written endorsement.
The period of insurance cover as per endorsed policy was upto
03.08.2004. I am of the view that for the above reasons and the
insurance practice and principles, the policy holder is entitled to get
benefits of the floater policy.
47 As recorded above and as there is no serious dispute with
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regard to the nature and/or purpose and object of such cover of
insurance policy. It is necessary to consider all the clauses of the
policy. The written endorsements are final and binding on the
parties. The overlooking of the basic clauses/provisions, in my view
amounts to wrong reading of the policy/contract itself. This takes
away the basic object and purpose of the policy which causes
hardship and injustice. Admittedly the valid policy period was up
to 03.08.2004. The same was also accepted by the respondents
officer, as the mistake was pointed out immediately. There is no
dispute with regard to the fact that there was proposal to enhance the
amount, referring to the existing policy in question. The respondents
was also no where in a position to deny this fact about the
enhancement as well as hand written endorsement so made. I am
inclined to observe that the pendency of the enquiry itself means that
the respondents were duly aware that their official at the relevant
time based upon the proposal and the representation so made by the
Petitioner and after considering the admitted clauses of the policy,
corrected the endorsement which definitely covers and falls within
the ambit of proper and correct policy. The submission that the
respondents never endorsed and/or corrected any policy in such
fashion is unacceptable. There is no such representation and/or
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material placed on record to demonstrate that the respondent officer's
hand written endorsement was not permissible at any point of time
nor the case is made out accordingly. I am inclined to observe that
the respondents' main object and purpose is to serve interest of the
public at large and not to go into such technical details to avoid and/
or prejudice the parties in such an unprecedented situation.
In view of the above, since the issue of 60 days or 69 days
and/or policy expiry date is 26.7.2004 and/or 03.08.2004, goes to the
root of the matter, I am inclined to remand the matter for that
purpose. All challenged issues are required to be re-considered again.
I am remanding the matter back for reconsideration and re-argument
based upon the material already available on the record.
49 Regulation 9(6) which is mandatory, as held by this Court,
entitled the petitioner and/or person like petitioner to claim interest
@ 2% above the Bank rate prevalent at the beginning of the financial
year in which the claim is received by them. This point is also kept
open.
50 The learned counsel appearing for the Petitioner pointed
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out that the Respondents have not challenged the order/ nor raised
issues with regard to the finding given in favour of the Petitioner
i.e. issue no. I and issue No. III. These issues and relevant facets,
therefore, need not be reopened again. Thus findings on basic issue
No.2 and the other connected issues Nos. IV, V, VI, VII and VIII only to
be reconsidered by giving opportunity to the both the parties. In the
present case considering the above circumstances, I am not inclined to
retain the matter in the High Court for any other purpose. The
restricted remand is permissible. This is the only way to get the
matter disposed off as expeditiously as possible to avoid further
delay in getting the claim arising out of the insurance policy.
51 In the result, Award dated 25.02.2009 is modified to the
following extent. The resultant order is as under :
(a) The Award is maintained with regard to the findings on
issue Nos. (I) and (III).
(b) Rest of the Award is set and aside and the matter is
remanded back for rehearing before the learned Arbitrator
Tribunal on issue Nos. II, IV, V, VI, VII & VIII.
(c) The parties to take steps accordingly.
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(d) All points are kept open with regard to these issues except
issue Nos. (I) and (III).
(e) The Arbitration proceeding is expedited.
52 The Arbitration Petition is disposed of accordingly. No
order as to costs.
ig (ANOOP V. MOHTA, J.)
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