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Icici Lombard General Insurance Co Ltd vs Prafulbhai Ravjibjhai Patel
2026 Latest Caselaw 2962 Guj

Citation : 2026 Latest Caselaw 2962 Guj
Judgement Date : 30 April, 2026

[Cites 13, Cited by 0]

Gujarat High Court

Icici Lombard General Insurance Co Ltd vs Prafulbhai Ravjibjhai Patel on 30 April, 2026

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                             C/FA/2208/2016                                     JUDGMENT DATED: 30/04/2026

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                                     IN THE HIGH COURT OF GUJARAT AT AHMEDABAD

                                               R/FIRST APPEAL NO. 2208 of 2016


                      FOR APPROVAL AND SIGNATURE:


                      HONOURABLE MS. JUSTICE NISHA M. THAKORE

                      ==========================================================

                                     Approved for Reporting                     Yes           No

                      ==========================================================
                                          ICICI LOMBARD GENERAL INSURANCE CO LTD
                                                           Versus
                                             PRAFULBHAI RAVJIBJHAI PATEL & ANR.
                      ==========================================================
                      Appearance:
                      MR TANMAY B KARIA(6833) for the Appellant(s) No. 1
                      HCLS COMMITTEE(4998) for the Defendant(s) No. 1,2
                      MS CHETNABEN JOSHI(2313) for the Defendant(s) No. 1,2
                      ==========================================================

                         CORAM:HONOURABLE MS. JUSTICE NISHA M. THAKORE

                                                          Date : 30/04/2026

                                                          ORAL JUDGMENT

[1.] The present appeal is filed at the instance of the

appellant- ICICI Lombard General Insurance Co. Ltd. (hereinafter to be

referred as "Insurance Company"), under Section 173 of the Motor

Vehicles Act, 1988 (hereinafter to be referred as "the Act of 1988"),

being aggrieved and dissatisfied with the judgment and award dated

30.06.2016 (hereinafter to be referred as "impugned judgment and

award) passed by the Motor Accident Claims Tribunal (Aux.) & 4 th

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Additional District Judge, Kheda at Nadiad in M.A.C.P. No.1037 of

2012.

[1.1] By the said impugned judgment and award, the Tribunal

has partly allowed the claim petition preferred by the original claimant

under Section 166 of the Act of 1988, holding the claimant entitled to

recover sum of Rs.8,45,600/- with interest at the rate of 9% per

annum from the date of filing of claim petition, till its actual

realization with proportionate costs, from the original opponents

jointly and severally. Hence, the present appeal has been preferred by

the appellant-Insurance Company solely on the ground disputing its

liability to pay any amount of compensation.

[2.] Considering the grounds raised in the appeal memo and

the submissions made by learned advocate for the appellant, this

Court, vide order dated 18.10.2016, had admitted the appeal. In an

Interim Application for Stay preferred by the applicant/appellant-

Insurance Company, this Court, vide order dated 18.10.2016, had

stayed the impugned judgment and award, till final disposal of the

appeal, on condition of deposit of entire award amount with interest

and costs with the concerned Tribunal. This Court had also directed to

disburse 30% of the deposited award amount in favour of the claimant

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and, had further directed to invest the remaining 70% of the amount

in the fixed deposit scheme with any nationalized bank. The fixed

deposit receipts were directed to be renewed from time to time and,

were not permitted to be encashed till the final hearing of the

captioned appeal. The interest accrued was permitted to be paid to

the claimant.

[3.] The record suggests that notice of admission of appeal is

reported to have been duly served upon the respondents herein.

Learned advocate Ms. Chetnaben Joshi has appeared on behalf of

respondent nos.1 and 2 through High Court Legal Services Committee.

Considering the fact that the appeal is of year-2016 and, pending

consideration, the appeal is peremptorily heard.

[4.] Mr. Tanmay B. Karia, learned advocate for the appellant-

Insurance Company, has assailed the impugned judgment and award

on the ground that the Tribunal failed to appreciate that indisputably

the offending vehicle involved in the accident was a goods carriage

vehicle and was therefore, meant for carrying goods only and not for

carrying passengers either for hire or for reward. It was further

submitted that seating capacity of the offending vehicle in the

accident as indicated in the R.C. Book produced on record at Exh.34,

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was one, which is of the driver. He has further submitted that though

the claimant has pleaded that the injured was travelling in the

offending vehicle as owner of the goods, there is no iota of evidence

on record to demonstrate that the injured was travelling with goods.

Despite that, the Tribunal, merely on appreciation of the evidence of

the claimant, in light of the FIR produced on record, has believed the

case of the claimant that the injured was travelling with the goods.

Learned advocate has, therefore, submitted that in absence of any

evidence establishing the fact of the injured travelling with the goods,

the case of the claimant was required to be treated as an

unauthorized passenger travelling in the goods carriage vehicle. He

has, therefore, submitted that there was breach of terms and

conditions of the policy and, the Tribunal ought to have exonerated

the appellant-Insurance Company from its liability to pay any amount

of compensation.

[4.1] The attention of this Court was invited to the policy

produced on record at Exh.45. Referring to the contents of the policy,

learned advocate has submitted that the policy was issued on

05.06.2012 for the period of insurance between 22.05.2012 to

21.05.2013. He has further pointed out that the policy was the goods

carrying package policy. The schedule of premium if taken into

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consideration clearly suggests that the Insurance Company had

agreed to incur basic third party liability; towards paid driver, and

personal accident coverage for owner- driver for sum of Rs.2 Lakhs. He

has, therefore, submitted that the appellant-Insurance Company has

not incurred any liability to pay compensation in case of

illegal/unauthorized passenger.

[4.2] Inviting my attention to the limitation as to use of vehicle,

as indicated in the policy, learned advocate has submitted that it was

clearly mentioned that the vehicle shall not be used for carrying

passengers, except in case of employees (other than the driver) not

exceeding the number permitted in the registered document and one

falling under the purview of the Workmen's Compensation Act, 1923.

Having referred to the aforesaid terms and conditions of the policy,

learned advocate has, therefore, submitted that the owner of the

vehicle having committed fundamental breach of the terms and

conditions of the policy, the appellant-Insurance Company may be

exonerated from its liability to pay the compensation. He has,

therefore, prayed to allow the present appeal.

[4.3] Learned advocate for the appellant has also disputed its

liability on the ground that the driver of the insured vehicle was not

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holding a valid and effective driving license at the time of the

accident. The attention of this Court was invited to the defence raised

in the written statement as well as the findings and reasons assigned

by the Tribunal. Inviting my attention to the driving license produced

on record, learned advocate has submitted that admittedly the driver

was holding driving license to drive a light motor vehicle, whereas the

insured vehicle is a transport vehicle.

[5.] In response to the query put by this Court with regard to

the recent development on the issue of absence of endorsement

transport vehicle in case of driving license of light motor vehicle is

concerned, learned advocate has fairly conceded to the legal position

in view of the recent judgment of the Hon'ble Supreme Court in the

case of Bajaj Alliance General Insurance Co. Ltd. vs. Rambha Devi

and Ors. reported in 2025 (3) SCC 95( Neutral Citation : 2024 INSC

840) .

[6.] Per contra, learned advocate Ms. Chetnaben Joshi

appearing for the respondent nos.1 and 2 has objected to the

aforesaid submissions made by the learned advocate for the

appellant-Insurance Company. She has mainly relied upon the findings

and reasons assigned by the Tribunal and, has submitted that having

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appreciated the evidence of the claimant, the Tribunal has rightly

treated the case of the claimant as of owner of goods. She has,

therefore, submitted that the appeal may be dismissed and the

impugned judgment and award may be upheld.

[7.] I have heard the learned advocates appearing for the

respective parties and have considered their arguments in light of the

findings and reasons assigned by the Tribunal. I have also appreciated

the relevant evidence on record.

[8.] At the outset, it is required to be noted that the present

appeal is confined to the issue of liability in absence of any challenge

with regard to the issue of negligence and the quantum of

compensation at the instance of either of the parties, the same has

attained finality. Having noted so, the short question, which arises for

consideration of this Court in the present appeal is, as to whether the

Tribunal committed any error in holding the opponent no. 2- Insurance

Company liable to pay the amount of compensation to the claimant,

while adjudicating the claim petition under Section 166 of the Act of

1988, in the facts of the case and the evidence on record?








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                      [9.]              In order to appreciate the arguments of the learned

advocates, it would be appropriate to note that it is an undisputed

fact that the offending vehicle is a goods carriage vehicle. The R.C.

Book produced on record at Exh.34 describes the vehicle as of

"tractor". The class of vehicle is also stated to be a tractor. The

insurance policy produced on record at Exh.45 is indisputably a goods-

carrying package policy issued by the appellant-Insurance Company.

As rightly pointed out by the learned advocate for the appellant-

Insurance Company, in view of the aforesaid policy, the Company has

agreed to incur liability in case of third-party liability, paid driver, and

personal accident coverage for the owner-driver.

[10.] Considering the aforesaid evidence on record, the

question arises, as to whether the injured person travelling in the

goods carriage vehicle, was covered under the policy so as to hold the

appellant Insurance Company liable to pay compensation.

[11.] In this regard, it would be appropriate to note that the

accident had taken place on 15.06.2012. The FIR, which is produced on

record at Exh. 31, was registered on 16.06.2012, whereas the

panchnama of the place of accident was carried out on 16.06.2012

between 08:30 to 09:00 hours. From the contents of the FIR and as

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pleaded by the original claimant, the accident had taken place on

15.06.2012 in the afternoon at around 15:00 hours. The injured was

immediately shifted to the hospital and was operated upon late in the

evening for the head injuries sustained by him. The complaint was

lodged by the brother of the injured. Right from the registration of

the FIR and the claim petition filed before the Tribunal, it is the

specific case of the claimant that the injured was on his way to reach

the Piplag market and was travelling with goods i.e. bags carrying

Chilies, which were to be sold in the Piplag market. It is their specific

case that the vehicle was engaged for rent of Rs.300/-. On

appreciation of the contents of the panchnama, as rightly submitted

by the learned advocate for the appellant- Insurance Company, the

aforesaid goods have not been found at the place of offence;

however, it is required to be noted that even the vehicle involved in

the accident i.e. the offending vehicle, is also not found at the place of

accident. The wife of the injured claimant has been examined as a

witness. She has reasserted her case as pleaded in the original claim

petition. In her cross-examination at the instance of the Insurance

Company, she has denied the suggestion put forward by the counsel

for the Insurance Company that she is not aware about any goods in

the vehicle. She has reaffirmed that the chilies were carried in the

vehicle. She has denied the suggestion put forward by the counsel for

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the Insurance Company that she has incorrectly stated that her

husband was the owner of the goods. She has further denied the

suggestion put forward by the counsel for the insurance that her

husband was a passenger in the vehicle.

[12.] Having noted the aforesaid evidence, it is apparent that

no contradictory facts have been emanated from her evidence by the

Insurance Company. As against the aforesaid case of the claimant, the

Insurance Company, in its written statement, has raised the defence

that the applicant was travelling in the said vehicle as a passenger and

was not covered by the policy, as the Insurance Company has not

charged any premium for passenger.

[13.] On careful consideration of the evidence on record, it

transpires that except for the RTO Officer being examined as a

witness, no independent witness has been examined by the Insurance

Company to prove such defence. In the cross-examination of the RTO

Officer (Exh.42), the said witness has admitted that the owner of the

goods can travel in such vehicle. With such evidence being produced

on record, in my view, the Insurance Company has failed to prove its

defence that the claimant was travelling as a passenger in the insured

vehicle.






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                      [14.]            Having held so, the next question, which arises for

consideration as regards the liability of the Insurance Company with

reference to the nature of the policy is concerned, it would be

appropriate to note that Section 147 of the Act of 1988, has been

amended vide Amendment Act 54 of 1994 with effect from

14.11.1994, whereby the words "including the owner of the goods or

his authorized representative carried in the vehicle" were inserted. In

view of the aforesaid amendment, as per the provisions of Section 147

of the Act of 1988, which pertains to the requirements of policies and

limits of liability, a policy of insurance must be a policy which insures

the person against any liability which may be incurred by it in respect

of the death of or bodily injury to, any person including the owner of

the goods or his authorized representative carried in the vehicle or

damage to any property of a third party caused by or arising out of

use of the vehicle in a public place. Thus, statutory liability is imposed

upon the Insurance Company to fulfill the aforesaid requirement while

issuing the policy. Considering the fact that indisputably the policy had

been issued by the appellant Insurance Company in respect of the

insured vehicle, which was in force at the time of the accident, the

appellant- Insurance Company cannot be escape from its liability to

pay compensation.








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                            C/FA/2208/2016                                            JUDGMENT DATED: 30/04/2026

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                      [15.]            As regards the contention raised about breach of terms

and conditions of the policy on the ground that the seating capacity of

the insured vehicle was one, which was of the driver, and therefore, no

other person could have travelled in the insured vehicle is concerned,

it would be appropriate to take note of Rule 122 of the Gujarat Motor

Vehicles Rules, 1989. Rule 122 of the Rules, 1989 reads as under:

"122. Carriage of persons in goods carriages:-

"(1) Subject to the provisions of this rule, no person shall be carried in a goods carriage.

Provided that the owner or the hirer or a bonafide employee of the owner or the hirer of the vehicle carried free of charge, or a police officer in uniform travelling on duty, may be carried in a goods carriage:

Provided further that the total number of persons so carried shall not be more than-

(i) one, in case of a light motor vehicle having gross vehicle weight less than 900 kilograms;

(ii) three, in case of any other light motor vehicle;

(iii) five, in case of any medium goods vehicle;

(iv) seven, in case of any heavy goods vehicle;

Provided further that the provision of second proviso to this sub-rule shall not apply in case where integral seating arrangements providing a reasonably comfortable seating space for each person has been made in the goods carriage for more than the number specified in the second proviso

(2)......

(6) No person shall travel in a goods carriage in contravention of the provisions of this rule."








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                      [16.]            On bare appreciation of the first proviso of the aforesaid

rule, it clearly permits the owner or the hirer or a bona fide employee

of the owner or the hirer of the vehicle carried free of charge, or a

police officer in uniform travelling on duty, to be carried in a goods

carriage.

[17.] The learned Single Judge of this Court, in the case of

Reliance General Insurance Company Ltd Vs. Bhagvanbhai

Kamabhai Ulva & 6 others reported in 2023 (2) GLR 1106, while

interpreting the aforesaid rule, has held that the provision when read

as it is, it talks about exempted persons like the owner or the hirer or a

bona fide person etc., to be carried in the goods carriage vehicle. The

Court has, therefore, held that any person travelling in a three-

wheeler goods vehicle where its seating capacity may be one,

including the driver, it includes persons, who are carried along with

the goods. Therefore, Rule 122 of the Rules, 1989 does not prohibit to

carry a person with goods in a goods vehicle, where the seating

capacity is only one.

[18.] It is also required to be noted that the policy produced on

record at Exh.45, under the terms and conditions of "limitations as to

use," though prohibits carrying of passengers in the vehicle; however,

carves out an exception in the case of employees "other than the

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driver" not exceeding the number permitted in the registration

document and falling within the purview of the Workmen's

Compensation Act, 1923. The policy does make reference to the

carrying capacity of the insured vehicle as one, as indicated in the R.C.

Book. In light of the aforesaid terms and conditions of the policy, it

can be inferred that despite being conscious of the fact that the

insured vehicle permits seating capacity of only one; however, the

person other than driver of the insured vehicle, was permitted to

travel as passenger, who was employee other than the driver and,

would come under the purview of the Workmen's Compensation Act,

1923.

[19.] Considering the Rule 122 of the Rules, 1989, and in

absence of any independent witness or any other evidence produced

on record to demonstrate that the breach of the aforesaid condition,

in any manner, had attributed to the root cause of the accident, in my

view, the Tribunal has rightly not taken into consideration the

aforesaid aspect for the purpose of determination of liability of the

appellant Insurance Company.

[20.] At this stage, it would be appropriate to revisit the

summary of findings of the Hon'be Supreme Court in the case of

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National Insurance Co. Ltd vs Swaran Singh & Ors reported in 2004

(3) SCC 297. The Hon'be Supreme Court has observed as under:

110. The summary of our findings to the various issues as raised in these petitions are as follows:

(i) Chapter XI of the Motor Vehicles Act, 1988 providing compulsory insurance of vehicles against third party risks is a social welfare legislation to extend relief by compensation to victims of accidents caused by use of motor vehicles. The provisions of compulsory insurance coverage of all vehicles are with this paramount object and the provisions of the Act have to be so interpreted as to effectuate the said object.

(ii) Insurer is entitled to raise a defence in a claim petition filed under Section 163 A or Section 166 of the Motor Vehicles Act, 1988 inter alia in terms of Section 149(2)(a)(ii) of the said Act.

(iii) The breach of policy condition e.g., disqualification of driver or invalid driving licence of the driver, as contained in sub-section (2)(a)(ii) of section 149, have to be proved to have been committed by the insured for avoiding liability by the insurer. Mere absence, fake or invalid driving licence or disqualification of the driver for driving at the relevant time, are not in themselves defences available to the insurer against either the insured or the third parties. To avoid its liability towards insured, the insurer has to prove that the insured was guilty of negligence and failed to exercise reasonable care in the matter of fulfilling the condition of the policy regarding use of vehicles by duly licensed driver or one who was not disqualified to drive at the relevant time.

(iv) The insurance companies are, however, with a view to avoid their liability must not only establish the available defence(s) raised in the said proceedings but must also establish 'breach' on the part of the owner of the vehicle; the burden of proof wherefor would be on them.

(v) The court cannot lay down any criteria as to how said burden would be discharged, inasmuch as the same would depend upon the facts and circumstance of each case.

(vi) Even where the insurer is able to prove breach on the part of the insured concerning the policy condition regarding holding of a valid licence by the driver or his qualification to drive during the relevant period, the insurer would not be allowed to avoid its liability towards insured unless the said breach or breaches on the condition of driving licence is/ are so fundamental as are found to have contributed to the cause of the accident. The Tribunals in interpreting the policy conditions would apply "the rule of main purpose" and the concept of "fundamental breach" to allow defences available to the insured under section 149(2) of the Act.

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(vii) The question as to whether the owner has taken reasonable care to find out as to whether the driving licence produced by the driver, (a fake one or otherwise), does not fulfil the requirements of law or not will have to be determined in each case.

(viii) If a vehicle at the time of accident was driven by a person having a learner's licence, the insurance companies would be liable to satisfy the decree.

(ix) The claims tribunal constituted under Section 165 read with Section 168 is empowered to adjudicate all claims in respect of the accidents involving death or of bodily injury or damage to property of third party arising in use of motor vehicle. The said power of the tribunal is not restricted to decide the claims inter se between claimant or claimants on one side and insured, insurer and driver on the other. In the course of adjudicating the claim for compensation and to decide the availability of defence or defences to the insurer, the Tribunal has necessarily the power and jurisdiction to decide disputes inter se between insurer and the insured. The decision rendered on the claims and disputes inter se between the insurer and insured in the course of adjudication of claim for compensation by the claimants and the award made thereon is enforceable and executable in the same manner as provided in Section 174 of the Act for enforcement and execution of the award in favour of the claimants.

(x) Where on adjudication of the claim under the Act the tribunal arrives at a conclusion that the insurer has satisfactorily proved its defence in accordance with the provisions of section 149(2) read with sub-section (7), as interpreted by this Court above, the Tribunal can direct that the insurer is liable to be reimbursed by the insured for the compensation and other amounts which it has been compelled to pay to the third party under the award of the tribunal. Such determination of claim by the Tribunal will be enforceable and the money found due to the insurer from the insured will be recoverable on a certificate issued by the tribunal to the Collector in the same manner under Section 174 of the Act as arrears of land revenue. The certificate will be issued for the recovery as arrears of land revenue only if, as required by sub-section (3) of Section 168 of the Act the insured fails to deposit the amount awarded in favour of the insurer within thirty days from the date of announcement of the award by the tribunal.

(xi) The provisions contained in sub-section (4) with proviso thereunder and sub-section (5) which are intended to cover specified contingencies mentioned therein to enable the insurer to recover amount paid under the contract of insurance on behalf of the insured can be taken recourse of by the Tribunal and be extended to claims and defences of insurer against insured by relegating them to the remedy before regular court in cases where on given facts and circumstances adjudication of their claims inter se might delay the adjudication of the claims of the victims.








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                      [21.]            Considering the aforesaid principles, the burden lies upon

the Insurance Company to establish " breach" on the part of the owner

of the vehicle. The insurer is not only required to prove breach on part

of the insured concerning the policy condition, but is also required to

demonstrate as to in what manner, the breach of such terms and

conditions of the policy contributed to the cause of the accident. Thus,

it has been held that Tribunals, in interpreting the policy conditions,

are required to apply "the rule of main purpose" and the concept of

"fundamental breach" to allow defences available to the insurer under

Section 149(2) of the Act. In absence of any evidence being laid by the

appellant- Insurance Company to establish their defence, no error can

be found with the approach of the Tribunal holding the appellant-

Insurance Company liable to pay the amount of compensation to the

claimant.

[22.] For the foregoing reasons, the appeal, being devoid of

any merit, is hereby dismissed. The impugned judgment and award

dated 30.06.2016 passed by the Motor Accident Claims Tribunal (Aux.)

& 4th Additional District Judge, Kheda at Nadiad in M.A.C.P. No.1037 of

2012, is hereby confirmed.








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                      [23.]            In view of the dismissal of the appeal, the interim stay

granted by this Court vide order dated 18.10.2016 is hereby vacated.

The Tribunal shall proceed with the release and disbursement of the

award amount in favor of the original claimant as lying in the fixed

deposit. The Tribunal is expected to undertake such exercise within a

period of four weeks from the date of receipt of the certified copy of

this judgment.

[24.] With these observations, the First Appeal stands disposed

of. The record and proceedings are directed to be sent back to the

concerned Tribunal along with the Writ of this judgment.

(NISHA M. THAKORE,J) SUYASH SRIVASTAVA

 
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