M/S. SONELL CLOCKS AND GIFTS LTD.versusTHE NEW INDIA ASSURANCE CO. LTD.
- Citation
- 2018 INSC 727
- Decided
- 21 August 2018
- Disposal
- Dismissed
- Bench
- DIPAK MISRA
Holding
The appointment of a surveyor does not amount to a waiver of the insurer’s right to reject a claim for delayed intimation under Clause 6.
Summary
M/s Sonell Clocks and Gifts Ltd. had an insurance policy covering its plant and machinery. Flood damage occurred on 4 August 2004, but the insurer was notified only on 30 November 2004, well beyond the 15‑day period required by Clause 6 of the policy. The insurer appointed a surveyor, whose report concluded that the claim was not payable because of the delayed intimation, and the insurer rejected the claim. The appellant approached the National Consumer Disputes Redressal Commission, alleging deficiency in service and unfair trade practice, and argued that the insurer’s appointment of a surveyor amounted to a waiver of the prompt‑intimation condition. The Commission dismissed the complaint, holding that the condition was breached. On appeal, the Supreme Court examined the nature of waiver, distinguished the Galada Power case, and held that the insurer’s appointment of a surveyor, even though mandated by the 2000 Regulations, did not constitute a waiver of Clause 6. Consequently, the Court upheld the Commission’s decision and dismissed the appeals.
Issues considered
- Whether the insurer waived the condition of prompt intimation of loss (Clause 6) by appointing a surveyor.
Legislation cited
Subjects
Judgment
[2018] 10 S.C.R. 35 35
M/S. SONELL CLOCKS AND GIFTS LTD. A
v.
THE NEW INDIA ASSURANCE CO. LTD.
(Civil Appeal Nos.1217-1218 of 2017)
AUGUST 21, 2018 B
[DIPAK MISRA, CJI, A. M. KHANWILKAR AND
DR. D. Y. CHANDRACHUD, JJ.]
Consumer Protection Act, 1986 – Insurance policy – Breach
of – Claim for compensation – On facts, appellant took insurance
C
policy in respect of its building, plant and machinery – Damage to
appellant’s machinery and raw materials lying in the factory on
account of floods – Delay in intimation of loss to the insurer –
Thereafter, appointment of surveyor by insurer to assess the loss
caused due to flood in the premises – Surveyor’s report – On basis
thereof, rejection of appellant’s claim by insurer, on the ground that D
neither the intimation of loss had been given to it nor the requisite
particulars of loss conveyed within the stipulated period – On
appeal, held: Appointment of a surveyor by the insurer after receipt
of intimation of the loss from the appellant, cannot be construed to
be a case of waiver on the part of the insurer of the condition relating
E
to delay stipulated in the conditions of the policy – Thus, the
Commission rightly held that the insurer had not waived the condition
relating to delay stipulated in the general conditions of the policy,
by appointing a surveyor.
Dismissing the appeals, the Court
F
HELD: 1.1 Waiver is an intentional relinquishment of a
right. It must involve conscious abandonment of an existing legal
right, advantage, benefit, claim or privilege, which except for such
a waiver, a party could have enjoyed. It is an agreement not to
assert a right. To invoke the principle of waiver, the person who
is said to have waived must be fully informed as to his rights and G
with full knowledge about the same, he intentionally abandons
them. There must be a specific plea of waiver, much less of
abandonment of a right by the opposite party. [Para 12] [43-C-D]
H
35
36 SUPREME COURT REPORTS [2018] 10 S.C.R.
A 1.2 In the instant case, it is common ground that the letter
of repudiation elucidates that the claim of the appellant was
rejected on the ground that neither the intimation of the loss had
been given to it immediately after the loss nor were the requisite
particulars of the loss conveyed within stipulated period and there
was breach of terms and conditions of Clause 6 of the general
B
conditions of the policy. Additionally, the surveyor report
predicates that it was very difficult to estimate the damages for
the reasons mentioned therein and that the claim of the
appellant was not payable on account of breach of Clause 6 of the
general conditions of the policy. That recommendation commended
C to the respondent. It has been so incorporated in the letter of
repudiation. [Para 17] [46-B-D]
1.3 The expression “duration” is of some significance which
is reflective of the existence or otherwise of the policy itself. In
the present case, there is no dispute about the subsistence of
D the policy but is one of violation of condition No.6 of the policy.
Furthermore, in the present case the controversy will have to be
answered on the basis of Standard Fire and Special Perils Policy
relatable to condition No.6 obligating the insured to give
forthwith intimation of the loss to the insurer. The proviso to
condition No.6 of the subject policy has a negative covenant. The
E fulfillment of the stipulation in Clause 6 of the general conditions
of the policy is the sine qua non to maintain a valid claim under
the policy. [Para 19, 20] [47-A-B, D]
1.4 The dictum in Galada’s case is in the context of the
facts of that case and does not lay down that on the appointment
F of a surveyor, per se, the insurer is estopped from raising a plea
of violation of the condition warranting a repudiation of the claim.
The factum of waiver has to be gathered from the totality of the
obtaining circumstances. [Para 21][47-E]
1.5 No explanation was offered for such a long gap of around
G 3 months 25 days, muchless plausible and satisfactory
explanation. The stipulation in condition No.6 of the policy to
forthwith give notice to the insurer is to facilitate the insurer to
make a meaningful investigation into the cause of damage and
nature of loss, if any. [Para 22] [47-G]
H
M/S. SONELL CLOCKS AND GIFTS LTD. v. THE NEW INDIA 37
ASSURANCE CO. LTD.
1.6 By virtue of the regulations, it is mandatory to appoint A
a surveyor on receipt of intimation about the loss; and the
surveyor so appointed has to discharge his responsibilities and
duties specified in the regulations while submitting its report.
Thus, the appointment of a surveyor by the respondent after
receipt of intimation of the loss from the appellant, in the context
B
of the present insurance policy, coupled with the 2000
Regulations and in particular an express stand taken in the
repudiation letter sent by the respondent to the appellant after
consideration of the surveyor’s report, it cannot be construed to
be a case of waiver on the part of the respondent.
[Paras 23, 24] [48-B-D] C
1.7 The appellant contended that the respondent did not
take a plea that the surveyor was appointed because of statutory
obligation. Such a plea is raised for the first time before this Court.
This submission cannot be accepted. The party is not expected
to state the provisions of law in its pleading. The fact that such D
obligation flows from the regulation, in that sense, is a mixed
question of fact and law. The fact remains that the respondent
had appointed a surveyor to enquire into the entire matter and
submit its report. The surveyor expressly recommended that the
claim was not payable on account of the infringement of Clause 6
of the general conditions of the policy. [Para 25] [48-E-F] E
1.8 There is no merit in the grievance made by the
appellant that the Commission did not consider the issue of waiver
for which the appellant was granted liberty to file review petition
by this Court. It is said so because the Commission considered
the said issue as the singular issue and after analysing relevant F
aspects concluded that there was nothing to indicate that the
respondent insurer had intentionally or consciously relinquished
or waived its right to reject the claim on delayed intimation of
loss, by appointing a surveyor to assess the loss claimed by the
insured. [Para 26] [48-G-H] G
1.9 The conclusion of the Commission that the
respondent (insurer) had not waived the condition relating to delay
stipulated in Clause 6 of the general conditions of the policy, by
appointing a surveyor is upheld. [Para 28] [49-C-D]
H
38 SUPREME COURT REPORTS [2018] 10 S.C.R.
A Galada Power and Telecommunication Ltd. v. United
India Insurance Co. Ltd. and Another (2016) 14 SCC
161 – distinguished.
Oriental Insurance Co. Ltd. v. Parvesh Chander Chadha
MANU/SC/1343/2010 ; New India Assurance Company
B Ltd v. Trilochan Jane First Appeal No. 321 of 2005
dated 9th December, 2009 ; State of Punjab v. Davinder
Pal Singh Bhullar and Others (2011) 14 SCC 770 :
[2011] 15 SCR 540 ; Reliance General Insurance
Company Ltd. v. Harleen Kaur in Revision Petition
No. 2850 of 2015 – referred to.
C
Case Law Reference
[2011] 15 SCR 540 referred to Para 6
(2016) 14 SCC 161 referred to Para 6
D CIVIL APPELLATE JURISDICTION : Civil Appeal
Nos. 1217-1218 of 2017.
From the Judgment and Order dated 10.12.2015 and 25.10.2016
of the National Consumer Disputes Redressal Commission, New Delhi
in Consumer Complaint No. 20 of 2006 and Review Application No. 77
of 2016 respectively.
E
Jitendra Mohan Sharma, Sr. Adv., Sameer Singh, Ajit Sharma,
Sandeep Singh, Joseph Fernandes, Advs. for the Appellant.
Joy Basu, Sr. Adv., J. P. N. Shahi, Ms. Garima Prashad, Advs.
for the Respondent.
F The Judgment of the Court was delivered by
A. M. KHANWILKAR, J. 1. The appellant filed a complaint
before the National Consumer Disputes Redressal Commission, New
Delhi being Consumer Complaint No.20 of 2006, asserting that it had
taken an Insurance Policy from the respondent (Insurance Company)
G for a period of one year from 19th July, 2004 to 18th July, 2005, in respect
of its building, plant and machinery at plot No.70/3, B.K. Textile
Compound, Dan Udyog Sangh Ltd., Piparia, Silvassa, Dadra Nagar,
Haveli, for a sum assured of Rs.2,87,00,000/- (Two Crore Eighty Seven
Lakh Only) on reinstatement value basis. Due to torrential rains and
H floods in the entire area, the water gushed into the factory premises
M/S. SONELL CLOCKS AND GIFTS LTD. v. THE NEW INDIA 39
ASSURANCE CO. LTD. [A. M. KHANWILKAR, J.]
causing damage to the machinery as well as raw material lying therein. A
This event occurred on 4th August, 2004. Intimation of the loss was
given to the respondent after a gap of 3 months 25 days, on 30th November,
2004. Thereafter, the respondent appointed a surveyor to assess the
loss caused due to the flooding of the factory premises. The surveyor
after causing inspection submitted its report to the respondent inter alia
B
stating that the claim was not payable on account of the failure of the
complainant to comply with the mandate of Clause 6 of the general
conditions of the policy. Acting upon the said report, the respondent vide
letter dated 18th February, 2005 conveyed rejection of the claim to the
appellant on the ground that neither the intimation of the loss had been
given to it immediately nor were the requisite particulars of the loss C
conveyed within stipulated period. Thus, there was breach of terms and
conditions of Clause 6 of the general conditions of the policy.
2. As a sequel, the appellant approached the Commission for a
declaration that the respondent was guilty of deficiency in service as
well as unfair trade practices. Additionally, to direct the respondent to D
sanction the genuine claim of the appellant and reimburse the loss caused
to it due to the floods to the tune of Rs.2,66,05,000/-(Two Crore Sixty
Six Lakh Five Thousand Only) with interest at the rate of 21% per
annum from the date of incident till realization of the same. The
appellant also prayed for compensation amount of Rs.5,00,000/- (Five
E
Lakh Only) towards mental agony and cost and further an amount of
Rs.1,00,000/- (One Lakh Only) towards incidental expenses.
3. The complaint was opposed by the respondent on the ground
that there was gross violation of the terms and conditions of the policy
as no intimation muchless immediate information about the loss was
F
given to the Insurance Company nor was a claim lodged with the
requisite particulars within the time stipulated in the policy.
4. This objection commended to the Commission as a result of
which, the complaint filed by the appellant came to be dismissed by the
judgment and order dated 10th December, 2015 on the following terms:
G
“5. It would thus be seen that as per the terms and conditions of
the policy taken by it, there were three obligations on the
complainant/insured. The first obligation was to give notice of the
loss to the insurer, immediately on the said loss taking place. The
second obligation on the complainant was to submit a claim for
H
40 SUPREME COURT REPORTS [2018] 10 S.C.R.
A the loss or damage, giving all necessary particulars of the loss,
within a period of 15 days or such other time as the insurer might
allow. The third obligation on the insured was to intimate the
insurer, within six months of the date of the loss, that it intended to
replace or reinstate the property which had been destroyed or
damaged.
B
6. It is not in dispute that the alleged loss despite having occurred
on 04.08.2004 was reported to the Insurance Company only on
30.11.2004. Thus neither immediate intimation of the loss was
given to the Insurance Company nor was a claim lodged with the
requisite particulars within the time stipulated in the policy. The
C complainant Company, therefore, contravened clause 6 of the
insurance policy taken by it on account of the above referred two
defaults.
7. It is contended by the learned counsel for the complainant that
the requirement of intimating the insurer and submitting a claim
D within 15 days of the loss stands superseded by clause 4(3)
applicable to reinstatement value policies, which required the
requisite intimation to be given within six months of the date of
loss. I, however, find no merit in the contention. The obligation of
the insured under clause 4(3) applicable to reinstatement value
E policies was independent of the obligation placed upon it under
clause 3 of the said policy. Under clause 3 of the policy, the
insurer was to be informed immediately on happening of the loss
followed by lodging of the claim with necessary particulars within
15 days of the loss or within such further time as should be
extended by the insurer, whereas under clause 4(3), which was
F applicable to reinstatement value policies, it has to express its
intention to replace or reinstate the property which had been
destroyed or damaged. There is no question of any supersession
of clause 6 of the policy by clause 4(3), applicable to
reinstatement value policies, the reinstatement of these clauses
G being distinct and separate from each other.
8. For the reasons stated hereinabove, I have no hesitation in
holding that the complainant committed breach of clause 6 of the
insurance policy, and therefore as stipulated in the said clause, no
claim under the policy is payable.
H The complaint is, therefore, dismissed with no order as to costs.”
M/S. SONELL CLOCKS AND GIFTS LTD. v. THE NEW INDIA 41
ASSURANCE CO. LTD. [A. M. KHANWILKAR, J.]
5. The aforementioned decision was assailed before this Court by A
way of Civil Appeal No……..(D.No.6048 of 2016). This Court vide
order dated 26th February, 2016, relegated the parties before the
Commission by giving liberty to the appellant to file a review petition
before the Commission on the singular contention of waiver of condition
stipulated in Clause No.6 by the respondent. The order reads thus:
B
“O R D E R
Delay condoned.
Heard Mr. Jitendra Mohan Sharma, learned senior counsel for
the appellant. It is submitted by the learned counsel that the
insurer has waived the condition relating to delay in C
intimation by appointing a surveyor.
On a perusal of the order passed by the National Consumer
Disputes Redressal Commission (N.C.D.R.C.), New Delhi, we
do not find that the said issue was raised before the N.C.D.R.C.
D
In view of the aforesaid, we permit the appellant to file an
application for review and put forth the issue of waiver before the
N.C.D.R.C. within a period of four weeks hence. The
N.C.D.R.C. will entertain the application for review singularly on
this score.
E
With the aforesaid observation, the appeal is disposed of.”
(emphasis supplied)
It is noticed that no liberty was given to the appellant to challenge
the judgment and order dated 10th December, 2015 passed by the
Commission, in the event the review petition was decided against the F
appellant.
6. Be that as it may, as per the liberty given by this Court the
appellant preferred a review petition before the Commission bearing
Review Petition No.662 of 2016. The singular issue as to whether the
respondent (insurer) had waived the condition relating to delay in G
intimation by appointing a surveyor was considered by the Commission.
The Commission adverted to the decision of this Court in Oriental
Insurance Co. Ltd. Versus Parvesh Chander Chadha 1. It then
noticed the decision of the Commission in New India Assurance
1
MANU/SC/1343/2010 Civil Appeal No.6739 of 2010 dated 17 th August, 2010
H
42 SUPREME COURT REPORTS [2018] 10 S.C.R.
A Company Ltd Versus Trilochan Jane2. Additionally, the Commission
adverted to the decision in State of Punjab Versus Davinder Pal Singh
Bhullar and Others3 and on analysing the factual matrix concluded
that there was nothing to indicate an intentional and conscious
relinquishment by the respondent (insurer) of its right to reject the claim
on account of the delayed intimation of the loss, by appointing a
B
surveyor to assess the loss claimed by the insured (appellant). The
Commission distinguished the decision of this Court in Galada Power
and Telecommunication Ltd. Versus United India Insurance Co.
Ltd. and Another,4 which was profusely relied upon by the appellant
as not applicable to the facts of the present case. At the end, the
C Commission also relied on the observation in Reliance General
Insurance Company Ltd. Versus Harleen Kaur5.
7. The review petition filed by the appellant was accordingly
dismissed vide judgment and order dated 25th October, 2016. Both the
decisions of the Commission dated 25th October, 2016 in Review
D Application No.77 of 2016 and dated 10th December, 2015 in Consumer
Complaint No.20 of 2006 have been assailed in the present appeals.
8. The appellant would contend that the issue is no more res
integra. For, this Court in Galada Power and Telecommunication
Ltd. (supra), while considering similar contention has held that the
E insurer having appointed a surveyor despite stipulation such as in Clause
6, waives its right to advance the plea that the claim was not entertainable
because of the condition enumerated in duration clause was not
satisfied.
9. Per contra, the respondent would contend that the dictum in
F the said decision is contextual and in the backdrop of the factual matrix
of that case. In other words, the issue of waiver by the insurer has been
answered against the insurer not merely because of appointing a
surveyor despite the stipulation in the policy, but the Court at more than
one place while analysing the facts noted the additional circumstance
that the letter of repudiation sent by the insurer merely stated that, the
G claim lodged by the insured was not falling under the purview of the
transit loss. The Court opined that the appointment of a surveyor despite
2
First Appeal No.321 of 2005 dated 9 th December, 2009
3
(2011) 14 SCC 770
4
(2016) 14 SCC 161
5
H In Revision Petition No.2850 of 2015
M/S. SONELL CLOCKS AND GIFTS LTD. v. THE NEW INDIA 43
ASSURANCE CO. LTD. [A. M. KHANWILKAR, J.]
the stipulation in Clause 5 therein was a positive action taken by the A
insurer reinforcing the finding of waiver of its right to advance the plea
that the claim was not entertainable because the condition enumerated
in duration clause was not satisfied.
10. We have heard Mr. Jitendra Mohan Sharma, learned senior
counsel for the appellant and Mr. Joy Basu, learned senior counsel for B
the respondent.
11. The singular question involved in these appeals is whether the
respondent (insurer) had waived the condition relating to delay in
intimation, by appointing a surveyor.
12. It is well established position that waiver is an intentional C
relinquishment of a right. It must involve conscious abandonment of an
existing legal right, advantage, benefit, claim or privilege, which except
for such a waiver, a party could have enjoyed. It is an agreement not to
assert a right. To invoke the principle of waiver, the person who is said
to have waived must be fully informed as to his rights and with full D
knowledge about the same, he intentionally abandons them. [See para
41 of State of Punjab (supra)]. There must be a specific plea of waiver,
much less of abandonment of a right by the opposite party.
13. We shall, therefore, first traverse through the pleadings of the
parties. The appellant has asserted that it was pointed out to the E
respondent that the act of appointing surveyor by the respondent was an
implied consent of condoning the delay. In case the respondent wanted
to repudiate the appellant’s claim only on the technical ground of 15
days’ delay, it should have done at the first instance and there was no
need to have appointed a surveyor thereafter.
F
14. The respondent while refuting the said assertion of the
appellant stated in the written version filed before the Commission that
the appellant was negligent in dealing with its affairs, including in the
matter of informing the respondent forthwith about the claim after the
loss or damage caused on account of flooding as was essential as per
condition No.6 of the policy. Condition No.6 of the policy reads thus: G
“6. (i) On the happening of any loss or damage the insured shall
forthwith give notice thereof to the Company and shall within 15
days after the loss or damage, or such further time as the
H
44 SUPREME COURT REPORTS [2018] 10 S.C.R.
A Company may in writing allow in that behalf, deliver to the
Company
……………………………..
No Claim under this policy shall be payable unless the terms of
this condition have been complied with.”
B
The respondent also urged that after the receipt of the claim
intimation from the Bank, it immediately appointed M/s. Saran
Engineers & Consultants to survey and assess the loss. The surveyor
after visiting the premises gave a detailed report dated 29th December,
2004 including its recommendation that the loss is not payable as per the
C policy (B) General Conditions, Para 6. On the basis of that report and
keeping in mind the terms and conditions of the policy, the respondent
repudiated the claim in terms of policy condition No.6 and intimated the
repudiation of the claim to the appellant vide letter dated 18th February,
2005. The respondent also asserted that the true import of the letter of
D repudiation is a matter of interpretation. In any case, the appointment of
the surveyor was necessary, otherwise the appellant would have
complained about the non-appointment of the surveyor. The respondent
urged that the appellant was in breach of the policy condition.
15. The Commission considered the pleadings of the parties and
E including condition No.6 of the Insurance Policy, the repudiation letter
dated 18th February, 2005 and the Surveyor’s Report which had
recommended that the loss as such is not payable as per the Policy. The
Commission then went on to distinguish the decision in Galada Power
and Telecommunication’s case, (supra).
F 16. In the said case, the issue of waiver was decided on the facts
of that case as is evinced from the dictum in paragraphs 18-20 of the
said decision. The same reads thus:
“18. In the instant case, the insurer was in custody of the
policy. It had prescribed the clause relating to duration. It
was very much aware about the stipulation made in Clauses
G
5(3) to 5(5), but despite the stipulations therein, it appointed
a surveyor. Additionally, as has been stated earlier, in the
letter of repudiation, it only stated that the claim lodged by
the insured was not falling under the purview of transit loss.
Thus, by positive action, the insurer has waived its right to
H advance the plea that the claim was not entertainable
M/S. SONELL CLOCKS AND GIFTS LTD. v. THE NEW INDIA 45
ASSURANCE CO. LTD. [A. M. KHANWILKAR, J.]
because conditions enumerated in duration clause were not A
satisfied. In our considered opinion, the National Commission
could not have placed reliance on the said terms to come to the
conclusion that there was no policy cover in existence and that
the risks stood not covered after delivery of goods to the consignee.
19. Coming to the merits of the claim, we find that the surveyor B
had given a report that there was a loss. He had also
quantified it. The State Commission after elaborate discussion
has held as follows:
‘The surveyor also confirmed in their reports, the shortage/loss of
AAAC due to pilferage during transit and estimated the loss as C
per Ext. A-12. This shortage was also confirmed by Katigorah
Police as per Ext. A-13 and as reiterated earlier by the Takeover
Certificate, Ext. A-19. Taking into consideration that the surveyors
appointed by the insurance company have completed their
investigation and submitted their reports and thereafter an
investigator was appointed on 16-4-1998 without any valid reasons. D
It is held by the National Commission in Gammon India Ltd. v.
New India Assurance Co. Ltd. that: (CPJ p. 10)
‘… Report of first Surveyor not accepted, second Surveyor
appointed — Appointment of second Surveyor not explained —
Deficiency in service proved — Report of first Surveyor upheld.…’ E
and the investigator in the instant case submitted his report on
28-12-1998 i.e. almost 8 months after his appointment. Taking
into consideration all the above submissions, we are of the
considered opinion that the appellant complainant was able to
establish that there was shortage/damage to the consignment which F
was given to the second respondent for transportation.’
20. Though the said aspect has not been gone into by the National
Commission, yet we find, the findings recorded by the State
Commission are absolutely justified and tenable in law being based
on materials brought on record, in such a situation we do not think G
it appropriate that an exercise of remit should be carried out asking
the National Commission to have a further look at it. In any
case, the exercise of revisional jurisdiction by the National
Commission is a limited one. We may hasten to add that to
satisfy ourselves, we have perused the surveyor’s report
H
46 SUPREME COURT REPORTS [2018] 10 S.C.R.
A and scrutinised the judgment and order passed by the State
Commission in this regard and we are completely satisfied
that the determination made by it is absolutely impeccable.”
(emphasis supplied)
17. In the present case, it is common ground that the letter of
B repudiation dated 18th February, 2005 elucidates that the claim of the
appellant was rejected on the ground that neither the intimation of the
loss had been given to it immediately after the loss nor were the
requisite particulars of the loss conveyed within stipulated period and
there was breach of terms and conditions of Clause 6 of the general
C conditions of the policy. Additionally, the surveyor report predicates that
it was very difficult to estimate the damages for the reasons mentioned
therein and that the claim of the appellant was not payable on account of
breach of Clause 6 of the general conditions of the policy. That
recommendation commended to the respondent. It has been so
incorporated in the letter of repudiation dated 18th February, 2005.
D
18. The respondent has rightly pointed out the other distinguishing
features in the present case. To wit, in that case [Galada (supra)], the
Court had considered Clause 5 of a Marine Insurance Policy wherein
the issue was whether the insurance cover itself had extinguished by
efflux of time and that the intimation given by the insured to the insurer
E was not made within 7 days of arrival of the vehicle at the destination
mentioned in the policy. According to the insurer, on expiry of 7 days
from delivery the insurance cover stood perished and no cover would
subsist beyond the said 7 days period. It is in that context, the Court
noted that appointment of the surveyor by the insurer beyond the said
F period can be construed as an act of waiver by the insurer of the
position that the policy stands extinguished. In other words, appointment
of a surveyor by the insurer was interpreted as a manifestation of the
stand of the insurer that the insurance cover still subsists. This is evident
from the dictum in paragraph 13 of the reported decision as the Court
noted that once a surveyor was nominated to verify the loss, the insurer
G could not be allowed to take a stand that the claim is hit by the clause
pertaining to duration and moreso because of absence of any mention in
the letter of repudiation. Thus, it went on to hold that from the positive
conduct of the insurer in unequivocally appointing a surveyor, the
insurer had waived the right which was in its favour under the duration
H clause.
M/S. SONELL CLOCKS AND GIFTS LTD. v. THE NEW INDIA 47
ASSURANCE CO. LTD. [A. M. KHANWILKAR, J.]
19. The expression “duration” is of some significance which is A
reflective of the existence or otherwise of the policy itself. In the present
case, there is no dispute about the subsistence of the policy but is one of
violation of condition No.6 of the policy. Furthermore, in the present
case the controversy will have to be answered on the basis of Standard
Fire and Special Perils Policy relatable to condition No.6 obligating the
B
insured to give forthwith intimation of the loss to the insurer. The two
clauses are materially different and relate to two different and distinct
insurance policies. In other words, Clause 5 of the Marine Insurance
Policy and Clause 6 of the present policy are incomparable being
qualitatively different.
20. To put it differently, Galada’s case (supra) was not a case C
which considered repudiation based on a premise or a reason similar to
condition No.6 of the present policy and a specific plea taken by the
insurer in that behalf in the repudiation letter itself. Notably, Clause 5 of
the Marine Insurance Policy which was the subject matter in Galada’s
case (supra) did not have a negative covenant as in this case in the D
proviso to condition No.6 of the subject policy. The fulfillment of the
stipulation in Clause 6 of the general conditions of the policy is the sine
qua non to maintain a valid claim under the policy.
21. We, therefore, agree with the respondent that the dictum in
Galada’s case (supra) is in the context of the facts of that case and E
does not lay down that on the appointment of a surveyor, per se, the
insurer is estopped from raising a plea of violation of the condition
warranting a repudiation of the claim. The factum of waiver has to be
gathered from the totality of the obtaining circumstances.
22. Suffice it to observe that Galada’s case (supra) will be of no F
avail to the facts and circumstances of the present case. In that, the
event occurred on 4th August, 2004 but intimation was given to the
insurer only on 30th November, 2004 after a gap of around 3 months 25
days. No explanation was offered for such a long gap muchless
plausible and satisfactory explanation. The stipulation in condition No.6
of the policy to forthwith give notice to the insurer is to facilitate the G
insurer to make a meaningful investigation into the cause of damage and
nature of loss, if any. This Court in Parvesh Chander Chadha (supra)
has held that it is the duty of insured to inform the loss forthwith after the
incident.
H
48 SUPREME COURT REPORTS [2018] 10 S.C.R.
A 23. The respondent has also invited our attention to the fact that
in Galada’s case (supra), this Court has had no occasion to consider the
efficacy of Insurance Surveyors and Loss Assessors (Licensing,
Professional Requirements and Code of Conduct) Regulations, 2000,
which came into effect from 14th November, 2000. For, the claim in
Galada’s case (supra) arose in 1998 and the repudiation took place in
B
1999. By virtue of the regulations, it is mandatory to appoint a surveyor
on receipt of intimation about the loss; and the surveyor so appointed
has to discharge his responsibilities and duties specified in the
regulations while submitting its report.
24. Thus, the appointment of a surveyor by the respondent after
C receipt of intimation of the loss from the appellant, in the context of the
present insurance policy, coupled with the 2000 Regulations and in
particular an express stand taken in the repudiation letter dated
18 th February, 2005 sent by the respondent to the appellant after
consideration of the surveyor’s report, it cannot be construed to be a
D case of waiver on the part of the respondent.
25. The appellant would then contend that the respondent did not
take a plea that the surveyor was appointed because of statutory
obligation. Such a plea is raised for the first time before this Court. Even
this submission does not commend us. For, that plea has been taken as
E an additional factor to distinguish the decision in Galada’s case (supra).
The party is not expected to state the provisions of law in its pleading.
The fact that such obligation flows from the regulation, in that sense, is
a mixed question of fact and law. The fact remains that the respondent
had appointed a surveyor to enquire into the entire matter and submit its
report. The surveyor expressly recommended that the claim was not
F payable on account of the infringement of Clause 6 of the general
conditions of the policy.
26. We also find no merit in the grievance made by the appellant
that the Commission did not consider the issue of waiver for which the
appellant was granted liberty to file review petition by this Court. We
G say so because we find that the Commission considered the said issue
as the singular issue and after analysing relevant aspects concluded that
there was nothing to indicate that the respondent insurer had
intentionally or consciously relinquished or waived its right to reject the
claim on delayed intimation of loss, by appointing a surveyor to assess
H the loss claimed by the insured. For the above reasons, the argument
M/S. SONELL CLOCKS AND GIFTS LTD. v. THE NEW INDIA 49
ASSURANCE CO. LTD. [A. M. KHANWILKAR, J.]
that the Commission has not analysed the said issue, as has been done A
by us, will make no difference to the conclusion recorded by it.
27. The appellant has also placed reliance on the decision in Om
Prakash Versus Reliance General Insurance and Another, 6 to
contend that the genuine claim of the appellant ought not to be rejected
on technical ground, keeping in mind that the Consumer Protection Act B
is a beneficial legislation warranting liberal construction. That
contention cannot be taken forward at the instance of the appellant who
has failed to fulfill the threshold stipulation contained in Clause 6 of the
general conditions of the policy and for which reason must suffer the
consequence. It is not a technical matter but sine qua non for a valid
claim to be pursued by the insured, as agreed upon between the parties. C
28. In view of the above, we uphold the conclusion of the
Commission that the respondent (insurer) had not waived the condition
relating to delay stipulated in Clause 6 of the general conditions of the
policy, by appointing a surveyor. Accordingly, these appeals must fail.
D
29. The appeals are dismissed with no order as to costs.
Nidhi Jain Appeals dismissed.
E
F
G
6
(2017) 9 SCC 724
H
Search Indian case law
Ask in plain English, not just keywords. 25,000 AI words free, no card.