Page 39 - The Insurance Times August 2025
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stable, albeit with occasional fluctuations. Despite this  a) A claim in writing for the loss or damage containing as
         disclosure, the insurer issues a policy.                particular an account as may be reasonably practicable
                                                                 of all the several articles or items or property damaged
         Let  us  delve  into  a  recent  case  to  gain  a  deeper  or destroyed, and of the amount of the loss or damage
         understanding of the concept.                           thereto respectively, having regard to their value at the
                                                                 time of the loss or damage, not including profit of any
         In the Civil  Appeal Nos 1217-1218 OF 2017 M/s. Sonell Clocks  kind. b) Particulars of all other insurances, if any. c) The
         and Gifts Ltd. ....Appellant(s) :Versus:  The  New India  Insured shall also at all times at his own expense
         Assurance Co. Ltd. ....Respondent(s)                    produce, procure and give to the Company all such
                                                                 further particulars, plans, specification books, vouchers,
          M/s. Sonnel Clocks and Gifts Ltd. had taken a Fire Insurance  invoices,   duplicates   or   copies   thereof,
         Policy from New India Assurance Co. Ltd. for a period of one  documents…………… No claim under this policy shall
         year, from July 19, 2004 to July 18, 2005, for its building,  be payable unless the terms of this condition have
         plant, and machinery at Plot70/  Textile Compound, Dan  been complied with.
         Udyog Sangh Ltd., Piparia, Silvassa, Dadra Nagar, Haveli, for
         a sum assured of Rs.2,87,00,000/- (Two Crore Eighty Seven  Point of Contention -
         lakh only) on reinstatement value basis.
                                                              1) The insured contested that the repudiation of the claim
                                                                 on the grounds of delayed intimation, as well as non-
         On August 4, 2004, torrential rains and floods ravaged the  intimation of the requisite particulars of the loss within
         entire  area,  causing  water  to  surge  into  the  factory
                                                                 the stipulated period, was incorrect, as the insurer is
         premises, damaging both the machinery and the raw
                                                                 estopped from raising a plea of violation of the condition
         materials stored therein. The loss was not reported to the  warranting a repudiation by appointing a surveyor. The
         insurance company immediately. In fact, the loss  was   above  action  was  an  indication  of  the  insurer's
         informed after a gap of 3 months and 25 days, on November  admissibility of liability.
         30, 2004.
         New  India  Assurance  Co.  Ltd.,  having  received  the Course of action by the appellant -

         intimation  through  the  bank,  appointed  M/S.  Saran  The  appellant  filed  a  complaint  before  the  National
         Engineers & Consultants to survey and assess the loss caused  Consumer Disputes Redressal Commission, New Delhi, vide
         by the flooding of the factory premises. The surveyor  Consumer Complaint No. 20 of 2006, and approached the
         submitted its report, dated December 29, 2004, to New  Commission with the plea that the respondent (insurance
         India Assurance Co. Ltd., stating that the claim was not  company)   was guilty of both deficiency in service and unfair
         payable due to the claimant's failure to comply with General  trade  practices.  The  appellant  pleaded  before  the
         Condition No. 6 of the Standard Fire and Special Perils policy.  Commission to direct the respondent to pay a genuine claim
         Based on the above findings, the respondent (New India  of the appellant for the loss caused to it due to the floods
         Assurance Co.Ltd)  vide letter dated February 18, 2005  to the tune of Rs.2,66,05,000/-(Two Crore Sixty Six Lakh Five
         intimated the repudiation of the claim to the appellant (M/  Thousand Only) with interest at the rate of 21% per annum
         s. Sonnel Clocks and Gifts Ltd)  on the ground that neither  from the date of incident till realization of the same. The
         the intimation of the loss had been given to it immediately  appellant also prayed for compensation for mental agony
         as stipulated in the policy issued to the appalent nor were  and costs, as well as incidental expenses, to the tune of Rs.
         the  requisite  particulars  of  the  loss conveyed within  5,00,000/- (Five Lakh Only) and Rs. 1,00,000/- (One Lakh
         stipulated period. Thus, there was a breach of the terms  Only), respectively.
         and conditions of Clause 6 of the general conditions of the
         fire policy issued.                                  As stated above, the complaint was challenged by the
                                                              insurer because there was a gross violation of the terms and
         Let us peruse Condition 6 of the fire policy, which states,  conditions stipulated in the policy.
         'On the happening of any loss or damage, the Insured shall
         forthwith give notice thereof to the Company and shall,  The complaint filed by the appellant came to be dismissed
         within 15 days after the loss or damage, or such further  by the judgment of the National Commission vide order
         time as the Company may in writing allow in that behalf,  dated December 10, 2015, on the following terms:
         deliver to the Company.

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