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Just as the insured has a duty to disclose, similarly, it is the duty of the insurers and their agents to disclose all material facts within their knowledge.  Otherwise, the insured is not bound by such clauses which are not brought to his knowledge.

Civil Appeal No. 6075-76 and 11443-44 of 1995
Decided on 21-08-1996

United India Insurance Co. Ltd.                     .... Appellant
Vs
M.K.J. Corporation                                       .... Respondents

Present:

Mr. Justice K. Ramaswamy
Mr. Justice G.B. Pattnaik

JUDGMENT

K. Ramaswamy, J. - We have heard learned counsel on both sides.

2. Both the appeals are heard and disposed of together since claims arising out of them arise out of the same cause of action.

3. These appeals arise from the orders dated 12.1.1995 of the National Consumer Disputes Redressal Commission ('the Commission', for short) made in original petition Nos. 62 and 102 of 1993. Admittedly, the respondent was holding two policies. First policy covered the period from 31.3.1986 to 30.3.1987 and the second policy covered the period from 1.4.1987 to 31.3.1998. During the said period, admittedly, due to the employees strike the leather in process was damaged due to the spoilage. The respondent laid claims for damages caused during the first period for a sum of Rs. 4,99,453.23 and for the second period for Rs. 5,000/- amount to the total of Rs. 5,04,453.23 with interest from the date of the claim. The tribunal accepted the claim and directed payment of the said amount with interest at the rae of 18 per cent from one month after the date of the claim. The respondent's appeal Nos. 11443-44 of 1995, though arise from the impugned order, is for the claim of consequential loss in the sum of Rs. 14,00,000/-.

4. Mr. S.M. Suri, learned counsel for the appellant company, contended that insurance coverage is only for riots and strikes and malicious damages and spoilage "under spoilage item 8" clearly enumerates as under :

"Stocks or leather of all kinds in process during soaking, liming, fleshing, tanning, wet blue, sammying, splitting, shaving, dye liquoring, setting, vacuuming, drying".

The learned counsel relying upon clauses seeks to read clause (b) of "section 2 - Fire Policy 'C' of Part II - Fire Policies, Endorsements, Clauses and Warranties", as recommended by Tariff Advisory Committee constituted under section 64 (U) of the Insurance Act, 1985. Since these recommendations are made by the Advisory Committee which is a statutory authority bind the appellant insurer they are integral part of the policies referred to herein before. Resultantly, by operation of clause (b), the insurance does not cover if loss or damage results from total or partial cessation of work or the retarding or interruption or cessation of any process of operation or omissions of any kind. According to the learned counsel, since the damage was caused due to the strike organised by the workmen of the insured, by operation of clause (b), the  appellant insurer is not liable for the loss to the goods while the leather remains unattended in its process during the period of strike. We are unable to agree with the learned counsel. It is true that the Advisory Committee is a statutory body which has gone in and recommended the policies for riot, strike and malicious damages. The clause would have excluded the insurance company from the coverage, if the loss or damage resulted from total or partial cessation of work or the retarding or interruption or cessation of any process of operation or omissions of any kind which would include strike by its workers. This may be due to either the operational inconvenience due to non supply of the electricity or strike by the employees or any cause but the insured must be put on notice of this clause.

5. It is a fundamental principle of insurance law that utmost good faith must be observed by the contracting parties. Good faith forbids either party from concealing (non disclosure) what he privately knows, to draw the other into a bargain, from his ignorance of the fact and his believing the contrary. Just as the insured has a duty to disclose, similarly, it is the duty of the insurers and their agents to disclose all material facts within their knowledge, since obligation of good faith applies to them equally with the insured.

6. The duty of good faith is of a continuing nature. After completion of the contract, no material alteration can be made in its terms except by mutual consent. The materiality of a fact is judged by the circumstances existing at the time when the contract is concluded. In the present case, the introduction of the Tariff Advisory Committee document materially affects the terms of the policy, resulting in the denial of the very indemnity of claim. And this was what the appellant sought to do, at the stage of clearing of the complaint. The Commission rightly rejected the appellant's plea. Notwithstanding this on behalf of the appellant, it was insisted that the instructions of the Tariff Advisory Committee form part of the contract. Admittedly, the appellant insurer had not incorporated the above quoted clause as part of the policy undertaken with the insured. Consequently, the insured is not bound by this exclusionary clause of liability since the appellant insurer, admittedly, had undertaken liability for the riot or strike, damage due to riot or strike.

7. Since the surveyor had submitted a report after due verification that the damage to the leather was caused due to strike organised by the  workmen, in our considered view, the insurance is covered by the RSD and MD clause. Accordingly, the appellant insurer is liable to pay the insured amount for the spoilage of the leather caused due to strike organised by the workmen.

8. It is then contended that the appellant is not liable to pay interest from the time of the loss which occurred only from the date of the claim rejected by the appellant insurer. It is difficult to accept the contention in toto. It is axiomatic that the insured is required to lay specific claim for damages giving details of the damages caused to the leather due  to the strike organised by the workmen. On preferring claim thereof, admittedly, the surveyor, which is independent agency, should inspect the factory and submit a report. From the record, it would be clear that the claim was made for the first time on 13.11.1989. Thereafter, all the particulars were furnished by the insured respondent in August, 1990. Thereupon, the surveyor inspected and submitted his report on 30.10.1990. Thereafter, the insurance company is required to take a decision. Admittedly, 5 months have elapsed for taking decision to reject the claims. We think that a reasonable time of two months would be justified for them to take a decision whether claim requires to be settled or rejected in accordance with the policy. Therefore, two months would be computed from 30.10.1990. Accordingly, we give the benefit of the time taken to decide the claim up to 31.12.1990. The appellant insurer is liable to pay interest from 1.1.1991 till date of payment.

9. The next question is : what rate of interest the insured respondent is entitled to get? In common parlance, when the insured respondent is deprived of right to enjoy his money or invest the money in business, necessarily the loss has to be compensated by way of payment of interest by the insurance company. We are informed that as per the directions of the Government of India the appellant insurance company has no option but to invest the money in the securities specified  by the Government of India under which the insurance company is securing in interest on investment at the rate of 11.3 per cent per annum Under these circumstances, the appellant insurance company is liable to pay interest at the rate of 12 per cent per annum from 1.1.1991 till date of payment. It is then contended that as per the policy, the respondent is entitled to consequential loss as per the independent policy. The Commission no doubt did not give any independent reason for the same but all the claims were heard and disposed of together. Under these circumstances, we are of the view that the claims must be deemed to have been rejected.

10. The appeals are accordingly disposed of, but, in the circumstances, without costs.



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