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2009 Supreme(SC) 1151

2009(4) Supreme 733
SUPREME COURT OF INDIA
D.K. Jain and R.M. Lodha, JJ.
Sikka Papers Limited — Appellant
versus
National Insurance Company Ltd. & Ors. — Respondents
Civil Appeal No. 6527 of 2002
Decided on : 29-05-2009

Advocates appeared:
For the Appellant :K.K. Mishra (for P.K. Jain), Advocate.
For the Respondent:Atul Nanda, Ms. Rameeza Hakeem, P.N. Puri, Advocates.

IMPORTANT POINT
It is true that surveyor’s report is not the last word but then there must be legitimate reasons for departing from such report.

Headnote:Consumer Protection Act, 1996 – Section 23 – Complainant, Sikka Paper Limited, a limited company engaged in manufacture of paper purchased Diesel Generating Set of 1000 KVA of Kirloskar Cumins Limited -Said generating set broke down and it could not start again despite efforts – Complainant paid Rs. 25,00,000/- to the repairers as repair charges – Case of complainant that respondent company reimbursed Rs.8,07,110/- only relying upon report of last surveyor – Complaint – National Commission by its judgment and order directed insurer to pay to the complainant an amount of Rs. 10,47,491 only along with interest at the rate of 12% – Appeal – General Exceptions incorporated in the policy provided that insurer shall not be liable under policy in respect of deterioration of or wearing away or wearing out of machine caused by or naturally resulting from normal use or exposure – Policy did not provide for protection against wear and tear that machinery had undergone and that the insured may have chosen to replace – The provision of ‘sum insured’ viz., the cost of replacement of insured property by new property of the same kind and same capacity was subject to exception that repair or replacement shall not extend to machinery or parts which had undergone normal wear and tear due to its use and exposure – The parts which had suffered due to wear and tear on account of constant use, although replaced could not form part of claim for reimbursement under terms of policy –Hence surveyor in its report dated could not be said to have wrongly rejected such claim – Again, Policy provided that if sum insured is less than the amount required to be insured, insurer will pay only in such proportion as sum insured bears to the amount insured – In accordance with said provision in policy if surveyor applied the pro-rata formula and deducted 25.71% from the loss so assessed i.e. Rs.3,71,509.50 from the sum payable as under-insurance, such deduction could not be faulted – Consideration of matter by the National Commission not suffered from any legal flaw justifying interference – Appeal dismissed. (Paras 11, 17 to 21)

       Facts of the Case :

        1. Complainant, Sikka Paper Limited, a limited company engaged in manufacture of paper purchased Diesel Generating Set of 1000 KVA of Kirloskar Cumins Limited with alternator of 1250 KVA for the smooth running of its unit herein in the instant case. The said diesel generating set along with alternator was got insured by complainant. Said generating set broke down and it could not start again despite efforts. Complainant with consent of insurer, sent diesel generating set for repairs to authorized repairers at Pune. Complainant paid Rs. 25,00,000/- to the repairers as repair charges. Case of complainant that respondent company reimbursed Rs.8,07,110/- only relying upon report of last surveyor. On Complaint, National Commission by its judgment and order directed insurer to pay to the complainant an amount of Rs. 10,47,491 only along with interest at the rate of 12%.

        2. Present appeal has been filed against said order of National Commission.

       Findings of the Court :

        General Exceptions incorporated in the policy provided that insurer shall not be liable under policy in respect of deterioration of or wearing away or wearing out of machine caused by or naturally resulting from normal use or exposure. Policy did not provide for protection against wear and tear that machinery had undergone and that the insured may have chosen to replace. The provision of ‘sum insured’ viz., the cost of replacement of insured property by new property of the same kind and same capacity was subject to exception that repair or replacement shall not extend to machinery or parts which had undergone normal wear and tear due to its use and exposure. The parts which had suffered due to wear and tear on account of constant use, although replaced could not form part of claim for reimbursement under terms of policy. Hence surveyor in its report dated could not be said to have wrongly rejected such claim. Again, Policy provided that if sum insured is less than the amount required to be insured, insurer will pay only in such proportion as sum insured bears to the amount insured. In accordance with said provision in policy if surveyor applied the pro-rata formula and deducted 25.71% from the loss so assessed i.e. Rs.3,71,509.50 from the sum payable as under-insurance, such deduction could not be faulted. Consideration of matter by the National Commission not suffered from any legal flaw justifying interference. Appeal was dismissed.

       Result : Appeal dismissed.

Judgement Key Points

Final Conclusion: The Supreme Court dismissed the appeal filed by Sikka Papers Limited against the National Commission's order directing the insurer to pay Rs. 10,47,491 along with 12% interest from March 1, 2000, after adjusting amounts already paid, finding no legal flaw in upholding the surveyor's assessment under the policy terms excluding wear and tear and applying pro-rata under-insurance deduction. (!) (!) (!) (!) (!) (!)


JUDGEMENT

R.M. Lodha, J.—

This appeal under Section 23 of the Consumer Protection Act, 1996 (for short ‘the Act’) is at the instance of the complainant as its claim to the tune of of Rs.35,06,000/- against the National Insurance Company Limited (for short ‘insurer’) has not been accepted in its entirety and the National Commission in its judgment and order dated July 18, 2002 directed the insurer to pay to the complainant an amount of Rs. 10,47,491 only along with interest at the rate of 12% from March 1, 2000, till the date of payment after adjusting the amount already paid.

2. The facts from which the controversy arises are these:

The complainant, Sikka Paper Limited, is a limited company engaged in the manufacture of paper having a paper mill unit in District Muzaffarnagar (U.P.). For want of regular and continuous supply of electricity from the Uttar State Electricity Board, the complainant purchased the Diesel Generating Set of 1000 KVA of Kirloskar Cumins Limited with alternator of 1250 KVA for the smooth running of its unit. The said diesel generating set along with alternator was got insured by the complainant for a period from April 8, 1999 to April 7, 2000 for Rs.35,00,000/- vide insurance policy No. 451902/46/99/415. The complainant paid a premium amount of Rs.55,860/- to the insurer.

3. On December 25, 1999, the said generating set broke down and it could not start again despite efforts. The concerned officers of the insurer were intimated in this regard by the complainant and they were requested for arranging immediate survey of the insured generating set. The first surveyor appointed by the insurer is said to have completed his inspection on December 26, 1999 and advised the complainant to send the engine to the authorized repairers viz., Cumins Diesel Sale and Service (India) Limited, Pune. On December 30, 1999, another surveyor is said to have inspected the diesel generating set and identified the damages and the complainant with the consent of the insurer, sent the diesel generating set for repairs to authorized repairers at Pune. The authorized repairers gave the estimate of expenses of repairs to the tune of Rs.27,00,395/- and repaired the diesel generating set. The complainant is said to have paid Rs. 25,00,000/- to the repairers.

4. The case of the complainant is that all bills acquired and directed by the insurer and their appointed surveyors and as required by the policy were handed over to the insurer and the complainant was told that the actual expenses incurred by them in the repairs of the diesel generating set as well as reinstatement charges would be paid but later on they agreed to reimburse Rs.8,07,110/- only. Constrained thereby, the complainant approached the National Commission and claimed a sum of Rs.25,00,000/- towards repairs of diesel generating set; Rs.10,00,000/- for mental harassment and damages along with interest and costs. The complainant alleged that the insurer failed to discharge their obligations under the insurance policy and with mala fide intention to defeat and delay its legitimate claim, adopted all unwarranted and illegal devices.

5. The insurer resisted the complaint and set up the plea that claim of Rs.8,07,110/- was accepted as per the surveyor’s report dated May 15, 2000; the surveyor considered the damage caused as a result of the accident to the various parts of the diesel generating set and wherever he found that replacement was required, he provided for the same. The insurer stated that the surveyor assessed the damages on the basis of only those items which were affected in accidental damage and the balance items not following the scope of the policy were disallowed. It was the case of the insurer that the parts which did not suffer any damage as a result of accident were not liable to be replaced at the expense of the insurer. The insurer also averred that the surveyor in its report dated May 15, 2000 after considering the damage caused to the diesel generating s






































































































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