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2009 Supreme(SC) 1481

2009(6) Supreme 326
SUPREME COURT OF INDIA
Markandey Katju and H.L. Dattu, JJ.
Sri Venkateswara Syndicate — Appellant
versus
Oriental Insurance Company Ltd. and Anr. — Respondents
Civil Appeal No. 4487 of 2004
Decided on 24-08-2009

Advocates Appeared:
For the Appellant :K. V. Viswanathan, Sr. Adv., P.B. Suresh, Vipin Nair (for M/s. Temple Law Firm), Advocates.
For the Respondents:Kishore Rawat, M.K. Dua, Advocates.

IMPORTANT POINT
While settling a claim, assistance of surveyor should be taken but insurer is not bound by whatever the surveyor has assessed or quantified. If for any reason, the insurer is of the view that certain material facts ought to have been taken into consideration while framing a report by the surveyor and if it is not done, it can certainly depute another surveyor for the purpose of conducting a fresh survey to estimate the loss suffered by the insured.

Headnote:Insurance Act, 1938 – Section 64-UM – Damage to Cotton stocks insured due to a fire accident – Cotton stocks in question covered by seven insurance policies issued by respondent Insurance Company – Non settlement of claim by respondent company in spite of obtaining report of a Surveyor and Joint Surveyor – Appointment of a Chartered Accountant to give a fresh report – Complaint alleging deficiency in service – National Commission, on the concession made by the insurance company based on the report of Chartered Accountant passed the impugned order, directing insurer to pay a sum of Rs.1,05,00,817/- with interest at 6% per annum – Appeal – Plea that action of the insurance company in appointing several surveyors till it got a favourable report to suit its estimation of loss of stock in the fire incident was illegal – Perusal of the joint survey report revealed that Joint Surveyors without going into the records of the appellant firm had assessed the loss said to have been sustained by the insured in the fire accident- Joint Surveyors had taken into account 88 borahs while assessing the loss, whereas as per the records of the insured submitted to the bank, there were 551 borahs as on 31.7.1999, out of which 548 borahs were sold from 1.8.1999 to 24.8.1999, (the date of the fire incident) thus leaving only 3 borahs in the stock – Chartered Accountant, who gave the report having noticed all these omissions and after detailed verification of the books of accounts and records maintained by the appellant had assessed the loss at Rs.1,05,00817/- In his report he had specifically stated that Joint Surveyors had failed to notice that the accounts presented to them belonged to one of the several firms operating from the same premises under the same or similar names and further the Joint Surveyors had over looked to ascertain the identity of the firm which was insured and the firm which had in fact sustained the loss- Finer aspects of the matter had been taken into consideration by National Commission while rejecting the Joint Survey report of Joint Assessors and for accepting the report of Chartered Accountant – Appeal partly allowed. (Paras 20 to 23)

        Interest – The insurer after rejecting the assessments of the surveyor and the joint surveyor had accepted the assessment made by the Chartered Accountant – Hence, it could not be said that insurer while settling the claim has caused an unnecessary delay of three years- But once the insurer had reached a settlement he should make the payment at the earliest- And if further delay is caused by the insurer in making the payment then he should be made liable to pay the interest on the amount settled, as compensation at the current rate of interest till the payment is made, as it has deprived the appellant from using his money for which he is legitimately entitled-Hence direction given to respondent Insurance Company to pay Rs.1,05,00817/- with interest at the rate of 9% as compensation from the date of assessment done by the Chartered Accountant. (Paras 27, 28)

       Facts of the Case :

        1. Damage was caused to Cotton stocks insured herein in the instant case due to a fire accident. Cotton stocks in question were covered by seven insurance policies issued by respondent Insurance Company. Appellant made a claim of Rs.1.90 crores towards loss of stock due to accidental fire in its business premises, with the insurer. on settlement of claim by respondent company in spite of obtaining report of a Surveyor and Joint Surveyor. Appointment of a Chartered Accountant by insurance company to give a fresh report who after inspection of godown and verifying books of accounts, estimated the loss of stock at Rs.1,05,00,817.On Complaint alleging deficiency in service, National Commission, on the concession made by the insurance company based on the report of Chartered Accountant passed the impugned order, directing insurer to pay a sum of Rs.1,05,00,817/- with interest at 6% per annum.

        2. Present appeal has been filed against said order of National Commission. Plea of appellant that action of the insurance company in appointing several surveyors till it got a favourable report to suit its estimation of loss of stock in the fire incident was illegal.

       Findings of the Court :

        Perusal of the joint survey report revealed that Joint Surveyors without going into the records of the appellant firm had assessed the loss said to have been sustained by the insured in the fire accident.Joint Surveyors had taken into account 88 borahs while assessing the loss, whereas as per the records of the insured submitted to the bank, there were 551 borahs as on 31.7.1999, out of which 548 borahs were sold from 1.8.1999 to 24.8.1999, (the date of the fire incident) thus leaving only 3 borahs in the stock. Chartered Accountant, who gave the report having noticed all these omissions and after detailed verification of the books of accounts and records maintained by the appellant had assessed the loss at Rs.1,05,00817/. In his report he had specifically stated that Joint Surveyors had failed to notice that the accounts presented to them belonged to one of the several firms operating from the same premises under the same or similar names and further the Joint Surveyors had over looked to ascertain the identity of the firm which was insured and the firm which had in fact sustained the loss. Finer aspects of the matter had been taken into consideration by National Commission while rejecting the Joint Survey report of Joint Assessors and for accepting the report of Chartered Accountant. Appeal was partly allowed.

       Result : Appeal partly allowed.

       

Judgement Key Points

The court held that the survey report prepared by the joint surveyors, who assessed the loss without thoroughly verifying the records of the insured, was flawed and inadequate. The court emphasized that surveyors appointed by the insurer are expected to investigate, assess, and verify material facts with objectivity and competence. If the survey report is found to be arbitrary, exaggerated, or based on omissions, the insurer must provide valid reasons for rejecting it. The court also noted that the insurer has the right to appoint additional surveyors or independent experts if the initial report is not acceptable, but such appointment must be justified with satisfactory reasons. In this case, the court accepted the assessment made by a Chartered Accountant after detailed verification of the insured’s books and records, and it rejected the surveyors' report due to their failure to examine the records properly and their oversight of material facts.


JUDGMENT

H.L. Dattu, J.—

1) This appeal is directed against the order passed by National Consumer Disputes Redressal Commission, New Delhi in Original Petition No.135 of 2001 dated 19th day of January, 2003.

2) The brief facts are as under :

The appellant is a registered partnership firm. Their line of activity is trading in cotton. For the purpose of their business, they had taken M/s Jai Bharat Traders Cotton Ginning Mill on lease. The claim of the appellant is that an accidental fire took place in the godown of M/s Jai Bharat Traders, leased by the appellant firm, where its cotton stocks were stored and insured at about 2.10 a.m. in the morning hours of 24.8.1999 and according to the appellant the estimated loss was of Rs. 1.90 crores. The cotton stocks in question were covered by seven insurance policies issued by respondent - Oriental Insurance Company Ltd. hereinafter for the sake of brevity referred to as ‘insurer’ for a total sum of Rs.1.98 Crores during the period when the fire accident took place. The appellant made a claim of Rs.1.90 crores towards loss of stock due to accidental fire in its business premises, with the insurer. Pursuant to the claim so made, the insurance company appointed one Sri K. Siva Prasad, a licensed surveyor for preliminary investigation and for submitting a preliminary report, about the cause of fire and the probable loss said to have been suffered by the insured. The surveyor having examined the place of fire accident gave preliminary report dated 09.09.1999 to the insurance company estimating the loss of stock at Rs.1,73,92,310/-, however, had noticed in his report that the number of bales and borahs lying in the Godown and the actual quantity of lint damaged by fire has to be got confirmed from the accounts of the insured and also by physical verification of bale hoops. The insurer after receipt of the preliminary report of Sri K. Siva Prasad, had appointed Joint Surveyors M/s Mehta and Padamsey and Kaypens, in terms of Section 64 UM(2) of the Insurance Act to give a joint report. They conducted a joint survey and in that, had estimated the loss of stock insured at Rs.1,67,80,925/- and gave a report to that effect to the insurer. The insurer being of the view that the report is perfunctory, had appointed yet another Surveyor viz. Dinesh Gopal and Co. who, in turn appointed one Mr. Panchal, former DIG (Fire) CISF and Fire Adviser to the Government of India to investigate and submit a report, who in turn after investigation and survey submitted his report dated 07.05.2000, confirming the quantification made by the Joint Surveyor. Since the insurer was not satisfied with the aforesaid report also, appointed R. Srinivasan and Co., Chartered Accountant to give a fresh report by estimating the loss of stock insured due to accidental fire incident. After inspection of the godown and verifying the books of accounts, estimated the loss of stock at Rs.1,05,00,817/-. The insurance company had placed the aforesaid report before the Joint Surveyor viz. M/s. Mehta and Padamsey and Kaypsens for their opinion. The joint surveyors in their clarificatory report dated 06.01.2001, did not agree with the findings of the chartered accountant, on the ground that the chartered accountant had based his report only after verifying the books of accounts for the period 01.10.1998 to 31.03.1999 and not till the date of fire accident.

3. Since there was inordinate delay in settling the lawful claim under the fire insurance policy, the appellant preferred original complaint before the National Consumer Forum against the insurer, inter-alia, alleging that there was deficiency in service and, therefore, they are entitled for a sum of Rs.1,67,80,925/- being the value of loss assessed by the Joint Surveyors and, therefore, sought a direction to the insurer for payment of the aforesaid amount with interest at 18% from the date of fire accident till its realization and for payment of a sum of Rs. 6,91,155/- being the valu



















































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