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2024 Supreme(SC) 482

PAMIDIGHANTAM SRI NARASIMHA, ARAVIND KUMAR
United India Insurance Co. Ltd. – Appellant
Versus
Hyundai Engineering & Construction Co. Ltd. – Respondent


Advocates Appeared:
For the Appellant(s) : Dr. Abhishek Manu Singhvi, Sr. Adv., Mr. Niraj Kishan Kaul, Sr. Adv., Mr. Amit Kumar Singh, AOR, Ms. K. Enatoli Sema, Adv., Ms. Chubalemla Chang, Adv., Mr. Prang Newmai, Adv.
For the Respondent(s): Mr. Mahesh Agarwal, Adv., Mr. Rishi Agrawala, Adv., Mr. Ankur Saigal, Adv., Ms. S. Lakshmi Iyer, Adv., Ms. Anwesha Padhi, Adv., Mr. Himanshu Saraswat, Adv., Mr. E.C. Agrawala, AOR.

Judgement Key Points

The legal analysis of the provided document reveals several key points:

  1. Interpretation of Exclusion Clauses: Exclusion clauses in insurance contracts are to be interpreted strictly and against the insurer, as they serve to exempt the insurer from liabilities fully (!) .

  2. Credibility of Surveyor’s Report: A surveyor’s report is considered credible evidence in insurance disputes. The court may rely on it until more reliable evidence is introduced, especially when it is supported by site visits and detailed assessments (!) (!) .

  3. Nature of Insurance Contracts: Insurance is fundamentally a contract of indemnification, covering specific losses as outlined in the policy. The insurer's obligations are limited to the scope and conditions explicitly stated, and they cannot be asked to cover losses outside those terms (!) .

  4. Application of Conditions and Evidence: The insurer must plead and lead cogent evidence to establish the applicability of exclusion clauses. In this case, the insurer successfully discharged this burden by producing the surveyor’s report and expert findings (!) .

  5. Responsibility for Structural Failure: The collapse of the bridge was attributed primarily to shortcomings in design, workmanship, and stability, with responsibility lying with the contractor and design consultants. The detailed findings of the expert committee support this, highlighting deviations from approved plans and the failure of stability measures (!) (!) (!) .

  6. Effect of Continuation of Work: The decision by the authorities to permit continuation of work and completion of the project does not negate the applicability of the exclusion clauses or the insurer’s right to deny the claim if the conditions for exclusion are met (!) .

  7. Rejection of Independent Expert Reports: Reports from independent experts, which were not examined as witnesses and lacked site inspection, are considered theoretical and are not sufficient to rebut the credible evidence provided by the surveyor and the expert committee (!) (!) .

  8. Legal Burden and Evidence: The burden of proof was effectively discharged by the insurer through the surveyor’s report, which was unrebutted and found credible by the court. The insurer’s reliance on this evidence justified the repudiation of the claim based on the contractual exclusion clauses (!) (!) .

  9. Court’s Conclusion: The court found that the consumer complaint was erroneously allowed by the lower authority, which relied on inconclusive and unsubstantiated reports. The appeal was allowed, and the prior order directing payment was set aside (!) .

  10. Amendment of Claims: The court noted the inconsistency in the claim amount and the lack of hearing on the revised amount. It emphasized that the original claim amount of Rs. 39,09,92,828 was supported by credible evidence, and the higher amount was not justified without proper procedure (!) (!) .

Overall, the decision underscores the importance of strict interpretation of exclusion clauses, reliance on credible technical evidence, and the necessity for insurers to substantiate their denial of claims with clear, unequivocal proof.


1. The appellant, United India Insurance Co. Ltd., an insurance company, challenges the decision by the National Consumer Disputes Redressal Commission (hereinafter ‘the NCDRC’), which by its impugned order dated 16.01.2023 allowed the Consumer Complaint No.160 of 2019 and directed the appellant to release and pay an insurance claim of Rs.39,09,92,828/-.

2. Facts: The National Highway Authority of India (‘NHAI’), respondent no. 3 herein, awarded a contract for the design, construction and maintenance of a cable-stayed bridge across the river Chambal on NH-76 at Kota, Rajasthan to a joint venture company comprising of respondent no. 1 and respondent no. 2. The value of the project under the contract was Rs.213,58,76,000/-. The contract provided that the construction work was to be completed within 40 months and the joint venture was thereafter assigned the task of maintaining the said bridge for a period of 6 years, of which, 2 years was the ‘defect-notification period’. NHAI also assigned consultancy services for design, construction and maintenance of the bridge to another joint venture of M/s Louis Berger Group Inc. (USA) and M/s COWI A/S (Denmark).

3. The appellant issued a Contra


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