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2025 Supreme(SC) 2060

SUPREME COURT OF INDIA
J.K. Maheshwari, Vijay Bishnoi, JJ.
Cement Corporation Of India – Appellant
Versus
ICICI Lombard General Insurance Company Limited – Respondent
Civil Appeal No. 2052 of 2016
Decided On : 16-12-2025

Insurance claims must be covered by specified perils, excluding clauses strictly construed favoring the insured, as the proximate cause of fire damages is immaterial absent specific exclusions.

Headnote:(A) Consumer Protection Act, 1986 - Sections 21 and 24 - Insurance Claim - Denial of claim on grounds of exclusion for 'burglary' - The proximate cause of loss was fire, not theft, as per the policy's terms. The court established that the cause of fire is immaterial unless specified exclusions apply. (Paras 22, 28, 30)

(B) Insurance - Principles governing contractual interpretation of insurance policies - The exclusion clauses must be strictly construed, favoring the insured in ambiguous situations. (Paras 26, 30)

Facts of the case:
The case arose when a fire damaged the Appellant's factory, which the Respondent repudiated, claiming the proximate cause was theft. The NCDRC dismissed the Appellant's complaint against this repudiation.

Findings of Court:
The court concluded the insurer wrongfully denied liability based on a misinterpretation of policy exclusions, ruling that the loss was due to fire, a covered peril, hence the proximate cause being burglary does not negate liability.

Issues: The core issues included the interpretation of proximate cause and the applicability of policy exclusions in relation to the fire insurance claim.

Ratio Decidendi: The court held that the proximate cause (fire) should prevail, and exclusions applying to theft do not invalidate coverage for fire damage.

Result: Appeal allowed; claim reinstated and remanded for assessment.

Table of Content
1. insurance contract and claim initiation. (Para 1 , 2 , 3 , 4 , 6 , 7)
2. proximate cause criteria for indemnification. (Para 8 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18)
3. interpretation of policy exclusions. (Para 9 , 20 , 21 , 22 , 23 , 25 , 26 , 27 , 28)
4. ruling on claim repudiation. (Para 30)
5. final judgment to rectify previous errors. (Para 31)

JUDGMENT :

VIJAY BISHNOI, J.

1. This appeal has been preferred by the Appellant challenging the Judgment dated 16.07.2015 (hereinafter referred to as “impugned judgment”) passed in CASE NO.210/2009 by the National Consumer Disputes Redressal Commission, New Delhi (hereinafter referred to as “NCDRC”). The NCDRC, thereby dismissed the complaint preferred by the Appellant-Insured herein, thus denying the Appellant any reimbursement/claim from the Respondent-Insurance Company herein.

BRIEF FACTS

2. The brief facts giving rise to the controversy are that the Appellant, a Government company, invited tender for insurance for its various Units/Dumps/Offices etc., in June 2005. Pursuant to the said tender, on 16.06.2005 the Respondent herein submitted its quote for centralized insurance policy and consequently, on being declared as the successful bidder, the Respondent was awarded the contract for Centralised Insurance coverage at the CO Unit and Zonal Units. Accordingly, a contract dated 21.07.2006, was entered between the Appellant and the Respondent herein and a Standard Fire and Special Perils Policy (Material Damage) (hereinafter referred to as “the policy”) was issued by the Respondent herein for the Appellant’s unit, Mandhar Cement Factory, Cement Corporation of India, P.O. Mandhar, Rampur District, Chhattisgarh 243111 (hereinafter referred to as “factory”).

3. On the early morning of 01.11.2006, a theft and fire incident occurred at the factory of the Appellant where some petty thieves entered the premises of the Appellant company with a blow torch and portable gas cutter-like apparatus. Although the thieves intended to steal winding copper and transformer oil, using bolt cutters and blow torch, which triggered a fire in the transformer and resulted in a fire in the factory premises. Following this, the Appellant formally notified the Respondent about the incident through a letter dated 01/02.11.2006 and also got registered an FIR bearing No. 106/2006 dated 01.11.2006 with the concerned police station.

4. On 30.01.2007, the Appellant calculated the loss and lodged a claim of Rs. 2,20,14,190 with the Respondent. The Respondent, vide letter dated 15.05.2007, acknowledged the receipt of the claim and requested the Appellant to submit the documents as required by the panel adjuster/Surveyor.

5. On 12.10.2007, the Final Survey Report was submitted by the Surveyor. In the said survey report, circumstances of loss and cause of fire have been reported as under:

    “..........

Circumstances of Loss

As reported, at around 7 a.m. on 1st November 2007, a fire incident took place inside the plant premises, in the Transformer SI. No. 24994, which had no electrical input / output power for the last several years. The Fire Brigade on receipt of the Call of Duty from the Insured's staff, reached there and extinguished the fire, which was of a light nature due to the absence of combustibles, viz. very little transformer oil was inside.

From local enquiries it was learnt that being a silent Risk, there were a past history of theft of transformer oil and copper windings by local petty thieves and miscreants on several occasions, being a desolate place with thick bushy growth all around.

This fire incident was a result of attempted theft, by blow lamp / portable gas cutters, who had on the previous night stole oil from another similar Transformer, SI. No. 24993, which was not affected by the fire.

Cause

Transformer, SI. No. 24994 was reported to have been set on fire while some u

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