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NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
C. Viswanath, Presiding Member and Ram Surat Ram Maurya, Member
New India Assurance Co. Ltd. and Ors. —Appellants
versus
Shirish Goel —Respondent
First Appeal No.159 of 2013
(Against the Order dated 15/01/2013 in Complaint No.06/2012 of the State Commission Haryana)
Decided on 29.4.2022

Advocates:
Counsel for the Parties:
For the Appellants:Mr. V.S. Chopra, Advocate
For the Respondent:Ms. Deepa Chacko, Advocate

IMPORTANT POINT
Purchase of policy – The Opposite Party was, therefore, not liable to indemnify the loss. Regarding existence of the building on the date of purchase of the Policy.

Headnote:

Consumer Protection Act, 1986 – S.19 [Consumer Protection Act, 2019 – S.51] – Appeal against order of State Commission - Services – Insurance – Fire Accident - Repudiation of Claim – Liability of Insurance Company – When policy not into existence - The incident of fire is also admitted by the Parties. It is also not disputed that on the date of incident the Policy was valid. The dispute raised by the Opposite Party is that the building where loss was caused was not in existence on the date of purchase of Policy and it was constructed after inception of the Policy. The Opposite Party was, therefore, not liable to indemnify the loss. Regarding existence of the building on the date of purchase of the Policy – On facts, it is clear that the Appellant/Opposite Party did not produce any evidence in support of the contention that the building in question was constructed after inception of the Insurance Policy – The argument of the Opposite Party that on the date of purchase of the Insurance Policy the building in question was not in existence is rejected – The State Commission, thus, rightly included the claim also caused to the building – Therefore, impugned order passed by the State Commission is modified. The Opposite Party is directed to pay Rs. 20,07,899/- with 6% interest per annum to the Complainant. [Paras7 to 10].

Result: Appeal partly allowed.

ORDER

This Appeal is filed against the order dated 15.01.2013 of the Haryana State Consumer Disputes Redressal Commission, Commission, Panchkula (hereinafter referred to as “the State Commission) in CC/6/2012.

2. Case of the Complainant/Respondent is that on 31.10.2009 he took Fire and Special Perils Policy No.312700/11/09/11/00000204 from the Opposite Parties/Appellants. The Policy covered the building located at 21/31 and 22/31, Tatarpur Jatula Road, Village Jarula, District Palwal valid from 31.10.2009 to 29.10.2010. While issuing the Policy, the Opposite Party mentioned incorrect name of the Complainant which was later on corrected. The Complainant was not supplied with the completed copy of the Policy. The Complainant, however, obtained the same by an application under Right to Information Act, 2005. On 01.05.2010 fire broke out in the insured premises due to short circuit causing loss/damage to the stock and building. Intimation of fire was given to the Fire Brigade and the fire was extinguished. Police recorded a case, vide FDR No.4 dated 04.05.2010 at Police Station Gadpuri. Intimation of fire was also given to the Opposite Party, who appointed Shri Hans Chaudhary HRC Associates as Surveyor. On 02.05.2010, the Surveyor inspected the premises and asked the Complainant to submit certain documents which the Complainant supplied. According to the Complainant, the loss was to the extent of Rs.30 Lakhs. The Surveyor, however, assessed the loss at Rs. 6,52,283/-. The Surveyor also observed that the Insured had increased the risk of loss by construction of additional building without permission of the Opposite Party. The liability of the Opposite Party was, therefore, nil. The Opposite Party repudiated the claim stating that the subject matter damaged in the fire was not covered under the Policy. Aggrieved by repudiation of the claim, the Complainant filed Consumer Complaint No.6/2012 before the State Commission with the following prayer: -

“It is, therefore, respectfully prayed that this complaint may kindly be allowed and the Opposite Parties may kindly be directed to pay compensation to the tune of Rs.35,25,000/- to the complainant on account of negligence and deficiency in service, in the interest of justice.”

3. The Complaint was contested by the Opposite Party by filing the written statement. It was stated that the portion of the building where damaged was caused was not in existence when the Policy was taken by the Complainant and the same was constructed later. The Complainant himself admitted that the new construction was made during September-October, 2009 to March, 2010 without intimation to the Opposite Party. This being the position, the Opposite Party was not liable to pay any claim.

4. After hearing the Learned Counsel for the Parties and perusing the record, the State Commission passed the following order: -

“Having considered the facts and circumstances of the case and the evidence available on record, we have arrived to the conclusion that the complainant is entitled to compensation of Rs.20,07,899/- on account of damage of his building due to fire which broke out in the insured premises during the subsistence of the Insurance Policy.

As a sequel to our aforesaid discussion, this complaint is accepted and direction is given to the opposite parties to pay Rs.20,07,899/- to the complainant alongwith interest @ 6% per annum from the d ate of repudiation of complainant’s claim till its realization. It is pertinent to mention here that the genuine claim of the complainant was denied by the opposite party-Company on flimsy grounds. It is the general practice of the issues, they always rely upon the reports of surveyors as well as the findings recorded therein and fail to verify the exact position of the incident i.e. fire, flood etc. It is not disputed that a very heavy responsibility lies on the shoulders of Manager of the Company but instead of examiner of the issue, he signs the repudiation letter on ditto

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