NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
A.P. Sahi, President
SBI General Insurance Company Ltd. – Appellant
versus
Horizon Breweries Pvt. Ltd. – Respondent
First Appeal No.1030 of 2023
(Against the Order dated 23/01/2023 in Complaint No. CC/230/2019 of the State Commission Rajasthan)
Decided on 3.7.2024
Consumer Protection Act, 1986 – Section 19 [Consumer Protection Act, 2019 – Section 51] – Appeal – Services – Insurance – Repudiation of Claim – Exclusion clause – If can be pressed into – On facts, there is no recital in the letter of repudiation about any allegation of gross negligence on the part of the Complainant or his responsible representative invoking Exclusion Clause No.4. Consequently, Exclusion Clause No. 4 cannot be pressed into service to legally suspect the impugned order as infirm on that ground, Coming back to Clause 2 of the special conditions the increase in risk of the loss or damage in the said clause is only related to any alteration of the nature of occupation of the building or other circumstances affecting it, thus, neither the nature of manufacture was changed nor the building was utilized for any other purpose and nor was it made accessible by the Complainant so as to increase any risk – As noticed in the surveyor’s report the burglary was committed after breaking open the locks of the main gates, the godowns and other parts of the factory. The premises was therefore secured at the end of the Complainant and in such circumstances, it cannot be said that the risk factor had heightened in terms of Special Condition Clause No.2 – Insurance Company has been unable to dislodge the conclusions drawn by the State Commission which are hereby confirmed. The Appeal is accordingly dismissed and the order of the State Commission is upheld. [Paras 15 to 34].
Result: Appeal dismissed.
ORDER
This is an appeal preferred by the appellant/Insurance Company questioning the correctness of the order dated 23.01.2023, passed by the State Consumer Disputes Redressal Commission, Jaipur, Rajasthan, whereby the complainant’s claim has been partly allowed for indemnifying the claim of burglary in the premises of the claimant that secured the risk under cover.
2. The allegations were that a burglary occurred on 05.03.2018, when the locks of the main gate, the godown gate and the plant gate were broken by unidentified people, who stole several articles and on coming to know of that an FIR was also lodged, whereafter an insurance claim was also made before the appellant/ Insurance Company.
3. The appellant company deployed a surveyor M/s. Mehta & Padamsey, who submitted a survey report on 25.07.2018. Clauses 5.00 to 9.04 of the said report are relevant which are extracted herein under:
“5.00 Incident/Cause
5.01 As per our enquiry and as stated by Insured that production was closed in the said plant since December 2017. Out of total 12 employees had by Insured till December 2017, only two, Lahri Jogi and Pradyuman Maurya are presently employed by Insured as night and day time guards respectively. In the evening of 4th March 2018, at about 7.00 PM, night duty guard Mr. Lahri Jogi had to visit SMS Hospital, Jaipur to see his relative who was admitted there and left Insured’s premises unguarded.
5.02 On 05.03.2018, at about 9.00 am. when day time duty guard, Pradyuman reached the factory, he found that night guard was not present and main gate lock was broken. On enquiring further, he found the locks of production hall and office gate are also broken. He immediately called the night duty guard Lahri Jogi on his mobile, who also reached there at about 10.30 am. They informed to Mr. Harish Gangawat, one of the directors at Mumbai.
5.03 At about 4:00 p.m., Mr. Mukesh, a policeman from PS Kanota, visited the factory. On detailed enquiring it was found that 14 moulds along with some other items are missing from the factory.
5.04 Copies of statements of Insured and guards are enclosed.
6.00 Police Report
6.01 F.I.R.
On the basis of the complaint lodged by Mr. Harish Gangawat the PS Kanota have registered the said incident vide FIR No. 0160 dated 07.03.2018 under sections 457, 380 of IPC. Copy enclosed.
6.02 Final Police Report
The police investigated the matter but neither culprits could be apprehended nor the items stolen could be recovered/traced. The police submitted their Final Report No. 69/2018 dtd. 31.03.2018 in the court of Upper Civil Judge cum Metropolitan Magistrate, Bassi, Jaipur on 15.04.2018. Copy of the Final Report and Court Order Pertaining to the same are enclosed.
7.00 Our Observation
7.01 During our visit (after 14 days of the loss), we enquired Mr. Harish Gangawat (director), Lahri Jogi (night duty guard), Mr. Pradyuman Maurya (day duty guard). They showed us the broken locks. We also found tell-tale marks of forcible entry on the doors etc.
7.02 We found only two moulds (double cavity) which are installed/fitted in the moulding machines. We also found the marks of storing of moulds near the moulding machines from where 14 nos. of moulds were reportedly stolen.
7.03 We are of the opinion that a burglary could have taken place at Insured’s factory as stated by the Insured.
7.04 Apart from 14 nos. of moulds, one submersible pump, 108 plastic crates and some spare items like pipes, cables, electric wires etc. are also reportedly stolen in the said incident.
7.05 Modus Operand! The absence of the night duty guard at the factory at the time of incident may be a simply coincidence but it appears that culprits were aware that there was no guard in night on 04.03.2018. Taking the benefit of the same, they first broke open the lock of side door of the main gate and entered the premises. Then, culprits would have broke opened the locks of production hall and other sections also. They might h
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