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KERALA STATE CONSUMER DISPUTES REDRESSAL COMMISSION, THIRUVANANTHAPURAM
B. Sudheendra Kumar, President, Ajith Kumar. D, Judicial Member and Radhakrishnan. K.R Member
Oriental Insurance Co. Ltd. and Anr. – Appellants
versus
B. Sadasivan – Respondent
First Appeal No.245 of 2019
(Arisen out of Order Dated in Case No. CC/110/2015 of District Kasaragod)
Decided on 18.11.2024

Advocates:
Counsel for the Parties:
For the Appellants:Varkala B. Ravikumar, Advocate
For the Respondent:R. Suja Madhav, Advocate

IMPORTANT POINT
Insurance Policy – Fire Insurance – Insurer not liable to pay any amount over & above the amount paid towards policy

Headnote:

Insurance Policy – Fire Insurance – Deficiency in service – Not made Out – No material to support amount calculated by Forum – Respondent-complainant had received Rs.1,57,452/- towards full & final settlement of claim – Respondent has willfully suppressed factum of receipt of said amount in complaint – Respondent has not produced any material before Commission to show that he is entitled to get any amount over & above amount of Rs.1,57,452/- assessed by DW-1 surveyor in report – In absence of any evidence, Forum was not justified in directing appellant to pay Rs.4,92,548/- to complainant towards insurance benefits – No deficiency of service on part of appellants – Order passed by Forum directing appellants to pay Rs.4,92,548/- cannot be sustained & set aside – Costs & compensation ordered by Forum also cannot be sustained. (Paras 9 to 12)

Result: Appeal Allowed.

JUDGMENT

B. Sudheendra Kumar, President.—The appellants are the opposite parties and the respondent is the complainant in C.C. No. 110/2015 on the files of the District Consumer Disputes Redressal Commission, Kasaragod (for short “the District Commission”).

2. The shop of the respondent was insured with the appellants for an amount of Rs. 17,00,000/- (Rupees Seventeen Lakh only) under a fire insurance policy. On 19.08.2014 at about 3.50 am, there occurred a fire in the furniture shop of the respondent due to electric short circuit and as a consequence, damage was sustained to the furniture of the respondent. The fire was immediately controlled. An IRDA approved surveyor was appointed for assessing the loss sustained by the complainant and the surveyor after assessment submitted a report stating that the loss to the tune of Rs. 1,57,000/- (Rupees One Lakh Fifty Seven Thousand only) was sustained by the respondent in the occurrence.

3. The appellants filed version admitting the policy coverage during the period in question. However, they would contend that the surveyor had assessed the loss at Rs. 1,57,452/- (Rupees One Lakh Fifty Seven Thousand Four Hundred and Fifty Two only) and hence they were not bound to pay any amount over and above the said amount. The respondent had received the said amount and thereafter only, the present complaint was filed.

4. PW1 and PW2 were examined and Exhibits A1 to A9 were marked for the respondent. DW1 was examined and Exhibits B1 to B3 were marked for the appellants. After evaluating the evidence, the District Commission directed the appellants/opposite parties jointly and severally to pay Rs. 4,92,548/- (Rupees Four Lakh Ninety Two Thousand Five Hundred and Forty Eighty only) towards insurance benefits with interest at 6% per annum from the date of complaint till payment. The appellants/opposite parties were further directed to pay Rs. 20,000/- (Rupees Twenty Thousand only) towards compensation and Rs. 3,000/- (Rupees Three Thousand only) towards costs. Aggrieved by the said order, this appeal has been filed.

5. Heard both sides and perused the records.

6. The learned counsel for the appellants has submitted that the appellants do not dispute the coverage of the policy as on the date of the incident. The incident is also not disputed. The only dispute is with regard to the quantum of compensation ordered by the District Commission.

7. Exhibit B1 is the survey report, which would show that the complainant sustained a loss to the tune of Rs. 1,57,452/- (Rupees One Lakh Fifty Seven Thousand Four Hundred and Fifty Two only) in connection with the incident. No objection was filed to the survey report. The survey report was also marked without any objection. The surveyor was also examined as DW1. Since no objection was filed to the report of the surveyor, the survey report is to be accepted and the amount in the survey report is to be taken as the loss sustained by the respondent.

8. The learned counsel for the respondent has relied on Exhibit A1 report and submitted that the respondent is entitled to get compensation as directed by the District Commission. It is stated in Exhibit A1 report submitted by the Station Officer, Fire and Rescue that the respondent sustained a loss, due to the damage caused to the materials inside the building, to the tune of Rs. 3,50,000/- (Rupees Three Lakh Fifty Thousand only). However, in the second page of Exhibit A1, there is a certification that the information furnished in Exhibit A1 was only in respect of the data to be forwarded to the department and the assessment in Exhibit A1 was not necessarily and fully accurate and any matter contained in Exhibit A1 could be determined only after due investigation by an appropriate agency. Since the person, who prepared Exhibit A1, had stated that Exhibit A1 report was not fully accurate, no reliance could be made on Exhibit A1. That apart, the person who prepared Exhibit A1 cannot be said to be a person competent to ass

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