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2021 Supreme(Online)(Del) 4370

NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
R. K. Agrawal, PRESIDENT, S. M. Kantikar, MEMBER
M/s. Dujodwala Products Ltd. – Appellant
Versus
National Insurance Company Ltd. – Respondent
Revision Petition | Appeal No. A / 15/313 | Complaint No. 143/2008



An insurance provider cannot deny claims based on exclusion clauses when the damage is not attributable to those exclusions.

Headnote:This case centers on the interpretation of the Consumer Protection Act, 1986, particularly concerning the exclusion clauses in the insurance policy. The Complainant's products suffered damage due to temperature mismanagement during transport, leading to a claim against the Opposite Party Insurance Company. The District Forum initially ruled in favor of the Complainant, citing coverage under the insurance policy. However, the State Commission overturned this decision, asserting that the damage stemmed from actions outside the insurance terms due to packing issues. Upon review, it was determined that the Opposite Party wrongly denied the claim, leading to the restoration of the original ruling that found favor with the Complainant.

Table of Content
1. definition of deficiency in service in the context of insurance claims. (Para 1 , 2 , 3)
2. evidence and burden of proof in insurance disputes. (Para 4 , 6 , 7)
3. interpretation of insurance policy exclusion clauses. (Para 10 , 12 , 14)
4. final ruling on entitlement to claim and restoration of lower court order. (Para 15 , 16)

1. M/s. Dujodwala Products Ltd., Raigad (hereinafter referred to as the Complainant) has filed the present Revision Petition under S.21(b) of the Consumer Protection Act, 1986 (hereinafter referred to as the Act), against the Impugned Order dated 4.9.2018 passed by the Maharashtra State Consumer Disputes Redressal Commission (hereinafter referred to as State Commission) in Appeal No. A / 15/313, whereby the State Commission had allowed the Appeal filed by the National Insurance Company Ltd. (hereinafter referred to as Opposite Party Insurance Company) and had set aside the Order dated 14.10.2014 passed by the Raigad District Consumer Disputes Redressal Forum, Alibagh (hereinafter referred to as the District Forum) and dismissed the Complaint filed by M/s. Dujodwala Products Ltd., the Complainant.

2. Brief facts as narrated in the Complaint are that the Complainant Company is engaged in the business of manufacturing of Chemicals, having their factory at Kumbhivali, Taluka - Khalapur, Dist. Raigad. The Complainant Company sells their products within and outside India. The Complainant Company was required to supply their products to M/s. Saudi Rook Wool Factory at Riyadh. As the product was sensitive in nature and the temperature was required to be maintained at 5o C or less to save the product from damage, they hired a Container bearing No. MWCU6037091, having inbuilt refrigeration system from M/s. MAERSK India Pvt. Ltd. The products were packed in 109 metal drums and were stuffed in the Container and then the Container was loaded on a motor vehicle for taking the same to JNPT, Nhava Sheva on 14.10.2006 for onward transportation to Riyadh. The Complainant had insured that Container with Opposite Party Insurance Company by obtaining Insurance Policy No. 26500/21.6.4600000/647 covering all risks. Before the products were packed in the Container, temperature of the Container was checked and found that it was at the requisite level. On 18.10.2006 at about 12.38 p.m. the Complainant Company received message from M/s. MAERSK India Pvt. Ltd. informing that the Container could not be shipped Overseas as the Container did not maintain requisite temperature due to technical problem in the refrigeration system. Complainant had taken immediate action as the products were sensitive to temperature and they had brought back the Container to their factory on 19.10.2006. Due to rising of temperature in Container, quality of products suffered. The Complainant Company lodged Insurance claim with Opposite Party Insurance Company for getting the cost of the Products. The Opposite Party Insurance Company deputed M/s. A & Shaikh Co. (hereinafter referred to as Surveyor) to assess the loss. The Surveyor verified the Container by visiting factory on 19.10.2006 and assessed the loss to the tune of 12,22,869 after deducting 5% of total value of the products towards salvage value. However, the Opposite Party Insurance Company vide letter dated 26.12.2006 repudiated the Claim on the ground that the damage to the Products was caused due to change in temperature because of improper packing which resulted into change in temperature and the same was not covered under the Policy. Alleging deficiency in service on the part of the Opposite Party Insurance Company, the Complainant Company filed a Consumer Complaint before the District Forum seeking the following reliefs:
"(a) The Opponent may please be ordered to pay the Complainant a sum of 12,94,731 along with the interest at the rate of 13% and including notice charges of 1,500 and other expenses, as the Hon. Court may deem fit.
(b) The Opponent may please be ordered to pay



























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