Assam

Cachar

CC/19/2019

Sri Samir Das - Complainant(s)

Versus

Bajaj Allianz Life Insurance Co. Ltd., Represented by Managing Director - Opp.Party(s)

Adv. Rahul Nath

21 Jan 2023

ORDER

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Complaint Case No. CC/19/2019
( Date of Filing : 10 Jun 2019 )
 
1. Sri Samir Das
Good Luck Mobile Solution, Near UBI Bank (Meherpur Branch), Hailakandi Road, Silchar
Cachar
Assam
...........Complainant(s)
Versus
1. Bajaj Allianz Life Insurance Co. Ltd., Represented by Managing Director
GE Plaza, 1st Floor, Airport Road, Yerawada, Pune-411006, Maharastra
Maharastra
2. Branch Manager, Bajaj Allianz Life Insurance Co. Ltd.
NH Centre Point, 2nd Floor (opp. Bora Service Station) G.S Road, Ulubari, Guwahati-781007
Kamrup
Assam
3. The Branch Manager, United Bank of India
Meherpur Branch, Hailakandi Road, Silchar-788005
Cachar
Assam
4. Sri Samiran Ghosh, Surveyor & Loss Assessor, Valuer.
Sunil Kutir, Netaji School Lane, Public School Road, Silchar-788005.
Cachar
Assam
............Opp.Party(s)
 
BEFORE: 
 HON'BLE MR. JUSTICE Sri Samarjit Dey PRESIDENT
  Kamal Kumar Sarda MEMBER
 
PRESENT:
 Adv. Rajib Das, Advocate for the Opp. Party 0
Dated : 21 Jan 2023
Final Order / Judgement

  CONSUMER   CASE   NO.-    19/2019

 

  JUDGMENT   AND   ORDER

 

                                   The case of   complainant   Sri  Samir  Das , in brief, is that   he is the sole proprietor of a shop running in the name and  style  ‘Good  Luck  Mobile  Solution’  situated at  Hailakandi  Road,  Silchar.  He  availed  a  business loan  from  Opposite  Party  No.-3   UNITED  bank  of  INDIA,  Meherpur  Branch,  Silchar   by  hypothecating the said shop  and at the same time  for the protection of shop from any eventualities he had availed a  General  Insurance  Policy  under  Shopkeepers  Package  vide  Policy  No.-OG-18-2438-4092-00000302  from  Opposite  Party  No.-1,  Bajaj  Allianz General  Insurance  Company  Ltd.  The complainant  also  since  then  has been paying  premium of the policy regularly.  That  on  19/08/2018  at around  0300  hours  fire broke out at the  aforementioned shop  of  the complainant and  it was completely gutted  causing complete destruction of goods including   documents and cash amount.   A  case was registered vide  GDE  No.  491  dated  19/08/2018  at  Rangirkhari  Police  Out  Post  and  a  loss  of  Rs.5,00,000/-  only has been estimated  and  accordingly  a claim  was submitted to  O.P.  No.-1  Insurance  Company.  Thereafter the Surveyor and  Loss  Assessor of  O.P.  No.-1   visited the shop premises  and asked  to submit  relevant documents.  Although most of the documents were  burnt in the incident the  complainant  could manage some of  the relevant documents  and  submitted  the same  to the said surveyor and loss assessor.  Subsequently,  the  O.P.  No.-1  Insurance  company  had transferred an amount of Rs.77,162/- only to the Savings  account of the  complainant  lying with the   UBI,  Meherpur  branch  against the claim.  Thereafter  the  O.P.  Bank   blocked the said savings account and also without  any intimation deducted some amount  from the account.  It has been  alleged by the  complainant that  the  O.Ps.  have  deprived him from getting the actual claim amount and thereby caused disservice  towards  him.   Under the circumstances  the complainant  has  prayed for passing  an award of Rs. 1,22,604/-  more  as compensation  in addition of the amount already  paid  by   O.P.  No-1,    an amount of Rs.5,000/-  towards  money  insurance,  an amount of Rs.50,000/-  for mental pain, agony &  harassment  and  for passing an award of Rs. 10,000/-  towards  litigation  costs. 

                                      The  Opposite  Party  Nos.-1 &2  jointly  filed  written statement  stating,  interalia, that  there is no cause of action for filing this complaint,  that the complaint  is not maintainable in its present form and manner,  that the complaint is  barred by limitation  etc.  The  O.Ps.  have  denied the  allegations  that  there was  any negligence  or deficiency in service   towards the complainant .  Facts  put forward by the answering O.Ps.  are  that immediately  after getting the information of fire accident  on  19/08/2018  they appointed a  competent and  independent  Surveyor  &  Loss  Assessor namely  Samiran  Ghosh  who  visited  the spot of occurrence  on  20/08/2018.  Subsequently   after verification of the documents  submitted by the  complainant  and considering the nature of damage an amount of Rs.77,162/-   only was paid as  full and final settlement of the claim  and also the complainant received the said amount  by signing the Claim  Discharge  Voucher.   Under the circumstances  it is prayed for dismissal of the case. 

                                            The  Opposite  Party  No.-3   by submitting written  objection  took the pleas that there is no cause of action, that the  complaint petition is not maintainable  etc. etc.  It is stated that the answering  O.P.  has not caused any disservice  to the complainant.  As per rules  some amount was realized from the account of the complainant and as such the answering  O.P.  bank is  not in  fault in any way.  Accordingly  it is prayed   for exoneration.   It  may be mentioned here that  the  O.P.  No.-4  did not contest and the case proceeded ex-parte against him.

                                                 In support of the case  complainant  Sri  Samir  Das   submitted  his  evidence on affidavit  as sole prosecution witness (PW)  and  exhibited some documents.  He was also  cross-examined by the  opposite party.   On  the other hand,  from the side of  Opposite  Party  nos. 1&2  evidence on affidavit  of one  Sri  Nayan  Choudhury   has  been  submitted   as  DW-1 and  also some documents have been exhibited.    Thereafter  both  sides  have also submitted written argument in addition of oral argument put forward by the learned counsels of  the  respective  parties.  Perused  the  entire evidence on record.  Let us  now appreciate the evidence below   

                                                   In his evidence PW  Samir Das has deposed that he is the sole proprietor of a shop running in the name and  style  ‘  Good  Luck  Mobile  Solution’  situated at  Hailakandi  Road,  Silchar.  He  had availed  a  business loan  from  Opposite  Party  No.-3   UBI,  Meherpur  Branch,  Silchar   by  hypothecating the said shop  and  also  for   protection of shop from any eventualities he had availed a  General  Insurance  Policy  under  Shopkeepers  Package  vide  Policy  No.-OG-18-2438-4092-00000302  from   Bajaj  Allianz General  Insurance  Company  Ltd.   The  sum  insured of the policy was Rs. 2,00,000/-  and   he   had   paid  premium of the policy.  Further  version  of the  PW  is  that   on  19/08/2018  at around  0300  hours  fire broke out  in which  his said shop house  was  gutted  causing complete destruction of goods  and stationary items including   documents and cash amount of Rs.5,000/-.    In connection with the incident a  case was registered vide  GDE  No.  491  dated  19/08/2018  at  Rangirkhari  Police  Out  Post  and  a  loss  of  Rs.5,00,000/-  only  had been estimated  and  accordingly  a claim  was submitted to  O.P.  No.-1  Insurance  Company.   The evidence on record  further  goes to show  that  Samiran  Ghosh, the Surveyor and Loss  Assessor of  O.P.  No.-1,   visited the shop  premises  of  PW-1   on   20/08/2018   and  asked  the complainant  to submit  the  copies  of  all  relevant documents  to  settle the claim.  According  to  the  PW,  though most of the documents were  burnt in the  alleged incident  he  could manage some of  the relevant documents  and  submitted  the same  to the said surveyor and loss assessor and subsequently  on  31/12/2018   the  O.P.  No.-1  Insurance  company  had transferred an amount of Rs.77,162/- only to  his  (  PW )  Savings  account   maintained  with the   UBI,  Meherpur  branch .  Thereafter  the  O.P.  Bank   blocked the said savings account and also without  any  intimation deducted some amount  from the account.  In  support of his evidence  the  PW  has submitted  Ext.-1  to  Ext.-13  documents  including  copies of  trade licence of the shop,  I.T.  Return,  Insurance policy of the shop premises,  some  photos  of damaged articles .  On the other hand  in his evidence  Sri  Nayan  Choudhury  (DW)  of the  Insurance  Company  has  not disputed the facts that  the complainant  insured his shop premises with the  O.P.  Insurance  Company  and the said shop premises was gutted  by  fire  causing destruction   of  articles,  that the complainant filed claim petition and the shop  premises  was visited by the  Surveyor and  Loss  Assessor  of  the  Insurance  Company  and thereafter  an amount of Rs. 77,162/-  was paid to the complainant against his  claim.  But  the  averment of  the  DW is that   the said amount of  Rs.77,162/-   was  paid  to the complainant  as  full and final settlement of the claim and the amount   was   received  by the complainant  by signing the  Claim  Discharge  Voucher on  27/12/2018   and also the complainant  discharged the  Insurance  Company from all liabilities.   It  has been alleged by the DW that  the complainant  by suppressing the material facts has   filed this case  to reap wrongful gain.  The  DW  has   exhibited   Ext.-A  Survey Report,  Ext.B  Release Order dated 17/12/2018,  Ext.-C  Claim Discharge  Voucher  dated  27/12/2018  and  Ext.-D   Mandate form for electronic transfer of  Claim/Refund  Payment.    It  also  has been denied by the DW  that   any disservice or negligence was caused  towards the  complainant.

                                        Thus  in the written statement  of  O.P.  Nos.  1&2  and also  in the evidence of the DW  it has been contended that  as  at the time of receiving the  sanctioned claim amount of Rs.77,162/-  the complainant signed the  CLAIM  DISCHARGE  VOUCHER  on 27/12/2018  i.e.,  Ext.- C  discharging the  Insurance  Company  i.e.,  Opposite  Party  Nos.  1 & 2  from all liabilities  so   the complainant can not  again  take the legal recourse  pertaining to the claim.  On the other hand  though  during  cross-examination the complainant admitted the fact that  he signed  aforesaid Ext.-C   but in his evidence he  has taken the plea that  the  O.Ps.  cleverly took his signature  in   the  CLAIM  DISCHARGE  VOUCHER   i.e.,  Ext.-C.  During argument also  the learned counsel for the  O.P. has  raised this matter of signing the  Claim Discharge Voucher by the complainant .  But the fact remains that  the  Hon’ble  Apex Court  in the case law  “United India  Insurance  Company  Ltd.  Vs.  Ajmer Singh Cotton & General  Mills &  Ors “ reported in  (1999)  6  SCC  400  and  also  the  Hon’ble   National  Commission  in  New India  Assurance Co.  Ltd.  Vs.  Kohinoor  Sizing  Factory,  II (2006)  CPJ  237   have  clearly  held that mere execution of discharge voucher and acceptance of  Insurance   claim would not  estop the insured from making further claim from the Insurance  Company.   

                                              The  DW  has exhibited the  Final  Survey  Report Submitted by  the Surveyor  &  Loss  Assessor  as  Ext.  A .    On perusal of the survey report   it reveals that  during  visit at the place of incident  it was found that  buildings and furniture  were burnt partially  but the stock of electronic goods and  mobile accessories were totally damaged/burnt.   In his evidence  the  complainant has also submitted  some  photocopies  vide  Ext.-5  which also  show  the  images of  damage  articles of the shop including  good number of  damaged  mobiles.  The  O.P.  has not disputed Ext.-5  anywhere specifically.   In the Survey report  the  Surveyor  has also  stated that  on enquiry  he came to know from the  neighbouring  people  that  there was good volume of stock  in  the shop house of the complainant.   The Survey Report shows that  the Surveyor assessed the  net loss  at  Rs.87,227/-.  But  considering the nature and extent of  damage of valuable articles  and after going  through the exhibited papers of both sides including  the survey repot we  feel that  the amount paid by the  Insurance Company   is not appropriate and it requires to be enhanced.

                                           Considering all aspects  we are of the  opinion and direct  the  O.P.  No.-1 &2  Insurance  Company  to pay  to the complainant  an  award  of  further amount of  lumpsum Rs.40,000/-  (  Rs.  Forty thousand) only  towards claim in addition of the amount already paid.  The  O.P.  Nos. 1& 2  are directed  further to pay  to the  complainant  an amount of Rs.5,000/- ( Rs. Five  thousand) only  for mental agony, pain & harassment  and another amount of Rs.5,000/- ( Rs.  Five thousand) only towards cost of litigation.  The entire amount shall be payable  within a period of  90 ( ninety)  days  failing which   interest  @ 9 %  per annum  would  accrue on the amount  from the date of this judgment till realization.

                                          With the above relief awarded  the case stands allowed on contest  against  O.P.  Nos.  1,2 & 3  and exparte against  O.P.  No. 4.   The judgment is pronounced with our seal and signature  on this  21st day of  January’2023.

 
 
[HON'BLE MR. JUSTICE Sri Samarjit Dey]
PRESIDENT
 
 
[ Kamal Kumar Sarda]
MEMBER
 

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