Heard learned counsel for the appellant.
None appears for the respondent.
2. This appeal is filed U/S-15 of erstwhile Consumer Protection Act,1986(herein-after called the Act). Hereinafter, the parties to this appeal shall be referred to with reference to their respective status before the learned District Forum.
3. The unfolded story of complainant is that the complainant had purchased the policy from the OP after incurring loan under PMRY scheme. It is alleged inter-alia that he had insured the stock-in-trade on payment of premium. The policy was valid from 18.06.1999 to 17.06.2000. He submitted that due to super cyclone i.e. on 29/30th October,1999 there were damages to the stock of the complainant. Then he informed the OP who deputed surveyor but later without going through same has opined that there is no claim. Challenging non-settlement of the insurance claim, the complaint was filed.
4. The OP filed written version stating that the complainant has purchased the policy. It is also admitted fact that the surveyor did not compute the loss because the documents were not produced by the complainant and he has observed that there is no existence of shop. Therefore, there is no deficiency in service on the part of the OP.
5. After hearing both the parties, learned District Forum passed the following order:-
Xxxx xxxx xxxx
“ In view of our above observation, we direct the OP No.1 to pay Rs.90,000/- to complainant towards compensation alongwith interest at the rate of 12 % per annum from the 1st January,2000 till the date of full payment and litigation cost of Rs.500/- payable within 30 days of receipt of this order.
The OP No.2 is also directed to make payment of Rs.20,000/- to the complainant towards compensation for harassment and mental agony but under the circumstances without any cost within 30 days of receipt of this order.
Thus, the case is allowed with cost and compensation.”
6. Learned counsel for the appellant submitted that learned District Forum have passed the impugned order although there is no such proof of complainant to substantiate the loss. He further submitted that the surveyor has found no shop room in the spot for which loss could not be computed. According to him the appellant has no fault. Therefore, the impugned order should be set-aside and the appeal should be allowed.
7. Considered the submission of learned counsel for the appellant, perused the DFR and impugned order.
8. It is true that the shop of the complainant has been insured with the fire policy. It is also alleged that there was super cyclone but there is no shop room at all for which the question of assessing the loss is not desirable by the surveyor. In fact in this regard the concerned surveyor has filed the affidavit. It is settled in law that complainant has to prove his own case. When the policy is valid and the damage of stock by cyclone has been alleged but shop is not found, now the question arises how can there be insurance of the stocks without shop being present. Undoubtedly the stocks are insured as per the surveyor’s report. The surveyor’s visit is doubtful although complainant has only alleged about credibility of report of surveyor. We are not concerned with the documents filed.
9. Now the statement of surveyor does not disclose about taking photograph of spot. Unless photograph of spot is produced, it is difficult to rely on his report as to absence of shop on spot, the report of the surveyor is very suspicious one because he has not taken photographs although he got opportunity to take photograph when he has visited the spot. Had there been photograph taken we would have believed the report of the surveyor as to shop’s non existence. A duty of the surveyor is not to carry out the job in a monotonous manner but allow the common sense. Therefore, the surveyor’s report is not accepted. Moreover, his report shows the repudiation of claim being no claim. Since, the report is not reliable, the repudiation is itself is deficiency in service on the part of the OP. In the case of Gurmel Singh-Vrs-Branch Manager,National Insurance Co.Ltd. of Supreme Court of India vide Civil Appeal No. 4071 of 2022 decided on 20th May,2022.While settling the claims, the insurance company should not be too technical and ask for the documents, which the insured is not in a position to produce due to circumstances beyond his control.
10. In this case learned District Forum has allowed the claim entirely of Rs.90,000/-. When the loss has not been assessed, the direction to appellant to pay Rs.90,000/- towards compensation with interest @ 12 % per annum can not be sustained. Further, order to pay cost etc. can not be sustained U/S-14 of the Act unless deficiency in service is removed.
11. While confirming the order of the learned District Forum, so far operative portion of the order is concerned, we direct the appellant to settle the claim within a period of 45 days from today on reinvestigation by the different surveyor. The complainant will co-operate in all manner to the OP for settlement of the claim. The direction to OP No.2 remains unaltered.
In view of the aforesaid discussion, the appeal is disposed of accordingly. No cost.
Free copy of the order be supplied to the respective parties or they may download same from the confonet or webtsite of this Commission to treat same as copy of order received from this Commission.
DFR be sent back forthwith.