Andhra Pradesh

StateCommission

FA/441/08

Ms Bajaj Allianz General Insurance Com.Ltd. - Complainant(s)

Versus

Mr. Dacharla Anjaiah - Opp.Party(s)

Ms V. Gouri Sankara Rao

20 Dec 2010

ORDER

 
First Appeal No. FA/441/08
(Arisen out of Order Dated null in Case No. of District Prakasam)
 
1. Ms Bajaj Allianz General Insurance Com.Ltd.
D.No.10-1-44/9, 3rd Floor, V.I.P. Road, V.I.P. Compound, Vizak-530 016.
Visakhapatnam
Andhra Pradesh
...........Appellant(s)
Versus
1. Mr. Dacharla Anjaiah
R/o Pothavaram, N.G. Padu Mandal, Prakasam Dist.
Prakasam
Andhra Pradesh
...........Respondent(s)
 
BEFORE: 
 HONABLE MR. JUSTICE HON'BLE SRI JUSTICE D. APPA RAO PRESIDENT
 HON'ABLE MS. M.SHREESHA Member
 
PRESENT:
 
ORDER

BEFORE THE A.P. STATE CONSUMER DISPUTES REDRESSAL COMMISSION

AT HYDERABAD.

 

F.A. 441/2008 against C.C.  327/2007, Dist. Forum, Ongole.  

 

Between:

 

The Bajaj Allianz  General Insurance Company Ltd.

Peejay Plaza, D.No. 10-1-44/9

3rd Floor, V.I.P. Road, VIP Compound

Visakapatnam-3                                         ***                         Appellant/

                                                                                                O.P.    

And

Dacherla  Anjaiah,

S/o. Venkata Narsu

Age: 48 years, Cultivation

R/o. Pothavaram,

N.G. Padu Mandal

Prakasham Dist.                                         ***                         Respondent/

                                                                                                Complainant

 

Counsel for the Appellant:                          M/s. V. Gourisankara  Rao

Counsel for the Resp:                                  M/s.  A. Ramakrishna.

                                                                  

CORAM:

                             HON’BLE SRI JUSTICE D. APPA RAO, PRESIDENT  

&

                                            SMT. M. SHREESHA, MEMBER

                  

MONDAY, THIS THE TWENTIETH DAY OF DECEMBER TWO THOUSAND TEN

 

 

Oral Order: (Per Hon’ble  Justice D. Appa Rao, President)

                                                                   ***

 

 

1)                This is an appeal preferred by the opposite party insurance company against the order of the Dist. Forum directing it to pay  Rs. 74,880/-   together with interest and costs. 

 

2)                The case of the complainant  in brief is that   he is an agriculturist and that he had obtained a policy covering the tobacco barn, thatched pendals, farm sheds for storage of tobacco for  assured sum of Rs. 2,50,000/- covering the period from  19.12.2006 to 18.10.2007.  While so on  22.6.2007 there was heavy cyclone with gale winds and rains due to which the barn fell down.  Immediately the said fact was informed to the tobacco board  as well as to the insurance company.    The  Revenue officials on information had inspected and gave a certificate  that the barn was fell down due to cyclone, and he sustained a loss of Rs. 1,13,750/-.  Since the insurance company did not respond, he gave a registered  lawyer notice which did not evoke any response.    Therefore he filed the complaint claiming   Rs. 1 lakh covered under the policy together with compensation of Rs. 10,000/-  and costs.

 

3)                 The appellant insurance company resisted the case.  While admitting issuance of policy it alleged that  on intimation immediately it  had appointed a surveyor who inspected the barn and gave report that  either the cyclone  or heavy gale  winds  and rains did not cause damage to the barn.  At any rate the net loss was assessed at  Rs. 8,150/-.    Since there was no cyclone  evidenced from certificate issued by  Meteorological Department (MET)  the claim was repudiated  as the peril does not cover  heavy rains and gales.  They gave a reply to the notice issued by the complainant, and therefore prayed for dismissal of the complaint with costs.

4)                The complainant in proof of his  case filed  his affidavit evidence and got Exs. A1 to A6 marked, while  the appellant filed the affidavit evidence of its Executive (Legal) and filed Exs. B1 to B4.

 

5)                 The Dist. Forum after considering the evidence placed on record opined that the  surveyor had deducted heavy amounts and estimated the loss at Rs. 74,880/-  and the peril is covered by terms of the policy and therefore awarded the said amount together with interest @ 9% p.a.,  from  5.9.2007 till the date of realization together with costs of Rs. 2,000/-.

 

6)                Aggrieved by the said decision, the appellant insurance company preferred the appeal contending that the Dist. Forum did not appreciate either   the facts  or law in correct perspective.  It ought to have seen that the loss is not covered by the terms of the policy.  The damage to the barn was caused due to heavy rains but not  cyclone.    Therefore it prayed for dismissal of the complaint with costs.

7)                The point that arises for consideration is whether the order of the Dist. Forum is vitiated by mis-appreciation of fact or law?

 

8)                 It is an undisputed fact that the complainant had taken  Ex. B2 policy covering the risk of tobacco barn covering the period from 19.10.2006 to 18.10.2007.  It is also not in dispute that  on 22.6.2007  the deep depression over West Central Bay of Bengal towards North-West crossed the Andhra Pradesh coastal area close to  Kakinada around  04.30 hours, and that there was heavy rain.  The complainant alleges that there was heavy rain and  the barn was damaged.    There was lot of inundation of water.    When the said fact was informed,  the Village  Revenue Officer issued a certificate Ex. A3 mentioning that the barn was damaged in  rains  due to cyclone.  The insurance company equally appointed a surveyor  immediately after receipt of report.    He opined that the barn was completely damaged.    According to him,

          “On account of South West monsoon the depression was formed in the West Central Bay of Bengal on 21.6.2007 due to this effect heavy rains followed by gale on 22.6.2007, 23.6.2007 in the coastal Andhra Pradesh includes in Prakasham District.  Thunder showers  are occurred in many places.   Equally winds with speed of 50-60 KMPH followed by heavy rain  in some places… Due to effect of the depression, heavy rain fall all over the Prakasham District.  Mose of the rivers were   over flown, the traffic was  jammed at various places, low cast  areas were inundated.  Four persons were died in Prakasham District, trees were uprooted, and the electrical poles were fallen on the ground.  The electronic media  telecasted about heavy rains, and news papers were published about the intensity of the depression and  heavy rains.  The depression crossed the coast near Kakinada, due to this effect the gale force winds with the range from 45 – 50 KMPH were flown. 

 

          After thorough verification the insured property got damaged due to heavy rains which occurred  on account of South West monsoon followed by depression.    It was informed by the insured  that their tobacco barn got damaged  on 22.6.2007 due to the effect of heavy cyclone, gale winds and rains.  The insured submitted the certificate from the VRO counter signed by te Tahsildhar.”

 

 

9)                 The fact remains that the insured had informed about the damage to the barn was due to winds and rains and  submitted Ex. A3 certificate issued by  Village Revenue Officer certifying that the barn was damaged.   The surveyor assessed the net loss at Rs. 8,150/- .   In the remarks coloumn he mentioned that  “The sum assured is Rs. 1 lakh, where as per the reinstatement  value  of the tobacco barn is Rs. 1,50,000/-.  Under market value  after consideration of the depreciation  comes to Rs. 75,000/-.    Hence, it is less than  the sum insured.   Hence no average clause is applicable.    If the settlement  is under re-instatement value basis the average clause  has to be applied.”   Except his statement no evidence whatsoever was filed to prove that after depreciation it comes to Rs. 75,000/-.    Having accepted the value of barn  and issued policy, the insurance company cannot  made to say  that it was either  over valued or undervalued.  They are estopped from  stating so.  They cannot blow hot and cold at the same time.  They are bound by the value for which the policy was issued.   It has become a routine for the surveyors to assess as they feel without  any evidence to substantiate the same.  He did not obtain any market value certificate from the Sub-Registrar to state so.   Therefore the estimate issued by surveyor is not accepted. 

 

10)               Learned counsel for the appellant contended that the peril does not cover under the terms of the policy.  It may be stated herein that  clause-VI of the policy reads  which we excerpt hereunder:

VI.         “Storm, cyclone, typhoon, tempest, hurricane, tornado, flood and

 inundation’:

 

“Loss destruction or damage directly caused  by Storm, cyclone,

typhoon, tempest, hurricane, tornado, flood and  inundation’

excluding those resulting from earthquake, volcanic eruption

or other convulsions of nature.”

 

 

11)               The insurance company has forgotten the fact that inundation also covers  which word exactly used by the surveyor.   The insurance  company wants to repudiate the claim  on hyper technical grounds.  Despite the fact that the reports show that there was depression which led to heavy rains, gales and winds  the insurance company alleges that it does not cover the description of cyclone.    Even otherwise a perusal of terms and conditions of the policy  shows  that ‘inundation’   is also covered and the fact that the tobacco barn was damaged due to it.    When the surveyor himself has estimated  market value of the barn at Rs. 75,000/-  granting Rs. 74,880/- cannot be said to be irrational.    We do not see any mis-appreciation of fact or law by the Dist. Forum in this regard.  We do not see any merits in the appeal.  

 

 

 

 

 

 

12)               In the result the appeal is dismissed with costs computed at Rs. 5,000/-.  Time for compliance four weeks.

 

 

1)                _______________________________

PRESIDENT                 

 

 

 

2)      ________________________________

 MEMBER           

                                                                                Dt.  20 .12. 2010.  

*pnr

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

“UP LOAD – O.K.”

 
 
[HONABLE MR. JUSTICE HON'BLE SRI JUSTICE D. APPA RAO]
PRESIDENT
 
[HON'ABLE MS. M.SHREESHA]
Member

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