Andhra Pradesh

StateCommission

FA/1063/06

Mr. A. Rangareddy - Complainant(s)

Versus

Ms National Insurance Com. Ltd. - Opp.Party(s)

Mr. G. Allabakash

30 Jun 2009

ORDER

 
First Appeal No. FA/1063/06
(Arisen out of Order Dated null in Case No. of District Cuddapah)
 
1. Mr. A. Rangareddy
Kothapalli Village V.N.Palli Mandal Kadapa Dist.
 
BEFORE: 
 
PRESENT:
 
ORDER
BEFORE THE A.P.STATE CONSUMER DISPUTES REDRESSAL COMMISSION : HYDERABAD

 

F.A.No.1063/2006 against C.D.No.173/2005,  District Consumer Forum, Kadapa. 

Between:

A.Rangareddy, S/o.Chinna Rangareddy,

aged  about  50 years, Hindu,

Owner of Mini Goods Vehicle .

Bearing No.A.P.04 U 4615 ,

R/o.Kothapalli Village,

V.N.Palli Mandal, Kadapa Dist.                                … Appellant/

                                                                             Complainant                   And

 

National Insurance Company Ltd.,

Rep. by its Branch Manager, Branch Office,

Sundaracharulu Street, Proddutur,

Kadapa Dist.                                                         … Respondent/

                                                                              Opp.party

 

Counsel for the Appellant             :       Sri G.Allabakash         

Counsel for the Respondents         :       Sri G.Gajendra

 

QUORAM:SMT.M.SHREESHA ,HON’BLE MEMBER

AND

SRI K.SATYANAND , HON’BLE MEMBER

 

TUESDAY, THE  THIRTIETH  DAY OF JUNE,

TWO THOUAND NINE.

Oral Order  : ( Per Smt. M.Shreesha, Hon’ble Member)

                                           ***

            Aggrieved by the order in C.D.No.173/2005  on the file of District Forum, Kadapa, the complainant preferred this appeal. 

        The brief facts as set out in the case are that the complainant is a owner of one mini lorry which was insured with the opposite party company by paying  a premium of Rs.12,938/-  out of which a sum of  Rs.8,543.70 ps  was  allotted under the head of own  damage  to the said lorry to  an  extent of Rs.4,95,000/-.  The policy  is for a period of one year  from 30.8.2003  to 29.8.2004.  On 30.3.2004   the driver took the said lorry with  a load of bananas  and at about 3.10 a.m.   another lorry  came across the  road  at rash and negligent manner at high speed dashed against this lorry  which was going in  normal speed on the left side of the road.   The diesel  tank of the said lorry was broken and  caught fire  and  the lorry driver  Mr.Sambasivudu and the entire lorry load was burnt to ashes.  The complainant submits  that even the R.C. permit  and  Driving license  of the said  driver  were also  burnt.  The police case was registered and the complainant submits that deceased  driver did not commit any negligence and it is only because of the negligence of the other lorry  the accident occurred.    On the instructions of  opposite party , the complainant   approached   Sri Mahalakshmi Auto Motives , Kadapa on 5.4.2004  who had  estimated the cost of repairs at Rs.7,03,982/-  and the complainant made a claim to the opposite party to pay  Rs.4,95,000/-   as agreed  under  the contract.  On 25.9.2004   the complainant submitted Xerox copy of the policy along with RC permit   and Fitness Certificate. The complainant got issued a registered legal notice to the opposite party, but the claim was not settled.  It is also stated by the complainant that the Asst. Commissioner for Workmen Compensation paid compensation to the  parents of the deceased lorry driver and that the  opposite party now cannot  challenge any violation  of policy since the order passed by the Asst.Commissioner is final and the opposite party did not  prefer any  appeal.   The complainant filed   this  complaint before  the District  Forum  seeking direction to the opposite parties to pay Rs.4,95,000/-  with interest, compensation and costs. 

 

        Opposite party filed counter admitting to the policy but stating that the said driver did not  possess any driving license to drive the vehicle and that their surveyor  has quantified the net loss assessment at Rs.2,63,754/- on repair basis method  and he also quantified  an amount of Rs.1,67,735-89 ps.  on cash loss basis. The  complainant submitted a claim form on 7.4.2004   but did not file  i the particulars of the driving license and  after repeated requests he submitted the driving license and the  insurance company  appointed one investigator to verify   the validity  of the driving  license with original  records  at RTA Office, Kadapa and after due enquiry  RTA  endorsed that driving license was given to one Mr.M.Vasudeva Naidu  but not to Sri Sambasivudu ,hence their  repudiation is justified.

        The District Forum based on the evidence i.e. Exs.A1 to A7 and Exs.B1 to  B13   dismissed the complaint. 

        Aggrieved by the said order complainant preferred this appeal. 

        The facts not in dispute are that the complainant insured his mini Lorry  to the opposite party  and paid premium  and was allotted  Rs.4,95,000/-  under the head of own damage covering the period from 30.8.2003 to 29.8.2004.  It is also not in dispute  that the vehicle  met with an accident  on 31.3.2004 at 3.10 a.m.  and the entire  lorry was burnt.  It is the   complainant’s case that another lorry coming across from the opposite side  of the road in a rash and negligent manner dashed the said lorry and the diesel tank was broken and consequently the entire lorry and the driver Sambasivudu  were burnt to ashes.  The complainant submits that they have submitted the Xerox copies of R.C., Permit and Fitness Certificates  along with copies of repair estimates to the opposite party and further submit that the Asst.Commissioner for Workmen Compensation awarded compensation to the parents of the deceased driver.  The case of the opposite parties is that their  repudiation is justified because the said driver Sambasivudu did not have valid driving license on the date of accident and that  their investigation showed  that  an endorsement  made by RTA, Kadapa  that the said license did not belong to Driver, Sambasivudu but of M.Vasudeva Naidu and therefore there is   violation of policy condition and hence they could not settle the claim.  The complainant contends that when the Asst.Commissioner for Workmen Compensation had awarded compensation to the parents of the deceased and the respondent/opposite party deposited   the same but at this stage the respondent cannot raise any dispute of violation of policy conditions as they did not challenge the award on any violation of policy.  He  further contended that the driver was well experienced  and the accident  occurred  not on account  of his negligence but due to negligence of the driver of the lorry coming in  the opposite  direction and therefore the policy cannot be repudiated on the ground that the driver of the said lorry did not have valid driving license and further relied on the decision of the Apex Court in  BHAGAVATHI PRASAD vs. DELHI STATE MUNICIPAL DEVELOPMENT CORPORATION LTD.   reported in AIR 1990 SC 371.  But the facts in the instant case are different in the  sense that the claim is of ‘own damage’  whereas the claim in the cited judgement is with respect to  third party claims.   Photo copy  of the driving license filed by the complainant shows that it is valid from 16.5.2000 to 15.5.2020. The certificate issued by the Additional Licensing Authority, Kadapa i.e. Ex.B7  shows that  the license was issued to Sri Vasudeva Naidu and not to the said driver Sambasivudu.  While so the report of the Circle Inspector of Police , Devenahalli Circle, Bangalore clearly states that the said driver Sambasivudu was not able to escape from the fire  and sustained fatal injuries and that the driver of the lorry which was coming on opposite direction  was responsible for the said accident for driving in rash and negligent  manner.  Hence we are of the opinion that the  judgement of the Apex Court reported in 2008 CTJ 680 (Supreme Court) (CP) in NATIONAL INSURANCE CO. LTD. vs. NITIN KHANDELWAL   can be applied to the present case, wherein  Apex Court quoted  from JITENDRA KUMAR v. ORIENTAL INSURANCE CO.LTD.  and another  reported in 2003 CTJ 649 (SC) (CP) in paras 9 and 10 which is as follows:  

        “The question  then is : can the Insurance Company repudiate a claim made by the owner of the vehicle which is duly insured  with the company  solely  on the ground that the driver of the vehicle who had nothing to do with the accident did not hold a valid licence?  The answer to this question , in our opinion, should be in the negative. Section 149 of the Motor Vehicles Act,1988 on which reliance was placed by the State Commission, in our opinion, does not come  to the aid of the Insurance Company in repudiating a claim where the driver of the vehicle had not  contributed in any manner to the accident. Section 149(2)(1)(ii)  of the Motor Vehicles Act empowers the Insurance Company to repudiate a claim wherein the vehicle in question is damaged due to an accident to which driver of the vehicle who  does not hold a valid driving licence is responsible in any manner.  It does not empower the Insurance Company to repudiate a claim for damages which has occurred due to acts to which the driver has not, in any manner, contributed i.e. damages incurred due to reasons other than the act of the driver

        It is the case of the parties that the fire in question which caused damage to the vehicle occurred due to mechanical failure and not due to any fault or act, or omission of the driver. Therefore, in our considered opinion, the Insurance Company could not have repudiated the claim of the appellant.”

 

We also rely on the judgement  of the National Commission   in NEW INDIA  ASSURANCE CO. LTD. vs. JHANKAR SINGH reported in Supreme Court and National Commission   on Consumer Protection Law, Volume –III 176 in which non standard claims were dealt with  extensively  which is as follows:

S.No.                Description                                %age of settlement

1.       Under declaration of licensed       Deduct 3 years difference in

             carrying capacity                            premium from the amount of

                                                                              claim or deduct 25% of claim

                                                                              amount, whichever is higher.     

2.       Overloading of vehicles beyond      Pay claim not exceeding 75% of

          Licensed carry-                                 admissible claiming capacity.

 

3.       Any other breach of warranty       Pay upto 75% of admissible  

          condition of policy including           claim.

          limitation as to use.

­_______________________________________________________­­­"  

From the afore mentioned judgements it is quite clear  that the facts in the instant case are applicable since it is not in dispute herein that the accident was caused because of the rash and negligent  driving of the opposite side lorry and has nothing to do with the negligence of the said driver.  Therefore the insurance company cannot repudiate the claim in toto and we are of the considered view that keeping in view    the breach of contract,  the complainant is entitled to only 75% of the amount  which the surveyor assessed  on net loss assessment i.e. 75%  of Rs.2,63,754.20 ps. (rounded off  to Rs.2,63,755/-) together with interest at 9%  p.a. from the date of repudiation till the date of realization together with costs of Rs.3,000/-.

        In the result  this appeal is allowed.  Order of the District Forum is set aside directing the  respondent/opposite party  to pay 75% of Rs.2,63,755/-  with  interest @ 9% p.a. from the date of repudiation till the date of realization together with costs of Rs.3000/-.  Time for compliance four weeks. 

 

                                                      MEMBER

 

                                                      MEMBER

                                                     Dt.30.6.2009

 

         

 

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