COURT OF APPEAL (CIVIL DIVISION)
ON APPEAL FROM THE HIGH COURT OF JUSTICE
CHANCERY DIVISION
Mr. Justice Patten
Strand, London, WC2A 2LL |
||
B e f o r e :
Vice-President of the Court of Appeal, Civil Division
LORD JUSTICE THOMAS
and
LORD JUSTICE MOORE-BICK
____________________
QAYYUM ANSARI |
Appellant/ Claimant |
|
- and - |
||
NEW INDIA ASSURANCE LIMITED |
Respondent/Defendant |
____________________
WordWave International Limited
A Merrill Communications Company
190 Fleet Street, London EC4A 2AG
Tel No: 020 7404 1400, Fax No: 020 7831 8838
Official Shorthand Writers to the Court)
Mr. Jonathan Watt-Pringle Q.C. and Mr. Marcus Smith (instructed by Debenhams Ottaway) for the respondent
Hearing date : 10th December 2008
____________________
Crown Copyright ©
Lord Justice Moore-Bick :
Background
"3) Non-invalidation
The interest of the freeholder lessor or mortgagee in this insurance shall not be prejudiced by any act or neglect whereby the risk of destruction or damage is increased without the authority or knowledge of the freeholder lessor or mortgagee provided they shall immediately on becoming aware thereof give notice in writing to the insurer and on demand pay such reasonable additional premium as the insurer may require."
"Changes in Facts
2 This insurance shall cease to be in force if there is any material alteration to the Premises or Business or any material change in the facts stated in the Proposal Form or other facts supplied to the Insurer unless the Insurer agrees in writing to continue the insurance.
Reasonable Precautions
3 The insured shall take and cause to be taken all reasonable precautions
(a) to prevent Damage
(b) for the safety and security of the property insured
. . . "
The proceedings below
". . . You must tell us of any change of circumstances after the start of the insurance which increases the risk of injury or damage. You will not be insured under the policy until we have agreed in writing to accept the increased risk . . ."
The owner of the premises failed to tell the insurers that she had become involved in acrimonious proceedings against the tenant for possession. When the insured sought to make a claim under the policy in respect of certain damage the insurers rejected the claim on the grounds that she had failed to notify them of the fact that she believed the tenant to have been responsible for a previous incident in which damage had been caused to the premises, a matter which, they alleged, amounted to an increase in the risk.
"In my judgment all that this condition does is to state the position as it would exist anyway as a matter of common law, namely that without the further agreement of the insurer, there would be no cover where the circumstances had so changed that it could properly be said by the insurers that the new situation was something which, on the true construction of the policy, they had not agreed to cover. The mere fact that the chances of an insured peril operating increase during the period of the cover would not, save possibly in the most extreme of circumstances, enable the insurers properly to say this, since the insurance bargain is one where, in return for the premium, they take upon themselves the risk that an insured peril will operate. In calculating that premium it is for the insurers to assess the chances of insured perils operating; and the fact that they may (in hindsight) have got this assessment wrong does not begin to establish that what has happened falls outside the cover they have agreed to give. In the present case all that the facts and matters upon which Eagle Star rely show is, at best, that during the period of the cover events occurred which increased the chances that an insured peril (namely damage to the buildings by vandals or malicious people) would operate. Thus to my mind condition 3 does not afford a defence to the claim in question."
"90. In Kausar the Condition was focussed in terms on a change of circumstances which increased the risk of damage and there is clearly a strong argument (accepted by the Court of Appeal) that evidence that malicious damage had occurred (and therefore was likely to recur in the foreseeable future) was not of itself a change of circumstances which increased the risk of damage or took the use outside the scope of the policy. It was simply evidence that the risk insured against existed by virtue of the state of affairs subsisting at the date of the renewal of the policy.
91. In the present case, however, General Condition 2 is not in terms limited to changes of circumstances which increase the risk of the insured peril occurring. It operates on a material change in the facts stated in the proposal form. This would include the physical state of the building and the use made of it both of which could have been highly relevant to the underwriter's assessment of risk at the time when the existing cover was granted.
92. The protection of the Premises by a properly functioning sprinkler system was obviously something which was of concern to New India: hence question 6 in the proposal form. The cover was assessed and granted against confirmation of that fact. Turning off that sprinkler system does more in my judgment than merely to increase the risk of damage by fire. It constitutes a material alteration of the nature of the subject matter of the insurance. The existence of a working sprinkler system was on any view material to the proposal. A properly functioning system which protects the premises affects the safety of those premises and risk insured. The absence of such a system was by the same token a material change in the facts stated in that proposal.
93. For these reasons I am not persuaded that General Condition 2 ought to be construed in the same way as the Condition in Kausar and I am also satisfied that there was a material change in the facts stated in the proposal form so as to bring into effect a termination of cover from the time when the system was turned off prior to the fire. . . ."
The scope of the appeal
(i) what relevant facts were stated in the proposal form;
(ii) whether there was a subsequent change in any of those facts;
(iii) if so, whether were any of the changes were material;
(iv) if so, whether Mr. Ansari had sufficient knowledge of the change in the facts to prevent him from relying on Extension 3.
(i) The facts stated in the proposal form
(ii) Subsequent changes in the facts
(a) The sprinkler system
(b) Change of use
(iii) Materiality of the changes
". . . the obligation of the insurer is confined to the particular risk insured, and that if the risk in respect of which a claim is made against the insurer differs from the risk he has insured, he is not liable to make good that claim. . . .
It is hardly necessary to enlarge upon that principle, but I take it that it involves this. The alteration, if there has been an alteration, must be a real alteration of the risk; if what appears on the face of it to be an alteration of the conditions is only such an alteration as, on the true construction of the contract of insurance, might be taken to have been within the contemplation of the parties at the time they entered into the contract, then, of course, though apparently an alteration, it is no real alteration at all, because the fact that such an alteration might take place was an element in the contract itself."
(iv) Mr. Ansari's knowledge
Lord Justice Thomas:
Lord Justice Waller: