QUEEN'S BENCH DIVISION
COMMERCIAL COURT
Strand, London, WC2A 2LL |
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B e f o r e :
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SWISS REINSURANCE COMPANY AND OTHERS |
Claimant |
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- and - |
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UNITED INDIA INSURANCE COMPANY LIMITED |
Defendant |
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Mr Luke Parsons QC and Miss Poonam Melwani (instructed by Ince & Co) for the Defendants
Hearing dates: 17, 18, 19, 20, 24 and 25 January 2005
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Crown Copyright ©
MORISON J:
"The Works to be undertaken in terms of the Project including all temporary works erected or in the course of erection and all material and other things for incorporation therein being property of every kind and description belonging to or in the care, custody or control of the Insured or held by them in trust or on commission or for which they are responsible, including but not limited to machinery apparatus materials equipment temporary building, site huts, accommodation, offices and structures and contents thereof, landscaping and planting and supplies; fuel and other consumables and spares all including free issue used in connection with the Project or intended for incorporation therein (to the extent they are included in the Sum Insured) in respect of construction of a 1550 MW combined cycle power plant, LNG unloading jetty and associated marine works, LNG storage and regasification facilities and housing and ancillary associated facilities."
"All works in connection with the construction of Phase II of the Dabhol Power Project comprising Blocks B and C, the LNG regasification facility and all associated and ancillary facilities, each herein "a Block"".
"The Insurer agrees that in the event of the Project or the business carried on by the Insured being delayed, interrupted or interfered with during the period of Insurance caused by physical loss or damage covered by Section 1 of the Policy or which would have been covered but for the operation of any deductible thereunder, then in accordance with the provisions contained in the Schedule and the terms, Conditions, Exclusions and Memoranda of this Policy, the Insurer will indemnify the Insured in respect of the actual loss sustained by the Insured during the Period of Indemnity as a result of delay in completion of the Project beyond the Anticipated Date of Completion."
"44 months (inclusive of up to 6 months testing and commissioning separately in respect of Block B, Block C and the LNG regasification facility) from 00:01 hours Local Time (India) at 22 December 1998 until the date of commercial operation of individual units (estimated as June 1 2001 for Block B, October 1 2001 for Block C, and Jan 31 2002 for the LNG Facility) and until final taking over of the Breakwater.
Extensions in period automatically held covered as original at additional premium calculated at 0.015% per month (on the value of the work not handed over at its scheduled date) for the first 6 months construction, plus 2 months testing and commissioning covered at additional premium of 0.15% per month (on the value of the equipment being tested/commissioned). Further extensions in period at additional premium and to be agreed by insurers hereon."
"(i) Not exceeding 24 months after the date of Taking-Over in respect of the gas turbines and steam turbines scope of supply and the Civil and structural works forming part of the Project.
(ii) Not exceeding 12 months after the date of Taking-Over in respect of the remainder of the Project.
Plus such further period not exceeding 24 months as required in respect of the Extension of Warranty Period provisions of the contract for repairs or replacements."
"Minimum And Deposit Premium
"US$14,830,456 (plus tax) calculated as follows and adjustable in accordance with General Conditions 9 and 10.
Section 1: 0.591% on total insured values (estimated as USD 1,339,457,000 and adjustable on final values)
Section 2:
(a) 1.091% on fixed costs (USD 363,500,000)
(b) 0.682% on MSEB costs (USD 75,000,000)
(c) 0.682% on Deemed Gas Costs (USD 87,000,000)
(d) 0.43% on Fuel Take or Pay (USD 242,200,000)"
"9. The Premium having been calculated on information provided by or on behalf of the Insured, the Insured shall notify the Insurer of:
(i) the completed value of the Project upon termination or completion or within 6 months after termination or Completion;
(ii)the dates upon which construction period shall have been terminated or shall have been completed.
10. Upon declaration by the Insured in terms of Condition 9 of this Policy, the earned premium shall be calculated in accordance with the agreed rates and the Insured shall pay such additional as may be due."
"11. The due observation and fulfilment of the terms, Conditions and Endorsements of this Policy insofar as they relate to anything to be done or complied with by the Insured shall be a condition precedent to any liability of the Insurer to make any payment under this Policy.
12. Should the Work insured or any part thereof be entirely stopped by any cause whatsoever and the Insured give notice thereof, the cover under the Policy shall continue without interruption up to a maximum period of six months without additional premium with any further extension of this period to be agreed by the Insurer, provided that the Insured shall take reasonable precautions to protect the Work from physical loss or damage during the period of cessation.
13. The Insured shall give the Insurer notice in writing as soon as reasonably practicable of any alteration which materially affects the risk insured."
"Endorsement Dabhol
Forming integral part of the Reinsurance Contract.
It is noted that commissioning / testing works of Block B & C were suspended due to non-availability of fuel with effect of May 17th. The Insured has advised that with effect of June 18th all works had ceased and demobilisation of work was being carried out and that pursuant to General condition 12 of the policy continuance of up to 6 months of coverage has been requested.
General Condition 12 of the policy leaves room for different interpretation and SR's interpretation of this Condition is outset in attached letter which however is contested by United India.
In the light of circumstances prevailing and without any prejudice of Reinsurer's rights under the Reinsurance Contract and policy, SR is prepared to continue coverage without additional premium as follows:
Material Damage Section
In respect of Block B & C as from suspension of commissioning / testing works until December 17th and
In respect of the reminder of the project as from June 18th until December 17th 2001
Adjustment premiums will need to be evaluated for and charged to the different Power Blocks depending upon the actual time these Blocks underwent testing and/or for the time construction was extended to meet the suspension date of June 18th 2001.
DSU Section
With effect as from June 18th 2001 DSU cover is suspended and terms and conditions for reinstatement of this Section of the Policy shall be negotiated once the date of resumption of the works is known.
All terms and conditions of this Reinsurance Contract as well as the policy remain otherwise in full force."
The pleadings
Swiss Re's case
UII's Case as pleaded
The Parties' Arguments:
i) The premium in respect of guarantee maintenance cover is severable from the other parts of the policy and the Insurers are entitled to a refund of that amount, less brokerage and commission. The experts were able to agree on the gross sum in issue: US$ 1,141,172.50. Whilst it is arguable that the claim in relation to testing and commissioning of the LNG lines was severable, the amount in issue was too small to warrant the Insurers in pursuing the point.ii) The law as to severability is to be found, principally, in section 84 of the Marine Insurance Act, where the focus is apportionability of the consideration and of the Cover. Severability is not a unique feature of marine insurance and a claim for reimbursement is simply part of the general law of restitution and there is no reason why the law as stated in the Act should not apply equally to non marine insurances. The fact that the premium is expressed as a lump sum does not show that it cannot be apportioned.
iii) On the facts, I should hold that the maintenance cover is not part of the standard CAR cover and the rates are separate. Swiss Re's internal rules to which Mr Rocchini was working required him to achieve a 'technical rate' by rating each risk separately. The fact that the rate is then discounted to produce a commercial rate is not important. The guarantee maintenance period has a start date which is triggered by a taking over of the particular works. In this context, 'taking over' means taking over by DPC, the employer. This part of the Cover is very different in nature from the CAR risks. It is not an all risks cover. It is a separate operational policy which may be separately contracted for or it may simply be attached to a CAR policy; the form does not matter. It is also irrelevant that the following market does not know what rates Swiss Re, as leader, has adopted. If the risk is severable then restitutionary principles will apply. If severability is available because of the way the policy is worded then the following market must be taken to have appreciated that, on severance, part of the premium would have to be returned, on normal restitutionary principles.
iv) No part of the risk under the guarantee maintenance cover had been run when the work stopped. In the first place, the upgrade to the Phase I work in relation to the turbines in Block A was not covered by the policy and this was confirmed by Mr Rocchini in his evidence: reference to the upgrade work had been deleted by Mr Rocchini from the slip before he scratched it. It appears likely that the upgrade work was intended to be carried out during the monsoon period in 2004. Whilst there may have been taking over certificates issued by main contractor to sub contractor that was irrelevant since the taking over certificate referred to in the policy is confined to taking over certificates issued by the employer to the main contractor and I should reject the Reinsurers loss adjuster's [Mr Ford] evidence on this point.
The Reinsurers' arguments:
(ii) The Insurers have abandoned their claim that there was some market practice relating to the way a return of premium was to be calculated. That was always a non-starter. But their implied term claim and their estoppel claim are based upon a contention that a return of premium was to be 'adequate'. Without the custom or practice, the word "adequate" is robbed of any certain meaning. The Insurers' latest attempt to justify a return of premium was based upon a 'quantum meruit' argument but this is just another way of asking the court to fix for the parties a method of calculation which the parties themselves were, apparently, unable to agree.(iii) The evidence established that with regard to various parts of the project, there had been a handing over of works from one sub-contractor to a main contractor, for example with regard to dredging works for the LNG facility and other marine work. From that time the subcontractor concerned no longer had any insurable interest under the all risks section of the policy but Insurers/Reinsurers were exposed to the risk of a claim brought by that subcontractor under the Maintenance section.
i) On a proper construction of the Policy did Swiss Re act unlawfully in treating the Policy as at an end as at midnight on 17 December 2001? This involves considering two matters: the proper interpretation of Condition 12 and the principle in insurance law as to what constitutes a material change in risk.ii) On a proper construction of the Policy and as a matter of general law are UII in principle entitled to a refund of part of the premium? This involves the question whether the premium can be 'unpicked' and apportioned between different parts of the cover. It will also involve the question whether, as Swiss Re contend, they have already run part of the risk in the guarantee maintenance section of the cover.
iii) If premium is to be refunded how is the refund to be calculated? The Insurers have dropped their contention, which was without foundation in any event, that there was a market practice which defined the method by which a refund could be calculated.
Issue 1
"The first ground relied upon by Eagle Star is that Mrs Kausar failed to disclose to Eagle Star in October 1990 that the premises were being used in part as a Turkish social club. The judge appears to have decided this point against Eagle Star on the grounds that since this use of the premises would not be covered anyway by the Policy, disclosure of such user would, in effect, have had no influence on the mind of the underwriter when renewing the cover.
I disagree with this view of the cover. It is important to bear in mind that although the Tradestar Policy Form is designed so that cover can be provided not just in respect of the buildings themselves, but also for the trade contents and the like, all that Mrs Kausar did was to insure the buildings against certain enumerated perils, including damage caused by vandals or malicious people. I can find nothing in the Policy which indicates that cover for the buildings was somehow conditional on any particular use of the premises or (which was the other way it was put in argument) that loss or damage to the buildings from any use other than that stated in the Policy would somehow fall outside the terms of the cover. It is true that in the previous years, the business carried on at the premises was described in a Schedule to the Policy as Video Tape Hire and that at some stage Eagle Star had been informed that this had changed on a hair dressing salon, but there is no term in the Policy to the effect that this business would continue or that no other business would be carried on at the premises, let alone that cover for the buildings was in any way dependent upon either of these states of affairs…
I now turn to the third ground of appeal, which relates specifically to Condition 3 of the Policy. This condition was in the following terms: -
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.
Eagle Star submit that there was a change of circumstances within the meaning of this Condition, because after the cover had been renewed the tenant and those to whom the tenant had unlawfully sublet the building threatened to damage the premises; because Mr Kausar had discovered on 20 April 1991 that the main shop window (not insured under the cover) had been broken; and because, for a period at least, Mr Kausar believed that this damage had been caused by the tenant or subtenants. These events were not communicated to Eagle Star, so Mr Davis submits that the clause operates at least so as to exclude claims for damage arising from the operation of perils to which the change of circumstances related, in this case malicious damage.
The judge did not accept this submission. He appears to have concluded that the Condition only operated so as to preclude recovery for damage caused by reason of, as he put it, enhancement of risk during the period between 20 and 27 April 1992. The Judge chose the latter date because it seems that he took the view that after this date Mr Kausar no longer believed that the tenant or the subtenant had broken the window or made the threats.
I do not accept either of these analyses of Condition 3. 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 Eagles 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."
"The defendant company says that the result of those facts is that it has been released from its contract of insurance. …. The defendant company rests its case upon the general principle applicable in all cases of insurance that 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. That, of course is an undoubted principle of the law of insurance, and the only question is whether it applies to the facts in the present case; whether there has been such an alteration of the risk as to relieve the insurer from meeting the claim arising under it.
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 within the contract itself."
"… In this connection, we draw your attention to the specific wording of the endorsement issued to the insured for the six months suspension cover granted up to 16.12.2001 with a specific proviso that the policy cease to operate from 17.12.2001 provided any further extension is agreed by the insurer."
Issue 2
- CAR/EAR: 10.153
- DSU / ALOP: 21.981
- LNG "take or pay" ALOP 8.346.
"As I knew that our rates would have to be heavily discounted for the Phase II Project, the technical rating exercise that I went through was no more than a very rough guide for internal purposes. It will be readily appreciated that there were a number of inconsistencies in these rough calculations. Mr Abisser [his boss] and I met with Mr Way and Mr Titman of Heath Lambert [brokers for DPC] in October and November 1998 to discuss and agree rates for Phase II. As a result of these negotiations, as anticipated, the rates were heavily discounted for each section of cover under Phase II. For example, my technical rate for CAR/EAR was discounted by about 42%."
Marine Insurance Act 1906
"84(1) Where the consideration for the payment of the premium totally fails, and there has been no fraud or illegality on the part of the assured or his agents, the premium is thereupon returnable to the assured.
(2) Where the consideration for the payment of the premium is apportionable and there is a total failure of any apportionable part of the consideration, a proportionate part of the premium is, under the like conditions, thereupon returnable to the assured.
(3) In particular –
(a) Where the policy is void, or is avoided by the insurer as from the commencement of the risk, the premium is returnable, provided that there has been no fraud or illegality on the part of the assured; but if the risk is not apportionable, and has once attached, the premium is not returnable;(b) Where the subject-matter insured, or part thereof, has never been imperilled, the premium, or, as the case may be, a proportionate part thereof, is returnable: Provided that where the subject-matter has been insured "lost or not lost" and has arrived in safety at the time when the contract is concluded, the premium is not returnable unless, at such time, the insurer knew of the safe arrival.(c) Where the insurer has no insurable interest throughout the currency of the risk, the premium is returnable, provided that this rule does not apply to a policy effected by way of gaming or wagering;(d) Where the assured has a defeasible interest which is terminated during the currency of the risk, the premium is not returnable;(e) Where the assured has over-insured under an unvalued policy, a proportionate part of the premium is returnable;(f) Subject to the foregoing provisions, where the assured has over-insured by double insurance, a proportionate part of the several premiums is returnable: Provided that, if the policies are effected at different times, and any earlier policy has at any time borne the entire risk, or if a claim has been paid on the policy in respect of the full sum insured thereby, no premium is returnable in respect of that policy, and when the double insurance is effected knowingly by the assured no premium is returnable."
"6A We…may cancel this policy if you are given at least 7 days' notice…
6B You may cancel this policy by writing and telling us … and at the same time returning the certificate. If you do this, we will return part of your premium for the rest of the period of the insurance, calculated from the date the certificate is received.
We will not return any of your premium if you cancel a 3 month policy.
We will only provide a refund if a claim has not been made under the policy in the current period of insurance.
8 If you or anyone else makes a claim under the policy which is fraudulent, exaggerated or supported by an false or fraudulent statement or document, we will not pay the claim or return any premium."
i) By virtue of an implied term, a policyholder was entitled to a return of the balance of the premium if the insurer determined the policy under condition 6A:ii) - Sun Fire Office v Hart (1889) 14 App Cas 98, considered;
a) the parties had agreed that the policyholder would be entitled to a refund if he cancelled the policy, and it was nothing short of absurd if he had no right of refund if the insurer cancelled the policy (see p 646, col 1);b) condition 6A did not require any reason to be given for cancellation, and if there was no right of refund the insurer could give notice to cancel the day after the policy was entered into and the premium for the whole year had been paid (see p 646, col 1).The right was contractual rather than restitutionary. The policy was a single risk policy which could not sensibly be divided, and the right to a refund arose not by way of restitution but by way of an implied term under condition 6A (see p 646, col 2; p 647, col 1)
"The insurance policies are in fairly familiar terms and contain, at the end, general conditions … If the parties expressly agree that the policyholder would be entitled to a refund if he cancels the policy, it is nothing short of absurd if he has no right to a refund if the insurer cancels the policy.
"…And I take it, there are two general rules established, applicable to this question: the first is, that where the risk has not been run, whether its not having been run was owing to the fault, pleasure, or will of the insured, or to any other cause, the premium shall be returned; because a policy of insurance is a contract of indemnity … Another rule is, that if that risk of the contract of indemnity has once commenced, there shall be no apportionment or return of premium afterwards. For though the premium is estimated, and the risk depends upon the nature and length of the voyage, yet, if it has commenced, though it only be for twenty-four hours or less, the risk is run; the contract is for the whole entire risk, and no part of the consideration shall be returned; and yet, it is as easy to apportion for the length of the voyage, as it is for the time. If a ship has been insured to the East Indies agreeably to the terms of the policy in this case, and had been taken twenty-four hours after the risk was begun, by an American captor, there is not a colour to say, that there should have been a return of premium."
Issue 3
Estoppel