Professional Documents
Culture Documents
HIGH COURT)
DEFENDANT
Coram: HUGHES J
JUDGMENT
HUGHES J
1.
Johannesburg ("the premises") were destroyed by fire. This action deals with
the plaintiff's claim against the defendant for payment of rental lost and the
costs of repairs to the plaintiff's premises. The parties have settled the issue
of quantum and/ or the quantum amount and the only issue to be determined
related to the liability.
2.
1.
2.
Payment of the agreed amount of R1 111 800.00 and the said interest
thereon in respect of loss of rentals whilst the premises were tenantable
which was also insured by the defendant in terms of the aforesaid
buildings combined section of the policy."
3.
It is common cause that on 16 March 2010 the plaintiff and the defendant
entered into an insurance contract in terms of which the defendant undertook
to insure the premises of the plaintiff against risks numerated in policy
number IM3016620POL ("the policy").
4.
When the insurance contract was concluded the plaintiff was represented by
a broker, Stuart Riley ("Riley"), of Paradigm Asset Management CC. One of
the risks undertaken to cover the premises, under the buildings combined
section, included destruction of the premises by fire and, in addition, for
rental lost whilst untenantable.
5.
"During the processing of the claim it came to our attention that we were not
advised of the tenancy of Elite Fibre at your premises situated at 8 Press
Avenue, Crown Mines, Johannesburg. Had we been advised of this and the
nature of their business, we would not have accepted this risk. Accordingly we
are voiding the cover for this property as from inception, being 15 March
2010."
6.
The defendant's repudiation is accordingly premised on the plaintiff's nondisclosure that they in fact did not occupy the premises, but that the
premises were occupied by Elite Fibre Gauteng CC ("Elite Fibre"), a tenant,
who operated a fibreglass operating plant. The defendant contends that they
were under the impression that the premises were occupied by Kings' Prop
and utilized for administrative offices. The latter had been cited as
conducting the business of "property developers/suppliers of bedding goods".
The impression was created by Riley, who disclosed this information to the
defendant representative, Guy Lewis ("Lewis"), was that it was insuring
offices.
7.
8.
the fire section of the policy. However, on 25 March 2009 the premises were
then added under the building's combined section of the policy and on 19
October 2009 the premises were removed from the building's combined
section.
9.
10.
The evidence is that as far back as April 2008 the plaintiff had only one
policy, IM3016620POL, with the defendant. The premises had been insured
under that policy under various sections. With the exception of the premises
being removed from the policy for the
period 15 September 2009 to 14 March 2010, the premises were noted as the
risk address and the business description on the various schedules was
reflected as "property developers/suppliers of bedding goods".
11.
Various witnesses were called but I do not propose to go into their evidence
at length. Only the salient aspects of specific witnesses that affect the
determination of the issue materially will be addressed succinctly.
12.
R15 000 000 Offices/warehouse in Crown Mines (we had this on the policy)
We had a rate of .150% but in view of the SI I think we need to review the rate
bearing in mind Kings Square has a rate of .100% based on a SI of R214 000
000.
Thanks Stuart
Riley"
13.
Both Riley and Lewis testified that Lewis had responded that as the
documented as follows:
place. On the other hand Riley does not give testimony of this discussion but
testifies that on 16 March 2010, by e-mail, he instructed Lewis to place the
premises on the policy and added therein that "it is their offices". He also
sought that an urgent survey be done by Lewis of the premises.
15.
Lewis testified that he placed the premises on the policy at the rate of
0.100%. He testified that at the time he drew no link between the premises
sought to be insured in Riley's email of 9 February 2010 and the existing one
related to the premises. He confirmed that Riley had requested an urgent
survey on the very same day and he passed this request on to his back up
Ziaad Kyriakides. It is common cause that the envisaged survey was not
conducted.
16.
Riley testified that when he put through the instruction at the specific rate
(0.100%) Lewis did not make enquiries as regards where he got the rate from
or why was the rate low; he therefore assumed that Lewis had "tied the two
up with the quote and my instructions".
17.
Clause 1 of the General Conditions of the policy document which deal with
the aspect of non-disclosure reads as follows:
18.
It is trite that an insurer has the right to avoid a contract of insurance not
only if the proposer has misrepresented a material fact but if he has failed to
disclose one. In addition the burden of proving materiality is on the party
alleging
the
misrepresentation
or
non-disclosure.
See
Clifford
19.
Section 53 of the Short Term Insurance Act 53 of 1998, is the legislation that
dictates what nature of misrepresentation or material information not
disclosed would constitute a material nondisclosure. For easy reference I set
out the relevant section: Section 53 - Misrepresentation and failure to
disclose material information
(i)
(ii)
(iii)
"[17] The effect of the most recent amendment is to bring the law with
regard to positive representations into line with the law on nondisclosures. The statutory definition of materiality in s53 (1) (b) is
effectively
identical
to
that
adopted
in
the
President
[18]
Thus,
the
test
in
respect
of
both
positive
and
negative
21.
In this case it was correctly submitted by the defendant's counsel that the
disclosure of "offices/warehouse" made by the plaintiff was largely dependent
upon whether this court finds that Riley's e-mails of 9 February 2010 and 16
March 2010 can be read together and when Lewis received the e-mail of 16
March 2010 he should have realised that it referred to the same building
referred to in the e-mail of 9 February 2010.
22.
The defendant's counsel submitted that if one has regard to the plaintiff's
case on their own version they had not disclosed that a fibreglass
manufacturing warehouse or a warehouse containing inflammable goods was
sought to be insured at the premises. Thus on its own version the plaintiff did
not make the required disclosure for the defendant to form a proper view
concerning the assessment of the relevant risk.
23. The defendant contends that even if they linked up the two quotations the
fact that the plaintiff referred to an office/warehouse it would have assumed
that the warehouse contained bedding material as per the prior history on file
for these premises. On the other hand the plaintiff argues that the fire risk in
bedding supply warehouse is similar to a fibreglass
24.
The defendant submits that it was not afforded an opportunity of forming its
own view concerning the assessment of the risk and forming a view on
whether to insure or not and at what premium, as the true facts were not
disclosed. Further, that it was not afforded an opportunity of asking further
questions about the risk as they had not been informed that the premises
sought to be insured was a warehouse.
25.
The plaintiff contended that it had established, by virtue of the lower rate
that the premises were insured at, that it was clear that the determination
was made as a result of prior discussions between Riley and Lewis hence the
0.100% rate is indicative of the risk address and the building.
26.
The plaintiff argued that the disclosure of occupancy as set out in the email
of 9 February 2010 should have been linked by the defendant to the premises
and the email of 16 March 2010. It further argued, that Lewis had conceded
that had he gone into prior insurance schedules of the premises he could
have linked this up with the e-mail of 9 February 2010, without any difficulty.
Lewis also could not refute that he had had telephonic discussions with Riley
about the rate but persisted that he did not link the disclosure in the e-mail
of 9 February 2010 to the premises. The plaintiff contend that Lewis'
evidence is suspect.
The plaintiff argues that based on Lewis' evidence dealt with below, the
27.
estoppel plea has been established and as such the defendant should be
estopped from raising non-disclosure:
1.
That Lewis assured Riley that an urgent survey would be done at the
premises;
2.
Lewis did not revert to inform Riley that the survey would no longer be
conducted;
3.
Riley was lulled into the false sense of security that cover over the
premises was in place and paid the premiums for April and May;
4.
The truth being that the assurances were in fact false; had Riley been
advised that the survey would not be conducted urgently or at all he
could have taken his business elsewhere before the fire took place.
28.
The plaintiff submitted that in the alternative there was a waiver of the need
for further disclosures as the plaintiff had provided the defendant with
The e-mail of 9 February 2010 linked to the instruction given in the e-mail of
16 March 2010 .
The defendant had previously insured the premises and had information
regarding the premises on file. The information on file was that of an
"offices/warehouse" and "property developers/suppliers of bedding goods".
The fact that the premises were now being used for the purpose of a
fibreglass manufacturing warehouse, to me, is material information that the
defendant would have required to assess the risk. However, the defendant's
conduct when it chose to cover the plaintiff needs to be examined to
determine if indeed the defendant did enough before providing cover to the
plaintiff, in light of the facts and the knowledge that the defendant had at its
disposal. The parties had been engaged in negotiation as regards cover over
the said premises and other premises from as far back as 9 February 2010.
The premises in question appeared on the e-mail of 9 February 2010. On 16
March 2010, when the plaintiff sought cover, the plaintiff requested that the
defendant conduct an urgent survey of the premises.
To my mind the defendant at that stage already had the prior history of the
premises on its records. The defendant's Lewis gave evidence that it was not
difficult for the defendant to have accessed that information. The warning
bells should have been ringing because of the information "warehouse and
suppliers of bedding goods". These two aspects would have confirmed the
plaintiff's request for an urgent survey and it would have alluded to the risk
likely to be assessed.
31.
In the circumstances , the plaintiff rightly submitted that the defendant should
be estopped from raising non-disclosure because:
1.
2.
Lewis did not revert nor inform Riley that the urgent survey would no
longer be conducted;
3.
Riley was justified in accepting that the survey had been done and was
lulled into a false sense of security that insurance cover over the
premises was in place and paid the premiums for April and May;
4.
The assurances were in fact misleadingas the survey had never been
done by the time the fire took place;
5.
Had the plaintiff been advised that the survey would not be conducted
urgently or at all he could have taken his business elsewhere before the
fire disaster struck.
32.
I agree with the plaintiff that the aforesaid concessions establish estoppel,
which was pleaded in the plaintiff replication. The defendant is resultantly
1.
2.
3.
4.
a)
b)
c)
Ref: M Haasbroek/gk/MHC57