THE AMRAVATI DISTRICT CENTRAL CO-OPERATIVE BANK LTD. versus UNITED INDIA FIRE AND GENERAL INSURANCE CO. LTD.
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(2010] 4 S.C.R. 661 THE AMRAVATI DISTRICT CENTRAL CO-OPERATIVE A BANK LTD. v. UNITED INDIA FIRE AND GENERAL INSURANCE CO. LTD. (Civil Appeal No. 3307 of 2010) B APRIL 15, 2010 [R.V. RAVEENDRAN AND K.S. RADHAKRISHNAN, JJ 1 .] Contract of Insurance: Insurance policy - Interpretation C of - Excess clause of the policy stipulated that for each and every Joss under contingency 1, 2 and 3, insurer would bear Rs. 11500 for each Joss but under contingency 4, insurer would bear 25% of the Joss or Rs. 115001- whichever was higher - Employee of insured committed series of D embezzlements which were covered by contingency 4 - Arbitrator held that the amount embezzled had to be aggregated and insurer could not apply excess clause to each and every Joss separately - Held: Arbitrator interpreted the excess clause wrongly - Insured has to bear 25% of the E amount embezzled (or 115001- whichever is higher) in regard to each and every embezzlement, and not by aggregation of the embezzlements - Deeds and documents. W9rds and phrases: Term "Excess" in the Excess clause of the insurance policy - Meaning of F The respondent-insurer issued an insurance policy insuring the appellant-Bank against losses caused by acts or omission of Bank's employees. In terms of the "Excess clause" of the policy, the insured was to bear the G amount of excess stipulated in the Schedule in respect of each and every loss if the loss was under contingencies 1, 2 or 3 of the Insurance Policy. In respect of losses under contingencies 4 or 5, the insured was to 661 H 662 SUPREME COURT REPORTS [2010) 4 S.C.R. A bear 25% of the amount of the loss or the amount of excess stipulated in the Schedule whichever was higher. Contingency 4 covered loss of money or securities by reason of dishonest or criminal act of any employee of the insured wherever committed and whether committed B directly or in connivance with others. An employee of the Bank committed series of l embezzlements. The Bank claimed indemnity from the insured in terms of the policy for a sum of Rs.3.58 lacs embezzled by the said employee. Insurer assessed the C reimbursable loss was Rs.29000. Bank did not agree to the assessed amount and referred the matter to arbitration. Insurer did not participate in the arbitration proceedings. The arbitrator proceeded ex-parte and made an award. The arbitrator found that there were D series of embezzlements by the employee, which were connected together by a common modus operandi. The arbitrator held that in all Rs.3.44 lacs was embezzled by various accounts of Bank's constituents with the Bank. The arbitrator held that these losses were covered under E contingency (4) of the policy. He noted that proviso (1) of the policy referring to Excess Clause used the words "each and every loss" when referring to losses under contingencies 1, 2 or 3 but did not use the said words when referring to losses under contingency (4). F Therefore, the Arbitrator held that the insurer could not apply the Excess clause to each and every loss separately; that having regard to the terms of the policy, the amounts embezzled had to be aggregated; and that out of the total loss, the Bank had to bear 25% and the G insurer was liable to pay the balance. The Arbitrator thus deducted 25% from Rs.3.44 lacs and made an award directing the insurer to pay Rs.2.58 lacs to the Bank. Civil Court upheld the award and dismissed the petition under Section 30 of the Act for setting aside the H AMRAVATI DISTI. CENTRAL CO-OP. BANK LTD. v. UNITED INDIA 663 FIRE & GENL. INSURANCE CO. LTD. award and directed that the award be made a rule of the A court. On appeal, High Court remitted the matter to arbitrator for deciding claim afresh holding that the arbitrator ought to have considered each item of embezzlement separately and could not aggregate the embezzled amounts for arriving at the claim. Hence the B appeal. Dismissing the appeal, the Court HELD: 1.1. "Excess" clauses are commonly used in Insurance contracts. In insurance parlance, the term C "Excess" in the Excess clause in the policy refers to "that part of the amount of loss, under each claim, which is not covered by the policy" or the "amount that the policy holder has, by agreement, to bear or contribute to each insurance claim". [Para 10) [673-D) D General Assurance Society Ltd. v. Chandumull Jain AIR 1966 SC 1644; Oriental Insurance Co. Ltd v. Sony Che
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