|
(NASSER
DIAB |
APPELLANT |
BETWEEN |
(
(AND
( |
|
|
(REGENT
INSURANCE CO LTD |
RESPONDENT |
Court
of Appeal
Civil Appeal No. 2 of 2002
16th October, 2002 and 27th March 2003.
The Hon Mr. Justice Ira Rowe |
-
|
President |
The
Hon Mr. Justice Elliott Mottley |
-
|
Justice
of Appeal |
The Hon Mr. Justice Manuel Sosa |
-
|
Justice
of Appeal |
Mr.
Sabido and Mr. D. Waithe for the Appellant.
Mr. E. Marshalleck for the Respondent.
Appeal
against dismissal of claim against insurance company under
policy of insurance for damage to property by fire - Clause
in policy that claim must be made within 15 days - No claim
made - Repudiation of liability - Circumstances of case
not falling within meaning of phrase - No implied waiver
of clause arising on facts - Doctrine of promissory estoppel
not established - Whether judge erred in construing omission
to deliver a claim as strictly as he did - No error on part
of judge - Appeal dismissed - Costs to Respondent.
REASONS
FOR JUDGMENT
SOSA
JA
-
Oriental
Store, a dry goods store situate at No. 15 Queen Street
in Belize City and owned by Mr. Nasser Diab ('the Appellant'),
was consumed by flames in the pre?dawn hours of Sunday
27 April 1997. As well the building housing the store
as the store's stock?in?trade and furniture were at the
time insured against fire, amongst other perils, by Regent
Insurance Co Ltd ('the Respondent'), whose Belize City
offices were then located, as they still are, a block
away on North Front Street.
-
The
Respondent found out about the fire on the following morning
and had INS Investigations Bureau Inc ('INS') of Florida,
USA investigating the cause and origin by 30 April 1997.
-
Under
the relevant policy of insurance ('the policy' or 'the
contract'), which was to expire in a few days' time on
1 May 1997, the Respondent had agreed with the Appellant,
subject to certain conditions, that, if the insured property
was destroyed by fire, it would pay or otherwise make
good the loss to the Appellant up to a limit of $480,000.00,
being the sum insured.
-
Amongst
the conditions of the policy was condition 11, which,
so far as germane to the present appeal, stated as follows:
'On
the happening of any loss or damage the insured shall
forthwith give notice thereof to the Company, and shall
within 15 days after the loss or damage, or such further
time as the Company may in writing allow in that behalf,
deliver to the Company
(a)
a claim in writing for the loss and damage containing as
particular an account as may be reasonably practicable of
all the several articles or items of property damaged or
destroyed, and of the amount of the loss or damage thereto
respectively, having regard to their value at the time of
the loss or damage, not including profit of any kind ...
No claims
under this policy shall be payable unless the terms of this
condition have been complied with.'
-
The
Appellant was out of the country at the time of the fire
but returned on 5 May 1997 and paid a visit on 7 May to
the Belize City offices of the Respondent. He was received
in those offices by Mr. Anthony Flynn, the managing director
of the Respondent, with whom he had a meeting which was
to prove of central importance in the litigation which
has followed between the Appellant and the Respondent.
It will be necessary to set out the evidence of the Appellant
and Mr. Flynn as to what was said at this meeting when
I come to direct attention to the trial itself. Suffice
it to say for the moment that it was common ground between
them at the trial that the Appellant never made a claim
against the Respondent.
-
The
Appellant may have lost his copy of the policy sometime
prior to the meeting with Mr. Flynn. There was a suggestion
that it was lost in the fire. At any rate, he received
another copy of it, from an employee of the Respondent,
on an unknown later date which may have been about a week
after 7 May 1997 or in the first week of June 1997. The
15?day period for the delivery of a claim in writing expired
on 12 May 1997.
-
This
new copy of the policy was handed by the Appellant to
Mr. Fred Lumor, an attorney?at?law of the firm of Musa
& Balderamos ('Musa'), and Musa then wrote a letter
dated 2 June, 1997 to the Respondent in which the policy
was referred to by its particular reference number. Omitting
formal parts, this letter stated:
'Re:
Policy No. F?11073
We
have the instructions of Mr. Nasser Diab to write you
in connection with the claims made by him in connection
with the 26th (sic) April, 1997 fire at his Oriental Store
situate at No. 15 Queen Street, Belize City. As claimed
our client suffered a total loss of the building, furniture
and fittings and stock in trade. Our client is insured
with your company in the total sum of $480,000.00 under
the captioned policy.
It
is our further instruction that your Mr. Tony Flynn rejected
the claim of our client in your offices on the grounds
that:?
1)
The fire that gutted our client's business was deliberately
set.
2)
The name of the person who deliberately set the fire is
known to the company.
3)
The date and time when the fire was deliberately set are
also known to the company.
It
is our view that if the aforesaid allegations had any
substance, a report would have been made by your company
to the Belize Police Force for the necessary investigations
to be conducted.
Please
confirm to us on or before the 9th June, 1997 if our client's
claim stand (sic) rejected, in which event our instructions
are to issue Writ against you.'
- Barrow
& Co ('Barrow'), a law firm, replied on behalf of the
Respondent by a letter dated 12 June, 1997 which, as material,
read:
'Our
instructions are that Mr. Nasser Diab made no claim against
our clients in connection with the 26th (sic) April fire
at his premises at 415 Queen Street, Belize City, and
neither has anyone done so on his behalf.
In
the premises our clients deny that they rejected your
client's claim. Indeed, our clients proceeded on the basis
that your client was deliberately not making a claim given
the identity of the persons who confessed to setting the
fire to Mr. Diab's premises.
As
a professional courtesy, please permit us to invite your
attention to the conditions of the policy setting a strict
time limit for the making of the claim.'
-
The
pertinent part of the reply dated 26 June 1997 of Musa
to this letter was as follows:
'Our
client gave notice of his claim to Regent Insurance Company
Limited at its premises at No. 81 North Front Street,
Belize City, sometime in the after noon of the 7th of
May, 1997 in the presence of one Mr. Mike Rhaburn. As
you (sic) stated in your (sic) letter the Company's Tony
Flynn rejected the claim of our client outright alleging
that the fire which occurred in our client's premises
was an act of arson. Mr. Flynn stated that the Company
knew the person who set the fire, how the fire was set
and the time of the fire and said further that the company
will not pay the claim. It is therefore reprehensible
for the Company to deny the rejection of our client's
claim on the basis that our "client was deliberately
not making a claim given the identity of the persons who
confessed to setting the fire ..."
We
have decided to ignore the last paragraph of your letter.'
-
On
26 June, 1997 Musa issued against the Respondent a writ
of summons indorsed with a claim for the sum of $480,000.00
being loss under the policy.
-
Youngs
Law Firm ('Youngs') were appointed as additional attorneys?at-law
for the Appellant in October 1997 and, with Musa, they
filed a statement of claim in which the sole relief specified
was the sum of $480,000.00 under the policy, with interest.
As subsequently amended, this pleading alleged that the
Respondent's 'manager' by his words to the Appellant on
7 May 1997 repudiated the claim which, according to the
Appellant, he (the Appellant) had gone to the Respondent's
office to make. This allegation, together with another
to the effect that the Respondent's 'manager' had told
the Appellant that he would hear from the Respondent's
attorneys?at?law, was denied in a defence later filed
by Barrow for the Respondent. It was further alleged in
the statement of claim, and denied in the defence, that
the Appellant, either by himself or through his attorneys?at-law,
had made a claim for payment under the policy.
-
In
addition, however, the defence of the Respondent pleaded
breaches of four conditions of the policy, three express
and one implied. For a reason which will emerge when I
come to the judgment of the court below, it is only one
of those breaches that is the subject of concern in this
appeal. That is the allegation that condition 11 was breached
in that the Appellant failed to deliver a claim in writing
or to make any claim. On the basis of that allegation,
the Respondent went on to deny that it was liable to the
Appellant for the sum claimed or any other sum.
-
Sabido
& Co, having been appointed in October 2000 to act
on behalf of the Appellant in substitution for Youngs,
filed a reply for the Appellant on 14 March 2001, some
two years and three months after the filing of the defence.
As regards the Respondent's allegation of breach of condition
11, the reply went to the extreme of pleading that the
policy did not contain any condition to the effect of
the condition described in paragraph 5 of the defence.
(Paragraph 5 had paraphrased condition 11 of the policy
but not identified it by number.) On a more serious note,
the reply stated that, if the policy contained such a
condition, it had been waived, and could not therefore
be relied upon, by the Respondent. It was alleged that
the waiver was contained in, or to be inferred from, the
conduct of the Respondent's 'manager' on 7 May 1997. Such
conduct was, according to the reply, an 'outright repudiation
and rejection' of the Appellant's claim (as distinct from
repudiation of the policy or liability under the policy).
Further or in the alternative, the Appellant pleaded by
his reply that the Respondent was estopped from saying
that the Appellant had made no claim in writing within
15 days after the loss of the property.
- I
turn now to the trial and in so doing return, in response
to the need acknowledged above, to the meeting of 7 May
1997. Not surprisingly, at trial the respective accounts
of the Appellant and Mr. Flynn as to what was said during
that meeting differed despite the presence of a measure
of common ground. According to the Appellant, he had never
met or dealt with Mr. Flynn before and the purpose of his
visit was 'to try to make a claim'. In his words:
'When
I entered Mr. Flynn was sitting around the desk and I
told Mr. Flynn how are you, how you keeping. He say fine.
I sit down I was waiting for him to give me a piece of
paper to make a claim to discuss the problem. So he nuh
tell me nothing. He stand up like that and he say Nasser,
I know who set the fire, what time they set the fire and
how they set the fire, Right away I feel terrible, bad
when he told me that. I stand up, I told him Mr. Flynn
I am a good person in this country you accuse me of setting
the fire. I never could walk in Belize and the people
point on me I am set fire. I tell him okay, I will see
what I could do. He told me he will write me and his attorney
will write me and my attorney also. I walk out and I gone
back to the police to report him.' [Reproduced with punctuation
and other errors.)
When asked
in evidence?in?chief whether he had gone to Mr. Flynn's office
to make a claim and had been rejected, the Appellant responded:
'Right.
Before I tell he nothing, I nuh tell him I want no (sic)
make a claim, before I say any word he told me he know who
set the place fire, what time and how they set the place
fire, that mean he reject me and I get out from his office.'
[Reproduced with punctuation errors.]
- Mr.
Flynn, for his part, said that the Appellant's children
and his attended the same school and that he knew the Appellant
very well. According to him, the meeting proceeded, in the
presence of a Mr. Michael Rhaburn, as follows:
'He
[the Appellant] came into the office, he asked how my
family was, I asked how his family was the normal exchange
of pleasantries that we would do as people who knew each
other. And he looked at me and said 'Tony, the fire' and
I put up my hands like this (indicating) and I said, 'Nasser
I know who did it, I know how it was done, when it was
done and what was used but no one has made a claim. Listen
to me nobody has made a claim and therefore no fraud has
been done against me." Until a claim has been made
no one is attempting fraud against me.' [Reproduced with
punctuation and other errors.)
Mr. Flynn
maintained throughout that the Appellant had never made a
claim against the Respondent.
- In
his reserved judgment dated 18 February 2002, Blackman J
found, in the clear absence of any evidentiary conflict
on the point, that the Appellant had indeed failed to deliver
a claim in writing as required by condition 11 of the policy.
Referring earlier to the issue of waiver, the trial judge
had, at paragraph 11 of his judgment, stated:
'Mr.
Sabido for the Plaintiff has contended that there was
an implied waiver by the Defendant's Company Manager of
the requirement that a claim be made in writing for loss
and damage within 15 days of the loss, in that there was
no need for him to comply with condition 11, as the Plaintiff
was put to the choice of making the claim and having members
of his family go to jail, or not making the claim, and
so avoid such an eventuality.'
-
At
paragraph 15, the judge resolved the issue of waiver as
follows:
'I
do not think that the circumstances as occurred in Webster
(supra) are comparable with the instant case. On the contrary,
Mr. Flynn made it pellucidly clear that a claim if made
would be rejected whereas in Webster, the claims
manager gave assurances that he would look into the matter.'
Having
so distinguished Webster v. General Accident Fire and
Life Assurance Corporation Ltd [1953] 1 QB 520, the
judge proceeded to dismiss the action on the ground that
the Appellant had been in breach of condition 11. He did
not deem it necessary to decide whether any other condition
of the policy had been breached as alleged in the defence
and, as this Court is not called upon to decide whether
that approach was wrong, it is only with the alleged breach
of condition 11 that we are concerned in this appeal.
-
As
set out in the notice of appeal dated 7 March, 2002, the
first ground of appeal was that the judge erred in law
in that he failed to take into account that Mr. Flynn,
by his conduct and words on 7 May, 1997 'rejected/repudiated
the Plaintiffs claim' thereby repudiating the contract.
As so worded, the first ground clearly had at its core
the assertion that a claim had been made and repudiated.
That, however, was not what counsel for the Appellant
('counsel') argued in this Court some seven months later.
The argument of counsel here was predicated upon acceptance
of the fact that there had been no claim for the Respondent
to reject on 7 May 1997 as none had been made by that
date, a fact in diametrical opposition to the stance so
firmly adopted and vehemently defended in the pre-trial
letters of Musa and forthrightly advanced in the statement
of claim. Counsel's argument in this Court was that Mr.
Flynn, and hence the Respondent, on 7 May and subsequent
days leading up to and including 12 May 1997, the deadline
for the delivery of a claim under condition 11, repudiated
liability under the policy. Counsel, who had thus made
a complete about?turn as regards the first ground, stressed
that such repudiation was to be distinguished from repudiation
of the claim itself as well as from repudiation of the
contract.
-
The
question arose in argument in this Court whether repudiation
of liability per se had been made an issue in the court
below. I agree that, in the court below, counsel's discursive
assemblage of written submissions had covered not only
repudiation of the claim and repudiation of the contract
but also repudiation of liability under the contract.
However, repudiation of liability had certainly not been
held out as a major weapon in the Appellant's arsenal.
The written submissions touching on it are to be found
nestled among a host of 'additional submissions' seemingly
completed and lodged on the very day, ie 21 November 2001,
on which the trial judge, after having adjourned on 25
September 2001, was finally able to hear oral argument.
-
Whilst
the trial judge did not in his judgment address the issue
of repudiation of liability under the policy, I do not
consider the omission to be of any consequence as I find
no substance in the contention that there was such repudiation.
According to the account given by the Appellant of the
meeting with Mr. Flynn of 7 May, all that the latter said
to him was (1) 'Nasser I know who set the fire, what time
they set the fire and how they set the fire', (2) that
he (Mr. Flynn) and his 'attorney', as well, would write
him (the Appellant) and (3) that Mr. Flynn's 'attorney'
would write the Appellant's 'attorney' as well. The Appellant
also said (4) that Mr. Flynn asked him whether he had
any enemies. On the account of Mr. Flynn himself, what
he told the Appellant was, 'Nasser I know who did it,
I know how it was done, when it was done and what was
used but no one has made a claim. Listen to me nobody
has made a claim and therefore no fraud has been done
against me. Until a claim has been made no one is attempting
fraud against me.' Mr. Flynn further said that, in reply
to a request from the Appellant for a copy of the INS
investigator's report, he stated that he would consult
his 'attorney' on the matter. Whichever of these two accounts
is accepted, I see no basis for any inference by this
Court that Mr. Flynn and, through him, the Respondent
were repudiating liability, whether intentionally or otherwise,
as the former spoke to the Appellant on 7 May.
-
In
my view, the phrase 'repudiation of liability under a
contract' is correctly applied to the category of case
described in the speech of Lord Wright in Heyman v.
Darwins Ltd [1942] AC 356, at page 378, where his
Lordship, having already alluded to two meanings of the
term 'repudiation' (applicable in cases where a party
to a contract either denies that it ever existed or claims
that his/her consent was vitiated, eg by fraud), stated:
'There
is, however, a form of repudiation where the party who
repudiates does not deny that a contract was intended
between the parties, but claims that it is not binding
because of the failure of some condition or the infringement
of some duty fundamental to the enforceability of the
contract, it being expressly provided by the contract
that the failure of condition or the breach of duty should
invalidate the contract.'
After
pointing out other meanings of the word, Lord Wright said,
at page 379:
'The
difference between repudiating a contract and repudiating
liability under it must not be overlooked.'
- It
is to this type of case that Shaw LJ had drawn attention
in Toller v. Law Accident Insurance Society Ltd [1936]
2 All ER 952, at page 958, where he said that the word
'repudiation'
'...
may mean a mere contention that under the terms of the
contract the defendant is completely free from liability
by reason of some fact.'
Counsel
submitted that it was just the type of situation described
by Shaw LJ in the above quotation, and by Lord Wright in the
first of the two above passages from Heyman, that had
arisen in the instant case. In the words of counsel's written
submission, 'Tony Flynn by his conduct and words made it known
to the Appellant that he was entitled to treat his company
as discharged from further liability under Clause 13 of the
contract of insurance.' I find this submission unacceptable.
The mere mention by Mr. Flynn of the perfectly non?magical
word 'fraud', without any reference whatsoever to, or hint
at, the implications of fraud within the context of the civil
liability of the Respondent under the terms of the contract,
cannot, in my opinion, amount to repudiation of liability
as that phrase was used by Lord Wright in the passage in question.
Looking only at the words said to have been spoken by Mr.
Flynn under the two differing accounts of the meeting of 7
May 1997, without reference to Mr. Flynn's explanation of
his meaning and intention offered in retrospect from the witness-box
in 2001, I find it far from clear that he made any reference,
as he spoke to the Appellant, to the implications of fraud
in contract law, as opposed to those under the criminal law.
Not only is there no evidence of reference by Mr. Flynn to
condition 13 of the policy on 7 May: there is evidence from
the Appellant that he did not have a copy of the policy on
that date and knew very little about its provisions until
he obtained a new copy sometime later. This, in my view, seriously
undermines counsel's submission.
-
Regarding
the remainder of counsel's argument, there was, on the
evidence, no further contact between the two sides between
7 and 12 May, the latter date being the deadline for the
delivery of a claim in writing. Nor was there any activity
on the part of the Respondent with respect to the case
of the Appellant between those two dates. I am therefore
unable to agree with counsel that the Respondent during
the period 7 to 12 May repudiated liability under the
contract by, if I may paraphrase the words of Lord Wright
quoted above, claiming that the policy was not binding
because of the failure of some condition or the infringement
of some duty fundamental to the enforceability of the
policy. I see no basis in the evidence for any contention
that, before the expiration of the 15?day period for the
delivery of a claim in writing, Mr. Flynn even suggested
that there was a condition of the policy, or a duty fundamental
to its enforceability, which the Respondent would be invoking
in the event that a fraudulent claim was made.
-
My
clear conclusion being that this was not a case of repudiation
of liability under a policy, I do not consider it necessary
to address the portion of this ground (3 (1) (b) in the
notice of appeal) in which counsel complained that the
judge did not take into account that, as a result of the
repudiation, the Respondent was precluded from relying
on condition 11 of the policy with its requirement that
the Appellant deliver a claim in writing within 15 days
after the loss. It follows from the above conclusion that
I found no merit in the first ground as argued.
-
As
I understood the notice of appeal, the second ground appears
at 3 (1) (c) where it is stated that the judge failed
to consider that the following words of the Respondent's
'General Manager':
'Nasser
I know who set the fire, what time they set the fire,
and how they set the fire.' 'I will write you and my attorney
will write you.'
constituted
an implied waiver which intentionally or otherwise indicated
to the Appellant that performance of condition 11 was not
required, at least until the 'General Manager or his 'attorney'
informed the Appellant as to who set fire to the insured property.
-
As
already seen, the trial judge rejected, albeit by implication,
the submissions of counsel on the question of waiver,
stating, in distinguishing Webster, that in the
present case Mr. Flynn had made it clear that a claim,
if made, would be rejected. The evidence of both the Appellant
and Mr. Flynn as to the words spoken by the latter at
the meeting of 7 May has been set out above. Nowhere in
that evidence is there any allegation that Mr. Flynn expressly
said on 7 May that a claim, if made, would be rejected.
Therefore the judge's conclusion had to have been reached
by way of an inference drawn by him. That inference was
so drawn in circumstances where the Appellant was alleging,
and Mr. Flynn categorically denying, that the remarkable
threefold promise of letters mentioned above had been
made.
-
The
judge, in my view, chose not to deal with the credibility
of the Appellant's claim that Mr. Flynn had made that
promise. It appears to me that the judge, rather than
deciding whose evidence to accept in this regard, proceeded
to assume for the sake of argument that the Appellant's
account was truthful. Even, however, if what Mr. Flynn
said on 7 May is accurately reflected in the evidence
of the Appellant, the words of the former cannot, in my
view, justify an inference that he made it clear on that
date that a claim, if made, would be rejected. As I have
already stated in disposing of the first ground of appeal,
whichever version of the meeting is accepted, it is impossible
to say that the words spoken by Mr. Flynn on 7 May pointed
to an intention to escape liability under a specific condition
of the policy, that is to say, a recourse to civil law
in the form of the law of contract, as opposed to an intention
simply to go to the police alleging a fraudulent insurance
claim, in other words, a recourse to the criminal law.
In the circumstances, it is, in my respectful opinion,
reading too much into Mr. Flynn's measured and somewhat
cryptic words of 7 May to say that he made it clear that
a claim, if made, would be rejected.
-
I
have nevertheless formed the opinion that the Respondent
did not waive the performance of the relevant obligation
of the Appellant under condition 11 ?The trial judge obviously
saw no basis in the evidence for finding that the Appellant
was led by the Respondent to believe that he had to wait
for the promised letters before delivering a claim in
writing. Neither do I. Whether Mr. Flynn only said what
he admitted at the trial or all that was imputed to him
by the Appellant, I cannot see how his words could have
induced the Appellant to believe that he, the Appellant,
need not file a claim in writing as required by condition
11 of the policy unless and until he heard from Mr. Flynn
and the Respondent's 'attorney'. The suggested causal
connection between the words and the belief is non?existent,
as a brief examination of the main submissions of counsel
should reveal.
-
Counsel
submitted that when, on 7 May, Mr. Flynn allegedly promised
to send the Appellant a copy of the report of the INS
investigator and also promised that the Appellant and
his 'attorney' would be written to, that was an indication,
upon which the Appellant acted, that the Respondent was
not going to enforce the time limitation and that the
Appellant should wait, as he in fact did.
-
It
must be observed as a preliminary to the consideration
of this submission, that despite the references by counsel,
in his skeleton arguments as well as in oral argument
in this Court, to the supposed promise to send a copy
of the INS report to the Appellant, the record reveals
no evidence of such a promise and no suggestion to Mr.
Flynn in the course of cross-examination to the effect
that he had ever made such a promise. What Mr. Flynn did
say in evidence?in?chief was that the Appellant asked
him for the report and he replied that he would consult
his 'attorney' about the request. This reply, according
to Mr. Flynn, was soon overtaken by events when a police
officer, Sgt Smith, called to make a similar request.
-
As
regards the alleged promise that both the Appellant and
his attorney would be written to, the making of which
promise was flatly denied by Mr. Flynn but is here assumed
for purposes of argument, I am unable to understand how,
without more, it could be said to have had the effect
of inducing the Appellant to believe that the Respondent
would not be enforcing the requirement for delivery of
a claim in writing. A promise to write is quite a different
thing from a request or direction to wait and do nothing,
including things one has a duty to do, in the meantime.
Neither expressly nor by implication did the alleged promise,
in my view, convey a message that the Appellant was to
consider himself no longer bound to fulfil his policy
obligations in general, let alone those under a specific
policy condition. Mr. Flynn had talked to the Appellant
in such an unreceptive manner, on the evidence of the
Appellant himself, that the latter's immediate impulse,
on leaving the office, was to go and report him to the,
police. One would have thought that, in those circumstances,
the Appellant, rather than concluding that performance
of condition 11 was being waived, would have been inclined
to form the view that he ought scrupulously to comply
with all requirements of the policy binding on him in
order to avoid difficulties with an unreceptive managing
director.
-
Counsel
also sought to rely on the evidence of the Appellant that
he did not receive a new copy of the policy promptly,
complaining that the Appellant was made to wait for it.
He went so far as to say that the copy policy was not
received 'until after the period of time had expired'.
But the evidence, as I understand it, was that, having
merely asked Mr. Rhaburn, an employee of the Respondent,
to 'prepare' a copy of the policy, the Appellant never
returned to pick it up until specifically sent by his
attorneys for it. There was, in any event, no clear evidence
that the copy policy was received after the time for delivery
of a claim had expired. The Appellant himself said only
that he received it 'a little bit less or more' than a
week after his meeting with Mr. Flynn, which does not
eliminate the possibility that the Appellant had it in
hand by 12 May, the deadline date. Even if the Appellant
did not have it by then, however, the Respondent cannot,
in my view, be saddled with blame for the delay in the
absence of any indication, evidentially, that the copy
was not prepared and ready to be picked up before 12 May.
Accordingly, this evidence does not, in my view, advance
the argument in favour of waiver.
-
Counsel
further contended that the Musa letter of 2 June helpfully,
from the Appellant's standpoint, showed that the latter
had been led to wait for the promised letters from Mr.
Flynn and the Respondent's 'attorney'. I do not agree.
The letter is striking largely because of what it does
not state. Its main thrust is that the Appellant had made
a claim against the Respondent on 7 May and that such
claim was rejected on grounds which, in the writer's view,
the Respondent might not be able to substantiate. There
is not the faintest suggestion in it that the Appellant
had been waiting for Mr. Flynn and the Respondent's 'attorney'
to write the Appellant and his 'attorney' and that, as
a result, the Appellant had yet to submit his claim in
writing. Indeed, having regard to what is its main thrust,
any such suggestion would have been completely out of
place and would have rendered the letter a pointless and
absurd exercise in self-contradiction.
-
This
letter, therefore, like that of 26 June also written by
Musa, gives cause, in fact, for seriously questioning
the Appellant's contention that he was led to wait for
the letters allegedly promised. Indeed, in the case of
the letter of 26 June there is added reason for the writer
to mention and pray in aid the supposed promise, since
this letter is a reply to the Barrow letter of 12 June
which expressly directed Musa to the policy provisions
respecting the time limit for delivery of a claim. Significantly,
as it seems to me, the letter lists a number of things
allegedly said by Mr. Flynn on 7 May but does not include
amongst them the supposed promise to write. It is to be
noted in this regard that the Appellant's evidence was
that he told his 'attorney' of this alleged promise (see
page 88 of the record).
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No
doubt because he recognised that the allegation, albeit
long?since forsaken, of a written claim going back to
7 May 1997 stood in the way of success on the waiver argument,
counsel appeared to suggest at one point in oral argument
in this Court that the letter of 2 June was referring
to an oral claim rather than to one in writing. To my
mind, any such suggestion would be altogether devoid of
force having regard to three salient considerations. First,
the letter, as required, by the policy, takes the otherwise
unnecessary step of quoting the policy's reference number,
a strong indication that the writer had taken the wise,
if elementary, precaution of reading such policy before
'putting pen to paper'. (It was stated on the first page
of the policy that 'All communications to the Company
regarding this policy ... must quote the Policy No. F?11073'.)
Secondly, condition 11 of that selfsame policy No. F?11073
required the claim to be made in writing, not orally.
Thirdly, the letter of 2 June was written not by the Appellant,
or some other layman, but by his attorneys?at-law, to
whom the distinction between a claim in writing and an
oral claim could not possibly have been lost. They would
have known that the case of the Appellant would be utterly
hopeless if all that he was alleging was an oral claim.
In any event, the Appellant himself at no time testified
that he had made an oral claim.
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Conceptual
difficulties are also, in my view, posed by the argument
that the Appellant, bearing in mind the abovementioned
state of his relevant knowledge on 7 May, was led to believe
that the time requirement of condition 11 would not be
enforced. The state of that knowledge was revealed, tellingly
to my mind, during the cross?examination of the Appellant
when he admitted that, until he received the new copy
of the policy, he did not know that he had to file a claim
in writing, let alone that he had to do so in 15 days
after the loss.
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For
those reasons, I was unable to find any substance in the
second ground and respectfully agree with the trial judge
that waiver was not established in this case.
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Like
all the other grounds of appeal, the third alleged an
error of law by the trial judge, the specific complaint
in this case being that he omitted to consider that the
words and conduct of the Respondent's 'General Manager'
prohibited the Respondent from placing reliance on condition
11 of the policy. It was the contention that such a prohibition
arose under the 'principles of equitable estoppel'. The
skeleton arguments made it clear that the true foundation
of this ground was to be sought in the equitable doctrine
of promissory estoppel.
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Counsel
referred this Court to Ennia General Insurance Co Ltd
v. J Astaphan & Co (1970) Ltd, Civil Appeals Nos.
8/84 and 16/84, a decision of the Court of Appeal of the
Commonwealth of Dominica, for the relevant guiding principles.
In the leading judgment in that case, Bishop JA, having
alluded to the law on waiver, turned to the subject of
promissory estoppel and said, at page 21:
'The
Insurance Company could also by its conduct, induce the
insured as a prudent person, upon reasonable grounds to
suppose that it did not intend to insist on the fulfillment
of the condition; in which case it would be estopped from
setting up the breach of condition as an answer in an
action on the policy (BURKE v. STANDARD FIRE &
MARINE INSURANCE CO. OF NZ (1922) C.L.R. 440).'
Later,
on the same page, Bishop JA quoted with approval the following
passage from Snell, Principles of Equity, 28th ed.,
chapter 5, section 2:
'Where
by his words or conduct one party to a transaction freely
makes to the other an unambiguous promise or assurance which
is intended to affect the legal relations between them (whether
contractual or otherwise) and the other party acts upon
it altering his position to his detriment, the party making
the promise or assurance will not be permitted to act inconsistently
with it. It is essential that the representor knows that
the other party will act on his statement.'
-
In
my view, even if the trial judge had found that Mr. Flynn
used the words ascribed to him by the Appellant, the question
whether the latter was induced to rely upon them, as he
alleged, cannot be answered affirmatively for reasons
already given in considering the second ground. The trial
judge seems to have been of the view that the Appellant
could not succeed on the issue of estoppel once he had
failed on that of waiver. That, to my mind, is a sound
view. If the Appellant had indeed been induced to suppose
that the Respondent did not intend to insist on the fulfillment
of condition 11, why were the two pre-trial letters of
Musa preoccupied with the alleged making of a claim on
7 May rather than (1) with the urgent need to make one
before more precious time elapsed and (2) with a statement
of the facts explaining the delay in making one? At the
end of the day, there is, in my opinion, no satisfactory
answer to this question. The judge was clearly not persuaded
to find that the Appellant had been induced as alleged
and I, for my part, see no reason to rush in where he
evidently feared to tread.
-
But
I am also of the opinion that, even if the Appellant was
in fact induced to rely on the assumed promise of Mr.
Flynn, it could not fairly be said that, when so induced,
he was acting as a prudent man and on reasonable grounds.
If we begin, as I consider that we must, with the assumption
that the Appellant is innocent of all wrongdoing in the
matter of the fire, we must go on to pose the question
why his decision to await the fulfillment of Mr. Flynn's
alleged promise to write and have the Respondent's 'attorney'
write should be considered a prudent one. The answer is
hard to find. If, as he testified, he waited in order
to find out who would be fingered as the culprit/culprits
in the affair, his decision cannot be considered as prudent
in the least having regard to his own innocence, which
for all practical purposes presupposes innocence on the
part of his son and nephew as well. The position would
obviously be quite the reverse in the purely hypothetical
case of an insured person implicated in the setting of
the fire, and uncertain as to how much evidence was already
stacked up against him in the insurer's office. In such
a case it might justifiably be said that a decision to
await the insurer's promised letter was a prudent, if
unlaudable, one slnce it could result in the insured ascertaining
how much the insurer really knew. The Appellant, assumed
as stated above to be entirely innocent in this affair,
would as a prudent person surely have had no hesitation
in delivering his claim in writing in the calm assurance
that, whatever the contents of the promised letter/letters
might turn out to be, the same could not possibly defeat
or otherwise adversely affect his claim. I consider that,
in taking the position that he had to wait and see the
promised letter/letters before deciding whether to make
a claim, the Appellant did not act on reasonable grounds.
Like the two before it, this ground fails.
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The
fourth and final ground of appeal imputed to the trial
judge an error of law constituted by his supposed failure
to consider it inequitable that the policy 'should be
deemed forfeited' under condition 11. According to the
notice of appeal, the forfeiture should have been deemed
inequitable since business efficacy must be given to the
entire transaction between the parties. I have, however,
found nothing pertaining to this ground in the Appellant's
skeleton arguments and the sole point urged in its support
in oral argument in this Court was that the trial judge
ought not to have 'construed' the omission to deliver
a claim as strictly as he did. As I understood it, the
complaint was that the judge wrongly focused too much
attention on the question of breach of condition 11, at
the expense of the other issues in the case. The pursuit
of this ground was perfunctory on any view and left me
unpersuaded that the judge erred as alleged.
-
It
was for the reasons set out above that, on 16 October
2002, I reached the conclusion that the appeal should
be dismissed with costs to the Respondent, to be taxed
if not agreed.
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