JUDGEMENT
M.THANIKACHALAM, J. -
(1.) The opposite parties are the appellants.
(2.) The respondent/ complainant had insured their vehicle, used for
transporting the college students, bearing Regn. No.TN 28 A 6999, for the
period covering 6.3.2005 to 5.3.2006. The bus used for transporting the
students to Jalagandapuram, viz. TN 28 B 7999, on 11.7.2005, undergone
repair, while negotiating a curve, thereby allowing the students to stand
in the road. In order to avoid further problem, the bus bearing
Regn.No.TN 28 A 6999 was used to pick up the students, and unfortunately
this vehicle met with an accident, causing extensive damage, injuring
students also. Based upon the policy, the complainant lodged a claim with
the 2nd opposite party, repudiated, appealed to the 3rd opposite party
also, rejected, thereby the insurer have committed deficiency, as well as
negligence, causing mental agony. Because of the negligence committed,
and causing delay, the complainant is entitled to a compensation of Rs.3
lakhs, as well as, for mental agony Rs.1 lakh. Thus claiming a consumer
complaint, was filed before the District Forum.
4. The opposite parties, admitting the insurance taken by the complainant
for the vehicle in question, denying the averments in the complaint,
opposed the case, interalia contending that the complainant having taken
the permit for TN 28 A 6999 to ply within the Namakkal District, against
the permit condition, in violation of the policy condition, used the same
outside the geographical permit condition, wherein it appears, it had met
with an accident, that in order to justify the violation, an imaginary
story was invented after repudiation, and as such since the opposite
parties have not committed any negligence or deficiency, they are not
liable to pay any amount, much less the repair charges, including the
mental agony, thereby prayed for the dismissal of the complaint.
5. The District Forum, while evaluating the matter, not approaching the
case legally, based upon the insurance contract, approaching the case,
more or less on other consideration, came to a conclusion, that there was
no willful violation of permit condition, as well as there is no willful
misuse of the vehicle by the complainant. In this view, further
concluding that the non-settlement of the claim should be construed as
deficiency in service, since there was no willful breach of permit
condition, the District Forum directed the opposite parties, as per the
order dt.19.11.2009 to pay a sum of Rs.77,570/-, being the repair cost,
with interest at 7.5% p.a., from the date of repudiation, with
compensation of RS.25000/- with cost, which are impugned by the opposite
parties, on various grounds.
6. Under Ex.B1, a transport bus used by the college, bearing Reg. No.TN
28 A 6999, was insured with the 2nd opposite party, by the complainant
educational institution, for the period covering 6.3.2005 to 5.3.2006.
This vehicle, met with an accident on 11.7.2005, on the way to
Jalgandapuram, via Edappady, Salem District, for which a case came to be
registered. Factum of accident is not very much in dispute before us. The
complainant after repairing the vehicle by spending considerable amount,
lodged a claim with the opposite party, under Ex.A7. The insurance
company also, based upon the claim lodged investigated the matter, and
the investigation revealed that the accident was true, but the vehicle
involved in the accident had contravened the permit condition. Therefore,
the surveyor appointed, or investigating officer appointed, opined that
the claim may be refused. On the basis of the investigation report under
Ex.B11, the insurance company repudiated the claim, informing that the
complainant had violated the terms and conditions of the policy, and
therefore they are not entitled to reimburse the cost, if any incurred by
the complainant, in repairing the accident vehicle. Thereafter aggrieved
by the order of the 2nd opposite party, when the complainant approached
the 3rd opposite party, they also took the same view, thereby according
to complainant, they were deprived of their legitimate claim by the
negligence and deficiency in service committed by the opposite parties.
In this way, a consumer complaint came to be filed, claiming Rs.4 lakhs,
favouring lesser amount, as stated above, order passed, impugned.
7. The learned counsel for the appellant would contend, that when the
complainant had contravened the permit, as well as the conditions of the
policy, they are not liable to compensate the damage if any occurred to
the vehicle, this being the own damage, not in respect of any 3rd party
claim. In support of the above submission, our attentions were drawn not
only to the permit condition, but also the policy conditions.
8. Per contra, it is the submission of the learned counsel for the
respondent/ complainant, that they have not violated any policy
conditions, and infact on humanitarian grounds, when the college students
are stranded due to breakdown of the bus, this vehicle was used to
transport the stranded students, and unfortunately this vehicle met with
an accident, which cannot be brought under the violation of the policy,
or permit condition. Thus urging, an attempt was made to confirm the
order of the District Forum. In this context we have to see, the permit
conditions, as well as the policy conditions.
9. As evidenced by Ex.A4, the complainant had obtained permit for the
vehicle TN 28 A 6999 "to ply all over Namakkal District with headquarters
at Thiruchengode", not in dispute. This policy being a commercial vehicle
package policy, there is a specific clause, under general exceptions,
which reads "the company shall not be liable under these policy, in
respect of (1) any accidental loss or damage, and or liability caused or
sustained or incurred outside geographical area", i.e., outside the
permit area, which is restricted in the permit, as said above, as
Namakkal District. Therefore, as per the permit condition, as well, as
per the policy condition, if the owner of the vehicle, or the insured had
violated the policy condition, as well as the permit condition, then the
company cannot be held responsible for the accidental damage, and
accordingly alone they have repudiated the claim, in which we are unable
to find any error of law, the further fact being conditions of the
educational institution vehicle permits clause 11 reads, "the vehicle
shall be used only in the area or on the route specified in the permit".
Therefore, there is no question of willful use of the vehicle anywhere,
or intentional use of the vehicle anywhere, offending the permit, that
cannot be the consideration for the Forum, to decide the case in respect
of the own damage, on humanitarian grounds, or something like that, for
which no jurisdiction was given under the Act. The terms and conditions
of the policy, as well as the permit being the terms of the contract
agreed between the parties, that should be construed strictly and there
is no question of elongating the conditions or substituting the
conditions, or stretching the condition, to fit in with the
circumstances, to favour the insurer, as did by the District Forum
erroneously. Therefore, as per the policy conditions, as well, as per the
permit conditions, the vehicle met with an accident, was not used,
whereas it met with an accident outside the geographical area, insured is
not bound to compensate or not bound to pay compensation. Even on factual
aspect also, the complainant is not entitled to any mercy, as did by the
District Forum, unnecessarily showing misplaced sympathy, who has not
come to the Forum with clean hands/ case.
10. In the complaint under what circumstances this vehicle bearing Regn.
No.TN 28 A 6999 was used are described, as if it was used unavoidably to
help the students, which proved to be false. Whereas this vehicle should
have been used, on regular basis, to transport the students, violating
the permit conditions, that can been seen even from the documents relied
on by the complainant. After the accident, when the claim was lodged, it
is not the case of the complainant, that originally the bus bearing
No.TN28 B 7999 was used and because of its breakdown, this vehicle was
used to transport the students. On the other hand it is the case of the
complainant in the claim petition, that on 11.7.2005, the bus was taking
the students from the college, proceeding towards Jalagandapuram via
Edappady, and met with an accident at the bus stop Avinoorkottai at 5.15
p.m. Immediately, the driver of the bus by name Anbalagan had given a
statement to the insurance branch office, as evidenced by Ex.A9, there
also it is not the case of the driver, that this bus was used as a
substitute for the breakdown bus, whereas it is the case of the driver
that he transported the student in this bus, i.e., TN28 A 6999 from
Sengunthar Collage, Jalagandapuram via Edappadi, and the vehicle met with
an accident. Even the complainant also informed to the insurance company,
as per the communication dt.8.8.2010, that this bus was proceeding from
College on 11.7.2005, transporting the students to Jalagandapuram, met
with an accident, and it is not the case, that this bus was used as a
substitute or spare bus for breakdown bus TN28 B7999, as contended, as an
after thought, after repudiation. If really this bus was used as a
substitute or spare bus, after breakdown of the regular bus, nothing
would have prevented the complainant to project the same, which they
failed. Admittedly, the complainant having obtained permit for TN28
A6999, plied the vehicle outside the permit area viz. Salem District,
near Edappady, where accident had taken place. Investigation conducted by
the opposite party also revealed, this fact as stated supra. On these
basis alone, under Ex.A7, repudiation was made, and only thereafter a new
case was invented by the complainant, as if this vehicle was used to
pickup the students, who stranded due to breakdown of another bus,
justifying their act under Ex.A12, which itself is an monumental proof
for the violation of the permit, as well as policy condition.
11. The learned counsel for the opposite party, inviting our attention to
the decision of the Hon?ble High Court of Madras, urged before us, even
if there was any violation of the permit or policy condition, that will
not give leverage to the insurance company, to repudiate the claim, here
repudiated on the basis of the policy condition, that should be construed
as deficiency in service. In the case relied on by the learned counsel
for the complainant, National Insurance Company Vs. T. Elumalai, reported
in AIR 1990 MADRAS 71, the Hon?ble High Court, considering the effect of
Sec.96(2) of the Motor Vehicle?s Act, as well as 3rd party risk, has come
to the conclusion, as against the liability of the insured to the 3rd
parties, the insurer cannot take this kind of defense, further observing
"if there is a breach of contract on the part of the insured the insurer
could proceed against the insured, but as far as the third party risks
are concerned, the liability having been created by the statute, cannot
be over-ridden by the terms of the contract of insurance between the
parties. S.96(2) of the Act, does not include violation of the terms of
the permit relating to plying in certain geographical area". This
principle cannot be extended to the present case, since it is not a 3rd
party risk, or claim, whereas own damage for the vehicle, which had
violated the terms and conditions, as well as the policy condition. As
pointed out by us supra, when the policy itself has specifically stated,
that the company shall not liable, if there was a violation of the
permit, then there was no question of ordering compensation, on the
ground of bonofide or willful intention or malafide intention, as the
case may be, as unnecessarily travelled by the District Forum. For the
above said reasons, there is no deficiency on the part of the opposite
parties, is our definite conclusion, and on this ground, the order of the
District Forum is liable to be upset, for that appeal is accepted.
12. In the result, the appeal is allowed, setting aside the order of the
District Forum in CC.No.1/2008 dt.19.11.2009, and the complaint is
dismissed. There will be no order as to cost throughout.
Registry is directed to handover the Fixed Deposit Receipt, made by way
of mandatory deposit, to the appellant, duly discharged.;