“7. It is a condition precedent to insurers’ liability under this insurance that: (1) The Insured shall immediately after the occurrence of any Injury or Damage give notice in writing with full particulars thereof to insurers. Every letter, claim, writ, summons or process shall be notified or forwarded to insurers immediately on receipt. Notice shall also be given in writing to insurers immediately the Insured shall have knowledge of any impending prosecution or inquest in connection with any accident for which there may be liability under this insurance. So far as is reasonably practicable no alteration or repair shall without the consent of the insurers be made to any works, machinery, plant, commodities or goods which are directly or indirectly connected with the occurrence until insurers shall have had the opportunity of examining the same. (2) Upon receipt by or on behalf of the Insured of notice…of an intention by any person or body to make a claim against the Insured or of any allegation of negligence which might give rise to such a claim or on the discovery of any such act of negligence, the Insured shall notify insurers as soon as practicable and shall provide full information respecting it so far as such information is in the Insured’s possession…”
“28…There was some debate as to what was said in the conversation between Ms Souidhou and Mr Armstrong; I doubt that it matters. It is likely that Mr Armstrong, who was not surprised at having been Kosmar’s port of call, asked why it had taken so long to notify him and likely that Ms Souidhou answered because she (herself or personally) had only just received the claim. It was at once apparent to Mr Armstrong that this was a serious incident; it had happened in August 2002; it had first been notified to Euclidian in September 2003. On any view, enough was said in that conversation for Mr Armstrong to realise immediately that there had been a breach of limb [1] of the clause.”
“I have read through the file and have asked Kerry [Kerry Rogers, a member of Euclidian’s claims department who received the e-mail in copy] to write to you with my comments and requests for information. We have taken the view, given the possible size of this claim, not to deny liability yet and will await your reply to our various requests. I am of the opinion that whilst we should probably win this case I think that the claimant may want his day in court. There does not appear to be a CFA in place at present and therefore as a tactic once we have gathered our evidence if we disclose this should paint such a picture that he has no hope of winning and he should then be unable to obtain insurance to cover his CFA and then he would be forced to withdraw his action. Thus is a very simple view and there are other aspects to consider but for now I hope this assists.”
“31…In his evidence, Mr Armstrong agreed that there had been no reservation of rights in this e-mail (a topic to which I return); he accepted too that the e-mail gave the appearance that Euclidian was dealing with the claim. I am satisfied, insofar as there was any doubt about it, that the reference to “we” and denying liability, was a reference to the combined position of Euclidian and Kosmar vis-à-vis Mr Evans, rather than to the position as between Euclidian and Kosmar.”
“We are the liability insurers of the above named tour operators and we have been passed your letter dated 14th August 03 for attention. We were sorry to learn of the circumstances of this accident. Please note our interest and ensure that all future correspondence is sent direct to us… Please note that we are presently making enquiries with our insured in respect of the matter and we shall revert to you as soon as possible, however, given the fact that we are concerned with an accident outside the UK, enquiries may take some time. Accordingly we have 6 months to investigate and provide our views on liability… …What is Mr Evans’ current position? Please provide details of any special damages claim. Are you able to provide witness statements? We note that you [intend] to instruct a consultant to examine your client and prepare a report and we require a copy of the expert’s CV. Please also confirm your client’s DOB and NI number, in order that we may notify CRU of his claim for injury, as is our statutory duty.”
“37…Mr Armstrong agreed that at this point of time and up until the 30th September, Euclidian’s treatment of the Evans claim was consistent with it not requiring notification of the underlying incident – in the same manner as it had dealt with other claims in the schedule. As of (say) the 29th September, it would, he said, have been a “fair assumption” that Euclidian was not concerned with late notification of the occurrence.”
“With reference to the above claim as you are aware it is a condition precedent to the acceptance of liability you must notify us of any letter of claim, writ etc. Obviously, you complied with this condition but you are also obliged to notify us of any occurrence of injury. Given the nature of this injury I will require from you a brief statement confirming why this was not raised previously. Whilst we shall continue to deal with this matter we must reserve our position until such time as you have replied and we have had the opportunity to consider your comments.”
“…please be advised that it is impractical to notify yourselves of each and every injury that occurs, however if it is apparent that an injury could give rise to a claim we would do so. It was apparent at the time from the information gathered that our client was under the influence of alcohol, therefore was the author of his own misfortune.”
“43…In a matter of this magnitude, no such confidence could sensibly have existed; it would have been obvious good practice to have informed Euclidian. It is noteworthy that Ms Souidhou and Ms Alliston [of the Travel Advice Centre, to whom Kosmar delegated a role in claims’ handling] made it clear that they would have notified Euclidian immediately on learning of the occurrence – as indeed Ms Souidhou did on the 4th September, 2003. Quite why there was a breakdown in communications, so that this matter did not come to Ms Souidhou’s attention for a little over 12 months, did not emerge at trial and I make no finding in that regard. It may be that this failing was not unconnected with the unsatisfactory evidence given by the Kosmar employees at the trial before HHJ Thorn QC but it would be speculative to come to any such conclusion.”
“44…It may be that this somewhat curious state of evidence is attributable to there having been some unease within Euclidian as to whether to reject the claim or not – possibly reflecting a division of opinion between those more concerned with the bottom line and those more involved with the relationship with Kosmar. Again, that is all too speculative to permit of any firm conclusion. I approach the matter therefore on the basis that Euclidian had all the information it needed to reserve its rights from the time of the first telephone conversation between Ms Souidhou and Mr Armstrong on the 4th September, 2003 but that it did not do so until the 30th September, 2003.”
“Having heard the evidence in this trial, I do not think that any of the principal participants for a moment anticipated that a major incident or occurrence would be neither dealt with by Ms Alliston nor immediately notified to Euclidian. The reality of course was that had either Ms Souidhou or Ms Alliston received the file here, Euclidian would have been notified at once…Here, as I have already concluded, there was an unexplained and unfortunate internal failure on the part of Kosmar to bring the occurrence to the attention of Ms Souidhou; that failure had nothing whatever to do with the claims handling arrangements involving Ms Alliston.”
“There is no reason why in such circumstances Euclidian should be other than free to choose whether to reject the claim or to accept it, notwithstanding Kosmar’s failure. There is nothing automatic about this. If so, there is room for the doctrine of election.”
“So it becomes necessary to consider whether the respondents did waive this requirement. “Waiver” is a word sometimes used loosely to describe a number of different legal grounds on which a person may be debarred from asserting a substantive right which he once possessed or from raising a particular defence to a claim against him which would otherwise be available to him. We are not concerned in the instant appeal with the first type of waiver. This arises in a situation where a person is entitled to alternative rights inconsistent with one another. If he has knowledge of the facts which give rise in law to these alternative rights and acts in a manner which is consistent only with his having chosen to rely on one of them, the law holds him to his choice even though he was unaware that this would be the legal consequence of what he did. He is sometimes said to have “waived” the alternative right, as for instance a right to forfeit a lease or to rescind a contract of sale for wrongful repudiation or breach of condition; but this is better categorised as “election” rather than as “waiver”
“Election itself is a concept which may be relevant in more than one context. In the present case, we are concerned with an election which may arise in the context of a binding contract, when a state of affairs comes into existence in which one party becomes entitled, either under the terms of the contract or by the general law, to exercise a right, and he has to decide whether or not to do so. His decision, being a matter of choice for him, is called in law an election. Characteristically, this state of affairs arises where the other party has repudiated the contract or has otherwise committed a breach of the contract which entitles the innocent party to bring it to an end, or has made a tender of performance which does not conform to the terms of the contract. An analogous situation arises where the innocent party becomes entitled to rescind the contract, i.e. to wipe it out altogether, for example where the contract has been induced by misrepresentation…In all cases he has in the end to make his election, not as a matter of obligation, but in the sense that, if he does not do so, the time may come when the law takes the decision out of his hands, either by holding him to have elected not to exercise the right which has become available to him, or sometimes by holding him to have elected to exercise it. Instances of this phenomenon are to be found in s. 35 of the Sale of Goods Act, 1979. In particular, where with knowledge of the relevant facts a party has acted in a manner which is consistent only with his having chosen one of the two alternative and inconsistent courses of action then open to him – for example, to determine a contract or alternatively to affirm it – he is held to have made his election accordingly, just as a buyer may be deemed to have accepted uncontractual goods in the circumstances specified in s. 35 of the 1979 Act. This is the aspect of election referred to by Lord Diplock in Kammins…But of course an election need not be made in this way. It can be communicated to the other party by words or conduct; though, perhaps because a party who elects not to exercise a right which has become available to him is abandoning that right, he will only be held to have done so if he has so communicated his election to the other party in clear and unequivocal terms (see Scarf v. Jardine (1882) 7 App. Cas. 345 at p. 361, per Lord Blackburn, and China National Foreign Trade Transportation Corporation v Evlogia Shipping CO. S.A. of Panama (The Mihalios Xilas), [1979] 2 Lloyd’s Rep. 303 at p. 307; [1979] 1 W.L.R. 1018 at p. 1024, per Lord Diplock). Once an election is made, however, it is final and binding (see Scarf v. Jardine, per Lord Blackburn, at p. 360). Moreover, it does not require consideration to support it… Election is to be contrasted with equitable estoppel, a principle associated with the leading case of Hughes v. Metropolitan Railway Co., (1877) 2 App. Cas. 439. Equitable estoppel occurs where a person, having legal rights against another, unequivocally represents (by words or conduct) that he does not intend to enforce those legal rights; if in such circumstances the other party acts, or desists from acting, in reliance upon that representation, with the effect that it would be inequitable for the representor thereafter to enforce his legal rights inconsistently with his representation, he will to that extent be precluded from doing so. There is an important similarity between the two principles, election and equitable estoppel, in that each requires an unequivocal representation, perhaps because each may involve a loss, permanent or temporary, of the relevant party’s rights. But there are important differences as well. In the context of a contract, the principle of election applies when a state of affairs comes into existence in which one party becomes entitled to exercise a right, and has to choose whether to exercise the right or not. His election has generally to be an informed choice, made with facts giving rise to the right. His election once made is final; it is not dependent upon reliance on it by the other party. On the other hand, equitable estoppel requires an unequivocal representation by one party that he will not insist upon his legal rights against the other party, and such reliance by the representee as will render it inequitable for the representor to go back on his representation. No question arises of any particular knowledge on the part of the representor, and the estoppel may be suspensory only. Furthermore, the representation itself is different in character in the two cases. The party making his election is communicating his choice whether or not to exercise a right which has become available to him. The party to an equitable estoppel is representing that he will not in future enforce his legal rights. His representation is therefore in the nature of a promise which, though unsupported by consideration, can have legal consequences; hence it is sometimes referred to as promissory estoppel.”
“A breach of warranty may be waived by the insurer.”
“So it is laid down in section 33(3) that, subject to any express provision in the policy, the insurer is discharged from liability as from the date of the breach of warranty. Those words are clear. They show that discharge of the insurer from liability is automatic and is not dependent upon any decision by the insurer to treat the contract or the insurance as at an end; though, under section 34(3), the insurer may waive the breach of warranty. Section 33(3) of the Act reflects what has been described, in successive editions ofChalmers, The Marine Insurance Act 1906 , as the inveterate practice in marine insurance of using the term “warranty” as signifying a condition precedent. As Lord Blackburn said in Thomson v. Weems (1884) 9 App. Cas. 671, 684: “In policies of marine insurance I think it is settled by authority that any statement of a fact bearing upon the risk introduced into the written policy is, by whatever words and in whatever place, to be construed as a warranty, and prima facie, at least that the compliance with that warranty is a condition precedent to the attachment of the risk.”
“Thus, the correct analysis of a breach of warranty in the insurance contract may be that, upon the true construction of the contract, the consequence of the breach is that the cover ceases to be applicable unless the insurer subsequently affirms the contract, rather than to treat the occurrence of a breach of the contract by the insured which the insurer subsequently accepts as a wrongful repudiation.”” “In policies of marine insurance I think it is settled by authority that any statement of a fact bearing upon the risk introduced into the written policy is, by whatever words and in whatever place, to be construed as a warranty, and prima facie, at least that the compliance with that warranty is a condition precedent to the attachment of the risk.”
“Thus, the correct analysis of a breach of warranty in the insurance contract may be that, upon the true construction of the contract, the consequence of the breach is that the cover ceases to be applicable unless the insurer subsequently affirms the contract, rather than to treat the occurrence of a breach of the contract by the insured which the insurer subsequently accepts as a wrongful repudiation.””
“Section 33 of the Marine Insurance Act provides for the insurer to be discharged from liability as from the date of breach of warranty. It is, therefore, apparent that no question of election arises although by section 34(3) the insurers may waive the breach. Since the breach of warranty does not give rise to any election by the insurer eg to choose to keep the contract on foot, the doctrine of waiver by election has no application. The Owners must rely on the doctrine of waiver by estoppel, see Clarke, Law of Insurance Contracts, 2nd edn, para 20-7A, MacGillivray, Law of Insurance, 9th edn, paras 10-96 to 10-98. Owners must therefore show a representation by words or conduct that insurers would not rely on the requirement of a condition survey. It seems to me that the Owners cannot show this…”
“7. In dealing with the law the Judge started by recognising that where there is a breach of warranty there is no scope for traditional waiver by election because the insurer is automatically discharged from liability upon breach and therefore has no choice to make. This is why only waiver by estoppel availed HIH, if it did.”
“The principle is expressed in MacGillivray on Insurance Law, 10th Ed, at para 10-101 [sic, in fact para 10-102]: “[Waiver] means the abandonment or relinquishment of a right of defence [sic, in fact “a right or a defence”] which may occur either as the result of an election by the insurer or of the creation of an estoppel precluding him from relying on his contractual rights against the assured.”
“In the present case I do not see that the insurers in January, 1966, were confronted with two alternative and mutually exclusive courses of action, between which they had, in fairness to the insured, to make an irrevocable choice. What happened then was, it seems to me, of a provisional or tentative character. One cannot impute to the insurers more than that they were saying: “It may well be that this claim is one which will give rise to a right of indemnity under the policy, and, that being so, it is right that our mutual interests should be protected as far as possible…”
“It is a matter of little importance to the courts and still less to the parties, whether a sensible answer is found on the basis of waiver [ie election] or of estoppel. For example, if the claimant fails to produce the evidence of fire loss required by the contract and the insurer does not insist on it until it is too late for the claimant to obtain it, the insurer will not be allowed to refuse the claim on that ground. According to the Goff distinction, that is waiver, and, as such…is irrevocable. However, even if it is called estoppel, the result is the same; estoppel, although generally only suspensory, is also irrevocable, if the representee claimant cannot resume his former position, i.e. in this example, cannot obtain the evidence of the fire loss. So, in the discussion that follows, “waiver”, the term most commonly used by the judges, is used to cover both concepts.”
“X.3.30. Where an insured notifies the insurer of a claim out of time or fails to notify the insurer of the relevant circumstances required by the policy and the policy makes compliance with these requirements a condition precedent of liability, the insured [sc insurer] is faced with a choice between inconsistent courses of action; either to rely on the failure to comply with the condition and reject the claim or to waive the failure to comply with the condition. If, with knowledge of this choice, the insurer elects not to insist on strict compliance with the condition and communicates the decision to the insured, the insurer will be bound by this election… X.3.31 Waiver by election: Where the insured fails to comply with a procedural condition but the knowledge of this fact and of the right to reject the claim the insurer chooses not to reject the claim and communicates that decision to the insured either by words or conduct, the insurer will be bound by that decision…Further, if the insurer rejects the claim on specific grounds but chooses not to take the point that the insured has committed a breach of a procedural condition, this may also amount to a waiver by election.”
“Insurers shall be entitled if they so desire to take over and conduct in the name of the insured the defence or settlement of any claim or to prosecute in the name of the Insured for their own benefit any claim for indemnity or otherwise and the Insured shall give all such information and assistance as insurers may require.”
“82. In principle, I have much sympathy with this stance. It would be undesirable to permit an unmeritorious insured to snatch at an unguarded act or communication on which to construct a case of election. Likewise, it would be undesirable to require a knee-jerk reservation of rights or rejection of a claim, immediately insurers became aware of it. Still further, when, as here, Kosmar had taken so long to communicate anything in respect of this matter to Euclidian, fairness requires that Euclidian should have ample time to consider its position. All these points I readily accept and nothing which I say is intended to weaken them.”