“Any dispute between the Insured and the Company on our liability in respect of a claim or the amount to be paid shall, in default of agreement, be referred within nine months of the dispute arising to an Arbitrator … and the decision of the arbitrator shall be final and binding on both parties. If the dispute has not been referred to arbitration within the aforesaid nine month period, then the claim shall be deemed to have been abandoned and not recoverable thereafter.”
“... In the event of accident caused by or in connection with the insured vehicle the company will indemnify the insured against liability at law for damage in respect of bodily injury to any person. If the company shall disclaim liability to the insured for any claim hereunder and if within twelve calendar months from the date of such disclaimer legal proceedings have not been instituted ... in respect thereof by the insured or the insured’s duly authorised representatives then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder.”
“It was further said that [the insured or the third party] cannot have a claim until not merely liability has been agreed or determined, but that third party claim has actually been quantified. With respect, I think that it is an impossible argument... It seems to me that you can, within the present clause, have a claim by the assured for indemnity against a potential liability, long in advance of any claim against the assured by a third party being agreed or determined either as to liability or quantum or both.”
“Any dispute between the Insured and the Company on our liability in respect of a claim or the amount to be paid shall, in default of agreement, be referred within nine months of the dispute arising to an Arbitrator…and the decision of the arbitrator shall be final and binding on both parties. If the dispute has not been referred to arbitration within the aforesaid nine month period, then the claim shall be deemed to have been abandoned and not recoverable thereafter.”
“72. I consider that as a matter of ordinary language, once Lenihan had notified Quinn of a claim under the policy in respect of a potential liability to any third party and Quinn had notified Lenihan that it was refusing indemnity, there was a dispute between Lenihan and Quinn in relation to Quinn’s liability to indemnify Lenihan within the meaning of General Condition 16. Further, for the reasons I have given I consider that, if Quinn’s refusal to indemnify was unjustified, Lenihan had an accrued cause of action against Quinn for breach of contract which would entitle Lenihan to seek redress – in this case by arbitration. Once notified of Quinn’s refusal to indemnify on grounds of breach of policy conditions Lenihan would be entitled to refer that dispute to arbitration claiming an indemnity that Quinn had no grounds under those conditions for refusing to indemnify Lenihan against the claims arising out of the fire. 73. From a purely practical point of view, I consider that it would be most unsatisfactory if an insured had no remedy against its liability insurer in a situation where the insurer was refusing to indemnify the insured against an actual or potential claim by a third party. Where liability under the policy is admitted, the insured will usually, in its own interests, take over the conduct of the insured’s defence to the claim – as liability policies almost invariably permit. If this does not happen, because the insurer is, for whatever reason, refusing to accept that the policy responds to the claim, then the insured may find itself unable to afford the costs of defending the claim, let alone able to pay any damages awarded against it, and it may be forced out of business as a result. In these circumstances it would be most unfair if, before those events occurred, the assured could not obtain any remedy against its insurer in a situation where the insurer was said to be wrongfully refusing indemnity. 74. But, as I have indicated, this is not what happens in practice. Where there is an allegedly wrongful refusal to indemnify by an insurer, the insured can sue for a declaration that it is entitled to indemnity against an actual or threatened claim. I have given my reasons as to why I consider that this course of action is justified in law as well as being a pragmatic solution to the problem. Of course an insured would not need to and could not sue for such a declaration in the absence of a dispute about the insured’s entitlement to an indemnity. If the insurer had not refused to indemnify, there would be no basis for bringing a claim for a declaration. 75. In this case Lenihan had reported the fire to Quinn in accordance with the terms of the Policy and was expecting to be indemnified in the event that it was found liable to the Claimants. Further, it anticipated that Quinn would handle the defence to any claims. When Lenihan discovered that Quinn was refusing to indemnify, and consequently that it would not be taking over the conduct of the defence to the claims brought by the Claimants, there was clearly a dispute in respect of Quinn’s liability in respect of the claim by Lenihan under the policy. That was the claim which originated with Lenihan’s report of the fire in September 2006, and the possibility that claims might be made against it. That was the claim which was subsequently investigated by Quinn and the claim in respect of which Quinn decided that it would not be granting an indemnity.”
“The insured could only have sued for an indemnity when his liability to the third person was established and the amount of the loss ascertained. In some circumstances the insured might sue earlier for a declaration, for example, if the insured [sc insurance] company were repudiating the policy for some reason. But where the policy is admittedly good, the insured cannot sue for an indemnity until his own liability to the third person is ascertained.”
“It is an express condition of the Policy that all incidents that might give rise to liability or claim under the Policy must be reported to Quinn direct by phone immediately or a soon as practically possible, in the case of material damage or by the next working day (or in accordance with any agreement made with the company) and thereafter in writing to enable a proper investigation to be carried out. All incidents must be reported immediately, regardless of whether you are of the opinion it will lead to a claim or not.”
“If the company shall disclaim liability to the insured for any claim hereunder and if within twelve calendar months from the date of such disclaimer legal proceedings have not been instituted in…Great Britain…in respect thereof by the insured or the insured’s duly authorised representatives then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder.”
“They have therefore decided not to proceed to meet the claim”
“It was further said that they cannot have a claim until not merely liability by the third party has been agreed or determined, but that third party claim has actually been quantified. With respect, I think that is an impossible argument and I do not find any support for it in a judgment of Mr Justice Devlin, as he then was, in West Wake Price & Co. v. Ching, [1956] 2 Lloyd’s Rep. 618; [1957] 1 W.L.R. 45, a decision on a totally different clause in a totally different type of policy. It seems to me that you can, within the present clause, have a claim by the assured for indemnity against a potential liability, long in advance of any claim against the assured by a third party being agreed or determined either as to liability or quantum or both. This is, in effect, what the learned judge [Sheen J] held. He said at p. 142 of [1979] 2 Lloyd’s Rep.: The second point made by Counsel for the plaintiff was that no claim was made in 1971 because it was necessary to have an amount claimed before there is a claim. I do not accept that submission, and it is not without significance that the writ in this action was issued before the amount of Miss Walker’s damage was known. The learned judge dealt with that point with admirable brevity and I entirely agree with what he said. That is sufficient to dispose of this appeal.”
“The essence of the main indemnity clause – as indeed of any indemnity clause – is that the assured must prove a loss. The assured cannot recover anything under the main indemnity clause or make any claim against the underwriters until they have been found liable and so sustained a loss. If judgment were given against them for the sum claimed, they would have undoubtedly have sustained a loss…”