“INSURING CLAUSES Subject to the terms, conditions limitation and exclusions of this Policy the Underwriters agree to indemnify the Assured, up to an amount not exceeding the Limit of Liability, for direct financial loss sustained by the Assured subsequent to the Retroactive Date and first discovered by the Assured during the Policy Period as follows: 1. Accounts Receivable By reason of the Assured having in good faith and in the usual course of business: (a) purchased by assignment or otherwise an Account Receivable from a Customer; or (b) made a Loan to a Customer against the security of an Account Receivable; In circumstances in which, in either case, such Account Receivable is or proves to be Fraudulent. … General Definitions ‘Account Receivable’ means any document or other written instrument either purporting to represent or in fact representing or evidencing a sum of money due to a Customer for: (a) Goods sold and delivered; or (b) services rendered; or (c) work done; by the Customer to or for the benefit of a third party. … ‘Fraudulent’ in the context of an Account Receivable means an Account Receivable that has been created dishonestly or with intent to deceive and which proves to be any one or more of the following: (a) non-existent; (b) counterfeit; (c) Forged: (d) fictitious in whole or in part; (e) Invalid; or (f) Worthless. … General Conditions 13. Service of Process … (b) Legal proceedings for the recovery of any loss under the Policy shall not be brought prior to the expiration of 90 days after the original proof of loss is filed with the Underwriters or after the expiration of 24 months from the discovery of such loss, except that any action or proceedings to recover under the Policy on account of any judgement against the Assured in any suit shall be brought within 24 months from the date upon which the judgement in such suit shall become final. … 18. Discovery This Policy applies to loss discovered by the Assured during the Policy Period. Discovery occurs when the Assured becomes aware of facts which would cause a reasonable person to assume that a loss covered by the Policy has been or will be incurred, even though the exact amount or details of loss may not then be known.”
“Discovery occurs when the Assured becomes aware of fact which would cause a reasonable person to assume that a loss covered by the Policy has been or will be incurred, even though the exact amount or details of loss may not then be known.”
“I would advise you of a potential claim situation which has just arisen on a client of Fortis Bank Commercial Finance. Our client is Zye Technology Limited. This is a client which commenced an Invoice Discounting facility in December [1999]. We have discovered at a meeting with the Directors on Thursday10th February 2000 and at a subsequent meeting today that the company has not been administering their sales ledger collateral in accordance with their Invoice Discounting Agreement. We will be appointing a Receiver on Monday14th February 2000 . It is evident that the company has sent us invoices for which no goods were delivered and has also not sent us credit notes which had been issued to their debtors. At this time we are aware that the company have been deliberately withholding credit notes for goods which have been returned in order that they could maximise their funds available under the agreement. We are currently have a position whereby the total approved collectable sales ledger totals approximately£1.6m and our client Current Account (funds prepaid to the company) totals approximately£2.3m . In addition at previous meetings the company and its Directors have not disclosed information to us which would have [been] material in our decision to fund the business. At present we are still quantifying our position but under the terms of our fraud insurance policy are hereby advising you of a potential claim. Once we have crystallised out position we will advise you further.”
“They have a receivable on their books at 2.9 million and it’s thought that this is overstated to the extent of£600,000 or so. However, the collectability could be as low as 1.6 million. The Assured is still investigating and are not yet in a position to establish the extent of the fraud at the moment.”
“We are compiling the information you have requested on Zye … we expect to have this available for you by3rd March 2000 .”
“Immediately upon discovery of the fraud and upon preliminary audit, Fortisbank through Wildes (the then solicitors of Fortis) informed the insurers. I myself had conversations with Mr Sharrock of Messrs Kennedys who agreed that the fraud was a considerable one. Our view was the more sustained and we also discovered credit notes which were in themselves bogus but which were obviously used to try and conceal the fraud.”
“[It] is therefore evident that our claim against our Accounts Receivable Insurance Policy will be£1 million with a further loss to be taken in addition to this figure by Fortisbank of between£700,000 and£1 million dependent on the level of the remaining collections. … Having now come to the end of the collection process we should now be in a position to start to furnish with the details of our claim as detailed in your fax. You will appreciate that the process could not start until we had a definitive position on the account.”
“19. The claimant denies that this claim is time-barred by virtue of general condition 13(b) of the policy or at all. At all material times and since the initial notification of this claim, the defendants, via its solicitors have averred (and continue to aver) that the claimant has failed to prove its claim. 20. The claimant has received continuous and numerous requests from the defendants for more and further detailed information in support of these claims. At no stage whatsoever either orally or in writing did the defendants either themselves or through their servants or agents state that any reliance was to be made on clause 13(b) of the policy. At all material times the claimants were encouraged to provide (and did so provide) further and better information and were urged by the defendant’s representatives not to issue proceedings against the defendants but to provide further information. The claimants aver that: 20.1 There was an express, or in the alternative, an implied agreement between the parties that the defendants would not seek to rely upon clause 13(b) of the policy whilst further requests were being made of the claimant for information. 20.2 in the alternative the defendants have waived their rights to rely upon the said clause. 20.3 Further in the alternative that the defendants are estopped from relying on the said clause.”
“It is well settled that the principle [of equitable estoppel] requires that one person should have made an unequivocal representation that the does not intend to enforce his strict legal rights against the other; it is difficult to imagine how silence and inaction can be anything but equivocal … But silence and inaction are of their nature, for the simple reason that there can be more than one reason why the person concerned has been silent or inactive.”
“The promise must be construed objectively, not subjectively. The question is whether the correspondence can reasonably be understood to contain that particular promise. It does not matter what Mr Seechurn thought it meant, nor does it matter what a layman might have thought, …. unless of course, that layman is a passenger on the Clapham omnibus.” iv) The mere fact that an insurer has attempted to negotiate with the insured about a claim, both before and after the expiry of the limitation period, cannot per se amount to a waiver or an estoppel; as Ward LJ said in Seechurn (see paragraph 55 and 58) the mere fact insurers said in that case that the door to compromising the claim was still open was not impliedly to promise that a limitation point would not be taken when negotiations failed and the proceedings started out of time. v) Once a representation in unequivocal form has been established, a claimant then has to demonstrate that, relying on such promise or representation, the claimant also altered its position to its detriment or otherwise relied on the promise so that it would be inequitable or unconscionable for insurers not to be held to the promise: see Seechurn at paragraph 26 and also The Kanchenjunga at page 399. The reliance must be positive in the sense that the representee must show that it attached significance to the representation alleged and acted on it; see HIH Casualty and General Insurance Limited -v- AXA Corporate Solutions [2003] 1 Lloyds Rep IR 1 at paragraph 29. vi) A representee who is unaware that the representor had a particular right is unlikely to understand the relevant representation to mean that the representor will abandon any particular right in the absence of an express representation: see HIH Casualty and General Insurance (supra) per Tuckey LJ at paragraph 22. vii) Once a limitation period has expired, in a case such as the present, it is in reality impossible for a claimant to alter its position to its detriment in reliance upon any representation as to limitation made after that date; see per Ward LJ in Seechurn at paragraph 59 where he said: “After the limitation period had expired it is difficult to see how the claimant could have altered his position to his detriment. His claim was doomed. He could not be worse off.”
“Please note that, until such time as all relevant information and documentation has been provided to your insurers, and they have had a chance to assess your claim for indemnity under the policy, insurers reserve their rights generally.”
“At no point thereafter did Underwriters consider that all relevant information and documentation had been provided.”
“Finally, we still hope to avoid proceedings but are mindful that the two year limit set by the policy (the clause of which are not accepted as enforceable in this scenario) for issue of proceedings is nearly upon us. Can you please extend our time generally for issue of proceedings now, or we shall do so on a protective basis.”
“Mere silence, inactivity, or failure to take a point cannot be enough to found an estoppel by convention.”