“For each reinsurance contract (or if there was only one contract, the reinsurance contract) was a Claims Settlement Clause a term of that contract and, if so, what was the wording of that clause?”
“Notwithstanding anything contained in the reinsurance agreement and/or the policy wording to the contrary, it is a condition precedent to any liability under this policy that: (a) Upon the reinsured being advised of any circumstances which may give rise to a claim against this policy, the reinsured will advise reinsurers of such notification as soon as is reasonably practicable; (b) The reinsured shall furnish the reinsurers with all information in respect of such circumstances and shall co-operate with the reinsurers in the adjustment and settlement of the claim.” (a) Upon the reinsured being advised of any circumstances which may give rise to a claim against this policy, the reinsured will advise reinsurers of such notification as soon as is reasonably practicable; (b) The reinsured shall furnish the reinsurers with all information in respect of such circumstances and shall co-operate with the reinsurers in the adjustment and settlement of the claim.”
“I have been advised of the reasons for your not attending the meeting (Missing text ….) delivered by Crawford on 1 March of this year, in respect of which I wish to make some comments which for us, CVG Venalum, are of great importance and reflect the degree of your commitment or liability as ourinsurer. I greatly acknowledge all the actions that you have carried out and which in the end achieved the non-prescription of the claim, 4 years after its occurrence, however your absence from prior meetings, taking into account the fact that the adjuster, Crawford, is appointed by Multinacional, shows your apparentapathy in contributing to the conclusion of the Final Adjustment Report, when the success of the process of technical discussions between CVG Venalum and the adjuster, which have led to a definition of the technical aspects of this case, in respect of Direct Losses, has been obvious. CVG Venalum is aware of the legal proceedings in which Multinacional has found itself involved with the Reinsurer, whom we are aware was appointed by CVG; the choice of Multinacional as Insurer for several consecutive years is proof of the confidence placed in you. The presence of Multinacional at the meetings signifies for us the responsibility which you have to Venalum as its insurance company.”
“My dear Soraya First of all thank you for your note and the trust placed in our Company, which will never be betrayed. However I think it necessary to give some formal clarifications in relation to this delicate situation, which are: 1) It is true that our Company has taken on a commitment and has worked hard not only in relation to this case but in relation to all the cases it has handled. Nevertheless it should be recalled that in all claims handled with CVG we have to follow the conditions and clauses negotiated with the reinsurers selected by CVG and particularly the clause relating to ClaimsCooperation. 2) The correct observance of this clause has been the precise reason for the high level of recovery in all the claims presented to date. 3) In the case of the claim relating to the cells, we have explained the circumstances affecting the case, where the adjuster, after delivering contradictory preliminary reports at the direct petition of the reinsurer, apart from ceasing to continue with the adjustment, delivered to the reinsurer all the documents presented by you which we consider probative in this case. 4) Having insisted on answers from the reinsured (sic) that we could give to Venalum, the reinsurer simply responded by filing an action against us for an alleged breach of the above mentioned clause and conclusively ratified the prohibition of the adjuster’s continuing on the case, and stated its position of rejecting the claim on the basis of time bar. 5) Considering how incomprehensible this attitude seems both to you and to us, we have obviously employed all the legal resources, sparing no expense, both in Venezuela, which includes our denunciation to the Superintendencia de Seguros, and in London in order to reverse this state of affairs and ensurethe continuation of the adjustment and the suspension of the proceedings, which to date has been achieved. 6) The adjustment, that by order of the Insurance Commission should have been completed some time ago, is apparently under technical discussion at present. We cannot intervene at this stage on account of our liability with Venalum as this could be legally interpreted by the reinsurer as biased interference by ourselves and lead to results that could only be to the detriment of Venalum… It should be indicated that Multinacional have never directly intervened in discussions of a technical nature and the closing of adjusted figures (we are legally prohibited from doing so) inany claim, as this is totally entrusted to the appointed adjuster who should act in a totally objective manner with regards to all the parties. For the reasons indicated above and in order to safeguard the interests of the parties and avoid any undesirable consequences for the settlement of the claim, we feel that it would be incorrect for us to attend the meeting. I hope that this serves to clarify why it would be unfitting for us to attend this meeting and those requested earlier. We similarlywish to confirm our strong undertaking to continue with all the procedures necessary to bring this case to a conclusion once the corresponding adjustment has been finalised and delivered. Best Regards Wilson Espinoza”
“3) In the case of the claim relating to the cells, we have already explained in previous meeting the circumstances affecting the case, where the adjuster, after delivering various preliminary reports at the direct and formal petition of the reinsurer, ceased to continue with the adjustment and delivered to the reinsurer all the documents presented by you which we consider probative of the case. 4) For insisting to the reinsurer (Lexington) seeking definite answers that Venalum reasonably demanded and which had to be given to them, the reinsurer simply responded by filing an action against us for an alleged breach of the above mentioned clause and conclusively ratified to the adjuster the prohibition to continue with the case and stated its position of rejecting the claim on the basis of time bar, which we rejected as we considered that it was legally incorrect. 5) Considering how incomprehensible this attitude seems both to you and to us, we have obviously employed all the legal resources, sparing no expense, both in Venezuela, which includes our reports to the Insurance Commission (Superintendencia de Seguros), and in London in order to reverse this state of affairs and ensure the continuation of the adjustment and the suspension of the proceedings, which to date has been achieved.”
“For any applicable Claims Settlement Clause in a contract between the parties, would a breach by the Defendant of that clause preclude the relevant Claimant from incurring any liability to the Defendantunder that reinsurance Contract and entitle the Clamant to a declaration to thateffect?”
“If the Defendant did breach any applicable claims settlement Clause, did the Claimant prospectively waive any such breach by repudiating any liability to the Defendant for Venalum’s claim and commencing the action?”
“…election is the exercise of a right to choose between inconsistent remedies. It generally requires knowledge of the facts giving rise to the choice on the part of the party electing, and knowledge of the choice having been made on the part of the other party…Estoppel, however, is a promise supported not by consideration but by reliance. It is a promise not to rely on a defence (per Lord Diplock) or a right (per Lord Goff). It requires a representation in words or conduct, which must be unequivocal and must have been relied on in circumstances where it would be inequitable for the promise to be withdrawn... The estoppel may not be irrevocable but may be suspensory only…”
“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 open to him – for example to determine a contract or alternatively to affirm it – he is held to have made his election accordingly…”
“In practice insurers who intend to take advantage of the lateness of the notice should immediately repudiate liability on that ground. They may then ask for proofs and evidence “without prejudice” and the claimant is obliged to supply them according to the conditions of the policy because the insurers are entitled to a full opportunity of investigating the claim on its merits”
“4. The law must be attributed the meaning which appears obvious from the meaning of the words themselves, according to the connection between them and the intention of the legislator. When there is no precise provision in the Law, provisions which govern similar texts or analogous subjects will be taken into account and if there are still doubts the general principle of law will be applied.”
“1.954 Time bar can only be renounced after it is acquired”
“1.957 The renunciation of time bar may be express or tacit. Tacit renunciation results from any action incompatible with the desire to make use of time bar.”
“The waiver of the time bar defence is an act by means of which the debtor conveys, either expressly or tacitly his intention not to exercise that right””
“1.685 The mandate may be express or tacit. Acceptance may be tacit and result from the execution of the mandate by the agent. 1.687 The mandate is special for a transaction or for certain transactions only, or general for all of the principal’s transactions. 1.688 The mandate granted in general terms does not include anything more than acts of administration. In order to be able to sell, transfer, mortgage or conclude any other act which exceeds ordinary administration, the mandate must be express.”
“1.954 He who cannot transfer cannot renounce the time bar”
“Q And because he had been involved, he was copied in on the fax. A. He was copied in. Crawford was copied in, and also the President of the company, who obviously authorised this letter. Several people. Q. And the President authorised the letter and was copied the letter? A. I don't even know if the President was there that day, though the letter 127. did not compromise or commit the company to anything. In the letter no right was compromised. It didn't commit itself to anything, and so I think that that letter in particular would not have merited the approval of the President. If there had been some other types of undertakings, a promise or an offer, then it would have been -- or a waiver, then it would have required the authorisation and the signature of the President. Q. You said a few moments ago that it was authorised by the 128. A. Well, what I don't know is whether he saw it on that very day or some days later. 129. Q. But you were keeping him informed about developments generally? 130. A. Not only about that, but about all the business that I was dealing with. Q. Yes. So the likelihood is he would have been aware of it? A Yes. Q. And neither Dr Mourino or the President ever suggested afterwards that they disagreed with the sending of the fax? A. There is no reason for any such disagreement. The letter was mentioned in conjunction with Dr Mourino and on the basis of the views of the company. The contents of the letter did not in any way affect the business of the company and Lexington.”
“Article 94 A factor is the manager of a company or mercantile or manufacturing establishment, or a branch of these, who manages on behalf of the owner. Subordinate employees (dependientes) are the subordinate employees that the trader has beside him/her to assist in his/her operations, working under his/her direction. The owner is known as principal with regard to the factors and subordinate employees. Article 95 A factor must be constituted by means of a registered document that will be filed with the Commercial Register Office and shall be publicly displayed in the Court hearings room. The factors are understood to be authorized for all the acts concerning management of the company or establishment entrusted to them; and they may execute anything that is necessary for the proper performance of their position, unless their principal expressly limits the powers that he grants to them. Article 96 In the operations they carry out, the factors shall state that they enter into the contract on behalf of their principals; and on the documents they sign they shall state before the signature that they sign under power of attorney. Article 97 If the factors should not state that they are acting under power of attorney, they will be personally liable for performance of the contracts. It shall be understood that they have acted in representation in the following cases: Article 95 Article 96 Article 97 1. When the contract entered into relates to the ordinary commercial activity of the establishment they manage. 2. If they have contracted following instructions of their principal, even if the transaction is not within the ordinary course of business of the establishment. 3. If the principal has ratified the contract either expressly or tacitly, even if it has been entered into without his instructions. 4. If the result of the negotiation is invested for the advantage of the principal. In these cases, the third parties who have entered into contracts with the factor may address their actions against the principal, but not against both.”
“Amongst the case law on commercial agents, a single author, Alfredo Morles Hernandez, supports a doctrine which accepts the constitution of an agent despite there being no regulation recorded dedicated to the subject in Section V of Chapter II of the Commercial Code. The doctrine concludes that it is necessary to analyse each specific case because there is no regulation, but the doctrine does not offer either regulations or examples. Classic authors such as Luis Sanojo and Anibal Dominici maintain the contrary. The Supreme Court of Justice , since 1961, has established case law in the sense that the commercial agent, in order to be constituted as actually existing, needs two records, one in the Secondary Register and one in the Commercial Registry”
“The fact that the document constituting the factor is not made public does not affect its validity but only its effect vis-à-vis third parties….the documents that are not registered and made public have no effect with respect to third parties. In addition, the parties interested in the documents may not argue before third parties in good faith the lack of timely registration and publication…”
“In Venezuela, the validity of a tacit representation relationship between principal and factor and the existence of effective limitations binding on third parties depend on the facts of the specific case, proof of which need to be provided.. A third party who makes evident the existence of a tacit factor relationship may not refuse to recognise the limitations which the factor had and of which the third party had been informed or of which he was aware. Neither could a malicious or negligent principal (just as he cannot allege the lack of registration and publication in his favour) invoke limitations of which the third party is unaware. The rules on the express relationship of factor should be applied to the tacit factor relationship in a logical and coherent manner, particularly those relating to making public the document constituting the factor.”
“….You cannot contrast acts of administration against acts of disposal which the law does not even suggest, nor refer to acts “inherent” to management of a business. The scope of the factor’s authority must be placed in the context of the professional exercise of business: the factor carries out business on behalf of his principal; in consequence, he is authorised to carry out any act which may be necessary to carry on the business.”