“Section C: Product Liability The Company will indemnify the Insured against all sums which the Insured becomes legally liable to pay for damages and claimants’ costs and expenses arising out of or in connection with (i) accidental Bodily Injury to any person (ii) accidental loss of or damage to tangible property happening during the Period of Insurance in connection with the Business and caused by any Product “Product” includes “any product or goods manufactured …processed, treated, sold…supplied or distributed by or on behalf of the Insured from or within Great Britain,…but only after such item has left the Insured’s care, custody or control”, . The Company will also pay Defence Costs in addition to the Limit of Indemnity The limit of indemnity is£5,000,000 .”
“A refinement in relation to liability of this nature is a clause which excludes any liability arising out of contract unless such liability would in any event have arisen in tort. The wording of such a clause does not always make it clear whether the test is liability in tort as if no contract between the assured and the claimant had existed or liability in tort assuming the existence of a contract. A contractor may be liable in tort as well as in contract, and the existence of a contract could be a factor in establishing the necessary proximity between the parties to found the tortious duty of care. It is submitted that the former test is correct. The purpose of the exception must surely be to relieve the insurer of liability which the assured has incurred directly or by reason of the conclusion of a contract between himself and the claimant.”
“the contractual entitlement of the underwriters to seek exemption from liability would depend on decisions, possibly ill-informed, possibly motivated by tactical considerations, by others to which they were not parties, and which, as between the underwriters and the assured, might very well be entirely fortuitous.”
“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 undoubtedly have sustained a loss and the question would then arise what was the cause of the loss. If the proximate cause (this seems to be the test; Goddard and Smith v Frew) of the loss was the dishonesty of their servant, they could not recover under the policy; if on the other hand it was their own neglect, they could recover. If the action between the claimants and the assured did not settle the question of causation, it would in all probability settle the facts in the light of which the question could be answered”
“The performance of this promise does not involve the underwriters in any liability to indemnify the assured against the loss. If the action against the assured succeeds, a loss will be proved; but it would still be open to underwriters to assert that the loss is not within the policy. For example, a claim which appeared on presentation to be in respect of negligence might turn out in reality, when all the facts were known, to be in respect of fraud. It would then be open to the underwriters, irrespective of whether they could properly be made liable for the costs of the action, to refuse to pay the claim.”
“(a) Neglect Act or Omission Any neglect error or omission including breach of contract occasioned by same. (b) Dishonesty of Employees Any dishonest, fraudulent, criminal, malicious act(s) or omission(s) of any person employed at any time by the Assured.
“Claimants may have many reasons of their own why they choose to put their case in a particular way, regardless of what would be held to be the true proximate cause of the insured’s liability.”
“ …while, by reason of the compromise, MDIS has proved a loss, it must be established that the loss was proximately caused by neglect. It is, in my judgment, open to the underwriters to assert, as they do…, that the loss resulted from the dishonest acts of the insured’s employees perpetrated after MDIS could reasonably have discovered or suspected the improper conduct of such employees”
“A judgment, however, is conclusive as against all persons of the existence of a state of things which it actually affects when that state of things is a fact in issue. Thus, if A sues B, alleging that owing to B’s negligence he has been held liable to pay £ x to C, the judgment obtained by C is conclusive as to the amount of damages that A had had to pay to C, but it is not evidence that B was negligent …. And B can show, if he can, that the amount recovered was not the true measure of the damage”
“an insurer always has the right to challenge whether the insured’s right to indemnity under the policy has been established. Therefore it has the right to challenge whether the insured was, in fact and law, liable to the third party. It has the right to challenge the quantum of the liability. And it must also have the right to challenge whether, on the facts of the case, the insured’s liability to the third party is a loss within the scope of the liability policy, whatever is stated in a judgment, award or settlement. Apart from anything else, the insurer will not be a party to the judgment, award or settlement, unless specifically involved. I accept that in the case of judgments and awards, the conclusion of a competent tribunal on the merits as to liability and quantum is unlikely to be upset in an action on the liability policy. But I cannot see why, in principle, it should not be challenged.”
“1 the assured must prove that the loss or damage was caused by the operation of the general risk insured against; 2 if the general risk is qualified by the exception of specific risks, which but for the exception would fall within the general risk, and some part of the general risks is left unqualified, the burden is on the insurer to prove facts which bring the case within the exception relied on; 3 If there is a qualification of the general risk which covers its whole scope so that there is no unqualified risk left the burden is on the insured to prove facts which bring the case within the general risk as qualified; 4. whether a qualification of the general risk is in the nature of an exception or a qualification of the whole risk is in every case a question of construction of the policy as a whole; and 5 in construing a policy it must be borne in mind that a general risk with exceptions can generally be turned by an alteration of phraseology into a general risk with a qualification covering its whole scope.”
“1 the insurer must prove that the loss or damage falls within the general exclusion; 2 if the general exclusion is qualified by the exception of specific risks, which but for the exception would fall within the general exclusion, and some part of the general exclusion is left unqualified, the burden is on the insured to prove facts which bring the case within the general risk relied on; 3 If there is a qualification of the general exclusion which covers its whole scope so that there is no unqualified exclusion left the burden is on the insurer to prove facts which take the case outside the general risk..;”