“Notwithstanding anything contained in the Reinsurance Agreement and/or the Original Policy Wording to the contrary, it is a condition precedent to any liability under this Reinsurance that: a) the Reinsured shall upon knowledge of any loss or losses which may give rise to a claim under this Policy, advise the Reinsurers thereof as soon as reasonably practicable; b) The Reinsured shall furnish the Reinsurers with all information available respecting such loss or losses and the Reinsurers shall have the right to appoint adjusters, assessors, surveyors or other experts and to control all negotiations, adjustments, and settlements in connection with such loss or losses. c) No settlement and/or compromise shall be made and no liability admitted without the prior approval of Reinsurers. In the event of a claim under the Original Policy Wording Reinsurers hereon agree that settlement shall take place at the same time as settlement or advance of funds under the said Original Policy Wording.”
“The scope of the LEG 2 defects exclusion is quite clear. It excludes the costs that “would have been incurred if replacement or rectification of the Insured Property had been put in place immediately prior to the said damage”
“… This is most strange. How come AIG were allowed to take over Mouchel who initially were instructed for the whole market? The Robertson letter does not consider any exclusions whatsoever. Why did KOC not allow HHI to attend the meetings? I wonder whether KOC really understood who Capewell was representing. (i.e. only one of may [sic] Insurers) I bet the final cost of this solution is rather more than the budget. Does this mean we cannot show this letter to Beazley? If not, will AIG send teh [sic] letter to Beazley at any point?”
“As you will see, this has resulted in agreement being reached between KPC and AIG to settle this claim in the amount of USD19,163,173, without prejudice ... AIG also commissioned reports from Mouchel ... Obviously it is not in anyone’s interest for some of the market to reach settlement with KPC and not others.”
“Reference our telephone conversation today on the above captioned claim. As discussed, KOC have agreed to the final claim settlement (US$19,213,173 net of the applicable deductible) as proposed by Mr. Eric Capewell of Robertson and Co SA International Loss Adjusters for 20% AIG share and Al Ahleia to proceed on the following basis: - AIC issue their Discharge receipt to cater for partial/on account payment settlement for the subject claim representing AIG share 20% and Kuwaiti Co-Insurers shares bearing mind AIC shall still be responsible for the remaining balance of claim settlement. This can be processed immediately since AIG confirmed their action to transfer their share US$3,832,634.60 million upon receipt of KOC signature on DR. - AIC to transfer the fund collected to KOC Account as soon as possible. - AIC to follow up with its Broker of Record AON Ltd. to obtain approval of the remaining balance of Reinsures. - AIC to issue final Discharge Receipt of the remaining balance of the settlement. - AIC to follow up collection of the funds from the concerned Reinsurers. Kindly treat this on a “TOP URGENT” basis and keep us posted on the progress of claim approval and fund transfer to KOC account. Needless to say KPC/KOC are looking forward to a swift conclusion to the settlement of this long outstanding claim.”
“WE/THE INSURED ACKNOWLEDGE AND AGREE 1 That this Form of Discharge relates solely to AIG’s Reinsurance Share of Our claim against the Insurers under the CAR Policy for any and all losses that We have suffered either directly or indirectly arising out of the Loss Incident.. 2 To accept payment of the sum of US$3,832,634.60 (the “Settlement Sum”) in full and final settlement of that proportion of any and all claims that We may have arising either directly or indirectly out of the Loss Incident against the Insurers under the CAR Policy that are reinsured by AIG’s Reinsurance Share. 3 That the Settlement Sum has been calculated as representing AIG’s Reinsurance Share of an adjusted loss on a 100% (one hundred per cent) basis of US$19,213,173 net of the applicable deductible under the CAR Policy of US$50,000 . 4 That this Settlement and Discharge is otherwise entirely without prejudice to Our rights against the Insurers and/or the Other Reinsurers for the remaining 80% (eighty per cent) of Our claim relating to the Loss Incident. 5 That payment by AIG of the Settlement Sum to AON (who shall be responsible for arranging the collection of such payment) as Our agent AND as the agent of the Insurers by 4pm GMT on [insert date] shall be in full and final settlement of any and all liability which the Insurers and AIG may have arising either directly or indirectly out of the Loss Incident under the terms of the CAR Policy and/or the Reinsurance Policy respectively in relation to AIG’s Reinsurance Share AND in full and final discharge of any claim which We or any other interested party may have against the Insurers and/or AIG arising either directly or indirectly out of the Loss Incident under the CAR Policy and/or the Reinsurance Policy respectively relating to AIG’s reinsurance Share. 6 That upon payment by AIG of the Settlement Sum to AON (as provided for under paragraph 4 above) We shall hold harmless and indemnify AIG in respect of any and all claims that may be pursued against them by any entity including without prejudice to the generality of this indemnity the Insurers or the Other reinsurers or their respective assignees or any other interested party from time to time who has an interest directly or indirectly arising out of the Loss Incident. 7 The terms of this Form of discharge shall be governed by and construed in accordance with English Law and any disputes arising hereunder shall be subject to the exclusive jurisdiction of the High Court of Justice of England and Wales.”
“… My authority was just to, you know, refer the matter to the senior management. I was not in authority to agree or not to agree.”
“KOC/KPC has agreed on the final settlement @ US$19,213,173 /-. Less deductible US$50,000 /- = US$19,163,173 /- (100%) AIG will transfer their 20% share of US$3,832,634 /60 upon receipt KOC signature on discharge receipt. Now KPC is requesting to pay the AIG share plus Kuwait Co Insurers retained shares which shown as below: Claim amount :$19,213,173 /- Less Policy Deductible :$____50,000/- Total claim amount (100%)___________:$19,163,173 /- 20% AIG Share :$3,832,634.60 Balance AON 69.5% FAC. Share :$13,318,405.24 Local Share (3%) :$ 574,895.19 AIC Share (7.5%)_________________ :$1,437,237.98 Total part payment to be made from AIC now: 20% :$3,832,634.60 Local :$ 574,895.19 AIC :$1,437,237.98 Total :$5,844,767.77 The above is submitted for your approval to issue Discharge Receipt to above mentioned part payment.”
“Kindly advise urgently what documents you need to transfer 20% share of AIG to AIC account to meet KPC request for swift part payment. Also kindly keep us informed on the settlement of shares of remaining reinsurers”
“As you will see, [AIC] are to issue a final discharge receipt of the remaining balance of the settlement at US$19,163.173 (net for 100%)” - although, it is important to note that, much later, on5 May 2010 , Mr Hodkinson acknowledged in an email that this statement was a mistake on his part. The email continued with Mr Hodkinson saying that he was “… happy to discuss this claim further with you should you wish, alternatively we would appreciate your agreement to settle your proportion of this claim on the same terms as agreed by AIG.”
“As far as Reinsurers can tell, no account has been taken of the applicability of LEG2 in the Settlement Agreement between KPC and AIG, and Reinsurers can see no basis on which the value levels agreed correctly reflect these coverage issues. It would certainly assist any further consideration of the situation if you could respond confirming either that no account of LEG2 was taken in agreeing the settlement or, if it was, then what value was attributed to the applicability of LEG2 in arriving at the settlement amount and how? It would also assist Reinsurers to understand how it is intended that the settlement would be implemented. In this regard Reinsurers obviously have in mind the claims control provisions in the relevant reinsurance and for good orders sake have to make it clear that they have not provided their consent or approval to this settlement. I would appreciate your comments and clarification in that respect, so that Reinsurers can understand the position more completely ...”
“This is as expected”; and then continued as follows: “We would not expect them to move from their position on LEG2 until such time as they agree to settle or else this would compromise any future legal position they may need to take. We take the fact that they have asked for details of the Mouchel fees as a positive sign that they are prepared to consider the AIG offer once they have full information available. We have responded to them with details of those fees and also this letter by advising that the global settlement reached between KPC and AIG took all aspects into account. I had sent reinsurers a copy of Mr. Esmail’s Email dated 2 December and advised them that AIC were going to settle the claim in full to keep the pressure on, which is why they have made comment on this and mentioned the claim control clause. I deliberately remained silent on this in my reply to Beazley. I am scheduling a further meeting with Swiss Re in an attempt to move this forward as quickly as possible.”
“We refer to the above claim and are pleased to advise that ‘AIG’ have agreed to settle their 20% share of the total claim net amount of US$19,163,173 /-. Accordingly AIG have requested to sign the attached “Form of Discharge” for AIG’s 20% share which kindly return to us after signing with name, title, date on Page 2 of the attached form. On receipt of the above, we will be able to collect AIG share. We also attach herewith discharge receipt for US$2,012,133.16 being the retained share of local coinsurers which also return to us after signing the same.”
“I/We, the undersigned [KOC] do hereby acknowledge the receipt from [AIC] the sum of USD2,012,133.16… in full compensation for the loss/damage under the [Insurance Policy] arising directly or indirectly from the subsidence at Tank No 84 which occurred at my/our AHMADI on or about Mar 15 2007. In consideration of the above, I/We fully and finally discharge all liability and liquidate all claims against [AIC] arising under the [Insurance Policy] and admit that I/We am/are fully indemnified for all claims and have no further rights and claims against them in respect of the above mentioned loss/damage This is a partial Payment The remaining amount of the claim will be paid on receipt of remaining Reinsurers shares Amount: USD2012133.16”
“Since we are settling this claim as a partial payment (AIG share 20% plus Kuwaiti coinsurers shares i.e. US$3,832,634 + US$2,012,133.17 = US$5,844,767.77 ) therefore please confirm that the remaining balance of the Reinsurers will be paid in due course so that same is stipulated in AIC Discharge Receipt as required by KPC/KOC. Also advise if any other reinsurers have agreed to settle this claim? We await your quick response.”
“As mentioned in our email dated 23.12.2009, please confirm that the remaining balance of the Reinsurers will be paid in due course so that same is stipulated in AIC Discharge Receipt as required by KPC/KOC. Also please advise if any other Reinsurers have agreed to settle this claim?”
“… Regarding status of claim settlement, as per the agreed settlement of KOC to the final claim settlement US$19,213,173 /- (net of the applicable) we have released Discharge receipt for US$5,844,767.77 (AIG share of 20% ...) to the client and we still await signed discharge from KOC.”
“- the domestic insurers [the defendants], in respect only of their retained liability and the part of the risk reinsured with Chartis, have proposed payment on terms acceptable to the insurers and Chartis. That settlement is neither an admission of liability, a settlement or a compromise of that part of the claim that will remain unpaid following any agreed payment; ...”
“Please find attached your original discharge receipt returned herewith as the wording doesn’t reflect agreed claim amount by Underwriters hence not acceptable to KOC. Accordingly, we attached herewith our proposed wording for the discharge receipt reflecting the total agreed claim amount of USD 19,163,173/- and the partial payment amount of USD 5,844,767.77.”
“With regard to the claims control clause issue, whilst this is of course a matter for the cedant and the reinsurers, as promised, we write to confirm that our clients have not concluded any settlement with the cedant, whether as regards the cedant’s line or Chartis’ line. In their letter of29 April 2010 , the cedant states that it will follow the reinsurers in all respects, and this is the current position …”
“I do not think that this is a case where it is necessary to resort to any principle of last resort in cases of real ambiguity, such as construction against the person putting forward the sub-clause for incorporation into the contract. In my judgment, only one of the two possible interpretations makes any commerial sense, and this should be adopted. I would add that there is anyway some room for doubt what, if any weight, could, even as a point of last resort, attach to the fact that Gan, as reinsurers, put forward this particular Claims Co-operation Clause. This Clause appears to have been required by Gan in lieu of a "Claims Control Clause" referred to in the broker's slip. It might be of interest to compare the two, to see if the Claims Co-operation Clause was, in a material respect, more stringent than a claims control clause – though I appreciate that that observation assumes that the characteristics of the latter type of clause can be identified with some specificity. A second point that might have some materiality is that clauses such as the Claims Co-operation Clause are standard clauses, used in a range of reinsurances, where one might expect them to receive a uniform construction, whoever proposed them: cf Pioneer Shipping Ltd. v. B.T.P. Tioxide Ltd. (The "Nema") [1982] A.C. 724, 737F-H, per Lord Diplock; and Miramar Maritime Corp. v. Holborn Oil Trading Ltd. [1984] A.C. 676, 682C-F, per Lord Diplock. However that may be, I consider, as I have said, that there is no need or basis to invoke the principle of construction against the profferor in this case.”
“A reinsurer of a reinsured's liability to a third party is prima facie liable to the extent of his subscription once it is ascertained that the reinsured is liable to that third party. A condition precedent to the liability of the reinsurer operates as an exemption to that prima facie liability. It is a well-established and salutary principle that a party who relies on a clause exempting him from liability can only do so if the words of the clause are clear on a fair construction of the clause, see Elderslie Steamship Co Ltd v Borthwick[1905] AC 93 , Gordon Alison & Co v Wallsend Slipway and Engineering Co Ltd(1927) 27 Lloyds Rep 285 , Photo Production Ltd v Securicor Transport Ltd[1980] AC 827 , 850D–851A per Lord Diplock and other cases cited in Chitty, Contracts, 29th ed para. 14-005. In my view the terms of the Claims Control Clause on which the Syndicates rely do not sufficiently clearly exempt them from liability.”
“…..(b) The Underwriters hereon shall control the negotiations and settlements of any claims under this Policy. In this event the Underwriters hereon will not be liable to pay any claim not controlled as set out above …”
“15 Sub-Paragraph (b) – First sentence: Option or allocation of role? Mr Flaux accepted that the words "any claims under this Policy" must mean claims for which Eagle Star were potentially liable to their insured but submitted that the first sentence of sub-paragraph (b) with its use of the word "shall" must either constitute an obligation on reinsurers to take control of negotiations or settlements or an option entitling them to do so if they chose. In the court below he had argued that it was an obligation but, before us, he recognised that that was an impossible construction. He relied on what he called the only possible alternative, that it gave a choice to reinsurers to take control if they wished to do so. The only time when this option arose was on the happening of the event in sub-paragraph (a) viz the notification to reinsurers of a claim or occurrence likely to involve them. If the option was not exercised at that time, it could not be exercised at a later date. There would be a reasonable time within which reinsurers could inform Eagle Star that the option was to be exercised but that had never happened in this case and they were therefore bound to follow Eagle Star's settlement. It would be too uncertain to construe the clause as meaning that reinsurers could take control at any time they liked; there was moreover no implied obligation on Eagle Star to give notice that they were about to negotiate or about to settle a claim. Any such implication would itself be uncertain since it would be difficult to decide whether any particular step taken whether by Eagle Star or by Varian was a negotiation. The clause would be unworkable, if reinsurers' construction were accepted. 16. Attractively as the argument was presented, I cannot accept it. The clear intent of the clause is that the reinsurers are to be entitled (not themselves to negotiate or settle but) to control any negotiation or settlement that takes place between Eagle Star and Varian. All that this requires is for Eagle Star to inform reinsurers when negotiations begin so that reinsurers can say (if they choose) what form the negotiations should take and what offers should be made. Likewise if Eagle Star propose to settle the case, reinsurers have to be informed and have to consent. Of course many reinsurers may be content to leave their reinsured to do the negotiation and settlement of claims but the reinsurers on this particular policy have stipulated for a decisive role. There is no true uncertainty, since it is not difficult to know when a negotiation of a claim begins; it is even easier to know when a settlement can be made. To construe the sub-paragraph as conferring an option would lead to at least equal uncertainty as that complained of by Eagle Star, because there may not be enough information for a decision to be made about controlling negotiations or settlements at the time when notice of claim is given. Sometimes notices of claim are informal and do not disclose very much often because the reinsured does not himself at that stage know a great deal. The examples of notification given in paragraph 7 of the Agreed Statement of Facts are typical and would not be informative for the purpose of making a once and for all decision as to controlling negotiations or settlement at those particular times. 17. For these reasons I prefer Mr Edelman's submission viz. that the function of sub-paragraph (b) is to allocate a controlling role to reinsurers. It will be for the reinsured to say if and when negotiations are about to take place to enable the reinsurers to decide whether to exercise control at that stage. The position will be similar if it becomes apparent that a settlement can be made. This does not mean that there is any obligation on the reinsured to inform reinsurers of any negotiations or settlement; it just means that if reinsurers do not control negotiations or settlement, then (subject to waiver or estoppel) reinsurers will not be liable.”
“The word “admitted” imports the acceptance of the validity of a previous liability”