“…there is a proviso in the following terms: ‘Provided always that the due observance and fulfilment of the conditions of this policy, which conditions are to be read as part of this policy, shall be a condition precedent to any liability of the society under this policy." Then follow eight conditions. Now it is perfectly clear that some of these so-called conditions are not and cannot be conditions precedent, although some of - them may be and are conditions precedent.”
“…I think that, reading the policy with the proposal form…and construing the policy most strongly against the society, in the interests of honesty and fair dealing this is the better construction: any other construction would convict the society of having issued a tricky policy calculated to deceive and entrap the unwary and of insisting on the success of their devices.”
“Little more can be said than that it is a matter of construing the policy as a whole. Such clauses should not be treated as a mere formality which is to be evaded at the cost of a forced and unnatural construction of the words used in the policy but should be construed fairly to give effect to the object for which they were inserted, but at the same time so as to protect the insured from being trapped by obscure or ambiguous phraseology.”
“The fact that it may have been impossible for the claimant to give notice within the prescribed time – eg because he did not know the facts giving rise to his right to claim or because an injury only became apparent after the time for notice had expired will not prevent a court from denying the right to recover under the policy … there are however cases in which the courts have mitigated the harshness of this doctrine.”
“32. I do not accept Zurich’s construction of the condition. This is a condition introduced by Zurich into its policy which has the potential effect of completely excluding liability in respect of an otherwise valid claim for indemnity. If Zurich wished to exclude liability it was for it to ensure that clear wording was used to secure that result. It has not done so. It is possible to construe the use of the phrase “as soon as possible” as meaning that even if, when the event occurred, it was not likely to give rise to a claim, the obligation to notify would arise whenever thereafter the insured knew or should have known that an event which had occurred in the past was likely to give rise to a claim. But I regard this as a strained interpretation and erroneous. 33. It is, in any event, far from clear that that is the right interpretation and given the nature of the clause the ambiguity must be resolved in favour of Maccaferri. Clauses such as these need to be clear if they are to have effect: Royal and Sun Alliance v Dornoch[2005] EWCA Civ 238 . That is particularly so in circumstances where the context in which the clause was agreed was that Layher and Jacobs had been decided as they had. Although the wording in the present case is not identical to the wording in those cases, the two cases indicate that prima facie whether there is an obligation to notify an occurrence as one likely to give rise to a claim is to be determined by reference to the position immediately after it occurs. Further, Zurich’s construction imposes an obligation to carry out something of a rolling assessment as to whether a past event is likely to give rise to a claim (and possibly as to whether an event has happened at all) as circumstances develop. There are clauses which have that effect, particularly in claims made policies insuring against professional liability, but they are not in this form. If that was what was intended, the insurers could be expected to have spelt it out.”
“The Conditions which appear in this Policy or any Endorsement are part of the contract and must be complied with. They are, where their nature permits, conditions precedent to liability; failure to comply with them may mean you will not be able to claim under this Policy. The Insurer will provide the insurance described in this Policy in consideration of the Insured’s promise to pay the Premium.”
“Due Observance The due observance of and compliance with the terms provisions and conditions of the Policy in so far as they relate to anything to be done or complied with by the Insured or Solicitor shall be conditions precedent to any liability of the Insurer to make any payment hereunder. In addition the Insured and Solicitor is required to cooperate with Us and give Us the information We require at any stage in the case. In the event that the Policy is terminated the parties to this Policy shall continue to observe the conditions to the extent that they remain relevant.”
“a) All information to be given to the Solicitor The Insured must give all information and assistance required by the Solicitor. This must include a complete and truthful account of the facts of the case and all relevant documentary or other evidence in the Insured's possession. The Insured must obtain or execute all documents as may be necessary and attend any meetings or conferences when requested. The Insured must co-operate fully with the Solicitor and with Us.… c) Bills to be submitted All bills or other communications relating to fees or costs which may be payable under this Policy should be forwarded to Us without delay. We may require any bills submitted to be certified or assessed by the Court. d) Justification of the Premium The Insured will ensure that any representations advised by Us are communicated to the Court and to the Opponent promptly and in the appropriate manner and in accordance with the Civil Procedure Rules; The Insured will appoint or instruct as the Solicitor's agent, where requested to do so by Us, such legal representatives as may be nominated by the Us to deal with the challenge to the Premium.”
“This General Condition is a co-operation provision, which excludes liability unless the condition precedent is satisfied. As such, the Insurers have the burden of proving that the Claimants failed to satisfy the condition precedent, and any doubt or ambiguity as to the meaning of the General Exclusion will be construed against them and in favour of the Claimants.”
“… It will be noted that the provision is drafted so that the Insurers’ request precedes the insured’s obligation. Thus, I conclude that the true construction of the condition precedent is that the insured is under an obligation to provide the Insurers with such information and evidence as to the circumstances of the loss as is in the insured’s power when the Insurers request that information or evidence.”
“I do not intend to enter into further communication regarding aspects of the Policy cover, limits and exclusions about which we are confident you are wholly incorrect. Otherwise we leave you to proceed with your 1930 Act proceedings to obtain a Court Order in respect of the Insured’s liability. .. Of course you are required to maintain contact with us and keep us informed of those activities in case Insurers consider it necessary to become a party to the proceedings at any point.”
“Where and to the extent that the Legal Proceedings … are Unsuccessful Great Lakes will indemnify the Insured in respect of the following…: Adverse Costs provided that: The Court makes an award of Adverse Costs against [the Insured Claimant]”
“SUCCESS/SUCCESSFUL The outcome of the Legal Proceedings will fall into one of the three categories described below. Successful Legal Proceedings will be deemed Successful if the Insured is offered or obtains at any time a net entitlement to money and/or damages and/or costs which, taking into account any counter- or cross-claim in the Legal Proceedings, equals or exceeds the definition of Success as shown in the Schedule. Partially Successful If, following a Rejected Offer to Settle, the Insured subsequently obtains at trial or by settlement or by further offer or by subsequent acceptance of the Rejected Offer, a net entitlement to money or damages or other relief sought and a costs order or other entitlement to costs, not being an interim costs order, in the Insured's favour in respect of part of the Legal Proceedings, the part of the Legal Proceedings to which the costs order or other entitlement to costs relates will be deemed Successful. If the Opponent has been awarded a costs order or other entitlement to costs, not being an interim order, in respect of another part of the Legal Proceedings, as a result of the same Rejected Offer, the part of the Legal Proceedings to which that costs order or other entitlement to costs relates will be deemed Unsuccessful. Unsuccessful In addition to a failure of the Legal Proceedings to be Successful as defined above, Legal Proceedings will also be deemed Unsuccessful if: 1. the Insured achieves a Successful outcome (as above) at trial and is required by Us to defend an appeal which results in a net entitlement to money, damages and costs which is lower than the definition of Success shown on the Schedule, or; 2. following a Rejected Offer to Settle, the Insured subsequently fails to obtain at trial or by settlement or by further offer or by subsequent acceptance of the Rejected Offer a net entitlement to money or damages or other relief sought which equals the value of the Rejected Offer to Settle and does not obtain an order for costs, other than an interim costs order in its favour.”
“The Legal action described in the Proposal and brought by the Insured to pursue money or damages in compensation or any other relief.”
“An offer to settle the Legal Proceedings received from the Opponent which equals or exceeds the definition of Success, as shown on the Schedule, which We have given our written approval to reject”
“The policy says that "the company will indemnify the insured against all sums which the insured shall become legally liable to pay as compensation in respect of loss of or damage to property." It seems to me that the insured only acquires a right to sue for the money when his liability to the injured person has been established so as to give rise to a right of indemnity. His liability to the injured person must be ascertained and determined to exist, either by judgment of the court or by an award in arbitration or by agreement. Until that is done, the right to an indemnity does not arise. I agree with the statement by Devlin J. in West Wake Price & Co. v. Ching. "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." Under the section it is clear to me that the injured person cannot sue the insurance company except in such circumstances as the insured himself could have sued the insurance company. 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 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.”
“ ‘… the insured’s right to be indemnified under a liability insurance policy arises only once the insured’s liability to the third party claimant is ascertained and determined by agreement, award or judgment, and not upon the occurrence of the event which gives rise to a lability on the part of the insured to the third party.’”
“quantified here means ascertained as to its amount”
“The Premium is calculated by: a) determining the level of indemnity required to afford the Insured protection in the event of an Unsuccessful outcome at the conclusion of the Legal Proceedings. This shall be the sum of Expenses and Opponent's Costs; b) multiplying the level of indemnity referred to in (a) by the premium rate as stated in the Schedule; c) adding Insurance Premium Tax which is payable on the Premium at the rate prescribed at the date when the Premium is payable.”
“Burford Capital (UK) Ltd, as Administrators of the ATE Insurance for Great Lakes Reinsurance (UK) plc, have a claim in the liquidation in respect of the ATE insurance premium of£47,775.69 +6% IPT of£2,866.54 , total£50,642.23 (subject to the addition of 8% p.a. Judgments Act interest w.e.f15/9/2014 ). Our completed and signed Creditor Questionnaire and Proof of Debt will follow next week.”
“It is not in the nature of an insurance contract that premium should be payable at any particular point of time in relation to the period of cover. The time for payment is regulated by the terms of the particular contract. …”
“Any payment arising from Legal Proceedings in respect of which the Insured is or but for the existence of this insurance would be entitled to indemnity under any other insurance policy”
“Any Expenses or Opponent’s costs arising during a period when, for the purposes of the Legal Proceedings a CLS Public Funding Certificate was in force, or Before-the-Event insurance was in force.”
“Any amount which the Opponent is obliged to pay but fails to pay to the Insured or Solicitor for any reason.”
“Any costs incurred or increased as a result of a failure on the part of the Insured or the Insured’s Solicitor to mitigate a liability in respect of the Opponent’s Costs or Expenses.”
“Any costs or Expenses incurred as a result of the Insured failing to provide instructions or by otherwise failing to cooperate with the Solicitor or Us.”
“Where under any contract of insurance a person (hereinafter referred to as the insured) is insured against his liabilities to third parties which he may incur, then – (a) In the event of the insured becoming bankrupt or making a composition or arrangement with his creditors; or (b) In the case of the insured being a company, in the event of a winding up order being made, or a resolution passed, with respect to the company, or of a receiver or manager of the company’s business or undertaking being duly appointed, or of possession being taken of the holders of any debentures secured by a floating charge, of any property comprised in or subject to the charge if, either before or after that event, any such liability as aforesaid is incurred by the insured, his rights against the insurer under the contract in respect of the liability shall, notwithstanding anything in any Act or rule of law to the contrary, be transferred to and vest in the third party to whom the liability was so incurred.”
“Against this history, did the Act merely put the plaintiff into the shoes of the insured, so as to transfer to the third party the whole bundle of the rights of the insured, subject to the whole bundle of his liabilities under the contract of insurance, or did Parliament give to the third party the privileged position of asserting the rights of the insured in respect of his liability to the plaintiff and of disregarding the liabilities of the insured to the insurers, for example, in respect of unpaid premiums? What effect must be given to the words "in respect of the liability" which appear in the section? In my view, those words are of the utmost importance. It is not all the rights and liabilities of the insured under the contract of insurance which are transferred to the third party, only the particular rights in respect of the liability incurred by the insured to the third party. When one looks at subsection (4) one finds the following language: "Upon a transfer under subsection (1) or subsection (2) of this section the insurer shall, subject to the provisions of section 3 of this Act be under the same liability to the third party as he would have been under to the insured, but ..." and then follows (a) and (b) which deal with the differences between the liability of the insurers to the insured and the liability of the insured to the third party; this shows that the draftsman in that subsection was addressing his mind to problems that arise in connection with the liability of the insurers to the insured in relation to the particular liability of the insured to the third party. In my view this section had a carefully limited intention. There is no express transfer of liabilities of the insured to the insurers, as for example, is to be found in section 5 of the Workmen's Compensation Act, 1906, but if there is, under the policy, a defence by way of condition available against the insured, that defence would be available against the third party. In my view, in the words used to create the statutory subrogation, the draftsman did carefully limit the subrogation to the rights under the contract in respect of the liability incurred by the insured to the third party. Rights which are not referable to the particular liability of the insured to the particular third party are not transferred. Thus all the conditions in the policy which modify or control the obligations of the insurers to cover a given liability to a third party are the subject of transfer. See, for example, the judgment of Atkinson J. in Hassett v. Legal & General Assurance Co. (1939) 63 Ll.L.R. 278. The right to recovery of the premiums in this case was not a term of the policy which arose in respect of the liability of the insured to the third party. The defendants are in my view left in regard thereto with the same rights as the general body of creditors, namely, to prove in the bankruptcy. It follows that the plaintiff is entitled to judgment.”
“Can the insurers invoke a right of set-off that was available against an assured as against the Names who step into the shoes of the assured pursuant to the provisions of the 1930 Act? In my judgment they can. It seems to me that the rights transferred under the Act must be subject to any defences that would have been available had those rights been asserted by the assured from whom they are transferred. Insofar as the decision in Murray v. Legal and General Assurance Society Ltd., [1969] 2 Lloyd’s Rep. 405; [1970] 2 Q.B. 495 is inconsistent with this conclusion, I decline to follow it.”