“as soon as possible after becoming aware of circumstances… which might reasonably be expected to produce a Claim… Any Claim arising from such circumstances shall be deemed to have been made in the Period of Insurance in which such notice has been given”
“The Company will indemnify the Insured against costs and expenses necessarily incurred in respect of any action taken to mitigate a loss or potential loss that otherwise would be the subject of a claim under this Insurance. The onus of proving a loss or potential loss under this Insurance shall be upon the Insured who will be obliged to give prior written notice to the Company during the Period of Insurance of the intention to take action that will incur such costs and expenses.”
“It is only circumstances of which the Insured is actually aware which can be the subject matter of a notification.” “The factual context is important, not only as a matter of interpretation of the notification but also, because it is only matters of which the insured is aware that can form the basis of a valid notification.”
“There must be some causal, as opposed to some coincidental, link between the notified circumstances and the later claim.” “The claim which is later pursued must arise not only from the notified circumstances but also only from the circumstances of which the Insured was aware. It can not arise from any other circumstances which may have happened or been discovered either after the notification or in any event after the expiry of the insurance cover.”
“We have concluded that our systems have a major design fault and should be changed to stainless steel rope and hydraulics.… We have appointed White Young and Green to redesign our new floors and these will all work on stainless steel rope with hydraulics. However, we have the problem with the working floors and the ones installed with winches yet to be commissioned....We feel that there is no immediate danger to our floors...put in place a security survey plan to monitor all floors on a monthly basis.... “…Due to the seriousness of the problems and the urgency of the work required we need to make a claim on our insurance to cover the cost of the works and any other associated costs.” [Emphasis added]
“…you will see from the detail provided below that this matter has the potential to be huge...the insured wishes to be transparent with his clients regarding the situation with the movable floors and booms…” [Emphasis added]
“the bottom of the ballast tanks in the booms has failed. ”
“looks like failure is of original bracing. Other option is to install what looks like a balloon/bag into tanks” the note continues: “discussed [policy] response. Sep N/C [separate new claim]” but that the insured did not expect it to exceed the self insured amount. Other option is to install what looks like a balloon/bag into tanks”
“...I confirm your instruction in relation to the new matter which requires urgent expert mechanical engineering input. Our insured Europool designs and installs swimming pools equipped with movable floors. The mechanism for floor movement is based on a rope and winch system which has suffered various forms of failure in several different pools over the past few months. The insured has now concluded that the design is fundamentally flawed and wish to embark upon a programme of replacement works...they have notified the problem to us under their D&C PI policy which contains a loss mitigation clause.….”
“…David Wyllie has advised that he did mention the matter to Linda...when they had the meeting regarding the drive systems for the movable floors. In view of this can you please check with R&SA whether this issue is already included within the earlier notification referred to.”
“…the insured has advised that three pools are affected by this problem, which relates to potential fatigue of cross braces in the tanks due to water and air not been able to drain out quickly enough (sic). The insured have had a solution devised by a specialist company which involves the use of an inflatable bag… Total cost£15,000 which is under the current policy excess of£30,000 . However, the insured wish to ensure the matter is logged on a precautionary basis should there be any future problems.” [Emphasis added]
“...I recall the floors claim was badged as “movable floors and booms” when first received, suggesting a fit with the circs mentioned below? In any event, the matter described below can be set up as separate circs and acknowledged....”
“[tanks on the booms] was advised to Chris and me when we first called at Europools back in February. The issue was a simple one, in that the floating cuboids used as booms were letting air out and so water in, and were not therefore floating. The insured were installing inflatable bags as liners and no claims were anticipated. This should properly have been registered as a circumstance at the time, but with no reserve as there was (and is) no suggestion of any claim by a third party, or any cost to the insured beyond the SIA.” [Emphasis added]
“I confirm that David Wyllie… had advised me of this matter in February.… “My understanding is that a simple and inexpensive solution to the booms problem has been identified, there are no claims against the Insured and no risk of any claim exceeding the£30,000 self-insured amount. On that basis, I have marked the matter as a circumstance, with a nominal£1 reserve.… The claim number relating to this matter is VF89FV”
“not the best due to the weld failure through bending” and that having changed to inflatable bags they were now having problems with the bags. He said that they were currently getting a glass reinforced plastic tank built to replace bags. This was reiterated in his email of7 April 2008 again to Ms Gough [2/3461]: “it appears that we have further bad news. The original tanks were made of stainless steel and with the constant flexing of the sidewalls with inflation and deflation the welds began to fail. Some tanks went before others but there is a problem with all tanks. We thought that we had a solution using an inflatable bag and we changed some of these tanks over and undertook repairs using these bags.… These bags are now failing after a few months. … I am thinking of going hydraulic…” … I am thinking of going hydraulic…”
“the original remedial works have now failed”
“told them of the defect – thought the bags were to be the solution”£30,000 deductible did not expect to exceed it went from tanks to bags for a solution and now the bags are failing”£30,000 deductible did not expect to exceed it went from tanks to bags for a solution and now the bags are failing”
“Our discussion today refers. Europools notified a problem with floating booms not being watertight to us in February 2007 and we set a file up under the above reference with a nil reserve. Prior to 2007/08 renewal, we were advised as follows by email from AON dated 15.6.07: “The insured has advised that three pools are affected by this problem, which relates to potential fatigue of cross braces in the tanks due to water and air not being able to drain out quickly enough. The insured have had a solution devised by a specialist company which involves the use of an inflatable bag….”
“having identified that this system was not working satisfactorily following reports/complaints from clients, the insured’s view was that the air and tank system was flawed and a single pipe system does not cater for the equal distribution of air to each of the tanks within the boom… This has the effect of causing the boom to rise unevenly... ...furthermore, examination of reported problems with the tank system, revealed that welds in the tank structure were failing, this being attributed to the “constant” and uneven pressurisation and depressurisation as a result of the lift/lower procedure. The insured attempted, over a period of time after the initial reports, some remedial measures which included the installation of additional bracing for the tanks, particularly at Crawley, but this again proved unsuccessful.” [Emphasis added]
“Booms accepted and agreed. Hydraulics Principle accepted.”
“As a matter of construction and in the light of the observations of Mrs Justice Gloster in the Kidson case, I make the following observations applicable to the current case: ” (a) There is no restriction in condition 1 as to what circumstances might be notified. They may be specific or general. They may relate to damage, symptoms of damage, or actual, potential or perceived defects, liabilities or losses. It is not necessary that the notified circumstances will probably give rise to a claim; it is enough that they might reasonably be expected to do so… (c) It is possible for the insured to give notice of a 'hornets' nest' or 'can of worms' type of circumstance. (d) The insured must be aware of the circumstances which it is notifying to the Underwriters. It would not be enough to say: "I think it is possible that there may be some unknown and unidentified design deficiencies in a particular building". That would not be a good notification because the insured would not be aware of the circumstances; the insured would simply be guessing that there might be circumstances. That is not good enough. It is only circumstances of which the Insured is actually aware which can be the subject matter of a notification. (f) If there has been a proper notification of circumstances, any claim arising from those notified circumstances, of which the Insured was aware, will be considered to have been made within the requisite Period of Insurance. Any claim which arose consequently from the notified circumstances would arise from those circumstances. There must be some causal, as opposed to some coincidental, link between the notified circumstances and the later claim. (h) I do not consider it helpful to talk in terms of a narrow or broad interpretation of the notification. It will be interpreted objectively on the basis of the words used, having regard to the factual context in which it was served. The factual context is important, not only as a matter of interpretation of the notification but also, because it is only matters of which the insured is aware that can form the basis of a valid notification. (i) The claim which is later pursued must arise not only from the notified circumstances but also only from the circumstances of which the Insured was aware. It can not arise from any other circumstances which may have happened or been discovered either after the notification or in any event after the expiry of the insurance cover. Put another way, a subsequent claim which relates to matters of which the Insured was not aware at the time of the notification would not and could not arise from the notified circumstances and, to that extent, would not be covered by the policy. (j) The claim subsequently brought can relate to new damage flowing from or consequences of the properly notified circumstances which had not occurred by the time of the expiry of the insurance cover because the claim would arise from the notified circumstances.”
“concluding comments which were made in passing and by general observation and not in connection with any claim that was being made.”
“our systems have a major design fault and should be changed to stainless steel rope and hydraulics. This will also correct the bad signal problem…”
“...we have a potential issue on the Leeds dive pool floor.”
“as an add-on to this, we have had six anchor bolts pull out of the floor already, which is a major concern…”
“after discussions with David, I should point out that the anchors were pulled out because of uneven tensioning on the ropes during filling of the pool. David was trying to show that if there is uneven tensioning between the inner and outer PDP’s, then there is the potential for the floor to pull anchors out of the concrete…”
“was still in the process of developing a working pool floor for Leeds as late as August 2007. It did not actually finalise a working design which could be put to use by the public until after the catastrophic failure…”
“therefore, the Vectran rope and winch system went through a whole series of iterations, all of which failed for different reasons before it was finally decided that it could not be made to work. In parallel, the hydraulic drive system (to replace the Vectran system) for Leeds pool also went through a series of iterations which failed for a multitude of reasons before a working design were settled upon. A working pool floor design for Leeds was first realised only after the catastrophic failure in October 2007.” [Emphasis added]
“The Company shall be entitled to take over and conduct in the name of the Insured the defence or settlement of any Claim or to prosecute in the name of the insured for its own benefit any Claim and shall have full discretion in the conduct of any proceedings and in the settlement of any Claim.”
“confirming instructions to proceed.”
“if you need any formal notice etc. please let me know and I will get Stuart to drop you a line.”
“the immediate problem is the legal fees tomorrow. As Euro Pools is out of RSA funds does the RSA wish me to pay the legal fee personally and claim them back from RSA or abandon the case and not appear.”
“without prejudice as to whether or not we adopt the legal action costs.”
“you will note that I allowed the court case to continue today so protecting your valuable position. I will maintain this position for a further two weeks and that should give you sufficient time to obtain your opinion.”
“There is a consistent line of authority for the proposition that the date on which the assured’s action accrues is the date on which the insured peril occurs and not on the later date when the loss is manifested, the assured incurs expenditure or the insurers deny liability, the principle being that the insurer has agreed to hold the assured harmless against the occurrence of an insured event so that when the event takes place the insurers are in immediate and automatic breach of contract and are liable for unliquidated damages. Although it has sometimes been indicated that the occurrence of the peril is a breach of contract, the notion that insurers may be in breach of contract several hundred times every day is unattractive and a preferable way of stating the principle is that a contract of insurance is: “an agreement by the insurer to confer upon the insured a contractual right which, prima facie, comes into existence immediately when loss is suffered by the happening of event insured against, to be put by the insurer into the same position which the insurer would have been had the event not occurred but in no better position.”
“once the loss is suffered or the expense incurred, the indemnifier is in breach of contract having failed to hold the indemnified person harmless against the relevant loss or expense.”
“I do not profess to give an exhaustive account of the circumstances which may preclude a creditor from exercising his right of appropriation. All that it is necessary now to say is that, until something has happened which would render it inequitable for the creditor to do so, he is at liberty to exercise his right.”
“The issue, in a nutshell, is not whether the policy responds but the extent to which it responds… The insured could, of course, simply inform us of, and then proceed with, the remedial action of their choice, but I can understand their preference to agree in advance with us the extent of the indemnity. I intend providing this, at least in broad brush terms, very shortly. Going forward, my intention is that the insured, as the experts in their field, be left to manage the remedial works programme albeit with Crawford staying involved so that, for each pool project, those costs which will be indemnifiable under our policy can be agreed.” [Emphasis added]
“further to our conversation today I am pleased the full confirmation has been given to proceed with the movable floor works. This will include two stainless steel cables to each pulldown point and the change from winches to hydraulics on existing floors.…” “It was agreed that RSA will fund the purchase of materials in advance, and we will carry the labour expenses, office and administration costs on a monthly basis.” [Emphasis added]
“I have asked Douglas to advise R&SA next week on the level of the first interim payment following his review of the schedule you have provided. He will contact you to the extent that supporting documentation is needed for first or subsequent payments. RSA will be putting Crawford and Co in funds to make initial payment(s) to you.”
“….The payment released is as expected bearing in mind the schedule sent to us by Europools. Could I just remind you, however, of the need to seek our prior approval to all future payments...”
“The contract is made between RSA and Euro Pools where RSA, when they are presented with a claim under the mitigation costs in relation to each of the three problems, consider it. They look at the various policy issues arising and they agree that Euro Pools can carry out a remedial scheme of works. It is part of that agreement between Euro Pools and RSA that the works that are going to be carried out and treated as mitigation costs will be vetted, as it were, by Douglas Murphy.”
“I thought that was understood by all parties at the start, when we first got instructed, because we are doing it on a time-and actual cost basis of time, material and labour. We were never doing it on a fixed priced quotation basis, so nobody knew what the costs are going to be. The work was instructed and Douglas Murphy is going to check that all costs incurred are reasonable within the cover of the policy and recommend the sums to be paid to Euro pools and RSA, was my understanding, paid on the sums.”
“Q. … It is in everyone's interest, is it not, so there are not arguments later, to reach an agreement as to what works are going to be covered by the policy?” “A. In the most general sense that is correct, but of course the devil is in the detail.”
“Q. The purpose of involving Crawford & Co was to try and reach an agreement before the works were done? A. The purpose of involving Crawford & Co was again …that the scope of investigation needed on this claim was way beyond the capability, the resource of the RSA claims team, so we needed people out there on the ground, meeting Mr. Wyllie, going to these various sites. We needed not only loss adjuster input, which at the broader sense is somebody who is able to collate the information, convert that into a form that they can report to their client, the insurance company, and seek instructions on, but we also needed, and I knew, I think it is clear from this e-mail, at the outset that we would need expert mechanical engineering input as well…”
“please confirm to the client and to Jill Gough that RSA will indemnify for necessary rectification costs. As you know we are holding a reserve of£320,000 against this notification. If an interim payment of say£150K (or an alternative figure to be recommended by you) can be justified for indemnifiable expense incurred or committed so to date, I am willing to arrange this either direct to the client… or via Crawfords in the usual manner…”
“it is the case at present that Euro Pools are carrying a significant level of expense in relation to the Leeds issues. On the basis of the information supplied to date… I am satisfied that it is indeed properly considered as a design issue and thus admissible under the terms of the policy.…”
“Leeds floor:… Douglas confirmed yesterday to David that rectification is indemnifiable consequent upon my instruction to Douglas to do so. Douglas is to advise me of a suitable interim payment amount later today which I shall arrange direct…”
“Douglas will address the rectification work plan direct with David…”
“subject to your agreement therefore, we propose to confirm to Euro pools that this is in order, although we are not at this stage providing any confirmation on the specification or costings.”
“Q. Do you see that from Euro Pools' point of view, it understood that if Mr. Murphy had approved an implementation of the scheme at any one site, that was something that RSA was not able to quibble with at a later stage?”
“Q. Then why say to Euro Pools, liaise with Mr. Murphy about this, if he has no authority to say anything that is useful to Euro Pools. It is always open to RSA to turn round and say, "Sorry, I know Mr. Murphy agreed it, but we do not care, we are going to say that work is not payable". What is the point of having Mr. Murphy there at all? A. The point of having Mr. Murphy there at all is precisely what I have mentioned on several occasions that it was to provide RSA with the technical input that gave us comfort that the insured's proposals for this remedial work were ones which were reasonable and properly indemnifiable.”
“…you very kindly agreed that the insured would be put in funds for materials etc before purchase and the insured would carry the labour and expenses for a month… The insured is scheduled to undertake a further two floors this month which will involve further costs… Of course it is appreciated that the policy is one of indemnity for costs incurred which are then approved by insurers on advice of the adjuster. However given the agreement to place the insured in funds prior to work being commenced and the incurred amount that remains outstanding although having been approved by adjusters, can you please give consideration to the attached schedule and if necessary press Douglas to formally agree the incurred costs in order that the insured can be placed in funds in the near future…” [Emphasis added]
“My task was to communicate with the claimant about works it was carrying out or was intending to carry out, to consider its requests for payment and to make recommendations to the defendant.… I would only recommend payments where I was satisfied that the sums requested by the claimant were properly covered under the insurance. Where the defendant approved my recommendations, I would transmit payments to the claimant. The claimant was aware of this procedure at all times.”
“It seems to me that overheads need only relate to the proper functioning of the business. It is only if part of the overheads was completely unrelated to the ordinary running of the business that, notionally at least, parts might be excluded. In practice, if costs were incurred that were unrelated to the ordinary running of the business they would not be in the audited accounts at all, having been excluded by auditors. Hence, taking the example of director’s fees noted by Mr Hunter at para 17 of his report, it is plain to me that a director will ordinarily be paid. I fail to comprehend why a part of the directors remuneration is not to form part of overheads for the purposes of this claim where it has already formed part of the overheads as part of the audited accounts.”
“invalid in principle and invalid in the manner in which he attempts to calculate the amount. There is no convention or standard practice explained for the reduction sought to be made. In my view, if that adjustment were to be made it would mean that the claimant’s recovery for repairs would be inadequate in that the amount would not reimburse the level of overheads that were being incurred by the business. It would leave the repairs at a significant undervalue.”
“Is it right also that your report does not reflect any attempt to look at the items forming part of the overheads in the accounts with a view to seeing whether they ought to form part of the overhead percentage reasonably applied in this case?”
“I did look to see whether there was anything so exceptional that it would fall outside the business they were doing.”
“Would you expect a business in Euro Pools' line of business to vary its materials charges so dramatically with its overheads?”
“I would expect them to average, to take an average over a number of years, which is what I have tried to replicate here.”
“Your approach of simply taking an average does not take account of whether any of these unusual factors we have been talking about occurred so as to influence the overhead in a particular year?”
“ I think all of this depends on what you mean by unusual. My analysis of unusual was something that was frankly falling outside the ordinary course of the business of putting bits into swimming pools. In the nature of that business, there is always going to be a huge array of activities that will be carried out with a view to selling or securing contracts to install bits in swimming pools. That is going to involve all sorts of marketing. Sometimes they will fall out with customers and it will end up in litigation. Overheads by their definition will carry all manner of stuff.”
“I have no difficulty with an overhead percentage being applied. That is fundamentally accepted by me. My position is that the overhead percentage, in my experience, is exceedingly high and therefore it needs to be looked at, because it may be that many of those items should have been properly allocated to jobs rather than simply put into the overhead, or they may be double-counted, or they may simply not be appropriate to the claim being made in this action.”
“…What do you mean by the third one, that they may not be appropriate to the claim?”
“I will give you an example. There are directors' costs in the overhead and I have no difficulty with that. Directors' costs are required to manage the works. There are directors' salaries and I understand what they are, and that is fine. There is an unexplained significant sum of money for directors' fees and I have not had that explained to me. That may be a bonus to the director arising from some other works carried out, a profitable contract carried out elsewhere. It appears to me that in terms of looking at a general overhead calculation, anything of that nature should not, unless it is properly explained, be included within a non-cost to be added to the base costs. So I have identified it simply, not because I say it is completely wrong but because it has not been explained sufficiently for me to say, "Yes, it goes into that calculation".”
“Well, I have not done an analysis of how the statutory accounts are made up. So, you know, I cannot say with certainty that the nominal activity codes that are in there have been taken through to the statutory accounts.”
“Limit of Indemnity applying to Insurance Clauses 1 – 7 The liability of the Company for damages claimant’s costs and expenses and Defence Costs arising out of all claims notified during the Period of Insurance shall not exceed the Limit of Indemnity specified in the Schedule...”
“The Company shall not be liable in respect of…the Insured’s Contribution”
“For the purposes of this Professional Indemnity Insurance… 12 Insured’s Contribution means the amount for which the insured is responsible under insurance clauses 1 2 3 4 (A) 5 6 and 7 of this Insurance in respect of any one Claim made against the Insured….”
“In connection with any Claims against the Insured the Company may at any time pay to the Insured the Limit of Indemnity (after deduction of any sums already paid during the Period of Insurance) or any less amount for which such Claims can be settled and thereupon the Company shall relinquish the control of such Claims and be under no further liability in connection therewith”