“STANDARD COVER The SUM INSURED under this Section of the Policy is£504,000 A. LOSS OR DAMAGE We will pay for loss of or damage to the buildings caused by … fire. … WHAT IS COVERED … 4. Fees and Clearance Costs We will pay for: (a) the costs of architects, surveyors, consultants and legal fees (b) costs necessarily incurred with our consent to clear the site and make it and the Buildings safe in the repair or reinstatement of the Buildings following damage recoverable under this Section but not fees for preparing any claim under the policy 5. Local Authority Requirements We will pay for the extra costs of reinstatement or repairs of the damaged part of the Buildings incurred solely to comply with any Government or local authority requirement following damage recoverable under this Section but not if you were notified of the requirement before the damage occurred. 6. Alternative Accommodation and Rent We will pay in addition to any other amount recoverable under this Section (a) if You occupy Your Home the cost of reasonable alternative accommodation for You, Your Family and domestic pets … Any claim payment will not be more than 20% of the sum insured by this Section.”
“E. BASIS OF CLAIMS SETTLEMENT 1. We will pay for the cost incurred in reinstatement or repair of that part of the Buildings which is damaged by any of the causes insured by this Section without any reduction for wear and tear provided that at the time of such damage the Buildings are in a good state of repair. But not for the cost of replacing or repair to any undamaged items solely because they form part of a set, suite, group or collection of items of a uniform design, nature or colour. 2. If the damage to the Buildings is not reinstated or repaired or the Buildings are not in a good state of repair then We will pay at our option: (a) the cost of reinstating the damage less a deduction for any wear and tear of betterment, or (b) the difference between the sale value of Your Home in the open market immediately prior to the damage and its residual value following such damage. 3. The most we will pay for any one claim will be the total sum insured shown in Your Schedule plus any amount payable under Items 5, 6 and 7 [above]. … 7. The insurance premium charged is based upon the sums insured shown on your policy schedule/confirmation. If in our opinion the sums insured do not accurately reflect the rebuild cost of the risk on cover, at our option, we reserve the right to reduce any claims payment by the amount of the percentage of underpayment of premium due to this under-estimation of value.”
“When the insurer performs his promise of indemnity, the amount of indemnity is normally calculated on values at the time of loss (point 1), even though the insurer may not be obliged to pay until later (point 2), when the claim has been investigated. The traditional rule of contract law is to assess damages at the time of breach (point 2). Recently, however, courts mindful of inflation have stressed the basic aim of contract damages to put the plaintiff in as good a position as if the contract had been performed, and have based damages on values at the date of the hearing (point 3), “unless it can be said that the plaintiff ought reasonably to have mitigated by seeking an alternative performance at an earlier date, in which event the appropriate measure would … be the cost of the alternative performance at that date”.”
“In principle, loss is assessed on the basis of values at the time loss occurred. It is irrelevant that the values have changed since the time the insurance was contracted, or since the time of loss, or that they are likely to change in the foreseeable future.”
“For any loss or damage claim You must … at Your expense provide Us with such information and evidence as We may request including written estimates and proof of ownership or value…”
“Caring For You We will always try to be fair and reasonable whenever you have need of the protection of this Policy. We will also act quickly to provide that protection.”
“As a matter of law, it seems to me that the decisions already referred to show that there cannot be a claim for damages of this sort where the breach of contract relied upon is the late payment or non-payment of a sum of money by way of damages. But on the other hand, if as a matter law the plaintiff is able to show that the defendants have committed some other and separate breach of contract, and if specifically he can show that the defendants were in breach by failing to accept liability or to approve of the reinstatement at an early stage, then the recovery of damages would not be restricted to the discretionary award of interest which exists in the other case. Since this line of argument requires identifying a legal obligation other than the payment of interest, and since the statement of claim in fact refers only to the non-payment of what was called the claim for indemnity, it does seem to follow that the defendants are entitled to object that no such claim is set out in the pleaded case, nor was it brought specifically to the attention of the learned Judge.”
“As a general rule the court will award interest from the date at which the insurer is in default for not paying the claim, because the basic function of an award of interest is to compensate the Claimant for being kept out of his money. In indemnity insurance this is, strictly speaking, the date on which the assured’s cause of action arose, and in property insurance this will be the date of the casualty, at which according to the established but unrealistic analysis of a claim for an indemnity as one for damages for breach of contract, the insurer is deemed to be in breach of an obligation to hold his assured harmless against loss caused by an insured peril. In practice, the courts are sometimes prepared to postpone the running of interest not only to the date at which a claim is notified to the insurers … but to that at which a reasonable investigation of the claim ought to have been completed. In cases where the claim is inadequately formulated or documented the time for a reasonable investigation may well be extended in consequence. … The court may abridge the period for the running of interest or reduce the rate of interest to mark its disapproval of the claimant’s delay in bringing or pursuing his claim, although this has the effect of providing a windfall to the insurer who should not have had the use of the money. It can be explained on the basis that the assured’s unreasonable delay becomes a cause of the money remaining unpaid.”
“Now, if somebody’s trying to say that there was no upstairs or somebody is trying to infer that there was no upstairs and the local authority didn’t know about it … I’m not a great lover of authority. If they didn’t know about it, I’m not sorry. You know, it doesn’t worry me …”
“With respect to our continuing role therefore, I believe that Mr Tonkin will be utilising other consultants to design the building to be reinstated. Obviously we respect his decision, although I am somewhat disappointed with the prompt attention I personally provided him with that he has not advised one way or the other whether he would wish to utilise our services. From your point of view I suspect that his architect will not be familiar with the reinstatement process of insurers, and there may well be a cost control issue in this regard.”
“Item 3.01 Allow to construct the building annotated as the north-south wing and shown on the contract drawing. Provide all materials, labour and plants associated with same. All work to comply with the Building Regulations. All work to comply with the Specification herein. Item 4.01 Allow to construct the building annotated as the east-west wing and shown on the contract drawing. Provide all materials, labour and plants associated with same. All work to comply with the Building Regulations. All work to comply with the Specification herein. Item 5.01 Allow to construct the building annotated as kitchen - housing the proposed new kitchen shown on the contract drawing. Provide all materials, labour and plants associated with same. All work to comply with the Building Regulations. All work to comply with the Specification herein.”
“I note your comments and am certainly somewhat alarmed that the projected cost of the reinstatement works is in excess of the sums insured particularly as this will undoubtedly result in a further financial cost to be borne by the client. As you will appreciate, I am unable to give approval to commencement of the works without sight of the detailed specification of the proposed works such that I may verify that the intended works are those purely required to reinstate the building and that there are no additional aspects which will obviously fall outside the scope of policy cover. I will also require a detailed breakdown of costs in order that I may undertake a cost analysis and complete my quantum enquires.”
“We feel that going back to all three contractors to re-price the project will merely delay a start date. Furthermore, it is unlikely, and quite understandable, that the already unsuccessful contractors will be reluctant to waste their time on a project that they already failed to secure. Without doubt it is our opinion that we should continue negotiations with Cornford only.”
“… serious concerns regarding the suitability of the drawings and specification currently prepared as being adequate for the size and complexity of the project. We would therefore suggest these documents be augmented or re-written and additional drawings provided in this respect.”
“My own particular concern is that the schedule of works presented is not sufficiently detailed for me to verify that the works proposed are those required to reinstate the property and that there won’t be any future increases in cost. I would suggest that in the very least the schedule of works should be revisited and that you continue to chase Cornford for a breakdown of their costs.”
“Our clients are most anxious that the frame “looks right “ and they wish to have the main posts 250 x 250 even if that means they are over-designed. Furthermore they have not as yet decided on the arrangement of rooms at either ground or first floor but the positions of windows and doors on the external walls are fixed (due to planning conditions). We are therefore looking to have totally uninterrupted floor space on both the ground floor and the first floor.”
“Having reviewed the specification and drawings sent out to tender to the contractors I would also point out that the specification is still poorly written, and the drawings are completely inadequate for such a complex building being merely sketched 1:100 to drawings blown up to 1:50 scale. If we were appointed to act as Contract Administrator with the current information available we would have to start again to produce the required tender documentation and would then produce detailed drawings at 1:50 scale together with a suitable specification of works based on NBS Standard Preliminary and Preamble Clauses including Materials and Workmanship Sections and a detailed Schedule of Works.”
“We have now delivered everything that we contracted to provide and are beginning to feel frustrated by the lack of progress.”
“The key problem with this case throughout has been your client and his agent’s inability or unwillingness to submit a properly framed claim. We have made an offer on the best information available to us. It is not our duty to provide these figures to you; it is your client’s duty to prove his claim. It is now clear he has no intention of doing so. Therefore the offer is withdrawn and the claim repudiated for breach of general condition 5B(i) after waiting 19 months for the proper particulars.”
“…to meet the costs of a consultant surveyor or structural engineer to review and advise you independently on the adequacy of the specification.”
“Having considered all the reports and other evidence submitted, it is my opinion that the complainant has not adequately discharged his responsibility to provide proof of the extent of his loss, whereas the firm has produced considerable evidence to demonstrate that the specification for the reinstatement of the property includes substantial betterment both in the size and specification from the original pre-fire situation. Consequently, in view of the technical nature of this dispute, I consider that the most appropriate resolution to the dispute that has been brought to this service is for the complainant and the firm to jointly appoint an independent architect to review all the documents produced to date and to prepare a detailed specification for the build of the complainant’s property based on his expert consideration of the pre-fire specification, and for both the firm and the complainant to fully accept the independent architect’s conclusions in this matter.”
“…We consider that it would be best and most quickly resolved by involving an independent third party specialist, rather than through protracted legal correspondence. Therefore, we would propose that the parties jointly appoint an architect who specialises in barn conversions, with input from whatever other professionals he requires, to review the specifications, tenders, reports and other relevant documentation produced so far, with a view to providing an opinion as to the specifications of your client’s property prior to the fire, and preparing a detailed independent specification for the rebuild based on the architect’s conclusions as to the proper specification of your client’s property prior to the fire.”
“Q: So you did not get involved, and say, ‘well, it is bigger, but it compensates for something else’? A: I would not have had that discussion. Q: Did you instruct Delavals to have that discussion? A: I did not ask Delavals to get into a conversation about that.”
“Q: He did not ask you to recreate what was there? A: We would build something similar [to what was there] which was acceptable to the Local Authority. Q: Did you discuss that with Mr Tonkin? Was he with you at all times? A: Yes.”
“Fraud is proved when it is shown that a false representation has been made (i) knowingly (ii) without belief in its truth or (iii) recklessly, careless of whether it be true or false.”
“The balance of probability standard means that a court is satisfied an event occurred if the court considers that, on the evidence the occurrence of the event was more likely than not. When assessing the probabilities the court will have in mind as a factor, to whatever extent is appropriate in the particular case, that the more serious the allegation the less likely it is that the event occurred and hence the stronger should be the evidence before the court concludes that the allegation is established on the balance of probability. Fraud is usually less likely than negligence … built into the preponderance of probability standard is a generous degree of flexibility in respect of the seriousness of the allegation. Although the result is much the same, this does not mean that where a serious allegation is in issue the standard of proof required is higher. It means only that the inherent probability or improbability of an event is itself a matter to be taken into account when weighing the probabilities and deciding whether, on balance, the event occurred. The more improbable the event, the stronger must be the evidence that it did occur before, on the balance on probability, its occurrence would be established.”
“… would not generally in those circumstances be right to conclude readily that someone had behaved fraudulently merely because he put forward an amount greater than that which he reasonably believed he would recover”
“In cases where nothing is misrepresented or concealed and the loss adjuster is in as good a position to form a view of the validity of the claims of the insured, there would be a legitimate reason that the insured was merely putting forward a starting figure for negotiation.”
“We paid for the kitchen. That was netted off against the under-floor heating … I would expect that to be in the paperwork.”
“But it needed a tightly worded specification. The tenderers would have to fill it in. It needed something that the tenderers could then fill in the figures. So that a quantity surveyor could then check it. A lot of people make basic errors.”
“I wanted a specification with unit areas put in. I expected blanks in the specification for the tenderers to fill in.”
“Q: So these figures were not set in stone? A: I think he says that here. Yes, you’ve answered the question.”
“Q: So you agree that, if at the end of the trial, the Claimants seek to make the insurers pay the precise amounts of these PC sums, you would agree that that was a misuse of the specification? A: Yes I would. Q: So it would be unfair to turn these PC sums into sums representing actual costs? A: Yes, it probably would.”
“In my judgment it is impossible to say that any such breach, even if and to the extent that it was a breach of contract, would carry with it a right to substantial damages representing the claim which is now put forward. What has to be said, however hard it may seem to say it, is that in such circumstances the cause of any delay which the plaintiff suffered must be regarded as the consequence of his own decision not to proceed with repair or reinstatement, whether that decision was voluntary or not. In other words, if, unfortunately, through his own financial circumstances he is unable to do so without assistance from the defendants, he cannot allege that the defendants were in breach of contract by failing to accept liability at that stage.”