“3. By a contract of insurance, contained in policy number PLUMIIC003543, a copy of which is attached (“the Contract”), the Defendant agreed to provide the Claimant with household insurance in respect of the Premises and in particular to indemnify the Claimant against loss resulting from damage to the Property and its contents caused by subsidence for the period9 August 2017 to8 August 2018 . ("the Policy Period"). 4.The Contract expressly provided inter alia Buildings Cover of£1m which included the following cover: “The Buildings of your home will be protected subject to any Endorsements to the contrary in the following way…[against] Subsidence”
“Please see report attached explained in my letter sent to you over a week ago. It appears the underpinning may have caused the Victorian aspect of the house and the garage block to move. It is now extremely urgent I have the 12 year guarantee.”
“Further to your note the other day concerning my LEI I would be grateful for some idea of what I can expect out of the£150,000 settlement. It is unusual to agree a settlement without knowing what I am getting not least because as you are aware I had an absolute minimum I could agree to having settled low on the Falcon claims to concentrate on the stronger LD claim. I am having to cover the losses I have suffered over the failed planning which has cost£25000 in original planning fees which appear to have been duplicated with a further£30,000 paid for the refused planning application and now the loss of the sale of£450,000 and£20,000 cash deposit paid to me I will have to pay back. Add this to the£10,000 paid to Amanda and I am trying to cover£85000 . I am obviously now totally defendant [sic] on the warranty and RSA claims to pay for the underpinning of the rear to be able to finally sell the house and lose the£1m loan I have serviced for 11 years now.”
“Dear Mr. Hadley, VERY URGENT Our Ref: 45443757139 I refer to my letter 12/7/19 in relation to my claim made over 3 years ago as can be seen from the attached email. I further attach formal complaints concerning the suggestion fixing gutters and cutting a hedge down would remedy subsidence caused by ground movement. For the avoidance of doubt in 12/7/19 you were advised: “There does not appear to be any Geotechnical analysis of the ground underneath the garage block; and/or Trial pits and/or Boreholes; and/or Investigating the locations and effects of the Tree’s roots; and/or an Arboricultural Report; and/or Investigating the possibility of felling the Tree; and/or Examining the foundations; ; and/or Monitoring the progression of movement; and/or Investigating whether underpinning or other remedial measures were needed”
“ Re: The Old Vicarage Clear garages and put in storage Clear garages and put in storage Take up middle garage floor and remove all interior fixings Insert jack/wall supports Excavate dig out trenches as per structural engineer report Concrete mix to underpin with Anchors Floating floor to whole area with DPM 100mm, Celotex and board All walls battened with DPC behind 863 Tack and skim All electrics reinstate All plumbing reinstate Please Note This does not include any decorating or floor coverings£18,750 plus VAT”
“7. Concealment or Fraud Throughout Your dealings with Us and The insurer, We and The insurer expect You, or anyone acting for You to act honestly. If You or anyone acting for You… • knowingly makes a fraudulent or exaggerated claim under the policy or • knowingly makes a false statement in support of a claim or • submits a knowingly false or forged document in support of a claim… Then: • We or The insurer may prosecute fraudulent claimants. • We or The insurer may make the policy void from the date of the fraudulent act. • The insurer will seek to recover any payments from You which They have already made in respect of the fraudulent claim. This action will not affect any previous claims unless the fraudulent act took place before any previous claims in which case the policy will be cancelled from the date of the fraudulent act and therefore no cover exists after this date and The insurer will seek to recover any payments from any previous claims which They paid You on or after the date of the fraudulent act.”
“(1) If the insured makes a fraudulent claim under a contract of insurance— (a)the insurer is not liable to pay the claim, (b)the insurer may recover from the insured any sums paid by the insurer to the insured in respect of the claim, and (c)in addition, the insurer may by notice to the insured treat the contract as having been terminated with effect from the time of the fraudulent act. (2) If the insurer does treat the contract as having been terminated— (a)it may refuse all liability to the insured under the contract in respect of a relevant event occurring after the time of the fraudulent act, and (b)it need not return any of the premiums paid under the contract. (3 )Treating a contract as having been terminated under this section does not affect the rights and obligations of the parties to the contract with respect to a relevant event occurring before the time of the fraudulent act. (4) In subsections (2)(a) and (3), “relevant event” refers to whatever gives rise to the insurer's liability under the contract (and includes, for example, the occurrence of a loss, the making of a claim, or the notification of a potential claim, depending on how the contract is written).”
“1. At common law, if an insured makes a fraudulent claim on his insurer, the latter is not liable to pay the claim. In relation to contracts concluded after12 August 2016 , the rule has been restated and its other consequences defined insection 12 of the Insurance Act 2015 . The question at issue on this appeal is what constitutes a fraudulent claim. This is a controversial question at common law, which the 2015 Act does not resolve. Three possible situations may be relevant. First, the whole claim may have been fabricated. In principle the rule would apply in this situation but would add nothing to the insurer's rights. He would not in any event be liable to pay the claim. Secondly, there may be a genuine claim, the amount of which has been dishonestly exaggerated. This is the paradigm case for the application of the rule. The insurer is not liable, even for that part of the claim which was justified. Third, the entire claim may be justified, but the information given in support of it may have been dishonestly embellished, either because the insured was unaware of the strength of his case or else with a view to obtaining payment faster and with less hassle.”
“a genuine claim, the amount of which has been dishonestly exaggerated.”
“In this context, there is an obvious and important difference between a fraudulently exaggerated claim and a justified claim supported by collateral lies. Where a claim has been fraudulently exaggerated, the insured's dishonesty is calculated to get him something to which he is not entitled. The reason why the insured cannot recover even the honest part of the claim is that the law declines to sever it from the invented part. The policy of deterring fraudulent claims goes to the honesty of the claim, and both are parts of a single claim…” ii) Lord Hughes at para 51: “It has been common ground between the parties, and is indisputable, that the fraudulent claims rule is well established in English law and that it operates to bar the whole of the policyholder's claim where that claim is either wholly invented or fraudulently exaggerated. The claiming policyholder, if he is found fraudulently to have exaggerated his claim, recovers nothing; he does not recover the unexaggerated part. The issue in this case has been whether that rule extends also to bar the claim where the insured has not invented or exaggerated the claim but has employed what has been termed a “fraudulent device”
“Re: The Old Vicarage Take up middle garage floor Floating floor to whole area with DPM 100mm, Celotex and board All walls battened with DPC behind All walls to have insulated plaster board False partition to number 2 garage door Calculations for RSJ to open up garage one / structural engineer Insulate all roof space, minimum of 300mm Tack and skim All electrics All plumbing Doors and cladding in place of garage one door Form opening in the back of garage 2 for patio doors Please Note This does not include any decorating or floor coverings All for the sum of£18,750 plus VAT”
“I am obviously not I impressed being asked to wait further not least having been sent a letter by PB sent to you 21/10/21 that should have been brought to my attention. To be asked to wait further having filed my claim in 2018 to be honest is embarrassing. I am afraid I am advised I have a duty to mitigate ongoing damages and to this end the garages are now being underpinned in line with the findings of ground engineering, Steven Bacon and Smithers Purslow copied to you. I attach the quotation in this regard and the first payment I have made towards this work. Please confirm my insurer will meet these costs failing which I am advised to issue a claim this week.”
“Insert jack/wall supports Excavate dig out trenches as per structural engineer report Concrete mix to underpin with Anchors”
“24. The Claimant and Mr Norman discussed the structural engineers’ reports. Mr Norman agreed to do the work as per the reports. Mr Norman and the Claimant agreed that the quotation dated1 November 2021 needed to be amended and updated to reflect the structural engineers’ reports and to include the said underpinning. 25. Mr Norman then told the Claimant that he had fallen out with his wife and she had thrown Mr Norman out of the house. Mr Norman said that his wife would not amend the quotation dated1 November 2021 for him given that they had fallen out and Mr Norman therefore asked the Claimant to do so for him. The Claimant did so and accordingly amended the quotation dated1 November 2021 so as to produce the quotation dated11 November 2021 ”
“37. C’s position is as follows. As at November 2021, C had waited over 3 years since notifying the claim under the policy and D had not provided him with any assistance. He was left with a property suffering subsidence. That made it impossible to sell, save for to a cash buyer at a large discount. Mortgage lenders will not support a purchase of a home with ongoing subsidence. But that was what D’s loss adjuster and all the other experts had reported. C was in financial trouble and needed to sell. D was giving C no assistance however. 38. C deployed the quotation to obtain an interim payment. He thought that he was entitled to that under the Policy. He thought that KBS works were recoverable under the policy because they did stabilise the WE. 39. C’s evidence about the quotation was extremely confused. It is accepted that it was unreliable. C appeared to say contradictory things at different times. He was under the influence of heavy drugs and was unwell. C accepts that his claim on the quotation falls away. He has failed to prove that the KBS works were a necessary consequence of the subsidence. The KBS works did not include underpinning (although C thought that they would, or might, at least to the piers supporting the flitch beam). 40. C was not dishonest. He was confused and vulnerable. He lacked dishonest intent.”
"underwriters have responded by advising there are no underwriting issues and liability is accepted."
“Admissions made before commencement of proceedings 14.1(1) A person may, by notice in writing— (a) admit the whole or any part of another party's case before commencement of proceedings (a "pre-action admission"); (b) withdraw a pre-action admission before commencement of proceedings, if the person to whom the admission was made agrees. (2) After commencement of proceedings— (a) any party may apply to the court for judgment on the pre-action admission; and (b) the maker of the pre-action admission may apply to the court for permission to withdraw it.”
“If You have any other insurance policies which cover the same loss, damage or liability as this policy, The insurer will pay only Their share of any claim.”
“ (1) A party shall be deemed to admit the authenticity of a document disclosed to him under Part 31 (disclosure and inspection of documents) unless he serves notice that he wishes the document to be proved at trial. (2) A notice to prove a document must be served – (a) by the latest date for serving witness statements; or (b) within 7 days of disclosure of the document, whichever is later.”
“I have received the below email and attachments from Mr Elliott. I cannot open a number of the enclosures and I do not fully follow all the points being made. I am well advanced in preparing my draft Judgment and have reached firm conclusions which are most unlikely to be affected by the issues ventilated on the defendant’s application of 16th June. I am also concerned that the resolution of this case should not be delayed or diverted by satellite litigation relating to the authenticity or otherwise of these documents. It seems to me that the ball is in the defendant’s court – if it wishes to pursue the application of 16th June further, we will need to reconvene, but this will delay the circulation of the draft judgment. If the defendant is content to leave matters where they stand, I will include a brief section in the Judgment reciting the history of this matter but noting that no order for relief from sanctions was ultimately made.”
“An Order that: The Claimant be granted permission to adduce further evidence, namely the witness statements of Steven Elliott dated and signed 8.7.26 /9.7.26 and exhibits SAFE77/88 attached thereto, pursuant to the Court's inherent jurisdiction and Overriding Objective of Civil Procedure Rule 1.1. The trial be re-opened for the limited purpose of considering this new evidence the court was defrauded and further the Defendant misled the Court making false allegations of dishonesty. The handing down of the final judgement be deferred or stayed until after the determination of this application.”
“I have had direct, but not read, the attached from Mr Elliott. What I propose to do is to make the corrections to the draft which you have agreed, so far as I think necessary, and then hand down the Judgment ASAP in the usual way. If either of you would like to urge me to take a different course, please let me know your position by 1600 tomorrow Thursday 9 July. My initial view is that I am now essentially functus, save for the above and save for dealing with any consequentials. If the Claimant wishes to obtain some further relief, or appeal, I think he would need to make some sort of formal application to the Court of Appeal: but that, is, of course, a matter for him/them, not me.”
“1. I agree with the position of the Defendant on this. The trial is over. The evidence has been led and the parties have made their submissions through Counsel. I have reached firm conclusions and these should be promulgated. As Lewison LJ observed in Fage UK Ltd v Chobani UK Ltd [2014] F.S.R. 29 at para 114(ii) “the trial is not a dress rehearsal. It is the first and last night of the show”. 2. I therefore make no order on the “application(s)” which Mr Elliott has made. I put this word in “” because it is not clear that any documents have been properly issued, served etc. 3. The Judgment will be handed down not before 1030 on Wednesday 15th July, to allow Mr Elliott, if so advised, to make such urgent application as he might be advised to make to another Judge or to the Court of Appeal. 4. Other consequential matters should be dealt with at an oral hearing to be fixed by Counsel’s clerks.”
“1. The Defendant is not granted permission to extend the period for notifying the Claimant of its challenge to documents 2 and 4. 2. By 4 pm on1 July 2026 the Claimant shall: (1)State whether he maintains his position that documents 1 and 3 are authentic; (2) If so, file at Court and serve on the Defendant the native forms of documents 1 and 3 (with their meta data) and / or any additional documents on which he relies in support of his contention that documents 1 and 3 are authentic. 3. The Defendant’s application in respect of documents 1 and 3 is adjourned.”