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Dokumen - Tips - Insurance Loss Digest

1. Marcelino Gabriel was insured under a personal accident policy issued by Fortune Insurance while working for Gerald Construction in Iraq. He died in May 1982 but Fortune was not notified until July 1983. 2. Fortune Insurance denied the claim of Gabriel's widow on the grounds of prescription and failure to prove the cause of death was due to an accident covered by the policy. 3. The Supreme Court ruled in favor of Fortune Insurance and denied the claim based on prescription, as Section 144 of the Insurance Code requires notice of a claim to be filed within 6 months of the accident. Notice was not given until over a year after Gabriel's death.

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Blanche Penesa
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0% found this document useful (0 votes)
72 views18 pages

Dokumen - Tips - Insurance Loss Digest

1. Marcelino Gabriel was insured under a personal accident policy issued by Fortune Insurance while working for Gerald Construction in Iraq. He died in May 1982 but Fortune was not notified until July 1983. 2. Fortune Insurance denied the claim of Gabriel's widow on the grounds of prescription and failure to prove the cause of death was due to an accident covered by the policy. 3. The Supreme Court ruled in favor of Fortune Insurance and denied the claim based on prescription, as Section 144 of the Insurance Code requires notice of a claim to be filed within 6 months of the accident. Notice was not given until over a year after Gabriel's death.

Uploaded by

Blanche Penesa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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1. Paris-Manila Perfume Co. v. Phoenix Assurance Co.

(1926)

Facts:

• May 22, 1924: A fire insurance policy was issued by Phoenix Assurance Co pany, Li ited
to Messrs" Paris#Manila Per$uery Co" %Peter &ohnson, Prop"' $or P1(,)))

O also insured with other insurance copanies $or P1,2)) and P*,))) respecti+ely

 &uly 4, 1924: he Per$uery was burned unknown o$ the cause totalling a loss
o$ P(/")2*"*0

Phoenix re$used to pay nor to appoint an arbitrator stating that the policy did not
co+er any loss or daage occasioned by explosion and stating that the clai was
$raudulent

• C: ordered Phoenix to pay P1(,)))

• Phoenix appealed

O  he insurance policy contains:

nless otherwise expressly stated in the policy the insurance does not co+er

%h' Loss or daage occasioned by the explosion3 but loss or daage by explosion o$ gas
$or illuinating or doestic purposes in a building in which gas is not generated and which
does not $or a part o$ any gas works, will be deeed to be loss by fire within the
eaning o$ this policy"

556: 78 Phoenix should be liable $or the loss because there was no explosion which is an
exeption $ro the policy

6L;: <65"

• $ it be a $act that the fire resulted $ro an explosion that $act, i$ pro+en, would be a
coplete de$ense, the burden o$ the proo$ o$ that $act is upon the de$endant, and upon
that point, there is a $ailure o$ proo$

lower court $ound as a $act that there was no $raud in the insurance, and that the +alue
o$ the property destroyed by the fire was ore than the aount o$ the insurance"

(" C=< >AK65 5AC6 C=P" @5" LAA >A< B C=MM< ML#PP=56
C==P6A@6, C" "" o"1(0914, &anuary 2*, 2))2

Facts:

Country >ankers nsuran ce Corp" %C>C' insured the building o$ respondent Lianga >ay and
Counity Multi#Purpose Corp", nc" against fire, loss, daage, or liability during the period
starting &une 2), 199) $or the su o$ Php"2)),)))"))" =n &uly 1, 19/9 at about 12:4) in the
orning a fire occurred" he respondent filed the insurance clai  but the petition denied the
sae on the ground that the building was set on fire by two PA rebels and that such loss was
an excepted risk under par"0 o$ the conditions o$ the insurance policy that the insurance does
not co+er any loss or daage occasioned by aong others, utiny, riot, ilitary or any
uprising"
espondent filed an action $or reco+ery o$ loss, daage or liability against petitioner and the rial
Court ordered the petition to pay the $ull +alue o$ the insurance"

ssue: 7hether or not the insurance corporation is exepted to pay based on the exception
clause in the insurance policy"

eld: he 5upree Court held that the insurance corporation has the burden o$ proo$ to
show that the loss coes within the pur+iew o$ the exception or liitation set#up" >ut the
insurance orporation cannot use a witness to pro+e that the fire was caused by the PA
rebels on the
not be recei+ed as proo$ o$ the truth o$ what he has learned" he petitioner, $ailing to pro+e the
exception, cannot rely upon on exe ption or exception clause in the fire insurance policy" he
petition was granted"

4" Malayan Insurance Co., Inc. vs. CA G.R. No. $-36&13, 26 Seem*er 19++

acs

Malayan nsurance Co" nc" %MALA<A' issued a Pri+ate Car Coprehensi+e Policy co+ering a
7illys jeep" he insurance co+erage was $or Eown daageE not to exceed P0))")) and Ethird#
party liabilityE in the aount o$ P2),)))"))" ;uring the effecti+ity o$ the insurance policy, , the
insured jeep, while being dri+en by one &uan P" Capollo an eployee o$ the respondent 5an
Leon ice Mill, nc", %5A L6=' collided with a passenger bus belonging to the respondent
Pangasinan ransportation Co", nc" %PAAC=' at the national highway in >arrio 5an Pedro,
osales, Pangasinan, causing daage to the insured +ehicle and injuries to the dri+er, &uan P"
Capollo, and the respondent Martin C" @allejos, who was riding in the ill#$ated jeep"

Martin C" @allejos filed an action $or daages against 5io Choy, Malayan nsurance Co", nc" and
the PAAC= be$ore the Court o$ First nstance o$ Pa ngasinan" he trial court rendered
 judgent holding 5io Choy, 5A L6=, and MALA<A jointly and se+erally liable" owe+er,
MALA<As liability will only be up to P2),)))"

=n appeal, CA affired the decision o$ the trial court" owe+er, it ruled that 5A  L6=  has no
obligation to indeni$y or reiburse the petitioner insurance copany $or whate+er aount it
has been ordered to pay on its policy, since the 5an Leon ice Mill, nc" is not a pri+y to the
contract o$ insurance between 5io Choy and the insurance copany"

MALA<A appealed to the 5C by way o$ re+iew on certiorari"

Issues

%1' 7hether or not MALA<A is solidarily liable to @allejos, along with 5io Choy and 5A L6=

%2' 7hether or not MALA<A is entitled to be reibursed by 5A L6= $or whate+er aount
petitioner has been adjudged to pay respondent @allejos on its insurance policy"

/el0

%1' =nly 5io Choy and 5A L6= are solidarily liable to @allejos $or the award o$ daages" 5io
Choy is liable as owner o$ the jeep pursuant to Article 21/4, while 5A L6= is liable as the
eployer o$ the dri+er o$ the jeep at the tie o$ the accident pursuant to Art 21/)"

MALA<As liability, howe+er, arose only out o$ the insurance policy with 5io Choy" Petitioner as
insurer o$ 5io Choy, is liable to respondent @allejos, but it cannot, as incorrectly held by the
trial court, be ade EsolidarilyE liable with the two principal tort$easors naely respondents 5io
Choy and 5A L6="

%2' MALA<A is entitled to be reibursed" pon payent o$ the loss, the insurer is entitled to be
subrogated pro tanto to any right o$ action which the insured ay ha+e against the third person
whose negligence or wrong$ul act caused the loss" 7hen the insurance copany pays $or the
loss, such payent operates as an eHuitable assignent to the insurer o$ the property and all
reedies which the insured ay ha+e $or the reco+ery thereo$" hat right is not dependent
upon , nor does it grow out o$ any pri+ity o$ contract or upon written assignent o$ clai, and
payent to the insured akes the insurer assignee in eHuity"

*" @da" ;e abriel +" CA, "" o" 1)(//( o+eber 14, 1990 FAC5

Marcelino abriel was eployed by 6erald Construction B ;e+elopentCorporation %6erald


Construction $or bre+ity' at its construction project in raH" e wasco+ered by a personal
accident
 he insured risk was $or bodily injurycaused by +iolent accidental external and +isible eans
which injury would solely andindependently o$ any other cause result in death or disability"=n 22
May 19/2, within the li$e o$ the policy, abriel died in raH" =n 12 &uly 19/(,6erald Construction
reported abriels death to Fortune nsurance by telephone" Aongthe docuents therea$ter
subitted to Fortune nsurance were a copy o$ the deathcertificate issued by the Ministry o$ 
ealth o$ the epublic o$ raH which stated that anautopsy report by the ational >ureau o$ 
n+estigation was conducted to the effect that dueto ad+anced state o$
postorte decoposition, the cause o$ death o$ abriel couldnot be deterined"

>ecause o$ this de+elopent Fortune nsurance ultiately denied the clai o$


6erald Construction on the ground o$ prescription" abriels widow, &acHueline &ieneI,went
to the to the lower court" n her coplaint against 6erald Construction and
Fortunensurance, sh e a+erred that her husband died o$ electrocution while in the per$orance o$
his work"Fortune
nsurance alleged that since both the death certificate issued by the raHiMinistry o$ ealth and
the autopsy report o$ the > $ailed to disclose the cause o$ abrielsdeath, it denied liability
under the policy" n addition, pri+ate respondent raised the de$enseo$ prescription,
in+oking 5ection (/4 o$ the nsurance Code"

556: 7= &acHueline &ieneI +da" de abriels clai agains t Fortune nsurance should
bedenied on the ground o$ prescription

6L;:

 <es" 5ection (/4 o$ the nsurance Code pro+ides: 5ec" (/4" Any person ha+ing any clai
upon the policy issued pursuant to this chapter shall, without any unnecessary delay, present
to the insurance copany concerned a written notice o$ clai setting $orth the nature, extent and
duration o$ the injuries sustained as certified by a duly licensed physician" otice o$ clai ust
be filed within six onths $ro date o$ the accident, otherwise, the clai shall be deeed
wai+ed" Action or suit $or reco+ery o$ daage due to loss or injury ust be brought, in proper
cases, with the Coissioner or the Courts within one year $ro denial o$ the clai, otherwise,
the claiants right o$ action shall prescribe" he notice o$ death was gi+en to Fortune nsurance,
concededly, ore than a year a$ter the death o$ +da" de abriels husband" Fortune nsurance, in
in+oking prescription, was not re$erring to the one#year period $ro the denial o$ the clai within
which to file an action against an insurer but ob+iously to the written notice o$ clai that had to
be subitted within six onths $ro the tie o$ the accident"

@da" de abriel argues that Fortune nsurance ust be deeed to ha+e wai+ed its right to show
that the cause o$ death is an excepted peril, by $ailing to ha+e its answers duly +erified" t is true
that a atter o$ which a written reHuest $or adission is ade shall be deeed ipliedly
aditted unless, within a period designated in the reHuest, which shall not be less than 1) days
a$ter ser+ice thereo$, or within such $urther tie as the court ay allow on otion and notice,
the party to who the reHuest is directed ser+es upon the party reHuesting the adission a
sworn stateent either denying specifically the atters o$ which an ad ission is reHuested or
setting $orth in detail the reasons why he cannot truth$ully either ad it or deny those atters3
howe+er, the +erification, like in ost cases reHuired by the rules o$ procedure, is a $oral, not
 jurisdictional, reHuireent, and ainly intended to secure an assurance that atters which are
alleged are done in good $aith or are true and correct and not o$ ere speculation"

7hen circustances warrant, the court ay siply order the correction o$ un+erified pleadings
or act on it and wai+e strict copliance with the rules in order that the ends o$ justice ay
thereby be ser+ed" n the case o$ answers to written reHuests $or adission particularly, the
court can allow the party aking the adission, whether ade expressly or deeed to ha+e been
ade ipliedly, to withdraw or aend it upon such ters as ay be just" he insurance policy
expressly pro+ided that to be copensable, the injury or death should be caused by
+iolent accidental external and +isible eans" n attepting to pro+e the cause o$ her husbands
was still $unctioning, and +da" de abriels sworn affida+it" he said affida+it, howe+er,
suffers
$ro procedural infirity as it was not e+en testified to or identified by +da" de abriel hersel$"
 his affida+it there$ore is a ere hearsay under the law"

n like anner, the letter allegedly written by the deceaseds co#worker which was
ne+er identified to in court by the supposed author, suffers $ro the sae de$ect as the
affida+it o$
+da" de abriel" ot one o$ the other docuents subitted, to wit, the P=6A decision, the death
certificate issued by the Ministry o$ ealth o$ raH and the > autopsy report, could gi+e any
probati+e +alue to +da" de abriels clai" he P=6A decision did not ake any categorical
holding on the specific cause o$ abriels death" n suary, e+idence is utterly wanting to
establish that the insured suffered $ro an accidental death, the risk co+ered by the policy"

0" F nsurance Corporation +" CA %2))*'

Lessons Applicable: Loss caused by negl gence o$ the insured %nsurance'

FAC5:

• Anco 6nterprises Copany %AC=', a partnership between Ang ui and Co o, was
engaged in the shipping business operating two coon carriers

O M8 AC= tugboat

O ;8> Lucio barge # no engine o$ its own, it could not aneu+er by itsel$ and had to
be towed by a tugboat $or it to o+e $ro one place to another"

• 5epteber 2( 19J9: 5an Miguel Corporation %5MC' shipped $ro Mandaue City, Cebu, on
board the ;8> Lucio, $or towage by M8 AC=:

O 2*,))) cases Pale Pilsen and (*) cases Cer+eIa egra # consignee 5MCs
>eer Marketing ;i+ision %>M;'#6stancia >eer 5ales =ffice, 6stancia, loilo

O 1*,))) cases Pale Pilsen and 2)) cases Cer+eIa egra # consignee 5MCs >M;#5an
 &ose >eer 5ales =ffice, 5an &ose, AntiHue

5epteber (), 19J9: ;8> Lucio was towed by the M8 AC= arri+ed and M8 AC= le$t the
barge iediately

O  he clouds were dark and the wa+es were big so 5MCs ;istrict 5ales
5uper+isor, Fernando Macabuag, reHuested AC=s representati+e to trans$er the
barge to a sa$er place but it re$used so around the idn ight, the barge
sunk along with 29,21) cases o$ Pale Pilsen and *)) cases o$ Cer+eIa
egra totalling to P1,(40,19J

• 7hen 5MC claied against AC= it stated that they agreed that it would not be liable $or
any losses or daages resulting to the cargoes by reason o$ $ortuitous e+ent and it was
agreed to be insured with F $or 2),))) cases or P/*/,*))

• AC= filed against F

O F alleged that AC= and 5MC $ailed to exercise ordinary diligence or the
diligence o$ a good $ather o$ the $aily in the care and super+ision o$ the cargoes

C: AC= liable to 5MC and F liable $or *(K o$ the lost cargoes

• CA affired
556: 78 F should be exepted $ro liability to AC= $or the lost cargoes because o$ a
$ortuitous e+ent and negligence o$ AC=
6L;: <65" Affir ed with  odification" hird#party co plainant is dis issed"

• Art" 1J((" Co  on carriers, $ro the nature o$ their business and $or reasons o$ public
policy are bound to obser+e extraordinary diligence in the +igilance o+er the goods and $or
the sa$ety o$ the passengers transported by the , according to all the circu stances o$
each case"

5uch extraordinary diligence in +igilance o+er the goods is $urther expressed in Articles 1J(4,
1J(*, and 1J4* os" *, 0, and J " " "

• Art" 1J(4" Coon carriers are responsible $or the loss, destruction, or deterioration o$
the goods, unless the sae is due to any o$ the $ollowing causes only:

%1' Flood, stor, earthHuake, lightning, or other natural disaster or calaity3

" " "

Art" 1J(9" n order that the coon carrier ay be exepted $ro responsibility, the
natural disaster ust ha+e been the proxiate and only cause o$ the loss" owe+er, the
coon carrier ust exercise due diligence to pre+ent or iniiIe loss be$ore, during
and a$ter the occurrence o$ flood, stor, or other natural disaster in order that the
coon carrier ay be exepted $ro liability $or the loss, destruction, or deterioration
o$ the goods " " "

Caso $ortuito or $orce ajeure

O extraordinary e+ents not $oreseeable or a+oidable, e+ents that could not be


$oreseen, or which though $oreseen, were ine+itable

O not enough that the e+ent should not ha+e been $oreseen or anticipated, as is
coonly belie+ed but it ust be one ipossible to $oresee or to a+oid # not in this
case

other +essels in the port o$ 5an &ose, AntiHue, anaged to trans$er to another
place

 o be exepted $ro responsibility, the natural disaster should ha+e been the proxiate
and only cause o$ the loss" here ust ha+e been no contributory negligence on the part
o$ the coon carrier"

O there was blatant negligence on the part o$ M8 AC=s crewebers, first in
lea+ing the engine#less barge ;8> Lucio at the ercy o$ the stor without the
assistance o$ the tugboat, and again in $ailing to heed the reHuest o$
5MCs representati+es to ha+e the barge trans$erred to a sa$er place

• 7hen e+idence show that the insureds negligence or recklessness is so gross as to be


sufficient to constitute a will$ul act, the insurer ust be exonerated"

AC=s eployees is o$ such gross character that it aounts to a wrong$ul act which ust
exonerate F $ro liability under the insurance contract

O both the ;8> Lucio and the M8 AC= were blatantly negligent

. Sun v CA G.R. No. 923+3 uly 1, 1992

Facts:

Li accidentally killed hisel$ with his gun a$ter reo+ing the agaIine, showing off, pointing
the gun at his secretary, and pointing the gun at his teple" he widow, the beneficiary, sued
the petitioner and won 2)),))) as indenity with additional aounts $or other daages and
attorneys $ees" his was sustained in the Court o$ Appeals then sent to the 5upree court by the
insurance copany"
1" 7as Lis widow eligible to recei+e the benefits

2" 7ere the other daages +alid

eld:

1" <es 2" o

atio: 1" here was an accident"

;e la CruI +" Capital nsurance says that Ethere is no accident when a deliberate act is
per$ored unless soe additional, unexpected, independent and un$oreseen happening occurs
which produces or brings about their injury or death"E his was true when he fired the gun"

nder the insurance contract, the copany wasnt liable $or bodily injury caused by attepted
suicide or by one needlessly exposing hisel$ to danger except to sa+e anothers li$e"

Li wasnt thought to needlessly expose hisel$ to danger due to the witness testiony that he
took steps to ensure that the gun wasnt loaded" e e+en assured his secretary that the gun was
loaded"

 here is nothing in the policy that relie+es the insurer o$ the responsibility to pay the indenity
agreed upon i$ the insured is shown to ha+e contributed to his own accident"

2" Nn order that a person ay be ade liable to the payent o$ oral daages, the law
reHuires that his act be wrong$ul" he ad+erse result o$ an action does not per se ake the act
wrong$ul and subject the act or to the payent o$ oral daages" he law could not ha+e eant
to ipose a penalty on the right to litigate3 such right is so precious that oral daages ay not
be charged on those who ay exercise it erroneously" For these the law taxes costs"O

$ a party wins, he cannot, as a rule, reco+er attorneys $ees and litigation expenses, since it is
not the $act o$ winning alone that entitles hi to reco+er such daages o$ the exceptional
circustances enuerated in Art" 22)/" =therwise, e+ery tie a de$endant wins, autoatically
the plaintiff ust pay attorneys $ees thereby putting a preiu on the right to litigate which
should not be so" For those expenses, the law dees the award o$ costs as sufficient"O

/" "" o" L#(*/4/ o+eber 22, 19(2

 6 6A5 F6 C",

plaintiff#appellant,+s"

 6 L=>6 B 65 F6 5AC6 C=" =F 67 <=K,

de$endant#appellee"

################"" o" L#(*/49 o+eber 22, 19(26 6A5 F6 C",

plaintiff#appellant,+s"

C=MM6CAL = A55AC6 C=MPA<, L;",

de$endant#appellee"

################"" o" L#(*/*) o+eber 22, 19(26 6A5 F6 C",

plaintiff#appellant,+s"

 6 C=6AL 5AC6 C=" =F 67 <=K, de$endant#appellee"

Facts:

Plaintiff is a duly registered partnership engaged in the sale o$ $urniture3 that the de$endant is
inits establishent" =n March 2, 1929, a fire broke out in plaintiffs establishent, as a result
o$ which the insured articles therein $ound were destroyed by the fire";e$endants de$enses are:
%1' that the fire in Huestion was o$ intentional origin3 %2' that the claiso$ loss presented by
the plaintiff were $alse and $raudulent3 %(' that the $urniture in Huestion had been ortgaged
by the plaintiff to the Manila Finance and ;iscount Corporation, so that at thetie o$ the fire the
plaintiff  was not the only party interested therein, contrary to therepresentations ade in its
clais o$ loss3 and %4' that the plaintiff +iolated one o$ the conditionso$ the policies by re$using to
$urnish the de$endants with a physical in+entory o$ the contents o$ its store at the tie o$ the
fire"

>y agreeent o$ the parties the three cases were tried jointly who a$ter the trial $ound that
theclais presented by the plaintiff were notoriously $raudulent, and, accordingly,
sustainedde$endants second special de$ense and disissed the coplaint in each o$ the three
cases"ence, this petition"

ssue:78 fire was o$ intentional origin78 the clai o$ loss were $raudulent

uling:

Fire o$ ntentional =rigin

7e are thus led to the conclusion that de$endants first special de$ense is well $ounded Q that
thefire in Huestion was o$ intentional origin and was caused with the conni+ance o$ the plaintiff"
either the interest o$ the justice nor public policy would be prooted by an oission o$ the
courts to expose and conden incendiaris once the sae is established by copetent
e+idence"t would tend to encourage rather than suppress that great public enace i$ the courts
do notexpose the crie to public condenation when the e+idence in a case like the present
shows thatit has really been coitted"

Fraudulent clai o$ loss" 7e ay also consider the daage caused by the fire in relation with
de$endants second specialde$ense that plaintiffs clais o$ loss were $alse and $raudulent"o
each o$ the proo$s o$ loss which the plaintiff presented to the respecti+e insurance copanies
$our days a$ter the fire was attached an in+entory o$ the $urniture claied to ha+e been in the
building at the tie o$ the fire" his in+entory contains *)0 pieces o$ $urniture and(,J)) board
$eet o$ luber o$ the alleged total +alue o$ P*2,)01"99" his aount was the totalloss claied to
ha+e been suffered by the plaintiff, although we note that in its coplaints inthese cases
aended it is conceded that soe $urniture o$ the +alue o$ about P*,))) was sa+ed"

egardless o$ any difference o$ opinion as to the +alue o$ the insured $urniture and the extent o$
the daage caused thereto by the fire in Huestion, the $act that the insured only
hadapproxiately 2)2 pieces o$ $urniture in the building at the tie o$ the fire and sought
tocopel the insurance copanies to pay $or *)0 pieces conclusi+ely shows that its clai was
nothonestly concei+ed" he trial courts conclusion that said clai is notoriously $raudulent,
is correct" Condition 12 o$ each o$ the insurance policies sued upon pro+ides that Ei$ the clai
be inany respect $raudulent, or i$ any $alse declaration be ade or used in support thereo$, or
i$ any$raudulent eans or de+ices are used by the nsured or anyone acting on his behal$ to
obtain any benefit under this policy3 or, i$ the loss or daage be occasioned by the wil$ul act, or
with theconni+ance o$ the nsured, Q all benefit under this policy shall be $or$eited"E

9" G.R. No. $-19+31 une 29, 1963

 45 AN C/5AN, plain tiff#appellant,


+s"
I7$8M7NS INS5RANC7 C:., INC., 7; A$., de$endants#appellants"

Facts:

Plaintiff <u >an Chuan began his business enterprise under the nae o$ ECMC rading"E he
plaintiff insured against fire the stock erchandise contained therein with de$endant Fieldens
nsurance Co" an E openE policy liiting the insurers liability to the aount o$ P2)),))) $or a
liiting liability thereunder to P14),))) $or a one#year period3 herea$ter, Fieldens agreed to
trans$er the co+erage o$ its insurance policy to plaintiffs different store where he
trans$erred3 Paraount also agreed to ha+e the co+erage o$ its insurance policy trans$erred to
the sae new preises and acknowledged the existence o$ its co#insurance with Fieldens3
Fieldens also acknowledged its co#insurance with Paraount3 while both insurance policies
were in $ull $orce and effect, plaintiffs business establishent, was totally destroyed by fire"

 he next day a$ter the occurrence o$ the fire, plaintiff +erbally notified the respecti+e agents o$ 
the de$endants#insurers o$ such incident3 and on the sae day, plaintiff and " "
>ayne Adjustent Co" and Manila Adjustent Co", adjusters o$ de$endants Fieldens and
Paraount, respecti+ely, executed Enon#wai+erE
agreeents $or the purpose o$ deterining the
circustances o$ the fire and the +alue or aount o$ loss and daage to the erchandise
insured under said policies" Pursuant to such agreeents, " " >ayne Adjustent Co" sent a
letter to plaintiff, and Manila Adjustent Co" sent its letter, reHuiring the plaintiff to subit
certain papers and docuents" Plaintiff ga+e a written notice o$ the occurrence o$ the fire to the
de$endants, and, in answer to the letters o$ the adjusters, plaintiff subitted his separate $oral
fire clais, together with soe o$ the supporting papers reHuired therein" >ecause o$ plaintiffs
non#copliance or $ailure to subit the reHuired docuents and the adjusters deand in
subseHuent letters that the insured subit additional papers, the adjusters and plaintiff engaged
in an exchange o$ counications, until finally the de$endants rejected plaintiffs clais, and
denied liability under their respecti+e policies, e+idently upon their respecti+e
adjusters recoendations"

ssue: 78 the insurer is liable"

eld:

=" he plaintiff adheres to the in+entory as the iaculate basis $or the actual worth o$ stocks
that were burned, on the ground that it was ade $ro actual count, and in copliance with law"
>ut this in+entory is not binding on the de$endants, since it was prepared without their
inter+ention" t is well to note that plaintiff had e+ery reason to show that the +alue o$ his stock
o$ goods exceeded the aount o$ insurance that he carried" And the in+entory, ha+ing been
ade prior to the fire, was no proo$ o$ the existence o$ these goods at the store when the fire
occurred" rue, there were erchandise that were actually destroyed by fire" >ut when $raud is
concei+ed, what is true is subtly hidden by the scheer beneath proper and legal appearances,
including the preparation o$ the in+entory"

 he filing o$ collection suits $or unpaid purchases against <u >an Chuan, howe+er +alid these ay
be, do not legitiiIe his $raudulent clai against the insurers in the present case, nor show that
the goods allegedly deli+ered were at the store when the fire occurred" t is arkworthy that in
soe instances the debts are only attested by certifications $ro the creditors"

 he plaintiff, <u >an Chuan, is a Chinese who cae to this country in 194/" is cobined incoe
$ro 19*0 through 19*/ aounted to only P1),)))" <et in 19*9 he appeared as running a,
business o$ his own worth alost hal$ a illion pesos" he source o$ the in+estent, accordingly
to hi, were unsecured loans in the $antastic su o$ P224,)))"))" Fro these circustances,
and the $acts herein be$ore stated, it is plain that no credence can be gi+en to plaintiffs clais"

1)" Yu Cua v. South British Insurance Co.

11" G.R. No. $-22&9+ 8ecem*er 16, 192&

A.M. ;5AS:N,  plaintiff#appellant,


+s"
N:R;/ C/INA INS5RANC7 C:MPAN4, $;8.
Facts:
About idnight o$ the 2/th o$ &anuary, 1922, a fire broke out in the @anity Fair, a erchantile
establishent owned by A"M" uason, de+oted to the sale o$ dry goods and ebroidery and to
conducting a as sage and anicuring parlor and tea roo" ;ue to the proptness and
efficiency o$ the Manila fire departent, the fi+e was placed under control be$ore it had done
ore than destroy a part o$ the building with its eHuipent and erchandise" he presence o$ 
dry goods saturated with spirits o$ turpentine and other +ery suspicious circustances, resulted
in &" LorenIo, deputy chie$ o$ the fire departent, reporting that the cause o$ the fire was
Encendiary """ international"E

At that tie, the @anity Fair was insured with the Li+erpool B London B lobe
nsurance Copany, Ltd", and the orth China nsurance Copany, Ltd", under se+en policies,
totaling P2)),)))" Fi+e o$ these policies had been taken out by Mr" uason on ;eceber 14,
1921, and two had been taken out on &anuary 10, 1922"

Mr" uason laid clai to P191,((0"J4" 7hen said clai was rejected by the insurance copanies"
 he principal de$enses set up by the de$endants were, first, that all benefit under the policies had
been $or$eited because $alse, $raudulent, and fictitious declarations had been ade the
de+ices to obtain payent3 and, second, that the fi+e was caused by the will$ul act o$ the
plaintiff and those instigated by an in conni+ance with hi"

ssue: 78 the insurers are liable"

eld:

o" he difference between the $oral clai o$ approxiately P19),))), or, deducting the
aount asked $or the $urniture, o$ o+er P1J),))), and P(),))), the top figure conceded
by ipartial witnesses, is so great as to indicate $alse stateents ade intentionally and will$ully"
5uch $acts bring into +iew the twel$th condition o$ the policies pro+iding: E$ the clai be in any
respect $raudulent, or i$ any $alse declaration be ade or used in support thereo$, or i$ any
$raudulent eans or de+ices are used by the insured or anyone acting on his behal$ to obtain any
benefit under this policy3 or i$ the loss or daage be occasioned by the will$ul act, or with the
conni+ance o$ the insured """ all benefit under this policy shall be $or$eited"E his clause, with its
un$ortunate relation to the pro+en $acts, calls $or the application o$ the doctrine that $alse and
aterial stateents ade with an intent to decei+e or de$raud, a+oid the insurance policies"

12" G.R. No. $-13331. Novem*er 29 196<.

8A=I8 C:NS5NI an0 R787S=IN8A A. C:NS5NI, lainiffs an0 aellees, v. ;/7


MANI$A P:R; S7R=IC7

Facts:

;a+id Consunji and Fredes+inda A" Consunji were consignees o$ 24J cartons o$ edical supplies
unloaded at the Port o$ Manila $ro the nited 5tates" As arrastre operator, the Manila Port
5er+ice took charge o$ the erchandise, and in due course deli+ered to plaintiffs or their agent
24( cartons, thereby incurring a shortage o$ $our %4' cartons"

7here$ore this coplaint in the Manila unicipal court $or the su o$ P40)"(/ representing the
in+oice +alue o$ the undeli+ered goods, plus daages and attorneys $ees totalling P02)"(0"

 he de$ense rested ainly on the $ailure o$ plaintiffs to file a clai $or the shortage within 1*
days, as pro+ided in its Manageent Contract with the >ureau o$ Custos, which reads
partly:jgc:chanrobles"co"ph

E" " " n any e+ent the contractor shall be relie+ed and released o$ any and all responsibility or
liability $or loss, daage, isdeli+ery and or non#deli+er o$ goods, unless suit in the Court o$  
proper jurisdiction is brought within a period o$ one %1' year $ro the date o$ the discharge o$ the
by the contractor, pro+ided that such clai shall ha+e been filed with the Contractor within 1*
%fi$teen' days $ro the date o$ the discharge o$ the last package $ro the carrying +essel"E

ssue: 78 the Consunji can clai"

eld:

=" Carriers or depositories soeties reHuire presentation o$ clais within a short tie a$ter
deli+ery as a condition precedent to their liability $or losses" 5uch reHuireent is not epty
$oralis" t has a definite purpose, i"e" to afford the carrier or deposi tory a
reasonable opportunity and $acilities to check the +alidity o$ the clais while the $acts are still
$resh in the
inds o$ the persons who took part in the transaction and the docuents are still a+ailable" ow,
we see no reason why Manila Port 5er+ice Q $or whose benefit the pro+ision was e+idently
inserted Q should reHuire propt presentation o$ clai in one instance, while wai+ing it in the
other"

n this connection, realiIe the seeing ineHuity o$ applying this 1*#day pro+iso where
the consignee coes to know the daage or loss only a$ter the lapse o$ such 1*#day period,
$or instance, where deli+ery by the contractor takes place 10 days a$ter discharge o$ the last
package $ro the +essel" And it ight be un$air to apply the liitation where the claiant coes
to know o$ such condition precedent only a$ter the 1*#day period" >ut such
exceptional considerations do not coe presently into play, plaintiffs ha+ing asserted none o$
the" =n the contrary, ipliedly aditting knowledge o$ both the condition and the shortage
within the 1*# day tie , they stood on the proposition, as stated, that ha+ing instituted suit
within one year a$ter the discharge o$ the goods $ro the carrying +essel, they had properly
filed their action, notwithstanding no clai had been ade within 1* days" 7here$ore, as their
position turns out to be legally untenable, the judgent ust be, and is hereby re+ersed, and
the de$endants are absol+ed $ro all liability"

1(" >achrach +" >ritish Aerican Assurance Co" %191)'

"" o" L#*J1* ;eceber 2), 191)

Lessons Applicable: 6ffect o$ Change o$ nterest in hing nsured %nsurance'

Laws Applicable:

FAC5:

• 6" M" >achrach insured goods belonging to a general $urniture store, such as iron and
brass bedsteads, toilet tables, chairs, ice boxes, bureaus, washstands, irrors, and sea#
grass $urniture stored in the ground floor and first story o$ house and dwelling with
an authoriIed agent o$ the >ritish Aerican Assurance Copany

• >ritish Aerican Assurance Copany denied alleging that:

O property co+ered by the policy to " 7" Peabody B Co" to secure certain
indebtedness due and owing to said copany

O interest in certain o$ the goods co+ered by the said policy is trasn$erred to Macke to
secure certain obligations assued by Macke and on behal$ o$ >achrach

O will$ully placed a gasoline can containing 1) gallons o$ gasoline close to the insured
goods

O ade no proo$ o$ the loss with the tie reHuired by the condition

• C: >ritish Aerican Assurance Copany liable to bACAC


6L;: <65" lower court affired

• keeping o$ inflaable oils on the preises, though prohibited by the policy, does not
556:+oid
78 >achrach can
it i$ such keeping is incidental to the business

t ay be added that there was no pro+ision in the policy prohibiting the keeping o$ paints
and +arnishes upon the preises where the insured property was stored" $ the copany
intended to rely upon a condition o$ that character, it ought to ha+e been plainly
expressed in the policy"

alienation clause # $or$eiture i$ the interest in the property pass $ro the insured

• there is no alienation within the eaning o$ the insurance law until the ortgage acHuires
a right to take possession by de$ault under the ters o$ the ortgage" o such right is
claied to ha+e accrued in the case at bar, and the alienation clause is there$ore
inapplicable"

we can not find that there is a preponderance o$ e+idence showing that the plaintiff did
actually set fire or cause fire to be set to the goods in Huestion

• t does not positi+ely appear o$ record that the autoobile in Huestion was not included in
the other policies" t does appear that the autoobile was sa+ed and was considered as a
part o$ the sal+aged" t is alleged that the sal+age aounted to P4,))), including the
autoobile" his aount %P4,)))' was distributed aong the different insurers and the
aount o$ their responsibility was proportionately reduced" he de$endant and appellant
in the present case ade no objection at any tie in the lower court to that distribution o$
the sal+age" he clai is now ade $or the first tie"

14" G.R. No. $-66396 Augus 2+, 19+&

;/7 N7@ 7A$AN8 INS5RANC7 C:MPAN4, INC., petitioner,


+s"
;/7 /:N:RA$7 IN;7RM78IA;7 APP7$$A;7 C:5R;

Facts:

A cargo o$ oats was consigned to Muller and Phipps %Manila' Ltd" he cargo was insured against
all risks by he ew Realand nsurance Co", Ltd", the petitioner herein" 7hen the cargo was
discharged se+eral cartons which contained the oats were in bad order" he consignee filed a
clai against the insurer $or the +alue o$ the daaged goods which the latter paid in the aount
o$ P1/,14/"09" he insurer as subrogee o$ the consignee sued 6" aIon, nc", the respondent
herein, who was the arrastre operator" he insurer deanded reiburseent in the aount o$
P1J,)2*"/J" he lower figure is due to the $act that the carrier responded $or its share o$ the loss
in the su o$ P1,121")2" he Court o$ First nstance o$ Manila ga+e judgent in $a+or o$ the
plaintiff" t ordered Ethe de$endant to pay to the plaintiff P1J,)2*"/J with 0K interest $ro April
2(, 19J(, until sae is paid, P1,)))")) as attoeys $ees, and the costs"E

6" aIon, nc" appealed the ad+erse decision to the Court o$ Appeals" he nterediate Appellate
Court which succeeded the Court o$ Appeals re+ersed the decision o$ the trial court E=n the
ground o$ prescription, appellee has no cause o$ action against the appellant"E

ssue: 78 the plaintiff has a clai"

eld:

 <es" he trial court has o+erlooked the significance o$ the reHuest $or, and the result o$, the bad
order exaination, which were filed and done within fi$teen days $ro the haulage o$ the goods
$ro the +essel" 5aid reHuest and result, in effect, ser+ed the purpose o$ a clai, which is Q
Eto afford the carrier or depositary reasonable opportunity and $acilities to check the
+alidity or clais while $acts are still $resh in the inds o$ the person who took
part in the transaction and the docuents are still a+ailable"E %Consunji +s" Manila
Port 5er+ice, L#1***1, 29 o+" 190)'

ndeed, the exaination undertaken by the de$endants own inspector not only ga+e
the de$endant an opportunity to check the goods but is itsel$ a +erification o$ its own liability %C$"
Parsons ardware +s" Manila ailroad Co", L#1*1J(, May (), 1901'"

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