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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Civil Division) Decisions >> Manchikalapati & Ors v Zurich Insurance Plc (t/a Zurich Building Guarantee & Zurich Municipal) & Ors [2019] EWCA Civ 2163 (05 December 2019) URL: http://www.bailii.org/ew/cases/EWCA/Civ/2019/2163.html Cite as: [2019] EWCA Civ 2163, 187 Con LR 62, [2020] Lloyd's Rep IR 77, [2020] BLR 1 |
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ON APPEAL FROM FROM THE HIGH COURT OF JUSTICE BUSINESS AND PROPERTY COUTS IN MANCHESTER TECHNOLOGY AND CONSTRUCTION COURT (QBD)
HHJ STEPHEN DAVIES
Strand, London, WC2A 2LL |
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B e f o r e :
LORD JUSTICE COULSON
and
SIR RUPERT JACKSON
____________________
MANCHIKALAPATI & OTHERS |
Appellants in 2019/0582 Respondents in 2019/0589 & 2019/0590 |
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- and - |
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ZURICH INSURANCE PLC (T/A ZURICH BUILDING GUARANTEE & ZURICH MUNICIPAL) AND EAST WEST INSURANCE COMPANY LTD |
Respondents in 2019/0582 Appellants in 2019/0589 & 2019/0590 |
____________________
NICHOLAS BAATZ QC & NICHOLAS MACIOLEK (instructed by KENNEDYS LAW LLP) for ZURICH INSURANCE PLC
Hearing dates: 15, 16 and 17 October 2019
____________________
Crown Copyright ©
SIR RUPERT JACKSON :
Part 1 - Introduction Paragraphs 1 - 7 Part 2 - The facts Paragraphs 8 - 22 Part 3 - The present proceedings Paragraphs 23 - 31 Part 4 - The appeal to the Court of Appeal Paragraphs 32 - 36 Part 5 - The operation of the maximum liability cap Paragraphs 37 - 71 Part 6 - Conclusion Paragraphs 72 - 73
'CJS' means CJS Investments LLP.
'East West' means East West Insurance Company Limited.
'FML' means Freehold Managers (Nominees) Limited.
'JCS' means JCS Homes Limited.
'LHMC' means Lawrence House Management Company (City Road) Limited.
'MLC' means maximum liability cap.
'Mainstay' means Mainstay Residential Limited.
'Premier' means Premier Residential Management Limited.
'Zagora' means Zagora Management Limited.
'ZIP' means Zurich Insurance Plc.
'ZBC' means Zurich Building Control Services Limited.
'Zurich policy' means the Zurich Standard 10 New Home Structural Defects Insurance Policy.
"Building was never completed to a proper manner/standard:
- no glazing at top floors
- bare wall with no rendering
- NO COMPARTMENTATION (fire risk)
- significant health & safety issues in the block & stairs
- Fire risk & general risk assessment - RED
- Unfinished ceilings with leaks entering the unit itself
- Leaking sewerage pipes into car park."
i. The structural steelwork lacks fire protection. This constitutes 'major physical damage' within clause 3.1 of Zurich policy and also 'present or imminent danger to the physical health and safety of the occupants' within clause 3.2 of the policy.
ii. The cost of fireproofing the structural steelwork is in the region of £4.734 million.
iii. However, the total purchase price of the all the claimants' flats is £3.634 million. Under the maximum liability cap the claimants' claims are limited to that sum. Therefore the claimants can only recover £3.634 million in respect of the lack of fireproofing of the structural steelwork.
iv. The claimants were entitled to recover remedial costs (limited to £3.634 million) even though they had not carried out any remedial works and regardless of whether or not they intended to carry out remedial works.
i. Treated as irrelevant the fact that the proceeds of the action would be used to meet adverse costs orders and to pay solicitors, funders and ATE insurers.
ii. Held that section 3 bullet point 17 did not shut out the claims under the policy on the basis that the claimants could claim against the managing agents and others.
iii. Held that both the basement and the balconies were within the policy cover.
iv. Held that condensation was within the policy cover when the proximate cause or a concurrent cause was JCS's failure to construct the building in accordance with ZIP's requirements or the Building Regulations.
v. Held that the total excess for which ZIP could claim credit (absent the MLC) was £120,889, built up as set out in paragraph 10.11.3 of the judgment.
1. The policy does not respond where the cost of rectification has not been incurred.
2. The policy does not respond where (as here) the proceeds of the claim will be used to meet adverse costs orders and to pay solicitors, funders and ATE Insurers, rather than to fund remedial works.
3. Section 3 bullet point 17 shuts out the claimants' claims because they have rights against the landlord, CJS and the management company.
4. The judge erred in holding that the basement was within the policy cover.
5. The judge erred in holding that the balconies were within the policy cover.
6. The judge erred in holding that damage caused by condensation was within the policy cover.
7. The judge erred in his application of the excess provisions.
"This policy shall terminate automatically without refund of premium in the event that:
…
(c) We have paid Our Maximum Liability".
"Maximum Liability:
Sections 2 and 3
Our maximum liability in respect of all claims under Sections 2 and 3 of this policy is as follows:
(a) for a New Home which is entirely detached, the purchase price declared to Us, subject to a maximum of £25 million;
(b) for a New Home which is part of a Continuous Structure, the maximum amount payable in respect of the New Home shall be the purchase price declared to Us subject to a maximum of £25 million.
Where the combined value of all New Homes within a Continuous Structure exceeds £25 million, the total amount payable by Us in respect of all claims in relation to the New Homes and the Continuous Structure shall not exceed £25 million."
"7.11.4 The claimants' case is that this imposes a maximum liability of the lower of the total purchase price of all flats within the development or £25 million in relation to any claim concerning any one continuous structure i.e. any one single building and thus including, in this case, the connected blocks of flats forming part of this development. I was provided with a schedule showing that the total purchase price paid for all of the flats was only £10,846,076.65 so that, if the claimants are right, this would be the maximum liability on any one of their claims. On that basis, the effective cap is £25 million.
7.11.5 ZIP's case, in contrast, is that the definition at (b) means that there is a maximum liability in relation to any claim made by an individual leaseholder of the declared purchase price of the flat in question, with the result that the total maximum liability in this case is the total of the declared value of the 30 flats in respect of which claims are made by the individual leaseholders. On that basis, the effective cap is £3.634 million.
7.11.6 The claimants contend that ZIP's argument ignores the proviso to (b), which they say is intended to make clear that in the case of a continuous structure where there are common parts, the purchase price limit applies only to the new home itself and does not apply to claims in relation to the common parts.
7.11.7 The difficulty with the claimants' reliance on the proviso, in my view, is that the opening words to the proviso make it clear that it only applies where the combined value of all new homes within the continuous structure exceeds £25 million. The purpose of the proviso, therefore, must be to limit the total value of all claims made in relation to any one continuous structure to £25 million, even if the combined value of all of the new homes within that continuous structure exceeded £25 million and therefore, on a straightforward application of (b), the total claim could exceed £25 million.
7.11.8 Although the claimants contend that if the proviso was to be interpreted in this way it would be meaningless, in that it is difficult to imagine a continuous structure with a combined value of £25 million, that is by no means obvious. For example a similar size development with an average price per flat of £250,000 would qualify, and it would make perfect sense that this was, as its wording indicates, the intended purpose of the proviso.
7.11.9 However, the claimants also argue that on a proper interpretation of (b) the maximum amount payable only applies to the new home itself, and not to any claim in relation to the common parts. Their argument is that where a new home is part of a continuous structure there is a clear separation in the policy as between the new home itself and the common parts. Their argument is that the proviso, by referring separately to claims in relation to the new homes and claims in relation to the continuous structure, expressly acknowledges that claims in relation to the continuous structure, which they say can only be claims in relation to the common parts, are separate and distinct from claims in relation to the new homes themselves. Their argument is that since (b) only refers to the maximum amount payable in respect of the new home, it cannot have been intended - in direct contrast with the proviso - to cover common parts claims in relation to the continuous structure as well.
7.11.10 This is an ingenious argument, but in response, ZIP reminds me that the definition of the new home specifically includes the common parts. In other words, the common parts are not treated separately in the policy from the new home. They say that in the face of this clear definition it cannot credibly be argued that a separate approach should be adopted in relation to the construction of sub-clause (b) simply through a side-wind in the proviso. This is a powerful argument which, in my judgment, must prevail unless it can be said to be plain and obvious that clause (b) when construed with the proviso can only have the effect for which the claimant contends.
7.11.11 It cannot be said, in my view, that clause (b) when construed with the proviso does have that clear and unambiguous meaning. Indeed if one considers the definition of a continuous structure it is obviously not the same as the common parts. It is either a single building containing more than one new home (where the definition of each new home includes the common parts) or a single building containing a new home and other parts of the building used for other purposes. On either analysis the reference to continuous structures in the provision cannot be read as if it meant common parts. It seems to me that the more likely reason why the proviso makes express reference to continuous structure is to make it clear that it covers any other parts of a building not falling within the definition of new home."
"6. This approach to construction is well established. The court looks to the meaning of the relevant words in their documentary, factual and commercial context: Rainy Sky SA v Kookmin Bank [2011] 1 WLR 2900, para 21 per Lord Clarke of Stone-cum-Ebony; Arnold v Britton [2015] AC 1619, para 15 per Lord Neuberger of Abbotsbury. As I see no ambiguity in the way that the Policy defined its cover and as the exclusion clause reflected what The Law Society of England and Wales as the regulator of the solicitors' profession had authorised as a limitation of professional indemnity cover, I see no role in this case for the doctrine of interpretation contra proferentem. As Lindley LJ stated in Cornish v Accident Insurance Co Ltd (1889) 23 QBD 453, 456:
"… in a case of real doubt, the policy ought to be construed most strongly against the insurers; they frame the policy and insert the exceptions. But this principle ought only to be applied for the purpose of removing a doubt, not for the purpose of creating a doubt, or magnifying an ambiguity, when the circumstances of the case raise no real difficulty."
7. The extent of AIG's liability is a matter of contract and is ascertained by reading together the statement of cover and the exclusions in the Policy. An exclusion clause must be read in the context of the contract of insurance as a whole. It must be construed in a manner which is consistent with and not repugnant to the purpose of the insurance contract. There may be circumstances in which in order to achieve that end, the court may construe the exclusions in an insurance contract narrowly."
"3.1 The reasonable cost of rectifying or repairing Major Physical Damage which is caused by a failure by the Developer to comply with the Requirements in the construction of the New Home
3.2 The reasonable cost of rectifying a present or imminent danger to the physical health and safety to the occupants caused by the failure of the Developer to comply with the Building Regulations in respect of the following: …"
"10 Any sum above Your proportional share of the reasonable cost of repairing Major Physical Damage to Common parts"
LORD JUSTICE COULSON:
1 Introduction
2 General Observations
"[19] The third point I should mention is that commercial common sense is not be invoked retrospectively. The mere fact that a contractual arrangement, if interpreted according to its natural language, has worked out badly, or even disastrously, for one of the parties is not a reason for departing from the natural language."
3 Ground 1: 'Reasonable Costs'
3.1 The Issue
"7.7.10 There is no express provision in the policy stating that this obligation only applies either if and when rectification or repair has already taken place or if the insured can prove that he has a genuine, settled and achievable intention to reinstate, either before payment or once payment is received. The obligation is to pay the "reasonable cost" which, in my view, is neutral as to whether it is a cost already incurred or a cost to be incurred or indeed a cost which may never in fact be incurred. Unlike the professional fees cover the word "incurred" is not used. Unlike the alternative accommodation and professional fees cover there is no express proviso that the insured has first obtained ZIP's written consent to the costs being incurred.
7.7.11 Furthermore, there is no obvious reason why the provision should be construed so that any such limitation should be implied. Indeed it is far from obvious, even on ZIP's case, what should be implied. Is it that: (a) the cost has already been incurred or; (b) that the cost will on the balance of probabilities be incurred and, if the latter, whether it will be incurred regardless of whether or not the insurance monies are paid out or; (c) both.
7.7.12 Moreover, in my view condition 2 is wholly inconsistent with ZIP's construction. It entitles the insurer, on accepting a claim, to undertake proper repairs itself and to refuse to accept a claim if reasonable access cannot be gained within a reasonable time period. This condition, which is effectively a reinstatement option given to the insurer, would make no sense if the insurer was only liable where the works had already been undertaken...
7.7.14 In the circumstances, I reject ZIPs submission that the reference to "costs" means that the policy only responds to a claim where those costs have already been incurred or will be incurred, where the question as to whether or not those costs will be incurred must be determined by the court on the balance of probabilities. In short, I consider that the approach discussed by Christopher Clarke LJ in Great Lakes has no application to the facts of this case.
7.7.15 On the same basis I also reject ZIP's submission that because, it is said, the sums claimed are unreasonable and wholly disproportionate to the diminution in value of their interests in the development the claimants should be limited to the diminution in value. However, as it transpires in my view ZIP can achieve the same result by the application of what I agree, for the reasons stated below, is the correct construction of the maximum liability provision."
3.2 The Language of Clauses 3.1 and 3.2
3.3 Clauses 3.3 and 3.4
3.4 Other Parts of the Policy
(a) Page 2 of the policy, which is concerned with what ZIP will provide under the policy, includes the promise at paragraph 4 that "if we advise that repairs are covered by the policy but the Developer unreasonably refuses to carry out the work within a reasonable period, We will pay for the work to be completed". Similarly, at paragraph 5, ZIP say that "we will cover the repair of Major Physical Damage caused by building defects in the original construction" after the first two years and until ten years after the effective date. These expressions are plainly contrary to the suggestion that the costs have to be incurred by the leaseholders before ZIP have any liability at all.
(b) Section 1 of 'The Insurance' (page 6 of the policy), which is entitled 'What we will pay before the New Home is completed', promises to pay at a) "the reasonable cost of completing the home to the Original Specification." On any view, the expression "the reasonable cost" there cannot mean costs which have already been incurred. It must mean future cost. It would be inappropriate to give that phrase a different meaning depending on which part of the policy was being examined.
(c) Similarly, in Section 2 (page 7 of the policy), which deals with the position during the first two years, the policy envisages ZIP stepping in to the shoes of the developer where the developer has "unreasonably refused to meet such costs or to carry out repairs, as appropriate, within a reasonable period, or is in liquidation or is made bankrupt." Again, it could not be said that those costs would have had to have been incurred before ZIP met this liability.
(d) Condition 2 on page 12 of the policy is headed 'Our Rights'. This gives ZIP and the Developer the right "to have reasonable access to the New Home and shall also be entitled to remain in occupation for as long as is necessary in order to carry out proper repairs to Our satisfaction". As Mr Selby QC rightly said, such occupation could only occur if ZIP had accepted liability under the policy, which would obviously be before the works were done and before any costs had been incurred.
(e) The MLC provision itself may also be said to support the proposition that the costs do not have to be incurred before ZIP's liability under the policy is triggered. After all, the cap operates by reference to the purchase price of the properties, and not costs at all.
3.5 Contrary to the Purpose of the Policy
3.6 The Authorities
"How the person who receives payment of a sum of money under a contract of insurance or reinsurance or, I will add, with indemnity, deals with that sum is, in general and apart from special considerations, no concern of the party who, in fulfilment of his contract has made the payment to him".
This principle is reiterated in Volume 25 of Halsbury's Laws at paragraph 584 which states:
"Similarly, on receiving the insurance money, the insured may do what he likes with it and he cannot be required to expend it on reinstatement unless the obligation to do so is imposed by statue or the terms of a contract".
"11-031 Indemnity based on cost of reinstatement. As seen from the previous paragraph, the assured may be entitled to recover an indemnity based on the cost of reinstatement even though reinstatement is never actually effected. That will be the case where the policy provides that the assured or the insurer, as the case may be, opts for indemnity on a reinstatement measure or where reinstatement is not possible. If the policy merely provides for reinstatement without any alternative, it is difficult to see why impossibility should affect the insurers' obligation to indemnify the assured on a reinstatement basis: the loss is assessed by reference to the position immediately before the occurrence of the insured peril, the obligation to pay is divorced from what actually happens to the insurance monies and the obligation on the insurers to pay the insurance proceeds cannot be regarded as frustrated in any way. The point arose in Anderson v Commercial Union Assurance Co, the problem in that case being planning restrictions on reinstatement. The Court of Appeal held that, given the impossibility of reinstatement, the proper approach was to construe the contract between the parties to determine whether the insurer was discharged from all liability or whether its liability reverted to payment. The court had little hesitation in holding that the latter was the proper construction. Thus, subject to the terms of the policy, the insurer will be liable on a cost of reinstatement basis even where actual reinstatement is no longer possible, as for instance where the damaged premises have been sold, or where town planning restrictions prevent rebuilding, in which case the cost is assessed on a notional reinstatement basis.
The assured's recovery is limited by any terms in the policy which apply where reinstatement is not effective. Thus in Kypris v MLC Fire & General Insurance Co Pty Ltd reinstatement by the assured was impossible because of planning restrictions preventing rebuilding, and it was held that the assured was restricted to recovering the present value of the insured property, the sum payable in the absence of reinstatement.
11-032 It will be appreciated that, in circumstances where a policy which provides for payment by reference to the cost of reinstatement despite the fact that reinstatement is not intended or actually carried out, the figure is a notional one based on estimated rather than actual costs. Where the assured is entitled to indemnity based on the costs of reinstatement, assessment of the cost must relate to the date of the occurrence of the insured peril and not at some later date, e.g. the date on which the assured receives tenders for rebuilding, and although the policy may make express provision for assessment at a later date a policy term which provides that the insurers will pay for the cost "incurred" in repair does not oust the presumption that the policy is one of true indemnity based on costs at the time of the insured peril. It has nevertheless been suggested that where the insurer elects to pay the cost of reinstatement, the cost of the repairs should be assessed as at the date when, having regard to all the relevant circumstances, they can first reasonably be undertaken, rather than at the date of the trial of the action."
"72. I doubt whether a claimant who has no intention of using the insurance money to reinstate, and whose property has increased in value on account of the fire, is entitled to claim the cost of reinstatement as the measure of indemnity unless the policy so provides. In any event Mr Elkington did not seek to contend that in this case the cost of reinstatement would be recoverable if Mr Singh had no intention of doing so. The true measure of indemnity is "a matter of fact and degree to be decided on the circumstances of each case" per Forbes J in I; and is materially affected by the insured's intentions in relation to the property.
73. The significance of intention begs the question as to (a) what exactly is the requisite degree of intention; and (b) what safeguard, if any, is available to an insurer who pays out the cost of reinstatement to an insured who then finds that he cannot reinstate or, even if he can, in fact sells the property. Neither of these issues were the subject of submission; so that what I say on them must be regarded as tentative.
74. In Castellain v Preston (1883) 11 QBD 380 it was said that a tenant who is liable to replace is entitled to recover the cost of so doing from the insurers. That, no doubt assumes, that the tenant is required to fulfil his obligations and can and will do so. In Reynolds v Phoenix Assurance the insured recovered the cost of reinstatement before that started but there appears to have been no suggestion that the insured might not seek to reinstate or that there would be any impediment to his doing so. The problem arises in a case such as the present where there is a real possibility, which the judge's choice of the declaration route recognised, that reinstatement may not take place either because it cannot do so, e.g. as a result of planning problems, or because a markedly more attractive alternative presents itself.
75. As to (a) it seems to me that the insured's intention needs to be not only genuine, but also fixed and settled, and that what he intends must be at least something which there is a reasonable prospect of him bringing about (at any rate if the insurance money is paid).
76. As to (b) an insurer who pays out has, in general, no redress if none of the money is used in reinstatement. Once he has got it, it is for the insured to decide what to do with it: Halsbury's Laws - Insurance Vol 25 para 633. But I incline to the view that, in a case where, at the time of the hearing, there is a real possibility that reinstatement may not in fact occur it is open to the court to decline to make an immediate award of damages and either to make some form of declaratory relief or, alternatively to postpone assessment of the extent of indemnity (and the payment of it) until such time as it is apparent that reinstatement (i) can and (ii) will go ahead or, at least that there is a reasonable prospect that it will.
77. Whilst the insured's cause of action arises upon the happening of the insured event and is, prima facie, an obligation to pay money for the loss - Sprung v Royal Insurance (UK) Ltd [1997] CLC 70 - the assessment of the extent of his entitlement is invariably postponed until a later, often considerably later, date and I see nothing inconsistent with principle (which is that the insured is to receive an indemnity but no more than an indemnity) if, in an appropriate case, the court proceeds in a manner which enables the insured to recover an indemnity when those conditions are satisfied and protects the insurers against having to pay out for a reinstatement which is never going to take place. This may be particularly appropriate if there is doubt as to whether the insured can, whatever his stated intentions, lawfully reinstate." (Emphasis supplied)
"74. I do not read the judgment of Christopher Clarke LJ in Great Lakes as indicating that an indemnity on the reinstatement basis cannot be given if the remedial works are not in fact carried out. Rather, what the judgment envisages is that in determining what the appropriate measure of indemnity is in any particular case, it is necessary to look at all the circumstances, which can include the position up to the date of trial when the extent of the insured's indemnity is determined. In some circumstances, such as those in Great Lakes, the absence of a continuing intention to reinstate would indicate that the reinstatement basis would not be appropriate, as it would over-compensate the insured for his loss. But in other cases, that would not be so. As Forbes J said in Reynolds v Phoenix, the true measure of indemnity is a matter of fact and degree to be decided on the circumstances of each case.
75. Accordingly, I do not accept Endurance's submission that in order to recover on the reinstatement basis it is necessary in each case for an insured to show that it had, and continues to have at the date of trial (or the expiry of the limitation period, if earlier), a genuine, fixed and settled intention to reinstate. The relevant question to ask is what is the loss which has been suffered by the insured as a result of the fire, and what measure of indemnity fairly and fully indemnifies it for that loss."
"36. If that is wrong, then the issue between the parties is what the NHBC is now liable to pay under the Policy. There seem to me to be numerous issues that potentially arise, the end result of which is that the "no loss" defence is not one suitable for determination on a summary basis:
(i) Firstly, an insurance policy may indemnify the insured against loss. Under such a policy it is a question of law and fact what loss has been suffered. The policy may by express inclusion or exclusion identify how loss is to be assessed.
(ii) There is no decided authority that where the claim is in respects of defects in or damage to property, such loss cannot include the cost of remedial works if the remedial works will not be carried out. The views expressed in the Great Lakes case are obiter and at odds with the views expressed in a leading textbook.
(iii) That conflict of view is perhaps understandable if one sees the cost of remedial works as one measure of loss. In such cases, if the remedial works are never to be carried out or are wholly disproportionate, the court may regard the cost of remedial works as an inappropriate measure. That is likely to be a question of fact and degree not suitable for determination on a summary basis.
(iv) In any case, the distinguishing feature here is that the Policy does not provide for the NHBC to indemnify against loss - rather it requires the NHBC to pay the Cost as defined. In that sense, it may be distinguished from the policy in the Great Lakes case in which the operative insuring provision insured against loss and the reinstatement clause provided the basis on which the amount payable was to be calculated. For the reasons I have already given, it is certainly arguable that the issue in this case is not the appropriate measure of loss but what the NHBC has undertaken to pay in accordance with the definition of Cost.
(v) If an Owner were paid for remedial works that were not then carried out, a future purchaser who had the benefit of the policy would not be able to make a further claim because the NHBC's liability had already been discharged. I accept that difficulties might arise where the payment for the remedial works fell between two stools - as for example where the first Owner has made a claim under the Policy which has not yet been settled, sells the property and the future purchaser also makes a claim. But it seems to me that that is a scenario which would need to be addressed on its own facts when it arises and the risk of that arising does not determine the construction of the Policy, at least not on a summary basis."
3.7 Conclusions
4 Ground 2: The Recipients of Any Monies Paid Out by ZIP
4.4 Conclusions
5 Ground 3: 'Some Other Form Of Compensation'
5.1 The Issue
"Any claim or contribution to a claim where cover is available under another insurance policy, or where some other form of compensation or damages is available to You."
"7.12.2 The claimants contend that even though the words "some other form of compensation or damages" are wide words, they cannot possibly extend to a right under a lease to require a tenant or a management company or a landlord to perform its obligations under that lease in relation to repair and the like or in relation to the payment of service charge. I agree. In my view the words must be construed by reference to the whole of the clause, which provides that ZIP does not have to pay "any claim or contribution to a claim where cover is available under another insurance policy or where some other form of compensation or damages is available to you". This must mean a claim to compensation or damages which is substantially the same as the cover available under the policy. It cannot extend to a claim to enforce a right to contribution under the provisions of the lease, which is neither "compensation" nor "damages" nor is it some other form of compensation or damage of the same character as cover under another insurance policy.
7.12.3 Moreover, if it did have this effect, it would deprive what I am satisfied must have been an intended difference between major physical damage claims and present or imminent danger claims, in terms of the proportionate share limitation, of any practical effect. In my view it is proper to interpret this provision narrowly, since it operates not simply to reduce the claim against ZIP by reference to what the insured has in fact already recovered from the other source or, for example, to require the insured to take reasonable steps to obtain monies from that other source and to give credit for any recoveries secured, but to prevent the insured from bringing any claim at all where that other source is available.
7.12.4 Of course in relation to a major physical damage claim the proportionate share limitation would mean that such a claim would be circular anyway, since the tenant's claim is only for the proportionate share and he or she would still have to pay the proportionate share of the service charge in any event even if the lease provisions were enforced.
7.12.5 In relation to a present or imminent danger claim, whilst on my analysis a tenant can recover the full cost from ZIP, that does not mean that a tenant has some other form of compensation or damages available to him as against CJS or the other tenants in relation to the amount which CJS or the other tenants ought to pay in order to meet their share of the service charge obligation. Leaving aside the prior point that in my view the proper interpretation of the clause would not cover such a claim, in my view it could in any event only apply in circumstances where it can be said that it would be reasonable for someone in the position of the claimants to make such a claim instead of claiming under the insurance policy. That is because if I am wrong in my prior analysis the word "available" must connote that a reasonable assured ought, on an objective analysis, to make such a claim on the basis that it would succeed and that he or she would recover compensation or damages. That is particularly so since of course not only is there no provision for ZIP to fund any such claim but nor would the costs be covered under the policy if the claim was made but proved unsuccessful for any reason. In contrast, condition 3 of the policy entitles ZIP to "take proceedings at our own expense but in your name to secure compensation from any third party in respect of any claim accepted by us under this policy".
7.12.6 Here, CJS is a limited liability partnership which is in administration. It follows that it would be necessary for an individual tenant or for LHM or for Zagora to seek and obtain the agreement of the administrators to make a claim, failing which the permission of the court to bring proceedings against CJS would have to be obtained. ZIP contends that there is no good reason why an administrator should not agree or why any court should not give permission, in circumstances where the administrators have the benefit of these flats and ought to pay their fair share of the liabilities to which all flat-owners are subject. ZIP also contends that there is every reason to believe that the administrators would meet CJS' liability, in circumstances where if they did not do so it would be open to the claimants to enforce the liability by obtaining charging orders on the flats and selling them. As against this the claimants contend that given the hurdles which they would have to surmount and the risks they would have to take, all at their expense, any claim to compensation against CJS is not, in all of the circumstances, something which is reasonably available to them."
"7.12.8 In my view where, as I accept, there is reasonable doubt as to the availability of a realistic remedy against CJS, the tenants ought to be entitled to recover under the insurance policy in full on the basis that ZIP has its own express subrogation rights against CJS in any event. Mr Baatz invited me to clarify whether or not these findings also apply to the rights which the individual leaseholders have under the lease as against LHM (as management company) and/or Zagora (as landlord). I can confirm that they do on the basis that on my analysis of the leases the fundamental problem from a commercial perspective is that there is no basis for enforcing these liabilities unless or until either it could be said that LHM or Zagora could or should have obtained a recovery from CJS of its proportionate share or that the individual leaseholders should have advance funded that proportionate share in the hope or expectation that LHM or Zagora could then have recovered from CJS and refunded them. For the same reasons I reject any argument that the individual leaseholders have failed to act reasonably to mitigate their loss. I am not satisfied that ZIP has identified or put a case to each of the individual leaseholders and to Zagora which I am able to accept that, on a true analysis of the terms of the leases and by reference to the financial and other positions of those parties as well as LHM and CJS at the relevant times, either that it would realistically have been possible for CJS' share of the costs of the works to have been recovered from CJS or from LHM or Zagora in default or that the individual leaseholders acted unreasonably in not following these routes to recovery instead of pursuing their claims against ZIP. "
"We are entitled to take proceedings at Our own expense but in Your name, to secure compensation from any third party in respect of any claim accepted by Us under the policy."
5.3 Commercial Reality
5.4 The Putative Claim Against The Landlords
5.5 The Judge's Findings of Fact
5.6 Conclusions
6 Ground 4: Car Park
6.1 The Issues
6.2 The Judge's Findings
"7.13.1 The definition of the new home makes it clear that it does not include basements and semi-basements. Whilst the car park is not a fully enclosed basement, and is open sided on one side at least, described by one of the valuers as an undercroft, it is plainly a semi-basement. Although the claimants say that it also falls within the definition of an attached or integral garage, it does not seem to me that the car parking spaces in the basement could possibly fall within that definition.
7.13.2 It follows that the real question is what happens where, as here, the basement, which is expressly included, forms part of the common parts, which are expressly included: does the inclusion or the exclusion apply? The general rule is that where an event is within the general cover but also within the exclusion from cover it is not covered. However, that general rule is inapplicable here where, as a matter of construction, the common parts fall within a list of positive inclusions rather than a statement of general cover.
7.13.3 In my view the inclusion prevails over the exclusion. That is because if it had been intended that, in a common parts case, basements should nonetheless be excluded it should have been expressly so provided. The two are not mutually exclusive and it cannot be said from the wording that it is plain and obvious that the basement exclusion prevails over the common parts exclusion. Apart from anything else it would be wholly unsatisfactory if there was no cover for major physical damage or present or imminent danger where a defect in a basement was a real danger not just to those using the basement for common purposes but also to the safety of occupants of the flats above. "
6.3 Was It 'a Garage'?
6.4 'Common Parts'
6.5 Conclusions
7 Ground 5: The Balconies
7.1 The Issue
"7.14.3 However the question arises that if the balcony is not included in the demise of the lease then how does the tenant have the right to use the balcony. The answer it seems to me appears from part two of the first schedule to the lease, in which the tenant is granted the right, subject to and conditional upon paying the service charge, of "(5) all other rights easements quasi rights and quasi easements as are now enjoyed by the flat in respect of any other part of the development". Given that the individual balconies can only be accessed through the individual flats to which they relate it appears to me that they fall within this wide clause.
7.14.4 It also follows, in my view, that the balconies are included within the repairing obligation imposed upon the management company in respect of the retained parts under clause 8.6 of the lease, as well as the repairing obligation in respect of the services under clause 8.1 of and the second schedule to the lease.
7.14.5 However ZIP submits that even though on this analysis the balconies fall within the definition of the common parts under the leases they do not fall within the definition of the common parts under the insurance policy. Mr Baatz submits that to fall within the definition they must fall within the first part of the definition, namely "those parts of a multi-ownership building for a common or general use", as well as the second part, namely "for which the buyer has joint responsibility together with other buyers or lessors". Mr Selby submits that it is sufficient if they are for a common use or for a general use. He submits that where, as here, the balconies are not within the demise of the flats and where: (a) the other tenants have rights under part 2 of schedule 1 of way and entry in relation to the balconies of the other flats for the specific purposes stated therein; (b) the landlord also has a right of way for all reasonable purposes in relation to the balconies of the other flats; (c) the management company has an obligation to undertake repairs etc in relation to the balconies and the right under clause 7.8 to access the balconies through the flat to do so, those rights are sufficient to bring the balconies within the common or general use requirement.
7.14.6 I agree with Mr Selby. It is clear from the express exclusion in relation to balcony decking that it was envisaged that balconies were intended to be covered. It is also clear that the policy does not expressly provide the answer to the question - what if there are parts of a multi-ownership building which are intended to be used for the enjoyment of the individual flat-owner but which are outside the demise and within the common parts under the lease and in respect of which the other tenants and through them the management company have repairing obligations and rights? In my view it cannot, objectively, have been intended that these parts would fall outside the policy as being neither part of the new flat as a demise or part of the common parts. The words "common or general use" are wide words which do not require that the use must be for the purposes of sole occupation or enjoyment and in my view use as being part of the structure and common parts in respect of which there are common or general repairing and ancillary access obligations is sufficient.
7.14.7 On that basis, it seems to me that insofar as the claimants are able to make a claim in relation to the balconies under the present or imminent danger cover provided by the policy, they are able to recover the full cost of rectifying that danger without the proportional share limitation applying. It also follows, however, that insofar as the claimants are only able to make a claim in relation to the balconies under the physical damage or major physical damage cover provided by the policy, the proportional share limitation will apply to that claim, which effectively produces the same result in relation to such claims as ZIP contended for, albeit for different reasons."
7.2 The Language of the Definition.
"Those parts of a multi-ownership building (of which the New Home is part), for a common or general use, for which the Buyer has Joint responsibility together with other Buyers or lessors."
7.4 Evidence of Operation
7.4 Conclusions
8 Ground 6: Condensation
8.1 Issue
"Claims for the prevention of, or any loss caused by surface or any other form of condensation"
8.2 The Judge's Findings
"10.3.2 The roofing experts agreed in their joint statement that there is no VCL in the flat roof and that the omission of the VCL combined with the poor ventilation in the roof void has resulted in deterioration of the ply deck (it being common ground that there are soft spots in the ply deck in a number of locations throughout the roof) and that this (or, more specifically, the effect of the condensation which results upon the ply deck) is the primary reason why the roof finishes and construction across the entire building needs to be replaced. The claimants' structural and roofing experts also identify some consequential corrosion of the steelwork in the roof."
8.3 The Language of the Policy
"A material difference in the physical conditions of a load bearing element of the New Home from its intended physical condition which adversely affects its structural stability or resistance to damp and water penetration" (emphasis supplied).
8.4 Causation
"7.15.3 In this case, therefore, the claimants say that by parity of reasoning the proximate cause of the loss is not the mere presence of condensation, rather the effect that the condensation has upon the physical condition of the roof, itself caused by a breach of the requirements or regulations.
7.15.4 In contrast, ZIP contends that even if the claim would otherwise fall within the scope of the cover, any such claim is clearly excluded where it falls within the scope of the condensation exception. In support of its argument ZIP referred at [70] of its written closing submissions to its internal claims handling document, but it seems to me that this is plainly irrelevant to the proper construction of the insurance policy. In contrast, the ZBG technical requirements, being referred to specifically in the policy, clearly fall within the factual matrix and thus at least of potential relevance to the proper construction of the policy. They make a number of references to the need to design and construct the building in order to address the risks of condensation. It would, therefore, be surprising if a failure to comply with the ZBG requirements in such a way as to lead to condensation and to the major physical damage or present or imminent danger cover being triggered should then be excepted, but of course if the policy on its proper construction leads inexorably to that result then that result must follow, however surprising.
7.15.5 I prefer and accept the claimants' case in this respect and am satisfied that in such cases the condensation exclusion does not apply. In my view this is because whether one considers this case as being one of proximate cause or concurrent causes the position is that the failure by the developer to construct the building in accordance with the ZBG requirements or the Bldg Regs is either the proximate cause or at the very least a concurrent cause of the loss. It is the proximate cause because without the failure by the developer it would not have happened. It is the concurrent cause because even if one takes the view that the condensation itself is also a proximate cause, again without the failure by the developer the loss would not have happened. Furthermore, upon a proper construction of the policy the condensation exception is not an exclusion, but simply an uninsured cause, whereas the major physical damage and present or imminent danger items are insured causes. Therefore, the loss is covered."
I agree with the judge's approach and his conclusions, although I prefer to put the analysis in a slightly different form.
"... the cause which is truly proximate is that which is proximate in efficiency."
In the present case, as noted above, the judge found that the proximate cause of the problems with the roof were the defects in design and construction which meant that there was no VCL and poor ventilation in the roof void.
"... On those facts I have to ask myself whether or not the plaintiffs have proved their case, I turn to the first of the problems which arise, namely: Were the events which happened within the contingencies specified in the policy? I find that they were. The dominant or proximate cause of this accident (regarded in the sense in which Lord Shaw of Dunfermline suggested it should be regarded, in the well-known case of Leyland Shipping Company, Ltd. v. Norwich Union Fire Insurance Society, Ltd., [1918] A.C. 350)) was, in my view, this: the splitting of one or more tubes in the heat exchanger. This splitting was the cause of all the consequent trouble. The formation of the maleic acid was a consequence of the splitting, as was the subsequent corrosion and erosion brought about by the maleic acid. It follows, therefore, that there was sudden and accidental damage by a fortuitous cause within the meaning of the policy.
The fact that corrosion and erosion followed as a consequence of that cause seems to me to be irrelevant. In any event, on my view of the construction of the exclusion clause corrosion and erosion within the meaning of that clause were never intended (so I find as a matter of the construction of this policy in the circumstances in which it was issued) to cover other than corrosion and erosion caused in use. The exclusion clause reads as follows:
It seems to me clear that what the defendants had in mind was the effect of gaseous maleic anhydride upon the tubes through which it would pass in the ordinary process of production, and they had not in mind any corrosion or erosion which was consequential upon any breakdown of the plant due to the failure of a component "
8.5 Conclusion
9 Excess Deductions
9.1 The Issue
9.2 The Excess Provision
9.3 The Judge's Findings
"7.16.10 It is clear, therefore, that the question is fact sensitive. In my view it must be answered, as was the question in the Trollope & Colls case, by adopting a sensible rather than an absurd interpretation, having regard to all of the relevant circumstances and, in particular, the cover afforded by the policy, bearing in mind the distinction between cover for an individual flat and cover for common parts.
7.16.11 In my view, the sensible approach is one which focusses on the cover given. Thus, in relation to major physical damage to common parts, there is a separate item of claim for the cost of rectification or repair for each "element" of the building caused by a failure to comply with the ZBG requirements. Where for example the element is the continuous roof or the continuous external walls then that is one item of claim even where it could be said that separate areas of the roof or the walls are affected by the same failure. The same is true where there are a number of physically separate elements which are all affected by the same failure; it is one item of claim. In relation to present or imminent danger, there is a separate item of claim for each danger caused by a failure to comply with the Bldg Regs. Thus a danger caused by the spread of fire, whether due to untreated structural steelwork or a lack of compartmentation, is one item of claim."
"10.11.3 I ought however to address the competing arguments in relation to the application of the excess. In short, I accept the claimants' analysis in their closing submissions. In my view the position is as follows:
(1) The fire safety claims in Schedule E comprise three items of claim, namely those relating to the ability of the building structure to contain the spread of fire, those non-structural respects in which the means of escape is unsafe, and the lack of dry risers for fire service access. Since the Schedule E claims are present or imminent danger claims there are three excesses of £1,221.10 (£1,000 adjusted for inflation) each. Moreover, these claims subsume the Schedule B cladding claims which the claimants need not pursue and hence in respect of which there is no excess.
(2) The roof claims in Schedule B are, save insofar as already subsumed within Schedule E and each other, two distinct claims, one relating to the roof deck and one relating to the roof parapets. Again they are both present or imminent danger claims and thus there are two excesses of £1,221.10 each.
(3) The Schedule C claims. I accept the claimants' argument that there are 4 separate items of claim, items 1, 3, 5 and 6. Save for item 5 none are present or imminent danger claims with the result that there will be a separate excess of £1,221.10 for each of the claimant's flats applying to items 1, 3 and 6, thus a total excess of £3,633 per flat and a total excess under Schedule C of £111,120.10.
(4) The Schedule D claims. I agree that the essential complaint is that the construction of the balconies represents a present or imminent danger and that this is one item of claim and thus that there is only one excess of £1,221.10. The cold bridging claim is subsumed within this.
(5) The Schedule F claims. I agree that there are two present or imminent danger claims and hence a total excess of £1,221.10 each.
(6) The Schedule G claim item 2 is one item and a section 2 claim and, hence, an excess of £100. "
9.3 The Law
"If there were several defects at the same time in the same dwelling, each contributing to rendering that dwelling un-weathertight, I think it would be absurd to treat them as giving rise to several claims rather than to one."
"In my judgment, the key to the problem is that the warranty was a warranty that the dwellings and garages would remain weathertight for five years. The undertaking in par. 2 of the warranty was in effect a warranty that if during the five years any dwelling or garage ceased to be weathertight, the plaintiffs would carry out such work as was necessary to make it weathertight.
In these circumstances, I consider that the expenses incurred by the plaintiffs in making weathertight any dwelling or garage which had by reason of failures or defects ceased to be weathertight would give rise to one claim against the insurers. That, in my view, is more likely to have been the intention of the parties when this endorsement was agreed to than any other construction that has been put forward."
9.4 Present or Imminent Danger
9.5 Major Physical Damage
LORD JUSTICE McCOMBE:
"27. I agree with Mr Selby that there is a real difference between the claim as presented and the claim as it has succeeded. The claim as presented was put on the basis, albeit disputed by ZIP, that the claimants could and would use the monies awarded to fund remedial works post judgment, hence the basis for the inflation claim. The claim as successful was on the basis that the policy allowed ZIP to discharge its liability by making a lump sum payment of the declared purchase price where the cost of undertaking the remedial works exceeded that sum. It therefore became irrelevant whether or not the claimants intended to or would be able to undertake remedial works. They were entitled to receive this lump sum capped payment and to do with it as they thought best. Thus, in this case the claimants were entitled to be paid the ML capped amounts regardless of whether or not they were to be used to fund repairs."
"Ground 1
The Judge erred in law because on the true construction of the policies any claim for payment of the maximum liability sum was a claim for, and valued by reference to, future remedial costs and it did not change its nature because the amount of the recoverable claim for future remedial costs was limited by the maximum liability provision. The fact that the cap is fixed by reference to the purchase price of the individual flats does not alter the nature of the claim.
Ground 2
The Judge erred in law because in the alternative if there was an obligation to pay the amount of the maximum liability on the true construction of the policies any obligation to pay the maximum liability and any cause of action arising out of a failure to pay the amount of the maximum liability in respect of sums not incurred or any entitlement to interest could not arise earlier than the later of (i) the date on which a claim was made for a sum in excess of the maximum liability and/or (ii) the date on which it was alleged that any sum recovered would not in fact be spent on proposed future remedial works and/or (iii) the date on which it was established that the maximum liability amount would be reached. The Judge erred in holding that on the proper construction of the policies the claimants' cause of action for payment of the amount of the maximum liability sum arose when the right to indemnity arose which was, he said, when there had been major physical damage or a present or imminent danger to physical health and safety due to the developer's failure to comply with ZIP's technical requirements or the Building Regulations."
"68. The Judge's distinction between the claim as presented and the claim as successful is unsupported by the terms of the policy, see IJ paragraph 27 at A/11/11. The Judge added an alternative obligation not stipulated or defined in the policy - an obligation to pay a sum computed by reference to the Maximum Liability which was not the same as the claim for the cost of future repairs. The Judge was mistaken. On this basis he wrongly distinguished the decisions of Akenhead J in Hunt v Optima (Cambridge) Ltd [2013] EWHC 1121 (TCC) (at paragraphs 3 and 4), and Picken J in Kazakhstan Kagazy plc v Baglan Abdullayevich Zhunus and Harbour Fund 111 LLP [2018] EWHC 369 (Comm) (at paragraph 89) (MJ paragraphs 24-27)."
"…ZIP was obliged to investigate the claim, both as to liability and quantum, and to make payment once a reasonable time had elapsed for it to complete its investigations albeit that as a matter of contract law the cause of action accrued at an earlier date …".
On that basis, ZIP had to tender payment of the claim, capped by the MLC once it had had a reasonable time to investigate and reach a conclusion. I see no objection to that approach to the matter.
Welcome to Your Zurich New Home structural defects insurance policy. Problems with New Homes are rare but if You should need this insurance it is important that You understand what is and what is not covered. The policy should be accompanied by a Building Period Certificate or Insurance Certificate, or both as appropriate, and is not valid without them.
You will need to read the policy wording, the definitions and conditions, the certificates and any endorsements printed on them carefully for the full details of cover.
By way of summary, and subject to the conditions and any endorsements printed on the certificates, the policy protects You if Your Developer goes into liquidation or is made bankrupt against the loss of contract exchange deposit and the repair of certain types of damage caused by building defects in the first two years (or one year if Your New Home includes a Conversion).
If the Developer is not in liquidation or has not been made bankrupt, but nonetheless unreasonably refuses to meet its repair obligations within a reasonable period, We will help to resolve a dispute between You and the Developer by giving advice about the extent of cover available under the policy and the Developer's responsibility to rectify damage caused by defects. If We advise that repairs are covered by the policy but the Developer unreasonably refuses to carry out the work within a reasonable period, We will pay for the work to be completed.
After the first two years (or one-year if the New Home includes a Conversion) and until ten years after the Effective Date on the Insurance Certificate, We will cover the repair of Major Physical Damage caused by building defects in the original construction.
This policy is an agreement, the insurance contract, between You, the Buyer, and Us (Zurich Insurance Company), entered into by the Developer on Your behalf. It is based on the details provided to Us by the Developer and by you if you are the first Buyer. If any of those details change you must let Us know as soon as possible, otherwise it may invalidate the insurance.
The conditions that apply to all parts of this policy are listed on page 13. Please ensure you read the conditions, as well as "the Insurance" section of this policy document.
Certain words have specific meanings when they appear in this policy. These meanings are shown on page 4 under "Definitions" and appear throughout the policy in bold type.
You may only claim under this policy whilst you are the current Buyer. You are not entitled to make or continue a claim under this policy once you have sold or otherwise disposed of Your interest in the New Home.
Your Cancellation Rights
You have the right to cancel this policy, however, We are unable to return to you any premium paid to Us. Before you decide to cancel the insurance it is important to check with Your mortgage lender that you will not breach any conditions of Your loan. You may also want to consider whether cancellation could affect the ability of any subsequent Buyer to obtain a mortgage.
Definitions
Certain words have specific meanings when they appear in this policy in bold type.
These meanings are shown below.
Building Period Certificate: The certificate issued by Us when the New Home has been registered with Us prior to completion. By issuing this certificate We are confirming that cover under Section 1 of the policy is in place. Cover under the remaining sections of the policy is not in place until We have issued the Insurance Certificate.
Building Regulations: The Building Regulations that govern the construction of the New Home which were in force at the time the "notice to build" was deposited with the local authority.
Buyer/You/Your: The person/s having a freehold, commonhold, leasehold or tenancy interest in the New Home for the time being or any mortgagee in possession excluding the Developer, builder, directors, partners, and their relatives and associated companies, and all those involved with or having an interest in the construction or sale of the New Home.
Certificates: The Building Period Certificate and the Insurance Certificate.
Common Parts: Those parts of a multi- ownership building (of which the New Home is part), for a common or general use, for which the Buyer has joint responsibility together with other Buyers or lessors.
Continuous Structure: A single building containing more than one New Home, including blocks of flats and terraces, or a New Home(s) and other parts of the same building used for some other purpose(s).
Conversion: Where the New Home includes all or part of an existing structure, regardless as to whether that structure was originally intended to be used as a dwelling or not.
Developer: The person or company named in the Certificates from whom the first Buyer acquires the New Home or who undertakes the work of building the New Home for the Buyer.
Effective Date: Whichever is the later of:
(a) The date of exchange of contracts with the first Buyer as shown in the New Home conveyance documents, or where appropriate, the equivalent date in Northern Ireland (the date the Buyer's offer is accepted by the vendor) or Scotland (the completion of missives); or
(b) The date stated to be the Effective Date of the cover provided by this insurance policy on the Insurance Certificate.
Excess: The first amount (Indexed), of each claim which is payable by You for which no insurance is provided under this policy and which is specified in the Insurance Certificate.
Excessive sound transmission: Sound transmission between dwellings that exceeds the sound reduction Requirements of the Building Regulations that apply to the New Home, or in the case of a Conversion of an historic building the sound reduction specified in the "test and declare" certificate.
Home Condition Report: The report as required as part of the Home Information Pack, or any pre purchase survey report.
Indexed: Increased from 1 January 2006 to the date a claim is reported to Us in accordance with the House Rebuilding Cost Index published by the Royal Institution of Chartered Surveyors.
Insurance Certificate: The certificate issued by Us to signify acceptance of the New Home for insurance under this policy. This certificate may be endorsed to include or exclude specified items from cover by Us.
Maximum Liability:
Sections 2 and 3
Our Maximum Liability in respect of all claims under Sections 2 and 3 of this policy is as follows:
(a) for a New Home which is entirely detached, the purchase price declared to Us, subject to a maximum of £25 million;
(b) for a New Home which is part of a Continuous Structure, the maximum amount payable in respect of the New Home shall be the purchase price declared to Us subject to a maximum of £25 million.
Where the combined value of all New Homes within a Continuous Structure exceeds £25 million, the total amount payable by Us in respect of all claims in relation to the New Homes and the Continuous Structure shall not exceed £25 million.
Section 4
Our Maximum Liability in respect of all claims under Section 4 of this policy is as follows:
a) for a New Home which is entirely detached, the purchase price declared to Us, subject to a maximum of £20 million in respect of the Site;
b) for a New Home which is part of a Continuous Structure or forms part of a Site, the maximum amount payable in respect of the New Home shall be the purchase price declared to Us subject to a maximum of £20 million.
Where the combined value of all New Homes within a Continuous Structure or on a Site exceeds £20 million, the total amount payable in respect of all claims in relation to the New Homes, the Site and the Continuous Structure shall not exceed £20 million.
Major Physical Damage:
A material difference in the physical condition of a load bearing element of the New Home from its intended physical condition which adversely affects its structural stability or resistance to damp and water penetration.
New Home:
The property described in the Building Period Certificate and/or the Insurance Certificate.
The New Home is:
The new property or Conversion described in the Building Period Certificate and/or the Insurance Certificate, including any:
a) Common Parts, and
b) attached or integral garage, and
c) drives and paths giving access to the main and second entrance door, and
d) retaining or boundary wall but only where they form part of or provide support to the structure of the dwelling, and
e) newly constructed underground drainage systems installed by the Developer including: newly constructed pipes, channels, gullies and inspection chambers within the property described in the Insurance Certificate for which the Buyer is responsible, and
f) any security or surveillance systems installed by the Developer, and
g) in a Conversion, the existing structure of the home forming the foundations, walls, floors and roof.
Note: Footpaths and retaining or boundary walls not forming part of or providing support to the structure of the dwelling are only part of the New Home where they have been included by Us by an appropriate endorsement on the Insurance Certificate.
The New Home is not:
barns, stables, conservatories, decorative flooring including laminates, carpets, tiles, parquet etc, detached garages, swimming pools, swimming pool enclosures, lifts, escalators, temporary structures, other permanent outbuildings, gardens, garden structures and sheds, paths, driveways, access roads, supply pipes and cables, patios, fences, boundary and retaining walls, household appliances, electronic keys, contents, original structures and services, other items specifically excluded or not included in items (a) to (g) opposite, any cesspools, septic tanks, treatment plants, outfalls, soakaways, pumping equipment, and associated equipment and any other items not within the legal boundary of the New Home or Common Parts or any work not carried out by or on behalf of the Developer and not part of the purchase contract with the first Buyer.
The New Home does not include:
basements or semi-basements unless shown for residing or sleeping purposes in plans deposited with the local planning authority before the Effective Date printed on the Building Period Certificate.
Original Specification: The specification the Developer used to construct the New Home up until the date shown on the Insurance Certificate.
Physical Damage: A material difference in the physical condition of the New Home from its intended physical condition. For the avoidance of doubt, Physical Damage includes Major Physical Damage.
Requirements: The Requirements contained within the technical manual issued by Us and in force at the time when the appropriate "notice to build" in respect of the New Home was deposited with the local authority for the purposes of the Building Regulations. For the avoidance of doubt, Requirements is not to be taken to include Planning Authority conditions. As a guide you can obtain a copy of the current Requirements by contacting Zurich Insurance Company or at www.zurich.co.uk/buildingguarantee.
Site: The area within the boundary of the development registered with Us and of which the New Home is a part.
We/Our/Us: Zurich Insurance Company.
The Insurance
Section 1
What We will pay before the New Home is completed
1. We will pay where, due to the Developer's bankruptcy, liquidation or fraud, the Developer fails to complete the construction of the New Home in accordance with the Requirements and the Buyer loses a deposit paid to the Developer under the terms of the purchase contract for the New Home, We will at our sole option either:
(a) pay the reasonable cost of completing the home to the Original Specification; or
(b) pay to the Buyer the amount of any such lost deposit
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What We will not pay under Section 1
· Any sum exceeding 10% of the purchase price declared to Us by the Developer
· Claims for anything that is not part of the New Home
· Any work that exceeds the Original Specification for the New Home or the Requirements
· Any claim made after the legal completion of the purchase by the first Buyer of the New Home
· Compensation for death, injury to the body or mental health, loss of enjoyment, use, inconvenience, income, business opportunity or inconvenience, stress or any other consequential or financial loss of any description
· Any claim where We have not issued a valid Building Period Certificate
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Section 2
What We will pay during the first two years after the Effective Date, or the first year after the Effective Date if the New Home is a Conversion
2. For two years after the Effective Date or one year after the Effective Date if the New Home is a Conversion, where the Buyer has made a request in writing that the Developer meet one or more of the costs listed at Sections 2.1 to 2.5 below, and the Developer unreasonably refuses to meet such costs or to carry out repairs, as appropriate, within a reasonable period, or is in liquidation or is made bankrupt We will pay:
2.1 The reasonable cost of rectifying or repairing Physical Damage caused by the Developer's failure to comply with the Requirements in the construction of the New Home
2.2 The reasonable cost of rectifying Excessive Sound Transmission through party walls or floors arising from within Continuous Structures
2.3 The reasonable cost of rectifying a present or imminent danger to the physical health and safety of the occupants caused by the failure of the Developer to comply with the Building Regulations in respect of the following:
· Structure · Fire safety · Site preparation and resistance to moisture · Hygiene · Drainage and waste disposal · Heat-producing appliances · Glazing - safety in relation to impact, opening and cleaning
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What We will not pay under Section 2
· Any claim reported for the first time to the Developer or to Us more than two years after the Effective Date, or more than one year after the Effective Date if the New Home is a Conversion
· Claims for anything that is not part of the New Home
· Anything excluded by endorsement on the Insurance Certificate
· Claims for any loss that is caused by anything other than the failure by the Developer to build to the Requirements
· Any repair that exceeds the Original Specification for the New Home
· Any sum that exceeds our Maximum Liability
· Any loss resulting from flooding or a change in the water table level, including water logging of gardens
· Any sum in connection with death, injury to the body or mental health, loss of enjoyment, use, income, business opportunity, sales opportunity, or inconvenience, stress or any other consequential or financial loss of any description
· Any sum above Your proportional share of the reasonable cost of repairing Physical Damage to Common Parts
· Any claim or contribution to a claim where cover is available under another insurance policy, or where some other form of compensation or damages is available to you
· Any loss or damage caused by pollution, contamination or ionising radiation, except claims covered by Section 4
· Additional costs arising from unreasonable delays in reporting a claim either to Us or the Developer
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What We will pay during the first two years after the Effective Date, or the first year after the Effective Date if the New Home is a Conversion
2.4 The reasonable cost of alternative accommodation where the New Home is not fit for habitation as a result of the carrying out of remedial works by Us covered under the terms of this policy provided that you have first obtained our written consent to such costs being incurred
2.5 Professional fees incurred in connection with Your claim, provided that you have first obtained our written consent to such costs being incurred.
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What We will not pay under Section 2
· Any reduction in value of the New Home
· Sums in connection with or caused to or by the presence of a swimming pool, lift or lift shaft, escalator, or associated plant and equipment
· Any loss caused by storm force conditions
· Claims for the prevention of, or any loss caused by surface or any other form of condensation
· Any sums in respect of the Excess
· Claims by any person(s) other than the Buyer
· Any claim where We have not issued a valid Insurance Certificate
· Claims for wear, tear, neglect, lack of maintenance, scratching, chipping, staining, fading, efflorescence, changes in colour, opacity or texture
· Reinstatement of any areas not directly affected by Physical Damage or Major Physical Damage
· Any loss due to or arising from any alteration, modification or addition to the New Home after the date of issue of the Insurance Certificate
· Anything for which a sum of money has been withheld from the purchase price
· Any costs that have been taken into account by the Developer or by Us in connection with a claim from a previous Buyer
· Anything that you knew about when you purchased the New Home including any items mentioned in a Home Condition Report
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Section 3
What We will pay from two years after the Effective Date or from one year after the Effective Date if the New Home is a Conversion, until the tenth anniversary of the Effective Date
3. From the start of the third year after the Effective Date, or the start of the second year after the Effective Date if the New Home is a Conversion, until the tenth anniversary of the Effective Date We will pay:
3.1 The reasonable cost of rectifying or repairing Major Physical Damage which is caused by a failure by the Developer to comply with the Requirements in the construction of the New Home
3.2 The reasonable cost of rectifying a present or imminent danger to the physical health and safety to the occupants caused by the failure of the Developer to comply with the Building Regulations in respect of the following:
· Structure · Fire safety · Site preparation and resistance to moisture · Hygiene · Drainage and waste disposal · Heat-producing appliances · Glazing - safety in relation to impact, opening and cleaning
3.3 The reasonable cost of alternative accommodation where the New Home is not fit for habitation as a result of the carrying out of remedial works by Us covered under the terms of this policy provided that you have first obtained our written consent to such costs being incurred
3.4 Professional fees incurred in connection with Your claim, provided that You have first obtained Our written consent to such costs being incurred.
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What We will not pay under Section 3
· Any claim that could reasonably have been reported in writing to the Developer or to Us within two years of the Effective Date or within one year of the Effective Date if Your New Home is a Conversion, but was not reported to the Developer or to Us
· Claims for anything that is not part of the New Home
· Anything excluded by endorsement on the Insurance Certificate
· Claims for any loss that is caused by anything other than the failure by the Developer to build to the Requirements
· Any repair that exceeds the Original Specification for the New Home
· Reinstatement of any areas not directly affected by Physical Damage or Major Physical Damage
· Any sum that exceeds our Maximum Liability
· Any loss resulting from flooding or a change in the water table level, including water logging of gardens
· Any sum in connection with death, injury to the body or mental health, loss of enjoyment, use, income, business opportunity, or inconvenience, stress or any other consequential or financial loss of any description
· Any sum above Your proportional share of the reasonable cost of repairing Major Physical Damage to Common Parts
· Any claim or contribution to a claim where cover is available under another insurance policy, or where some other form of compensation or damages is available to You
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What We will not pay under Section 3
· Any loss or damage caused by pollution; contamination or ionising radiation, except claims covered by Section 4
· Additional costs arising from unreasonable delays in reporting a claim either to Us or the Developer
· Any reduction in value of the New Home
· Sums in connection with or caused to or by the presence of a swimming pool, lift or lift shaft, escalator, or associated plant and equipment
· Any loss caused by storm force conditions
· Claims for the prevention of, or any loss caused by surface or any other form of condensation
· Any sums in respect of the Excess
· Claims for wear, tear, neglect, lack of maintenance, scratching, chipping, staining, fading, efflorescence, changes in colour, opacity or texture
· Any loss due to or arising from any alteration, modification or addition to the New Home after the date of issue of the Insurance Certificate
· Anything for which a sum of money has been withheld from the purchase price
· Any costs that have been taken into account by the Developer or by Us in connection with a claim from a previous Buyer
· Anything that You knew about when You purchased the New Home including any items mentioned in a Home Condition Report
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Conditions
The following conditions shall apply to this policy:
On discovery of any item of claim, or on receiving a statutory notice, or an indication that such a notice is likely to be served which is likely to give rise to a claim under this insurance you shall as soon as reasonably possible:
(a) take all reasonable steps to prevent further loss; and
(b) where Section 2 applies, ensure written notice has been given to the Developer
(c) give written notice to Us; and
(d) if requested by Us and at Your expense, submit in writing full details of the claim and supply all reports, plans, certificates, specifications, quantities, statutory notices or other information and assistance as We may reasonably require to verify the claim. Where We subsequently accept the claim, We will reimburse the reasonable expenses incurred in obtaining such reports; and
(e) provide to Us professional reports at Your expense to verify the claim where it relates to the performance of central heating, sound insulation, squeaking floors. Where We subsequently accept the claim, We will reimburse the reasonable expenses incurred in obtaining such reports. 2. Our Rights
Where We accept a claim under this policy, We and the Developer and Our agents shall be entitled to have reasonable access to the New Home and shall also be entitled to remain in occupation for as long as is necessary in order to carry out proper repairs to our satisfaction. For the avoidance of doubt, where reasonable access cannot be gained to the New Home within a reasonable period of time, no claim shall be accepted. 3. Recoveries from Third Parties
We are entitled to take proceedings at Our own expense, but in Your name, to secure compensation |
from any third party in respect of any claim accepted by Us under this policy.
4. Abandonment
No property may be abandoned to Us. 5. Fraud
If any claim under this insurance is fraudulent in any respect, or if any fraudulent means or devices are used by You, or anyone acting on Your behalf to obtain benefit under this policy, all benefits contained in this policy shall be forfeited. 6. Retention
Any monies retained or withheld by you from the Developer under the terms of a contract or for any reason shall be taken into consideration and offset against any claim made under this insurance. We shall have the option to refuse to accept any claim under this policy until a dispute over retention monies between you and the Developer has been settled. 7. Notification of Change of Ownership
You shall notify Us of any change of ownership of the freehold, commonhold or leasehold interest in the New Home as soon as possible. 8. Limitation of Our liability
Our liability is limited to the insurance included in this policy only or as altered by endorsement. Any Site inspections or other risk control procedures adopted by Us are solely for Our benefit and do not confirm or imply that the New Home is or will be free of defects or damage. 9. Governing law and jurisdiction
This policy will be governed by English law and subject to the jurisdiction of the English Courts. 10. Termination
This policy shall terminate automatically without refund of premium in the event that:
(a) the New Home is destroyed by a cause other than that insured against in this policy; or
(b) We have accepted a claim under Section 1 of the policy; or
(c) We have paid our Maximum Liability.
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Disputes between you and the Developer
Where a dispute arises between the Buyer of the New Home and the Developer, We provide a service that offers advice regarding liability and extent of cover available under this warranty policy only. This may, at our sole discretion, be based on an examination of paper submissions or a physical inspection of the works in dispute or a combination of both. Any recommendations We make are not binding on either party, however where We believe policy cover applies but the Developer refuses to do any recommended work We will arrange for it to be done under the terms of the policy.
Complaints We endeavour to detail with all claims sympathetically. However, We recognise that disputes can arise from time to time.
If you wish to dispute a claim If You are dissatisfied with the way in which We have dealt with a claim, We suggest You adopt the following procedure:
Stage 1 Contact the Claims manager of Building Guarantee in writing.
Stage 2 If you remain dissatisfied, short of court action, You may choose to refer any dispute or difference with regard to the policy to the Chief Executive at The Grange, Bishops Cleeve, Cheltenham, Gloucestershire, GL2 8XX.
Email: [email protected]
Alternatively, if You are still unhappy with the way in which WE have dealt with Your complaint, You may have the right to ask the Financial Ombudsman Service to review Your case (see Where to get advice or assistance).
Who to contact at Zurich Financial Services
Where to get advice or assistance
We are covered by the Financial Services Compensation Scheme (FSCS). You may be entitled to compensation should We be unable to meet our obligations. Further Information is available on www.fcs.org.uk or You may contact the FSCS on 020 7892 7300. |