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ISSUE
W/N Malayan is liable? - YES
W/N there is double insurance? - NO
W/N Malayan is solidarily liable with Republic? - NO
HELD
Malayan is liable because of the insurance contract it
executed with Republic for the idemnity
for the loss. The cause of the loss not within the
purview of an excepted peril, having been
determined in the lower courts is conclusive upon the
SC making Malayan liable for the
idemnity.
There is double insurance when:
1] The person insured is the same
2] 2 or more insurers insuring separately
3] There is identity of subject matter
4] There is identity of interest insured
5] There is identity of the risk or peril insured against
In the case at bar though the 2 insurance policy, one
by Philippine first and one by Malayan
were issued over the same subject matter covering
the same peril, it was issued to 2
different persons and to 2 different interest.
Philippine first insured wyeth over its own goods
Malayan insured republic over the latters insurable
interest over the safety of the
goods which could become the basis for liability in
case of loss or damage.
Pacific v CA G.R. No. L-41014 November 28, 1988 Banking filed a motion for reconsideration of the said
J. Paras decision of the respondent Court of Appeals, but this
was denied for lack of merit.
Facts:
An open fire insurance policy, was issued to Issues:
Paramount Shirt Manufacturing by Oriental Assurance 1. WON unrevealed co-insurances Violated policy
Corporation to indemnify P61,000.00, caused by fire conditions No. 3
to the factory’s stocks, materials and supplies. 2. WON the insured failed to file the required proof of
The insured was a debtor of Pacific Banking in the loss prior to court action.
amount of (P800,000.00) and the goods described in
the policy were held in trust by the insured for Pacific Held: Yes. Petition dismissed.
Banking under trust receipts.
The policy was endorsed to Pacific Banking as Ratio:
mortgagee/ trustor of the properties insured, with the 1. Policy Condition No. 3 explicitly provides:
knowledge and consent of private respondent to the 3. The Insured shall give notice to the Company of
effect that "loss if any under this policy is payable to any insurance already effected, or which may
the Pacific Banking Corporation". subsequently be effected, covering any of the
A fire broke out on the premises destroying the goods property hereby insured, and unless such notice be
contained in the building. given and the particulars of such insurance or
The bank sent a letter of demand to Oriental for insurances be stated in or endorsed on this Policy by
indemnity. or on behalf of the Company before the occurrence of
The company wasn’t ready to give since it was any loss or damage, all benefit under this policy shall
awaiting the adjuster’s report. be forfeited.
The company then made an excuse that the insured The insured failed to reveal before the loss three
had not filed any claim with it, nor submitted proof of other insurances. Had the insurer known that there
loss which is a clear violation of Policy Condition were many co-insurances, it could have hesitated or
No.11, as a result, determination of the liability of plainly desisted from entering into such contract.
private respondent could not be made. Hence, the insured was guilty of clear fraud.
Pacific Banking filed in the trial court an action for a Concrete evidence of fraud or false declaration by the
sum of money for P61,000.00 against Oriental insured was furnished by the petitioner itself when the
Assurance. facts alleged in the policy under clauses
At the trial, petitioner presented communications of "Co-Insurances Declared" and "Other Insurance
the insurance adjuster to Asian Surety revealing Clause" are materially different from the actual
undeclared co-insurances with the following: P30,000 number of co-insurances taken over the subject
with Wellington Insurance; P25,000 with Empire property.
Surety and P250,000 with Asian Surety undertaken As the insurance policy against fire expressly required
by insured Paramount on the same property covered that notice should be given by the insured of other
by its policy with Oriental whereas the only insurance upon the same property, the total absence
co-insurances declared in the subject policy are those of such notice nullifies the policy.
of P30,000.00 with Malayan P50,000.00 with South Petitioner points out that Condition No. 3 in the policy
Sea and P25.000.00 with Victory. in relation to the "other insurance clause" supposedly
The defense of fraud, in the form of non-declaration of to have been violated, cannot certainly defeat the
co-insurances which was not pleaded in the answer, right of the petitioner to recover the insurance as
was also not pleaded in the Motion to Dismiss. mortgagee/assignee. Hence, they claimed that the
The trial court denied the respondent’s motion. purpose for which the endorsement or assignment
Oriental filed another motion to include additional was made was to protect the mortgagee/assignee
evidence of the co-insurance which could amount to against any untoward act or omission of the insured. It
fraud. would be absurd to hold that petitioner is barred from
The trial court still made Oriental liable for P 61,000. recovering the insurance on account of the alleged
The CA reversed the trial court decision. Pacific violation committed by the insured.
It is obvious that petitioner has missed all together the notice of loss. It didn’t even furnish other documents.
import of subject mortgage clause which specifically Instead, petitioner shifted upon private respondent the
provides: burden of fishing out the necessary information to
“Loss, if any, under this policy, shall be payable to the ascertain the particular account of the articles
PACIFIC BANKING CORPORATION Manila destroyed by fire as well as the amount of loss. Since
mortgagee/trustor as its interest may appear, it being the required claim by insured, together with the
hereby understood and agreed that this insurance as preliminary submittal of relevant documents had not
to the interest of the mortgagee/trustor only herein, been complied with, it follows that private respondent
shall not be invalidated by any act or neglect—except could not be deemed to have finally rejected
fraud or misrepresentation, or arson—of the petitioner's claim and therefore there was no cause of
mortgagor or owner/trustee of the property insured; action.
provided, that in case the mortgagor or owner/ trustee It appearing that insured has violated or failed to
neglects or refuses to pay any premium, the perform the conditions under No. 3 and 11 of the
mortgagee/ trustor shall, on demand pay the same.” contract, and such violation or want of performance
The paragraph clearly states the exceptions to the has not been waived by the insurer, the insured
general rule that insurance as to the interest of the cannot recover, much less the herein petitioner.
mortgagee, cannot be invalidated; namely: fraud, or
misrepresentation or arson. Concealment of the
aforecited co-insurances can easily be fraud, or in the
very least, misrepresentation.
Undoubtedly, it is but fair and just that where the
insured who is primarily entitled to receive the
proceeds of the policy has by its fraud and/or
misrepresentation, forfeited said right.
Petitioner further stressed that fraud which was not
pleaded as a defense in private respondent's answer
or motion to dismiss, should be deemed to have been
waived. It will be noted that the fact of fraud was tried
by express or at least implied consent of the parties.
Petitioner did not only object to the introduction of
evidence but on the contrary, presented the very
evidence that proved its existence.
2. Generally, the cause of action on the policy
accrues when the loss occurs, But when the policy
provides that no action shall be brought unless the
claim is first presented extrajudicially in the manner
provided in the policy, the cause of action will accrue
from the time the insurer finally rejects the claim for
payment
In the case at bar, policy condition No. 11 specifically
provides that the insured shall on the happening of
any loss or damage give notice to the company and
shall within fifteen (15) days after such loss or
damage deliver to the private respondent (a) a claim
in writing giving particular account as to the articles or
goods destroyed and the amount of the loss or
damage and (b) particulars of all other insurances, if
any.
Twenty-four days after the fire did petitioner merely
wrote letters to private respondent to serve as a
Republic Bank v. Phil. Guaranty Co., Inc. (Santa Ana vs. Commercial Union Ass. Co., 55 Phil.
G.R. No. L-27932, 30 October 1972, 47 SCRA 271 128).
ISSUE:
RULING: