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South Africa Judgment

High Courts - Gauteng

GNJ Agricultural Financial Advisors CC v Hollard Insurance Company Ltd (9982/2006) [2008] ZAGPHC 250 (11 August 2008)

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01

Holding and result

The court found that the exclusion clause in the insurance policy was ambiguous regarding the scope of 'mechanical breakdown'. Following the reasoning in Nell v Incorporated General Insurance Ltd, the ambiguity was resolved in favour of the insured. The court held that 'mechanical breakdown' in the context of the exclusion clause refers to breakdowns caused by unforeseen circumstances inherent in the vehicle itself, not those resulting from external events. Since the breakdown of the plaintiff's vehicle was not caused by an inherent defect but by external circumstances, the insurer failed to discharge the onus of proving that the exclusion applied. The plaintiff was therefore entitled to judgment for the agreed quantum, interest, and costs on the High Court scale.

Court disposition

Judgment for the plaintiff.

Orders

  • Judgment for the plaintiff in the amount of R99,568.85.
  • Interest on the amount of R99,568.85 at 15.5% per annum from date of service of summons until date of payment.
  • Costs of suit, including the qualifying fees of Mr Jenkinson.
  • The witness Godfrey Neser Johnstone is declared a necessary witness on behalf of the plaintiff.

02

Material facts

Parties

GNJ Agricultural Financial Advisors CC

Plaintiff Counsel: Mr Stoop

The Hollard Insurance Company Ltd

Defendant

Amounts and remedies

  • Damages Awarded: ZAR 99,568.85
  • Interest Rate Per Annum: ZAR 15.5

03

Procedural history

  1. Posture

    Civil Trial / Final Judgment

04

Questions and positions

Legal issues

Party arguments

Applicant
Plaintiff argued that the exclusion clause in the insurance policy is ambiguous and should be interpreted in favour of the insured. Relying on Nell v Incorporated General Insurance Ltd, plaintiff submitted that 'mechanical breakdown' should be construed eiusdem generis with 'wear and tear', meaning only breakdowns caused by inherent defects or unforeseen circumstances within the vehicle itself are excluded. Plaintiff contended that the breakdown in this case was not caused by such inherent defects but by external circumstances, and thus the insurer remains liable.
Respondent
Defendant argued that the breakdown of the engine falls squarely within the wording and meaning of 'mechanical breakdown' in the exclusion clause of the policy. Defendant maintained that the insurer is not liable for any mechanical breakdown, regardless of its cause, and therefore the claim should be repudiated under the explicit terms of the policy.

05

Court’s reasoning

  1. 01

    General insurance law principle

    Where an insurer relies on an exception to liability clause in a policy, the onus is on the insurer to prove that the exception applies to the facts giving rise to the indemnification claimed.

  2. 02

    Nell v Incorporated General Insurance Ltd, 1976 (3) SA 776 (W)

    Ambiguity in exclusion clauses in insurance contracts must be interpreted in favour of the insured.

  3. 03

    Nell v Incorporated General Insurance Ltd, 1976 (3) SA 776 (W)

    Exclusion of liability for damage caused by unforeseen circumstances inherent in the insured article is common and logical, as the insurer would have no right of recourse against a perpetrator where none exists.

06

Ratio, limits and disposition

Ratio decidendi

The court found that the exclusion clause in the insurance policy was ambiguous regarding the scope of 'mechanical breakdown'. Following the reasoning in Nell v Incorporated General Insurance Ltd, the ambiguity was resolved in favour of the insured. The court held that 'mechanical breakdown' in the context of the exclusion clause refers to breakdowns caused by unforeseen circumstances inherent in the vehicle itself, not those resulting from external events. Since the breakdown of the plaintiff's vehicle was not caused by an inherent defect but by external circumstances, the insurer failed to discharge the onus of proving that the exclusion applied. The plaintiff was therefore entitled to judgment for the agreed quantum, interest, and costs on the High Court scale.

Obiter and limits

  • It is not unreasonable for a plaintiff to pursue a claim in the High Court where the matter involves a difficult question of legal interpretation, even if the quantum falls within the Magistrates Court's jurisdiction.
  • Exclusion clauses in insurance policies should be interpreted restrictively, especially where ambiguity exists.

Court disposition

Judgment for the plaintiff.

  • Judgment for the plaintiff in the amount of R99,568.85.
  • Interest on the amount of R99,568.85 at 15.5% per annum from date of service of summons until date of payment.
  • Costs of suit, including the qualifying fees of Mr Jenkinson.
  • The witness Godfrey Neser Johnstone is declared a necessary witness on behalf of the plaintiff.

Source and reliance status

High Courts - Gauteng

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Judgment text

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Source document

High Courts - Gauteng

Judgment

[2008] ZAGPHC 250

IN THE HIGH COURT OF SOUTH AFRICA

(TRANSVAAL PROVINCIAL DIVISION)

Case No: 9982/2006

Date: 11/08/2008

UNREPORTABLE

In the matter between:

GNJ AGRICULTURAL FINANCIAL ADVISORS

CC PLAINTIFF

And

THE HOLLARD INSURANCE COMPANY

LTD DEFENDANT

JUDGMENT

VORSTER,AJ

1. The Plaintiff claims from defendant damages caused to a truck of the Plaintiff, in terms of an insurance policy.

2. The claim is disputed by defendant. The quantum of the claim is agreed on R 97 540,35. The facts which gave rise to the causation of the damage is also common cause and are recorded in a statement of facts which have been handed in as Exhibit "A". The recorded facts are as follows:

"1. On 9 January 2006 the insured vehicle was being driven on the Potgietersrus-Marken road. The vehicle was fully laden.

2. The vehicle went down a steep inclination and the weight of the load pushed the vehicle forward The vehicle was travelling in 4th gear at the time.

3. The brakes were insufficient to slow the vehicle down and in an attempt to avoid a disaster, the driver selected third gear and thereafter second gear. The momentum kept pushing the vehicle forward and because of that the driver forced the vehicle into 1st gear.

4. The driver then saw a huge rock on the right hand side of the road adjacent to the mountain-side. He crossed the road to the right and the truck came to a standstill against the rock.

5. The resultant over-reviving caused the breakdown of the engine."

3. No evidence was led. The parties confined themselves to argument on the only dispute on the merits of the case. That dispute relates to the interpretation of the following clause in the insurance policy:

"The Insurer shall not be liable to pay for

(a) Consequential loss as a result of any cause whatsoever depreciation in value whether arising from repairs following a defined event or otherwise wear and tear mechanise or electircae breakdowns failures or breakages".

4. The Defendant repudiated the claim of Plaintiff and as a ground for repudiation relied on the above quoted provision .in the policy. That provision is explicitly stated in the policy to be an exception to liability.

5. It is trite law that the onus is on an insurer which relies on an exception to liability clause in a policy to prove that the exception is applicable to the facts which gave rise to the indemnification claimed.

6. In argument counsel for defendant submitted that the breakdown of the engine of the insured vehicle falls within the wording and meaning of "mechanical breakdown" in the exception clause.

7. Mr Stoop, who appeared on behalf of Plaintiff referred to the judgment in Nell v Incorporated General Insurance Ltd, 1976 (3) SA 776 WS. The facts and the exception clause in that case were very similar to the facts in the instant case. The exception clause provided as follows:

"The company shall not be liable to pay for

A Consequential loss arising in any way whatever depreciated wear and tear mechanical or electrical breakdown failures or breakages."

The occurrences which gave rise to the claim in Nel's case was also the breakdown of a vehicle which was driven on a steep decline in the road and which gave the driver no other option but to change to lower gear in order to bring the vehicle to a standstill. The breakdown was caused by overheating which damaged the vehicle beyond repair.

8. In the interpretation of the exclusion clause in Nell’s case the court came to the conclusion that the wording is ambiguous and that the ambiguity must be interpreted in favour of the insured. I respectfully agree with that conclusion. The same applies to the wording of the exclusion clause in this case. Mechanical breakdowns or failures do not fall out of the air. They are caused by something. Some causes of mechanical breakdown of a vehicle are attributable to the absence or inadequate maintenance of the working parts thereof. Some mechanical breakdowns can result from unforeseen causes such as metal fatigue or faulty workmanship in the servicing of a vehicle. An interpretation of the words "mechanical breakdown" eiusdem generis with the preceding words "wear and tear" would mean mechanical breakdown caused by unforeseen causes inherent in the vehicle itself. That interpretation appeals to me for the following reasons:

Exclusion of liability by insurers for damage which is caused by unforeseen circumstances inherent in the article insured is quite common. Such exclusions are also logical as the insurer would have no right of recourse against the perpetrator, as there is no perpetrator.

If, on the other hand, the words are interpreted literally according to their ordinary grammatical meaning, it means that the insured has no cover for mechanical breakdown irrespective of the cause thereof.

Considering the fact that it is a contract of insurance. I find that the words "mechanical breakdown" does not include mechanical breakdown caused by other means than unforeseen circumstances inherent in the insured vehicle.

9. It follows that I am of the view that the defendant did not discharge the onus of proving that the damage caused to the insured vehicle is excluded in the policy. The plaintiff is therefore entitled to judgment in its favour.

10. As far as costs is concerned, defendant urged me to award costs on Magistrates Court scale, as the agreed amount of quantum of R99 568 85 falls within the jurisdiction of the Magistrates Court. I am not persuaded that I should do that. This matter involved a difficult question of legal interpretation of an insurance policy. I cannot say that it was unreasonable for the Plaintiff to pursue its claim in the High Court.

11. In the result I make the following order:

(a) Judgment for Plaintiff in the amount of R 99 568-85.

(b) Interest on the amount of R 99568-85 at 15,5 % per annum from date of service of summons until date of payment.

(c) Costs of suit, including the qualifying fees of Mr Jenkinson.

(d) The witness Godfrey Neser Johnstone is declared a necessary witness on behalf of Plaintiff.

L I VORSTER

ACTING JUDGE OF THE HIGH COURT

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Nell v Incorporated General Insurance Ltd, 1976 (3) SA 776 (W)

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