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UCPB GENERAL INSURANCE CO.

, arrangement though actual payment of premium


INC., petitioner, was tendered on a later date and after the
vs. occurrence of the (fire) risk insured against.”
MASAGANA TELAMART, INC., respondent.
Ruling:
Facts: Yes. An insurer is entitled to payment of the
Masagana Telamart obtained from UCPB premium as soon as the thing insured is exposed to
five insurance policies on its properties in Pasay
the peril insured against. Notwithstanding any
City and Manila all of which reflect on their face the
agreement to the contrary, no policy or contract of
effectivity term: “from 4 PM of May 22, 1991 to 4PM
of May 22, 1992”. On June 13, 1992, the properties insurance issued by an insurance company is valid
located in Pasay City were razed by fire. and binding unless and until the premium thereof
For years, Petitioner UCPB had been has been paid, except in the case of a life or an
issuing fire policies to the Masagana, and these industrial life policy whenever the grace period
policies were annually renewed. It had been provision applies.” Section 77 of the Insurance
granting Respondent a 60- to 90-day credit term Code of 1978
within which to pay the premiums on the renewed An insurer is entitled to payment of premium
policies. as soon as the thing insured is exposed to the peril
There was no valid notice of non-renewal of insured against, unless there is clear agreement to
the policies in question, as there is no proof at all grant the insured credit extension of the premium
that the notice sent by ordinary mail was received due. No policy issued by an insurance company is
by Masagana, and the copy thereof allegedly sent valid and binding unless and until the premium
to Zuellig was ever transmitted to Masagana. thereof has been paid. Section 72 of Act No. 2427
The premiums for the policies in question in otherwise known as the Insurance Act as amended
the aggregate amount of P225,753.95 were paid by by R.A. No. 3540
Masagana within the 60- to 90-day credit term and
were duly accepted and received by UCPB’s Exceptions to Section 77:
cashier. 1. The first exception is provided by Section 77
Masagana made its formal demand for itself, and that is, in case of a life or industrial life
indemnification for the burned insured properties. policy whenever the grace period provision applies.
On the same day, UCPB returned the 5 manager’s 2. The second is that covered by Section 78 of the
checks stating in its letter that it was rejecting Insurance Code, which provides: SEC. 78. Any
acknowledgment in a policy or contract of insurance of the
Masagana’s claim on the following grounds:
receipt of premium is conclusive evidence of its payment, so
a) Said policies expired last May 22, 1992 far as to make the policy binding, notwithstanding any
and were not renewed for another term; stipulation therein that it shall not be binding until premium is
b) UCPB had put Masagana and its alleged actually paid.
3. A third exception was laid down in Makati
broker on notice of non-renewal earlier; and
Tuscany Condominium Corporation vs. Court of
c) The properties covered by the said
Appeals, wherein we ruled that Section 77 may not
policies were burned in a fire that took place last apply if the parties have agreed to the payment in
June 13, 1992, or before tender of premium installments of the premium and partial payment
payment. has been made at the time of loss.
4. Tuscany has provided a fourth exception to
The trial court and the CA disagreed with Section 77, namely, that the insurer may grant
UCPB’s stand that Masagana’s tender of payment credit extension for the payment of the premium.
of the premiums on 13 July 1992 did not result in This simply means that if the insurer has granted
the renewal of the policies, having been made the insured a credit term for the payment of the
beyond the effective date of renewal as provided premium and loss occurs before the expiration of
under Policy Condition No. 26. the term, recovery on the policy should be allowed
even though the premium is paid after the loss but
Issue: within the credit term.
5. The fifth exception to Section 77 is estoppel.
Whether the fire insurance policies issued
There is nothing in Section 77 which prohibits the
by petitioner to the respondent covering the period
parties in an insurance contract to provide a credit
from May 22, 1991 to May 22, 1992 . . . had been term within which to pay the premiums. Finally, it
extended or renewed by an implied credit
would be unjust and inequitable if recovery on the
policy would not be permitted against UCPB, which
had consistently granted a 60- to 90-day credit term
for the payment of premiums despite its full GREAT PACIFIC LIFE ASSURANCE
awareness of Section 77. Estoppel bars it from COMPANY, petitioner,
taking refuge under said Section, since Masagana vs.
relied in good faith on such practice. HONORABLE COURT OF
APPEALS, respondents.

Facts:
Private respondent Ngo Hing filed an
application with the Great Pacific Life Assurance
Company for a twenty-year endowment policy in
the amount of P50,000.00 on the life of his one-
year old daughter Helen Go. He supplied the
essential data which the Branch Manager of the
Pacific Life in Cebu City wrote on the
corresponding form in his own handwriting and then
type-wrote the said data on the application form
which was signed by Ngo Hing.
The latter paid the annual premuim the sum
of P1,077.75 going over to the Company, but he
reatined the amount of P1,317.00 as his
commission for being a duly authorized agent of
Pacific Life. Upon the payment of the insurance
premium, the binding deposit receipt was issued to
Ngo Hing.
Mondragon handwrote at the bottom of the
back page of the application form his strong
recommendation for the approval of the insurance
application. However, Mondragon subsequently
received a letter from Pacific Life disapproving the
insurance application for the reason that the said
life insurance application for 20-year endowment
plan is not available for minors below seven years
old, but Pacific Life can consider the same under
the Juvenile Triple Action Plan and advised that if
the offer is acceptable, the Juvenile Non-Medical
Declaration be sent to the Company.
The non-acceptance of the insurance plan
by Pacific Life was allegedly not communicated by
Mondragon to Ngo Hing. Instead, Mondragon wrote
back Pacific Life again strongly recommending the
approval of the 20-year endowment life insurance
on the ground that Pacific Life is the only insurance
company not selling the 20-year endowment
insurance plan to children, pointing out that since
1954 the customers, especially the Chinese, were
asking for such coverage.
Helen Go died of influenza with
complication of broncho-pneumonia. Ngo Hing
sought the payment of the proceeds of the
insurance, but having failed in his effort, he filed the
action for the recovery of the same before the CFI the agent for the acceptance and approval of the
of Cebu which rendered a decision in favor of Ngo application in question. Secondly, having an
Hing. insurable interest on the life of his daughter, aside
from being an insurance agent and office associate
of the branch, the applicant must have known and
followed the progress on the processing of such
Issue: application and could not pretend ignorance of the
Whether or not the binding deposit receipt Company’s rejection of the 20-year endowment life
constituted a temporary contract of the life insurance application.
insurance in question.

Ruling:
No. Where the binding deposit receipt is
intended to be merely a provisional or temporary
insurance contract, and that the receipt merely
acknowledged, on behalf of the insurance
company, that the latter’s branch office had
received from the applicant the insurance premium
and had accepted the application subject for
processing by the insurance company, such
binding deposit receipt does not become in force
until the application is approved.
A binding deposit receipt which is merely
conditional does not insure outright. Thus, where
an agreement is made between the applicant and
the agent, no liability will attack until the principal
approves the risk and a receipt is given by the
agent. The acceptance is merely conditional, and is
subordinated to the act of the company in
approving or rejecting the application.
A contract of insurance, like other
contracts, must be assented to by both parties
either in person or by their agents. The contract, to
be binding from the date of the application, must
have been a completed contract, one that leaves
nothing to be done, nothing to be completed,
nothing to be passed upon, or determined, before it
shall take effect. There can be no contract of
insurance unless the minds of the parties have met
in agreement.
The failure of the insurance company’s
agent to communicate to the applicant the rejection
of the insurance application would not have any
adverse effect on the allegedly perfected temporary
contract. In the first place, there was no contract
perfected between the parties who had no meeting
of their minds. Private respondent, being an
authorized agent is indubitably aware that said
company does not offer the life insurance applied
for. When he filed the insurance application in
dispute he was therefore only taking a chance that
the company will approve the recommendation of
without a principal agreement as it is essential that
the copy of the basic contract be submitted to the
surety.
Chevron then formally demanded from First
Lepanto the payment of its claim under the surety
bond. Because First Lepanto refused to pay,
FIRST LEPANTO-TAISHO INSURANCE
Chevron prayed for judgment ordering First
CORPORATION (NOW KNOWN AS FLT PRIME
Lepanto to pay the sum of 15,080,030.30 pesos
INSURANCE CORPORATION), petitioner,
plus interest, cost and attorney’s fees.
vs.
RTC: dismissed the complaint. Terms and
CHEVRON PHILIPPINES, INC. (FORMERLY
conditions of the oral credit line between Chevron
KNOWN AS CALTEX [PHILIPPINES], INC.),
and Fumitechniks have not been relayed to First
respondent.
Lepanto. Since the surety bond is a mere
Facts: accessory contract, the RTC concluded that the
R Chevron Philippines sued P First Lepanto bond cannot stand in the absence of the written
for the payment of unpaid oil and petroleum agreement secured thereby.
purchases made by its distributor, Fumitechniks. CA: reversed the RTC’s decision and ruled
Fumitechniks had applied for and was in favor of Chevron.
issued a surety bond by First Lepanto for 15.7M –
this was in compliance with the requirement for the Issue:
grant of a credit line with Chevron to guarantee Whether or not a surety is liable to the
payment of the cost of fuel. (Executed on Oct 15, creditor in the absence of a written contract with the
2001, will expire on Oct 15, 2002). Fumitechniks
principal.
defaulted on its obligation because the check it
issued was dishonored.
Chevron then notified First Lepanto Ruling:
of Fumitechniks’ unpaid purchases (15.08M) Yes. Sec 175 of the Insurance Code defines
through a letter. Chevron also sent copies of suretyship as “contract or agreement whereby a
invoices showing the deliveries of fuel as requested party, called the surety, guarantees the
by First Lepanto. performance by another party, called the principal
Simultaneously, a letter was sent to or obligor, of an obligation or undertaking in favor of
Fumitechniks demanding that it submit to First a third party, called the obligee.” The extent of the
Lepanto the following: surety’s liability is determined by the language of
1) its comment on Chevron’s notification the suretyship contract or bond itself. It cannot be
letter, extended by implication, beyond the terms of the
2) copy of the agreement secured by the contract.
Bond plus the delivery receipts, etc The Surety Bond used by First Lepanto
3) information on the particulars including states that Fumitechniks, as principal, and First
terms and conditions. Lepanto, as surety, are firmly bound unto Chevron
in the sum of 15.7M.
However, Fumitechniks replied that it Since all stipulations and provisions of the
cannot submit the requested agreement since there surety contract should be taken and interpreted
was no such agreement executed between together, in this case, the unmistakable intention of
Fumitechniks and Chevron. However, it enclosed a the parties was to secure only those terms and
copy of another surety bond issued by CICI conditions of the written agreement.
General Insurance Corporation in favor of Chevron However, it turned out that Chevron has
to secure the obligation of Fumitechniks and/or executed written agreements only with its direct
Prime Asia Sales and Services in the amount of customers but not distributors like Fumitechniks
15M. and it also never relayed the terms and conditions
First Lepanto then advised Chevron of the of its distributorship agreement to the First Lepanto
non-existence of the principal agreement as after the delivery of the bond.
confirmed by Fumitechniks. It explained that being The law is clear that a surety contract
an accessory contract, the bond cannot exist should be read and interpreted together with the
contract entered into between the creditor and the
principal.

A surety contract is merely a collateral


one, its basis is the principal contract or
undertaking which it secures. Necessarily, the
stipulations in such principal agreement must at
least be communicated or made known to the
surety particularly in this case where the bond
expressly guarantees the payment of respondent’s
fuel products withdrawn by Fumitechniks in
accordance with the terms and conditions of their
agreement.
The bond specifically makes reference to a
written agreement. It is basic that if the terms of a
contract are clear and leave no doubt upon the
intention of the contracting parties, the literal
meaning of its stipulations shall control. Moreover,
being an onerous undertaking, a surety agreement
is strictly construed against the creditor, and every
doubt is resolved in favor of the solidary debtor.
Having accepted the bond, respondent as
creditor must be held bound by the recital in the
surety bond that the terms and conditions of its
distributorship contract be reduced in writing or at
the very least communicated in writing to the
surety. Such non-compliance by the creditor
(respondent) impacts not on the validity or legality
of the surety contract but on the creditor’s right to
demand performance.
obligor. That undertaking makes a surety
agreement an ancillary contract as it presupposes
the existence of a principal contract.
Although the contract of a surety is in
essence secondary only to a valid principal
obligation, the surety becomes liable for the debt or
duty of another although it possesses no direct or
personal interest over the obligations nor does it
receive any benefit therefrom.
Art. 2047. By guaranty a person, called the
ASSET BUILDERS CORPORATION, Petitioner,  guarantor, binds himself to the creditor to fulfill the
v.  obligation of the principal debtor in case the latter
STRONGHOLD INSURANCE COMPANY, should fail to do so.
INCORPORATED, Respondent

Facts:
Asset Builders Corporation (ABC) entered
into an agreement with Lucky Star Drilling &
Construction Corporation as part of the completion
of its project to construct the ACG Commercial
Complex.
To guarantee faithful compliance with their
agreement, Lucky Star engaged respondent
Stronghold which issued two (2) bonds in favor of
Asset Builders in the amount of P575,000.00 and
P345,000.00 with respect to performance bond.
When Lucky star failed to complete the
project, Asset Builders filed a Complaint for
Rescission with Damages against both before the
RTC.
In its answers, Stronghold denied any
liability arguing that Asset Builders had not shown
any proof that it made an advance payment of the
contract price of the project. It further averred that
Asset Builder’s rescission of its contract with Lucky
Star virtually revoked the claims against the two
bonds and absolved them from further liability.

Issue:
Whether or not respondent insurance
company, as surety, can be held liable under its
bonds.

Ruling:
Yes. Stronghold, along with its
principal, Lucky Star, bound itself to the petitioner
when it executed in its favor surety and
performance bonds.
The contents of the said contracts clearly
establish that the parties entered into a surety
agreement as defined under Article 2047 of the
New Civil Code which provides that the surety
undertakes to be bound solidarily with the principal
Issue:
Whether or not Keppel could limit its liability
pursuant to Clauses 20 and 22(a) of the Shiprepair
Agreement.

Ruling:
No. The court cannot accept KCSI’s
insistence on upholding the validity Clause 20,
which provides that the limit of its liability is only up
KEPPEL CEBU SHIPYARD, INC., Petitioner, to ₱50,000,000.00; nor of Clause 22(a), that KCSI
vs. stands as a co-assured in the insurance policies, as
PIONEER INSURANCE AND SURETY found in the Shiprepair Agreement.
CORPORATION, Respondent. Clauses 20 and 22(a) of the Shiprepair
Agreement are without factual and legal foundation.
Facts: They are unfair and inequitable under the premises.
It was established during arbitration that WG&A did
Keppel Cebu Shipyard, Inc. (KCSI) and
not voluntarily and expressly agree to these
WG&A Jebsens Shipmanagement, Inc. (WG&A)
provisions. WG&A’s fleet manager, testified that he
executed a Shiprepair Agreement wherein Keppel did not sign the fine-print portion of the Shiprepair
would renovate and reconstruct WG&A’s M/V Agreement where Clauses 20 and 22(a) were
“Superferry 3” using its dry-docking facilities found, because he did not want WG&A to be bound
pursuant to its restrictive safety and security rules by them. However, considering that it was only
and regulations. Prior to this, the vessel was also KCSI that had shipyard facilities large enough to
insured with Pioneer for $8.47M. accommodate the dry docking and repair of big
In the course of its repair, the vessel was vessels owned by WG&A in Cebu, he had to sign
gutted by fire. WG&A declared its “total constructive the front portion of the Shiprepair Agreement;
loss” and filed an insurance claim with Pioneer. otherwise, the vessel would not be accepted for dry
Pioneer paid the insurance claim of WG&A, which docking.
in turn, executed a Loss and Subrogation Receipt The assailed clauses amount to a contract
of adhesion imposed on WG&A on a "take-it-or-
in favor of Pioneer.
leave-it" basis. A contract of adhesion is so-called
Pioneer tried to collect from Keppel, but the
because its terms are prepared by only one party,
latter denied any responsibility for the loss of the while the other party merely affixes his signature
subject vessel. As Keppel continuously refused to signifying his adhesion thereto. Although not
pay despite repeated demands, Pioneer, filed a invalid, per se, a contract of adhesion is void when
Request for Arbitration before the Construction the weaker party is imposed upon in dealing with
Industry Arbitration Commission. the dominant bargaining party, and its option is
Pioneer avers that it has been subrogated reduced to the alternative of "taking it or leaving it,"
to the claims of WG&A, and that was liable given completely depriving such party of the opportunity
that, among others, the proximate cause of the to bargain on equal footing.
accident was the negligence of its employee,
Sevillejo (welder). On the other hand, KCSI
disclaimed liability, imputing negligence on “Dr.
Joniga’s and the Vessel’s deliberate decision to
have Sevillejo undertake cutting work in inherently
dangerous conditions created by them.”
Keppel also claimed that there was no
proper subrogation and that there was no “total
constructive loss.”
The CIAC ruled that both WG&A and KCSI
were negligent, ordering them to pay Pioneer pro-
rata. The tribunal also held that the parties’ liability
was limited to P50M, and that the arbitration costs
be shouldered proportionately both parties.
The contract also required Reputable to
secure an insurance policy on Wyeth’s goods.
Thus, Reputable signed a Special Risk Insurance
Policy with Malayan.
October 6, 1994, during the effectivity of the
Marine Policy and SR Policy, Reputable received
from Wyeth 1,000 boxes of Promil infant formula to
be delivered by Reputable to Mercury Drug
Corporation in Quezon City. Unfortunately, on the
same date, the truck carrying Wyeth’s products was
MALAYAN INSURANCE CO., INC., Petitioner,  hijacked by about 10 armed men. The hijacked
v.  truck was recovered two weeks later without its
PHILIPPINES FIRST INSURANCE CO., INC. and cargo. Malayan questions its liability based on
REPUTABLE FORWARDER SERVICES, sections 5 and 12 of the SR Policy.
INC., Respondents.
Issue:
Facts: Whether or not there is double insurance in
Since 1989, Wyeth Philippines, Inc. (Wyeth) this case such that either Section 5 or Section 12 of
and respondent Reputable Forwarder Services, Inc. the SR Policy may be applied.
(Reputable) had been annually executing a contract
of carriage, whereby the latter undertook to
transport and deliver the former’s products to its Ruling:
customers, dealers or salesmen. No. Double insurance exists where the
Wyeth procured a Marine Policy from same person is insured by several insurers
Philippines First Insurance Co., Inc. to secure its separately in respect to the same subject and
interest over its own products. Philippines First interest. The requisites in order for double
thereby insured Wyeth’s nutritional, pharmaceutical insurance to arise are as follows:
and other products usual or incidental to the 1. The person insured is the same;
insured’s business while the same were being 2. Two or more insurers insuring separately;
transported or shipped in the Philippines. The 3. There is identity of subject matter;
policy covers all risks of direct physical loss or 4. There is identity of interest insured; and
damage from any external cause, if by land, and 5. There is identity of the risk or peril
provides a limit of P6,000,000.00 per any one land insured against.
vehicle.
Wyeth executed its annual contract of In the present case, while it is true that the
carriage with Reputable. It turned out, however, Marine Policy and the SR Policy were both issued
that the contract was not signed by Wyeth’s over the same subject matter and both covered the
representative/s. Nevertheless, it was admittedly same peril insured against, it is, however, beyond
signed by Reputable’s representatives, the terms cavil that the said policies were issued to two
thereof faithfully observed by the parties and, as different persons or entities. It is undisputed that
previously stated, the same contract of carriage Wyeth is the recognized insured of Philippines First
had been annually executed by the parties every under its Marine Policy, while Reputable is the
year since 1989. recognized insured of Malayan under the SR
Under the contract, Reputable undertook to Policy.
answer for “all risks with respect to the goods and The interest of Wyeth over the property
shall be liable to the COMPANY (Wyeth), for the subject matter of both insurance contracts is also
loss, destruction, or damage of the goods/products different and distinct from that of Reputable’s. The
due to any and all causes whatsoever, including policy issued by Philippines First was in
theft, robbery, and other force majeure while the consideration of the legal and/or equitable interest
goods/products are in transit and until actual of Wyeth over its own goods. On the other hand,
delivery to the customers, salesmen, and dealers of what was issued by Malayan to Reputable was
the company. over the latter’s insurable interest over the safety of
the goods, which may become the basis of the
latter’s liability in case of loss or damage to the
property.

Therefore, even though the two concerned


insurance policies were issued over the same
goods and cover the same risk, there arises no
double insurance since they were issued to two
different persons/entities having distinct insurable
interests. Necessarily, over insurance by double
insurance cannot likewise exist. Hence, as correctly
ruled by the RTC and CA, neither Section 5 nor
Section 12 of the SR Policy can be applied.

Apart from the foregoing, the Court is also wont to


strictly construe the controversial provisions of the
SR Policy against Malayan. This is in keeping with MA. LOURDES S. FLORENDO, Petitioner,
the rule that: vs.
"Indemnity and liability insurance policies PHILAM PLANS, INC., PERLA ABCEDE MA.
are construed in accordance with the general rule CELESTE ABCEDE, Respondents.
of resolving any ambiguity therein in favor of the
insured, where the contract or policy is prepared by Facts:
the insurer. A contract of insurance, being a Manuel Florendo filed an application for
contract of adhesion, par excellence, any ambiguity comprehensive pension plan with respondent
therein should be resolved against the insurer; in Philam Plans, Inc. after some convincing by
other words, it should be construed liberally in favor respondent Perla Abcede. The plan had a pre-need
of the insured and strictly against the insurer. price of ₱997,050.00, payable in 10 years, and had
Limitations of liability should be regarded with a maturity value of ₱2,890,000.00 after 20 years.
extreme jealousy and must be construed in such a Manuel signed the application and left to
way as to preclude the insurer from noncompliance Perla the task of supplying the information needed
with its obligations." in the application. Aside from pension benefits, the
comprehensive pension plan also provided life
insurance coverage to Florendo. This was covered
by a Group Master Policy that Philam Life issued to
Philam Plans.
Under the master policy, Philam Life was to
automatically provide life insurance coverage,
including accidental death, to all who signed up for
Philam Plans ’ comprehensive pension plan. If the
plan holder died before the maturity of the plan, his
beneficiary was to instead receive the proceeds of
the life insurance, equivalent to the pre-need price.
Subsequently, Philam Plans issued Pension
Plan Agreement to Manuel, with Ma. Lourdes S.
Florendo, his wife, as beneficiary.
Eleven months later, Manuel died of blood
poisoning. Lourdes filed a claim with Philam Plans
for the payment of the benefits under her husband’s
plan. However, Philam Plans declined Lourdes’
claims due to alleged failure on the part of Manuel
to disclose conditions affecting the risk or his state
of health — he had a pacemaker implanted on his
chest in the 70s or about 20 years before he signed
up for the pension plan.
But Lourdes avers that Philam Plans never
returned the form for completion or queried on
Manuel’s health and approved the plan.
Issue:
Whether or not the incontestability clause
may apply in the case at bar.

Ruling:
YES. The comprehensive pension plan that
Philam Plans issued contains a one-year
incontestability period.
It states: VIII. INCONTESTABILITY: After
this Agreement has remained in force for one (1)
year, we can no longer contest for health reasons
any claim for insurance under this Agreement,
except for the reason that installment has not been
paid (lapsed), or that you are not insurable at the
time you bought this pension program by reason of
age. If this Agreement lapses but is reinstated
afterwards, the one (1) year contestability period UNITED MERCHANTS CORPORATION, Petitioner,
shall start again on the date of approval of your vs.
request for reinstatement. The sais incontestability COUNTRY BANKERS INSURANCE
clause precludes the insurer from disowning liability CORPORATION, Respondent.
under the policy it issued on the ground of
concealment or misrepresentation regarding the Facts:
health of the insured after a year of its issuance. United Merchants Corporation is engaged in
the business of buying, selling, and manufacturing
The above incontestability clause precludes Christmas lights. It leased a warehouse in Barrio
the insurer from disowning liability under the policy Manresa, Quezon City, where it assembled and
it issued on the ground of concealment or stored its products.
misrepresentation regarding the health of the UMC’s General Manager Alfredo Tan
insured after a year of its issuance. insured UMC’s stocks in trade of Christmas lights
Since Manuel died on the eleventh month against fire with Country Bankers for P
following the issuance of his plan, the one-year 15,000,000.00. The insurance policy and the fire
incontestability period has not yet set in. invoice are both valid until September of 1996.
Consequently, Philam Plans was not barred from On 7 May 1996, UMC and Country Bankers
questioning Lourdes’ entitlement to the benefits of executed Endorsement F/96-154 and Fire Invoice
her husband’s pension plan. No. 16583A to form part of the Insurance Policy.
Indemnity and liability insurance policies are Endorsement F/96-154 provides that UMCs stocks
construed in accordance with the general rule of in trade were insured against additional perils, to
resolving any ambiguity therein in favor of the wit: typhoon, flood, ext. cover, and full earthquake.
insured, where the contract or policy is prepared by The sum insured was also increased to
the insurer. A contract of insurance, being a P50,000,000.00 effective 7 May 1996 to 10 January
contract of adhesion, par excellence, any ambiguity 1997.
therein should be resolved against the insurer; in A fire gutted the warehouse rented by UMC.
other words, it should be construed liberally in favor Hence, UMC sought indemnity from Country
of the insured and strictly against the insurer. Bankers. Country rejected the claim on the ground
Limitations of liability should be regarded with of Condition 15 of the policy which states that “If the
extreme jealousy and must be construed in such a claim be in any respect fraudulent, or if any false
way as to preclude the insurer from noncompliance declaration be made or used in support thereof, or
with its obligations. if any fraudulent means or devices are used by the
Insured or anyone acting in his behalf to obtain any
benefit under this Policy; or if the loss or damage
be occasioned by the wilful act, or with the
connivance of the Insured, all the benefits under
this Policy shall be forfeited.”
Country Bankers alleged that UMC’s claim
was fraudulent because UMC’s Statement of
Inventory showed that it had no stocks in trade as
of 31 December 1995, and that UMC’s suspicious
purchases for the year 1996 did not even amount to
P25,000,000.00. UMC’s GIS and Financial Reports
further revealed that it had insufficient capital,
which meant UMC could not afford the
allegedP50,000,000.00 worth of stocks in trade.

Issue:
Whether or not UMC is entitled to claim
from Country Bankers the full coverage of its fire
insurance policy.

Ruling:
No. If loss is proved apparently within a
contract of insurance, the burden is upon the
insurer to establish that the loss arose from a cause
of loss which is excepted or for which it is not liable,
or from a cause which limits its liability.
In the present case, Country Bankers failed
to discharge its primordial burden of establishing
that the damage or loss was caused by arson, a
limitation in the policy. Nevertheless, just because
the defense failed to prove arson does not mean
that fraud does not exist. In fact, fraud exists in this
case.
The Court ruled that the submission of false
invoices to the adjusters establishes a clear case of
fraud and misrepresentation which voids the
insurer’s liability as per condition of the policy. A
fraudulent discrepancy between the actual loss and
that claimed in the proof of loss voids the insurance
policy.
Considering that all the circumstances point
to the inevitable conclusion that UMC padded its
claim and was guilty of fraud, UMC violated
Condition No. 15 of the Insurance Policy. Thus,
UMC forfeited whatever benefits it may be entitled
under the Insurance Policy, including its insurance
claim.
A contract of insurance is a contract of
indemnity and is not a wagering or gambling
contract. While it is based on a contingency, it is
not a contract of chance and is not used for profit
as its very purpose is the reimbursement of the
holder of insurance for actual loss suffered from
specified risks.
Whether or not Section 3(6) of the Carriage
of Goods by Sea also applies to insurer.

Ruling:
No. Section 3(6) of the Carriage of Goods
by Sea Act states that the carrier and the ship shall
be discharged from all liability for loss or damage to
the goods if no suit is filed within one year after
delivery of the goods or the date when they should
have been delivered.
Under this provision, only the carrier's
liability is extinguished if no suit is brought within
one year. But the liability of the insurer is not
extinguished because the insurer's liability is based
not on the contract of carriage but on the contract
of insurance - governed by the Insurance Code.
An insurance contract is a contract whereby
one party, for a consideration known as the
premium, agrees to indemnify another for loss or
MAYER STEEL PIPE CORPORATION and damage which he may suffer from a specified peril.
HONGKONG GOVERNMENT SUPPLIES An “all risks” insurance policy covers all kinds of
DEPARTMENT, petitioners, loss other than those due to willful and fraudulent
vs. act of the insured. Thus, when private respondents
COURT OF APPEALS, SOUTH SEA SURETY issued the “all risks” policies to Mayer, they bound
AND INSURANCE CO., INC. and the CHARTER themselves to indemnify the latter in case of loss or
INSURANCE CORPORATION, respondents. damage to the goods insured. Such obligation
prescribes in ten years, in accordance with Article
Facts: 1144 of the New Civil Code.
Hongkong Government Supplies
Department contracted Mayer Steel Pipe Corp to
manufacture and supply steel pipes and fittings.
Prior to their shipping, Mayer insured the pipes and
fittings against all risks with South Sea Surety &
Insurance Co., Inc. and Charter Insurance Corp.,
with Industrial Inspection Inc. appointed as third-
party inspector.
After examining the pipes and fittings,
Industrial Inspection certified that they are in good
order condition. However, when the goods reached
Hong Kong, it was discovered that a substantial
portion thereof was damaged.
The trial court ruled in favor of the insured.
However, when the case was elevated to the CA, it
set aside the decision of the trial court and
dismissed the complaint on the ground of
prescription. It held that the action was barred
under Sec. 3(6) of the Carriage of Goods by Sea
Act (COGSA) since it was filed only on April 17,
1986, more than two years from the time the goods
were unloaded from the vessel. The CA ruled that
this provision applies not only to the carrier, but
also to the insurer, citing Filipino Merchants
Insurance Co Inc v Alejandro

Issue:
RCJ BUS LINES, INCORPORATED, Petitioner,
vs.
STANDARD INSURANCE COMPANY,
INCORPORATED, Respondent.

Facts:

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