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Miscellaneous Policy (General) - Gbic.co.in

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Respondent to pay Rs.11205/-, with simple <strong>in</strong>terest @ 7.5% per annum on the sum to becalculated from 14-9-2001.Ahmedabad Ombudsman CentreCase No. NIA / 1 / 166Mr. Dhiren C. ShahVs.The New India Assurance Co. Ltd.Award Dated 14.3.2005There were four Claims under 4 different Policies. Out of which Claims under three Policieswere settled by the Respondent <strong>in</strong> November 2003 and <strong>in</strong> July 2004. The Hear<strong>in</strong>g was heldfor the unpaid Claim of Rs. 3,47,436/- It is observed from the documents that the Insured <strong>in</strong>the subject Claim is a Public Limited Company. Held that under The RPG Rules, thesubject Claim is beyond the ambit of this Forum and hence, advised the Compla<strong>in</strong>ant toagitate his case <strong>in</strong> any other appropriate Forum.Ahmedabad Ombudsman CentreCase No. OIC / 1 / 153Mr. Harish N. GohelVs.Oriental Insurance Co. Ltd.Award Dated 15.3.2005Compla<strong>in</strong>ant lodged a Claim of Rs. 1,69,700/- towards loss susta<strong>in</strong>ed to his Fish<strong>in</strong>g Boat.Respondent offered Rs. 37,305/- net and sent Discharge Voucher which was not executedby him. Respondent submitted that the Compla<strong>in</strong>ant made all payments <strong>in</strong> cash and he didnot submit any proof of cash withdrawals and due to lack of credible vouchers, theSurveyors assessed the loss what they <strong>co</strong>nsidered fair and reasonable to the best of theirknowledge and experience. On perusal of documents, it is observed that the Surveyorslisted out 17 items and has <strong>in</strong>dicated aga<strong>in</strong>st each of it the Claimed amount and theallowed amount. Out of these 17 items, for two items aggregat<strong>in</strong>g to Rs. 58,000/-, noamount was allowed by the Surveyor because of the amount be<strong>in</strong>g very high and paid bycash. Conclusion arrived at is that the Surveyor has made substantial deduction from theclaimed amount and totally rejected the claim aga<strong>in</strong>st two items as mentioned above whichis not <strong>co</strong>nv<strong>in</strong>c<strong>in</strong>g. Respondent to pay Rs. 52,965/- net to the Compla<strong>in</strong>ant.Ahmedabad Ombudsman CentreCase No. 002 / 0194Mr. Vijay G. ShahVs.The New India Assurance Co. Ltd.Award Dated 17.03.2005Compla<strong>in</strong>ant suffered loss of valuable items, <strong>in</strong>sured under Householders’ Policies, by theft<strong>in</strong> two occasions. He lodged Claim for Rs.81675 under <strong>Policy</strong> No.230500 / 48 / 01 / 06108andRs.215000/- under <strong>Policy</strong> No.07762. Respondent admitted the Claim and offered Rs.21526/-and Rs.133030/- respectively. Dur<strong>in</strong>g Hear<strong>in</strong>g, the items <strong>in</strong>volved were <strong>co</strong>mpared with theSchedule of Articles attached to the <strong>Policy</strong> and observed that loss of Camera and Cashwere not <strong>in</strong>cluded under <strong>Policy</strong> No.06108. Compla<strong>in</strong>ant agreed with it and <strong>co</strong>nsented to theoffer of Rs.21526/-. As regards the loss under <strong>Policy</strong> No.07762, it is observed that Golditems of 8 Tola which was <strong>co</strong>vered under the <strong>Policy</strong> were not <strong>co</strong>nsidered for settlement bythe Respondent, In addition to earlier offer of Rs.133030/-, the Respondent to payadditional Rs.32000/- towards loss of Gold Items.

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