Beruflich Dokumente
Kultur Dokumente
[G.R. No. 156167. May 16, 2005] period of March 14, 1989 to March 14, 1990 under Policy No. 206-
GULF RESORTS, INC., petitioner, vs. PHILIPPINE CHARTER 4568061-9 (Exh. H) which carried the entry under
Endorsement/Warranties at Time of Issue, which read Endorsement
INSURANCE CORPORATION, respondent. to Include Earthquake Shock (Exh. 6-B-1) in the amount
DECISION of P10,700.00 and paid P42,658.14 (Exhs. 6-A and 6-B) as premium
thereof, computed as follows:
PUNO, J.:
that in Exhibit 7-C the word included above the underlined portion 4.) The sum of P500,000.00 by way of attorneys fees and
was deleted; that on July 16, 1990 an earthquake struck Central expenses of litigation;
Luzon and Northern Luzon and plaintiffs properties covered by Policy
No. 31944 issued by defendant, including the two swimming pools in 5.) Costs.[11]
its Agoo Playa Resort were damaged.[2]
Respondent filed its Answer with Special and Affirmative Defenses
After the earthquake, petitioner advised respondent that it would with Compulsory Counterclaims.[12]
be making a claim under its Insurance Policy No. 31944 for damages
on its properties. Respondent instructed petitioner to file a formal On February 21, 1994, the lower court after trial ruled in favor of
claim, then assigned the investigation of the claim to an independent the respondent, viz:
claims adjuster, Bayne Adjusters and Surveyors, Inc.[3] On July 30,
The above schedule clearly shows that plaintiff paid only a premium pools, with interest at 6% per annum from the date of the filing of the
of P393.00 against the peril of earthquake shock, the same premium Complaint until defendants obligation to plaintiff is fully paid.
it paid against earthquake shock only on the two swimming pools in
all the policies issued by AHAC(AIU) (Exhibits C, D, E, F and G). No pronouncement as to costs.[13]
From this fact the Court must consequently agree with the position of
defendant that the endorsement rider (Exhibit 7-C) means that only
Petitioners Motion for Reconsideration was denied. Thus,
the two swimming pools were insured against earthquake shock.
petitioner filed an appeal with the Court of Appeals based on the
following assigned errors:[14]
Plaintiff correctly points out that a policy of insurance is a contract of
adhesion hence, where the language used in an insurance contract
A. THE TRIAL COURT ERRED IN FINDING THAT PLAINTIFF-
or application is such as to create ambiguity the same should be
APPELLANT CAN ONLY RECOVER FOR THE DAMAGE TO ITS
resolved against the party responsible therefor, i.e., the insurance
TWO SWIMMING POOLS UNDER ITS FIRE POLICY NO. 31944,
company which prepared the contract. To the mind of [the] Court, the CONSIDERING ITS PROVISIONS, THE CIRCUMSTANCES
language used in the policy in litigation is clear and unambiguous SURROUNDING THE ISSUANCE OF SAID POLICY AND THE
hence there is no need for interpretation or construction but only
ACTUATIONS OF THE PARTIES SUBSEQUENT TO THE
application of the provisions therein.
EARTHQUAKE OF JULY 16, 1990.
From the above observations the Court finds that only the two (2) B. THE TRIAL COURT ERRED IN DETERMINING PLAINTIFF-
swimming pools had earthquake shock coverage and were heavily APPELLANTS RIGHT TO RECOVER UNDER DEFENDANT-
damaged by the earthquake which struck on July 16, 1990.
APPELLEES POLICY (NO. 31944; EXH I) BY LIMITING ITSELF TO
Defendant having admitted that the damage to the swimming pools
A CONSIDERATION OF THE SAID POLICY ISOLATED FROM THE
was appraised by defendants adjuster at P386,000.00, defendant
CIRCUMSTANCES SURROUNDING ITS ISSUANCE AND THE
must, by virtue of the contract of insurance, pay plaintiff said amount.
ACTUATIONS OF THE PARTIES AFTER THE EARTHQUAKE OF
JULY 16, 1990.
Because it is the finding of the Court as stated in the immediately
preceding paragraph that defendant is liable only for the damage
C. THE TRIAL COURT ERRED IN NOT HOLDING THAT
caused to the two (2) swimming pools and that defendant has made
PLAINTIFF-APPELLANT IS ENTITLED TO THE DAMAGES
known to plaintiff its willingness and readiness to settle said liability, CLAIMED, WITH INTEREST COMPUTED AT 24% PER ANNUM
there is no basis for the grant of the other damages prayed for by ON CLAIMS ON PROCEEDS OF POLICY.
plaintiff. As to the counterclaims of defendant, the Court does not
agree that the action filed by plaintiff is baseless and highly
speculative since such action is a lawful exercise of the plaintiffs right On the other hand, respondent filed a partial appeal, assailing the
to come to Court in the honest belief that their Complaint is lower courts failure to award it attorneys fees and damages on its
meritorious. The prayer, therefore, of defendant for damages is compulsory counterclaim.
likewise denied. After review, the appellate court affirmed the decision of the trial
court and ruled, thus:
WHEREFORE, premises considered, defendant is ordered to pay
plaintiffs the sum of THREE HUNDRED EIGHTY SIX THOUSAND However, after carefully perusing the documentary evidence of both
PESOS (P386,000.00) representing damage to the two (2) swimming parties, We are not convinced that the last two (2) insurance
contracts (Exhs. G and H), which the plaintiff-appellant had with POOLS, RATHER THAN ALL THE PROPERTIES
AHAC (AIU) and upon which the subject insurance contract with COVERED THEREUNDER, ARE INSURED AGAINST
Philippine Charter Insurance Corporation is said to have been based THE RISK OF EARTHQUAKE SHOCK.
and copied (Exh. I), covered an extended earthquake shock
insurance on all the insured properties. B. WHETHER THE COURT OF APPEALS CORRECTLY
DENIED PETITIONERS PRAYER FOR DAMAGES WITH
xxx INTEREST THEREON AT THE RATE CLAIMED,
ATTORNEYS FEES AND EXPENSES OF LITIGATION.
We also find that the Court a quo was correct in not granting the
plaintiff-appellants prayer for the imposition of interest 24% on the Petitioner contends:
insurance claim and 6% on loss of income allegedly amounting
to P4,280,000.00. Since the defendant-appellant has expressed its First, that the policys earthquake shock endorsement clearly
willingness to pay the damage caused on the two (2) swimming covers all of the properties insured and not only the swimming pools.
pools, as the Court a quo and this Court correctly found it to be liable It used the words any property insured by this policy, and it should be
only, it then cannot be said that it was in default and therefore liable interpreted as all inclusive.
for interest. Second, the unqualified and unrestricted nature of the
earthquake shock endorsement is confirmed in the body of the
Coming to the defendant-appellants prayer for an attorneys fees, insurance policy itself, which states that it is [s]ubject to: Other
long-standing is the rule that the award thereof is subject to the Insurance Clause, Typhoon Endorsement, Earthquake Shock Endt.,
sound discretion of the court. Thus, if such discretion is well- Extended Coverage Endt., FEA Warranty & Annual Payment
exercised, it will not be disturbed on appeal (Castro et al. v. CA, et Agreement On Long Term Policies.[17]
al., G.R. No. 115838, July 18, 2002). Moreover, being the award
thereof an exception rather than a rule, it is necessary for the court to Third, that the qualification referring to the two swimming pools
make findings of facts and law that would bring the case within the had already been deleted in the earthquake shock endorsement.
exception and justify the grant of such award (Country Bankers Fourth, it is unbelievable for respondent to claim that it only made
Insurance Corp. v. Lianga Bay and Community Multi-Purpose Coop., an inadvertent omission when it deleted the said qualification.
Inc., G.R. No. 136914, January 25, 2002). Therefore, holding that the
plaintiff-appellants action is not baseless and highly speculative, We Fifth, that the earthquake shock endorsement rider should be
find that the Court a quo did not err in granting the same. given precedence over the wording of the insurance policy, because
the rider is the more deliberate expression of the agreement of the
WHEREFORE, in view of all the foregoing, both appeals are hereby contracting parties.
DISMISSED and judgment of the Trial Court hereby AFFIRMED in Sixth, that in their previous insurance policies, limits were placed
toto. No costs.[15] on the endorsements/warranties enumerated at the time of issue.
Petitioner filed the present petition raising the following issues:[16] Seventh, any ambiguity in the earthquake shock endorsement
should be resolved in favor of petitioner and against respondent. It was
respondent which caused the ambiguity when it made the policy in
A. WHETHER THE COURT OF APPEALS CORRECTLY
issue.
HELD THAT UNDER RESPONDENTS INSURANCE
POLICY NO. 31944, ONLY THE TWO (2) SWIMMING
Eighth, the qualification of the endorsement limiting the AHAC-AIU, in a letter[19] by its representative Manuel C. Quijano,
earthquake shock endorsement should be interpreted as a caveat on categorically stated that its previous policy, from which respondents
the standard fire insurance policy, such as to remove the two policy was copied, covered only earthquake shock for the two
swimming pools from the coverage for the risk of fire. It should not be swimming pools.
used to limit the respondents liability for earthquake shock to the two
swimming pools only. Second, petitioners payment of additional premium in the
amount of P393.00 shows that the policy only covered earthquake
Ninth, there is no basis for the appellate court to hold that the shock damage on the two swimming pools. The amount was the same
additional premium was not paid under the extended coverage. The amount paid by petitioner for earthquake shock coverage on the two
premium for the earthquake shock coverage was already included in swimming pools from 1990-1991. No additional premium was paid to
the premium paid for the policy. warrant coverage of the other properties in the resort.
Tenth, the parties contemporaneous and subsequent acts show Third, the deletion of the phrase pertaining to the limitation of the
that they intended to extend earthquake shock coverage to all insured earthquake shock endorsement to the two swimming pools in the
properties. When it secured an insurance policy from respondent, policy schedule did not expand the earthquake shock coverage to all
petitioner told respondent that it wanted an exact replica of its latest of petitioners properties. As per its agreement with petitioner,
insurance policy from American Home Assurance Company (AHAC- respondent copied its policy from the AHAC-AIU policy provided by
AIU), which covered all the resorts properties for earthquake shock petitioner. Although the first five policies contained the said
damage and respondent agreed. After the July 16, 1990 earthquake, qualification in their riders title, in the last two policies, this qualification
respondent assured petitioner that it was covered for earthquake in the title was deleted. AHAC-AIU, through Mr. J. Baranda III, stated
shock. Respondents insurance adjuster, Bayne Adjusters and that such deletion was a mere inadvertence. This inadvertence did not
Surveyors, Inc., likewise requested petitioner to submit the necessary make the policy incomplete, nor did it broaden the scope of the
documents for its building claims and other repair costs. Thus, under endorsement whose descriptive title was merely enumerated. Any
the doctrine of equitable estoppel, it cannot deny that the insurance ambiguity in the policy can be easily resolved by looking at the other
policy it issued to petitioner covered all of the properties within the provisions, specially the enumeration of the items insured, where only
resort. the two swimming pools were noted as covered for earthquake shock
damage.
Eleventh, that it is proper for it to avail of a petition for review
by certiorari under Rule 45 of the Revised Rules of Court as its Fourth, in its Complaint, petitioner alleged that in its policies from
remedy, and there is no need for calibration of the evidence in order 1984 through 1988, the phrase Item 5 P393,000.00 on the two
to establish the facts upon which this petition is based. swimming pools only (against the peril of earthquake shock only)
meant that only the swimming pools were insured for earthquake
On the other hand, respondent made the following counter damage. The same phrase is used in toto in the policies from 1989 to
arguments:[18] 1990, the only difference being the designation of the two swimming
First, none of the previous policies issued by AHAC-AIU from pools as Item 3.
1983 to 1990 explicitly extended coverage against earthquake shock Fifth, in order for the earthquake shock endorsement to be
to petitioners insured properties other than on the two swimming effective, premiums must be paid for all the properties covered. In all
pools. Petitioner admitted that from 1984 to 1988, only the two of its seven insurance policies, petitioner only paid P393.00 as
swimming pools were insured against earthquake shock. From 1988 premium for coverage of the swimming pools against earthquake
until 1990, the provisions in its policy were practically identical to its shock. No other premium was paid for earthquake shock coverage on
earlier policies, and there was no increase in the premium paid. the other properties. In addition, the use of the qualifier ANY instead
of ALL to describe the property covered was done deliberately to First, in the designation of location of risk, only the two swimming
enable the parties to specify the properties included for earthquake pools were specified as included, viz:
coverage.
Sixth, petitioner did not inform respondent of its requirement that ITEM 3 393,000.00 On the two (2) swimming pools only (against the
all of its properties must be included in the earthquake shock peril of earthquake shock only)[20]
coverage. Petitioners own evidence shows that it only required
respondent to follow the exact provisions of its previous policy from Second, under the breakdown for premium payments,[21] it was
AHAC-AIU. Respondent complied with this requirement. Respondents stated that:
only deviation from the agreement was when it modified the provisions
regarding the replacement cost endorsement. With regard to the issue PREMIUM RECAPITULATION
under litigation, the riders of the old policy and the policy in issue are
identical. ITEM NOS. AMOUNT RATES PREMIUM
Seventh, respondent did not do any act or give any assurance to
petitioner as would estop it from maintaining that only the two xxx
swimming pools were covered for earthquake shock. The adjusters
letter notifying petitioner to present certain documents for its building 3 393,000.00 0.100%-E/S 393.00[22]
claims and repair costs was given to petitioner before the adjuster
knew the full coverage of its policy. Third, Policy Condition No. 6 stated:
Petitioner anchors its claims on AHAC-AIUs inadvertent deletion
of the phrase Item 5 Only after the descriptive name or title of the 6. This insurance does not cover any loss or damage occasioned by
Earthquake Shock Endorsement. However, the words of the policy or through or in consequence, directly or indirectly of any of the
reflect the parties clear intention to limit earthquake shock coverage to following occurrences, namely:--
the two swimming pools.
(a) Earthquake, volcanic eruption or other convulsion of nature. [23]
Before petitioner accepted the policy, it had the opportunity to
read its conditions. It did not object to any deficiency nor did it institute
any action to reform the policy. The policy binds the petitioner. Fourth, the rider attached to the policy, titled Extended Coverage
Endorsement (To Include the Perils of Explosion, Aircraft, Vehicle and
Eighth, there is no basis for petitioner to claim damages, Smoke), stated, viz:
attorneys fees and litigation expenses. Since respondent was willing
and able to pay for the damage caused on the two swimming pools, it ANNUAL PAYMENT AGREEMENT ON
cannot be considered to be in default, and therefore, it is not liable for LONG TERM POLICIES
interest.
We hold that the petition is devoid of merit. THE INSURED UNDER THIS POLICY HAVING ESTABLISHED
AGGREGATE SUMS INSURED IN EXCESS OF FIVE MILLION
In Insurance Policy No. 31944, four key items are important in the PESOS, IN CONSIDERATION OF A DISCOUNT OF 5% OR 7 % OF
resolution of the case at bar. THE NET PREMIUM x x x POLICY HEREBY UNDERTAKES TO
CONTINUE THE INSURANCE UNDER THE ABOVE NAMED x x x
AND TO PAY THE PREMIUM.
Earthquake Endorsement 1. The insured has an insurable interest;
In consideration of the payment by the Insured to the Company of 2. The insured is subject to a risk of loss by the happening
the sum of P. . . . . . . . . . . . . . . . . additional premium the Company of the designated peril;
agrees, notwithstanding what is stated in the printed conditions of
this Policy to the contrary, that this insurance covers loss or damage 3. The insurer assumes the risk;
(including loss or damage by fire) to any of the property insured by
this Policy occasioned by or through or in consequence of 4. Such assumption of risk is part of a general scheme to
Earthquake.
distribute actual losses among a large group of persons
bearing a similar risk; and
Provided always that all the conditions of this Policy shall apply
(except in so far as they may be hereby expressly varied) and that 5. In consideration of the insurer's promise, the
any reference therein to loss or damage by fire should be deemed to insured pays a premium.[26] (Emphasis ours)
apply also to loss or damage occasioned by or through or in
consequence of Earthquake.[24]
An insurance premium is the consideration paid an insurer for
undertaking to indemnify the insured against a specified peril. [27] In
Petitioner contends that pursuant to this rider, no qualifications fire, casualty, and marine insurance, the premium payable becomes a
were placed on the scope of the earthquake shock coverage. Thus, debt as soon as the risk attaches.[28] In the subject policy, no premium
the policy extended earthquake shock coverage to all of the insured
payments were made with regard to earthquake shock coverage,
properties.
except on the two swimming pools. There is no mention of any
It is basic that all the provisions of the insurance policy should be premium payable for the other resort properties with regard to
examined and interpreted in consonance with each other. [25] All its earthquake shock. This is consistent with the history of petitioners
parts are reflective of the true intent of the parties. The policy cannot previous insurance policies from AHAC-AIU. As borne out by
be construed piecemeal. Certain stipulations cannot be segregated petitioners witnesses:
and then made to control; neither do particular words or phrases
necessarily determine its character. Petitioner cannot focus on the CROSS EXAMINATION OF LEOPOLDO MANTOHAC TSN,
earthquake shock endorsement to the exclusion of the other November 25, 1991
provisions. All the provisions and riders, taken and interpreted pp. 12-13
together, indubitably show the intention of the parties to extend
earthquake shock coverage to the two swimming pools only. Q. Now Mr. Mantohac, will it be correct to state also that
insofar as your insurance policy during the period from
A careful examination of the premium recapitulation will show that March 4, 1984 to March 4, 1985 the coverage on
it is the clear intent of the parties to extend earthquake shock coverage earthquake shock was limited to the two swimming
only to the two swimming pools. Section 2(1) of the Insurance Code pools only?
defines a contract of insurance as an agreement whereby one
undertakes for a consideration to indemnify another against loss, A. Yes, sir. It is limited to the two swimming pools,
damage or liability arising from an unknown or contingent event. Thus, specifically shown in the warranty, there is a provision
an insurance contract exists where the following elements concur: here that it was only for item 5.
Q. More specifically Item 5 states the amount extending the coverage on (sic) the other properties of
of P393,000.00 corresponding to the two swimming the company.
pools only?
Q. And that instruction, according to you, was very
A. Yes, sir. important because in April 1987 there was an
earthquake tremor in La Union?
CROSS EXAMINATION OF LEOPOLDO MANTOHAC TSN, A. Yes, sir.
November 25, 1991
pp. 23-26 Q. And you wanted to protect all your properties against
similar tremors in the [future], is that correct?
Q. For the period from March 14, 1988 up to March 14,
1989, did you personally arrange for the procurement A. Yes, sir.
of this policy?
Q. Now, after this policy was delivered to you did you
A. Yes, sir. bother to check the provisions with respect to your
instructions that all properties must be covered again
Q. Did you also do this through your insurance agency? by earthquake shock endorsement?
A. If you are referring to Forte Insurance Agency, yes. A. Are you referring to the insurance policy issued by
Q. Is Forte Insurance Agency a department or division of American Home Assurance Company marked Exhibit
your company? G?
A. No, sir. They are our insurance agency. Atty. Mejia: Yes.