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| The Insurance Code of the Philippines by De Leon, De Leon Jr.

2014

TITLE 2 - FIRE INSURANCE INDIRECT LOSS COVERAGE (Indirect or


consequential losses, Loss of profits
Sec. 169. As used in this code, the term "fire insurance" shall insurance or business interruption insurance)
include insurance against loss by fire, lightning, windstorm, o A special coverage attached to the
tornado or earthquake and other allied risks, when such risks standard fire policy extending the
are covered by extension to fire insurance policies or under coverage to consequential losses.
separate policies.
Kinds of indirect losses.
Fire insurance defined.
1. Physical damage caused to other property;
A contract of indemnity by which the insurer, for a
2. Loss of earnings due to interruption of business
stipulated premium, agrees to indemnify the insured
by damage to insureds property;
against loss of, or damage to, a property caused by
3. Extra expense incurred by the insured following
hostile fire located at the place stated in the policy.
damage or destruction of buildings by an insured
peril.
Fire-and-extended coverage.
Under Sec. 169, Fire Insurance includes insurance against
Ocean marine & fire policies distinguished.
(FLW-TEO) FIRE, LIGHTNING, WINDSTORM, TORNADO or
A policy of insurance on a vessel engaged in
EARTHQUAKE and OTHER ALLIED RISKS, when such risks
navigation is a contract of ocean marine
are covered by:
insurance although is insures against fire risks
(a.) extension to fire insurance policies; or
only;
(b.) Under separate policies
Where the hazard is fire alone and the subject is
an unfinished vessel, never afloat for a voyage, it
Nature of fire insurance.
is a fire insurance.
A contract of indemnity. Indemnity is its sole purpose.
Liability of insurer is to pay for DIRECT LOSS only; Sec. 170. An alteration in the use or condition of a thing
however, insurer may be liable to pay for insured from that to which it is limited by the policy made
CONSEQUENTIAL LOSSES if covered by: without the consent of the insurer, by means within the
(a.) extension to fire insurance policies or control of the insured, and increasing the risks, entitles an
(b.) under separate policies. insurer to rescind a contract of fire insurance.

Concept of fire. Sec. 171. An alteration in the use or condition of a thing


Fire is oxidation which is so rapid to produce either a insured from that to which it is limited by the policy, which
flame or a glow. Fire is always caused by combustion, but does not increase the risk, does not affect a contract of fire
combustion does not always cause fire. insurance.

Is fire a natural disaster/calamity? Requisites for alterations in the thing insured to entitle
In our jurisprudence, fire may not be considered a insurer to rescind
natural disaster or calamity since it almost always arises 1. The use or the condition of the thing is
from some act of man or by human means. It cannot be specifically limited or stipulated in the policy;
an act of God unless caused by lightning or a natural 2. Such use or condition as limited by the policy is
disaster or casualty not attributable to human agency. altered;
3. The alteration is made without the consent of
Risks or losses covered. the insurer;
The scope and coverage of a fire insurance policy 4. The alteration is made by means within the
and the intention of the parties, as indicated by control of the insured; and
their contract controls. 5. The alteration increases the risk.
Exception: Sec. 172
Extended coverage i.e. explosion, lightning,
earthquake, typhoon, flood, riot or other special Increase of risk or hazard in general.
perils. There is an implied promise or undertaking on
the part of the insured that he will not change
the premises or the character of the business
carried there or to be carried on there, so as to
increase the risk of loss by fire.

Prepared by: Rasuman, Banotan, Valdez, De Guzman | Insurance Law (JDBL 311) 1st Semester | Atty. Mercado (Professor)
| The Insurance Code of the Philippines by De Leon, De Leon Jr. 2014

Mere negligent acts temporarily endangering Under Section 77 the insurer is given the right to
the property will not violate the policy nor the insert terms and conditions in the policy which if
temporary acts or conditions which have ceased violated would avoid it.
prior to the occurrence of the loss. Section 171 applies to policies which are silent
There must be actual increase of risk and that upon the subject.
the increase be of substantial character.

Alterations avoiding policy. Sec. 172. A contract of Fire Insurance is not affected by any
Any alteration in the use or condition of the property act of the insured subsequent to the execution of the policy,
insured as which does not violate its provisions, even though it increases
where firecrackers are placed in the insured the risk and is the cause of a loss.
building
where building insured as a dwelling is used as a Section 172 is an exemption to Section 170
disreputable roadside tavern and bawdy-house. Application of Section 172 requires that:
The policy does not contain any prohibition
Exception: Insurer still liable even if the increase is no limiting the use or condition of the thing insured
longer existing at the time of loss if there is breach of
warranty. The alteration in the said use or condition does
not constitute a violation of the policy.
Alterations not avoiding policy.
1. Different use is not of a dangerous character and The contract is not affected by such alteration even
does not differ materially from the use specified though it increases the risk and is the cause of the loss
in the policy.
2. Violation of some provision prohibiting specified Example:
articles if the articles are necessary or ordinarily P contracted a Fire Insurance Policy with M
used in the business conducted in the insured Insurance Corporation, covering Ps residential
premises. house. The policy does not contain any
3. Making of repairs, painting or doing other acts of prohibition limiting the use or condition of the
similar character on the thing insured are not to residential house. Subsequent to the execution
be regarded as increasing the risk since the of the policy, P put up a sari-sari store in the
property would be useless to the insured if such garage of the house (thing insured).An accidental
acts were prohibited even though by reason fire ensued stemming from the sari-sari store.
thereof, the property may be exposed to some Due to the accidental fire, the residential house
additional risk. was gutted down to ashes.
In this case, since the policy does not contain any
When insured has no control or knowledge of prohibition limiting the use or condition of the
alteration. thing insured, the subsequent act of P does not
Insurer is liable if the acts or circumstances by affect the validity and enforceability of the
which the risk is increased are occasioned by contract.
accident, or a cause over which the insured has Hence, P may still claim under the fire insurance
no control. policy even although the subsequent act of
From acts of the insureds tenant provided the opening a sari-sari store within the premises of
act is not known to the insured. the thing insured increases the risk and is
Every act of the insureds tenant substantially actually the cause of the loss.
and permanently affecting the conditions of the
property so as to constitute an increase in risk
would be presumptively known to the insured.

Section 77 in relation to Section 171 Sec. 173. If there is no valuation in the policy, the measure of
indemnity in an insurance against fire is the expense it would
In both sections, breach of immaterial provision
be to the insured at the time of the commencement of the
does not avoid the policy. fire to replace the thing lost or injured in the condition in
which it was at the time of the injury; but if there is a

Prepared by: Rasuman, Banotan, Valdez, De Guzman | Insurance Law (JDBL 311) 1st Semester | Atty. Mercado (Professor)
| The Insurance Code of the Philippines by De Leon, De Leon Jr. 2014

valuation in a policy of fire insurance the effect shall be the


same as in a policy of marine insurance. Insured not a co-insurer under fire policies in the
absence of stipulation.
Measure of indemnity under an open policy. Under the usual contract of fire insurance the
1. AMOUNT OF ACTUAL LOSS SUSTAINED- In the insurer, in case of a partial loss of the subject of
absence of express valuation in the policy, the insurance, is required to give full indemnity for
insured is entitled to recover the amount of such a loss up to the amount written in the
actual loss sustained policy, even though the property is inadequately
2. LIMIT TO AMOUNT-The liability of the insurer insured.
shall in no event exceed what it would cost the Not the same in marine insurance due to Section
insured to repair, or replace the thing insured 159
with materials of like kind and quality similar result is now obtained due to the
3. IN CASE OF PERSONAL PROPERTY- the market insertion of a standard provision known as a co-
value as readily determined shall be applied in insurers clause
case of loss actually sustained
Reason for co-insurance clause.
Measure of indemnity under a valued policy. CO-INSURANCE CLAUSE. It requires the insured to
The effect of valuation in a policy of fire insurance is the maintain an insurance in an amount equal to the value or
same with a marine insurance. specified percentage value of the property insured,
VALUATION CONCLUSIVE BETWEEN THE under penalty of becoming a co-insurer to the extent of
PARTIES- as long the insured has insurable such deficiency; it divides the potential risk between the
interest and is not guilty of fraud insurer and insured in case of partial loss or destruction
AMOUNT STATED IN POLICY/AMOUNT OF of the insured property.
PARTIAL LOSS-the valuation of the building or
structure may be fixed as provided for in section Option to rebuild clause
174 OPTION TO REBUILD CLAUSE- Insurer given the option to
PRO-RATA CONTRIBUTION TO PAYMENT OF reinstate or replace the property damaged or destroyed
LOSS-If two or are policies are in effect, each will or any part thereof, instead of paying the amount of the
contribute pro-rata to the payment of such loss or damage.
whole or partial loss.
Must be exercised in the time stipulated in the policy, or
Sec. 174. Whenever the insured desires to have a valuation in the absence of such, within a reasonable time.
named in his policy, insuring any building or structure against
fire, he may require such building or structure to be examined If the insurer elects to rebuild, he is compelled to
by an independent appraiser and the value of the insureds
perform this undertaking even though the cost may
interest therein may be fixed as between the insurer and the
insured. The cost of such examination shall be paid for by the
exceed the amount of the insurance.
insured. A clause shall be inserted in such policy stating
substantially that the value of the insureds interest in such
building or structure has been thus fixed. Sec. 175. No policy of Fire Insurance shall be pledged,
In the absence of any change increasing the risk without the hypothecated or transferred to any person, firm or company
consent of the insurer or of fraud on the part of the insured, who acts as agent for or otherwise represents the issuing
then in case of a total loss under such policy, the whole company, and any such pledge, hypothecation, or transfer
amount so insured upon the insureds interest in such hereafter made shall be void and of no effect in so far as it
building or structure, as stated in the policy upon which the may affect other creditors of the insured.
insurers have received a premium, shall be paid, and in case
of a partial loss the full amount of the partial loss shall be
paid, and in case there are two or more policies covering the
insureds interest thereon, each policy shall contribute pro Pledge, etc. of fire insurance policy after a loss.
rata to the payment of such whole or partial loss. Consent of, or notice to, insurer not required - After a loss
But in no case shall the insurer be required to pay more than
has happened, the liability of the insurer becomes fixed.
the amount thus stated in such policy. This section shall not
The insured may pledge, hypothecate or transfer a fire
prevent the parties from stipulating in such policies
concerning the repairing, rebuilding, or replacing of buildings insurance policy or rights thereunder. The insured has a
or structures wholly or partially damaged or destroyed. right to assign his claim against the insurer as any other

Prepared by: Rasuman, Banotan, Valdez, De Guzman | Insurance Law (JDBL 311) 1st Semester | Atty. Mercado (Professor)
| The Insurance Code of the Philippines by De Leon, De Leon Jr. 2014

money claim. This right is absolute and cannot be


delimited by agreement.

Limitation: The right of the insured to assign his claim


against the insurer after a loss has occurred is subject to
the prohibition in article 175 against a transfer of a policy
of fire insurance to any person or company who acts as
agent or otherwise represents the insurer. Any such
pledge, hypothecation or transfer of rights shall be void
and of no effect insofar as it may affect the creditors of
the insured

Prepared by: Rasuman, Banotan, Valdez, De Guzman | Insurance Law (JDBL 311) 1st Semester | Atty. Mercado (Professor)

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