LA FORMULE DRL
Know-how based on experience
Case Study #6: Special investigation – Water damage
INSURED RISK: Bowling alley
QUANTUM : 680 000 $
THE FACTS / THE INQUIRY:
The insured declared a major loss to his business caused by water pipe failure due to freezing.
Our investigation and our analysis of the objective and subjective elements demonstrated:
- several improbabilities, false information during subscription and false statements after the loss,
- pre-existing damage,
- major shortcomings in the upkeep of the premises,
- a catastrophic financial situation,
- significant upcoming expenses,
- that the representatives of the insured orchestrated a staging that led to the water damage.
THE RESULTS:
The insurer invoked the inadmissibility of the loss and requested the cancellation ab initio of the insurance policy.
The insured sued but signed a withdrawal following the presentation of the defense, in exchange for a final payment of $10,000, essentially a refund of the insurance premium.