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High Court determines that a closure/disease clause in an insurance policy did not cover the COVID-19 pandemic closures, on the grounds that there were no diagnosed, confirmed or identified cases of the disease on or at the applicant hotel prior to its closure, and therefore the disease did not manifest itself at the premises in accordance with the insurance policy.
Commercial Court – interpretation of a closure/disease clause in a policy of insurance – interrelated issue of causation – business interruption cover for closure during the COVID-19 pandemic – closure or restrictions placed on a premises - on the advice of the Medical Officer of Health of the Public Authority – notifiable human disease manifesting itself at the premises – total cessation of business or partial restriction – notifiable disease – medically confirmed or medically diagnosed case within the premises – what does the plaintiff need to prove to show there was a notifiable disease at the premises – no diagnosed case of COVID-19 on premises – insurer refused to indemnify the hotel for closures since March 2020 and September 2020 - expert evidence – public policy – test case – ramifications for many RSA policy holders – evidence given that manifestation of a disease can be said to occur where characteristics are present that suggest occurrence of the disease in the community – prevalence in the population and likelihood of that resulting in manifestation of the disease on the premises – behaviour of infections – incubation periods – disease can manifest at a premises without an individual displaying symptoms there – text in context approach – language of the policy in the context of the relevant factual and legal background that existed at the time the contract was concluded – reasonable person in the position of the parties at the time – exemption and exclusion clauses – meaning of the clause at time of the contract, prior to COVID-19 – policy not tailored specifically to the hospitality sector – hotel has capacity to serve customers who never entered the premises – hotel premises – manifesting itself at the premises required a symptomatic case of a notifiable disease at the hotel – a diagnosed case of a notifiable disease at the premises – detection of the causative pathogen – no proof that COVID-19 manifested itself at the premises in accordance with the policy – language is clear – case adjourned to consider whether further issues arise and if so, what steps should be taken to bring the proceedings to a conclusion.
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