HEADNOTE
[This headnote is not to be read as part of the judgment]
On 1 September 2015, the appellant's home was substantially destroyed by fire. She also operated a childcare business from the ground floor of the two-level property.
The appellant spent the evening of 31 August 2015 caring for her elderly parents at their home. On that evening when she left her home she switched on an electric screen displaying pictures of Tahiti. She returned to the house at 9am and remained until 9:28am, during which time she did not switch off the Tahiti screen but did turn on a cooktop element on the kitchen stove to boil an egg. At 9:36am a passing driver telephoned the police and reported that smoke and flames could be seen coming from the windows on the first floor balcony of the house.
The forensic evidence established that there were two independent sources of ignition of the fire. The first was in or around the eastern end of the living room on the first floor and was responsible for all of the damage to the house. The second was on the cooktop in the kitchen, as a result of the element being left on and burning a 200-page 'game guide' book, part of which was found on the cooktop surface.
The house and business were insured under the respondent's Home Based Business Property Insurance policy. The policy was for 12 months from 20 August 2015. The building was insured for $500,000, the contents for $80,000 and the business for 12 months of business interruption losses up to a limit of $132,000.
By a Deed of Release dated 16 December 2015, and whilst the cause of the fire remained under investigation, the respondent granted a "conditional indemnity", under which it agreed to pay the appellant in accordance with the policy. In turn, she agreed to repay those moneys in the event that a "police force" found that she had deliberately caused the fire. The respondent made preliminary payments totalling $98,000. On 23 September 2016, the respondent advised the appellant that it denied her claim, relying in part on a police forensic report concluding that the fire had been deliberately lit.
The appellant commenced proceedings in November 2016. She sought the following: the costs of reinstating her home; 12 months of business interruption losses; damages for consequential loss of business revenue for the period after the expiry of that 12 months and continuing; and damages for personal inconvenience arising from the respondent's failure to meet her claim and alleged breaches of its obligation to act with utmost good faith under Insurance Contracts Act 1984 (Cth), s 14(1). Those claims as formulated were made under the Deed of Release as distinct from the insurance policy. The respondent by cross-claim sought to recover the payments made to the appellant and damages for her breach of the duty of utmost good faith in making an allegedly false claim.
The primary judge dismissed the appellant's claims, finding that she deliberately lit the fires in the kitchen and the living room. On 17 April 2020, judgment was entered for the respondent on its cross-claim for $194,505 plus interest.
The principal issues in the appeal were:
(i) whether the primary judge erred in finding that the appellant had deliberately lit the kitchen fire;
(ii) whether, having made that finding, the primary judge erred in finding that the appellant had deliberately lit the living room fire;
(iii) in the event that those questions are answered in the affirmative, the relief to which the appellant was entitled.
The Court held (per Macfarlan and McCallum JJA, Meagher JA dissenting), allowing the appeal, that the primary judge erred in concluding that the fire had been deliberately lit.
In relation to issue (i):
- Per Macfarlan and McCallum JJA: The primary judge failed to exclude the hypothesis identified by the appellant's expert as to how the kitchen fire may have started without human intervention as a reasonable possibility. The respondent's hypothesis rested on "impermissible speculation": at [3] (Macfarlan JA); [235], [270]-[271], [275] (McCallum JA).
- Per Meagher JA, dissenting: The evidence disclosed no plausible explanation for how the game guide could have ended up positioned on the cooktop without human intervention: at [92] (Meagher JA).
In relation to issue (ii):
- Per Macfarlan and McCallum JJA: The primary judge erred in rejecting as fanciful the possibility that an electrical fire originating in the Tahiti screen caused the living room fire. The evidence did not allow any reliable inference to be drawn about the materials from which the screen was made, how it might have responded to electrical malfunction, or the manner in which it might have fallen: at [4] (Macfarlan JA); [277]-[279] (McCallum J).
- Per Meagher JA, dissenting: The possibility that the Tahiti screen had caused the living room fire was "fanciful" and was apt to be disregarded: at [67] (Meagher JA).
In relation to issue (iii) (relief) (per Meagher JA, Macfarlan and McCallum JJA agreeing):
- The amount payable to the appellant for property damage was to be calculated on an indemnity basis rather than a reinstatement basis. The appellant failed to commence reinstatement "with reasonable despatch". That position under the policy was not altered by the existence of the Deed of Release, under which the promise was to make payments "in accordance with the Policy" including the "basis of settlement" proviso: at [6] (Macfarlan JA), [171]-[176] (Meagher JA), [207] (McCallum JA).
CIC Insurance Ltd v Bankstown Football Club Ltd (1997) 187 CLR 384; [1997] HCA 2, applied.
- Under the policy the appellant was entitled to 12 months of business interruption losses. Her claim for such losses after that date was not to an indemnity under the contract but to damages for consequential losses arising from the insurer's breach of its promise to indemnify. That claim was not maintainable under the policy because, according to the analysis in Globe Church Incorporated v Allianz Australia Insurance Ltd (2019) 99 NSWLR 470; [2019] NSWCA 27, it was a claim to damages for late payment of damages. Nor was it maintainable under the Deed of Release, which did not extinguish or supersede her claims under the policy. Accordingly, that Deed did not substitute any promise to pay money for the appellant's claims to unliquidated damages for breach of the insurer's obligation under the policy: at [6] (Macfarlan JA), [179]-[191], [192]-[195] (Meagher JA), [207] (McCallum JA).
Globe Church Incorporated v Allianz Australia Insurance Ltd (2019) 99 NSWLR 470; [2019] NSWCA 27, applied; Brescia Furniture Pty Ltd v QBE Insurance (Australia) Ltd (2007) 14 ANZ Ins Cas 61-740; [2007] NSWSC 598; Maxwell v Highway Hauliers Pty Ltd (2013) 45 WAR 296; [2013] WASCA 115; Hungerfords v Walker (1989) 171 CLR 125, considered.