AIG Australia Ltd v Hanna [2024] NSWCA 91
Catchwords: INSURANCE — public liability insurance — where insured was builder responsible for construction site — where formworker slipped and fell from scaffolding — where insurer repudiated the policy because of misrepresentations by insured — whether the policy responded to liability assumed by a consent judgment — whether insured needed to prove that he was liable to the formworker — whether the settlement amount was reasonable APPEALS — amendment of notice of appeal — whether leave should be granted to run a new ground of appeal — where argument not put below — where argument may have been met by further evidence at trial
Court of Appeal
Supreme Court
New South Wales
Summary available
Amendment notes
Medium Neutral Citation:
AIG Australia Ltd v Hanna [2024] NSWCA 91
Hearing dates:
19 March 2024
Date of orders:
24 April 2024
Decision date:
24 April 2024
Before:
Payne JA at [1];
Mitchelmore JA at [2];
Griffiths AJA at [82]
Decision:
(1)
The appeal is dismissed with costs.
Catchwords:
INSURANCE — public liability insurance —
where insured was builder responsible for construction
site
—
where
formworker
slipped and fell from
scaffolding —
where insurer repudiated the policy because of misrepresentations by insured —
whether the policy responded to liability assumed by a consent judgment
—
whether
insured needed to prove that he was liable to the
formworker
—
whether the settlement amount was
reasonable
APPEALS — amendment of notice of appeal — whether
leave should be granted to run a
new ground of appeal
— where argument not
put
below — where argument may have been met by further evidence at
trial
Legislation Cited:
Insurance Contracts Act 1984
(Cth)
Cases Cited:
CGU Insurance Ltd v AMP Financial Planning Pty Ltd
(2007) 235 CLR 1; [2007] HCA 36
Distillers Co Bio-Chemicals (Aust) Pty Ltd v Ajax Insurance Co Ltd
(1974) 130 CLR 1; [1974] HCA 3
James Hardie & Co Pty Ltd v
Seltsam
Pty Ltd
(1998) 196 CLR 53; [1998] HCA 78
Post Office v Norwich Union Fire Insurance Society Ltd
[1967] 2 QB 363
Superannuation & Corporate Services Pty Ltd v
Turner
[2020] NSWCA 246
Vero Insurance Ltd v
Baycorp
Advantage Ltd
[2004] NSWCA 390; 23 ACLC 199
Weir Services Australia Pty Ltd v AXA Corporate Solutions Assurance
[2018] NSWCA 100; 359 ALR 314
Weir Services Australia Pty Ltd v AXA Corporate Solutions Assurance
[2017] NSWSC 259
Category:
Principal judgment
Parties:
AIG Australia Ltd (Appellant)
George Hanna (Respondent)
Representation:
Counsel:
J Sexton SC / J Sleight (Appellant)
CP O’Neill (Respondent)
Solicitors:
McMahons Lawyers (Appellant)
Sanford Legal (Respondent)
File Number(s):
2023/00278712
Publication restriction:
Nil
Decision under appeal
Court or tribunal:
District Court
Jurisdiction:
Civil
Date of Decision:
31 August 2023
Before:
Gibb DCJ
File Number(s):
2021/233407
[Note: The Uniform Civil Procedure Rules 2005 provide (Rule 36.11) that unless the Court otherwise orders, a judgment or order is taken to be entered when it is recorded in the Court's computerised court record system. Setting aside and variation of judgments or orders is dealt with by Rules 36.15, 36.16, 36.17 and 36.18. Parties should in particular note the time limit of fourteen days in Rule 36.16.]
HEADNOTE
[This headnote is not to be read as part of the judgment]
The respondent, George Hanna, was the named insured in a policy of insurance with the appellant, AIG Insurance Ltd (AIG)
(the Policy).
The
Policy
related to a construction project (the Project).
Pursuant to cl 5.00 of the Policy, AIG was required to indemnify Mr Hanna “for all sums that you become legally liable to pay as compensation”, subject to conditions not relevant
to
the appeal.
Clause 10.01
provided that, unless Mr Hanna obtained AIG’s prior written consent, he was not to admit liability or settle any third-party claim
.
In October 2018, whilst the
Policy
was in force,
Mr Hasan, a
formworker
on the Project
,
was injured when he slipped and fell from scaffolding.
In August 2020, Mr Hanna made a claim for indemnity under the Policy.
I n a
telephone call
with AIG’s solicitor in relation to the incident, Mr Hanna said that although he was the registered builder on the Project, he was
helping
a friend who had asked him to give his builder’s licence number; and it was his friend who controlled the site. Mr Hanna confirmed this information in a statement he signed in December 2020.
This was inconsistent with
the application
submitted to his insurance broker, which included a signed copy of the construction contract naming him as the construction manager.
In May 2021, AIG avoided the
Policy
on the basis that Mr Hanna had made fraudulent non-disclosures regarding the Project, which (on his report) was not his project;
had mad e a further non-disclosure in circumstances where the Project was performed by an unlicensed builder; and had
entered into an unlawful agreement with his friend to loan his building licence.
In August 2021, Mr Hasan commenced proceedings against Mr Hanna in the District Court, seeking damages for negligence and breach of statutory duty. Mr Hanna admitted that he was the builder responsible for the Project and otherwise denied liability
.
On 4 May 2022,
Mr Hanna
also brought a
cross-claim
against AIG
, seeking damages
for what he alleged was AIG’s wrongful termination of the
Policy.
I n his
cross-claim
, and in his evidence, Mr Hanna asserted that he was
,
in fact
,
the builder in charge of the site, and that he had managed the build from the outset. He also gave evidence that he had deliberately not told AIG the truth in 2020.
On 2 August 2023, the primary judge gave judgment by consent in favour of
Mr Hasan
against Mr Hanna in the sum of $430,000 and an order that each party bear their own costs.
AIG
objected to the entry of the consent judgment, which the primary judge noted in the orders.
In giving
judgment
for Mr Hanna on the
cross-claim, the primary judge
found that
Mr Hanna was the builder responsible for the performance and administration of the Projec t and that the Policy should have responded to
Mr Hasan ’s
claim. Thus , AIG had
repudiated the Policy
through its wrongful termination and Mr Hanna had no choice but to accept that fact. As to the scope of cl 5.00 of the Policy, her Honour held
that
the clause was activated by entry into the consent judgment per se, in circumstances where AIG’s consent was not available given its avoidance of the
Policy . Her Honour also
determined
that the settlement to which the consent judgment gave effect was objectively reasonable, based on a reasonable assessment of the risk that Mr Hanna faced as the defendant to
Mr Hasan ’s
claim.
AIG’s
notice of appeal
all
eged
that
her Honour erred by: making
findings which, it contended, were not available on the admissible evidence and were relied upon to conclude that Mr Hanna incurred a liability to
Mr Hasan
to which the Policy responded
(numbered grounds 2 to 4);
holding that
cl 5.00
responded to liability assumed pursuant to a consent judgment
(ground 5); and
, in the alternative to ground 5,
entering
the consent judgment
over AIG’s objection (ground 6).
In oral submissions, Senior Counsel for AIG said the central issue on the appeal was whether
an insured,
who gives false information to an insurer which then denies indemnity
based on
that false information, may rely on the avoidance as a basis for not
having to prove
the insured’s
liability to the third-party claimant .
AIG sought leave to amend the notice of appeal to raise this point
(
proposed ground 5C). AIG also raised a further five
grounds , alleging
that the primary judge erred in:
failing to find that
Mr
Hanna was required to prove that he was liable to
Mr
Hasan
and that he had failed to do so ( proposed grounds 5A and 5B);
finding that a managerial failure in respect to a defect in the scaffolding was Mr Hanna’s responsibility (proposed ground 5D) and that it was highly likely that
Mr Hasan
would have secured a verdict against Mr Hanna (proposed ground 5E); and finding that the settlement was objectively reasonable (proposed ground 5F).
Mr Hanna resisted AIG’s application for leave to rely on proposed ground 5C, submitting that the
manner in which
AIG now framed its challenge was not run below; and that to permit AIG to run it now would cause him prejudice.
The Court held (Mitchelmore JA, Payne JA and Griffiths AJA agreeing),
dismissing the appeal:
As to the application for leave to amend the notice of appeal:
(1)
Leave to rely on proposed
ground 5C is refused: [
56
]. The point was not run below: [
51
]. There would be prejudice to Mr Hanna if AIG were permitted to raise the point on appeal
because, if AIG had run the point at trial, Mr Hanna would have had an opportunity
to lead evidence that was directed to the question of what was before or otherwise available to the insurer at the time that it avoided the Policy, that disproved his statement to AIG that he was not the builder: [ 55 ]-[ 56 ].
(2)
Leave to rely on the other proposed grounds of appeal is granted: [ 57 ].
As to ground 5:
(3)
On
its
proper construction,
the scope of
cl 5.00
in the Policy includes
liability that has been determined by a bona fide compromise agreement: [
64
].
This is consistent with cl 10.01: [
65
].
Post Office v Norwich Union Fire Insurance Society Ltd
[1967] 2 QB 363;
Vero Insurance Ltd v
Baycorp
Advantage Ltd
[2004] NSWCA 390; 23 ACLC 199;
Weir Services Australia Pty Ltd v AXA Corporate Solutions Assurance
[2018] NSWCA 100; 359 ALR 314 considered.
As to ground 6:
(4)
T he consent judgment that the primary judge entered did not
unilaterally
determine AIG’s liability under the Policy for the sum that Mr Hanna was ordered to pay Mr Hasan.
The settlement did not preclude AIG from contending that it was not liable under the Policy,
on the construction of cl 5.00 on which it relied
and/ or because
Mr Hanna had not proved that he was liable to Mr Hasan,
or that the settlement was not objectively reasonable: [
68 ].
James Hardie & Co Pty Ltd v
Seltsam
Pty Ltd
(1998) 196 CLR 53; [1998] HCA 78 distinguished.
As to grounds 5A and 5B:
(5)
Mr Hanna did not need to
establish that he
was
liable to Mr Hasan in the manner that Mr Hasan alleged in the amended statement of claim; and the primary judge did not need to be satisfied that Mr Hanna was so liable.
Rather
, it was for Mr Hanna to show that the amount of the settlement was reasonable having regard to the relevant circumstances, which included the position in which Mr Hanna found himself and what he might have been held liable to pay
if
there had been a contest leading to a judgment or arbitral award
: [ 72 ].
Weir Services Australia Pty Ltd v AXA Corporate Solutions Assurance
[2017] NSWSC 259 applied;
Vero Insurance Ltd v
Baycorp
Advantage Ltd
[2004] NSWCA 390; 23 ACLC 199;
Weir Services Australia Pty Ltd v AXA Corporate Solutions Assurance
[2018] NSWCA 100; 359 ALR 314 considered;
CGU Insurance Ltd v AMP Financial Planning Pty Ltd
(2007) 235 CLR 1; [2007] HCA 36 distinguished.
As to grounds 2, 3, 4, 5D
and
5E:
(6)
These grounds mischaracterise the inquiry that the primary judge was undertaking. When understood as an inquiry into the reasonableness of the settlement, and not an inquiry into Mr Hanna’s liability per se,
the primary judge’s
approach was consistent
with
an inquiry into the circumstances at the time of Mr Hanna’s entry into the settlement
. The settlement was objectively reasonable for the reasons given by the primary judge: [ 78 ].
As to ground 5F:
(7)
The ground was premised on
Mr Hanna
needing to
prove that he was liable to Mr Hasan as alleged in the amended statement of claim,
which was rejected: [ 80 ].
JUDGMENT
PAYNE JA:
I agree with Mitchelmore JA.
MITCHELMORE JA:
The
respondent, George Hanna, was the named insured
in a policy
of
insurance with the
appellant
insurer
, AIG Insurance
Ltd
(AIG) . The insurance policy related to
a
construction
project located
in
Seventh Avenue, Campsie
(the Project)
.
On
18 October 2018,
a
form worker
on
the Project ,
Kahlil Hasan,
was injured when he sl ipped and fell
from a height
whilst walking on the scaffolding .
Mr Hasan commenced
proceedings against Mr Hanna
in the District Court, seeking
damages for negligence and breach of statuto r y duty .
Mr Hanna
admitted that he was the builder responsible for the
Project
and
otherwise
denied liability .
Mr Hanna
also
brought a
cross-claim
against AIG
, seeking
damages
for what he alleged was
AIG’s
wrongful termination of the policy of insurance , and
a
second
cross-claim against the insurer of the scaffolding company ,
Sydney City Scaffolding
(SCS),
which had been deregistered.
It
was common ground that
Mr Hanna’s
insurance
policy
with AIG
was in force
on the
date
of the incident involving
Mr Hasan
. However,
in
telephone calls
with
AIG’s solicitor
in 2020 in relation to the incident
,
Mr Hanna
said
that
although he was the registered builder on the Project ,
he
was
helping
out
a friend who had asked him to
give
his
builder’s
licence
number
;
and
it was his friend who controlled everything on the site.
Mr Hanna
confirmed this information in
a
statement
he signed
in December 2020 .
AIG avoided the
insurance
policy ,
which
the primary judge
described as
“the inevitable product of Mr Hanna’s statements and actions in 2020”.
I n
his
cross-claim
against
AIG
, and in his evidence, Mr Hanna
asserted
that he was ,
in fact ,
the builder
in charge of the site,
and that he had managed the build from the outset.
He also gave evidence that he had deliberately not told AIG the truth in 2020.
On
d ay
two
of the hearing
of Mr Hasan’s claim and the
cross-claim s , the primary judge
made orders by consent giving
judgment for Mr Hasan against Mr Hanna
,
and
ordering that Mr Hanna pay Mr Hasan the sum of $430,000
, with
each party
to
bear their own costs .
The primary judge
made those orders over the objection of AIG, which
was not a party to Mr Hasan’s claim.
Her Honour also dismissed the
cross-claim
involving the scaffolding company’s insurer
with no order as to costs
.
The hearing o f
Mr Hanna’s
cross-claim
against AIG
proceeded
. In giving judgment for Mr Hanna on the
cross-claim ,
t he
primary judge
found
that Mr
Hanna
was the builder responsible for the performance and administration of the Project
.
Her Honour
also found
that:
Mr
Hanna was
the
insured under
the
policy of insurance
with AIG ,
which should have responded to
Mr
Hasan ’ s claim .
The policy of insurance
“ was terminated
wrongfully, albeit because of [Mr
Hanna ’ s] actions ” .
AIG repud i ated the contract
of insurance and Mr
Hanna had no choice but to accept that fact.
E ntry into the consent judgment per se activated the insuring clause in the policy, in circumstances where AIG ’ s consent was not available given its avoidance of the policy .
T he settlement
to which the consent judgment gave effect
was objectively reasonable, based on a reasonable assessment of the risk that Mr
Hanna faced as the defendant to Mr
Hasan ’ s claim.
The
focus of
AIG
’s challenge to the
primary judge’s
decision
evolved
over
the course of the appeal.
The
n otice of
a ppeal alleged
five
errors
on the part of the primary judge.
The first three grounds of appeal
(numbered grounds
2 to 4 ) ,
under the heading
“Findings made on consideration of the limited facts
in
evidence”
,
were
directed
at
findings that her Honour made
which
, it contended,
were not available
on
the
admissible evidence .
Next
, under the heading “
Interpretation of insuring clause in respect of assumed liability”,
AIG
alleged that the primary judge erred
in holding that the insuring clause responded to liability assumed by Mr Hanna
pursuant to a consent judgment
(ground 5)
.
In the alternative,
AIG
alleged that her Honour
should not have entered the consent judgment in favour of Mr
Hasan
against Mr Hanna
(ground 6)
.
In oral submissions, however, Senior Counsel
for AIG
said that the
central issue on
the
appeal
was
an
issue
AIG
advanced
in
its
reply at [22],
namely
:
“Can an insured who gives false information to an insurer that denies indemnity on the basis of that false information then rely on an avoidance based on that false information as a basis for not having to prove the liability of the insured to the third-party claimant?”
T he Court
raised with
Senior Counsel
that
neither
th at
issue , nor
its
underlying premise
– that
the primary judge erred in concluding that
AIG had wrongfully
repudiated the policy
–
was reflected in
the
notice
of appeal .
Senior Counsel
for AIG
then
foreshadowed
applying
,
and
ultimately
applied ,
for
leave to amend
the
notice of appeal
to add
a further six
grounds , variously alleging
that
the primary judge erred
in
:
failing to
find that Mr
Hanna was required to prove that he was liable to Mr
Hasan
and that he had failed to do so (proposed grounds 5A and 5B ) ;
finding that AIG wrongfully repudiated the policy
of insurance
(proposed ground 5C ) ;
finding
that a managerial failure in
respect to a defect in the scaffolding was Mr
Hanna ’ s responsibility
( proposed ground 5D)
and
that it was highly likely that Mr
Hasan would have secured a verdict against
Mr
Hanna ( proposed ground 5E); and
finding that the settlement was objectively reasonable (proposed ground 5F).
Mr Hanna
resisted
AIG’s
application for leave to
rely on proposed ground 5C , submitting
that
the
manner in which
AIG now framed its challenge was not
run below ;
and
that to permit AIG to
run it now would cause
him
prejudice.
I accept
both aspects of that
submission
and
I
would refuse leave to
rely on proposed ground 5C.
I would otherwise grant leave to AIG to rely on the proposed additional grounds of appeal,
but
for the reasons that
follow the appeal should be dismissed.
Background to the proceedings in the District Court
The insurance
policy
On or about 14 August 2017, Mr
Hanna
and AIG, through the underwriting agency MECON Insurance Pty Ltd
(MECON)
, entered into a policy of insurance for the period 14 August 2017 to 14 November 2018 (the Policy).
On 26 September 2018, the Policy
was varied to increase the project value and extend the period of insurance to 14 May 2019.
Mr Hanna
was
the
named insured , and AIG
was
the insurer .
As part of the application
that he
submitted to
his
insurance broker,
Mr Hanna
provided a signed copy of the construction contract
for the Project
which
nam ed
him as the construction manager.
Under the heading “
Project details
”, the project type was identified as “Building Residential: New”, and the Campsie address
was
provided.
In Section 2 of the
Policy ,
titled “Public Liability”,
cl 5.00 provided:
“
5.00
Insuring
Clause
We will indemnify you for all sums that you become legally liable to pay as compensation for Personal Injury or Property Loss or Advertising Liability that:
a. happens within the Territorial Limit during the Period of Insurance; and
b. results from an Occurrence in connection with the Business.
Cover under this Section of the Policy is subject to all terms of this insurance in so far as they can apply.”
It was
common ground
that Mr Hasan
sustained a
Personal Injury within the Territorial Limit during the Period of Insurance, as those terms
were
defined in the Policy.
The primary judge also found that Mr Hasan’s claim resulted from an Occurrence in connection with the Business,
where
an ”Occurrence
”
was defined to mean
an event that Mr
Hanna neither expected nor intended,
“Business”
mean t
“performance and administration of the Project to which this insurance applies”
and included incidental operations such as occupation of the premises
,
and
“Project” meant the project covered by the insurance
.
This latter
conclusion
rested ,
in part
,
on
her
Honour’s
finding that Mr Hanna was the builder
on site
, which
was in issue before the primary judge
but
wa s not pursued on
the
appeal .
I note for completeness that cl
5 .01 of the Policy provided coverage for certain defence costs:
“
5.01
We
will also indemnify you for the following costs, but only if they are incurred by us or with our consent – which will not be unreasonably withheld.
Cover for these costs is in addition to the Limit of Indemnity shown in the Schedule.
a.
Defence and associated costs incurred in connection with any liability or allegation of liability to which this insurance applies even if the allegation is groundless,
false
or fraudulent. This includes bringing or defending appeals in connection with such liability.
”
(Emphasis in original.)
AIG’s liability pursuant to cl 5.01 was
also
in issue before the primary judge
, and her Honour
determined
that AIG was liable to pay
Mr Hanna’s
legal
costs .
AIG did not challenge that
conclusion
on the appeal .
The Policy also allowed for admissions,
compromise
and settlement, with cl
10.01 , in the General Conditions,
provid
ing
as follows:
“10.01
Admission
of Liability
This condition applies to insurance under Section Two
[which relevantly included cl 5.00]
.
Unless you have obtained our prior written consent, neither you nor any of your Employees may:
a.
admit
liability or guilt in connection with any Occurrence; or
b.
do
anything that might be seen as an admission of liability or guilt unless permissible in law; or
c.
settle
any third party claim, even though it may be within the amount of the Deductible.”
The incident
involving Mr Hasan
It was common ground that
on 18
October 2018,
there was an incident
on
the site involving
Mr
Hasan. Documents obtained from SafeWork NSW were in evidence, including a
“ WSMS Incident Notification Report ”
regarding the incident. Under the heading
“ Brief Description of Facts ” , that report stated:
“Formworker
fell from scaffolding on level 1 or 2, unknown at this stage, resulting in a fall of between 3-6m to ground level. No witnesses.”
A series of SafeWork prohibition and improvement notices were issued to Mr
Hanna, along with a fine.
A SafeWork NSW
“ Inspectors Report ” , dated 19
December 2018, recorded that Mr
Hanna,
Mr Karl
Zeiny
( the
d irector of Mr
Hasan ’ s employer ) , and Mr
Hasan had been interviewed ,
and provided
a
summary of events
that supported a fall from a similar height as recorded in the WSMS Incident Notification Report, albeit from a higher level than recorded in that report :
“IP was working on level 3 formwork deck when he has fallen through a gap between the scaffold and the formwork deck. IP struck the scaffold on the way down and landed on level 1 (6m fall in total).”
The actions taken on the site after the incident included that the perimeter scaffold had been
“ improved to close all gaps between structure & scaffold ” . The taking of those actions was consistent with what was recorded in an Inspection Report dated
22
October 2018, in which a SafeWork NSW inspector observed
“ gaps between building & scaffold & missing deck planks on level 3 ” .
The actions of Mr Hanna in relation to the Policy
On or about 25 August 2020, Mr Hanna made a claim for indemnity under the Policy.
However, as I have noted above,
in
a telephone
conversation
between Mr Hanna and
AIG’s
solicitor
about the claim ,
Mr
Hanna
said that
he had been the registered builder on the
P roject
at the request of
a
friend
, Mr Bechara,
and that
he made
no financial gain
on
the
P roject. Mr Hanna confirmed
t his account in a statement
he
signed on 15
December 2020,
in
which
he claimed
that
Mr Bechara
controlled everything on the site.
On
14 May 2021, AIG, through MECON, sent a letter to Mr Hanna
avoiding the
contract of insurance
, relying on ss 21 and 28 of the
Insurance Contracts Act 1984
( Cth ) .
MECON
stated that
Mr Hanna
had made
fraudulent
non-disclosure s
regarding
the Project
that was insured, which
(on his report)
was not his project ; and
a further
non-disclosure
in circumstances where
the
P roject was performed by an unlicen s ed builder .
Additionally,
MECON
referred to
the unlawful nature of the agreement between Mr Hanna and Mr Bechara
pursuant to which Mr Hanna loaned
Mr Bechara his building licence
,
on the basis of
which
the insurer
was
also
entitled to avoid the contract ab initio .
The proceedings in the District Court
Mr Hasan’s claim
O
n 16 August 2021, Mr Hasan commenced proceedings in the District Court against Mr Hanna
,
seeking damages for negligence and breach of statutory duty.
Mr Hasan later joined the insurer of
SCS , Lloyds .
In his
a mended
s tatement
of
cl aim
, Mr Hasan
relevantly
alleged
, and Mr Hanna admitted,
that Mr Hanna
was
the
builder who
carried out work and
had the care,
control
and
management of the
Project site at Campsie ,
and that he engaged
SCS
to erect
the
scaffolding on the site for the use of workers and contractors
(ASOC [1], Defence [1])
.
Mr Hasan alleged that when he was working at the site as a
formworker
on 18 October 2018, he was injured when “he fell through scaffolding falling approximately 6 metres from
the scaffolding on which he was standing to the ground sustaining serious injury, loss and damage”
(ASOC
[9]) .
He
alleged that
he sustained
the
injury,
loss
and damage
as a result of
Mr Hanna’s
negligence and/or breach of
statutory duty ,
with
Mr Hanna ow
ing
him
a duty of care
to act in such a manner as to avoid injury to
him
whilst he was working on site
under Mr Hanna’s control, management and supervision
(ASOC
[3],
[10]-[12] ) .
Mr Hanna’s
cross-claim
against AIG
On 4 May 2022, Mr Hanna filed
the
cross-claim
against AIG
,
seeking
an indemnity
for Mr Hasan’s claim and costs
,
and
for
damages for breach of
the Policy . Mr Hanna also filed a second
cross-claim
against Lloyds
as the insurer of SCS
.
In
his claim for
breach of contract
against AIG ,
Mr Hanna
relevantly
alleg ed
that
he was the builder
of the Project, and that
AIG
’s denial of the claim and avoidance of the Policy was wrongful and in breach of the Policy (
at [18]-[19]) .
He sought damages equivalent to any award of compensation that he was ordered to pay Mr Hasan, as well as the costs of defending the proceedings (at [20]).
In its defence to the
cross-claim
filed on 12 July 2022
,
AIG denied that its avoidance of the Policy was wrongful and in breach of the Policy (at [18]-[19]). In further answer to the whole of the
cross- claim ,
AIG
made a series of further allegations
. Those allegations included,
relevantly, that
Mr
Hanna had made a series of misrepresentations and non-disclosures when applying for the Policy in breach of s
21 of the
Insurance Contracts Act
, but for which AIG would not have
entered into
the Policy or
would not have
entered into it for the same premium and on the same terms and conditions .
I f AIG was not entitled to avoid the Policy
on the basis of
one or more of those misrepresentations and non-disclosures ,
it
alleged that it
was entitled to reduce its liability under the policy to nil
in circumstances where
AIG would not have underwritten the policy
(at [24]-[30]).
As counsel for Mr
Hanna observed in oral submissions on the appeal, AIG did not
advance any allegations that
assumed (contrary to its primary position)
that
Mr
Hanna
was
the builder. For example,
AIG
did not
alleg e
that even if Mr
Hanna was the builder
its
termination of the Policy was justified by reason of the representations Mr
Hanna had made to it,
such that
it
could not be said to have
wrongfully repudiate d
the contract
at
the time it
terminated
the Policy .
Nor did it
seek to rely on s
54 of the
Insurance Contracts Act
to reduce its liability
having regard to
the
prejudice
it
suffered
by reason of
Mr
Hanna ’ s conduct in making representations to it
(that he was not the builder) on which it relied to avoid the policy ,
which
representations were false
to his knowledge .
The consent judgment
on Mr Hasan’s claim and the
cross-claim
against Lloyds
The hearing commenced before the primary judge on 1 August 2023.
The
SafeWork documents to which I referred above were
admitted without objection ,
as was a n expert
report of
Professor
Jonathan
O’Brien
to which I will refer below.
As I noted above, on
2
August 2023
the primary judge
gave
judgment
by consent
in favour of Mr Hasan against Mr Hanna in the sum of $430,000 and an order that each party
bear their own costs.
AIG
objected to
the entry of the
consent
judgment , which the primary judge noted in the order s .
Progress of Mr Hanna’s
cross-claim
against AIG
The consent judgment
l eft only
Mr Hanna’s
cross-claim
against AIG
.
Her Honour ruled that the
evidence that had been tendered
on Mr Hasan’s claim was tendered on the
cross-claim
. In relation to the report of Professor O’Brien, her Hono
u r confirmed that the history
of the incident on which
he relied in providing his opinion
was not proof of the truth of that history
.
On 2 August 2023,
Mr Hanna filed an
amended statement of
cross-claim , and
on 3 August 2023,
AIG filed
a n amended
defence
in which
it
withdrew each of the allegations it had advanced in further answer to the cross-claim
( see
[
27
] above ) .
In articulating what remained
of its case,
Counsel for AIG accepted
that one issue
was whether Mr
Hanna was the
builder, and
submitted that
the second issue was whether
Mr
Hanna
was liable to Mr
Hasan , which he submitted was a matter
that had to be proved on admissible evidence .
As I noted above, AIG did not raise a ny alternative
claim by way of defence that was premised on
accepting that
Mr Hanna
was
the builder
and
that he
false
ly
represent
ed
the contrary , leading to AIG
justifiably
avoiding the Policy
. Counsel for AIG confirmed that it was not running a case of that kind in the following exchange with the primary judge on the question of its liability for Mr Hanna’s legal costs (
which
was
in issue
below but not
on the appeal):
“HER HONOUR: Am I right in this, that the issue boils down to (1) was he the builder, and if the answer to that is yes then (2) what is the proper quantification of the insurance where it’s a given that it must include legal costs?
SLEIGHT: Yes, there is one gloss I say to that, and the gloss on it is that it’s a condition of the legal costs that our consent is obtained but the consent will not be unreasonably withheld.
HER HONOUR: But that doesn’t
actually make
sense because you can’t simultaneously decline insurance and constrain their legal costs.
SLEIGHT: There will be argument, your Honour, that because of the conduct – and we have seen the conduct of the insured Hanna telling us a particular statement of events, it wasn’t unreasonable for us to decline to pay
his legal costs.
HER HONOUR: But you didn’t decline to pay his legal costs. You declined insurance.
SLEIGHT: Yes.
HER HONOUR: But that’s where I’m trying to get. Is your proposition you were entitled to decline insurance because he wasn’t the builder,
or are you saying that you declined insurance
because if he was the
builder
he was otherwise naughty
?
SLEIGHT: He was otherwise?
HER HONOUR: Naughty.
SLEIGHT:
No, we’ve dropped that one
. We’ve said he’s not the builder and it’s not within the scope of cover.”
(Emphasis added.)
Mr Hasan gave evidence
on the
cross-claim .
In his evidence in chief, when asked what happened
to him on 18 October 2018,
Mr Hasan said:
“So
I was working normal. I was walking on the scaffolder [as transcribed], then I
slipped
and I
fell all the way down.”
The evidence before the primary judge include d medical reports relating to Mr Hasan’s injuries, together with documents relating to a claim that Mr Hasan had made for compensation under the
Workers Compensation Act 1987
(NSW).
Mr Hanna
also
gave evidence
and was cross-examined. He maintained
that
he was the sole builder in charge of the
Project
and that
he was on the site daily ,
managing the build and securing the site. Mr Hanna
gave evidence
that he had deliberately lied
about his role during
the telephone call with
AIG’s
solicitor about the claim
, stating
“I didn’t want to have anything to do with
[Mr Hasan]
or courts or solicitors.
I didn’t want to have – I just wanted to be as far away as possible from these people”.
Mr Hanna’s evidence that he was the builder in charge of the site
was corroborated by
three
other
witnesses
who regularly attended the site,
along with
contemporaneous records.
There were two expert engineering reports in evidence.
Relevantly,
Professor O’Brien
,
a civil and structural engineer , provided a report on the instructions of Lloyds, the insurer for SCS .
In his report, dated 21 July 2023,
he
observed that
what had occurred on the site on 18 October 2018 was
“somewhat unclear”, noting that there were two versions of events:
“[10] In one version of events, he was attempting to step from the roof-level onto a nearby scaffold when he fell through a gap that existed between the building and the surrounding scaffold. He then dropped some 6 metres down onto a concrete slab at ground level.
[11] In a second version of events, Mr Hasan stepped onto a soft plywood
plank , which cracked, slid
away
and fell down with him. The plank was covering a 2m x 0.6m (approx.) hole.”
(Footnotes omitted.)
Professor O’Brien made
a number of
comments on what he described as “managerial aspects”
on the site
. In his opinion, the absence of bridging material between the formwork decking and the perimeter scaffold raised two questions: when such material should be installed if proper fall protection is to be provided, and who should install it. Professor O’Brien answered those questions
on the basis of
two scenarios:
Where the construction sequence involved the formwork deck being built up near-to an adjacent scaffold rather than the other way around: on that scenario (which Professor O ’ Brien considered most likely), a safety problem arises when a
formworker
who is operating on the deck of the formwork seeks to move between the two structures and a significant gap exists between the two, and
“ there emerges a clear safety obligation (on behalf of either the builder, the
formworker
or the scaffolder) to provide bridging decking or to fill-in any safety-gaps between the two structures ” .
Where the scaffold has been set up as an access structure with suitable stairs and was in daily use by the
formworkers : on that scenario, suitable safety infills would need to be installed
“ (by whoever) ”
before the scaffold level was made active and a worker was allowed to step across from the scaffold to the deck.
Under the heading
“ Root cause of the incident ” , Professor O ’ Brien expressed the view that
“ the injury to Mr
Hasan occurred as a result of a managerial failure to provide suitable safety infills between a growing structure and a previously erected perimeter scaffold structure ” .
Professor O ’ Brien also remarked that in so far as Mr
Hasan may have stepped on a piece of timber that had been placed across the gap, which failed to support him, such a plank
“ would have been installed in response to a perceived hazard after roof level had been achieved ”
(footnote omitted) . As to who the author of the plank placement might have been, Professor O ’ Brien considered it unlikely that it would have been the scaffolders
“ since the scaffolders normally only deal with metal components or full scaffold planks ” .
The decision of the primary judge
Both parties accepted that it was necessary for Mr
Hanna to show that he had incurred a loss to which the Policy needed to respond. They were at issue on how that was to be done. Mr
Hanna submitted that it was sufficient for him to rely on the consent judgment, and to establish that the settlement was reasonable in the circumstances. AIG, on the other hand, submitted that Mr
Hanna had to establish that he was liable to Mr
Hasan, and that he could not do that by the consent judgment.
As I noted above, the
primary judge
found
that Mr Hanna was
the builder responsible for the performance and administration of the Project .
C onsistently with
the propositions she had put to the parties during
the hearing , her Honour
also
found that
the Policy
“ should have responded
to the claim; but was terminated wrongfully, albeit because of the
plaintiff’s [
scil
cross-claimant’s]
actions
”.
In circumstances where
Mr Hanna had established
that AIG had repudiated the Policy ,
the
focus
moved to Mr Hanna’s claim for damages
. Her Honour
noted that
although
the Pol icy
did not preclude consent judgments or settlements, cl
10.01 required AIG’s consent in respect of any admission of liability
(see [
17 ] above).
Mr Hanna had not obtained
AIG’s consent,
but
“nor was it available where the insurer had avoided the contract of insurance”, thus depriving the requirement of consent of any force or effect for the purposes of the
damages claim.
The primary judge a ccept ed
AIG’s submission that Mr Hanna bore the onus to show by admissible evidence that
he had incurred a liability to Mr Hasan to which the Policy should respond.
However,
contrary to AIG’s contention, her Honour
accepted Mr Hanna’s submission
that
a
consent judgment
may fall within the terms of
cl 5.00 of the Policy,
as
“ all sums that you become
legally liable to pay as compensation for Personal Injury
”.
Her Honour relied in this respect on
cl 10.01 of
Policy , which
allow ed
for compromise and settlement,
notwithstanding
that
consent of the insurer was
also
required .
The
primary judge also concluded that the
settlement was objectively reasonable.
Her Honour referred
to
Mr Hanna’s
submission s
in this respect ,
which relied on the value of the
claim, which was
for $1 million plus costs
and ,
by contrast,
the consent judgment
which was for
$430,000 inclusive of costs . Her Honour stated
that “[
i ] f
that
is not right,
the same result follows from a consideration of the limited f ac ts in evidence ” .
Read in context,
the “that” to which
her
Honour
was there
referring
was
the
objective
reasonableness of the settlement
as
a matter of
quantum ,
with her Honour
going on to
find
the settlement
was also
objective ly
reasonable
from the perspective of
Mr Hanna’s
liability .
As to the latter, the primary judge
found that Mr Hanna was
in occupation of the whole
site, and
was responsible for its management as well as the management and coordination of all trades and workers on the site.
Referring to the evidence of Professor O’Brien,
h er Honour
considered that if, as he opined, there was a management failure,
“regardless of any contribution by the scaffolder or the
formworker
, responsibility for the management, co-ordination, and control of all trades as well as the site fell to Mr Hanna”.
Her Honour
further stated :
“At the very least there is substantial likelihood that
[Mr Hanna] would have been found liable in negligence for what the expert called the ‘managerial failure’ in respect of his control and occupation of the site (and trades). On the civil standard it is (highly) likely that a verdict would have been secured against [Mr Hanna], with a low (to negligible) likelihood of success in the
cross-claim
against the insurer for the scaffolder (where the evidence of a slip and fall with no failure of any part of the scaffold). ”
Her Honour also considered that there was a high probability that any outcome would have resulted in a judgment sum (plus costs) exceed ing
the sum quantified in the consent judgment
“by a comfortable margin”
.
Her Honour referred to
the
evidence led by Mr Hanna
that: the plaintiff
(Mr Hasan)
sought damages
exceeding
$1 million plus costs; workers’ compensation payments
had
been made of $151,172.94; and additional out
- of - pocket expenses were identified as $7,331.60.
Her Honour also noted that :
Mr Hasan had been diagnosed with a
soft tissue injury ;
he
was born in 1980 and had limited work capacity/opportunity ;
and
th at
the
medico-legal opinion s
supported permanent work restrictions and on-going need for medical treatment and care .
Mr Hasan did have
a
pre-existing injury ,
but
Mr Hanna
had to
take Mr Hasan as he found him.
Her Honour found that if
the consent judgment
was
not itself evidence of liability, the most likely outcome of the proceedings was a finding that M r
Hanna was liable in negligence (in his capacity as manager/occupier of the site) for damages of a sum equivalent to the
WorkCover
payments and out of pockets, plus sum
s
for future economic loss and treatment,
and
for non-economic loss.
The primary judge concluded:
“ [Mr Hanna] has proven the objective reasonableness of
[the]
settlement sum (embodied in the consent judgment), based upon a reasonable assessment of the risk faced by [Mr Hanna] in his capacity as the (first) defendant to the plaintiff’s claim. In that respect, the likely length of a contested hearing (which involved a third party (the underwriter for the scaffolder) as well as the insurer and the plaintiff)
with exposure to further and additional costs liabilities also is relevant.”
Application for leave to amend the notice of
appeal
I have noted
at [ 8 ]
above the
critical question that
AIG submitted arose on the appeal .
Senior Counsel for AIG
submitted that
at the time of the consent judgment,
the insurer was not in breach of its obligations because it had avoided the Policy on a justified basis.
T he position
of
AIG was
thus
analogous , he
submitted,
to
the position of the
insurer
in
the High Court’s decision in
CGU
Insurance Ltd v AMP Financial Planning Pty Ltd
(2007)
235 CLR 1; [2007] HCA 36
(
“
CGU v AMP
”)
,
as an insurer
that (in his words)
“ had not at the time wrongfully avoided the policy ” . He further submitted that, consistently with the reasoning
in the joint ju d gment
of Gleeson CJ and
Crennan
J
in that case,
it was not sufficient for Mr Hanna to establish proof of settlement. Rather, he also had to establish that he was liable
to Mr Hasan
, and the evidence before the primary judge
was not capable of
so
establishing .
Although t he primary judge had
found that AIG
’s termination was
justified
(
in the sense that it was “the inevitable product” of Mr Hanna’s actions
)
at the time of termination ,
in Senior Counsel’s submission
her Honour then erred
in concluding that its repudiation was wrongful.
These contentions
found reflection in
grounds
5A to 5C of
the proposed amended notice of appeal :
“5A
Her Honour ought to have found that the respondent was required to prove that he was liable to the plaintiff.
5B
Her Honour ought to have found that
[the]
respondent failed to prove that he was liable to the plaintiff.
5C
Her Honour erred in finding that the appellant wrongfully repudiated the contract of insurance.”
Relatedly,
AIG
also
sought to include
proposed
ground 5F,
which challenged the
primary judge’s finding that the settlement was objectively reasonable.
In circumstances where AIG had made no written submissions
about
the objective reasonableness
of the settlement,
let alone written submissions challenging her Honour’s conclusion in that regard,
Senior Counsel
explained
proposed ground
5F
as follows:
“Can I just clarify what – I’m not seeking to make any further
submissions, that’s a ground which supports or allows the submissions I already made this morning, which is that if we are wrong , and the respondent has cross-claimed that he’s not required to prove that he was liable to the plaintiff, then the alternative argument is that because he didn’t prove that he was liable to the plaintiff,
the finding that the settlement was objectively reasonable was wrong. It's just a different way of putting the same factual point. It depends on what the test is.”
Although it was the focus of the oral submissions,
Senior Counsel accepted that
AIG’s reliance on
the
justification for
its
termination of the Policy
at the time of termination
only arose
in
its
reply .
He
submitted that
the
argument
was
responsive
to Mr Hanna’s reliance
, in his written submissions,
on authorities regarding the consequences of wrongful repudiation of a policy of insurance
,
in terms of what the insured needed to demonstrate to establish the insurer’s liability under the policy.
He submitted that
Mr Hanna had not
relied on these
authorities
before the primary judge.
Although Mr Hanna may not have drawn the attention of the primary judge to the
authorities on which he now relies, it is
clear from t he
submissions that were advanced on his behalf that
Mr Hanna relied on AIG having repudiated
the contract as part of
his
argument that all
he
needed to do
was
demonstrate that : ( i )
the settlement
was
a legal liability
within the terms of
cl 5.00 of
the Policy ;
and
(ii)
the settlement
was objectively reasonable. So much is apparent from the following exchange
in the course of
the
opening
on the
cross-claim :
“O’NEILL
[Counsel for Mr Hanna]: I think that was in some correspondence but
[it]
doesn’t matter because as at the date of 14 May 2021, the policies are voided.
SLEIGHT
[Counsel for AIG] : Exactly. I think we are ad idem.
O’NEILL: Yes,
so that’s a repudiation
and once that occurs, well --
HER HONOUR:
It
is
a repudiation if you were the builder. It is not a repudiation if you were not.
O’NEILL:
That is so.
HER HONOUR: But then your obligations are not so much prudent insured, but a party with a claims duty to mitigate.
O’NEILL:
That is so.
HER HONOUR: I think because you are no longer acting under the insurance policy, you are acting
now as someone with a potential claim.”
(Emphasis added.)
AIG did not run an y
responsive
argument that sought to draw
the
distinction
that it now
emphasises
between
its position at the point of settlement and its position
in the event that
her Honour found
that Mr Hanna
was the builder.
It
did
contend that it was not sufficient for Mr Hanna to rely on the consent judgment to establish AIG’s liability under the Policy, and that he had to prove that he was liable to the plaintiff. However,
AIG put that point
on the basis of
the scope of coverage of the Policy, as opposed to putting it
on the basis that its termination of the Policy was justified at the point of settlement and did not constitute a wrongful repudiation.
On more than one occasion, the
primary judge
raised with Counsel for
AIG
whether AIG
was relying on such a distinction .
I n
closing submissions, Counsel for AIG
referred
to
Wallaby Grip Ltd v QBE Insurance (Australia) Ltd
(2010) 240 CLR 444
;
[2010] HCA 9, describing it as a case in which the
parties were in dispute as to what was the limit of indemnity under the policy and
the
issue was who bore the burden of establishing whether or not the loss or the risk fell within the limit of the indemnity. The primary judge sought to clarify the basis of AIG’s reliance on that case:
“HER HONOUR: Isn’t this
slightly different because of the repudiation argument? Their argument is you repudiated the contract. You didn’t repudiate the contract if you weren’t liable.
SLEIGHT: But your Honour, strictly, of course, if we say the contract was at an end because of their conduct;
yes.
However
the contract --
HER HONOUR: I think it’s a very trivial distinction here, but it comes down, does it not, to –
if this policy should respond, then you repudiated it because it should respond because he’s the builder
. If he’s not the builder, you didn’t repudiate; you terminated, and none of it matters.
So
the question is, they have to prove he was the builder within the relevant meaning of the clause, in order to establish that your termination was wrongful; not that you breached the contract by failing to respond.
SLEIGHT:
Yes,
your Honour
,
but in assessing damages they
have to
show that their liability for which they claim indemnity came within the terms of the policy
. In other words --
HER HONOUR: That there was a liability.
SLEIGHT:
The first defendant was liable to the plaintiff.”
(Emphasis added.)
Shortly thereafter,
there was
this
further
exchange between the primary judge and
Counsel for AIG :
HER HONOUR: Okay. But let us just deal with it in conceptual terms. To the extent that the reasonableness of the insurer’s conduct would come into play, that would probably only be on a costs issue, because where we are here is not, ‘Did the insure r
act reasonably’, but ‘Did the insurer, when it acted, get it right’. Now on the defendant’s case, the
insurer got it wrong because the defendant told a fib. That is the short point of the defendant’s case.
That makes the insurer’s conduct entirely reasonable.
It creates a curious position in the repudiation stakes because the repudiation which did give rise on the defendant’s case to a wrongful termination, arose out of a wrongful act by the defendant, but it does not change the fact that even if the defendant’s act was wrongful, if in fact the man is the builder, the repudiation is wrong.
SLEIGHT: Your Honour, what it does raise is this.
That the first defendant conducted itself in a manner that the repudiation wasn’t wrongful.
HER HONOUR: But I think it is wrongful.
I think it remains wrongful
, is the problem, because there is not a basis to terminate. The reason why the insurer thinks it has got a basis, is the fault of the defendant, but that
actually would
become
relevant, only if
it is the defendant’s action that repudiates the contract.
SLEIGHT:
I’m not sure that’s correct,
because the first defendant
has to
pave in a way, entitling my client to repudiate, and it has indulged in behaviour, in my submission, that would entitle my client to repudiate.
HER HONOUR:
Let us assume that is the case. That is not the way the case has been run, and that is why I have been asking on every occasion, is it the builder or not builder.
This case, as I understand it, was run on the
basis, ‘If he is the builder, you are liable and you will’
--
SLEIGHT:
Yes,
your Honour
, because I took the view that whilst the repudiation was wrongful, if at one stage – at certain stage, the first defendant came along and said, ‘It’s a pack of lies. I really was the builder.’
So
we can’t just repudiate and walk away if – what it does is justify our original conduct in repudiating the contract.
HER HONOUR: It does in costs terms. It makes reasonable action that otherwise might be unreasonable,
but in terms of contractual structure, we seem to have the curious position that the only breach invoked for the termination is the – is not actually a breach
. You say you terminated the contract because you told us you were not – this was not your project, in essence. In essence, what you are saying is, we should never have given you
any insurance in the first place because this was never an insurable project.
SLEIGHT: That’s what was originally said. Yes, your Honour.
HER HONOUR:
That is the position that remains
,
because what you have not run is a case that says, ‘All right, we
should have given it to you but your naughtiness in telling us a pack of fibs that got us to this position, now provides a separate basis to terminate the contract’, because that
is
not the way the case was run.
SLEIGHT:
No, it’s not, your Honour,
and I took a particular view on that, that that naughtiness doesn’t go on forever
. That once, you know, once --
HER HONOUR:
Once he says, ‘No, well that was a lie and I’m back in business, then things would change ’.
SLEIGHT:
I thought that as a – so that is not the way it’s been run.
”
(Emphasis added.)
In
Superannuation & Corporate Services Pty Ltd v Turner [2020] NSWCA 246 , Gleeson JA ( Basten
and Leeming JJA agreeing) summarised the
applicable
principles
regarding leave to run a point not run below:
“[143] … The relevant principles in this regard are clear. The High Court has repeatedly emphasised that a party is bound by the conduct of his or her case. In
[
University of Wollongong v
Metwally
(No 2
)]
[1985] HCA 28; (1985) 59 ALJR 481 [at 483], the plurality said …
:
‘Except in the most exceptional circumstances, it would be contrary to all principle to allow a party, after a case had been decided against him, to raise a new argument which, whether deliberately or by inadvertence, he failed to put during the hearing when he had an opportunity to do so.’
[144 ]
As
explained in
Water Board v Moustakas
(1988) 180 CLR 491 at 497; [1988] HCA 12 if:
‘all
the facts [have]
been established beyond controversy or where the point is one of construction or of law, then a Court of Appeal may find it expedient and in the interests of justice to entertain the point, but otherwise the rule is strictly applied.’
[(Citations
omitted.)]
[145]
In
Whisprun
Pty Ltd v Dixon
[2003] HCA 48; (2003) 77 ALJR 1598, the High Court said at [51]:
‘It would be inimical to the due administration of justice if, on appeal, a party could raise a point that was not taken at the trial unless it could not possibly have been met by further evidence at the trial.’
[Citations omitted.]”
In resisting the application
for leave to amend to rely on ground 5C,
Counsel for Mr Hanna submitted
if
A IG had run this point at trial,
that
he
would have had an opportunity to lead
evidence
that was
directed to the question of what was before or otherwise available to the insurer ,
at the time that it avoided the Policy
,
that
disproved his statement to AIG that he was not the builder.
That might have included evidence from Mr Hanna’s insurance broker, and evidence as to the circumstances in which Mr Hanna made the signed statement in
December 20 20 .
Having regard to the
manner in which
the matter was run before the primary judge, and the
prejudice
that
Mr Hanna
’s Counsel identified were the matter
permitted to be run now, I
would refuse leave to
AIG to amend
the notice of appeal to include proposed ground 5C.
Resolution of the issue that AIG sought to raise
by that ground
must await another occasion.
Counsel for Mr Hanna did not identify any prejudice in relation to the remaining proposed grounds of appeal.
Although proposed grounds 5A and 5B were
explained on the basis that they were
integrally
related to
proposed ground 5C,
I would grant leave to
raise them on the appeal .
In
light of
the basis on which the matter was run below
those grounds , and the other proposed grounds,
may be dealt with shortly.
The grounds of appeal
In its written submissions, AIG
relied on the following two findings of the
primary judge
as
alternative findings
(AWS [24]-[25]) :
As a matter of construction of cl
5.00
of the Policy , e ntry into the consent judgment activated
AIG ’ s liability under
that
clause .
The same result follow ed
from
a consideration of
the limited facts in evidence.
On the basis of
its c
haracteris ation of
the second of these findings as
one
of
legal liability, AIG
submitted in writing
that
notwithstanding the consent judgment,
whether Mr Hanna was liable to Mr Hasan was key to the proper resolution of the case
, as an affirmative answer would render
the issues concerning
entry of the consent judgment irrelevant
(AWS
[29]) .
Accordingly, it submitted that its grounds challenging
her Honour’s conclusions on
liability (grounds
2
to
4 ) should be considered first .
AIG’s submission
rest s
on a mischaracterisation of
the second of the findings
in
[ 58 ] , which was
directed not to legal liability per se, but to the reasonableness of the settlement
into which Mr Hanna had entered
.
As
I have addressed
in
[ 42 ] above , her Honour considered whether the settlement was objectively reasonable
first
as a matter of quantum and
then
, in the alternative
(“[
i
]f that is not right”)
, from the perspective of liability.
The
manner in which
her Honour expressed
the
findings
with which
AIG took issue in grounds
2
to
4 ,
by reference to likelihood ,
reflected that
her
Honour
was
determining
whether the settlement was objectively reasonable
, having found that AIG repudiated the Policy and that Mr Hanna accepted that repudiation
.
Once
the structure of the primary judge’s reasons is properly
understood,
it is preferable to start with
ground
5, by which
AIG challenged
her Honour’s conclusion
that
cl 5.00 of the Policy responded to the liability that Mr Hanna assumed
“and, in particular, such liability assumed by a consent judgment” (ground 5)
.
Construction of the Policy
Pursuant to cl 5.00 of
the Policy, AIG
was required
to indemnify Mr Hanna “for all sums that you become legally liable to pay as compensation”.
AIG
referred to
a number of
authorities that
, in its submission,
suggest ed
that an insured’s cause of action against an insurer usually accrues on the happening of the loss
.
I t followed
, in AIG’s submission,
that
the insuring clause require d
that the policy respond to and provide cover immediately when
(in this case) Mr
Hanna incur red
a liability to
Mr
Hasan, being the moment
Mr
Hasan suffer ed
injury from the fall.
AIG submitted that t his, together
with
the use of the passive voice ,
require d
an interpretation
of cl 5.00 by which
the liability to which the policy respond ed
was
imposed by operation of law (as opposed to
a liability that was
assumed by agreement).
In so far as her Honour relied
on cl 10.01 in support of her construction,
AIG
submitted
that it
was
a condition which regulate d
how the insured should conduct itself
after
it has incurred liability to which the insuring clause respond ed .
Accordingly , its operation
was
not directly relevant to the interpretation of the insuring clause.
Further, and in any event,
cl 10.01
was
consistent with the insuring clause not responding to assumed liability because
the
clause
prevent ed
the insured conducting itself in a manner that
would
incur liability without the consent of the insure r . AIG submitted that
her Honour’s finding
,
that the Policy
could not
be said to have precluded consent judgment s
or settlements
,
conflat
ed
the interpretation and operation of
cl
10.01 with the insuring clause
in cl 5.00
.
I do not accept AIG’s submissions.
The primary judge’s construction of cl 5.00,
by which , as in this case,
liability
that
has been determined by a bona fide compromise agreement
would
be
within
the scope of the
indemnity ,
accord s
with the much-cited decision in
Post Office v Norwich Union Fire Insurance Society Ltd
[1967] 2 QB 363
at 373
( “
Norwich Union
” ) .
In
Vero Insurance Ltd v
Baycorp
Advantage Ltd
[2004] NSWCA 390; 23 ACLC 199
( “
Vero Insurance”)
, Tobias JA
(Giles
and McColl JJA agreeing) considered
a
policy which defined
“ L oss ”
in similar terms to cl
5.00 of the
Policy
but
which also
included the words
“ whether determined by judgment or settlement ” .
H is Honour stated
at [48] :
“ The definition of
‘Loss’
is such that, even if the words
‘whether determined by judgment or settlement’
were not used, the expression
‘legally liable’
refers to a legal liability established by judgment, arbitral award or settlement: see
The Distillers Co Bio-Chemicals (Aust) Pty Ltd v Ajax Insurance Co Ltd
(1974) 130 CLR 1 at 25-6;
Cacciola
v Fire & All Risk's Insurance Co Ltd
(1971) 1 NSWLR 691 at 695;
Costi
v Rodwell
(1985) VR 287 at 289. ”
Referring to
Norwich Union
and
Vero Insurance
in
Weir Services Australia Pty Ltd v AXA Corporate Solutions Assurance
[2018] NSWCA 100; 359 ALR 314
(“
Weir Services
(
CA
)
” )
at
[2], Meagher JA described
expressions involving legal liability in liability insurance contracts as being generally understood since Lord Denning ’ s decision
in
Norwich Union
as
“ referring to liability as determined, rather than the liability asserted by a third party claimant or the underlying liability that accrues upon a legal injury ” .
That entry into a
settlemen t
is a determination of liability that
falls within the scope of
cl
5.00 of the Policy
properly construed
was
supported , as her Honour observed,
by
the terms of
cl
10.01
of the Policy .
True it is that
cl
10.01
is qualified by a requirement for the insurer ’ s consent,
but
that does not gainsay that
its terms are
consistent with a construction of the insuring clause that indemnifies against a liability
as a result of
a settlement .
Contrary to AIG ’ s submissions, reasoning
in that manner
does not
conflate the interpretation and operation of
the
two clauses .
I note that AIG advanced
ground 6 in the
alternative
to ground 5 .
In
the written submissions on
ground 6,
AIG
contended that her Honour should not
have entered the consent judgment
at the behest of the parties
as
the judgment
“ unilaterally ”
affected
its
rights
(AWS [ 60 ]) .
It relied in this regard on
James Hardie & Co Pty Ltd v
Seltsam
Pty Ltd
(1998) 196 CLR 53; [1998] HCA 78
(“
James Hardie
” ) .
T he decision in
James Hardie
concerned a statutory right to contribution in s
5(1)(c) of the
Law Reform (Miscellaneous Provisions) Act 1946
(NSW) for two categories of joint tortfeasor: (a) one
who
is liable for damage; and (b) one who would, if sued, be liable for that same damage. In
James Hardie
,
after a trial involving three de f endants
had
commenced ,
consent judgments were entered
in favour of
the plaintiff against two
defendants, and in favour of the third defendant against the plaintiff.
The Court, by majority, concluded that
a
claim
by the two defendants found liable against
the third defendant
was
no longer
available
under
s 5(1)(c), as that defendant did not satisfy
either of the categories of joint tortfeasor.
By contrast with
the legal effect of the consent judgment in
James Hardie
, the consent judgment
that the primary judge entered
did not
determine AIG’s liability under the Policy
for the sum that
Mr Hanna was ordered to pay
Mr Hasan
.
The settlement did not preclude
AIG
from contending
that it was not liable
under the Policy on the construction of
cl 5.00
on which it relied, or because
Mr
Hanna had not proved that he was liable to Mr
Hasan,
or that
the settlement was not objectively reasonable .
Ground 6 should be dismissed.
Liability of AIG
and the reasonableness of the settlement
As I noted above, by grounds 5A and 5B , AIG contended that the primary judge
should have found that it was necessary for Mr Hanna to prove that he was liable to Mr Hasan,
and that he had failed to do so.
Grounds 2, 3 and 4
were
also
premised on
this contention,
taking
issue
with
particular findings
that her Honour made
on the basis that the findings were not supported by admissible evidence.
I
n the face of her Honour’s conclusion that
AIG wrongfully repudiated
the Policy, AIG’s contentions
were
inconsistent with settled authority.
In
Vero
Insurance
at [48] , Tobias JA
made the following observations
regarding similar
circumstance s
(Giles
and McColl JJA agreeing) :
“ There are divergent lines of authority as to what, in such cases, the insured must prove where there has been a settlement without the insurer's consent. One line of authority favours the insured and establishes that provided the settlement is reasonable, the insurer is liable to pay the settlement sum:
eg ,
Edwards v Insurance Office of Australia
(1933) 34 SR (NSW) 88;
General Omnibus Company v London General Insurance Company Ltd
[1936] IR 596;
Distillers
at 9, 25.
However the cases, which favour this approach, would seem to do so on the basis that the insurer has wrongfully repudiated liability.”
In
Weir
Services
(CA)
at [57] , Barrett AJA
relied on
certain passages in
Distillers
Co Bio-Chemicals (Aust) Pty Ltd v Ajax Insurance Co Ltd
(1974) 130 CLR 1 ;
[1974] HCA 3
as
authority
for the proposition
that
in certain circumstances
an insured can prove the existence and quantum of a legal liability to pay compensation by proving that it entered
into a settlement agreement with the claimant that was objectively reasonable.
His Honour
also
referred with apparent approval to the decision of
the primary judge,
Hammerschlag
J
,
in
Weir
Services Australia Pty Ltd v AXA Corporate Solutions Assurance
[2017] NSWSC 259
(“
Weir Services
") ,
in which his Honour held
at
[135]
that an insured can rely on a reasonab l e
settlement to
found
a claim against an insurer only if four conditions are satisfied:
“(1)
the insurer has wrongfully repudiated the
contract;
(2)
the insured accepted that repudiation and brought the contract to an
end;
(3)
the insured enters into an arrangement with a
third party
claimant to pay an amount in respect of a liability, to which, if found, the policy would have responded; and
(4)
the amount of the settlement is reasonable having regard to
the relevant circumstances at the time . Relevant circumstances can include the position in which the insured finds itself
as a result of
the repudiation
and what it might have been held liable to pay if there had been a contest leading to a judgment
or arbitral award.”
(Emphasis added.)
As
Mr Hanna submitted,
and as the primary judge found, AIG had repudiated
the Policy and he had accepted that repudiation. Having entered into a settlement with Mr Hasan, it was for him also to
show
that the amount of the
settlement was reasonable having regard to the relevant circumstances
which
, as
Hammerschlag
J noted
in
the fourth condition, included the position in which Mr Hanna found himself and what he might have been held liable to pay
if
there had been a contest leading to a judgment or arbitral award
.
He did not need to establish that he
was
liable to
Mr Hasan in the manner
that Mr Hasan alleged
in the amended statement of claim ;
and the primary judge did not need to be satisfied
that Mr Hanna was so liable.
AIG’s
reliance on
CGU v AMP
as requiring
that level of proof and
correlative
satisfaction
was
misplaced.
As Mr Hanna submitted,
that decision
is
not authority for the proposition that where
a n insurer has wrongfully avoided a policy an insured is required to prove by admissible evidence that it is legally liable to the
third-party
claimant.
CGU
Insurance Ltd (CGU)
, as
the insurer, and
AMP Financial Planning Pty Ltd (AMP) ,
as the
insured, were parties to a professional indemnity policy of insurance.
AMP
informed
CGU
that it had become aware of possible claims against it by persons who had received unsatisfactory financial advice from its representatives.
CGU
advised
AMP
to act as a prudent uninsured.
Taking the view that
it had
a
liability towards several investors,
AMP
proceeded to
enter into
settlements with those investors
without any of
them
making a claim as defined under the insurance policy . After the settlements were made,
CGU
denied liability to indemnify the insured under the policy.
AMP sued CGU
claiming, relevantly, that
CGU
was estopped from denying indemnity, that
it
had
breached
the
duty
to act with the
utmost good faith
implied in the contract by statute , and that
the
settlements were reasonable.
T he Full Federal Cour t had
remitted
questions to the primary judge
for further consideratio n, the first
three
of which
related to whether there was an estoppel or breach of duty of utmost good faith.
As
Gleeson CJ and
Crennan
J
observed
at [18] :
“ The hypothesis of the first three questions posed for reconsideration by
Heerey
J is that AMP did
not
establish by admissible evidence that it was legally liable to the investors.
It was accepted in argument in this Court that the remitter is not intended to give AMP an opportunity to reopen its
case, and
adduce further evidence.
If AMP, at the trial, had established by admissible evidence that it was legally liable to the investors, then the first three questions formulated by the Full Court would not arise.
It is necessary to note why the questions arise.”
(Emphasis in original.)
As Mr Hanna submitted,
the policy in
CGU
v AMP
defined liability in a manner
that
excluded settlements with
injured persons
who had not yet brought legal proceedings
,
in contrast to the Policy in this case, which
was
“occurrence based”.
Further,
and of more significance,
CGU
v AMP
did not involve
circumstance s
in which the insurer had
denied
cover or
avoided
the Policy . Rather, CGU had
not
take n
a position
on the question of indemnity .
In grounds 2 to 4 of the amended notice of appeal, AIG took issue with
her Honour making the
following
findings
on the admissible evidence
,
which
findings
it described as
being
relied on by
her Honour
to
conclud e
that Mr Hanna incurred a liability to Mr Hasan to which cl 5.00 of the Policy responded
:
a t the very least there was a substantial likelihood
that Mr
Hanna would have been found liable in negligence for what Professor O ’ Brien described as a managerial failure in respect of his control and operation of the site
(ground 2(a)
and ground 5E ) ;
and
on the civil standard it was
“ (highly) likely ”
that a verdict would have been secured against
Mr
Hanna (ground 2(b)) .
AIG
took
particular issue
with
h er Honour
’s
reliance on the expert report of Professor O’Brien, for two reasons. First,
it
submitted
that
when
the report was tendered by Mr Hanna on the
cross-claim
against AIG, it was admitted with
the
restriction
as to the history recorded , on which
Professor O’Brien’s
opinion was predicated
(ground 3)
.
It also submitted that
even
accepting her Honour’s conclusion that Mr Hanna had responsibility for the management, coordination and control of the site and all trades, it did not follow that there was a substantial likelihood that Mr
Hanna
would have been found liable for the “managerial failure”
(ground 5D) .
It submit
ted
that such a finding require
d
evidence that any culpable failure on behalf of Mr
Hanna materially contributed to Mr Hasan’s fall
and there
was no admissible evidence to that end
(ground 4)
.
For the reasons I have set out above, these ground s
mischaracterise
the inquiry that the primary judge
was
undertaking
. When understood as an inquiry into the reasonableness of the settlement, and not an inquiry into Mr Hanna’s liability per se, her Honour’s approach was
consistent with the
inquir y
on the fourth condition
in
Weir
Services
, namely,
as to
the circumstances at the time of Mr Hanna’s entry into the settlement.
As
Mr
Hanna submit ted ,
the
settlement
was
objectively
reasonable for the reasons given by the primary judge , having regard to
the amount in issue
and
:
Mr Hasan’s evidence and the contemporaneous records indicating that
he
slipped on the
scaffolding ;
the
reports and
various notices issued following SafeWork NSW’s
investigation ;
Professor O’Brien’s expert report (
the
assumptions
in which
were similar to what was contained in the contemporaneous reports, regardless of any discretionary restriction as to the use of the histories in evidence ) ;
the evidence of workers ’
compensation payments, medical expenses, and
the impact of the incident on Mr Hasan’s
earning capacity ; and
the
upcoming
hearing on liability and the costs associated
with
that
hearing.
It follows
from the above
that I would dismiss
grounds of appeal 2, 3 ,
4,
5A, 5B,
5D, 5E
of the amended notice of appeal .
In relation to ground 5F of the amended notice of appeal,
as I noted above at [ 48 ] this
ground
was
an
alternative
way of putting
AIG’s
argument on liability,
namely,
that
unless Mr Hanna proved that he was liable to
Mr Hasan
as alleged in the amended statement of claim,
the settlement could not be described as objectively reasonable.
For the reasons I have addressed above I do not accept
the premise of
that argument .
Conclusion
I
would make
the following order:
The appeal is dismissed with costs.
GRIFFITHS AJA:
I agree with Mitchelmore JA.
**********
Amendments
24 April 2024
-
In coversheet, name of appellant amended from "AIG Insurance Ltd" to "AIG Australia Ltd".
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Decision last updated:
24 April 2024
Official source: https://www.caselaw.nsw.gov.au/decision/18f03603500d3fd919b56446