Cruise Oz Pty Ltd v AAI Ltd [2015] QSC 215
SUPREME COURT OF QUEENSLAND
CITATION: Cruise Oz Pty Ltd v AAI Ltd [2015] QSC 215
PARTIES: CRUISE OZ PTY LTD
ACN 115 706 606
(applicant)
v
AAI LTD
ACN 005 297 807
(respondent)
FILE NO/S: SC No 3592 of 2015
DIVISION: Trial Division
PROCEEDING: Originating Application
ORIGINATING
COURT: Supreme Court at Brisbane
DELIVERED ON: 29 July 2015
DELIVERED AT: Brisbane
HEARING DATE: 20 April 2015
JUDGES: Justice Carmody
ORDERS: The orders of the Court are that:
1. the respondent must indemnify the applicant in
respect of damage or loss caused to the applicant’s
insured vehicles on 27 March 2014 under Section 3
of the respondent’s Motor Dealers Insurance
Policy, entered into by the applicant and
respondent on or about 12 July 2013.
2. the respondent must pay the applicant’s costs of
and incidental to the application, to be assessed on
the standard basis.
CATCHWORDS: CIVIL LAW – CONTRACT – INTERPRETATION OF
CONTRACTS – INSURANCE POLICY AGREEMENT –
INTERPRETATIVE CLAUSES – DEFINITION OF KEY
TERMS – FORM OF KEY TERMS – where the applicant
and respondent entered into an insurance agreement for
certain motor vehicles – where the applicant presented the
insured vehicles at a show ground for display – where the
display area flooded and destroyed or irreparably damaged
the insured vehicles – where the applicant filed a claim under
the insurance agreement in relation to the destroyed vehicles
– where the insuring clause of the insurance agreement did
not extend to “your premises” – where “your premises” was
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defined in a definitional schedule attached to the insurance
agreement – where the respondent rejected the insurance
claim on the basis that the phrase “your premises” included
the show ground under the technical definition prescribed in
the definitional schedule – where an interpretative clause
prescribed that all words in bold had the definition prescribed
under the definitional schedule – where the phrase “your
premises” in the insuring clause of the insurance agreement
was not bolded – whether “your premises” should be ascribed
its natural and ordinary meaning or prescribed technical
definition under the definitional schedule – whether the
contract established a sophisticated definitional system or
framework delineating the semantic meaning and descriptive
criterial content of “your premises” signalled by the bolding
of the font – whether the natural and ordinary meaning of
“your premises” extended to the relevant show grounds.
COUNSEL: D Atkinson for the applicant
E Goodwin for the respondent
SOLICITORS: Minter Ellison for the applicant
Barry Nilsson Lawyers for the respondent
[1] JUSTICE CARMODY: The applicant filed an originating application on 10 April
2015 with the Queensland Supreme Court for:
1. A declaration that, on proper construction, an insurance agreement
executed by the applicant and respondent on 12 June 2013 extended to
cover flood damage sustained by certain caravans (also known as “travel
trailers”) displayed at a trade show on 27 March 2014.
2. An order that the respondent pay the applicant’s costs of and incidental
to the application.
[2] The respondent resists the application, claiming that the insuring clause of the
insurance agreement did not extend to the trade show. This is because, according to
the respondent, the agreement did not insure the vehicles at “your premises”, which
is defined broadly under Part 6 of the insurance agreement. Additionally, the
respondent claims that Section 3 of the insurance agreement does not respond to the
insurance claim because Section 1(A) is the more favourable insurance scheme.
[3] The primary issues in dispute between the parties are:
1. whether it is open for the applicant to claim insurance under Section 3 of
the insurance agreement;
2. whether the proper construction of “your premises”, which forms part of
the definition of “your vehicle” deployed in the insuring clause of the
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Section 3 of the insurance agreement, extends to encompass the
showgrounds.
[4] Before embarking on an analysis of “your premises”, it is convenient to briefly
summarise the factual matrix giving rise to the dispute.
Factual Matrix
[5] On 12 June 2013 the applicant and respondent entered into an insurance agreement
titled the “Motor Dealers Insurance Solution” (the “Insurance Agreement”).
[6] On 26 and 27 March 2014 the applicant transported fifteen caravans (the “Insured
Vehicles”) to the Mudgeeraba Showgrounds, Worongary, Queensland (the
“Showgrounds”) for the purpose of exhibition at the “Gold Coast Caravan
Camping, 4WD & Fish Show” (the “Exhibition”) on 28 – 30 March 2014.
[7] It is relatively uncontentious that the Showgrounds were substantially contiguous
with Worongary Creek. On 27 March 2014, immediately prior to the Exhibition, a
storm event took place which resulted in significant rainfall in the Mudgeeraba
catchment area. The precipitation caused the submergence of the portion of the
Showgrounds on which the applicant’s Insured Vehicles were situated. Following
inspection of agents of the applicant, it was discovered that the Insured Vehicles had
sustained considerable damage.
[8] On 28 March 2014 the applicant lodged a claim under the Insurance Agreement for
damage sustained by the Insured Vehicles. On 29 March 2014 the respondent,
trading as “Vero Insurance”, instructed an insurance assessor to evaluate the
damage sustained by the Insured Vehicles. The assessor concluded that the
flooding caused permanent and irreparable damage to twelve of the Insured
Vehicles, such that they were, in colloquial vernacular, “written-off”, and
substantially damaged the three remaining caravans.
[9] On 4 June 2014 the respondent advised the applicant, through their insurance
broker, that they declined the insurance claim in relation to eleven of the Insured
Vehicles. The declinature ensued because the respondent interpreted the applicant’s
claim as seeking to activate Section 1(A) of the Insurance Agreement, which
included a limitation clause excluding liability for loss or damage caused by
“flood”. In this respect, the parties’ positions diverge regarding the causality of the
inundation of the Showgrounds. The respondent claims that the inundation was
caused by the overflowing of Worongary Creek, which constitutes “flooding” under
the exclusionary clause. The applicant claims that the inundation was caused by
stormwater runoff, which apparently may not constitute “flooding” under the
exclusionary clause of Section 1(A).
[10] This Court expresses no opinion as to the correct interpretation of “flooding” under
Section 1(A) as the applicant has based their originating application on Section 3,
which does not possess the abovementioned exclusionary clause and therefore does
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not require a resolution of the precise cause of the inundation. It is sufficient to note,
however, that on 8 July 2014 the respondent made payments under the Section 1(A)
of the Insurance Agreement in respect of four of the insured vehicles, amounting to
$68,273.30, being the stock value of the vehicles net of Goods and Services Tax.
[11] Following the initial declinature on the basis of the exclusionary clause, the
representatives for the applicant sent a letter dated 22 July 2014 requesting a formal
response to the claim in respect of the remaining Insured Vehicles (the “Request for
Indemnity Response”). The Request for Indemnity Response, Document ASC-4 to
the affidavit of Alison Shay Corcoran, a solicitor of Minter Ellison representing the
applicant, states that the property damage is “prima facie covered under section
1(A) of the Policy”. The letter does not, however, appear to expressly or impliedly
confine the insurance claim to Section 1(A) of the Insurance Agreement. The
respondent did not advance any argument in the application before the Court that
the Request for Indemnity Response, by only making reference to Section 1(A) of
the Insurance Agreement, gave rise to an equitable estoppel or informed waiver
precluding the applicant from recovering under Section 3.
[12] On 5 August 2014 the respondents issued a formal response to the Request for
Indemnity Response (the “Formal Indemnity Response”) which declined the
applicant’s claim under both Section 1(A) and Section 3 of the Insurance
Agreement. The declinature under Section 1(A) was based on the perils
exclusionary clause, whereas the declinature under Section 3 was based on the
definition of “your premises” under the Insurance Agreement. It is the latter refusal
which forms the foundation of this application.
The Insurance Agreement
[13] Section 3 of the Insurance Agreement, titled “Commercial Motor Composite”,
provides that:
We will cover you for loss or damage to your vehicle:
1. whilst being used for the purpose of use; and
2. caused by an accident during the period of insurance.
(emphasis original)
[14] “Your vehicle” is defined under Section 3’s definition clause as follows:
[Your vehicle] [m]eans any motor propelled machinery of every kind and
description, motor vehicle, trailers, caravans, boats, motorcycles, motorised
homes, whether registered or unregistered, belonging to or being purchased,
financed or otherwise acquired by you or left in your custody for sale, repair,
garaging or servicing or for any other purpose in the course of your business.
…
Your vehicle does not include:
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…
5. any stock vehicle or customer’s vehicle, whilst in, on or about
your premises, except when being driven under a trade plate or
as part of a test-drive. (emphasis original)
[15] “Your” is defined in Part 6 to mean “any person, company or legal entity shown on
the schedule as the policy holder.” It is non-contentious that the applicant is the
company listed in the schedule to the Insurance Agreement as the policy holder.
[16] The concept of “premises” is defined expansively to mean “the premises specified
in the schedule whether owned, leased, used or occupied by you for the purposes of
the business”. “Business” refers to the business or occupation described in the
schedule, including the ownership of any premises shown in the schedule.”
[17] Part 4 of the Insurance Agreement contains an interpretation clause titled “About
your insurance policy”. Relevantly, the interpretation clause provides that:
Some words used in this policy have special defined meanings. These words
are in bold.
We explain the meaning of these words in the policy sections themselves
under the heading Definitions. There are also some general definitions listed
under General Definitions in Part 6 which apply to the whole policy.
If the same word is defined in a policy section, it will have the meaning for
cover in that section as it is defined in the section, but otherwise have the
General Definitions meaning.
[18] Therefore, the interpretation clause provides that the technical definitions prescribed
in the Insurance Agreement apply where the corresponding term is bolded.
Accordingly, it may be inferred that a non-bolded term will generally possess its
natural and ordinary meaning subject to any contraindications.
Consideration of Select Principles of Contractual Interpretation
[19] A “contract” is an agreement, drafted in sufficiently certain terms, entered into
voluntarily by two or more parties to exchange valuable consideration accompanied
by an intention to create legal relations. Within functioning legal systems, contracts
provide means for the enforcement of legal arrangements and compensation for
non-performance. Accordingly, contracts promote greater economic efficiency
through facilitating transactions in the absence of interpersonal trust, and reducing
the risks of non-performance, moral hazard and adverse selection.
[20] Contracts, as legal devices designed to manage risks and effect transactions, are
commonly taciturn instruments executed by persons of commerce, untrained within
the arts of law or semantics, who would be unimpressed by excessively pedantic or
technical linguistic or legalistic constructions. Rather, contracts are invariably
executed to attain specific purposes, which are commonly transparent from the form
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and substance of the agreement. Accordingly, the Court should generally prefer a
common sense interpretation which effectuates, rather than frustrates, the objectives
of the contract. Any alternative method of construction would undermine the
purpose of the legal arrangement and render the contract inutile.
[21] Similarly, this Court, and other superior courts, have held that one should seek to
interpret the contract according to the “common intentions” of the parties. As I
have described elsewhere, the noun “intention” refers to a mental capability, power
or faculty directed towards the attainment of a particular objective or outcome.
Although the concept of “intention” is typically attributed only to human and non-
human animals possessing relatively sophisticated cognitive faculties, it may be
deployed somewhat artificially, with different denotations and connotations, to
artificial persons or cohesive organisations.
[22] When referring to the “common intentions” of the parties to the agreement, the most
obvious and grammatical denotation of the phrase is the actual or apparent
intentions of the parties regarding the meaning and purpose of the agreement or any
clause contained therein. This interpretation of the principle is reflected in the
submissions of the respondent, which are replete with references to the actual or
purported intentions of Vero Insurance. As a contract is a legal instrument
crystallising as a result of an agreement between two or more parties, the intentions
of one party cannot be allowed to control the interpretation of the arrangement.
[23] In the course of argument, the applicant correctly claimed that the intentions of
Vero Insurance were irrelevant, but the Court should have regard to the joint
intentions of the parties. Although this position possesses some merit, the
interpretation of a contract is not controlled by the intersecting subjective intentions
of the parties. There may be many clauses within a contract which are not read or
understood by a contracting party, in respect of which they form no actual or
apparent intention or belief regarding their meaning. In other cases, the contract
may be drafted by an independent legal advisor, or adopted from another standard
form, and no contracting party may form any intention or belief regarding the
meaning of certain clauses contained within the agreement. In either case, the fact
that one, both or all parties may not have formed any subjective intentions or beliefs
regarding the construction of particular terms does not render such terms inert.
Rather, the terms, if valid, remain operational until lawfully amended, waived,
avoided, terminated or abandoned by the parties.
[24] The objective theory of contract, which prevails within Queensland, prescribes that
the Court is to objectively ascertain the meaning of the text of the contract,
interpreted in light of its purposes and commercial context. This promotes legal
certainty and predictability, whilst efficiently utilising public resources by removing
the need for the Court to enquire into the subjective intentions of the parties. The
primary disadvantage of the objective theory of contract is that, in exceptional
circumstances, parties may be bound to an arrangement which they neither intended
nor contemplated. Although the Court possesses powers to avoid this outcome in
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most circumstances, especially where the result would be uncommercial or
impracticable, it is appropriate and just for the parties to be bound to the natural and
ordinary meaning of the agreement to which they have signified their assent.
Definitional Schedules, and the Construction of Specific Terms and Phrases
[25] Consistently with the objective theory of contract, and to promote consistency and
certainty in contractual interpretation, the Court is generally entitled to presume that
words and phrases possess their natural and ordinary meaning. The presumption
may be displaced where the relevant terms have acquired a special meaning, such as
through trade, custom or a definitional clause, or the ordinary meaning of the
contract would produce an outcome which is manifestly unreasonable or
inconsistent with the objectives of the contract.
[26] Where a definitional clause within a contract prescribes technical meanings for
particular terms that depart from their natural and ordinary meaning, the Court
should, unless the contrary is indicated, ascribe to the word or phrase the definition
agreed by the parties. Proper adherence to the prescribed definition promotes party
autonomy, a fundamental precept underpinning contractual interpretation, and is
more likely to effectuate the common intentions of the parties. Definitional clauses
promote precision and concision in drafting by obviating the need to deploy
complex or prolix forms of locution to describe concepts frequently arising in the
agreement. Similarly, parties may also voluntarily prescribe a customised system of
contractual interpretation which deviates from established principles, provided the
system is not inconsistent with any applicable statutory or regulatory constraints.
Responsiveness of the Insuring Clause
[27] Section 4 of the Insurance Agreement is an interpretation clause which prescribes
that “Some words used in this policy have special defined meaning. Those words
are in bold.” Applying the doctrine of expressio unius est exclusio alterius, or even
ordinary principles of contractual interpretation, it may be inferred that any words
which are not in bold do not possess a special defined meaning. In light of Section
4, the phrase “your premises” is not ambiguous and should be ascribed its natural
and ordinary meaning, unless the respondent can show that: (a) the failure to bold
“your premises” was a mistake; and (b) that the phrase “your premises” should be
rectified.
[28] The respondent has adduced limited evidence indicating that the failure to bold
“your premises” was a mistake. The contract exhibits at least 18 instances within
which “your premises” was not bolded, some circumstances within which it would
be irrational or disadvantageous to the respondent to define “your premises”
narrowly. As the contract appears to establish a system delineating between the
definitional content ascribed to the bolded and unbolded instantiations of “your
premises”, the limited evidence adduced by the respondent is not sufficient to
establish that the failure to bold “your premises” in Section 3 was a mistake.
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[29] Even if the Court were satisfied that the failure to bold “your premises” in Section 3
was an error, it constitutes a unilateral mistake which fundamentally modifies the
scope of insurance under Section 3 of the Insurance Agreement. The respondent
has adduced no evidence of unconscionable conduct on behalf of the applicant
which would justify rectification of the Insurance Agreement. Furthermore, the
respondent has not established that holding the parties to the natural and ordinary
meaning of the agreement would be inequitable or otherwise uncommercial.
Accordingly, the respondent is not entitled to rectification and must be held to the
natural and ordinary meaning of Section 3.
[30] As a preliminary matter, “your premises” must be defined to have different
definitional scope relative to the technical definition, otherwise it would not have
been left in an unbolded font by the draftsperson. The Oxford English Dictionary
defines the noun “premises” to mean “a house or building together with its grounds,
outhouses etc., esp. a building or part of a building that houses a business.”
“Premises” is qualified by the possessive pronoun “your”, referring to the applicant.
Significantly, a possessive pronoun does not necessarily denote ownership, it can
signify lesser degrees of conceptual relation analogous to possession. The degree of
relational freedom attached to a possessive pronoun largely depends on the subject
noun and its grammatical and circumstantial context.
[31] The respondent appears to submit that the qualification of the noun “premises” with
the possessive pronoun “your” does not assist the applicant, because “possession”
may be defined to include “occupation”. This is sophistry insofar as it purports to
ascribe the definitional content of “possession” to the possessive pronoun “your”.
[32] Despite this, there is some merit in the contention that occupancy may, in some
circumstances, justify the qualification of the subject noun with the possessive
pronoun “your”. One might rightly refer to “your room” in the context of the
temporary occupation of a hotel, but one could not refer to “your house” in the
context of temporary occupation of a friend’s house. However, in each of these
illustrations it would distort the customary conventions of oral and written grammar
to substitute the subject nouns “room” and “house” for “premises”.
[33] The distortionary effect of the noun “premises” is caused by its conceptual scope.
“Premises” does not refer to a room in a hotel or a friend’s house, nor a site or lot on
certain showgrounds. “Premises”, on its natural and ordinary meaning as defined at
[30], is generally contemplated to encompass the entirety of the relevant building
and surrounding grounds to which the term is ascribed. An exception may apply in
the context of businesses, where premises may refer to the relevant section of a
structure wherein the business engages in commerce. However, in both contexts,
the use of the term qualified by the possessive pronoun “your”, deployed in the
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sense of “occupancy”, denotes at least a stable, durable and continuous occupation
of the building or section of the building comprising of the “premises”.1
[34] The respondent claims that this interpretation is uncommercial because:
1. the respondent could not control the locations within which the applicant
conducted its business;
2. the respondent did not intend to cover the applicant for loss caused by flood
inundation, evidence by the perils exclusion in Section 1A; and
3. Section 1A possessed a limitation on liability of $690,000.00 for each
“event”, whereas Section 3 provided a limitation on liability of $150,000.00
for each insured vehicle.
[35] The factors identified by the respondent are not so grave as to render the Insurance
Agreement so uncommercial as to require a departure from the grammatical and
common sense meaning of “your premises”. Further, the respondent’s subjective
intentions or beliefs regarding the scope of insurance in Section 3 are irrelevant.
The respondent also claims that Section 3 is designed only to cover motor vehicle
collisions. It is sufficient to note that such a limited a construction is not transparent
from the terms and structure of Section 3.
[36] The respondent also appears to assert that it would not be “harmonious” to interpret
“your premises” differently in Section 3 and Section 1A. This argument lacks force
where the contract establishes a system delineating between “your premises” being
used in its natural and ordinary meaning, and the defined technical meaning. The
Court need not adopt a harmonious interpretation where the relevant agreement
prescribes divergent constructions for the same phrase deployed in different ways.
[37] Finally, the respondent also contends that Section 3 of the Insurance Agreement
contemplates multiple premises. Even if this were true, the phrase “your premises”
does not exclude the possibility of an enterprise possessing multiple business
premises, such as several regional branches which might sell the insured vehicles.
[38] The Court is satisfied that the natural and ordinary meaning of “your premises” does
not include the Showgrounds for the Exhibition. The common sense and
grammatical meaning of Section 3 does not produce an unreasonable or
uncommercial construction which is incompatible with the purpose of the Insurance
Agreement. Accordingly, subject to applicability of Section 3, the insuring clause
appears to respond to the insurance claim filed by the applicant.
1 This is, of course, subject to any adjectival modifiers of the noun “premises”. For example, one
might refer to your “temporary business premises”, which may denote a section of a building which
is temporarily being utilised as an office for the operations of a commercial enterprise.
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Two Section Exclusion Clause: Applicability of Section 3
[39] Another issue arising among the parties is that two insuring clauses, Section 1A and
Section 3 of the Insurance Agreement, could respond to the insurance claim filed by
the applicant. Relevantly, Part 5 of the Insurance Agreement prescribes that where
two or more insuring clauses might respond to the relevant claim, the most
favourable clause will apply. This shall be described as the “Two Section Exclusion
Clause”, which provides that:
We will not cover… loss, damage or expense under two
different sections of benefits of this policy, however we will
cover you under the section that provides the most favourable
cover for the loss, damage or expense.
[40] Part 2 of the Insurance Agreement also provides that:
If you are covered for the same loss, damage or expense under
two different sections of this policy, you will only be covered
under the section that provides the most favourable cover for
the loss, damage or expense.
[41] The respondent submits that Section 1A is the most favourable clause on each of the
following grounds:
1. the definition of “your premises” includes the Showgrounds, and therefore
Section 1A responds to the insurance claim, whereas Section 3, which does
not cover damage to the Insured Vehicles if they are situated at the
applicant’s premises, does not respond;
2. the respondent considers Section 1A to provide the most favourable cover
for the applicant’s insurance claim; and
3. the respondent has made certain insurance payments to the applicant in
reliance on Section 1A, which was the operative clause originally relied on
by the applicant.
[42] During the hearing, the respondent also relied on a fourth ground, namely that the
limit of liability under Section 3 of the Insurance Agreement was $150,000.00 per
claim, as opposed to for each Insured Vehicle. This argument was subsequently
abandoned by the respondent, although it still claims the magnitude of loss
recoverable under Section 3 militates against a narrow reading of “your premises”
in the insuring clause. The third argument, namely part payment made by the
respondent, is more conveniently dealt with under a separate subheading insofar as
it raises equitable issues unrelated to the Two Section Exclusion Clause.
[43] The applicant claims that full or substantial recovery is possible under Section 3,
whereas the perils exclusion clause under Section 1A will preclude, or substantially
limit, the amount recoverable under the insurance claim.
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[44] Although the objectives of the Two Section Exclusion Clause are not articulated in
the insurance agreement, they appear to include the following: (a) it avoids
intractable legal uncertainty regarding the applicable insurance clause; (b) it protects
the insurer against double recovery and bifurcated claims arising out of the same
claim event; and (c) it protects the insured by ensuring that they receive optimal
benefit under the Insurance Agreement. In the absence of the Two Section
Exclusion Clause, an insured may risk the insurer unilaterally purporting to apply a
less favourable insurance clause to reduce the quantum of compensation payable.
[45] Insofar as the respondent has suggested that the Court should conclude that Section
1A is more favourable because it subjectively considers that to be so, the argument
is manifestly inconsistent with the ordinary principles of contractual interpretation.
A provision within an agreement is objectively interpreted in accordance with its
natural and ordinary meaning in light of its purpose and commercial context.
Although the common intentions of the parties may be relevant in interpreting
particular contracts, the idiosyncratic intentions, beliefs or apprehensions of each
individual party are irrelevant to the construction of the agreement.
[46] In construing contracts, the Courts are entitled to presume that words, terms and
phrases are used in accordance with their natural and ordinary meaning.
“Favourable” is an inherently vague concept, in this context referring to “beneficial”
or “advantageous”. The annexation of the adjective “most”, which is a superlative
of comparison denoting the “greatest of degree and extent”, requires the insurer to
apply the insuring clause which provides the greatest benefit or advantage to the
insured. As an insurance agreement is a commercial contract involving the
reimbursement liquidated sums of money, “benefit” or “advantage” will ordinarily
be defined in terms of the quantum recoverable, the projected timeline for recovery,
any factors impacting on the convenience of recovery,2 any costs sustainable by the
insured during the recovery process, and the availability of any interim
arrangements which may alleviate the commercial hardship of the insured.
[47] The determination of the most favourable insurance clause must not be a theoretical
or abstract exercise taking place within a factual vacuum. Rather, the relative
benefit of the insurance clause must be assessed in light of the nature of the claim
and the circumstances giving rise to the claim. This is because recovery of a partial
amount under a meagre and restrictive insurance clause remains eminently more
favourable than no recovery under a generous insurance clause possessing an
exclusionary clause applicable to the claim. Any alternative interpretation would
deprive the concept of “most favourable” of concrete meaning and undermine the
purpose of the Two Section Exclusion Clause. In this respect, the most favourable
clause may only be ascertained after the event giving rise to the insurance claim.
2 For example, in certain insurance agreements different insuring clauses may provide for recovery in
different currencies. Recovery in a stable hard currency, such as the Australian Dollar, British Pound
or US Dollar, would be preferable to recovery in a soft, non-convertible or volatile currency.
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[48] More significantly, the assessment of the most favourable clause only takes place
where the insured is covered under two sections of Insurance Agreement.
Therefore, where it may be affirmatively established that one insuring clause of the
two sections will not respond to the relevant claim, the Two Section Exclusion
Clause possesses no application.
[49] The applicant has successfully established that Section 3 responds to its insurance
claim. The insuring clause, providing coverage of up to $150,000.00 per vehicle,
significantly exceeds the prescribed threshold of Section 1A, which limits liability
to $690,000.00. Furthermore, Section 3 is subject to a perils exclusion clause,
which will substantially preclude recovery in respect of several insured vehicles
which appear to have been damaged or destroyed by flood inundation.
[50] Accordingly, in light of the circumstances of the claim, Section 3 is the most
favourable clause. Accordingly, the Two Section Exclusion Clause prescribes that
Section 3 will respond to the insurance claim filed by the applicant, whereas Section
1A will have no application.
Significance of Part Payments made by the Respondent under Section 1A
[51] The respondent has claimed that the applicant should not be entitled to rely on
Section 3 because its original claim was under Section 1A, and the respondent paid
$105,920.89 to the applicant in reliance on Section 1A. The respondent contends
that the Two Section Exclusion Clause precludes the applicant from seeking to
claim under Section 3 because of its prior claim under Section 1A.
[52] The Two Section Exclusion Clause, as described above, does not prescribe that a
party cannot seek to rely on another more favourable insuring clause having already
received payment under another provision. Rather, it provides that where multiple
insurance clauses may respond to the applicant’s claim, the most favourable
insuring clause will apply. Accordingly, the fact that payments have been made
under a less favourable clause does not preclude the applicant from now seeking to
vindicate its rights under a more favourable insurance clause.
[53] The respondent has not sought to argue that the applicant’s prior claim under
Section 1A amounts to an estoppel preventing the applicant from relying on Section
3. This is an appropriate position to adopt, as there is no evidence that the
respondent has sustained any loss or changed its position in reliance on the
applicant’s prior claim under Section 1A, or that it would now be inequitable, unfair
or unconscionable for the applicant to seek to rely on Section 3. Any payments
made by the respondent would be in partial satisfaction of its more onerous
insurance obligations under Section 3.
[54] Accordingly, the part payments made by the respondent to the applicant in reliance
on Section 1A does not constitute a bar to the applicant seeking to recover under
Section 3 of the Insurance Agreement.
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Costs
[55] The applicant has been successful in its application for a declaration on the grounds
outlined in its submissions. The respondent, although ultimately unsuccessful,
presented a reasonably arguable case and made appropriate concessions saving
considerable public time and resources which would otherwise have been expended
if the matter had proceeded to a full hearing.
[56] There are no circumstances articulated in the pleadings or supplementary material
before the Court justifying orders that costs should be paid to the respondent, or to
the applicant on an indemnity basis. Accordingly, the respondent should pay the
applicant’s costs of and incidental to the application on the standard basis.
Orders
[57] The orders of the Court are that:
1. the respondent must indemnify the applicant in respect of damage or loss
caused to the applicant’s insured vehicles on 27 March 2014 under Section 3
of the respondent’s Motor Dealers Insurance Policy, entered into by the
applicant and respondent on or about 12 July 2013.
2. the respondent must pay the applicant’s costs of and incidental to the
application, to be assessed on the standard basis.
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Official source: https://www.sclqld.org.au/caselaw/QSC/2015/215