7ASR3d150
YHT, INC., an American Samoa
Corporation, Plaintiff,
v.
PROGRESSIVE
INSURANCE CO. (Pago Pago), et al.,
Defendants.
High
Court of American Samoa
Trial
Division
CA
No. 92-00
August
18, 2003
[1] Public policy
dictates that if an insured sets fire to his property, either intentionally or
willfully, he shall be denied the right to collect from his fire insurance.
[2] The majority rule places the burden
on the insurer to prove a claim that an insured set fire to his property by a
preponderance of the evidence.
[3] There are three common elements to
an insurer’s defense that an insured set fire to his own property: (1)
incendiary fire, (2) motive on the part of the insured to destroy the property,
and (3) opportunity on the part of the insured to set the fire or to procure
the setting of the fire by another.
[4] In a case
where an insured seeks to prevent recovery of insurance funds due to suspected
arson, an insured may rely on circumstantial evidence to prove that the insured
was involved because direct evidence of arson is often elusive.
[5] In order to preclude an insured
from recovering due to a fire it set, an insurer need only show that the
insured had the opportunity to procure the setting of the fire, or in the case
of a corporate insured, that the fire can be traced to any of its corporate
officers.
Before RICHMOND, Associate Justice,
SAGAPOLUTELE, Associate Judge, and MAMEA, Associate Judge.
Counsel: For Plaintiff, Paul F. Miller
and Marshall Ashley
For Defendants,
William H. Reardon and Dean Hansell, Pro Hac Vice
OPINION
AND ORDER
Plaintiff, YHT, Inc. (“YHT’”) seeks
payment from Defendant Progressive Insurance Company (“Progressive”), its insurer,
for damages caused by a fire at YHT’s office.
We hold that YHT is not entitled to payment.
FACTUAL
FINDINGS
Based on all the evidence adduced at
trial, we make the following factual findings.
On February 23, 2000, a fire destroyed
the contents of YHT’ s office. The cause
of the fire was undoubtedly arson. The
signs were clear: an explosion was heard prior to the fire; gasoline containers
were found in two different rooms; gasoline residue was found in the bathroom;
YHT’s president, Yu Chun Yung (“Yu”),
admitted that there were no flammable materials in the building; the extent and
speed of the fire indicated it was artificial; and the fire was at night, when
it was less likely to be detected and extinguished.
Shortly thereafter YHT looked to cash
in on their policy, but Progressive balked.
Among other things, Progressive suspected foul play. Specifically, Progressive suspected that YHT,
through Yu, had a hand in the arson.
Their own investigation, coupled with help of the local authorities,
produced several suspicious factors.
At trial, two experts helped put these
factors into perspective. The first was
Peter Webb (“Webb”). Webb is a claims
investigator and loss adjuster. He is trained in basic fire cause and origin
investigation and investigation of arson insurance fraud. Throughout his twenty-year career, Webb has
investigated hundreds of claims. The
other expert was Gary Luff (“Luff”).
Luff is a fire expert in New Zealand, and has 19 years experience in the
field of fire scene investigation. He
has examined over 1,600 fire scenes.
Together, their testimony illuminated the suspicious conduct that
implicates YHT.
YHT had taken out a $6 million
insurance policy with Progressive just six weeks before the fire. The policy only covered damage due to fire
and certain natural disasters; YHT did not seek any other coverage (e.g.,
theft). Furthermore, the policy was
rather large, given that the office was modestly sized.
In the weeks
leading up to the fire, Yu repeatedly asked a progressive underwriter, Tavita
Tamua, whether Progressive could cover a $6 million claim. Also during that time, YHT’s business was
suffering. It was financially strapped. Yu had just learned that YHT would not be
able to export for sale elsewhere in the United States its recently acquired
stock of computer chips–which if they were actually in YHT’s office at the
time of fire, had been smuggled into American Samoa. See YHT, Inc. v. Progressive Ins. Co.,
6 A.S.R.3d 108, 110-11 (Trial Div. 2002).
Moreover, Yu seemed generally unfamiliar with electronics manufacturing.
After the fire, it was determined that
it was set from inside, with no signs of forced entry–the insinuation being
that the arsonist entered with a key.
Yet the only people who had a key to the office were three YHT
principals: Yu, Francis Fomai’i (“Fomai’i”), the landlord of the YRT office
building who became a YHT Vice President after the fire, and YHT Vice President
Ki Seok Bae (“Sae”).
When seeking payment, YHT was evasive
and inconsistent. Yu failed to answer 19
questions put to him by Webb and failed to complete the Claim Form and Schedule
of Loss Form Webb furnished him.
Furthermore, in the original contract, YHT claimed $60,000 for Plant and
Machinery Business Fixtures and Fittings.
Yet, at trial, YHT submitted that much of the $60,000 was for leasehold
improvements. But Yu could not produce
invoices or even details about these improvements.[1] More importantly, Progressive’s policy with
YHT clearly did not cover leasehold improvements.
YHT also failed to provide much
documentation for the tangible property it claimed it lost,[2] the defense being that its
records were burned in the fire. Many of
these items, such as office chairs and a television set, contained metal parts
that would have left discoverable remains.
But there were no remains of this kind found at the scene of the fire.
Finally, Luff’s testimony also ruled
out the possibility of vandalism or revenge.
In his opinion, it would be unusual for a vandal or vengeful person to
set a fire from within, or even go through the trouble of buying gasoline. And, as already noted, only three people
possessed keys to the building. Without
evidence of forced entry, Luff was at a loss for how a vandal could have gained
access to the office.
DISCUSSION
[1-2] Public
policy dictates that if an insured sets fire to his property, either
intentionally or willfully, he shall be denied the right to collect from his
fire insurance. See, e.g.,
Allstate Ins. Co. v. Dorothy McGory, 697 So. 2d 1171, 1174 (Miss. 1997); 18
George J. Couch, Couch on Insurance §
74:663 (2d ed. 1983) [hereinafter “Couch”];
A.S.C.A. § 29.1571 (“An insurer is not liable for a loss caused by the willful
act of the insured”). The majority rule
places the burden on the insurer to prove its claim by a preponderance of the
evidence. See Vexrastro v. Middlesex
Co., 540 A.2d 693, 695-97 (Conn. 1988); Rena Inc. v. Brien, 708 A.2d
747, 751 (N.J. Super. A.D. 1998); Couch,
§ 74.667; 44 AM. Jur. 2d Insurance § 2017 (1982) [hereinafter “Insurance”].
[3-4] There
are three common elements to this defense: “1) incendiary fire, 2) motive on
the part of the insured to destroy the property, and 3) opportunity on the part
of the insured to set the fire or to procure the setting of the fire by
another.” Allstate, 697 So.2d at
1174, Rena Inc., 708 A.2d at 751 (citing Alexander V. Tenn. Farmers
Mut. Ins. Co., 905 S.W.2d 177, 179 (Tenn. Ct. App. 1995)). As might be expected, direct evidence of
arson is often elusive; instead, an insurer may rely on circumstantial
evidence. See Don Burton, Inc.
v. Aetna Life & Cas. Co., 575 F.2d 702, 706-07 (9th Cir. 1975); Elgi
Holding Inc. v. Ins. Co. of N. Am., 511 F.2d 957, 959 (2d Cir. 1975); Allstate,
697 So. 2d at 1174; Rena Inc., 708 A. 2d at 751; Insurance, §
2017; 34 Proof of Facts 3d 291, Arson Defense § 4 (1995) (“Arson
Defense”).
A. Incendiary Origin
As already alluded, we have no doubt
that the fire was caused by arson, i.e., that it had an incendiary origin. We need only repeat our findings of facts: an
explosion was heard prior to the fire; gasoline containers were found in two
different rooms; gasoline residue was found in the bathroom; Yu admitted that
there were no flammable materials in the building; the extent and speed of the
fire indicated it was artificial; and the fire was at night, when it was less
likely to be detected and extinguished.
The two experts, Webb and Luff, drew the same conclusion.
B. Motive to Destroy Property
Our findings also show that YHT had
motive to destroy its property. Among
other things, business was not good. One
of their biggest investments, almost $6 million worth of computer chips, was
unmarketable. YHT had also recently
taken out a hefty insurance policy. We
find that the combination of these circumstances shows motive on the part of
YHT. See, e.g., Beznco Sales
& Salvage Inc. v. Gulf Ins. Co., 759 S.W.2d 336 (Mo. App. 1988); Arson
Defense, §§ 6-12.
C. Opportunity
[5] The
final prong requires us to determine whether YHT had the opportunity to cause
the fire. Two points should be
emphasized. First, Progressive need not
demonstrate that the insured personally set the fire—though of course that
would suffice. Instead, it need only
show that the insured had the opportunity to procure the setting of the
fire. See Don Burton, Inc., 575
F.2d at 705; Allstate, 697 So. 2d at 1174; Rena Inc., 708 A.2d at
751. Secondly, because YHT was a corporation,
it can be precluded from recovery on the policy if the fire can be traced to
any of its corporate officers. See
Couch § 74.679. Thus, YHT can find little solace in the fact
that Yu himself was not in the Territory the night of the fire, since its other
corporate officer was here. Moreover,
Fomai’i testified that he himself was in the office building the night of the
fire and that, while Yu was away, Bae also had access to the building.
Therefore, we think the facts support
the finding that YHT had the opportunity to set the fire. The most glaring fact is that the fire was
set from inside the building, without any evidence of a forced entry. Logically, then, the culprit must have gained
access by key. The only people who had a
key to office were Yu and Bae, two corporate officers, and Fomai’i. While this evidence does not conclusively
show that one of these three started the fire, it at least proves by inference
that one of them was involved and had the opportunity to procure the setting of
the fire. See Verrastro, 540 A.2d
at 696-98.
CONCLUSION
We conclude that Progressive has
proved, by a preponderance of the evidence, that the fire which burned down
YHT’s office had an incendiary origin, and that YHT itself had both motive and
opportunity to destroy the building.
Accordingly, YHT’s claim for recovery on the policy is denied. Because of our holding, we do not reach
Progressive’s other defenses.
ORDER
YHT’s action is dismissed with
prejudice.
It is so ordered.
**********
[1] Progressive Senior Vice President, Greg Duffy,
testified that it was not unusual for an insurance company to not have
ownership information of insured property on file. However, when a claim is submitted, the
policyholder is then required to prove ownership to protect against fraud and
because insurable interests may have shifted since the time of the policy’s
inception.
[2] YHT’s itemized goods totaled $14,673, about half of
which was actually supported by invoices.