Court filing
Class Action Complaint — Studio 417 v. Cincinnati Insurance
Filed April 27, 2020 in Studio 417 v. Cincinnati Insurance; one of 6 filings from this case.
Record facts
| Court | U.S. District Court for the Western District of Missouri, Southern Division |
|---|---|
| Filed | 2020-04-27 |
U.S. District Court for the Western District of Missouri, Southern Division · No. 6:20-cv-03127-SRB · Doc. 1 · 2020-04-27 · Docket on CourtListener
Full text
1
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF MISSOURI
SOUTHERN DIVISION
STUDIO 417, INC.,
Individually and on behalf of all
others similarly situated
Plaintiff,
vs.
THE CINCINNATI INSURANCE
COMPANY,
Defendant.
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Case No. 6:20-cv-03127
JURY TRIAL DEMANDED
CLASS ACTION COMPLAINT
Plaintiff Studio 417, Inc. (“Plaintiff”), individually and on behalf of all others similarly
situated, brings this class action against Defendant The Cincinnati Insurance Company
(“Defendant” or “Cincinnati”), and in support thereof states and alleges the following:
I.
NATURE OF THE ACTION
1.
This action arises out of Defendant’s failure to provide insurance coverage for the
losses sustained and expenses incurred by Plaintiff because of the ongoing Coronavirus (COVID-
19) pandemic.
2.
For many years, Plaintiff has operated hair salons in the Springfield metropolitan
area. Plaintiff’s operations have been and continue to be suspended and threatened by the novel
coronavirus, SARS-CoV-2, which causes the infectious disease COVID-19 (“COVID-19”).
3.
To protect its business in the event that it suddenly had to suspend operations for
reasons outside of its control, or in order to prevent further property damage, Plaintiff purchased
insurance coverage from Defendant, including property coverage, as set forth in The Cincinnati
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Insurance Company’s Building and Personal Property Coverage Form and Business Income (and
Extra Expense) Coverage Form.
4.
Defendant’s coverage forms provide “Business Income” coverage, which promises
to pay for actual loss due to the necessary suspension of operations caused by, among other things,
accidental physical loss or accidental physical damage to the covered property.
5.
Defendant’s coverage forms also provide “Extra Expense” coverage, which
promises to pay the necessary expenses incurred to avoid or minimize the suspension of business
and to continue operations.
6.
Defendant’s coverage forms also provide “Civil Authority” coverage, which
promises to pay for loss caused by action of civil authority that prohibits, among other things,
access to the premises.
7.
Defendant’s coverage forms, under sections titled “Duties in the Event of Loss,”
require in the event of a loss that the policy holder take all reasonable steps to protect the Covered
Property from further damage, and keep a record of the expenses necessary to protect the Covered
Property, for consideration in the settlement of the claim.
8.
Unlike some policies that provide Business Income (also referred to as “business
interruption”) coverage, Defendant’s coverage forms do not include, and are not subject to, any
exclusion for losses caused by viruses or communicable diseases.
9.
Plaintiff was forced to suspend or reduce business at its hair salon due to COVID-
19 and the ensuing orders issued by civil authorities in Springfield, Missouri and the State of
Missouri, mandating the suspension of business for on-site services, as well as in order to take
necessary steps to prevent further damage and minimize the suspension of business and continue
operations.
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10.
Upon information and belief, Defendant has, on a widescale and uniform basis,
refused to pay its insureds under its Business Income, Extra Expense, Civil Authority, and Sue and
Labor coverages for losses suffered due to COVID-19, any executive orders by civil authorities
that has required the necessary suspension of business, and any efforts to prevent further property
damage or to minimize the suspension of business and continue operations. In particular, The
Cincinnati Insurance Company has denied claims submitted by Plaintiff under its policies.
II.
THE PARTIES
11.
Studio 417, Inc. is a Missouri corporation, with its principal place of business in
Springfield, Missouri. Plaintiff Salon 417, Inc. owns and operates salons located at 2144 E.
Republic Road, Springfield, Missouri 65804, 444 W. McDaniel Street, Springfield, Missouri, and
4303 S. National Avenue, Springfield, Missouri 65810.
12.
Defendant is, and at all times relevant hereto has been, an insurance company
writing insurance policies and doing business in the State of Missouri, capable of suing and being
sued in the courts of this State. Defendant is a foreign corporation organized, incorporated and
existing under the laws of the State of Ohio, with its principal place of business at 6200 S. Gilmore
Road, Fairfield, Ohio 45014.
III.
JURISDICTION AND VENUE
13.
This Court has jurisdiction over this action pursuant to 28 U.S.C. § 1332, because
Plaintiff and Defendant are citizens of different states, and because: (a) the Class consists of at
least 100 members; (b) the amount in controversy exceeds $5,000,000 exclusive of interest and
costs; and (c) no relevant exceptions apply to this claim.
14.
Venue is proper in this District under 28 U.S.C. § 1391, because a substantial part
of the events or omissions giving rise to the claims occurred, or a substantial part of property that
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is the subject of this action is situated in this judicial district. The policy at issue cover plaintiff’s
facilities located in the State of Missouri and Plaintiff purchased the policy at issue from an
insurance broker located in the State of Missouri.
IV.
FACTUAL BACKGROUND
The Insurance Policies
15.
In return for the payment of a premium, Cincinnati issued Policy No. ECP0504158
to Plaintiff, for a policy period of September 18, 2018 to September 18, 2021, including a Building
and Personal Property Coverage Form and Business Income (And Extra Expense) Coverage Form.
Policy No. ECP0504158 is attached hereto and incorporated by reference as Exhibit 1. Upon
information and belief, the forms and endorsements to Exhibit 1 are materially the same as those
policies held by the members of the proposed class.
16.
Plaintiff is the Named Insured under the policy, which remains in force.
17.
Defendant is the effective and liable insurer of the policy and policies meeting the
class definition.
18.
Plaintiff has performed all of its obligations under Policy No. ECP0504158,
including the payment of premiums. The Covered Property, with respect to the Building and
Personal Property Coverage Form, are hair salons located at, among locations, 2133 E. Republic
Road and 444 W. McDaniel Street, Springfield, Missouri.
19.
Sometimes property insurance is sold on a specific peril basis, where coverage is
limited to risks of loss that are specifically listed (e.g., hurricane, earthquake, etc.). Many property
policies sold in the United States, however, including those sold by Cincinnati, are “all-risk”
property damage policies. These types of policies cover all risks of loss except for risks that are
expressly and specifically excluded.
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20.
Under the heading “Covered Causes of Loss,” Defendant agreed to pay for “direct
‘loss’ unless the ‘loss’ is excluded or limited” in the policies.
21.
Defendant did not exclude or limit coverage for losses from viruses in Plaintiff’s
policies or those of the other Class members. The policy did not exclude pandemic coverage,
communicable disease coverage or anything similar.
22.
Losses due to COVID-19 are a Covered Cause of Loss under Defendant’s policies
with the Building and Personal Property Coverage Form and Business Income (And Extra
Expense) Coverage Form.
23.
In the Building and Personal Property Coverage Form and Business Income (and
Extra Expense) Coverage Form, Cincinnati agreed to pay for its insureds’ actual loss of Business
Income sustained due to the necessary suspension of their operations during the “period of
restoration” caused by direct “loss” to property at the covered premises.
24.
“Loss” is defined to mean accidental physical loss or accidental physical damage.
25.
“Suspension” is defined to mean the slowdown or cessation of business activities
and that part or all of the covered premises is rendered untenable.
26.
“Period of restoration” is defined to mean the period of time that begins at the
time of direct loss.
27.
“Business Income” is defined to mean net income (net profit or loss before income
taxes) that would have been earned or incurred and continuing normal operating expenses
sustained, including payroll.
28.
The presence of virus or disease can constitute physical loss of or damage to
property, as the insurance industry has recognized since at least 2006. When preparing so-called
“virus” exclusions to be placed in some policies, but not others, the insurance industry drafting
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arm—Insurance Services Office, Inc. or “ISO”—circulated a statement to state insurance
regulators that included the following:
Disease-causing agents may render a product impure (change its quality or
substance), or enable the spread of disease by their presence on interior building
surfaces or the surfaces of personal property. When disease-causing viral or
bacterial contamination occurs, potential claims involve the cost of replacement
of property (for example, the milk), cost of decontamination (for example,
interior building surfaces), and business interruption (time element) losses.
Although building and personal property could arguably become contaminated
(often temporarily) by such viruses and bacteria, the nature of the property itself
would has a bearing on whether there is actual property damage. An allegation
of property damage may be a point of disagreement in a particular case.
29.
The ISO also created a new “amendatory endorsement” to exclude loss due to virus
or bacteria from coverage afforded by certain insurance policies. The ISO amendatory
endorsement states that there is “no coverage for loss or damage caused by or resulting from any
virus, bacterium or other microorganism that induces or is capable of inducing physical distress,
illness or disease” (the “Virus Exclusion”).
30.
Some insurers added the Virus Exclusion to their policies that provide Business
Income (also referred to as “business interruption”) coverage. Cincinnati’s Building and Personal
Property Coverage Form and Business Income (And Extra Expense) Coverage Form, however, do
not include, and are not subject to, any exclusion for losses caused by viruses or communicable
diseases.
31.
In the Building and Personal Property Coverage Form and Business Income (And
Extra Expense) Coverage Form, Defendant also agreed to pay necessary Extra Expense that its
insureds sustain during the “period of restoration” that the insureds would not has sustained if there
had been no direct loss to property caused by or resulting from a Covered Cause of Loss.
32.
“Extra Expense” includes expenses to avoid or minimize the suspension of
business, continue operations, and to repair or replace property.
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33.
Defendant also agreed to “pay for the actual loss of ‘Business Income’” sustained
“and necessary Extra Expense” sustained “caused by action of civil authority that prohibits access
to” the Covered Property when a Covered Cause of Loss causes direct damage to property other
than the Covered Property, the civil authority prohibits access to the area immediately surrounding
the damaged property, and “the action of civil authority is taken in response to dangerous physical
conditions resulting from the damage or continuation of the Covered Cause of Loss that caused
the damage….”
34.
Defendant also agreed to pay for losses caused by the prevention of existing ingress
or egress at the premises. This is commonly known as “Ingress and Egress” coverage.
35.
Defendant’s coverage forms, under sections titled “Duties in the Event of Loss,”
require in the event of a loss that the policy holder take all reasonable steps to protect the Covered
Property from further damage, and keep a record of the expenses necessary to protect the Covered
Property, for consideration in the settlement of the claim. This is commonly referred to as “Sue
and Labor” coverage. In this instance, Plaintiff was required to suspend operations to reduce the
spread of COVID-19 and further losses occasioned by its spread on Plaintiff’s premises.
36.
Losses caused by COVID-19 and the related orders issued by local, state, and
federal authorities triggered the Business Income, Extra Expense, Civil Authority, Ingress and
Egress and Sue and Labor provisions of Defendant’s policies.
COVID-19 and the Covered Cause of Loss
37.
Coronavirus (COVID-19) is a highly contagious virus that has rapidly spread and
continues to spread across the United States. It is a physical substance, human pathogen and can
be present outside the human body in viral fluid particles. According to the CDC, everyone is at
risk of getting COVID-19.
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38.
COVID-19 is spread by a number of methods, including “community spread,”
meaning that some people has been infected and it is not known how or where they became
exposed. Public health authorities, including the CDC, have reported significant ongoing
community spread of the virus including instances of community spread in all 50 states.
39.
The CDC has reported that a person can be become infected with COVID-19 by
touching a surface or object (like a table, floor, wall, furniture, desk, countertop, touch screen or
chair) that has the virus on it, and then touching their own mouth, nose or eyes. COVID-19 can
and does live on and/or remains capable of being transmitted and active on inert physical surfaces.
40.
More specifically, COVID-19 infections are spread through droplets of different
sizes which can be deposited on surfaces or objects.
41.
In addition, The New England Journal of Medicine reported finding that
experimentally-produced aerosols containing the virus remained infectious in tissue-culture
assays, with only a slight reduction in infectivity during a 3-hour period of observations. An April
2020 study published in the journal Emerging Infectious Diseases found a wide distribution of
COVID-19 on surfaces and in the air about 13 feet from patients in two hospital wards. This means
there has been a finding of COVID-19 in the air.
42.
COVID-19 has been transmitted by way of human contact with surfaces and items
of physical property located at premises in Missouri.
43.
COVID-19 has been transmitted by human to human contact and interaction with
premises in Missouri.
44.
COVID-19 has been transmitted by way of human contact with airborne COVID-
19 particles emitted into the air at premises in Missouri.
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45.
The presence of any COVID-19 particles renders items of physical property
unsafe and the premises unsafe.
46.
The presence of any COVID-19 particles on physical property impairs its value,
usefulness and/or normal function.
47.
The presence of any COVID-19 particles causes direct physical harm, direct
physical damage and direct physical loss to property.
48.
The presence of people infected with or carrying COVID-19 particles renders
physical property in their vicinity unsafe and unusable, resulting in direct physical loss to that
property.
49.
The presence of people infected with or carrying COVID-19 particles at premises
renders the premises, including property located at that premises unsafe, resulting in direct physical
loss to the premises and property.
50.
Plaintiff’s premises likely have been infected with COVID-19 and it has suffered
direct physical loss to the property. The incubation period for COVID-19 is at least 14 days.
Current evidence shows that the first death from COVID-19 occurred as early as February 6, 2020
– weeks earlier than previously reported, suggesting that the virus has been circulated in the United
States far longer than previously assumed. It is likely customers, employees and/or other visitors
to the insured property over the last two plus months were infected with COVID-19 and thereby
infected the insured property with COVID-19.
51.
To reduce the spread of the disease, the CDC has recommended that businesses
clean and disinfect all surfaces, prioritizing the most frequently touched surfaces.
52.
COVID-19 has been declared a pandemic by the World Health Organization.
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53.
The COVID-19 pandemic is a public health crisis that has profoundly impacted
American society, including the public’s ability to patronize hair salons, barber shops and other
establishments.
54.
The presence of COVID-19 has caused civil authorities throughout the country to
issue orders requiring the suspension of business at a wide range of establishments, including civil
authorities with jurisdiction over Plaintiff’s businesses (the “Closure Orders”).
The Missouri Closure Orders
55.
On March 16, 2020, Ken McClure, the Mayor of the City of Springfield, Missouri,
issued a proclamation declaring a local state of civil emergency, stating that the continued spread
of COVID-19 presents an imminent threat of widespread illness and a threat to public health. The
proclamation was issued under Section 78-132 of the Springfield City Code in order to protect the
citizens of Springfield, Missouri and their property.
56.
On March 17, 2020, Mayor McClure issued a civil authority order stating in
pertinent part that the COVID-19 virus is spread person to person through direct or proximate
contact and presents an imminent threat to public health and, as of March 16, 2020, three people
had tested positive for COVID-19 in Greene County, Missouri. Mayor McClure’s March 17, 2020
order limited public gatherings of 10 or more persons except in designated activities. The purpose
of the order was to mitigate and slow the spread of COVID-19 in the community.
57.
On March 21, 2020, the Governor of the State of Missouri issued a civil authority
order limiting social gatherings of more than 10 people. That order went into effect on March 23,
2020. The purpose of the order was to mitigate and slow the spread of COVID-19 in the state.
58.
On March 24, 2020, Mayor McClure issued a Second Proclamation of Civil
Emergency. On this date, he also provided notice of a civil authority order requiring all individuals
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to stay at home unless performing “essential activities,” and ordered all businesses to cease all in-
person operations unless declared an “essential business.” The order required hair salons and all
other businesses that provide personal services to suspend operations. The order was to take effect
at 12:01 a.m. on March 26, 2020 and expire in 30 days. The purpose of the order was to mitigate
and slow the spread of COVID-19 in the community.
59.
The March 24, 2020 proclamation and March 26, 2020 order were issued under
Section 78-132 of the Springfield City Code in order to protect the citizens of Springfield, Missouri
and their property.
60.
Plaintiff’s business did not and does not qualify as Essential Businesses and was
required to cease and/or significantly reduce operations at all its locations.
61.
On April 3, 2020, the State of Missouri entered an order directing all residents in
Missouri to stay at home, imposing social distancing rules, limiting occupancy of buildings, and
reiterated that any entity that does not employ individuals to perform essential worker functions as
set forth in guidance provided by the U.S Department of Homeland Security, Cybersecurity &
Infrastructure Security Agency (CISA) shall adhere to limitations on social gatherings and social
distancing set forth in the Order. This order went into effect at 12:01 AM on April 6, 2020 and
was to remain in force until 11:59 PM on April 24, 2020. The purpose of the order was to mitigate
and slow the spread of COVID-19 in the state.
62.
On April 6, 2020, Mayor McClure with the City of Springfield amended the Second
Proclamation of Civil Emergency to include the provisions of the State of Missouri’s April 3, 2020
order.
63.
On April 16, 2020, the State of Missouri amended the April 3, 2020 order and
extended its enforcement to 11:59 PM on May 3, 2020. The purpose of the order was to mitigate
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and slow the spread of COVID-19 in the state.
64.
On April 21, 2020, Mayor McClure amended the March 26, 2020 order and
extended its enforcement to 11:59 p.m. on May 3, 2020. The purpose of the order was to mitigate
and slow the spread of COVID-19 in the community.
65.
The Missouri Closure Orders were issued in response to the rapid spread of
COVID-19 throughout Missouri and are civil authority orders requiring the suspension of
Plaintiff’s businesses.
66.
As a response to COVID-19 and the Pandemic, the Governor of Missouri and
Mayor of the City of Springfield, Missouri have issued these orders pursuant to the authority vested
in them by the Missouri Constitution, the laws of Missouri and the ordinances of the City of
Springfield, Missouri.
67.
Similarly, the Missouri Department of Health, pursuant to its authority under
Missouri law, has issued orders, including a Stay at Home Order.
68.
The State of Missouri is a civil authority contemplated by Defendant’s policy.
69.
The City of Springfield, Missouri is a civil authority contemplated by Defendant’s
policy.
70.
The Governor of the State of Missouri is a civil authority contemplated by
Defendant’s policy.
71.
The Mayor of Springfield, Missouri is a civil authority contemplated by
Defendant’s policy.
The Impact of COVID-19 and the Closure Orders
72.
Loss of use of property that has not been physically altered constitutes “physical
loss or damage” for purposes of first-party property insurance.
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73.
As the drafter of the policies, if Cincinnati had wished to exclude from coverage as
“physical loss or damage” loss of use of property that has not been physically altered or deformed,
it could have used explicit language stating such a definition, but it did not do so.
74.
The presence of COVID-19 caused direct physical loss of or damage to the covered
property or “premises” under the Plaintiff’s policy, and the policies of the other Class members,
by denying use of and damaging the covered property, and by causing a necessary suspension of
operations during a period of restoration.
75.
The Closure Orders prohibited access to and use of Plaintiff’s and the other Class
members’ Covered Property, and the area immediately surrounding damaged property, in response
to dangerous physical conditions resulting from the damage or continuation of the Covered Cause
of Loss that caused the damage.
76.
The State of Missouri, through the Governor and Department of Health, and the
City of Springfield, Missouri, through the Mayor, have issued and continue to issue authoritative
orders governing Missourians and Missouri businesses, including the Plaintiff’s business, in
response to COVID-19 and the Pandemic, the effect of which have required and continue to require
Plaintiff to cease and/or significantly reduce operations at, and that have prohibited and continue
to prohibit access to, the premises described in the policy.
77.
State and local governmental authorities and public health officials around the
United States acknowledge that COVID-19 and the Pandemic cause direct physical loss and
damage to property. For example: (a) The State of Colorado issued a Public Health Order
indicating that “COVID-19…physically contributes to property loss, contamination and
damage…” (b) The City of New York issued an Emergency Executive Order in response to
COVID-19 and the Pandemic, in part “because the virus physically is causing property loss and
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damage.” (c) Broward County, Florida issued an Emergency Order acknowledging that COVID-
19 “is physically causing property damage.” (d) the State of Washington issued a stay at home
Proclamation stating the “COVID-19 pandemic and its progression…remains a public disaster
affecting life, health [and] property.” (e) The State of Indiana issued an Executive Order
recognizing that COVID-19 has the “propensity to physically impact surfaces and personal
property.” (f) the City of New Orleans issued an order stating “there is reason to believe that
COVID-19 may spread amongst the population by various means of exposure, including the
propensity to attach to surfaces for a prolonged period of time, thereby spreading from surface to
person and causing property loss and damage in certain circumstances.” (g) the State of New
Mexico issued a Public Health Order acknowledging the “threat” COVID-19 “poses” to
“property.” (h) North Carolina issued a statewide Executive Order in response to the Pandemic not
only “to assure adequate protection for lives” but also to “assure adequate protection
of…property.” (i) The City of Los Angeles issued an Order in response to COVID-19 “because,
among other reasons, the COVID-19 virus can spread easily from person to person and it is
physically causing property loss or damage due to its tendency to attach to surfaces for prolonged
periods of time; and (j) The City of Kansas City, Missouri issued a Proclamation in response to
COVID-19 “to protect life and property”.
78.
As a result of the presence of COVID-19 and the Closure Orders, Plaintiff and the
other Class members lost Business Income and incurred Extra Expense.
Plaintiff Submitted Notices of Loss to Cincinnati
and was Wrongfully Denied Coverage
79.
Plaintiff submitted notices of loss to Cincinnati under the policy due to the
presence of COVID-19 and the Closure Orders, and Cincinnati denied those claims by letter
dated April 16, 2020.
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80.
Upon information and belief, Cincinnati is using a form denial letter to deny
coverage to all its insureds with policies similar to Plaintiff and is otherwise uniformly refusing
to pay insureds under its standard policy for losses related to COVID-19.
V.
CLASS ACTION ALLEGATIONS
81.
Plaintiff brings this action, individually and on behalf of all others similarly
situated, pursuant to Rules 23(a), 23(b)(1), 23(b)(2), 23(b)(3), and 23(c)(4), of the Federal Rules
of Civil Procedure.
82.
Plaintiff seek to represent nationwide classes for business income coverage defined
as:
a.
All persons and entities with Business Income coverage under a property
insurance policy issued by Cincinnati that suffered a suspension of business
due to COVID-19 at the premises covered by the business income coverage
(the “Business Income Declaratory Judgment Class”).
b.
All persons and entities that: had Business Income coverage under a
property insurance policy issued by Cincinnati; suffered a suspension of
business related to COVID-19, at the premises covered by their Cincinnati
property insurance policy; made a claim under their property insurance
policy issued by Cincinnati; and were denied Business Income coverage by
Cincinnati for the suspension of business resulting from the presence or
threat of COVID-19 (the “Business Income Breach Class”).
83.
Plaintiff seek to represent nationwide classes for extra expense coverage defined
as:
a.
All persons and entities with Extra Expense coverage under a property
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insurance policy issued by Cincinnati that sought to minimize the
suspension of business in connection with COVID-19 at the premises
covered by their Cincinnati property insurance policy (the “Extra Expense
Declaratory Judgment Class”).
b.
All persons and entities that: had Extra Expense coverage under a property
insurance policy issued by Cincinnati; sought to minimize the suspension
of business in connection with COVID-19 at the premises covered by their
Cincinnati property insurance policy; made a claim under their property
insurance policy issued by Cincinnati; and were denied Extra Expense
coverage by Cincinnati despite their efforts to minimize the suspension of
business caused by COVID-19 (the “Extra Expense Breach Class”).
84.
Plaintiff seek to represent nationwide classes for civil authority coverage defined
as:
a.
All persons and entities with Civil Authority coverage under a property
insurance policy issued by Cincinnati that suffered loss of Business Income
and/or Extra Expense caused by a Closure Order (the “Civil Authority
Declaratory Judgment Class”).
b.
All persons and entities that: had Civil Authority coverage under a property
insurance policy issued by Cincinnati; suffered loss of Business Income
and/or Extra Expense caused by action of a civil authority; made a claim
under their property insurance policy issued by Cincinnati; and were denied
Civil Authority coverage by Cincinnati for the loss of Business Income
and/or Extra Expense caused by a Closure Order (the “Civil Authority
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Breach Class”).
85.
Plaintiff seek to represent nationwide classes for sue and labor coverage defined as:
a.
All persons and entities with a Sue and Labor provision under a property
insurance policy issued by Cincinnati that sought to prevent property
damage caused by COVID-19 by suspending or reducing business
operations, at the premises covered by their Cincinnati property insurance
policy (the “Sue and Labor Declaratory Judgment Class”).
b.
All persons and entities that: had a Sue and Labor provision under a property
insurance policy issued by Cincinnati; sought to prevent property damage
caused by COVID-19 by suspending or reducing business operations, at the
premises covered by their Cincinnati property insurance policy; made a
claim under their property insurance policy issued by Cincinnati; and were
denied Sue and Labor coverage by Cincinnati in connection with the
suspension of business caused by COVID-19 (the “Sue and Labor Breach
Class”).
86.
Plaintiff seek to represent nationwide classes for ingress and egress
coverage defined as:
a.
All persons and entities with an Ingress and Egress provision under a
property insurance policy issued by Cincinnati that sought to prevent
property damage caused by COVID-19 by suspending or reducing business
operations, at the premises covered by their Cincinnati property insurance
policy (the “Ingress and Egress Declaratory Judgment Class”).
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b.
All persons and entities that: had an Ingress and Egress provision under a
property insurance policy issued by Cincinnati; sought to prevent property
damage caused by COVID-19 by suspending or reducing business
operations, at the premises covered by their Cincinnati property insurance
policy; made a claim under their property insurance policy issued by
Cincinnati; and were denied Sue and Labor coverage by Cincinnati in
connection with the suspension of business caused by COVID-19 (the
“Ingress and Egress Breach Class”).
87.
Plaintiff seeks to represent a Missouri subclass, or all policyholders who purchased
one of Defendant’s policies in Missouri and was denied coverage due to COVID-19.
88.
Excluded from each defined Class are Cincinnati and any of its members, affiliates,
parents, subsidiaries, officers, directors, employees, successors, or assigns; governmental entities;
and the Court staff assigned to this case and their immediate family members. Plaintiff reserves
the right to modify or amend each of the Class definitions, as appropriate, during this litigation.
89.
This action has been brought and may properly be maintained on behalf of each
Class proposed herein under the criteria of Rule 23 of the Federal Rules of Civil Procedure.
Numerosity—Federal Rule of Civil Procedure 23(a)(1).
90.
The members of each defined Class are so numerous that individual joinder of all
Class members is impracticable. While Plaintiff is informed and believes that there are thousands
of members of each Class, the precise number of Class members is unknown to Plaintiff but may
be ascertained from Cincinnati’s books and records. Class members may be notified of the
pendency of this action by recognized, Court-approved notice dissemination methods, which may
include U.S. Mail, electronic mail, internet postings, and/or published notice.
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Commonality and Predominance—Federal Rule of Civil Procedure 23(a)(2) and 23(b)(3).
91.
This action involves common questions of law and fact, which predominate over
any questions affecting only individual Class members, including, without limitation:
a.
Cincinnati issued all-risk policies to the members of the Class in exchange
for payment of premiums by the Class members;
b.
whether the Class suffered a covered loss based on the common policies
issued to members of the Class;
c.
whether Cincinnati wrongfully denied all claims based on COVID-19;
d.
whether Cincinnati’s Business Income coverage applies to a suspension of
business caused by COVID-19 and/or the Stay at Home Orders;
e.
whether Cincinnati’s Extra Expense coverage applies to efforts to minimize
a loss caused by COVID-19 and/or the Stay at Home Orders;
f.
whether Cincinnati’s Civil Authority coverage applies to a loss of Business
Income and Extra Expense sustained caused by the orders of state governors
and/or mayors requiring the suspension of businesses as a result of COVID-
19 and/or the Stay at Home Orders;
g.
whether Cincinnati’s Sue and Labor provision applies to require Cincinnati
to pay for efforts to reduce damage caused by COVID-19 and/or the Stay at
Home Orders;
h.
whether Cincinnati’s Ingress and Egress provision applies to required
Cincinnati to pay for losses caused by the inability to access the premises
caused by COVID-19 and/or the Stay at Home Orders;
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i.
whether Cincinnati has breached its contracts of insurance through a blanket
denial of all claims based on business interruption, income loss related to
COVID-19 and the related closures; and
j.
whether Plaintiff and the Class are entitled to an award of reasonable
attorney fees, interest and costs.
Typicality—Federal Rule of Civil Procedure 23(a)(3)
92.
Plaintiff’s claims are typical of the other Class members’ claims because Plaintiff
and the other Class members are all similarly affected by Cincinnati’s refusal to pay under its
Business Income, Extra Expense, Civil Authority, Ingress and Egress and Sue and Labor
coverages. Plaintiff’s claims are based upon the same legal theories as those of the other Class
members. Plaintiff and the other Class members sustained damages as a direct and proximate result
of the same wrongful practices in which Cincinnati engaged.
Adequacy of Representation—Federal Rule of Civil Procedure 23(a)(4).
93.
Plaintiff is an adequate Class and Missouri subclass representative because it is a
member of the class, its interests do not conflict with the interests of the other Class members
who they seek to represent, Plaintiff has retained counsel competent and experienced in complex
class action litigation, including successfully litigating cases similar to this one, where insurers
breached contracts with insureds by failing to pay the amounts owed under their policies, and
Plaintiff intend to prosecute this action vigorously. The interests of the above-defined Classes
will be fairly and adequately protected by Plaintiff and its counsel.
Inconsistent Adjudications and Impediments to Others—Federal Rule of Civil Procedure
23(b)(1).
94.
Plaintiff seek class-wide adjudication as to the interpretation, and resultant scope,
of Cincinnati’s Business Income, Extra Expense, Civil Authority, Ingress and Egress, and Sue and
Case 6:20-cv-03127-SRB Document 1 Filed 04/27/20 Page 20 of 37
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Labor coverages. The prosecution of separate actions by individual members of the Classes would
create an immediate risk of inconsistent or varying adjudications that would establish incompatible
standards of conduct for Cincinnati. Moreover, the adjudications sought by Plaintiff could, as a
practical matter, substantially impair or impede the ability of other Class members, who are not
parties to this action, to protect their interests.
Declaratory and Injunctive Relief—Federal Rule of Civil Procedure 23(b)(2).
95.
Cincinnati acted or refused to act (or intends to refuse) on grounds generally
applicable to Plaintiff and the other Class members, thereby making appropriate final injunctive
relief and declaratory relief, as described below, with respect to the Class members.
Superiority—Federal Rule of Civil Procedure 23(b)(3).
96.
A class action is superior to any other available means for the fair and efficient
adjudication of this controversy, and no unusual difficulties are likely to be encountered in the
management of this class action. Defendant has acted or refused to act on grounds generally
applicable to the class and Missouri subclass. Individualized litigation creates a potential for
inconsistent or contradictory judgments and increases the delay and expense to all parties and the
court system. By contrast, the class action device presents far fewer management difficulties, and
provides the benefits of single adjudication, economies of scale, and comprehensive supervision
by a single court.
Issue Class and Modification of Class Definitions and Creation of Subclasses
97.
In the alternative, Plaintiff reserves the right to seek certification of one or more
common issues pursuant to Rule 23(c)(4). In addition, Plaintiff reserves the right to modify the
definitions of the class and/or create subclasses either by amendment to the complaint or by motion
for class certification, including but not limited to subclasses for policyholders with each of the
Case 6:20-cv-03127-SRB Document 1 Filed 04/27/20 Page 21 of 37
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following policy provisions: Business Income, Civil Authority, Extra Expense, Ingress and Egress
and/or Sue and Labor and/or other subclasses that may be appropriate or necessary.
VI.
LEGAL CLAIMS FOR RELIEF
COUNT I – Declaratory Judgment – Business Income Coverage
(Brought on behalf of the Business Income Declaratory Judgment Class)
98.
Plaintiff repeats and realleges the preceding paragraphs as if fully set forth herein.
99.
Plaintiff brings this Count individually and on behalf of the other members of the
Business Income Declaratory Judgment Class and Missouri Subclass.
100.
The Declaratory Judgment Act, 28 U.S.C. §§2201 and 2202, allows this Court to
declare the rights and other legal relations of the parties to this dispute.
101.
Plaintiff’s Cincinnati policy, as well as those of the other Business Income
Declaratory Judgment Class members, are contracts under which Cincinnati was paid premiums
in exchange for its promise to pay Plaintiff and the other Business Income Declaratory Judgment
Class members’ losses for claims covered by the policy.
102.
Plaintiff and the other Business Income Declaratory Judgment Class members have
complied with all applicable provisions of the policies and/or those provisions has been waived by
Cincinnati, or Cincinnati is estopped from asserting them, and yet Cincinnati has abrogated its
insurance coverage obligations pursuant to the policies’ clear and unambiguous terms and has
wrongfully and illegally refused to provide coverage to which Plaintiff and the other Business
Income Declaratory Judgment Class members are entitled.
103.
Cincinnati has denied claims related to COVID-19 on a uniform and class wide
basis, without individual bases or investigations, such that the Court can render declaratory
judgment irrespective of whether members of the Class has filed a claim.
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104.
An actual case or controversy exists regarding Plaintiff and the other Business
Income Declaratory Judgment Class members’ rights and Cincinnati’s obligations under the
policies to reimburse Plaintiff for the full amount of Business Income losses incurred by Plaintiff
and the other Business Income Declaratory Judgment Class members in connection with
suspension of their businesses stemming from the COVID-19 pandemic.
105.
Pursuant to 28 U.S.C. § 2201, Plaintiff and the other Business Income Declaratory
Judgment Class members seek a declaratory judgment from this Court declaring the following:
a.
Plaintiff and the other Business Income Declaratory Judgment Class
members’ Business Income losses incurred in connection with the Closure
or Stay at Home Orders and the necessary interruption of their businesses
stemming from the COVID-19 pandemic are insured losses under their
policies;
b.
Cincinnati is obligated to pay Plaintiff and the other Business Income
Declaratory Judgment Class members for the full amount of the Business
Income losses incurred and to be incurred in connection with the Closure
Orders during the period of restoration and the necessary interruption of
their businesses stemming from the COVID-19 pandemic; and
c.
Plaintiff further seeks an injection enjoining Defendant from continuing to
engage in conduct in breach of its policies in regards to coverage decisions
under the Business Income coverage form and ordering Defendant to
comply with the terms of the policies in regards to coverage decisions.
COUNT II – Breach of Contract – Business Income Coverage
(Brought on behalf of the Business Income Breach Class)
106.
Plaintiff repeats and realleges the preceding paragraphs as if fully set forth herein.
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107.
Plaintiff brings this Count individually and on behalf of the other members of the
Business Income Breach Class and Missouri Subclass.
108.
Plaintiff’s Cincinnati policies, as well as those of the other Business Income Breach
Class members, are contracts under which Cincinnati were paid premiums in exchange for their
promise to pay Plaintiff and the other Business Income Breach Class members’ losses for claims
covered by the policy.
109.
In the Building and Personal Property Coverage Form and Business Income (and
Extra Expense) Coverage Form, Cincinnati agreed to pay for its insureds’ actual loss of Business
Income sustained due to the necessary suspension of its operations during the “period of
restoration.”
110.
A “slowdown or cessation” of business activities at the Covered Property is a
“suspension” under the policy, for which Cincinnati agreed to pay for loss of Business Income
during the “period of restoration” that begins at the time of direct loss.
111.
“Business Income” means net income (net profit or loss before income taxes) that
would have been earned or incurred and continuing normal operating expenses sustained,
including payroll.
112.
COVID-19 caused direct physical loss of or damage to Plaintiff’s and the other
Business Income Breach Class members’ Covered Properties, requiring suspension of operations
at the Covered Properties. Losses caused by COVID-19 thus triggered the Business Income
provision of Plaintiff and the other Business Income Breach Class members’ Cincinnati policies.
113.
Plaintiff and the other Business Income Breach Class members have complied with
all applicable provisions of their policies and/or those provisions has been waived by Defendant,
or Defendant is estopped from asserting them, and yet Defendant has abrogated its insurance
Case 6:20-cv-03127-SRB Document 1 Filed 04/27/20 Page 24 of 37
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coverage obligations pursuant to the policies’ clear and unambiguous terms.
114.
By denying coverage for any Business Income losses incurred by Plaintiff and the
other Business Income Breach Class members in connection with the COVID-19 pandemic,
Defendant has breached its coverage obligations under the policies.
115.
As a result of Defendant’s breaches of the policies, Plaintiff and the other Business
Income Breach Class members have sustained substantial damages for which Defendant is liable,
in an amount to be established at trial.
COUNT III – Declaratory Judgment – Extra Expense Coverage
(Brought on behalf of the Extra Expense Declaratory Judgment Class)
116.
Plaintiff repeats and realleges the preceding paragraphs as if fully set forth herein.
117.
Plaintiff brings this Count individually and on behalf of the other members of the
Extra Expense Declaratory Judgment Class and Missouri Subclass.
118.
The Declaratory Judgment Act, 28 U.S.C. §§2201 and 2202, allows this Court to
declare the rights and other legal relations of the parties to this dispute.
119.
Plaintiff’ Cincinnati insurance policy, as well as those of the other Extra Expense
Declaratory Judgment Class members, are contracts under which Defendant was paid premiums
in exchange for its promise to pay Plaintiff and the other Extra Expense Declaratory Judgment
Class members’ losses for claims covered by the policy.
120.
Plaintiff and the other Extra Expense Declaratory Judgment Class members has
complied with all applicable provisions of the policies and/or those provisions has been waived by
Defendant, or Defendant is estopped from asserting them, and yet Defendant has abrogated its
insurance coverage obligations pursuant to the policies clear and unambiguous terms and has
wrongfully and illegally refused to provide coverage to which Plaintiff and the other Class
members are entitled.
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121.
Defendant has denied claims related to COVID-19 on a uniform and class wide
basis, without individual bases or investigations, such that the Court can render declaratory
judgment irrespective of whether members of the Class has filed a claim.
122.
An actual case or controversy exists regarding Plaintiff’s and the other Extra
Expense Declaratory Judgment Class members’ rights and Defendant’s obligations under the
policies to reimburse Plaintiff and the other Extra Expense Declaratory Judgment Class members
for the full amount of Extra Expense losses incurred by Plaintiff in connection with Closure Orders
and the necessary interruption of their businesses stemming from the COVID-19 pandemic.
123.
Pursuant to 28 U.S.C. § 2201, Plaintiff and the other Extra Expense Declaratory
Judgment Class members seek a declaratory judgment from this Court declaring the following:
a.
Plaintiff and the other Extra Expense Declaratory Judgment Class
members’ Extra Expense losses incurred in connection with the Closure
Orders and the necessary interruption of their businesses stemming from the
COVID-19 pandemic are insured losses under their policies;
b.
Defendant is obligated to pay Plaintiff and the other Extra Expense
Declaratory Judgment Class members for the full amount of the Extra
Expense losses incurred and to be incurred in connection with the covered
losses related to the Closure Orders during the period of restoration and the
necessary interruption of their businesses stemming from the COVID-19
pandemic; and
c.
Plaintiff further seeks an injection enjoining Defendant from continuing to
engage in conduct in breach of its policies in regards to coverage decisions
under the Extra Expense coverage form and ordering Defendant to comply
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with the terms of the policies in regards to coverage decisions.
COUNT IV – Breach of Contract – Extra Expense Coverage
(Brought on behalf of the Extra Expense Breach Class)
124.
Plaintiff repeats and realleges the preceding paragraphs as if fully set forth herein.
125.
Plaintiff brings this Count individually and on behalf of the other members of the
Extra Expense Breach Class and Missouri Subclass.
126.
Plaintiff’ Cincinnati insurance policies, as well as those of the other Extra Expense
Breach Class members, are contracts under which Defendant was paid premiums in exchange for
its promise to pay Plaintiff and the other Extra Expense Breach Class members’ losses for claims
covered by the policy.
127.
In the Building and Personal Property Coverage Form and Business Income (And
Extra Expense) Coverage Form, Defendant also agreed to pay necessary Extra Expense that its
insureds incur during the “period of restoration” that the insureds would not has sustained if there
had been no direct loss to property caused by or resulting from a Covered Cause of Loss.
128.
“Extra Expense” includes expenses to avoid or minimize the suspension of
business, continue operations, and to repair or replace property.
129.
Due to COVID-19 and the Closure Orders, Plaintiff and the other members of the
Extra Expense Breach Class incurred Extra Expense at Covered Property Plaintiff and the other
members of the Extra Expense Breach Class has complied with all applicable provisions of the
policies and/or those provisions has been waived by Defendant, or Defendant is estopped from
asserting them, and yet Defendant has abrogated its insurance coverage obligations pursuant to the
policies’ clear and unambiguous terms.
130.
By denying coverage for any business losses incurred by Plaintiff and the other
members of the Extra Expense Breach Class in connection with the Closure Orders and the
Case 6:20-cv-03127-SRB Document 1 Filed 04/27/20 Page 27 of 37
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COVID-19 pandemic, Defendant has breached its coverage obligations under the policies.
131.
As a result of Defendant’s breaches of the policies, Plaintiff and the other members
of the Extra Expense Breach Class has sustained substantial damages for which Defendant is liable,
in an amount to be established at trial.
COUNT V – Declaratory Judgment – Civil Authority Coverage
(Brought on behalf of the Civil Authority Declaratory Judgment Class)
132.
Plaintiff repeats and realleges the preceding paragraphs as if fully set forth herein.
133.
Plaintiff brings this Count individually and on behalf of the other members of the
Civil Authority Declaratory Judgment Class and Missouri Subclass.
134.
The Declaratory Judgment Act, 28 U.S.C. §§2201 and 2202, allows this Court to
declare the rights and other legal relations of the parties to this dispute.
135.
Plaintiff’s Cincinnati insurance policy, as well as those of the other Civil Authority
Declaratory Judgment Class members, are contracts under which Defendant was paid premiums
in exchange for its promise to pay Plaintiff and the other Civil Authority Declaratory Judgment
Class members’ losses for claims covered by the policy.
136.
Plaintiff and the other Civil Authority Declaratory Judgment Class members have
complied with all applicable provisions of the policies and/or those provisions has been waived by
Defendant, or Defendant is estopped from asserting them, and yet Defendant has abrogated its
insurance coverage obligations pursuant to the policies’ clear and unambiguous terms and has
wrongfully and illegally refused to provide coverage to which Plaintiff and the other Class
members are entitled.
137.
Defendant has denied claims related to COVID-19 on a uniform and class wide
basis, without individual bases or investigations, such that the Court can render declaratory
judgment irrespective of whether members of the Class has filed a claim.
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138.
An actual case or controversy exists regarding Plaintiff and the other Civil
Authority Declaratory Judgment Class members’ rights and Defendant’s obligations under the
policies to reimburse Plaintiff and the other Civil Authority Declaratory Judgment Class members
for the full amount of covered Civil Authority losses incurred by Plaintiff and the other Civil
Authority Declaratory Judgment Class members in connection with Closure Orders and the
necessary interruption of their businesses stemming from the COVID-19 pandemic.
139.
Pursuant to 28 U.S.C. § 2201, Plaintiff and the other Civil Authority Declaratory
Judgment Class members seek a declaratory judgment from this Court declaring the following:
a.
Plaintiff and the other Civil Authority Declaratory Judgment Class
members’ Civil Authority losses incurred in connection with the Closure
Orders and the necessary interruption of their businesses stemming from the
COVID-19 pandemic are insured losses under their policies;
b.
Defendant is obligated to pay Plaintiff and the other Civil Authority
Declaratory Judgment Class members the full amount of the Civil Authority
losses incurred and to be incurred in connection with the covered losses
related to the Closure Orders and the necessary interruption of their
businesses stemming from the COVID-19 pandemic; and
c.
Plaintiff further seeks an injection enjoining Defendant from continuing to
engage in conduct in breach of its policies in regards to coverage decisions
under the Civil Authority coverage form and ordering Defendant to comply
with the terms of the policies in regards to coverage decisions.
COUNT VI – Breach of Contract – Civil Authority Coverage
(Brought on behalf of the Civil Authority Breach Class)
140.
Plaintiff repeats and realleges the preceding paragraphs as if fully set forth herein.
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141.
Plaintiff brings this Count individually and on behalf of the other members of the
Civil Authority Breach Class and Missouri Subclass.
142.
Plaintiff’s Cincinnati insurance policies, as well as those of the other Civil
Authority Breach Class members, are contracts under which Defendant was paid premiums in
exchange for its promise to pay Plaintiff and the other Civil Authority Breach Class members’
losses for claims covered by the policy.
143.
Defendant agreed to “pay for the actual loss of ‘Business Income’” sustained “and
necessary Extra Expense” sustained “caused by action of civil authority that prohibits access to”
the Covered Property when a Covered Cause of Loss causes direct damage to property other than
the Covered Property, the civil authority prohibits access to the area immediately surrounding the
damaged property, and “the action of civil authority is taken in response to dangerous physical
conditions resulting from the damage or continuation of the Covered Cause of Loss that caused
the damage….”
144.
The Closure Orders triggered the Civil Authority provision under Plaintiff and the
other members of the Civil Authority Breach Class’s Cincinnati insurance policies.
145.
Plaintiff and the other members of the Civil Authority Breach Class has complied
with all applicable provisions of the policies, and/or those provisions has been waived by
Defendant, or Defendant is estopped from asserting them, and yet Defendant has abrogated its
insurance coverage obligations pursuant to the Policies’ clear and unambiguous terms.
146.
By denying coverage for any business losses incurred and extra expenses sustained
by Plaintiff and other members of the Civil Authority Breach Class in connection with the Closure
Orders and the COVID-19 pandemic, Defendant has breached its coverage obligations under the
policies.
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147.
As a result of Defendant’s breaches of the policies, Plaintiff and the other members
of the Civil Authority Breach Class has sustained substantial damages for which Defendant is
liable, in an amount to be established at trial.
COUNT VII – Declaratory Judgment – Sue and Labor Coverage
(Brought on behalf of the Sue and Labor Declaratory Judgment Class)
148.
Plaintiff repeats and realleges the preceding paragraphs as if fully set forth herein.
149.
Plaintiff brings this Count individually and on behalf of the other members of the
Sue and Labor Declaratory Judgment Class and Missouri Subclass.
150.
The Declaratory Judgment Act, 28 U.S.C. §§2201 and 2202, allows this Court to
declare the rights and other legal relations of the parties to this dispute.
151.
Plaintiff’s Cincinnati insurance policy, as well as those of the other Sue and Labor
Declaratory Judgment Class members, are contracts under which Defendant was paid premiums
in exchange for its promise to pay Plaintiff and the other Sue and Labor Declaratory Judgment
Class members’ reasonably incurred expenses to protect Covered Property.
152.
Plaintiff and the other Sue and Labor Declaratory Judgment Class members has
complied with all applicable provisions of the policies and/or those provisions has been waived by
Defendant, or Defendant is estopped from asserting them, and yet Defendant has abrogated its
insurance coverage obligations pursuant to the policies’ clear and unambiguous terms and has
wrongfully and illegally refused to provide coverage to which Plaintiff is entitled.
153.
Defendant has denied claims related to COVID-19 on a uniform and class wide
basis, without individual bases or investigations, such that the Court can render declaratory
judgment irrespective of whether members of the Class has filed a claim.
154.
An actual case or controversy exists regarding Plaintiff and the other Sue and Labor
Declaratory Judgment Class members’ rights and Defendant’s obligations under the policies to
Case 6:20-cv-03127-SRB Document 1 Filed 04/27/20 Page 31 of 37
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reimburse Plaintiff and the other Sue and Labor Declaratory Judgment Class members for the full
amount Plaintiff and the other members of the Sue and Labor Declaratory Judgment Class
reasonably incurred to protect Covered Property from further damage by COVID-19.
155.
Pursuant to 28 U.S.C. § 2201, Plaintiff and the other Sue and Labor Declaratory
Judgment Class members seek a declaratory judgment from this Court declaring the following:
a.
Plaintiff and the other Sue and Labor Declaratory Judgment Class members
reasonably incurred expenses to protect Covered Property from further
damage by COVID-19 are insured losses under their policies; and
b.
Defendant is obligated to pay Plaintiff and the other Sue and Labor
Declaratory Judgment Class members for the full amount of the expenses
they reasonably incurred to protect Covered Property from further damage
by COVID-19.
c.
Plaintiff further seeks an injection enjoining Defendant from continuing to
engage in conduct in breach of its policies in regards to coverage decisions
under the Sue and Labor coverage form and ordering Defendant to comply
with the terms of the policies in regards to coverage decisions.
COUNT VIII – Breach of Contract – Sue and Labor Coverage
(Brought on behalf of the Sue and Labor Breach Class)
156.
Plaintiff repeats and realleges the preceding paragraphs as if fully set forth herein.
157.
Plaintiff brings this Count individually and on behalf of the other members of the
Sue and Labor Breach Class and Missouri Subclass.
158.
Plaintiff’s Cincinnati policies, as well as those of the other Sue and Labor Breach
Class members, are contracts under which Defendant was paid premiums in exchange for its
promise to pay Plaintiff and the other Sue and Labor Breach Class members’ losses for claims
Case 6:20-cv-03127-SRB Document 1 Filed 04/27/20 Page 32 of 37
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covered by the policy.
159.
In the Building and Personal Property Coverage Form and Business Income (And
Extra Expense) Coverage Form, Defendant agreed to give due consideration in settlement of a
claim to expenses incurred in taking all reasonable steps to protect Covered Property from further
damage.
160.
In complying with the Closure Orders and otherwise suspending or limiting
operations, Plaintiff and other members of the Sue and Labor Breach Class incurred expenses in
connection with reasonable steps to protect Covered Property.
161.
Plaintiff and the other members of the Sue and Labor Breach Class has complied
with all applicable provisions of the policy and/or those provisions has been waived by Defendant,
or Defendant is estopped from asserting them, and yet Defendant has abrogated its insurance
coverage obligations pursuant to the policies’ clear and unambiguous terms.
162.
By denying coverage for any Sue and Labor expenses incurred by Plaintiff and the
other members of the Sue and Labor Breach Class in connection with the Closure Orders and the
COVID-19 pandemic, Defendant has breached its coverage obligations under the policies.
163.
As a result of Defendant’s breaches of the policies, Plaintiff and the other members
of the Sue and Labor Breach Class has sustained substantial damages for which Defendant is liable,
in an amount to be established at trial.
COUNT IX – Declaratory Judgment – Sue and Labor Coverage
(Brought on behalf of the Ingress and Egress Declaratory Judgment Class)
164.
Plaintiff repeats and realleges the preceding paragraphs as if fully set forth herein.
165.
Plaintiff brings this Count individually and on behalf of the other members of the
Ingress and Egress Declaratory Judgment Class and Missouri Subclass.
166.
The Declaratory Judgment Act, 28 U.S.C. §§2201 and 2202, allows this Court to
Case 6:20-cv-03127-SRB Document 1 Filed 04/27/20 Page 33 of 37
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declare the rights and other legal relations of the parties to this dispute.
167.
Plaintiff’s Cincinnati insurance policy, as well as those of the other Ingress and
Egress Declaratory Judgment Class members, are contracts under which Defendant was paid
premiums in exchange for its promise to pay Plaintiff and the other Ingress and Egress Declaratory
Judgment Class members’ reasonably incurred expenses to protect Covered Property.
168.
Plaintiff and the other Ingress and Egress Declaratory Judgment Class members
have complied with all applicable provisions of the policies and/or those provisions has been
waived by Defendant, or Defendant is estopped from asserting them, and yet Defendant has
abrogated its insurance coverage obligations pursuant to the policies’ clear and unambiguous terms
and has wrongfully and illegally refused to provide coverage to which Plaintiff is entitled.
169.
Defendant has denied claims related to COVID-19 on a uniform and class wide
basis, without individual bases or investigations, such that the Court can render declaratory
judgment irrespective of whether members of the Class has filed a claim.
170.
An actual case or controversy exists regarding Plaintiff and the other Ingress and
Egress Declaratory Judgment Class members’ rights and Defendant’s obligations under the
policies to reimburse Plaintiff and the other Ingress and Egress Declaratory Judgment Class
members for the full amount Plaintiff and the other members of the Ingress and Egress Declaratory
Judgment Class reasonably incurred to protect Covered Property from further damage by COVID-
19.
171.
Pursuant to 28 U.S.C. § 2201, Plaintiff and the other Ingress and Egress Declaratory
Judgment Class members seek a declaratory judgment from this Court declaring the following:
a.
Plaintiff and the other Ingress and Egress Declaratory Judgment Class
members reasonably incurred expenses to protect Covered Property from
Case 6:20-cv-03127-SRB Document 1 Filed 04/27/20 Page 34 of 37
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further damage by COVID-19 are insured losses under their policies; and
b.
Defendant is obligated to pay Plaintiff and the other Ingress and Egress
Declaratory Judgment Class members for the full amount of the expenses
they reasonably incurred to protect Covered Property from further damage
by COVID-19.
c.
Plaintiff further seeks an injection enjoining Defendant from continuing to
engage in conduct in breach of its policies in regards to coverage decisions
under the Ingress and Egress coverage form and ordering Defendant to
comply with the terms of the policies in regards to coverage decisions.
COUNT X – Breach of Contract – Ingress and Egress Coverage
(Brought on behalf of the Ingress and Egress Breach Class)
172.
Plaintiff repeats and realleges the preceding paragraphs as if fully set forth herein.
173.
Plaintiff brings this Count individually and on behalf of the other members of the
Ingress and Egress Breach Class and Missouri Subclass.
174.
Plaintiff’s Cincinnati policies, as well as those of the other Ingress and Egress
Breach Class members, are contracts under which Defendant was paid premiums in exchange for
its promise to pay Plaintiff and the other Ingress and Egress Breach Class members’ losses for
claims covered by the policy.
175.
In the Building and Personal Property Coverage Form and Business Income (And
Extra Expense) Coverage Form, Defendant agreed to give due consideration in settlement of a
claim to expenses incurred in taking all reasonable steps to protect Covered Property from further
damage.
176.
In complying with the Closure Orders and otherwise suspending or limiting
operations, Plaintiff and other members of the Ingress and Egress Breach Class incurred expenses
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in connection with reasonable steps to protect Covered Property.
177.
Plaintiff and the other members of the Ingress and Egress Breach Class have
complied with all applicable provisions of the policy and/or those provisions has been waived by
Defendant, or Defendant is estopped from asserting them, and yet Defendant has abrogated its
insurance coverage obligations pursuant to the policies’ clear and unambiguous terms.
178.
By denying coverage for any Ingress and Egress expenses incurred by Plaintiff and
the other members of the Ingress and Egress Breach Class in connection with the Closure Orders
and the COVID-19 pandemic, Defendant has breached its coverage obligations under the policies.
179.
As a result of Defendant’s breaches of the policies, Plaintiff and the other members
of the Ingress and Egress Breach Class has sustained substantial damages for which Defendant is
liable, in an amount to be established at trial.
VII.
REQUEST FOR RELIEF
WHEREFORE, Plaintiff, individually and on behalf of the other Class and/or Subclass
members, respectfully requests that the Court enter judgment in their favor and against Defendant
as follows:
a.
That the Court enter an order certifying the classes, appointing Plaintiff as a
representative of the classes, appointing Plaintiff’s counsel as class counsel, and directing that
reasonable notice of this action, as provided by Federal Rule of Civil Procedure 23(c)(2), be given
to the class;
b.
For a judgment against Defendant for the causes of action alleged against it;
c.
For compensatory damages in an amount to be proven at trial;
d.
For a declaration that Defendant’s conduct as alleged herein is unlawful and in
material breach of the policy;
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e.
For appropriate injunctive relief, enjoining Defendant from continuing to engage in
conduct related to the breach of the policy;
f.
For pre-judgment and post-judgment interest at the maximum rate permitted by
law;
g.
For Plaintiff’s attorneys’ fees;
h.
For Plaintiff’s costs incurred; and
i.
For such other and further relief as the Court deems just and proper.
VIII. DEMAND FOR JURY TRIAL
Pursuant to Rule 38 of the Federal Rules of Civil Procedure, Plaintiff hereby demand a trial
by jury on all matters so triable.
Dated: April 27, 2020
Respectfully submitted by:
BOULWARE LAW LLC
/s/ Brandon J.B. Boulware
Brandon J.B. Boulware
MO # 54150
1600 Genessee Street, Suite 416
Kansas City, MO 64102
Tele: (816) 492-2826
Fax:
(816) 492-2826
brandon@boulware-law.com
VOTAVA NANTZ & JOHNSON, LLC
BY: /s/ Todd Johnson
TODD JOHNSON
MO #48824
9237 Ward Parkway, Suite 240
Kansas City, MO 64114
Tele:
(816) 895-8800
Fax:
(816) 895-8801
tjohnson@vnjlaw.com
Attorneys for Plaintiff
Case 6:20-cv-03127-SRB Document 1 Filed 04/27/20 Page 37 of 37File and source
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- Our copy
- gov.uscourts.mowd.151497.1.0.pdf
- Original
- archive.org